The continued evolution of faculty appointment and tenure policies at US medical schools
The continued evolution of faculty appointment and tenure policies at US medical schools
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DOI：
10.1097/acm.0b013e3180307e87
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发表时间：
2007-03-01
影响因子：
7.4
通讯作者：
Mallon, William T.
中科院分区：
文献类型：
--
作者：
Bunton, Sarah A.;Mallon, William T.
在过去的几十年里，财务的不确定性，医疗保健服务和报销的变化，以及不断变化的劳动力需求，促使医学院不断完善他们的任命和任期政策。在过去的30年里，研究人员对美国医学院的教师任命和终身教职政策的性质进行了研究，在本文中，作者提供了2005年关于教师人事政策的调查数据，以扩展这一分析。有资格获得终身教职的全职教师的数量和百分比的趋势，终身教职的财务保证，以及试用期的长度。他们回顾了灵活的政策的地位，并强调了两个当前的教师政策的变化，许多机构已经或正在积极考虑：跨学科和团队科学的认可，并扩大了对scholar.Results的看法表明，虽然终身教职系统仍然建立在医学院，终身教职或终身资格的轨道上的教师的比例随着时间的推移继续下降。与终身教职相关的财务保障的变化改变了许多医学院终身教职的基本概念，在过去25年中，延长终身教职教师试用期的学校比例稳步上升。终身制时钟停止政策和兼职终身制政策继续存在于医学院，虽然结果表明低教师使用的政策，这表明政策和实践之间的脱节。
For the past several decades, financial uncertainty, changes in health care delivery and reimbursement, and changing workforce needs have prompted medical schools to continually refine their appointment and tenure policies. Studies during the past 30 years have examined the nature of these faculty appointment and tenure policies in U.S. medical schools, and in this article the authors present data from a 2005 survey on faculty personnel policies to extend this analysis.For both basic science and clinical faculty in U.S. medical schools, the authors describe tenure systems, trends in the number and percentage of full-time faculty on tenure-eligible tracks, the financial guarantee of tenure, and probationary period lengths. They review the status of flexible policies and highlight two current faculty policy changes that many institutions have made or are actively contemplating: the recognition Of interdisciplinary and team science, and a broadening view of scholarship.Results show that although tenure Systems remain well established in medical schools, the proportion of faculty on tenured or tenure-eligible tracks has continued to decline over time. Changes in the financial guarantee associated with tenure have transformed the fundamental concept of tenure at many medical schools, and the percentage of schools that have lengthened the probationary period for tenure-track faculty has steadily increased during the past 25 years. Tenure-clock-stoppiing policies and part-time tenure policies continue to exist at medical schools, though results indicate low faculty use of the policies, suggesting a disconnect between policy and practice.