DEPARTMENT OF INTERNAL MEDICINE POLICIES AND PROCEDURES CONCERNING FACULTY APPOINTMENT, EVALUATION AND PROMOTION

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DEPARTMENT OF INTERNAL MEDICINE POLICIES AND PROCEDURES CONCERNING FACULTY APPOINTMENT, EVALUATION AND PROMOTION Revised and approved by Faculty, November 10, 1977. Revised and approved by Faculty, January 31, 1980. Revised to conform with new "Collegiate Promotion Policies and Procedures" and approved by Faculty, October 16, 1984. Revised and approved by Faculty, November 21, 1985. Revised and approved by Faculty, January 15, 1987. Revised and approved by Faculty, March 23, 1989. Revised May 25, 1990. Revised to conform with new "College of Medicine Policies and Procedures Concerning Faculty Appointment, Evaluation and Promotion." This document with Appendices I-IV approved by Faculty, August 20, 1992. Revised to conform with revised "College of Medicine Policies and Procedures Conceming Faculty Appointment, Evaluation and Promotion." This document with Appendices I-IV approved by Faculty, November 11, 1993. Revised to conform with revised "College of Medicine Policies and Procedures Concerning Faculty Appointment, Evaluation and Promotion," October, 1995." Revised November, 1997 [dept\im\impolpro (ka 1/7/98)]

TABLE OF CONTENTS *Indicates Internal Medicine section I. Qualifications for Specific Rank...Page 1 A. Tenure Track Faculty...Page 1 1. Instructor...Page 1 2. Assistant Professor...Page 1 3. Associate Professor...Page 2 4. Professor...Page 2 B. Clinical Track Appointments (salaried)...page 3 1. Instructor...Page 3 2. Assistant Professor...Page 4 3. Associate Professor...Page 4 4. Professor...Page 5 C. Other Non-Tenure Track Instructional Appointments...Page 6 1. Clinical Track Appointments (non-salaried)...page 6 2. Adjunct Appointments...Page 8 3. Other Non-Tenure Track Instructional Appointments...Page 9 a. Assistant in Teaching...Page 9 b. Associate...Page 9 c. Lecturer...Page 10 4 Visiting Faculty...Page 10 *5. Appointment and Employment of Emeritus Professors...Page 10 II. Procedure for Appointment...Page 10 III. Joint Appointment...Page 11 A. Collegiate Guidelines...Page 11 B. Departmental Guidelines...Page 11 IV. Review of Faculty...Page 11 A. Non-Tenure Track and Tenure Track Faculty...Page 11 B. Tenured Professors and Department Heads...Page 12 C. Materials to be Reviewed...Page 12 D. Personal Assessment...Page 13 E. Process of Review...Page 13 V. Promotion and Reappointment...Page 13 A. Process for Promotion and Reappointment...Page 14 B. Documentation...Page 14 Appendices I. Teaching Defined...Page 16 II. Scholarship Defined...Page 18 III. Academic Service Defined...Page 19 IV. Professional Service Defined...Page 20 V. Operational Guidelines for the Tenure Track...Page 21 VI. Operational Guidelines for the Salaried Clinical Faculty Track...Page 22 VII. Operational Guidelines for the Nonsalaried Clinical Faculty Track...Page 24 VIII. Oral Communication Skills of Faculty and Teaching Assistants...Page 25 *IX. Guidelines for Appointment of non-m.d. Scientists to the Tenure Track...Page 28 *X. Guidelines for Adjunct Professorial Appointments for non-m.d. Scientists...Page 30 *Xl. Guidelines for Employment of an Emeritus Professor...Page 31 *Xll. Guidelines for Appointment of Joint Faculty...Page 32 *Xlll. Procedures for Faculty Review and Promotion...Page 33 XIV. FPP Guidelines for Employment of Retired Clinical Faculty...Page 34 XV. Standards of Competence and Performance for Salaried Clinical Track Faculty...Page 35

COLLEGE OF MEDICINE and DEPARTMENT OF INTERNAL MEDICINE POLICIES AND PROCEDURES CONCERNING FACULTY APPOINTMENTS, EVALUATION AND PROMOTION Page 1 1. QUALIFICATIONS FOR SPECIFIC RANKS A. Tenure Track Faculty The College aspires to appoint and promote faculty in the tenure track who are committed to the achievement of excellence in teaching, scholarship, and service. Faculty in the tenure track have the responsibility to teach (see Appendix I), and may achieve promotion by emphasizing scientific inquiry or scholarship in their clinical or professional discipline (see Appendix II). 1. Instructor a. Promise of ability as a teacher (see Appendix I). b. He or she must be working towards the completion of the doctorate or its equivalent. c. He or she must be actively involved in scholarly research and other significant professional activities. d. If the faculty member is responsible for the care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate, competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Departmental evaluation of clinical performance should be considered for promotion or appointment. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements. e. The term of appointment is for one year. Reappointment is not automatic, but requires departmental review of the faculty member's performance and a recommendation based upon the member's performance in teaching, scholarship and service. 2. Assistant Professor a. Promise of ability as a teacher (see Appendix I). b. Holder of the doctorate or its equivalent. c. Actively involved in scholarly productivity. This can be supported by publications or the equivalent (see Appendix II). Individuals usually have had significant clinical and research training and have demonstrated the capacity for independent original research in a well-defined area, e.g., published research work in peer-reviewed journals. d. If the faculty member is responsible for the medical care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Departmental evaluation of clinical performance should be considered for promotion or appointment. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements. e. The initial term of appointment is typically for three years, although it may be for a shorter period of time. Reappointment is not automatic, but requires departmental review of the faculty member's performance and a recommendation based upon the evaluation of the faculty member's performance in teaching, scholarship and service (see Review of Faculty, page 18; Appendix V, Items 1 and 2.)

Page 2 f. Faculty members not to be promoted at the end of six years in the combined ranks of Instructor and Assistant Professor will be given a one-year terminal appointment. g. Within the initial three years of appointment in the tenure track, a faculty member may apply for an appointment in the nontenure clinical track. The department may initiate the appointment by justifying to the Dean the non-tenure track faculty position, and by meeting University requirements. An individual may, as a rule, be appointed to the tenure track only once during his or her career in the College of Medicine (see Appendix VI). 3. Associate Professor a. He or she must have a demonstrated record of teaching competence, including a record of successful direction of the work of doctoral candidates, fellows, or residents where applicable (Appendix I). b. He or she must show evidence of establishing a record in productive scholarship supported by substantial publication or the equivalent. Original or creative work of a professional nature may be considered an equivalent of this qualification (Appendix II). c. If the faculty member is responsible for the care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. *Departmental assessment of clinical skills and patient care will be included among the criteria for promotion to the rank of Associate Professor with tenure. Criteria for appointment or promotion of faculty members who do not have patient care responsibilities will not include an assessment of clinical skills and patient service. d. Candidate must have shown such capacity that he or she will continue to strive for excellence in teaching, service, and scholarly pursuit with the expectation that he or she will be able to attain the rank of Professor (see Appendices I, II, III, and IV). e. If a faculty member is promoted to the rank of Associate Professor from within the University of Iowa, tenure is granted automatically. However, initial appointments to this rank offered to those not on the faculty of the University of Iowa should, whenever possible, be made as probationary appointments for three years. If the three-year appointment will result in an individual accumulating more than seven years in full-time probationary status at this and other institutions of higher education, the individual must agree in writing to the three-year non-tenured appointment. 4. Professor When a potential faculty member holds a tenured rank at another university, an initial appointment with tenure may be made. In cases where a potential faculty member has not had previous academic experience, but on the grounds of distinguished professional or other scholarly contributions merits the rank of Associate Professor, the initial appointment without tenure should be for three years or less. Recognition is given to the fact that three years may not be enough time to establish a record of teaching and scholarship sufficient to grant tenure. Accordingly, reappointments without tenure at the Associate Professor rank may be given provided the total probationary period at this University does not exceed six years. If the decision is to withhold tenure after an evaluation in the sixth year of probationary service at this University as Associate Professor, the faculty member should be given a one-year terminal extension of appointment. a. He or she must be recognized as having a continued record of teaching success, including a record of successful direction of the work of doctoral candidates, fellows, or residents where applicable (Appendix I). b. He or she must have an established record in productive scholarship supported by substantial publication or the equivalent, with unmistakable evidence of recognition by peers at the national level, international level, or both. (Appendices II, III and IV).

Page 3 c. If the faculty member is responsible for the care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements. *Departmental assessment of clinical skills and patient care will be included among the criteria for promotion to the rank of Professor with tenure. Criteria for appointment or promotion of faculty members who do not have patient care responsibilities will not include an assessment of clinical skills and patient service. d. The rank of Professor will not be considered to be a reward for long and acceptable service (Appendix IV). e. If a faculty member is promoted to the rank of Professor from within the University, tenure is granted automatically. However, initial appointments to this rank offered to those not on the faculty of the University of Iowa should, whenever possible, be made as probationary appointments for three years. If the three-year appointment will result in an individual accumulating more than seven years in full-time probationary status at this and other institutions of higher education, the individual must agree in writing to the three-year non-tenured appointment. When a potential faculty member holds a tenured rank at another university, an initial appointment with tenure may be made. In cases where a potential faculty member has not had previous academic experience, but on the grounds of distinguished professional or other scholarly contributions merits the rank of Professor, the initial appointment should be for three years or less. Recognition is given to the fact that three years may not be enough time to establish a record of teaching and scholarship sufficient to grant tenure. Accordingly, reappointments without tenure at the Professor rank may be given provided the total probationary period at this University does not exceed six years. If the decision is to withhold tenure after an evaluation in the sixth year of probationary service at this University as Professor, the faculty member should be given a oneyear terminal extension of appointment. B. Clinical Track Appointments (salaried) Clinical track faculty hold service positions through which they contribute to the clinical service, teaching, and/or outreach missions of the College, and hold faculty rank at instructor, assistant professor, associate professor, or professor. Clinical track faculty with salaried appointments are persons who have faculty career positions, and who make their primary contributions through clinical service and instruction in the context of this service (see Appendix I, IV and VI). No more than 20% of the total salaried College faculty may hold such appointments. The titles of these faculty shall contain the modifier "clinical," preceding the name of the Department. The rank shall be unmodified. Clinical track faculty are not eligible for tenure (see Operations Manual 20.0371, and Appendix VI). Individuals with a clinical track appointment at any rank may apply for appointment to the tenure track following the usual appointment procedures (see Section II). An individual may, as a rule, be appointed to the tenure track only once during his or her career in the College of Medicine (see Appendix VI). 1. Instructor a. He or she must be working towards the completion of the doctorate or its equivalent. b. He or she must show promise of ability in service, to include clinical service. c. He or she must show promise of ability to contribute to teaching through the provision of service (see Appendix I).

Page 4 d. If the faculty member is responsible for the medical care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements. e. Term of appointment is one year. Reappointment is not automatic, but requires departmental review of the faculty members performance and a recommendation based upon the member's performance in teaching and service. 2. Assistant Professor a. He or she must hold the doctorate or its equivalent. b. He or she must show promise of excellent clinical service as judged by peers and supervisors. c. He or she must show evidence of ability as a teacher (see Appendix I). d. If the faculty member is responsible for the medical care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements. e. The initial term of appointment is for between one and three years. Reappointment is not automatic, but requires departmental review of the faculty member's performance and a recommendation based upon the evaluation of the faculty member's performance in teaching and clinical service (see Review of Faculty, page 18). During the third year, or prior to that if a promotion is contemplated, a full-scale departmentalcollegiate review will be made. After a positive review, the faculty member will receive an appointment of between 3 and 7 years. Termination during the term of the appointment must be for failure to meet written standards of competence and performance established by the department and approved the College. A decision not to renew an appointment may be for failure to meet the written standards of competence and performance, or for changed economic circumstances or program needs such that the position itself is terminated. Non-renewal may only occur at the conclusion of an appointment. Notice of non-renewal must carry appropriate notice, as defined in Operations Manual 20.0371. f. There is no maximum period of time by which promotion must be achieved in this track. However, an Assistant Professor may request consideration for promotion at any regular promotions cycle after, in general, the fourth year of appointment. 3. Associate Professor a. He or she must hold the doctorate or its equivalent. b. He or she must have an acknowledged record of excellent patient care, as judged by peers. c. He or she must have an acknowledged record of teaching success, including a record of successful direction of the work of fellows or residents where applicable (see Appendix I). d. He or she must show evidence of progress toward a record of professional productivity including professional service (see Appendix IV). Scholarship (see Appendix II) may help satisfy this requirement, but is not required.

Page 5 e. If the faculty member is responsible for the medical care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements. f. The term of appointment is between 3 and 7 years. Reappointment is renewable based on departmental review of the faculty member's performance and a recommendation based upon the evaluation of the faculty member's performance in teaching and clinical service. Termination during the term of the appointment must be for failure to meet written standards of competence and performance. These standards will be established by the department and approved by the College. A decision not to renew an appointment may be for failure to meet the written standards of competence and performance, or for changed economic circumstances or program needs such that the position itself is terminated. Non-renewal for changed economic circumstances or program needs may only occur at the conclusion of an appointment, and must carry appropriate notice, as defined in Operations Manual 20.0371. g. There is no maximum period of time by which promotion must be achieved in this track. However, an Associate Professor may request consideration for promotion at any regular promotions cycle. 4. Professor a. He or she must hold the doctorate or its equivalent. b. He or she must have an acknowledged record of exemplary patient care, as judged by peers. c. He or she must have an acknowledged record of continued teaching success, including a record of successful direction of the work of fellows, or residents, where applicable (see Appendix I). d. He or she must have an established record of professional productivity, and unmistakable evidence or recognition by peers at the state, regional, national, or international level (see Appendices IV and VI). Scholarship (Appendix II) may help satisfy this requirement, but is not required. e. If the faculty member is responsible for the medical care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements. f. At the rank of Professor, the term of appointment is between 3 and 7 years. Reappointment is renewable based on departmental review of the faculty member's performance and a recommendation based upon the evaluation of the faculty member's performance in teaching and clinical service. Termination during the term of the appointment must be for failure to meet written standards of competence and performance. These standards will be established by the department and approved by the College. A decision not to renew an appointment may be for failure to meet the written standards of competence and performance, or for changed economic circumstances or program needs such that the position itself is terminated. Non-renewal for changed economic circumstances or program needs may only occur at the conclusion of an appointment, and must carry appropriate notice, as defined in Operations Manual 20.0371.

Page 6 C. Other Non-Tenure Track Instructional Appointments 1. Clinical Track Appointments (nonsalaried) Clinical track faculty with nonsalaried appointments are persons who are not employees of the University of Iowa, and who make their primary contribution through instruction in the context of their own medical practice (see Appendix VII). These faculty hold the degrees of M.D., D.O., D.D.S. or D.M.D. Individuals who hold other professional degrees and contribute to instruction hold adjunct ranks (see Section 2). There is no limit on the number of such appointments that may be made by the College. The titles of these faculty shall contain the modifier "clinical," preceding the name of the rank. The Department shall be unmodified. Clinical track faculty are not eligible for tenure (see Operations Manual 20.0371 and Appendix VI). Individuals with a clinical track appointment at any rank may apply for appointment to the tenure track following the usual appointment procedures (see Section 11). An individual may, as a rule, be appointed to the tenure track only once during his or her career in the College of Medicine (see Appendix VI). a. Instructor (1) He or she must be working towards the completion of the doctorate or its equivalent. (2) He or she must show promise of ability in service, to include clinical service. (3) He or she must show promise of ability to contribute to teaching through the provision of service (see Appendix I). Faculty with nonsalaried appointments must commit a significant portion of time to teaching (see Appendix VI). (4) If the faculty member is responsible for the medical care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements. (5) The term of appointment is one year. Reappointment is not automatic, but requires departmental review of the faculty members performance and a recommendation based upon the member's performance in teaching and service. (6) There is no maximum period of time by which promotion must be achieved in this track. However, an Instructor may request consideration for promotion at any regular promotions cycle after, in general, the fourth year of appointment. b. Assistant Professor (1) He or she must hold the doctorate or its equivalent. (2) He or she must show promise of excellent clinical service, as judged by peers and supervisors. (3) He or she must show evidence of ability as a teacher (see Appendix I). Faculty with nonsalaried appointments must commit a significant portion of time to teaching (see Appendix VI). (4) If the faculty member is responsible for the medical care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements. Page 7

(5) For faculty with nonsalaried appointment, the term of appointment is one year. Reappointment is not automatic but requires departmental review of the faculty member's performance and a recommendation based upon the member's performance in teaching. (6) There is no maximum period of time by which promotion must be achieved in this track. However, an Assistant Professor may request consideration for promotion at any regular promotions cycle after, in general, the fourth year of appointment. c. Associate Professor (1) He or she must hold the doctorate or its equivalent. (2) He or she must have an acknowledged record of excellent patient care, as judged by peers. (3) He or she must have an acknowledged record of teaching success, including a record of successful direction of the work of fellows or residents where applicable (see Appendix I). Faculty with nonsalaried appointments must commit a significant portion of time to teaching (see Appendix VI). (4) He or she must show evidence of progress toward a record of professional productivity including professional service (see Appendix IV). Scholarship (see Appendix II) may help satisfy this requirement, but is not required. (5) If the faculty member is responsible for the medical care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements. (6) For faculty with nonsalaried appointment, the term of appointment is one year. Reappointment is not automatic, but requires departmental review of the faculty member's performance and a recommendation based upon the member's performance in teaching. (7) There is no maximum period of time by which promotion must be achieved in this track. However, an Associate Professor may request consideration for promotion at any regular promotions cycle. d. Professor (1) He or she must hold the doctorate or its equivalent. (2) He or she must have an acknowledged record of exemplary patient care, as judged by peers. (3) He or she must have an acknowledged record of continued teaching success, including a record of successful direction of the work of fellows, or residents where applicable (see Appendix I). Faculty with nonsalaried appointments must commit a significant portion of time to teaching (see Appendix VI). (4) He or she must have an established record of professional productivity, and unmistakable evidence or recognition by peers at the state, regional, national, or international level (see Appendices IV and VI). Scholarship (Appendix II) may help satisfy this requirement, but is not required. Page 8 (5) If the faculty member is responsible for the medical care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital bylaws and any relevant state licensure requirements.

(6) For faculty with nonsalaried appointment, the term of appointment is one year. Reappointment is not automatic, but requires departmental review of the faculty member's performance and a recommendation based upon the member's performance in teaching. 2. Adjunct Appointments Adjunct appointments are made principally for contributions to teaching and/or research, and are made instead of clinical appointments, for individuals who do not hold an M.D./D.O./D.D.S./D.M.D. degree. a. Adjunct Instructor (1) Promise of ability as a teacher and/or investigator (see Appendices I and 11). (2) Working towards the completion of the doctorate or its equivalent. (3) Commitment of a significant portion of time to teaching. (4) Involvement in a patient care setting if appropriate. (5) Term of appointment is one year and is reviewed annually. b. Adjunct Assistant Professor (1) Promise of ability as a teacher and/or investigator (see Appendices I and 11). (2) Holder of the doctorate or its equivalent. (3) Commitment of a significant portion of time to teaching. (4) Demonstration of good clinical skills in the care of patients if appropriate. (5) Term of appointment is one year and is reviewed annually. c. Adjunct Associate Professor (1) Acknowledged record of teaching success and/or research (see Appendices I and 11). (2) Unmistakable evidence of recognition by peers. (3) Commitment of a significant portion of time to teaching. (4) Demonstration of excellent clinical skills in the care of patients, if appropriate. (5) Term of appointment is one year and is reviewed annually. d. Adjunct Professor (1) Acknowledged record of teaching success and/or research (see Appendices I and 11). (2) Unmistakable evidence of recognition by peers. (3) An established record of professional or scholarly productivity (may include papers, reports, seminars, etc.). (4) Commitment of a significant portion of time to teaching. (5) Demonstrates outstanding clinical skills in the care of patients, if appropriate. (6) Term of appointment is one year and is reviewed annually.

Page 9 3. Other Non-tenure Track Instructional Appointments Appointments to these positions may be made to individuals with academic degrees as listed below. However, individuals with higher academic degrees also may be appointed. Appointments are made on an annual basis and may be renewed. Those with M.D./D.O. or Ph.D. degrees ordinarily should not occupy these positions for extended periods, and in the case of rank of Associate, should not exceed 3 years. If the individual to be appointed is to be responsible for the medical care of patients, he or she must have a license to practice medicine in Iowa and must demonstrate competence as a physician. Competence as a physician will be established by the hospital staff process of reviewing clinical credentials and granting hospital privileges. Individuals other than physicians involved in the care of patients should meet the criteria established by hospital by-laws and any relevant licensure requirements. a. Assistant in Teaching (1) Limited experience in teaching. (2) Holds a baccalaureatedegree or the equivalent. (3) Appointed to provide a specific service. Individuals properly qualified may have patient care responsibilities and engage in research. b. Associate (1) Demonstrated to be an effective teacher and clinician. (2) At a minimum, holds a Masters degree or the equivalent. (3) Appointed to fill a specific service. Individuals properly qualified may have patient care responsibilities and engage in research. For individuals with M.D./D.O. or Ph.D. degrees, individual shows potential for appointment to the tenure track on the basis of promise in teaching, research and service. However, appointment to this rank does not guarantee eventual appointment to the tenure track. Individuals in this rank with appropriate qualifications are not precluded from applying for a position in the salaried clinical faculty track. (4) Appointments at this rank are made on an annual basis. For individuals with M.D./D.O. or Ph.D. degrees the total time in this rank should not exceed three years. Reappointment is not automatic, but requires departmental review of the faculty member's performance and a recommendation based upon the faculty member's performance in teaching, scholarship, and service as appropriate. The annual review process must be described in each unit's policies and procedures, and the results must be shared with the faculty member in writing. Units are encouraged to use a process similar to that described in Section IV. *(5) Fellow-Associate: Fellows in their first, second or third year of fellowship may be designated Fellow-Associate. This is a way of recognizing participation in general departmental affairs and in teaching and patient care. This qualified Associate rank, while not of full faculty status, does give faculty recognition for contributions made.

Page 10 c. Lecturer (1) Demonstrated to be an effective teacher. (2) Holds a Master's degree or the equivalent. (3) Actively involved in scholarly research. (4) Engaged in other significant professional activity. Individuals properly qualified may have patient care responsibilities. (5) Appointments at this rank are made on an annual basis. Reappointment is not automatic, but requires departmental review of the faculty member's performance and a recommendation based upon the faculty member's performance in teaching, scholarship, and service as appropriate. The annual review process must be described in each unit's policies and procedures, and the results must be shared with the faculty member in writing. Units are encouraged to use a process similar to that described in Section IV. 4. Visiting Faculty Visiting faculty are appointed with the same criteria as Adjunct or Nonsalaried Clinical Faculty (see 1. C.1). *5. Appointment and Employment of Emeritus Professors For Departmental Guidelines see Appendix XI. II. PROCEDURE FOR APPOINTMENT A. The procedure for appointment is as follows. 1. The position is deemed necessary by the Dean, Department Head, and the Faculty of the Department. 2. The affirmative action process of the University has been carefully satisfied. 3. After consultation with the faculty of the department concerning the best qualified person in the pool of such persons, and the receipt of letters of recommendation from persons who. have been invited in writing to comment by the Department Head or his/her designee, the Department Head recommends a candidate to the Dean. *a. Ad Hoc Committees. These will be appointed by the Head of the Department to consider the new appointment of candidates for the ranks of Instructor, Assistant Professor, Associate Professor and Full Professor. *b. All new appointments (Instructor and above) will be discussed at a meeting of Division Directors for advice and consultation. The recommendation of the Department Head and supporting data will be discussed at a staff meeting and voted on by the Departmental members at ranks higher than the candidate's. 4. If the decision of the Department Head differs from the majority view of the appropriate faculty, the Head is expected to explain the reasons for the differing recommendation to the Dean and to the appropriate faculty members of the Department.

Page 11 5. For appointment of faculty members at the levels of Assistant Professor and above, there is a second level of review at the College level. This is conducted by the elected Executive Committee of the Faculty, which is advisory to the Dean. The documents and supporting materials recommending appointment are transmitted from the Department Head to the Dean. These materials are then sent to the Executive Committee where the Officers assign each candidate's dossier to two members for detailed review. At the same time the materials are also distributed to members of the Medical Council so that the Department Heads may review the materials and forward any comments to the Dean or Executive Committee before final action is taken. The Executive Committee meets with the Dean, discusses the candidates, seeks further information, if necessary, and then advises the Dean by vote according to the procedures established in the College Manual of Procedures. After receiving the vote from the Executive Committee and consulting with the Medical Council concerning the departmental recommendation, the Dean makes a final determination of the recommendation to be sent to the Vice President for Health Sciences and Provost along with the appropriate documentation. The Dean is not bound to accept the recommendation of the department, the advice of the Executive Committee, or the opinions of the Medical Council. If the Dean's final decision differs from the majority opinion at any of these three levels, the Dean is expected to explain the reasons for the action to the Department Head, the Executive Committee, the Medical Council, and the Vice President. 6. Following the Regents Policy on Oral Communication Competence (1/29/91), all new faculty members will be evaluated for communication skills within the first eight weeks of the assignment of teaching duties (see Appendix VIll). Ill. JOINT APPOINTMENT A. Collegiate Guidelines The specified term of each joint appointment, the periodicity of the review, and the criteria to be applied in conducting the review must be clearly stated in writing at the time of the appointment. This document will also include: (a) a description of duties and responsibilities of the appointee in both the primary and the secondary department; (b) the financial obligations of each department; (c) factors other than quality of performance (i.e., changes in interests or programs) that may be considered in determining future status of the appointment; and (d) provision for periodic review and reappointment of the individual using guidelines similar to his or her rank. This document must be completed and approved by all parties (primary and secondary Heads, the Collegiate Deans, and the appointee) prior to the joint appointment. *B. Departmental Guidelines See Appendix XII. IV. REVIEW OF FACULTY A. Non-Tenure Track and Tenure Track Faculty Probationary tenure-track faculty, tenured Associate Professors, Clinical and Adjunct faculty and nontenure track faculty are evaluated periodically by members of the Departmental faculty at a higher rank. Probationary faculty shpuld be reviewed annually with the results reported by the Department Head to the Dean and by the Dean to the Vice President for Health Sciences and the Provost on the appropriate form. Initiation of the annual review is the responsibility of the Department Head. It is expected that the annual review will be performed in consultation with the individual faculty member. All probationary tenure-track faculty members must also be reviewed by the departmental tenured faculty members of higher rank during the third and sixth years of service or one year prior to the termination of the appointment period when the appointment or reappointment period is for less than three years.

Page 12 Salaried clinical track faculty should be reviewed annually during the first three years of appointment, and prior to every renewal of appointment thereafter, with the results reported by the Collegiate Dean to the Vice President for Health Sciences and the Provost on the appropriate form. Initiation of the review is the responsibility of the Department Head. It is expected that the review will be performed in consultation with the individual faculty member. All salaried clinical track faculty members must also be reviewed by both the clinical track and tenured departmental faculty members of higher rank during the third year of service, or prior to the termination of the appointment period when initial appointment is for less than three years; and during the review prior to every renewal of appointment thereafter. Individuals holding the rank of Associate Professor with tenure will be reviewed at least once every two years by the Dean and the Department Head. The departmental faculty holding professorial rank will be involved in the review at least every five (5) years. B. Tenured Professors and Department Heads To assure a faculty of optimal effectiveness and productivity, and to provide one basis for allocation of resources, tenured professors and Department Heads in the College of Medicine will be reviewed periodically by their colleagues. Such reviews may be used to guide faculty to sustain productivity as their priorities and personal directions change over their career cycle. The review will evaluate performance, identify ways to improve performance if it has been less than optimal, and stimulate continued academic or administrative growth. Tenured full professors will be reviewed at least every five (5) years by a committee appointed by the department head. The committee may include tenured professors in the College of Medicine whose primary appointments are outside the department of the reviewed faculty member as well as tenured professors in the same department. This review should include an interview with the reviewed faculty member unless waived by that faculty member. A written report of an evaluation of the teaching, scholarly, and service activities will be submitted to the department head, who will discuss the findings of the review committee with the faculty member. Department heads will submit a brief summary of the review process to the Dean each year that review of tenured professors occurs, the written report on the candidate, together with the response of the Department Head to the career plan of the faculty member for the next five years (see Section IV, C, 1 b). Department heads will be reviewed concurrently with the review of their respective departments as specified in accordance with Article 11, Section 4.7 and Article 11, Section 5.0 in the Manual of Procedure of the College of Medicine. C. Materials to be Reviewed 1. Materials that must be reviewed include: a. Current curriculum vitae and supporting documents (see below). b. Career plan for the next five years that covers teaching, research, scholarship (for individuals in the tenure track), service, and professional growth. c. Other materials the faculty member believes are relevant to the review. d. A verifiable personal assessment of teaching, scholarship, or profession productivity, as appropriate for the faculty track, and service activities since the last review, as described in D below. e. Reports of evaluations by the faculty members division director if the department is so organized. f. Previous peer review committee reports. g. Statement by the department head that describes circumstances under which the faculty member has functioned during the reviewed period.

Page 13 2. Other materials that may be reviewed at departmental discretion include: a. The departmental planning document. b. Letters of evaluation from persons at other institutions that were solicited for appointment or promotion consideration during the review period. D. Personal Assessment Each candidate shall prepare a document, not to exceed three pages, assessing his or her progress toward achieving or maintaining the standards of teaching, service, and scholarship or professional productivity appropriate for their academic rank and track (see Appendices I, II, III, and VIII), together with documentation of his or her progress and an outline of future efforts in these areas. The evaluation, documentation, and outline will be attached to the CV, as this is required for consideration by the Department, Executive Committee, and Medical Council. 1. In the category of teaching, the candidate should provide documentation of his or her effectiveness as a teacher. This may include the number of hours devoted to teaching in a classroom, laboratory, clinical setting, or any other review documents. This must include student, resident, and fellow evaluation (where appropriate) for the previous three years or since the last review, whichever is shorter (see Appendix I). 2. In the category of scholarship, the candidate should provide a written evaluation of the significance of the scholarship accomplished since appointment, promotion or last review. Individuals in the tenure track shall identify five publications that are most representative of the candidate's scholarship during the period being considered; justification for their selection and the actual contribution(s) of the candidate to each paper are to be included in the evaluation (see Appendix II). Individuals in the nontenure clinical track may also provide a written evaluation of scholarship if relevant, but it should be noted that scholarship is not required for promotion in this track. 3. In the category of service, the candidate should provide documentation of their academic and professional service as appropriate for academic rank and faculty track. Statements regarding his/her effectiveness as a clinician by peers, clients and outside clinicians who utilize him or her as a consultant may also be included (see Appendix IV). E. Process of Review An updated curriculum vitae and supporting documents are submitted to the Department Head by the faculty member to be evaluated. The evaluation involves critical review of the teaching, scholarship, or professional productivity, and service contributions of the faculty person in light of the criteria for the relevant faculty track. A written report is prepared on the candidate. The review process ends with the sharing of the written statement with the faculty member. If a written peer committee report is prepared, it should also be shared with the faculty member. The individual faculty member may present a written response that becomes a part of the permanent record. In the event that there are too few peer faculty members in a department or program to conduct a review of a faculty member, the review shall be carried out by an ad hoc committee appointed by the Dean. Detailed departmental procedures for review and promotion are in Appendix XIII. V. PROMOTION and REAPPOINTMENT Several factors should be kept in mind when the promotion of a faculty person is considered. These are stated in various parts of these policies and procedures and those of the University: 1) All faculty, whether on the tenure or non-tenure track, must teach, the effectiveness of which effort is evaluated before proceeding with consideration for promotion.

Page 14 2) All faculty on the tenure track are involved in scholarly and service pursuits; these are rarely equivalent among the College's diverse faculty. It should be understood that the attainment of tenure within the College is accomplished through diverse academic pursuits. Some faculty will primarily conduct original research leading to publication in peer-reviewed journals, whereas other faculty will demonstrate scholarly, achievement focusing on the integration and promulgation of new knowledge. In every case, the successful faculty member will produce work that is of recognized high quality and that is disseminated through scholarly channels. The faculty member who is a clinician will also demonstrate a commitment to exemplary patient care. Promotion is contingent upon achievement of the qualifications specified in Section I.A. 3) All faculty on the clinical track are expected to show evidence of professional productivity in order to be promoted to the rank of Associate Professor or above. There will be wide variation in the types and quantities of activities used to meet this requirement, but the majority, if not all, of this effort will involve high quality professional service (See Appendix IV). A. Process for Promotion and Reappointment When promotion or reappointment is to be considered, review of the faculty member (Section IV) should be performed. Following the review, outside reviewers are consulted in writing by the Department Head or his/her designee. Following receipt of evaluation by outside reviewers, final consideration of the candidate by faculty members who are senior in rank to the individual under consideration is carried out, and the Department Head is advised by vote. Non-tenured faculty members do not vote on the tenure decisions. The Department Head makes a final promotion/tenure or reappointment recommendation to the Dean. If the decision of the Department Head differs from the majority view of the appropriate faculty, the Head is expected to explain the reasons for the differing recommendation to the Dean and to the tenured faculty members of the department. For promotion of faculty members at the levels of Assistant Professor and above, there is a second level of review at the College level. This is conducted by the elected Executive Committee of the Faculty, which is advisory to the Dean. The documents and supporting materials recommending promotion are transmitted from the Department Head to the Dean. These materials are then sent to the Executive Committee where the Officers assign each candidate's dossier to two members for detailed review. At the same time the materials are also distributed to members of the Medical Council so that the Heads may review the materials and forward any comments to the Dean or Executive Committee before final action is taken. The Executive Committee meets with the Dean, discusses the candidates, seeks further information, if necessary, and then advises the Dean by vote. The Dean, by custom, consults with the Medical Council concerning recommendations for appointment or promotion to the rank of Associate Professor or Professor. After receiving advice from the Executive Committee and consulting with the Medical Council concerning the departmental recommendation, the Dean makes a final decision, which is sent to the Vice President for Health Sciences and Provost along with the appropriate documentation. The Dean is not bound to accept the recommendation of the department, the advice of the Executive Committee, or the opinions of the Medical Council. If the Dean's final decision differs from the majority opinion at any of these three levels, the Dean is expected to explain the reasons for the action to the Vice President, the Provost, and to the Department Head, the Executive Committee and the Medical Council. B. Documentation It is imperative that the documentation sent to the Dean in support of promotion include the materials reviewed from IV.C. and D. but may also include: 1. A clear documentation of the criteria used to evaluate the candidate's effectiveness in teaching.