title: What is the relation between number of sessions worked and productivity of radiologists-a pilot study?
abstract: Increasing workloads and the current austerity measures are putting UK radiology departments under considerable stress. We need to look at the most efficient ways to manage radiology departments in order to cope with increasing demand. Consequently, a system is needed that can compare productivity between radiologists with different jobs. We measured workload in a UK radiology department and compared the productivities of consultants working different numbers of sessions, which are called programmed activities (PAs), to identify the optimal job plan structure for reporting productivity. Reporting data was gathered from electronic records for 14 consultants working different numbers of PA during the period April 2010-March 2011. These were converted into relative value unit (RVU) scores using a modified RCSI RVU system. Crude and net workloads were calculated for each consultant by dividing their total RVU score by the number of PAs they were contracted for and how many they spent reporting. The consultants reported 118,001 imaging studies. There was statistically significant variation in productivity between consultants working different numbers of PAs on χ (2) analysis (p < 0.05). Consultants working 12 PAs were more productive than consultants working 11 PAs, with net workloads of 7636 RVU/PA/year versus net 6146 RVU/PA/year, p < 0.05. Although UK consultants working 12 PAs per week are more productive than their colleagues, the reasons why are unclear. We have identified a method that can be developed further to identify efficient working practices in UK radiology departments. However, a UK-specific RVU system would make this productivity analysis more accurate.
authors.affiliation: East Lancashire Hospital NHS Trust, Royal Blackburn Hospital, Blackburn, Lancashire, BB2 3HH, UK.
authors.forename: Shah H M
authors.initials: SH
authors.lastname: Khan
authors.affiliation: Medical School, University of St Andrews, Medical and Biological Sciences Building, North Haugh, St Andrews, Fife, KY16 9TF, UK. Will.Hedges@doctors.org.uk.
authors.forename: William P
authors.initials: WP
authors.lastname: Hedges
mesh_terms: D004526:Efficiency; D006801:Humans; D010865:Pilot Projects; D000072177:Radiologists / Q000592:standards / Q000706:statistics & numerical data*; D006113:United Kingdom; D016526:Workload / Q000191:economics / Q000592:standards / Q000706:statistics & numerical data
keywords: Cost-effectiveness; Efficiency; Health services research; Productivity; Radiology workflow