A. Walling is professor emerita, Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, Kansas. K.M. Nilsen is assistant professor, Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, Kansas.
Acad Med. 2018 Nov;93(11):1719-1726. doi: 10.1097/ACM.0000000000002346.
To describe differences and trends among clinical specialty departments in number and percentage of tenure-related appointments for full-time faculty.
Association of American Medical Colleges Faculty Roster annual snapshot reports were used to calculate percentages of full-time faculty holding tenure-related appointments in each of the database's 17 groupings of clinical specialty departments. Faculty numbers and percentages by track were compared to investigate trends for 2006 to 2016.
In the decade 2006-2016, the number of individuals on tenure-related tracks in clinical departments declined by 0.8% (276/33,610), but those on nontenure appointments increased by 60.5% (36,444/60,195). The number reporting "tenure not available" rose by 58.9% (4,467/7,574). Currently, 62% to 82% of full-time faculty in clinical departments are on nontenure tracks. Specialties differ significantly in current percentage and in rate of change in both numbers and percentage of tenure-related appointments. In 2016, faculty on tenure-related tracks ranged from 34.5% (295/855) in public health and preventive medicine to 13.5% (654/5,654) in family medicine. The most significant drops in percentage of tenure-related appointments in 2006-2016 were in surgery, pediatrics, and internal medicine.
Dramatic changes in size and track distribution of faculty are occurring at significantly different rates across clinical specialty departments. The number of individuals on tenure-related tracks remains relatively stable, but the percentage of such faculty in clinical specialty departments continues to drop dramatically in almost all specialties. The growing dominance of nontenure appointments has important implications for career development and academic promotion policies and practices in all specialties.
描述全职教师在与任期相关的任命数量和比例方面，临床医学专业科室之间的差异和趋势。
使用美国医学协会教员名册年度快照报告来计算数据库中 17 个临床医学专业科室分组中每个科室全职教师中与任期相关任命的百分比。通过跟踪比较教职员工人数和百分比，调查 2006 年至 2016 年的趋势。
在 2006 年至 2016 年的十年间，临床科室中与任期相关的教职员工人数减少了 0.8%（276/33610），但非任期教职员工人数增加了 60.5%（36444/60195）。报告“任期不可用”的人数增加了 58.9%（4/7574）。目前，62%至 82%的临床科室全职教师不在任期内。不同专业在当前百分比以及与任期相关任命的数量和百分比的变化率方面存在显著差异。2016 年，与任期相关的教职员工比例从公共卫生与预防医学的 34.5%（295/855）到家庭医学的 13.5%（654/5654）不等。在 2006 年至 2016 年期间，与任期相关任命的比例下降幅度最大的专业是外科、儿科和内科。
临床医学专业科室的教师规模和轨道分布发生了巨大变化，且变化速度存在显著差异。与任期相关的教职员工人数相对稳定，但临床医学专业科室中此类教职员工的比例在几乎所有专业都在急剧下降。非任期任命的主导地位日益增强，这对所有专业的职业发展和学术晋升政策和实践都有重要影响。
