PMID- 12431927
OWN - NLM
STAT- MEDLINE
DCOM- 20021204
LR  - 20220316
IS  - 1040-2446 (Print)
IS  - 1040-2446 (Linking)
VI  - 77
IP  - 11
DP  - 2002 Nov
TI  - Managed care education: what medical students are telling us.
PG  - 1128-33
AB  - PURPOSE: To examine graduating medical students' perceptions of the adequacy of 
      instruction in managed care and in 11 curricular content areas identified by 
      experts as a necessary part of managed care education. This study sought to 
      determine whether medical students perceived these content areas as relevant to 
      managed care and to evaluate the extent to which students' perceptions of the 
      adequacy of instruction varied as a function of managed care penetration in the 
      locations of their respective medical schools. METHOD: Data from the Association 
      of American Medical Colleges' 1999 Medical School Graduation Questionnaire (GQ) 
      were analyzed. Students' ratings of adequacy of instruction were summarized. 
      Correlations between ratings of instruction in managed care and 11 related 
      content areas were calculated, as well as correlations between managed care 
      penetration in the locations of the students' schools and the proportion of 
      students rating instruction as inadequate. RESULTS: A majority of 1999 medical 
      school graduates (60%) rated instruction in managed care as inadequate; other 
      content areas to which majorities of graduates gave inadequate ratings were 
      practice management (72%), quality assurance (57%), medical care cost control 
      (57%), and cost-effective medical practice (56%). Ratings in these four content 
      areas were highly correlated with ratings of instruction in managed care. The 
      correlation between managed care penetration and rating of instruction in managed 
      care was statistically significant (r = -.37); correlations between managed care 
      penetration and instruction in the other content areas were not. CONCLUSIONS: On 
      the 1999 GQ, a majority of medical students responded that they felt they had not 
      received adequate instruction in managed care. Further, the responses suggest 
      that these medical students defined managed care in terms of managing costs, 
      rather than managing health care, or developing population-based approaches to 
      the delivery of health care.
FAU - Mazor, Kathleen M
AU  - Mazor KM
AD  - Meyers Primary Care Institute, University of Massachusetts Medical School and 
      Fallon Healthcare System, Worcester 01605, USA. Kathleen.Mazor@unassmed.edu
FAU - Campbell, Eric G
AU  - Campbell EG
FAU - Field, Terry
AU  - Field T
FAU - Purwono, Urip
AU  - Purwono U
FAU - Peterson, Dawn
AU  - Peterson D
FAU - Lockwood, John H
AU  - Lockwood JH
FAU - Weissman, Joel S
AU  - Weissman JS
FAU - Gurwitz, Jerry H
AU  - Gurwitz JH
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Acad Med
JT  - Academic medicine : journal of the Association of American Medical Colleges
JID - 8904605
SB  - IM
MH  - *Attitude of Health Personnel
MH  - *Education, Medical, Undergraduate
MH  - Humans
MH  - Managed Care Programs/*organization & administration
MH  - Students, Medical/*psychology
MH  - Surveys and Questionnaires
EDAT- 2002/11/15 04:00
MHDA- 2002/12/05 04:00
CRDT- 2002/11/15 04:00
PHST- 2002/11/15 04:00 [pubmed]
PHST- 2002/12/05 04:00 [medline]
PHST- 2002/11/15 04:00 [entrez]
AID - 10.1097/00001888-200211000-00015 [doi]
PST - ppublish
SO  - Acad Med. 2002 Nov;77(11):1128-33. doi: 10.1097/00001888-200211000-00015.