Faculty Appointments & Promotions: An Insiders Guide Brian V. Reamy, M.D. Col (ret), USAF, MC...
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Transcript of Faculty Appointments & Promotions: An Insiders Guide Brian V. Reamy, M.D. Col (ret), USAF, MC...
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 University
Community of Faculty• USU’s strength is based on its faculty
• 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 teaching
Community of Faculty
Non-Billeted Faculty
• We 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?
More Concerns
• Growing pressures on faculty time• Increased demands to provide clinical
instruction in the time-pressured outpatient environment
• Extraordinary deployment tempo creating increased teaching demands on faculty
Concerns led to Action
• Dr. 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 faculty
Premise• Volunteer faculty teach because they get personal
satisfaction, professional growth and recognition
• How does USU optimize this satisfaction, growth and recognition?
• How does USU recognize clinical teaching as a core attribute of its faculty?
Recognize with Faculty Appointments…..Why are they important?
• A significant Professional Credential• Career enhancing• Increases career and employment
opportunities AND Salary– Your academic rank = $$$
• Increases patient confidence• Facilitates research grant monetary awards
Ernest L. Boyer: Scholarship Reconsidered - 1990
• Scholarship and Faculty achievement are more than research and publication alone
• 4 domains:– Scholarships of:• DISCOVERY• INTEGRATION• APPLICATION• TEACHING
4 Domains – each have value
• Discovery: original research• Integration: what do the findings from original
research mean?• Application: applying new knowledge to
practice to lead to new understanding and new knowledge
• Teaching: stimulating active learning in students; starting the dialogue at the heart of a learning organization
“Publish or Perish”
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.
Message received! – Action Plan
• Add flexibility to our faculty appointment system by restoring Clinical prefixed appointments at USU– Validates the importance of clinical teaching and the
Scholarships of application, teaching and integration
• Clarify and decrease variability in the use of “Adjunct” faculty titles
• Continue to encourage faculty choosing a research-intensive track, practicing the scholarship of discovery
Sounds simple…why can it be so hard?
• TRADITIONS…
• Military service helps comprehension…
Universities as Durable Organizations
1537 Martin Luther Nails His Thesis to the Door of the Cathedral
at Wittenberg
If we take that as a starting point…..- 66 institutions existed then that are still around in largely identifiable forms
And 62 universities
So What Does This Tell Us?
Society Values Universities and Universities Guard their Traditions to
Guarantee their Survival
Key Tradition: Academic Appointment & Promotion
Military Appt. & Promotion• Distinct ranks: 0-1 to 0-10• Must have commission &
degree for appointment• Set times between ranks• Up or out: must make rank
for retirement eligibility• Pay correlates w/ rank• Merit & 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 promotion
Current System: pre-July 2010
• Can be confusing – like military promotions would be to someone unfamiliar with our system
• Regulation = UI 1100>>> www.usuhs.mil • Tenure not allowed for military faculty by law• ASK QUESTIONS!– Your specialty Dept. Chair at USU – [email protected] or [email protected]
Qualifications for Faculty Membership
• Scholarly Achievement– Scholarship of discovery and integration– Scholarship of teaching and application
• Peer Review of Scholarly Activity• Teaching• Professional Service• Institutional Citizenship
USUHS Document 1100
Requirements for Appointments
• MD, DO or PhD degree• Current medical license (if clinician)• Currently instructing USUHS students or
uniformed residents /fellows at one of the military teaching centers
• Approval of your Command
Academic Ranks**The higher the academic rank the
more rigorous & selective the vetting process.**
Clinician-Educator pathway – 4 ranks• Instructor• Assistant Professor• Associate Professor• Professor
Assistant Professor – 6 thingsClinician-Educator Pathway
1. Teaching USUHS students or uniformed residents / fellows at one of the military teaching centers
2. Medical License & Board Certified3. CV (USU or academic format)4. Form 107 – by you or USU Dept.5. Local Department Recommendation6. Command Approval/Endorsment
USUHS CV Format
Academic Format
• American Association Medical Colleges (AAMC) CV builder
• http://www.aamc.org/members/old/facultyvitae/fall05/cv.htm
– Add Military history (assignments, duties)
USUHS Form 107 (Revised) http://www.usuhs.mil/chr/USUHS_Forms.htm
Academic Appointment Process IIClinician-Educator Pathway
• Send CV, Letter of rec/endorsement to USU Department
• Form 107• USU Dept. Chair Letter of
Endorsement• Then it is sent to Dean’s Office
USUHS Document 1100
Academic Appointment Process IIIClinician-Educator Pathway
• Academic package submission from Dean to Human Resources>>BOR• Candidate will be notified of
appointment by letter from USUHS• Appointments for 3 years – same site• Periodic update of Personnel Locator
USUHS Document 1100
Ranks > Assistant Professor
• Much more rigorous & time demanding• After USU Dept Review, it is forwarded to
University Committee on Promotion & Tenure• This Committee makes recommendation to
the Dean three times per year.• Dean forwards to Board of Regents &
President for appointment
Faculty Appointments of Associate Professor
• In 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.
Promotion to Associate Professor
• University 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.
Promotion to Associate Professor
• Although 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.
Associate ProfessorClinician-Educator Pathway
• Assistant Professor rank for at least 4-6 yrs• National Recognition – what is this?• Education Leader in teaching USU students ,residents,
fellows at one of the military teaching centers• Board Certified• CV (USU format) & Abbreviated CV for Board of Regents• Approximately 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 encouraged
Associate Professor
• Criteria 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.
ProfessorClinician-Educator Pathway
• Associate Professor rank for > 6 yrs• International Recognition• Educational leadership at a military teaching center• Board Certified• CV (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 encouraged
“Adjunct” Appointments
Designed 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)
New initiatives - 7/1/2010:
Adding option of Clinical “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.
Clinical Prefixed Appointments - Criteria
• Clinical Associate Professor– Excellence in teaching & clinical care– Administrative accomplishments when that is
substantive part of faculty member’s role– Minimum of 6 years as Assistant professor– Institutional recognition as clinician & teacher
Clinical Prefixed Appointments - Criteria
• Clinical Professor– Same as for Clinical Associate
AND– Service-wide or National recognition as clinician
and teacher– Minimum time in rank as an assistant and/or
associate professor of 10 years
Clinical Prefixed AppointmentsRequirements
• Form 107• Faculty member’s CV• Letter of support from a faculty member of
senior academic rank in the applicant’s specialty
• Letter of support from USU Dept. Chair• Review by SOM Committee (CAPT) before
forwarding to Dean & President
Action Plan – ongoing new initiatives
• Develop an electronic portfolio application to ease & unify faculty appointment and promotion– Procurement underway (Serensoft®)
• Increase communication between USU and its non-billeted faculty– New position of the Associate Dean for Faculty– Serve as the primary conduit and advocate for
billeted and non-billeted faculty throughout the MHS– Site visits to each of the primary 26 teaching sites in
MHS
Conclusion: Don’t Get Frustrated! Ask Questions & Get Help
• Local Senior faculty
• Your Specialty Dept. Chair at USU
• Associate Dean for Faculty & Admin Assistant– Brian V. Reamy, MD [email protected]– Lisa McTigue [email protected]