F. ADMINISTRATIVE ROLES For physicians who have an administrative role, it is important to understand which roles are commonly funded and how (e.g., hospital/health system, AMC, medical school, group or practice performance), what the required level of effort (hours) is to perform the job, and what skills and expertise are required.

When negotiating administrative compensation, the role and expectations need to be clearly defined and recognized by health system leadership. To accomplish this, it is important to document the associated activities and hours the specific role requires. As a result of a carefully developed job description and ongoing documentation of time and activities, physicians are better equipped to negotiate for either additional monetary compensation or additional protected time, and sometimes they are able to negotiate for both.

Also, establishing performance metrics for administrative roles has shown to increase compensation for ID physicians and should be considered as a possible negotiation alternative. These performance metrics tend to be affiliated with the organization’s strategic plans and/or value-based contract revenue. IDSA will be releasing a Value-Based Arrangements Guide this spring, which will provide more information and guidance on this topic.

Commonly funded administrative roles include the following, which is not exhaustive of all funded administrative roles or titles: • Medical director of infection prevention and control; • Medical director of hospital epidemiology; • Medical director of antibiotic stewardship; • Medical director of special pathogens; • Medical director of travel medicine; • Medical director of wound care; • Associate medical director; • Section or division head of ID; • Medical director not otherwise specified; • Residency director; • Associate residency director; • Fellowship program director; • Associate fellowship program director; • Director of outpatient parenteral antibiotic therapy; • Director of outpatient clinic; • Chief or chair of medicine; • Chief executive officer; • Chief medical officer; • Chief quality officer; • Chief medical informatics officer; • Vice president; • Medical school roles (dean, associate dean, course director, etc.).

In addition to defining the role and expectations and establishing performance metrics when negotiating administrative compensation, it can be helpful to reference published reports and/or guidance documents that provide an assessment of the resources and requirements needed for a health care setting to effectively administer the programs for which you are being asked to take an administrative role. For example, such reports have been published that describe essential resources for antibiotic stewardship programs in the acute care setting as well as for infection prevention and epidemiology programs. Please note these are provided as examples only and were published prior to the COVID-19 pandemic and therefore may not be considered up to date.