In an academic center, unlike a private practice or clinical space, promotions are often hierarchical, pre-defined, and dependent on a number of set factors to achieve. Though specifics vary from institution to institution, general practices and themes are common in academic centers across the nation. Here, we offer you advice, tips for success, and a roadmap for navigation on common promotion practices.

When entering an academic center, an anesthesiologist has one key determination to make: whether to pursue a tenure or clinical track. The tenure track, dedicated to academia and research, often has strict criteria and requires a lifelong commitment to the university while limiting – or even completely eliminating – clinical medical practice.

The clinical track, on the other hand, allows a more flexible balance of academia and medical practice (generally split around 75% clinical time to 25% academic time). Faculty appointments are reviewed and renewed periodically, and the...

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