Revised Jan 2015 [Date] [Name Address] Dear [name of candidate]: [I am/We are] pleased to offer you [if UTL untenured, “an untenured”, otherwise ‘a’] position as [rank] of [department] in the [Medical Center Line], [University Tenure Line], [Teaching Line], [Research Line, coterminous with funding from research grants and other sponsored projects] at the Stanford University School of Medicine. This appointment is at 100% full-time effort (FTE) [if appt is for tenure, “and confers tenure.” Otherwise, include rest of sentence] for a term of [written number] years and may be considered for renewal for a term of [written number] years. [If the appointment includes an appointment at the VAPAHCS between 1/8 and 6/8ths:] Your Stanford appointment includes an appointment at the Veterans Affairs Palo Alto Health Care System (VAPAHCS) at [1/8ths to 6/8ths] full-time effort. This portion of your appointment is coterminous with your employment by and funding from the VAPAHCS, as well as the School of Medicine’s continued affiliation with the VAPAHCS. The Stanford University School of Medicine is world-renowned as a premier institution for the education of future leaders in biomedical research and medical practice. We are delighted to extend you an offer to join us as a faculty member at the School of Medicine, where you will find outstanding colleagues, a dynamic environment, smart and engaging trainees, and an opportunity to be successful and grow professionally. We provide excellent compensation including a competitive salary and a generous benefits package. Because the issues related to this offer require specific and detailed description, we have placed specific terms and requirements of employment in the Appendix which, taken together with this letter, is the “Offer.” Please refer to it in conjunction with this letter for a complete representation of this Offer. This letter and Appendix, the “Offer,” represent the entire agreement between us regarding your relationship to the University, and supersedes and replaces any prior negotiations, agreements or understandings, whether written or oral. As is the case for all Stanford faculty, this appointment is subject to normal reviews and approvals of the School of Medicine and the University, and [I/we] anticipate your appointment will be effective by ____________ [realistic start date]. Should you have questions at any time during the appointment process, please do not hesitate to contact [Candidate name] your departmental contact listed below. Please note that housing assistance and tuition benefits are not available until your faculty appointment is approved by the University. Your contact person is [name of departmental contact], who can be reached at [phone] or [email]. [I am/we are] delighted to extend you this Offer to join the Department of [name] and Division of [name]. Our exceptional faculty, students and staff all contribute to make Stanford an immensely rewarding place to be. We look forward to welcoming you as a colleague and to supporting you in attaining your professional goals. To indicate your acceptance of this Offer, please sign this letter and the enclosures, and return them to [name of departmental contact] by [insert date two weeks hence]. Sincerely, [Chair Name & Title] [Division Chief Name & Title] I have read and understand and accept this Offer: ________________________________________________________________ Candidate’s signature Date Enclosures: Appendix Licensure Form (if applicable) 2 APPENDIX This Appendix outlines the terms and requirements of your employment. Information on certain health, welfare and retirement benefits is available from the Stanford University Benefits Office (http://benefits.stanford.edu). Information on certain benefits available to faculty can be found at http://med.stanford.edu/academicaffairs/professoriate/newfaculty/orientation.html. For a wide range of additional information about Stanford University and the Stanford School of Medicine, please refer to the web addresses on the last page of this Appendix. Expectations and Responsibilities As a condition of your appointment as a faculty member, you are subject to and are expected to comply with all applicable University policies and procedures, including but not limited to those in the University Faculty Handbook, the School Faculty Handbook, and the Research Policy Handbook. Further appointments and/or promotions may be possible subject to the criteria in the School’s Faculty Handbook. [Include for non-UTL appointments:] Appointments in the [Medical Center Line] [Teaching Line] [Research Line] are not eligible for tenure. Appointment and Assignment [If this appointment includes an appointment as chief of a division at the SOM, include] I am also pleased to note your appointment as Chief of the Division of [name] in the Department of [name] at the Stanford University School of Medicine. You will receive a separate appointment letter from your chair describing the terms and conditions of your appointment as Chief, an appointment which serves at the discretion of the Dean and is contingent upon the continued support of your departmental chair and is not coextensive with your faculty appointment. [If there is also a formal appointment in a physician leadership position at SHC or LPCH, include] We will also proceed with your appointment as ___________________________ of [Stanford Hospital and Clinics/ Lucile Packard Children’s Hospital]. That involves a separate appointment process, where the appointment will continue at the discretion of the appointing officer and is not coextensive with your faculty appointment. [If there is also a formal appointment in a physician leadership position at VAPAHCS, include:] We will also proceed with your appointment as [title] of VAPAHCS. That involves a separate appointment process, where the appointment will continue at the sole discretion of the appointing officer and is not coextensive with your faculty appointment. 3 Your duties will be [list duties, including clinical care, teaching, scholarship, and administrative activities, as applicable. Start with the most important area or where the candidate will spend the most time. Include details such as outpatient clinics, inpatient care, numbers of patient contacts, procedures, etc. courses to be taught, demonstrable scholarly progress with contribution to the advancement of clinical medicine, etc. Total duties should not exceed 100% FTE.] Although there may be changes in the proportionality of how you spend your time, it is essential that you and your department chair engage in ongoing and explicit communication to ensure the fair evaluation of your contributions to the University. Other duties, responsibilities or expectations as a member of the department include [enter here committees, meetings, administrative functions, etc. as applicable]. Due to fluctuating programmatic needs or other circumstances, your responsibilities and allocation of resources may be subject to change. Should that occur, we will discuss how best to achieve your goals and ours at that time. Compensation Salary Your FY 201_ salary, effective [date], is $_____, prorated from your actual start date. Your annual salary will be paid twice monthly, less applicable payroll withholdings. Your salary is composed of a base component and a variable component. The base salary is set by academic rank and cannot be reduced during your appointment except for the reasons stated in the Policy on Security of Appointment in the University’s Faculty Handbook. For the rank of [rank], base salary is currently $__________ per year. Salary is set annually, with changes based on your performance and in accordance with the overall annual salary program promulgated by the Provost and the School of Medicine. Changes in salary generally occur annually and are effective for the start of the fiscal year. Because the base salary is set by rank, annual merit adjustments are made to the variable salary, which is not subject to the Policy on Security of Appointment in the University’s Faculty Handbook, and therefore may fluctuate up or down annually. [If Research Line, add: “As a member of the Research Line Professoriate, it is expected that between eighty and ninety-five percent of your compensation will be supported from research grants and other sponsored projects by the end of the third year of appointment. A minimum of five percent effort is presumed to be dedicated to activities other than research and should be funded through sources other than grants and contracts. ”] 4 Administrative Supplement [If applicable, add:] In addition, you will receive an annual Administrative Supplement of $ _________ for your role as [specific title and role], prorated from your start date. Administrative supplements are determined by the Dean based on the level of commitment and complexity of the administrative role and may be discontinued when satisfactory performance ceases or for programmatic reasons at the Dean’s discretion. Incentive Plan [If applicable, add:] You will also be eligible to participate in the Department’s incentive plan. The extent, if any, of a personal incentive payment to you will be determined in accordance with the Department’s incentive plan. Salary Parity [If assigned to the VA, add:] You will be eligible for salary parity if your Stanfordapproved salary (base and variable plus administrative supplement, if any) is greater than the salary you actually receive from the VAPAHCS. Thus, if your total VAPAHCS salary (VAPAHCS salary plus VAPAHCS special pay) received by you in any given academic year (September 1 through August 31) is less than the Stanford-approved salary for that year, you are guaranteed salary parity for that year. For purposes of determining if a salary parity payment is warranted, any Stanford salary earned during the academic year will be included in the calculation of parity pay. Moving Expense [If applicable, add:] We will reimburse you for up to $_______ [maximum is generally $15,000] in moving and relocation expenses. You will need to provide receipts for these expenses. Reimbursement for moving expenses is tax reportable. For a list of the University’s preferred carriers and their contact information, please visit http://med.stanford.edu/relocation. Certain moving company vendors may bill the department directly if supplied with the department address. Compensation Committee Approval [If total salary compensation (base plus variable plus any administrative supplement) equals or exceeds $500,000 or the total annual incentive equals or exceeds $400,000), add:] It is important to point out that this compensation package is contingent on approval by the Provost and the Compensation Committee of the Board of Trustees. [I/We] will pursue approval as soon as possible. Benefits Stanford University provides comprehensive benefits, including medical-dental-vision insurance, life and disability insurance, sabbatical leave, retirement plans, and a College Tuition Grant Program for eligible dependents. Faculty status also brings membership in the campus community with its rich cultural, athletic, social, and educational resources. In recognition of the high cost of living in the Bay Area, the University provides faculty 5 with generous housing programs designed to assist in the purchase of a home. After your appointment as a regular faculty member is approved, you will be eligible for the University benefits, including University housing programs described in more detail below. To learn about your faculty benefits, contact the Stanford Benefits Office by phone at 650-736-4102 or at their web site: http://benefits.stanford.edu. They will assist you in signing up for New Faculty Orientation and accessing the Benefits Enrollment web site. Be sure to contact them no later than two weeks before your start date. If you do not enroll for benefits within thirty days after your start date, you will automatically default into a core program of limited benefits. The University also provides expert assistance with child care, elder care giving and other work and family support. For information, please contact the WorkLife Office at 3160 Porter Drive, Palo Alto, CA, 94304, at (650) 723-2660 or at their web site. [If candidate has an appointment at VAPAHCS between 1/8 and 6/8ths include:] VAPAHCS Benefits A faculty member with a 1/8ths to 6/8ths FTE assignment at the VAPAHCS may also be eligible to receive employee benefits (e.g., health insurance, retirement) from the VAPAHCS. The VAPAHCS provides comprehensive benefits, including medical insurance, life insurance, sabbatical leave, and generous retirement plans. To learn about your eligibility for VAPAHCS benefits, please contact the VAPAHCS Human Resources Management Service at (650) 858-3951. Housing and Relocation Information Housing and relocation information and assistance is available regarding rental resources, information on the housing market, cities, neighborhoods, schools, etc., as well as moving company vendors. Please contact Ken Jenkins, Relocation Specialist for the School of Medicine: (650) 704-0618, kjenkins@stanford.edu, http://med.stanford.edu/relocation. After your appointment as a regular faculty member is approved by the President (an appointment process which will take several months following your formal acceptance of this offer), you will be eligible for the University programs available to faculty, including University housing programs available at the time you apply for such programs. Housing and other programs are subject to eligibility and program guidelines which are subject to change from time-to-time. Prior to making an offer on a property for which you plan to use University housing programs, you must contact the Stanford University Faculty/Staff Housing Office to confirm program eligibility and complete a loan application. Similar to the process for becoming pre-approved for a loan from a private mortgage lender, the Stanford 6 University loan application, credit check and eligibility determinations must be planned for and completed well in advance of beginning your search for a home to confirm eligibility and avoid any complications. Stanford makes several housing assistance programs available to eligible faculty. A description of these may be found at the Faculty Staff Housing website: http://fsh.stanford.edu. In summary, these programs include: the Housing Allowance Program (HAP), a nine-year declining cash supplement; the Mortgage Assistance Program (MAP), an interest only loan with low current interest and deferred interest due at payoff; the Deferred Interest Program (DIP), a loan with zero current interest and a share of appreciation due at payoff; and the Zero Interest Program (ZIP), a nonamortizing loan which may be forgivable over a ten-year period with approval of the Dean. For more information, please see the Stanford University Faculty and Staff Housing Office website at http://fsh.stanford.edu/. Other Information Resources Provisions for your [office space/laboratory space/equipment/administrative support and any other resources that will be made available to assist the candidate with teaching materials or scholarly productivity] are as follows: Annual Review You should receive an annual review of your performance; please make a point of scheduling it with me or [chair’s designate]. Your performance will be reviewed in relation to matters such as the following: the criteria for reappointment or promotion, your specific assigned duties as enumerated above, specific areas of interest or concern, and any specific fiscal expectations set for your position. Your annual review also should include a discussion of compensation for future years. Mentoring [For all Assistant Professors] The School recognizes the importance of mentoring for junior faculty. Dr. [name] has agreed to serve as your temporary mentor; we ask that you identify a permanent mentor within the first three months of your appointment. You may choose to retain Dr. [name] or you may select another faculty member, within or outside your department, as your permanent mentor. Center for Teaching and Learning One of the major resources to support your teaching at Stanford is the Center for Teaching and Learning (CTL). CTL provides an infrastructure of support for all faculty in their pursuit of teaching excellence, including midterm small group evaluations, classroom observations, videotaping, a teaching newsletter and handbook, and one-onone consultations. You can explore CTL's offerings and helpful information on teaching at its website. 7 Requirements Authorization to Work This offer is subject to your authorization to work as required by the Immigration Reform and Control Act. You will be required to complete a verification form (INS Form I-9) when you begin work. Please bring two official forms of identification with you on your first day in order to complete the I-9 form process. Before beginning work at Stanford, please set up a time to meet with [Insert name], who can be reached at [insert phone number or email address]. Visit the US Citizen and Immigration Services’ I-9 Central web site http://www.uscis.gov/portal/site/uscis for accepted documents. Licensing and Medical Staff Membership [If applicable – MCL, RL, TL] As a condition of and throughout your Stanford University faculty appointment, you will need to obtain and maintain a license to practice medicine in California, maintain medical staff membership at Stanford Hospital and Clinics and/ or Lucile Packard Children’s Hospital and/or the VAPAHCS with privileges applicable to your duties, comply with applicable policies of Stanford University, Stanford Hospital and Clinics, Lucile Packard Children’s Hospital and the VAPAHCS (e.g., physician billing compliance policies), and not be disqualified from the Medicare or Medicaid programs. [If applicable - UTL] For those University Tenure Line faculty members whose responsibilities include clinical activity, appointments are typically contingent upon and coterminous with the UTL faculty member obtaining and maintaining in good standing the privileges necessary for the performance of the faculty member’s intended clinical role. You will need to obtain and maintain a license to practice medicine in California, maintain medical staff membership at Stanford Hospital and Clinics and/ or Lucile Packard Children’s Hospital and/or the VAPAHCS with privileges applicable to your duties, comply with applicable policies of Stanford University, Stanford Hospital and Clinics, Lucile Packard Children’s Hospital and the VAPAHCS (e.g., physician billing compliance policies), and not be disqualified from the Medicare or Medicaid programs. [If assigned to an alternative site] You are expected to obtain and maintain unrestricted privileges at [facility name] as required by your assigned duties and at any other facility to which you may be assigned. The application process for medical staff membership and privileges can take some time. As soon as you decide to accept this offer, please call the Stanford Hospital and Clinics Credentialing Office at (650) 725-6021 or (650) 723-7857 for an application package. If you will be practicing at Lucile Packard Children’s Hospital, you may also obtain their application forms by calling the same number. You will not be able to begin clinical work until your medical privileges are approved. Once established, these privileges will be coterminous with your appointment and will cease when your appointment ends. 8 Professional Services Income (PSI) [If candidate has clinical responsibilities, include:] Your signature on page two of this Offer confirms the ownership and disposition of fees derived from your charges for patient-related professional services while a full or part-time member of the faculty or staff of Stanford University School of Medicine. Such services include direct or consultative patient care and diagnostic analyses and are further described in the Practice Policy for Physicians and Psychologists in the School of Medicine (“Practice Policy”). The Practice Policy is available at http://med.stanford.edu/content/dam/sm/academicaffairs/documents/administrators/ forms/rules-of-practice.pdf. As a condition of your University appointment and/or employment, any fees which are charged for your services are irrevocably assigned to, and belong to, the University (or other institution designated by the University), and must be transmitted to the accounts designated by the School of Medicine. This is exclusive of your activities at the Veterans Affairs Palo Alto Health Care System, if applicable. Malpractice coverage is provided only for patient-related activities performed by clinicians as part of their official duties within approved practice sites, including outreach sites to which clinicians are assigned as part of their duties. As a further condition of your appointment and/or employment, you are bound by the Practice Policy, as now in effect and hereafter amended, or superseded by any successor Rules. Mandatory Reporting of Child Abuse and Neglect [If candidate has clinical responsibilities, include:] California law requires certain individuals at Stanford to report known or reasonably suspected child abuse or neglect to the authorities. These individuals are known under the law as “Mandated Reporters”. Information about mandatory reporting and links to the California penal code provisions are available at http://uhr.stanford.edu/mandatory-reporting-childabuse-and-neglect. Employees and others who have been identified as Mandated Reporters for Child Abuse are required to sign the online “Acknowledgment of Mandated Reporter Status” form following the instructions on http://uhr.stanford.edu/form-instructions. Blood Borne Pathogens [If applicable, include:] It has been determined that your position will bring you into contact with human blood and/or other potentially infectious materials (OPIM). The California Bloodborne Pathogen (BBP) Standard requires that you participate in an initial training and an annual, update training session for as long as you remain exposed to those materials. Your supervisor will provide you with information on the School’s BBP training programs. In addition, you are required to either be vaccinated with the 9 Hepatitis B vaccine within 10 working days of your initial assignment or sign a declination statement if you choose not to be vaccinated. Please keep in mind that the School will pay for your vaccination. Please contact [name, phone # and email of departmental contact] for information on the School of Medicine’s BPP training and vaccination program. Health Insurance Portability and Accountability Act (HIPAA) The Health Insurance Portability and Accountability Act (HIPAA) regulations provide significant privacy protections for the health information of patients and research subjects. As an academic medical center, Stanford University School of Medicine has implemented training for all staff to address the management of health data in research, education and clinical care. As a new employee with the School of Medicine, you are required to complete HIPAA training within 30 days of your employment date, but, in any case, before you begin any work that requires handling of patient health information (PHI) or human subjects’ health information. The training provides guidelines and requirements regarding handling of PHI, privacy, security, and other aspects of HIPAA. Compliance with School of Medicine policy regarding HIPAA training and handling of confidential/private PHI is required and a condition of employment; failure to complete training, or any inappropriate handling and/or disclosure of PHI may be grounds for termination. Please contact the department’s HIPAA Lead, [name, phone # and email of departmental contact], who will help you to enroll in the appropriate training level for your position and will be able to answer questions you may have regarding HIPAA and PHI. Additional information is available at https://acp.stanford.edu/hipaa/hipaa. SUNetId The SUNetId is a unique account name that identifies you as a member of the Stanford community with access to the Stanford University Network of computing resources and services. Your SUNetId is a permanent and visible part of your Stanford identity. If you do not already have a SUNetId, request your eight digit employee identification number from your departmental contact. Once you have your Stanford employee identification number, go to https://accounts.stanford.edu to select your SUNetId. If you had a SUNetId in the past and cannot recall it, please contact your department contact to obtain it. Patent and Copyright Agreement All employees are required to sign a Stanford University Patent and Copyright Agreement. This patent policy applies to all individuals who work at Stanford, or who come here to engage in research. This agreement may be reviewed at http://doresearch.stanford.edu/policies/research-policy-handbook/intellectualproperty/inventions-patents-and-licensing.html and signed on line at the AXESS page, https://axess.stanford.edu. A SUNet ID is required to access the link. 10 Conflict of Interest All new faculty members must complete the training tutorial titled Avoiding Financial Conflicts of Interest. This is a self-paced, web-based module designed to provide an overview of the high-risk situations that can lead to financial conflicts of interest for faculty. Additional information about the module can be found at the COI website http://www.stanford.edu/group/coi/training/training.html. It is available to all members of the Stanford community with SUNet IDs through the Stanford Training and Registration System (STARS). Outside Consulting Stanford University policies regarding outside consulting activities by members of the Academic Council require Consulting activities be disclosed to and approved by your department chair. Additional information is available at http://doresearch.stanford.edu/policies/research-policy-handbook/conflictscommitment-and-interest/consulting-and-other-outside-professional-activitiesmembers-academic-council-and-medical-center. Stanford Industry Interactions Policy (SIIP) The Stanford Industry Interactions Policy (SIIP) governs interactions, largely in the clinical and educational arenas, with the pharmaceutical, biotech, medical device, and hospital and research equipment and supplies industries. Additional information about SIIP is available at http://med.stanford.edu/coi/siip/. Harassment Prevention Training California AB1825 mandates that all faculty and supervisory staff must complete at least two hours of harassment prevention training at least every two years. Newly hired or promoted faculty and supervisors must complete this training within six months of employment or promotion. The university cannot exempt any supervisors – faculty or staff – from this legal obligation. Eligible trainees will receive an email invitation to register for online training that will come from Stanford University or the School of Medicine. The subject line is “Required Harassment Training: Registration Info”. The university has collaborated with LawRoom, a web-based employment law service, to provide a 2 hour interactive on-line course with relevance for the university setting. The course can be completed from any computer and it allows you to stop and start at any time at your convenience. It is expected that you will complete the course within the required time frames, initially and during subsequent compliance periods. If you do not complete the training by your deadline date, your name will be forwarded to the Dean and you may not be able to remain in a supervisory role. Additional information is available at http://harass.stanford.edu/training_register.html. School of Medicine Data Security Program 11 The School of Medicine Data Security Program mandates enterprise backup and encryption of all computers and mobile devices used for Stanford business by faculty, staff, students and other affiliates, if the device might store or access Protected Health Information (PHI) or other Restricted or Prohibited Data. This requirement applies to both Stanford-owned and personally-owned equipment. All individuals in the School of Medicine must complete a Data & Device Attestation to identify whether they are exposed to Restricted or Prohibited Data and, if so, the kinds of devices they use. Within seven days of your appointment start date you must submit a Data & Device Attestation at https://med.stanford.edu/datasecurity. You must have a SUNetId to complete the attestation. Workplace Accommodations If you require workplace accommodations for a disability, please let the departmental contact listed above know. 12 Useful Web Addresses Faculty New to Stanford: http://med.stanford.edu/academicaffairs/professoriate/newfaculty.html Stanford University Faculty Handbook: http://www.stanford.edu/dept/provost/faculty/policies/handbook/ School of Medicine Faculty Handbook: http://med.stanford.edu/academicaffairs/administrators/handbook.html Stanford University Administrative Guide: http://adminguide.stanford.edu/ Stanford University Research Policy Handbook: http://doresearch.stanford.edu/policies/research-policy-handbook Stanford University Human Resources: http://hrweb.stanford.edu/ Stanford University Benefits: http://benefits.stanford.edu/ Stanford University Faculty and Staff Housing: http://fsh.stanford.edu/ School of Medicine Relocation: http://med.stanford.edu/relocation Stanford University Resources for New Faculty: http://facultydevelopment.stanford.edu/prospectivefaculty.html Stanford University WorkLife Office: http://www.stanford.edu/dept/ocr/worklife/ School of Medicine HIPAA Information: https://acp.stanford.edu/hipaa/hipaa Stanford University Center for Teaching and Learning: http://ctl.stanford.edu IRS Moving Expenses: http://www.irs.gov/publications/p521/index.html 13