joseph's journey
Full-Time Clinical Educator
early career
Joseph Zhang is a 39-year-old clinician who is a full-time assistant professor within the clinician educator stream. He has been the assistant program director a number of years and has just been promoted to program director. He has just completed his package for associate professor, and is quite delighted that he will be promoted next July to that rank.
Q1. What does it take to go from assistant to associate professor in the Clinical Educator stream?
This link provides a description of what it takes to go from “special appointment” to the CAWAR (Clinical appointment without annual review)
McMaster’s Department of Surgery has created a great one-stop-shop for all the relevant documents too https://surgery.mcmaster.ca/faculty-supports/promotion-and-tenure
Q2. What does a promotion package look like?
We suggest asking a local mentor (or two) within your stream to share with you their documents. However, here are some guidelines that have been developed that are resources to help you create your Teaching Dossier and Clinical Activities Portfolio
Teaching Dossier Guide - https://fhs.mcmaster.ca/facultyrelations/documents/TeachingPortfolioJan2012-1.pdf
Clinical Activities Portfolio - Guide: https://fhs.mcmaster.ca/facultyrelations/documents/ClinicalActivitiesPortfolioJan2012-1.pdf
Template: https://fhs.mcmaster.ca/facultyrelations/documents/ClinicalActivitiesPortfolioTemplate.docx
Also see this Spark podcast: https://soundcloud.com/macpfd/tenure-promotion-with-dr-chen-advocacy-as-scholar-with-dr-verhovsek
Q3. What are some tips for becoming a good Program Director?
Here are some resources we have aggregated about the skills needed as an academic leader, such as program director.
Here is a suggested paper that you can read about the competencies of a program director: https://pubmed.ncbi.nlm.nih.gov/27049589/
Also, here is a KeyLIME Podcast about the above paper https://icenetblog.royalcollege.ca/2016/08/09/keylimepodcast-114-what-does-it-mean-to-be-competent-as-a-program-director/
Here are some other blog posts:
A Personal Reflection on Professional Integrity Through the Lens of a Program Director: https://icenetblog.royalcollege.ca/2017/01/20/a-personal-reflection-on-professional-integrity-through-the-lens-of-a-program-director/
Five Tips from a New Program Director: https://icenetblog.royalcollege.ca/2017/08/25/notes-from-the-liminal-space-five-tips-from-a-new-program-director/
Nostalgialitis Imperfecta: https://icenetblog.royalcollege.ca/2020/05/26/nostalgialitis-imperfecta-profunda/
Do-It-Yourself Module on Leadership 101 from MacPFD: https://www.macpfd.ca/pillars/leadership-management/lm-event-leadership-101
Q4. What is the difference between an adjunct and a non-adjunct professor?
Request a faculty guide created by your department. For example: DFM Part time rank comparison document: https://mcmasteru365.sharepoint.com/sites/FacultyRelations2/SiteAssets/Forms/AllItems.aspx?id=%2Fsites%2FFacultyRelations2%2FSiteAssets%2FSitePages%2FCategories%2D%2D%2DRanks%2D1%2D%2FFaculty%20Appointments%20Rank%20Comparison%20Form00%2Epdf&parent=%2Fsites%2FFacultyRelations2%2FSiteAssets%2FSitePages%2FCategories%2D%2D%2DRanks%2D1%2D
Q5. What does being an assistant program director look like?
See above skills.
Joseph has won several local teaching awards for his clinical teaching/supervision. His teaching effectiveness score (TES) average is usually between 5.9-6.2/7. He has been nominated for a national teaching award once, but was unsuccessful. He wonders if he needs to make his application for this better next time. He’s been told by his Department Education Coordinator (DEC), who is his departmental advisor for promotions, has suggested that this will be important for his next promotion to full professor. Although this is not a mandatory step in his career, he has received a fair bit of peer pressure from his colleagues that he should aspire to this step. His mentor and division director Amanda Lightfoot (a national award winning educator, who has been an editor on several textbooks in their discipline) has just completed this career milestone, and Joseph is worried he is not as accomplished as her. He has also been informed by his DEC that he should strongly consider becoming more involved in some level of undergraduate teaching (at the medical school, physician assistant program, or Bachelor's of Health Sciences program).
Q6. How can I best use my TES scores when I get them?
Here is a guide from the MacPherson Institute about Teaching & Learning that can be used to augment the personal reflection and analysis https://mi.mcmaster.ca/app/uploads/2019/05/New-Faculty-Guide-to-Teaching-and-Learning-at-McMaster_04_19_2017.pdf
Peer-Observation of Teaching:
Siddiqui ZS, Jonas-Dwyer D, Carr SE. Twelve tips for peer observation of teaching. Med Teach. 2007;29(4):297-300. doi:10.1080/01421590701291451
Learning Conversations:
Tavares W, Eppich W, Cheng A, et al. Learning Conversations: An Analysis of the Theoretical Roots and Their Manifestations of Feedback and Debriefing in Medical Education. Acad Med. 2020;95(7):1020–1025. doi:10.1097/ACM.0000000000002932
MacPFD Spark Podcast Episode about this concept: https://soundcloud.com/macpfd/tips-for-junior-faculty-ii-with-zainab-najarali-learning-conversations-with-dr-eppich#t=24:31
Teaching evaluation evidence:
Litzelman DK, Stratos GA, Marriott DJ, Skeff KM. Factorial validation of a widely disseminated educational framework for evaluating clinical teachers. Acad Med. 1998;73(6):688–95.
School of Nursing video about Effective Tutoring
Q7. What are some local teaching awards that are available for people like me to win?
The President’s Award for Outstanding Contributions to Teaching and Learning - https://mi.mcmaster.ca/the-presidents-award-for-outstanding-contributions-to-teaching-and-learning/
Postgraduate Medical Education Awards - Look under the FACULTY & STAFF AWARDS IN EDUCATION section: https://pgme.mcmaster.ca/train/pgme-awards/
FHS Graduate Studies Awards - Look under the Faculty Awards Tab - https://fhs.mcmaster.ca/grad/research_plenary.html
Canadian Association for Medical Education Certificate of Merit Awards (locally selected national award) - Submitted via the CAME representative at our University, but open to non-members: https://www.came-acem.ca/awards/came-certificate-of-merit-award/
Q8. What does it take to be promoted to full professor in the CE stream?
This link provides a description of what it takes to go from Associate to Full Professor
McMaster’s Department of Surgery has created a great one-stop-shop for all the relevant documents too - https://surgery.mcmaster.ca/faculty-supports/promotion-and-tenure
Key Resources below again:
Teaching Dossier Guide- https://fhs.mcmaster.ca/facultyrelations/documents/TeachingPortfolioJan2012-1.pdf
Clinical Activities Portfolio - Guide: https://fhs.mcmaster.ca/facultyrelations/documents/ClinicalActivitiesPortfolioJan2012-1.pdf
Template: https://fhs.mcmaster.ca/facultyrelations/documents/ClinicalActivitiesPortfolioTemplate.docx
Q9. How do you manage imposter syndrome?
Women’s CHAT - You Belong Here - Combatting Imposter Syndrome https://youtu.be/5ezb8eqMUUA
Q10. What are undergraduate educational opportunities that can be undertaken?
Clinical Teaching Roles with the McMaster MD Program https://mdprogram.mcmaster.ca/faculty/faculty-opportunities/clinical-teaching-roles
About his life outside of clinical and administrative work, he is single at this time, and is devoting a fair bit of time right now to changing that. Now that he is done residency, fellowship, and has survived he is devoted to spend some time on developing other parts of his life. That said, his recent promotion to program director has certainly put a new wrench into this project. He has reached out to his predecessor and former program director, Carl Donaghue, for advice but has not yet received any answer and this is concerning since there are multiple issues that he would like to discuss with Carl - his work/life balance issues aside.
Q11. As an educational leader, what can I do to achieve better work/life balance?
Check out these resources:
https://hbr.org/2020/03/working-parents-need-a-parenting-posse
https://hbr.org/2014/10/what-successful-work-and-life-integration-looks-like
Peter Drucker “Managing Oneself” - HBR article, narrated in this article: https://www.youtube.com/watch?v=I9eDntumN5o
Here is a video about selecting projects - https://www.macpfd.ca/pillars/scholarly-practice/schpra-picking-projects
Here is a video about time management - https://www.youtube.com/watch?v=_sSwMCvgW_U&t=10s
Q12. How do I maintain wellness at work and outside of work?
Review the following links:
https://www.macpfd.ca/modalities/mindfulness/mindfulness-resources-update
MacPFD video: self compassion - https://www.macpfd.ca/modalities/1on1-instruction/1on1-overcoming-self-judgment-with-self-compassion-during-covid19
MacPFD video: prioritizing your wellbeing - https://www.macpfd.ca/pillars/creativity-humanism/ch-event-prioritizing-well-being
MacPFD Blog: staying human while virtual - https://www.macpfd.ca/pillars/creativity-humanism/ch-staying-human-while-virtual
MacPsychiatry Rounds Integrating Self-Care when we work - https://www.macpfd.ca/pillars/leadership-management/lm-brite
Per his residents, Dr. Donaghue has been increasingly stern and dismissive of them in the past few months since the end of his term as program director. The chief resident has highlighted that this behaviour likely preceded the end of his term, but no one had spoken up previously for fear of retribution. The division’s faculty development lead is happy to begin working on some faculty-faculty coaching to help, but Joseph wonders if Carl will show up to these local events.
Q13. How can we support faculty members who seem at risk for burnout?
Here is a video that provides an overview for those who are experiencing some level of burnout. It has an overview on techniques that can be useful for individuals. https://www.macpfd.ca/modalities/coaching-mentorship/1on1-overcoming-self-judgment-with-self-compassion-during-covid19
Here is another guide that was created during the COVID-19 pandemic that can help with some other strategies for combatting burnout - https://www.macpfd.ca/pillars/leadership-management/lm-notdoomandzoom
This webinar is from the pandemic period as well, but discusses how leaders can support others through difficult times - https://www.macpfd.ca/pillars/creativity-humanism/ch-event-prioritizing-well-being
This podcast is from the pandemic period as well, but the messages within it are largely generalizable to other times: https://soundcloud.com/macpfd/macpfd-spark-podcast-pandemic-pals-special-ii-nh2
And resources from HBR:
https://hbr.org/2018/06/how-are-you-protecting-your-high-performers-from-burnout
https://hbr.org/2019/12/burnout-is-about-your-workplace-not-your-people
https://hbr.org/2019/07/6-causes-of-burnout-and-how-to-avoid-them
https://hbr.org/2019/04/preventing-busyness-from-becoming-burnout
https://hbr.org/2018/11/helping-remote-workers-avoid-loneliness-and-burnout
https://hbr.org/2015/04/how-to-overcome-burnout-and-stay-motivated
Q14. What are some programs that are available to faculty-at-risk?
For physician colleagues experiencing difficulties there are some key resources provided by:
Canadian Medical Association - https://www.cma.ca/supportline
Ontario Medical Association - https://php.oma.org/
For MUFA & Clinical faculty
For those experiencing life events and need some time off - https://hr.mcmaster.ca/employees/life-events/
Q15. What if I’m not a “faculty-at-risk” but I still would like to improve my teaching and supervision?
We have dozens of resources about inspired teaching on our website: https://www.macpfd.ca/pillars/inspired-teaching
Also check out our MacPFD Spark Podcast (macpfd.ca/podcast) and our Video Archive (macpfd.ca/video-archive)