PROMOTION AND TENURE FOR CLINICAL ATTENDINGS Sameh Abul-Ezz, M.D. Carmelita Pablo, M.D.

P&T for Clinical Attendings  Read the 2011 Guidelines on P&T  Pay special attention to Appendix A: Examples of Teaching, Scholarly Work, and Service on the Clinical Pathways  Check out the Companion Guide to the P&T Document (  Study the criteria table for Clinical Attendings (Table 11)

Clinical Attendings  “Are expected to excel in clinical work. They often play critically important roles in the bedside teaching mission of the College, and may also participate in clinical research. Scholarly work in any of these areas is encouraged but is not required.”

Assistant to Associate Professor Clinical Attending

Clinical Attending – Associate Professor Qualifications: “Service as an Assistant Professor with a record of significant accomplishments and demonstrated excellence in clinical efforts. The faculty member should have developed an active, productive clinical practice with evidence of skill, high quality, efficiency and cost-effectiveness. For positions with significant expectations for teaching, evidence of high quality teaching will be required.”

Time Allotment

Clinical Service  A high level of competence and diligence in a clinical area as evidenced by recognition from peers and patients as an outstanding clinician  (M.D.s) Board Certification (see page 11 of the P&T document)  Demonstrated practice of current standards of patient care and/or development of standards for patient care

Clinical Service  Local and/or regional reputation for excellent clinical skills as evidenced by patient referrals and/or invited presentations  Active participation and/or leadership in local, regional, and/or national professional organizations

Teaching/Mentoring If the candidate’s position involves a teaching role:  “Evidence of high quality teaching demonstrated through formal peer and trainee evaluations”  Document types of teaching and contact hours with your learners  Documented evaluation of teaching performance: (Your mean scores compared to the department scores, not copies of evaluations)  “Serving as an effective role model of a practicing physician and mentor for students, residents, fellows, and colleagues.”

Teaching/Mentoring If the candidate’s position involves a mentoring role:  List of those you mentor and have mentored in the past Estimate of contact hours with mentees Evidence of your contributions to their learning and success  “Teaching Awards”  “Development of educational programs or materials for patients and the community” Explain any “non-traditional” methods by which your work has been peer-reviewed

Research/Scholarly Work Encouraged but not required for promotion  Collaboration in clinical research, including recruitment of patients for clinical trials  Co-author of reviews, case reports, reports of clinical investigation  Development of curricular or other teaching materials, including materials for patients and families

Research/Scholarly Work If you have produced scholarly work, include the following in your P&T packet:  Copies of your 5 most meritorious publications  Must be published or ‘in press’  Middle-author papers count, explain your role in the work and production of the publication  Helpful to annotate the bibliography of your CV – explicitly explaining your role as a “middle-author” or “co-investigator”

Leadership/Administrative Service Participation in section, department, and/or hospital administration Work on committees – local or regional  Document participation and valuable contributions  Provide service to the professional or lay community through education, consultation, or other roles  Active in the development and/or implementation of clinical practice guidelines and/or serving to help develop health care policy  Advocate for patients groups or health care policy

Professional Recognition  Should have established a reputation at the local level, at a minimum.

Professional Recognition Letters of Recommendation  Three letters are required  Authors  Should be recognized authorities in the candidate’s field and may be from inside or outside of UAMS  Should NOT have employed you or trained you (e.g., not someone who has been your “boss” or your teacher/mentor)  Should clearly have reviewed your CV or portfolio, and have detailed comments  Ideally, one or two of these letters should be written by authorities outside of your own department, giving supportive evidence about your local reputation

Obtaining Letters  Provide your Department Chair with a list of names and contact information; Chair may suggest additional authors of letters  Department Chair’s solicitation includes: Letter of request for recommendation Your CV COM P&T guidelines  Solicit more letters than you need to ensure you get three great letters back in time  Additional letters may be a good idea if they add significant information or an importantly different perspective on your contributions. These may be from inside UAMS or outside.

Practical Recommendations  Learn criteria & know you “time & effort” distribution  Review an example of a successful packet  Include comparative data within department and national benchmarks for both clinical & teaching efforts  3 recommendation letters  Other supportive letters  Take charge of your packet

Associate to Full Professor Clinical Attending

Professorship  Reserved for those members of the faculty who have demonstrated outstanding ability  Not based on length of service alone  Should also have:  Considerable time and experience in rank  Evidence of accomplishments in clinical service and/or teaching/mentoring and leadership/administrative service  Scholarship is encouraged  Study the criteria table carefully

Clinical Service  Highly regarded as leader in clinical practice  Local, regional, and national reputation for excellence in clinical practice and/or as authority in clinical field  Demonstrated excellence in clinical areas either by clinical outcomes or patient/peer feedback

Teaching/Mentoring  Recognition for being an excellent teacher  Awards and honors  Evaluations  Invited educational activities

Leadership/Administrative Service  Demonstration of collegiality and leadership in arena of practice, department or institution  Leadership role in provision of clinical care in department or hospital  Active involvement in appropriate administrative committees  Leadership, service or committee work for local, regional, and/or national professional organizations

Professional recognition  Three letters of recommendation required  At least one letter of recommendation must be from outside UAMS and attest to the candidate’s national reputation and contributions

For Either Promotion Rank Request  If your department has a Promotion and Tenure committee, the results of their vote should be included in your binder.  When possible, have your packet reviewed by someone in your department who has been on the P&T Committee.

How can you help to assure your own success?  Know the rules!  Study the companion guide (  Talk to P&T committee chair in department or faculty affairs representative before finalizing your initial appointment or if you have unresolved concerns.  Get a mentor.  Attend P&T workshops.  Prepare a concise, neat, well-organized packet that makes it easy for the reviewer to find support that you have met criteria.

COM Deadline  Two paper packets are still required and are due to the Office of Faculty Affairs, Central Building (old hospital) 4D40, by 4:30pm on Monday, October 1,  Deadline for submission of your electronic packet and 2 paper copies of your packet is Monday October 1,  The electronic system is available at:

Questions?