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      Faculty Promotion and Attrition: The Importance of Coauthor Network Reach at an Academic Medical Center

      research-article
      , Sc.D., M.P.H. , , Ph.D., M.A. (SW), , M.D., Ph.D., , Ph.D., , M.D., M.P.H., M.S., M.B.A.
      Journal of General Internal Medicine
      Springer US
      faculty development, careers, promotion, retention

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          Abstract

          Background

          Business literature has demonstrated the importance of networking and connections in career advancement. This is a little-studied area in academic medicine.

          Objective

          To examine predictors of intra-organizational connections, as measured by network reach (the number of first- and second-degree coauthors), and their association with probability of promotion and attrition.

          Design

          Prospective cohort study between 2008 and 2012.

          Setting

          Academic medical center.

          Participants

          A total of 5787 Harvard Medical School (HMS) faculty with a rank of assistant professor or full-time instructor as of January 1, 2008.

          Main Measures

          Using negative binomial models, multivariable-adjusted predictors of continuous network reach were assessed according to rank. Poisson regression was used to compute relative risk (RR) and 95 % confidence intervals (CI) for the association between network reach (in four categories) and two outcomes: promotion or attrition. Models were adjusted for demographic, professional and productivity metrics.

          Key Results

          Network reach was positively associated with number of first-, last- and middle-author publications and h-index. Among assistant professors, men and whites had greater network reach than women and underrepresented minorities ( p < 0.001). Compared to those in the lowest category of network reach in 2008, instructors in the highest category were three times as likely to have been promoted to assistant professor by 2012 (RR: 3.16, 95 % CI: 2.60, 3.86; p-trend <0.001) after adjustment for covariates. Network reach was positively associated with promotion from assistant to associate professor (RR: 1.82, 95 % CI: 1.32, 2.50; p-trend <0.001). Those in the highest category of network reach in 2008 were 17 % less likely to have left HMS by 2012 (RR: 0.83, 95 % CI 0.70, 0.98) compared to those in the lowest category.

          Conclusions

          These results demonstrate that coauthor network metrics can provide useful information for understanding faculty advancement and retention in academic medicine. They can and should be investigated at other institutions.

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          Author and article information

          Contributors
          617-525-4670 , ewarner@hsph.harvard.edu
          Journal
          J Gen Intern Med
          J Gen Intern Med
          Journal of General Internal Medicine
          Springer US (New York )
          0884-8734
          1525-1497
          15 July 2015
          January 2016
          : 31
          : 1
          : 60-67
          Affiliations
          [ ]Office for Diversity Inclusion and Community Partnership, Harvard Medical School, Boston, MA USA
          [ ]Department of Epidemiology, Harvard School of Public Health, Boston, MA USA
          [ ]Department of Global Health and Social Medicine, Harvard School of Medicine, Boston, MA USA
          [ ]Center for Biomedical Informatics, Harvard Medical School, Boston, MA USA
          [ ]Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA USA
          Article
          PMC4700018 PMC4700018 4700018 3463
          10.1007/s11606-015-3463-7
          4700018
          26173540
          790c00f1-4316-478f-8d53-08f326e07bc5
          © Society of General Internal Medicine 2015
          History
          Categories
          Original Research
          Custom metadata
          © Society of General Internal Medicine 2016

          careers,promotion,retention,faculty development
          careers, promotion, retention, faculty development

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