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House Officers

The overriding aim of this curriculum is to make residents into better lifelong physicians. It accomplishes this by transforming mindsets in ways that make residents highly effective stewards of the resources under their control and passionate advocates for deliberate, systemic improvements in the way health care is organized, financed, and delivered.

House Officer's Guide
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The curriculum stands on its own, but it also lends itself to customization, and other stakeholders would benefit from taking and completing any or all of the nine topic areas. Program directors should consider inviting interested faculty, other clinicians, senior health system leaders, administrators, and others to participate along with the residents. The coursework can be supplemented with suggested readings, journal clubs, guest speakers, and other activities.

As these tools contribute to greater understanding of systems of care, residents will be challenged to find direct and immediate applications, including research, with demonstrable clinical and financial payoffs. Many tools offer help with personal as well as professional development.

This curriculum provides content specifically designed to achieve the necessary competencies associated with the Systems Based Practice (competency #6).

  • Understand how their patient care and other professional practices affect other health care professionals, the health care organization, and the larger society, and how these elements of the system affect their own practice.
  • Know how types of medical practice and delivery systems differ from one another, including methods of controlling health care costs, and allocating resources.
  • Practice cost effective health care and resource allocation that does not compromise quality of care.
  • Advocate for quality patient care and assist patients in dealing with system complexities.
  • Know how to partner with health care managers and health care providers to assess, coordinate, and improve health care and know how these activities can affect system performance.
Curriculum Contents Hours
Economics & Cost Accounting
  • Course Introduction
  • What it Costs to Deliver Care
  • Allocating Overhead
  • Fixed Costs and the Throughput Imprerative
  • Health Plans and Provider Reimbursement
  • A Brief Economic History - Demand
  • A Brief Economic History - Supply
  • Primer on Diagnostic Related Groups
  • Primer on Physician Reimbursement
Operations Management
  • Introduction to Operations Management
  • Little's Law
  • Bottleneck Analysis
  • Critical Pathways
  • Manageing Variability
  • Increasing Operational Effectiveness
Organizatin of Health Care
  • A High-Level Profile of Hospitals and Health Systems
  • The Organization of Health Systems
  • Incentive Alignment and "Silos" of Care
  • Physician Group Practices
Processes of Care
  • Quality Assurance
  • Medicine Administration
  • Health Care IT
  • Professional Liability and Risk Management
Financial Analysis
  • What is the Bottom Line for Not-for-Profit Firm
  • The Time Value of Money and the Cost of Capability
  • Measuring Return on Investment
  • Financial Planning
  • Capital Budgeting
Marketing
  • The Physician's Stake in Marketing
  • What are Your Marketing Goals?
  • Fundamentals of Market Analysis
  • Outreach, Education, and Physician Referrals
  • Increasing Marketing Effectiveness
Physician Leadership,
Part 1
  • Managerial Foundations of Physician Leadership
  • Integrating Leadership into Physicians' Career Development
  • Practical Leadership
  • Leadership of Clinical Programs, Part 1
  • Leadership of Clinical Programs, Part 2
Strategy & Negotiation
  • Elements of Strategy
  • Strategic Planning
  • Art and Science of Negotiation
Physician Leadership,
Part 2
  • From Effective Management to Strong Leadership
  • The Urgent Need for Physician Leaders
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