Résumé :
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[BDSP. Notice produite par INIST 6aTR0x8I. Diffusion soumise à autorisation]. Context Although medical educators recognize the need to prepare physicians to work effectively in managed care environments, managed care is often perceived negatively by academic physicians. Curricular reform has been hampered by a failure to seek agreement about specific clinical competencies that are important to both managed care directors and medical educators. Objectives To identify specific clinical competencies in the managed care setting and to assess agreement between residency directors and managed care medical directors on the importance of these competencies. Design, Setting, and Participants Surveys (1998-1999) of a national sample of 59 residency directors involved in managed care training programs (response rate, 94%) ; a sample of 186 residents in these programs and 258 matched control residents (response rate, 77%) ; and national samples of 147 managed care organization (MCO) medical directors (response rate, 67%) and 140 primary care residency program directors in areas of high MCO penetration (response rate, 73%). Main Outcome Measures Specific clinical managed care tasks as defined by residency directors ; self-reported confidence in performing these tasks by sample residents vs control residents ; and importance of these tasks as rated by MCO medical directors and residency program directors. Results wenty-six specific clinical managed care tasks were identified by the residency directors. (...)
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