医学微生物学家,定义为具有医学微生物学亚专业培训的博士级实验室主任,通过临床咨询等活动领导临床实验室操作,对诊断测试菜单的监督,机构领导,教育,和学术活动。然而,与他们的临床同事不同,医学微生物学家在很大程度上无法为医院内进行的临床咨询开具账单,因此,无法生成相对价值单位或类似的可量化指标。随着医院预算的紧缩和人员配备的合理性成为必要,这可能对试图证明其对组织的价值的医学微生物学家提出挑战。为了帮助提供有形数据,美国微生物学会的人员标准和劳动力小组委员会在7个医疗中心进行了一项多中心研究,以记录临床会诊及其影响.咨询由内部(基于实验室)和外部(基于医院)各方平等产生,与大多数直接影响患者管理。医学微生物学家的建议几乎被普遍接受,这凸显了他们的专业知识所带来的价值。与内部咨询相比,外部咨询需要医学微生物学家更多的时间投入,尽管两者都为次要价值提供了充足的机会,包括通过管理的影响,教育,临床指导,和降低成本。这项研究描述了咨询的内容和影响,强调了医学微生物学家作为医疗团队关键成员的重要性。
目的:医学微生物学家对临床微生物学实验室和整个医疗系统都是无价的。然而,因为医学微生物学家不会定期生成相对价值单位,捕获和量化提供的价值是具有挑战性的。随着医院预算紧缩,人员配备的合理性成为一种必要。为了帮助提供有形数据,美国微生物学会的人员标准和劳动力小组委员会在7个医疗中心进行了一项多中心研究,以记录临床会诊及其影响.据我们所知,这是第一项对医学微生物学家提供的咨询价值进行详细评估的研究。
Medical microbiologists, defined as doctoral-level laboratory directors with subspecialty training in medical microbiology, lead the clinical laboratory operations through activities such as clinical consultations, oversight of diagnostic testing menu, institutional leadership, education, and scholastic activities. However, unlike their clinical colleagues, medical microbiologists are largely unable to bill for clinical consultations performed within the hospital and, therefore, unable to generate relative value units or a similar quantifiable metric. As hospital budgets tighten and justification of staffing becomes a necessity, this may present a challenge to the medical microbiologist attempting to prove their value to the organization. To aid in providing tangible data, the Personnel Standards and Workforce subcommittee of the American Society for Microbiology conducted a multi-center study across seven medical centers to document clinical consultations and their impact. Consults were generated equally from internal (laboratory-based) and external (hospital-based) parties, with the majority directly impacting patient management. Near universal acceptance of the medical microbiologist\'s recommendation highlights the worth derived from their expertise. External consults required more time commitment from the medical microbiologist than internal consults, although both presented ample opportunity for secondary value, including impact through stewardship, education, clinical guidance, and cost reduction. This study is a description of the content and impact of consultations that underscore the importance of the medical microbiologist as a key member of the healthcare team.
OBJECTIVE: Medical microbiologists are invaluable to the clinical microbiology laboratory and the healthcare system as a whole. However, as medical microbiologists do not regularly generate relative value units, capturing and quantifying the value provided is challenging. As hospital budgets tighten, justification of staffing becomes a necessity. To aid in providing tangible data, the Personnel Standards and Workforce subcommittee of the American Society for Microbiology conducted a multi-center study across seven medical centers to document clinical consultations and their impact. To our knowledge, this is the first study to provide detailed evaluation of the consultative value provided by medical microbiologists.