W. Conrad Liles, MD, PhD Associate Chair and Professor of Medicine University of Washington

Department of MedicineDepartment of MedicineSurvival Skills for the Survival Skills for the

Research Years:Research Years:Negotiating for an Academic Negotiating for an Academic

Faculty PositionFaculty Position

W. Conrad Liles, MD, PhDW. Conrad Liles, MD, PhD

Associate Chair and Professor Associate Chair and Professor of Medicineof Medicine

University of WashingtonUniversity of Washington

““Tenure Track” vs. TenureTenure Track” vs. Tenure Tenure TrackTenure Track

Eligible for promotionEligible for promotion Job securityJob security Faculty codeFaculty code

TenureTenure Conventional– promotion to Associate Conventional– promotion to Associate

ProfessorProfessor UW – state paylineUW – state payline

Academic Job DescriptionsAcademic Job Descriptions Physician-ScientistPhysician-Scientist

>50% research (protected time)>50% research (protected time) generally <25 % clinicalgenerally <25 % clinical

Clinician-TeacherClinician-Teacher <50% research<50% research 25-75% clinical 25-75% clinical

Clinical FacultyClinical Faculty >95% clinical>95% clinical

Full-time vs. Part-time Faculty Full-time vs. Part-time Faculty PositionPosition

Adjunct/Affiliate FacultyAdjunct/Affiliate Faculty

Reporting StructureReporting Structure Varies with institutionVaries with institution Division Head/DirectorDivision Head/Director Hospital Division ChiefHospital Division Chief Chief of MedicineChief of Medicine Medical DirectorMedical Director Institute DirectorInstitute Director

Job Description and Job Description and ExpectationsExpectations

Criteria for promotion to Associate Criteria for promotion to Associate ProfessorProfessor

ProductivityProductivity Expected scholarly activityExpected scholarly activity

i.e., # of peer-reviewed pubs/yri.e., # of peer-reviewed pubs/yr Clinical dutiesClinical duties

In-patientIn-patient Out-patientOut-patient Call scheduleCall schedule Resident/fellowResident/fellow Productivity – RVUs, $Productivity – RVUs, $

Teaching responsibilitiesTeaching responsibilities Administrative responsibilitiesAdministrative responsibilities

ContractContract

Relocation/moving expensesRelocation/moving expenses Office set-upOffice set-up Yearly salaryYearly salary

Hard MoneyHard Money Soft Money (grants)Soft Money (grants) Clinical/practice plan incomeClinical/practice plan income Merit/bonusMerit/bonus

ContractContract

BenefitsBenefits MedicalMedical DentalDental RetirementRetirement Investment programInvestment program Life insuranceLife insurance DisabilityDisability Long-term careLong-term care Housing assistanceHousing assistance SubsidySubsidy Low/no interest loanLow/no interest loan Tuition waver/reimbursement for dependentsTuition waver/reimbursement for dependents

Office and Administrative Office and Administrative SupportSupport

OfficeOffice Space and LocationSpace and Location FurnitureFurniture ComputerComputer PhonePhone FaxFax Avoid multiple officesAvoid multiple offices

Administrative SupportAdministrative Support Shared with how many faculty?Shared with how many faculty? Grant and contract supportGrant and contract support IT supportIT support

Clinical SupportClinical Support

WardWard Dedicated mid-level (PA/ARNP) supportDedicated mid-level (PA/ARNP) support Allied health support Allied health support

ClinicClinic Dedicated nurse(s) assigned to clinicDedicated nurse(s) assigned to clinic Scheduling personnelScheduling personnel SuppliesSupplies

Start-Up PackageStart-Up Package

Applies primarily to physician-Applies primarily to physician-scientistsscientistsMany young faculty fail to negotiate Many young faculty fail to negotiate for sufficient resourcesfor sufficient resourcesDuration: usually 3 yrsDuration: usually 3 yrsExternal candidates usually are offered External candidates usually are offered significantly larger packages than significantly larger packages than internal candidatesinternal candidates

$50-250K/yr$50-250K/yr $150-750K total$150-750K total


Potential ComponentsPotential Components PI hard salary (%)PI hard salary (%) Equipment – importantEquipment – important

Do not forget the small stuffDo not forget the small stuff Itemize list in consultation with established PIItemize list in consultation with established PI This is the time to askThis is the time to ask

SuppliesSupplies ReagentsReagents Animal costs – mice are expensiveAnimal costs – mice are expensive

TechnicianTechnician PDFPDF Study coordinator/nurseStudy coordinator/nurse Biostats supportBiostats support Beware of ‘in kind’ supportBeware of ‘in kind’ support

Items such as FACS hrs, etc. OKItems such as FACS hrs, etc. OK


Other ConsiderationsOther Considerations Vivarium (with capabilities for your research)Vivarium (with capabilities for your research) Access to CoresAccess to Cores

Transgenic mouse coreTransgenic mouse core FACS coreFACS core Proteomics CoreProteomics Core Imaging coreImaging core OthersOthers

All equipment does not have to be in your All equipment does not have to be in your personal laboratory, but you do need reasonable personal laboratory, but you do need reasonable access to itaccess to it

Biosafety/culture hoodsBiosafety/culture hoods Real-time PCRReal-time PCR SpectrophotometerSpectrophotometer ELISA reader, etc.ELISA reader, etc.

Graduate School StatusGraduate School Status

Do you want to train graduate students?Do you want to train graduate students? Being a mentor for a graduate student is a Being a mentor for a graduate student is a

significant time and effort commitmentsignificant time and effort commitment Would it work better for you to have clinical Would it work better for you to have clinical

fellows and post-doctoral fellows in your labfellows and post-doctoral fellows in your labDepartments of Medicine do not usually Departments of Medicine do not usually have graduate school statushave graduate school statusCross–appointment vs. Adjunct/Affiliate Cross–appointment vs. Adjunct/Affiliate appointmentappointment

Consider ‘cost’ of appointment to basic science Consider ‘cost’ of appointment to basic science departmentdepartment

Avoid seeking adjunct appointments to multiple Avoid seeking adjunct appointments to multiple departments departments

Negotiating for an Academic Negotiating for an Academic Faculty PositionFaculty Position

Summary Points (1)Summary Points (1)

Be sure that the start-up package provides Be sure that the start-up package provides reasonable and sufficient resources to give reasonable and sufficient resources to give you a chance to be successfulyou a chance to be successful

Be wary of ‘in kind’ components in a Be wary of ‘in kind’ components in a packagepackage



Understand the following:Understand the following: What you are getting into before you sign the contractWhat you are getting into before you sign the contract The reporting structure at your institution before you The reporting structure at your institution before you

startstart The promotion process at your institutionThe promotion process at your institution

? Up or out policy? Up or out policyYour clinical responsibilitiesYour clinical responsibilities

Months of clinical serviceMonths of clinical service Call scheduleCall schedule Out-pt responsibilitiesOut-pt responsibilities Expected productivity: RVUs/billingsExpected productivity: RVUs/billings



Understand the following:Understand the following: Your teaching responsibilitiesYour teaching responsibilities Your administrative responsibilitiesYour administrative responsibilities Expectations of academic productivity for your Expectations of academic productivity for your

positionposition Ex: # of peer-reviewed publications expected per year and Ex: # of peer-reviewed publications expected per year and

for promotionfor promotion Administrative support providedAdministrative support provided Benefit packages provided Benefit packages provided


Questions and DiscussionQuestions and Discussion

W. Conrad Liles, MD, PhD Associate Chair and Professor of Medicine University of Washington

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