title: "What Have We Done for Us Lately?"--Defining Performance and Value at the Individual Clinician Level.
abstract: Consolidation in anesthesiology practice and the rest of health care creates pressure to improve the product offered by anesthesia professionals. Anesthesia professionals must offer more than a reliable stream of anesthetized, operated, and recovered patients to remain competitive. By pooling resources and application of leadership effort, large departments and group practices can conduct individual-level value assessments of clinicians. Individual clinicians can be incentivized to improve their personal value proposition. By creating an interlocking program of ongoing assessment, career development coaching and opportunities, as well as compensation, departments and group practices can return value to individual clinicians by curating and accelerating their career and capability development.
authors.affiliation: Division of Ambulatory Anesthesiology, Department of Anesthesiology, Vanderbilt University School of Medicine, 1211 21st Avenue South, MAB722, Nashville, TN 37212, USA.
authors.forename: Katherine H
authors.initials: KH
authors.lastname: Dobie
authors.affiliation: Department of Anesthesiology, Vanderbilt University Hospital, Vanderbilt University School of Medicine, 1211 21st Avenue South, MAB722, Nashville, TN 37212, USA.
authors.forename: Vikram
authors.initials: V
authors.lastname: Tiwari
authors.affiliation: Department of Anesthesiology, Vanderbilt University School of Medicine, 1211 21st Avenue South, MAB722, Nashville, TN 37212, USA. Electronic address: warren.sandberg@vanderbilt.edu.
authors.forename: Warren S
authors.initials: WS
authors.lastname: Sandberg
mesh_terms: D000776:Anesthesiology / Q000592:standards*; D002983:Clinical Competence / Q000592:standards*; D017598:Efficiency, Organizational / Q000592:standards*; D006801:Humans; D011785:Quality Assurance, Health Care / Q000592:standards*
keywords: Academic practice; Career development; Clinical productivity measurement; Compensation; Medical direction; Operating room management; Perioperative surgical home; Private practice