Advertisement

Competencies for population-based clinical managers

A survey of managed care medical directors

      Abstract

      Background: The evolution of American health care into integrated systems of delivery and finance requires a specialized set of population-based skills for physicians. The field of preventive medicine represents one source of this expertise. Specific competencies for the emerging area of managerial medicine have not been well delineated.
      Methods: Using concept documents from the Residency Review Committee for Preventive Medicine and the American Board of Preventive Medicine, a list of proposed competencies for managerial medicine was identified. Surveys were mailed to medical directors of all members of the American Association of Health Plans and to a random sample of diplomates of the American Board of Preventive Medicine. Respondents were asked to rate the importance of these competencies for a population-oriented clinician manager.
      Results: Areas rated highly by medical directors included health services research (including outcomes research), quality assurance and improvement, health risk assessment and reduction, programmatic skills, and clinical preventive skills. Responses from preventive medicine specialists were similar, but placed lower emphasis on these skills.
      Conclusion: Despite its limited response rate, this survey may be useful in the implementation of specialty training in managerial medicine. Residency training programs may choose to emphasize specific content areas that reflect the priorities expressed by physicians actively involved in management.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Pew Health Professions Commission
        Critical challenges. UCSF Center for the Health Professions, San Francisco1995
      1. Council on Graduate Medical Education. Manged health care: implications for the physician workforce and medical education. Rockville, Maryland: U.S. Department of Health and Human Services; 1995.

        • Greenlick M.R
        Educating physicians for population-based clinical practice.
        JAMA. 1992; 267: 1645-1648
        • Melville S.K
        • Coghlin J
        Population-based medical education. U.S. Department of Health and Human Services, Rockville, Maryland1995
      2. Centers for Disease Control and Prevention. Prevention and managed care: opportunities for managed care organizations, purchasers of health care, and public health agencies. MMWR 1995;44(No. RR-14):1–12.

        • Eggert R.W
        • Parkinson M.D
        Preventive medicine and health system reform.
        JAMA. 1994; 272: 688-693
        • Rivo M.L
        • Saultz J.W
        • Wartman S.A
        • DeWitt T.G
        Defining the generalist physician’s training.
        JAMA. 1994; 271: 1499-1504
      3. Accreditation Council for Graduate Medical Education. Proposed program requirements for managerial medicine. Chicago: Accreditation Council for Graduate Medical Education; November 6, 1997.

      4. Group Health Association of America. GHAA’s 1994 primary care physicians: recommendations to reform medical education. Competencies needed to practice in HMOs. Washington: Group Health Association of America, Inc.; 1995.

        • Jacobs M.O
        • Mott P.D
        Physician characteristics and training emphasis considered desirable by leaders of HMOs.
        J Med Educ. 1987; 62: 725-731
        • Bokor A
        • Halbert R.J
        • Joslyn K
        • Neumann A
        The preventive medicine manager.
        Am J Prev Med. 1996; 12: 143-144
      5. Residency Review Committee for Preventive Medicine. Proposed program requirements for medical management. Chicago: Accreditation Council for Graduate Medical Education; October 31, 1995.

        • Lane D.S
        • Ross V
        • Parkinson M.D
        • Chen D.W
        Performance indicators for assessing competencies of preventive medicine residents.
        Am J Prev Med. 1995; 11: 1-8
      6. Epi Info, version 6.04. Atlanta: Centers for Disease Control; 1996.

      7. SPSS version 6.1 for Windows and SPSS version 6.1.1 for Power Macintosh. Chicago: SPSS, Inc.; 1995.

        • Dysinger W.S
        Preventive medicine training and managed care.
        Am J Prev Med. 1996; 12: 145-150