1. Department of Medicine Survival Skills for the Research Years: Negotiating for an Academic Faculty Position W. Conrad Liles, MD, PhD Associate Chair and Professor of Medicine University of Washington

2. “Tenure Track” vs. Tenure Tenure Track Tenure Track Eligible for promotion Eligible for promotion Job security Job security Faculty code Faculty code Tenure Tenure Conventional– promotion to Associate Professor Conventional– promotion to Associate Professor UW – state payline UW – state payline

3. Academic Job Descriptions Physician-Scientist Physician-Scientist >50% research (protected time) >50% research (protected time) generally <25 % clinical generally <25 % clinical Clinician-Teacher Clinician-Teacher <50% research <50% research 25-75% clinical 25-75% clinical Clinical Faculty Clinical Faculty >95% clinical >95% clinical Full-time vs. Part-time Faculty Position Full-time vs. Part-time Faculty Position Adjunct/Affiliate Faculty Adjunct/Affiliate Faculty

4. Reporting Structure Varies with institution Varies with institution Division Head/Director Division Head/Director Hospital Division Chief Hospital Division Chief Chief of Medicine Chief of Medicine Medical Director Medical Director Institute Director Institute Director

5. Job Description and Expectations Criteria for promotion to Associate Professor Criteria for promotion to Associate Professor Productivity Productivity Expected scholarly activity Expected scholarly activity i.e., # of peer-reviewed pubs/yr i.e., # of peer-reviewed pubs/yr Clinical duties Clinical duties In-patient In-patient Out-patient Out-patient Call schedule Call schedule Resident/fellow Resident/fellow Productivity – RVUs, $ Productivity – RVUs, $ Teaching responsibilities Teaching responsibilities Administrative responsibilities Administrative responsibilities

6. Contract Relocation/moving expenses Relocation/moving expenses Office set-up Office set-up Yearly salary Yearly salary Hard Money Hard Money Soft Money (grants) Soft Money (grants) Clinical/practice plan income Clinical/practice plan income Merit/bonus Merit/bonus

7. Contract Benefits Benefits Medical Medical Dental Dental Retirement Retirement Investment program Investment program Life insurance Life insurance Disability Disability Long-term care Long-term care Housing assistance Housing assistance Subsidy Subsidy Low/no interest loan Low/no interest loan Tuition waver/reimbursement for dependents Tuition waver/reimbursement for dependents

8. Office and Administrative Support Office Office Space and Location Space and Location Furniture Furniture Computer Computer Phone Phone Fax Fax Avoid multiple offices Avoid multiple offices Administrative Support Administrative Support Shared with how many faculty? Shared with how many faculty? Grant and contract support Grant and contract support IT support IT support

9. Clinical Support Ward Ward Dedicated mid-level (PA/ARNP) support Dedicated mid-level (PA/ARNP) support Allied health support Allied health support Clinic Clinic Dedicated nurse(s) assigned to clinic Dedicated nurse(s) assigned to clinic Scheduling personnel Scheduling personnel Supplies Supplies

10. Start-Up Package Applies primarily to physician-scientists Applies primarily to physician-scientists Many young faculty fail to negotiate for sufficient resources Many young faculty fail to negotiate for sufficient resources Duration: usually 3 yrs Duration: usually 3 yrs External candidates usually are offered significantly larger packages than internal candidates External candidates usually are offered significantly larger packages than internal candidates $50-250K/yr $50-250K/yr $150-750K total $150-750K total

11. Start-Up Package Potential Components Potential Components PI hard salary (%) PI hard salary (%) Equipment – important Equipment – important Do not forget the small stuff Do not forget the small stuff Itemize list in consultation with established PI Itemize list in consultation with established PI This is the time to ask This is the time to ask Supplies Supplies Reagents Reagents Animal costs – mice are expensive Animal costs – mice are expensive Technician Technician PDF PDF Study coordinator/nurse Study coordinator/nurse Biostats support Biostats support Beware of ‘in kind’ support Beware of ‘in kind’ support Items such as FACS hrs, etc. OK Items such as FACS hrs, etc. OK

12. Start-Up Package Other Considerations Other Considerations Vivarium (with capabilities for your research) Vivarium (with capabilities for your research) Access to Cores Access to Cores Transgenic mouse core Transgenic mouse core FACS core FACS core Proteomics Core Proteomics Core Imaging core Imaging core Others Others All equipment does not have to be in your personal laboratory, but you do need reasonable access to it All equipment does not have to be in your personal laboratory, but you do need reasonable access to it Biosafety/culture hoods Biosafety/culture hoods Real-time PCR Real-time PCR Spectrophotometer Spectrophotometer ELISA reader, etc. ELISA reader, etc.

13. Graduate School Status Do you want to train graduate students? Do you want to train graduate students? Being a mentor for a graduate student is a significant time and effort commitment Being a mentor for a graduate student is a significant time and effort commitment Would it work better for you to have clinical fellows and post-doctoral fellows in your lab Would it work better for you to have clinical fellows and post-doctoral fellows in your lab Departments of Medicine do not usually have graduate school status Departments of Medicine do not usually have graduate school status Cross–appointment vs. Adjunct/Affiliate appointment Cross–appointment vs. Adjunct/Affiliate appointment Consider ‘cost’ of appointment to basic science department Consider ‘cost’ of appointment to basic science department Avoid seeking adjunct appointments to multiple departments Avoid seeking adjunct appointments to multiple departments

14. Negotiating for an Academic Faculty Position Summary Points (1) Be sure that the start-up package provides reasonable and sufficient resources to give you a chance to be successful Be sure that the start-up package provides reasonable and sufficient resources to give you a chance to be successful Be wary of ‘in kind’ components in a package Be wary of ‘in kind’ components in a package

15. Negotiating for an Academic Faculty Position Summary Points (2) Understand the following: Understand the following: What you are getting into before you sign the contract What you are getting into before you sign the contract The reporting structure at your institution before you start The reporting structure at your institution before you start The promotion process at your institution The promotion process at your institution ? Up or out policy ? Up or out policy Your clinical responsibilities Your clinical responsibilities Months of clinical service Months of clinical service Call schedule Call schedule Out-pt responsibilities Out-pt responsibilities Expected productivity: RVUs/billings Expected productivity: RVUs/billings

16. Negotiating for an Academic Faculty Position Summary Points (3) Understand the following: Understand the following: Your teaching responsibilities Your teaching responsibilities Your administrative responsibilities Your administrative responsibilities Expectations of academic productivity for your position Expectations of academic productivity for your position Ex: # of peer-reviewed publications expected per year and for promotion Ex: # of peer-reviewed publications expected per year and for promotion Administrative support provided Administrative support provided Benefit packages provided Benefit packages provided

17. Negotiating for an Academic Faculty Position Questions and Discussion