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Physicians' productivity and teaching responsibilities

G W Kearl1, A G Mainous

  • 1Department of Family Practice, University of Kentucky College of Medicine, Lexington.

Academic Medicine : Journal of the Association of American Medical Colleges
|February 1, 1993
PubMed
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Physician productivity is not significantly impacted by teaching medical students. This study found no difference in patient numbers seen by physicians with and without teaching duties, challenging previous assumptions.

Area of Science:

  • Medical Education
  • Health Services Research
  • Physician Productivity

Background:

  • Concerns exist regarding the effect of teaching responsibilities on physician productivity.
  • Prior studies using independent samples suggested lower productivity for teaching physicians.

Purpose of the Study:

  • To investigate the impact of ambulatory care teaching on physician productivity.
  • To compare productivity levels of physicians with and without medical students.

Main Methods:

  • A paired-sample design was used to compare productivity.
  • Productivity was measured by the number of patients seen per half-day.
  • The study included 15 family practice faculty and resident physicians over four months.

Main Results:

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  • No statistically significant difference in physician productivity was observed.
  • Physicians teaching medical students demonstrated comparable productivity to those not teaching.

Conclusions:

  • Teaching responsibilities in ambulatory care settings may not reduce physician productivity.
  • Findings suggest that academic teaching practices can accommodate teaching without compromising physician output.