Track 1: Clinician Practitioner - Educator ‐ Administrator

 

Assistant Professor

This title is for faculty who are committed to a career in academic clinical medicine. It is distinguished from the entry level, non‐tenure track “Medical Instructor” rank by the demonstration of clinical skills and commitment to the Institution. 

Clinical Work – The faculty member should have a local reputation for excellence. This should grow to a regional reputation during time spent within this faculty rank. Referrals should come locally and regionally. Further evidence of reputation can be demonstrated by inclusion in national guideline setting panels. Distinguished service on important local and national committees (e.g. IRB), contributions to practice guidelines, plenary lectures at national and international meetings, and referral patterns are appropriate milestones for achievement on Track I. 

Teaching – Faculty in this rank are expected to participate in teaching exercises locally and in the regional community. Activities may include lectures, seminars, teaching rounds, and workshops. For faculty who are judged primarily for their educational efforts, at this level important departmental or divisional contributions are expected (e.g. leading regular seminars or conferences). Teaching awards will be considered. 

Research - Participation in research is expected. This participation could be enrolling patients in clinical trials, participating in clinical trial leadership teams, or collaborative involvement in basic science projects. It would be unusual, given the high proportion of time committed to clinical work, for a member of the faculty in Track I to have assigned research space, especially laboratory space. Good performance in research, in the absence of unambigious clinical excellence, will not be sufficient to merit promotion on Track I.

Publication – Co‐authorship of a minimum of 3 peer‐reviewed publications on original research and/or important clinical applications of basic or translational science, including case reports and reviews. As appropriate, the development and dissemination of intellectual properties may also be considered. Book chapters in major texts may also be considered.

Associate Professor

This rank is for faculty who have demonstrated academic and clinical excellence. Faculty at the associate professor level should have a regional or national reputation, with referrals from a wide region. Reputation may also be demonstrated by participation in national boards and leadership groups within the faculty member’s field. 

Clinical Work – The faculty member should have a strong regional or national reputation for excellence. Referrals should come from an interstate region. Further evidence of reputation can be demonstrated by inclusion in national guideline setting or protocol writing panels. Other markers of clinical excellence (outcome measures, patient satisfaction indices, etc) will be considered. 

Teaching – Faculty in this rank are expected to participate in teaching exercises across a wide arena. Activities may include invited lectures at national meetings, seminars, teaching rounds, and workshops. For faculty who are being judged primarily for their educational contributions, teaching awards and/or leadership of division level programs are expected. 

Research ‐ Participation in clinical research is expected, and success in research will be an important criterion within this track. At this rank, the faculty member should be producing nationally notable research. Within multi‐center national research groups or clinical trials the faculty person should be a member of steering committees, protocol teams, or active in a leadership role. A history of successfully funded grant applications is positive, but not mandatory on Track I.

Publications - Publications are an important measure within Track I. Invited state‐of‐the‐art reviews in peer‐reviewed journals are particularly valued within this track. Textbooks or chapters in widely used standard texts will be considered, as will case reports. At this rank, co‐authorship of ≥15 articles or chapters are expected, with at least five as first or senior author. Because of the balance which must be achieved, success in publication, in the absence of unambiguous clinical excellence, would not be sufficient to justify promotion on Track I.

Associate Professor with Tenure

This rank is for faculty who have demonstrated clinical excellence. Faculty at the tenured associate professor level should have a regional or national reputation, with referrals from a wide region. Reputation may also be demonstrated by participation in national boards and leadership groups within the faculty member’s field. The granting of tenure is an acknowledgement of a history of excellence, and judgment on the part of the institution that the individual faculty member will continue to be an asset for Duke throughout the duration of their career. 

Clinical Work – The faculty member should have a strong regional or national reputation for excellence. Referrals should come from an interstate region. Further evidence of reputation can be demonstrated by inclusion in national guideline setting or protocol writing panels. Other markers of clinical excellence (outcome measures, patient satisfaction indices, positions on national societies, etc) will be considered. 

Teaching – Faculty in this rank are expected to participate in teaching exercises across a wide arena. Activities should include invited lectures at national meetings, seminars, teaching rounds, and workshops. For faculty who are being judged primarily for their teaching contributions, leadership of departmental level programs, teaching awards, and participation in national educational institutions (Specialty Boards, RRC, the ACGME, etc), are expected. 

Research ‐ Participation in research is expected, and success in research will be an important criterion within this track. At this rank, the faculty member should be participating in nationally notable research. Within multi‐center research groups or clinical trials, they should be active as a member of steering committees, protocol teams, or within a leadership role. A history of leadership within externally funded clinical research projects should be present (e.g. principal investigators on an NIH funded clinial trial or an important, publishable corporately sponsored protocol.)

Publication – Publications are an important measure within Track I. Invited state‐of‐the‐art reviews in peer‐reviewed journals are particularly valued within this track. Textbooks or chapters in widely used standard texts will be considered, as will case reports. At this rank co‐authorship of ≥20 articles or chapters is expected, with at least 5 as first or senior author. Because of the balance which must be achieved, success in publication, in the absence of unambiguous clinical excellence, would not be sufficient to justify promotion on Track I.

 

Professor

This rank is for faculty who have demonstrated clinical excellence of national or international renown. Faculty at the professor level will be national leaders in their clinical realm. Since the rank of Professor typically includes the award of tenure, faculty at this rank should be expected to be able to remain as pivotal members of their departments and national clinical groups.

Clinical Work – The faculty member must have a national or international reputation for excellence. Referrals should come from across a multi‐state region. Further evidence of reputation can be demonstrated by inclusion in national and international guideline setting panels, or by participation in national boards and leadership groups within the faculty member’s field. Other markers of clinical excellence (outcome measures, patient satisfaction indices, etc) will be considered. National awards will be considered. 

Teaching – For faculty who are judged primarily for their teaching efforts, at this rank the individual should have a national reputation as an outstanding and exceptional educator. They should have received local, regional, or national awards for teaching, and participated in activities like leading departmental training programs or medical school courses, publishing regarding educational processes, and demonstrating national educational leadership within their field.

Research ‐ Participation in research is expected, and success in research will be an important criterion within this track. At the rank of professor, an individual should have a national reputation for research excellence. If they are engaged in multi‐center clinical trials, the faculty member should be active in national research groups or clinical trials as a leader of steering committees, protocol teams, or hold other organizational leadership roles. A history of leadership within externally funded clinical research projects should be present (e.g. principal investigator of an NIH funded clinical trial or multi‐center corporately sponsored protocol).

Publication – Publications are an important measure within Track I. Invited state‐of‐the‐art reviews in peer‐reviewed journals are particularly valued within this track. Textbooks or chapters in widely used standard texts will be considered, as will case reports. At this rank, co‐authorship of ≥40 articles or chapters are expected, with at least 10 as first or senior author. Because of the balance which must be achieved, success in publication, in the absence of unambiguous clinical excellence, would not be sufficient to justify promotion on Track I.

 

 

The Clinician‐Teacher track at Duke includes faculty who are primarily engaged in patient care, clinical service functions, teaching, or administration. Faculty in this track will be judged primarily on the quality of their principal objective (clinical work, teaching, or administration). Consideration will also be given to research and to the other two domains (clinical work, teaching, or administration) as secondary measures. It is anticipated that most faculty on this track will spend 75% or more of their time in clinically‐related endeavors. For those with formal teaching or administrative duties that occupy >75% time (alone or in combination with clinical duties), Track I is also appropriate.For example, a significant teaching role might be as director of a major course or residency director. A significant administrative role would be one that entails clear leadership and responsibility. 

Research within Track I can take many forms. Most Track I faculty will not participate directly in bench research, but working in collaboration with basic science investigators will be explicitly valued. Track I faculty may participate in clinical research at a site level, and some faculty will be part of multi‐centered groups and working at .25 FTE or less on that research. Working closely with other Duke investigators as a team member will be particularly highly valued.

There may be some overlap between individuals in Track I and Track II. Track II is preferred for individuals with a larger commitment to funded, original research. There may also be overlap between Tracks I and IV. Track I faculty are judged for their academic productivity – publications and national presentations, new curricula - while Track IV faculty are judged primarily by their clincal reputation and productivity.

Individuals can transfer from Track I to Track II and be judged by the Track II criteria as long as they fit within the standard tenure clock guidelines. Transfers from Track I to Track IV are also possible. However, once a faculty member has transferred from Track I into Track IV, they are only eligible to transfer back to one of the clock‐based Tracks (I‐III) if they are still within the original tenure clock time frame (e.g. they cannot move back to Track I from Track IV if their first appointment to Assistant Professor (any track) was >10 years from the date they change tracks.)