AADO Panel –

The Challenge of Fair Faculty Compensation Plans

Panelists

• Dr. Carol R. Bradford, University of Michigan• Dr. Robert C. Kern, Northwestern University• Dr. Andrew H. Murr, UCSF• Dr. Randal A. Otto, UT San Antonio • Dr. D. Bradley Welling, Harvard University

Introduction

• Academic medicine is changing and this must be considered in compensating faculty moving forward

• Faculty should be rewarded for their contributions to the institutional and departmental goals and missions

• Faculty should be compensated fairly and equitably without bias

• Plans should be transparent and provide the faculty a clear understanding as to how their salaries are determined and what behaviors will affect their compensation

Introduction

• Clear metrics should be used for measurement of productivity

• Academic promotion carries with it financial reward• Plans across the SOM should have common threads

but have flexibility to reflect differences in work experiences and cultures for a given department

• Plans must be fiscally responsible

OBJECTIVES

• OHNS Productivity Database• Institutional Compensation Plan

Presentations• Panel Discussion• Questions

AADO Productivity Database

AADO Productivity DatabaseHow can this help

Capture the data needed to:- Fairly evaluate faculty efforts / productivity

-cFTE/rFTE/aFTE/eFTE- Assess impact of extenders / facilities - For departments whose clinical activity is compensated by benchmark $/wRVU

- define the benchmark- Effectively negotiate with leadership

- Academic- Clinical Affiliates

-Public-VA/Federal-State-County

-Private

AADO Productivity Database

Average clinical time for entire group (n=534)75.34%

Average time spent on administration (n=534)13.5 % Funded7.3 % Unfunded

Average time allotted for research (N=534)12.2 % Funded10.0 % Unfunded

Average amount of time allotted for teaching (N=534)7.5 % Funded 6.6% Unfunded

AADO Productivity Database

2012-13 2013-14 2015-16* N Median N Median N Median

FPRS 42 6771 15 7500 1General 57 6588 37 6,501 43H&N 98 9494 69 9,110 59Laryngology 37 8272 26 9028 23Otology 61 7471 39 7,378 38Pediatric 73 6944 68 7199 40Rhinology 44 7903 25 8615 25Sleep 5 5784 4 4370 2Uncategorized         24

All Otolaryngologists 417 7865 283 7592 282

AADO Productivity Database THANK YOU!

BaylorDukeHeny FordMontefioreThomas JeffesonTuftsUniv of ArkansasUniv of ChicagoUniv of FloridaUniv of KansasUniv of MiamiUniv of MichiganUniv of MississippiUniv of MissouriUniv of RochesterUniv of Texas – San AntonioUTMBWeill CornellYale

PANEL QUESTIONS

Panel Question

• What benchmarks are used for salary targets?

eg. AAMC median

Panel Question

• How does your local market impact salaries?

• Does your institution have recruitment tools to adjust for market forces?

Panel Question

• How are each of the missions of clinical care, research, and education recognized and rewarded?

Panel Question

• How is a clinical FTE defined? • How is protected research time

funded? -

How is the NIH salary cap for research intensive faculty handled?

• How is teaching rewarded?

Panel Question

• Are faculty able to calculate and alter, by choice of roles, their annual compensation?

Panel Question

• How is academic rank equity and gender neutrality ensured?

Panel Question

• What level of transparency should exist?

Panel Question

• What is the balance between salary and benefits?

Panel Question

• How is outside income managed? eg. medicolegal,

honoraria, etc.• Disclosure required?• Departmental or institutional taxation?• Able to direct funds to an academic

account?

Panel Question

• Does the department have to be profitable to pay bonuses?

Panel Question

• How is your compensation planned revised?

Audience Questions

AADO Productivity Database

AADO FPSCMGMA private

MGMA acad.

2012-13 7865 8356 7084 7849

2013-14 7592 7569 6743 7643

2014-15      

AADO Productivity Database

Clinical (cFTE)-Clinical (cFTE) expectation for academic otolaryngologists-RVU’s/ cFTE by subspecialty-Impact of extenders-Understanding outliers

Administration (aFTE)-Funded-Unfunded

Research (rFTE)-Funded-Unfunded

Education (eFTE)-Funded-Unfunded

Department -? Benchmarks of compensation for clinical activity to departments

Institutional Compensation PlansOf Panelists

• What are your salary components? • A,B,C = Base salary, “performance

based” salary, “incentive based” salary?

• What metrics are used?