FULL-TIME/PART-TIME AFFILIATE FACULTY APPOINTMENTS (NOT SALARIED BY IU, BUT MEMBERS OF A DEPARTMENTAL PRACTICE PLAN) LETTERS OF OFFER AND ACCEPTANCE INDIANA UNIVERSITY SCHOOL OF MEDICINE A letter of offer and acceptance may be utilized for new full-time and part-time affiliate faculty appointments. If utilized, copies of the offer and acceptance letters must be included in the appointment packet submitted to the Dean's Office. If utilized, the letter of offer must contain the following information: 1. Academic rank and other titles (if any) 2. Period of initial appointment (one to three years) conditioned on full-time or parttime participation in departmental practice plan 3. Statement of the initial teaching, research, and/or service assignment. 4. Statements regarding participation in an approved practice plan. The letter of acceptance should indicate the following: 10/15 1. Acknowledge and agree to terms and conditions of the appointment 2. Acknowledge and agree to criteria and procedures for reappointment. OFFER LETTER FULL-TIME/PART-TIME AFFILIATE FACULTY APPOINTMENTS (NOT SALARIED BY IU, BUT MEMBERS OF A DEPARTMENTAL PRACTICE PLAN) INDIANA UNIVERSITY SCHOOL OF MEDICINE Dear (name) : I am recommending to the Dean of the School of Medicine, subject to final approval of the University administration, that you be appointed as (dept. name) (title) in the Department of , Indiana University School of Medicine. Your initial appointment will be for (#) year(s) beginning (date) with eligibility for reappointment. In accordance with School of Medicine policies, this appointment is conditioned on your _(full-time/part-time) participation in (name of departmental faculty practice plan) , and is without University salary, benefits, stipend, or tenure. This position is also subject to the credentialing approvals required by our various affiliated health organizations, including but not limited to Indiana University Health, Eskenazi Health, and the Richard L. Roudebush Veterans Affairs Hospital. Your initial duties will include You may not engage in the practice of providing health care except through an Indiana University School of Medicine (IUSM) approved faculty practice plan. Your continuous participation in the approved faculty practice plan is a necessary condition of your appointment. Therefore, termination, resignation, or other non-participation in the approved faculty practice plan may constitute persistent neglect of duties or persistent failure to carry out the tasks reasonably to be expected of a person holding the position involved, misconduct or violation of other University requirements, and result in loss of appointment. Your clinical activities will be conducted at locations determined by IUSM to be consistent with the teaching, research, and service missions of the School. In all positions and appointments, you shall perform those duties and discharge those responsibilities as may be . assigned to you from time to time by the Chairperson of the Department. The culture of the School of Medicine is of highest importance. We value a culture of collaboration, team work, and mutual respect. Mutual respect entails accountability. Enclosed with this letter is a document entitled “Core Values and Guiding Principles”. Accepting this offer is your declaration that you embrace these values and our culture and will strive to serve as a role model for them. A component of our culture is also an honor code signed by all learners and faculty. Your appointment is contingent on acknowledging your commitment to this code through your signature on the enclosed document entitled “Indiana University School of Medicine Honor Code”. If these terms are acceptable to you, please indicate your acceptance by a letter or by your signature at the bottom of this letter. We look forward to welcoming you to Indiana University. Signature of Chairperson or Director ACCEPTANCE: I accept and acknowledge the terms and conditions of the appointment as set forth above, and I agree to the IU School of Medicine and the IUPUI campus criteria and procedures for reappointment. Signature Date Print Name