Getting Promoted: Its not an accident

1
Getting Promoted Its not an accident

• Louis J. Ling, MD
• Professor of Emergency Medicine
• Chair, Department P T Committee
• Associate Dean for GME
• University of Minnesota Medical School

2
Is it important?

• Tenure to keep your job?
• Teaching hospital not necessary
• Pride
• Respect for the specialty in the school
• If its not important to you, go to the pool

3
For the academic resident(Pick the right job)

• Where do you want to work?
• What type of academic life do you want?
• Do you mostly want to teach?
• Can you get promoted for teaching?
• Go where they value YOUR skills.

4
The academic resident(getting the right job)

• Start looking in your 2nd year
• What do they want from you?
• Do you need a fellowship?
• What is their timing?
• Start your productivity
• Keep in contact with the Chair
• Visit, make friends, hang out at meetings

5
How to Play the Game

• Getting into your residency an accident?
• Getting into med school obsess about it
• Get a good advisor
• Volunteer
• Do research
• Perform (get good grades)

6
Its not an accident

• What do PD do ?
• PD usual work does not lead to promotion
• Recruitment, remediation, conferences, didactics,
  duty hour monitoring, etc
• PD need to do more than the usual
• Need to do something new

7
Long Term Plan

• Clinical Scholar vs Teaching vs Traditional
• Understand your school requirements
• Pick a mentor/advocate/advisor
• Talk to successful peers (other PDs)
• Get famous outside your school
• Focus your scholarly work
• Keep evaluations from everywhere
• Keep your CV up to date

8
Pick a track (with your boss)

• Traditional
• PDs have too much education, no research
• Clinical/Adjunct
• For affiliated faculty
• Clinical Scholar/Teaching
• Rewards education
• Research requirement varies among schools

9
Know promotion requirements

• Every school has written criteria
• Set annual goals to reach the criteria
• Review your goals every year with chair
• Meet chairs schedule
• What is the process in your school?
• What is the process in your department?

10
Typical Promotion Process (new)

• Chair or department talks to you
• Department P and T reviews
• Collect your dossier
• School P and T recommends
• Dean recommends
• AHC recommends
• Board of Regents approves

11
Tenure requirements (its about the money)

• Tougher than just promotion
• Long-term money commitment
• May need grant history
• More than industry or state or EMF
• Federal grants NIH RO-1, AHRQ, RWJF

12
Pick a mentor

• Do this anyways
• Inside department
• Outside department
• Someone successful you want to be
• Knows what it takes to be promoted
• Can be more than one

13
Talk to successful peers

• Find peers doing the same thing as you
• Peers in your department
• Other program directors
• Find out what they did

14
Get Famous (new)

• List six names
• Associate Professor or Professor

15
Get Famous

• Need letters
• Join Committees, Editorial Boards
• Write chapters
• Become an expert
• Develop a national peer network
• Lecture out of town
• Lecture for ACEP, AAEM, SAEM, CORD, etc

16
Focus, Focus, Focus

• Develop and demonstrate expertise
• Pick an area
• Write chapters on one or two topics
• Limit outside distractions and maintenance
• Stay away from admissions, P and T,
• And other time sucking commitments
• Volunteer for innovative institution projects and
  publish the results

17
Focus scholarly work

• Measure everything you do
• Resident satisfaction, quality, duty hours
• Outcomes project
• Residents as guinea pigs
• Present at SAEM, AAMC, RIME, GRA, GEA
• Submit to Academic Medicine, AEM, Medical
  Education

18
Keep everything

• Education Portfolio or file folder
• Evaluations from everyone
• Annual review from chair
• Reprints of articles
• Education products, CDs, screen shots
• Keep CV up to date

19
Keep CV Up to Date

• Use your med school format
• Have a complete CV that has everything
• Include local and department talks
• Include mentees and advisees
• Include public speaking, media events
• Include best doctor type recognition
• Have a concise CV that has the highlights
• For public

20
The Final Push

• Application Timeline
• Dossier
• Letters
• Lots of copies
• How many up this year?
• Start now

21
Timeline

• Final Submission date backwards
• Who does what
• Individual dossier, names, reprints
• Department votes, chairs letter
• Find a support person to help
• Chair can assign someone
• Not your residency coordinator
• Ten Copies, collate and staple

22
Reverse Timeline

• November 1 submit to Dean
• September 1 submit letter names
• August 1 submit to department
• July 1 start your dossier
• June 2 start to collect your stuff
• June 1 annual review with chair

23
Dossiers/Portfolio

• More than just a CV
• Specific format for dossier
• Has to tell your story well
• Specific CV format
• Keep it up to date
• Look at someones (successful peer) example

24
Dossiers

• Summaries of research, teaching, service
• Proofread the grammar
• Be specific and give concrete examples
• Give time percentage or hours per week

25
Dossiers

• Three reprints
• recent, since your last promotion
• first or second author
• important
• avoid case reports or observations or editorials

26
Outside Letters

• Find out how many
• Ask peers
• Suggest unknown letter writers
• Higher rank than you
• Well-respected institutions
• Harvard, Stanford, UC, etc
• Wide geographic area
• They dont know famous EPs, they do know famous
  places, titles and rank

27
Potential Letter Writers

• Editors you have written for
• Prominent researchers in your field
• Committee chairs
• Department chairs
• Full professors
• Do not pick Assistant Professors, Instructors,
  former residents
• Former mentors

28
Inside institution letters

• Chair letter is automatic
• Offer to ghost write
• Some from within your department
• Some from outside your department
• Use your mentor
• Do not piss everyone off
• Committee work pay off

29
Promotion

• Dont be an Assistant Professor for life
• Decide if you want to do this
• Plan for it
• Count on it
• Slow and steady
• Dont wait until the end to do it

30
Break into Small Groups

• What 2 things you are going to do?
• What 2 things are you going to drop?
• What 2 scholarly papers can you do?
• Who can work with you on your project?
• Who do you want to get to know?
• What 2 things are you going to do to network at
  this meeting?