Why a Business Curriculum?
In 2021 and beyond, physicians need training and preparation before they sign a contract and enter their first practice location. Our internal surveys have identified a need in our graduates for training in the areas of healthcare reimbursement, population medicine, advanced communication with patients, EHR documentation and leading clinical teams. Our faculty has responded with the IM Business Curriculum, a modular approach to ongoing education in all these areas during resident learning months in the IMC.
Business-Oriented Practice Skills
The Accreditation Council for Graduate Medical Education (ACGME) has identified specific skills that graduates from current residencies need to practice competently in order to successfully transition to a position in healthcare. These skills are wide ranging and include effective communication with patients and colleagues, working effectively as a leader in health teams, maintaining timely medical records (ACGME Common Program Requirements 2020, IV.B.e.(1)), working effectively in various health care settings, advocating for quality care and optimal patient care systems, incorporating cost and understanding health care finances and its impact on individual patients' health decisions (ACGME 2020, IV.B1.f).(1).g). The IM Business Curriculum creates a flexible structure in which to train for these skills.
The Triple and Quadruple Aim
The Institute for Healthcare Improvement Triple Aim is a framework that describes an approach to optimizing health system performance while advancing in three dimensions. Every health system organizes its own quality improvement efforts within these dimensions:
- Improving the patient experience of quality and care (including quality and satisfaction)
- Improving the health of populations
- Reducing the per capita cost of health care
The Quadruple Aim adds a fourth critical dimension that affects all the others: improving the work life of health workers. Health care workforce burnout is associated with lower patient satisfaction, reduced health outcomes and increased costs, imperiling the Triple Aim.
Since our graduates will join health care teams seeking to improve care in each of these areas, each of the IM Business Curriculum modules is designed to prepare residents within one or more of these dimensions.
This part of the IM Business Curriculum is about residents themselves. We want them to feel great about the care they are providing patients, day in and day out. Listening well to patients, solving quality issues in a health system and leading a clinical team that thrives all contribute to physician wellness and satisfaction. We want our graduates to thrive in the practices they join and to build on the skills they developed during residency. Physician wellness improves outcomes, starting with the physician.
Course Overview: Modules
The IM Business Curriculum is organized by module. Each IMC month, residents are assigned to use one half day to master the material outlined by 2 modules based on their PGY year. Transitional Year and Preliminary residents generally receive Modules 1.0 and 2.0.
If there is Pre-Work to do for your module, you will receive a link with details about how to prepare for your learning experience.
Most modules include Pre-Work, a Face to Face Learning component and an Application Activity. Each module has a resource section on this page.
- Module 1.0 Healthcare Reimbursement ABC's; Documenting an outpatient visit in 2021
- Module 2.0 Clinical Communication Skills: create a therapeutic relationship; shared decision making
- Module 3.0 Population Health: Generating a Practice Report
- Module 4.0 Leading Clinical Teams