Statistical modeling in pharmaceutical research and development.
Promotion and Tenure: The Institutional Perspective for All Faculty
1. Erick Messias, M.D., Ph.D., M.P.H.
Professor of Psychiatry
UAMS Associate Dean for Faculty
Promotion & Tenure:
The Institutional Perspective for All Faculty
2. “The mission of UAMS and its College of Medicine is to improve the
health, healthcare and well-being of all Arkansans and others in the
region, nation, and the world through the education of exemplary
health care providers, the provision of standard-setting,
comprehensive clinical programs, scientific discovery and research,
and the extension of services to the State of Arkansas and beyond.
This mission is accomplished through collegial work that manifests
the institution’s core values of integrity, respect, teamwork, creativity,
diversity, excellence and safety. The primary instrument by which
this mission is executed for the College of Medicine is the
Faculty. Their success significantly depends on a system that
provides adequate recognition and rewards for their work in
promoting the mission of the College.”
1st paragraph of the 2011 COM Guidelines on Faculty Appointments, Promotion, and Tenure
Overview
3. “The degree of excellence of a given individual’s
academic contributions often cannot be exactly defined.
However, an evaluation of the degree of excellence of
contribution is a professional judgment which can best
be made initially by members of the discipline itself
(Read: national experts in your field and your departmental P&T
Committee), subject to a later broader faculty review by
the College Promotion and Tenure Committee.”
Page 2, 2011 COM Guidelines on P&T
“Excellence may be demonstrated and promotion may
therefore be awarded without the candidate having
fulfilled every single criterion noted on the tables.”
This sentence precedes each of the criteria tables within 2011 COM
Guidelines on P&T)
Overview – How is this system of rewards fairly administered?
4. Study and understand the “P&T Guidelines.”
http://faculty.uams.edu/compromotionandtenure/
Read the entire document, then
Focus on the promotion criteria for your pathway
P&T Resources are available: uams.edu, click on the
FACULTY landing site, then “Promotion and Tenure,” and
“College of Medicine”
Understand how your departmental P&T Committee works
Develop at least one P&T mentoring relationship
When to “go up” for promotion? When you have fulfilled the
criteria.
On a tenure track, “typically” after having completed 5 years as
Assist. Prof.
Do not expect to be able to request P&T after having completed 6
years.
Keys to academic success and promotion
5. Be a pack rat! Proactively collect the written
evidence of your contributions to the College. Save
it in the same folders you’ll eventually create within
the P&T database to save time later.
Keys to academic success and promotion
7. Create &
Submit Your
Packet
Departmental
P&T
Committee to
Review
COM P&T
Committee to
Review
Dean to
Review
Chancellor to
Review
UA Board
and
President to
Review
If all approve,
promotion
and/or tenure
is official 7/1
of following
year
Steps to approval
12. 1. Outside Letters: too few and/or inappropriate
source
2. Lack of documentation – especially of
teaching/mentoring activities, clinical services,
and achievement of national reputation
3. Reported time distribution inconsistent with
documented activities or track
4. Wrong track for job description
5. Poorly organized packet
Top 5 Problems with P&T Packets
13. At least 3 Recommendation Letters are required
Obtained by the chair; candidate may make suggestions
to the chair
From nationally recognized authorities
From outside the institution (for all but Clinical Attendings –
which may come from inside or outside UAMS)
In candidate’s field of special interest and expertise
Not involved in candidate’s prior training or employment
“Other letters are encouraged” if they add value
On letterhead and signed
Author must be a Professor if requesting Professor rank,
typically Professors if requesting Associate Professor
rank
1 – Outside Letters
14. Form exists in P&T database
Clarifies the letter writer’s relationship to you
Explains the letter writer’s knowledge of your
work
Required
An addition to the formal letter of
recommendation process – Your chair does
this step
New in 2015-2016: External Referee Form
15.
16. Teaching and Mentoring Activities:
Help the P&T Committee understand the quality
and quantity of your teaching contributions
Target Audience: who were your learners, how
many learners?
Contact time?
Preparation time?
Learners’ evaluations of your teaching
Summarize
Comparative data – other teachers in your
department
2 – Lack of Documentation
18. Appendix A, continued
Examples of Clinical Service
Exemplary provider of patient care as evidenced through metrics
such as -
peer assessment
patient satisfaction scores
referring physician satisfaction
compliance with preventive care guidelines
outcomes assessments
productivity and efficiency
cost-effective provider
program growth
Leadership in a practice or hospital setting
Recognition by peers as a skilled clinician
Utilization and/or initiator of new diagnostic or treatment modalities
Development of evidence-based clinical practice guidelines
Development and/or effective implementation of quality
improvement projects or programs
2 – Lack of Documentation
21. Clinical Service Activities:
2 – Lack of Documentation
Area Responsibility Calculations Hrs/Yr
ACH Clinic 2 half days per week 4 hrs X 2 X 46 368
Clinic f/u 1 hr per 4 hrs in clinic 25% of clinic
hours
92
Procedures 1 half day per week (x on
service)
4 hrs X 33 weeks 132
3 hours per week when on
service
3hrs X 13 weeks 39
Inpt GI
service
13 weeks per year 13 wks X 5 days
X 4 hrs
260
Video
endoscopy
3/month X 4 hrs/study 3 X 12 X 4 144
Total 45% 1035
22. National/International Recognition:
Letters of recommendation (minimum 3)
Invited lectures
Study section membership
Editorial boards
National committee assignments
National professional society officer
Board certification in specialty/subspecialty
Publications
“Invited presentations” and presentations at national
meetings
Honors and awards
2 – Lack of Documentation
23. 3 – Reported FTE inconsistent with
documentation
24. 3 – Reported T&E inconsistent with
documentation
Basic
Scientist-TP
Basic
Scientist-NTP
Clinical
Scientist
Clinical
Educator
Clinical
Attending
(in Percents) Range Typically Range Typically Range Typically Range Typically Range Typically
Teaching/Mentoring
(Total)
10-35 30 0-30 5 5-10 7.5 10-50 25 0-30 20
Didactic Teaching 1-3 2.5 2-10 5 0-2 1
Bedside Teaching 2-10 5 10-40 20 0-30 20
Research 50-85 60 90-100 90 40-90 75 5-30 10 0-10 5
Clinical Service (Total) 10-50 20 40-80 80 70-100 90
Direct Patient Care 10-50 15 40-60 60 70-100 70
Bedside Teaching 2-10 5 10-40 20 0-30 20
Leadership/Admin.
Service
0-35* 10 0-10* 5 0-10* 2.5 0-20* 5 0-10* 5
25. Reported teaching time = 30%
Documented teaching activity = 2 lectures per year
Problem: 30% time should look like at least 600 hours
of contact and prep time
3 – Reported T&E inconsistent with
documentation
26. Clinician Educator on Wrong Path
Teaching Research Patient Care Administration
10 % 50% 35% 5%
Clinical Educator on wrong track – distribution is that of a
Clinical Scientist
3 – Reported T&E inconsistent with
documentation
27. Clinician Educator on Wrong Path
Teaching Research Patient Care Administration
30 % 10% 55% 5%
Clinical Scientist on wrong track –
distribution is that of a Clinical Educator
3 – Reported T&E inconsistent with
documentation
29. Organize sections of your packet in parallel with the
categories of contribution noted in the P&T Document (P&T
Database will help you!)
(teaching/mentoring; research/scholarly work; clinical service;
leadership/administrative service; professional recognition)
Explain your contributions in language that a smart person
who knows (almost) nothing about your field can
understand
Assure that your CV is comprehensible, comprehensive,
and well-formatted.
Ensure your CV is an accurate and authentic representation
of your work.
Copy/paste and then annotate portions of your CV within
the sections of your dossier to clarify your contributions
5 – Poorly Organized Packet
30. Bibliography – explain your role in multi-author paper (annotate
bibliography)
**Stillman P, Swanson D, Regan MB, Philbin MM, Nelson V, Ebert T, Ley B, Parrino T, Shorey J, Stillman A, Alpert E, Caslowitz J, Clive D, Florek J, Hamolsky M, Hatem C,
Kizirian J, Kopelman R, Levenson D, Levinson G, McCue J, Pohl H, Schiffman F, Schwartz J, Thane M, Wolf M. Assessment of Clinical Skills of Residents Utilizing
Standardized Patients. Ann Intern Med. 1991; 114:393.
** indicates this publication is included among the 10 submitted for review by the P&T Committee
I recruited residents from the Internal Medicine Residency Programs at both the Brigham & Women’s Hospital and the Beth Israel
Hospital to participate in this study. I was one of the faculty members who helped conduct the half-day sessions at U. Massachusetts
Medical Center. I participated in faculty meetings wherein the data were reviewed, and I reviewed and provided comments on the first
and penultimate drafts of the publication.
This publication was one of the foundational studies that lead to the development of standardized patient programs across the country,
including the UAMS Clinical Skills Center.
Explain the peer-review process of “novel publications” (e.g.,
clinical guidelines; on-line journals; published curriculae)
Leadership and Administrative Service – explain role on
committees (e.g., chair or member; what was the work of the
committee? Was it a little or a LOT of work?)
5 – Poorly Organized Packet – “fixes”
31. Know your pathway!
Be knowledgeable about specific expectations for
promotion (and tenure, if applicable) on your
pathway.
Is it realistic to expect that you can achieve P&T
expectations with your current job description?
Discuss any concerns immediately with your mentor,
division chief, and/or chair.
Evaluate “fit”
32. Know the rules!
Talk to the P&T committee chair in your department or faculty
affairs representative before finalizing your initial appointment
or if you have unresolved concerns.
Get a mentor.
Attend P&T workshops.
Prepare concise, neat, well-organized documents for your
electronic P&T packet – carefully naming each document.
This will help reviewers easily find evidence that you have met
the criteria for your pathway.
“Decode” acronyms.
How can you help to assure your own
success?
33. Proactively collect the documentation you will need later
(“pack rat”).
Request annual evaluation from Department Chair,
preferably in writing.
Heed the advice!
Be aware that promotion in a secondary department is
not automatic and requires separate action.
Don’t wait until the last minute – start now.
How can you help to assure your own
success?
34. Deadline for submission of your electronic packet is
Monday October 1, 2018. (please make note this date!!)
The electronic system is available at:
https://promotiontenure.uams.edu
Attend a training session - learn how to create your
P&T dossier within this electronic system.
COM Deadline
35. “Each of us faculty members must
assiduously attend to designing and
executing our careers AND to
documenting them!” Brendan Stack, M.D.
Best advice from a former P&T Committee Member:
