New Faculty Orientation November 14, 2008 Welcome New Faculty

1. New Faculty OrientationNovember 14, 2008 Welcome � New Faculty Christina M. Surawicz, MD Professor of Medicine Assistant Dean for Faculty Development (206) 744-7070 Box 359773 e-mail: surawicz@u.washington.edu

2. 1. Less didactic, more interactive 2. More on benefits 3. Continue Breakout Groups � Nuts and Bolts of Academic Life Basic Science - Sandy Bajjalieh, Pharmacology Physician Scientist - Tom Gallagher, Medicine Clinician/Teacher - Eric Stern, Radiology Changes This Year

3. Hospitals Medical School Primary Care network 31 departments WWAMI UW Medicine � Huge

4. Multiple Missions, Multiple Masters Sometimes can be source of conflict Research/teaching/clinical/administration--- Mentoring a good way to help Seek multiple mentors MULTIPLE MISSIONS

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6. ASSISTANT DEAN-- CHRIS SURAWICZ Organize programs to improve faculty life, including orientation, professional development Faculty Development Days March 11, 12, 2009 Gender Salary Survey Problem Solving Resource, Etc. FACULTY DEVELOPMENT

7. http://depts.washington.edu/facdev Orientation materials Prior workshop slides Newsletters (time management, etc) Lead articles, faculty interviews, book reviews & much more Faculty Development Website

8. Two Day Program on Faculty Development Urban Horticulture Center Sign up: Barbara Mahoney at bmahoney@u.washington.edu March 11, 12, 2009

9. Time Management Workshop Highly Rated Susan Johnson, MD University of Iowa Promotions - Update from working Committee Panel � recently promoted faculty March 11

10. A � Z of Teaching Emotional Intelligence Work Life Balance Other Topics March 12

11. Faculty development seminars-half day programs/ 5 per year, organized by Donna Ambrozy Teaching scholars program�organized by Lynne Robins Courses in critical reading of the literature Dept of Medical Education

12. International medical education program, including China exchange Consultations on teaching, evaluations, and more Exam services and test development Visit their website: www.mebi.washington.edu Dept of Medical Education and Bioinformatics

13. The SOM can seem overwhelming Look for colleagues in your department Also consider joining one committee early Something in your area of interest Good way to meet others Don�t� over do it�one committee for junior faculty is plenty Can be a university or hospital based one. Getting Involved

14. Varies in departments Multiple mentors = ideal At least one - necessary Ask for help � EARLY WE WANT TO HELP! Mentoring

15. Formal Programs exist in some departments Rehab Psychiatry � mentoring committee Pediatrics In others, you may need to find your own mentors. Be proactive, find someone in your dept. who knows the ropes/culture; ask for help early; don�t be afraid to ask for help. Departmental administrators a good resource also. Departmental mentoring Programs - examples

16. Faculty code � minimum is - Acting and Assistant Professor � yearly - Associate Professor every 2 years - Professor every 3 years Meeting with Your Chair/Division Chief

17. Titles Tracks & criteria Process Clock Hierarchy Promotion

18. Regular - clock starts Assistant Professor 6 years to promotion (Assoc Prof) Acting Titles - clock not running Instructor 4 yr max Asst Professor 4 yr. Max BUT 6 yr max in combination Faculty Titles

19. Senior Fellow Senior Fellow Trainee Lecturer Senior Lecturer Visiting Scientist Visiting Asst, Assoc or Professor Other Titles

20. Clock not running No search needed No promise of faculty appointment Time to jump start career- Grants/papers Establish clinical programs Acting Appointments

21. ADVANTAGES Does not require national search Thus can be done quickly, i.e. months DISADVANTAGES Temporary, i.e. holding Confusion about the title No guarantee of a job ACTING TITLES

22. Regular Faculty Tracks Assistant professor (tenure or WOT) Associate Professor (tenure or WOT) Professor (tenure or WOT) Research Faculty Tracks As above (Research Asst Professor, etc.) ACADEMIC TRACKS

23. CLINICAL DEPARTMENTS Physician scientist Clinician teacher FULL TIME CLINICAL FACULTY Not a pathway Pathways

24. Promotion Criteria  DEPEND ON Track Dept Criteria

26. Faculty Code requires search Annual review Duration of initial appointment - 3 years Reappointment to 2d. 3 yr term spring of 2d year Mandatory Review at 5 yr for promotion Prepare at 5 year Submit fall of 6th year Assistant Professor

27. Illness/Child bearing Adopted infants; extended care for parents/ children Special circumstances Lab space not ready Animals die Requires approval of Department/Dean�s office/Provost Extending the Clock

28. Basic Science Depts. Scholarship, papers, grants Original Independent work Teaching and Administration are looked at

29. Physician Scientist Scholarship of discovery Peer reviewed papers & grants Independence Quality more important than quantity Clinical, teaching, administration are looked at also

30. Clinician Teacher- 1989 80% clinical/teaching Peer evaluation Teaching portfolios 20% scholarly Papers, chapters, videos, web syllabi Administration may be part, but role in promotion may be unclear

31. Flexibility in time spent 1989- 80% clinical and 20% scholarly 2003- Flexible; each dept. to reevaluate Ongoing evaluation of how to evaluate clinical work & teaching Clinician Teacher Pathway Changes as of 7/03

32. Assistant Professor: Before end of 4th year Associate Professors can pathway after 3 years in rank Recognizes the changes in faculty careers/interests Changing Pathways � Clinical Departments, from Physician Scientist to Clinician Teacher

33. Not in all depts. Annual appointment/ no mandatory promotion review Expectation: Clinical excellence and Productivity Support mission of school Enhance clinical services by improved patient access/ practice management/ teaching and training Full Time Clinical Faculty - 1998

34. Does have promotion criteria and faculty have been promoted to Associate Professor on this track Currently 130 in School of Medicine Most in departments of Medicine, and Pediatrics; also Psychiatry, Anesth and Rehab Full Time Clinical Faculty

35. Scholarship Teaching Clinical care Promotion � In Past

36. Scholarship Teaching Clinical care Professionalism Administration service ? Promotion � What Counts Now

37. Objective evidence and excellence Peer reviewed Must be disseminated Departmental criteria exist Scholarship

38. Scholarship of discovery Peer reviewed journals Abstracts Presentations Types of Scholarship

39. Systematic reviews, meta-analyses Chapters, reviews articles Editorial board Scholarship of Integration

40. Curricila Material � handbooks EBM guidelines Software Scholarship of Teaching

41. Teaching Scholars developed a template Philosophy Activities Mentoring Educational administration Professional development Recognition Honors/awards Long term goals Teaching Portfolio

42. Quality and Productivity - Medical knowledge, problem solving, management of complex patients and overall clinical skill - Humanistic qualities Responsibility, compassion and management of psychological aspects - Peer evaluation Department of Medicine Form n= 13 Clinical Care

43. Has not been part of promotion criteria Important for UW medicine Many different metrics Financial Operational Program development Leadership, etc. Administrative Service

44. Has not been part of promotion criteria New requirement for promotion Professionalism

45. Awards/Prizes National advisory boards/study sections Elected to scholarly societies Editorial boards Peer reviewer for journals Presenting your work State of art or invited lectures Visiting professorship Organizing regional, national or international meetings National Recognition

46. Process of Promotion (Associate Professor) Chair review annually > 3 yrs Division - yearly Concurrence criteria are met Preparation of package

47. Preparation of package: 1. Updated CV (School of Medicine format) 2. Your top 5 papers � 2 copies Regional/National reputation 3. Teaching evaluations 4. Peer evaluations � clinical if appropriate 5. Your written self assessment 6. Letters or recommendation (5) - Internal (3) - External (2) Relationship to you is disclosed Process of Promotion (Associate Professor) � cont�d

48. Departmental A & P Committee Written summary sent to you You can respond w/in 7 working days Faculty vote Same as above Chair support letters Process of Promotion (cont�d)

49. School A & P Committee MSEC/Dean Provost Board of Regents Do not President�s letter vote Process (cont�d)

50. Advises Dean and MSEC on faculty appointment and promotions 10 members elected 10 Clinical 5 Basic Science 1 Research Chair, Peter Esselman Appointments & Promotions Council

51. To Associate professor Approved Deny Delay 29 0 2 21 0 0 2004 � 2005

52. Promotions to: APPROVED DENIED POSTPONED Associate Professor (mandatory) 31 0 2 Associate Professor (non-mandatory) 20 1* - Research Associate Professor (mandatory) 6 0 2 Research Associate Professor (non-mandatory) 4 0 - _____________________________________________________________________ TOTAL: 61 1 4 * Approved by the School�s Appointments and Promotions Council but denied by the Provost�s office. 2006 � 2007 School of Medicine

53. Secrecy not intentional Process selective but at point of hire Most people get promoted no pyramid Criteria imprecise to permit flexibility Additional Points

54. Learn the culture of your department - Unwritten Review mission statement Ask for advice and feedback Notice when others succeed or fail Regular meeting with your chief (may not be chair in large departments) General Advice

55. All invitations, assignments, acceptances, reviews Awards and special recognitions Old CVs and resumes Augmented CVs Evaluations, letters IN SHORT, KEEP EVERYTHING Your File � What to Keep

56. School has a standard format Augmented CV yearly also has a format Teaching, CME Papers in preparation Community service Your CV

57. Use to expand, i.e. Significance of research Impact of clinical work Quality of teaching Importance of administrative work Personal Statement

58. Papers & Scholarship Grants - Federal National peer reviewed foundation/grants Pharmaceutical Presentations Invited national, local, Grand Rounds Study sections Editorial boards and ad hoc reviews Documenting Research Credentials

59. More challenging Teaching Portfolios Peer evaluation Revenues? Patient referrals? Other? Documentation - Teaching and Clinical Activities

60. Minimizing your value and contributions No one knows you You have no �national or regional� reputation Other don�t understand your work Promotion Pitfalls

61. You don�t know how or what to prioritize You don�t have many teaching evaluations You are not liked You don�t know how you�re doing Promotion Pitfalls

62. Recognize diversity of faculty roles need for UW Medicine to succeed Review your CV with a senior faculty � Put everything on it � can always delete Take credit for what you do � changed a clinical program, organizing a conference series or journal club, staff or patient education, community service 1. Minimizing your importance

63. Network with colleagues Find peer mentors Offer to teach rounds � �I can go over this with your team� Be on a committee (hospital or School of Medicine) � just one if junior Basic science � look for others with similar research interests in other departments No One Knows You

64. Clinical � Peer evaluations part of process - In department � 5 - Outside department � 4 Science - Cross disciplinary conferences - Liaison with other departments, institutions (FHCRC), etc. 2. No One Knows You (cont�d)

65. No Regional, National Reputation Do you need one? Publish and Present Research

66. Join a professional society Local or national in area of interest Go to at least 1 mtg/year � your family will survive Join committee � �little feet of an organization� Value: learn, network, develop leadership skills These can be source of your external letters in future No Regional, National Reputation (cont�d)

67. Consider knowing a lot about one area - Of your interest - Become the �go to� person - Medical or social or other ex. International medicine Medical care for homeless Alternative medicine No Regional, National Reputation (cont�d)

68. Teach, give conferences Network with colleagues in our division Role of division chief or chair is to advocate for you and educate senior faculty Clinical faculty � Clinical � Keep track of your work � productivity � Shifts? Months? Extra call? RVUs � others may underestimate your work 4. Others Don�t Understand Your Role

69. Scholarly work � How much? - What counts? Need broad definitions of scholarship Administration � Important for the school Currently may not help with promotion Ask your boss � expectations and realities If 2 bosses- may need compromise 5. You Don�t Know What to Prioritize

70. Be Proactive - Remind residents and students to evaluate you �Important for my career� Don�t influence content 6. You Don�t Have Many Teaching Evaluations

71. - Get other evaluations CME courses Letters after giving chief rounds or any other Solicit if needed � Ask for Them! 6. You Don�t Have Many Teaching Evaluations (Cont�d)

72. Citizenship If you don�t �play nicely with others�. it may hurt you Delay or prevent promotion How you treat others including staff - Respect - Responsibility �my golden rule� 7. Your Are Not Liked

73. Give positive feed back (not just criticism) - Write a Letter - Copy chief or chair We don�t do this enough If we do it more it may catch on Your Are Not Liked (Cont�d)

74. ? Get a Mentor(s) (life and work) ? Be proactive ? Mentors usually flattered to be asked (It�s part of why we�re here) ? Ask for regular meetings ? Ask for help ? Ask for Feedback 3:1 rule (Positive to negative) 8. You Don�t Know How You�re Doing

75. Full time clinical ? Productivity � way off targets compared to peers; may reflect citizenship also Clinician Teacher ? No scholarly work ? Decide if this is really what you want to do Most Common Reasons for Failure

76. Most faculty succeed Make sure job description is what you really want to do Be flexible � science and medicine are still the greatest careers imaginable Bottom Line

77. Know the Process Have clear goals - Teaching - Research - Papers - Make a niche if possible Know one thing well? - Be flexible - Life changes Strategies for Success

78. The best careers advice given to the young is �Find out what you like doing best and get someone to pay you for doing it.� Katherine Whitehorn, In Observer 1975

80. QUESTIONS? THANKS!!