In Reply.—We agree with Dr Stotland that
what is most important to clinician-educators is "not what promotion committees
say, but what they do." However, for the first time, we have documentation
of what promotion committees across the United States and Canada say they
are doing with respect to decisions about the promotion of clinician-educators.
This information should strengthen the ability of clinician-educators to insist
that decisions about their promotion and tenure are based on appropriate criteria.
Indeed, the response to our survey indicates that the chairs of promotion
committees, who know best the process and procedures involved in academic
advancement at their own universities, do in fact recognize the importance
of clinician-educators and the need to use different criteria for evaluating
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