The Ottawa Hospital RADiologist Activity Reporting (RADAR) Productivity Metric: Effects on Radiologist Productivity

Education Value Units in Medical Education: A Scoping Review

“…Fifty-three studies (91%) were conducted in the United States, 3–7,13–60 whereas the rest were conducted in Canada. 61–65 Fifty-six studies (97%) were conducted at academic centers. Studies were from a variety of different specialties, with greater representation from internal medicine (n = 9 [16%]), 3,6,7,14,15,18,23,37,48 pathology (n = 7 [12%]), 4,28,32,43,50,53,59 radiology (n = 6 [10%]), 31,35,46,51,55,65 surgery (n = 5 [9%]), 24,25,34,44,52 pediatrics (n = 5 [9%]), 17,47,61,62,64 family medicine (n = 5 [9%]), 16,19,21,26,63 and emergency medicine (n = 5 [9%]).…”

“…EVU systems varied in structure, although most used metrics in multiple domains and typically incorporated at least some clinical component. 4,5,7,13–23,26,28,29,32,33,35–39,46,48,50,58–62,64,65 The most common types of activities included in the EVU systems were clinical activities (e.g., billing accuracy, clinical productivity, on-call time), educational activities (e.g., lecturing, mentoring or advising, completing learner evaluations, recruitment), scholarship activities (e.g., research or scholarly works, editorial services, grants), and administrative leadership activities (e.g., program or course director, committee service, scheduler). 3–7,13,15–65 A few systems incorporated measurements of citizenship, such as timely completion of medical documentation, faculty meeting attendance, displays of teamwork, professional behavior, and promotion of departmental well-being.…”

“…4,5,7,13–23,26,28,29,32,33,35–39,46,48,50,58–62,64,65 The most common types of activities included in the EVU systems were clinical activities (e.g., billing accuracy, clinical productivity, on-call time), educational activities (e.g., lecturing, mentoring or advising, completing learner evaluations, recruitment), scholarship activities (e.g., research or scholarly works, editorial services, grants), and administrative leadership activities (e.g., program or course director, committee service, scheduler). 3–7,13,15–65 A few systems incorporated measurements of citizenship, such as timely completion of medical documentation, faculty meeting attendance, displays of teamwork, professional behavior, and promotion of departmental well-being. 34,35,39,41,59 Educational activities that were incentivized commonly spanned a variety of learner levels, including both undergraduate and graduate medical education (both residency and fellowship), 3,5,6,14–29,31–33,36–38,40–42,45–50,52–54,57,58,64,65 and occasionally extended to graduate students, 19,21,50,58 advanced practice providers, 19,49 or faculty.…”

“…The broader faculty members were mentioned as key stakeholders in the exploratory process by programs because they sought to both identify key elements for consideration in their list of activities and obtain buy-in of the process as a whole. 15,16,21,61,65 Unique approaches were described by a pediatrics program that used focus groups to inform the development of their program, 61 whereas a family medicine program engaged the use of an outside consultant to ensure that an unbiased party could present the EVU proposal and shepherd the faculty through an open discussion of any concerns. 16 Only a few programs described the process of gathering formal evidence-based data to inform the development of their EVU system, with mention of a formal literature search, 47,53 reaching out to peer institutions, 47 or using a formal Delphi approach to select and/or weigh activities.…”

Radiological ‘SATs’ monitor: The use of ‘study ascribable times’ to assess the impact of clinical workload on resident training in a resource‐limited setting

“…There is thus recognition that the clinical load of the academic radiologist should be capped, to facilitate teaching, research and other non‐reporting activities, including the conduct of multidisciplinary meetings . Hence, the ongoing global quest for a better understanding of the teaching radiologist’s workload, with a view to achieving appropriate staffing levels for academic radiology departments …”