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Adjunct and Clinical Appointments

IV. ACADEMIC HUMAN RESOURCES POLICIES (Cont.)

ADJUNCT AND CLINICAL APPOINTMENTS

The following policy was issued by the Office of the Provost in 1975 and was revised on July 1, 1996.

These are appointments of persons whose primary responsibility and income is outside the unit in which the appointment is made. Primary responsibility or source of income may be in another unit of the university or may be outside the university. The appointments are usually without salary and for a maximum period of three years. Reappointment is at the discretion of the administrative unit. Successive reappointments do not confer tenure or other continuing employment status.

Adjunct and clinical appointments may be made at any level from instructor to professor and also are applicable to other titles such as librarian, specialist, lecturer, etc. Persons holding such appointments are expected to have the educational background and/or experience required for the rank, and they must be interested in providing some degree of service to the unit even though they are not available for a regular appointment. Appointments are usually made on an "adjunct" basis unless the appointee holds a professional medical degree, in which case a "clinical" appointment is used.

The number of adjunct and/or clinical positions in each college will be recommended by the dean and established by the Provost. Permission to use the "clinical" title for individuals who do not hold a medical degree may be requested of the Provost by units if this title is more appropriate than the "adjunct" title in terms of the functions performed. The proposal to use the "clinical" titles rather than the "adjunct" titles must be made through regular administrative channels prior to any offers to individual appointees.

Certain benefits and activities are extended to individuals appointed as adjunct or clinical faculty members. Most of these privileges require an MSU Identification Card. Further information and assistance can be obtained from the appointing department.

1. Areas in which the adjunct or clinical appointment carries faculty status:

• Library privileges¹
• Privilege of attending departmental, college and university faculty meetings
• Use of intramural facilities and Forest Akers Golf Courses¹
• Purchase of athletic tickets at faculty rates¹
• MSU Identification Card
• Eligibility for travel accident coverage when authorized to travel on University business
• Eligibility for faculty membership in University Club
• Parking privileges (may purchase standard permit or, for limited use, may purchase guest permit)¹
• Pilot accounts
• Professional liability insurance coverage while acting for the University in accordance with the requirements of University policy (see 5, below, applicable to clinical faculty in the Colleges of Human Medicine and Osteopathic Medicine.)
• These appointments are "covered" by Unemployment Compensation; because little or no remuneration is involved, it is very unlikely that adjunct or clinical appointees would become eligible for compensation benefits.

• Any insurance benefit or program offered by the University other than those listed under (1) above
• Tenure
• Voting in University elections
• Election to University committees

• Amount of time to be spent in the unit
• Service on unit committees
• Service on graduate committees
• Voting at the unit level
• Office space to be provided by the unit
• Laboratory facilities to be provided
• Secretarial help or graduate assistant help to be provided
• Authority to teach, do research, or advise students for the unit
• Authority to publish as a member of the unit
• Authority to propose, receive and implement research grants

• Individuals who meet the following criteria may be recommended for emeritus status:

a. Be 62 years of age and have served as a clinical/adjunct faculty member for fifteen years, or

b. Have served as a clinical/adjunct faculty member for twenty-five years at any age

Emeritus clinical/adjunct faculty are not designated as official retirees of Michigan State University. Adjunct or clinical faculty appointments with an emeritus designation are limited to the following privileges:

• Library privileges
• Privilege of attending departmental, college, and University faculty meetings
• Use of intramural facilities and Forest Akers Golf Courses
• Purchase of athletic tickets at faculty rates
• Eligibility for faculty membership in University Club
• Parking privileges (may continue to purchase standard permit or guest permits)
• Pilot accounts

The general principle of such coverage is that the University will participate with the physician and his/her own attorney and malpractice insurance carrier in the defense of a legal suit and be responsible for the payment of any award that should be made against the physician, if all the following conditions are met:

1. The lawsuit is premised upon the negligence of an MSU student, including MSU residents and fellows, and the liability of the physician is derived from the student's negligence, i.e., is vicarious or secondary;
2. The student's participation involved a level of delegated responsibility which could be reasonably expected of medical students at a similar level of training and experience at the time of his/her assignment;
3. The negligence occurred during the course of an MSU-sponsored educational program in which the physician and/or patient was participating.

The University is generally not responsible for such coverage for residents or fellows who are supported by individual hospitals or a hospital-medical school educational corporation, nor does coverage extend to instances where an MSU student, resident or fellow is "moonlighting." Professional liability coverage is provided by these organizations. As is the case with all such coverage, it is important that every incident involving an MSU student, resident, or fellow that may potentially develop into a malpractice suit be brought to the attention of the University as soon as possible and that the University be notified within 5 days after the physician is notified that a suit has been initiated. Notification should be sent to the Office of the Dean, in writing, including all details that are known at the time. It is essential that physicians cooperate fully with the University Office of Legal Affairs and Office of Risk Management.

The contribution that clinical faculty make to teaching programs is highly valued. MSU is committed to provide medical liability coverage for participation in such educational activities and will continue to assure such protection. The appropriate dean should be contacted for questions or additional information.

¹MSU Identification Card required.

²Memorandum distributed to clinical faculty in the Colleges of Human and Osteopathic Medicine from Deans W. Donald Weston and Myron S. Magen on October 31, 1983.

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