Jacobs Christine K, Everard Kelly M, Cronholm Peter F
Saint Louis University Department of Family and Community Medicine, St Louis, MO.
Department of Family Medicine, Saint Louis University School of Medicine, St Louis, MO.
Fam Med. 2020 Oct;52(9):631-634. doi: 10.22454/FamMed.2020.687091.
Academic family medicine departments have traditionally promoted faculty using research and scholarship criteria augmented by teaching, clinical care, and service. Clinic-focused faculty who spend significant time in direct patient care may not have enough time to meet promotion criteria, although they are critical for training future family physicians and for rebalancing the system of academic promotion.
We surveyed family medicine department chairs on the effects of protected time for scholarship, presence of promotion and tenure (P and T) committees, salary increase, and special promotion tracks on promotion of physician faculty.
Promotion rates to both associate and full professor were higher for faculty with 25% time for scholarship than for clinic-focused faculty. For clinic-focused faculty, promotion rates to associate professor were higher than they were to full professor. No differences were found for promotion to associate professor and full professor for faculty with 25% protected time for scholarship. No differences were found in promotion rates for either rank between departments that had P and T committees and those that didn't, whether promotion came with a salary increase, or if departments had a special track for physician faculty whose job is patient care.
Promotion rates are higher for faculty with protected time for scholarship than for clinic-focused faculty for promotion to both associate and full professor. Clinic demands on faculty may reduce the likelihood of engaging in scholarship or research that in many academic family medicine departments is necessary for promotion.
传统上，学术性家庭医学系依据研究和学术标准，并辅以教学、临床医疗及服务来提拔教员。那些将大量时间用于直接患者护理的以诊所工作为主的教员，可能没有足够时间满足晋升标准，尽管他们对于培养未来的家庭医生以及重新平衡学术晋升体系至关重要。
我们就学术休假时间、晋升与终身教职（P和T）委员会的存在、薪资增长以及特殊晋升途径对医师教员晋升的影响，对家庭医学系主任进行了调查。
有25%学术休假时间的教员晋升副教授和正教授的比例高于以诊所工作为主的教员。对于以诊所工作为主的教员，晋升副教授的比例高于晋升正教授的比例。有25%学术休假时间的教员在晋升副教授和正教授方面未发现差异。在设有P和T委员会的系与未设该委员会的系之间，无论晋升是否伴有薪资增长，或者各系是否为以患者护理为工作内容的医师教员设有特殊晋升途径，在这两种职级的晋升率上均未发现差异。
有学术休假时间的教员在晋升副教授和正教授方面的晋升率高于以诊所工作为主的教员。临床工作对教员的要求可能会降低其从事学术研究的可能性，而在许多学术性家庭医学系，学术研究是晋升所必需的。
