Journal of General Internal Medicine

, Volume 14, Issue 10, pp 617–621 | Cite as

Quantifying physician teaching productivity using clinical relative value units

  • Michael M. Yeh
  • Daniel F. Cahill
Original Articles

Abstract

OBJECTIVE: To design and test a customizable system for calculating physician teaching productivity based on clinical relative value units (RVUs).

SETTING/PARTICIPANTS: A 550-bed community teaching hospital with 11 part-time faculty general internists.

DESIGN: Academic year 1997–98 educational activities were analyzed with an RVU-based system using teaching value multipliers (TVMs). The TVM is the ratio of the value of a unit of time spent teaching to the equivalent time spent in clinical practice. We assigned TVMs to teaching tasks based on their educational value and complexity. The RVUs of a teaching activity would be equal to its TVM multiplied by its duration and by the regional median clinical RVU production rate.

MEASUREMENTS: The faculty members’ total annual RVUs for teaching were calculated and compared with the RVUs they would have earned had they spent the same proportion of time in clinical practice.

MAIN RESULTS: For the same proportion of time, the faculty physicians would have generated 29,806 RVUs through teaching or 27,137 RVUs through clinical practice (Absolute difference =2,669 RVUs; Relative excess =9.8%).

CONCLUSIONS: We describe an easily customizable method of quantifying physician teaching productivity in terms of clinical RVUs. This system allows equitable recognition of physician efforts in both the educational and clinical areas.

Key words

relative value scales medical education medical faculty teaching employee performance appraisal 

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References

  1. 1.
    Shea S, Nickerson KG, 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;334:162–85.PubMedCrossRefGoogle Scholar
  2. 2.
    Baker LC. Differences in earnings between male and female physicians. N Engl J Med. 1996;334:960–4.PubMedCrossRefGoogle Scholar
  3. 3.
    Campbell EG, Weissman JS, Blumenthal D. Relationship between market competition and the activities and attitudes of medical school faculty. JAMA. 1997;278:222–6.PubMedCrossRefGoogle Scholar
  4. 4.
    Albritton TA, Miller MD, Johnson MH, Rahn DW. Using relative value units to measure faculty clinical productivity. J Gen Intern Med. 1997;12:715–7.PubMedCrossRefGoogle Scholar
  5. 5.
    Fanta CM, Finkel AJ, Kirshner CG, Perlman JM. Physician’s Current Procedural Terminology. 4th ed. Chicago, Ill: American Medical Association; 1986.Google Scholar
  6. 6.
    Hsiao WC, Braun P, Yntema D, Becker ER. Estimating physician’s work for a resource-based relative-value scale. N Engl J Med. 1988;319:835–41.PubMedCrossRefGoogle Scholar
  7. 7.
    Bardes CL, Hayes JG. Are the teachers teaching? Measuring the educational activities of clinical faculty. Acad Med. 1995;70:111–4.PubMedCrossRefGoogle Scholar
  8. 8.
    Medical Group Management Association. Physician Compensation and Production Survey: 1996 Report Based on 1995 Data. Englewood, Colo: Medical Group Management Association; 1996.Google Scholar
  9. 9.
    Hilton C, Fisher W, Lopez A, Sanders C. A relative-value-based system for calculating faculty productivity in teaching, research, administration, and patient care. Acad Med. 1997;72:787–93.PubMedCrossRefGoogle Scholar
  10. 10.
    Iglehart JK. Medicare and graduate medical education. N Engl J Med. 1998;338:402–7.PubMedCrossRefGoogle Scholar
  11. 11.
    Levinson W, Kaufman K, Bickel J. Part-time faculty in academic medicine: present status and future challenges. Ann Intern Med. 1993;119:220–5.PubMedGoogle Scholar
  12. 12.
    Gerrity MS, Pathman DE, Linzer M, et al. Career satisfaction and clinician-educators: the rewards and challenges of teaching. J Gen Intern Med. 1997;12(suppl):90–7.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 1999

Authors and Affiliations

  • Michael M. Yeh
    • 1
  • Daniel F. Cahill
    • 1
  1. 1.the Department of Internal MedicineSt. Joseph Mercy HospitalAnn Arbor

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