1. Promotion and Tenure Strategies for Success
Margaret R. Gyetko, M.D. Associate Dean for Faculty
University of Michigan Medical School
Allen asked me to update you regarding the processes and our ideas for faculty appts & promotions

2. WHAT IS THE FUNCTION OF AN ACADEMIC MEDICAL CENTER?
Educate medical students & Ph.Ds.
Provide the environment for residency (GME) and postdoctoral training.
Advance medical science.
Expand knowledge base of human biology, pathophysiology & therapy
Provide outstanding, cutting edge patient care.
Our job as medical school faculty members -->

3. A SNAPSHOT OF THE FACULTY
2007
Instructional Track (763)
Research Track (212)
Clinical Track (522)
Lecturers (191)
Total (1693)
(2003 numbers)
This is what we look like - divided into those 3 tracks

4. WOMEN FACULTY AT MICHIGAN 2007
Instructional Track 24% (*22%)
Research Track 40% (*40%)
Clinical Track 48% (*45%)
Lecturers, clin, etc. 45% (*45%)
Total 36% (*34%)
Headcount 8/1/06
(*2005 numbers)

6. Medical academia rests on 4 leg table (not tripod) of professional
work (including clinical activity)
teaching, scholarship, & service.
When the responsibility for patient care is undertaken, it must remain the ultimate moral priority.

7. THE APPOINTMENT PROCESS
Chair/candidate
Prelim eval
(OFA, OCA,
Dean)
Intent letter
Full evaluation by
ACAPT/EC
EVPMA/Provost
Regents
Offer letter with track & rank
Here is how the appointment travels through time and space

8. REGENTS BYLAW 5.08
Assistant professors & other untenured members of teaching staff are appointed by the President of the University upon recommendation of the Dean and Executive Committee.
Tenured professorial staff are appointed by the Board of Regents on recommendation of the Dean and Executive Committee.

9. APPOINTMENTS KEY POINTS
Vetting the appointment.
(Central Campus approval?)
Letter of intent (Be careful of promises).
Evaluative letters (Must be unbiased).
Scholarship impact/seminal contribution.
Flawless package.
So these are the key points

10. ARE YOU ON THE OPTIMAL TRACK FOR YOUR CAREER?
Your division head/chair has given this due consideration and the Office of Faculty Affairs as well as the advisory committees of your peers have weighed in on this choice.
Even so, a third year career review from the Office of Faculty Affairs will re-evaluate with you and provide a chance to transfer to another track.

11. FACULTY TRACKS Instructional Clinical Research Scholarship Teaching
Prof. Work
Org. Service
Org. Service
Professional Work
Clinical
Teaching
Org. Service
Scholarship
Research
Scholarship
Teaching
Org. Service

12. WHAT IS IMPORTANT TO THE UNIVERSITY OF MICHIGAN?
To be one of the best universities in the world.
To have the most influential faculty.
To be recognized nationally and internationally as outstanding.

13. SO WHAT DOES THIS HAVE TO DO WITH YOU?
EVERYTHING

14. PREPARING FOR PROMOTION
Determination of readiness
Division Chief
Departmental ACAPT Committee
Chair
Read The Promotion Package
Medical School Web Site
Promotion to the higher ranks signals the step into the senior medical establishment. Top 3 bullets are our present process:
The bottom one could be a useful adjunct - having the candidate explain in a single page, their accomplishments, scholarly niche and seminal accomplishments.

15. SUGGEST 5 OR MORE EXTERNAL REVIEWS
Must be “at arms length”.
no collaborators
no mentors
no prior faculty colleagues
Number of internal vs. external letters required varies by track and rank….consult the web site.
The Evaluator must be at the rank proposed or above.
The more prestigious the better…peer institution…top person.
Beware the European Connection (different system).
Should be in process by May or June.

16. THE PROMOTION PACKAGE Talking points Form B CV Educator portfolio
5 key papers
Bibliographic notes (citation survey)
5 External +/- letters of evaluation
Due in the Med School 10/1
Form B
Advisories & Executive Committee
Dean’s letter

17. TALKING POINTS
A single page commentary by the candidate describing his or her scholarly niche (and type of scholarship), professional expertise, contributions, special skills, national leadership etc.

18. THE CV
Standard model
• Academic history.
• Overview of accomplishments.
• Must be precise and flawless.

19. Is teaching central or secondary in your job? (% FTE).
EDUCATOR’S PORTFOLIO
Is teaching central or secondary in your job? (% FTE).
Section 1- summary of teaching & time.
Section 2 - major teaching contributions.
Bob Anderson & Larry Gruppen have streamlined the teaching portfolio into a 3 page medical school version. We hope these will be routine a year from now

21. THIS YEAR’S PROMOTIONS
Research 2 - Professor 5 - Associate Professor 17 - Assistant Professor Total Research:  24 Clinical 4 - Professor 21 - Associate Professor 14 - Assistant Professor 1 - Adjunct Associate Professor Total Clinical:  40 Instructional 36 - Professor 26 - Associate Professor Total Instructional:  62 TOTAL PROMOTIONS:  126

22. WHAT IS REALLY THE BOTTOM LINE?
The promotion process recognizes excellence nationally and internationally.
The time line is long and care is needed every step of the way.

23. THINGS I WISH I HAD KNOWN SOONER
A promotion package starts on your first day on faculty.
It takes five years to do it well, usually.
Do your work, publish well, of course.
Get grants, of course.
But that is not enough….

24. THINGS I WISH I HAD KNOWN SOONER
Cultivate relationships in your field.
National presence and reputation is very important.
Be active in your professional societies.
Meet leaders in your field.
Give talks
National meetings
Visiting professorships
Establish connections with leaders in your field.

25. THINGS I WISH I HAD KNOWN SOONER
Develop a theme in your work that you own.
Build a place for yourself nationally.
Self promotion is not a sin, just do it with intelligence and honesty.
Take care of your end game.
You will need letters from leaders in your field who have no conflict of interest in praising you. Earn their esteem. It takes time and effort. Do it, it is essential.

26. SO WHAT ARE RESEARCH AND SCHOLARSHIP?
They are more or less synonymous - they are the key elements of expanding our knowledge base.
These can be pursued to benefit mankind in clinical care scholarship & medical education scholarship just as in basic research (scholarship of discovery).

27. LIKE WHAT?
Scholarship of discovery
Scholarship of integration
Scholarship of application
Scholarship of teaching
(Much of this takes teams)
Academic Medicine 75:877, 2000

28. TEAM SCIENCE
It is clear that working in teams to advance science and knowledge is the future.
This is a new path in academia.
Still, it is very important that each member of the team have an independent voice.
So what does this mean, practically?
Publish first or last authored manuscripts
And get your own big grant.
And establish your own national/international reputation.

29. So what should a new faculty member do?

30. TAKE CARE OF THE MILESTONES
It is very important to have good mentors…find them…several are best.
Get a mentored grant early (a K award).
Publish and speak nationally early.
Build relationships in your field early.
Land an independent grant (RO1) in year 3, 4 or 5 at the latest.

31. TAKE CARE OF THE MILESTONES
Faculty in the instructional track have in excess of 25 high quality, peer reviewed publications in order to be promoted to Associate Professor with tenure…and the majority of the publications are first or last authored, and there is a consistent theme to the research.
Independent Funding.

32. TAKE CARE OF THE MILESTONES
Teach well.
-Pay attention to your evaluations.
-If you need help to teach well, get
it.
-It is our mission, but it also is in
your own best interests.

33. HOW CAN I LEARN TO BE BETTER?
Work with your mentors.
Talk with the chair of your department.
Attend training opportunities offered through the Dean’s office.
Be engaged in the process of your own career development.

34. ASSISTANT TO ASSOCIATE PROFESSOR
Time in rank:
6.3, 6, 7 years
(must be < 8yrs)
Coherent body of work
National reputation & unique contribution in an independent field
Publications: 31, 28, 32 (ave, med, mode) Range 9-99
Teaching quality
Organizational citizenship
Competence in teaching & scholarship
Potential for success in field
ASSISTANT
ASSOCIATE

35. ASSISTANT TO ASSOCIATE (RESEARCH)
Time in rank
6 ave/med/mode
External funding
Coherent body of work
National reputation & unique contribution in independent field
Publications: 36, 36, (ave, med, mode) Range 15-88
Teaching quality
Organizational
citizenship
Competence in teaching & scholarship
Potential for success in field
ASSISTANT
ASSOCIATE

36. ASSISTANT TO ASSOCIATE (CLINICAL)
Clinical excellence
Coherent body of work
Regional reputation & unique contribution in independent field
Publications: 14,13, (ave, med, mode) Range 3-44
Teaching quality
Organizational citizenship
Time in rank
6.4 ave
6 med/mode
Competence in teaching & scholarship
Potential for success in field
ASSISTANT
ASSOCIATE

37. ASSOCIATE TO PROFESSOR
Time in rank:
7 ave
6 med/mode
Established body of work
Continued recognition
nationally/internationally
with unique contribution
in independent field
Publications: 60, 56, 46
(ave, med, mode)
Range
Teaching quality
Organizational citizenship
Coherent body of work
Recognized excellence
in teaching & scholarship
National reputation &
unique contribution in
independent field
PROFESSOR
ASSOCIATE

38. ASSOCIATE TO PROFESSOR (RESEARCH)
Time in rank
7 ave/med/mode
History of continued independent funding
Established body of work
National & international reputation with unique contribution in independent field
Publications: 57, 56, (ave, med, mode) Range 39-88
Teaching quality
Organizational citizenship
External funding
Recognized excellence in teaching & scholarship
National reputation & unique contribution in independent field
ASSOCIATE
PROFESSOR

39. ASSOCIATE TO PROFESSOR (CLINICAL)
Clinical excellence
Established body of work
Strong regional & emerging national reputation in field
Publications: 29, 25
(ave, med/mode) Range 11-71
Teaching quality
Organizational citizenship
Time in rank:
7 ave
6 med/mode
Recognized excellence in teaching & scholarship
Regional reputation & unique contribution in independent field
ASSOCIATE
PROFESSOR

40. DEAN’S OFFICE OF FACULTY AFFAIRS
Carol Jarema
Jane Weyher
Mary Wurz
Kim Leahy
Jennifer Vida
Karen Bertoia
Deb Komorowski
Melissa Dorfman
Margaret R. Gyetko
David Gordon
Jim Albers
Lies Quint
Jayne Thorson
view from Cedar Bend Dr.

41. ASSISTANT DEANS FOR FACULTY

42. Questions? Discussion?