1. RANK & TENURE PROCESS September 28, 2005 Elizabeth R. Jacobs, M.D. Ex-Rank and Tenure Committee Member Medical College of Wisconsin

2. Rank & Tenure at MCW What are the paths? What is the process? What should I do and NOT do to be promoted?

3. Rank & Tenure Committee – Composition Eric Cohen, MD (Nephrology) * Julie Biller, MD (Pulmonary Medicine) Quinn Hogan, MD (Anesthesiology) John Klein, PhD (HPI-Biostatistics) Shi-Jiang Li, PhD (Biophysics) Dennis Maiman, MD (Neurosurgery) Karen Marcdante, MD (Pediatrics) Hershel Raff, PhD (Endocrine) Jeanne Seagaard, PhD (Anesthesiology) James Sebastian, MD (General Medicine) John Weigelt, MD (Trauma Surgery)

4. THE THREE TRACKS Traditional Clinician- Educator Research Academic ClinicalTeaching

5. Four Steps of the Promotion Process  Chairs nominate faculty  Office of Faculty Affairs prepares packet  R&T Committee reviews and votes  Final approval by the Dean and MCW Board of Directors

6. Promotion Process – New Deadlines  For nominations to be effective July 1 st of the next fiscal year. Nominations for promotion or appointment in the Traditional Path and all nominations for award of tenure (CE or Traditional path) must be submitted to the office of Faculty Affairs on of before October 1 st. Nominations for promotion or appointment in the Clinician Educator or Research Pathways are due January 1 st

7. Promotion Process – The Department Chair vitae Updated curriculum vitae -Detailed letter of support stating candidates merit for proposed rank in a given track - Names of at least 4 internal and 2-7 external referees (depends on rank/track) - Reprints of two “representative” publications

8.  Office of Faculty Affairs solicits letters from the referees. Referees are provided with the full packet and the MCW promotion criteria for the proposed rank and track.  When the reference letters are received, the packet is sent to the R&T Committee. Promotion Process – The Dean’s Office

9.  The R&T Committee reviews the packet, and may request further information  The Committee votes on the proposed promotion  A majority vote (  6 of 11 votes) is required for a negative or positive action Promotion Process – The R&T Committee

10.  The Dean is notified (has the power to veto)  If the Dean approves, the promotion is brought to the MCW Board of Directors  If the Board votes positively, the promotion is approved (takes effect on July 1 st ) Positive R&T Committee vote: Promotion Process – The Dean & Board

11. Negative R&T Committee vote:  The Chair is sent a letter by the R&T Chair outlining the reasons for the negative vote  A candidate must wait until the next academic year to be proposed for promotion again  Or an appeals process exists - the Chair may provide significant new information to the R&T Committee, or appear in person to appeal

12. THE THREE TRACKS Traditional Clinician- Educator Research Academic ClinicalTeaching

13. Promotion Criteria - Traditional Track  History of independent research funding (PI), and senior author publications  Excellence in research or clinical teaching  Service to the institution (committees, councils)  Regional reputation as an authority (Associate Professor)  National reputation as an authority (Professor)

14. THE THREE TRACKS Traditional Clinician- Educator Research Academic ClinicalTeaching

15. Promotion Criteria - Research Track  Independent funding and publications  Role in defined research of department (part of a program or supervise a core facility)  Role in research training in the laboratory  Service to the institution not required  Regional (Associate Professor) or national (Professor) reputation as an authority

16. THE THREE TRACKS Traditional Clinician- Educator Research Academic ClinicalTeaching

17. Promotion Criteria – Clinician Educator Track  Exceptional teaching of med students, residents, fellows  Development of materials that uniquely contribute to education at MCW  Excellence in clinical practice, and publication of clinical observations  Service to the institution (committees, councils)  Impact of teaching should be recognized at the regional (Associate Professor) or national level (Professor)

18. TENURE  Available in Traditional or Clinician-Educator track  Usually awarded at the Professor level  Criteria are the same for both tracks and are distinct from criteria used for promotion  Awarded to those individuals vital to the school’s missions: clinical, educational, and academic

19. Promotion & Tenure Policies at MCW are different than at State-Supported Universities “Up or out policy” does not apply to clinical faculty (promotion to Assoc Prof after 6 yrs as Asst Prof) Positive: More career flexibility Negative: Stagnation at Asst Prof level

20. Promotion & Tenure Policies at MCW are different than at State-Supported Universities Tenure is not granted with promotion to Assoc Prof (is granted at State-Supported Universities) Positive: Less financial obligation for MCW Negative:Chance of obtaining tenure at MCW is lower than in some institutions

21.  Plan early, plan often!  Remember clinical service or teaching alone does not qualify you for promotion.  There is no substitute for liberal input from mentors, senior colleagues, and Chairs! PROMOTION “HINTS”

22.  Provide an informative C.V. (R&T Committee members do not have ESP)  Organize your C.V. in the MCW format (MCW website, Office of Faculty Affairs)  Describe research, service and educational activities in detail (Educator’s portfolio, X4332)

23. PROMOTION “HINTS”  Send your best first or senior author publications  Choose your referees carefully, and provide more than the minimum number - talk to them first - should know you well and positively - at or above the proposed rank - from an academic institution (not foreign)  Be certain your section chief (other supervisors) writes a letter in addition to the Chair

24. PROMOTION “DONT’S”  Procrastinate – maintain an updated C.V.  Make typos or grammatical errors on your C.V.  Include “wish lists” - grants that are “approved” but not funded - publications “in progress” or “in review”  Mix abstracts, chapters & peer-reviewed articles

25. Summary The promotion process is neither unfathomable nor a ritual cloaked in secrecy, carried out by a group of malcontents delighting in foiling aspirations of the powerless masses. Promotion is recognition of your accomplishments by a group of your peers. Tempus fugit!

27.  Ask for letters of support from “Harvard-types” unless you meet their criteria (referee must indicate if the candidate would be promoted at their institution)  Ask for letters of support from members of the R&T committee (if members write a letter, they must leave the room) PROMOTION “DONT’S”

28. R&T Committee Actions (2001-2003) Promotion to: Assoc Prof Full Prof 70/72 40/42 Tenure to: Assoc Prof Full Prof 0/0 17/17

29. Path Instr/Asst Assoc Full Traditional 219 43 Research 8 7 0 CE 0 1 2 Promotion paths for Basic Science Faculty

30. Path Instr/Asst Assoc Full Traditional 053 135 Research 10 9 4 CE 9156 83  454 – no path selected!! Promotion paths for Clinical Faculty

31. RANK AND TENURE CHANGES 1983 - Dept Chairs excluded from R&T 1984 - Clinician Educator & Research Tracks added 1993 - Uncoupling of Professorship and Tenure 1993 - Revocation of up-or-out for clinicians 1997 - Tenure for Clinical Educator Track 2000 - R&T expands from 7 to 11 members - Appeal process for negative R&T action