Literature DB >> 21976087

Teaching and assessing systems-based practice: a pilot course in health care policy, finance, and law for radiation oncology residents.

James D Mitchell, Preeti Parhar, Ashwatha Narayana.   

Abstract

BACKGROUND: Under the Accreditation Council for Graduate Medical Education (ACGME) Outcome Project, residency programs are required to provide data on educational outcomes and evidence for how this information is used to improve resident education.
OBJECTIVE: To teach and assess systems-based practice through a course in health care policy, finance, and law for radiation oncology residents, and to determine its efficacy. METHODS AND MATERIALS: We designed a pilot course in health care policy, finance, and law related to radiation oncology. Invited experts gave lectures on policy issues important to radiation oncology and half of the participants attended the American Society for Therapeutic Radiation and Oncology (ASTRO) Advocacy Day. Participants completed pre- and postcourse tests to assess their knowledge of health policy.
RESULTS: Six radiation oncology residents participated, with 5 (84%) completing all components. For the 5 residents completing all assessments, the mean precourse score was 64% and the mean postcourse score was 84% (P  =  .05). Improvement was noted in all 3 sections of health policy, finance, and medical law. At the end of the course, 5 of 6 residents were motivated to learn about health policy, and 4 of 6 agreed it was important for physicians to be involved in policy matters.
CONCLUSIONS: Teaching radiation oncology residents systems-based practice through a course on health policy, finance, and law is feasible and was well received. Such a course can help teaching programs comply with the ACGME Outcome Project and would also be applicable to trainees in other specialties.

Entities:  

Year:  2010        PMID: 21976087      PMCID: PMC2951778          DOI: 10.4300/JGME-D-09-00092.1

Source DB:  PubMed          Journal:  J Grad Med Educ        ISSN: 1949-8357


  7 in total

1.  Implementation of a college-wide GME core curriculum.

Authors:  F J Medio; G W Arana; L McCurdy
Journal:  Acad Med       Date:  2001-04       Impact factor: 6.893

2.  The creation and evaluation of a systems-based practice/managed care curriculum in a primary care internal medicine residency program.

Authors:  Rand A David; Lawrence M Reich
Journal:  Mt Sinai J Med       Date:  2005-09

3.  Results of the Association of Directors of Radiation Oncology Programs (ADROP) survey of radiation oncology residency program directors.

Authors:  Eleanor E R Harris; May Abdel-Wahab; Ann E Spangler; Colleen A Lawton; Robert J Amdur
Journal:  Int J Radiat Oncol Biol Phys       Date:  2009-06-01       Impact factor: 7.038

4.  A systems approach for implementing practice-based learning and improvement and systems-based practice in graduate medical education.

Authors:  Prathibha Varkey; Sudhakar Karlapudi; Steven Rose; Roger Nelson; Mark Warner
Journal:  Acad Med       Date:  2009-03       Impact factor: 6.893

5.  Accreditation Council for Graduate Medical Education competencies: practice-based learning and systems-based practice.

Authors:  Eric J Moskowitz; David B Nash
Journal:  Am J Med Qual       Date:  2007 Sep-Oct       Impact factor: 1.852

6.  Integrating improvement competencies into residency education: a pilot project from a pediatric continuity clinic.

Authors:  Julie J Mohr; Greg D Randolph; Matthew M Laughon; Eva Schaff
Journal:  Ambul Pediatr       Date:  2003 May-Jun

7.  The outcomes card. Development of a systems-based practice educational tool.

Authors:  Anne Tomolo; Aleece Caron; Michelle L Perz; Troy Fultz; David C Aron
Journal:  J Gen Intern Med       Date:  2005-08       Impact factor: 5.128

  7 in total
  1 in total

Review 1.  A Systematic Review of Advocacy Curricula in Graduate Medical Education.

Authors:  Benjamin A Howell; Ross B Kristal; Lacey R Whitmire; Mark Gentry; Tracy L Rabin; Julie Rosenbaum
Journal:  J Gen Intern Med       Date:  2019-11       Impact factor: 5.128

  1 in total

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