Hospitalist workload influences faculty evaluations by internal medicine clerkship students

Figures & data

Table 1 Clinical service intensity measures

Measure	Median	Range	Skewness
Work RVUs	3,139	1,678–4,512	−0.130
Encounters	1,454	910–2,029	−0.020
Duty days	166	123–175	−0.791
RVUs/day	21	12–26	−0.413
Encs/day	9	6–12	−0.205

Abbreviations: Encs/day, patient encounters per duty day; RVUs, relative value units.

Table 2 Annual teaching scores

Score	Median	Range (1–5)	Skewness
Patient rapport	4.73	3.3–5.0	−1.565
Enthusiasm about profession	4.72	4.0–5.0	−1.515
Clinical skills	4.73	4.0–5.0	−0.766
Shares knowledge and skills	4.81	4.0–5.0	−1.657
Encourages student initiative	4.75	4.0–5.0	−0.992
Probes knowledge and judgment	4.73	4.0–5.0	−0.554
Stimulates independent learning	4.67	3.8–5.0	−0.932
Timely feedback	4.50	3.0–5.0	−1.032
Provides constructive criticism	4.50	3.0–5.0	−0.759
Observes patient encounter	4.27	3.0–5.0	−0.644

Figure 1 Scatterplot analysis of clinical service intensity vs faculty ratings.

Abbreviation: RVUs, relative value units.

Table 3 Spearman correlations between clinical service intensity and teaching scores

Score	Spearman correlations
	wRVUs	Encounters	Duty days	RVUs/day	Encs/day
Patient rapport	−0.064, P=0.728	−0.114, P=0.534	−0.159, P=0.384	−0.063, P=0.731	−0.223, P=0.220
Enthusiasm about profession	−0.587, P<0.001‡	−0.567, P=0.001‡	−0.580, P=0.001‡	−0.348, P=0.051	−0.252, P=0.165
Clinical skills	−0.417, P=0.018‡	−0.384, P=0.030‡	−0.471, P=0.006‡	−0.230, P=0.205	−0.111, P=0.546
Shares knowledge and skills	−0.292, P=0.104	−0.294, P=0.102	−0.407, P=0.021‡	−0.099, P=0.588	−0.064, P=0.729
Encourages student initiative	−0.324, P=0.070	−0.310, P=0.084	−0.409, P=0.020‡	−0.086, P=0.640	−0.033, P=0.858
Probes knowledge and judgment	−0.486, P=0.005‡	−0.471, P=0.007‡	−0.507, P=0.003‡	−0.221, P=0.225	−0.137, P=0.453
Stimulates independent learning	−0.287, P=0.111	−0.305, P=0.090	−0.189, P=0.300	−0.169, P=0.356	−0.196, P=0.282
Timely feedback	−0.397, P=0.024‡	−0.447, P=0.010‡	−0.341, P=0.056	−0.337, P=0.059	−0.365, P=0.040‡
Provides constructive criticism	−0.352, P=0.048‡	−0.396, P=0.025‡	−0.318, P=0.076	−0.291, P=0.106	−0.332, P=0.063
Observes patient encounter	−0.439, P=0.012‡	−0.438, P=0.012‡	−0.600, P<0.001‡	−0.180, P=0.325	−0.113, P=0.537

Note:

‡ P<0.050.

Abbreviations: Encs/day, patient encounters per duty day; wRVUs, work relative value units; RVUs/day, work relative value units per duty day.