1. Promotion and Tenure: Strategies for Success
Margaret R. Gyetko, M.D. Senior Associate Dean for Faculty and Faculty Development
University of Michigan Medical School
January 23, 2018
Allen asked me to update you regarding the processes and our ideas for faculty appts & promotions

2. WHAT IS THE FUNCTION OF AN ACADEMIC MEDICAL CENTER?
Educate medical students & graduate students
Provide the environment for residency (GME) and postdoctoral training
Advance medical science
Expand knowledge base of human biology, pathophysiology & therapy
Provide outstanding, cutting edge patient care
Our job as medical school faculty members -->

3. A SNAPSHOT OF THE FACULTY
2017
Instructional Track (819)
Research Track (308)
Clinical Track ,360 (771)
Lecturers (293)
Total (2191)
(2008 numbers)
This is what we look like - divided into those 3 tracks

4. WOMEN FACULTY AT MICHIGAN 2017
Instructional Track 28% (24%)
Research Track 39% (40%)
Clinical Track 53% (47%)
Lecturers, clin, etc. 52% (42%)
Total 43% (38%)
Headcount 8/1/06
(2008 numbers)

6. Offer letter with track & rank
APPOINTMENT PROCESS
Chair/candidate
(OFA, OCA,
Dean)
Intent letter
Full evaluation by:
Adv Comm/EC
EVPMA/Provost
Regents
Offer letter with track & rank
Here is how the appointment travels through time and space

7. REGENTS BYLAW 5.08
Assistant Professors & other untenured members of teaching staff are appointed by the President of the University upon recommendation of the Dean and Executive Committee
Tenured professorial staff are appointed by the Board of Regents upon recommendation of the Dean and Executive Committee

8. APPOINTMENTS KEY POINTS
Vetting the appointment
(Central Campus approval?)
Letter of intent (Be careful of promises)
Evaluative letters (Must be unbiased)
Scholarship impact/seminal contribution
Flawless package
So these are the key points

9. ARE YOU ON THE OPTIMAL TRACK FOR YOUR CAREER?
Your division/section chief or chair has given this due consideration and the Office of Faculty Affairs as well as the advisory committees of your peers have weighed in on this choice
Even so, a third year career review from the Office of Faculty Affairs will re-evaluate with you and provide a chance to transfer to another track.
Third year reviews are mandatory for Instructional/Research Track

10. Faculty Tracks Instructional Clinical Research Scholarship Teaching
Prof. Work
Org. Service
Org. Service
Professional Work
Clinical
Teaching
Org. Service
Scholarship
Research
Scholarship
Teaching
Org. Service

11. WHAT IS IMPORTANT TO THE UNIVERSITY OF MICHIGAN?
To be one of the best universities in the world
To have the most influential faculty
To be recognized nationally and internationally as outstanding

12. SO WHAT DOES THIS HAVE TO DO WITH YOU?
EVERYTHING

13. PREPARING FOR PROMOTION
Determination of readiness
Division/Section Chief
Departmental Advisory Committee
Chair
Read The Promotion Package
Medical School Web Site
appointments-promotions/promotion-process
Promotion to the higher ranks signals the step into the senior medical establishment. Top 3 bullets are our present process:
The bottom one could be a useful adjunct - having the candidate explain in a single page, their accomplishments, scholarly niche and seminal accomplishments.

14. SUGGEST 5 OR MORE EXTERNAL REVIEWS
Must be “at arms length”.
No collaborators less than 10 years.
No mentors.
No prior faculty colleagues less than 10 years.
Number of internal vs. external letters required varies by track and rank….consult the web site.
The Evaluator must be at the rank proposed or
above and on the same track or tenure track.
Letters must be a mix of reviewers recommended by chair and recommended by candidate
The more prestigious the better…peer
institution…top person.
Beware the European Connection (different system).
Should be in process by May or June.

15. THE PROMOTION PACKAGE Form B Advisories & Executive Committee
Talking points
CV – check for accuracy!
Educator portfolio
Research portfolio
5 key papers (since appt or last promotion)
Bibliographic notes (citation survey)
5 External +/- letters of evaluation
Due in the Med School 10/1
Form B
Advisories & Executive Committee
Chair letter
Dean’s letter

16. TALKING POINTS
A single page commentary by the candidate describing his or her scholarly niche (and type of scholarship), professional expertise, contributions, special skills, national leadership, etc.
Amount of clinical effort (low,
medium, high).

17. THE CV
Medical School Model
• Academic history.
• Overview of accomplishments.
• Must be precise and flawless.
• Must be produced from M-CV.
You are ultimately responsible for accuracy of information.

18. The Medical School has launched an online CV application (M-CV)
The Medical School has launched an online CV application (M-CV). This application will gather all appropriate data from disparate sources so faculty can quickly generate a Medical School-formatted CV. CVs produced from M-CV are required for promotions.

19. A Cautionary Tale with M-CV
False CV can result in non-promotion or dismissal for academic misconduct (fraud). Be sure your CV is accurate and free of errors.

20. EDUCATOR’S PORTFOLIO
Is teaching central or secondary in your job?
Section 1- summary of teaching & time.
Section 2 - major teaching contributions.

21. RESEARCH PORTFOLIO
Gives the candidate an opportunity to describe their research and their unique contributions to the research. This is especially important for team scientists. The candidate should detail their roles and contributions on various teams. Letters can be solicited from fellow team members attesting to the candidate’s critical contributions and role that the candidate played on the team.

23. 2017 PROMOTIONS
Research Professor/Scientist 10 - Associate Professor/Associate Research Scientist 16 - Assistant Professor/Assistant Research Scientist
Total Research:  32
Clinical Professor 70 - Associate Professor 36 - Assistant Professor
Total Clinical:  144 Instructional 44 - Professor 46 - Associate Professor Granting of Tenure
Total Instructional:  91
TOTAL PROMOTIONS:  267

24. WHAT IS REALLY THE BOTTOM LINE?
The promotion process recognizes excellence nationally and internationally
The time line is long and care is needed every step of the way

25. THINGS I WISH I HAD KNOWN SOONER
A promotion package starts on your first day on faculty
It takes five years to do it well, usually
Do your work, publish well, of course
Get grants, of course
But that is not enough….

26. THINGS I WISH I HAD KNOWN SOONER
Cultivate relationships in your field
National presence and reputation is very important
Be active in your professional societies.
Meet leaders in your field
Give talks
National meetings
Visiting professorships
Establish connections with leaders in your field

27. THINGS I WISH I HAD KNOWN SOONER
Develop a theme in your work that you own.
Build a place for yourself nationally.
Self promotion is not a sin, just do it with intelligence and honesty
Take care of your end game
You will need letters from leaders in your field who have no conflict of interest in praising you. Earn their esteem. It takes time and effort. Do it, it is essential

28. SO WHAT ARE RESEARCH AND SCHOLARSHIP?
They are more or less synonymous - they are the key elements of expanding our knowledge base
These can be pursued to benefit mankind in clinical care scholarship & medical education scholarship just as in basic research (scholarship of discovery)

29. LIKE WHAT?
Scholarship of discovery
Scholarship of integration
Scholarship of application
Scholarship of teaching
(Much of this takes teams)
Academic Medicine 75:877, 2000

30. TEAM SCIENCE
It is clear that working in teams to advance science and knowledge is the future
This is a new path in academia
Still, it is very important that each member of the team have an independent voice
So what does this mean, practically?
Publish first or last authored manuscripts
And get your own big grant
And establish your own national/international reputation

31. Innovation, discovery, and entrepreneurship.
To recognize innovation, discovery and entrepreneurship in the promotion and tenure process. Impact will be included as a part of the promotion materials.
Committees would evaluate the candidate’s contributions to technology transfer and entrepreneurship, if applicable
Outside reviewers could be asked to evaluate the candidate’s broader impact in entrepreneurship or business through start-up, consulting, technology transfer or other relevant activities.

32. So what should a new faculty member do?

33. TAKE CARE OF THE MILESTONES
It is very important to have good mentors…find them…several are best
Get a mentored grant early (a K award).
Publish and speak nationally early
Build relationships in your field early
Land an independent grant in year 3, 4 or 5 at the latest

34. TAKE CARE OF THE MILESTONES
Faculty in the instructional track have in excess of 25 high quality, peer-reviewed publications in order to be promoted to Associate Professor with tenure…and the majority of the publications are first or last authored, and there is a consistent theme to the research
Independent Funding

35. TAKE CARE OF MILESTONES
Possible strategies for the Clinical Track
Collaborate with PIs conducting translational or clinical research. Make intellectual contributions
Develop a specific clinical area of expertise with a patient care base

36. TAKE CARE OF MILESTONES
Possible Strategies for the Clinical Track
Participate in development of clinical guidelines (peer reviewed) in peer reviewed instructional materials
In national societies participate in writing of position statements/guidelines
Patient Safety and Quality Leadership Scholars Program (PASQUAL)

37. Pathways on the Clinical Track
There are several possible different pathways (“areas of excellence”) for demonstrating contributions to the field have been identified for the clinical track, including, but not limited to

38. Clinician-Research Scholar
Translational science, clinical research, health services research
Peer-reviewed publications (both traditional and digital)
Book chapters, reviews (such as the “Clinics” series), Up To Date
Research funding
Participation in grant reviews
Clinical trial development, patient recruitment, leadership of trial site
Research consultancies with industry or other organizations
Participation in collaborative research
Presentations at regional and national meetings

39. Clinician-Educator
Peer-reviewed publications (both traditional and digital
Book chapters, reviews (such as “Clinic” series), Up to Date
Teaching/educational evaluations reflective of regional or national impact
Innovative teaching/educational practices
Teaching/educational module development
Teaching/educational publications/reviews
Participation in national guidelines or setting standards
Patient and community education
Participation in ABMS boards or appropriate committees
Teaching/educational courses at state, regional or national meetings
Teaching/educating through peer-reviewed social/popular media
Creation and dissemination of innovative approaches to clinical care
Curriculum development

40. Clinician-Patient Safety/Quality Innovator
Outcomes and implementation science innovation
Development of professional quality guidelines and initiatives that have regional or national impact
Generation of performance data and performance goals through learning collaboratives
Development of best practices/innovative methods of care used more broadly
Lean patient safety/quality initiative leadership

41. Clinician-Leader/Administrator
Usually overlaps with one of the previous pathways
Leadership of regional or national organizations or key committees or boards
Work with government organizations such as NIH, CDC, WHO as consultant or other role
Work with private foundations as consultant or other role
Community leadership activities on regional/national level
Outstanding service to a department, medical school and/or the university that results in regional or national recognition

42. Clinician-Individualized Portfolio
An opportunity for the faculty member and chair/section head/division chief to develop a pathway combining features of the multiple pathways noted with clearly articulated goals and metrics.

43. TAKE CARE OF THE MILESTONES
Teach well
-Pay attention to your evaluations.
-If you need help to teach well, get it
-It is our mission, but it also is in your
own best interest

44. HOW CAN I LEARN TO BE BETTER?
Work with your mentors
Talk with the chair of your department
Attend training opportunities offered through the Dean’s office
Be engaged in the process of your own career development

45. Tenure must be achieved by Instructional Track Faculty by the end of the tenth year of the tenure probationary period. (Regents Bylaw 5.09 and Standard Practice Guide ). Instructional track faculty must undergo departmental review for promotion and tenure prior to or during the seventh year of the tenure probationary period. Following departmental review, the faculty member may either continue for full tenure review by the Medical School and University or may be granted an extension of final tenure review up until the ninth year of the tenure probationary period in keeping with the University’s policy on notice of non-reappointment. (Standard Practice Guide )

46. ASSISTANT TO ASSOCIATE PROFESSOR
Time in rank:
6.36 avg
6 med
7 mode
(must be < 10 yrs)
Coherent body of work
National reputation & unique contribution in an independent field
Publications: 37, 32, 27 (avg, med, mode) Range 9-137
Teaching quality
Organizational citizenship
Competence in teaching & scholarship
Potential for success in field
ASSISTANT
ASSOCIATE

47. ASSISTANT TO ASSOCIATE (RESEARCH)
Time in rank
8 avg
7 med
6 mode
External funding
Coherent body of work
National reputation & unique contribution in independent field
Publications: 43, 38, (avg, med, mode) Range
Teaching quality
Organizational
citizenship
Competence in teaching & scholarship
Potential for success in field
ASSISTANT
ASSOCIATE

48. ASSISTANT TO ASSOCIATE (CLINICAL)
Clinical excellence
Coherent body of work
Regional reputation & unique contribution in independent field
Publications: 21,18, (avg, med, mode) Range 3-107
Teaching quality
Organizational citizenship
Time in rank
7.21 avg
7 med
6 mode
Competence in teaching & scholarship
Potential for success in field
ASSISTANT
ASSOCIATE

49. ASSOCIATE TO PROFESSOR
Time in rank:
7 avg
6 med
6 mode
Established body of work
Continued recognition
nationally/internationally
with unique contribution
in independent field
Publications: 68, 62, 46
(avg, med, mode)
Range
Teaching quality
Organizational citizenship
Coherent body of work
Recognized excellence
in teaching & scholarship
National reputation &
unique contribution in
independent field
PROFESSOR
ASSOCIATE

50. ASSOCIATE TO PROFESSOR (RESEARCH)
Time in rank:
7.13 avg
7 med
7 mode
History of continued independent funding
Established body of work
National & international reputation with unique contribution in independent field
Publications: 70, 62, (avg, med, mode) Range
Teaching quality
Organizational citizenship
External funding
Recognized excellence in teaching & scholarship
National reputation & unique contribution in independent field
ASSOCIATE
PROFESSOR

51. ASSOCIATE TO PROFESSOR (CLINICAL)
Time in rank:
7.19 avg
6 med
6 mode
Clinical Excellence
Established body of work
Strong regional & emerging national reputation in the field
Publications: 40, 36, (avg, med, mode) Range
Teaching quality
Organizational citizenship
Recognized excellence in teaching & scholarship
Regional reputation & unique contribution in independent field
ASSOCIATE
PROFESSOR

52. RESEARCH TRACK FACULTY
>700 Research track Faculty members University wide
Two distinct Tracks
Scientist Track- Collaborative and dependent
Professor Track- Independent and more
Scholarly achievements

53. Research Professor
Research Associate Professor
Research Assistant Professor
Research Scientist
Associate Research Scientist
Assistant Research Scientist
Research Investigator

54. RESEARCH PROFESSOR TRACK
Rank
Activity and Requirements
Time-in-rank
Research Assistant
Professor
Peer-reviewed Publications
Evidence of potential for funding (extramural)
Teaching (non-didactic)
Emerging National visibility
(participate in professional meetings)
Service
3rd year review
Medical School
7 year Promotion
UMOR/Provost
Or extension in rank up to 3 more years
Research Associate
Independent Funding (R01)
Senior Authorship
National/International visibility
No Limit
Research
Sustained Independent Funding (R01)
Exemplary & sustained

55. RESEARCH SCIENTIST TRACK
Rank
Activity and Requirements
Time-in-rank
Assistant Research
Scientist
Peer-reviewed Publications
No funding needed
Establishing a national presence – talks, abstract presentations, etc.
No Service, No Teaching
3rd year review
Medical School
6 year Promotion Review
UMOR/Provost
Associate Research
Substantial Grant support
(Team science/co-Investigator)
Developing National/International visibility
No Limit
Research
Independent Funding (R01)
Senior Authorship
Sustained National/International visibility

56. Professionalism and Citizenship
Faculty must maintain and demonstrate competence in their disciplines, as well as integrity in their behavior and work.
Faculty are expected to offer mentorship within the entire learning community, including mentorship to faculty colleagues.
Faculty are expected to set a high example of

57. Professionalism and Citizenship
Faculty are expected to set a high example of collegiality in the workplace with respect for personal boundaries and diversity.
Confidentiality in clinical, research, administrative and other professional roles must be assured.

58. Professionalism and Citizenship
Faculty must avoid conflict of interest and conflict of commitment to the University.
Academic freedom does not abrogate the requirement for integrity in scholarship, professional confidentiality, collegial behavior, or civility in the workplace.

59. Faculty Development
Teaching
Service
Research

60. Clinical Teaching Skills Series
Instructor-led workshops, on-line learning in Coursera and Roadshows - programs foster and support excellence in teaching, providing resources for traditional classroom settings, the lab, or clinical environments.
“The One Minute Preceptor”
“Teaching in the OR and Other Procedures”
“Turning Observation into Education”
“Entrustment and Autonomy
“Providing Effective Feedback”
Not Another Boring Lecture
Evidence-based Teaching
Using the PRIME+ Model
Strategic Questioning in Medicine

61. Grant Writing & Publications
Programs are targeted to assist faculty in their grant and manuscript writing, aimed at increasing faculty research productivity
“Top 5 Errors Authors Make When Writing Scientific Papers” outlines a carefully crafted approach to writing and publishing a scientific paper with the goal of helping attendees avoid many common mistakes authors make early on in the writing process.
“Write Winning Grant Proposals” helps faculty to develop a focused research plan and write persuasive proposals for NIH, NSF, and foundation grants.
“Writing, Procrastination, and Resistance: How to Identify Your Writing Blocks and Move Through Them” covers what resistance is and why academic writers experience it in pursuit of work we want and need to complete.

62. Leadership Development & Interpersonal Skills
Essential Skills for Successful Leadership
Develops the essential leadership and management skills necessary to run a lab, start a program, or manage a center or division.
Linkage Leadership Academy
Focuses on the development of individual senior leaders
Negotiation Skills and Strategies
Equips faculty with a framework and set of tools to prepare for and conduct effective negotiations.
Conflict Management: How to Have Difficult Conversations
Teaches a straightforward process for identifying and resolving performance gaps, strengthening accountability, eliminating inconsistency, and reducing resentment.
These are the programs that will support the innovation, creativity and entrepreneurial components

63. DEAN’S OFFICE OF FACULTY AFFAIRS
Kate Alber
Karen Bertoia
Laura Denton
Melissa Dorfman
Julie Evers
Sonya Jacobs
Carol Jarema
Deb Komorowski
Kim Leahy
Carol Lee
Lorraine Robert
Paul Salow
Cherie Saunders
Jackie Shilling
Tim Smith
Molly Trusty
Karla Velikan
Whitney Williams
Jordan Wright
Mary Wurz
Margaret R. Gyetko, M.D.
Kevin Chung, M.D.
Nick Lukacs, Ph.D.
Lies Quint, M.D.
view from Cedar Bend Dr.

64. ASSISTANT DEANS FOR FACULTY
Nicholas Lukacs, Ph.D.
Research Faculty
Kevin Chung, M.D.
Instructional Faculty
Lies Quint, M.D.
Clinical Faculty