title: Teaching medical management and operations engineering for systems-based practice to radiology residents.
abstract: OBJECTIVE
  To better prepare radiology residents for providing care within the context of the larger health care system, this study evaluated the feasibility and impact of a curriculum to enhance radiology residents' understanding and ability to apply concepts from medical management and industrial and operational engineering to systems-based practice problems in radiology practice.
  
  
  METHODS
  A multiprofessional team including radiology, medical education, and industrial and operational engineering professionals collaborated in developing a seven-module curriculum, including didactic lectures, interactive large-group analysis, and small-group discussions with case-based radiology examples, which illustrated real-life management issues and the roles physicians held. Residents and faculty participated in topic selection. Pre- and post-instruction formative assessments were administered, and results were shared with residents during teaching sessions.
  
  
  RESULTS
  Attendance and participation in case-based scenario resolutions indicate the feasibility and impact of the interactive curriculum on residents' interest and ability to apply curricular concepts to systems-based practice in radiology. Paired t test analyses (P < .05) and effect sizes showed residents significantly increased their knowledge and ability to apply concepts to systems-based practice issues in radiology.
  
  
  CONCLUSIONS
  Our iterative curriculum development and implementation process demonstrated need and support for a multiprofessional team approach to teach management and operational engineering concepts. Curriculum topics are congruent with Accreditation Council for Graduate Medical Education requirements for systems-based practice. The case-based curriculum using a mixed educational format of didactic lectures and small-group discussion and problem analysis could be adopted for other radiology programs, for both residents and continuing medical education applications.
authors: Department of Radiology, University of Michigan, 1500 E Medical Center, TC 2910, Ann Arbor, MI 48109, USA. catbrand@umich.edu
authors: Catherine J
authors: CJ
authors: Brandon
authors: Patricia B
authors: PB
authors: Mullan
mesh_terms: D003479:Curriculum; D007396:Internship and Residency / Q000458:organization & administration*; D008824:Michigan; D009874:Operations Research; D020399:Practice Management / Q000458:organization & administration*; D011871:Radiology / Q000193:education* / Q000458:organization & administration*; D013663:Teaching / Q000379:methods* / Q000458:organization & administration