Getting Promoted at Duke

1. Getting Promoted at Duke 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.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)

4. Faculty Snapshot

5. Basic Science Departments 8/31/10 Data

6. Clinical Science Departments 8/31/10 Data

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

8. Gender Distribution by Rank

9. Promotion Basics

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

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

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 Sciencesee 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 Dean’s 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 10th 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