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Classification and Criteria

5 August 1994

DEPARTMENT OF MEDICINE
UNIVERSITY OF HAWAII
JOHN A. BURNS SCHOOL OF MEDICINE

CLASSIFICATION AND CRITERIA FOR CLINICAL FACULTY APPOINTMENTS

The Department of Medicine shall consist of Regular and Clinical Faculty. The Regular Faculty shall consist of Board-certified and Board-qualified Internists or other professionals whose primary professional work is teaching and/or research in the field of Internal Medicine and who are employed either full or part-time by a teaching institution. The Clinical Faculty shall consist of physicians actively involved in University teaching functions but whose primary professional responsibilities will be primarily in University affiliated training programs.

I. Clinical Faculty Personnel Committee (CFPC):This committee will be appointed by the Chairman of the Department of Medicine. The committee will review all clinical appointments, make recommendations regarding new appointment and recommend the promotion and/or deletion of members presently on the Clinical Faculty. This committee will have the representation of both the Regular and Clinical Faculty of the Department of Medicine on a rotating basis with three, two-, and one-year appointments on a 3-year basis. The chairman of the committee will be appointed by the Chairman of the Department of Medicine. The committee will consist of five members, one of whom will be the chairman.All recommendations of this committee are subject to the approval of the Department Chairman, the Dean of the School of Medicine, and Board of Regents. Approval will be consistent with the procedures as required by the University of Hawaii.
II. Process for Appointment
All appointments to the Clinical Faculty shall be for a period of 1 year from 1 July to 30 June and shall be reviewed annually. Appointments to the Clinical Faculty may be made at other times during the year at the discretion of the Department Chairman with the concurrence of the CFPC Chairman but must be reviewed at the next annual meeting of the committee.Appointments to the Clinical Faculty may be proposed by any member of the Regular or Clinical Faculty but must be made in the form of a letter designating the appointee’s qualifications and willingness to serve.All members of the Clinical Faculty are to be notified in writing of their appointment prior to July 1st of each year by the Department Chairman.
III. Classification– The classification for Clinical Faculty Appointment shall be:1. Lecturer
2. Clinical Teaching Assistant
3. Clinical Instructor
4. Assistant Clinical Professor
5. Associate Clinical Professor
6. Clinical Professor
IV. Criteria for Appointments
1. Lecturer: Shall be an individual who contributes to the teaching of residents and medical students solely in the form of a lecture.
2. Clinical Teaching Assistant: Shall be a resident involved in the training of other residents and medical students in the University of Hawaii affiliated training programs.
3. Clinical Instructor
Duties and responsibilities:  Under general supervision to conduct assigned courses; to supervise clinical work of medical students and residents; to perform related work as assigned.Minimum qualifications:  Training equivalent to that represented by a Doctor of Medicine degree from a college or university of recognized standing. Completion of an Internal Medicine residency training program; ability to instruct classes and to direct group discussions.
4. Assistant Clinical Professor
Duties and responsibilities:  Under general supervision to conduct courses or seminars, to supervise clinical training or laboratory work of medical students and residents; to perform related work as assigned.Minimum qualifications:  Training equivalent to that represented by a Doctor of Medicine degree from a college or university of recognized standing; ability to instruct classes and to direct group discussions; certification by the American Board of Internal Medicine or its equivalent.
5. Associate Clinical Professor
Duties and responsibilities:  Under general supervision to conduct assigned courses or seminars; to supervise clinical training or laboratory work of medical students and residents; to render service to the professionals or lay communities as appropriate; to perform related work as assigned.Minimum qualifications:  Training equivalent to that represented by a Doctor of Medicine degree from a college or university of recognized standing; certification by the American Board of Internal Medicine or its equivalent; four years in the rank of Assistant Clinical Professor, or five years of other medical experience, or a total of five years of teaching in the rank of Assistant Clinical Professor and other medical experience, or one year at the rank of Associate Clinical Professor at another medical school of recognized standing; proven ability as a teacher or in the practice of medicine; past participation in the academic and school affairs of the University or other appropriate organization or in an appropriate special organization or in other appropriate job related service activities; ability to serve as a role model for students and junior colleagues; recognition in the community as an outstanding clinician and consultant.
6. Clinical Professor
Duties and responsibilities:  In addition to the duties and responsibilities of the Associate Clinical Professor rank, to assume a role of professional leadership in the School of Medicine and the medical profession.Minimum qualifications:  Training equivalent to that represented by a Doctor of Medicine degree from a college or university of recognized standing; four years in the rank of Associate Clinical Professor, or 10 years of other medical experience, or a total of 10 years of teaching in the rank of Associate Clinical Professor and other medical experience, or one year in the rank of Clinical Professor at another medical school of recognized standing; proven ability as a teacher and in the practice of medicine; demonstrated past participation in the scholarly and academic affairs of the University or other appropriate organizations, or in an appropriate professional organization, or in other appropriate job related service activities; demonstrated ability to plan and organize assigned activities; ability to undertake a variety of teaching assignments within the University; demonstrate a capacity for leadership in the medical profession; recognition as an outstanding clinician and consultant with a national or international reputation.
The Clinical Faculty shall be involved in teaching at the residency training level as well a at the undergraduate level. Time spent in teaching and in the meetings related directly to the training program would be considered time contributed to the Department of Medicine.
A. In addition to the above minimum qualifications, the following are required for appointment to the Clinical Faculty:
1. The candidate’s ability should be assessed by two (2) letters of
recommendation, anupdated curriculum vitae and concurrence by the appropriate Division Chief. The committee may request other documents or qualifications if it deems necessary.
2. A candidate should be willing to have their patients participate in the teaching program. This includes:
a.   Team care service at the participating hospitals
b.   Physical diagnosis courses
c.   Clinical correlation courses
3. A candidate should show a willingness to devote time for the teaching of medical students and residents in the training programs of the Department of Medicine, University of Hawaii School of Medicine. Sixty (60) hours each calendar year shall be considered the minimum which the Clinical Faculty might spend in formal teaching activities; these hours may be spent as a clinical skills preceptor, teaching attending at affiliated hospitals (rounding with team), PBL tutor, offering a student/resident elective, other activities with students/residents as specifically authorized by the Department.

5 August 1994

DEPARTMENT OF MEDICINE
UNIVERSITY OF HAWAII
JOHN A. BURNS SCHOOL OF MEDICINE

GUIDELINES FOR PROMOTION OF CLINICAL FACULTY
(NON-COMPENSATED)

I. Introduction
The following guidelines and procedures are to be used in the evaluation of applications from Clinical Faculty for promotion.Candidates for promotion will be assessed and evaluated for accomplishment and excellence in five areas:

  • teaching
  • clinical practice
  • research and other scholarly activities
  • leadership and value to the Department, Medical School and University and
  • community service
II. Definition of Terms
A. Clinical Faculty (Non-Compensated)
The faculty members in this group are voluntary clinicians whose income is derived entirely from outside of the Medical School, such as the private practice of medicine or other sources. They are actively involved in teaching of medical students and house staff, and may do some research.
B. Departmental Clinical Faculty Personnel Committee (CFPC)
This Committee and its chair will be appointed by the Chair of the Department of Medicine. It will have representation from both Regular and Clinical faculty members of the Department on a rotating basis. The committee will consist of five or more members including its chair. The function of the CFPC is to review all appointments to the Clinical Faculty, make recommendations regarding new appointments, and recommend the appointment and/or deletion of current clinical faculty members to the Department Chair. All recommendations of this Committee are subject to the approval of the Department Chair, the Dean of the School of Medicine, and the Board of Regents of the University of Hawaii.
III. Process for Promotion
A. An application for promotion may be initiated by:
1. The Chairman of the Department or the Division Chief.
2. At the request of the candidate.
B. A roster of all clinical faculty members will be maintained by the Department Administration Office which contains the name, present rank, and time in present rank of all faculty members. In addition, it will identify all those activities in which the faculty members has engaged during the year. Each year this roster is to be reviewed by the Chair of the Department and/or the Division Chief. Those members of the Division who are thought to be deserving may be recommended to the CFPC for promotion. In that instance the permission of the prospective candidate will be obtained.
C. If the application for promotion is initiated by the Chairman of the Department or the Division Chief, the application form may be completed by the Division Chief or the applicant.
D. Evaluation forms (see attached) may be completed by the following individuals:
1. Curriculum coordinators (if applicable).
2. One faculty peer chosen by the Division Chief or Chairman of CFPC.
3. Two faculty peers chosen by the candidate.
4. Three medical students and/or residents chosen by the applicant.
E. In addition, the Division Chief will submit a written candidate’s completed application form and submit a report with their recommendation to the Chair of the Department of Medicine.
IV. Criteria for Promotion:
A. Categories: The categories to be evaluated for promotion include, but are not limited to, teaching; clinical practice, research and other scholarly activities; leadership and value to the Department, School of Medicine, and University; and Community Service. An assessment for promotion will include evaluation of each of the categories that apply to the individual candidate, graded on a scale of 0-5 (see IV B below).
1. Teaching:
a. Since teaching is a major mission of the Department and the non-compensated Clinical Faculty carry out a major part of the Departmental teaching, the following will be especially considered for Clinical Faculty promotions:
1) Demonstrated quality of teaching, inlcuding theoretical knowledge, general clinical knowledge, and clinical skills as well as the ability to transmit such to students;
2) Tangible teaching skills or scholarship;
3) Ratings by students, residents and peers;
4) Quantity and quality of time functioning as a ward attending, tutor, preceptor or facilitator;
5) Attitudes and relationships toward students and patients;
6) Preparedness and method of presentation of materials;
7) Ability to communicate well and inspire students;
8) Humanistic orientation, with concern for individual and societal moral and ethical implications;
9) Overall quantity and quality of teaching;
10) Additional consideration will be given for evidence of improving the scholarship of teaching, developing improved teaching methods and implementing changes;
11) Seniority (i.e., time in rank). Greater length of time teaching may offset, in part, a lesser quantity of teaching but not a lesser quality.
2. Clinical Practice
a. Demonstrated competence as a clinician, including relevant Board eligibility or certification.
b. Professional reputation among colleagues, students, and patients as applicable.
c. Demonstrated continuing educational activities.
3. Research an Other Scholarly Activities
In its broadest sense, research implies analysis, development, and reporting of new ways to improve health. Every patient or health care arrangement should be considered the subject of improvement and research. Areas included are “basic” bench research, clinical research, outcomes research, health services research, informatics, and research in methods of teaching. None is considered “better” than the other. Clinical faculty members are urged to engage in some research or other scholarly activities, but none is required for retention or promotion.
Examples:
a. Participation in panels or presenting papers or abstracts at local, regional, national, or international meeting such as Medical Grand Rounds, and the Hawaii American College of Physicians Annual Scientific meeting.
b. Activities resulting in improved patient care, and inspiring or developing innovative programs.
c. Working on research grants as part of team efforts or individually.
d. Evidence of developing solutions to health care problems that rely not only on new knowledge but also on integration of existing knowledge and arrangement.
4. Service
a. University service: participation in committee work, administrative functions, and similar service contributions to the Department, School of Medicine and University.
b. Community service: participation in non-University health-related organizations; volunteer clinic work; hospital and professional societies (local or national); committee participation; holding of elected or appointed office in such organizations and societies; organization of and participation in CME courses for physicians and allied health personnel.
5. Leadership
Evidence of ability to assume leadership and responsibility for various Departmental activities such as organization of courses, conducting teaching rounds or conferences, functioning as a tutor or facilitator in PBL units, and actively participating in Departmental, University or hospital committees or postgraduate courses.
B. Method for assessment of promotion criteria
1. Assessment: Since teaching is the main function of the Clinical Faculty, emphasis will be placed on the teaching criterion for promotion. However, the other four criteria will also be given consideration. Each of the five Criteria for Promotion will be evaluated by the following system:
5 = Outstanding
4 = Above Expectation
3 = At Expectation
2 = Below Expectation
1 = Unsatisfactory
0 = Detrimental to the Department, University or Community
= Not Applicable
2. Grading requirements
a. Teaching – Since teaching is the Department’s major mission, candidates must achieve a final rating of 3 (“At Expectation”) in the teaching category.
b. Candidates must achieve at least 2 (“Not Applicable”) in any other category.
c. Accumulated total – 13 or more points from all five categories are necessary to make the candidate eligible for recommendation for promotion.
3. Written report: A written report utilizing the above graduated rating scale will be submitted by the CFPC and by the Division Chief to the Chair of the Department of Medicine for promotion.
V. Levels of Performance
A. Clinical Instructor
Duties and Responsibilities: Under general supervision, faculty at this level function as tutor, preceptor, or facilitator, and perform related work as assigned.Qualifications: Instructor is the initial faculty rank, and should have:

  • Training equivalent to that represented by a Doctor of Medicine degree from a college or university of recognized standing;
  • Completed an Internal Medicine residency training program;
  • Been certified by the American Board of Internal Medicine or equivalent or to be eligible to sit for its certifying examination; and
  • Demonstrated high quality of patient care and teaching abilities.
B. Assistant Clinical ProfessorDuties and Responsibilities: Under general supervision, to serve as a tutor, preceptor, or facilitator in PBL units; to function as attending physician as needed; to lecture, conduct courses or seminars and supervise clinical training, laboratory work or research of medical students and residents as needed.Qualifications: Training equivalent to that represented by a Doctor of Medicine degree from a college or university of recognized standing; certified by the American Board of Internal Medicine or equivalent or by a sub-Board of the ABIM if a subspecialist and if appropriate, or eligible to site for the ABIM certifying examination; a minimum of four years in the rank of Clinical Instructor or one year at the rank of Assistant Clinical Professor at another medical school of recognized standing; ability to instruct classes and to direct group discussions. These shall be individuals who have demonstrated ability in teaching and patient care.
C. Associate Clinical ProfessorDuties and Responsibilities: In addition to those of Assistant Clinical Professor, to perform related work as assigned by the Chief of the Division or the Chairman of the Department.Qualifications: Training equivalent to that represented by a Doctor of Medicine degree from a college or university of recognized standing; certified by the American Board of Internal Medicine or equivalent or by a sub-Board of the ABIM if a recognized subspecialist; a minimum of four years in the rank of Assistant Clinical Professor, or one year at the rank of Associate Clinical Professor at another medical school of recognized standing. They will have received community recognition and displayed outstanding ability in one or more of the following categories: teaching/counseling; medical practice; research and other scholarly activities; leadership; and value to the School of Medicine, University and Community.
D. Clinical ProfessorDuties and Responsibilities: In addition to the duties and responsibilities of the Associate Clinical Professor rank, these individuals function as leaders in the Department of Medicine, School of Medicine, University, hospitals, and the medical profession.Qualifications: Training equivalent to that represented by a Doctor of Medicine degree from a college or university of recognized standing; certification by the American Board of Internal Medicine or its equivalent and by a sub-board of the ABIM if a recognized subspecialist; a minimum of four years in the rank of Associate Clinical Professor or one year at the rank of Clinical Professor at another medical school of recognized standing; proven ability as a teacher, clinician, investigator, and/or administrator; participation in the scholarly and academic affairs of the University and other appropriate professional organizations; demonstrated ability to plan, organize, and supervise academic activities and to undertake a variety of teaching, administrative, and committee assignments; proven capacity for leadership in the medical profession; recognition as an outstanding teacher and clinician.