Competencies for population-based clinical managers: A survey of managed care medical directors

R.J Halbert; Alexander Bokor; Rowena Castrence-Nazareno; MichaelD Parkinson; CharlesE Lewis

doi:10.1016/S0749-3797(98)00020-8

Review and Special Articles| Volume 15, ISSUE 1, P65-70, July 1998

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Competencies for population-based clinical managers

A survey of managed care medical directors

R.J Halbert, MD, MPH
R.J Halbert
Correspondence
Address reprint to R.J. Halbert, M.D., M.P.H., Director of Clinical Operations, Quality Initiatives Division, Foundation Health Systems, Inc., 21600 Oxnard Street, 11^th Floor, Woodland Hills, California 91367
Affiliations
Preventive Medicine Residency (Halbert, Castrence-Nazareno; Lewis), University of California Los Angeles, Los Angeles, California 90095-1772 USA
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Alexander Bokor, MD, MPH
Alexander Bokor
Affiliations
Inter Valley Health Plan (Bokor), Pomona, California 91769-6002 USA
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Rowena Castrence-Nazareno, MD, MPH
Rowena Castrence-Nazareno
Affiliations
Preventive Medicine Residency (Halbert, Castrence-Nazareno; Lewis), University of California Los Angeles, Los Angeles, California 90095-1772 USA
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MichaelD Parkinson, MD, MPH
MichaelD Parkinson
Affiliations
Office of the U.S. Air Force Surgeon General (Parkinson), Bolling AFB, Washington, DC 20332-7050 USA
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CharlesE Lewis, MD
CharlesE Lewis
Affiliations
Preventive Medicine Residency (Halbert, Castrence-Nazareno; Lewis), University of California Los Angeles, Los Angeles, California 90095-1772 USA
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DOI:https://doi.org/10.1016/S0749-3797(98)00020-8

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.

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DOI: https://doi.org/10.1016/S0749-3797(98)00020-8

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