Track 2: Researcher/Clinician‐Practitioner/Teacher

For reference purposes, this content is a static archive of the Clinical Sciences Faculty Appointments, Promotion & Tenure website previously at the URL https://medschool.duke.edu/about-us/faculty-resources/faculty-appointmen... on December 15, 2020. The content herein has been superseded by the 2020 Clinical Sciences APT Guidelines effective July 1, 2020 for new faculty (start date on or after July 1, 2020) and existing faculty effective January 1, 2021 (absent exercising of the option to opt-out of the new APT Guidelines until subsequent promotion or December 30, 2025, whichever occurs first).    


 

This title is for faculty who show promise for, and a commitment to, a career in academic medicine.

Minimal criteria:

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. 

Teaching – Strong commitment to teaching and the potential for outstanding teaching performance. 

Research ‐ Clinical researchers should be participating in clinical trials as a team member and should have experience in the design of clinical trials and analysis of clinical trials data. Basic researchers should have demonstrated promise for national reputation, including presentations at national meetings. Applications for peer reviewed grants (NIH, NSF, national foundations) should have been submitted, although funding is not an expectation at the time of promotion to assistant professor. Collaborative research is explicitly encouraged, and the relative contribution of the faculty member should be judged using reports from collaborating investigators. 

Publication – Usually a minimum of 3 peer‐reviewed first author publications on original clinical or basic research and/or important clinical applications of basic science, excluding case reports and reviews. As appropriate, the development and dissemination of intellectual properties may also be considered. Publications that are not first authored can be counted toward the minimum of 3 if there is attestation and description of the individual’s intellectual contributions to the publication by the study team leader (typically the chairperson or PI), and the APT Committee judges the contribution to be significant.

Appointment to Associate Professor is reserved for faculty who have demonstrated outstanding scholarship and clinical excellence.

Minimal criteria:

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 panel, 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.

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 ‐ Clinical researchers should be participating in clinical trials as a team leader and should have experience in leading a team in the design of clinical trials and analysis of clinical trials data. Publications related to clinical trials which are not first/senior authored can be counted toward the 5 first/senior author publications if there is attestation and description of the individual’s intellectual contributions to the publication by the study team leader (typically the chairperson or PI), and the APT Committee judges the contribution to be significant. In addition, it should be recognized that major studies which are long term in nature may not result in short term publications and may be counted toward the minimum publication count if it is demonstrable that the study is making progress toward completion and a submitted manuscript. 

Some Track II faculty will engage in bench research, but still maintain clinical volumes. For these faculty, at this rank the individual should have an early national reputation for the quality of their research work. 

Evidence of collaboration with other investigators, particularly in other departments or centers (e.g. joint grant submissions, jointly authored papers), is highly valued and is often evidence of a growing reputation. 

Publication – Usually a minimum of 15 co‐authored, peer‐reviewed publications will be necessary to be considered for this rank, with at least five as first or senior author. Publications should be based on outstanding, original, and innovative research findings and/or important clinical applications of basic science. For appointment or promotion to this rank, the 5 most important papers will be reviewed for evidence of original and significant scholarship by the candidate. As appropriate, the development and dissemination of intellectual properties may also be considered. As noted above, collaborative work done by research teams may be counted as a first/senior authored publication if the faculty member has made a significant intellectual contribution. Full time service on an IRB panel or the Admissions Committee for one year, with attendance consistent with the committee’s standards, will be considered as the equivalent of one peer reviewed publication toward expected minimums, with a maximum of 3 publication equivalents.

Appointment to Tenured Associate Professor is reserved for faculty who have met the criteria for Associate Professor without tenure and who exhibit excellence in all the spheres mentioned. Tenure implies that the institution has decided the individual will continue to be an important contributor and that they will not become a liability for the department or institution. 

Minimal criteria:

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 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, 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 ‐ Establishment of a national reputation as a researcher, especially as demonstrated by significant scholarship, publications, participation in NIH study sections and equivalent review groups, and/or offices in professional societies.

  • Most faculty granted the rank of associate professor with tenure will have established a record of sustained funding through peer reviewed grants (e.g. NIH, NSF, certain foundations with competitive award programs). 
  • Clinical researchers should be participating in clinical trials as a team leader and must have experience in leading a team in the design of clinical trials and analysis of clinical trials data. Publications related to clinical trials which are not first or senior authored can be counted toward the minimum of 10 first/senior author publications if there is attestation and description of the individual’s intellectual contributions to the publication by the study team leader (typically the chairperson or PI), and the APT Committee judges the contribution to be significant. In addition, it should be recognized that major studies which are long term in nature may not result in short term publications and may be counted toward the minimum publication count if it is demonstrable that the study is making progress toward completion and a submitted manuscript. In most cases, at this rank clinical investigators will have leadership positions in clinical trials groups or organizations (e.g. steering committees, executive committees, organization chairperson, etc.). 
  • Bench researchers should have established a national reputation, as demonstrated by significant scholarship, publications, participation in NIH study sections and equivalent review groups, and/or offices in professional societies.

Publication – Usually a minimum of 25 co‐authored, peer‐reviewed publications will be necessary to be considered for this rank, with at least ten as first or senior author. Publications should be based on outstanding, original, and innovative research findings and/or important clinical applications of basic science. For appointment or promotion to this rank, the 5 most important will be reviewed for evidence of original and significant scholarship by the candidate. As appropriate, the development and dissemination of intellectual properties may also be considered. As noted above, collaborative work done by research teams may be counted as a first/senior authored publication if the faculty member has made a significant intellectual contribution. Full time service on an IRB panel or the Admissions Committee for one year, with attendance consistent with the committee’s standards, will be considered as the equivalent of one peer reviewed publication toward expected minimums, with a maximum of 3 publication equivalents.

Prior service as an Associate Professor without tenure may be waived in circumstances where outstanding scholarship has been demonstrated.

The title of Professor with Tenure is reserved for faculty members who have attained extraordinary national and international eminence, especially as demonstrated by significant scholarship, publications, participation in NIH study sections and equivalent review groups, offices in professional societies, and/or prizes and awards. The qualifications are the same as those for appointment to Associate Professor, but evidence of much greater and seminal scholarly accomplishments in required.

Minimal criteria:

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 – Faculty in this rank are expected to participate in teaching exercises across a wide arena. Activities may include invited lectures at national and international meetings, seminars, teaching rounds, and workshops. Participation is expected in medical student, house staff, and/or graduate student curricula.

Research ‐ Establishment of a national reputation as a researcher, especially as demonstrated by significant scholarship, publications, participation in NIH study sections and equivalent review groups, and/or offices in professional societies.

  • Faculty granted the rank of Professor with tenure will have established a record of sustained funding through peer reviewed grants.
  • Clinical researchers should be in leadership positions within the field. They should have participated in multiple major clinical trials as a team leader. Publications related to clinical trails which are not first or senior authored can be considered among the 20 first/senior author publications if there is attestation and description of the individual’s intellectual contributions to the publication by the study team leader (typically the chairperson or PI), and the APT Committee judges the contribution to be significant. In addition, it should be recognized that major studies which are long term in nature may not result in short term publications, and may be counted toward the minimum publication count if it is demonstrable that the study is making progress toward completion and a submitted manuscript. On at least 10 publications, the researcher should be: 1) first author; 2) senior author; 3) study chair; 4) study co‐chair; or 5) lead study designer. In addition, at this rank clinical investigators must have leadership positions in clinical trials groups or organizations (e.g. steering committees, executive committees, organization chairperson, etc.).

Publication – Usually a minimum of 50 co‐authored, peer‐reviewed publications will be necessary to be considered for this rank, with at least 20 as first or senior author. Publications should be based on outstanding, original, and innovative research findings and/or important clinical applications of basic science. For appointment or promotion to this rank, the 10 most important will be reviewed for evidence of original and significant scholarship by the candidate. As appropriate, the development and dissemination of intellectual properties may also be considered. As noted above, collaborative work done by research teams may be counted as a first/senior authored publication if the faculty member has made a significant intellectual contribution. Full time service on an IRB panel or the Admissions Committee for one year, with attendance consistent with the committee’s standards, will be considered as the equivalent of one peer reviewed publication toward expected minimums, with a maximum of 3 publication equivalents.

The Researcher/Clinician‐Practitioner/Teacher track at Duke University Medical Center includes individuals who hold MDs, MD/PhDs, PhDs (or highest equivalent degree in relevant field) who are either clinician‐scientists or are scientists who perform basic or clinical research and are engaged in patient care or service functions. 

The criteria for appointment and promotion include excellence in patient care or service functions, teaching, and basic or clinical research. 

Faculty on Track I will be judged predominantly on clinical care; facutly on Track III will be judged predominantly on research; and faculty in Track II on success in both, although the Track II standards may be somewhat lower for one domain (clinical care or research) than those of the more specialized Tracks I and III. Track II is also the primary avenue for clinical investigators who work in multi‐center clinical trials and Translational Research.