This document discusses documenting leadership and administration efforts for junior faculty promotion and tenure. It notes that typical activities expected include committee participation at the department, college and university levels, work on significant local, regional or national committees, leadership in teaching programs, editorial boards, study sections, advocacy, and leadership roles in departments or hospitals. The document provides examples of leadership opportunities at the institution, such as leading with purpose institutes, work with the IRB, population health, medical humanities and bioethics, and interprofessional education.