BACKGROUND: The Systems-Based Practice competency expanded the scope of graduate medical education. Innovative approaches are needed to teach this material. PURPOSE: We have designed and implemented a rotation in Systems-Based Practice focused on the interrelationships of patient care, clinical revenue, and the physician's role within health care systems. METHODS: Experiential learning occurs during a 5-day rotation through 26 areas encompassing the clinical revenue cycle, guided by "expert" staff. Using a reversal of the TV show Survivor, house staff begin conceptually "alone" and discover they are members of a large, dedicated team. Assessment results, including a system knowledge test and course evaluations, are presented. RESULTS: Twenty-five residents from four clinical departments participated in Year 1. An increase in pretest to posttest knowledge scores of 14.8% (p <or= 0.001) was observed, with high program evaluations. CONCLUSIONS: "Systems Survivor" is successful in providing an innovative opportunity to explore complex health care systems and is an effective curriculum.
BACKGROUND: The Systems-Based Practice competency expanded the scope of graduate medical education. Innovative approaches are needed to teach this material. PURPOSE: We have designed and implemented a rotation in Systems-Based Practice focused on the interrelationships of patient care, clinical revenue, and the physician's role within health care systems. METHODS: Experiential learning occurs during a 5-day rotation through 26 areas encompassing the clinical revenue cycle, guided by "expert" staff. Using a reversal of the TV show Survivor, house staff begin conceptually "alone" and discover they are members of a large, dedicated team. Assessment results, including a system knowledge test and course evaluations, are presented. RESULTS: Twenty-five residents from four clinical departments participated in Year 1. An increase in pretest to posttest knowledge scores of 14.8% (p <or= 0.001) was observed, with high program evaluations. CONCLUSIONS: "Systems Survivor" is successful in providing an innovative opportunity to explore complex health care systems and is an effective curriculum.
Authors: Jacob R Gillen; Adriana G Ramirez; Diane W Farineau; Tracey R Hoke; Bruce D Schirmer; Michael D Williams; Christine L Lau Journal: J Surg Educ Date: 2016-06-29 Impact factor: 2.891
Authors: Lizanne Berkenbosch; Arno M M Muijtjens; Luc J I Zimmermann; Ide C Heyligers; Albert J J A Scherpbier; Jamiu O Busari Journal: BMC Med Educ Date: 2014-05-24 Impact factor: 2.463