What to do While Your Clock is Ticking? Jan Shorey, M.D. Associate Dean of CME &Faculty Affairs UAMS College of Medicine

“What is life but a series of opportunities we choose to take?” Francis C. Wood, M.D.

Lee Lee Doyle, Ph. D. It’s Your Move! University of Arkansas for Medical Sciences College of Medicine

4-D Model of Academic Success DREAMDESIGNDODOCUMENT

While Dreaming and Designing, ask yourself about Aligned Missions Your personal goals Your professional passions and goals Expectations of others: Goals and requirements of your Department (READ THE P&T Guidelines! - click on Promotion & Tenure) Expectations of others: Goals of the College and University (READ THE P&T Guidelines!)

Key Career Planning Questions within the College of Medicine 1. Are you on “the right track”? (Are you appointed on the academic pathway that best suits your goals?) 2. What is your “time and effort” distribution? 3. Are you turning your “day job” into scholarship? 4. Who are your mentors? 5. Who is in your professional network?

Are you on “the right track”? 2009 COM P&T Guidelines Three new academic pathways; total of 7 academic pathways Scholarship is required of BS, CS, CE and is encouraged by not required for CA Non-tenure pathways (NTPs) may be best for faculty members with young childrenNon-tenure pathways (NTPs) may be best for faculty members with young children NTPs allow for rational appointment of junior faculty members on basic & clinical scientists pathways who need 10 years to obtain independent fundingNTPs allow for rational appointment of junior faculty members on basic & clinical scientists pathways who need 10 years to obtain independent funding NTPs allow for rational appointment of part time facultyNTPs allow for rational appointment of part time faculty NTPs allows for rational appointment of faculty members who work at the VA > 5/8 th timeNTPs allows for rational appointment of faculty members who work at the VA > 5/8 th time Basic Scientist Clinical Scientist Clinical Educator Clinical Attending TPNTP[new]TPNTP[new]TPNTP[new]NTP

Key Career Planning Questions within the College of Medicine 1. Are you on “the right track”? (Are you appointed on the academic pathway that best suits your goals?) 2. What is your “time and effort” distribution? 3. Are you turning your “day job” into scholarship? 4. Who are your mentors? 5. Who is in your professional network?

Time & Effort Distribution (in Percents) Basic Scientist-TP Basic Scientist-NTP Clinical Scientist Clinical Educator Clinical Attending RangeTypicallyRangeTypicallyRangeTypicallyRangeTypicallyRangeTypically Teaching/Mentoring (Total) Didactic Teaching Bedside Teaching Research Clinical Service (Total) Direct Patient Care Bedside Teaching Leadership/Admin. Service0-35*100-10* *5 0-10*5

Time & Effort Distribution Clinical ScientistRangeTypically Teaching/Mentoring (Total) Didactic Teaching Bedside Teaching2-105 Research Clinical Service (Total) Direct Patient Care Bedside Teaching2-105 Leadership/Admin. Service0-10*2.5

Key Career Planning Questions within the College of Medicine 1. Are you on “the right track”? (Are you appointed on the academic pathway that best suits your goals?) 2. What is your “time and effort” distribution? 3. Are you turning your “day job” into scholarship? 4. Who are your mentors? 5. Who is in your professional network?

Scholarship and Academic Medicine: What Does “the academy” do? Produces scholars – “nurtures, tolerates, accommodates scholars,” in contrast to most of the private practice of medicine and most of industry Produces scholars – “nurtures, tolerates, accommodates scholars,” in contrast to most of the private practice of medicine and most of industry Produces scholarship – Discovery, Integration, Application, Teaching Scholarship Reconsidered, Boyer (1990) See page 3 of the 2009 UAMS COM P&T Guidelines Produces scholarship – Discovery, Integration, Application, Teaching Scholarship Reconsidered, Boyer (1990) See page 3 of the 2009 UAMS COM P&T Guidelines Teaches others – students and the public Teaches others – students and the public Ensures the continued existence of the academy - administrative service Ensures the continued existence of the academy - administrative service

Scholarly Work In Academic Medicine Creates new knowledge Within any of 4 domains Clinical Care Clinical Care Education/Teaching Education/Teaching Research (bench to bedside to community) Research (bench to bedside to community) Administration Administration

Work vs. Scholarship Scholarly work requires: High level of discipline & related expertise High level of discipline & related expertise Innovation Innovation Can be replicated or elaborated Can be replicated or elaborated Can be peer-reviewed Can be peer-reviewed Scholarship Assessed, Glassick, Huber, Maeroff (1997)

Work vs. Scholarship “work” becomes scholarship when it is: Made public Made public Available for peer review and critique according to accepted standards Available for peer review and critique according to accepted standards Able to be reproduced and built upon by others Able to be reproduced and built upon by others [the 3 P’s: product, peer-reviewed, published] [the 3 P’s: product, peer-reviewed, published] Lee S. Shulman Carnegie Foundation for the Advancement of Teaching

Scholarship Made Public: “Publication” Examples of “Tried and True” Methods: – Peer-reviewed journal articles about original contributions – Peer-reviewed “review” articles – Textbooks and chapters; monographs – Peer-reviewed poster presentations and abstracts

Scholarship Made Public: “Publication” Examples of Newer Methods: – Peer-reviewed web-based materials – CDs and other forms for enduring materials – Educational syllabi and curriculum documents – Patient education materials – Quality improvement projects – Clinical Practice Guidelines

Key Career Planning Questions within the College of Medicine 1. Are you on “the right track”? (Are you appointed on the academic pathway that best suits your goals?) 2. What is your “time and effort” distribution? 3. Are you turning your “day job” into scholarship? 4. Who are your mentors? 5. Who is in your professional network?

Who are your mentors? Who are your past and present mentors? Where would you be without them? Who are your past and present mentors? Where would you be without them? Does your Department have an organized mentoring program? Does your Department have an organized mentoring program? Many (probably most) of us need multiple mentors Many (probably most) of us need multiple mentors Each party in a mentor-protégé relationship has responsibilities to fulfill for “the other” Each party in a mentor-protégé relationship has responsibilities to fulfill for “the other”

Key Career Planning Questions within the College of Medicine 1. Are you on “the right track”? (Are you appointed on the academic pathway that best suits your goals?) 2. What is your “time and effort” distribution? 3. Are you turning your “day job” into scholarship? 4. Who are your mentors? 5. Who is in your professional network?

Who is in your professional network? “local” colleagues within your department, other departments, and other UAMS Colleges “local” colleagues within your department, other departments, and other UAMS Colleges national and international colleagues in your major field of interest national and international colleagues in your major field of interest attend national professional “meetings” in your major field of interest attend national professional “meetings” in your major field of interest – learn new ideas and approaches – present your work (then publish it too!) – build your network of colleagues

Role Analysis Exercise Instructions included (on the back) Conduct this exercise for yourself Review your findings with your mentor(s), direct supervisor, and/or Division Chief/Department Chair

Other Significant Changes in the COM P&T Guidelines “3 + 7” years to achieve tenure “3 + 7” years to achieve tenure – Assistant Professor may be appointed on a NTP for up to 3 years; with approval of Chair & Dean, transfer to parallel TP – Assistant Professor may be appointed on a NTP for up to 3 years; with approval of Chair & Dean, transfer to parallel TP – tenure clock starts at time of approval of pathway change to TP – tenure clock starts at time of approval of pathway change to TP Collaborators are vital in contemporary academic medicine Collaborators are vital in contemporary academic medicine – see page 3: document your contributions accurately & obtain written corroboration from your collaborators – see page 3: document your contributions accurately & obtain written corroboration from your collaborators

Other Significant Changes in the COM P&T Guidelines New promotion criteria for Basic Scientists who teach A LOT New promotion criteria for Basic Scientists who teach A LOT Clinical Attendings may have significant teaching roles – criteria included for assessing these accomplishments Clinical Attendings may have significant teaching roles – criteria included for assessing these accomplishments Special Faculty Members – see page 7 Special Faculty Members – see page 7 Mentoring is explicitly valued Mentoring is explicitly valued Leadership and Administrative service is the responsibility of more experienced faculty members, and is explicitly valued Leadership and Administrative service is the responsibility of more experienced faculty members, and is explicitly valued

Other Significant Changes in the COM P&T Guidelines No more title modifiers (e.g., Clinical Assistant Professor; Research Associate Professor). Same title for TP and NTP faculty: No more title modifiers (e.g., Clinical Assistant Professor; Research Associate Professor). Same title for TP and NTP faculty: – Instructor (no academic pathway assigned yet) – Instructor (no academic pathway assigned yet) – Assistant Professor – Assistant Professor – Associate Professor – Associate Professor – Professor – Professor

Other Significant Changes in the COM P&T Guidelines Professional Recognition – 3 letters of recommendation from national experts (Professors) in your field who have neither been your teachers nor your employers (your network!) Professional Recognition – 3 letters of recommendation from national experts (Professors) in your field who have neither been your teachers nor your employers (your network!) Professional Recognition for Clinical Attendings – the 3 letters may be from national experts or local experts Professional Recognition for Clinical Attendings – the 3 letters may be from national experts or local experts

The Challenge: CREATE YOUR NICHE – FOR WHICH YOU ARE PERFECTLY EVOLVED AND INTO WHICH YOU ABSOLUTELY LOVE FITTING. (Determine who you want to be when you grow up)

The Path Is yours to design Is yours to design There are some tested courses and there is help There are some tested courses and there is help Ultimately, it is your work Ultimately, it is your work – Examine your head & your heart – Determine your goals – Chart your course – Document your progress – and most importantly -

Love Your Work