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Related Experiment Videos

Training tomorrow's clinicians today--managed care essentials: a process for curriculum development.

C C Colenda1, W Wadland, O Hayes

  • 1Department of Psychiatry, Michigan State University, East Lansing, USA. christopher.colenda@ht.msu.edu

The American Journal of Managed Care
|September 8, 2000
PubMed
Summary

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A new managed care curriculum improved residents' knowledge but did not change negative attitudes toward managed care. Problem-based learning was a successful teaching method for primary care residents.

Area of Science:

  • Medical Education
  • Health Services Research

Background:

  • Managed care is a complex system impacting healthcare delivery.
  • Primary care residents require specific training in managed care principles and practice.

Purpose of the Study:

  • To develop and evaluate a managed care curriculum for primary care residents.
  • To assess resident attitudes and knowledge regarding managed care before and after curriculum delivery.

Main Methods:

  • A 4-stage curriculum development process was employed, focusing on organization and finance.
  • Problem-based learning with real-life clinical examples was the chosen delivery mechanism.
  • A cohort of postgraduate-year-1 primary care residents participated in the yearlong curriculum.

Main Results:

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  • Resident knowledge of managed care organization and finance significantly improved.
  • Attitudes toward managed care remained largely negative, particularly concerning finance and practitioner autonomy.
  • Residents reported high satisfaction with the problem-based learning approach.

Conclusions:

  • Problem-based learning is an effective method for teaching managed care concepts to residents.
  • Curriculum interventions may improve knowledge but not necessarily alter established negative attitudes toward managed care.