title: Money matters: a resident curriculum for financial management.
abstract: BACKGROUND
  A 2005 survey reported 87% of surgery program directors believed practice management training should occur during residency. However, only 8% of program directors believed residents received adequate training in practice management [1]. In addition to the gap in practice financial management knowledge, we recognized the need for training in personal finance among residents. A literature review and needs assessment led to the development of a novel curriculum for surgery residents combining principles of practice management and personal finance.
  
  
  METHODS
  An 18-h curriculum was administered over the 2012 academic year to 28 post graduate year 1-5 surgery residents and faculty. A self-assessment survey was given at the onset and conclusion of the curriculum [2]. Pre-tests and post-tests were given to objectively evaluate each twice monthly session's content. Self-perception of learning, interest, and acquired knowledge were analyzed using the Wilcoxon signed ranks test.
  
  
  RESULTS
  Initial self-assessment data revealed high interest in practice management and personal finance principles but a deficiency in knowledge of and exposure to these topics. Throughout the curriculum, interest increased. Residents believed their knowledge of these topics increased after completing the curriculum, and objective data revealed various impacts on knowledge.
  
  
  CONCLUSIONS
  Although surgery residents receive less exposure to these topics than residents in other specialties, their need to know is no less. We developed, implemented, and evaluated a curriculum that bridged this gap in surgery education. After the curriculum, residents reported an increase in interest, knowledge, and responsible behavior relating to personal and practice financial management.
authors.affiliation: Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas. Electronic address: jsmizell@uams.edu.
authors.forename: Jason S
authors.initials: JS
authors.lastname: Mizell
authors.affiliation: Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
authors.forename: Katherine S
authors.initials: KS
authors.lastname: Berry
authors.affiliation: Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
authors.forename: Mary Katherine
authors.initials: MK
authors.lastname: Kimbrough
authors.affiliation: Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
authors.forename: Frederick R
authors.initials: FR
authors.lastname: Bentley
authors.affiliation: Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
authors.forename: James A
authors.initials: JA
authors.lastname: Clardy
authors.affiliation: Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
authors.forename: Richard H
authors.initials: RH
authors.lastname: Turnage
mesh_terms: D003284:Contract Services; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods*; D005376:Financial Management; D013502:General Surgery / Q000193:education*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D010823:Physician Assistants; D011331:Private Practice; D012308:Risk Management
keywords: Curriculum development; Personal finance; Practice management; Resident education; Resident wellness