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P&T for Junior and new som faculty

发布时间:2013-12-05 14:02:33  





?P&T information -WebsiteFaculty tracksP&T Criteria and Timeline The P&T JourneyWhat to keep for the Portfolio

–Reference letters


–Documenting excellence –education, clinical, research–Documenting scholarship

–Establishing reputation

?The P&T Committee


Everything you need to know about P&T is on the website:






?Know what track you are on and what your Offer Letter says


–% Effort

?Portfolio (CV, Clinical, Education, Research) should be consistent with most recent Offer Letter


?Instructional Faculty?Research Faculty (Independent Research)

?Research Faculty (Research Support)?Clinical Faculty?Academic Investigator?Clinician Investigator?Clinician Educator*Promotion is “on the



Tenure-eligible Faculty Tracks: Typical Effort Allocation

?to research; variable amount of teaching

?research (protected time); variable amounts of patient care and teaching

?and teaching (at least 20% non-clinical time protected); scholarship required


Tenure-ineligible Faculty Tracks: Typical Effort Allocation


?details of position in offer letter are important


Criteria for promotion:tenure-eligible tracks


–Assistant to Associate –excellence in area (clinical care, medical –Associate to Tenure –excellence in areas plus continuing –Tenure to Professor –excellence in areas plus ?Same criteria apply to non-tenure tracks, but generally excellence is expected in only one area


Keep your eyes on the goal: e.g. Clinician EducatorTHE AWARD OF TENURE:Documented excellence in two of the following areas:?Patient care: Clinical skills, clinical innovations, leadership of clinical trials and/or programs that are locally and/or regionally distinctive; programs that measurably improve patient outcomes.

?Education: Evidence of continued excellence in training, teaching, and advising of undergraduate, medical and graduate students, residents, clinical and postdoctoral research fellows, and colleagues; as evidenced by recognition through teaching awards, membership in the Academy of Distinguished Educators, regional and national invited lectures, and

participation in symposia, professional society programs and CME courses. ?Research: Original investigation recognized by scientific peers. Excellence in laboratory investigation must be documented by competitive extramural funding.

Scholarship: Publication of original studies, clinical observations or reviews in peer-reviewed journals; chapters; and development of teaching materials for curricula. Authorship of invited chapters in major textbooks, monographs and curricula.

Reputation: Emerging national reputation as a clinician educator as recognized by service as e.g. board examiner, editor, invited lecturer at peer institution and at national meetings. National reputation supported by letters from internal and external referees.12

Keep your eyes on the goal: e.g. Academic InvestigatorTHE AWARD OF TENURE::

?Research:Independent original research with recognition by peers and sustained external funding as principal investigator (renewal of a NIH-R01, second NIH-R01 or the award of a project in a PPG, NSF, AHA, ACS).

?Education: Excellence in training, teaching and advising of

undergraduate, medical and graduate students, residents, clinical and postdoctoral research fellows and colleagues.

Scholarship: Sustained publication, preferably as first or senior author, of original substantive work in peer-reviewed journals of high impact.Reputation: for research

contributions supported by letters from external referees, service on study sections, editorial boards, named lectureships, leadership in professional societies and governing boards.13

?Appointments are “without term”

–[Associate Professor without term]

–Without tenure, you are typically on a 3 year term or contract


Promotion is uncoupled from TenureUnlike most schools, promotion to Associate Professor is not linked to Tenure

?Both good and bad

Promotion to Associate Professor can be requested without or with Tenure (“with or without term”)


Denial can be appealed in another track


Have two required P&T actions within 4 years

?Bad but can be good15

When can I be promoted? P&T Timeline

?Tenure-eligible tracks

–Assistant Professor –6 years (maximum)

–Associate Professor with term –4 years (maximum)–Associate Professor without term –time to next promotion not mandated


?Non-tenure-eligible tracks

–Must be in rank for minimum of 5 years before being considered for next promotion

–No maximum time


The Timing of Promotion and Tenure:How long can I be an Assistant Professoron the tenure-eligible track?

?1stpromotion is usually Assistant Professor with termto Associate Professor with term

–Must be promoted by end of the 6thyear on UVA faculty

–You can apply early

?Promotions process starts 15 months before promotion

?Spring of fourth year for Assistant to Associate

?If you and your Chair feel you meet criteria for both promotion and tenure, you may request both at same time (“double jump”)

For early or double jump promotions, the bar is higher ??the committee can only vote for approval or denial of both


The Timing of Promotion and Tenure:When do I have to get tenure?

?Tenure eligibility continues for 4 years (maximum) after promotion to Associate Professor with term

?A faculty member hired as an Associate Professor has only 4 years of tenure eligibility


Time “off-the-clock”

?Must be requested from the Dean by your Chair?Granted in one-year increments

?Granted for various reasons, such as:–change in professional responsibilities–personal illness

–childbirth, child care

–illness of a child, parent, spouse

?Should be requested when needed, not after the absence from duties has occurred

?Should not be requested after faculty member is nominated for promotion or tenure


?Spring –Chairs receive list from the Dean’s office of who “may” or “must” apply for promotion.

–Assemble CV and list of references

?Summer-Request for letters (Dean’s office) –Assemble portfolio

?September –Department review and vote?October 1 –Portfolios submitted to the Dean’s Office

?November-December –SOM P&T committee considers portfolios

?December –candidates not

recommended for promotion/tenure are notified

?Mid-January -Appeals due to the SOM Committee. Only new information is


?End of January –Dean’s office notifies Chairs outcome of appeals.

?Department P&T committee –Usually tenured full Professors?School of Medicine P&T Committee?



?15 tenured full professorsReview Clinical and Academic -All portfolios are discussed unless information is missingReview all tracksMembers with COI are absent during discussions and abstain from vote


?Dean, School of MedicineProvost and Provost Committee (Feb–May)Board of Visitors (June meeting, promotion effective July 1)22

Portfolio Structure


–Promotion Request Form from the Dept., Chair’s letter

?+ Division Chief, Chair of 2°appointment, or Center Director)

–Letter from Dept. Committee including their vote

–Appointment letter




?Curriculum vitaePersonal statement Documentation of excellence in clinic and/or researchTeaching Portfolio (Not the application for Academy of Distinguished Educators, 30 page limit)

?Documentation of scholarship, including 3 publications (pdfs)


Portfolio Structure –Letters of Recommendation

?Reference Letters

–Candidate and Chair make list of up to 20 potential referees

–At least 7 must be “independent external” (recommend more)

?Cannot be former advisor/mentor, institutional colleague, or collaborator

?Dean’s office must receive at least 3for committee consideration–Rest are combination of internal and external –Waiver to view letters

?You will not know who sends and does not send letters–Do not contact the potential referees



?Make sure your reappointment letter from your Chair reflects your actual job requirements and activities


?Content not context

–Review P&T website for formatting of promotion materialsKeep simultaneous “P&T version” of CV, generally not a normal CVP&T committee needs to see what you do, not what you are known forKeep track of everything



?Keep list of all lectures and dates–Students, residents, CME, other Depts, outside of UVAKeep all CME, course evaluations


Documenting Excellence in Education?Didactic Teaching:–quantityand quality–evaluations by students, residents, or fellows (compared to other instructors)–evaluations by peers–teaching awards in the department or SOM–development of new courses–leadership of courses–responsibility for innovations–Ask the course directors if they are collecting this information and if not tell them it is important for your next promotion.





?attracting students, residents, and fellows to collaborate in your activitiesevaluations by themposters and papers presented by them at national meetingspapers co-authored by themawards won by students, residents, or fellows 29

Excellence in Education (cont)?–

–directing residency or fellowship programinnovations in traininginitiating a new fellowshippapers, posters, presentations co-authored with students, residents, or fellows

–awards won by residents or fellows

–evaluations by students, residents, or fellows




?RVUs (with comparison to national norms) have become an important factorKeep track of all notes from grateful patients/staffProvide all parameters of evaluation


Documenting Clinical Excellence

?Some suggested criteria for clinical excellence

(see details on the P&T website )

–Productivity –50% of MGMA scale; other

–Adherence to practice standards –specialty specific

?Examples are P4P, JCAHO core measures, National Patient Safety Goals, etc.?Candidates should be above the median

–Patient satisfaction scores

–Institutional performance standards

?Practice improvement & innovations


?Specialty-specific outcome measures

–i.e., mortality rates, readmission rates, case


?Scholarly activity applicable to the candidate’s clinical activity is expected

–This may include peer-reviewed publications,

participation in clinical trials, etc.

?360-degree evaluations

–These are confidential and the candidate’s Chair or Division Chief would be responsible for collecting them 33

Excellence in Research

?Judgments of peers:

–funding from nationally competitive sources, esp. NIH; external letters

?Research productivity:

–papers in peer-reviewed journals

?quantity is considered, quality is weighted more heavily than quantity

?Impact of Research:

–journal rankings, citations,

–invitations to speak at national/international meetings and other institutions

–letters from leaders in the field that specify candidate’s contributions to field

?Ability to attract students and fellowsand evidence of productive interactions with other investigators34

Collaborations in Research

?Collaborations are generally good, but you must demonstrate your own original and scholarly contributions

?If your research is inherently collaborative, important to indicate your contributions:

–Multi-PI vs Co-I grants

–Independent publications in your specialty or area of scholarship

–Indicate clearly your contributions to projects

?If all your research is with a senior colleague:

–Independent funding

–Independent publications, or senior/corresponding authorship

–Independent invitations establishing your own reputation?Independent referee letters will help establish your reputation in the field. Letters from collaborators should emphasize the “unique, invaluable, innovative contributions” to the success of the projects


Scholarship of Application?As an alternative to traditional research, applying knowledge to solve problems:

–a physician may establish a new field or a new school of thinking in clinical medicine,

–adapt a major application of new knowledge to the clinical setting,

–develop or improve a diagnostic or therapeutic technique, –design or implement a new program of patient care and/or education,

–develop patient education materials,

–pursue health services research,

–create a new and innovative mode of health care delivery.?Scholarship of applicationshould result in peer-reviewed publications and presentations at regional or national meetings and other institutions.


Evaluating publications

?More weight is given to first-and senior-(corresponding) author papers

?Must demonstrate independence

?Quality is as important as quantity

?Special attention is paid to the papers published at UVa and since the last promotion (helpful to indicate pubs since last promotion action)

?The quality of journals is relevant. We look at journal 37

Evaluating publications (cont)

?Citations to the candidate’s papers tell us the impact the candidate’s publications have on his/her field. We know that publications in some fields garner more citations than others

?Un-refereed publications (chapters, invited articles) are also considered but are given less weight (track dependent)

?Electronic publications are more difficult to judge –we recommend publication in print journals if possible


?Write review papers

?Invited reviews and book chapters

?Keep track of clinical projects, even drug company studies on which you are a co-PI

?There is no specification of # of papers or grant $ required for promotion or tenure [there is a requirement for continued funding at a national (NIH or equivalent) level for some].



?Get involved with specialty and subspecialty societiesMake yourself known to people outside the institution


Indicators of Regional/ National/ International Reputation

?Service on a study section or grant review panel of a regional or national agency?Membership on editorial boards of major journals

?Invited reviews and articles

?Invited talks at regional/national/ international symposia and at other institutions; visiting professorships

?Officer, chair, or member of a committee of regional or national professional or scientific society


Beforeyou submit your portfolio, you are encouragedto

consult P&T Committee members

We want you to understand the P&T guidelines,

know the criteria for P&T for your particular track, and learn how to construct your best possible portfolio.Robert Nakamoto, Physiology, Chair

Jaideep Kapur, Neurology, Vice Chair

Robert Bloodgood, Cell Biology

Daniel Burke, Biochemistry

Abhinav "Bobby" Chhabra, Orthopaedic Surgery

Mark Conaway, Public Health Sciences

Patrice Guyenet, Pharmacology

Stuart Howards, Urology

Lee Jensen, Radiology

Maria-Beatriz Lopes, Pathology

Mark Okusa, Medicine

Sally Parsons, Microbiology

JoAnn Pinkerton, Obstetrics and Gynecology


Other Able ConsultantsMark Abel, OrthopedicsStephen Park, Otolaryngology HNSVic Baum, AnesthesiologyLarry Phillips, NeurologyAnn Beyer, Microbiology Thomas Platts-Mills, MedicineDavid Brautigan, MicrobiologyGeorge Rich, AnesthesiologySim Galazka, Family MedicineEmilie Rissman, Biochemistry

John Hanks, SurgeryDick Santen, MedicineSharon Hostler, Senior Associate DeanMark Shaffrey, Neurosurgery

Howard Kutchai, PhysiologyPeggy Shupnik, MedicineStacey Mills, Pathology



?Check out the website for formatting and instructionsGo to presentations offered by the Dean’s office

–Polishing the Portfolio

?Thurs, May 3, Jaideep Kapur

?Tues, June 12, Bob Nakamoto


?1. It’s not as intimidating as you may think

?2. If your Chair and Dept. do a good job, there should be a 100% “pass rate”

?3. Don’t pass us a sloppy or quickly done portfolio, or we will pass it back to you

?4. READ and BELIEVE the website

?5. Not everyone will fill in every line of the standardized CV. Promotion decision is qualitative –not points for each activity/triumph


Summary (cont)

?6. Start preparing now –stay current with talks, etc.?7. Think about inside and outside letters

8. P&T Committee members in your department or with whom you work will recuse themselves and not in the room. Don’t be afraid to ask their advice and help

9. Most applicants are successful

10. The Committee wants to be your friend. Please feel free to contact any of us???


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