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![Page 1: Elizabeth R. Jacobs, M.D. Pulmonary and Critical Care Medicine The Promotion Process at the Medical College of Wisconsin September 19 th, 2006.](https://reader031.fdocuments.us/reader031/viewer/2022020308/56649e585503460f94b50dbc/html5/thumbnails/1.jpg)
Elizabeth R. Jacobs, M.D.
Pulmonary and Critical Care Medicine
The Promotion Processat the Medical College of
Wisconsin
September 19th, 2006
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Navigating the Promotion Process at MCW
• Promotion Pathways- – The new 4th option
• Promotion Process
• Promotion DOs and DON’Ts
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Rank & Tenure Committee –Composition
Eric Cohen, MD (Nephrology) ChairJulie Biller, MD (Pulmonary Medicine)Owen Griffith, PhD (Biochemistry)Cecilia Hillard, PhD (Pharmacology)John Klein, PhD (HPI-Biostatistics)Dennis Maiman, MD (Neurosurgery)Karen Marcdante, MD (Pediatrics)Hershel Raff, PhD (Endocine)Jeanne Seagaard, PhD (Anesthesiology)James Sebastian, MD (General Medicine)
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Promotion CriteriaTraditional Track
• History of independent research funding and peer reviewed publications
• Service to MCW (committees, councils)
• Established reputation– Associate Professor: Regional– Professor:
National
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Promotion CriteriaResearch Track
• Independent funding and publications
• Role in defined research program or direct core facility
• Role in research training
• Reputation– Associate Professor: Regional– Professor: National
Research
Research Clinical
Teaching Admininstration
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Promotion CriteriaClinician Educator
• Excellence in teaching/education
• Excellence in clinical practice• Scholarship
– Development/dissemination of materials
– Publications• Clinical observations• Education
• Service to institution
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Background to definition of a 4th promotional pathway
• Expansion of the clinical enterprise critical to overall mission of MCW.
• Faculty providing high amounts of clinical care and administration may not “fit” current paths.
• Chusid Ad Hoc Committee recommended a 4th academic pathway.
• Dean appointed an ad hoc committee to review rationale for (and against) creation of a 4th pathway- including examination of experience from other academic institutions- and to determine criteria for promotion in this pathway.
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The Fourth Track
• Academic Clinician Pathway was approved in spring 2006.
• Faculty with appointments in this pathway will have titles of the form: Assistant Professor of Clinical XXX (e.g. Orthopedic Medicine).
• For faculty with predominantly clinical or administrative responsibilities (>80%)
• Faculty in this pathway are not eligible for tenure• Anticipated time to promotion from first faculty
appointment is 10 years
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•Faculty in the Academic Clinician Path should spend a preponderance of time and should have attained substantial expertise in clinical care and/or clinical administration. Evidence of accomplishment includes items such as, but not necessarily limited to: quality of care indicators, patient satisfaction measures, the development of a referral base, the development of clinical care pathways.
•They should additionally have demonstrated a sustained commitment to and excellence in teaching. Evidence of accomplishment includes teaching awards or demand for clinical rotations by trainees.
The Fourth Track- Academic Clinician
Academic Clinician
Research Clinical Teaching Admininstration
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• Board certification in the appropriate specialty is expected.
• Service to the college or clinical practice partners, such as committee participation, is desirable.
• For those whose position includes a substantial clinical administrative role, evidence of the performance of the clinical program or group is considered.
The Fourth Track- Academic Clinician- continued
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Well before the first step in the promotion process in every
pathway….
• Review your progress and plan with your Chair on a regular basis- no less than once a year.
• When you identify areas in which your objective accomplishments are weak, define a plan and time frame in which to address these weakness.
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Five Steps of Promotion Process
• Internal Promotions Committee reviews
• Nomination by Chair submitted
• Office of Faculty Affairs prepares packet
• R&T committee reviews materials and renders decision
• Final approval by Dean & MCW Board of Directors
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Deadlines: For July 1st implementation
• Traditional Path and all tenure: Oct 1st
• Clinician Educator, Academic Clinician & Research: Jan 1st
For updated guidelines, more information and MCW CV format , see website:
http://www.mcw.edu/facaffairs
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Promotion Process:You and Your Chair
• You provide updated CV– Use MCW format ONLY
• Chair provides letter of support– Detailing merit based on criteria for track and rank– You should provide detailed outline of your
accomplishments in areas of focus for your Chair• Names of referees
– At least 4 internal– 2-7 external (depends on track/rank)
• Reprints of 2 “representative” publications
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• Solicits letters from the referees. • Referees are provided
• Full packet (including portfolio)• Outline of what areas they are to address in their
letters• MCW promotion criteria for rank and track.
• When the reference letters are received, the packet is sent to the R&T Committee.
Office of Faculty Affairs
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Rank and Tenure Committee
• R&T committee members review packet– May request additional information– If need additional info, tables review
• Votes on proposed action
• Majority ( 6 of 11) required for action– Positive or negative
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The Dean and BoardPositive Vote
• Dean notified– Can overturn a positive, not negative vote
• If Dean approves, sent to MCW Board of Directors
• If Board approves, promotion takes effect July 1st.
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Negative Vote
• R&T sends letter to chair– Outlining reasons for denial
• Must wait until next academic year
• Appeal process– Chair submits significant new information– Or appeals to committee in person
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Tenure
• Available to faculty in traditional and clinician/educator tracks
• Same criteria for both tracks, decision separate from promotion decision
• Faculty must be VITAL to MCW missions (clinical, education, research)
• Rarely given below rank of Professor
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No “Up or out policy”
(promotion to Assoc Prof after 6 yrs as Asst Prof)
Positive: More career flexibility
Negative: Stagnation at Asst Prof level
MCW = State schools
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Tenure not granted at Assoc Prof
(is granted at State-Supported Universities)
Positive: Less financial obligation for MCW
Negative: Chance of obtaining tenure may be lower
MCW = State schools
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Portfolios
• Way to highlight achievements that are not easy to depict in a CV
• No more than 10 single sided pages
• Should highlight “themes” of your career
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Educator’s Portfolio
0
0.5
1
1.5
2
OT
E R
ati
ng
2001-2002 2002-2003 2003 2004
Overall Teaching Effectiveness (OTE) Ratings for Dr. X Compared to Department Mean, 2001-2004,1-5
point scale, 1=outstanding
My rating
Dept Mean
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Educator’s Portfolio
0
20
40
60
80
100
Pe
rce
nt
MCW 1986-1989 MCW 1990-1995 ABP Mean
Pass Rate on First Attempt, American Board Certifying Examination,
1986-1989 Before my Leadership, 1990-1995 During my Leadership
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Portfolio Example for New Track
0
100
200
300
400
500
600
700
1999 2000 2001 2002 2003 2004 2005
Patients seen
Patients seen in Pulmonary Clinic
Sabbatical year
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EP: Example
Percent pts receiving enteral feeds
0
20
40
60
80
100
Month
Pe
rce
nt
% receivingenteral feeds
Implementation of protocol
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Promotion “DOs”
• Be prepared– Plan early and review often
• Get input from colleagues, mentors, chairs
• Just being here for a long time does not warrant promotion
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Promotion “DOs”
• Use the MCW format for CV
• Provide complete, accurate information
• Be sure your accomplishments are clearly conveyed– Use explicit descriptions such as “1 of 10 highlighted oral
presentations at a national meeting of >10,000 attendees”– Consider using a portfolio
• Send your best publications
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Promotion “DOs”
• Choose referees carefully– At or above level of promotion
(academicians)– Local: not just all from your section/dept– National: not all from your training– Contact them first,
• ask if they can write “good” letter
– Let them know what to highlight (from what they know about you)
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Promotion “DON’Ts”
• Procrastinate– Keep CV and portfolio updated
• Allow typos, incorrect grammar, incomplete citations
• Include “wish list”– Submitted publications, “approved but not
funded grants”
• Mix abstracts, chapters, papers
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Promotion “DON’Ts”
• Ask for letters from “Harvard-types”– Asked “Would candidate be promoted at
your institution?”
• Ask for letters from members of the R&T committee– If they write a letter, they have to leave for
discussion and vote
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Summary
• Promotion is the recognition of your peers based on faculty approved criteria
• You are responsible for preparing the documentation needed– Ask for help from the “experts”
• It is not a “secret ritual”. The committee doesn’t look for reasons not to promote
YES