Competencies for population-based clinical managers: A survey of managed care medical directors |
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| Institution: | 1. Preventive Medicine Residency (Halbert, Castrence-Nazareno; Lewis), University of California Los Angeles, Los Angeles, California 90095-1772 USA;2. Inter Valley Health Plan (Bokor), Pomona, California 91769-6002 USA;3. Office of the U.S. Air Force Surgeon General (Parkinson), Bolling AFB, Washington, DC 20332-7050 USA;1. CS La Eliana, Valencia, Spain;2. CS Villamuriel de Cerrato, Palencia, Spain;3. Unidad Neumología Pediátrica, Hospital Universitario Clínico San Carlos, Madrid, Spain;4. CS La Candelaria, Sevilla, Spain;1. Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands;2. Department of Medical Oncology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands;3. Department of Radiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands;4. Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands;5. Department of Surgery, Amsterdam UMC, VU University, Cancer Center Amsterdam, Amsterdam, The Netherlands;6. Department of Surgery, Medical Spectrum Twente, Enschede, The Netherlands;7. Department of Surgery, Erasmus Medical Center, Rotterdam, The Netherlands;8. Department of Surgery, Radboud UMC, Nijmegen, The Netherlands;1. Department of Neurology, Chang-Gung Memorial Hospital, Keelung Branch, No. 222, Mai-Jin Road, Keelung 204, Taiwan;2. Department of Medicine, College of Medicine, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan 333, Taiwan;1. H. Milton Stewart School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, Ga;2. Department of Pediatrics, School of Medicine, Emory University, Atlanta, Ga;1. Department of Pediatrics, Mount Sinai Hospital, Icahn School of Medicine, New York, New York;2. Private Medical Practice, New York, New York;3. Division of Adolescent Medicine, Children''s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York;4. Division of Academic General Pediatrics, Children''s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York |
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| 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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