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Study objectives: Emergency medicine residency programs track the number of patients treated by residents in training as a gauge of resident experience and productivity. Relative value units (RVUs) are used to reflect patient acuity. It has been proposed that RVUs better reflect resident experience than the total number of patients treated. We conduct this study to compare estimates of resident productivity using patients per hour (patients/hr) versus RVUs/hr. Methods: This was a retrospective observational study conducted from July 1, 2002, to June 30, 2003, at an emergency medicine residency program with an annual census of 130,000 patients. The program has 12 residents per year in a postgraduate year (PGY) 1 to 3 format. Data were analyzed using means with 95% confidence intervals (CIs) and correlation coefficient ( r ). Results: Results are provided in the Table. Conclusion: There appears to be a significant correlation between RVUs and patients/hr in our data set. Therefore, patients/hr is a method as effective as RVUs/hr in tracking resident productivity. Limitations include the sample size, as well as omitting the PGY 3 because of time constraints. Future studies will include the PGY 3, as well as data from the current academic year.Table, abstract 155.PGY-1, Mean (95% CI)PGY-2, Mean (95% CI)Patients/h0.67 (0.61–0.73)0.89 (0.80–0.98)RVUs/h1.47 (1.34–1.60)2.30 (2.10–2.50)r0.950.91 |
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