1. Ann Brown MD MHS Associate Vice Dean for Faculty Development New Faculty Orientation 9/21/10

2. Contact Office for Faculty Development 268 Baker House, Duke South Phone 684-4139 Email: brown066@mc.duke.edubrown066@mc.duke.edu Web: facdev.medschool.duke.edu View and register upcoming events See videos OR materials from past events Selected resources on professional development

3. Outline Faculty Snapshot Promotion Process Basics Clinical and Basic Sciences Description of 5 Clinical Pathways Check bright green sheet of paper in your folder- it has your track (according to database)

5. Basic Science Departments 8/31/10 Data

6. Clinical Science Departments 8/31/10 Data

7. Data from dFac 8/31/10 School of Medicine Faculty

8. Gender Distribution by Rank

9. Promotion Basics

10. Basic Science Promotion and Tenure Review Timeline Faculty member and Chair agree To submit dossier BS- APT Committee MCEC/Dean Provosts APT Committee BoT Final action BS-APT=Basic Science APT MCEC= Medical Center Executive Committee BoT= Board of Trustees Departmental review About 12 months Dossier for promotion with tenure MUST be submitted by beginning of 7 th year

11. Clinical Science Promotion and Tenure Review Timeline Faculty member & Chair Agree to submit dossier Faculty member submits dossier to DAPT Committee DAPT Committee forwards recommendation to Chair Chair forwards to Med Ctr CS- APT Committee BoT Final action Chair notifies faculty member of DAPT recommendation DAPT=Departmental APT BoT=Board of Trustees CS-APT=Clinical Sciences APT About 12 months Dossier for promotion with tenure MUST be submitted by beginning of 10 th year

12. What are the Ranks? Clinical Basic Medical Instructor (incubator status, tenure clock not active) Assistant Professor Associate Professor Associate Professor with Tenure Professor with Tenure Professor (without tenure) Tracks 4&5 only Assistant Professor Associate Professor with tenure Professor And others tailored to individual circumstances, not linked to tenure track

13. What is tenure? Tenure is a promise of continued employment, absent malfeasance A specific salary is not promised For basic scientists, tenure promises full (or near full) salary For clinicians who belong to the PDC, salary guarantee is limited Tradition has been 25K Assoc Prof and 30K Full Prof For Clinical Science faculty who do not belong to PDC, tenure may have a different meaning

14. Preparing for Promotion Request an annual review with your Chief/Chair to Assess your progress toward promotion Solicit feedback about areas to work on in coming year You should play an active role in the process of deciding when to go up for promotion You can bring this up with your Chair/Chief

15. Things to do now Cultivate potential external evaluators APT dossier must include names of 6 individuals external to Duke University who are qualified to evaluate the candidate's scholarly contributions (Faculty Handbook) These should not be collaborators, co-authors, mentors.

16. Things to do now Create a Duke-formatted CV and update it periodically Faculty APT office website or call 684-3852 Develop a system for keeping track of your activities. Publications Lectures (Duke, regional, national, international) Clinical activities (and nice patient letters) Teaching activities (keep your evaluations) Service on committees (Duke, societies, NIH etc)

17. Keep track of accomplishments ( see package of folders) Files for: Committee memberships Annual Reviews Awards/Recognitions/Kudos CME Correspondence/ Networking Mentor/Advisor Activities Teaching Long term goals Privileges/Credentials Keep a separate file for each Presentation Publication Scholarly Activity (other)

18. Promotion criteria-Basic Science see Faculty Handbook Appendix J Contributions to the field Publication record Demonstrated ability to secure funding from peer- reviewed sources Teaching Service http://www.provost.duke.edu/pdfs/fhb/FHB_App_J.pdf

19. What are the criteria? Tenure-eligible pathways require scholarship Scholarship, research and creative activity means the systematic investigation in some field of knowledge undertaken to discover or establish facts or principles, and the scholarly effort to interpret, integrate or synthesize research findings or the preparation and execution of creative projects.

20. Promotion Criteria-Clinical Science Criteria based on which Track you are on There are five tracks (revised 2006) Standard Tenure Clock (10 years)* 1: Clinician / Administrator / Educator 2: Clinician Researcher 3: Research focused faculty Non-clocked – term appointments 4: Clinician 5: Researcher

21. Why have Tracks? Pathways designed to help faculty succeed within framework of institutional needs Many ways to develop a successful career at Duke Create a consistent set of expectations Provide guidance to Appointment, Promotion and Tenure (APT) Committees

22. Guidelines Apply To… Clinical Departments MDs PhDs MD/PhDs Other terminal degree holders in the clinical departments

23. What are the criteria? Varies with track Selection of a given track defines the promotion expectations Track 1: Clinical/Admin/Educational Track 2: Mixed Research and Clinical Track 3: Research Track 4: Clinical Track 5: Research

24. What are the criteria? Focus Build a thread of continuity throughout your work The theme should be apparent to reviewers Be cautious of diffusion of your efforts

25. Tenure Clock Tenure clock starts with first appointment at Assistant Professor rank regardless of track

26. Changing Tracks Not casual- consult with chair Transfer within Tracks 1-3 relatively easier Transfer from Tracks 4, 5 to Tracks 1-3 requires Deans office approval due to tenure implications

27. Path 1: Clinician / Administrator/ Educator Designed to reward physicians who see patients (typically 75%) and do some research, administration, or education Primary focus: publications & reputation Referral patterns National committees & professional organizations Review articles, case reports, chapters

28. Path 1: Clinician / Administrator/ Educator Also appropriate for faculty who spend the majority of their time on a combination of clinical care, administration, and/or teaching Similar to Track 4, but difference is stronger emphasis on scholarly activity in Track 1

29. Path 1 Grants Clinical volumes Teaching or administrative accomplishments Tenure clock applies: must initiate tenure review by the start of 10 th year Earlier review okay

30. Path 2: Clinician / Researcher Designed to reward physicians who see patients and do ~50% research Natural home for Clinical Investigators Primary focus: publications & reputation Referral patterns National committees & professional organizations Manuscripts – high level journals

31. Path 2 Grants Clinical volumes – lower volumes expected than on Track 1 Teaching or administrative accomplishments count but are secondary to research and clinical care expectations

32. Path 3: Primary Research Designed for faculty who typically do 75% research Natural home for Lab-focused MDs and PhDs Primary focus: publications & reputation History of funding Publications Nationally significant research

33. Path 3 Grants – Peer reviewed (NIH, Selective foundations) Publications – expect to be placed in major journals Teaching or administrative accomplishments count but are secondary to research objectives

34. Path 4: Clinician Designed for faculty who typically do 75% clinical work As with Track 1, combinations of clinical work, teaching and administration also fit here Natural home for pure clinicians Primary focus: clinical care Referral patterns National committees & professional organizations - reputation

35. Path 4 No tenure clock But remember, if you later switch to track 1, your tenure clock started on date of first appointment to Assistant Professor in the non-tenure track Can only transfer to Tracks 1-3 during the first ten years in Path 4

36. Path 4 Grants – very secondary Publications – much less critical, although they enhance clinical reputation

37. Path 5: Researcher Designed for faculty who typically do 80% research Natural home for PhDs in clinical departments Primary focus: publications & funding Publications – high level journals Consistent funding – annual appointments

38. Path 5 Teaching or administrative accomplishments count but are secondary to research objectives Most teaching in the context of the research work

39. Questions? Resources Department Administrative Liaison Faculty Liaison Faculty Handbook and APT Guidelines http://medschool.duke.edu/ Select resources for faculty on Left Bar Duke Advantages for Faculty http://www.provost.duke.edu/faculty/ Office for Faculty Development http://medschool.duke.edu/

40. APT Panel after lunch Dona Chikaraishi PhD Basic Science APT Committee Thomas Coffman MD Department of Medicine APT Committee Phyllis Leppert MD PhD Clinical Sciences APT Committee

41. Next Panel Building a Career in Academic Medicine John Alexander MD MHS FACC Sally Kornbluth PhD Bob Lefkowitz MD