Published online March 5, 2007
PEDIATRICS Vol. 119 No. 4 April 2007, pp. e791-e797 (doi:10.1542/10.1542/peds.2006-2207)
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ARTICLE

Performance of a Career Development and Compensation Program at an Academic Health Science Center

Hugh O'Brodovich, MDa,b,c, Joseph Beyene, PhDd, Susan Tallett, MB, BSa,b, Daune MacGregor, MDa,b and Norman D. Rosenblum, MDa,b,c

a Paediatric Consultants Partnership, Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada
Departments of b Paediatrics
c Physiology
d Public Health Sciences, University of Toronto, Toronto, Ontario, Canada

OBJECTIVE. The academic physicians of our department developed a novel Career Development and Compensation Program to outline job expectations, enhance career development, and provide a peer-review process to assess performance. The Career Development and Compensation Program was founded on the principle that sustained achievement in education, clinical care, or research should be valued, supported, and rewarded in an equivalent manner and that reward for clinical work should not be limited by the focus of the university on research and education. The objective of this study was to determine whether the principles of the Career Development and Compensation Program were sustained during the initial 7 years of its implementation.

METHODS. The outcome of the 7 triennial reviews that occurred from 1999 to 2005 was evaluated. For the purposes of some analyses, physicians were classified as predominately clinical (clinician-specialists and clinician-teachers), predominately education (clinician-educators), or predominately research (clinician-investigators and clinician-scientists).

RESULTS. Each of the job profiles had a similar probability to increase a level within the Career Development and Compensation Program at the time of triennial review. Similarly, all 5 job profiles had a similar rate of increase in their level in relation to the total number of years of experience at an academic health science center. Neither the university academic rank nor gender of the physician affected the probability of increasing a level at the time of the triennial review.

CONCLUSION. The peer-reviewed Career Development and Compensation Program recognizes sustained achievement in each area of education, clinical care, and research in an equivalent manner with no detectable effect of academic rank or gender.

Key Words: career development • education • professional competence • clinical competence • pediatrics

Abbreviations: AHSC—academic health science center • CDCP—Career Development and Compensation Program • PCP—Paediatric Consultants Partnership • AFP—alternative funding plan • JP—job profile • FT—full-time • CAC—Clinical Advisory Committee • MEAC—Medical Education Advisory Committee • RAC—Research Advisory Committee

Accepted Oct 10, 2006.


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