奖励生产力,希望创造力.
Larry F Chu1, Christopher L Wu2, Mitchell H Tsai3
1Stanford Anesthesia Informatics and Media (AIM) Lab, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California.
Anesthesiology
|February 23, 2026
概括
学术麻醉学术麻醉学
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 组织心理学 组织心理学
背景情况:
- 学术麻醉学系越来越多地依赖量化指标 (赠款美元,引用影响因子,出版物数量) 来评估教师的生产力.
- 这些指标,最初是质量的代理,现在可能正在推动部门任务,可能导致负面后果.
- 教师倦怠和创造力,指导和领导力的下降是学术麻醉学中观察到的问题.
研究的目的:
- 分析当前生产力指标对教师动机和学术麻醉学部门活力的影响.
- 提出与核心价值观一致的评估教师表现的替代方法,并促进更健康的学术环境.
主要方法:
- 利用自决理论来解释控制指标对内在动机 (自主,能力,相关性) 的心理影响.
- 检查了指标驱动环境对教师倦怠,创造力和麻醉学部门领导力的后果.
- 建议采用多元化投资组合和平衡绩效表作为替代评估系统.
主要成果:
- 控制,定量指标可以侵蚀自主,能力和相关性的核心心理需求,减少内在动机.
- 过度依赖这些指标会导致教师倦怠,并在指导和领导等重要领域出现赤字.
- 其他评估方法,如多元化投资组合和平衡绩效表,为支持更广泛的部门价值提供了可行的解决方案.
结论:
- 学术麻醉学必须将重点从纯粹的定量指标转移到更广泛的价值观,包括教学,指导,诚信和社区参与.
- 将部门任务与原则重新协调,而不是代理,对于培养创新和恢复医学道德基础至关重要.
- 实施多元化的评估系统可以支持这些价值观,同时保持财务责任,促进更可持续和创造性的专业.
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