The "Fourth Mission": The Time Commitment of Anesthesiology Faculty for Management Is Comparable to Their Time Commitments to Education, Research, and Indirect Patient Care

Franklin Dexter; Ruth E Wachtel; Michael M Todd; Bradley J Hindman

doi:10.1213/XAA.0000000000000149

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The "Fourth Mission": The Time Commitment of Anesthesiology Faculty for Management Is Comparable to Their Time Commitments to Education, Research, and Indirect Patient Care

Journal article

Peer reviewed

The "Fourth Mission": The Time Commitment of Anesthesiology Faculty for Management Is Comparable to Their Time Commitments to Education, Research, and Indirect Patient Care

Franklin Dexter, Ruth E Wachtel, Michael M Todd and Bradley J Hindman

A & A case reports, Vol.5(11), pp.206-211

12/01/2015

DOI: 10.1213/XAA.0000000000000149

PMID: 26595329

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Abstract

Academic anesthesia departments have management responsibilities (e.g., coordinating sedation, directing the operating rooms [ORs], informatics, ongoing professional performance evaluation, staff scheduling, and workroom inventory management). For each of the 64 faculty, a survey sampled 10 weekdays and 4 weekend days of professional activity over N=56 days. Faculty time in managerial activities was 126% of time spent on education, 107% of time spent in research, and 112% of time spent on mandatory indirect clinical support (e.g., fire safety training). The 95% lower confidence limits calculated using Fieller's theorem were 107%, 89%, and 91%, respectively. Corresponding bootstrap limits were 107%, 89%, and 90%, respectively. Thus, although our College of Medicine tripartite mission includes clinical care, education, and research, administrative activities constitute a "fourth mission" of our department.

Anesthesiology - education

Humans

Anesthesia Department, Hospital

Biomedical Research - statistics & numerical data

Hospitals, University

Anesthesiology - statistics & numerical data

Iowa

Faculty, Medical

Time Factors

Education, Medical

Patient Care - statistics & numerical data

Surveys and Questionnaires

Practice Management, Medical - statistics & numerical data

Details

Title: Subtitle: The "Fourth Mission": The Time Commitment of Anesthesiology Faculty for Management Is Comparable to Their Time Commitments to Education, Research, and Indirect Patient Care
Creators: Franklin Dexter - From the Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, Iowa; and †Department of Anesthesia, University of Iowa, Iowa City, Iowa
Ruth E Wachtel
Michael M Todd
Bradley J Hindman
Resource Type: Journal article
Publication Details: A & A case reports, Vol.5(11), pp.206-211
Publisher: United States
DOI: 10.1213/XAA.0000000000000149
PMID: 26595329
ISSN: 2325-7237
eISSN: 2325-7237
Language: English
Date published: 12/01/2015
Academic Unit: Health Management and Policy; Anesthesia
Record Identifier: 9983806366602771

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