دورية أكاديمية
أعرض في EDS

Work relative value units undervalue the clinical effort associated with teaching cases: An ACS-NSQIP analysis.

التفاصيل البيبلوغرافية
العنوان: Work relative value units undervalue the clinical effort associated with teaching cases: An ACS-NSQIP analysis.
المؤلفون: Nwokedi U; Department of Graduate Medical Education, Parkview Health, Fort Wayne, Indiana, USA. Electronic address: ugoeze.nwokedi@parkview.com., Graviss EA; Department of Surgery, Houston Methodist Hospital, Houston, TX, USA; Department of Pathology and Genomic Medicine, Houston Methodist Research Institute, Houston, TX, USA., Nguyen DT; Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA., Pei KY; Department of Graduate Medical Education, Parkview Health, Fort Wayne, Indiana, USA.
المصدر: American journal of surgery [Am J Surg] 2024 Jan; Vol. 227, pp. 117-122. Date of Electronic Publication: 2023 Oct 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0370473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1883 (Electronic) Linking ISSN: 00029610 NLM ISO Abbreviation: Am J Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Belle Mead, NJ : Excerpta Medica
Original Publication: New York.
مواضيع طبية MeSH: Acute Care Surgery* , Faculty*, Humans ; United States ; Academic Medical Centers ; Postoperative Complications
مستخلص: Purpose: Work-relative-value-units (wRVUs) are a core metric of faculty effort but do not account for the additional work associated with intraoperative teaching. This study introduces and assesses an indexed effort, wRVU per minute (wRVU index). We hypothesize that there is a significant decrease in the calculated wRVU index among teaching cases.
Methods: We queried the ACS-NSQIP database for 7 core Emergency General Surgery procedures and records were stratified into teaching vs non-teaching, and emergent vs non-emergent procedures. We utilized multivariable generalized linear models to determine factors associated with increased operative time and decreased wRVU index.
Results: Data were available for 953,967 cases from 2005 to 2010. For all cases, teaching vs non-teaching, the median wRVU index was 0.16 vs 0.21 (p ​< ​0.001). There was a positive association between teaching cases and decreased wRVU index for all cases.
Conclusion: The wRVU index was 24% lower for teaching cases when compared to non-teaching cases despite controlling for patient-specific factors. This finding highlights the need for further evaluation of the current wRVU framework.
Competing Interests: Declaration of competing interest AI technology was not used in the preparation of this manuscript. This manuscript is not under consideration for publication in any other journal.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Physician compensation; Surgical training; Teaching cases; wRVU
تواريخ الأحداث: Date Created: 20231008 Date Completed: 20231216 Latest Revision: 20231216
رمز التحديث: 20231217
DOI: 10.1016/j.amjsurg.2023.09.051
PMID: 37806890
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1883
DOI:10.1016/j.amjsurg.2023.09.051