Faculty Appointments & Promotions: An Insider’s Guide - PowerPoint Presentation

Slide1

Faculty Appointments & Promotions: An Insider’s Guide

Brian V. Reamy, M.D.Col (ret), USAF, MC Associate Dean for Faculty & Professor of Family MedicineUniformed Services Universitybreamy@usuhs.milSlide2

Community of Faculty

USU’s strength is based on its facultySlide3

Who are they?- Approximately 350 billeted and 3,700 non-billeted

- Spread across the entire MHS and civilian institutions- Physicians, nurses, scientists, administrators, NCOs- Tied together by appointment to the faculty- Provide thousands of hours of volunteer clinical teachingCommunity of FacultySlide4

Non-Billeted FacultyWe could not survive without these key members of our learning organization

Visits to MHS teaching hospitals raised concerns:How do we support our non-billeted faculty?Why do they provide volunteer teaching?What are the barriers to getting faculty appointments?Slide5

More ConcernsGrowing pressures on faculty time

Increased demands to provide clinical instruction in the time-pressured outpatient environmentExtraordinary deployment tempo creating increased teaching demands on facultySlide6

Concerns led to ActionDr. Rice, (USU President), charged a Task Force in 2009 to review the existing appointment and promotion policies for USU clinical faculty

Determine if changes were needed to incentivize and recognize the volunteer clinical facultySlide7

Premise

Volunteer faculty teach because they get personal satisfaction, professional growth and recognitionHow does USU optimize this satisfaction, growth and recognition?How does USU recognize clinical teaching as a core attribute of its faculty?Slide8

Recognize with Faculty Appointments…..Why are they important?

A significant Professional CredentialCareer enhancingIncreases career and employment opportunities AND SalaryYour academic rank = $$$Increases patient confidenceFacilitates research grant monetary awardsSlide9

Ernest L. Boyer: Scholarship Reconsidered - 1990

Scholarship and Faculty achievement are more than research and publication alone4 domains:Scholarships of:DISCOVERYINTEGRATIONAPPLICATIONTEACHINGSlide10

4 Domains – each have value

Discovery: original researchIntegration: what do the findings from original research mean?Application: applying new knowledge to practice to lead to new understanding and new knowledgeTeaching: stimulating active learning in students; starting the dialogue at the heart of a learning organizationSlide11

“Publish or Perish”Slide12

National Trends

Nationally, more than 3/4 of U.S. medical schools have developed separate and distinct faculty tracks for full-time clinical faculty whose 1° responsibilities are in clinical care The majority of schools that have this type of track modify the professorial title with a “Clinical” prefix such as Clinical Professor of Medicine. Slide13

Message received! – Action Plan

Add flexibility to our faculty appointment system by restoring Clinical prefixed appointments at USUValidates the importance of clinical teaching and the Scholarships of application, teaching and integrationClarify and decrease variability in the use of “Adjunct” faculty titlesContinue to encourage faculty choosing a research-intensive track, practicing the scholarship of discoverySlide14

Sounds simple…why can it be so hard?TRADITIONS…

Military service helps comprehension…Slide15

Universities as Durable OrganizationsSlide16

1537 Martin Luther Nails His Thesis to the Door of the Cathedral at WittenbergSlide17

If we take that as a starting point…..

66 institutions existed then that are still around in largely identifiable forms Slide18

And 62 universitiesSlide19

So What Does This Tell Us?

Society Values Universities and Universities Guard their Traditions to Guarantee their SurvivalSlide20

Key Tradition: Academic Appointment & PromotionMilitary Appt. & Promotion

Distinct ranks: 0-1 to 0-10Must have commission & degree for appointmentSet times between ranksUp or out: must make rank for retirement eligibilityPay correlates w/ rankMerit & Time-in-grade determine promotion

Academic Appt. & Promotion

Distinct ranks (4): Instructor, Assistant Professor, Associate Prof, Professor

Must

have terminal degree & serve USU in some way

4 to 8 years between ranks

“Up or Out”: must make Assoc Prof by 6 yrs or gone; tenure

Pay correlates w/ rank

Merit & Time-in-grade determine promotionSlide21

Current System: pre-July 2010Can be confusing – like military promotions would be to someone unfamiliar with our systemRegulation = UI 1100>>>

www.usuhs.mil Tenure not allowed for military faculty by lawASK QUESTIONS!Your specialty Dept. Chair at USU breamy@usuhs.mil or lmctigue@usuhs.mil Slide22

Qualifications for Faculty MembershipScholarly AchievementScholarship of discovery and integration

Scholarship of teaching and applicationPeer Review of Scholarly ActivityTeachingProfessional ServiceInstitutional CitizenshipUSUHS Document 1100Slide23

Requirements for AppointmentsMD, DO or PhD degreeCurrent medical license (if clinician)

Currently instructing USUHS students or uniformed residents /fellows at one of the military teaching centersApproval of your CommandSlide24

Academic Ranks**The higher the academic rank the more rigorous & selective the vetting process.**

Clinician-Educator pathway – 4 ranksInstructorAssistant ProfessorAssociate ProfessorProfessorSlide25

Assistant Professor – 6 thingsClinician-Educator Pathway

1. Teaching USUHS students or uniformed residents / fellows at one of the military teaching centers2. Medical License & Board Certified3. CV (USU or academic format)4. Form 107 – by you or USU Dept.5. Local Department Recommendation6. Command Approval/

EndorsmentSlide26

USUHS CV FormatSlide27

Academic FormatAmerican Association Medical Colleges (AAMC) CV builderhttp://www.aamc.org/members/old/facultyvitae/fall05/cv.htm

Add Military history (assignments, duties)Slide28

USUHS Form 107 (

Revised) http://www.usuhs.mil/chr/USUHS_Forms.htmSlide29

Academic Appointment Process IIClinician-Educator Pathway

Send CV, Letter of rec/endorsement to USU DepartmentForm 107USU Dept. Chair Letter of EndorsementThen it is sent to Dean’s Office

USUHS Document 1100Slide30

Academic Appointment Process IIIClinician-Educator Pathway

Academic package submission from Dean to Human Resources>>BORCandidate will be notified of appointment by letter from USUHSAppointments for 3 years – same sitePeriodic update of Personnel LocatorUSUHS Document 1100Slide31

Ranks > Assistant Professor Much more rigorous & time demandingAfter USU Dept Review, it is forwarded to University Committee on Promotion & TenureThis Committee makes recommendation to the Dean three times per year.

Dean forwards to Board of Regents & President for appointmentSlide32

Faculty Appointments of Associate ProfessorIn all Universities, Associate Professor means you have made the cut to stay at the institution as permanent faculty.Philosophically it is the difference between

participating in scholarly activities and having demonstrated the ability to independently lead them.Slide33

Promotion to Associate ProfessorUniversity promotions are driven by accreditation requirements that mandate “democratic reviewing committees of senior faculty” who comprise the CAPT = committee on Appointments, Promotions & Tenure

All appts. require concurrence of the Dean and Board of regents but, academic faculty control the process.Slide34

Promotion to Associate ProfessorAlthough USUHS is designed to be more friendly to active-duty faculty, (and is to a large extent), civilian academic standards prevail to meet accreditation.Military accomplishment/rank are NOT automatically synonymous with academic rank: O-6 ≠ Professor

Time demands of military careers can make academic promotion very challenging.Slide35

Associate ProfessorClinician-Educator Pathway

Assistant Professor rank for at least 4-6 yrsNational Recognition – what is this?Education Leader in teaching USU students ,residents, fellows at one of the military teaching centersBoard CertifiedCV (USU format) & Abbreviated CV for Board of RegentsApproximately 6 – 15 peer-reviewed publications

External Letters of Evaluation- at least 3 letters

Personal Statement – 2 pages

Submit 4 samples of academic publications

Complete Educator’s Portfolio encouragedSlide36

Associate ProfessorCriteria are not applied in a formulaic way – there is much room for judgment.Letters of external review are critical: must have at least 3 external senior faculty say you would make it in their opinion & institution.Slide37

ProfessorClinician-Educator Pathway

Associate Professor rank for > 6 yrsInternational RecognitionEducational leadership at a military teaching centerBoard CertifiedCV (USU format) & Abbreviated CV for BOR> 15 publications….more if multiple authors….

External Letters of Evaluation- at least 5 letters

Personal Statement – 2 pages

Submit 4 samples of academic publications

Complete educator’s portfolio encouragedSlide38

“Adjunct” AppointmentsDesigned for faculty who episodically and not routinely teach USU students and residents.

Occasional contributors to the USU mission.Senior professors of other institutions who help with the USU mission.(Adjunct Assistant Professors, Adjunct Associate Professors, Adjunct Professors)Slide39

New initiatives - 7/1/2010:

Adding option of

C

linical

“prefixed”

appointments while maintaining the current system “as-is”

Clinical

prefix = “Clinical

Associate

Professor of ….” or “Clinical Professor of ...”

A mechanism to recognize seniority, clinical experience, and teaching contributions to

USUHS when a primary focus on clinical work has

not led to

significant numbers of publications

.Slide40

Clinical Prefixed Appointments - CriteriaClinical Associate ProfessorExcellence in teaching & clinical care

Administrative accomplishments when that is substantive part of faculty member’s roleMinimum of 6 years as Assistant professorInstitutional recognition as clinician & teacherSlide41

Clinical Prefixed Appointments - CriteriaClinical ProfessorSame as for Clinical Associate

ANDService-wide or National recognition as clinician and teacherMinimum time in rank as an assistant and/or associate professor of 10 yearsSlide42

Clinical Prefixed AppointmentsRequirementsForm 107

Faculty member’s CVLetter of support from a faculty member of senior academic rank in the applicant’s specialtyLetter of support from USU Dept. ChairReview by SOM Committee (CAPT) before forwarding to Dean & PresidentSlide43

Action Plan – ongoing new initiatives

Develop an electronic portfolio application to ease & unify faculty appointment and promotionProcurement underway (Serensoft®)Increase communication between USU and its non-billeted facultyNew position of the Associate Dean for FacultyServe as the primary conduit and advocate for billeted and non-billeted faculty throughout the MHSSite visits to each of the primary 26 teaching sites in MHSSlide44

Conclusion: Don’t Get Frustrated! Ask Questions & Get HelpLocal Senior faculty

Your Specialty Dept. Chair at USUAssociate Dean for Faculty & Admin AssistantBrian V. Reamy, MD breamy@usuhs.milLisa McTigue

lmctigue@usuhs.milSlide45