To quantify the cost of teaching residents ambulatory obstetrics and gynecology, expressed as the difference in revenue generated between a faculty physician practicing as a private practitioner and a faculty physician serving as a resident supervisor.
Outpatient revenue generated by faculty generalists and residents was analyzed.
The net gain in revenue was calculated per half-day session for faculty and residents by subtracting contractual allowances and expenses from gross patient charges.
Net revenue gain per half-day clinical session per year for a faculty member practicing as a private practitioner was compared with that of a faculty member functioning as a supervisor.
The net gain for the faculty supervisor was based on the revenue generated by the residents supervised.
The faculty member serving as a private practitioner generated a net gain per session per year of $23,947.
The faculty member acting as supervisor for two residents per session generated a net gain or loss per session per year of - $9678, - $972, and $15,542 for first-second-and third-year residents, respectively.
This analysis shows that first-year residents are an expense to the practice site, second-year residents are close to breaking even, and third-year residents begin to generate a net gain.
Mots-clés Pascal : Enseignement professionnel, Gynécologie, Obstétrique, Service hospitalier, Résident, Médecin, Analyse avantage coût, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Occupational education, Gynecology, Obstetrics, Hospital ward, Resident, Physician, Cost benefit analysis, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0027575
Code Inist : 002B30A09. Création : 01/03/1996.