The Promotions Process at Johns Hopkins Nauder Faraday, MD MPH Professor of Anesthesiology/Critical Care Medicine, Surgery, and Medicine Sr. Associate Dean for Faculty Development nfarada1@jhmi.edu
Johns Hopkins Medicine: Mission/Vision Statement The mission of Johns Hopkins Medicine is to improve the health of the community and the world by setting the standard of excellence in medical education, research and clinical care Johns Hopkins Medicine.. fosters intellectual discovery, creates and transmits innovative knowledge, improves human health, and provides medical leadership to the world
JHU Faculty Promotions: One Track System Teaching Research Clinical Teaching, Research, Clinical
How do I get to the promised land? Is there a roadmap?
Metrics of Achievement Policies governing appointment and promotions THE GOLD BOOK APPOINTMENTS, PROMOTIONS, AND PROFESSIONAL ACTIVITES OF FULL-TIME FACULTY THE SILVER BOOK PROFESSIONAL DEVELOPMENT GUIDE FOR FULL AND PART-TIME FACULTY http://www.hopkinsmedicine.org/som/faculty/appointments/
Criteria for Promotion to Assistant Professor Clear evidence of creative scholarship Creative scholarship defined as 1 first/last author peer-reviewed publication, curriculum, or educational doc Dissemination of educational research Dissemination of effective clinical program, test, or intervention Dissemination of effective system innovation, Q/I, or leadership program
Criteria for Promotion to Associate Professor/Professor National/international recognition for having impact in a specific field (focus of expertise) Recognition engendered through scholarship Generation and/or dissemination of knowledge outside of JHU Activities accessible to critical assessment and future use by academic community Associate Professor national contributor Professor national/international leader
One Track - Multiple Pathways Clinical Distinction Includes development and dissemination of a unique clinical program, diagnostic test, or intervention that has had a national impact Education Entails: (1) development, implementation, and evaluation of innovative educational programs with national reputation and impact, (2) peer-reviewed publication of leading textbooks or chapters in leading textbooks; (3) development and dissemination of other educational materials (e.g. websites, course design) that have been identified as important through a national peer-review process; and/or (4) development of or leadership in educational research project(s) that have a national reputation and impact. Research Entails clear evidence of independent research with a focused body of publications, national visibility of the research findings, and evidence of continuing extramural support for the research.
Activities Demonstrating Scholarship/ National Recognition (Silver Book) Written documents: peer-reviewed original research, review articles, case reports, editorials, books, book chapters, guidelines, other media Awards or prizes (e.g. grants) for research or service from national organizations Invited presentations at scholarly meetings, conferences, universities or hospitals Service on national scientific advisory boards or study sections Service in a leadership position of national scholarly organization Service on journal editorial boards Program (research, education, or clinical) creation or leadership with national/international impact Leadership in organizing national or international research or educational meetings (CME) Clinical demonstration projects to external observers Development of nationally recognized standards of care Member or examiner for specialty boards National/international reach of clinical service- volume, RVUs, geography
Publications at Time of Promotion to Associate Professor 2-3 peer-reviewed publications/year 40 35 34 36 Publications by Pathway 1 peer-reviewed pub/year as first/ last author 1 review/book chapter/year Clinical Program Builder/ Clinician with distinction Publications Publications (First Last) Publications since AP Publications (First Last) since AP Invited Reviews Book Chapters 25 10 20 8 8 11 Clinician/ Educator 17 7 15 6 2 5 Clinical Investigator/ Translational Research 34 15 23 10 4 5 Physician- Basic Scientist 24 11 14 7 8 8 Basic Scientist/ Research Program Builder 30 25 20 15 10 5 0 25 17 24 10 7 15 11 15 20 15 23 14 22 11 10 8 8 7 6 36 15 22 11 4 4 2 4 11 8 8 5 5 4 4
Total Original Research Publications for Promotion to Associate Professor Year Total Pubs Original Res (Mean) Total Pubs Original Res (Median) Range 2007 26 25 3-58 2008 25 24 7-90 2009 32 30 6-99 2010 IC IC IC 2011 26 28 7-51 2012 40 30 10-152 2013 33 27 1-137 2014 37 30 3-138 2015 34 32 10-89 2016 33 24.5 6-260
Quantity of Other Scholarly Metrics for Associate Prof National/international invited talks- 6 National editorial board, advisory committee, or officer in national society- 2 Research grants/awards- no min, but 1 award as PI common for researchers National course organizer/session chair- no min, but 1 common for educators Quantity of metrics specific to clinicians?
Publications and Promotion to Professor H-Index ~25 Total peer reviewed publications average ~60 Wide range in total publications
Years at Rank at Promotion to Associate Professor 12 10 YEARS at RANK 8 6 4 2 0 Basic Scientist/Research Program Builder Physician/Translati onal Research Clinical Program Builders Clinician/Education al Scholars Mean 7 7 10 9 Median 7 7 9 10 Range 3-14 4-15 5-17 5-15
Dean s Task Force on Clinician Promotions Membership PPC chair and members APPC chair and members Miller-Coulson Academy members Guidance Maintain one-track system Reflect institutional values Evaluate promotions criteria for clinicians
Recommendations Maintain fundamental principles of promotion (scholarship, recognition beyond JHMI) Establish PPC/APPC subcommittees to evaluate clinician nominations Educate faculty candidates and departmental promotion committees about clinician promotions criteria Enhance CV template to showcase clinical achievement
CV- Clinical Activities Clinical Focus (optional--up to 100 word narrative) Certification, licensure, boards Clinical responsibilities Clinical productivity Clinical draw from outside local/regional area Examiner for specialty board Clinical program building / leadership Clinical demonstration activities to external audience Development of recognized clinical standard of care Clinical awards/recognition- e.g. Miller Coulson
Question Which of the following is required for academic promotion at Johns Hopkins? Peer-reviewed publications in high-impact journals Extramural grant awards Leadership in national medical organization Program director role a Johns Hopkins National recognition for scholarship in one s field
Logistics of Promotions Process- Departmental Department director nominates faculty for promotion Annual faculty reviews Departmental review committees Credentialing officer submits nomination packet to Dean s office Directors letter
Logistics of Promotions Process- SOM Application material completed by faculty APPC- Nomination Manager; suggested referees (14) PPC- Nomination Manager; suggested referees (10) Solicitation of reference letters by promotions committees APPC- 14 total, 8 external PPC- 10 from candidate, 20 from review subcommittee Average time to APPC review 4-6 months; longer for PPC Promotions committee review APPC- Disclosure of conflict of interests; 2 primary reviewers; committee deliberation PPC- Subcommittee review; solicitation of letters; full committee review; votes x 2 Recommendation to Advisory Board of Medical Faculty http://www.hopkinsmedicine.org/som/faculty/
The Promotions Committees Web-based Nomination Manager - Required H-index Citation Index You submit names of potential Referees Subcommittee Selects additional Referees If denied promotion - Required period before resubmission Associate Professor Yes NO Full Professor Yes YES YES n=14 YES n=10 NO None required YES 2 years Where to go to find out more about the information CV format Workshops Nomination Manager Office of Faculty Development Website Chair and Committee Members CV format Workshops Nomination Manager Office of Faculty Development Website Chair and Committee Members http://www.hopkinsmedicine.org/som/faculty/appointments/index.html
Practical Tips Plan ahead Remember the criteria for promotion Set yearly goals, achieve them Disseminate your work Annual reviews Which academic pathway? Area of expertise? Mentors? Do you have the skills and resources you need to succeed? Are you meeting metrics for promotion at the expected pace? Go where your passion leads you