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Faculty Evaluation Systems - AAARAD

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<strong>Faculty</strong> <strong>Evaluation</strong> <strong>Systems</strong><br />

Julia Kennedy Tussing<br />

Stanford University<br />

September 21, 2000


AAARRO Member Practices<br />

• Surveyed AAARRO email distribution list<br />

• 21 respondents<br />

• Huge variation in practices<br />

– From: no review, no increases, no bonus<br />

– To: full peer committee review, formulaic<br />

bonus plan and extensive data collection.


21 Respondents from:<br />

--Virginia<br />

--Texas<br />

--New Mexico<br />

--Duke<br />

– Washington --Maryland<br />

– Davis --Yale<br />

– Johns Hopkins -- Missouri<br />

– SUNY at Stonybrook --UCSF<br />

– Med Univ of South Carolina --St Louis U<br />

– Michigan State --Miami<br />

– Wisconsin --Harvard<br />

– Medical College of Wisc --Iowa<br />

– Stanford


Review of Common Practices<br />

• No system, salary increases are formulaic<br />

(seniority or other criteria) (2)<br />

• Chair discretion, no formal process (3)<br />

• Formal process with fairly standardized<br />

information gathered, culminating in<br />

Section Chief or Chair meeting (14)<br />

• Formal process with standardized<br />

information gathered and evaluated by peer<br />

group (2)


Criteria<br />

• Almost all use clinical productivity,<br />

research productivity, and teaching quality<br />

or effort in the review.<br />

• Half use some measure of administrative<br />

effort or “citizenship”.<br />

• Half use some kind of point system to<br />

quantify conversion of activity to amount of<br />

base or bonus.<br />

• Only 6 used any goal-setting in the review<br />

process.


Base vs. Bonus<br />

• 11 of the respondents had a bonus plan. All<br />

but one were based on individual rather than<br />

group performance.<br />

• 3 respondents had no flexibility in base<br />

salary, and used the review system solely to<br />

set a bonus.


School: Stanford 21 respondents<br />

Degree of Structure High 2 zero, 8 low, 5 medium, 6 high<br />

Performed by:<br />

Ad Hoc Committee scores;<br />

Chair sets salary/ bonus.<br />

2 no review; 2 formula driven; 6 both Chair and<br />

Chief or committee; 11 chair.<br />

<strong>Faculty</strong> Self-Assessment Yes.<br />

4 self-assessments, 17 none<br />

Documentation<br />

reviewed:<br />

Teaching evaluations by residents, etc. 18 use teaching as a criterion<br />

Research Self-evaluation, numbers 19 us research as a criterion<br />

Patient Care RVUs & evaluations 17 use clinical productivity as a criterion<br />

Administration X 12 use administration as a criterion<br />

Goal-setting<br />

Yes<br />

Point system For bonus salary & bonus, ad hoc<br />

or salary<br />

committee score.<br />

Bonus plan Yes; 1% to 30% of base salary. 12 have bonus plans<br />

4 use formal goal-setting, 2 informal, 15 not at<br />

all<br />

9 use points for base, bonus or both; 11 do<br />

not use any point system.<br />

Range of salary<br />

increases: 0% to 14%<br />

Description:<br />

Assemble folders with info on all<br />

subjects; reviewed & scored by<br />

Ad Hoc Committee; Chair sets<br />

salary & bonus based on scores<br />

& intangibles. Bonus is partly<br />

algorithmic.


<strong>Faculty</strong> <strong>Evaluation</strong>s at Stanford<br />

• In 1989, the current Chair joined the<br />

department, and began to build the current<br />

system. Each year, additions or refinements<br />

were made as it evolved.<br />

• In 1998, the School of Medicine mandated a<br />

written plan for each department for both<br />

the evaluation and the bonus.


Stanford Review Process<br />

• Assemble information into faculty folders<br />

• Convene Ad Hoc Committee to review<br />

folders<br />

• Process Ad Hoc Committee Scores<br />

• Run bonus algorithm<br />

• Chair reviews scores and folder, sets bonus<br />

and salary<br />

• Chair meets with each faculty member,<br />

reviews performance and sets goals for next<br />

period


<strong>Faculty</strong> Folders<br />

• Section Chief evaluation<br />

• “Performance Profile” giving goals for the<br />

period and observations on how well they<br />

were met<br />

• Self-assessment of activity in research,<br />

teaching, and patient care in a standardized<br />

“Activity Report”<br />

• RVUs (rank in dept & section)


Folders, con’t.<br />

• Resident, Fellow and clerkship teaching<br />

evaluations<br />

• <strong>Evaluation</strong>s from students, post-docs and<br />

graduate students (for research faculty)<br />

• Attendance and participation in medical<br />

school course (301A)<br />

• Attendance at <strong>Faculty</strong> meetings


DR. XAVIER WRAY<br />

MCL Line, Full Professor, 10 years in Department<br />

Performance Profile Date: 11/15/98<br />

Signatures:<br />

Chair_____________________<br />

<strong>Faculty</strong>_____________________<br />

Clinical<br />

Capability X Goals Measurement<br />

Observations<br />

Reputation<br />

Productivity<br />

• Acknowledged inside and<br />

outside of SUSOM as an<br />

expert in specific area of<br />

medicine<br />

• Building practice<br />

# Invited<br />

Major<br />

Presentation<br />

s<br />

10%<br />

Increase in<br />

RVUs<br />

4 Invitations: 1)<br />

2)….3)…..4)<br />

RVUs increased 9% from<br />

previous fiscal year, from<br />

3000 to 3270.


Ad Hoc Committee<br />

• 5 member committee reviews every folder<br />

and scores each faculty member from 1 to 5<br />

in the following categories:<br />

– Patient Care<br />

– Teaching<br />

– Research<br />

– Administration<br />

– Overall value to the Department


Scoring<br />

• Ad Hoc scores are averaged for each<br />

category and faculty are ranked according<br />

to “Overall” scores<br />

• Current scores are compared to the previous<br />

year for improvement or decline; a 5-year<br />

history is provided to the Chair<br />

• Bonus algorithm run using Ad Hoc scores


Chair Review<br />

• Add “Report Card” to folder for Chair<br />

review<br />

• Chair sets salaries based on folder, scores<br />

and personal knowledge of performance<br />

• Administrator runs bonus algorithm and<br />

Chair sets discretionary bonus<br />

• Chair meets with each of 43 faculty<br />

members to review performance, set goals


NAME:<br />

DEPARTMENT OF RADIOLOGY<br />

FACULTY REPORT CARD<br />

Comp Teaching RVUs Research<br />

Section<br />

Chief Eval:<br />

Ad Hoc<br />

Scores<br />

FY '98 FY '99<br />

%<br />

Increase FY '00<br />

%<br />

Increase FY '01<br />

%<br />

Increase<br />

Total Publications<br />

Senior Author Pubs<br />

Total Abstracts<br />

Senior Author abstracts<br />

RVUs (adj by clinical time) 4113 5808 41.21% -100.00%<br />

RVU rank 2<br />

Score: Clerkship 4 3.71 -7.25% -100.00%<br />

Rank: Clerkship 27 of 29<br />

Score: Resident 4.75 4.69 -1.26% -100.00%<br />

Score: Fellow 4.58 5 9.17% -100.00%<br />

Rank: Res/Fellow 9 of 39<br />

Research 4.5<br />

Patient Care 4<br />

Teaching 4.5<br />

Administration<br />

Overall 4<br />

Research 2.6 3.89 49.62% 4.01 3.08% -100.00%<br />

Patient Care 4.18 4.48 7.18% 4.35 -2.90% -100.00%<br />

Teaching 4.3 4.37 1.63% 4.41 0.92% -100.00%<br />

Overall 3.73 4.08 9.38% 4.13 1.23% -100.00%<br />

Percentile 0.26 0.49 88.46% 0.30 -38.78% -100.00%<br />

<strong>Faculty</strong> meeting attendance 2 of 8 25.00%<br />

Section Chief attendance<br />

Base + Variable 105000 108675 3.50% 120000 10.42% -100.00%<br />

Bonus 20000 30000 50.00% -100.00% #DIV/0!<br />

TOTAL 125000 138675 10.94% 120000 -13.47% 0 -100.00%


Cons<br />

• Very time-consuming administratively:<br />

– Folders, Number crunching, Report cards,<br />

Tracking performance profiles<br />

• Makeup of Ad Hoc Committee can<br />

influence scoring<br />

• Chair required to meet with 43 faculty<br />

• No formal method of tying evaluation to<br />

compensation (except for bonus algorithm)


Pros<br />

• Excellent historical data on performance<br />

• Use of Committee ensures fairness, multiple<br />

opinions<br />

• Process understood by faculty<br />

• Goal setting ties departmental mission to<br />

performance<br />

• Scoring method gives numerical result


Other Considerations<br />

• The rigor with which you pursue<br />

evaluations must depend upon:<br />

– Administrative resources<br />

– Chair commitment<br />

– <strong>Faculty</strong> involvement<br />

– Cultural limitations

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