Annex A

Annex A - 0

Appointment Guide

Adjunct Clinician Educator

&

Clinical Faculty Scheme

November 2015

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Contents 1 Adjunct Clinician Educator Scheme (CE)………………………. Page 2

1.1 Background

1.2 Terms of appointment

1.3 Grades of appointment

1.4 Scope of work

1.5 Staff Benefits

2 Clinical Faculty Scheme (CFS)…………………………..……… Page 5

2.1 Background

2.2 Terms of appointment

2.3 Grades of appointment

2.4 Scope of work

2.5 Staff Benefits

3 Guidelines for appointment, re-appointment and promotion... Page 8

3.1 Manpower needs (appointment and re-appointment only)

3.2 Teaching achievements (appointment, re-appointment and promotion)

3.3 Academic Achievements (appointment, re-appointment and promotion)

4 Appointment process………………………………………………. Page 13

4.1 Nomination process

4.2 Nomination documents for submission

4.3 Nomination timeline

5 Contact……………………………………………………….………. Page 15

Annex A: Nomination Form: Adjunct Clinician Educator Scheme and Clinical Faculty Scheme (Clinical Professor and Clinical Associate Professor)

Annex B:

Personal Particulars Form

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1. Adjunct Clinician Educator Scheme (CE)

1. Background

The National University of Singapore, Yong Loo Lin School of Medicine (“NUS Medicine”) Adjunct Clinician Educator (“CE”) Scheme was extended to the restructured hospitals in the last quarter of 2007 to appoint clinicians who are Associate Consultants & above. The scheme allows the School to appoint dedicated CEs in the restructured hospitals to coordinate various education programmes, teach and guide medical students.

2. Terms of appointment The appointment period is up to a maximum of three years at a time with the start date of appointment being 1 January.

3. Grades of appointment A. Adjunct Professor

B. Adjunct Associate Professor

C. Adjunct Assistant Professor

D. Adjunct Instructor 4. Scope of work

The work scopes are classified broadly into clinical teaching and examination within

hospital/NUS Medicine, as well as Teaching Program/curriculum/assessment

development within NUS Medicine. The teaching involvement under each category is

as follows:

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A. Clinical teaching and examination within hospital I. Core tutor for Phases III to V II. Supervisor for Phases III to V local NUS Medicine elective students III. Core tutor for CSFP - Hospital postings IV. Examiner for Phase V Surgery Case Analysis

B. Clinical teaching and examination within NUS Medicine

I. Tutor for Phase I i. Longitudinal Patient Experience (LPE) ii. Patient-Based Programme (PBP) iii. Patient Case Studies (Problem- Based Learning) iv. Simulation Training (Harvey, Acute Respiratory Response with HPS and

Acute Cardiovascular Response with HPS)

II. Tutor for Phase II i. Clinical Skills Foundation Programme

• Procedural Skills sessions

• Tutorials

• Lectures

III. Tutor for Phase V i. Phase V Simulation Posting in Centre for Healthcare Simulation (CHS)

IV. Clinical examinations

i. Clinical examiner for:

• Phase II Multi-Skills Examination

• Phase III Clinical Reasoning Station and Clinical Skills Examination (CSE)

• Phase IV Clinical Skills Examination (CSE)

• Phase V Surgery and Medicine Examination V. Examination coordination (including conveners)

i. Hospital Convener C. Teaching Program/curriculum/assessment development within NUS Medicine

I. Setting up new program II. Curriculum rationalization workgroup III. Others

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5. Staff Benefits

A. Library facilities

B. Notebook ownership scheme (Purchase of notebook at staff rate)

C. NUS Staff Club (annual membership fee applies) D. Access to:

I. E-library

II. MedSPACE (for curriculum schedules)

III. Online Dashboard (for feedback scores and teaching hours)

E. Complimentary car parking at NUS Carpark 7 and 10

• Only applicable for tutors from hospitals located outside of NUS campus, who come to NUS

to teach

F. NUS Staff card

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2. Clinical Faculty Scheme (CFS)

1. Background

The Clinical Faculty Scheme (“CFS”) was first set up in November 1997 as a part-time

teaching appointment scheme. The objective of the Scheme is to recognize the

contributions made by clinicians, who are full time employees in the Ministry of Health

(MOH) or government restructured hospitals, to NUS Medicine undergraduate medical

education.

2. Terms of appointment

The appointment period is up to a maximum of three years at a time with the start date

of appointment being 1 June.

3. Grades of Appointment

The grades of appointment on the Clinical Faculty Scheme are:

A. Clinical Professor* (CP)

B. Clinical Associate Professor* (CAP)

C. Clinical Senior Lecturer (CSL)

D. Clinical Lecturer (CL)

* For re-appointment only

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4. Scope of work

Appointment Grade

Roles in Clinical Teaching & Curriculum

Clinical Lecturer and Clinical Senior Lecturer

1. Clinical teaching and examination within hospital A. Core tutor for Phases III to V B. Supervisor for Phases III to V local NUS Medicine

elective students C. Core tutor for CSFP - Hospital postings D. Examiner for Phase V Surgery Case Analysis

2. Clinical teaching and examination within NUS Medicine

A. Tutor for Phase I I. Longitudinal Patient Experience (LPE) II. Patient-Based Programme (PBP) III. Patient Case Studies (Problem- Based Learning) IV. Simulation Training (Harvey, Acute Respiratory

Response with HPS and Acute Cardiovascular Response with HPS)

B. Tutor for Phase II

I. Clinical Skills Foundation Programme i. Procedural Skills sessions ii. Tutorials iii. Lectures

C. Tutor for Phase V

I. Phase V Simulation Posting in Centre for Healthcare Simulation (CHS)

D. Clinical examinations

I. Clinical examiner for: i. Phase II Multi-Skills Examination ii. Phase III Clinical Reasoning Station and Clinical

Skills Examination (CSE) iii. Phase IV Clinical Skills Examination (CSE) iv. Phase V Surgery and Medicine Examination

E. Examination coordination (including conveners)

I. Hospital Convener Clinical Associate Professor

• In addition to the roles for Clinical Lecturer and Clinical Senior Lecturer, they demonstrate leadership in undergraduate programmes. They also contribute to the advancement of medicine.

Clinical Professor • In addition to the roles for Clinical Associate Professor, they contribute to NUS by demonstrating outstanding leadership in undergraduate programmes. They also contribute to the advancement of medicine.

Table 1 Scope of work (CFS)

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5. Staff Benefits

A. Library facilities

B. Notebook ownership scheme (Purchase of notebook at staff rate)

C. NUS Staff Club (annual membership fee applies) D. Access to:

I. E-library

II. MedSPACE (for curriculum schedules)

III. Online Dashboard (for feedback scores and teaching hours)

E. Complimentary car parking at NUS Carpark 7 and 10

• Only applicable for tutors from hospitals located outside of NUS campus, who come to NUS

to teach

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3. Guidelines for appointment, re-appointment and

promotion

These guidelines have been established to provide clarity in the nomination review. The

assessment of manpower needs, teaching and academic achievements are the main

areas for review. Teaching, academic achievements and leadership roles are considered

for promotion nominations.

1. Manpower needs (appointment and re-appointment only)

Manpower needs will be considered based on the student days for each specialty by

institution.

Institutions should consider the FTE commitment for each appointment scheme and

advise educators to be appointed on the appropriate scheme in consideration of

manpower needs for the specialty.

Appointment scheme FTE commitment

Adjunct CE 0.05 FTE and above CFS 0.01 FTE to 0.04 FTE

Table 2 Time commitment for each scheme

2. Teaching achievements (appointment, re-appointment and promotion)

Nominations will be reviewed based on the teaching achievements for the past 3

academic years. Educators should meet the following achievements for at least 2 out

of 3 academic years.

A. Teaching hours

• Educators should meet these hours each year as per their time commitment

for clinical teaching.

Appointment scheme FTE commitment Minimum teaching hours

Adjunct CE 0.2 FTE 200 hours 0.1 FTE 100 hours

0.05 FTE 50 hours CFS 0.04 FTE 40 hours

0.03 FTE 30 hours 0.02 FTE 20 hours 0.01 FTE 10 hours

Table 3 Time commitment by FTE

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Contributions towards administration and curriculum development work will be

accounted for separately.

Below are guidelines on the types of activities that could award teaching hours:

I. Clinical teaching and examination

1:1 hour Dedicated session where the primary intent is teaching i.e. the student is

actively involved in the procedure, learning from the activity or clerking a

patient.

Examination Contributions

• Exam preparation (examination briefing/debrief, standardised patient

meetings, exam training as an assessor, item writing/case development

sessions organized by departments/Dean’s Office)

• Examination involvement (mini-CEX, EOPT, Phase examination, Final

Examination, etc.)

4:1 hour Session where the primary intent is patient care and secondary intent

is teaching. The student is observing the procedure or clinic session;

teaching is occasional or where applicable.

Table 4 Guidelines on capturing of teaching hours

II. Electives

Students are required to complete 16 weeks of local or overseas electives during their

five-year M.B.B.S. course. The electives can be the form of (a) clinical posting with

project; (b) clinical posting; and/or (c) scholarly project. The electives are to be done

under the guidance of a designated supervisor.

The teaching hours that will be allocated to the electives supervisor(s) are shown

below.

Contribution Hours allocated

Every 4 hour session 1 1 day (8 hours) 2 1 week (Monday to Friday) 10

Table 5 Allocation of elective hours

Posting Period

No. of Students per tutor

No. of hours contributed on a Clinical Posting

No. of hours earned on an Elective Posting

1 week 1 10 10

2 10 3 10

Table 6 Example on allocation of elective hours

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The criteria for allocation of electives teaching hours are:

• Applicable only for clinical postings, clinical postings with project and scholarly project supervision of NUS Medicine students

• Eligible only for supervision during official elective period

• Student MUST register the intended posting in the Electives Portal and submit a completed Supervisor Evaluation Form as verification of completed electives

• Allocation of teaching hours is capped at a maximum of 10 teaching hours per week (refer to table 6 above)

• Co-supervisors’ teaching hours will be distributed by the main supervisor

Teaching hours will be consolidated after submission of evaluation forms by students.

Supervisors will be informed of the final teaching hours allocated once the

consolidation has been finalized.

B. Teaching scores

• Educators should meet these teaching scores (at least 2 out of 3 AYs) for the

respective nominations:

Teaching score (5-point scale)

Promotion 4.0 Appointment and re-appointment 3.8

Appointment and re-appointment (1 year) 3.5 Table 7 Teaching score criteria

For reference (AY2013/2014 data): Mean – 4.29, Standard deviation – 0.54, 50th percentile – 4.25 For reference (AY2014/2015 data): Mean – 4.04, Standard deviation – 0.57, 50th percentile – 4.05

C. Best teacher nominations

(For promotions to Associate Professor/Professor only)

•••• Educators nominated for promotion should obtain at least 10 best teacher

nominations by students each year for two academic years.

3. Academic Achievements (appointment, re-appointment and promotion)

Relevant post-graduation qualification is required for the grades of appointment listed below.

Adjunct Associate Professor or Clinical Associate Professor*

Adjunct Professor or Clinical Professor*

• Clinicians holding the grade of Senior Consultant and above in a Government Restructured

• Clinicians holding the grade of Senior Consultant and above in a Government Restructured Hospital/Institution or MOH

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Table 8 Academic achievements criteria

*For re-appointment only

Hospital/Institution or Ministry of Health (MOH)

• Strong national/ regional recognition in his/ her clinical specialty

• Good teaching scores

• Leadership in UG Education: e.g. UG leadership positions (hospital), developed UG curriculum, coordination of exams, education-related committees

• Good number of publications in international peer reviewed journals of good impact factor (majority as first or last author)

• Considered favorably if Principal Investigator or Co–Investigator of competitive research grant(s)

• For promotion to Adjunct Associate Professor, sustained good performance in teaching, e.g ER for Annual Performance Appraisal for consecutive years

• International recognition in his/ her clinical specialty

• Excellent teaching scores

• Leadership in UG Education: e.g. UG leadership positions (hospital), developed UG curriculum, coordination of exams, education-related committees

• Superior number of publications in international peer reviewed journals of good to high impact factor (majority as first or last)

•••• Considered favorably if Principal Investigator of competitive research grant(s)

• For promotion to Adjunct Professor, sustained excellence in teaching, e.g. EX and ER for Annual Performance Appraisal over several consecutive years

Adjunct Instructor / Clinical Lecturer

Adjunct Assistant Professor / Clinical Senior Lecturer

Adjunct Instructor:

• Clinicians holding the grades of Associate Consultant in Government Restructured Hospitals/Institutions or MOH

Clinical Lecturer:

• Clinicians holding the grades of Registrar or Associate Consultant in a Government Restructured Hospital/Institution or MOH

• Clinicians holding the grades of Consultant or Senior Consultant in a Government Restructured Hospital/Institution or MOH

• Contributed to education and examination

• Have good track record of teaching and contribution based on student, relevant Heads of Departments and Associate Dean’s feedback

• Preferably have attended Professional Development Courses to upgrade skills in teaching and setting of examination questions

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Notes:

• The list of criteria and guidelines only indicate eligibility for application. The approval

on appointment will be made by the Dean of Medicine, appointed committees and

NUS Heads of department.

• In general, tutors are encouraged to join the Adjunct CE scheme if they have a keen

interest in medical education and will like to consider an academic career path.

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4. Appointment Process

1. Nomination process

Nominations for academic appointments should be supported by the various reviewing

parties within the nominees’ institution, according to the respective institutions’ internal

nomination process.

The Dean of NUS Medicine, appointed committees and the NUS Heads of department

will review the nominations submitted to the School.

Note:

• For doctors who are on or going for HMDP, nominations should only be

submitted when they return to the hospital.

• Staff or hospital’s administrator should notify the School if the staff leave the

employment of the hospital.

2. Nomination documents for submission

CFS – Clinical Senior Lecturers and Clinical Lecturers

Information such as personal details, relevant qualifications and hospital appointment

details will be required to be submitted via the Clinical Educator Lead (Medical) offices

to the Dean’s Office.

Adjunct CE and CFS – Clinical Professors and Clinical Associate Professors

Please submit the following documents:

A. Curriculum Vitae (Please include the following)

I. Professional and academic qualifications

II. Updated employment history

III. Achievements in your field

IV. Achievements in undergraduate education

V. Peer-reviewed publications

B. Nomination Form (Please refer to Annex A for a copy of the form)

C. Personal Particulars Form (Please refer to Annex B for details)

I. New appointments: Compulsory to submit

II. Re-appointment: Please submit if there are changes to citizenship, residence

status and/or mailing address

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Annex A and Annex B will be sent to the Clinical Educator Lead (Medical) offices for

nominees to complete the forms.

As manpower requirement is one of the components in the nomination exercise,

submissions will be reviewed as a department. If any nomination documentation is not

submitted on time, the applications for these nominees will not be processed. This is to

minimize any delays for other nominees who had duly submitted their documents on

time.

Please send in the complete set of documents to the Clinical Educator Lead (Medical)

office for submission to the Dean’s Office at the following address:

Educator Relations

Dean's Office (Undergraduate Education)

Yong Loo Lin School of Medicine

National University of Singapore

NUHS Tower Block

1E Kent Ridge Road Level 11

Singapore 119228

3. Nomination timeline

There will be an annual nomination exercise for Adjunct CE and CFS. The exercise will

include nominations for new appointment, re-appointment and promotion.

Successful applicants will be offered an appointment starting from 1 January and 1

June for Adjunct CE and CFS appointments respectively.

The following table shows the nomination timeline:

Scheme Purpose Process Timeline

Adjunct CE New appointment Re-appointment Promotion

Opening on: Submission close on: Appointment start:

2-4 May 10-12 June 1 January

CFS New appointment Re-appointment Promotion

Opening on: Submission close on: Appointment start:

2-4 January 29-31 January 1 June

Table 9 Nomination timeline by appointment scheme

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5. Contact

For any queries, you may contact Educators’ Concierge at:

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Annex A

Annex A - 1

Annex A

Annex A - 2

Annex A

Annex A - 3

Annex B

Annex B - 1

Annex B

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