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September 30, 2018 For many decades, medicine has valued and preferentially promoted clinicians who also conducted biomedical research. As the career paths available in medicine have broadened, the career profiles of those who get promoted have not commensurately expanded. Continuing to prioritize clinician-researchers for promotion can disadvantage certain groups (among them female physicians, who are more likely to choose careers as clinician-educators) and doesn’t necessarily align with the skills needed for modern healthcare system leadership. Several institutions have begun promoting for accomplishment in less traditional career paths in which women may be over-represented. For example, Duke has promotion tracks specifically for faculty with clinical service and educational focuses to their careers, providing tenure-track guidelines for advancement from assistant all the way to full professor. Similarly, the Dana Farber Cancer Institute each year names those among its most accomplished clinical faculty as Senior and Institute Physicians, recognizing clinical prowess that is often not acknowledged in a traditional, academics-focused institution.
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