Professor and Kelly L Krahwinkel Chairman, Director, Oral/Head and Neck Oncologic Surgery Fellowship Program, Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center, Knoxville, TN.
J Oral Maxillofac Surg. 2021 Jan;79(1):36.e1-36.e13. doi: 10.1016/j.joms.2020.09.036. Epub 2020 Sep 28.
The Resource-based Relative Value Scale (RBRVS) designates quantitative values to clinical health care services to identify the relative work and cost of these services. Each clinical service translates to relative value units (RVUs). Clinical RVUs describe clinician work effort to guide employed clinician salaries in academic medical centers. The development of an academic RVU (aRVU) system also seems reasonable to establish and assess the quantity and quality of academic effort of members of our specialty that supports resident and student achievement.
The 1998 Association of American Medical Colleges (AAMC) Mission-based Management (MBM) Program was assessed and adapted in creating an aRVU system. This aRVU system is hypothesized to guide oral and maxillofacial surgery faculty in advancing their missions of didactic and interactive teaching, production and dissemination of scholarly activity, performance of basic science and translational research, and participation in administrative service to academic medical centers.
A logic model was constructed to create and support the aRVU equation as a proposal for faculty development in oral and maxillofacial surgery. Numerous potential barriers exist to the implementation of this proposal, including those related to legacy and generational issues in academic medical centers.
The proposed aRVU system provides quantitative metrics for recognition of faculty development in oral and maxillofacial surgery. This system is based on strategic planning and allocation of effort sessions, and therefore, reflects mutually agreed upon faculty/department chair interests and goals. Annual performance evaluations of oral and maxillofacial surgery faculty can be based on aRVU accumulation.
资源为基础的相对价值量表（RBRVS）为临床医疗服务指定量化值，以确定这些服务的相对工作和成本。每项临床服务都转化为相对价值单位（RVU）。临床 RVU 描述了临床医生的工作努力，以指导学术医疗中心的受雇临床医生的薪酬。制定学术 RVU（aRVU）系统似乎也合理，可以确定和评估我们专业成员的学术工作的数量和质量，以支持住院医师和学生的成绩。
评估并改编了 1998 年美国医学协会（AAMC）以任务为基础的管理（MBM）计划，以创建 aRVU 系统。假设该 aRVU 系统可以指导口腔颌面外科教师推进他们的教学和互动教学、学术活动的产生和传播、基础科学和转化研究的执行以及学术医疗中心行政服务的参与等任务。
构建了一个逻辑模型，以创建和支持 aRVU 方程，作为口腔颌面外科教师发展的建议。该提案的实施存在许多潜在障碍，包括与学术医疗中心的传统和代际问题相关的障碍。
拟议的 aRVU 系统为口腔颌面外科教师发展提供了量化指标。该系统基于战略规划和努力分配会议，因此反映了教师/系主任共同商定的利益和目标。口腔颌面外科教师的年度绩效评估可以基于 aRVU 的积累来进行。
