Administrative fellowships in emergency medicine.Arecent study of physician executives found that advanced training beyond normal work experience is needed for physician executives.(*) Currently, physician executives receive didactic managerial experience through continuing medical education continuing medical education See CME. courses or by management degree programs. The above-mentioned study also found that physician executives felt a fellowship in administrative medicine was preferred over continuing medical education (CME CME See: Chicago Mercantile Exchange CME See Chicago Mercantile Exchange (CME). ) courses or degree programs. The Emergency Physicians Medical Group (EPMG EPMG Emergency Physicians Medical Group (staffing and management; Roseville, CA) ) first began its fellowship in 1990. EPMG is an emergency medicine management group based in San Francisco San Francisco (săn frănsĭs`kō), city (1990 pop. 723,959), coextensive with San Francisco co., W Calif., on the tip of a peninsula between the Pacific Ocean and San Francisco Bay, which are connected by the strait known as the Golden , with 14 community and academic hospital contracts located in California, Hawaii, and Nevada. The fellow performs approximately 80 clinical hours per month, performing administrative duties for the remainder of the time. The fellowship length is approximately one year. The curriculum includes: * Prehospital care * Billing and reimbursement * Quality management programs * Personnel development * Leadership skills development * Program development * Building/maintaining effective interdepartmental in·ter·de·part·men·tal adj. Involving or representing different departments, as of a business, an academic institution, or a government: "the petty interdepartmental squabbling that surrounds the making of . . . relations * Recruitment * Marketing the emergency department * Contract negotiation and acquisition Each fellow has specific reading lists, projects, and experiences in each curriculum category. Compensation includes a stipend sti·pend n. A fixed and regular payment, such as a salary for services rendered or an allowance. [Middle English stipendie, from Old French, from Latin st of approximately $90,000 to cover administrative and clinical duties. Other compensation includes a relocation allowance, as well as, health, life, dental, disability, and malpractice insurance Noun 1. malpractice insurance - insurance purchased by physicians and hospitals to cover the cost of being sued for malpractice; "obstetricians have to pay high rates for malpractice insurance" . Each fellow is given a CME allowance to attend American College of Emergency Physicians The American College of Emergency Physicians (ACEP) is the largest organization of emergency physicians in the United States. It was founded in 1968 and is now headquartered in Dallas,Texas. courses relating to relating to relate prep → concernant relating to relate prep → bezüglich +gen, mit Bezug auf +acc quality management, risk management, billing, reimbursement, and marketing. The EPMG fellowship also offers the opportunity to participate in prospective contract negotiations throughout the year. The EMSCO Management Services administrative fellowship is a one-year program following completion of an emergency medicine residency. EMSCO Management Service is an emergency medicine management group based in Chicago. Its fellowship program was founded in 1993. The fellow learns the essentials of administration through an affiliation with a group of emergency medicine physicians based at several hospitals in the Chicago area. The fellow also performs approximately 1,360 clinical hours during the fellowship. At completion of the program, the fellow will have experienced functioning as "assistant director" at three different hospitals. The curriculum includes: * Negotiations/conflicts * Reimbursement issues * Managed care issues * Emergency department management * Hospital administration/interactions * Prehospital care * Physician recruitment and retention programs * Medical defense systems (malpractice claim liability assessment) * Quality improvement programs * Risk management * Professional liability insurance products/coverage * Educational/teaching responsibilities * Occupational medicine/health systems * Leadership style and communication skills * Emergency medicine practice/cost containment The fellow has specific assignments in each curriculum category prior to completion of the fellowship. Specific reading lists and attendance at specific CME courses are required. Compensation of approximately $104,000 for clinical and administrative duties is provided, along with malpractice, health, life, dental, and disability insurance. Office space and research materials are also provided during the fellowship. The Orlando Regional Medical Center The Orlando Regional Medical Center (ORMC) is the only level I trauma center in the Central Florida area and, therefore, provides intensive care for this area. ORMC is part of a group of hospitals known as Orlando Regional Healthcare, and itself is home to three other (ORMC ORMC Orlando Regional Medical Center (Orlando, FL) ORMC Online Recruitment Marketing Council (UK) ORMC Ocala Regional Medical Center ORMC Osceola Regional Medical Center ) fellowship also began in 1993. The fellowship is one or two years in length, depending on individual needs. The fellowship is based at Orlando Regional Healthcare Orlando Regional Healthcare is a system of non-profit hospitals serving the Greater Orlando area. There are nine hospitals in the system in six locations. The headquarters for the system are located on the campus of Orlando Regional Medical Center south of Downtown Orlando, System, a not-for-profit organization with five hospitals and emergency department visits ranging from 10,000 to 65,000 per year. The fellowship is cosponsored by Emcare, Inc., an emergency medicine management group based in Dallas, Tex. The fellow is primarily based at ORMC, a teaching hospital with seven residency programs, including emergency medicine. The fellow participates as an attending in the emergency medicine residency program, supervising and instructing residents for no more than 90 hours per month. The remainder of the time is spent performing administrative duties under the direction of the medical director and the director of medical education. The curriculum includes: * Risk management * Total quality management * Patient complaints * Billing/reimbursements * Prehospital care * Medical/legal issues * Credentialing * Scheduling * Research in cost containment/practice guidelines * Development of diagnostic guidelines for physician order entry * Lectures to emergency medicine residents and attendings * Externship externship holding the position of an extern. externship Acting internship, see there with EmCare, Inc., an emergency medicine management group * Hospital committee membership A specific reading list is given at the beginning of the program. The fellow has have the opportunity to participate in administration from an academic perspective in a community-based hospital. The fellow will also have extensive exposure to issues regarding managed care, including prospective contract negotiations. Compensation includes approximately $110,000/year for administrative and clinical duties, including malpractice, health, life, dental, and disability insurance. Other financial support is given for education conferences and research paper presentation. Conclusion Today, only these three administrative fellowships exist for physicians, all in emergency medicine. Others are being implemented (see accompanying box). Administrative fellowships should be considered in all specialties of medicine to prepare physicians for expanding roles as physician executives and managers. It simply requires a belief by physicians, health care organizations, and hospitals, that physicians need to stay involved in the management of hospitals and other health care organizations during these times of health care reform. (*)Vinson C. "Administrative Knowledge and Skills Needed by Physician Executives." Physician Executive 20(6):3-7, June 1994. RELATED ARTICLE: Contacts for Administrative Fellowships Emergency Physicians' Medical Group 1 Montgomery St., Suite 1360 San Francisco, Calif. 94104 415/989-1242 EMSCO Management Services 440 E. Ogden Ave. Hinsdale, Ill. 60521 708/654-0050 Orlando Regional Medical Center Department of Emergency Medicine 1414 S. Orange Ave. Orlando, Fla. 32806-2093 407/841-5111, Ext. 6279 or 6329 The following emergency medicine administrative fellowship was scheduled to begin in July 1995: Coastal Emergency Services emergency services Emergency care '…services …necessary to prevent death or serious impairment of health and, because of the danger to life or health, require the use of the most accessible hospital available and equipped to furnish those services' Management Group, Inc. 3708 Mayfair St., Suite 301 Durham, N.C. 27707 919/383-5055 Also scheduled to begin in July 1995 was an administrative fellowship sponsored by U.S. Healthcare U.S. Healthcare is a now-defunct healthcare company. The logo had an apple. The merger with Aetna In 1996, the company merged with Aetna, calling it Aetna U.S. Healthcare. The U.S. Healthcare apple logo was next to the Aetna name, and U.S. Healthcare under it. U.S. , Inc., and Thomas Jefferson University It began as Jefferson Medical College in 1824. On July 1, 1969 the institution officially became Thomas Jefferson University. The university is made up of three colleges:
abbr. Master of Business Administration Noun 1. MBA - a master's degree in business Master in Business, Master in Business Administration , of Thomas Jefferson University. For information regarding the fellowship contact: David B. Nash, MD, MBA Thomas Jefferson University Suite 621 1015 Walnut St, Philadelphia, Pa. 19107-5099 215/955-6969 |
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