title: Teaching the Healthcare Economics Milestones to Radiology Residents: Our Pilot Curriculum Experience.
abstract: Since July 2013, the Accreditation Council for Graduate Medical Education (ACGME) has required radiology residency programs to implement a set of educational milestones to track residents' educational advancement in six core competencies, including Systems-based Practice. The healthcare economics subcompetency of Systems-based Practice has traditionally been relatively neglected, and given the new increased ACGME oversight, will specifically require greater focused attention.
  
  
  
  A multi-institutional health-care economics pilot curriculum combining didactic and practical components was implemented across five residency programs. The didactic portion included a package of online recorded presentations, reading, and testing materials developed by the American College of Radiology (ACR's) Radiology Leadership Institute. The practical component involved a series of local meetings led by program faculty with the production of a deliverable based on research of local reimbursement for a noncontrast head computed tomography. The capstone entailed the presentation of each program's deliverable during a live teleconference webcast with a Radiology Leadership Institute content expert acting as moderator and discussion leader.
  
  
  
  The pilot curriculum was well received by residents and faculty moderators, with 100% of survey respondents agreeing that the pilot met its objective of introducing how reimbursement works in American radiology in 2015 and how business terminology applies to their particular institutions.
  
  
  
  A health-care economics curriculum in the style of a Massive Open Online Course has strong potential to serve as many residency programs' method of choice in meeting the health-care economics milestones.
authors.affiliation: Department of Radiology, Tufts Medical Center, 800 Washington Street-Box 299, Boston, MA 02111. Electronic address: aprober@tuftsmedicalcenter.org.
authors.forename: Allen S
authors.initials: AS
authors.lastname: Prober
authors.affiliation: Department of Radiology, Tufts Medical Center, 800 Washington Street-Box 299, Boston, MA 02111.
authors.forename: William A
authors.initials: WA
authors.lastname: Mehan
authors.affiliation: Department of Radiology, Tufts Medical Center, 800 Washington Street-Box 299, Boston, MA 02111.
authors.forename: Harprit S
authors.initials: HS
authors.lastname: Bedi
mesh_terms: D003194:Computer-Assisted Instruction; D003479:Curriculum; D003695:Delivery of Health Care / Q000191:economics*; D004467:Economics; D006801:Humans; D007396:Internship and Residency; D010865:Pilot Projects; D011361:Professional Competence; D011871:Radiology / Q000193:education*; D014481:United States
keywords: ACGME; Economics; healthcare; milestones; resident education