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Electives - Business in Medicine, Innovation and Quality Improvement

Business of Health Care (formerly Health Care Systems)

Elective Number: E90t (3421)

Rotation Supervisor: G. Paul Matherne MD, MBA

Instructors: G. Paul Matherne MD, MBA & Thomas A Massaro MD, PhD

Duration: 2 weeks

Available: Rotation 13a (3/4-3/16) Class of 2019

Time to Report: 8:00am

Place to Report: TBD

Typical Day: 8:00am-5:00pm

Attendance: Attendance at elective activities is mandatory.

  • Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.
  • Suggested Preparatory Reading: TBD

Number of Students Per Rotation: 20 max

Course Description: Have you been stymied with understanding how our health system works? Is health care a business? Should it be? Where does the money come from? Where does it go? What about Pharma? Aren’t they the bad guys? The Health System in the US provides enormous challenges and opportunities for those entering the medical profession today. This course is based on the Darden Full-Time elective entitled Health Care Industry. The goal of this course is to help the future physician appreciate the complexity of the health care system. At the end of the course, students should have a greater understanding of the dynamics of this key industry and a better appreciation for how their future practice fits into this complicated system.

The main pedagogy for this course is the case method used at most business schools and as such class is a dynamic discussion with frequent break out sessions and small group work. Additionally joint sessions with the fulltime MBA program at Darden are also planned. The course will help you understand the complexities of our system and get you to think differently. The course does not assume that students will have previous experience in business or the case method. The emphasis on the cases and class discussions will be on understanding this complex system and how a physician in practice is both impacted by and can impact the current health care system.

This elective will be offered in a two week session. Two classroom periods will be held in the mornings for ~3 hours and afternoons will be allotted for reading and some team work. Each class will focus on a case study. Especially at the beginning, readings from the medical and health policy literature will also be assigned to provide conceptual background for the issues discussed in the cases. For some sessions additional background reading will be listed. For 2-3 sessions the class will meet jointly with the Darden full-time elective Health Care Management.

Guest Instructors:
Robert Caraway MBA Ph.D Associate Professor Darden School of Business
Casey Lichtendahl MBA Ph.D Professor Darden School of Business
Corey Feist JD MBA
Carolyn Engelhard MPH

Guest lectures (Spring 2018):
Dr. Michael Williams MD FACS- Public Policy on Health; Does it really matter?
Ed Howell - “Running a Major Academic Medical Center”
Jim Nataro MD PhD MBA- The intersection of Research, Global Health and Business

Learning Objectives:

The course is designed to address four primary themes. The first provides an overview of the domestic and international marketplaces. The second theme outlines key management issues in the direct delivery of patient care which should be a basic goal of all health systems. The third examines the supporting industrial infrastructure, especially the medical technology and pharmaceutical industries and the innovations that are being produced. The final theme addresses the fundamental organizational changes that are occurring in the delivery of care and should provide insight into areas where consultants and consulting firms are involved in the transformational processes.

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