Abstract
BackgroundPractice management education continues to evolve, and little information exists regarding its curriculum design and effectiveness for resident education. We report the results of an exploratory study of a practice management curriculum for primary care residents.MethodsAfter performing a needs assessment with a group of primary care residents at Wright State University, we designed a monthly seminar series covering twelve practice management topics. The curriculum consisted of interactive lectures and practice-based application, whenever possible. We descriptively evaluated two cognitive components (practice management knowledge and skills) and the residents' evaluation of the curriculum.ResultsThe mean correct on the knowledge test for this group of residents was 74% (n = 12) and 91% (n = 12) before and after the curriculum, respectively. The mean scores for the practice management skill assessments were 2.62 before (n = 12), and 3.65 after (n = 12) the curriculum (modified Likert, 1 = strongly disagree, 5 = strongly agree). The residents rated the curriculum consistently high.ConclusionsThis exploratory study suggests that this curriculum may be useful in developing knowledge and skills in practice management for primary care residents. This study suggests further research into evaluation of this curriculum may be informative for practice-based education.
Highlights
Introduction to the Fee TicketE/M and PT Basics ICD-9 BasicsHealth System Overview Payment Systems How Physicians Get PaidReimbursable Diagnoses in Primary Care Using Modifiers Procedures and Medication CodingFinancial Goals Financial PlanningInsurance Contracts IPAs and Collective BargainingPartnerships Structures: Solo, Small Group, Multi-specialty Practices Physician Leadership and Consensus BuildingFinding Positions and Writing CVs The Interview Process Contract NegotiationsThe A/R Sheet Fiscal Targets Collections ManagementMinimizing Expenses in Primary Care Economics of Running a Primary Care PracticeStaffing Needs Assessment Hiring/Firing/EEO Payroll & Benefits Conflict ResolutionMinimizing Medico-legal Risk in Practice
In detail, a pilot practice management curriculum design using the evolving curricular theme for a group of primary care residents
Educational setting We developed the curriculum for the University Medicine/ Pediatrics Practice (UMP)
Summary
Introduction to the Fee TicketE/M and PT Basics ICD-9 BasicsHealth System Overview Payment Systems How Physicians Get PaidReimbursable Diagnoses in Primary Care Using Modifiers Procedures and Medication CodingFinancial Goals Financial PlanningInsurance Contracts IPAs and Collective BargainingPartnerships Structures: Solo, Small Group, Multi-specialty Practices Physician Leadership and Consensus BuildingFinding Positions and Writing CVs The Interview Process Contract NegotiationsThe A/R Sheet Fiscal Targets Collections ManagementMinimizing Expenses in Primary Care Economics of Running a Primary Care PracticeStaffing Needs Assessment Hiring/Firing/EEO Payroll & Benefits Conflict ResolutionMinimizing Medico-legal Risk in Practice. We report the results of an exploratory study of a practice management curriculum for primary care residents. Practice management education for residents has traditionally included training physicians in management issues related to the practice environment, including fiscal management, leadership skills, business and management skills, and managed care concepts [1]. This report, which was synthesized from nine component reports of national medical educational organizations, recommended future curriculum development beyond the traditional scope of managed care curriculum. It recommended redefining practice management as a curricular domain of fiscal, business, and practice system management skills distinct from (page number not for citation purposes)
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