Journal of General Internal Medicine

, Volume 14, Issue 6, pp 370–372 | Cite as

Rewards and incentives for nonsalaried clinical faculty who teach medical students

  • Ashir Kumar
  • Dave Loomba
  • Rohit Y. Rahangdale
  • David J. Kallen
Brief Reports


We surveyed the clerkship administrators of pediatrics, family medicine, and internal medicine at U.S. medical schools, and of pediatrics at Canadian medical schools to determine what rewards and incentives are being offered to nonsalaried faculty for office-based teaching. Monetary payment was offered by 13% to 22% of the programs. Nonmonetary rewards like educational opportunities were offered by 70% to 89%; academic appointments by 90% to 95%; special recognition events by 62% to 79%; and appreciation letters by 74% to 84% of programs. Only 3 of 338 responders offered no rewards or incentives.

Key words

medical education clerkship teaching medical faculty teaching cost unreimbursed teaching 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Jonas HS, Etzel SI, Barzansky B. Undergraduate medical education. JAMA. 1989;262:1011–9.PubMedCrossRefGoogle Scholar
  2. 2.
    Bentley JD, Knapp RM, Petersdorf RG. Education in ambulatory care—financing is one piece of the puzzle. N Engl J Med. 1989;320:1531–4.PubMedCrossRefGoogle Scholar
  3. 3.
    Lesky LG, Hershman WY. Practical approaches to a major educational challenge. Arch Intern Med. 1995;155:897–904.PubMedCrossRefGoogle Scholar
  4. 4.
    Murray E, Jinks V, Modell M. Community-based medical education: feasibility and cost. Med Educ. 1995;29:66–71.PubMedGoogle Scholar
  5. 5.
    Leslie LK. Can pediatric training manage in managed care? Pediatrics. 1995;96:1143–5.PubMedGoogle Scholar
  6. 6.
    Eisenberg JM. Financing ambulatory care education in internal medicine. J Gen Intern Med. 1990;5:S70–80.PubMedCrossRefGoogle Scholar
  7. 7.
    Kirz HL, Larsen C. Costs and benefits of medical student training to a health maintenance organization. JAMA. 1986;256:734–9.PubMedCrossRefGoogle Scholar
  8. 8.
    Cohen JJ. Generalism in medical education: the next steps. Acad Med. 1995;70:S7–9.PubMedCrossRefGoogle Scholar
  9. 9.
    Greenlick MR. Educating physicians for the twenty-first century. Acad Med. 1995;20:179–85.CrossRefGoogle Scholar
  10. 10.
    Walker DA, Stephenson T, Blair M. Child health education for the year 2000. Arch Dis Child. 1995;73:261–9.PubMedCrossRefGoogle Scholar
  11. 11.
    Potts M, Kumar A, Kurlandsky L, et al. Revision of curriculum in a pediatric clerkship adapted to multiple community sites. Teaching Learning Med. 1997;9:144–50.CrossRefGoogle Scholar
  12. 12.
    Fields SA, Toffler WL, Bledsoe NM. Impact of the presence of a third-year medical student on gross charges and patient volumes in 22 rural community practices. Acad Med. 1994;69:S87–9.PubMedCrossRefGoogle Scholar
  13. 13.
    Vinson DC, Paden C. The effect of teaching medical students on private practitioners’ workloads. Acad Med. 1994;69:237–8.PubMedCrossRefGoogle Scholar
  14. 14.
    Pawlson LG, Watkins R, Donaldson M. The cost of medical student instruction in the practice setting. J Fam Pract. 1980;10:847–52.PubMedGoogle Scholar
  15. 15.
    Shea S, Nickerson K, Tenenbaum J, et al. Compensation to a department of medicine and its faculty members for the teaching of medical students and house staff. N Engl J Med. 1996;334:162–7.PubMedCrossRefGoogle Scholar
  16. 16.
    Nieman LZ, Donoghue G, Ross LL, Morahan PS. Implementing a comprehensive approach to managing faculty roles, rewards, and development in an era of change. Acad Med. 1997;72:496–504.PubMedCrossRefGoogle Scholar
  17. 17.
    Kassirer J. Tribulations and rewards of academic medicine—where does teaching fit? N Engl J Med. 1996;334:184–5.PubMedCrossRefGoogle Scholar
  18. 18.
    Goldberg J. Doctor’s earnings take a nosedive. Med Econ. Sept 1994:122–32.Google Scholar
  19. 19.
    Bland C. Beyond corporate-style downsizing: a better way for medical schools to succeed in a changing world. Acad Med. 1997;72:489–95.PubMedCrossRefGoogle Scholar
  20. 20.
    Elliot DL, Gordon GH. Preceptors for an introduction to clinical medicine course: needs of volunteer and full-time faculty. Med Teacher. 1991;13:73–76.Google Scholar

Copyright information

© Society of General Internal Medicine 1999

Authors and Affiliations

  • Ashir Kumar
    • 1
  • Dave Loomba
    • 2
  • Rohit Y. Rahangdale
    • 2
  • David J. Kallen
    • 1
  1. 1.the Department of Pediatrics and Human DevelopmentMichigan State UniversityEast Lansing
  2. 2.the College of Human MedicineMichigan State UniversityEast Lansing

Personalised recommendations