faculty member has documented excellence in …€¦ · web viewfaculty member has documented...

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Division of Biology and Medicine Office of BioMed Faculty Affairs Box G-A3, 97 Waterman Street Providence, RI 02912 Phone: 863-1139 fax: 863-2940 Faculty Self-Assessment: Am I on track for promotion? Clinical Associate Professor, Clinical Voluntary Track For an e-version of this document, please contact the Office of BioMed Faculty Affairs at 863-1139 or [email protected] Background Mentors Current Goal 1-2 years Goal 3-4 years Click here to enter text. Click here to enter text. Click here to enter text. Brown Faculty Dates Instructor Click here to enter text. Assistant Professor Click here to enter text. Other Faculty Dates Instructor Click here to enter text. Assistant Professor Click here to enter text. Education Location Dates Medical School Click here to enter text. Click here to enter text. Residency Click here to enter text. Click here to Brown University Clinical Associate Professor, ClinVol Track Assessment Form Page 1

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Page 1: Faculty member has documented excellence in …€¦ · Web viewFaculty member has documented excellence in teaching, counseling, and mentoring and is recognized as a clinical role

Division of Biology and MedicineOffice of BioMed Faculty AffairsBox G-A3, 97 Waterman Street

Providence, RI 02912Phone: 863-1139 fax: 863-2940

Faculty Self-Assessment: Am I on track for promotion?Clinical Associate Professor, Clinical Voluntary Track

For an e-version of this document, please contact the Office of BioMed Faculty Affairs at 863-1139 or [email protected]

Background Mentors

Current Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

Brown FacultyDates

Instructor Click here to enter text.

Assistant Professor Click here to enter text.

Other FacultyDates

Instructor Click here to enter text.

Assistant Professor Click here to enter text.

EducationLocation Dates

Medical School Click here to enter text. Click here to enter text.

Residency Click here to enter text. Click here to enter text.

Fellowship Click here to enter text. Click here to enter text.

Brown University Clinical Associate Professor, ClinVol Track Assessment Form Page 1

Page 2: Faculty member has documented excellence in …€¦ · Web viewFaculty member has documented excellence in teaching, counseling, and mentoring and is recognized as a clinical role

Area of studyClick here to enter text.

Criteria for Clinical Associate Professor:The candidates usually have served 8 years as Assistant Professor and have demonstrated a high level of skill as practitioners, teachers, or allied health professionals and have contributed actively to educational programs. The faculty must demonstrate ability to stimulate students and trainees toward a scholarly approach to medical practice must provide high quality patient care as judged by their peers, and should willingly involve the patients in teaching activities. The faculty must have attained an acknowledged standing in the Medical School Faculty and the general professional community. Appointment at this rank is for indefinitely renewable 5-year terms.Important contributions to teaching and professional service as evidenced by most of the following:

Documented teaching excellence e.g., participation in medical courses, clinical rotations and residency programs, in conferences, invited lectures, seminars, grand rounds presentations and at the bedside.

Preparation and presentation of material in a well-organized, current and stimulating fashion as viewed by senior faculty and by medical and graduate students and/or house-staff.

Excellence in counseling medical students and house-staff. Recognition as a clinical role model and mentor for medical students and house-staff. A position of leadership within the hospitals and local medical community. Participation and membership in local, regional or national professional societies. A record of scholarly publications is not an absolute requirement for promotion, but is a welcome

addition. Relevant extramural services to schools, industry, government agencies, general medical

community, public at large and a leading role in medical service organizations such as American Cancer Society, Arthritis Foundation, American Red Cross, RIMWA, RIMS etc. will be given consideration.

Brown University Clinical Associate Professor, ClinVol Track Assessment Form Page 2

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1. Faculty member has documented excellence in teaching, counseling, and mentoring and is recognized as a clinical role model. For the clinical voluntary track, at least 100 documented hours of teaching or service per year are required.

Departmental Position/Teaching Responsibilities/Leadership RolesCurrent/Past Goal 1-2 years Goal 3-4 yearsSite Director, Program Director, Residency/Fellowship Director, Mock Oral Examiner, etc.

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Program/Curricula DevelopmentCurrent/Past Goal 1-2 years Goal 3-4 yearsUndergraduate, Medical, Graduate students, Residents, Fellows, Postdoctoral students, etc.

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University Courses TaughtCurrent/Past Goal 1-2 years Goal 3-4 yearsSection Leader, Lecturer, Small Group Leader, Facilitator, Clerkship Director/Supervisor, Elective Director, Doctoring course, Journal Club Organizer, Course/Seminar Instructor, Longitudinal clerkship, etc.

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Hospital Courses Taught/Office-Based TeachingCurrent/Past Goal 1-2 years Goal 3-4 yearsAttending, Consult, Preceptor, Rotation Director, Hospital-based lectures/conferences/clinics, Teaching Faculty, Teaching Rounds, Clinical Supervisor, etc.

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Brown University Clinical Associate Professor, ClinVol Track Assessment Form Page 3

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Mentor/Advisor (# of trainees)Current/Past Goal 1-2 years Goal 3-4 yearsUndergraduate, Medical, Graduate students, Residents, Fellows, Postdoctoral students, etc.

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Teaching Recognition/AwardsCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

Teaching EvaluationsCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

2. Faculty member has demonstrated a high level of clinical skill as practitioner, teacher, or allied health professional.

Clinical PositionCurrent/Past Goal 1-2 years Goal 3-4 yearsStaff Physician, Director/Chief of Clinical Service, Attending Physician, Section Chief, etc.

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Clinical Recognition/AwardsCurrent/Past Goal 1-2 years Goal 3-4 yearsTop Physician/Best Doctors/Who’s Who listing, Fellow status in professional society, Hospital award, etc.

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Clinical EvaluationsCurrent/Past Goal 1-2 years Goal 3-4 yearsPatient evaluations, Quality ratings Click here to enter text. Click here to enter text.

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3. Faculty member has an acknowledged standing in the medical school faculty and general professional community.

Editorial Boards/ReviewerCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

Professional Societies/Other OrganizationsCurrent/Past Goal 1-2 years Goal 3-4 yearsState or national health board or task force, Industry task force, Contributions to specialty board accrediting bodies, Scientific Advisory Boards, Society Session Moderator, etc.

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National Institute Reviewer/Study SectionsCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

Invited Presentations (# Presentations; this includes # Grand Rounds, # international presentations)

Current/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

Journal Reviewer (# of journals)Current/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

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4. Scholarly publications are not a requirement but are a welcome addition.

Publicationso # Original Peer-Reviewed Publications (# as first or senior author)

Current/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

o # Other Peer-Reviewed PublicationsCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

o # Book/Book ChaptersCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

o # Other Non-Peer Reviewed PublicationsCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

o # Corporate Authorships or Multicenter TrialsCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

o # Scholarly Work Published in Other MediaCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

Abstract Presentations (# Presentations)Current/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

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Grantso PI on # grants for $#, Co-Investigator on # grants for $#

Current/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

o # grants submitted Current/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

Research Recognition/AwardsCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

PatentsCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

5. Other service contributions to the University or hospital will be given positive consideration.

Foundation ServiceCurrent/Past Goal 1-2 years Goal 3-4 yearsUniversity Medical Foundation, etc.

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Hospital ServiceCurrent/Past Goal 1-2 years Goal 3-4 yearsMHRI, etc. Click here to enter text. Click here to enter text.

University ServiceCurrent/Past Goal 1-2 years Goal 3-4 yearsCFAC, Admissions, etc. Click here to enter text. Click here to enter text.

Other ServiceCurrent/Past Goal 1-2 years Goal 3-4 yearsClick here to enter text. Click here to enter text. Click here to enter text.

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6. External reviewers are required. All reviewers are external to the department but can be within Brown. All are from the rank of associate or full professor. Reviewers should be able to comment on the quality of clinical ability and discuss candidate’s stature compared to peer group.

Regional External ReviewersName Institution Rank Field/AreaClick here to enter text. Click here to enter text. Click here to enter text. Click here to enter text.

National External ReviewersName Institution Rank Field/AreaClick here to enter text. Click here to enter text. Click here to enter text. Click here to enter text.

Brown University Clinical Associate Professor, ClinVol Track Assessment Form Page 8