Letter of Recommendation Template, Nurse

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					 Appointment and Promotions
in the Department of Medicine
      New Faculty Orientation
           May 6, 2010
                                                                                                                              Department of Medicine
                                                                                                                               Organizational Chart

                                                                                                                                                           Chairman
                                                                                                                                                                                              Executive Assistant

                                                  Vice Chair                                                            Vice Chair                                                                                                    Vice Chair for Faculty Development & Diversity
                                              Outpatient Medicine                                                   Inpatient Medicine                                       Associate Chief, Boston VA Medical Center

                                                                                     Office Manager                   Vice Chair, Cancer Center                                                                                           ResidencyTraining Program
Senior Project Analyst                                                                                                                                                            Vice Chair, Education                                           Director
                                    Director of
                                    Ambulatory                                                                        Vice Chair, Public Health                                    Vice Chair, Research
                                    Operations

                                                                                                                                                                                            Clinical Epidemiology
                                                                                                                                                                      Cardiovascular         and Research Unit                                    Endocrinology, Diabetes,
                                                                                                                                                                          Chief                                            Computational
                                                                                                                                                                                                                                                    and Nutrition Chief                             Section Administrators
                                                                                                                                                                                                     Chief                  BioMedicine
  Practice Manager/                                      Practice/Nurse               Practice Manager         Practice Manager                   CMG
                          Senior Project Analyst            Manager                                                                                                                                                                                                                                  Cardiovascular Medicine
   Nurse Manager                                                                       Endocrinology,                DOB
                                                            Primary                                                                                                                                                                                                                                   Cardiovascular Institute
   Solomon Cancer                                                                     Diabetes, &Weight         Specialties and                                      Gastroenterology          General Internal                                                                                        Clinical Epidemiology
   Center Preston 3                                      Care/Geriatrics             Management Center-          Primary Care                                             Chief                Medicine Chief                  Genetics                Geriatrics Chief                             Computational Biomedicine
                                                              ACC                                                                                                                                                                                                                                            Education
                                                                                                                                                                                                                                                                                              Endocrinology, Diabetes, and Nutrition
                                                                                                                               The Endoscopy                                                                                                                                                              Gastroenterology
                                                                                                                                 Center of                           Hematology and
                                                                                                                                                                                                                          Infectious Diseases      Molecular Medicine                                General Internal Medicine
                                                                                                                                 Brookline                                                  Hypertension Chief-                   Chief                 Chief-                                                Genetics
                                                                                                                                                                     Medical Oncology
                                                                      Practice/Nurse                                           Administrative                             Chief                                                                                                                              Geriatrics
                 Practice Manager                                                                  Practice/Nurse              Director/Nurse                                                                                                                                                         Hematology/Oncology
                 Moakley Building               Practice                 Manager                                                                                                                                                                                                                             HIV/Aids-
                                                Manager              Solomon Cancer                   Manager                     Manager                                                                                 Pulmonary, Allergy,
                    Center for                                                                                                                                                               Preventive Medicine                                                                                           Hypertension-
                                                                          Center                Cardiovascular Center                                                                                                      and Critical Care        Rheumatology Chief
                     Digestive                 Center for                                                                                                             Nephrology Chief             Chief                                                                                                Infectious Diseases
                                                                                                                                                                                                                              Medicine
                    Disorders                  Infectious                                                                                                                                                                                                                                                Molecular Medicine
                                             Diseases/ACC                                                                                                                                                                                                                                                    Nephrology
                                                                                                                                                                                                                                                                                                        Preventive Medicine
                                                                                                                                                                                               Vascular Biology                                                                           Pulmonary, Allergy, and Critical Care Medicine
                                                                                                                                                                                                   Chief                                                                                                   Rheumatology
                                                                                                                                                                                                                                                                                                          Vascular Biology
                                                                                                                                                                                                                                                                                                      Vice Chair of Research
                                                                                                                                                                                                                                                                                       Evans Center for Interdisciplinary Biomedical Research
                                                                                                                                                  Chief Administrative Officer



                                                                                                                    Appointments and Promotions                                Director, Faculty
                                                                                                                                                                           Development and Diversity



                                                                                                                      Adminstrative Coordinator                             Administrative Coordinator
                                                                                                                       Department of Medicine                              Molecular Medicine Program




                                                                                                                                                                                                                  Director Revenue                   Manager of Backend
                                                                           Budget                     Manager of Budget and                               Director of                                             Cycle Management                                                                  Director of                          SSC Client
                                                                           Analyst                                                                    Financial Operations                                                                               Revenue                                    Compliance
                                                                                                           Reporting                                                                                                                                                                                                                     Executive




                                                                                                                                                                                                                          Mgr of                         Credential                                Compliance
                                                                                                                                                           Accounting
                                                                                                                                                                                                                    Professional Billing                Coordinator                                 Auditor
                                                                                                                                                            Manager




                                                                              Divisional               File Clerk                                                                Account Payable                                                                                                         System Server/Desktop
                                                                                                                           Staff Accountant II        Staff Accountant I                                                                   Senior Database                   Web Analyst
                                                                              Accountant                                                                                            Specialist                                                                                                             Support Engineer
                                                                                                                                                                                                                                            Administrator
Titles:           Titles and Ranks
   Directors
          Clinical
          Centers (university and departmental)
          Units
          Programs
          Institutes
   Section Chiefs
   Associate Section Chiefs
Academic Ranks:
  Instructor
  Assistant professor (+/- clinical or research prefix)
          Clinician Scholar Track
          Clinician Scientist Track
          Research Scientist Track
  Associate professor (same tracks as above)
  Professor
              Promotion Process
Candidate and section chief discuss promotion application.
Pre-review by the Department’s Appointment & Promotion (A&P)
   Committee requires chief’s letter of recommendation, candidate’s
   CV (BU format), and template of potential referees, A&P committee
   requests letters of reference.
Department’s A&P committee reviews completed application and
   reference letters and reports to the section chief if they do not
   recommend promotion. Approved packages sent to the Dean.
The School Appointment Committee examines and discusses the
   candidate’s dossier and the recommendations of the departmental
   A&P committee and provides a report if they do not concur.
Dean reviews the promotion recommendations and procedures
   followed by the department and the School and forwards the
   recommendations of the Chairman of the School’s A&P Committee
   along with any commentary to the Provost. Alternatively, the Dean
   may return the application to the school’s or department’s A&P
   committee.
The Med Campus Provost approves the appointment and forwards to
   the BU Board of Trustees for final approval
                Promotion Criteria
                Clinician Scholar
Clinical excellence
   Clinical practice improvements
   Quality outcomes and productivity
   Patient educational materials
Educational excellence
   Teaching or curricular evaluations
   Development of curriculum, courses, or educational programs
Scholarship
   Traditional peer-reviewed scholarship
   Educational materials
Administration
   Institutional and extramural service
   Service on committees, especially standing committees
   Mentoring of other faculty or trainees
            Promotion Criteria
               Researcher
Area of inquiry
  Focused, definable (emerging independence)
  innovative, future promise
Publication in peer-reviewed journals
  Quality of publications more important than
  number
  Trend of scholarly productivity
Extramural funding from governmental and
  private sources
Training and mentoring of trainees, other faculty
   Am I Ready for Promotion?
Take the initiative-use the Annual Review
What do I need to accomplish?
Am I on track? If not, why not?
Who else can I discuss these questions
 with?
  – Mentor or senior faculty member
  – Chair or members of the Appointments and
    Promotions Committee
  – Vice Chair of Faculty Development and
    Diversity
  Where do Faculty go wrong in
       Career Planning?
         The Self Evaluation Phase
Honest assessment of
 Training
 Passion
 Talent
 Resources
Balancing service commitments
Emphasize quantity over quality of publication
―Writer’s Block‖
Where Do Faculty Go Wrong in
     Career Planning?
     The Independence Phase

Establishing independence
Timing of independence
Use of mentor(s)
Planning beyond first three year term
Visibility outside of the institution
Where do Departments go wrong
in Career Planning for Faculty?
Insufficient due diligence in the search process
Inadequate investment
  – Resources
  – Mentorship
  – Infrastructure
  – Protected time
Misalignment of what is needed with what is
  rewarded
Overuse of women and under-represented
  minorities for institutional service
Inflexible career timelines
        Where to Find Information
             on Promotion
• Medical Campus Provosts’s web page:
   – http://www.bumc.bu.edu/Dept/Content.aspx?DepartmentID
     =287&PageID=12614

• BU Faculty Handbook:
   – http://www.bu.edu/provost/resources/handbook.html

• Department of Medicine Faculty Development and
  Diversity Website:
   – http://www.bumc.bu.edu/facdev-medicine/

• Section administrator and/or chief

• Kirstin Salmela, departmental administrator
       New Faculty Orientation
       2010

                    Welcome


   1. Research Resources
   2. Research Cores
   3. Opportunities for internal grants
   4. Research & the Graduate School (graduate
    program in Molecular Medicine)
              1. Research Resources


              Evans Center for
         Interdisciplinary Biomedical
                   Research
               (Evans Center)
http://www.bumc.bu.edu/medicine/evansbiomedicalresearch/




                                  Katya Ravid, DSc/PhD
                                  Director
     Major Goals of the Evans Center

  Create Affinity Research Collaboratives (ARCs) which consist of
faculty affiliated with the Department of Medicine and with other
Departments and Centers at Boston University. The ARCs serve as
incubators to jump start and sustain new ideas and research areas,
using interdisciplinary approaches to enhance discovery as it applies
to disease states;

 Enhance the educational mission at undergraduate, graduate and
post-graduate programs (graduate course; training programs);

 Assist in envisioning and developing current and new institutional
research cores [e.g., model organism core; human tissue bank];
       Example of ARCs


          PROTEIN TRAFFICKING AND NEURODEGENERATIVE DISEASES: ALZHEIMER DISEASE AS A FIRST
           MODEL SYSTEM
          Dr. Lindsay Farrer, pre-ARC Director (farrer@bu.edu)

          REGENERATIVE MEDICINE: iPS
          Drs. Darrell N. Kotton and Gustavo Mostoslavsky, pre-ARC Directors (dkotton@bu.edu;
           gmostsosl@bu.edu)

          MITOCHONDRIA in DISEASE: ONE ORGANELLE, MULTIPLE ORGANS
          Dr. Orian Shirihai, pre-ARC Director (Shirihai@bu.edu)

          SEX DIFFERENCES IN ADIPOSE TISSUE REMODELING: MECHANISMS AND ROLE IN DISEASE RISK
           ASSOCIATED WITH OBESITY
          Dr. Susan Fried, pre-ARC Director (skfried@bu.edu)




For a full list visit:
http://www.bumc.bu.edu/evanscenteribr/pre-arcs/
Other Research Resources


Other Research Facilities on the BU Medical Campus
    * Laboratory Animal Sciences Center
    * Mass Spectrometry Resource
    * Proteoglycan and Glycosaminogylcan Structure
       Laboratory
    * Framingham Heart Study

Research Facilities on the BU Charles River Campus
   * Biomedical Optics Laboratory
   * Center for Chemical Methodology & Library Development
   * Center for Nanoscience and Nanobiotechnology
   * Fraunhofer Center for Manufacturing Innovation
   * High Performance Computing & Communications
       Facilities (Supercomputing)
   * Photonics Center
   * Scientific Instrument Facility
http://www.bu.edu/cores/resources.html

Continued- Other Research Resources

    * Alzheimer's Disease Center
    * Amyloid Treatment & Research Center
    * Behavioral Development & Mental Retardation
    * Cancer Research Center
    * Cardiovascular Proteomics Center
    *Evans Center for Interdisciplinary Biomedical Research
    * Hearing Research Center
    * Center for Human Genetics
    * NeuroMuscular Research Center
    * New England & Regional Spinal Cord Injury
    * Pulmonary Center
    * Sexual Medicine, Institute of
    * Sickle Cell Disease, Center of Excellence In
    * Whitaker Cardiovascular Institute
    * Women's Health Interdisciplinary Research Center
2. Core Facilities
http://www.bu.edu/cores/cores/biomed-imaging.html


Core facilities exist to support research and researchers.

      * Analytical Instrumentation Core
      * Animal Research Resource Center, including a Transgenic Core
          and more
      * Biomedical Imaging Center
      * BU-BRIDGE Clinical and Translational Science Institute
      * Cellular Imaging Core
      * Experimental Pathology Laboratory Service Core
      * Flow Cytometry Core Facility
      * High Throughput Screening Core
      * Microarray Resource Core Facility
      * Molecular Genetics Core Facility
      * Proteomics Core Facility
      * Transgenic Center
         3. Opportunities for Internal Funding

   ARC grant applications via the Evans Center/DOM, see:
         http://www.bumc.bu.edu/evanscenteribr/

   Pilot grants to allow generation of pilot data for new ideas ad grants, see:
          http://www.bumc.bu.edu/medicine/research-in-the-department/

   Bridge Funding to allow project continuation within grants that scored in an
    almost fundable range, see:
         http://www.bumc.bu.edu/medicine/research-in-the-department/

   Translational Research Grants via the Clinical and Translational Science
    Institute, see: http://www.bu.edu/cores/cores/general-clinical.html

   RFA in Nanomedicine in collaboration with the Nanotechnology Center. See:
         http://www.bumc.bu.edu/evanscenteribr/initiatives-explored-by-the-
    evans-center/nanomedicine-initiative-developed-in-2009-with-bu-center-for-
    nanoscience/
4. Research and the Graduate School




   Access to PhD students: DOM-based
   Graduate Program in Molecular Medicine
   http://www.bumc.bu.edu/gpmm/

   Division of Graduate Medical Sciences
   http://www.bumc.bu.edu/gms/
Faculty Development and Diversity
     Emelia J. Benjamin, MD, ScM
       Vice   Chair of FDD
     Karen Freund, MD, MPH
       Chair,   FDD Committee
     Peter S. Cahn, PhD
       Director   of FDD
Grants
 Deadlines: January 15, April 15, July 15,
  October 15
 Typically $1500-$4000
 Receive section support
 Apply on-line
Programs recently attended
 MassBioEd leadership training
 Evidence-Based Medicine, Duke U.
 AAMC Early-Career Women Faculty
 Harvard Macy Program Educators in
  Health Professions
Seminars
 How to Run a Meeting
 New NIH Criteria
 Microskills of Teaching for Clinician
  Educators
 E-mail Jail: How to Get Out and Stay Out
  (May 18, 2010 at noon)
Awards
 Junior Faculty Mentoring Award
 Outstanding Citizenship Award
 Research Mentoring Award
 Special Recognition Teaching Award
Mentoring
 BUMC Task Force: Emelia Benjamin,
  Judith Jones
 Objectives: faculty retention and
  advancement
 Proposal: structured longitudinal
  mentoring program to start in January
  2011
Diversity
 Under-represented minorities
 Women in medicine
 LGBT interest group
 Web resources
Lending library
 The Grant Application Writer’s Workbook
 Seven Keys to Successful Mentoring
 The No Asshole Rule—Building a Building
  a Civilized Workplace and Surviving One
  that Isn’t
 Ms. Mentor’s New and Ever More
  Impeccable Advice for Women and Men in
  Academia
Orientation to Clinic Practice

              Raj Krishnamurthy, MD
              Vice Chair, Outpatient
              Medicine
              May 6, 2010
Getting started

   What is my practice address?
   What is my phone number? Fax?
   Do I have business cards? How do I get
    them?
Clinic orientation

   Who is my nurse? Who is my MA? What are their
    roles and expectations?
   How do my patients get a hold of me after hours?
   How do patients get clinical advice during business
    hours when I am not there?
   How are messages sent to me? How and to whom
    do I respond?
   What are the expectations for my turn around time?
Patient management

   Where do patients go for labs? X-rays?
   How do consults/referrals get scheduled?
   How do forms get to me for completion? TAT
    expectation? Who helps?
   Where is my mailbox?
Technological issues

   Who is the super user for Logician?
   Who can I go to for questions?
   How do I log in from home?
   How do I get a token from IT?
Cancellations

   Who is the person to go to for administrative issues?
   What if I have an emergency on my clinic day?
   When I am on vacation, what are the expectations
    for me to find coverage? How do I sign out my
    beeper?
   How much notification do I have to give for canceling
    clinic?
Expectations

   What are the practice expectations for
    reporting results back to patients?
   What are the expectations for sending
    reports back to referring providers?
   What are expectations for encounter form
    (billing) completion?
   What are the expectations for supervision of
    fellows, residents, and medical students?
Quality

   How is my outpatient practice evaluated?
   What are the quality parameters we follow?
   What are the expectations for clinic sessions
    per year? Patients per session? RVU
    targets?

				
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Description: Letter of Recommendation Template, Nurse document sample