Murray Peter M, Valdivia Jennifer H, Berquist Mary R
Department of Orthopedic Surgery, College of Medicine, Mayo Clinic, Jacksonville, Florida 32224, USA.
Acad Med. 2009 Feb;84(2):212-9. doi: 10.1097/ACM.0b013e3181939705.
The economics of medicine have drastically changed during the past quarter century. Institutions may be faced with difficult decisions concerning graduate medical education (GME), particularly as it relates to the growth of existing programs and the creation of new programs. The authors describe a tool that they developed that can consistently measure the value of individual training programs while aligning with an institution's strategic priorities. This tool, the assessment metric scorecard, permits the annual prioritization of GME programs by the leadership of Mayo Clinic, Jacksonville, Florida. The scorecard also provides valuable data regarding the strengths and weaknesses of individual programs. The metric seeks to evaluate GME programs on the basis of four broad areas: Research, Teaching, Patient Service, and a General category. The assessment metric scorecard has been used since 2004; this article reports on its use for the academic years 2004-2005 and 2005-2006. The scorecard has proved to be a helpful tool for the yearly evaluation and prioritization of GME programs at the authors' institution. The overall mean score of the GME programs increased, which suggests a positive trend. This scorecard is flexible; modifications of the relative weights of the metrics can be made to align it with the strategic priorities of other institutions. The resources necessary to implement the scorecard are minimal.
在过去的四分之一个世纪里，医学经济学发生了巨大变化。各机构可能面临有关毕业后医学教育（GME）的艰难决策，尤其是涉及现有项目的扩展和新项目的设立时。作者介绍了他们开发的一种工具，该工具能够持续衡量各个培训项目的价值，同时与机构的战略重点保持一致。这种工具，即评估指标记分卡，使佛罗里达州杰克逊维尔市梅奥诊所的领导层能够对GME项目进行年度优先排序。记分卡还提供了有关各个项目优势和劣势的宝贵数据。该指标旨在基于四个广泛领域评估GME项目：研究、教学、患者服务和一个综合类别。评估指标记分卡自2004年起开始使用；本文报告了其在2004 - 2005学年和2005 - 2006学年的使用情况。事实证明，记分卡是作者所在机构对GME项目进行年度评估和优先排序的有用工具。GME项目的总体平均得分有所提高，这表明了一种积极趋势。这种记分卡具有灵活性；可以对指标的相对权重进行调整，使其与其他机构的战略重点保持一致。实施记分卡所需的资源极少。
