Preparing physicians for practice in managed care environments

Academic Medicine : Journal of the Association of American Medical Colleges
N Lurie

Abstract

The author first describes the evolution and characteristics of managed care and its emphasis on the care of populations as well as individuals. She then reviews managed care's implications for medical education; for example, managed care physicians must know non-office-based approaches to keeping their patients healthy. She identifies and defines eight domains of knowledge in which physicians must be competent for practice in environments dominated by managed care. These are epidemiologic thinking, human behavior, organizational behavior, information systems, quality measurement and improvement, health system financing and delivery, ethics, and systems based care. Teaching students to practice in managed care environments is a challenge partly because there are few role models of the new breed of physician among medical school faculties. The author suggests strategies and attitudes to remedy this situation (for example, faculty must understand that managed care is not homogeneous and that it is not all bad; medical schools should develop "master teachers" for the rest of the faculty; and interactive CD-ROM-driven problem-based learning sets could be used). Focusing on training faculty for the new era and on emphasizing the eig...Continue Reading

Citations

Sep 14, 2001·Medical Education·P Hall, L Weaver
Aug 5, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·M S PallerS L Freeman
Apr 12, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·K E Hauer, R M Wachter
Jun 13, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·H K RabinowitzD L Wood
Nov 15, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Antoinette S PetersRobert H Fletcher
Nov 15, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Kathleen M MazorJerry H Gurwitz
Jan 27, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·John D VossJoel M Schectman
Aug 27, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Mitesh S PatelMatthew M Davis
Jun 12, 2002·Nursing Forum·Elizabeth P Howard, Sharon Steinberg
Feb 28, 2004·Teaching and Learning in Medicine·John G FrohnaBrent C Williams
Jun 1, 1999·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·L R Faulkner, J D Bloom
Feb 14, 1998·Journal of General Internal Medicine·H D NelsonT G Cooney
Feb 5, 1999·Journal of General Internal Medicine·C M Clancy, N Lurie
Dec 24, 1997·Postgraduate Medicine·W E Jacott
Nov 7, 2003·Mayo Clinic Proceedings·Celia C KamathJuan M Bowen
Apr 12, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·F J MedioL McCurdy
Aug 10, 2000·The Joint Commission Journal on Quality Improvement·D K Miller, R M Coe
Jan 15, 2002·The Joint Commission Journal on Quality Improvement·Eric Henley

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