Husain Alina, Chen Darren A, Lelli Gary J
MD Program, Weill Cornell Medicine, New York, NY 10021, USA.
Department of Ophthalmology, Massachusetts Eye and Ear, Boston, MA 02114, USA.
Healthcare (Basel). 2023 Jan 1;11(1):136. doi: 10.3390/healthcare11010136.
(1) Background: In recent years, medical institutions across the U.S. have implemented a points system based on the Educational Value Unit (EVU) to assess and reward faculty for their educational efforts. The purpose of this narrative review is to summarize the current literature on EVU systems and to evaluate their utility in the U.S. healthcare system. (2) Methods: We searched the Ovid MEDLINE, Embase, Web of Science, and PubMed databases to identify literature describing the inception of EVU systems and current systems implemented by U.S. academic medical centers and medical schools. In total, a combined 48 studies and abstracts pertaining to EVU systems were reviewed, and a combined 26 published studies and abstracts from 1999 to 2022 pertaining to EVU systems were included. (3) Results: To our knowledge, at least 40 U.S. academic medical centers have used an educational metrics system, of which 21 institutions have published studies describing EVU systems in one or more of their medical departments. The outcomes associated with these self-described EVU systems are the focus of this study. EVU systems increase the number of faculty who meet baseline educational requirements, promote educational productivity, redistribute educational burden and funding among faculty members, and shift physician priorities towards education. The monetary reward associated with EVU systems is unlikely to be a significant factor contributing to these changes; instead, intrinsic motivation and a sense of academic responsibility play a larger role. (4) Conclusions: EVU systems are an effective way to evaluate and reward individual and departmental educational efforts in U.S. academic medical centers and medical schools. The adoption of EVUs will likely become more commonplace as U.S. academic medical centers and medical schools place additional emphasis on medical education.
（1）背景：近年来，美国各地的医疗机构实施了基于教育价值单位（EVU）的积分系统，以评估和奖励教职员工的教育工作。本叙述性综述的目的是总结当前关于EVU系统的文献，并评估其在美国医疗保健系统中的效用。（2）方法：我们检索了Ovid MEDLINE、Embase、科学网和PubMed数据库，以识别描述EVU系统起源以及美国学术医学中心和医学院实施的现行系统的文献。总共审查了48项与EVU系统相关的研究和摘要，纳入了1999年至2022年发表的26项与EVU系统相关的研究和摘要。（3）结果：据我们所知，至少40家美国学术医学中心使用了教育指标系统，其中21家机构发表了研究，描述了其一个或多个医学部门的EVU系统。本研究重点关注这些自我描述的EVU系统所带来的结果。EVU系统增加了达到基线教育要求的教职员工数量，提高了教育生产力，在教职员工之间重新分配了教育负担和资金，并将医生的工作重点转向教育。与EVU系统相关的金钱奖励不太可能是促成这些变化的重要因素；相反，内在动力和学术责任感发挥了更大作用。（4）结论：EVU系统是评估和奖励美国学术医学中心和医学院个人及部门教育工作的有效方式。随着美国学术医学中心和医学院更加重视医学教育，采用EVU可能会变得更加普遍。
