Faculty Promotion and Tenure

The Department of Medicine is committed to fostering a clear and supportive process that recognizes each faculty member’s unique contributions and career path while advancing collaborative research, clinical innovation, and educational excellence. Whether building toward tenure, pursuing promotion, or exploring new opportunities, faculty are guided through this journey with confidence and purpose.

This commitment is grounded in a holistic review process that prioritizes quality over quantity, values diverse forms of excellence, and supports individual trajectories toward academic leadership that drives positive impact through rigorous scholarship and meaningful collaboration.

The DOM’s promotion and tenure framework reflects the understanding that transformative medical advances increasingly emerge from collaborative research teams. Scholarship that demonstrates meaningful collaboration, participation in multicenter studies, translational impact, and leadership in team-based scientific endeavors is highly valued and actively supported. These frameworks offer non-prescriptive, aspirational rubrics to help faculty, leadership, and the DOM A&P Committee assess readiness for promotion across tracks in the tenure and appointment stream (Clinician-Educator, Clinician-Investigator, Investigator-Educator) and tracks in the appointment stream only (Clinician-Leader, Research Prefix).

While the SOM guidelines emphasize a thematic approach, DOM frameworks incorporate specific, measurable metrics where applicable. Final decisions are made holistically, considering peer assessments, innovation, impact, and consistency across research, teaching, and service.

Faculty are encouraged to use these tools during their Annual Faculty Performance Evaluation to guide career planning and portfolio preparation.

Appointment Pathways

Excellence comes in many forms. Select the pathway that best reflects your scholarly contributions and career goals. Each pathway now recognizes collaborative research, innovation, and translational impact as core components of academic excellence.

Clinician-Educator

Educational excellence with clinical expertise. For faculty transforming medical education and training the next generation through innovative teaching and comprehensive mentoring.

Strategic Focus: Educational innovation, curriculum development, assessment tools, collaborative teaching initiatives, and educational research dissemination.

View Detailed Requirements & Career Advancement Guide →

Clinician-Investigator

Bridging clinical excellence with research impact. Perfect for physician-scientists advancing patient care through scholarly work that translates discoveries to clinical practice.

Strategic Focus: Translational research, clinical trials leadership, multicenter collaborations, patient care innovation, and community health outcomes.

View Detailed Requirements & Career Advancement Guide →

Clinician-Leader

Leadership impact in healthcare delivery and systems. For faculty driving organizational change and community health improvement through innovative leadership. Now Tenure-Eligible!

Strategic Focus: Healthcare innovation, system improvement, policy development, organizational transformation, and collaborative leadership across institutions.

View Detailed Requirements & Career Advancement Guide →

Investigator-Educator

Research-focused with significant teaching and mentoring contributions. Ideal for faculty advancing knowledge through discovery or educational innovation while fostering collaborative research excellence.

Strategic Focus: Collaborative research networks, multicenter studies, innovative educational methods, mentorship of emerging researchers, and translational impact.

View Detailed Requirements & Career Advancement Guide →

Additional Faculty Categories

Instructor
  • A starting rank for those beginning their academic career
  • Qualifications: Doctoral or highest appropriate professional degree (or evidence of pursuing)
  • Duration: Transitional appointment, typically no more than 2-3 years
  • Pathway: Available in appointment stream
  • Focus: Demonstrate satisfactory scholarly progress and ability to pursue academic career
Research Faculty
  • Effort: >90% in scientific investigation
  • Role: Collaborative/supportive to PI’s research group
  • Ranks: Research Instructor through Research Professor
  • Not expected to be first/corresponding authors on most publications
  • May participate in educational activities
  • Specific promotion criteria apply
Clinical Faculty
  • Effort: >90% in clinical care, often community-based
  • Appointment: Voluntary without University salary/benefits
  • Ranks: Clinical Instructor through Clinical Professor
  • Contribute to educational mission
  • Participate in service activities
  • Specific promotion criteria apply
Visiting Faculty
  • Duration: Temporary appointment, usually ≤ 1 year
  • Purpose: Short-term academic contributions
  • Ranks: Can be applied at any faculty level
Adjunct Faculty
  • Primary Appointment: Outside University of Pittsburgh
  • Participation: Collaborative projects within the University
  • Compensation: No salary or benefits from Pitt

Timelines and Deadlines

Tenure-Stream Timeline

Years 1-2  Build your Foundation

Establish your scholarly program, develop innovative teaching skills, and begin institutional service. Focus on building collaborative networks and identifying team science opportunities.

Years 4-5  Mid-Course Review

Comprehensive evaluation of progress with feedback and guidance for achieving promotion readiness, conducted no later than the end of your fifth year. Assessment includes collaborative contributions and research impact.

Years 5-6  Associate Professor Consideration

Typically, eligible for promotion after 5+ years. Submit portfolio when you demonstrate sustained excellence, trajectory, and meaningful collaborative contributions.

Year 8  Mandatory Portfolio Due

If not yet promoted, portfolio due in April for tenure review. Portfolio should demonstrate comprehensive excellence including collaborative research and innovation.

Year 9  Decision Notification

Receive tenure decision by end of Year 9, with conferral effective by your 10-year anniversary.

NOTES

  • Mid-course review timing: Conducted between years 4-5, no later than end of year 5, to assess progress and provide guidance
  • Portfolio submission timing: If not promoted by year 8, portfolio due in April for mandatory tenure review
  • Time in rank is necessary but not sufficient: Promotion depends on demonstrating excellence and readiness across all domains
  • Team science is valued: Show how you contribute to collaborative research and multicenter initiatives
  • Individual timelines vary: Some faculty may be ready earlier or later than typical timeframes
  • Clock extensions: Available for family medical leave, parental leave, or other qualifying circumstances
  • Cross-pathway contributions valued: Excellence in multiple areas strengthens your case
  • Annual evaluations: Required for all tenure stream faculty to document progress
  • Special considerations: Available for faculty with previous tenure at comparable institutions

Important Policies & Procedures

Terms of Appointment

Faculty appointments may be for:

  • 1-year terms
  • 2-year terms
  • 3-year terms

Notification deadlines for non-renewal vary by appointment type and year.

Clock Extensions

Available for:

  • Medical leave
  • Parental and family leave
  • Other qualifying circumstances

Minimum extension: one academic term/semester

Appointment vs. Tenure Stream

Both streams are available at Assistant Professor level and beyond, with different trajectories and expectations.

Key difference: Tenure-stream faculty work toward tenure with a 10-year maximum timeline, while appointment stream faculty have renewable appointments without tenure eligibility but follow the same promotion criteria for rank advancement. The decision is made at initial appointment based on career goals and departmental needs.

Portfolio Checklist

Everything you need for a complete and compelling application that demonstrates collaborative excellence

Z

Executive Summary

3–5-page overview of your accomplishments, written in third person

Tip: Highlight your collaborative research contributions and their impact alongside traditional achievements

Z

Curriculum Vitae

Complete CV in Pitt SOM format with chronological ordering

Tip: Include team science activities, multicenter research, mentoring outcomes, and publication-equivalent scholarly products (PESPs)

Z

Teaching Documentation

Teaching summary form plus aggregated evaluation data

Tip: Document innovative teaching practices, collaborative educational initiatives, and mentoring outcomes

Z

Publication Samples

3-5 most impactful works (Associate Professor) or 6-8 works (Professor)

Tip: PESPs like educational innovations, clinical guidelines, assessment tools, and collaborative research products count as publications

Z

Research Summary

Productivity metrics, funding summary, and citation report

Tip: Include metrics demonstrating collaborative impact, multicenter study leadership, and translational outcomes

Z

Reference List

16 potential referees (12 external, 4 internal to Pitt)

Tip: Include referees who can speak to your collaborative contributions, innovation, and research impact

Support and FAQs

You don’t have to navigate this process alone. Our team provides guidance, resources, and support every step of the way, with particular attention to helping you articulate and develop your contributions to collaborative research, innovation, and academic impact.

DOM Faculty Affairs: facafmed@pitt.edu

DOM Faculty Appointments and Promotions Committee

Team Science Resources: Contact your pathway mentors for guidance on collaborative research opportunities

General Questions: Schedule time with your Division Chief or A&P Committee members

Frequently Asked Questions

How do I know if I'm ready for promotion?
Readiness isn’t about checking every box—it’s about demonstrating sustained excellence and impact in your chosen pathway, including meaningful contributions to collaborative research and innovation. Start with your annual review feedback and discuss your trajectory with your mentor and division chief.
What if my career doesn't fit neatly into one pathway?
That’s perfectly normal! The 2025 guidelines explicitly recognize that accomplishments from multiple pathways can support promotion. Choose the pathway that best represents your primary contributions, then highlight complementary work from other areas, including your collaborative research efforts across domains.
How do I demonstrate team science contributions in my portfolio?
Team science contributions can include: leadership or meaningful participation in multicenter studies, collaborative research networks, interdisciplinary projects, industry-sponsored trials, consortium research, shared resource development, and cross-institutional initiatives. Document your specific role, contributions, and the impact of these collaborative efforts with specific outcomes and metrics.
How long does the review process take?
The complete process typically takes 10-12 months on average from DOM submission to final decision, though timing can vary based on portfolio complexity and other factors. Most actions approved by the DOM A&P Committee (>99%) are ultimately successful at all levels.
What are publication-equivalent scholarly products (PESPs)?
PESPs are scholarly works that are disseminated, peer-reviewed, and can be built upon by others. Examples include curricula, clinical guidelines, educational tools, assessment instruments, media contributions, innovative training programs, and translational research interventions. They’re valued equally with traditional publications.
Can I get promoted on the Clinician-Leader pathway to tenure?
Yes! As of 2025, the Clinician-Leader pathway is now tenure-eligible, recognizing leadership scholarship as equal to traditional research. This includes the scholarship of service, healthcare delivery innovation, policy development, and organizational transformation that creates lasting impact.
How is collaborative research valued compared to single-investigator work?
Both collaborative and single-investigator research are valued. For collaborative work, clearly describe your specific contributions, leadership roles, and the impact of the collaboration. Team science is increasingly recognized as essential for transformative medical advances, and meaningful participation in or leadership of collaborative efforts demonstrates important scholarly skills and impact.
What's the difference between tenure stream and appointment stream?
Both streams exist at the Instructor and Assistant Professor levels. Tenure stream faculty work toward tenure with a maximum 10-year timeline and specific milestones. Appointment stream faculty have renewable appointments without tenure eligibility but follow the same promotion criteria for rank advancement. The decision is made at initial appointment.
What happens during the mid-course review?
The mid-course review is a comprehensive evaluation conducted between your fourth and fifth years, but no later than the end of your fifth year in the tenure stream. It assesses your progress toward tenure, provides detailed feedback on your trajectory, identifies areas for improvement, and offers guidance for achieving promotion readiness. This includes evaluation of your collaborative contributions and research innovation.
Can I request an extension to my tenure clock?
Yes, extensions are available for qualifying circumstances including parental leave (birth or adoption), family medical leave, or other approved situations. Faculty who become parents can request that year not count toward mandatory tenure review. The minimum extension is one academic term/semester, even for shorter leaves.
What does "Under Committee Review" (OCR) status mean?

Your faculty appointment remains in OCR status until your portfolio is submitted and approved by the School of Medicine promotion/appointment committee. This is standard for all new faculty appointments.

Important: The School of Medicine is enforcing portfolio submission timelines rigorously. Work promptly with DOM Faculty Affairs to ensure timely submission of all required documents.

How do I resolve my OCR status?

Submit a complete portfolio including your Executive Summary, CV (in SOM format), Research and Teaching Summary Forms, and referee list. The School of Medicine Office of Faculty Affairs provides detailed guidance and templates at https://www.medfaculty.pitt.edu/.

Contact DOM Faculty Affairs immediately at facafmed@pitt.edu to begin the portfolio preparation process and understand your specific deadline.

Key Definitions

Scholarship:
The systematic and progressive accumulation of knowledge which leads to the competent mastery of an area of study. As defined by Weiser, scholarship is creative intellectual work that is validated by peers and communicated. Individual activities are not scholarship; rather, scholarship results from a set of activities with clear goals, involving adequate preparation and appropriate methods, culminating in a product with significant results accompanied by effective presentation, dissemination, and reflective critique.

Publication-Equivalent Scholarly Products (PESPs):
Scholarly products that fulfill the following criteria: 1) disseminated, 2) peer reviewed, 3) able to be applied by and built upon by others. Examples include Clinical Practice Guidelines, Curricula, Laboratory Manuals, Textbooks, Book Chapters, enduring symposia, enduring service products (e.g., Street Medicine Program), virtual educational materials, creation of assessment tools (e.g., OSCE), etc.

Publication Equivalents for Leadership Scholarship:
For Clinician-Leader pathway advancement to Professor, scholarly productivity may include traditional publications plus leadership-specific equivalents such as policy documents with institutional impact, healthcare delivery innovations with measurable outcomes, organizational transformation initiatives with documented results, quality improvement programs with published outcomes, and collaborative leadership products that advance the field.

Scholarship of Education:
A unique form of teaching that involves sustained depth of knowledge and commitment resulting in a product such as an original peer reviewed publication or publication-equivalent scholarly product. For example, developing a multi-modular course, creating the curriculum, serving as course director, and disseminating that product externally to others.

Scholarship of Service:
A unique form of service that involves sustained depth of commitment and results in a product, envisioned as a series of longitudinal actions toward a defined endpoint. For example, developing and defining a service activity, and then disseminating the written blueprint that can be built upon by others.