A managed care curriculum developing a managed care curriculum for primarycare residents

Introduction Managed care in its numerous forms is continuing to change the face of the healthcare system in the United States. Impact of managed care on medical education As managed care continues to in vade the market? it has a substantial influence in shaping the parameters o f graduate medical education. Various surveys have shown that residents are under-trained in managed care principles and practice. There is a clear ne ed for a residency curriculum that fully prepares students to keep pace wit h modern markets. Educational methodology This manuscript describes a curriculum which emphas izes the role of the primary care physician, cost-effective practice, multi disciplinary practice and evidenced-based strategies. Educational methods a nd concepts presented here are based on the recommendations of healthcare e ducators, extensive literature searches and United States advisory panels. After the curriculum is completed, the resident will: 1 Practice cost-effectively under 100% capitation and learn proper risk man agement. 2 Utilize epidemiological thinking and community oriented primary care. 3 Function as a part of healthcare team and understand how to achieve cost- effecfive care for patients. 4 Practice the principles of continuous quality improvement and assess pati ent satisfaction. 5 Practice and adopt evidence-based medicine and guidelines. 6 Become skilled with computers including facility with literature searches , databases and the internet. 7 Practice a full spectrum of primary care emphasizing patient education an d psychosocial health. 8 Understand the ethical issues pertinent to managed carl practices. Evaluation The residency curriculum committee will evaluate the managed car e curricular elements on an on-going basis. Conclusion This comprehensive curriculum for primary care residents can hel p ensure success in the new healthcare marketplace.