Clinical Faculty Academic Appointments

Policy
Clinical Faculty Appointment Categories
Department of Medicine Requirements for Appointment at the Rank of Assistant Professor 
Department of Medicine Requirements for Appointment at the Rank of Lecturer 
Foreign Trained Physicians
Application Process and Documentation Requirements

Policy

All clinical (MD) academic appointments are governed by the Policy for Clinical Faculty and Procedures Manual for the Policy for Clinical Faculty, available at Faculty of Medicine Clinical Affairs website.

All faculty members’ clinical activities fall under the jurisdiction of any relevant site(s) in which they practice and the College of Physicians and Surgeons of Ontario (CPSO).

Clinical Faculty Appointment Categories

Clinical faculty (MDs) may be appointed full-time, part-time  or as adjunct clinical faculty. An overview of these types of appointments is provided in

Table 1, below.

Description Full-time Clinical Part-time Clinical Adjunct Clinical
Location of Practice Active staff at a fully-affiliated University of Toronto teaching hospital Hospital or other site affiliated with the University of Toronto Hospital or other site affiliated with the University of Toronto or at a non-affiliated site, e.g., private practice
Member of a conforming practice plan (financial structure that supports academic work) or equivalent Required Not required Not required
Percent of professional time devoted to academic activities (teaching and scholarship) 80%+ 20-79% <20%
Academic position description Required Required Not required
Term of appointment Initial probationary period of three to five years, followed by Continuing Faculty Appointment Review (CFAR). After successful review continuing annual appointment, which can be terminated only for cause One year renewable appointment* with annual activity report and review. The Chair may terminate without cause** One year renewable appointment* with annual activity report and review. The Chair may terminate without cause.
CPSO disclosure*** Required Required Required
Rights provided by the Policy for Clinical Faculty**** May grieve against a University official and alleged breach of academic freedom May grieve against a University official, but not  alleged breach of academic freedom May not grieve against a University official or alleged breach of academic freedom
Access to University of Toronto library facilities Yes Yes Yes
Tuition waiver, scholarship program and joint membership benefits Eligible Not eligible Not eligible
Academic rank Faculty members may be appointed at the rank of lecturer, assistant professor, associate professor, or professor, based on education and demonstrated scholarship. Faculty members may be appointed at the rank of lecturer, assistant professor, associate professor, or professor. A community preceptor or other part-time or adjunct clinical faculty will usually be appointed at the rank of lecturer. Faculty members may be appointed at the rank of lecturer, assistant professor, associate professor, or professor. A community preceptor or other part-time or adjunct clinical faculty will usually be appointed at the rank of lecturer.

* Year-end refers to the end of the academic year (June 30). Requests for activity reports will be sent out in April of each year.

**All part-time clinician-teacher appointees are expected to complete training in health professional education within the first three years of appointment. Examples of  health education training are: Master Teacher Program, TLC Program, Stepping Stones Teacher Development Program, Education Scholars Program 

***All faculty members are required to report to their University Department Chair any information, both historical and current, relevant to the clinical academic appointment including, but not limited to: finding of negligence; investigation and/or finding of guilt of a criminal offence, academic misconduct, incompetence or any form of professional misconduct by a court or the CPSO’s Discipline Committee or Fitness to Practice Committee (or its equivalent in any jurisdiction). As required in the Procedures Manual for the Policy for Clinical (MD) Faculty, self-reporting must be made to the University Department Chair within seven working days of receipt of notification or knowledge of such a conviction, finding or investigation. For an investigation by the Discipline Committee or Fitness to Practice Committee (or its equivalent in any jurisdiction), self-reporting must conform to all applicable policies and procedures, including, but not limited to, hospital by-laws and CPSO regulations.

**** For definition of grievance, refer to section 5.3.1 of the Procedures Manual for the Policy for Clinical Faculty.

Department of Medicine Requirements for Appointment at the Rank of Assistant Professor 

The Faculty of Medicine at the University of Toronto requires advanced training AND demonstrated scholarship for inital appointment at the rank of assistant professor or higher.

Advanced Training:

While the details will vary depending on the proposed academic position description (table 2 below), for appointment as an assistant professor the Faculty stipulates one must have a graduate degree or other advanced training, such as in the form of post-residency fellowship, that is relevant to the proposed position. For example, a MSc in Engineering may be relevant to an individual whose area of academic focus is biomedical engineering, but does not ensure that someone hoping to build a career in quality improvement (QI) will be successful.

Demonstrated Scholarship:

Evidence of scholarship ensures that the individual is not only knowledgeable, but can apply this knowledge in the form of one or more of sustained excellence in teaching, creative professional activities and research, as defined below:

Sustained Excellence in Teaching may be demonstrated through a critical mass of: teaching evaluations that provide comparisons against peer teachers; student testimonials; a breadth and depth of teaching, e.g. across different trainee level and/or training environments; and receipt of teaching awards and honours.

Creative Professional Activity (CPA) is a broad term that includes by is not limited to the following types of activities:

  • Contributions to the development of professional practices, e.g., guidelines, health policy development, regulatory committees and setting of standards
  • Exemplary professional practice, e.g., teaching techniques, educational innovations, curriculum development, models of care innovations (e.g. role of EMR prompts, standardized pathways, pre-printed patient ‘order sets,’ on quality and safety of inpatient care or resident experience); leadership in development of professional practice (e.g. tools to enhance physician communication, professionalism).
  • Professional innovation and creative excellence, e.g., patient videos, curriculum innovations, and communications media.

Research Scholarship may be demonstrated through traditional research metrics, e.g., peer reviewed publications and grants, research awards and honours, graduate student teaching and supervision, and other evidence that the research has been conducted has had, or has potential to have, an impact – direct or indirect - on the health of the population. Examples might include: identification of a new target for drug development; development and uptake of clinical practice guidelines; impact on government policy; new models of care with demonstrated improvements in patient outcomes, healthcare costs, and/or the patient experience. Continuing Faculty Appointment Review occurs three to five years from first appointment, irrespective of the initial rank (i.e. lecturer or assistant professor).

Once appointed to the rank of lecturer faculty members have an additonal pathway to junior promotion to assistant professor, sustained committment to the academic mission.

Table 2: Department of Medicine Requirements for Appointment at the Rank of Assistant Professor
Academic Position Description Advanced Training Demonstrated Scholarship
Clinican-teacher (CT) Graduate degree in education*or a related field OR  one+ year post-residency fellowship and completion of training in health professions education** Demonstrated CPA and/or relevant first author peer reviewed publication
Clinician in Quality & Innovation (CQI) Graduate degree in QI*** OR Graduate degree relevant to QI, e.g. MPH, MBA, informatics, with demonstrated QI competency Demonstrated CPA and/or first author peer reviewed publication relevant to QI
Clinician-educator (CE) Graduate degree in education* First author peer reviewed publication related to education OR demonstrated CPA
Clinician-investigator (CI) Graduate research degree or equivalent post-doctoral training First author peer reviewed publications related to research and/or CPA
Clinician-scientist (CS) Graduate research degree or equivalent post-doctoral training First author peer reviewed publications related to research 

* Examples of graduate degrees in education include the MSc-CH - Health Practitioner Teacher Education and OISE MSc

**Examples of  health education training are: Master Teacher ProgramTLC ProgramStepping Stones Teacher Development ProgramEducation Scholars Program

*** Example of a graduate degree in QI is Master’s degree in Quality Improvement & Patient Safety at IHPME.

Department of Medicine Requirements for Appointment at the Rank of Lecturer

A community preceptor or other part-time or adjunct clinical faculty will usually be appointed at the rank of lecturer.

Initial appointment at the rank of lecturer may also be appropriate for full-time clinician-teachers and clinicians in quality and innovation who have relevant advanced training, e.g. a certificate in QI, but require additional time to demonstrate scholarship. Clinician-investigators, clinician-educators and clinician-scientists who have clearly demonstrated scholarship and completed advanced training save for thesis defense may also be considered for initial appointment at the rank of lecturer; a lecturer appointment enables application for peer-review funding as PI. This latter group is then eligible for junior promotion (lecturer to assistant professor) upon successful thesis defense.

Foreign-Trained Physicians:

To be eligible for CPSO academic certificate of registration, foreign-trained physicians must be eligible for clinical full-time or (rarely) clinical part-time appointment at the rank of assistant professor or higher.

Application Process and Documentation Requirements:

The Office of the Chief of Medicine has overall responsibility for the assembly and submission of requests for appointment. Complete application packages must be submitted online via Laserfische. This includes:

Approval: Applications are reviewed by the Department Appointments Committee, which meets monthly. Recommendations from this committee are submitted to the Department Chair for approval. For full-time clinical appointments at the rank of lecturer and for all part-time and adjunct clinical appointments, approval is required from the Dean or Dean’s Delegate. Unless there is a formal search with University representation, full-time clinical academic appointments at the rank of assistant professor or higher must be reviewed by the Faculty Appointments Advisory Committee (FAAC), before being submitted to the Dean for approval.

The process timeline is:

Applications accepted by DoM from hospital until Monthly DAC Meeting Monthly FAAC Meeting
March 3, 2021 March 23, 2021 April 29, 2021
April 6, 2021 April 27, 2021 May 27, 2021
May 4, 2021 May 25, 2021 June 24, 2021
June 2, 2021 June 22, 2021 July 22, 2021
No July Meeting No July Meeting August 26, 2021
August 3, 2021 August 24, 2021 September 23, 2021
September 7, 2021 September 28, 2021 October 28, 2021
October 5, 2021 October 26, 2021 November 25, 2021
November 3, 2021 November 23, 2021 December 9, 2021
December 2, 2021 December 14, 2021 January 27, 2022
January 4, 2022 January 25, 2022 February 24, 2022
February 2, 2022 February 22, 2022 March 24, 2022
March 2, 2022 March 22, 2022 April 28, 2022
April 4, 2022 April 28, 2022 May 26, 2022
May 3, 2022 May 24, 2022 June 23, 2022

Please contact the Department Academic Appointments Office at dom.academicappts@utoronto.ca with any questions.