Ann Brown MD MHS
Associate Vice Dean for Faculty Development
New Faculty Orientation
9/21/10
Contact
 Office for Faculty Development
 268 Baker House, Duke South
 Phone 684-4139
 Email: brown066@mc.duke.edu
 Web: facdev.medschool.duke.edu
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View and register upcoming events
See videos OR materials from past events
Selected resources on professional development
Outline
 Faculty Snapshot
 Promotion Process Basics
 Clinical and Basic Sciences
 Description of 5 Clinical Pathways
 Check bright green sheet of paper in your folder- it has
your track (according to database)
Basic Science Departments
Immunol
14
Biochem
18
Neurobio
19
MGM
24
Pharm Canc Bio
28
Cell Bio
29
Biostatistics
45
0
10
20
30
40
50
8/31/10 Data
Clinical Science Departments
Derm
Ortho Surg
Rad Onc
Optho
Ob/Gyn
Pathology
Radiology
CFM
Anesthesiology
Surgery
Psychiatry
Pediatrics
Medicine
15
43
44
62
67
69
96
99
103
189
190
191
568
0
100
200
300
400
500
600
8/31/10 Data
School of Medicine Faculty
Clinical
Basic
9%
91%
Data from dFac 8/31/10
Gender Distribution by Rank
Male
Female
455
410
355
353
146
54
66
Medical Instructor Assistant Professor Associate Professor
72
Professor
Promotion Basics
Basic Science Promotion and Tenure
Review Timeline
About 12 months
Dossier for promotion with tenure MUST be submitted by beginning of 7th year
BS-APT=Basic Science APT
MCEC= Medical Center Executive Committee
BoT= Board of Trustees
Clinical Science Promotion and Tenure
Review Timeline
About 12 months
Dossier for promotion with tenure MUST be submitted by beginning of 10th year
DAPT=Departmental APT
BoT=Board of Trustees
CS-APT=Clinical Sciences APT
Chair notifies faculty member
of DAPT recommendation
What are the Ranks?
Clinical
Basic
 Medical Instructor
 (incubator status, tenure
clock not active)
 Assistant Professor
 Assistant Professor
 Associate Professor
 Associate Professor with
Tenure
 Professor with Tenure
 Professor (without tenure)
 Tracks 4&5 only
 Associate Professor with
tenure
 Professor
 And others tailored to
individual circumstances, not
linked to tenure track
What is tenure?
 Tenure is a promise of continued
employment, absent malfeasance
 A specific salary is not promised
 For basic scientists, tenure promises full (or near
full) salary
 For clinicians who belong to the PDC, salary
guarantee is limited

Tradition has been 25K Assoc Prof and 30K Full Prof
 For Clinical Science faculty who do not
belong to PDC, tenure may have a different
meaning
Preparing for Promotion
 Request an annual review with your
Chief/Chair to
 Assess your progress toward promotion
 Solicit feedback about areas to work on in
coming year
 You should play an active role in the
process of deciding when to go up for
promotion
 You can bring this up with your Chair/Chief
Things to do now
 Cultivate potential external evaluators
 APT dossier must include names of “6 individuals
external to Duke University who are qualified to
evaluate the candidate's scholarly contributions”
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(Faculty Handbook)
 These should not be collaborators, co-authors,
mentors.
Things to do now
 Create a Duke-formatted CV and update it
periodically
 Faculty APT office website or call 684-3852
 Develop a system for keeping track of your activities.
 Publications
 Lectures (Duke, regional, national, international)
 Clinical activities (and nice patient letters)
 Teaching activities (keep your evaluations)
 Service on committees (Duke, societies, NIH etc)
Keep track of accomplishments
(see package of folders)
 Files for:
 Committee memberships
 Keep a separate file
for each
 Annual Reviews
 Presentation
 Awards/Recognitions/Kudos
 Publication
 CME
 Correspondence/
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Networking
Mentor/Advisor Activities
Teaching
Long term goals
Privileges/Credentials
 Scholarly Activity
(other)
Promotion criteria-Basic Science
see Faculty Handbook Appendix J
 Contributions to the field
 Publication record
 Demonstrated ability to secure funding from peer-
reviewed sources
 Teaching
 Service
http://www.provost.duke.edu/pdfs/fhb/FHB_App_J.pdf
What are the criteria?
 Tenure-eligible pathways require scholarship
 Scholarship, research and creative activity
means the systematic investigation in some field
of knowledge undertaken to discover or establish
facts or principles, and the scholarly effort to
interpret, integrate or synthesize research
findings or the preparation and execution of
creative projects.
Promotion Criteria-Clinical Science
 Criteria based on which Track you are on
 There are five tracks (revised 2006)
 Standard Tenure Clock (10 years)*
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1: Clinician / Administrator / Educator
2: Clinician Researcher
3: Research focused faculty
 Non-clocked – term appointments
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4: Clinician
5: Researcher
Why have Tracks?
 Pathways designed to help faculty succeed
within framework of institutional needs
 Many ways to develop a successful career at
Duke
 Create a consistent set of expectations
 Provide guidance to Appointment, Promotion
and Tenure (APT) Committees
Guidelines Apply To…
 Clinical Departments
 MDs
 PhDs
 MD/PhDs
 Other terminal degree holders in the clinical
departments
What are the criteria?
 Varies with track
 Selection of a given track defines the promotion
expectations
 Track 1: Clinical/Admin/Educational
 Track 2: Mixed Research and Clinical
 Track 3: Research
 Track 4: Clinical
 Track 5: Research
What are the criteria?
 Focus
 Build a thread of continuity throughout your
work
 The theme should be apparent to reviewers
 Be cautious of diffusion of your efforts
Tenure Clock
 Tenure clock starts with first appointment at
Assistant Professor rank regardless of track
Changing Tracks
 Not casual- consult with chair
 Transfer within Tracks 1-3 relatively easier
 Transfer from Tracks 4, 5 to Tracks 1-3
requires Dean’s office approval due to tenure
implications
Path 1: Clinician / Administrator/
Educator
 Designed to reward physicians who see
patients (typically ≥75%) and do some
research, administration, or education
 Primary focus: publications & reputation
 Referral patterns
 National committees & professional organizations
 Review articles, case reports, chapters
Path 1: Clinician / Administrator/
Educator
 Also appropriate for faculty who spend the majority
of their time on a combination of clinical care,
administration, and/or teaching
 Similar to Track 4, but difference is stronger
emphasis on scholarly activity in Track 1
Path 1
 Grants
 Clinical volumes
 Teaching or administrative accomplishments
 Tenure clock applies: must initiate tenure review by
the start of 10th year
 Earlier review okay
Path 2: Clinician /
Researcher
 Designed to reward physicians who see patients and
do ~50% research
 Natural home for Clinical Investigators
 Primary focus: publications & reputation
 Referral patterns
 National committees & professional organizations
 Manuscripts – high level journals
Path 2
 Grants
 Clinical volumes – lower volumes expected than on
Track 1
 Teaching or administrative accomplishments count
but are secondary to research and clinical care
expectations
Path 3: Primary Research
 Designed for faculty who typically do ≥75% research
 Natural home for Lab-focused MDs and PhDs
 Primary focus: publications & reputation
 History of funding
 Publications
 Nationally significant research
Path 3
 Grants – Peer reviewed (NIH, Selective foundations)
 Publications – expect to be placed in major journals
 Teaching or administrative accomplishments count
but are secondary to research objectives
Path 4: Clinician
 Designed for faculty who typically do ≥75%
clinical work
 As with Track 1, combinations of clinical work,
teaching and administration also fit here
 Natural home for pure clinicians
 Primary focus: clinical care
 Referral patterns
 National committees & professional organizations -
reputation
Path 4
• No tenure clock
 But remember, if you later switch to track 1, your
tenure clock started on date of first appointment to
Assistant Professor in the non-tenure track
 Can only transfer to Tracks 1-3 during the first ten
years in Path 4
Path 4
 Grants – very secondary
 Publications – much less critical, although they
enhance clinical reputation
Path 5: Researcher
 Designed for faculty who typically do ≥80% research
 Natural home for PhDs in clinical departments
 Primary focus: publications & funding
 Publications – high level journals
 Consistent funding – annual appointments
Path 5
 Teaching or administrative accomplishments count
but are secondary to research objectives
 Most teaching in the context of the research work
Questions?
 Resources
 Department
 Administrative Liaison
 Faculty Liaison
 Faculty Handbook and APT Guidelines
 http://medschool.duke.edu/
 Select “resources for faculty” on Left Bar
 Duke Advantages for Faculty
 http://www.provost.duke.edu/faculty/
 Office for Faculty Development
 http://medschool.duke.edu/
APT Panel after lunch
 Dona Chikaraishi PhD
 Basic Science APT Committee
 Thomas Coffman MD
 Department of Medicine APT Committee
 Phyllis Leppert MD PhD
 Clinical Sciences APT Committee
Next Panel
 Building a Career in Academic Medicine
 John Alexander MD MHS FACC
 Sally Kornbluth PhD
 Bob Lefkowitz MD