The neglected role of resource manager in residency training.
OBJECTIVE
The goal of this study was to investigate residency training in the four roles of systems-based practice: patient care advocate, team member, information integrator, and resource manager.


METHODS
The authors surveyed 457 psychiatry residents and fellows across 12 programs from April 2009 to November 2010. Residents were asked to rate the extent in which they were encouraged to perform behaviors consistent with systems-based practice.


RESULTS
Approximately 52% residents (n=237) completed the survey. Differences in the average Likert ratings for the four roles were significant [F (3, 4,021)=122.152, p<0.001]. Residents were more likely to report routine encouragement to function as a team member (82%, OR=7.2, 95% CI=4.7-11.0), information integrator (77%, OR=5.4, 95% CI=3.6-8.1), or patient care advocate (74%, OR=4.6, 95% CI=3.1-6.8) compared to resource manager (38%).


CONCLUSIONS
Based upon this study, residency training in resource management is relatively limited compared to other aspects of systems-based practice.
Columbia University Medical Center and New York State Psychiatric Institute, New York, NY, USA, ma2063@columbia.edu.
Melissa R
MR
Arbuckle
Michael
M
Weinberg
Andres
A
Barkil-Oteo
David A
DA
Stern
Jules M
JM
Ranz
D000328:Adult; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D011570:Psychiatry / Q000193:education*; D040841:Resource Allocation / Q000193:education*