A pilot study of a practice management training module for medical residents

BMC Medical Education

Jamiu O Busari³  Albert J J A Scherpbier²  Ide C Heyligers⁵  Luc J I Zimmermann⁶  Arno M M Muijtjens¹  Lizanne Berkenbosch⁴ 

[1] Educational Development & Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200, MD, Maastricht, the Netherlands;Maastricht University medical Centre, P.O. Box 5800, 6202, AZ, Maastricht, the Netherlands;Department of Educational Research & Development, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200, MD, Maastricht, the Netherlands;School of Health Professions Education, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200, MD, Maastricht, the Netherlands;Department of Orthopaedic Surgery, Atrium Medical Center, Henri Dunantstraat 5, 6401CX Heerlen, The Netherlands;Department of Paediatrics, Maastricht University Centre Maastricht, P.O. Box 5800, 6202, AZ, Maastricht, the Netherlands

关键词: Postgraduate curriculum;    Competency;    Management training;    Medical residents;   

Others  :  866701
DOI  :  10.1186/1472-6920-14-107

 received in 2013-05-12, accepted in 2014-05-14,  发布年份 2014

【 摘 要 】

Background

In 2005 a competency based curriculum was introduced in the Dutch postgraduate medical training programs. While the manager’s role is one of the seven key competencies, there is still no formal management course in most postgraduate curricula. Based on a needs assessment we conducted, several themes were identified as important for a possible management training program. We present the results of the pilot training we performed to investigate two of these themes.

Methods

The topics “knowledge of the healthcare system” and “time management” were developed from the list of suggested management training themes. Fourteen residents participated in the training and twenty-four residents served as control. The training consisted of two sessions of four hours with a homework assignment in between. 50 True/false-questions were given as pre- and post-test to both the test and control groups to assess the level of acquired knowledge among the test group as well as the impact of the intervention. We also performed a qualitative evaluation using evaluation forms and in-depth interviews.

Results

All fourteen residents completed the training. Six residents in the control group were lost to follow up. The pre- and post-test showed improvement among the participating residents in comparison to the residents from the control group, but this improvement was not significant. The qualitative assessment showed that all residents evaluated the training positively and experienced it as a useful addition to their training in becoming a medical specialist.

Conclusion

Our training was evaluated positively and considered to be valuable. This study supports the need for mandatory medical management training as part of the postgraduate medical curriculum. Our training could be an example of how to teach two important themes in the broad area of medical management education.

【 授权许可】

   
2014 Berkenbosch et al.; licensee BioMed Central Ltd.

【 图 表 】

【 参考文献 】

• [1]Groenewegen PP, Hansen JJHHI, Bekke S: Professies en de toekomst: veranderende verhoudingen in de gezondheidszorg. Utrecht, the Netherlands: Springer; 2007.
• [2]Medical Professionalism http://knmg.artsennet.nl/Publicaties/KNMGpublicatie/Medical-professionalism-KNMG-manifesto-2007.htm webcite
• [3]Leu RE, Rutten FFH, Brouwer W, Matter P, Rütschi C: The Swiss and Dutch Health Insurance Systems: Universal Coverage and Regulated Competitive Insurance Markets. The Commonwealth Fund 2009, 104:1-40.
• [4]Thomson S, Osborn R, Squires D, Reed SJ: International Profiles of Health Care Systems, 2011. The Commonwealth Fund 2011, 1-20.
• [5]Rosenau PV, Lako CJ: An experiment with regulated competition and individual mandates for universal health care: the new Dutch health insurance system. J Health Polit Policy Law 2008, 33:1031-1055.
• [6]Modernisering medische vervolgopleidingen: nieuw kaderbesluit CCMS (Dutch) http://knmg.artsennet.nl/artikel/Modernisering-medische-vervolgopleidingennieuw-kaderbesluit-CCMS.htm webcite
• [7]The CanMEDS Framework http://www.royalcollege.ca/portal/page/portal/rc/canmeds/framework webcite
• [8]Busari JO, Berkenbosch L, Brouns JW: Physicians as managers of health care delivery and the implications for postgraduate medical training: a literature review. Teach Learn Med 2011, 23:186-196.
• [9]Berkenbosch L, Bax M, Scherpbier A, Heyligers I, Muijtjens AM, Busari JO: How Dutch medical specialists perceive the competencies and training needs of medical residents in healthcare management. Med Teach 2013, 35:e1090-e1102.
• [10]Berkenbosch L, Brouns JW, Heyligers I, Busari JO: How Dutch medical residents perceive their competency as manager in the revised postgraduate medical curriculum. Postgrad Med J 2011, 87:680-687.
• [11]Brouns JW, Berkenbosch L, Ploemen-Suijker FD, Heyligers I, Busari JO: Medical residents perceptions of the need for management education in the postgraduate curriculum: a preliminary study. Int J Med Educ 2010, 1:76-82.
• [12]Doezema D, McLaughlin S, Sklar DP: An approach to fulfilling the systems-based practice competency requirement. Acad Emerg Med 2002, 9:1355-1359.
• [13]Kerfoot BP, Conlin PR, Travison T, McMahon GT: Web-based education in systems-based practice: a randomized trial. Arch Intern Med 2007, 167:361-366.
• [14]Turley CB, Roach R, Marx M: Systems survivor: a program for house staff in systems-based practice. Teach Learn Med 2007, 19:128-138.
• [15]Allen E, Zerzan J, Choo C, Shenson D, Saha S: Teaching systems-based practice to residents by using independent study projects. Acad Med 2005, 80:125-128.
• [16]Kasuya RT, Nip IL: A retreat on leadership skills for residents. Acad Med 2001, 76:554.
• [17]Voss JD, Nadkarni MM, Schectman JM: The Clinical Health Economics System Simulation (CHESS): a teaching tool for systems- and practice-based learning. Acad Med 2005, 80:129-134.
• [18]David RA, Reich LM: The creation and evaluation of a systems-based practice/managed care curriculum in a primary care internal medicine residency program. Mt Sinai J Med 2005, 72:296-299.
• [19]Jones K, Lebron RA, Mangram A, Dunn E: Practice management education during surgical residency. Am J Surg 2008, 196:878-881. discussion 881–872
• [20]Kuo AK, Thyne SM, Chen HC, West DC, Kamei RK: An innovative residency program designed to develop leaders to improve the health of children. Acad Med 2010, 85:1603-1608.
• [21]Chan S: Management education during radiology residency: development of an educational practice. Acad Radiol 2004, 11:1308-1317.
• [22]Crites GE, Schuster RJ: A preliminary report of an educational intervention in practice management. BMC Med Educ 2004, 4:15. BioMed Central Full Text
• [23]Gill JB, Schutt RC Jr: Practice management education in orthopaedic surgical residencies. J Bone Joint Surg Am 2007, 89:216-219.
• [24]Maggi JD, Stergiopoulos V, Sockalingam S: Implementing a new physician manager curriculum into a psychiatry residency training program: the change process, barriers and facilitators. Psychiatr Q 2008, 79:21-31.
• [25]Essex B, Jackson RN: Moneymed: a game to develop management skills in general practice. J R Coll Gen Pract 1981, 31:735-739.
• [26]LoPresti L, Ginn P, Treat R: Using a simulated practice to improve practice management learning. Fam Med 2009, 41:640-645.
• [27]Hemmer PR, Karon BS, Hernandez JS, Cuthbert C, Fidler ME, Tazelaar HD: Leadership and management training for residents and fellows: a curriculum for future medical directors. Arch Pathol Lab Med 2007, 131:610-614.
• [28]Babitch LA: Teaching practice management skills to pediatric residents. Clin Pediatr (Phila) 2006, 45:846-849.
• [29]Bayard M, Peeples CR, Holt J, David DJ: An interactive approach to teaching practice management to family practice residents. Fam Med 2003, 35:622-624.
• [30]Horowitz RE, Naritoku W, Wagar EA: Management training for pathology residents: a regional approach. Arch Pathol Lab Med 2004, 128:59-63.
• [31]Aluise JJ: The physician as manager. “What” and “How” of practice management education. J Fam Pract 1977, 4:305-311.
• [32]Amin AN: A business of medicine curriculum for medical students. Med Educ 2005, 39:510-511.
• [33]Cordes DH, Rea DF, Rea J, Vuturo A: A program of management training for residents. Acad Med 1989, 64:45-46.
• [34]Kaur N, Singh T: Introducing medical students to health care management. Med Educ 2009, 43:1090-1091.
• [35]Lawson JG, McConnell JW: Teaching practice management in a family practice residency. J Med Educ 1976, 51:858-860.
• [36]Mirowitz SA: Development and assessment of a radiology core curriculum in health care policy and practice. Acad Radiol 2000, 7:540-550.
• [37]Sims KL, Darcy TP: A leadership-management training curriculum for pathology residents. Am J Clin Pathol 1997, 108:90-95.
• [38]Stergiopoulos V, Maggi J, Sockalingam S: Teaching the physician-manager role to psychiatric residents: development and implementation of a pilot curriculum. Acad Psychiatry 2009, 33:125-130.
• [39]Yu-Chin R: Teaching administration and management within psychiatric residency training. Acad Psychiatry 2002, 26:245-252.
• [40]Scott HM, Tangalos EG, Blomberg RA, Bender CE: Survey of physician leadership and management education. Mayo Clin Proc 1997, 72:659-662.