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Victoria Manion Fleming, PhD; Nancy Schindler, MD; Gary J. Martin, MD; Debra A. DaRosa, PhD

JAMA. 2005;294:1101-1104.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Most academic medical centers (AMCs) have missions that aim for excellence in 3 areas: education, research, and patient care. For decades, "triple-threat" faculty members were able to substantively contribute to all 3. However, heightened competition for research grants, changes in the health care delivery system, more sophisticated instructional and evaluation methods, and increased requirements to account for time and productivity make it less feasible for individual faculty to significantly contribute to all 3. Instead, faculty members are likely to focus their efforts in 1 or 2 of these areas. Although exceptions exist, physician faculty members focus either on patient care and research or on patient care and education.

The problem is that promotion and tenure systems work well for faculty members pursuing the former but not as well for those focusing on the latter.^1-4 For . . . [Full Text of this Article]

History of Faculty Tracks

Author Affiliations: Northwestern University Feinberg School of Medicine, Chicago, Ill.

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