1. Recruiting and Retaining an Excellent CAP Faculty: A Chairs’ Perspective
Steven P. Cuffe, M.D.
Chair, Department of Psychiatry
University of Florida College of Medicine- Jacksonville

2. Overview Description of the Division Recruitment/Retention Issues
Salary
Work/Life Balance /Wellness
Academic/Scholarly/Teaching /Promotion
Productivity metrics
Leadership/Promotion

3. UFCOM Jax Division of Child and Adolescent Psychiatry
Small division with 6 faculty at the University
All women except for me
All with young children (except me)
No University of Florida child psychiatric unit
Inpatient and PHP is at partner, Wolfson Children’s Hospital, with their own child psychiatrists.
Child psychiatrists from Wolfson have faculty appointment
UFCOM Jax faculty don’t have inpatient call responsibility
Built Department and Division over last 10 years
Child Fellowship begins this July

4. Recruitment/Retention Issues
Salary
Based on Median/Mean AAMC
Marginally helpful for child psychiatry
Never used signing bonus
I use administrative supplements to boost salary
For example: Clerkship Director
We get a defined amount of educational support for the Department, so adding new faculty does not increase this

5. Recruitment/Retention Issues
Salary (Continued)
Salary has been more of a retention issue for men
Both male faculty I recruited left for private practice due to desire for higher income
There is an incentive plan that rewards high productivity and can add up to $25,000 to salary
Child faculty incentive has generally been in the $5,000 range
Conclusion: Salary is a barrier to both recruitment and retention of faculty
We have to “sell” the advantages of the academic environment
We want faculty who value teaching and scholarly activity

6. Recruitment/Retention Issues
Work/Life Balance
Often critical for recruitment and retention
Residents taking onsite call with faculty back-up
For Child, it’s just telephone back-up
Flexibility to work part-time
Generally routine hours of work

7. Recruitment/Retention Issues
Productivity Metrics
We use patient billings to measure productivity, with a target for the year
If they surpass the target, they can earn an incentive
Resident and mid-level supervision billings are counted toward the faculty total
Faculty have 9 half-days per week of clinical time, with 1 half-day for academic/scholarly activities

8. Recruitment/Retention Issues
Productivity Metrics (Continued)
We have to bring in dollars to support the Department, with limited and static academic/teaching support
We have lost some recruits due to our level of clinical demand (not enough teaching/academic time)
I meet with the faculty individually to go over scholarly productivity, measuring against the goals set the prior year
Teaching metrics are minimal (student/resident evaluations)
There is no RVU system incorporating teaching into productivity, except that productivity targets are adjusted to reflect teaching time

9. Recruitment/Retention Issues
Promotion/Leadership Opportunities
Small Department and Division
I have mentored the new training director (Elise Fallucco)
Dr. Fallucco and I are mentoring the other faculty in research/scholarly work
Each of them have a research area with active projects
Morale and enthusiasm for scholarly work is high, and I think adds to retention

10. Recruitment/Retention Issues
Administrative Support
We have a ratio of number of clinical positions and administrative support provided by the corporation
Administrative support is adequate
The Dean at times provides research assistant support for faculty with a high likelihood of future grant support
Mid-levels provide clinical support, and their productivity goes under the faculty supervising the clinic

11. Recruitment/Retention Issues
Other Considerations
We have never used a recruiting firm due to cost
Though in some circumstances the Dean may approve
I have had a more difficult time recruiting mid-career psychiatrists: Research support needs, infrastructure
Small, cohesive program, supportive culture
Residency program also highly cohesive and happy
Developing new Child Fellowship
Recruiting from within is just now possible