1 Requirements for promotion to rank of Associate Professor at Johns Hopkins SOM Making the requirements and process transparent Estelle B. Gauda, M.D. Associate Professor of Pediatrics Chair, APPC Mark Duncan, M.D. Associate Professor of Surgery Vice Chair, APPC

2 Members of the APPC Cindy Delinski – Administrative Assistant to the APPC, Dean’s office Patrice Becker, M.D. – Medicine Harolyn Belcher, M.D. – Pediatrics, KKI Jessica Bienstock, M.D. – Gyn/OB Malcolm Brock, M.D., Surgery Paul Flint, M.D. - Otolaryngology Alex Kolodkin, Ph.D., Neuroscience Carlos Pardo, M.D., Neurology Daniel Raben, Ph.D., Biological Chemistry Peter Rabins, M.D., Psychiatry Matthias Stuber, Ph.D., Radiology Charles Wiener, M.D., Medicine Myron Yaster, M.D., Anesthesiology Estelle B. Gauda, M.D., Pediatrics (Chair, APPC) Mark Duncan, M.D. Surgery (Vice Chair, APPC) APPC WEBSITE org/dev/appc:// org/dev/appc

3 Johns Hopkins Medicine Mission The mission of Johns Hopkins Medicine is to improve the health of the community and the world by setting the standard of excellence in medical education, research and clinical care. Diverse and inclusive, Johns Hopkins Medicine educates medical students, scientists, health care professionals and the public; conducts biomedical research; and provides patient- centered medicine to prevent, diagnose and treat human illness.

4 Important and essential guides for each faculty member

5 GOLD BOOK Appointment or promotion to the rank of Associate Professor, full-time, requires Meritorious publications Meritorious publications Substantive contributions to teaching (mentoring) and/or clinical practice Substantive contributions to teaching (mentoring) and/or clinical practice The scholarly achievements of candidates for promotion to Associate Professor should be indicated by national recognition among their peers The scholarly achievements of candidates for promotion to Associate Professor should be indicated by national recognition among their peers

6 IMPORTANTLY: The faculty member has to disseminate information to the broader community that results in improving the health of others through education, program building and/or clinical distinction and service

7 Hopkins has a ONE TRACK promotion system that recognizes and supports -RESEARCHERS -EDUCATORS -PROGRAM BUILDERS -MASTER CLINICIANS Equally Because ALL faculty members that meet the requirements for promotion have accomplishments that transcend the “Walls of Hopkins”

8 Common components to all career pathways to Associate Professor Education/teaching (mentoring) Education/teaching (mentoring) An important component of all career pathways An important component of all career pathways (Researcher, Clinician, Program Building) (Researcher, Clinician, Program Building) Scholarship: Scholarship: Primary basis for academic advancement, encompasses the generation of new knowledge and/or dissemination of knowledge to others Primary basis for academic advancement, encompasses the generation of new knowledge and/or dissemination of knowledge to others Accessible to critical assessment and accessible for future use by members of the academic community Accessible to critical assessment and accessible for future use by members of the academic community

9 Questions to ask to determine if your career pathway has lead you to be considered for Promotion to Rank of Associate Professor at this time in your career

10 1. What have I selected as my academic pathway to professional development? –clinician/educator; –physician-scientist; –research/educator; – program builder/educator 2. Have I developed a “niche” for which I am regionally and nationally known?

11 3. Does my CV show that I am nationally recognized as a significant contributor to the field in my area of expertise by the following: –Invited Reviews –Invited Talks –Organizer of symposia –Member of Editorial Board –Participation in CME courses – regionally and nationally –Others have emulated your program or utilized your methods of assessment National databases, safety strategies, –Regional and National referrals of patients and/or consultants –Others are using your technique (assay for diagnosis, surgical or treatment strategy) –Invited to participate in Workshops, Panels, that are evaluating and setting standards and policies for the field –Meritorious publications

12 4. What would colleagues in my field write about me when asked to comment on my regional and national contribution? Education Research Program Building Clinical Distinction/Service?

13 Excerpts from the letter sent to referees asking them to comment on your work.

14 The criteria for appointment and promotion are derived from the Institution's primary aim, which is to be a national and international leader in medicine, science, and education. This aim can be achieved only if the School's faculty are outstanding leaders in their respective fields.

15 Standards for promotion to the rank of Associate Professor include a record of achievement in creative scholarship and excellence in teaching. The scholarly achievement of a candidate for promotion to Associate Professor should be indicated by national recognition by peers. Creative scholarship can include work in the laboratory or in the clinical environment. Quality of teaching is also an important consideration. Another criterion is excellence in discharge of clinical obligations, for those members of the faculty having such responsibilities. Scholarship, the primary basis for academic advancement, encompasses the generation of new knowledge and/or the dissemination of knowledge to others, as long as these activities are accessible to critical assessment and accessible for future use by members of the academic community. Reputation beyond the School of Medicine and the following important elements of scholarship are considered in the promotion process: Excerpt of the letter sent to referee:

16 Education: Excellence in education requires not only an objective, up-to date, accurate, and balanced command of the field being taught but also effective communication skills. Documenting the scholarship of education also requires demonstration of accomplishments that are public, subject to critical review and analysis of outcomes, and useful to others in the community beyond the School of Medicine. This documentation may take the form of an Educator’s Portfolio, as described in the Silver Book. Course leadership and design, the judgment of students, trainees, and peers, and meritorious publications may also be considered when a faculty member's teaching is assessed. Excerpt of the letter sent to the referee:

17 Program Building: A leader in program building is someone who has developed a clinical, educational, or scientific program that is widely recognized as an outstanding model of its kind and/or that has had a substantial impact on the field. Excerpt of the letter to the referee:

18 Clinical Distinction: For faculty members who are clinicians, clinical distinction comprises professional excellence, integrity, and empathy in treating patients. Other elements of clinical distinction that are considered for a faculty member's promotion include election to distinguished medical societies relevant to achievement in his or her field, the application of new knowledge, and meritorious publications. Excerpt of the letter to the referee:

19 While it is clear as to how traditional research scholarship is demonstrated (publications, grants), it is less clear as to how faculty members can demonstrate scholarship and accomplishments that support the other Career Pathways and substantiate national recognition in Program Building, Education and Clinical distinction SILVER BOOK “Faculty Road Map” Professional Development Guide Essential Resource

20 Awards or prizes for teaching, clinical distinction or service Awards or prizes for teaching, clinical distinction or service Presentations at scholarly meetings and conferences Presentations at scholarly meetings and conferences Serving on national scientific advisory boards or study sections Serving on national scientific advisory boards or study sections Serving as an officer or on the council of national scholarly organization Serving as an officer or on the council of national scholarly organization Membership in scholarly organizations Membership in scholarly organizations Serving on editorial boards Serving on editorial boards Invited presentations at Universities, Hospitals, etc. Invited presentations at Universities, Hospitals, etc. Organizing national, or regional research or educational meetings Organizing national, or regional research or educational meetings National or *international reputation documented by letters of recommendation, leadership in societies National or *international reputation documented by letters of recommendation, leadership in societies * international recognition/leadership is not necessary for promotion to Associate Professor * international recognition/leadership is not necessary for promotion to Associate Professor Examples of activities that demonstrate National recognition outlined in Silver Book

21 The Associate Promotions Process (always takes longer than you think and longer than all of us would like) From receipt of candidates packet to the Dean’s office until the candidate is reviewed in full committee is approximately 9-11 months with an additional month to be voted on by the Advisor Board to the Medical Faculty (ABMF). FYI – the ABMF does not meet in July/August. Thus candidates reviewed by the ABMF in July/August will not be voted on until September. FYI – At the current time approximately 90-95% of the candidates that come to full committee are recommended to the ABMF for promotion. The APPC may on occasion request additional information from the Chair for clarification prior to a vote.

22 Examples Clinical Distinction (Master clinician) Clinical Distinction (Master clinician) Clinician/Educator Clinician/Educator Program Builder (clinical/programmatic) Program Builder (clinical/programmatic) Educator Educator Please note that the following examples represent the breadth of talent, and expertise of the faculty that have been recently promoted to Associate Professor in the last 1-1/2 years at Johns Hopkins. While these faculty do have scholarly publications in their area of expertise, the purpose of these examples is to show how they achieved national recognition through clinical distinction, program building and education. Please note that the following examples represent the breadth of talent, and expertise of the faculty that have been recently promoted to Associate Professor in the last 1-1/2 years at Johns Hopkins. While these faculty do have scholarly publications in their area of expertise, the purpose of these examples is to show how they achieved national recognition through clinical distinction, program building and education.

23 National Recognition: Master clinician in Sports Medicine. Physician for multiple Professional sports teams across the nation. (over 2000 patients/year and performs 300 operations/yr) Expertise in orthopedic injuries and repair: Teaching Awards: 2003, 2005 Developer and director of motor skills program for training which utilizes the Biomechanics Lab for multiple procedures. 20 -PR publications; 8 book chapters and co-editor of a Surgical Journal Quote from outside letter “his involvement of professional teams places him in the top 5% of all sports medicine physicians across the US ”

24 Novel discoveries and techniques: First to perform: Roux-en-y gastric bypass in the Mid Atlantic Lap-Band and duodenal switch with a pancreatic diversion in Maryland intraluminal endoscopic suturing of gastric pouch in the world. Evidence of National recognition:, Member of State of Maryland Tasks Force for Morbid obesity Surgery. 3 editorial boards, member of professional societies; Site inspector for Bariatric Surgery Center Accreditation Program, Program Building: Bariatric Center of Excellence: minimally invasive bariatric operations from 0-205/year (from ) Created minimally invasive fellowship Teaching/education: co-authored 6 book chapters, 6 invited reviews and has recorded 8 instructional videos of surgical techniques, participated in multiple CME courses including four gastric bypass training sessions, and has organized symposia on bariatric surgery complications and techniques Scholarly Research: 18 PR articles of original work Quote from outside letter: “His book chapters are used as benchmarks by many bariatric surgeons”. Clinical distinction/Program Builder/Educator

25 National recognition: 1) improving patient safety, 2) developing metrics of quality surgical care, and 3) evaluating strategies to reduce preoperative risk. Novel discoveries and techniques : Safety Attitudes Questionnaire (SAQ) from over 60 U.S. hospitals (landmark paper) Evidence of National Recognition: Site Director of the National Surgical Quality Improvement Program of the American College of Surgeons Presented to members of the U.S. Congress, House of Representatives Ways and Means Committee. The practice of “operating room briefing” has been adopted in hundreds of hospitals in the U.S. including Cornell, Yale and the University of Rochester Medical Centers) and abroad Co-Editor of the American College of Surgeons Serves on 6 editorial boards Scholary Publications: 32 PR articles Teaching and Education: Authored or Co-authored 7 revs, 3 book chapters Editor of, “General Surgery Review” targeted for surgical residents used by approximately 20% of current surgical resident in the U.S.

26 Scientific Discovery Scientific Discovery Program Building Program Building Education Education Clinical Distinction/Service Clinical Distinction/Service There are no separate “Tracks” to Academic Promotion at Johns Hopkins. However there are multiple Pathways to achieve national recognition and distinction in specific areas that are congruent with the MISSION OF JOHNS HOPKINS. The faculty member who is nationally recognized for his/her area of expertise via the pathways listed below will certainly meet the requirement for Academic Promotion at Johns Hopkins, and their achievements are celebrated, supported and rewarded.

BOTTOM LINE: Disseminate information to the broader community that results in improving the health of others through education, program building and/or clinical distinction and service

28 Novel discoveries and techniques: Surgical illustration: three-dimensional image on paper Scholarly activity- Distinction in Medical illustration: Co-author of Cameron’s Atlas of Gastrointestinal Surgery. Her illustrations appear in 20 PR, 5 books, 13 book chapters including “Principles of Internal Medicine, Sabiston’s Textbook of Surgery, Grant’s Atlas of Anatomy ; Current Surgical Therapy, and in multiple teaching aids. Evidence of National Recognition for Expertise Elected member of the: Board of Governors of the AMI, Recipient of multiple awards for her illustrations. Has given numerous invited talks to teach and present her concepts on medical illustration Teaching/Education: She is an effective teacher, using her illustrations as instructional medium, and she is an exceptional mentor for the students in the Program. Her teaching activities include mentoring of faculty (5), thesis advisor for 7 master students, of which many have positions across the country as medical illustrations, and classroom instruction. Chair, graduate Program Admissions Committee ( ). Medical School Council. Course dev. (Portfolio ME ). Letters: (7 outside and 5 inside) “ Her scholarship takes the form of having moved the field of surgical illustration to a new level.” “She thinks like a surgeon in that her illustration are focused on the anatomy and the action that is meant to be illustrated.” “Simply put, she is one of the leading medical illustrators in the world.”

29 National recognition: Telemedicine for Retinal Diseases and Program Building Novel discoveries and techniques : development of instruments, standards and guidelines, and field implementation for evaluation of retinal diseases- Digiscope: used for screening individuals with diabetic retinopathy and macular degeneration in a office setting- transmitted to Wilmer-Eye Tel Reading Center for grading. Used in 15 states, Bermuda, Trinidad, Turkey (50,000 pts, to date, evaluated with this device). Evidence of National Recognition: Member of editorial review board for 6 journals including Ophthalmology and Retina. Served on advisory committees (DSMB, EyeTel Imaging); Program Building: Director of Retinal satellite (Frederick, MD) which serves as a model for other satellite clinics within Ophthalmology visits-fiscal yr 2007 Teaching/education: She has participated in multiple CME instructions in and outside the Hopkins Community. She has over 75% effort in clinical activities, mentoring in the clinic and operating room. Co-authored 2 book chapters: Research scholarship: 21 PR; NIH RO1 funding Letters: “She has published several seminal papers in this area of telemedicine and continues to expand the potential applications of this field.” “Her contributions to education is superlative.”

30 The Charge of the APPC Is to make recommendations to the Dean as to whether the accomplishments of the candidate meets the standards outlined in the Gold Book for promotion to academic rank to Associate Professor

31 Cindy Delinski – Administrative Assistant to the APPC, Dean’s office Patrice Becker, M.D. – Medicine Harolyn Belcher, M.D. – Pediatrics, KKI Jessica Bienstock, M.D. – Gyn/OB Malcolm Brock, M.D., Surgery Paul Flint, M.D. - Otolaryngology Alex Kolodkin, Ph.D., Neuroscience Carlos Pardo, M.D., Neurology Daniel Raben, Ph.D., Biological Chemistry Peter Rabins, M.D., Psychiatry Matthias Stuber, Ph.D., Radiology Charles Wiener, M.D., Medicine Myron Yaster, M.D., Anesthesiology Estelle B. Gauda, M.D., Pediatrics (Chair, APPC) Mark Duncan, M.D. Surgery (Vice Chair, APPC) APPC WEBSITE org/dev/appc:// org/dev/appc We are here for you and the candidates: - The process should be transparent VISIT the WEBSITE for ADDITIONAL INFORMATION AND FAQs