To prepare their students and residents for the practice of medicine in a r
apidly changing environment, medical educators must teach the business of m
edicine as well as the science and art of medicine. Recognizing the value o
f and demand for physician leaders, the authors sought to introduce residen
ts to diverse aspects of medical administration within the context of an ac
ademically rigorous internal medicine residency program. The Physician Mana
gement Pathway (PMP) was developed in 1991 to expose interested residents t
o the management concepts employed by physician managers; to help physician
trainees begin to develop the leadership and technical skills they will us
e as physician managers; to provide career mentoring; to provide experience
s that enrich the resident's training in clinical medicine; to enhance resi
dent-directed educational activities; and to produce physicians who can suc
cessfully work in any health care environment. The PMP curriculum consists
of a monthly seminar series, a preceptorship experience in the second year
of residency, and a supervised project in the third year. The program was n
ot designed to provide competency in management, but rather is intended to
provide an opportunity for new physicians to explore options in this exciti
ng and changing profession.