Practice Track

The Practice Track is designed for full-time faculty physicians who devote most of their professional activities to clinical practice. Excellence in providing patient care, both directly and through clinical administration, will be considered the primary criterion for promotion in the Practice Track, and contributions as teachers will be favorably reviewed; conventional scholarly output is not a requirement in this track. A candidate for appointment or promotion in the Practice Track will be evaluated by the aggregate of his/her contributions as a clinician, although the relative contribution in each area may differ for successful candidates.

Practice Track candidates are expected to devote 90% or more of their effort to clinical care and/or the administration of clinical programs. 

It is expected that as faculty advance in their careers at Mount Sinai, they will demonstrate increasing service and leadership in administrative and policy-making functions of the institution and the broader scientific and medical communities. Participation in and contributions to major institutional committees, e.g., the Medical Board, that are critical to the mission of the School, the Health System and our affiliated hospitals will be given consideration when faculty are under review for promotion. Additionally, outstanding service in an administrative role (such as Vice-Chair) will be considered during promotion review.

Track switching will require justification by the Department Chair. Track declaration must be made before a Chair recommends promotion.

1. Assistant Professor

Qualifications: Appointment, reappointment and promotion at this level may be extended to physicians who hold board certification or the equivalent, have demonstrated a commitment to excellence in clinical care and possess the ability to expand both the breadth and volume of their practice over time:

a. Quality of Care – Candidates must show evidence of superior competence in medical practice. Case mix adjusted quality indicators such as morbidity/mortality, length of stay, adherence to established appropriate use criteria and performance measures can be presented. Candidates should be perceived by other physicians in the institution and in the metropolitan area as a source of excellent care for patients, as evidenced by patient referrals.

b. Patient Satisfaction – Candidates should provide compassionate and expert care to patients. Positive feedback on patient satisfaction surveys can reflect a physician's abilities as a communicator and caregiver, as well as the attention a physician dedicates to creating a practice atmosphere that is friendly and supportive.

c. Innovation Candidates may demonstrate receptivity to new techniques and methods of thinking that they incorporate into their practice of medicine to enhance the quality of care they provide to patients.

d. Service Candidates may show evidence of involvement in Mount Sinai committees and external professional organizations.

e. Teaching – Candidates who teach should be recognized as excellent mentors and educators by their peers and students as judged by course, clerkship or resident evaluations. Candidates may also present evidence of their efforts to educate patients in disease management and the maintenance of good health and health education initiatives in the community in which they practice.

Appointment and Term: Appointment or promotion to the rank of Assistant Professor in the Practice Track is at the discretion of the Department Chair. The term of appointment will be one, two or three years.

Reappointment and Non-Reappointment: The Chair will provide notice of reappointment or non-reappointment.

If the Chair wishes to reappoint the individual, the new term of appointment can be one, two or three years. Reappointment to a term greater than one year in length requires review and approval by the Office of the Dean. There is no limit on the number of reappointments permitted.

If a decision to reappoint a faculty member is made during a term extension as described in the section on notices of non-reappointment, the reappointment notice must be in writing from the Chair. The reappointment will commence retroactive to the first day following completion of the original term of appointment.

In the event of non-reappointment, the Chair will provide written notice. The timing of notices of non-reappointment to the full-time faculty is determined by the length of the term of appointment.

Promotion: Qualified faculty may at any time be proposed for promotion to Associate Professor of the Practice of <Department>.

2. Associate Professor

Qualifications: Appointment and reappointment to this level may be extended to faculty who demonstrate excellence in clinical care; excellence in teaching will also be considered. Physicians should be acknowledged clinical experts within the institution and the broader community and region. Candidates should be active participants in institutional and departmental committees, making contributions at both levels. In addition to meeting the qualifications outlined for more junior levels, faculty at this rank are expected to demonstrate skills and accomplishments in some or all of the following areas:

a. Quality of Care The candidate must be acknowledged as an excellent clinician in his/her field and as a resource for truly excellent care. An established reputation among physicians and other health professionals both at Mount Sinai and in the community can be demonstrated by awards, invitations to participate in and/or speak at meetings and discussions of clinical care, success in the care of one's own and other physicians' patients, evidence of having been consulted for diagnostic or treatment opinions on difficult or unique cases, general reputation on clinical subjects. An increasing volume of cases should reflect the candidate's expanding referral base and wide catchment area, as candidates should be perceived by other physicians in the region as a source of excellent care for patients, as evidenced by patient referrals.

b. Patient Satisfaction – The candidate should show evidence of a growing patient base that includes both new patients and an established panel of loyal patients. High grades on c patient satisfaction surveys are an important indicator.

c. Innovation – The candidate should integrate advances in the field into clinical practice. The candidate may also show evidence of new approaches that he/she developed that have proven successful or have the potential for improving the care of patients. Development of multidisciplinary practices that demonstrably improve patient care and management may be cited. Involvement in clinical trials will also be considered.

d. Service – Candidates are expected to play an increasingly active role in the activities of the department and medical center, including committee service; leadership in such service carries special weight. Participation and leadership in external professional organizations is desirable. Providing pro bono clinical care through local, national and international organizations may be considered.

e. Teaching – Candidates should show increasing involvement in teaching and mentoring of students, house staff, fellows or other health professionals; teaching awards provide strong evidence of excellence in this area. Invitations to lecture or participate in panels at other schools will be favorably viewed. Education of the public and patients through lectures and discussion sessions at community centers or in other settings will be considered.

Appointment and Term: Appointment and promotion to the rank of Associate Professor of the Practice of <Department> is upon recommendation by the Department Chair, with subsequent approval by the Committee on Appointments, Promotions and Tenure. The term of appointment can be one, two or three years, at the discretion of the Chair.

Reappointment and Non-Reappointment: The Chair will provide notice of reappointment or non-reappointment.

Reappointment can be for a term of one, two or three years in length, at the discretion of the Chair. Reappointment to a term greater than one year in length requires review and approval by the Office of the Dean. There is no limit on the number of reappointments permitted.

If a decision to reappoint a faculty member is made during a term extension as described in the section on notices of non-reappointment, the reappointment notice must be in writing from the Chair. The reappointment will commence retroactive to the first day following completion of the original term of appointment.

In the event of non-reappointment, the Chair will provide written notice. The timing of notices of non-reappointment to the full-time faculty is determined by the length of the term of appointment.

Promotion: The Chair may, at any time, recommend qualified faculty for promotion to the rank of Professor of the Practice of <Department>.

3. Professor

Qualifications: Appointment and reappointment at this level may be extended to individuals who possess a record of outstanding performance as rare master clinicians. They are expected to have assumed substantial leadership roles in clinical care and to exhibit excellence as exemplary teachers. Candidates should be locally, regionally and even nationally recognized for contributions to the organization and delivery of clinical care.

a. Quality of Care – Candidates should be widely perceived as outstanding Master Clinicians. They should be clearly recognized at the institutional level as significant leaders within their specific clinical areas, and should be actively sought after on an institutional and regional level for their expertise; recognition at the national level will be considered a significant strength. A panel of patients that includes other physicians can be a valuable indicator of the high regard which colleagues have for the candidate. Candidates should be seen as a resource both within and outside the local region for defining quality and standards of practice in their area of expertise. Receiving broad-based referrals and consultations will be important evidence of the high regard shown by peers.

b. Patient Satisfaction – Candidates will be expected to elicit an outstanding level of patient satisfaction. Receiving the highest ratings on patient satisfaction surveys will be considered an important indicator of the candidate's success as a caregiver and communicator, as well as on his/her ability to create a warm and supportive practice atmosphere for patients. The length of time that patients remain in the candidate's practice, with consideration for the nature of the practice, can also be reviewed as a reflection of satisfaction.

c. Innovation – Candidates must demonstrate an ongoing ability to incorporate the latest practice standards into the provision of excellent clinical care. Evidence that a candidate has created and nurtured a clinical program known widely for innovation and excellence will be given strong consideration. Patents for new techniques or devices, or adoption of the candidate's techniques or devices by other institutions, will be acknowledged.

d. Service – Candidates are expected to function as leaders in their departments, and to play prominent roles on committees in the department and medical center. It is expected that candidates participate in professional societies and serve on committees and/or in leadership positions in those societies. Providing pro bono clinical care through local, national and international organizations will be considered.

e. Teaching – Candidates may demonstrate success as role models and mentors to young faculty, students, house staff, fellows or other health professionals; a record of teaching as well as teaching awards can be cited as evidence of excellence in this area. Invitations to lecture and participate in panels at other institutions or organizations, particularly at the national level, can demonstrate broad recognition of one's role as a clinician and teacher. Providing patient education through lectures at community centers or in other settings is expected.

Appointment and Term: Appointment or promotion to Professor of the Practice of <Department> is upon recommendation by the Department Chair, with subsequent approval by the Committee on Appointments, Promotions and Tenure. The term of appointment is one, two, three, four or five years, at the discretion of the Chair. Tenure is not offered in this track.

Reappointment and Non-Reappointment: The Chair will provide notice of reappointment or non-reappointment.

Reappointment can be one, two, three, four or five years in length, at the Chair's discretion. Reappointment to a term greater than one year in length requires review and approval by the Office of the Dean. There is no limit on the number of reappointments permitted.

If a decision to reappoint a faculty member is made during a term extension as described in the section on notices of non-reappointment, the reappointment notice must be in writing from the Chair. The reappointment will commence retroactive to the first day following completion of the original term of appointment.

In the event of non-reappointment, the Chair will provide written notice. The timing of notices of non-reappointment to the full-time faculty is determined by the length of the term of appointment.

 

 

Updated October 2013