title: The cost of teaching residents outpatient obstetrics and gynecology in a university medical center.
abstract: OBJECTIVE
  To quantify the cost of teaching residents ambulatory obstetrics and gynecology, expressed as the difference in revenue generated between a faculty physician practicing as a private practitioner and a faculty physician serving as a resident supervisor.
  
  
  METHODS
  Outpatient revenue generated by faculty generalists and residents was analyzed. The net gain in revenue was calculated per half-day session for faculty and residents by subtracting contractual allowances and expenses from gross patient charges. Net revenue gain per half-day clinical session per year for a faculty member practicing as a private practitioner was compared with that of a faculty member functioning as a supervisor. The net gain for the faculty supervisor was based on the revenue generated by the residents supervised.
  
  
  RESULTS
  The faculty member serving as a private practitioner generated a net gain per session per year of $23,947. The faculty member acting as supervisor for two residents per session generated a net gain or loss per session per year of -$9678, -$972, and $15,542 for first-, second-, and third-year residents, respectively. The cost of teaching, expressed as the difference in the net gain of a faculty member as private practitioner and the net gain of a faculty member as supervisor, for first-, second-, and third-year residents was $33,625, $24,919, and $8405, respectively, per session per year.
  
  
  CONCLUSIONS
  This analysis shows that first-year residents are an expense to the practice site, second-year residents are close to breaking even, and third-year residents begin to generate a net gain.
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California-San Francisco, USA.
authors.forename: T
authors.initials: T
authors.lastname: Flanagan
authors.forename: B
authors.initials: B
authors.lastname: Mitchner
authors.forename: D
authors.initials: D
authors.lastname: Weyl-Feyling
authors.forename: R K
authors.initials: RK
authors.lastname: Laros
mesh_terms: D000553:Ambulatory Care; D003365:Costs and Cost Analysis; D004503:Education, Medical, Graduate / Q000191:economics*; D006176:Gynecology / Q000193:education*; D006784:Hospitals, Teaching; D007396:Internship and Residency; D009774:Obstetrics / Q000193:education*