 |
|
Medical Student Education in Managed Care SettingsBeyond HMOs
Jon Veloski, MS;
Barbara Barzansky, PhD;
David B. Nash, MD, MBA;
Stanford Bastacky, DMD, MHSA;
David P. Stevens, MD
JAMA. 1996;276(9):667-671.
Abstract
| |
Objective.
—To describe the educational experiences of students in managed care settings and to compare these with recommendations for preparing physicians to practice in managed care.
Desing.
—We searched MEDLINE using the keywords "medical education," "managed care," "health maintenance organization," and others; we manually checked the reference lists of identified articles and reports from 1969 to 1996. Survey information was obtained from all US medical schools in 1995 and 1996. Site visits were made to 6 managed care organizations selected according to size, geographic region, and involvement in education.
Main Outcome Measures.
—The extent to which schools use managed care settings for clinical education, the types of settings used, and the kinds of educational programs experienced.
Results.
—In 1995 and 1996, an average of 16% of schools required all students to have clerkships or other clinical experiences in a group/staff model HMO, and some students from another 46% of schools spent time in an HMO for clerkships or physical diagnosis/introduction to clinical medicine courses. About 85% of schools potentially exposed students to other types of managed care during 1 or more required clinical experiences in ambulatory, community-based settings. The learning objectives of these experiences did not explicitly address features unique to managed care such as cost containment and disease prevention.
Conclusion.
—The selection of managed care settings for undergraduate education is based on general clinical objectives rather than explicit goals tied to managed care. Whether these experiences in managed care settings help students to develop competencies for future practice in a managed care environment has not been demonstrated. While the feasibility of medical education in nonprofit group/ staff model HMOs is well documented, it is not certain whether these models can be adapted to for-profit managed care settings.
Author Affiliations
From the Center for Research in Medical Education and Health Care (Mr Veloski), Office of Health Policy and Clinical Outcomes (Dr Nash), Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pa; Division of Undergraduate Medical Education, American Medical Association, Chicago, III (Dr Barzansky); Division of Medicine, Bureau of Health Professions, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, Md (Dr Bastacky); Office of the Dean, Case Western Reserve University School of Medicine, Cleveland, Ohio (Dr Stevens).
Footnotes
Reprints: Jon Veloski, MS, Center for Research in Medical Education and Health Care, Jefferson Medical College, 1025 Walnut St, Philadelphia, PA 19107.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
The Market Pushes Education From Ward to Office, From Acute to Chronic Illness and Prevention: Will Case Method Teaching-Learning Change?
Stoeckle
Arch Intern Med 2000;160:273-280.
FULL TEXT
The Changing Health Care System: A Research Agenda for Medical Education
Xu et al.
Eval Health Prof 1999;22:152-168.
ABSTRACT
Perceptions of Medical School Seniors of the Current Changes in the U.S. Health Care System
Hojat et al.
Eval Health Prof 1999;22:169-183.
ABSTRACT
Views of Managed Care -- A Survey of Students, Residents, Faculty, and Deans at Medical Schools in the United States
Simon et al.
NEJM 1999;340:928-936.
ABSTRACT
| FULL TEXT
Pediatric Education and Managed Care: A Literature Review
Pan and Finkelstein
Pediatrics 1998;101:739-745.
ABSTRACT
| FULL TEXT
Medical Education and Marketplace Competition
Coggan
JAMA 1997;277:1037-1037.
ABSTRACT
Current Concepts Review - Managed Care: Form, Function, and Evolution
GOTTLIEB and EINHORN
JBJS 1997;79:125-36.
FULL TEXT
Managed Care and Medical Education: The New Fundamentals
Blumenthal and Thier
JAMA 1996;276:725-727.
ABSTRACT
|
