Appointment and Promotions in the Department of Medicine

New Faculty Orientation

May 6, 2010

Chairman

Vice ChairInpatient Medicine

Vice Chair, Cancer Center

Director, Faculty Development and Diversity

Associate Chief, Boston VA Medical Center

Vice Chair, Education

Vice Chair, Research

Chief Administrative Officer

Director ofCompliance

Mgr ofProfessional Billing

Manager of Backend Revenue

Compliance Auditor

Adminstrative CoordinatorDepartment of Medicine

Practice ManagerEndocrinology,

Diabetes, &Weight Management Center-

Practice/Nurse Manager

Cardiovascular Center

Section Administrators

Cardiovascular MedicineCardiovascular Institute

Clinical EpidemiologyComputational Biomedicine

EducationEndocrinology, Diabetes, and Nutrition

GastroenterologyGeneral Internal Medicine

GeneticsGeriatrics

Hematology/OncologyHIV/Aids-

Hypertension-Infectious DiseasesMolecular Medicine

NephrologyPreventive Medicine

Pulmonary, Allergy, and Critical Care MedicineRheumatology

Vascular BiologyVice Chair of Research

Evans Center for Interdisciplinary Biomedical Research

File Clerk

Practice ManagerCenter for Infectious

Diseases/ACC

Practice/Nurse Manager

Solomon Cancer Center

Practice ManagerMoakley Building

Center for Digestive Disorders

Practice/Nurse ManagerPrimary

Care/Geriatrics ACC

Practice Manager DOB

Specialties and Primary Care

CMG

Vice Chair, Public Health

Director of Financial Operations

Manager of Budget and Reporting

BudgetAnalyst

Staff Accountant II Staff Accountant IAccount Payable

Specialist

Vice ChairOutpatient Medicine

Practice Manager/Nurse Manager Solomon Cancer Center Preston 3

The Endoscopy Center of Brookline

Administrative Director/Nurse

Manager

Senior Database Administrator

Web Analyst

Senior Project Analyst

GastroenterologyChief

Nephrology Chief

Infectious DiseasesChiefHypertension Chief-

General Internal Medicine Chief

Clinical Epidemiology and Research Unit

Chief

Geriatrics Chief

Endocrinology, Diabetes, and Nutrition Chief

Pulmonary, Allergy, and Critical Care

Medicine

Hematology and Medical Oncology

Chief

Cardiovascular Chief

Rheumatology Chief

Molecular MedicineChief-

Vice Chair for Faculty Development & Diversity

AccountingManager

Administrative CoordinatorMolecular Medicine Program

Divisional Accountant

Office Manager ResidencyTraining Program Director

Executive Assistant

System Server/DesktopSupport Engineer

Director Revenue Cycle Management

CredentialCoordinator

Computational BioMedicine

Vascular BiologyChief

Preventive Medicine Chief

Genetics

SSC Client Executive

Appointments and Promotions

Senior Project Analyst

Director of Ambulatory Operations

Department of MedicineOrganizational Chart

Titles and RanksTitles:Directors

ClinicalCenters (university and departmental)UnitsProgramsInstitutes

Section ChiefsAssociate Section Chiefs

Academic Ranks:InstructorAssistant professor (+/- clinical or research prefix)

Clinician Scholar TrackClinician Scientist TrackResearch Scientist Track

Associate professor (same tracks as above)Professor

Promotion ProcessCandidate and section chief discuss promotion application.Pre-review by the Department’s Appointment & Promotion (A&P)

Committee requires chief’s letter of recommendation, candidate’s CV (BU format), and template of potential referees, A&P committee requests letters of reference.

Department’s A&P committee reviews completed application and reference letters and reports to the section chief if they do not recommend promotion. Approved packages sent to the Dean.

The School Appointment Committee examines and discusses the candidate’s dossier and the recommendations of the departmental A&P committee and provides a report if they do not concur.

Dean reviews the promotion recommendations and procedures followed by the department and the School and forwards the recommendations of the Chairman of the School’s A&P Committee along with any commentary to the Provost. Alternatively, the Dean may return the application to the school’s or department’s A&P committee.

The Med Campus Provost approves the appointment and forwards to the BU Board of Trustees for final approval

Promotion CriteriaClinician Scholar

Clinical excellenceClinical practice improvementsQuality outcomes and productivityPatient educational materials

Educational excellenceTeaching or curricular evaluationsDevelopment of curriculum, courses, or educational programs

ScholarshipTraditional peer-reviewed scholarshipEducational materials

AdministrationInstitutional and extramural serviceService on committees, especially standing committeesMentoring of other faculty or trainees

Promotion CriteriaResearcher

Area of inquiry Focused, definable (emerging independence) innovative, future promise

Publication in peer-reviewed journals Quality of publications more important than numberTrend of scholarly productivity

Extramural funding from governmental and private sourcesTraining and mentoring of trainees, other facultyReferences from outside>inside the institutionPresentations, local, national and regional service

Am I Ready for Promotion?

Take the initiative-use the Annual Review

What do I need to accomplish?

Am I on track? If not, why not?

Who else can I discuss these questions with?– Mentor or senior faculty member– Chair or members of the Appointments and

Promotions Committee– Vice Chair of Faculty Development and Diversity– Department Chair

Where do Faculty go wrong in Career Planning?

The Self Evaluation Phase

Honest assessment of Training

Passion

Talent

Resources

Balancing service commitments

Emphasize quantity over quality of publication

“Writer’s Block”

Where Do Faculty Go Wrong in Career Planning?

The Independence Phase

Establishing independence

Timing of independence

Use of mentor(s)

Planning beyond first three year term

Visibility outside of the institution

Where do Departments go wrong in Career Planning for Faculty?

Insufficient due diligence in the search processInadequate investment

– Resources– Mentorship– Infrastructure– Protected time

Misalignment of what is needed with what is rewarded

Overuse of women and under-represented minorities for institutional service

Inflexible career timelines

Where to Find Information on Promotion

• Medical Campus Provosts’s web page:– http://www.bumc.bu.edu/Dept/Content.aspx?DepartmentID

=287&PageID=12614

• BU Faculty Handbook:– http://www.bu.edu/provost/resources/handbook.html

• Department of Medicine Faculty Development and Diversity Website: – http://www.bumc.bu.edu/facdev-medicine/

• Section administrator and/or chief

• Kirstin Salmela, departmental administrator

New Faculty Orientation2010

1. Research Resources 2. Research Cores 3. Opportunities for internal grants 4. Research & the Graduate School (graduate

program in Molecular Medicine)

Welcome

Evans Center for Interdisciplinary Biomedical

Research (Evans Center)

http://www.bumc.bu.edu/medicine/evansbiomedicalresearch/

Katya Ravid, DSc/PhDDirector

1. Research Resources

Major Goals of the Evans Center

Create Affinity Research Collaboratives (ARCs) which consist of faculty affiliated with the Department of Medicine and with other Departments and Centers at Boston University. The ARCs serve as incubators to jump start and sustain new ideas and research areas, using interdisciplinary approaches to enhance discovery as it applies to disease states;

Enhance the educational mission at undergraduate, graduate and post-graduate programs (graduate course; training programs);

Assist in envisioning and developing current and new institutional research cores [e.g., model organism core; human tissue bank];

Example of ARCs

PROTEIN TRAFFICKING AND NEURODEGENERATIVE DISEASES: ALZHEIMER DISEASE AS A FIRST MODEL SYSTEM

Dr. Lindsay Farrer, pre-ARC Director (farrer@bu.edu)

REGENERATIVE MEDICINE: iPS Drs. Darrell N. Kotton and Gustavo Mostoslavsky, pre-ARC Directors (dkotton@bu.edu;

gmostsosl@bu.edu)

MITOCHONDRIA in DISEASE: ONE ORGANELLE, MULTIPLE ORGANS Dr. Orian Shirihai, pre-ARC Director (Shirihai@bu.edu)

SEX DIFFERENCES IN ADIPOSE TISSUE REMODELING: MECHANISMS AND ROLE IN DISEASE RISK ASSOCIATED WITH OBESITY

Dr. Susan Fried, pre-ARC Director (skfried@bu.edu)

For a full list visit:

http://www.bumc.bu.edu/evanscenteribr/pre-arcs/

Other Research Resources

Other Research Facilities on the BU Medical Campus * Laboratory Animal Sciences Center * Mass Spectrometry Resource * Proteoglycan and Glycosaminogylcan Structure

Laboratory * Framingham Heart Study

Research Facilities on the BU Charles River Campus * Biomedical Optics Laboratory * Center for Chemical Methodology & Library Development * Center for Nanoscience and Nanobiotechnology * Fraunhofer Center for Manufacturing Innovation * High Performance Computing & Communications

Facilities (Supercomputing) * Photonics Center * Scientific Instrument Facility

http://www.bu.edu/cores/resources.html

Continued- Other Research Resources

* Alzheimer's Disease Center * Amyloid Treatment & Research Center * Behavioral Development & Mental Retardation * Cancer Research Center * Cardiovascular Proteomics Center *Evans Center for Interdisciplinary Biomedical Research * Hearing Research Center * Center for Human Genetics * NeuroMuscular Research Center * New England & Regional Spinal Cord Injury * Pulmonary Center * Sexual Medicine, Institute of * Sickle Cell Disease, Center of Excellence In * Whitaker Cardiovascular Institute * Women's Health Interdisciplinary Research Center

2. Core Facilitieshttp://www.bu.edu/cores/cores/biomed-imaging.html

Core facilities exist to support research and researchers.

* Analytical Instrumentation Core * Animal Research Resource Center, including a Transgenic Core

and more * Biomedical Imaging Center * BU-BRIDGE Clinical and Translational Science Institute * Cellular Imaging Core * Experimental Pathology Laboratory Service Core * Flow Cytometry Core Facility * High Throughput Screening Core * Microarray Resource Core Facility * Molecular Genetics Core Facility * Proteomics Core Facility * Transgenic Center

3. Opportunities for Internal Funding

ARC grant applications via the Evans Center/DOM, see: http://www.bumc.bu.edu/evanscenteribr/

Pilot grants to allow generation of pilot data for new ideas ad grants, see:http://www.bumc.bu.edu/medicine/research-in-the-department/

Bridge Funding to allow project continuation within grants that scored in an almost fundable range, see:

http://www.bumc.bu.edu/medicine/research-in-the-department/

Translational Research Grants via the Clinical and Translational Science Institute, see: http://www.bu.edu/cores/cores/general-clinical.html

RFA in Nanomedicine in collaboration with the Nanotechnology Center. See:

http://www.bumc.bu.edu/evanscenteribr/initiatives-explored-by-the-evans-center/nanomedicine-initiative-developed-in-2009-with-bu-center-for-nanoscience/

4. Research and the Graduate School

Access to PhD students: DOM-based Graduate Program in Molecular Medicine http://www.bumc.bu.edu/gpmm/

Division of Graduate Medical Scienceshttp://www.bumc.bu.edu/gms/

Faculty Development and Diversity

Emelia J. Benjamin, MD, ScMVice Chair of FDD

Karen Freund, MD, MPHChair, FDD Committee

Peter S. Cahn, PhDDirector of FDD

Grants

Deadlines: January 15, April 15, July 15, October 15

Typically $1500-$4000 Receive section support Apply on-line

Programs recently attended

MassBioEd leadership training Evidence-Based Medicine, Duke U. AAMC Early-Career Women Faculty Harvard Macy Program Educators in

Health Professions

Seminars

How to Run a Meeting New NIH Criteria Microskills of Teaching for Clinician

Educators E-mail Jail: How to Get Out and Stay Out

(May 18, 2010 at noon)

Awards

Junior Faculty Mentoring Award Outstanding Citizenship Award Research Mentoring Award Special Recognition Teaching Award

Mentoring

BUMC Task Force: Emelia Benjamin, Judith Jones

Objectives: faculty retention and advancement

Proposal: structured longitudinal mentoring program to start in January 2011

Diversity

Under-represented minorities Women in medicine LGBT interest group Web resources

Lending library

The Grant Application Writer’s Workbook Seven Keys to Successful Mentoring The No Asshole Rule—Building a Building a

Civilized Workplace and Surviving One that Isn’t  Ms. Mentor’s New and Ever More Impeccable

Advice for Women and Men in Academia

Orientation to Clinic Practice

Raj Krishnamurthy, MDVice Chair, Outpatient MedicineMay 6, 2010

Getting started

What is my practice address? What is my phone number? Fax? Do I have business cards? How do I get

them?

Clinic orientation

Who is my nurse? Who is my MA? What are their roles and expectations?

How do my patients get a hold of me after hours? How do patients get clinical advice during business

hours when I am not there? How are messages sent to me? How and to whom

do I respond? What are the expectations for my turn around time?

Patient management

Where do patients go for labs? X-rays? How do consults/referrals get scheduled? How do forms get to me for completion? TAT

expectation? Who helps? Where is my mailbox?

Technological issues

Who is the super user for Logician? Who can I go to for questions? How do I log in from home? How do I get a token from IT?

Cancellations

Who is the person to go to for administrative issues? What if I have an emergency on my clinic day? When I am on vacation, what are the expectations

for me to find coverage? How do I sign out my beeper?

How much notification do I have to give for canceling clinic?

Expectations

What are the practice expectations for reporting results back to patients?

What are the expectations for sending reports back to referring providers?

What are expectations for encounter form (billing) completion?

What are the expectations for supervision of fellows, residents, and medical students?

Quality

How is my outpatient practice evaluated? What are the quality parameters we follow? What are the expectations for clinic sessions

per year? Patients per session? RVU targets?