Intensity in Physician Work



Intensity in Physician Work
Robert E. Florin, M.D., Midwest Objective Measurement Seminar, Chicago, June 2001
Linear
Measures
Demands Procedures Surgeon Raters
 
 
 
 
 
7  
 
 
 
 
 
 
 
 
6
 
 
 
 
 
 
 
 
 
5
 
 
 
 
 
 
 
 
 
4
 
 
 
 
 
 
 
 
 
3
 
 
 
 
 
 
 
 
 
2
 
 
 
 
 
 
 
 
 
1
 
 
 
MORE INTENSE
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Surgeon's JUDGEMENT
 
 
 
 
Technical SKILL
 
Fund of KNOWLEDGE
 
 
 
 
 
Interaction COMPLEXITY
Number of FACTORS
Clinical DATA NEEDS
 
 
 
 
 
 
MORBIDITY
Decision RANGE
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
LESS INTENSE
MORE DEMANDING
Inner skull vessel surgery
 
 
 
 
 
 
Removal of brain lesion
 
 
 
 
Removal of brain lesion
 
 
 
 
 
Remove brain lining lesion
Removal of brain lesion
Removal of brain lesion
Removal of pituitary gland
 
 
 
Low back disk surgery
 
 
 
Removal of spinal lamina
 
 
 
 
Neck spine disk surgery
Brain biopsy with cat scan
 
Removal of spinal lamina
Removal of spinal lamina
Neck spine disk surgery
 
Open skull for drainage
 
Low back disk surgery
 
 
 
Establish brain cavity shunt
 
Pierce skull, remove clot
 
 
 
 
 
 
 
 
 
 
 
 
 
Carpal tunnel surgery
Spinal fluid tap, diagnostic
Injection for myelogram
 
LESS DEMANDING
PERCEIVES MORE DEMAND
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
12 38
10
 
78
 
1 4 17
23 24
29 43 64 68
20 41 54
8 31 59 93 94 95 96
15 53 98 99 100 101 102 103 104
2 9 13 16 26 27 40 52
44 46 91 97
30 33 42 106
37 56
7 25
5 6
45 65 66 105
67
74 75 76
49
3 34 35 60 77
28 32 70 71 79
36
18 19 57 69 73 92
48
81 82 83 84 85 86 87
55
 
11 61 89 90
58 72 80
 
62
 
 
63
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PERCEIVES LESS DEMAND



Intensity in Physician Work Florin R.E. … Rasch Measurement Transactions, 2001, 15:2 p. 828



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