Faculty Forms | Texas Tech University Health Sciences Center

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Forms on this page are available for Faculty and Development activities.

For a full list of School of Medicine Operating Policies, click here.

SOM Faculty Appointments—SOM OP 20.01
- Faculty Appointments Committee Members (Lubbock Campus) 2020-2021
  
  Irfan Warraich, MD
  
  Yasin Ibrahim, MD
  
  Mac Ansari, MD
  Frankie Fike, MD
  Usiakimi Igbaseimokumo, MD
  Amanda Masters, MD
  Nandini Nair, MD, PhD
  Robyn Richmond, MD
  Kishor Bhende, MD
  Abdul Hamood, PhD
  Komaraiah Palle, PhD
  Bettina Schmitz, MD, PhD
  Keith Bishop, PT, PhD
  Lekha George, MD
  Yasin Ibrahim, MD
  Shabnam Rehman, MD
  Irfan Warraich, MD
  Allan Haynes, Jr., MD (Ex-Officio)
- Faculty Appointments Checklist—SOM OP 20.01.A Word / PDF
- Request to Recruit—SOM OP 20.01.B Word / PDF
- Request to Hire—SOM OP 20.01.C Word / PDF
- Faculty Position Class Codes and Titles—SOM OP 20.01.D
- Interview Comments—SOM OP 20.01.E Word / PDF
  How to save a fillable .pdf - Video Tutorial
- Physician Employment Agreement, J-1 Waiver—SOM OP 20.01.K
- Physician Employment Agreement, Non-Tenure Track—SOM OP 20.01.F
- Physician Employment Agreement, Tenure Track—SOM OP 20.01.G
- Guidelines for Clinical Faculty (Non-Paid) Appointment-Reappointment-Promotion—SOM OP 20.01.H
- Guidelines for Adjunct Faculty Appointment-Reappointment-Promotion—SOM OP 20.01.I
- Faculty Appointment Requirements—SOM OP 20.01.J
- Faculty Temporary License—SOM OP 20.03
- New Clinical Faculty Positions—SOM OP 20.50

Faculty Evaluation Guidelines and Procedures—SOM OP 20.20
- Faculty Summary Report and Confirmation—SOM OP 20.20.A
- Clarification/Rebuttal–Faculty Summary Report—SOM OP 20.20.B
- Written Instructions for Generating the Faculty Evaluation Self-Report in Digital Measures
- Video Instructions for Generating the Faculty Evaluation Self-Report in Digital Measures

Faculty Tenure and Promotion—SOM OP 20.21
- SOM Procedures for Tenure and Promotion—SOM OP 20.21.A
- SOM Tenure and Promotion Timeline—SOM OP 20.21.B
- Tenure Track Reference Template—SOM OP 20.21.C
- Non-tenure Track Reference Template—SOM OP 20.21.D
- Tenure Only Reference Template—SOM OP 20.21.E
- Area of Excellence Reference Template—SOM OP 20.21.F
- Tenure Option Form—SOM OP 20.21.G
- SOM Procedures for Tenure and Promotion Committee—SOM OP 20.21.H
  - Pre-Review Certification Regarding Conflict of Interest and Confidentiality—SOM OP 20.21.H.1
  - Post-Review Certification Regarding Conflict of Interest and Confidentiality—SOM OP 20.21.H.2
Tenure and Promotion Policy—HSC OP 60.01
Tenure and Promotion Timeline—2023-2024

Mid-Cycle Review—SOM OP 20.22
- Instructions for creating your SOM Application for Mid-Cycle Review:
  1. Navigate to Digital Measures using this link: https://app4.ttuhsc.edu/digitalmeasuresshim
  2. Click on "Rapid Reports" on the upper right of your screen
  3. Change the Report to "SOM Application for Mid-Cycle Review"
  4. Change the Date Range to "Jan 1, 1925 - Dec 31, <Current Year>"
  5. Click "Run Report"
  6. Save the document to your desktop and add/edit as necessary
- For assistance and ideas on how/where to enter additional information to the report you generated using the steps above, contact OFAD at (806) 743-3010 or refer to SOM OP 20.22.A Instructions
- Form Declining Participation in Mid-Cycle Review—SOM OP 20.22.B
- Mid-Cycle Review Peer Evaluation—SOM OP 20.22.C

Post Tenure Review—SOM OP 20.23
- Post Tenure Peer Review Timeline—SOM 20.23.A
- Peer Review Report — Individual—SOM 20.23.B
- Peer Review Report — Team—SOM 20.23.C
- Comprehensive Performance Evaluation Report—SOM 20.23.D
- Professional Development Plan—SOM 20.23.E

SOM Policies

SOM Faculty Profiles—SOM OP 20.02
Faculty Temporary License—SOM OP 20.03
Faculty Council Bylaws—SOM OP 20.05
Faculty Grievances—SOM OP 20.10
Appeal of Dismissal, Termination, and Non-Reappointment—SOM OP 20.11
Health, Wellness and Rehabilitation of Faculty, Physicians in Training (Fellows and Residents) and Students—SOM OP 20.12
Faculty Mentoring - SOM OP 20.24
Basic Science Department Year-End Incentive Compensation—SOM OP 20.31
Clinical Science Department Year-End Incentive Compensation—SOM OP 20.32
Inter-campus Visiting Professor Program—SOM OP 20.40
SACS Documentation Requirements
- Official Transcript (hard copy)
- Current CV
- Equivalency documents for international graduates (ECFMC certificate - notarized copy) or document from an equivalency company
- Board Certification letter or certificate (notarized copy)

HSC Policies

Faculty Development Leave Application—HSC OP 60.02
Faculty Search Affirmative Action In-Progress Review—HSC OP 60.09, Attachment C
TTUS EEO/Affirmative Action Recruitment Summary—HSC OP 60.09, Attachment D

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