Track 4: Academic Clinician

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 The content herein has been superseded by the 2020 Clinical Sciences APT Guidelines effective July 1, 2020 for new faculty (start date on or after July 1, 2020) and existing faculty effective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).    


Track IV is a regular rank position for all non-tenured faculty members who have some clinical component to their professional activity and are committed to a career in academic medicine. To be eligible for Track IV (and all regular rank positions) faculty must meet or exceed minimum criteria for academic effort. Individuals in this track will be judged on their contributions to education, research, and clinical care as well as service and leadership. Collaboration with others is particularly valued. It is expected that the quality and quantity of the contributions in each of these areas will vary depending on the faculty member’s interests.  The criteria necessary for promotion in this track are determined by each department within general school guidelines. The intent of this document is to provide minimum SOM requirements for each rank.

Publication is strongly encouraged and will be considered as a secondary measure. The quality of scholarly writings and presentations is more important than the number. Departments may choose to establish a guideline number for a minimum in respective fields and specialties.

Faculty members who have distinguished themselves in research or education may become eligible for tenure by moving to one of the tenure tracks I, II or III at the Associate Professor or higher rank. The criteria for tenure can be found in the description of tracks I-III.  Individuals can transfer from Track IV to one of the time-limited tenure tracks and be judged by the criteria for that track as long as they fit within the standard tenure-clock guidelines. Time accrued in Track IV counts toward the tenure clock.

Underlying all of these expectations is the requirement that all faculty uphold the highest standards of professionalism consistent with School of Medicine core values. Statement on Faculty Professionalism 

Track IV has three ranks:  Assistant, Associate, and Professor

This title is for faculty who are committed to a career in academic medicine.  It is distinguished from the entry level, “Medical Instructor” rank by the demonstration of clinical skills and commitment to the Institution. The following represent minimum criteria which may be elaborated upon by each department. It is expected that faculty achieve excellence in more than one of the following areas.

Clinical

  • Demonstrate evidence of Clinical Excellence through references or quality metrics. References will be solicited from those most recently acquainted with the individual’s practice, including from outside institutions for faculty new to Duke.

Education

  • Demonstrate excellence in teaching
  • Demonstrate effective participation in the development, implementation or administration of curricular/instructional materials and activities.

Research

  • Participate in original research (encouraged but not required).
  • Facilitate the research mission through collaborative support of clinical trials and translational research endeavors.

Publication

  • Disseminate results of academic activities through publication. This is strongly encouraged and will be considered as a secondary measure.

Service/Leadership

  • Provide service to the department, institution and/or community that contributes to the greater good of the University School of Medicine and Duke Health.

This rank is for faculty who have demonstrated clinical and academic excellence. Faculty at the associate professor level should have regional or national recognition.

Clinical

  • Demonstrate evidence of Clinical Excellence through references or quality metrics.
  • Show evidence of referrals from a wide region as appropriate for specialty.
  • Collaborate across medical disciplines.
  • Develop new clinical approaches and innovation in specialty.

Education

  • Establish excellence in teaching through educational scholarship. Examples may include teaching portfolio scores, teaching awards, book chapters, web-based teaching materials, educational innovations, etc.
  • Support the development, implementation or administration of curricular/instructional materials and activities.
  • Provide effective mentoring of junior faculty, medical students, housestaff, and fellows.
  • Participate in and lead department educational activities.

Research

  • Participate in original research (encouraged but not required).
  • Facilitate the research mission and academic mission through collaboration with clinical trial investigators and translational research endeavors.

Publication

  • Create a sustained record of publications.
  • Disseminate knowledge through invited state of the art reviews, authorship/editorship of textbooks, chapters in standard tests, original research or case reports, etc.

Service/Leadership

  • Participate in and lead institutional, regional, and national organizations, programs and committees.
  • Demonstrate significant contributions and service to the department, institution and/or community that contributes to the greater good of the University School of Medicine and Duke Health.

This rank is for faculty who have demonstrated clinical and academic excellence of national or international renown. Faculty at the professor level should be national leaders in their clinical and academic realm.

Clinical 

  • Demonstrate evidence of status as a preeminent clinician.
  • Demonstrate clinical excellence through outside reference, quality metrics, peer review, outcome measures, patient satisfaction indices, etc.
  • Show evidence of referrals from a multi-state region and national sources as appropriate for specialty. 
  • Demonstrate other evidence and measures, which may include service on national and international guideline setting panels. 
  • Demonstrate leadership across medical disciplines.
  • Develop and disseminate new approaches in innovation and adaptation of clinical methods.
  • Serve as outstanding role model for students, housestaff, fellows and other faculty.

Education

  • Demonstrate outstanding educational scholarship. Examples may include, excellence in teaching across a wide arena as demonstrated by teaching portfolio and lectures at national and international meetings, seminars, teaching rounds, and workshops. Others may include outstanding teaching awards, book chapters, web-based teaching materials, educational innovations, etc.
  • Establish a track record for developing new educational instruments. 
  • Establish and demonstrate leadership in the implementation or administration of curricular/instructional materials and activities.
  • Provide effective mentoring of junior and mid-career faculty, medical students, housestaff, and fellows. 
  • Provide effective leadership in department educational activities.

Research

  • Participate in original research (encouraged but not required). 
  • Serve as investigator in research projects or as member of national research groups, or on protocol teams.
  • Show sustained clinical trial funding.
  • Provide effective leadership in facilitating the research mission through collaborative support of clinical trials and translational research endeavors.

Publication

  • Show a sustained record of publications that increase throughout career 
  • Disseminate knowledge through  invited state of the art reviews, authorship/editorship of textbooks, chapters in standard tests, original research or case reports, etc.

Service/Leadership

  • Demonstrate clear recognition as a leader in the institution. 
  • Demonstrate leadership and participation in national and international organizations, programs and committees.
  • Demonstrate major contributions to administrative department, institution and/or community that contributes to the greater good of the University School of Medicine and Duke Health. Examples could include the development of internal practice guidelines, quality and/or safety activities and compliance and/or resource utilization.