MUSC College of Medicine New Faculty Orientation September 12, 2013

Welcome! Today’s agenda General overview/faculty affairs/APT/Mentoring Education Research Clinical Affairs We’re so pleased to have you with us for our inaugural COM New Faculty Orientation. As a new faculty member and MUSC employee, you go through a generic HR orientation dealing with your benefits, retirement, and the like. As a clinician, you would also go through a separate orientation from MUSC Physicians. We’ve been hearing from the faculty a desire to also have a brief overview/orientation of MUSC and the College of Medicine as a whole, to include the clinical enterprise. We are a large and complex organization, and it can be difficult to determine how all of our “parts” work together and where to go when you might have questions on a particular topic. Our goal today is to provide a general overview on topics of interest to our faculty, and then to provide some specific information related to our 3 primary missions of education, research, and clinical affairs. We’ll pause at the end of each section for questions/discussion – but feel free to interrupt with questions as needed.

VP for Information Technology and CIO President Board of Trustees VP for Information Technology and CIO President VP for Academic Affairs and Provost Deans VP for Clinical Operations and CEO, Medical Center VP for Medical Affairs and Dean, College of Medicine VP for Finance and Administration VP for Development This is a simplified org chart to provide a broad overview of MUSC. The MUSC Board of Trustees consists of 17 individuals – the majority of these seats are elected positions and are filled by individuals representing both the medical profession AND lay or non-medical professions from across the state, as well as two individuals appointed by the Governor. The Board is currently chaired by Mr. Tom Stephenson, an attorney from Greenville, SC. We currently have an Interim President, Mark Sothmann. Dr. Sothmann has been serving as VP for Academic Affairs and Provost for the past 3 years, and was appointed Interim President upon Ray Greenberg’s departure last month. A search is being initiated for a new President of MUSC, under the direction of the Board of Trustees. 6 Vice Presidents report to the President – these include the Vice President for Academic Affairs and Provost, the Vice President for Medical Affairs and Dean of the College of Medicine (Etta Pisano), and the Vice President for Clinical Operations and CEO of the Medical Center (Pat Cawley).

Colleges Medicine Health Professions Dental Medicine Graduate Studies Pharmacy Nursing Graduate Studies Health Professions MUSC has 6 Colleges, each of which has its own Dean. Administratively, Deans of the colleges report to the Vice President for Academic Affairs and Provost. The Vice President for Medical Affairs and Dean of the College of Medicine, Etta Pisano, reports directly to the President.

College of Dental Medicine ~80 faculty ~225 students ~25 residents ~$4.5 million in extramural awards for FY13 College of Graduate Studies ~260 students College of Health Professions ~65 faculty ~840 students ~$3.2 million in extramural awards for FY13 College of Nursing ~140 faculty ~400 students ~$4.6 million in extramural awards for FY13 College of Pharmacy (joint program with USC) ~75 faculty (half at MUSC and half at USC) ~760 students ~$2.3 million in extramural awards for FY13

College of Medicine Missions – education, research, and service ~ 1270 faculty ~ 1200 staff ~ 650 trainees ~ 700 medical students ~ $205 million in extramural awards for FY13 The College of Medicine is a large and complex organization.

Vice President for Medical Affairs Academic Affairs Medical Education Departments: Anesthesia & Perioperative Medicine Biochemistry & Molecular Biology Cell & Molecular Pharmacology Comparative Medicine Dermatology Family Medicine Medicine Microbiology & Immunology Neurosciences Obstetrics & Gynecology Ophthalmology Orthopaedic Surgery Otolaryngology Pathology & Lab Medicine Pediatrics Psychiatry Public Health Sciences Radiation Oncology Radiology Regenerative Medicine Surgery Urology Faculty Affairs Finance Clinical Affairs Research Development MUSC Physicians Dean, College of Medicine Vice President for Medical Affairs Board 22 departments – 16 clinical and 6 basic science This is a large enterprise to administer. The Dean meets monthly with all Department Chairs and members of her senior leadership team. In addition, the Dean meets twice monthly with all of the Clinical Department Chairs and once monthly with all of the Basic Science Chairs. Department Chairs are then charged with sharing information with members of their department. Additionally, there are twice monthly meetings for all department administrators with members of the Dean’s Office administrative team. Etta D. Pisano, MD Vice President for Medical Affairs Dean, College of Medicine Professor, Dept. of Radiology

MUSC Physicians (The “Practice Plan” aka “UMA”) The physician group of MUSC Health. ~ 750 physician members. ~ 900 staff. ~ 1.5 million total patient visits in FY13. ~ $243 million in net collections for FY13. David Cole, MD Professor and Chair, Dept. of Surgery President, MUSCP Steve Valerio, MBA CEO, MUSCP Assoc. Dean for Finance, COM

MUSC Physicians Board of Directors Officers Dr. Etta Pisano, Vice President for Medical Affairs and Dean Dr. David Cole, President Dr. Don Rockey, Vice President Dr. Scott Reeves, Treasurer Dr. Donna Johnson, Secretary Dr. Rogers Kyle, Member At-Large Dr. Jack Feussner, Executive Senior Associate Dean for Clinical Affairs Elected Clinical Chairs Dr. Lucian Del Priore Dr. Tom Keane Dr. Sunil Patel Dr. Rita Ryan MUSC BOT Members Dr. Stanley Baker Dr. Thomas Rowland Ex Officio Officials Lisa Montgomery Dr. Pat Cawley Community Leaders Sabine Lang Bonnie Lester William McCauley Milton “Van” Willis Elected At Large Members Dr. Rogers Kyle Dr. David White

Medical University Hospital Authority (MUHA) 709 beds in four inpatient facilities Medical University Hospital Ashley River Tower Children’s Hospital Institute of Psychiatry ~35,000 annual patient admissions ~75,000 annual ER visits ~6,600 employees Pat Cawley, MD, MBA Vice President for Clinical Operations and CEO, Medical Center

MUSC Health College of Medicine (COM) Medical University Hospital Authority (MUHA) MUSC Physicians (MUSC-P) “MUSC Health” – incorporates the College of Medicine, MUSC Physicians, and the Medical University Hospital Authority (MUHA). Operating budget of over $1 Billion.

Our clinical enterprise, MUSC Health, has become very well-integrated via our Clinical Leadership Council – where the senior leadership from MUHA, COM, and MUSCP meet on a weekly basis. You’ll be hearing more about the Clinical Enterprise from Jack Feussner later this afternoon.

Resources for Faculty Assistance University Ombudsperson John Waller, MD Advisory only, no records, not “official” 792-7070 Office of Gender Equity Sexual harassment Gender inequity ($$, promotion/tenure) 792-8066

COM Faculty Affairs/Development Associate Deans: Chimowitz, Gilkeson, Gordon, McDermott, Smith Team members: Crosson, Deas, Nall Advice, questions about APT, mentoring, conflict resolution, programs 792-2081/website: office hours, emails www.musc.edu/com/faculty

Faculty Contracts MUSC utilizes annual Faculty Appointment Contracts (FAC) – same format for faculty in each of the Colleges July 1 – June 30 For most new faculty, the offer letter serves as the faculty contract through June 30 of the first year of employment. Thereafter, each faculty member will receive a FAC from their department/division on an annual basis.

Faculty Contracts Typically prepared by departments and given to faculty in May/June for review and signature. Set forth the total anticipated compensation for the faculty member and outline duties, responsibilities and goals for the coming year. If there are disputes between a faculty member and his/her supervisor regarding the FAC, the Faculty Handbook contains the FAC Dispute Resolution Process (Section 8.11).

Faculty Contracts The FAC contains guidelines with respect to compensation tied to faculty rank – this is referred to as “Part A” of the FAC compensation section: Assistant Professor, $60,000 Associate Professor, $80,000 Professor, $90,000 Rank compensation applies only to faculty with “regular” faculty appointments, not to faculty with “modified” or “special” faculty rank appointments. Any source of funding may be used for the rank compensation component of a faculty member’s salary. Any potential compensation that exceeds “rank compensation” is included in “Part B” of the FAC compensation section as “Additional Compensation”. This amount can vary from year to year.

Appointment, Promotion and Tenure Promotion and tenure are different decisions at MUSC Promotion: reviewed at department and college levels Tenure: reviewed at department, college, and university levels Separate criteria

Promotion Tenure track Four tracks: Ranks are the same in all tracks Clinical Educator – most common Academic Clinician – clinical researcher Academic Investigator – basic scientist Academic Educator – basic science educator Ranks are the same in all tracks

Promotion Modified tracks Four tracks: Clinical Educator – most common Academic Clinician – clinical researcher Academic Investigator – basic scientist Academic Educator – basic science educator Ranks are the same in all tracks

Promotion - Tips Know your track! Develop a plan with your mentor* It’s possible to switch; discuss with Chair Develop a plan with your mentor* Check in annually with Chair/Division Director Know the grid requirements within your track You may be “successful” in many respects, but if you’re not achieving the specified objectives, you are not making progress toward promotion!

Tenure Tenure ensures academic freedom, with the expectation that the faculty member will continue to perform according to accepted standards subject to termination for cause, upon retirement, on account of financial exigency or the change or abolition of institutional programs. Tenure rests in the college or department of primary appointment only.

Tenure Either Associate or Full Professors “Not based upon specific academic skills or attainments. These qualifications are considered in the process of promotion in rank.” “the individual's long-term value to the University is the central issue” Clearly less quantifiable, intentional

APT Summary Know your current track Offer letter Determined by Chair Be aware of criteria within track/rank Be proactive in planning for advancement Mentors Annual conversations/evaluations Tenure is qualitatively different from promotion