Background: The teaching provided by medical school faculty members ha
s not to date been measured systematically. To address this shortcomin
g, we propose the Relative Value Scale in Teaching (RVST). Description
: RVST assigns a relative weight to each teaching activity. Each reach
er accrues relative value units (RVUs) for each teaching activity acco
rding to the formula, RVU = hours x weight. Total RVUs for each teache
r are then summed. Evaluation: Feedback was provided by faculty focus
groups, relating the activities of diverse types of teachers to a comm
on point of reference, and seeking to attain consensus among the facul
ty. Conclusions: RVST provides a quantitative instrument for measuring
the reaching activities of faculty. This instrument can be used for s
etting teaching expectations; for promotion and tenure decisions; for
compensating teachers for reaching; for balancing teaching responsibil
ities among the faculty; and for distributing college funds among the
departments.