The RVU Compensation Model and Head and Neck Surgical Education

Author:

Chow Michael S.1ORCID,Gordon Alex J.2ORCID,Talwar Abhinav3,Lydiatt William M.4ORCID,Yueh Bevan5,Givi Babak6ORCID

Affiliation:

1. Department of Otolaryngology, Head and Neck Surgery New York University New York New York USA

2. Grossman School of Medicine New York University New York New York USA

3. Feinberg School of Medicine Northwestern University Chicago Illinois USA

4. Methodist‐Creighton Head and Neck Creighton University Omaha Nebraska USA

5. Department of Otolaryngology, Head and Neck Surgery University of Minnesota Minneapolis Minnesota USA

6. Head and Neck Service Memorial Sloan Kettering Cancer Center New York New York USA

Abstract

BackgroundThe present study aims to quantify the opportunity cost of training residents and fellows for head and neck surgery.MethodsA 2005–2015 review of ablative head and neck surgical procedures was performed using the National Surgical Quality Improvement Program (NSQIP). Work relative value units (wRVU) generated per hour were compared among procedures performed by attendings alone, attendings with residents, and attendings with fellows.ResultsAmong 34,078 ablative procedures, the rate of wRVU generation per hour was greatest for attendings alone (10.3), followed by attendings with residents (8.9) and attendings with fellows (7.0, p < 0.001). Resident and fellow involvement was associated with opportunity costs of $60.44 per hour (95% CI: $50.21–$70.66/h) and $78.98 per hour ($63.10–$94.87/h, 95% CI), respectively.ConclusionwRVU‐based physician reimbursement does not consider or adjust for the extra effort involved in training future head and neck surgeons.Level of EvidenceNA Laryngoscope, 134:113–119, 2024

Publisher

Wiley

Subject

Otorhinolaryngology

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