Most academic medical centers (AMCs) have missions that aim for excellence in 3 areas: education, research, and patient care. For decades, “triple-threat” faculty members were able to substantively contribute to all 3. However, heightened competition for research grants, changes in the health care delivery system, more sophisticated instructional and evaluation methods, and increased requirements to account for time and productivity make it less feasible for individual faculty to significantly contribute to all 3. Instead, faculty members are likely to focus their efforts in 1 or 2 of these areas. Although exceptions exist, physician faculty members focus either on patient care and research or on patient care and education.
Fleming VM, Schindler N, Martin GJ, DaRosa DA. Separate and Equitable Promotion Tracks for Clinician-Educators. JAMA. 2005;294(9):1101–1104. doi:10.1001/jama.294.9.1101
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