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From page 127... ... - Determine, from activity analysis, the average percent of time spent by faculty in the instruc- tion of medical students - Multiply those two figures and divide by the total number of medical students. These computations produce what is termed in this study the instruc- tional faculty/student ratio. Read the entire page →
From page 128... ... TABLE 44 Average and Range of Faculty/Student Relationships in Sampled Medical Schools, 1972-73 Relationships \| Avenue Range Number of FTE faculty 366 217 - 662 Overall faculty/student ratio 1:1.3 1:0.9 - 1:2.7 Average percent time for M.D. instruction 18% 13%- 30% Instructional faculty/ Student ratio 1:8 1:6 - 1:13 -§2 Read the entire page →
From page 129... ... TABLE 45 Characteristics of Sampled Medical Schools with Instructional Faculty/Student Ratios Below and Above the Average, 1972-73 Characteristics Schools with instructional faculty/student ratio below the average Schools with instructional faculty/student ratio above the average Average instructional faculty/student ratio Average number of medical students Percent of public schools Average volunteer faculty costs per student Average length of 1:10 930 67% $700 curriculum for medical education Average percent 139 weeks graduates in research, academics and administre- tion (based on 1967 graduates) 8% Average percent graduates in research, academics and administration for five schools with the lowest faculty/student ratios 6.5% Average percent graduates in research, academics and administration for five schools with the highest faculty/student ratios 1:7 456 25% $400 146 weeks 10% 11% -83 Read the entire page →
From page 130... ... - Length of curriculum, which is slightly shorter, on the average, for schools with fewer faculty per stu- dent. Other Direct Costs. Read the entire page →
From page 131... ... TABLE 46 Summary of Other Direct Costs per Medical Student, in Sampled Schools, 1972-73 Average $2,700 Range 700-5 ,000 Difference between high and low of range 4,300 TABLE 47 Distribution of Other Direct Costs, per Medical Student by Components of Cost, in Sampled Schools, 1972-73 \| Components of cost Average Percent Total $2,700 100 Secretarial/clerical salaries 460 UW Other non-faculty salaries®/ 690 26 Fringe benefits 550 20 Equipment 100 4 Supplies and expenses 900 33 a/Includes house staff salaries paid by the medical school. Read the entire page →
From page 132... ... TABLE 48 Characteristics of Sampled Schools with Other Direct Costs per Medical Student Below and Above the Average, 1972-73 Characteristics Schools with other direct costs below the average Schools with other direct costs above the average Average other direct costs Average faculty costs Average ratio of secretarial/ clerical costs to faculty costs Average percent of employee benefits to total personnel costs Average equipment costs Price indexes Average consumer price index Average medical care index Percent Public Schools Percent of schools in cities with population over 2 million $ 800 $3,000 13% 9% 133.2 138.8 50% 25% $2 5300 $3,700 19% 14% $ 150 133.2 138.6 33% 66% -86 Read the entire page →
From page 133... ... TABLE 43 Summary of Indirect Costs per Medical Student, in Sampled Schools, 1972-73 Average $1,650 Range 1,200-2,100 Difference between high and low of range 900 TABLE 50 Distribution of Indirect Costs, per Medical Student, by Components: of Cost, in Sampled Schools, 1972-73 Components of cost Average Percent Total $1,650 100 Administration and institutional services 660 40 Library 210 13 Plant operations and maintenance 330 20 Student services 90 5 Other direct 240 15 Depreciation 120 7 -87 Read the entire page →
From page 134... ... TABLE 51 Characteristics of Sampled Schools with Indirect Costs per Medical Student Below and Above the Average, 1972-73 Schools with Schools with Characteristics indirect costs indirect costs below the average above the average Average indirect costs $1,400 $2,000 Selected components Administration and institutional services $500 $900 Library costs $200 $200 Plant operation and maintenance costs $300 $400 Depreciation costs $100 $100 Percent of public schools 40% 50% Percent of schools located in health science centers 75% 50% Average medical student enrollment 530 430 Average consumer price index 133.8 133.9 -~88 Read the entire page →
From page 135... ... the analysis, although schools in health science centers and those with larger enrollments tend to have lower indirect costs per stu-~ dent. Net Education Expenditures Net education expenditures show the balance of education costs after each schools sponsored research and patient care revenues are subtracted. Read the entire page →
From page 136... ... TABLE 52 Average Education Costs, Offsetting Research and Patient Care Revenues, and Net Fducation Expenditures, per Medical Student for Sampled Schools, 1972-73 Offsetting revenues Net education School \| Education costs ored research Patient expenditures care 1 - $12,800 $1,800 $2,950 $ 8,050 2 14,100 1,850 1,800 10,450 3 12,150 650 550 10 ,950 4 9,600 500 1,200 7,900 5 16,000 1,850 - 14,150 6 14,700 - 1,800 12,900 7 13,750 3,700 - 10,050 8 13,200 \| 2,600 - 10,600 9g 16,450 4,650 1,400 10,400 10 7,200 2,050 - 5,150 nu 18,650 5,000 4,000 9,650 12 11,600 300 3,050 8,250 13 6,900 NA NA - NA 14 10,350 2,900 - 7,850 Average 13,100 2,100 1,300 9,700 Range 6,900- 18,650 O- 5,000 O- 4,000 5,150- 14,150 NOTE: Dollars rounded to nearest $50. a/The average education cost of $13,100 differs from $12,650 displayed in Table 33 because no income data are available for School 13; there- fore, its education costs are excluded from the computations on net education expenditures. Read the entire page →
From page 137... ... TABLE 53 Authorized and Actual Capitation Levels as a Percent of Net Education Expenditures per Medical Student, in Sampled Schools. 1972-73 Authorized Actual capitation capitation Net education expenditures School 3/ per studentb/ Amount Percent \| Amount Percent 13 NA NA NA NA NA 10 $ 5,150 $2,850 55 $1,837 36 14 7,850 2,850 36 1,975 25 4 7,900 2,850 36 2,780 35 1 8,050 2,850 35 1,925 24 12 8,250 2,850 34 2,194 27 11 9,650 2,850 30 1,859 19 7 10,050 25850 28 1,886 19 9 10,400 2,850 27 1,704 16 2 10,450 2,850 27 1,978 19 8 10,600 2,850 27 1,854 17 3 10,950 2,850 26 1,835 17 6 12,900 2,850 22 1,822 14 5 14,150 2,850 20 1,850 13 Average 3,700 2,850 29 1,9502/ 20 Range 5150-14 ,150 20-55 13-36 a/Ranking of schools from lowest to highest net education expenditures b/Dollars rounded to the nearest $50. Read the entire page →
From page 138... ... TABLE 54 Percent of Net Educational Expenditures per Medical Student Covered at Different Levels of Capitation in Sampled Schools, 1972-73 Capitation at Capitation at Capitation at - 25 percent of 33 1/3 percent of 40 percent of School average net education average net education average net education expenditures expenditures expenditures ($2,450) Read the entire page →
From page 139... ... relatively small part of total revenues, it constitutes the bulk of unrestricted funds, i.e., those not earmarked for such specific activities as research projects. Research and patient care provide 40 percent of total revenues of public schools and 50 percent of revenues of private schools. Read the entire page →
From page 140... ... TABLE 55 Distribution or Income by Source in Five Sampled Public Medical Schools, 1972-73 2 3 4 7 14 School \| School \| School \| School \| School Income source Total income 100% 100% 100% 100% 100% Education income sl 59 67 4g 57 Tuition and fees 2 a/ 4 4 2 Gifts and endowments 0 3 1 2 0 Teaching/training grants 10 8 11 ll 8 Other institutional support 0 1 ) 10 0 State general appropriation 34 4) Read the entire page →
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From page 142... ... TABLE 57 ‘Percent Change in Education Costs and Net Education Expenditures, per Medical Student from a 50 Percent Increase in Research Essential to Education, 1972-73 Clinical science Basic and clinical Basic science research research sciences research Net Net Net Education education Education education Education education School costs expenditures costs expenditures costs expenditures 1 4% 0% 9% 0% 13% 0% 2 6 0 6 0 12 0 3 5 0 7 0 12 0 y 4 a/ 9 \| a/ 13 a/ 5 6 0 8 0 14 0 6 6 6 8 7 14 7 7 6 0 8 8) Read the entire page →
From page 143... ... TABLE 58 Percent Change in Education Costs and Net Education Expenditures, per Medical Student from a 50 Percent Decrease in Research Essential to Education, 1972-73 Clinical science Basic and clinical Basic science research research sciences research Net Net Net Education education Education education Education education School costs expenditures costs expenditures costs expenditures 1 LE 0% 9% 0% 13% 0% 2 6 0 6 0 12 0 3 5 0 7 2 12 8 4 4 a/ 9 6 13 10 5 6 0 8 0 14 1 6 6 6 8 9 14 15 7 6 0 8 0 14 0 8 7 0 6 0 13 0 9 5 a/ 8 a/ 13 a/ 10 8 0 7 0 15 0 1l 4 0 9 0 13 0 12 4 2 6 6 10 11 13 7 NA 7 NA 14 NA 14 5 0 7 0 12 0 Average 6 a/ 8 2 13 3 a/ Less than 1 percent. Read the entire page →
From page 145... ... Attachment to Chapter 5 STUDY OF HOUSE OFFICER CONTRIBUTION TO MEDICAL EDUCATION The study group recognizes that there are several types of costs incurred by teaching hospitals that are primarily costs of education. Although time and resource limitations precluded a comprehensive analysis of all these costs, the study gioup conducted a pilot analysis of house officer tasks and roles at nine sampled medical schools affiliated with 27 teaching hospitals. Read the entire page →
From page 146... ... Study Methodology The methodology for analyzing house officer activities was Similar to that used for faculty. Time logs were sent to 3,400 house officers at nine medical schools along with instructions for recording their activities for a designated week. Read the entire page →
From page 147... ... FIGURE 5 House Officer Activity Analysis Format I GENERAL (please complete) Read the entire page →

From page 127...

... - Determine, from activity analysis, the average percent of time spent by faculty in the instruc- tion of medical students - Multiply those two figures and divide by the total number of medical students. These computations produce what is termed in this study the instruc- tional faculty/student ratio.