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Faculty Performance Evaluation SECTION I: Faculty Information Faculty Name: Department: Title Track: Evaluation Period (Indicate date of last evaluation through date of current evaluation) Evaluator: Evaluator Title: TOTAL FULL TIME EQUIVALENT (FTE) (Education/Teaching, Research and Scholarship, Service, and Clinical must add up to TOTAL FTE which may not exceed 1.0) For clinical faculty with appointments in NJMS and RWJMS (including CINJ and UBHC), please complete the following. Faculty Member’s Clinical Specialty MGMA Academic Benchmark Specialty AAMC Public Benchmark Compensation Specialty Section II: EVALUATOR COMMENTS A. EDUCATION/TEACHING Education/Teaching FTE (eFTE) 1. Criteria for Productivity. EXAMPLES include but are not limited to: - Courses taught and/or administered, including number of courses; number of students, residents, and post-docs; type of course; and level of courses - Individual lectures and leadership of small group discussions - Direction of independent study, projects, theses, and dissertations - Member of thesis and/or dissertation committee - Leadership role for educational program, including undergraduate, graduate, post-doc, residency, and fellowship - Educational or training grant proposal submission and/or award Comments by evaluator:

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Faculty Performance Evaluation

SECTION I: Faculty Information

Faculty Name: Department:

Title Track:

Evaluation Period (Indicate date of last evaluation through date of current evaluation)

Evaluator: Evaluator Title:

TOTAL FULL TIME EQUIVALENT (FTE) (Education/Teaching, Research and Scholarship, Service, and Clinical must add up to TOTAL FTE which may not exceed 1.0)

For clinical faculty with appointments in NJMS and RWJMS (including CINJ and UBHC), please complete the following.

Faculty Member’s Clinical Specialty

MGMA Academic Benchmark Specialty

AAMC Public Benchmark Compensation Specialty

Section II: EVALUATOR COMMENTS

A. EDUCATION/TEACHING Education/Teaching FTE (eFTE)

1. Criteria for Productivity. EXAMPLES include but are not limited to:

- Courses taught and/or administered, including number of courses; number of students, residents, and post-docs; type of course; and level of courses

- Individual lectures and leadership of small group discussions - Direction of independent study, projects, theses, and dissertations - Member of thesis and/or dissertation committee - Leadership role for educational program, including undergraduate, graduate, post-doc,

residency, and fellowship - Educational or training grant proposal submission and/or award

Comments by evaluator:

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2. Criteria for Quality as an Educator. EXAMPLES include but are not limited to:

- Teaching assessments, including student, resident, post-doc, mentee, and peer - Overall assessment of educational program for leaders of that program

Comments by evaluator:

3. Criteria for Internal or External Recognition in the Education Mission. EXAMPLES include but are not limited to:

- Master Educators’ Guild or other teaching academies - Teaching awards - Invitation to speak at other institutions or conferences on educational program topic - Award/Submission of training grant (as principal investigator or co-principal investigator)

Comments by evaluator:

Overall Education/Teaching comments by evaluator:

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Please indicate the overall rating for Education/Teaching:

5.Exceptional 4. Exceeds Expectations

3. Meets Expectations (Satisfactory)

2. Needs Improvement

1. Unsatisfactory

B. RESEARCH AND SCHOLARSHIP Research and Scholarship (rFTE)

1. Criteria for Productivity. EXAMPLES include but are not limited to: - Peer reviewed publications, citations, books, reviews, and chapters - Publication of abstract or presentation of research at regional, national, or international

conference - Submission of extramural research grant proposal (as principal investigator or co-principal

investigator) - Grant award (as principal investigator or co-principal investigator) - Active research grant (as principal investigator or co-principal investigator) - Salary coverage on extramural grants or contracts commensurate with actual percent effort - Active junior investigator/mentored research award (junior faculty or mentor/sponsor) - Participation in journal club, lab meeting, department research seminar - Mentor for graduate student, undergraduate student, post-doc, residents, and/or professional

students engaged in research - Participation in clinical trials (as clinical expert and/or recruitment of patients)

Comments by evaluator:

2. Criteria for Quality as an investigator. EXAMPLES include but are not limited to: - Mentor for graduate student, undergraduate student, post-doc, and/or professional students

engaged in research - Publication impact factor - Peer evaluations - Mentor evaluations

Comments by evaluator:

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3. Criteria for Internal or External Recognition in the Research Mission. EXAMPLES include but are not limited to: - Member of grant review committee for governmental agency or foundation, editorial board,

journal reviewer or co-editor - Research award - Honorific research societies - Research presentation or publication that receives substantial public recognition and/or

publicity, or changes clinical or public policy

Comments by evaluator:

Overall Research and Scholarship comments by evaluator:

Please indicate the overall rating for Research and Scholarship:

5.Exceptional 4. Exceeds Expectations

3. Meets Expectations (Satisfactory)

2. Needs Improvement

1. Unsatisfactory

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C. SERVICE

Service FTE (sFTE)

1. Criteria for Productivity. EXAMPLES include but are not limited to: - Participation as member/leader for department, school, interschool, and/or institutional

committee - Development of new department, school, or institutional program - Committee or leadership of professional organization, community board or editorial board - Submission/funding of extramural service grant proposal (as principal or co-principal

investigator) - Participation in community activities (number of projects) - Participation in service-learning activities with students (number of projects) - Number of faculty mentees or learner mentees - Size of/demands of administrative unit or service led by the faculty - Number of consulting services for school, community or professional organizations - Fostering collaborations (networking) with outside institutions and/or external funding source to

advance the academic missions; developing extramural clinical sites; helps with recruitment efforts

- Documentation of hours committed to the service process

Comments by evaluator:

2. Criteria for Quality. EXAMPLES include but are not limited to: - Peer assessments - Sustainability/ continuity/ longevity of contributions (projects are continued due to their quality) - Products or policy from committee work that impact functioning of department, school,

discipline Comments by evaluator:

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3. Criteria for Internal or External Recognition in the Service Mission. EXAMPLES include but are not limited to: - Recognition and/or publicity about a service project that benefits the school - Development of an innovative service project that receives recognition and/or publicity - Innovation in community service - Leader of professional organization - Membership or leadership on community committee that requires/includes professional

expertise/guidance - Membership or leadership on state agency - Membership or leadership on advisory board - Professional presentation to community organization - Professional consultant to governmental organization - Consultant to community organization

Comments by evaluator:

Overall Service comments by evaluator:

Please indicate the overall rating for Service:

5.Exceptional 4. Exceeds Expectations

3. Meets Expectations (Satisfactory)

2. Needs Improvement

1. Unsatisfactory

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D. Clinical/Patient Care (cFTE)

Contract Clinical cFTE

Productivity-based cFTE

TOTAL cFTE

1. Criteria for Productivity Examples include RVUs, billings, but in fields which do not use RVUs and billings, other measures of productivity should be used

WRVUs in FY17 (if applicable)

Comments by evaluator:

2. Criteria for Quality of Clinical Practice. EXAMPLES include but are not limited to: - Patient assessment and satisfaction - Clinical results/outcomes - Peer assessments, including health care providers who consult with or refer patients and other

practice staff - Clinical unit or practice director assessment - Frequent consults with and outside of the institution

Comments by evaluator:

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3. Criteria for Internal or External Recognition in the Clinical Mission. EXAMPLES include but are not limited to:

- Development of new and/or innovative clinical techniques or services or interprofessional clinical programs

- Development of new methods to evaluate outcomes and effectiveness - Translation of research into clinical practice - Membership or leadership of regional, national, or international clinical organizations - Clinical honors and awards, including significant clinical awards and recognition by peers - Invited presentations, including clinical conference - Recognition as leader in a clinical field by local, regional or national peers

Comments by evaluator:

Overall Service comments by evaluator:

Please indicate the overall rating for Clinical:

5.Exceptional 4. Exceeds Expectations

3. Meets Expectations (Satisfactory)

2. Needs Improvement

1. Unsatisfactory

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E. Professionalism

Professionalism For specific missions, criteria are included but are not limited to the examples listed.

1. Education/Teaching: - Behaves courteously and professionally with trainees, students and colleagues - Volunteers to cover for colleagues in emergencies - Mentoring; productivity of students, residents, and mentees - Timeliness with completion of evaluations - Participates in training grants (as principal investigator or co-principal investigator, co-investigator, or significant participant) - Follows University policy, including compliance and training requirements

Comments by evaluator:

2.Research and Scholarship: - Honest and ethical conduct of all research endeavors, data interpretation and reporting - Sharing of ideas, reagents and participation in open intellectual discourse - Professional and courteous interaction with colleagues in Department, School, University and the field - Engagement in formal and informal mentoring activities - Follows University policy, including compliance, lab safety and animal protection and training requirements Comments by evaluator:

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3.Service: - Behaves courteously and ethically with community members/ agencies, colleagues, trainees - Steps in to help cover Department responsibilities if colleagues are unable to do so - Timely completion of administrative requirements - Follows University policy, including compliance and training requirements

Comments by evaluator:

4.Clinical: - Behaves courteously and respectfully with all members of health care team, colleagues, students and patients - Participation in professional and clinical development programs - Participant in service-learning or clinical improvement activity/program - Administrative/management and/or leadership of clinical services - Mentoring - Attends clinical team meetings or departmental conferences - Provision of clinical cross-coverage when needed - Follows University policy, including compliance, infection protection and safety and training requirements

Comments by evaluator:

Overall Service comments by evaluator:

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Please indicate the overall rating for Professionalism:

5.Exceptional 4. Exceeds Expectations

3. Meets Expectations (Satisfactory)

2. Needs Improvement

1. Unsatisfactory

F. OVERALL

Overall Evaluation and Comments

Please indicate the Overall Evaluation rating (Note: the overall evaluation need not be an average or weighted of the individual areas.)

5.Exceptional 4. Exceeds Expectations

3. Meets Expectations (Satisfactory)

2. Needs Improvement

1. Unsatisfactory

Long-term goals (optional)

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SECTION III: Goals and Objectives for Next Evaluation Period

TOTAL FTE FOR NEXT FISCAL YEAR Education/Teaching, Research and Scholarship, Service, Clinical must add up to TOTAL FTE for the next fiscal year. Clinical is broken down into Contract Clinical (effort provided and compensated through external health system contracts for professional services) and Productivity Based. Please see attached guidelines.

FTE Type FTE A. Education/Teaching (eFTE)

Goals:

B. Research and Scholarship (rFTE) Goals:

C. Service (sFTE)

Goals:

D. Total Clinical

a) Contract Clinical cFTE

b) Productivity Based cFTE

(Contract clinical + productivity based must equal the total Clinical FTE)

c) WRVUs FY2018

Goals:

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SECTION IV: APPROVALS

Evaluator: Date:

Chair: Date:

Dean: Date:

Date of Meeting:

Faculty member’s response to the evaluation (optional):

Faculty Signature (required) ______ Date (The faculty member’s signature indicates only that he/she has seen the evaluation.)

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SUMMARY OF STEPS IN CONDUCTING A FACULTY PERFORMANCE EVALUATION:

For New Jersey Medical School, Robert Wood Johnson Medical School (including CINJ and UBHC), Rutgers School of Dental Medicine, School of Nursing (excluding those faculty in the AAUP-AFT), School of Health Professions, School of Public Health. 1. Performance evaluations will evaluate the faculty member’s performance since the date of his/her last faculty performance evaluation and shall set expectations for the coming academic year. The evaluation period begins May 1 and ends July 15th of each year. By no later than June 1, the faculty member must submit the following items to the Chair or other evaluator: a. a completed Faculty Data Form reporting information about his/her activities during the evaluation period and indicating how goals and objectives previously set for the period have been achieved (if additional quantitative measures are applicable for the faculty member, those data should be attached separately or included in the additional space provided on the form); b. an updated C.V.; c. a completed Self-Evaluation form including proposed goals and objectives for the following evaluation period in the appropriate section of the evaluation form. 2. Evaluator completes Faculty Evaluation Form by:

a. recording the total FTE of the faculty member and their Education/Teaching (eFTE), Research and Scholarship (rFTE), Service (sFTE) and Clinical/Patient Care (cFTE) broken down by Contract Clinical and Productivity Based cFTE (if applicable, see attached Guideline). The FTEs for the four areas of responsibility must add up to the total FTE of the faculty member. If a faculty member does not have responsibilities in a particular mission area, the FTE recorded for that activity will be 0 and that area will not be evaluated.

b. For clinical faculty in NJMS and RWJMS (including CINJ and UBHC) indicate the faculty specialty, the corresponding specialty, or alternative where no appropriate benchmark exists, in the MGMA Academic Benchmark (referencing the MGMA Academic Practice Compensation and Production Report, 2016), and AAMC Public Benchmark Compensation (referencing the AAMC Report on Medical School Faculty Salaries, Table 12: MD Clinical Public Schools, 2015-2016).

c. enter comments describing the quality of the performance in each area of responsibility, based upon the criteria listed, the Faculty Data Form and the previously set goals and objectives, and of the overall performance. Where appropriate in the clinical section, indicate the actual WRUVs for FY17.

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d. based on these written comments, assign a rating (Exceptional, Exceeds Expectations, Meets Expectations/Satisfactory, Needs Improvement and Unsatisfactory) to each area of responsibility, for Professionalism, and to the overall evaluation; e. in consultation with the faculty member, establish and record FTEs for each area of responsibility and goals and objectives for each of these mission areas for the next fiscal year. Where appropriate indicate the anticipated WRVUs for FY18. 3. evaluator gives the proposed evaluation to the faculty member in advance of the face-to-face review meeting between them, allowing sufficient time for the faculty member to reflect and respond. 4.

a. By July 15 of each year, the evaluator meets with the faculty member to discuss the proposed evaluation and weightings of areas of responsibility and goals and objectives for the next fiscal year. In addition to establishing the goals and objectives themselves, it is important to give some indication as to how fulfillment of those goals and objectives will be measured. (Note that the weights assigned should reflect the importance of the area of responsibility within the totality of the individual’s duties and responsibilities, not the relative time commitment to that area of responsibility.)"Establishment of goals and objectives and consultation with the faculty member regarding those goals and objectives are very important aspects of the evaluation and are not optional. The consultation may occur during the evaluation session itself or by exchange of documents. The initial proposal of goals and objectives most frequently is developed by the faculty member rather than by the evaluator. However, the evaluator has the responsibility of establishing the final statement of the goals and objectives following the consultation process and adding these to the evaluation.

This meeting is required, not optional. It is important to use this meeting to review faculty development issues pertaining to the individual faculty member. For example, for junior faculty members it is essential to discuss progress toward promotion, steps that should be taken to qualify for promotion, additional credentials/training that would be useful for career advancement, and other related matters. An optional section is provided on the Faculty Evaluation Form for long-term goals, particularly those relating to career development issues for junior faculty.

b. If appropriate, the evaluator may amend the evaluation following the meeting with the faculty member. c. The faculty member must sign the evaluation, which indicates only that she/he has reviewed the evaluation. The faculty member may submit a written response to the evaluation. 5. Copies of the final evaluation go to the faculty member, the evaluator and to the personnel file in the Dean’s Office.

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General Guidelines: The evaluation of faculty performance is one of the most important functions of department chairs, division directors and other evaluators. When done properly, the performance evaluation process should be an effective means of improving performance, motivating faculty members to reach higher levels of achievement, communicating expectations and dealing with performance-related problems. It is incumbent upon evaluators to be both fair and constructive.

Productivity, quality of the overall performance, and the achievement of the previous year’s goals and objectives should be considered specifically. Be sure to consider and attach to the Faculty Performance Evaluation Form a copy of the goals and objectives for this evaluation period which were set last year.

Evaluations must contain sufficient written commentary to explain the assigned ratings, especially if there is an unsatisfactory rating or if improvement is needed.

Within each area of responsibility, consider the criteria listed below and any other relevant performance standards, including goals and objectives established last year:

Teaching:

1. Criteria for Productivity - Courses taught and/or administered, including number of courses; number of students, residents,

and post-docs; type of course; and level of courses - Individual lectures and leadership of small group discussions - Direction of independent study, projects, theses, and dissertations - Member of thesis and/or dissertation committee - Leadership role for educational program, including undergraduate, graduate, post-doc, residency,

and fellowship - Educational or training grant proposal submission and/or award

2. Criteria for Quality as an Educator

- Teaching assessments, including student, resident, post-doc, mentee, and peer - Overall assessment of educational program for leaders of that program

3. Criteria for Internal or External Recognition in the Education Mission - Master Educators’ Guild or other teaching academies - Teaching awards - Invitation to speak at other institutions or conferences on educational program topic - Award/Submission of training g

Research and Scholarship:

1. Criteria for Productivity - Peer reviewed publications, citations, books, reviews, and chapters - Publication of abstract or presentation of research at regional, national, or international conference - Submission of extramural research grant proposal (as principal investigator or co-principal

investigator) - Grant award (as principal investigator or co-principal investigator) - Active research grant (as principal investigator or co-principal investigator)

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Revised: April 2017

- Salary coverage on extramural grants or contracts commensurate with actual percent effort - Active junior investigator/mentored research award (junior faculty or mentor/sponsor) - Participation in journal club, lab meeting, department research seminar - Mentor for graduate student, undergraduate student, post-doc, residents, and/or professional

students engaged in research - Participation in clinical trials (as clinical expert and/or recruitment of patients)

2. Criteria for Quality as an investigator

- Mentor for graduate student, undergraduate student, post-doc, and/or professional students engaged in research

- Publication impact factor - Peer evaluations - Mentor evaluations

3. Criteria for Internal or External Recognition in the Research Mission - Member of grant review committee for governmental agency or foundation, editorial board,

journal reviewer or co-editor - Research award - Honorific research societies - Research presentation or publication that receives substantial public recognition and/or publicity,

or changes clinical or public policy

Service: 1. Criteria for Productivity

- Participation as member/leader for department, school, interschool, and/or institutional committee

- Development of new department, school, or institutional program - Committee or leadership of professional organization, community board or editorial board - Submission/funding of extramural service grant proposal (as principal or co-principal investigator) - Participation in community activities (number of projects) - Participation in service-learning activities with students (number of projects) - Number of faculty mentees or learner mentees - Size of/demands of administrative unit or service led by the faculty - Number of consulting services for school, community or professional organizations - Fostering collaborations (networking) with outside institutions and/or external funding source to

advance the academic missions; developing extramural clinical sites; helps with recruitment efforts - Documentation of hours committed to the service process

2. Criteria for Quality - Peer assessments - Sustainability/ continuity/ longevity of contributions (projects are continued due to their quality) - Products or policy from committee work that impact functioning of department, school, discipline

3. Criteria for Internal or External Recognition in the Service Mission

- Recognition and/or publicity about a service project that benefits the school - Development of an innovative service project that receives recognition and/or publicity - Innovation in community service - Leader of professional organization - Membership or leadership on community committee that requires/includes professional

expertise/guidance - Membership or leadership on state agency - Membership or leadership on advisory board - Professional presentation to community organization - Professional consultant to governmental organization

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- Consultant to community organization

Clinical/Patient Care

1. Criteria for Productivity - RVUs, billings, and other quantitative measures of productivity in fields which do not use RVUs and

billings

2. Criteria for Quality of Clinical Practice - Patient assessment and satisfaction - Clinical results/outcomes - Peer assessments, including health care providers who consult with or refer patients and other

practice staff - Clinical unit or practice director assessment - Frequent consults with and outside of the institution - Recruitment and retention of patients/clients

3. Criteria for Internal or External Recognition in the Clinical Mission - Development of new and/or innovative clinical techniques or services or interprofessional clinical

programs - Development of new methods to evaluate outcomes and effectiveness - Translation of research into clinical practice - Membership or leadership of regional, national, or international clinical organizations - Clinical honors and awards, including significant clinical awards and recognition by peers - Invited presentations, including clinical conference - Recognition as leader in a clinical field by local, regional or national peers

Professionalism: For specific mission areas, criteria include but are not limited to the following examples: Teaching: - Behaves courteously and professionally with trainees, students and colleagues - Volunteers to cover classes/lectures for colleagues in emergencies - Mentoring; productivity of students, residents, and mentees - Timeliness with completion of evaluations

- Participates in training grants (as principal investigator or co-principal investigator, co-investigator, or significant participant) - Follows University policy, including compliance and training requirements

Research and Scholarship:

- Honest and ethical conduct of all research endeavors, data interpretation and reporting - Sharing of ideas, reagents and participation in open intellectual discourse - Professional and courteous interaction with colleagues in Department, School, University and the field - Engagement in in formal and informal mentoring activities - Follows University policy, including compliance, lab safety and animal protection and training requirements

Service: - Behaves courteously and ethically with community members/ agencies, colleagues,

trainees - Steps in to help cover Department responsibilities if colleagues are unable to do so - Timely completion of administrative requirements - Follows University policy, including compliance and training requirements

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Clinical (Contract Clinical and Productivity Based)

- Behaves courteously and respectfully will all members of health care team, colleagues, students and patients - Participation in professional and clinical development programs - Participant in service-learning or clinical improvement activity/program - Administrative/management and/or leadership of clinical services - Mentoring - Attends clinical team meetings or departmental conferences - Provision of clinical cross-coverage when needed - Follows University policy, including compliance, infection protection and safety and training requirements

Written comments reflecting the quality of the work performance should be provided in each section of the evaluation. These comments should specifically address productivity as reflected in the Faculty Data Form, and any goals and objectives for the area established in the previous year’s evaluation. In addition, an evaluation for each area should be checked off in the space provided. Level 5 - Exceptional: Demonstrates exceptional performance, sustains excellence and optimizes results in their endeavors. This represents the highest level of performance, as evidenced by the extraordinary impact on the achievement of the mission. The faculty member is an inspirational leader and is considered a role model by University leadership, peers, and students. Continually contributes materially to the University efforts that address or accomplish important organizational goals, consistently achieves expectations at the highest level of quality possible, and consistently handles challenges and exceeds targets. Level 4 – Exceeds Expectations: Demonstrates a very high level of performance beyond that required for successful performance in the position and scope of responsibilities. Is a proven, highly effective leader who builds trust and instills confidence in University leadership, peers, and students. Consistently exceeds established performance expectations, timelines, or targets, as applicable. Level 3 – Meets Expectations/Satisfactory: Demonstrates the high level of performance expected and actions and leadership contribute positively toward the achievement of strategic goals and meaningful results. Is an effective, solid, and dependable leader who delivers high‐quality results based on measures of quality, quantity, efficiency, and/or effectiveness within agreed upon timeliness. Meets challenging performance expectations established for the position. Level 2 – Needs Improvement: Contributions are below satisfactory and may not appreciably advance the organization towards achievement of its goals and objectives. While the faculty member marginally meets the lower range of established performance expectations, timelines and targets, there are occasional lapses that impair operations and/or cause concern from management. While showing basic ability to accomplish work through others, the faculty member may demonstrate limited ability to inspire subordinates to give their best efforts or to marshal those efforts effectively to address problems characteristic of the organization and its work. Level 1 - Unsatisfactory: Demonstrates performance deficiencies that detract from mission goals and objectives often in repeated instances. The faculty member generally is viewed as ineffectual by leadership,

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peers, or students. Does not meet established performance expectations/timelines/targets and fails to produce ‐ or produces unacceptable – work products, services or outcomes. Write a description of the overall evaluation, and check the appropriate overall evaluation rating in the space provided. (See the definitions of evaluation terminology provided above.)

Please note, a rating of unsatisfactory in a single important area of responsibility may be sufficient justification for an overall rating of unsatisfactory. Similarly, an extraordinary accomplishment in a single area of responsibility may be sufficient justification for an overall rating of exemplary. In addition, a rating of Unsatisfactory in any one or more of the four mission areas under the category of Professionalism will result in a rating of Unsatisfactory for Professionalism.

Questions concerning the Faculty Performance Evaluation process should be directed to Meredith Mullane, Executive Director for Faculty Affairs, RBHS, [email protected] or 973-972-7037.