Impact of isolated clinical performance feedback on clinical productivity of an academic surgical faculty

Journal of the American College of Surgeons
E Scott PaxtonBruce L Hall

Abstract

There is increasing financial pressure to maximize clinical productivity for academic physicians. We examined whether clinical performance feedback alone could contribute to improving the clinical productivity of surgeons in an academic department of surgery. We implemented a clinical performance feedback program in January 2003. We then compared clinical productivity in terms of relative value units (RVUs) of surgeons for 18 months before and 18 months after this intervention, using each surgeon as his or her own control. Regression was performed with dependent variable ln (monthly RVUs) and independent variables "calendar month," "pre/post" January 2003, and "surgeon." The coefficient on "pre/post" reflected average change in RVUs. We also surveyed faculty on their use of and attitudes toward this feedback. There was a 58% survey response. Ninety-two percent of responding faculty reported that they viewed and used the performance feedback, and that it affected their practice. Ninety-two percent believed the information accurately reflected their performance, 89% thought that the comparisons were useful, and 79% desired more feedback information, specifically, comparisons with external benchmarks. When RVU data were examined, ...Continue Reading

References

Mar 1, 1991·Journal of General Internal Medicine·T J MeyerA V Prochazka
Jan 1, 1990·Journal of the American Geriatrics Society·K Kroenke, E M Pinholt
Mar 21, 1986·JAMA : the Journal of the American Medical Association·D M Berwick, K L Coltin
Jan 1, 1995·Surgery·W W SoubaD B Hoyt
Oct 21, 1993·The New England Journal of Medicine·P J Greco, J M Eisenberg
Jan 11, 2000·AJR. American Journal of Roentgenology·D J EschelmanD C Levin
Jan 4, 2001·American Journal of Physical Medicine & Rehabilitation·C G KevorkianK A Hart
Feb 28, 2002·Radiology·Richard B GundermanKenneth B Williamson
Sep 14, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Margie C Andreae, Gary L Freed
Oct 24, 2002·The New England Journal of Medicine·Debra F Weinstein
Nov 6, 2002·Annals of Internal Medicine·Terry L BrandtKeith D Lindor
Jul 15, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·Gregg T TarquinioEric G Neilson
Jul 23, 2003·Surgery·Andrew L Warshaw, Michael G Sarr
Sep 4, 2003·JAMA : the Journal of the American Medical Association·Bruce E LandonJennifer Daley
Apr 14, 2004·Archives of Surgery·Jerome H LiuClifford Y Ko

❮ Previous
Next ❯

Citations

Jun 24, 2014·Journal of the American College of Surgeons·Philip Y WaiPaul C Kuo
May 1, 2013·Journal of the American College of Surgeons·Charles R ScogginsKelly M McMasters
Jan 31, 2008·Medical Education·J M Monica van de RidderOlle Th J ten Cate

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.