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Requirements for promotion Requirements for promotion to rank of Associate Professor to rank of Associate Professor

at Johns Hopkins SOMat Johns Hopkins SOMMaking the requirements and process Making the requirements and process

transparenttransparent

Estelle B. Gauda, M.D.Associate Professor of Pediatrics

Chair, APPC

Mark Duncan, M.D. Associate Professor of Surgery

Vice Chair, APPC

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Members of the APPC2008-2009

• Cindy Delinski – Administrative Assistant to the APPC, Dean’s office

• Patrice Becker, M.D. – Medicine• Harolyn Belcher, M.D. – Pediatrics, KKI• Jessica Bienstock, M.D. – Gyn/OB• Malcolm Brock, M.D., Surgery

• Paul Flint, M.D. - Otolaryngology• Alex Kolodkin, Ph.D., Neuroscience• Carlos Pardo, M.D., Neurology• Daniel Raben, Ph.D., Biological Chemistry

• Peter Rabins, M.D., Psychiatry• Matthias Stuber, Ph.D., Radiology• Charles Wiener, M.D., Medicine• Myron Yaster, M.D., Anesthesiology

• Estelle B. Gauda, M.D., Pediatrics (Chair, APPC)• Mark Duncan, M.D. Surgery (Vice Chair, APPC)

APPC WEBSITE http://www.hopkinsmedicine.org/dev/appc

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Johns Hopkins Medicine Johns Hopkins Medicine MissionMission

The mission of Johns Hopkins Medicine is to The mission of Johns Hopkins Medicine is to improve the health of the community and the improve the health of the community and the world byworld by setting the standard of excellence setting the standard of excellence in medical education, research and clinical in medical education, research and clinical

carecare..

Diverse and inclusive, Johns Hopkins Medicine Diverse and inclusive, Johns Hopkins Medicine educates medical students, scientists, health educates medical students, scientists, health care professionals and the public; conducts care professionals and the public; conducts biomedical research; and provides patient-biomedical research; and provides patient-

centered medicine to prevent, diagnose and centered medicine to prevent, diagnose and treat human illness.treat human illness.

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Important and essential guides for each faculty member

55

GOLD BOOKGOLD BOOKAppointment or promotion to the rank of Appointment or promotion to the rank of

Associate Professor, full-time, requiresAssociate Professor, full-time, requires

Meritorious publications Meritorious publications

Substantive contributions to teaching Substantive contributions to teaching (mentoring) and/or clinical practice(mentoring) and/or clinical practice

The scholarly achievements of candidates for The scholarly achievements of candidates for promotion to Associate Professor should be promotion to Associate Professor should be

indicated by national recognition among their indicated by national recognition among their peerspeers

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IMPORTANTLY:IMPORTANTLY:The faculty member has to The faculty member has to

disseminate informationdisseminate information to the to the broader community that results in broader community that results in

improving the health of others improving the health of others through education, program building through education, program building and/or clinical distinction and serviceand/or clinical distinction and service

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Hopkins has a Hopkins has a ONE TRACKONE TRACK promotion system that recognizes and supports promotion system that recognizes and supports

--RESEARCHERSRESEARCHERS

-EDUCATORS-EDUCATORS-PROGRAM BUILDERS -PROGRAM BUILDERS -MASTER CLINICIANS -MASTER CLINICIANS

Equally Equally

Because Because ALL ALL faculty members that meet the requirements faculty members that meet the requirements for promotion have accomplishments that transcend the for promotion have accomplishments that transcend the

“Walls of Hopkins” “Walls of Hopkins”

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Common components to all career Common components to all career pathways to Associate Professorpathways to Associate Professor

Education/teaching (mentoring)Education/teaching (mentoring) An important component of all career pathwaysAn important component of all career pathways

(Researcher, Clinician, Program Building)(Researcher, Clinician, Program Building)

Scholarship:Scholarship: Primary basis for academic advancement, Primary basis for academic advancement,

encompasses the generation of new knowledge and/or encompasses the generation of new knowledge and/or dissemination of knowledge to othersdissemination of knowledge to others

Accessible to critical assessment and accessible for Accessible to critical assessment and accessible for future use by members of the academic communityfuture use by members of the academic community

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Questions to ask to determine if your career Questions to ask to determine if your career pathway has lead you to be considered for pathway has lead you to be considered for

Promotion to Rank of Associate Professor at Promotion to Rank of Associate Professor at this time in your careerthis time in your career

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1. What have I selected as my academic pathway to professional development?

–clinician/educator;

–physician-scientist;

–research/educator;

– program builder/educator

2. Have I developed a “niche” for which I am regionally and nationally known?

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3. Does my CV show that I am nationally recognized as a significant contributor to the field in my area of expertise by the following:

– Invited Reviews– Invited Talks – Organizer of symposia– Member of Editorial Board– Participation in CME courses – regionally and nationally– Others have emulated your program or utilized your methods of

assessment • National databases, safety strategies,

– Regional and National referrals of patients and/or consultants– Others are using your technique (assay for diagnosis, surgical or

treatment strategy)– Invited to participate in Workshops, Panels, that are evaluating and

setting standards and policies for the field– Meritorious publications

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4. What would colleagues in my field write about me when asked to comment on my regional and national contribution?

Education

Research

Program BuildingClinical Distinction/Service?

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Excerpts from the letter sent to referees asking them to comment

on your work.

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The criteria for appointment and promotion are derived from the Institution's primary aim, which is to be a national and international leader in medicine, science, and education. This

aim can be achieved only if the School's faculty are outstanding leaders in their respective fields.

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Standards for promotion to the rank of Associate Professor include a record of achievement in creative scholarship and excellence in teaching. The scholarly achievement of a candidate for promotion to Associate Professor should be indicated by national recognition by peers. Creative scholarship can include work in the laboratory or in the clinical environment. Quality of teaching is also an important consideration. Another criterion is excellence in discharge of clinical obligations, for those members of the faculty having such responsibilities.

Scholarship, the primary basis for academic advancement, encompasses the generation of new knowledge and/or the

dissemination of knowledge to others, as long as these activities are accessible to critical assessment and accessible for future use by

members of the academic community. Reputation beyond the School of Medicine and the following important elements of

scholarship are considered in the promotion process:

Excerpt of the letter sent to referee:

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Education:

Excellence in education requires not only an objective, up-to date, accurate, and balanced command of the field being taught

but also effective communication skills. Documenting the scholarship of education also requires demonstration of

accomplishments that are public, subject to critical review and analysis of outcomes, and useful to others in the

community beyond the School of Medicine. This documentation may take the form of an Educator’s Portfolio, as described in the Silver Book. Course leadership and design, the

judgment of students, trainees, and peers, and meritorious publications may also be considered when a faculty member's

teaching is assessed.

Excerpt of the letter sent to the referee:

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Program Building:

A leader in program building is someone who has developed a clinical, educational, or scientific

program that is widely recognized as an outstanding model of its kind and/or that has

had a substantial impact on the field.

Excerpt of the letter to the referee:

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Clinical Distinction:

For faculty members who are clinicians, clinical distinction comprises professional excellence,

integrity, and empathy in treating patients. Other elements of clinical distinction that are considered for a faculty member's promotion include election to distinguished medical societies relevant to achievement in his or her field, the application

of new knowledge, and meritorious publications.

Excerpt of the letter to the referee:

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While it is clear as to how traditional research While it is clear as to how traditional research scholarship is demonstrated (publications, grants), it is scholarship is demonstrated (publications, grants), it is less clear as to how faculty members can demonstrate less clear as to how faculty members can demonstrate scholarship and accomplishments that support the other scholarship and accomplishments that support the other Career Pathways and substantiate national recognition Career Pathways and substantiate national recognition in Program Building, Education and Clinical distinction in Program Building, Education and Clinical distinction

SILVER BOOKSILVER BOOK““Faculty Road Map”Faculty Road Map”

Professional Development GuideProfessional Development GuideEssential ResourceEssential Resource

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Awards or prizes for teaching, clinical distinction or Awards or prizes for teaching, clinical distinction or serviceservice

Presentations at scholarly meetings and conferences Presentations at scholarly meetings and conferences Serving on national scientific advisory boards or study Serving on national scientific advisory boards or study

sections sections Serving as an officer or on the council of national Serving as an officer or on the council of national

scholarly organization scholarly organization Membership in scholarly organizations Membership in scholarly organizations Serving on editorial boards Serving on editorial boards Invited presentations at Universities, Hospitals, etc. Invited presentations at Universities, Hospitals, etc. Organizing national, or regional research or educational Organizing national, or regional research or educational

meetings meetings National or National or **international reputation documented by international reputation documented by

letters of recommendation, leadership in societiesletters of recommendation, leadership in societies * international recognition/leadership is not * international recognition/leadership is not

necessary for promotion to Associate Professornecessary for promotion to Associate Professor

Examples of activities that demonstrateExamples of activities that demonstrateNational recognition outlined in Silver BookNational recognition outlined in Silver Book

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The Associate Promotions ProcessThe Associate Promotions Process(always takes longer than you think(always takes longer than you thinkand longer than all of us would like)and longer than all of us would like)

From receipt of candidates packet to the Dean’s office until the candidate is reviewed in full committee is approximately 9-11 months with an additional month to be voted on by the Advisor Board to the Medical Faculty (ABMF).

FYI – the ABMF does not meet in July/August. Thus candidates reviewed by the ABMF in July/August will not be voted on until September.

FYI – At the current time approximately 90-95% of the candidates that come to full committee are recommended to the ABMF for promotion. The APPC may on occasion request additional information from the Chair for clarification prior to a vote.

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Examples Examples

Clinical Distinction (Master clinician)Clinical Distinction (Master clinician) Clinician/EducatorClinician/Educator

Program Builder (clinical/programmatic)Program Builder (clinical/programmatic) Educator Educator

• Please note that the following examples represent the breadth of Please note that the following examples represent the breadth of talent, and expertise of the faculty that have been recently promoted talent, and expertise of the faculty that have been recently promoted

to Associate Professor in the last 1-1/2 years at Johns Hopkins. to Associate Professor in the last 1-1/2 years at Johns Hopkins. While these faculty do have scholarly publications in their area of While these faculty do have scholarly publications in their area of

expertise, the purpose of these examples is to show how they expertise, the purpose of these examples is to show how they achieved national recognition through clinical distinction, program achieved national recognition through clinical distinction, program

building and education. building and education.

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National Recognition: Master clinician in Sports Medicine.

•Physician for multiple Professional sports teams across the nation. (over 2000 patients/year and performs 300 operations/yr)

•Expertise in orthopedic injuries and repair:

•Teaching Awards: 2003, 2005 •Developer and director of motor skills program for training which utilizes the Biomechanics Lab for multiple procedures.

•20 -PR publications; 8 book chapters and co-editor of a Surgical Journal

•Quote from outside letter “his involvement of professional teams places

him in the top 5% of all sports medicine physicians across the US”

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Novel discoveries and techniques: First to perform: •Roux-en-y gastric bypass in the Mid Atlantic•Lap-Band and duodenal switch with a pancreatic diversion in Maryland •intraluminal endoscopic suturing of gastric pouch in the world.

•Evidence of National recognition:, •Member of State of Maryland Tasks Force for Morbid obesity Surgery. •3 editorial boards, member of professional societies; •Site inspector for Bariatric Surgery Center Accreditation Program,

• Program Building: •Bariatric Center of Excellence: minimally invasive bariatric operations from •0-205/year (from 2002- 2005) •Created minimally invasive fellowship

• Teaching/education: co-authored 6 book chapters, 6 invited reviews and has recorded 8 instructional videos of surgical techniques, participated in multiple CME courses including four gastric bypass training sessions, and has organized symposia on bariatric surgery complications and techniques

• Scholarly Research: 18 PR articles of original work•Quote from outside letter: “His book chapters are used as benchmarks by many bariatric surgeons”.

Clinical distinction/Program Builder/Educator

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National recognition: 1) improving patient safety, 2) developing metrics of quality surgical care, and 3) evaluating strategies to reduce preoperative risk.

Novel discoveries and techniques :Safety Attitudes Questionnaire (SAQ) from over 60 U.S. hospitals (landmark paper)

Evidence of National Recognition: •Site Director of the National Surgical Quality Improvement Program of the American College of Surgeons •Presented to members of the U.S. Congress, House of Representatives Ways and Means Committee. •The practice of “operating room briefing” has been adopted in hundreds of hospitals in the U.S. including Cornell, Yale and the University of Rochester Medical Centers) and abroad•Co-Editor of the American College of Surgeons •Serves on 6 editorial boards•Scholary Publications: 32 PR articles Teaching and Education: Authored or Co-authored 7 revs, 3 book chaptersEditor of , “General Surgery Review” targeted for surgical residents used by approximately 20% of current surgical resident in the U.S.

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Scientific DiscoveryScientific DiscoveryProgram BuildingProgram BuildingEducationEducationClinical Distinction/ServiceClinical Distinction/Service

There are no separate “Tracks” to Academic Promotion at Johns Hopkins.However there are multiple Pathways to achieve national recognition and distinction

in specific areas that are congruent with the MISSION OF JOHNS HOPKINS.The faculty member who is nationally recognized for his/her area of expertise

via the pathways listed below will certainly meet the requirementfor Academic Promotion at Johns Hopkins, and their achievements

are celebrated , supported and rewarded.

BOTTOM LINE:Disseminate information to the broader community that results in improving the

health of others through education, program building and/or clinical distinction and service

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Novel discoveries and techniques: Surgical illustration: three-dimensional image on paper

• Scholarly activity- Distinction in Medical illustration: Co-author of Cameron’s Atlas of Gastrointestinal Surgery. Her illustrations appear in 20 PR, 5 books, 13 book chapters including “Principles of Internal Medicine, Sabiston’s Textbook of Surgery, Grant’s Atlas of Anatomy ; Current Surgical Therapy, and in multiple teaching aids.

Evidence of National Recognition for Expertise• Elected member of the: Board of Governors of the AMI, • Recipient of multiple awards for her illustrations. • Has given numerous invited talks to teach and present her concepts on

medical illustration• Teaching/Education: She is an effective teacher, using her illustrations

as instructional medium, and she is an exceptional mentor for the students in the Program. Her teaching activities include mentoring of faculty (5), thesis advisor for 7 master students, of which many have positions across the country as medical illustrations, and classroom instruction. Chair, graduate Program Admissions Committee (1992-1995). Medical School Council. Course dev. (Portfolio ME 12.758).

Letters: (7 outside and 5 inside) “Her scholarship takes the form of having moved the field of surgical illustration to a new level.” “She thinks like a surgeon in that her illustration are focused on the anatomy and the action that is meant to be illustrated.” “Simply put, she is one of the leading medical illustrators in the world.”

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National recognition: Telemedicine for Retinal Diseases and Program BuildingNovel discoveries and techniques :

•development of instruments, standards and guidelines, and field implementation for evaluation of retinal diseases- Digiscope: used for screening individuals with diabetic retinopathy and macular degeneration in a office setting- transmitted to Wilmer-Eye Tel Reading Center for grading. Used in 15 states, Bermuda, Trinidad, Turkey •(50,000 pts, to date, evaluated with this device).

Evidence of National Recognition: Member of editorial review board for 6 journals including Ophthalmology and Retina. Served on advisory committees (DSMB, EyeTel Imaging);

Program Building: Director of Retinal satellite (Frederick, MD) which serves as a model for other satellite clinics within Ophthalmology- - 4000 visits-fiscal yr 2007 Teaching/education: She has participated in multiple CME instructions in and outside the Hopkins Community. She has over 75% effort in clinical activities, mentoring in the clinic and operating room. Co-authored 2 book chapters:

Research scholarship: 21 PR; NIH RO1 funding

Letters: “She has published several seminal papers in this area of telemedicine and continues to expand the potential applications of this field.” “Her contributions to education is superlative.”

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The Charge of the APPCThe Charge of the APPC

Is to make recommendations to the Dean Is to make recommendations to the Dean as to whether the accomplishments of as to whether the accomplishments of

the candidate meets the standards the candidate meets the standards outlined in the outlined in the Gold BookGold Book for promotion for promotion

to academic rank to Associate to academic rank to Associate Professor Professor

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• Cindy Delinski – Administrative Assistant to the APPC, Dean’s office

• Patrice Becker, M.D. – Medicine• Harolyn Belcher, M.D. – Pediatrics, KKI• Jessica Bienstock, M.D. – Gyn/OB• Malcolm Brock, M.D., Surgery

• Paul Flint, M.D. - Otolaryngology• Alex Kolodkin, Ph.D., Neuroscience• Carlos Pardo, M.D., Neurology• Daniel Raben, Ph.D., Biological Chemistry

• Peter Rabins, M.D., Psychiatry• Matthias Stuber, Ph.D., Radiology• Charles Wiener, M.D., Medicine• Myron Yaster, M.D., Anesthesiology

• Estelle B. Gauda, M.D., Pediatrics (Chair, APPC)• Mark Duncan, M.D. Surgery (Vice Chair, APPC)

APPC WEBSITE http://www.hopkinsmedicine.org/dev/appc

We are here for you and the candidates: - The process should be transparent

VISIT the WEBSITE for ADDITIONALINFORMATION AND FAQs