01 February 2004
The perils of paying academic physicians according to the clinical revenue they generate
Richard B. GundermanMed Sci Monit 2004; 10(2): RA15-20 :: ID: 11586
Abstract
Proponents of paying academic physicians according to the clinical revenue they generate cite the dangers of failing to reward high-performing faculty members, the unfairness of equally compensating physicians who generate very different amounts of revenue, and the positive role variable compensation can play in promoting the financial health of the organization. Yet there are caveats in revenue-based compensation (RBC). Amount of clinical effort and the revenue it generates are not necessarily tightly linked. Such approaches emphasize revenue-producing activities such as patient care at the expense of other academic missions such as education. By focusing attention on pay, RBC may distract our best faculty members from the intrinsic rewards of academic medicine. And by fostering financial competition within the academic health center, RBC jeopardizes mutual dedication to the larger missions of the organization as a whole. Debates over how to compensate medical school faculty members represent nothing less than a battle for the heart and soul of academic medicine.
Keywords: Academic Medical Centers - economics, Faculty, Medical, Income, Motivation, Physicians - economics, Reimbursement Mechanisms - economics, Salaries and Fringe Benefits - economics, Schools, Medical - economics, Academic Medical Centers - economics, Faculty, Medical, Income, Motivation, Physicians - economics, Reimbursement Mechanisms - economics, Salaries and Fringe Benefits - economics, Schools, Medical - economics
Editorial
04 June 2022 : Editorial
Editorial: Acute Hepatitis of Unknown Origin in Children. Is Autoimmunity at Play?DOI: 10.12659/MSM.937371
Med Sci Monit 2022; 28:e937371
SARS-CoV-2/COVID-19
27 June 2022 : Clinical Research
Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who...Med Sci Monit In Press; DOI: 10.12659/MSM.937430
04 June 2022 : Clinical Research
Screening for SARS-CoV-2 Infection in Students at the Medical University of Warsaw, Poland Between November...Med Sci Monit 2022; 28:e936962
30 May 2022 : Clinical Research
Effects of Wearing Face Masks on Exercise Capacity and Ventilatory Anaerobic Threshold in Healthy Subjects ...Med Sci Monit 2022; 28:e936069
27 May 2022 : Clinical Research
Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)Med Sci Monit 2022; 28:e936547
In Press
28 Jun 2022 : Meta-Analysis
Urodynamics in Early Diagnosis of Diabetic Bladder Dysfunction in Women: A Systematic Review and Meta-AnalysisMed Sci Monit In Press; DOI: 10.12659/MSM.937166
28 Jun 2022 : Clinical Research
Serum Calprotectin – a NET Product – as a Biomarker of Disease Activity in Patients with Systemic Lupus Ery...Med Sci Monit In Press; DOI: 10.12659/MSM.936534
28 Jun 2022 : Database Analysis
LINC00963 May Be Associated with a Poor Prognosis in Patients with Cervical CancerMed Sci Monit In Press; DOI: 10.12659/MSM.935070
27 Jun 2022 : Clinical Research
Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who...Med Sci Monit In Press; DOI: 10.12659/MSM.937430
Most Viewed Current Articles
30 Dec 2021 : Clinical Research
Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...DOI :10.12659/MSM.935379
Med Sci Monit 2021; 27:e935379
08 Mar 2022 : Review article
A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...DOI :10.12659/MSM.936292
Med Sci Monit 2022; 28:e936292
01 Nov 2020 : Review article
Long-Term Respiratory and Neurological Sequelae of COVID-19DOI :10.12659/MSM.928996
Med Sci Monit 2020; 26:e928996
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952