Scholarship Consensus ConferenceTable of ContentsSummary Report <strong>and</strong> FindingsBackground . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Conference Design <strong>and</strong> Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Conceptual Framework:Quantity, Quality <strong>and</strong> Engagement with the <strong>Education</strong>al Community Educator Activity Categories, Criteria <strong>and</strong> Evidence• Teaching• Curriculum• Advising/Mentoring• <strong>Education</strong>al Leadership/Administration• Learner AssessmentNext Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Crystallizing <strong>and</strong> Building on our Current Knowledge Unresolved Issues: Opportunities for Crucial Conversations about <strong>Education</strong>Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15Conference Materials Pre-conference Readings [references] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Illustrative Portfolios to Trigger DiscussionSusan Masters, Ph.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Karen Wendelberger-Marcdante, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Educator Activity Category Format <strong>and</strong> Illustrative Examples . . . . . . . . . . . . . . . . 28Contributors <strong>and</strong> Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35Conference Participants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40iAssociation of American Medical Colleges, 2007
Scholarship Consensus ConferenceBackgroundEvolutionary Forces <strong>and</strong> Benchmarks inDefining <strong>Education</strong>al ScholarshipIn the early 1990s, the academic medicine communityrarely used the terms education, teaching, scholarship,<strong>and</strong> academic promotion in combination witheach other. Teaching was expected as part ofacademic citizenship, but not sufficient for academicpromotion. This perspective on teaching dominatedacademic medicine until the Carnegie Foundationfor the Advancement of Teaching published ErnestBoyer’s Scholarship Reconsidered: Priorities of theProfessoriate. 1 Boyer’s work reframed <strong>and</strong> exp<strong>and</strong>edthe discussion regarding roles, expectations, recognition,<strong>and</strong> advancement of educators, providing aframework from which to challenge the prevailingconcept that “everyone teaches,” <strong>and</strong> replacing it withone that examined teaching as a form of scholarlywork. 2 The discussion was enriched by publicationof Scholarship Assessed, 3 which articulated commoncriteria for all forms of scholarship: clear goals,adequate preparation, appropriate methods, significantresults, effective presentation, <strong>and</strong> reflectivecritique.Concurrently, the emergence of certain externalforces—research dominance in medical schools aswell as dependence on clinical revenue for operationsbudgets—changed the academic medicineenvironment <strong>and</strong> created “crises of mission” relatedto medical school faculty roles <strong>and</strong> rewards. Schoolleaders began to recognize <strong>and</strong> respond to thecrisis, prompting Whitcomb 4 to report “widespreadagreement that those <strong>member</strong>s of the faculty whoare most committed to, <strong>and</strong> involved in, the educationof medical students must be supported <strong>and</strong>rewarded, both professionally <strong>and</strong> financially.…”Medical schools are “cognizant that facultyappointment, promotion, <strong>and</strong> tenure policies mustreflect the changing roles <strong>and</strong> responsibilities ofmedical school faculty” by greater recognition ofeducation.Evidence is slowly emerging in support of educatorrecognition, including education as a viable careertrack, 5 the use of educator portfolios for academicpromotion, 6 the ongoing examination of elementsused by promotion committees, 7 expectations ofthose directing medical student clerkships fromeducation-related professional organizations, 8development of compacts between residents <strong>and</strong>their teachers, 9 <strong>and</strong> the proliferation of educationalacademies <strong>and</strong> societies. 10National organizations have played a key role byclarifying issues <strong>and</strong> potential solutions related toeducator recognition. In particular, the AAMC’sGroup on <strong>Education</strong>al Affairs (GEA) has longrecognized that excellence in physician education isdriven by faculty <strong>member</strong>s, <strong>and</strong> that they must berecognized <strong>and</strong> rewarded as educators. Beginningin 1996, GEA <strong>member</strong>s began to elucidate thecriteria for scholarship in medical education with aseries of case studies, 11 <strong>and</strong> then defined scholarship’score elements <strong>and</strong> the associated resources<strong>and</strong> infrastructure to support educators asscholars. 10, 12 GEA <strong>member</strong>s documented thedramatic increase in the use of education portfoliosin the U.S. medical school academic promotionprocess—from 5 schools in 1990 to 76 schools in2003—which reflected increased attention toacademic promotion of educators. 6However, despite the emergence of a common setof educator activity categories, the evidencepresented in portfolios was highly variable. Thisvariability underscored the need to articulate a setof common st<strong>and</strong>ards for selecting, presenting, <strong>and</strong>evaluating evidence of educational contributionsfor academic promotion.In this paper, we provide background for theconsensus conference <strong>and</strong> present a set of st<strong>and</strong>ardsfor use in the educator academic promotionprocess. We delineate the contents of five literaturebasededucator activity categories. For each, wepresent st<strong>and</strong>ards for documenting quantity,1Association of American Medical Colleges, 2007