Skip to main content
Top
Published in: Journal of Anesthesia 5/2010

01-10-2010 | Short Communication

Facilitating the transition to practice: a weekend retreat curriculum for business-of-medicine education of United States anesthesiology residents

Authors: Elena J. Holak, Olga Kaslow, Paul S. Pagel

Published in: Journal of Anesthesia | Issue 5/2010

Login to get access

Abstract

Anesthesiology residents in the United States (US) not only must develop the clinical skills needed to provide independent patient care, but also are required to become familiar with the business aspects of the modern health care system. Unfortunately, practice management education may be inadequate during anesthesiology residency training. The authors describe the design and implementation of a weekend retreat curriculum in business-of-medicine education for anesthesiology residents. Experts were recruited to discuss interviewing skills, contract law and negotiation, billing and reimbursement, insurance, malpractice, and financial planning. A strict lecture didactic format was avoided, and presentations were designed to encourage speaker–audience interaction. The program was relatively simple to design and implement, satisfied several Accreditation Council of Graduate Medical Education core competencies for US anesthesiology education, may be altered as practice management evolves, and may be adapted to accommodate the needs of programs in other countries.
Literature
1.
go back to reference Gill JB, Schutt RC Jr. Practice management education in orthopaedic surgical residencies. J Bone Joint Surg (Am). 2007;89:216–9.CrossRef Gill JB, Schutt RC Jr. Practice management education in orthopaedic surgical residencies. J Bone Joint Surg (Am). 2007;89:216–9.CrossRef
2.
go back to reference Jones K, Lebron RA, Mangram A, Dunn E. Practice management education during surgical residency. Am J Surg. 2008;196:878–82.CrossRefPubMed Jones K, Lebron RA, Mangram A, Dunn E. Practice management education during surgical residency. Am J Surg. 2008;196:878–82.CrossRefPubMed
3.
go back to reference American College of Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Anesthesiology, IV.A.5.b.(1). Chicago: American College of Graduate Medical Education; 2008:22. American College of Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Anesthesiology, IV.A.5.b.(1). Chicago: American College of Graduate Medical Education; 2008:22.
4.
go back to reference Ridky J, Bennett T. Training surgery residents in group practice management. Med Group Manage J. 1991;38:38–9.PubMed Ridky J, Bennett T. Training surgery residents in group practice management. Med Group Manage J. 1991;38:38–9.PubMed
5.
go back to reference Piatt JP, Bartley DL, Jacobson AD, Rimsza ME. Practice management training for pediatric residents. Am J Dis Child. 1991;145:299–301.PubMed Piatt JP, Bartley DL, Jacobson AD, Rimsza ME. Practice management training for pediatric residents. Am J Dis Child. 1991;145:299–301.PubMed
6.
go back to reference Frank RA. Practice management education––are residency programs properly preparing physicians for the 21st century? Coll Rev. 1993;10:22–47.PubMed Frank RA. Practice management education––are residency programs properly preparing physicians for the 21st century? Coll Rev. 1993;10:22–47.PubMed
7.
go back to reference Frank RA. The physician manager. Practice management education in the 21st century. Med Group Manage J. 1997;44:83–4.PubMed Frank RA. The physician manager. Practice management education in the 21st century. Med Group Manage J. 1997;44:83–4.PubMed
8.
go back to reference Rose EA, Neale AV, Rathur WA. Teaching practice management during residency. Fam Med. 1999;31:107–13.PubMed Rose EA, Neale AV, Rathur WA. Teaching practice management during residency. Fam Med. 1999;31:107–13.PubMed
9.
go back to reference Williford LE, Ling FW, Summitt RL Jr, Stovall TG. Practice management in obstetrics and gynecology residency curriculum. Obstet Gynecol. 1999;94:476–9.CrossRefPubMed Williford LE, Ling FW, Summitt RL Jr, Stovall TG. Practice management in obstetrics and gynecology residency curriculum. Obstet Gynecol. 1999;94:476–9.CrossRefPubMed
10.
go back to reference Babitch LA. Teaching practice management skills to pediatric residents. Clin Pediatr. 2006;45:846–9.CrossRef Babitch LA. Teaching practice management skills to pediatric residents. Clin Pediatr. 2006;45:846–9.CrossRef
11.
go back to reference Bayard M, Peeples CR, Holt J, David DJ. An interactive approach to teaching practice management to family practice residents. Fam Med. 2003;35:622–4.PubMed Bayard M, Peeples CR, Holt J, David DJ. An interactive approach to teaching practice management to family practice residents. Fam Med. 2003;35:622–4.PubMed
12.
go back to reference Fakhry SM, Robinson L, Hendershot K, Reines HD. Surgical residents’ knowledge of documentation and coding for professional services: an opportunity for a focused educational offering. Am J Surg. 2007;194:263–7.CrossRefPubMed Fakhry SM, Robinson L, Hendershot K, Reines HD. Surgical residents’ knowledge of documentation and coding for professional services: an opportunity for a focused educational offering. Am J Surg. 2007;194:263–7.CrossRefPubMed
13.
go back to reference DeWitt DE, Robins LS, Curtis JR, Burke W. Primary care residency graduates’ reported training needs. Acad Med. 2001;76:285.CrossRefPubMed DeWitt DE, Robins LS, Curtis JR, Burke W. Primary care residency graduates’ reported training needs. Acad Med. 2001;76:285.CrossRefPubMed
14.
go back to reference Stubbe DE, Thomas WJ. A survey of early-career child and adolescent psychiatrists: professional activities and perceptions. J Am Acad Child Adolesc Psychiatry. 2002;41:123–30.CrossRefPubMed Stubbe DE, Thomas WJ. A survey of early-career child and adolescent psychiatrists: professional activities and perceptions. J Am Acad Child Adolesc Psychiatry. 2002;41:123–30.CrossRefPubMed
15.
go back to reference Patel AT, Bohmer RM, Barbour JR, Fried MP. National assessment of business-of-medicine training and its implications for the development of a business-of-medicine curriculum. Laryngoscope. 2005;115:51–5.CrossRefPubMed Patel AT, Bohmer RM, Barbour JR, Fried MP. National assessment of business-of-medicine training and its implications for the development of a business-of-medicine curriculum. Laryngoscope. 2005;115:51–5.CrossRefPubMed
16.
go back to reference Williams LL. Teaching residents practice-management knowledge and skills: an in vivo experience. Acad Psychiatry. 2009;33:135–8.CrossRefPubMed Williams LL. Teaching residents practice-management knowledge and skills: an in vivo experience. Acad Psychiatry. 2009;33:135–8.CrossRefPubMed
17.
go back to reference Lock RL, Eichhorn JH. Practice and operating room management. In: Barash PG, Cullen BF, Stoelting RK, editors. Clinical anesthesia. 5th ed. Philadephia: Lippincott Williams & Wilkins; 2006. p. 27–62. Lock RL, Eichhorn JH. Practice and operating room management. In: Barash PG, Cullen BF, Stoelting RK, editors. Clinical anesthesia. 5th ed. Philadephia: Lippincott Williams & Wilkins; 2006. p. 27–62.
18.
go back to reference Mesisca PJ, Moss SC. Practice management. In: Longnecker DE, Brown DL, Newman MF, Zapol WM, editors. Anesthesiology. New York: McGraw Hill; 2008. p. 2172–81. Mesisca PJ, Moss SC. Practice management. In: Longnecker DE, Brown DL, Newman MF, Zapol WM, editors. Anesthesiology. New York: McGraw Hill; 2008. p. 2172–81.
19.
go back to reference Kindscher JD, Rockford M. Operating room management. In: Miller RD, editor. Miller’s anesthesia. 7th ed. Philadelphia: Churchill Livingstone Elsevier; 2009. p. 3023–40. Kindscher JD, Rockford M. Operating room management. In: Miller RD, editor. Miller’s anesthesia. 7th ed. Philadelphia: Churchill Livingstone Elsevier; 2009. p. 3023–40.
21.
go back to reference Cross DA, Seiden SC. Practice management: ASA efforts toward resident education in practice management. ASA Newsl. 2009;73:24–5. Cross DA, Seiden SC. Practice management: ASA efforts toward resident education in practice management. ASA Newsl. 2009;73:24–5.
22.
go back to reference Sessler AD, Ferrara Brudos N. FAER’s practice management resident scholar program gears up for another successful conference in 2010. ASA Newsl. 2009;73:50–1. Sessler AD, Ferrara Brudos N. FAER’s practice management resident scholar program gears up for another successful conference in 2010. ASA Newsl. 2009;73:50–1.
23.
go back to reference Kuo PC, Douglas AR, Oleski D, Jacobs DO, Schrooder RA. Determining benchmarks for evaluation and management coding in an academic division of general surgery. J Am Coll Surg. 2004;199:124–30.CrossRefPubMed Kuo PC, Douglas AR, Oleski D, Jacobs DO, Schrooder RA. Determining benchmarks for evaluation and management coding in an academic division of general surgery. J Am Coll Surg. 2004;199:124–30.CrossRefPubMed
24.
go back to reference Chan S. Management education during radiology residency: development of an educational practice. Acad Radiol. 2004;11:1308–17.CrossRefPubMed Chan S. Management education during radiology residency: development of an educational practice. Acad Radiol. 2004;11:1308–17.CrossRefPubMed
25.
go back to reference Capon N. Planning the development of builders, leaders, and managers for 21st-century business. Boston: Kluwer; 1996. Capon N. Planning the development of builders, leaders, and managers for 21st-century business. Boston: Kluwer; 1996.
26.
go back to reference Breitweiser D, Adye W, Arvidson M. Resident evaluation of current practice management training. J Fam Pract. 1981;13:1063–4. Breitweiser D, Adye W, Arvidson M. Resident evaluation of current practice management training. J Fam Pract. 1981;13:1063–4.
27.
go back to reference Stone MA. Family physicians’ evaluation of the practice management education received during residency training. Fam Med. 1994;26:101–5.PubMed Stone MA. Family physicians’ evaluation of the practice management education received during residency training. Fam Med. 1994;26:101–5.PubMed
28.
go back to reference Cantor JC, Baker LC, Hughes RG. Preparedness for practice. Young physicians’ views of their professional education. JAMA. 1993;270:1035–40.CrossRefPubMed Cantor JC, Baker LC, Hughes RG. Preparedness for practice. Young physicians’ views of their professional education. JAMA. 1993;270:1035–40.CrossRefPubMed
29.
go back to reference Adiga K, Buss M, Beasley BW. Perceived, actual, and desired knowledge regarding Medicare billing and reimbursement. A national needs assessment survey of internal medicine residents. J Gen Intern Med. 2006;21:466–70.CrossRefPubMed Adiga K, Buss M, Beasley BW. Perceived, actual, and desired knowledge regarding Medicare billing and reimbursement. A national needs assessment survey of internal medicine residents. J Gen Intern Med. 2006;21:466–70.CrossRefPubMed
30.
go back to reference Stubbe DE. Preparation for practice: child and adolescent psychiatry graduates’ assessment of training experiences. J Am Acad Child Adolesc Psychiatry. 2002;41:131–9.CrossRefPubMed Stubbe DE. Preparation for practice: child and adolescent psychiatry graduates’ assessment of training experiences. J Am Acad Child Adolesc Psychiatry. 2002;41:131–9.CrossRefPubMed
31.
go back to reference Lusco VC, Martinex SA, Polk HC Jr. Program directors in surgery agree that residents should be formally trained in business and practice management. Am J Surg. 2005;189:11–3.CrossRefPubMed Lusco VC, Martinex SA, Polk HC Jr. Program directors in surgery agree that residents should be formally trained in business and practice management. Am J Surg. 2005;189:11–3.CrossRefPubMed
32.
go back to reference Mabry CD. Surgical residents’ knowledge of documentation and coding for professional services: an opportunity for a focused educational offering. Am J Surg. 2007;194:268–9.CrossRefPubMed Mabry CD. Surgical residents’ knowledge of documentation and coding for professional services: an opportunity for a focused educational offering. Am J Surg. 2007;194:268–9.CrossRefPubMed
33.
go back to reference Ng M, Lawless ST. What if pediatric residents could bill for their outpatient services? Pediatrics. 2001;108:827–34.CrossRefPubMed Ng M, Lawless ST. What if pediatric residents could bill for their outpatient services? Pediatrics. 2001;108:827–34.CrossRefPubMed
34.
go back to reference Howell J, Chisholm C, Clark A, Spillane L. Emergency medicine resident documentation: results of the 1999 American Board of Emergency Medicine in-training examination survey. Acad Emerg Med. 2000;7:1135–8.CrossRefPubMed Howell J, Chisholm C, Clark A, Spillane L. Emergency medicine resident documentation: results of the 1999 American Board of Emergency Medicine in-training examination survey. Acad Emerg Med. 2000;7:1135–8.CrossRefPubMed
35.
go back to reference Cordes DH, Rea DF, Rea J, Vuturo A. A program of management training for residents. Acad Med. 1989;64:45–6.CrossRefPubMed Cordes DH, Rea DF, Rea J, Vuturo A. A program of management training for residents. Acad Med. 1989;64:45–6.CrossRefPubMed
36.
go back to reference David RA, Reich LM. The creation and evaluation of a systems-based practice/managed care curriculum in a primary care internal medicine residency program. Mt Sinai J Med. 2005;72:296–9.PubMed David RA, Reich LM. The creation and evaluation of a systems-based practice/managed care curriculum in a primary care internal medicine residency program. Mt Sinai J Med. 2005;72:296–9.PubMed
37.
go back to reference Crites GE, Schuster RJ. A preliminary report of an educational intervention in practice management. BMC Med Edu. 2004;4:15.CrossRef Crites GE, Schuster RJ. A preliminary report of an educational intervention in practice management. BMC Med Edu. 2004;4:15.CrossRef
38.
go back to reference Tsai JC, Lee PP, Chasteen S, Taylor RJ, Brennan MW, Schmidt GE. Resident physician mentoring program in ophthalmology: the Tennessee experience. Arch Ophthalmol. 2006;124:264–7.CrossRefPubMed Tsai JC, Lee PP, Chasteen S, Taylor RJ, Brennan MW, Schmidt GE. Resident physician mentoring program in ophthalmology: the Tennessee experience. Arch Ophthalmol. 2006;124:264–7.CrossRefPubMed
39.
go back to reference Wichman CL, Netzel PJ, Menaker R. Preparing psychiatric residents for the “real world”: a practice management curriculum. Acad Psychiatry. 2009;33:131–4.CrossRefPubMed Wichman CL, Netzel PJ, Menaker R. Preparing psychiatric residents for the “real world”: a practice management curriculum. Acad Psychiatry. 2009;33:131–4.CrossRefPubMed
Metadata
Title
Facilitating the transition to practice: a weekend retreat curriculum for business-of-medicine education of United States anesthesiology residents
Authors
Elena J. Holak
Olga Kaslow
Paul S. Pagel
Publication date
01-10-2010
Publisher
Springer Japan
Published in
Journal of Anesthesia / Issue 5/2010
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-010-0973-7

Other articles of this Issue 5/2010

Journal of Anesthesia 5/2010 Go to the issue