Career Advancement as a Career Advancement as a Clinician-Educator in Clinician-Educator in

Obstetrics and GynecologyObstetrics and Gynecology

2005 APGO Faculty Development 2005 APGO Faculty Development SeminarSeminar

Alice R. Goepfert, MDAlice R. Goepfert, MD

Seine Chiang, MDSeine Chiang, MD

University of Alabama at BirminghamUniversity of Alabama at Birmingham

Jessica Bienstock, MD, MPHJessica Bienstock, MD, MPH

Johns Hopkins UniversityJohns Hopkins University

William N.P. Herbert, MDWilliam N.P. Herbert, MD

University of VirginiaUniversity of Virginia

ObjectivesObjectives

Explore faculty’s knowledge Explore faculty’s knowledge of the P&T process.of the P&T process.

Provide tools to organize a Provide tools to organize a plan for promotion and tenure.plan for promotion and tenure.

Discuss faculty development Discuss faculty development resources and opportunities.resources and opportunities.

Career AdvancementCareer Advancement

Should be a joint responsibility Should be a joint responsibility shared by the individual faculty shared by the individual faculty

and the institution.and the institution.

Common MisconceptionCommon Misconception

““If I work hard and do well, I will If I work hard and do well, I will move up the academic ladder move up the academic ladder

accordingly…”accordingly…”

Career AdvancementCareer Advancement

Reality…Reality…

You must play a major role in your You must play a major role in your promotion and early planning is promotion and early planning is

essential.essential.

How much have you thought about How much have you thought about your academic career?your academic career?

What are your professional goals and What are your professional goals and objectives?objectives?

What specialized skills have you What specialized skills have you developed?developed?

What are the expectations of your What are the expectations of your Division Director? your Chairman?Division Director? your Chairman?

Do you meet at least annually with your Do you meet at least annually with your Division Director? your Chairman?Division Director? your Chairman?

How do you contribute to the mission How do you contribute to the mission of your academic health center?of your academic health center?

What are your professional What are your professional

goals and objectives?goals and objectives?

Develop specific goalsDevelop specific goals

Intrinsic motivation Intrinsic motivation

External factorsExternal factors

LocationLocation

SalarySalary

Family considerationsFamily considerations

Expectations of the AHCExpectations of the AHC

What specialized skills What specialized skills

have you developed?have you developed?

Develop Specialized SkillsDevelop Specialized Skills

Seek faculty developmentSeek faculty development

APGOAPGO

AAMCAAMC

ELAMELAM

SGIMSGIM

Berlex FoundationBerlex Foundation

Develop specific goals and Develop specific goals and specialized skillsspecialized skills

Committee work should be Committee work should be in a related areain a related area

Become active in a national Become active in a national professional organizationprofessional organization

What are the expectations of What are the expectations of your Division Director? your Division Director?

Of your Chairman?Of your Chairman?

Do you meet with them at Do you meet with them at least annually? least annually?

NegotiatingNegotiating Formally communicate your Formally communicate your

interests to your Division Director interests to your Division Director and Chairmanand Chairman

Ask for timely written feedback – Ask for timely written feedback – annually or semi-annuallyannually or semi-annually

Serve your institution in areas Serve your institution in areas that benefit you.that benefit you.

How do your goals and skills How do your goals and skills contribute to the mission of contribute to the mission of

your academic health center?your academic health center?

Mission of Academic Mission of Academic Health CentersHealth Centers

Teaching - ScholarTeaching - Scholar

Research - ScientistResearch - Scientist

Patient Care - HealerPatient Care - Healer

Administrative Duties - ManagerAdministrative Duties - Manager

Conflicting PerspectivesConflicting Perspectives

Increasing dependence on clinical Increasing dependence on clinical revenuerevenue

Accountability versus autonomyAccountability versus autonomy

How much do you know about How much do you know about your institution’s P&T guidelines?your institution’s P&T guidelines?

What academic pathway are you on?What academic pathway are you on? Do you have a clinician-educator track?Do you have a clinician-educator track? How long is your institution’s tenure clock? How long is your institution’s tenure clock?

When does it advance?When does it advance? What are the criteria for awarding promotion What are the criteria for awarding promotion

and tenure?and tenure? Is there a required CV format? Teaching Is there a required CV format? Teaching

Portfolio?Portfolio? What activities are considered “scholarly”?What activities are considered “scholarly”?

What academic pathways are What academic pathways are available at your institution?available at your institution?

Which one are you on?Which one are you on?

Do you have a Do you have a Clinician-Educator track?Clinician-Educator track?

Strategies for Successful Strategies for Successful AdvancementAdvancement

Know institution’s P&T guidelines:Know institution’s P&T guidelines:

Award cycleAward cycle

Criteria for award of promotionCriteria for award of promotion

Criteria for award of tenureCriteria for award of tenure

Required CV formatRequired CV format

Teaching PortfolioTeaching Portfolio

TenureTenure

Protects title but not salary or jobProtects title but not salary or job

How long is your tenure clock?How long is your tenure clock?

When does it start?When does it start?

When does it advance?When does it advance?

Know your institution’s criteria for Know your institution’s criteria for

earning tenureearning tenure

Promotion and Tenure at UABPromotion and Tenure at UAB

Faculty must demonstrate excellence and Faculty must demonstrate excellence and

potential for continued growth in at least potential for continued growth in at least

two of three areas:two of three areas:

– TeachingTeaching

– Scholarly activities including researchScholarly activities including research

– Service and other creative activitiesService and other creative activities

Clinical CareClinical Care

Administrative DutiesAdministrative Duties

National OrganizationsNational Organizations

What activities are What activities are

considered “scholarly”?considered “scholarly”?

Scholarly Educational Scholarly Educational ActivitiesActivities

Curriculum DevelopmentCurriculum Development

Educational ResearchEducational Research

Faculty DevelopmentFaculty Development

Teaching ScholarsTeaching Scholars

Teaching AwardsTeaching Awards

Document Teaching ContributionsDocument Teaching Contributions

QuantityQuantity as unduplicated hours: as unduplicated hours:

–Didactics, curriculum developmentDidactics, curriculum development

–Clinical: rounds, conferences, ORClinical: rounds, conferences, OR

–Advisor and mentorAdvisor and mentor

Quality:Quality:

–AvailabilityAvailability

–Clinical skillClinical skill

– Effectiveness (evaluations & awards)Effectiveness (evaluations & awards)

““Academic Progress” Academic Progress” is ultimately measured by is ultimately measured by

areas deemed important by areas deemed important by your institution.your institution.

Common mistakes of junior faculty Common mistakes of junior faculty during academic career developmentduring academic career development

Failure to define career goals Failure to define career goals

Failure to select an appropriate mentorFailure to select an appropriate mentor

Poor selection of faculty positionPoor selection of faculty position

Poor negotiation of supportPoor negotiation of support

Applegate & Williams, Am J Med, 1990Applegate & Williams, Am J Med, 1990

Common mistakes of junior faculty Common mistakes of junior faculty during academic career developmentduring academic career development

Poor time managementPoor time management

Inadequate understanding of Inadequate understanding of requirements for promotion and tenurerequirements for promotion and tenure

Lack of research focus or scholarly Lack of research focus or scholarly productivityproductivity

Applegate & Williams, Am J Med, 1990Applegate & Williams, Am J Med, 1990

Do you have a mentor?Do you have a mentor?

The mentoring relationshipThe mentoring relationship

A dynamic, reciprocal relationship A dynamic, reciprocal relationship between an advanced career between an advanced career

incumbent (the mentor) and a junior incumbent (the mentor) and a junior faculty member (protégé) aimed at faculty member (protégé) aimed at fostering the development of the fostering the development of the

junior person/protégé.junior person/protégé.

Functions of a MentorFunctions of a Mentor

TeachingTeaching

Professional and personal guidance Professional and personal guidance

SponsorshipSponsorship

Role-modelingRole-modeling

Socialization into the professionSocialization into the profession

Faculty Development Resources Faculty Development Resources Association of Professors of Gynecology and Association of Professors of Gynecology and

Obstetrics at Obstetrics at www.APGO.orgwww.APGO.org

Society of General Internal Medicine at Society of General Internal Medicine at www.SGIM.orgwww.SGIM.org

Association of American Medical Colleges at Association of American Medical Colleges at www.AAMC.orgwww.AAMC.org

Executive Leadership in Academic Medicine Executive Leadership in Academic Medicine (ELAM) Program for Women at (ELAM) Program for Women at www.drexel.edu/elamwww.drexel.edu/elam

The Berlex Foundation at The Berlex Foundation at www.berlex-foundation.orgwww.berlex-foundation.org