Clinical Faculty Academic Appointments

Policy
Clinical Faculty Appointment Categories
Department of Medicine Requirements for Appointment at the Rank of Assistant Professor 
Department of Medicine Requirements for Appointment at the Rank of Lecturer 
Foreign Trained Physicians
Application Process and Documentation Requirements

Policy

All clinical (MD) academic appointments are governed by the Policy for Clinical Faculty and Procedures Manual for the Policy for Clinical Faculty, available at Faculty of Medicine Clinical Affairs website.

All faculty members’ clinical activities fall under the jurisdiction of any relevant site(s) in which they practice and the College of Physicians and Surgeons of Ontario (CPSO).

Clinical Faculty Appointment Categories

Clinical faculty (MDs) may be appointed full-time, part-time  or as adjunct clinical faculty. An overview of these types of appointments is provided in

Table 1, below.

Description

Full-time Clinical

Part-time Clinical

Adjunct Clinical

Location of Practice

Active staff at a fully-affiliated University of Toronto teaching hospital

Hospital or other site affiliated with the University of Toronto

Hospital or other site affiliated with the University of Toronto or at a non-affiliated site, e.g., private practice

Member of a conforming practice plan (financial structure that supports academic work) or equivalent

 Required Not required Not required

Percent of professional time devoted to academic activities (teaching and scholarship)

80%+ 20-79% <20%

Academic position description

Required

Required

Not required

Term of appointment

Initial probationary period of three to five years, followed by Continuing Faculty Appointment Review (CFAR). After successful review continuing annual appointment, which can be terminated only for cause

One year renewable appointment* with annual activity report and review. The Chair may terminate without cause**

One year renewable appointment* with annual activity report and review. The Chair may terminate without cause.

CPSO disclosure***

Required Required Required

Rights provided by the Policy for Clinical Faculty****

May grieve against a University official and alleged breach of academic freedom

May grieve against a University official, but not  alleged breach of academic freedom

May not grieve against a University official or alleged breach of academic freedom

Access to University of Toronto library facilities

Yes Yes Yes

Tuition waiver, scholarship program and joint membership benefits

Eligible Not eligible Not eligible

Academic rank

Faculty members may be appointed at the rank of lecturer, assistant professor, associate professor, or professor, based on education and demonstrated scholarship.

Faculty members may be appointed at the rank of lecturer, assistant professor, associate professor, or professor. A community preceptor or other part-time or adjunct clinical faculty will usually be appointed at the rank of lecturer.

Faculty members may be appointed at the rank of lecturer, assistant professor, associate professor, or professor. A community preceptor or other part-time or adjunct clinical faculty will usually be appointed at the rank of lecturer.

 

* Year-end refers to the end of the academic year (June 30). Requests for activity reports will be sent out in April of each year.

**All part-time clinician-teacher appointees are expected to complete training in health professional education within the first three years of appointment. Examples of  health education training are: Master Teacher Program, TLC Program, Stepping Stones Teacher Development Program, Education Scholars Program 

***All faculty members are required to report to their University Department Chair any information, both historical and current, relevant to the clinical academic appointment including, but not limited to: finding of negligence; investigation and/or finding of guilt of a criminal offence, academic misconduct, incompetence or any form of professional misconduct by a court or the CPSO’s Discipline Committee or Fitness to Practice Committee (or its equivalent in any jurisdiction). As required in the Procedures Manual for the Policy for Clinical (MD) Faculty, self-reporting must be made to the University Department Chair within seven working days of receipt of notification or knowledge of such a conviction, finding or investigation. For an investigation by the Discipline Committee or Fitness to Practice Committee (or its equivalent in any jurisdiction), self-reporting must conform to all applicable policies and procedures, including, but not limited to, hospital by-laws and CPSO regulations.

**** For definition of grievance, refer to section 5.3.1 of the Procedures Manual for the Policy for Clinical Faculty.

Department of Medicine Requirements for Appointment at the Rank of Assistant Professor 

The Faculty of Medicine at the University of Toronto requires advanced training AND demonstrated scholarship for appointment at the rank of assistant professor or higher.

Advanced Training:

While the details will vary depending on the proposed academic position description (table 2 below), for appointment as an assistant professor the Faculty stipulates one must have a graduate degree or other advanced training, such as in the form of post-residency fellowship, that is relevant to the proposed position. For example, a MSc in Engineering may be relevant to an individual whose area of academic focus is biomedical engineering, but does not ensure that someone hoping to build a career in quality improvement (QI) will be successful.

Demonstrated Scholarship:

Evidence of scholarship ensures that the individual is not only knowledgeable, but can apply this knowledge in the form of one or more of sustained excellence in teaching, creative professional activities and research, as defined below:

Sustained Excellence in Teaching may be demonstrated through a critical mass of: teaching evaluations that provide comparisons against peer teachers; student testimonials; a breadth and depth of teaching, e.g. across different trainee level and/or training environments; and receipt of teaching awards and honours.

Creative Professional Activity (CPA) is a broad term that includes by is not limited to the following types of activities:

  • Contributions to the development of professional practices, e.g., guidelines, health policy development, regulatory committees and setting of standards
  • Exemplary professional practice, e.g., teaching techniques, educational innovations, curriculum development, models of care innovations (e.g. role of EMR prompts, standardized pathways, pre-printed patient ‘order sets,’ on quality and safety of inpatient care or resident experience); leadership in development of professional practice (e.g. tools to enhance physician communication, professionalism).
  • Professional innovation and creative excellence, e.g., patient videos, curriculum innovations, and communications media.

Research Scholarship may be demonstrated through traditional research metrics, e.g., peer reviewed publications and grants, research awards and honours, graduate student teaching and supervision, and other evidence that the research has been conducted has had, or has potential to have, an impact – direct or indirect - on the health of the population. Examples might include: identification of a new target for drug development; development and uptake of clinical practice guidelines; impact on government policy; new models of care with demonstrated improvements in patient outcomes, healthcare costs, and/or the patient experience. Continuing Faculty Appointment Review occurs three to five years from first appointment, irrespective of the initial rank (i.e. lecturer or assistant professor).

 

Table 2: Department of Medicine Requirements for Appointment at the Rank of Assistant Professor

Academic Position Description                        

Advanced Training                        

Demonstrated Scholarship

Clinican-teacher (CT)

Graduate degree in education*or a related field OR  one+ year post-residency fellowship and completion of training in health professions education**

Demonstrated CPA and/or relevant first author peer reviewed publication

Clinician in Quality & Innovation (CQI)

Graduate degree in QI***

OR Graduate degree relevant to QI, e.g. MPH, MBA, informatics, with demonstrated QI competency

Demonstrated CPA and/or first author peer reviewed publication relevant to QI

Clinician-educator (CE)

Graduate degree in education*

First author peer reviewed publication related to education OR demonstrated CPA
Clinician-investigator (CI) Graduate research degree or equivalent post-doctoral training First author peer reviewed publications related to research and/or CPA
Clinician-scientist (CS) Graduate research degree or equivalent post-doctoral training First author peer reviewed publications related to research 

* Examples of graduate degrees in education include the MSc-CH - Health Practitioner Teacher Education and OISE MSc

**Examples of  health education training are: Master Teacher ProgramTLC ProgramStepping Stones Teacher Development ProgramEducation Scholars Program

*** Example of a graduate degree in QI is Master’s degree in Quality Improvement & Patient Safety at IHPME.

 

Department of Medicine Requirements for Appointment at the Rank of Lecturer

A community preceptor or other part-time or adjunct clinical faculty will usually be appointed at the rank of lecturer.

Initial appointment at the rank of lecturer may also be appropriate for full-time clinician-teachers and clinicians in quality and innovation who have relevant advanced training, e.g. a certificate in QI, but require additional time to demonstrate scholarship. Clinician-investigators, clinician-educators and clinician-scientists who have clearly demonstrated scholarship and completed advanced training save for thesis defense may also be considered for initial appointment at the rank of lecturer; a lecturer appointment enables application for peer-review funding as PI. This latter group is then eligible for junior promotion (lecturer to assistant professor) upon successful thesis defense.

Foreign-Trained Physicians:

To be eligible for CPSO academic certificate of registration, foreign-trained physicians must be eligible for clinical full-time or (rarely) clinical part-time appointment at the rank of assistant professor or higher.

Application Process and Documentation Requirements:

The Office of the Chief of Medicine has overall responsibility for the assembly and submission of requests for appointment. Complete application packages must be submitted online via Laserfische. This includes:

 

Approval: Applications are reviewed by the Department Appointments Committee, which meets monthly. Recommendations from this committee are submitted to the Department Chair for approval. For full-time clinical appointments at the rank of lecturer and for all part-time and adjunct clinical appointments, approval is required from the Senior Advisor to the Dean on Clinical Affairs on behalf of the Dean. Unless there is a formal search with University representation, full-time clinical appointments assistant professor or higher must be reviewed by the Faculty Appointments Advisory Committee (FAAC), before being submitted to the Dean for approval.

The process timeline is:

Applications accepted by DoM from hospital until

Monthly DAC Meeting

 Monthly FAAC Meeting

August 4, 2017

August 24, 2017

September 28, 2017

September 7, 2017

September 19, 2017

October 26, 2017

October 6, 2017

October 23, 2017

November 23, 2017

November 7, 2017

November 21, 2017 December 14, 2017

December 7, 2017

December 19, 2017 January 25, 2018

January 5, 2018

January 23, 2018

Februrary 22, 2018

February 7, 2018

February 27, 2018

March 22, 2018

March 7, 2018

March 27, 2018 April 26, 2018

April 6, 2018

April 20, 2018 May 24, 2018

May 7, 2018

May 22, 2018

June 28, 2018

June 7, 2018

June 26, 2018

TBA

Please contact the Department Academic Appointments Office at dom.academicappts@utoronto.ca with any questions.

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