Division of Biology and Medicine
Office of BioMed Faculty Affairs
Box G-R240, 233 Richmond Street
2nd Floor – Room #240
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
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 Faculty
DatesInstructor / Click here to enter text.
Assistant Professor / Click here to enter text.
· Other Faculty
DatesInstructor / Click here to enter text.
Assistant Professor / Click here to enter text.
· Education
Location / DatesMedical 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.
· Area of study
Click 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.
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 Roles
Current/Past / Goal 1-2 years / Goal 3-4 yearsSite Director, Program Director, Residency/Fellowship Director, Mock Oral Examiner, etc. / Click here to enter text. / Click here to enter text.
· Program/Curricula Development
Current/Past / Goal 1-2 years / Goal 3-4 yearsUndergraduate, Medical, Graduate students, Residents, Fellows, Postdoctoral students, etc. / Click here to enter text. / Click here to enter text.
· University Courses Taught
Current/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. / Click here to enter text. / Click here to enter text.
· Hospital Courses Taught/Office-Based Teaching
Current/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. / Click here to enter text. / Click here to enter text.
· Mentor/Advisor (# of trainees)
Current/Past / Goal 1-2 years / Goal 3-4 yearsUndergraduate, Medical, Graduate students, Residents, Fellows, Postdoctoral students, etc. / Click here to enter text. / Click here to enter text.
· Teaching Recognition/Awards
Current/Past / Goal 1-2 years / Goal 3-4 yearsClick here to enter text. / Click here to enter text. / Click here to enter text.
· Teaching Evaluations
Current/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 Position
Current/Past / Goal 1-2 years / Goal 3-4 yearsStaff Physician, Director/Chief of Clinical Service, Attending Physician, Section Chief, etc. / Click here to enter text. / Click here to enter text.
· Clinical Recognition/Awards
Current/Past / Goal 1-2 years / Goal 3-4 yearsTop Physician/Best Doctors/Who’s Who listing, Fellow status in professional society, Hospital award, etc. / Click here to enter text. / Click here to enter text.
· Clinical Evaluations
Current/Past / Goal 1-2 years / Goal 3-4 yearsPatient evaluations, Quality ratings / Click here to enter text. / Click here to enter text.
3. Faculty member has an acknowledged standing in the medical school faculty and general professional community.
· Editorial Boards/Reviewer
Current/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 Organizations
Current/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. / Click here to enter text. / Click here to enter text.
· National Institute Reviewer/Study Sections
Current/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.
4. Scholarly publications are not a requirement but are a welcome addition.
· Publications
o # 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 Publications
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 # Book/Book Chapters
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 Non-Peer Reviewed Publications
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 # Corporate Authorships or Multicenter Trials
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 # Scholarly Work Published in Other Media
Current/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.
· Grants
o 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/Awards
Current/Past / Goal 1-2 years / Goal 3-4 yearsClick here to enter text. / Click here to enter text. / Click here to enter text.
· Patents
Current/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 Service
Current/Past / Goal 1-2 years / Goal 3-4 yearsUniversity Medical Foundation, etc. / Click here to enter text. / Click here to enter text.
· Hospital Service
Current/Past / Goal 1-2 years / Goal 3-4 yearsMHRI, etc. / Click here to enter text. / Click here to enter text.
· University Service
Current/Past / Goal 1-2 years / Goal 3-4 yearsCFAC, Admissions, etc. / Click here to enter text. / Click here to enter text.
· Other Service
Current/Past / Goal 1-2 years / Goal 3-4 yearsClick here to enter text. / Click here to enter text. / Click here to enter text.
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 Reviewers
Name / 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 Reviewers
Name / 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 FormPage 1