Albritton T A, Miller M D, Johnson M H, Rahn D W
Medical College of Georgia, Augusta 30912, USA.
J Gen Intern Med. 1997 Nov;12(11):715-7. doi: 10.1046/j.1525-1497.1997.07146.x.
The objective of this project was to compare faculty productivity in teaching and nonteaching clinical settings. We hypothesized that teaching activity would have no impact on productivity. A mixed model, repeated measures analysis of variance was used to analyze average relative value units (RVUs) billed and to test for differences between clinics. Data were drawn from 4,956 clinical encounters made within a student, resident, and faculty clinic. Average RVUs per visit were similar in the three settings. Resident supervision increased faculty productivity, while student supervision had no impact on billed RVUs. Thus, RVUs can be used as a measure of faculty clinical productivity in different settings in an academic medical center. Precepting students does not appear to affect clinical productivity.
本项目的目的是比较教师在教学和非教学临床环境中的工作效率。我们假设教学活动不会对工作效率产生影响。采用混合模型重复测量方差分析来分析计费的平均相对价值单位(RVU),并检验各诊所之间的差异。数据来自学生、住院医师和教师诊所内的4956次临床诊疗。每次就诊的平均RVU在三种环境中相似。住院医师指导提高了教师的工作效率,而学生指导对计费RVU没有影响。因此,RVU可作为学术医疗中心不同环境中教师临床工作效率的衡量指标。指导学生似乎不会影响临床工作效率。