Faculty Appointments,
Tenure, and Promotions
Clinical Education: What Does it
Take??
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Background and Process: SOM
• Activities under USUHS Instruction 1100
• 1100 is the “Bible”…
• Requirements (CV, letters, etc.,) are clearly
indicated
• All appointments > Assistant Professor route
through the CAPT
– CAPT is PRO-FACULTY!!
 They are NOT the enemy….
 BUT – they are responsible to adhere to the 1100
• Importance of the 1100: “value” of the appointment
– Military accomplishments ≠ academic promotion
– Academic rank needs to stand on its own merit
 Equivalence in other institutions
 Not a “cheap” or “easy” process…
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Qualifications
Scholarship of Discovery
• “Pursuit of phenomena and observations”
• “Original, disciplined research”
• “Assimilated and interpreted through
scholarship of integration”
• What does it mean? RESEARCH!!
– Pubs, presentations, protocols
– Investigation
– Adding to body of knowledge
– Funding
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Qualifications
Scholarship of Integration
• “Combines and connects disciplines”
• “Interpret… bring new insight to original
research”
• “Integrates knowledge from various fields”
• What does it mean???????
– Ties in with research, funding
– Recognition of expertise, “tying ideas together”
– More than just producing research, but how to
utilize it
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Qualifications
Scholarship of Teaching
• “Communicates understanding”
• “Development of innovative practices and
course materials”
• 3 levels:
– Level I: classroom, departmental
– Level II: institutional level, educational expertise
recognized
 Course director, development of materials as opposed
to delivery only, Program Director
– Level III: disseminated and recognized
contributions
 research
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Qualifications
Scholarship of Application
• “Responsible implementation of
knowledge gained from other three
scholarships”
• “Bridges between theory and practice”
• “Includes clinical activities”
• What does it mean????
– Applying knowledge to practice
– Often includes peer-recognition of efforts
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Peer Recognition of Scholarly
Activities
• Related to multiple scholarships
– Not just one…
• Original research, presentations, invited manuscripts,
societal educational materials…
• Funding
• Study sections, review boards, advisory groups,
editorial boards or reviewer…
• Awards
• Leadership positions in societies, educational
institutions…
• “Minimum” number listed for SOME ranks…
– Not just a number….
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Professional Service
• Also related to multiple scholarships
• DENOTES PROFESSIONAL EXPERTISE
AND PEER-RECOGNITION!!!!!!!!!!
– Cannot over-emphasize the peer-recognition…
– Institutional, educational societies, scientific
societies
– Local, regional, national, international
• Includes clinical activities
• Includes institutional citizenship
– “what do you do for me???” (i.e., USU)
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
“Problem” Areas
• Package: help the Chair out!!!
– Pay attention to details, timelines
• CV:
– Make sure it’s complete, up-to-date
– It’s your professional “life”, and often the “first
impression…”
 Put your best foot forward
 Include all activities, even if they seem minor…
• Abbreviated CV: a requirement
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Problem Areas
• Personal Statement: it is actually read…
– Emphasize your accomplishments, especially relative
to scholarships
– Tell the CAPT why they should promote/appoint you
• Letters: important issue!!
– Letter-writers: > rank to which you’re applying
– make sure writer documents THEIR rank…
– Recognition of your contributions!
 Not that they drank beer with you after work…
 Even if they supervised you, they should recognize you for
what you’ve done, not just that you were a good person to
have work for them….
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Problem Areas
• Research: not difficult
– CV, bibliography
 Ensure productivity parallels current promotion consideration
 100 pubs but last one being 10 years ago does NOT go over
well for current promotion consideration UNLESS explained
– Funding: protocols, grants, etc
• Teaching: not difficult
– As long as documented….
– Level requirements vary according to rank, pathway
 Clinician-Educator Professor: at least Level II
– Appendices can help with documentation of criteria
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Problem Areas
• Institutional citizenship: not difficult
– Document USU service (teaching, committees,
indirect involvement [DoD committees, etc])
• Clinical activities: not difficult
– Staff physician, Division Head, etc, etc
• Time in rank:
– Sometimes problematic, but not an absolute
– Accomplishments outweigh time…
• So, any other issues????
– Sound easy???
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Problem Areas:
Professional Recognition
• Often the “rate-limiting step”
• Recognition “outside the box”…
– Beyond the parent institution
• Often the service/accomplishment is there
– Just not well-documented
• Requires CV to be comprehensive
– Chair letter helps
– Letters can be VERY helpful
 Attest to recognition
 “Would be promoted here…”
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Problem Areas:
Professional Recognition
• CAPT Summary for Faculty Senate AY 20082009:
– Reasons for deferral: “lack of documentation to
support reputation beyond parent institution”
• Considerations:
– Activities in societies (not just membership)
 Abstract reviewer, moderator, subcommittees, etc, etc
–
–
–
–
Editorial boards, reviewer (?)
Awards
Invited lectures (demonstrates peer-recognition)
Board examiner
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Problem Areas:
Professional Recognition
• Military Service: sometimes problematic
• The “box” is still the “box”
• Recognition outside of your Service
– Within the Service may still not demonstrate
reputation outside the “institution”
– Example: Consultant/Specialty Advisor
 Reflects recognition within the Service, but…
 Does it reflect academic recognition outside the
Service??
– Although important, may not meet academic
criteria
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology
Summary
• Refer to 1100
– Particularly Appendix 1 and Appendix 2
– Specifies (as much as possible) what will be
checked for
• CAPT wants to appoint/promote
– USU is not “served well” by not promoting its
faculty…..
• Pay attention to details, timeliness
• No one will do it for you better than you can
do it yourself…
– Look out for your own careers!!
UNIFORMED SERVICES UNIVERSITY
of the Health Sciences
Department of Obstetrics and Gynecology