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美国各基础专业领域成年重症医学专家的全时当量及合理薪酬模式综述与探讨

A Review and Discussion of Full-Time Equivalency and Appropriate Compensation Models for an Adult Intensivist in the United States Across Various Base Specialties.

作者信息

Nurok Michael, Flynn Brigid C, Pineton de Chambrun Marc, Kazemian Mina, Geiderman Joel, Nunnally Mark E

机构信息

Departments of Anesthesiology, Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA.

Division of Critical Care, Department of Anesthesiology, University of Kansas Health System, Kansas City, KS.

出版信息

Crit Care Explor. 2024 Mar 25;6(4):e1064. doi: 10.1097/CCE.0000000000001064. eCollection 2024 Apr.

Abstract

OBJECTIVES

Physicians with training in anesthesiology, emergency medicine, internal medicine, neurology, and surgery may gain board certification in critical care medicine upon completion of fellowship training. These clinicians often only spend a portion of their work effort in the ICU. Other work efforts that benefit an ICU infrastructure, but do not provide billing opportunities, include education, research, and administrative duties. For employed or contracted physicians, there is no singular definition of what constitutes an intensive care full-time equivalent (FTE). Nevertheless, hospitals often consider FTEs in assessing hiring needs, salary, and eligibility for benefits.

DATA SOURCES

Review of existing literature, expert opinion.

STUDY SELECTION

Not applicable.

DATA EXTRACTION

Not applicable.

DATA SYNTHESIS

Not applicable.

CONCLUSIONS

Understanding how an FTE is calculated, and the fraction of an FTE to be assigned to a particular cost center, is therefore important for intensivists of different specialties, as many employment models assign salary and benefits to a base specialty department and not necessarily the ICU.

摘要

目的

接受过麻醉学、急诊医学、内科、神经学和外科培训的医生在完成专科培训后可获得重症医学委员会认证。这些临床医生通常仅将部分工作时间投入到重症监护病房(ICU)。其他有益于ICU基础设施建设但无计费机会的工作包括教育、研究和行政职责。对于受雇或签约的医生而言,对于什么构成重症监护全职等效人员(FTE)并没有统一的定义。然而,医院在评估招聘需求、薪资和福利资格时通常会考虑FTE。

数据来源

对现有文献的综述、专家意见。

研究选择

不适用。

数据提取

不适用。

数据综合

不适用。

结论

因此,了解FTE如何计算以及应分配给特定成本中心的FTE比例,对于不同专业的重症医学医生很重要,因为许多雇佣模式将薪资和福利分配给基础专科部门,而不一定是ICU。

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