UNIVERSITY OF ILLINOIS AT CHICAGO€¦ · Web viewTENURE SYSTEM & RESEARCH NON-TENURE TRACK PROMOTION & TENURE FORMS – ACADEMIC YEAR 20 1 8-1 9 * CANDIDATE ’S PERSONNEL & APPOINTMENT

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TENURE SYSTEM & RESEARCH NON-TENURE TRACKPROMOTION & TENURE FORMS – ACADEMIC YEAR 2018-19

*CANDIDATE’S PERSONNEL & APPOINTMENT INFORMATION MUST BE ENTERED AS LISTED IN BANNER & HR FRONT END*

Candidate: Last Name, First Name & Middle (if applicable) UIN #: UIN #

College: Select College for Primary Appointment

Department : Unit Name %FTE: %FTE %

Joint Appointment College: Select Joint College (if applicable)

Select Joint Unit Type : Joint Unit Name %FTE: %FTE %

Courtesy Appt. (0%FTE/UNPAID): Select Courtesy Appt. College Select Unit Type : Unit Name(s)

Present Personnel Appointment:

Rank: Select Rank Joint Rank: Select Joint Rank

Tenure Code: Select Code Joint Tenure Code: Select Joint Code

Courtesy Rank (0%FTE-Unpaid) (if applicable): Select Courtesy Rank

Proposed Personnel Action:

Rank: Select Rank Joint Rank: Select Joint Rank

Tenure Code: Select Code Joint Tenure Code: Select Joint Code

Faculty Candidate Attestation (check the boxes and sign) : To the best of my knowledge, the information to which I have access that is provided in this dossier (i.e., non-

confidential components) is true and accurate.

I do not have a conflict of interest or a dual relationship with the Paper Preparer, as defined by Section 2.F.3 (Voting and Dual Relationships) and Section 3.D (Responsibility for the Case) of the Tenure-System and Research Non-Tenure Track Promotion and Tenure Guidelines, Part I: Campus Policies and Procedures.

Faculty Candidate: Last, First Name & Middle (if applicable) Name (Print) Signature Date

Paper Preparer Attestation (check the boxes and sign) : To the best of my knowledge, the information to which I have access that is provided in this dossier (i.e., non-

confidential components) is true and accurate.

I do not have a conflict of interest or a dual relationship with the Candidate, as defined by Section 2.F.3 (Voting and Dual Relationships) and Section 3.D (Responsibility for the Case) of the Tenure-System and Research Non-Tenure Track Promotion and Tenure Guidelines, Part I: Campus Policies and Procedures.

Paper Preparer: Last, First Name Name (Print) Signature Date

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Tenure Code Legend:A = Tenure2-6 = Tenure Track YearQ = Q-ContractN = Non-Tenure Track


Paper Preparer is also the Unit Executive Officer/Equivalent: YES NO

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ENDORSEMENTS: UNIT, COLLEGE, AND CAMPUS

Candidate: Last Name, First Name & Middle (if applicable)

ENDORSEMENT NON-ENDORSEMENT (COMPLETE FOR APPLICABLE REVIEW LEVELS)

Type NameUnit Executive Officer (U.E.O.)/Equivalent Name/Signature Date

Type NameJoint U.E.O./Equivalent Name /Signature (if applicable) Date

Regional Dean Name and Signature (if applicable) Date

Charles E. Ray, Jr., MD, PhDCollege Dean or Unit Director Name and Signature Date

Joint Dean Name and Signature (if applicable) Date

ENDORSEMENT NON-ENDORSEMENT

_______________ _______________ ________________________________________________________Provost and Vice Chancellor for Academic Affairs Date

ENDORSEMENT NON-ENDORSEMENT

_______________ _______________ ________________________________________________________Vice Chancellor for Health Affairs (if applicable) Date

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Table of Contents COVER PAGE.......................................................................................................................................................1

ENDORSEMENT PAGE………………………………………………………...................................................2

TABLE OF CONTENTS.........................................................................................................................................................3

ACADEMIC AND EMPLOYMENT INFORMATION.......................................................................................................5

1. NATURE OF PRESENT APPOINTMENT..............................................................................................................................52. EDUCATION.....................................................................................................................................................................53. POST-DOCTORAL INFORMATION.....................................................................................................................................54. LICENSING AND/OR CERTIFICATIONS..............................................................................................................................55. ACADEMIC & PROFESSIONAL POSITIONS SINCE TERMINAL DEGREE AND POST-DOCTORAL TRAINING.......................6

SUMMARY OF COMMITTEE REVIEWS.........................................................................................................................7

VOTING JUSTIFICATIONS.................................................................................................................................................8

STATEMENT OF COLLEGE NORMS, EXPECTATIONS, AND STANDARDS OF EXCELLENCE.......................9

STATEMENT OF UNIT NORMS, EXPECTATIONS, AND STANDARDS OF EXCELLENCE...............................10

I. TEACHING ABILITY AND PERFORMANCE.............................................................................................................11

A. ACTIVITIES...................................................................................................................................................................121.a. Annual Report of Faculty Teaching Effort at UIC– AY15-16...................................................................................121.b. Annual Report of Faculty Teaching Effort at UIC – AY16-17..................................................................................131.c. Annual Report of Faculty Teaching Effort at UIC – AY17-18..................................................................................142. Graduate Students........................................................................................................................................................152.a. Graduate Student Advising and Supervision at UIC.................................................................................................152.b. Graduate Student Exam Committees at UIC.............................................................................................................153. Undergraduate Advising and Supervision at UIC.......................................................................................................154. Residents and Post-Doctoral Fellows Supervised at UIC............................................................................................165. Direction of Research Associates, Visiting Scholars, and Technicians at UIC...........................................................166. Contributions to Instructional Techniques, Software and Teaching Materials at UIC...............................................177. Other Teaching Activities (e.g., Courses Taught Externally to UIC)..........................................................................17

B. EVALUATION OF TEACHING AND RELATED ACTIVITIES AT UIC..................................................................181. Summary of Student Evaluations of Faculty Teaching at UIC*..................................................................................182. Formal Recognition of Distinction in Teaching at UIC...............................................................................................193. Candidate's Statement on Teaching Goals, Approaches and Accomplishments..........................................................20

II. RESEARCH/SCHOLARSHIP ABILITY AND ACHIEVEMENT.............................................................................21

A. HONORS AND AWARDS ETC SINCE RECEIVING TERMINAL DEGREE...........................................................21B. INVITED COLLOQUIA AND SYMPOSIA..................................................................................................................21C. OTHER INVITED PRESENTATIONS (E.G., LECTURES, WORKSHOPS, ETC.)......................................................21D. OTHER EVIDENCE OF RECOGNITION....................................................................................................................21E. LICENSING/CERTIFICATION SINCE RECEIVING TERMINAL DEGREE............................................................21F. SPONSORED RESEARCH ACTIVITIES......................................................................................................................22G. PUBLICATIONS, PAPERS, AND OTHER SCIENTIFIC, CREATIVE OR SCHOLARLY WORKS.......................23

1. Publications or Other Creative Work Relevant to the Discipline (BEFORE).............................................................232. Publications or Other Creative Work Relevant to the Discipline (SINCE).................................................................243. Work Completed and Accepted for Publication...........................................................................................................254. Work in Progress..........................................................................................................................................................275. Papers and Poster Sessions Presented at Professional Meetings................................................................................286. Other Scientific Contributions, Creative or Scholarly Works......................................................................................28

H. CANDIDATE'S STATEMENT OF CURRENT AND PLANNED RESEARCH, CREATIVE OR SCHOLARLY WORK..................................................................................................................................................................................30

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III. SERVICE..........................................................................................................................................................................31

A. ADMINISTRATIVE RESPONSIBILITIES...................................................................................................................31B. SERVICE TO THE DEPARTMENT/COLLEGE..........................................................................................................31C. SERVICE TO THE UNIVERSITY.................................................................................................................................31D. SERVICE RELATED TO PATIENT CARE..................................................................................................................31E. SERVICE RELATED TO STUDENTS..........................................................................................................................31F. SERVICE TO THE PROFESSION/DISCIPLINE..........................................................................................................31G. PUBLIC SERVICE.........................................................................................................................................................31H. CANDIDATE'S STATEMENT OF CURRENT AND PLANNED SERVICE ACTIVITIES......................................32

IV. CANDIDATE'S STATEMENT OF INTERDISCIPLINARY WORK - OPTIONAL...............................................33

V. EVALUATIONS................................................................................................................................................................34

A. PEER EVALUATION OF FACULTY TEACHING.....................................................................................................34Statement of Unit’s Policy for the Evaluation of Teaching..............................................................................................341. Peer Review of Classroom/Laboratory Teaching....................................................................................................352. Peer Review of Clinical Teaching............................................................................................................................383. Letters from Former Trainees/Students and Peers..................................................................................................40

B. EXTERNAL LETTERS OF REFERENCE SOLICITED BY THE U.E.O./PAPER PREPARER................................411. List of Referees Contacted............................................................................................................................................412. Copy of Letter(s) of Request for Referee’s Comments.................................................................................................413. List of all Materials Sent to Each Reviewer.................................................................................................................414. Referee’s Information and Letter.................................................................................................................................42

C. ATTESTATION FORMS FROM COLLABORATORS SOLICITED BY THE U.E.O./PAPER PREPARER...........50D. LETTERS OF SUPPORT SOLICITED BY THE U.E.O./PAPER PREPARER (WITH INPUT FROM THE CANDIDATE)52E. LETTER(S) FOR COURTESY APPOINTMENT(S) (IF APPLICABLE).....................................................................53F. EVALUATION FROM UNIT P&T COMMITTEE.......................................................................................................54G. EVALUATION FROM COLLEGE P&T COMMITTEE..............................................................................................55H. COPY OF MID-PROBATIONARY REVIEW EVALUATON(S)................................................................................56I. EVALUATION FROM UNIT EXECUTIVE OFFICER / EQUIVALENT....................................................................57J. EVALUATION FROM DEAN........................................................................................................................................58

1. Evaluation from Regional Dean (if applicable).......................................................................................................582. Evaluation from College Dean.................................................................................................................................59

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ACADEMIC AND EMPLOYMENT INFORMATION

1. Nature of Present Appointment

a. Percentage of time (total UIC employment): 100% Other %

2. Education

a. Highest degree:

b. Year awarded:

c. Institution:

d. Department:

e. Dissertation/thesis title:

f. Thesis Advisor Name:

3. Post-Doctoral Information (Clinicians should include residency/fellow training.)

a. List Post-Doctoral appointments:

b. Name of Post-doctoral Advisor:

4. Licensing and/or CertificationsProvide a list of all professional licensing and/or certifications with dates.(If pending, give expected date of completion.)

1)

2)

3)

4)

5)

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5. Academic & Professional Positions Since Terminal Degree and Post-Doctoral TrainingList in chronological order academic, professional, and other relevant positions held SINCE the terminal degree and Post-doctoral training, with inclusive dates, rank or title, and name of institution. Include information for appointment at UIC and account for gaps in academic career, if pertinent. If necessary, attach extra page(s). It is not necessary to add page numbers in this section.

# Dates Rank/Title Institution/Organization1 2 3 4 5 6 7 8 9

10 11 12 13 14 15

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SUMMARY OF COMMITTEE REVIEWS

Candidate: Last Name, First Name & Middle (if applicable)

College: Select College for Primary Appointment Regional Site: Select Regional Site

Joint Appt. College: Select Joint College

Unit(s): For Joint Appts. List All Units with (%FTE) Next to each Unit

Unit P&T Committee Review:* Give a figure (“0”, if appropriate) in each of the six categories*

Total # of Members YES NO ABSTAIN ABSENT NOT ELIGIBLE**

Name of Chair: Signature: Date:

Joint Unit P&T Committee Review (if applicable):* Give a figure (“0”, if appropriate) in each of the six categories*



Joint College or Regional Site P&T Committee Review (if applicable):* Give a figure (“0”, if appropriate) in each of the six categories*



College P&T Committee Review:* Give a figure (“0”, if appropriate) in each of the six categories*



College Executive Committee P&T Review (if applicable):* Give a figure (“0”, if appropriate) in each of the six categories*


Name of Chair: Charles E. Ray, Jr., MD, PhD Signature: Date:

Campus P&T Committee Review:* Give a figure (“0”, if appropriate) in each of the six categories*



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Voting Justifications **Include brief explanation(s) as to why members were “Not Eligible” (NE) to vote for each level and/or

include Voting Justifications if needed, as inserted page(s) in the PDF. It is not necessary to add page numbers in this section.

Committee members are considered Not Eligible (NE) to vote if they have voted at a previous level in the process or if the proposed rank of the candidate is greater than their own.

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STATEMENT OF COLLEGE NORMS, EXPECTATIONS, AND STANDARDS OF EXCELLENCE

NOTE: please insert the information for the appropriate rank/track from the College of Medicine Norms Statement – https://medicine.uic.edu/office-faculty-affairs/promotions-and-new-appointments/norms/

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https://medicine.uic.edu/office-faculty-affairs/promotions-and-new-appointments/norms/


STATEMENT OF UNIT NORMS, EXPECTATIONS, AND STANDARDS OF EXCELLENCE

(Include as separate page(s). It is not necessary to add page numbers in this section.)

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I. TEACHING ABILITY AND PERFORMANCE

In chronological order, list data for the candidate SINCE the last personnel action. For faculty who are on a Q contract; who are in the non-tenure track having switched from the tenure track; who were moved into the tenure track from the non-tenure track; or who started their probationary year higher than T1, please include data since the last personnel action or for the past five years, whichever period is longer (post-doctoral data may not be included). Note any release time for sabbatical, fellowships or any other reason. Please use Section I.A.7 to record teaching activities conducted externally to UIC that occurred since the last personnel action period (or within the equivalent time frame indicated herein for Q-contract faculty, those who have switched into the tenure track, and those who started their probationary year higher than T1).

A. ACTIVITIES

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1.a. Annual Report of Faculty Teaching Effort at UIC– AY15-1 6

Name: Department:

Date report prepared: Probationary year of candidate: (if applicable)

DESCRIPTION OF TEACHING ACTIVITIES(Provide additional detail in the sections cited in parentheses.)

ScheduledContact

Hours perYear

PreparationHours per

YearTotal Hours

per Year1.0 Course and program planning, organization and coordination1.1 Classroom/Laboratory course 1.2 Clinical clerkship 1.3 Residency or fellowship 1.4 Continuing medical education 2.0 Lectures and seminars2.1 Course leading to profession or graduate degree 2.2 Course for residents or fellows 2.3 Continuing medical education 2.4 Course leading to undergraduate degree 2.5 Course leading to technical certificate 3.0 Laboratory or other scheduled small group teaching3.1 Planner, coordinator, supervisor of the session 3.2 Supportive role in laboratory or small group session 4.0 Clinical teaching/attending4.1 Undergraduate clinical teaching 4.2 Resident teaching rounds 4.3 Combined resident/medical student rounds 4.4 Ad hoc clinical teaching 5.0 Research training/independent study5.1 Medical student 5.2 Masters degree candidates 5.3 Ph.D. candidate 5.4 Resident 5.5 Postdoctoral fellow 6.0 Counseling/guidance6.1 Medical or graduate student 6.2 Resident or fellow 7.0 Educational committee work7.1 Local education committee 7.2 College/campus education committee 7.3 Education committee for national organization 8.0 Curriculum development 9.0 Other (describe on a continuation page)

TOTALS

Please note: One report for each of the three years prior to review should be provided. Hours attributed to teaching should correspond to the % effort engaged in teaching, and be reported separately from clinical and research time.

(type Faculty Member name here) (signature) (type Dept/Head name here) (signature)Faculty Member Department/Head

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1.b. Annual Report of Faculty Teaching Effort at UIC – AY16-1 7

Name: Department:



ScheduledContact

Hours perYear


YearTotal Hours


TOTALS



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1.c. Annual Report of Faculty Teaching Effort at UIC – AY17-1 8

Name: Department:



ScheduledContact

Hours perYear


YearTotal Hours


TOTALS



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2. Graduate Students

2.a. Graduate Student Advising and Supervision at UIC Check here if none and explain:

# Name of Student Beginning and Completion Dates

Degree; Thesis Title; Role(Chair, advisor, or committee member)

1 2 3 4 5 6 7 8 9

10

2.b. Graduate Student Exam Committees at UIC Check here if none

3. Undergraduate Advising and Supervision at UIC Including that related to medical students and to the Honors College. (List service and activities related to student organizations in Section 3, E)

Check here if none

# Name of Student Semester and Year

Nature of Advising/Supervision (e.g – independent study, Honors College Capstone, Honors

College Fellow work)1 2 3 4 5 6 7 8 9 10

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# Academic Year # of Committees1 2 3 4 5


4. Residents and Post-Doctoral Fellows Supervised at UIC Check here if none

# Name Beginning and Ending Dates Nature of Supervision

1 2 3 4 5 6 7 8 9

10

5. Direction of Research Associates, Visiting Scholars, and Technicians at UIC

5.a. Research Associates Check here if none

# Name of Research Associates Beginning and Ending Dates Nature of Supervision

1 2 3 4 5 6 7 8 9

10

5.b. Visiting Scholars Check here if none

# Name of Visiting Scholars Beginning and Ending Dates Nature Supervision

1 2 3 4 5 6 7 8 9

10

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5.c. Technicians Check here if none

# Name of Technicians Beginning and Ending Dates Nature Supervision

1 2 3 4 5 6 7 8 9

10

6. Contributions to Instructional Techniques, Software and Teaching Materials at UIC Include the creation and implementation of new courses.

The candidate should describe any special instructional techniques and new teaching materials he or she has developed. Indicate other unique contributions to instruction. The importance of innovation in instructional materials, as might be demonstrated by the creation of a new course, is recognized. Copies of instructional materials, prepared and used by the candidate, that are particularly innovative or that demonstrate the candidate’s excellence in teaching may be submitted for review (at the College level only) and should be described here.

Check here if none

7. Other Teaching Activities (e.g., Courses Taught Externally to UIC) Include the location of the course, name/description of the course, dates taught, credit hours, and number of students enrolled.

Check here if none

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B. EVALUATION OF TEACHING AND RELATED ACTIVITIES AT UIC At a minimum, information should be provided for courses taught in the past year.

1. Summary of Student Evaluations of Faculty Teaching at UIC * *It is inappropriate to ask current doctoral students or trainees supervised by the candidate to write a teaching evaluation for the candidate. Summarize below the results of student evaluations of the candidate’s overall teaching effectiveness for each teaching activity. Use forms from the Manual for Evaluating Teaching in the College of Medicine (http://medicine.uic.edu/wp-content/uploads/2017/01/COMTEACH.pdf) for Student Evaluation of Classroom/Lab Teaching or Student Evaluation of Clinical Teaching as appropriate to gather the basic data.

DEPARTMENTS MAY USE AN ALTERNATE FORM FOR SUMMARIZING STUDENT EVALUATIONS; HOWEVER, STUDENT EVALUATIONS MUST BE PRESENTED AS SUMMARIZED DATA. If narrative comments from student evaluations are included, all comments from all students in that course should be included.

# Semester/Term

Course Number(if applicable)

Course Title / Type of Student (medical student, resident, fellow, etc.)

*Average Rating+ SD

(n/N)

1 2 3 4 5 6 7 8 9

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

*Average of students' ratings of the "Overall Teaching Effectiveness" (or equivalent) of the candidate, on a scale of 5 (Excellent) to 1 (Poor). SD = standard deviation; n = number of students who rated the candidate in that course; N = total number of students in that course.

(Additional pages may be added as needed.)

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http://medicine.uic.edu/wp-content/uploads/2017/01/COMTEACH.pdf


2. Formal Recognition of Distinction in Teaching at UIC Please indicate nature of and criteria for recognition as well as the dates of awards.

Check here if none

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3. Candidate's Statement on Teaching Goals, Approaches and Accomplishments The candidate should explain his/her philosophy of education, describe the place of teaching in his/her career goals, assess his/her progress toward those goals, and describe his/her plan for future teaching activities.

(Fit on one page; no smaller than 10 pt font. It can be included as a separate page. It is not necessary to add page numbers in this section.

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II. RESEARCH/SCHOLARSHIP ABILITY AND ACHIEVEMENT

A. HONORS AND AWARDS ETC SINCE RECEIVING TERMINAL DEGREE (List in chronological order)

Check here if none

B. INVITED COLLOQUIA AND SYMPOSIA These must be invited. In chronological order, list invited colloquia/symposia since last personnel action and please describe and specify the significance of each colloquium/symposium listed. For faculty who are on a Q contract; who are in the non-tenure track having switched from the tenure track; who were moved into the tenure track from the non-tenure track; or who started their probationary year higher than T1, please include data since the last personnel action or for the past five years, whichever period is longer (post-doctoral data may not be included).(Do NOT list here presentations at professional meetings but place them under G5)

Check here if none

C. OTHER INVITED PRESENTATIONS (e.g., LECTURES, WORKSHOPS, etc.) These must be invited. In chronological order, list other invited presentations since last personnel action and please describe and specify the significance of each presentation listed. For faculty who are on a Q contract; who are in the non-tenure track having switched from the tenure track; who were moved into the tenure track from the non-tenure track; or who started their probationary year higher than T1, please include data since the last personnel action or for the past five years, whichever period is longer (post-doctoral data may not be included).(Do NOT list here presentations at professional meetings but place them under G5)

Check here if none

D. OTHER EVIDENCE OF RECOGNITION In chronological order, list other evidence of recognition since last personnel action. For faculty who are on a Q contract; who are in the non-tenure track having switched from the tenure track; who were moved into the tenure track from the non-tenure track; or who started their probationary year higher than T1, please include data since the last personnel action or for the past five years, whichever period is longer (post-doctoral data may not be included).

Check here if none

E. LICENSING/CERTIFICATION SINCE RECEIVING TERMINAL DEGREE Check here if none

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F. SPONSORED RESEARCH ACTIVITIES In chronological order, list sponsored research activities since last personnel action. For faculty who are on a Q contract; who are in the non-tenure track having switched from the tenure track; who were moved into the tenure track from the non-tenure track; or who started their probationary year higher than T1, please include data since the last personnel action or for the past five years, whichever period is longer (post-doctoral data may not be included). List all grant applications, even if unfunded. (Include here research contracts, NEH Fellowships, Guggenheims, Institute for the Humanities Fellowships, etc.)

# Date ofSubmission Role of Candidate* Agency Title of Proposal and Type of Grant Where

Applicable (e.g., R01, R03, K08, etc.)Amount**Requested

Amount**Funded Funding Period

1 2 3 4 5 6 7 8 9

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

*List name of PI if other than candidate.**In multi-investigator projects, list both total amount and amount attributable to candidate, e.g., $375,750/$123,000. Indicate whether amount is total cost (TC), i.e. direct + indirect, or total direct cost (TDC). Funding and submissions are subject to verification by the Office of the Vice Chancellor for Research.

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G. PUBLICATIONS, PAPERS, AND OTHER SCIENTIFIC, CREATIVE OR SCHOLARLY WORKS

For faculty who are on a Q contract; who are in the non-tenure track having switched from the tenure track; who were moved into the tenure track from the non-tenure track; or who started their probationary year higher than T1, please include data since the last personnel action or for the past five years, whichever period is longer (post-doctoral data may not be included). List in chronological order.Underline senior author in all categories, and asterisk (*) refereed publications if listed in categories other than c. The senior author is defined as the major contributor to the publication. If there is certain significance in the order of authors in multi-authored publications in the discipline, please provide a brief summary of the practice.

1. Publications or Other Creative Work Relevant to the Discipline (BEFORE) Dated BEFORE Last Personnel Action (A personnel action is defined as the initial appointment date or effective date of most recent promotion or track switch).

a. Books and monographs Check here if none

b. Edited volumes and translations Check here if none

c. Articles in refereed journals(Do not abbreviate titles; give inclusive page numbers. If there is certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice).

Check here if none

d. Refereed abstracts and conference proceeding articles(Do not abbreviate titles; give inclusive page numbers. If there is certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice).

Check here if none

e. Other articles, including bulletins and technical reports(Give inclusive page numbers.)

Check here if none

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f. Chapters in books(Give inclusive page numbers.)

Check here if none

g. Book reviews(Give inclusive page numbers.)

Check here if none

h. Creative works(e.g., poetry, composition, exhibitions)

Check here if none

i. Patents Check here if none

j. Other (e.g., notes and comments) Check here if none

2. Publications or Other Creative Work Relevant to the Discipline (SINCE) Dated SINCE Last Personnel Action (A personnel action is defined as the initial appointment date or effective date of most recent promotion or track switch).



c. Articles in refereed journals(Do not abbreviate titles; give inclusive page numbers.If there is a certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice).

Check here if none

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Check here if none


Check here if none



Check here if none


Check here if none


j. Other (e.g., notes and comments)

3. Work Completed and Accepted for Publication Do NOT include here provisionally accepted work or work submitted but not yet accepted. List, instead, under F.4.

Underline senior author in all categories, and asterisk (*) refereed publications if listed in categories other than c. The senior author is defined as the major contributor to the publication. If there is certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice.

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c. Articles in refereed journals(Do not abbreviate titles; give inclusive page numbers. If there is a certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice).

Check here if none


Check here if none

e. Other articles, including bulletins and technical reports(Give length in pages.)

Check here if none

f. Chapters in books(Give length in pages.)

Check here if none

g. Book reviews(Give length in pages.)

Check here if none


Check here if none

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j. Other, (e.g., notes and comments) Check here if none

4. Work in Progress Add the designation “Submitted” to works presently under review but not yet accepted.

Underline senior author in all categories, and asterisk (*) refereed publications if listed in categories other than c. The senior author is defined as the major contributor to the publication. If there is certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice.



c. Articles in refereed journals(Do not abbreviate titles; give inclusive page numbers. If there is a certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice).

Check here if none


Check here if none


Check here if none

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Check here if none


Check here if none


Check here if none


j. Other (e.g., notes and comments) Check here if none

5. Papers and Poster Sessions Presented at Professional Meetings In chronological order, list papers and poster sessions presented at professional meetings since last personnel action. For faculty who are on a Q contract; who are in the non-tenure track having switched from the tenure track; who were moved into the tenure track from the non-tenure track; or who started their probationary year higher than T1, please include data since the last personnel action or for the past five years, whichever period is longer (post-doctoral data may not be included). (Clearly label poster sessions).

Check here if none

6. Other Scientific Contributions, Creative or Scholarly Works In chronological order list other scientific, creative or scholarly works since last personnel action. For faculty who are on a Q contract; who are in the non-tenure track having switched from the tenure track; who were moved into the tenure track from the non-tenure track; or who started their probationary year higher than T1, please include data since the last personnel action or for the past five years, whichever period is longer (post-doctoral data may not be included).

Check here if none

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H. CANDIDATE'S STATEMENT OF CURRENT AND PLANNED RESEARCH, CREATIVE OR SCHOLARLY WORK

NOTE: Recognize that reviewers later in the process are not disciplinary specialists.(Fit on one page; no smaller than 10 pt font. It can be included as a separate page. It is not necessary to add page numbers in this section.

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III. SERVICEIn chronological order, list responsibilities and service since last personnel action. For faculty who are on a Q contract; who are in the non-tenure track having switched from the tenure track; who were moved into the tenure track from the non-tenure track; or who started their probationary year higher than T1, please include data since the last personnel action or for the past five years, whichever period is longer (post-doctoral data may not be included).

A. ADMINISTRATIVE RESPONSIBILITIES Check here if none

B. SERVICE TO THE DEPARTMENT/COLLEGE Check here if none

C. SERVICE TO THE UNIVERSITY Check here if none

D. SERVICE RELATED TO PATIENT CARE Use this section to provide detailed summary of patient care activities. Describe how clinical time is allocated, patient load/schedule, referral base, etc.

Check here if none

E. SERVICE RELATED TO STUDENTS Use this section to present activities related to student organizations, etc.; include student, academic, and research advising in SECTION I - TEACHING ABILITY AND PERFORMANCE)

Check here if none

F. SERVICE TO THE PROFESSION/DISCIPLINE Use this section to describe non-university professional activities such as offices held in professional organizations, editorships, and other activities (i.e., grant review activity) from which the candidate gains national or international recognition. (See Part III, “Instructions,” Section 5.III. F.)

Check here if none

G. PUBLIC SERVICE Check here if none

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H. CANDIDATE'S STATEMENT OF CURRENT AND PLANNED SERVICE ACTIVITIES

(Fit on one page; no smaller than 10 pt font. It can be included as a separate page. It is not necessary to add page numbers in this section.

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IV. CANDIDATE'S STATEMENT OF INTERDISCIPLINARY WORK - OPTIONAL NOTE: The candidate should explain the nature of any interdisciplinary work.(Fit on one page; no smaller than 10 pt font. It can be included as a separate page. It is not necessary to add page numbers in this section.

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V. EVALUATIONS

A. PEER EVALUATION OF FACULTY TEACHING Evaluation of teaching activities must be included since the last personnel action period. They may be done by the unit executive officer, discipline coordinator, unit director, or by other senior faculty members who are recognized as excellent teachers.

These peer evaluations should address such things as an instructor's ability to present course content and/or skills to students, the appropriate level of difficulty of material presented, relevance of examples, integration of topics, structure of the teaching session, and congruence between course goals and accomplishments.

If confidential letters of evaluation are obtained from former trainees and/or peers, they can be included in this section.

Statement of Unit’s Policy for the Evaluation of Teaching Explain how this is done and on what schedule.

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1. Peer Review of Classroom/Laboratory Teaching Use the College evaluation form for Peer Review of Classroom/Laboratory Teaching to gather the basic data, and summarize the results on this form. Calculate the average numeric score from each rater for the overall categories. DO NOT INCLUDE THE ACTUAL QUESTIONNAIRES. If narrative comments from peer evaluators are made, include the written statements.

Rating Scale: 5 = Excellent, 4 = Above Average, 3 = Good, 2 = Fair, 1 = Poor, N = Not Applicable

a. Evaluation of Written Material Check here if not applicable

reviewer rating comment






b. Evaluation of Lecture Check here if not applicable







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1. Peer Review of Classroom/Laboratory Teaching - continued


c. Evaluation of Small Group Interactions Check here if not applicable







d. Enthusiasm and Intellectual Stimulation Check here if not applicable







e. Appropriateness of Content for the Intended Audience Check here if not applicable







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1. Peer Review of Classroom/Laboratory Teaching - continued


f. Course Administration (For Course Coordinator) Check here if not applicable







g. Overall Teaching Effectiveness Check here if not applicable







h. Additional Comments from Evaluators Check here if not applicable

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2. Peer Review of Clinical Teaching Use the College evaluation form for Peer Review of Clinical Teaching to gather the basic date, and summarize the results of this form. Calculate the average numeric score from each reviewer for the overall categories. DO NOT INCLUDE THE ACTUAL QUESTIONNAIRES. If narrative comments from peer evaluators are made, include the written statements.


a. Learning Climate Check here if not applicable







b. Control of Session Check here if not applicable







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2. Peer Review of Clinical Teaching - continued


c. Clinical Skills, Knowledge and Attitudes Check here if not applicable







d. Overall Teaching Effectiveness Check here if not applicable







e. Additional Comments from Evaluators Check here if not applicable

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3. Letters from Former Trainees/Students and Peers Evaluation of the candidate’s overall teaching effectiveness should be solicited from former students/trainees and/or peers. These evaluations are to be solicited by the department head/chair or designee, not the candidate (though the candidate may suggest reviewers).

Evaluators should be asked to describe their exposure to the candidate’s teaching, to assess the candidate’s overall teaching effectiveness on a scale of 5 (Excellent) to 1 (Poor), and to justify that assessment.

Check here if none

**Insert former trainees/students and peer evaluation letters on following page(s). It is not necessary to add page numbers in this section.

List names of individuals contacted below.

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B. EXTERNAL LETTERS OF REFERENCE SOLICITED BY THE U.E.O./PAPER PREPARER

All communications pertaining to the initial requests for an evaluation of the candidate and replies that were sent and received by the Unit must be included in the candidate’s file, even if the reviewer’s letter is a simple statement of inability or unwillingness to serve.

1. List of Referees Contacted

a. Those Who Accepted:

b. Those That Declined:

c. Those Who Did Not Respond:

2. Copy of Letter(s) of Request for Referee’s Comments Insert one copy of letter requesting referee's comments, including one copy (if applicable) of all communications inquiring whether the referee is willing to serve. (See sample letter of request included in Part III, “Instructions” Section 7,V.B).

3. List of all Materials Sent to Each Reviewer (May be omitted here, if this information is contained in the sample letter under number 2 above.) In the case of unpublished materials, it should be clearly specified in what form and how much material was sent (outline, draft, proofs, etc.).

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4. Referee’s Information and Letter Provide the information below for each Referee. Each Letter from a Referee should follow the Referee’s Information Page. Delete any unneeded Information pages.

a. Referee 1

Name of Referee:

Brief Biographical Sketch of Referee:

How was this referee selected?

Specify referee's relationship to the Candidate:(In fields that are small where acquaintance is not unusual, a statement to this effect must be provided by the department.)

**Insert letters from referees on following page(s). It is not necessary to add page numbers in this section.

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a. Referee 2

Name of Referee:





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a. Referee 3

Name of Referee:





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a. Referee 4

Name of Referee:





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a. Referee 5

Name of Referee:





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a. Referee 6

Name of Referee:





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a. Referee 7

Name of Referee:





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a. Referee 8

Name of Referee:





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C. ATTESTATION FORMS FROM COLLABORATORS SOLICITED BY THE U.E.O./PAPER PREPARER(If Applicable)Unit executive officer(s)/Equivalent must solicit an attestation for candidates who have had a substantial collaboration with a senior scholar or investigator since the last personnel action period. This requirement applies only to tenure-system assistant professors and to associate professors seeking tenure (i.e. associate professors with Q-appointments only). It does not apply to non-tenure system faculty or those seeking promotion to full professor. Attestations from collaborators should utilize the “Collaborator Attestation Form” outlined below and also included in the ‘Tenure System and Research Non-tenure Track Policies and Procedures” handbook. The form allows for documentation of the contributions of the candidate to each joint work with the collaborator that is listed in the dossier (i.e., every book, monograph, publication, patent, grant or contract).

**Insert attestation forms from collaborators on following page(s). It is not necessary to add page numbers in this section.

COLLABORATOR ATTESTATION FORM

Please list and describe the candidate’s unique contributions and role (i.e., lead, equal, or secondary) to all past and present collaborative work. This should include work that has been published or funded, has been submitted and is under review, or is in progress but not yet submitted. If there are multiple works within any single category, please list and number them, utilizing the same set of sub-headings (i.e., “Citation of Work, Candidate’s Unique Contribution, Candidate’s Role.) If there has not been any collaborative work within one or more of these categories, please write “not applicable.”

Invited Colloquia. Symposia, Keynotes and Peer-reviewed Presentations

Citation of Work:

Candidate’s Unique Contribution:

Candidate’s Role:

Sponsored Research Activities

Citation of Work:


Candidate’s Role:

Peer-reviewed Publications

Citation of Work:


Candidate’s Role:52

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Books, Monographs, Edited Volumes, and Translations

Citation of Work:


Candidate’s Role:

Other Papers and Scientific, Creative, or Scholarly Work (e.g., Book Chapters, Book Reviews, Articles not peer-reviewed, including Bulletins and Technical Reports, Patents, Creative Works, and Other Works)

Citation of Work:


Candidate’s Role:

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D. LETTERS OF SUPPORT SOLICITED BY THE U.E.O./PAPER PREPARER (with input from the candidate)(Optional)Letters of support for the candidate are optional and may be included from past or present scholarly/research/clinical colleagues, former graduate and post-doctoral advisors/mentors, and any relevant others. Letters of support may also be provided, but are not required, by collaborators who have completed the collaborator attestation form and wish to elaborate on the candidate’s work.

**Insert letters of support on following page(s). It is not necessary to add page numbers in this section.

List names of individuals contacted below.

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E. LETTER(S) FOR COURTESY APPOINTMENT(S) (IF APPLICABLE)

(If Applicable)Paper preparer(s) must solicit letters from the Unit Executive Officer(s) of the Unit(s) in which the candidate holds a Courtesy Appointment. Letters should document the contributions of the candidate in the courtesy unit.

**Insert letters on the following page(s). It is not necessary to add page numbers in this section.

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F. EVALUATION FROM UNIT P&T COMMITTEE (IF APPLICABLE – if there is a disagreement between the Unit P&T Committee and the Unit Executive Officer)

**Insert evaluation from departmental committee on the following page(s). It is not necessary to add page numbers in this section.

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G. EVALUATION FROM COLLEGE P&T COMMITTEE (IF APPLICABLE – if there is a disagreement between the College P&T Committee and the Dean)

**Insert evaluation from college committee on the following page(s). It is not necessary to add page numbers in this section.

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H. COPY OF MID-PROBATIONARY REVIEW EVALUATON(S) Include for probationary, tenure-track cases only. If a candidate is jointly appointed in two or more units, a mid-probationary evaluation must be included from each unit. If not available, please explain. Insert here the evaluation that was signed by the unit executive officer and candidate and forwarded to the dean.

**Insert Mid-Probationary Review Evaluation on the following page(s). It is not necessary to add page numbers in this section.

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I. EVALUATION FROM UNIT EXECUTIVE OFFICER / EQUIVALENT

Candidate: Date:

College: Medicine Department:

Unit Executive Officer/Equivalent is also the Paper Preparer: YES NO

I support the proposed personnel action for the reasons detailed below.

I do not support the proposed personnel action for the reasons detailed below.

JUSTIFICATION FOR RECOMMENDATION(Evaluation must address split votes at the department level and should be organized under the following five

subheadings.)

1. Appraisal of Candidate’s Teaching Record(Comment on the candidate's overall teaching ability, including the extent to which the candidate has matured in teaching effectiveness over the time period considered. Justify the assessment.)

2. Appraisal of Candidate’s Contribution to Curriculum and Other Instructional Materials or Products( D escribe and assess the candidate's contributions to curriculum.)

3. Appraisal of Candidate’s Research and Scholarship, Including Contributions (if any) to Collaborative Research(Provide an assessment of the quality of the publication outlets, giving objective rankings of presses and journals where available.)

4. Appraisal of Candidate’s Service Record (Justify this assessment and attach any supporting documents.)

5. Overall Assessment and Justification for Recommendation

U.E.O Name Unit Executive Officer / Equivalent U.E.O / Equivalent (signature)

(Place name and signature on the last page only)

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J. EVALUATION FROM DEAN

1. Evaluation from Regional Dean (if applicable)

Candidate: Date:



I do not support the proposed personnel action for the reasons detailed below.

JUSTIFICATION FOR RECOMMENDATION(Evaluation must address split votes at the college/college executive level)

Name Regional Dean Regional Dean (signature)

(Place name and signature on the last page only)

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2. Evaluation from College Dean

Candidate: Date:



I do not support the proposed personnel action for the reasons detailed below

JUSTIFICATION FOR RECOMMENDATION(Evaluation must address split votes at the college/college executive level)

Charles E. Ray, Jr., MD, PhD College Dean College Dean (signature)

(Place name and signature on the last page only)61

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Documents

UNIVERSITY OF ILLINOIS AT CHICAGO€¦ · Web viewTENURE SYSTEM & RESEARCH NON-TENURE TRACK PROMOTION & TENURE FORMS – ACADEMIC YEAR 20 1 8-1 9 * CANDIDATE ’S PERSONNEL & APPOINTMENT