Promotion criteria for clinician-educators in the United States and Canada. A survey of promotion committee chairpersons
B. W. Beasley, S. M. Wright, J. Cofrancesco Jr, S. F. Babbott, P. A. Thomas and E. B. Bass
Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Md, USA. bbeasley@kumc.edu
CONTEXT: Clinician-educators have concerns about their ability to be
promoted and the criteria used by medical school promotion committees.
OBJECTIVE: To discover the criteria and methods that medical school
promotion committees use to make decisions about the promotion of
clinician-educators. METHODS: In June 1996 we mailed a questionnaire to
chairpersons of all medical school promotion committees in the United
States and Canada. RESULTS: Of 142 schools surveyed, 115 (81%) responded;
45% of respondents had a clinician-educator promotion track. On a scale
from 1 (minimally important) to 7 (extremely important), the mean
importance ratings of aspects of clinician-educators' performance were the
following: teaching skills (6.3), clinical skills (5.8), mentoring (5.7),
academic administration (5.3), developing educational programs (5.3),
nonresearch scholarship (5.1), clinical research (4.8), service
coordination (4.7), and education research (4.5). Methods to evaluate each
aspect of performance were rated by respondents for importance and
frequency of use. The 4 most important methods for evaluating teaching were
awards, peer evaluation, learner evaluation, and teaching portfolio; 70% or
more of schools used these frequently or always. The 4 most important
methods of evaluating clinical skills were peer evaluation, awards, trainee
evaluation, and objective measures, which were used frequently or always by
78%, 65%, 58%, and 29% of schools, respectively. Clinician-educators were
expected to have fewer peer-reviewed publications to be promoted than
investigators (5.7 vs 10.6, P<.001). Schools with separate
clinician-educator tracks differed little in survey responses from schools
without such tracks. CONCLUSION: Most, but not all, promotion committees
now assign high importance to the special contributions of
clinician-educators and use a variety of methods to assess these,
regardless of whether they have a separate clinician-educator promotion
track.
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