Appointments, Promotion and Tenure at Duke

The School of Medicine provides guidelines and resources for faculty as they consider their progression through the Appointments, Promotion and Tenure (APT) process. Even though there are nuances in the Department of Medicine, the definitive policies come from the School.

All Department of Medicine faculty fall within one of five career tracks under the School's Clinical Science Tracks for Promotion. See the Frequently Asked Questions document below for information specific to Department of Medicine faculty.

Learn about the Clinical Science Tracks for Promotion


Department process

Determining the most appropriate track for a faculty member is made on the basis of the overall direction of a candidate’s academic career, taking into account the allocation of time to clinical activity, research and teaching. Nominations for faculty appointments and promotion and the granting of tenure are made by the Department of Medicine to the School of Medicine. Select a path below to learn more about the process.

To inform candidates during the process, the Department of Medicine has prepared additional documents to help faculty through the process. See the list of attachments below.


Questions about your personal career trajectory should be directed to your division chief and/or primary mentor.

Questions about the APT process in the Department of Medicine can be directed to to David Pisetsky, MD, PhD, chair of the Department APT Committee.

Questions about the status of your promotion can be directed to Mary Donahue, APT Coordinator.