Practice transition in graduate medical education

• Published in: The clinical teacher 2017-10, Vol.14 (5), p.344-348
• Main Authors: Shaffer, Robyn, Piro, Nancy, Katznelson, Laurence, Gephart, Melanie Hayden
• Format: Article
• Language: English
• Subjects: Adult; Curriculum; Education, Medical, Graduate - methods; Female; Humans; Internship and Residency; Male; Practice Management; Surveys and Questionnaires
• ISSN: 1743-4971; 1743-498X
• DOI: 10.1111/tct.12593

Summary Background Debt repayment, professional negotiation and practice management skills are vital to a successful medical practice, yet are undervalued and seldom taught in graduate medical education. Medical residents need additional training to confidently transition to independent practice, requiring the development of novel curricula. Medical residents need additional training to confidently transition to independent practice Methods We developed a trial practice management curriculum to educate senior residents and fellows through voluntary workshops. Topics discussed in the workshops included debt repayment, billing compliance, medical malpractice, contract negotiations, and lifestyle and financial management. Resident self‐confidence was assessed, and feedback was obtained through voluntary survey responses before and after attendance at a workshop, scored using a Likert scale. Results Twenty‐five residents from 20 specialties attended a 1‐day session incorporating all lectures; 53 residents from 17 specialties attended a re‐designed quarterly session with one or two topics per session. Survey evaluations completed before and after the workshop demonstrated an improvement in residents' self‐assessment of confidence in contract negotiations (p