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J Korean Soc Emerg Med > Volume 28(6); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(6): 572-578.
상대가치척도를 이용한 응급의학 전문의들의 진료외업무 총량 계산
박송이1, 박경혜2,3*, 이형민4, 김한준5, 서범석6, 조광현6
1동아대학교병원 응급의학과
2연세대학교 원주의과대학 의학교육학과
3연세대학교 원주의과대학 응급의학교실
4고대구로병원 응급의학과
5서울성모병원 응급의학과
6을지대학교 을지병원 응급의학과
Evaluation of Nonclinical Activities of Emergency Medicine Specialist Using Relative Value Unit: Pilot Study
Song Yi Park1, Kyung Hye Park2,3*, Hyung Min Lee4, Han Joon Kim5, Bum Suk Seo6, Kwang Hyun Cho6
1Department of Emergency Medicine, Donga University Hospital, Busan, Korea
2Department of Medical Education, Yonsei University Wonju College of Medicine, Wonju, Korea
3Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
4Department of Emergency Medicine, Korea University Guro Hospital, Seoul, Korea
5Department of Emergency Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea
6Department of Emergency Medicine, Nowon Eulji Medical Center, Eulji University, Seoul, Korea
Correspondence  Kyung Hye Park ,Tel: 033-741-0242, Fax: 033-742-5034, Email: erdoc74@gmail.com,
Received: August 4, 2017; Revised: August 9, 2017   Accepted: September 20, 2017.  Published online: December 31, 2017.
ABSTRACT
Purpose:
Emergency medicine (EM) specialists in training hospitals perform not only clinical practice, but also nonclinical activities, such as education, administration, and research. The types and amounts of nonclinical activities are increasing, but the activities have not been evaluated. This study applied the concept of the relative value unit (RVU) and conducted a pilot study to calculate the total nonclinical activities of EM specialists in training hospitals.
Method:
The one year nonclinical activities of the eight EM specialists working in training hospitals were analyzed retrospectively. The nonclinical activities were divided into three areas: education, administration, and research. The types of activities, and effort and time spent were collected and the RVU was calculated.
Results:
The time spent on the education and administrative tasks ranged from 92 to 1,094 hours (average 348.8 hours) and 19 to 1,018 hours (average 207.8 hours), respectively. The average annual workload for education was 324.9 RVUs. The average annual administrative workload was 115.6 RUVs. The average time spent in education and administration was 556.6 hours and clinical practice was 1,904.8 hours.
Conclusion:
Nonclinical activities are essential for the operation of EM departments. If the necessary manpower for the EM is to be calculated, it will be important to calculate the workforce of the specialists, including the nonclinical workload.
Key words: Emergency medicine, Workload, Pilot projects
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