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Ernest L Dunn - One of the best experts on this subject based on the ideXlab platform.
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Practice Management education during surgical residency
American Journal of Surgery, 2008Co-Authors: Kory Jones, Ricardo Lebron, Alicia Mangram, Ernest L DunnAbstract:Abstract Background Surgical education has undergone radical changes in the past decade. The introductions of laparoscopic surgery and endovascular techniques have required program directors to alter surgical training. The 6 competencies are now in place. One issue that still needs to be addressed is the business aspect of surgical Practice. Often residents complete their training with minimal or no knowledge on coding of charges or basic aspects on how to set up a Practice. We present our program, which has been in place over the past 2 years and is designed to teach the residents Practice Management. Methods The program begins with a series of 10 lectures given monthly beginning in August. Topics include an introduction to types of Practices available, negotiating a contract, managed care, and marketing the Practice. Both medical and surgical residents attend these conferences. In addition, the surgical residents meet monthly with the business office to discuss billing and coding issues. These are didactic sessions combined with in-house chart reviews of surgical coding. The third phase of the Practice Management plan has the coding team along with the program director attend the outpatient clinic to review in real time the evaluation and Management coding of clinic visits. Results Resident evaluations were completed for each of the Practice Management lectures. The responses were recorded on a Likert scale. The scores ranged from 4.1 to 4.8 (average, 4.3). Highest scores were given to lectures concerning negotiating employee agreements, recruiting contracts, malPractice insurance, and risk Management. The medical education department has tracked resident coding compliance over the past 2 years. Surgical coding compliance increased from 36% to 88% over a 12-month period. The program director who participated in the educational process increased his accuracy from 50% to 90% over the same time period. Conclusions When residents finish their surgical training they need to be ready to enter the world of business. These needs will be present whether pursuing a career in academic medicine or the private sector. A program that focuses on the business aspect of surgery enables the residents to better navigate the future while helping to fulfill the systems-based Practice competency.
Kory Jones - One of the best experts on this subject based on the ideXlab platform.
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Practice Management education during surgical residency
American Journal of Surgery, 2008Co-Authors: Kory Jones, Ricardo Lebron, Alicia Mangram, Ernest L DunnAbstract:Abstract Background Surgical education has undergone radical changes in the past decade. The introductions of laparoscopic surgery and endovascular techniques have required program directors to alter surgical training. The 6 competencies are now in place. One issue that still needs to be addressed is the business aspect of surgical Practice. Often residents complete their training with minimal or no knowledge on coding of charges or basic aspects on how to set up a Practice. We present our program, which has been in place over the past 2 years and is designed to teach the residents Practice Management. Methods The program begins with a series of 10 lectures given monthly beginning in August. Topics include an introduction to types of Practices available, negotiating a contract, managed care, and marketing the Practice. Both medical and surgical residents attend these conferences. In addition, the surgical residents meet monthly with the business office to discuss billing and coding issues. These are didactic sessions combined with in-house chart reviews of surgical coding. The third phase of the Practice Management plan has the coding team along with the program director attend the outpatient clinic to review in real time the evaluation and Management coding of clinic visits. Results Resident evaluations were completed for each of the Practice Management lectures. The responses were recorded on a Likert scale. The scores ranged from 4.1 to 4.8 (average, 4.3). Highest scores were given to lectures concerning negotiating employee agreements, recruiting contracts, malPractice insurance, and risk Management. The medical education department has tracked resident coding compliance over the past 2 years. Surgical coding compliance increased from 36% to 88% over a 12-month period. The program director who participated in the educational process increased his accuracy from 50% to 90% over the same time period. Conclusions When residents finish their surgical training they need to be ready to enter the world of business. These needs will be present whether pursuing a career in academic medicine or the private sector. A program that focuses on the business aspect of surgery enables the residents to better navigate the future while helping to fulfill the systems-based Practice competency.
Alicia Mangram - One of the best experts on this subject based on the ideXlab platform.
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Practice Management education during surgical residency
American Journal of Surgery, 2008Co-Authors: Kory Jones, Ricardo Lebron, Alicia Mangram, Ernest L DunnAbstract:Abstract Background Surgical education has undergone radical changes in the past decade. The introductions of laparoscopic surgery and endovascular techniques have required program directors to alter surgical training. The 6 competencies are now in place. One issue that still needs to be addressed is the business aspect of surgical Practice. Often residents complete their training with minimal or no knowledge on coding of charges or basic aspects on how to set up a Practice. We present our program, which has been in place over the past 2 years and is designed to teach the residents Practice Management. Methods The program begins with a series of 10 lectures given monthly beginning in August. Topics include an introduction to types of Practices available, negotiating a contract, managed care, and marketing the Practice. Both medical and surgical residents attend these conferences. In addition, the surgical residents meet monthly with the business office to discuss billing and coding issues. These are didactic sessions combined with in-house chart reviews of surgical coding. The third phase of the Practice Management plan has the coding team along with the program director attend the outpatient clinic to review in real time the evaluation and Management coding of clinic visits. Results Resident evaluations were completed for each of the Practice Management lectures. The responses were recorded on a Likert scale. The scores ranged from 4.1 to 4.8 (average, 4.3). Highest scores were given to lectures concerning negotiating employee agreements, recruiting contracts, malPractice insurance, and risk Management. The medical education department has tracked resident coding compliance over the past 2 years. Surgical coding compliance increased from 36% to 88% over a 12-month period. The program director who participated in the educational process increased his accuracy from 50% to 90% over the same time period. Conclusions When residents finish their surgical training they need to be ready to enter the world of business. These needs will be present whether pursuing a career in academic medicine or the private sector. A program that focuses on the business aspect of surgery enables the residents to better navigate the future while helping to fulfill the systems-based Practice competency.
Ricardo Lebron - One of the best experts on this subject based on the ideXlab platform.
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Practice Management education during surgical residency
American Journal of Surgery, 2008Co-Authors: Kory Jones, Ricardo Lebron, Alicia Mangram, Ernest L DunnAbstract:Abstract Background Surgical education has undergone radical changes in the past decade. The introductions of laparoscopic surgery and endovascular techniques have required program directors to alter surgical training. The 6 competencies are now in place. One issue that still needs to be addressed is the business aspect of surgical Practice. Often residents complete their training with minimal or no knowledge on coding of charges or basic aspects on how to set up a Practice. We present our program, which has been in place over the past 2 years and is designed to teach the residents Practice Management. Methods The program begins with a series of 10 lectures given monthly beginning in August. Topics include an introduction to types of Practices available, negotiating a contract, managed care, and marketing the Practice. Both medical and surgical residents attend these conferences. In addition, the surgical residents meet monthly with the business office to discuss billing and coding issues. These are didactic sessions combined with in-house chart reviews of surgical coding. The third phase of the Practice Management plan has the coding team along with the program director attend the outpatient clinic to review in real time the evaluation and Management coding of clinic visits. Results Resident evaluations were completed for each of the Practice Management lectures. The responses were recorded on a Likert scale. The scores ranged from 4.1 to 4.8 (average, 4.3). Highest scores were given to lectures concerning negotiating employee agreements, recruiting contracts, malPractice insurance, and risk Management. The medical education department has tracked resident coding compliance over the past 2 years. Surgical coding compliance increased from 36% to 88% over a 12-month period. The program director who participated in the educational process increased his accuracy from 50% to 90% over the same time period. Conclusions When residents finish their surgical training they need to be ready to enter the world of business. These needs will be present whether pursuing a career in academic medicine or the private sector. A program that focuses on the business aspect of surgery enables the residents to better navigate the future while helping to fulfill the systems-based Practice competency.
Peter J. Carek - One of the best experts on this subject based on the ideXlab platform.
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Impact of Providing Data on Family Medicine Practice Management Education.
Family Medicine, 2020Co-Authors: John Malaty, Maribeth P. Williams, Peter J. CarekAbstract:BACKGROUND AND OBJECTIVES Residents need to learn about Practice Management, including how to improve the quality of their patient care utilizing Practice data. However, little is known about the effectiveness of providing Practice data to residents. This study examined the effectiveness of utilizing resident Practice Management reports. METHODS We provided residents quarterly Practice Management reports with individual resident data on coding compliance (determined by manual chart review by a certified coder), clinical productivity (number of clinic sessions, visits per session, relative value units [RVUs] per visit, and RVUs per session), and patient quality outcomes (rates of diabetes mellitus control, diabetic nephropathy screening/Management, hypertension control, influenza immunization, pneumococcal immunization, and colorectal cancer screening). We compared all data to national metrics. Quality outcome data was also provided by clinical team and with comparison to nonresidency departmental clinics. We surveyed residents before and after receiving these Practice Management reports to determine how they felt it prepared them for future Practice (on a 9-point Likert scale). RESULTS There was significant improvement in the ability to implement clinic-based processes to improve patient care (6.5 vs 5.6; P=.04) and learning about clinical productivity/financial aspects of practicing family medicine (6.3 vs 5.4; P=.03). Other areas had trends of improvement, although not statistically significant. CONCLUSIONS Providing residents with their clinic Practice data, with reference to team Practice data and national benchmarks further helps them learn and apply Practice Management, when superimposed on an existing infrastructure to teach Practice Management.
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How well are Practice Management curricula preparing family medicine residents
Family Medicine, 2006Co-Authors: Marcia L. Taylor, Mainous Ag, Amy V. Blue, Peter J. CarekAbstract:BACKGROUND: While emphasis has been placed on Practice Management curricula in residency, studies indicate that residents are not adequately prepared. To assess the effectiveness of current Practice Management skills training in residency, we examined the confidence levels of family medicine residents and recent graduates in Practice Management skills. METHODS: A survey was sent to family medicine residency programs within South Carolina. Participants ranked their confidence level in 13 Practice Management skills on a 5-point Likert scale. Analysis of covariance compared confidence levels in their skills while controlling for program, gender, and age. Residency directors of these programs were also surveyed about the content of their Practice Management programs. RESULTS: Residents and graduates rated their confidence in all areas moderately high. Graduates rated themselves significantly more confident than residents did in seven Practice Management skills. CONCLUSIONS: Family medicine Practice Management curricula appear to be effective in establishing confidence regarding Practice Management skills in residents and recent graduates.