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Preparing physicians for practice in managed care environments

N Lurie1

  • 1University of Minnesota Schools of Medicine and Public Health, Minneapolis, USA. lurie001@maroon.tc.umn.edu

Academic Medicine : Journal of the Association of American Medical Colleges
|October 1, 1996
PubMed
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Managed care requires physicians to master eight new knowledge domains for population health. Medical schools must train faculty and students in these areas for effective practice.

Area of Science:

  • Medical Education
  • Health Systems Management

Background:

  • Managed care emphasizes population health alongside individual patient care.
  • Physicians in managed care settings require new skills beyond traditional clinical practice.

Purpose of the Study:

  • To identify essential knowledge domains for physicians practicing in managed care environments.
  • To propose strategies for adapting medical education to managed care principles.

Main Methods:

  • Literature review on managed care evolution and its impact on medical education.
  • Identification and definition of eight key competency domains for physicians.
  • Discussion of challenges and recommendations for faculty training and curriculum development.

Main Results:

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  • Eight critical knowledge domains identified: epidemiologic thinking, human behavior, organizational behavior, information systems, quality measurement and improvement, health system financing and delivery, ethics, and systems-based care.
  • Medical faculties often lack role models for the evolving physician role in managed care.
  • Interactive learning tools and faculty development are suggested to address educational gaps.

Conclusions:

  • Medical education must evolve to equip physicians with competencies for managed care.
  • Training faculty and emphasizing the eight knowledge domains are crucial for preparing physicians for contemporary healthcare.
  • These enhanced skills benefit physicians practicing both within and outside managed care systems.