Yale GIM September 2025 Section Faculty & Staff Meeting

Transcript

• 00:17Okay. Why don't we get
• 00:19started? Welcome to today's
• 00:22Yale GIM faculty meeting. Agenda
• 00:24is,
• 00:25right here.
• 00:27Let's see.
• 00:30Say hit this button. There
• 00:32we go. So we're gonna
• 00:33just talk briefly about our
• 00:35meeting schedule for the year.
• 00:36We're gonna review,
• 00:38faculty,
• 00:39promotions and reappointments that occurred
• 00:41during the year that just
• 00:42ended.
• 00:43We're gonna welcome new faculty,
• 00:46and then we're gonna talk
• 00:47about proposed
• 00:48promotions and reappointments for the
• 00:50upcoming year along with the
• 00:51FDA queue process.
• 00:53That discussion would be led
• 00:54by our vice chief for
• 00:56faculty affairs,
• 00:57David Feline.
• 00:59Ben's gonna give us a
• 01:00quick,
• 01:01blurb on the upcoming,
• 01:03SGIM,
• 01:05regional meeting.
• 01:06And then Larry Young and
• 01:07Laura Whitley. Larry in person,
• 01:09Laura, virtually will be joining
• 01:11us,
• 01:12for an update on the
• 01:13appointment and promotions department,
• 01:16process in the department for
• 01:17the upcoming year. So
• 01:19a lot to talk about
• 01:21for sure.
• 01:23So there's about thirty somewhat
• 01:25people online as well. If,
• 01:28when Larry's here, if questions
• 01:30come up, you can put
• 01:31them into the chat.
• 01:33Okay. So in terms of
• 01:34our faculty meetings,
• 01:35don't,
• 01:36keep on your schedule our
• 01:38weekly two weekly faculty meetings,
• 01:40our GM grand rounds, and
• 01:42our research,
• 01:43in progress and educational strategies
• 01:45meeting meetings at noon. We
• 01:46had a wonderful GM Grand
• 01:48Rounds this morning on,
• 01:49screening for,
• 01:52genetic,
• 01:53problems related to cancer. So,
• 01:57just keep those meetings along
• 01:59with your new meetings on
• 02:00your schedule.
• 02:01Our three of our retreats
• 02:03are booked. The fall retreat
• 02:05is gonna be a research
• 02:06retreat is gonna be on
• 02:07December ninth.
• 02:08The winter professional development retreat
• 02:11led by Abba Black will
• 02:12be on February second.
• 02:14The educational retreat, I think,
• 02:15is gonna be on June
• 02:16fifth. Is that what I
• 02:17heard this morning?
• 02:18Yeah. June fifth. And then
• 02:20the leadership,
• 02:21retreat with Doug,
• 02:23TBA.
• 02:24And then, of course, there
• 02:25are social events. The next
• 02:27one,
• 02:28coming up is Yale g
• 02:29I m,
• 02:31Yale g I m day
• 02:32at the Yale Bowl,
• 02:33and that is the twenty
• 02:35eighth of September twenty seventh
• 02:36of September. So,
• 02:38please reach out to, our
• 02:40office for tickets and bring
• 02:42your families. It's always a
• 02:43fun day.
• 02:44Of course, then we'll have
• 02:45our holiday party in December
• 02:46and our SGI and reception
• 02:48in the spring.
• 02:49So lots going on.
• 02:52Speaking of which, next week,
• 02:54our general and total medicine
• 02:55grand rounds, Jeffrey Cohen, associate
• 02:57professor of dermatology,
• 02:59update on,
• 03:00systemic therapies for psoriasis
• 03:03and eczema.
• 03:05And next, Thursday at noon
• 03:06is a very special lecture
• 03:07for us, the fourth annual
• 03:09Ingenie Hennel
• 03:10lecture in diversity, equity, inclusion
• 03:12at twelve noon. This is
• 03:14gonna be in the Cohen
• 03:15Auditorium, so please note the
• 03:17change in location.
• 03:18Susanna Morales, an associate professor,
• 03:22from Weill Cornell, is gonna
• 03:23be talking about towards health
• 03:25equity.
• 03:27So,
• 03:29be there.
• 03:31Okay.
• 03:32In terms of faculty
• 03:33promotions and reappointments,
• 03:35this past year,
• 03:37we fifteen people were promoted,
• 03:38two to professor,
• 03:40three to associate professor,
• 03:41one to, professor associate professor
• 03:44adjunct, and nine to assistant
• 03:45professor.
• 03:47These nine folks promoted to
• 03:48assistant professor were folks who
• 03:50were instructors,
• 03:52last year. So in a
• 03:54sense, it's also a new
• 03:55a new appointment,
• 03:57for those folks as well
• 03:58as a promotion.
• 03:59And then we've got twelve
• 04:00faculty reappointed,
• 04:02two to associate professor and
• 04:03ten to assistant professor.
• 04:06Three, faculty,
• 04:07reviews are pending. So if
• 04:09you're in that pending
• 04:10group, fear not. The process
• 04:12will be done soon.
• 04:15So, congratulations to Jeffrey Kravitz
• 04:17who was promoted to, professor
• 04:19of medicine.
• 04:20Jeffrey, as you know, is
• 04:21a service line manager for
• 04:22primary care at the VA.
• 04:25Also,
• 04:26congratulations to Chris Rouser for
• 04:27his promotion to professor.
• 04:29Chris is also the associate
• 04:30chief of medicine at the
• 04:32VA.
• 04:33Abba Black, congratulations on your
• 04:35promotion to associate professor.
• 04:37Abba, as you all know,
• 04:38is our vice chief, with
• 04:40a new title this year
• 04:41for vice chief for collaborative
• 04:43excellence.
• 04:44Congratulations to Abba.
• 04:46Juergen Hallock, was also promoted
• 04:48to associate professor.
• 04:50He's part of the BA
• 04:51Connecticut hospital medicine program.
• 04:53Congratulations,
• 04:55Juergen.
• 04:56And David Rosenthal was promoted
• 04:57to associate professor. David is
• 04:59now,
• 05:00based with us. We heard
• 05:01from David last week
• 05:02about his upcoming, movie on
• 05:04primary care.
• 05:06So congratulations
• 05:07to, David.
• 05:09Christopher Wrench, was promoted to
• 05:10associate professor adjunct.
• 05:12Christopher is a key player,
• 05:15in the veterans aging cohort
• 05:16study. So congratulations to Christopher.
• 05:19Okay. And here are our
• 05:20promotions to assistant professor. Again,
• 05:22majority of these people were
• 05:23instructors last year, so it's
• 05:26promotion and new appointments.
• 05:28Cara Barelli is promote promoted
• 05:30to assistant professor of medicine.
• 05:31Cara is part of the
• 05:32Yale program in addiction medicine.
• 05:35Andrew Cox was promoted to
• 05:36assistant professor. Andrew is part
• 05:38of VA primary care.
• 05:40Sami Hamdan was promoted to
• 05:42assistant professor.
• 05:44Sami has a role in
• 05:45the primary care residency program
• 05:47and the program in addiction
• 05:48medicine.
• 05:49Haedong Liu was promoted to
• 05:51assistant professor of medicine.
• 05:53Hedong is a key,
• 05:55researcher in the Yale program
• 05:57in addiction medicine.
• 05:59Andrea Roberts was promoted to
• 06:01assistant professor. She's based at
• 06:02VA Connecticut Hospital Medicine.
• 06:05Shelby Rosario
• 06:06was promoted to assistant professor
• 06:08of medicine.
• 06:09Her appointments are within the
• 06:11department and in the med
• 06:12piece program.
• 06:13In our department, she serves
• 06:14as a director of URIM
• 06:16physician experience
• 06:18mentoring program.
• 06:20Richard Smith was promoted to
• 06:21assistant professor of medicine. Richard
• 06:23is part of our VA
• 06:24Connecticut occupational health services program.
• 06:27And Min Hee Sung was
• 06:28promoted to,
• 06:29assistant professor of medicine. Min
• 06:31Hee is part of our,
• 06:32VA Connecticut
• 06:33research group.
• 06:35Nate Wood was promoted to
• 06:37assistant professor of medicine.
• 06:39Nate is a member of
• 06:40our primary care residency program
• 06:42and also serves as the
• 06:43director of culinary
• 06:45medicine
• 06:46here at the medical center.
• 06:49And our reappointments,
• 06:50Tracy and Jeremy were both
• 06:52reappointed to the rank of
• 06:53associate professor of medicine.
• 06:55Congratulations to Tracy and Jeremy.
• 06:58The following individuals were re
• 07:00reappointed to the rank of
• 07:01assistant professor,
• 07:03and the print is small,
• 07:04so I'll lean in. Alex
• 07:05Cho, Jackie Cook, Tara Herbert,
• 07:08Angie, who's here,
• 07:10and,
• 07:11Jenna Klimevich.
• 07:13Congratulations to that group of
• 07:15reappointments.
• 07:17Then,
• 07:18Dimitri, Cara,
• 07:19Rachel, Jonathan, and Matthew were
• 07:21also reappointed to
• 07:24the rank of assistant professor.
• 07:27In addition,
• 07:28here are some new leadership
• 07:29appointments that occurred,
• 07:31towards the end of the
• 07:32year,
• 07:33and beginning this year. Jorge
• 07:35Jorge Moreno is gonna be
• 07:36now the assistant director of
• 07:38Yima.
• 07:40Richard is now the chief
• 07:42of occupational health of the
• 07:43veterans,
• 07:44via Connecticut.
• 07:46And JD, was appointed as
• 07:48the inaugural associate dean for
• 07:50education technology and innovation.
• 07:52So congratulations
• 07:54to all our faculty who
• 07:55were appointed,
• 07:56reappointed,
• 07:58and appointed to these new
• 08:00leadership positions.
• 08:02Way to go.
• 08:08Okay. So,
• 08:10welcoming additional
• 08:11new faculty to the section.
• 08:13So there are eleven new
• 08:14faculty as of July first,
• 08:15one assistant professor,
• 08:17one assistant clinical professor, four
• 08:19clinical,
• 08:21four assistant professor adjuncts, three
• 08:23instructors,
• 08:24one associate research scientist, and
• 08:26one clinical associate.
• 08:28So David Fink, who I
• 08:29think I saw walk in
• 08:31here, is here.
• 08:32David is an assistant professor
• 08:34of medicine,
• 08:35and is based at the
• 08:36Yale Center on Evidence, Equity,
• 08:38and Patient Centeredness and Pain
• 08:40Treatment concept.
• 08:41David,
• 08:42came to us from New
• 08:43York City, and now he's
• 08:45here in New Haven. Welcome
• 08:46aboard,
• 08:47David.
• 08:49Alicia Bolden is appointed as
• 08:51assistant professor adjunct,
• 08:53in the Yale physician assistant
• 08:55program.
• 08:56Welcome aboard, Alicia.
• 08:57Gordon Hill is now assistant
• 08:59professor adjunct in the Yale
• 09:01program in addiction medicine.
• 09:04Gordon's been with us, and,
• 09:05we're glad that he still
• 09:06is.
• 09:08Natalia Kunst,
• 09:10who's, at the who got
• 09:12received her degree at the
• 09:13University of Oslo
• 09:14is, appointed as assistant professor
• 09:16adjunct for the National Collision
• 09:18Scholars Program.
• 09:20Jennifer Dubervall is appointed as
• 09:22assistant professor
• 09:23adjunct for the Yale PA
• 09:25program,
• 09:26and Mario Oka Perito who
• 09:29oversees
• 09:30our resident who train at,
• 09:32Fairhaven,
• 09:34Community Health Center,
• 09:35for the traditional health, internal
• 09:37medicine program has been appointed
• 09:39as an assistant clinical professor.
• 09:41Congratulations, Mario.
• 09:43Alyssa Chen, a recent graduate
• 09:45of our NCSP,
• 09:47is now an instructor with
• 09:48us. Alyssa, welcome aboard. Congratulations.
• 09:52Rita Rienzo has been appointed
• 09:53as an instructor in the
• 09:54PA program.
• 09:56Richie Verma.
• 09:58Is Richie here yet, Brad?
• 09:59He is.
• 10:01Has been appointed as an
• 10:02instructor,
• 10:03based in the Yale primary
• 10:04care residency program.
• 10:06Christine Ramsey,
• 10:07associate research science, for, VAX,
• 10:11and Alice Chen,
• 10:13clinical associate in the Yale
• 10:15program in addiction medicine.
• 10:17So welcome to all our
• 10:18new faculty. We're so glad
• 10:20to have you
• 10:23here. Onto,
• 10:28our upcoming,
• 10:29promotions and reappointments and FDA
• 10:31queue process. I'll turn the
• 10:33podium over to your vice
• 10:34chief for faculty affairs,
• 10:36David Feline. David.
• 10:39Thank you, Patrick.
• 10:42It's nice to see the
• 10:43fruits of all of the
• 10:44the work that we do
• 10:46over the years represented in
• 10:47these appointments and promotions. And
• 10:50congratulations to each of you
• 10:52who I know have spent
• 10:53a lot of time,
• 10:54working with your documents and
• 10:56getting your, paperwork together.
• 10:58In addition,
• 11:00thank you to Michelle and
• 11:01Vivian who provide invaluable
• 11:03health,
• 11:05as well as Larry and,
• 11:07Laura Whitley from the department.
• 11:10This year,
• 11:11we're working with,
• 11:14proposing for promotion
• 11:15for individuals,
• 11:17to professor.
• 11:18Three of those are on
• 11:19the full time faculty.
• 11:21One
• 11:22would be a clinical professor,
• 11:24which is actually fairly unusual
• 11:26here, and Larry may be
• 11:27able to speak to that.
• 11:29And we've got seven individuals,
• 11:32who are currently assistant professors
• 11:34that we will be proposing
• 11:35for associate professors.
• 11:38Six of those are on
• 11:39full time faculty and one
• 11:41is associate professor
• 11:43adjunct.
• 11:44And then, one person that
• 11:46we're gonna be proposing for
• 11:48senior research scientist.
• 11:51And,
• 11:53reappointments,
• 11:55that's actually twenty one. One
• 11:57at the associate professor level
• 11:58and twenty at the assistant
• 12:01professor level.
• 12:03Just talk briefly about the
• 12:05FDAC process
• 12:07now that it's not,
• 12:09indirectly in our view.
• 12:11Congratulations
• 12:12for everybody,
• 12:14who brought their materials together.
• 12:17Again, Vivian and Michelle,
• 12:19you know, we achieved, I
• 12:21believe, sort of a hundred
• 12:22percent success rate, which is,
• 12:26amazing given the size of
• 12:28our,
• 12:29section.
• 12:30And I I also wanna
• 12:32say thank you to the
• 12:34senior faculty
• 12:35who meet,
• 12:37on a weekly basis
• 12:39in the early spring, sort
• 12:40of March through June,
• 12:42to review all of the
• 12:43materials
• 12:45and to pull out from
• 12:46your FDAC
• 12:47what you're looking to do,
• 12:49what are the challenges,
• 12:51what has been beneficial,
• 12:53and to try to provide
• 12:55substantial and substantive guidance,
• 12:58making sure that you're aware
• 12:59of the resources
• 13:01in the section, in the
• 13:02department, across the,
• 13:04across campus,
• 13:06wide. So,
• 13:08again, you can see the
• 13:09numbers here.
• 13:11And the only thing I'll
• 13:12add to that, you know,
• 13:13we've been talking about this
• 13:15for a couple of years.
• 13:16We've got some headway.
• 13:18I've been meeting with,
• 13:20Jen Miller, Anne Black, and
• 13:21Ryan
• 13:22McNeil,
• 13:24so that our doctoral faculty,
• 13:26which has really been growing
• 13:28over the last,
• 13:29five to ten years, thanks
• 13:31to many of your efforts,
• 13:34will have a place to
• 13:35sort of meet separately,
• 13:37talk about,
• 13:38their
• 13:39pathways moving forward, talk let
• 13:42them get to know each
• 13:43other. I think they're probably
• 13:44upwards of thirty individuals
• 13:46with doctoral
• 13:48degrees in engineering,
• 13:50ethics,
• 13:52informatics,
• 13:54epidemiology,
• 13:55everything you can imagine. It's
• 13:57really quite,
• 13:59impressive the breadth of experience
• 14:01we have within our doctoral
• 14:03faculty.
• 14:04So, the goal, we've met
• 14:06twice.
• 14:07The goal is to have
• 14:08a meeting of the doctoral
• 14:09faculty sometime this fall, sort
• 14:11of plan a sequence of,
• 14:13repeated meetings over a time
• 14:15so that we can collectively
• 14:17address issues around, mentorship promotion,
• 14:20and opportunities,
• 14:21especially in this environment.
• 14:23And in fact, Anne has
• 14:25worked to, pull together a,
• 14:28a just a very brief
• 14:29survey so that we hear
• 14:30from the faculty as to
• 14:32what areas they would be
• 14:33interested in hearing about. So
• 14:35if you've been hearing about
• 14:36that or if you feel
• 14:37like you you may have
• 14:38been,
• 14:39left out, don't worry. It's
• 14:41all, coming together, and we
• 14:43look forward to, meeting with
• 14:44everybody.
• 14:45Any questions?
• 14:49I'll turn it back to
• 14:50Patrick.
• 14:53Thank you, David.
• 14:55So I I think this
• 14:56initiative was new initiative. David's
• 14:58really spearheaded about helping to
• 15:00bring the PhD faculty together
• 15:02so they can support each
• 15:03other in their academic careers.
• 15:05Career development is really a
• 15:07a important new program that
• 15:08we're doing in this section.
• 15:09So,
• 15:10I'm looking forward to seeing
• 15:11that come together. Ben Gallagher,
• 15:13you're gonna give us a
• 15:15little bit of cheerleading here,
• 15:16right,
• 15:18for the SGIM.
• 15:20Ben is are you now
• 15:21the president of I will
• 15:22I'm the president-elect
• 15:24when this meeting is over,
• 15:25and that's when that transition
• 15:26happens. Okay. So few months.
• 15:28Yes. Next year is gonna
• 15:29Yeah. Okay. Say goodbye. Chance.
• 15:31Alright, everybody. So good to
• 15:32see you all. I just
• 15:33wanna spend a little bit
• 15:34of time talking about the
• 15:35upcoming regional meeting for SGIM.
• 15:37I think it's we're actually
• 15:39lucky that our region is
• 15:40so geographically
• 15:41closed in, and that it's
• 15:42pretty easy to go to
• 15:43these regional meetings. You don't
• 15:44have to book a flight
• 15:45or book a hotel and
• 15:46that kind of thing. So
• 15:47this, meeting is happening this
• 15:49November, Saturday,
• 15:51November eighth
• 15:52at Harvard Medical School at
• 15:53the same center that we've
• 15:55done in that that that
• 15:56site before. This QR code
• 15:57will take you to the
• 15:58registration website and the early
• 16:00bird rate will end in
• 16:02the beginning of October.
• 16:04It's really a pretty reasonable
• 16:05registration fee and it's for
• 16:07trainees and and students etcetera.
• 16:08It's even more discounted than
• 16:10that.
• 16:11I wanna go over briefly
• 16:12what's gonna be on the
• 16:14agenda.
• 16:15I don't have the exact
• 16:16play by play but these
• 16:17are all the components. So
• 16:18our plenary speaker is gonna
• 16:20be Sarah Kimball who's an
• 16:21internist at BU who does
• 16:22a lot of work in
• 16:23immigrant and migrant health. I
• 16:26don't have the the talk
• 16:27the talk title yet, but
• 16:28I think especially given the
• 16:29political environment,
• 16:30we're all wondering about how
• 16:32to take care of folks,
• 16:33who may be in danger
• 16:35because of immigration status.
• 16:37We then have a series
• 16:38of plenary oral presentations from
• 16:40each of these three categories.
• 16:42So it's the top scoring,
• 16:44presentations in scientific abstracts,
• 16:46innovations, and clinical vignettes.
• 16:49Then interspersed throughout the day,
• 16:51we have different oral sessions
• 16:52on
• 16:53those same categories, scientific abstracts,
• 16:55innovations, and clinical vignettes.
• 16:58And also, this year, three
• 16:59different clinical updates. And this
• 17:01year, we've decided to broaden
• 17:03beyond just outpatient, inpatient, but
• 17:05do some specific topics.
• 17:07We've got one on addiction
• 17:08medicine where two of our
• 17:09faculty, Erica Hyman and Sami
• 17:11Hamdan are,
• 17:13contributing to and they did
• 17:14a run through for us,
• 17:15last night and I think
• 17:15it's gonna be really great.
• 17:16But we also have one
• 17:17on menopause,
• 17:19and also on liver disease
• 17:20and hospitalized patients. So I
• 17:21think those will be all
• 17:22very relevant to folks that
• 17:24practice in various settings.
• 17:25A number of different workshops
• 17:27as well.
• 17:28This year, for the first
• 17:29time, Jackie Savage, who's in
• 17:31our section and who has
• 17:32been leading a sort of
• 17:33medical jeopardy at the Connecticut
• 17:35ACP meeting, is going to
• 17:36do the same thing at
• 17:38our,
• 17:39SGIM meeting, and we have
• 17:40three different teams,
• 17:42none from Yale. So if
• 17:43we continue to do this
• 17:44next year, I would suggest
• 17:46YPC or try to program
• 17:47try to field teams for
• 17:49that, but I think that
• 17:49will be a lot of
• 17:50fun. We're again gonna have
• 17:51a bite sized teaching competition,
• 17:54where
• 17:55trainees and junior faculty will
• 17:56be showcasing their teaching skills
• 17:59and hopefully that will also
• 18:00feed into a national showcase
• 18:02for each region and winner
• 18:03will get to showcase their
• 18:05presentations and then we end
• 18:06the day with a poster
• 18:07session. So it's a one
• 18:09day meeting,
• 18:10it's pretty easy to get
• 18:11to, not too expensive.
• 18:13We usually have a pretty
• 18:13good showing of people who
• 18:14are presenting and,
• 18:16supporting folks, mentees that are
• 18:18presenting,
• 18:19and I think it'll be
• 18:19a lot of fun. It's
• 18:20a great way to meet
• 18:21people in different,
• 18:23from different parts of our
• 18:24region, you know, in similar
• 18:25disciplines and who are are
• 18:26like minded, etcetera. So I
• 18:28think it'll be a lot
• 18:28of fun.
• 18:30Related to this,
• 18:31in October, the deadlines for
• 18:34nominating folks for regional awards
• 18:36and also nominating yourself or
• 18:38other, folks that you work
• 18:39with for leadership positions within
• 18:41the region
• 18:42will come due. The awards
• 18:44are for both junior and,
• 18:46senior faculty related to clinical
• 18:48work, education, research,
• 18:50advocacy, leadership, etcetera. So I
• 18:52encourage you to check out,
• 18:53the the different qualifications for
• 18:55those awards. And then the
• 18:57leadership
• 18:58nominations
• 18:58are for the main positions
• 19:01which are president,
• 19:02secretary, treasurer,
• 19:04DEI chair, membership chair, and
• 19:05they may be also on
• 19:06for an associate member which
• 19:07is a a student or
• 19:09trainee or or fellow.
• 19:11And so, in addition to
• 19:12to Jackie, Alana and Ab
• 19:14are also part of the
• 19:15leadership team,
• 19:16and the the competitiveness of
• 19:18this is is very variable.
• 19:19Sometimes
• 19:20you get to kind of
• 19:21walk into this because nobody
• 19:22else is volunteering. Sometimes it's
• 19:23you get to have an
• 19:24elections and everything in between,
• 19:26but I found it to
• 19:27be really a great opportunity
• 19:29to get to,
• 19:30meet other folks in SGIM
• 19:32in the region and get
• 19:32a little more involved nationally
• 19:34and also just to learn
• 19:35how to plan a scientific
• 19:37meeting,
• 19:37which is relevant for folks
• 19:39in a variety of different,
• 19:41kind of career paths, whether
• 19:43it's education or clinical work
• 19:44or or research. So I
• 19:46would encourage you to consider
• 19:48your colleagues and yourselves for
• 19:49these awards
• 19:51and and positions.
• 19:53Lastly,
• 19:54it seems like the national
• 19:55meeting from this year just
• 19:56ended but we're already well
• 19:58underway planning the national meeting
• 20:00for twenty twenty six which
• 20:01is in Washington DC
• 20:03And we're currently,
• 20:04in the
• 20:06submission phase for workshops and,
• 20:08and clinical updates. The submissions
• 20:10for the all the different
• 20:11abstracts happen in
• 20:13December and then the peer
• 20:14review that happens in January,
• 20:16February. But what we really
• 20:17are looking for,
• 20:19this month and and next
• 20:21month is peer reviewers for
• 20:22the clinical updates and workshops.
• 20:24This,
• 20:25QR code will take you
• 20:26to the, the survey to
• 20:29sign up for peer review.
• 20:30Obviously, all of these meetings
• 20:32rely on peer reviewers who
• 20:33are volunteering their time. The
• 20:34more people that volunteer, the
• 20:36fewer,
• 20:37submissions you will individually be
• 20:38assigned to,
• 20:40to review and, and so
• 20:41I think everyone would appreciate
• 20:43that. So hopefully, we'll get
• 20:44a good showing at the,
• 20:46the New England meeting and
• 20:47and a lot of submissions
• 20:48to the national meeting as
• 20:49well. So Questions for Ben?
• 20:53And that was very helpful.
• 20:55Thank you so much. And
• 20:56I I just wanna reemphasize
• 20:58the importance of, this regional
• 21:00meeting is a great opportunity
• 21:02for everybody in the section,
• 21:04to network with faculty from
• 21:05around the region to get
• 21:07your
• 21:08your, presentations,
• 21:11out there.
• 21:13Ben, if you could send
• 21:13around that information about the,
• 21:16signing up for the peer
• 21:17review again, maybe send it
• 21:18to Vicki so she can
• 21:19distribute the section, that would
• 21:20be great.
• 21:21Also,
• 21:22you know, there's
• 21:23forty odd people online right
• 21:25now. I got one
• 21:26quick addition here. Dan Tobin
• 21:28reminding us again about the
• 21:31Connecticut chapter of the,
• 21:33American College of Physicians meeting
• 21:34scheduled for October tenth. We've
• 21:36all gotten emails about this
• 21:38already.
• 21:39It's a great meeting. Lots
• 21:40of fun.
• 21:42Try to make that meeting
• 21:43as well.
• 21:45So thank you for that.
• 21:47So,
• 21:48you know,
• 21:49we're very fortunate,
• 21:51in general internal medicine that
• 21:52we have a department
• 21:54of medicine that's really supportive
• 21:55of our faculty.
• 21:57In particular, our appointments and
• 21:58promotions committee, which is led
• 22:00by Larry Young, who's here
• 22:01today to meet with us,
• 22:03Laura Whitley, who's the manager
• 22:05for faculty affairs for the
• 22:06department, I think, is online,
• 22:08perhaps.
• 22:09I am. Yes. Thank you.
• 22:10Hi, Laura. Thank you for
• 22:12being here.
• 22:13So, we're gonna have an
• 22:15update from, Larry and Laura.
• 22:17And, Larry, come on up
• 22:19and take it away.
• 22:21And thank you for being
• 22:22here.
• 22:28Set up my best to
• 22:29do this. I would go.
• 22:34I'll just go go on
• 22:35to the Yeah. Channel.
• 23:02Hi, everybody.
• 23:04I
• 23:05no. One period.
• 23:08For a second so we
• 23:08could see it. Yeah.
• 23:11Nine eight seven eight.
• 23:13One one zero six
• 23:16nine four seven eight.
• 23:36Yeah. I think the stalls
• 23:37feature in term life.
• 23:40She's happy. You're good.
• 23:42Yeah.
• 23:44Yeah.
• 23:49We
• 23:51it's in.
• 23:59So It was
• 24:03open.
• 24:10It was a district. I
• 24:11mean, it was the process.
• 24:12I won't say it was
• 24:12district. Sorry. It was like,
• 24:14almost.
• 24:15But it wasn't, like,
• 24:16meeting issues instead of everything.
• 24:18Yes. I still Yeah. Struggling.
• 24:20No.
• 24:26There you go.
• 24:28A little more.
• 24:32So,
• 24:33hi, everybody. I'm Larry Young,
• 24:35and I'm
• 24:37a cardiologist,
• 24:38but I've been working in
• 24:39this, position as vice chair
• 24:42for faculty affairs for a
• 24:43while
• 24:45and working closely with Patrick
• 24:46and
• 24:47and David.
• 24:49I think,
• 24:51this section is in particularly
• 24:53good hands when it comes
• 24:54to career development. I don't
• 24:55think there's any section in
• 24:57the department that does it
• 24:58as well,
• 25:00as, as,
• 25:02this particular pair of leaders.
• 25:04So congrats to David and
• 25:06Patrick for really taking it
• 25:08seriously.
• 25:13Right. So there's very little
• 25:15that I have to add,
• 25:17but I'll try to,
• 25:19throw out some tips, clarify
• 25:21some things, and I do
• 25:23want it to be interactive.
• 25:24I've found that these sessions
• 25:26are really best if the
• 25:27questions just come along as
• 25:29they come along.
• 25:31And,
• 25:32I will look for
• 25:36we'll look for,
• 25:37your input as well.
• 25:40So just a little bit
• 25:41of feedback.
• 25:43General medicine was exemplary.
• 25:45The department as a whole
• 25:46has kinda caught up to
• 25:47you guys. And so this
• 25:49is departmental data for the
• 25:51last mentoring,
• 25:52year, and the FDAC is
• 25:55our repository
• 25:56for information. I don't see
• 25:57the FDAC as an end
• 25:59all, but rather where information
• 26:01goes so that you can
• 26:02have a meaningful discussion
• 26:04with your mentor, your section
• 26:06chief,
• 26:08your leaders, David, others.
• 26:10And
• 26:11so, it's actually a tool.
• 26:13And I think,
• 26:14nothing more, nothing less,
• 26:17but,
• 26:18an opportunity
• 26:19to set the
• 26:22discussion in in motion.
• 26:26So particularly
• 26:27glad that
• 26:30junior faculty who submitted FDACs,
• 26:32a hundred percent of them
• 26:33met with mentors. That's the
• 26:35first year that's happened.
• 26:36Of course, it should be
• 26:38a hundred percent. It should
• 26:39never be ninety nine. If
• 26:40somebody
• 26:41wants mentorship, they should always
• 26:43a hundred percent get it,
• 26:45and I'm really pleased this
• 26:46year that we hit that
• 26:47target.
• 26:48And,
• 26:50almost everybody, and this should
• 26:51be a hundred percent too,
• 26:53met with their second chief
• 26:54or designee. And
• 26:56I must say
• 26:57over the last three years,
• 26:59there's been,
• 27:01a growing acceptance amongst senior
• 27:04faculty
• 27:04who said, why do I
• 27:06need to go through this
• 27:07process?
• 27:08Realizing that the opportunity to
• 27:10sit down with the the
• 27:12section chief or the leader,
• 27:13a leader in the section
• 27:14was an opportunity for,
• 27:17bidirectional
• 27:18communication,
• 27:19a chance for you to
• 27:20input on your thoughts about
• 27:23the section, the world, the
• 27:24faculty,
• 27:26and
• 27:27and and communication.
• 27:29There's never enough communication is
• 27:31the bottom line.
• 27:33So Patrick mentioned, I guess,
• 27:35ten percent of your faculty
• 27:37now are in the research
• 27:38faculty.
• 27:40And,
• 27:41you know, we'll see what
• 27:42happens next year. Right now,
• 27:44the FDAC is not required.
• 27:46It's recommended, and I would
• 27:48double underline. I think it's
• 27:50a great idea again.
• 27:53The,
• 27:54ARS faculty,
• 27:56only thirty nine percent in
• 27:58the department filled out the
• 28:00FDAC, and only twenty four
• 28:01percent did so and also
• 28:03met with their
• 28:04PI.
• 28:07You know, you meet
• 28:08the ARS faculty meet with
• 28:09their PIs a lot, but
• 28:12framing it in the discussion
• 28:13of it's been a year.
• 28:15Where are we? Where are
• 28:16we going?
• 28:17It's useful. It's useful just
• 28:19to get
• 28:20a non day by day
• 28:22task by task bit of
• 28:24feedback, and I would encourage
• 28:25it.
• 28:26The more senior research faculty,
• 28:29eighty five percent and sixty
• 28:31four percent met with their
• 28:33leadership. This was actually a
• 28:34requirement, and so we we
• 28:36didn't do very well, I
• 28:37would say, on this,
• 28:39that
• 28:40senior research faculty have
• 28:43issues that
• 28:44really require input from,
• 28:47from the
• 28:48second chief or designated leader
• 28:51and,
• 28:52and so important. And and
• 28:54this is a work in
• 28:55progress. I think
• 28:56that the school is also
• 28:58thinking about whether to make
• 28:59this more sort of encourage
• 29:01it more strongly with making
• 29:02it mandatory.
• 29:05So
• 29:07mentorship
• 29:09leads to successful career development,
• 29:11leads to promotion. Promotion is
• 29:13not an end all. It's
• 29:15really a recognition of everything
• 29:16you've done over the last
• 29:18six,
• 29:19ten, whatever it is, years.
• 29:22And
• 29:23and so,
• 29:26I think you've recruited a
• 29:27bunch of new faculty.
• 29:29Now's the time to start
• 29:30thinking about those of you
• 29:32who are gonna be their
• 29:33mentors
• 29:34about
• 29:35promotion,
• 29:37I e,
• 29:38what do we do over
• 29:39the next six years to
• 29:41foster successful career development? Because
• 29:44each and every one of
• 29:45you who's recruited here on
• 29:47faculty, the goal is to
• 29:49see you succeed. It makes
• 29:51no sense to bring people
• 29:52on and not see them
• 29:53succeed. It's just
• 29:56in every way, it's negative.
• 29:58And so, you know, from
• 29:59day one, we ought to
• 30:01be talking about
• 30:02promotion
• 30:04as you know, what are
• 30:05some of the, aspects of
• 30:07career development that lead to
• 30:10successful impactful work? And
• 30:12those are important discussions to
• 30:14have.
• 30:16We were now past the
• 30:17deadline. I haven't checked recently.
• 30:20I would imagine GenMed has
• 30:22met all the deadlines,
• 30:23July, August, September.
• 30:26And why is this? You
• 30:27know, why
• 30:29why do we have to
• 30:30almost a year ahead of
• 30:31time? It's because the process
• 30:33is
• 30:35extensive.
• 30:36You know, Yale is a
• 30:39a very traditional academic institution.
• 30:41We we have
• 30:43acquired our habits from the
• 30:46from the college and the
• 30:47university, and so it's multistep.
• 30:50And that means
• 30:52submitting
• 30:52materials during the summer as
• 30:55you've done,
• 30:57initial departmental
• 30:59review.
• 31:00Although after submission materials,
• 31:04Laura and her staff go
• 31:05through the materials, make sure
• 31:06they're in shape, and there
• 31:08may be a round or
• 31:09two.
• 31:10But then we started we
• 31:12met for the first time
• 31:13last week starting to review
• 31:15promotions,
• 31:16and there are seventy people
• 31:18coming up in the department
• 31:19for promotion this year. So
• 31:21that's a pretty big number.
• 31:24And, we try to keep
• 31:26at it and do so
• 31:27in a expeditious way so
• 31:29that
• 31:30we make the ultimate deadline,
• 31:32which is that people have
• 31:34their promotion approved
• 31:36by July
• 31:37of the of the
• 31:39target year.
• 31:41Letters
• 31:42take a while, and,
• 31:45I guess the update or
• 31:47the tip here is,
• 31:50the the average
• 31:52return on letters is now
• 31:55about,
• 31:56forty to fifty percent.
• 31:59And so,
• 32:02you know, there's a minimum
• 32:04number, and for most of
• 32:05the tracks, there's a backup
• 32:06list.
• 32:08That backup list now is
• 32:09reality.
• 32:10And so when you pick
• 32:11your reviewers, and
• 32:14I'm sure you will speak
• 32:15to your mentor and David
• 32:16and Patrick about picking reviewers,
• 32:19really important part promotion.
• 32:22You can just assume that
• 32:24everybody on your backup list
• 32:25is probably gonna get asked.
• 32:27And we are,
• 32:30probably initially going to ask
• 32:32for,
• 32:33not only the designated reviewers,
• 32:35but people on the backup
• 32:37list
• 32:38right away. That's not a
• 32:39school thing, but it's a
• 32:40department thing just because, otherwise,
• 32:42it can take months and
• 32:43months and months before we
• 32:45go through round one, two,
• 32:46three, four of of getting
• 32:47letters and that we're just
• 32:49done with that. We're tired
• 32:51of doing that. It's a
• 32:52lot of work for Laura
• 32:53and her
• 32:54Sal. So pick your reviewers,
• 32:56pay attention to the backup
• 32:58list, and
• 33:00this is really important.
• 33:03Then we review the letters.
• 33:05We advise we
• 33:07bring in,
• 33:09an opinion to the senior
• 33:10faculty and the senior faculty
• 33:12are the ones who will
• 33:13vote on your promotions. Actually,
• 33:15the A and P committee
• 33:16is not a voting. It's
• 33:18really,
• 33:19it makes a recommendation
• 33:20to the departments and your
• 33:22faculty.
• 33:24It then has to go
• 33:25through the school, and now
• 33:27you're picking up
• 33:29a group of faculty who
• 33:31aren't in our department, most
• 33:33of whom don't know you
• 33:34and haven't worked with you
• 33:37very much more arm's length.
• 33:40And
• 33:42and, you know, this this,
• 33:46you know, and and from
• 33:48different departments that see things
• 33:50a little bit differently. So
• 33:52you have these,
• 33:53you know, you have an
• 33:54internal view in the department.
• 33:56You have peer review from
• 33:58people in your field, and
• 33:59then you have this,
• 34:01secondary review in the
• 34:03school.
• 34:04The dean heads the senior
• 34:05committee, and Sam Paul heads
• 34:07the,
• 34:09associate professor level promotions.
• 34:14And,
• 34:15and, you know, all all
• 34:16reviewers and committee members, they
• 34:19also have their own perspectives
• 34:20on things. So this is
• 34:21sort of what what we're
• 34:23up
• 34:23against,
• 34:25have to deal with,
• 34:26but there are some general
• 34:28principles.
• 34:31So the AMP committee
• 34:34is,
• 34:36represents all the sections. That's
• 34:39really important because
• 34:40and Donna, I don't know
• 34:41if Donna's here, but,
• 34:44Donna provides a perspective,
• 34:46a context
• 34:47for,
• 34:49for
• 34:50the,
• 34:52area that you're working in,
• 34:53the venue that you're,
• 34:55staffing.
• 34:57And,
• 34:59and,
• 35:00so she provides the committee
• 35:02with perspective and context, but
• 35:06she also is an important
• 35:08point person
• 35:09to bring back to
• 35:12Patrick, David, and all of
• 35:13you
• 35:14insights that she has in
• 35:16terms of
• 35:18patterns, red flags, answering questions
• 35:21on what are people talking
• 35:22about in
• 35:24for twenty twenty six promotions
• 35:26in the various tracks. And
• 35:27it does shift a bit.
• 35:30You know? We're at a
• 35:32really
• 35:34fluid stage at the academic
• 35:36medical center in a big
• 35:37way. And so
• 35:39her sort of being on
• 35:40the committee and and communicating
• 35:42with all of you is
• 35:43really important.
• 35:45He's on virtually.
• 35:46Hey. Hi, Doug.
• 35:48Sorry, doctor Young. Before you
• 35:50move past the A and
• 35:51P process, I just wanted
• 35:52to add a comment there.
• 35:54The,
• 35:55deadlines
• 35:56screen that was shown, that
• 35:57slide, those are departmental deadlines.
• 36:00So we will give earlier
• 36:02deadlines for this section. We
• 36:03will also come back for
• 36:05requests for updates like doctor
• 36:06Young mentioned. I would just
• 36:08ask, you know, please treat
• 36:10those turnaround deadlines,
• 36:11as hard deadlines as well.
• 36:13So we wanna keep you
• 36:14moving as quickly as possible.
• 36:16So if we need updates,
• 36:18it means we can't go
• 36:19to the next step until
• 36:20we get that back. So
• 36:21your help with that is
• 36:22incredibly important. Thank you.
• 36:25Thanks, Laura.
• 36:27Okay. So let's talk a
• 36:29little bit about tracks and
• 36:30open it up more.
• 36:33So the academic clinician track
• 36:35is the
• 36:36is the fastest growing track
• 36:38in the department.
• 36:40And,
• 36:41this is to really,
• 36:43meet the the department's clinical
• 36:45mission.
• 36:46It emphasizes
• 36:47excellence in clinical care and
• 36:49education,
• 36:51program development, both clinical and
• 36:53educational,
• 36:54people serving as role models,
• 36:57for our trainees
• 36:58and also providing
• 37:00support for the research mission.
• 37:02And,
• 37:03that that may
• 37:05be that,
• 37:06you know, particular faculty member
• 37:08has a specific
• 37:10niche interest
• 37:12and
• 37:13sees a lot of patients
• 37:14with a particular type of
• 37:15problem and can interact with
• 37:17researchers who are studying that
• 37:19problem
• 37:20in a very meaningful
• 37:21and synergistic way to really
• 37:23promote the research. So we
• 37:24look at all of these
• 37:25things.
• 37:27I think it's fair to
• 37:28say that,
• 37:30that
• 37:32promotion
• 37:33does require not only the
• 37:35excellence, but something in terms
• 37:37of,
• 37:39program development initiatives
• 37:41that are
• 37:42meaningful, that impact, that really
• 37:45are value added to what
• 37:46we have.
• 37:47And that may be in
• 37:48education, that may be in
• 37:49clinical programs.
• 37:53And,
• 37:54and and so,
• 37:55that's something that,
• 37:57you know, ought to be
• 37:58one of the goals upfront
• 38:00is to figure out what
• 38:01what your niche is gonna
• 38:02be, what what can you
• 38:03get recognition for,
• 38:06as you,
• 38:07proceed through through the ranks.
• 38:12So in terms of,
• 38:14just being a bit careful
• 38:16in this track,
• 38:18there's no question
• 38:19that
• 38:20productivity
• 38:21will be looked at in
• 38:22this track.
• 38:23You know, we now are
• 38:25suddenly in the realm of
• 38:27the entire system is based
• 38:28on our views. And so,
• 38:30yes, people are looking at
• 38:31pro at productivity.
• 38:33And I don't think that
• 38:34people will get
• 38:36docked
• 38:37for being five percent below
• 38:39average, but if you're in
• 38:41the bottom five or ten
• 38:42percent
• 38:43of your particular specialty,
• 38:46that's gonna get recognized and,
• 38:49you know, you're not gonna
• 38:50get,
• 38:53you're not gonna get, a
• 38:54slap on the hand, but
• 38:56then again,
• 38:57the enthusiasm
• 38:58to promote people who are
• 38:59not,
• 39:00you know,
• 39:02coming close to something reasonable
• 39:04in terms of
• 39:05people are talking about that.
• 39:07And so,
• 39:09you know, so keep an
• 39:10eye on that.
• 39:11And the the same sort
• 39:13of keep an eye on
• 39:14philosophy
• 39:15when it comes to education.
• 39:18You know, one random negative
• 39:20review from a student that
• 39:23is sort
• 39:24of seems
• 39:25really incongruous with everything else
• 39:27that's in the file means
• 39:29little.
• 39:30But if you get two
• 39:31or three
• 39:32negative reviews that I'll comment
• 39:34on the same aspect of
• 39:35your performance,
• 39:37that's taken extremely seriously
• 39:39and can basically
• 39:41shut down promotions
• 39:42both in the department and
• 39:44the school level.
• 39:46So the corollary
• 39:47is,
• 39:48you know,
• 39:49watch get your your dashboard,
• 39:51our views, take a look
• 39:53at them, and your teaching
• 39:54evals always take a look
• 39:56at them. I suspect that
• 39:58in this group of pretty
• 40:00committed educators, the teaching evals
• 40:02are are gonna be strong
• 40:04and that you do go
• 40:06through this process with your
• 40:07mentors, but just just be
• 40:09careful.
• 40:11Yeah.
• 40:12Yeah. So for somebody who
• 40:14is in this track but
• 40:15has a fair amount of
• 40:16administrative Yeah. Requirements.
• 40:19The reviews are adjusted to
• 40:20the Yeah. Time they have.
• 40:22So this is the CFT
• 40:23calculation
• 40:24that when people have
• 40:26administrative leadership, educational leadership,
• 40:29research effort, even in this
• 40:31track, some people will have,
• 40:33you know, five percent on
• 40:34the big program project. You
• 40:36know? That's all adjusted
• 40:38out. Yeah.
• 40:42I have a question. Yeah.
• 40:45Hi.
• 40:46So
• 40:49our,
• 40:50early qualified health care centers
• 40:51don't necessarily track the RBUs
• 40:54to the degree in which
• 40:55the clarity report does. And
• 40:56so how does the,
• 40:58promotion committee take that into
• 40:59account? Yeah. So, then we're
• 41:01dependent on whatever the metric
• 41:03within your particular
• 41:05context is. And
• 41:06so,
• 41:08everybody tracks active clinical activity.
• 41:11And so it may not
• 41:12have an RBU number associated
• 41:14with it, but,
• 41:16we would depend on
• 41:17leadership to provide that kind
• 41:19of context. And
• 41:21and that's something that if
• 41:23you're in this track at
• 41:24the end of the year,
• 41:25when you meet with met
• 41:26your mentor and and or
• 41:28with David or Patrick,
• 41:30to
• 41:31just say, you know, how
• 41:33am I doing? Is this
• 41:34a reasonable level of clinical
• 41:37productivity?
• 41:41The the primary metric there
• 41:42is visit volume.
• 41:44Yeah. Very hard data to
• 41:45get, but we're working on
• 41:47it. Yeah.
• 41:48I understand
• 41:49that, you know, if we
• 41:50don't live in a system
• 41:51that necessarily generates data easily,
• 41:54but
• 41:55it's
• 41:56it's now is it's here.
• 41:58We need to we need
• 41:58to do better if we
• 41:59if we're having issues.
• 42:01So the other thing is
• 42:03that board certification
• 42:04is required, and we've had
• 42:07several people come up for
• 42:08promotion who have lapsed. And
• 42:10that's a problem. We'll just
• 42:12shut it down.
• 42:13So,
• 42:14so you need to maintain.
• 42:15You need to do whatever
• 42:17in
• 42:18for most of you, that's
• 42:19general internal medicine. Right? You
• 42:21don't have specialty boards,
• 42:24but just keep on top
• 42:25of that. Whatever it takes,
• 42:27just
• 42:28track it. It's public domain.
• 42:30Whole world knows when you
• 42:32lapse.
• 42:34And, so be careful about
• 42:35that. Better better than that.
• 42:37Yeah. Correct.
• 42:39Unless you're not seeing patients.
• 42:46So within this track,
• 42:48the clinical reputation
• 42:50doesn't necessarily
• 42:52have to be national, but
• 42:54certainly local, strong local. And
• 42:56I think the school has
• 42:57has done well by
• 42:59expanding the pool of local
• 43:01reviewers, which is that
• 43:04now people,
• 43:06outside of your section, which
• 43:08obviously cannot be arm's length,
• 43:10but within the department.
• 43:12So
• 43:13in cardiology, I could write
• 43:15a letter for you or
• 43:16in pulmonary, whatever. So people
• 43:19who you work with a
• 43:20lot
• 43:21can really comment on your
• 43:24clinical excellence. And
• 43:26and so I think that's
• 43:27really
• 43:28particularly for a specialty like
• 43:30yours where you're not getting
• 43:32referrals in from
• 43:34Rhode Island for general primary
• 43:36care.
• 43:38That's really important and works
• 43:41to your advantage. And and
• 43:42and those,
• 43:44those letters,
• 43:46you know, would be very
• 43:47meaningful.
• 43:48Is that true for a
• 43:49promotion to professor that you
• 43:51could have letters outside outside
• 43:53your section within your Yes.
• 43:56In the AC track.
• 43:57Thanks. Yeah. I mean, still,
• 44:00you know, you it can
• 44:01it can never be more
• 44:03than half of your letters.
• 44:05And
• 44:07and, also,
• 44:09you know, there's some advantage
• 44:11if you work with a
• 44:12particular orthopedic surgeon who
• 44:14is very impressed by your
• 44:16clinical acumen, then
• 44:18that's,
• 44:19you know, that's worth cultivating
• 44:21that relationship.
• 44:24We talked about program development
• 44:27and then,
• 44:28the,
• 44:29you know, the
• 44:31the outside,
• 44:34general internal medicine,
• 44:36associations,
• 44:38SGIM,
• 44:39double A CP.
• 44:41I mean,
• 44:42you know, as an assistant
• 44:43professor, you're gonna start regionally.
• 44:46And if you
• 44:47develop a good reputation regionally,
• 44:49then
• 44:50you'll get opportunities
• 44:52nationally.
• 44:53This is also something that
• 44:55your section does really well.
• 44:56But all of you as
• 44:57senior mentors who have these
• 44:59national ties,
• 45:01sponsorship.
• 45:02So mentorship
• 45:04sponsorship
• 45:05is not quite the same
• 45:06thing, but it's part of
• 45:07the job
• 45:08and
• 45:09always should be thinking about
• 45:12what you could do for
• 45:13your mentee in terms of
• 45:14giving them that opportunity.
• 45:17You know, all of us
• 45:18given opportunities have to shine.
• 45:20If you don't show up
• 45:21or you do a lousy
• 45:22job, that's a dead end
• 45:24that's not gonna do well
• 45:25for anybody.
• 45:27But getting in the door
• 45:29sometimes
• 45:30is
• 45:31difficult and getting a little
• 45:32bit of a head start
• 45:33from,
• 45:34sponsors is is great.
• 45:39So other questions about the
• 45:41AC track, and then we'll
• 45:42move on. I know time
• 45:44is moving.
• 45:46Doctor Young, I just wanted
• 45:47to clarify,
• 45:48something for the question that
• 45:50came up about professors
• 45:51using,
• 45:53referees in our department.
• 45:55I think you mentioned that
• 45:56they cannot
• 45:56exceed half of the letters.
• 45:58They actually cannot exceed half
• 45:59of the nonarms length letters.
• 46:01Yes. So, that's even a
• 46:03smaller number.
• 46:04Yeah. I'm just gonna do
• 46:06audio a little bit when
• 46:06you step away from the
• 46:07podium, if that would, Yeah.
• 46:09Okay. Thanks.
• 46:10Reminder. Yeah. So, obviously, anybody
• 46:12from Yale cannot is not
• 46:14an arms length letter. I
• 46:15mean, they're internal letters.
• 46:19So the CES track, I
• 46:21think, simply put, a lot
• 46:22of the same,
• 46:25metrics and goals
• 46:27are common with the AC
• 46:29track, the excellence in care
• 46:30and education and so forth.
• 46:32I think the
• 46:33the the track used to
• 46:35be called the CE track.
• 46:36All of us who grew
• 46:37up here remember, and now
• 46:39it has this s at
• 46:40the end that was very
• 46:41deliberate. And that was Dean
• 46:42Brown
• 46:43who really said that this
• 46:45track should be for clinician
• 46:48educators who do, quote, impactful
• 46:50scholarship. And she she attached
• 46:52the adjective
• 46:54for reason that
• 46:55not not simply,
• 46:58you know, a,
• 46:59a gesture of scholarship, but
• 47:01people were doing things that
• 47:02were meaningful.
• 47:04And so that has kind
• 47:05of become the,
• 47:08you know,
• 47:09a key characteristic
• 47:10of this track.
• 47:12And I think it's fair
• 47:14to say that
• 47:16we'll go to the third
• 47:17bullet point that scholarship is
• 47:20still
• 47:21broadly defined,
• 47:22which is to say that
• 47:24as opposed to the,
• 47:26research oriented tracks where original
• 47:29research is the coin of
• 47:30the realm,
• 47:31Here,
• 47:32if it's impactful, it it
• 47:34it can be,
• 47:36peer
• 47:37not just peer reviewed research,
• 47:39but
• 47:40books, chapters,
• 47:42reviews.
• 47:42If, you know, I've seen
• 47:44some of you write reviews
• 47:46in the New England Journal.
• 47:47That is it's read by
• 47:49thousands and thousands of people.
• 47:50It's highly impactful.
• 47:53And the same with clinical
• 47:55guidelines.
• 47:56You know? Everybody in the
• 47:58field reads those guidelines.
• 48:01And the,
• 48:03educational
• 48:04curricula, I guess, I'd I'd
• 48:05maybe and this is probably
• 48:07too simplified, but
• 48:09make the distinction
• 48:11that
• 48:12in the AC track, it's
• 48:14curricula that are used locally.
• 48:17In the CES track, it's
• 48:19curricula that are published or
• 48:21widely disseminated
• 48:23and thus have gone through
• 48:24peer review.
• 48:26When we get letters back
• 48:27saying that
• 48:29this curriculum,
• 48:31we've used it for the
• 48:32last ten years. It's the
• 48:34absolute backbone
• 48:35of our curriculum at
• 48:37Harvard or Stanford or somewhere
• 48:39like that. And, by the
• 48:41way, two hundred of my
• 48:42colleagues at other institutions use
• 48:44the curriculum.
• 48:45It has gone through peer
• 48:46review at the highest level.
• 48:48And so,
• 48:49you know, I'm sure there's
• 48:51a gray zone, but,
• 48:53simply put, to get full
• 48:55recognition for educational,
• 48:59curricula development,
• 49:02dissemination is kind of the
• 49:03key.
• 49:05Educational
• 49:06scholarship
• 49:07is a different issue. I
• 49:09mean, that's really original research
• 49:12and things that Donna and
• 49:13the ACES program and so
• 49:14forth. I mean, the goal
• 49:16there is really to
• 49:17provide
• 49:18scholarship,
• 49:19direct scholarship related to to
• 49:21to research, and that absolutely
• 49:23falls within the realm of
• 49:24the CES track.
• 49:27Couple of comments about the
• 49:29CES track. I think not
• 49:31a lot has changed here,
• 49:32except that
• 49:34the,
• 49:35the concept of,
• 49:38team science and multi PI
• 49:40grants and
• 49:42and, you know,
• 49:43co corresponding
• 49:45authors,
• 49:46I think, is here. And
• 49:47it's now not
• 49:49under discussion. It's here, and
• 49:50it's here to stay.
• 49:52I think people recognize
• 49:53the power of team science
• 49:56and that science is broad
• 49:57enough that
• 49:58the best papers now don't
• 50:00involve one technique. They involve
• 50:03ten techniques, and to have
• 50:05two experts
• 50:06is absolutely the norm.
• 50:10Still promotion to the CS
• 50:12track
• 50:13at the associate professor level
• 50:15basically
• 50:16requires,
• 50:17r o one
• 50:19with either PI or multi
• 50:21PI on that r o
• 50:22one.
• 50:23And,
• 50:25that's pretty much a hard
• 50:27stop. You know? There may
• 50:28be a rare instance where
• 50:29there's, you
• 50:31know, the equivalent
• 50:32level of support from a
• 50:34foundation
• 50:35or something else, but,
• 50:37and and so that takes
• 50:39planning. Right? Because
• 50:40you've gotta have that r
• 50:41o one in place by
• 50:43the start of year six,
• 50:45which means you probably have
• 50:46to start writing,
• 50:49during year four for sure
• 50:50and maybe even at the
• 50:51end of year three.
• 50:53And
• 50:54so,
• 50:55you know, for those of
• 50:56you who aspire to be
• 50:58clinical investigators,
• 51:01there's absolutely a timetable.
• 51:03And,
• 51:05and,
• 51:06you know, k award as
• 51:08you start your assistant professor,
• 51:10and then you've gotta think
• 51:12by the,
• 51:13end of your first term
• 51:15about getting getting
• 51:16grants drafted.
• 51:18And ask a Yeah. Question.
• 51:21It's a hard time to
• 51:22be an assistant professor trying
• 51:23to write r ones. Yes.
• 51:25It's a fun environment.
• 51:26I I mean, I wrote
• 51:27a lot last year and
• 51:29Yeah. Given things that happen,
• 51:30nothing's getting funded.
• 51:32Is this evolving, like, how
• 51:33this will be considered? Because
• 51:35I I mean, it it
• 51:36keeps me up at night.
• 51:37Yeah. I'm sure it does.
• 51:39It keeps all of us,
• 51:40like, cramped up all night
• 51:42and the next night.
• 51:45So I think the answer
• 51:47is,
• 51:51you know, is a little
• 51:52bit nuanced, but,
• 51:55have there been exceptions? There
• 51:57have been
• 51:58exceptions when
• 52:00people are really close,
• 52:02have a trajectory
• 52:04of publication,
• 52:06and scores on a grant
• 52:08that are really close trajectory
• 52:10of publication that looks great,
• 52:13you know, and
• 52:14and
• 52:15their work is just exciting
• 52:17in the field,
• 52:18then often well, not often.
• 52:20We've done it maybe half
• 52:21a dozen times at most.
• 52:24We
• 52:25go out for letters, and
• 52:27we consider an abbreviated
• 52:29term.
• 52:30So, generally, three years. So
• 52:32a promotion with an abbreviated
• 52:34term.
• 52:35But the key point is
• 52:37that it depends on the
• 52:38letters.
• 52:39So now
• 52:41we may buy into it
• 52:42in the department.
• 52:44The school may or may
• 52:46not support us, and the
• 52:47letter writers may say,
• 52:50hey. Listen. At Penn, you
• 52:51don't get promoted unless you
• 52:52have an r o one.
• 52:53So, no, they wouldn't be
• 52:55promoted.
• 52:56So
• 52:57that's as good
• 52:58as we can do, and
• 53:00and we've done that when
• 53:01we see the right trajectory.
• 53:06If not,
• 53:07there are people in the
• 53:08CES
• 53:09track
• 53:10who have r
• 53:11o ones. Maybe they got
• 53:12it a little late. They
• 53:13got it year
• 53:14seven.
• 53:15I mean, there are people
• 53:16in CES track who got
• 53:18an r one year seven,
• 53:20another one year eight, and
• 53:21another one year nine. Suddenly,
• 53:22they have three r o
• 53:23ones.
• 53:25So the CES track has
• 53:27more, but there are people
• 53:28in the CES track. Not
• 53:30a lot, but
• 53:32there's, you know, there's a
• 53:33handful of people who
• 53:35see themselves as mission educators
• 53:38and have a have a
• 53:40real presence
• 53:41as CE,
• 53:43but also have,
• 53:45independent
• 53:46investigator initiated
• 53:47research support.
• 53:50So,
• 53:52yeah, so
• 53:54we try to find a
• 53:55path forward. And, usually, there's
• 53:57a path forward.
• 53:59Sometimes it's a bit creative,
• 54:01but,
• 54:02you know, but the goal
• 54:04should be just to take
• 54:06the standard path.
• 54:07Sure. Sure. Of course, that's
• 54:09the goal.
• 54:11And, you know, and and
• 54:13to
• 54:14prepare well-to-do that. I mean
• 54:15so
• 54:16I don't think this happens
• 54:18in your section. In some
• 54:19of the sections, there are
• 54:20people who
• 54:21come on as assistant professors,
• 54:23and they don't get paid
• 54:24for until year three. It's
• 54:26like, well, where's that gonna
• 54:27go? You're gonna run out
• 54:28of time.
• 54:29You know? So
• 54:31there was a question. Just
• 54:32to go back to the
• 54:33comment about Yeah. Authorship, just
• 54:35to be clear. So Yeah.
• 54:36What I what I heard
• 54:37you say is that at
• 54:38this point, co senior, co
• 54:40first authorship Yeah. As recognized
• 54:41by a journal is
• 54:43considered the same as first
• 54:45or second. Yeah. I wouldn't
• 54:45say a hundred percent, but
• 54:47I'd say in the mid
• 54:48nineties. I think most people
• 54:51recognize that
• 54:53for really
• 54:55big time impactful work,
• 54:57it's not, you know,
• 55:00where there's night obviously, an
• 55:02identifiable
• 55:04you know, clearly an identifiable
• 55:06contribution, which is complementary
• 55:08to the other co.
• 55:11So but
• 55:13just segue, and I know
• 55:14time is tight. So let
• 55:16me just comment on middle
• 55:17author papers. Okay? So that's
• 55:19a whole different discussion.
• 55:22So middle author papers have
• 55:24enormous value in two senses.
• 55:27One is that
• 55:28you contribute to the science,
• 55:30and in some cases, the
• 55:31science wouldn't move forward.
• 55:35The collaboration
• 55:36with others, what you learn,
• 55:37what it sets
• 55:39the soil for that can
• 55:40grow out of that soil.
• 55:44But as an end all,
• 55:46you know, this is a
• 55:46little bit flippant, but you
• 55:48don't get grants and you
• 55:49don't get invited talks out
• 55:51of being a middle author
• 55:52generally.
• 55:54So
• 55:56so middle author,
• 55:58it it has a purpose,
• 56:01and
• 56:02it's a mean purpose. But
• 56:04in terms of the credit,
• 56:06career development,
• 56:07promotion, recognition,
• 56:10be careful.
• 56:12They're not mutually exclusive at
• 56:14all, which is to say,
• 56:16you know,
• 56:17but you need to absolutely
• 56:19prioritize things that people will
• 56:21identify
• 56:22that you wrote or your
• 56:24mentee wrote.
• 56:26And those are the things
• 56:27you're gonna get recognition
• 56:29for at a much, much
• 56:30higher level.
• 56:33Well, that's
• 56:35being harsh,
• 56:36Amy,
• 56:37but
• 56:38a little bit of truth
• 56:39to it maybe. Matthew, another
• 56:41way to say that is
• 56:42that I think middle of
• 56:43favors
• 56:44contribute to your body of
• 56:45work. Yeah. They demonstrate that
• 56:47you're a player in the
• 56:48research field, so they're important.
• 56:51Yeah. But they're not sufficient.
• 56:53Yes. So moving forward in
• 56:55this type of tracking in
• 56:56particular. They're they're not solely
• 56:58sufficient.
• 57:00Yeah.
• 57:02Doctor Young, you do have
• 57:03a few questions in chat
• 57:04as well. K. You wanna
• 57:06just read them out?
• 57:09Sure. So one of them
• 57:11is looking for the requirements
• 57:12for the AC track promotion
• 57:14and is looking for an
• 57:15example of the breakdown of
• 57:17number of letters that are
• 57:18arms length and nonarms length.
• 57:20Yeah. So we will distribute,
• 57:22PowerPoint that has,
• 57:24has this sort of,
• 57:26data as well as the
• 57:27link to the OAPD site.
• 57:29So two important sites.
• 57:31One is OAPD, which now
• 57:33has a very robust
• 57:37repository
• 57:38for guidance
• 57:40and instructions.
• 57:41And two is a link
• 57:43to Laura OAPD
• 57:45and to myself,
• 57:48so that, you know, so
• 57:49that,
• 57:50specific questions should be readily,
• 57:52readily answered.
• 57:54Again,
• 57:56probably unnecessary
• 57:57given the section that you're
• 57:58part of where there's just
• 58:00an enormous wealth of
• 58:03information and understanding expertise.
• 58:06But but that that is
• 58:08out there. And the OAPD
• 58:09site, I think it's worth
• 58:11visiting to
• 58:12look at the metrics and
• 58:14certainly didn't have time to
• 58:15go through the metrics for
• 58:16each of the tracks, and
• 58:18I'm not sure there's they're
• 58:20as well articulated as
• 58:22Mhmm. Perhaps you might want,
• 58:24but it does provide some
• 58:26broad,
• 58:27context for for the different
• 58:29tracks that's worth reviewing.
• 58:33And there was a second
• 58:34question I'm not quite sure
• 58:36on,
• 58:37about questions that often come
• 58:39up from the CES folks
• 58:40with regard to how the
• 58:41committee reviews
• 58:43nontraditional
• 58:43curriculum development like online curricula
• 58:46or podcast
• 58:47as opposed to traditional curriculum
• 58:49development within a department?
• 58:51Yeah. So that's an evolving
• 58:53field. I think the key
• 58:55is,
• 58:56is,
• 58:58the concept of
• 59:00peer review and validation from
• 59:02the academic community.
• 59:04So,
• 59:07you know, that,
• 59:09for nonpublished
• 59:10work,
• 59:11you know, podcasts and all
• 59:13that, then,
• 59:15there has to be some
• 59:16mechanism.
• 59:17And,
• 59:21you know, I think the
• 59:22the most,
• 59:24clear example, again, is when
• 59:26there's a curriculum that has
• 59:27been adopted by all of
• 59:29our sister institutions. That's institutions,
• 59:30that's pretty strong
• 59:32word of support that people
• 59:33who are our peer educators
• 59:35believe that it's,
• 59:37you know, that is great.
• 59:40So
• 59:41podcasts,
• 59:42you'll have to
• 59:45you'll have to help, I
• 59:46think, all of us understand
• 59:48the impact and, again, that
• 59:50it's
• 59:51getting,
• 59:54support
• 59:55from our peer community.
• 59:58And,
• 59:59and there may be ways
• 01:00:01to do that.
• 01:00:04But,
• 01:00:04so
• 01:00:05and this is where your
• 01:00:06CV two
• 01:00:08really is critical because nobody's
• 01:00:10gonna have a clue. You
• 01:00:12almost have to set the
• 01:00:13stage for this that
• 01:00:15here's the venue, and this
• 01:00:17is how
• 01:00:18it's reviewed by my
• 01:00:20peer educational
• 01:00:22community,
• 01:00:23and these are the metric.
• 01:00:24So, you know,
• 01:00:26so it's an evolving world
• 01:00:28as
• 01:00:29as these things,
• 01:00:33change and emerge and become
• 01:00:34more important
• 01:00:36in our lives.
• 01:00:38We will try to understand
• 01:00:39them. If you're working in
• 01:00:41that sort of area, you
• 01:00:42really have to explain it
• 01:00:44very clearly,
• 01:00:45very objectively.
• 01:00:46Like, here's the data,
• 01:00:48not just,
• 01:00:49you know, not just broad
• 01:00:51strokes.
• 01:00:52Thank you. Yep. I also
• 01:00:54just wanted to note that
• 01:00:56there's two relatively new areas
• 01:00:58in the c v one
• 01:00:59where you can capture items
• 01:01:00like this.
• 01:01:01There is now a media
• 01:01:03presence area below public service.
• 01:01:06And if you're listing any
• 01:01:07kind of interviews, blogs, etcetera,
• 01:01:10you can also include the
• 01:01:11citation,
• 01:01:13traffic, any other metrics about
• 01:01:15that. And then the second
• 01:01:16area is at the end
• 01:01:18of the bibliography,
• 01:01:19they've added a new section
• 01:01:20for publications for nonacademic
• 01:01:23audiences,
• 01:01:24such as op eds and
• 01:01:25lay press publications.
• 01:01:27So please take advantage of
• 01:01:28those areas too. Yeah. You
• 01:01:29know, I think the key
• 01:01:30question is how,
• 01:01:34I mean, I think we
• 01:01:35recognize
• 01:01:36that they are potentially
• 01:01:39impactful,
• 01:01:40but the judgment as to
• 01:01:41whether they will they are
• 01:01:43impactful
• 01:01:44is could depend on the
• 01:01:46person who writes your letter,
• 01:01:48what they think about it,
• 01:01:49the people on the committee,
• 01:01:51what they think about it.
• 01:01:53I think it's great that
• 01:01:54we're getting it onto the
• 01:01:56table for discussion, but
• 01:01:59the,
• 01:02:00you know, the way in
• 01:02:01which it actually factors into
• 01:02:03decisions
• 01:02:04is really
• 01:02:05sort of
• 01:02:07evolving.
• 01:02:08And I think at this
• 01:02:10point, there has to be
• 01:02:11the more substance you can
• 01:02:13put in to rationalize
• 01:02:15how it shows impact,
• 01:02:16the better off you'll be.
• 01:02:19Sebastian?
• 01:02:20Yeah. Thank you very much
• 01:02:21for the talk, actually. And
• 01:02:22this is perfect timing for
• 01:02:24me because today, I was
• 01:02:25entering
• 01:02:26my publications into my ERAS
• 01:02:27application for internal medicine residency.
• 01:02:27And I have a question
• 01:02:27about,
• 01:02:28application for internal medicine residency.
• 01:02:31And I have a question
• 01:02:32about, first author versus mid
• 01:02:34author papers.
• 01:02:35Say you are reviewing,
• 01:02:37internal medicine resident application,
• 01:02:40and, would you prefer to
• 01:02:42see, like, ten first outer
• 01:02:44papers or, like, thirty to
• 01:02:46four papers combination of both
• 01:02:48first and mid authors?
• 01:02:52Again, I think the priority
• 01:02:55you know? So the question
• 01:02:56always is,
• 01:02:57what did
• 01:02:58what is this person's work?
• 01:03:00What can they do?
• 01:03:02You know, what did they
• 01:03:03lead? What did they write?
• 01:03:04What did they take responsibility
• 01:03:06for? So,
• 01:03:09you know, I think I
• 01:03:11don't have,
• 01:03:12simple algebraic equation, but I
• 01:03:15think
• 01:03:16things early stage career that
• 01:03:18your first author on are
• 01:03:20really important.
• 01:03:21And then
• 01:03:22as you become,
• 01:03:24you know, a more advanced
• 01:03:25faculty member,
• 01:03:28things that your senior author
• 01:03:30that your trainee writes, well,
• 01:03:32that shows
• 01:03:33I mean, you still own
• 01:03:34that work
• 01:03:35very much, and it also
• 01:03:37shows that you have been
• 01:03:38successful in mentoring somebody
• 01:03:41to
• 01:03:42be a successful first author.
• 01:03:44So so it's sort of
• 01:03:46you get double credit. You
• 01:03:47get credit for the science.
• 01:03:48You get credit for the
• 01:03:49mentorship.
• 01:03:51So
• 01:03:53Thank you for combination.
• 01:03:55Okay. Thanks very much, and
• 01:03:57good luck to everybody.
• 01:03:59Thank you, Larry. And thanks
• 01:04:00to Laura for being here
• 01:04:02as well.
• 01:04:04Feel free,
• 01:04:05other questions about this whole
• 01:04:06process,
• 01:04:07reach out to myself or
• 01:04:09David. Reach out to the
• 01:04:10other senior faculty.
• 01:04:12We're here to answer your
• 01:04:13questions, and reach out to
• 01:04:14Donna who's on the committee.
• 01:04:16Thanks all.
• 01:04:17Hey,
• 01:04:19for.