Promotion Criteria for Clinician-educators

Authors

  • Ayse A. Atasoylu MD, MPH,

    Corresponding author
    1. Received from the Division of General Internal Medicine, Cambridge Hospital and Harvard Medical School (AAA), Cambridge, Mass; Division of General Internal Medicine, Johns Hopkins University School of Medicine (SMW, JC, PAT, EBB), and Bayview Medical Center (SMW), Baltimore, Md; Division of General Internal Medicine, Kansas University School of Medicine (BWB), Kansas City, Kan; Division of General Internal Medicine, University of Pittsburgh School of Medicine, and the Veterans Administration Pittsburgh Healthcare System (DSM), Pittsburgh, Pa; and Health Research and Policy Centers, University of Illinois at Chicago (TP), Chicago, Ill.
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  • Scott M. Wright MD,

    1. Received from the Division of General Internal Medicine, Cambridge Hospital and Harvard Medical School (AAA), Cambridge, Mass; Division of General Internal Medicine, Johns Hopkins University School of Medicine (SMW, JC, PAT, EBB), and Bayview Medical Center (SMW), Baltimore, Md; Division of General Internal Medicine, Kansas University School of Medicine (BWB), Kansas City, Kan; Division of General Internal Medicine, University of Pittsburgh School of Medicine, and the Veterans Administration Pittsburgh Healthcare System (DSM), Pittsburgh, Pa; and Health Research and Policy Centers, University of Illinois at Chicago (TP), Chicago, Ill.
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  • Brent W. Beasley MD,

    1. Received from the Division of General Internal Medicine, Cambridge Hospital and Harvard Medical School (AAA), Cambridge, Mass; Division of General Internal Medicine, Johns Hopkins University School of Medicine (SMW, JC, PAT, EBB), and Bayview Medical Center (SMW), Baltimore, Md; Division of General Internal Medicine, Kansas University School of Medicine (BWB), Kansas City, Kan; Division of General Internal Medicine, University of Pittsburgh School of Medicine, and the Veterans Administration Pittsburgh Healthcare System (DSM), Pittsburgh, Pa; and Health Research and Policy Centers, University of Illinois at Chicago (TP), Chicago, Ill.
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  • Joseph Cofrancesco Jr. MD, MPH,

    1. Received from the Division of General Internal Medicine, Cambridge Hospital and Harvard Medical School (AAA), Cambridge, Mass; Division of General Internal Medicine, Johns Hopkins University School of Medicine (SMW, JC, PAT, EBB), and Bayview Medical Center (SMW), Baltimore, Md; Division of General Internal Medicine, Kansas University School of Medicine (BWB), Kansas City, Kan; Division of General Internal Medicine, University of Pittsburgh School of Medicine, and the Veterans Administration Pittsburgh Healthcare System (DSM), Pittsburgh, Pa; and Health Research and Policy Centers, University of Illinois at Chicago (TP), Chicago, Ill.
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  • David S. Macpherson MD, MPH,

    1. Received from the Division of General Internal Medicine, Cambridge Hospital and Harvard Medical School (AAA), Cambridge, Mass; Division of General Internal Medicine, Johns Hopkins University School of Medicine (SMW, JC, PAT, EBB), and Bayview Medical Center (SMW), Baltimore, Md; Division of General Internal Medicine, Kansas University School of Medicine (BWB), Kansas City, Kan; Division of General Internal Medicine, University of Pittsburgh School of Medicine, and the Veterans Administration Pittsburgh Healthcare System (DSM), Pittsburgh, Pa; and Health Research and Policy Centers, University of Illinois at Chicago (TP), Chicago, Ill.
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  • Ty Partridge PhD,

    1. Received from the Division of General Internal Medicine, Cambridge Hospital and Harvard Medical School (AAA), Cambridge, Mass; Division of General Internal Medicine, Johns Hopkins University School of Medicine (SMW, JC, PAT, EBB), and Bayview Medical Center (SMW), Baltimore, Md; Division of General Internal Medicine, Kansas University School of Medicine (BWB), Kansas City, Kan; Division of General Internal Medicine, University of Pittsburgh School of Medicine, and the Veterans Administration Pittsburgh Healthcare System (DSM), Pittsburgh, Pa; and Health Research and Policy Centers, University of Illinois at Chicago (TP), Chicago, Ill.
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  • Patricia A. Thomas MD,

    1. Received from the Division of General Internal Medicine, Cambridge Hospital and Harvard Medical School (AAA), Cambridge, Mass; Division of General Internal Medicine, Johns Hopkins University School of Medicine (SMW, JC, PAT, EBB), and Bayview Medical Center (SMW), Baltimore, Md; Division of General Internal Medicine, Kansas University School of Medicine (BWB), Kansas City, Kan; Division of General Internal Medicine, University of Pittsburgh School of Medicine, and the Veterans Administration Pittsburgh Healthcare System (DSM), Pittsburgh, Pa; and Health Research and Policy Centers, University of Illinois at Chicago (TP), Chicago, Ill.
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  • Eric B. Bass MD, MPH

    1. Received from the Division of General Internal Medicine, Cambridge Hospital and Harvard Medical School (AAA), Cambridge, Mass; Division of General Internal Medicine, Johns Hopkins University School of Medicine (SMW, JC, PAT, EBB), and Bayview Medical Center (SMW), Baltimore, Md; Division of General Internal Medicine, Kansas University School of Medicine (BWB), Kansas City, Kan; Division of General Internal Medicine, University of Pittsburgh School of Medicine, and the Veterans Administration Pittsburgh Healthcare System (DSM), Pittsburgh, Pa; and Health Research and Policy Centers, University of Illinois at Chicago (TP), Chicago, Ill.
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  • Presented at the Society of General Internal Medicine National Meeting, 1999, San Francisco, Calif; the Mid-Atlantic Regional SGIM Meeting 1999, Washington, DC; the Society of General Internal Medicine National Meeting, 1998, Chicago, Ill; and the Mid-Atlantic Regional SGIM Meeting, 1998, New York, NY.

Address correspondence and requests for reprints to Dr. Atasoylu: Cambridge Hospital, 1493 Cambridge St., Macht Room 429, Cambridge, MA 02139 (e-mail: Ayse_Atasoylu@hms.harvard.edu).

Abstract

OBJECTIVE: Department of medicine chairs have a critical role in the promotion of clinician-educators. Our primary objective was to determine how chairs viewed: 1) the importance of specific areas of clinician-educator performance in promotion decisions; and 2) the importance and quality of information on available measures of performance. A secondary objective was to compare the views of department chairs with those of promotion and tenure committee chairs.

METHODS: In October 1997, a questionnaire was mailed to all department chairs in the United States and Canada asking them to rate the importance of 11 areas of clinician-educators' performance in evaluating them for promotion. We also asked them to rate 36 measures of performance. We compared their responses to a similar 1996 survey administered to promotion committee chairs.

RESULTS: One hundred fourteen of 139 department chairs (82%) responded to the survey. When considering a clinician-educator for promotion, department chairs view teaching skills and clinical skills as the most important areas of performance, as did the promotion committee chairs. Of the measures used to evaluate teaching performance, teaching awards were considered most important and rated as a high-quality measure. When evaluating a clinician-educator's clinical skills, peer and trainee evaluation were considered as the most important measures of performance, but these were rated low in quality. Patient satisfaction and objective outcome measures also were viewed as important measures that needed improvement. Promotion committee chairs placed more emphasis on productivity in publications and external grant support when compared to department chairs.

CONCLUSION: It is reassuring that both department chairs and promotion committee chairs value teaching skills and clinical skills as the most important areas of a clinician-educator's performance when evaluating for promotion. However, differences in opinion regarding the importance of several performance measures and the need for improved quality measures may represent barriers to the timely promotion of clinician-educators.

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