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Invited Critique
May 18, 2009

Gauging Surgeons' Understanding and Perceptions of an Academic Incentive Plan—Invited Critique

Arch Surg. 2009;144(5):426. doi:10.1001/archsurg.2009.54

Mitchell et al report the results of a survey carried out before and after the introduction of an AIP in the Department of Surgery at an academic medical center. The intervention was a financially modest plan that reallocated 1% of clinical revenue to faculty based on department and division chiefs' assessments of contributions in the realms of teaching, research, and administration. The compensation system at this medical center is heavily geared toward rewarding clinical productivity. The faculty was surveyed before and after introduction of the AIP. The plan did not result in changes in the self-reported percentage of time spent in teaching, research, and administration. In addition, most believed that these activities were inadequately compensated. The study did not attempt to measure activity in these areas objectively.

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