Norton P, Jones J E, Wang M Q, Tulli C G
Department of Family Medicine, University of Alabama, Tuscaloosa.
Fam Med. 1994 Feb;26(2):98-100.
Practice management is an important, but often overlooked, element of medical training, especially for physicians in primary care. The objective of this study was to evaluate our program's practice management curriculum to determine if it meets the needs of its graduates.
A questionnaire, developed and sent to 1986-1991 graduates of the residency program (n = 76), determined their perceptions of how well the practice management curriculum prepared them to operate a practice. Fifty (65.8%) usable surveys were returned.
The respondents perceived deficits in areas of preparing for office management, starting and building a practice, using professional services (especially in the areas of financial decisions and use of professionals), and reimbursement procedures.
Physicians need an understanding of business fundamentals such as economics, organization management, contract evaluation, negotiation and mediation skills, methods of allocation of limited resources, information science, and consumerism. This article offers a process through which other family practice residency programs can begin evaluating and restructuring their practice management curricula to meet these needs.
实践管理是医学培训中一个重要但常被忽视的要素，对于初级保健医生而言尤为如此。本研究的目的是评估我们项目的实践管理课程，以确定其是否满足毕业生的需求。
设计并向住院医师项目1986 - 1991年的毕业生（n = 76）发放了一份问卷，以确定他们对实践管理课程在帮助其准备开展实践工作方面的看法。共收回50份（65.8%）可用问卷。
受访者认为在办公室管理准备、开业及发展业务、使用专业服务（尤其是在财务决策和专业人员使用方面）以及报销程序等方面存在不足。
医生需要了解商业基础，如经济学、组织管理、合同评估、谈判与调解技巧、有限资源分配方法、信息科学以及消费主义。本文提供了一个过程，其他家庭医学住院医师项目可借此开始评估和调整其实践管理课程以满足这些需求。
