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Related Experiment Videos

Preparing residents for managed care practice using an experience-based curriculum

A G Gomez1, C T Grimm, E F Yee

  • 1UCLA School of Medicine, Sepulveda Veterans Health Administration Medical Center, CA 91343, USA. artgomez@ucla.edu

Academic Medicine : Journal of the Association of American Medical Colleges
|December 5, 1997
PubMed
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Residency programs should integrate managed care education to equip physicians for practice. Early exposure to managed care principles in a supportive environment builds confidence and prepares residents for future healthcare policy involvement.

Area of Science:

  • Medical Education
  • Health Policy
  • Healthcare Management

Background:

  • Most U.S. residency graduates will practice within managed care organizations.
  • Physicians need skills in managed care activities like formulary prescribing and preauthorization.

Purpose of the Study:

  • To describe a curriculum designed to teach managed care skills to internal medicine residents.
  • To evaluate the impact of this curriculum on residents' attitudes and practices.

Main Methods:

  • Curriculum implemented in two internal medicine residency programs: one in a faculty practice plan, another simulating managed care in a public hospital.
  • Residents participated in ambulatory utilization review and problem-based learning.
  • Experiential exercises and feedback on resource utilization were key components.

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Main Results:

  • Residents trained with the curriculum showed changed attitudes toward managed care, perceiving it as less intrusive.
  • Referral patterns shifted, with fewer requests submitted, though undercare precautions may be needed.
  • Residents gained confidence in navigating managed care systems.

Conclusions:

  • Managed care curricula are a valuable investment for residency programs.
  • Early exposure to managed care in residency prepares physicians for practice and policy development.
  • Addressing potential undercare and time commitment are important considerations.