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