The full content of Annals is available to subscribers

Subscribe/Learn More  >
Academia and the Profession |

A Novel Incentive System for Faculty in an Academic Medical Center

Terry L. Brandt, MBA; Clifford R. Romme, MS; Nicholas F. LaRusso, MD; and Keith D. Lindor, MD
[+] Article, Author, and Disclosure Information

From Mayo Clinic and Foundation, Rochester, Minnesota, and Scottsdale, Arizona.

Requests for Single Reprints: Keith Lindor, MD, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.

Current Author Addresses: Mr. Brandt: Administrative Services, Mayo Clinic and Foundation, 200 First Street SW, Rochester, MN 55905.

Mr. Romme: Administration, Mayo Clinic–Scottsdale, 13400 East Shea Boulevard, Scottsdale, AZ 85259.

Drs. LaRusso and Lindor: Department of Internal Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic and Foundation, 200 First Street SW, Rochester, MN 55905.

Ann Intern Med. 2002;137(9):738-743. doi:10.7326/0003-4819-137-9-200211050-00009
Text Size: A A A

The need to contain health care costs has led some physicians to become salaried employees of health care organizations. However, the use of nonfinancial incentives for physicians in such an environment has not been broadly explored. The authors describe a novel incentive system that is designed to promote continuing high-quality care and to increase patient access to health care while enhancing clinical and academic productivity and physician satisfaction. Key components of this system include annual targets, flexibility in meeting these targets, and ability to convert clinical productivity generated in excess of what was necessary to meet the target to support scholarly activities. This system led to increased faculty productivity, improved patient access, enhanced scholarly activity, and overall enhanced career satisfaction.


Grahic Jump Location
Figure 1.
The Greater Access and Independence Now (GAIN) implementation timeline.
Grahic Jump Location
Grahic Jump Location
Figure 2.
Outpatient evaluation and management relative value units per faculty day spent in the outpatient practice.

GAIN = Greater Access and Independence Now.

Grahic Jump Location
Grahic Jump Location
Figure 3.
Publications for the Division of Gastroenterology and Hepatology and for each faculty member over the 4-year period of the Greater Access and Independence Now (GAIN) incentive program.FTE

The bars represent total publications for the division and the line represents publications per faculty full-time equivalent ( ).

Grahic Jump Location
Grahic Jump Location
Figure 4.
Average extramural research funding per faculty full-time equivalent (FTE) between 1993 and 2000.

GAIN = Greater Access and Independence Now.

Grahic Jump Location




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.