@article{10.22454/PRiMER.2025.217737,
author = {Nguyen, Cynthia and Ha, Jinyoung and Lopez, Braden M. and Azhar, Erum and Kang, Paul and Waheed, Abdul},
title = {Outcomes of a Health Systems Advocacy, Leadership, and Management Curriculum in a Family Medicine Residency Program},
journal = {PRiMER},
volume = {9},
year = {2025},
month = {9},
doi = {10.22454/PRiMER.2025.217737},
abstract = {Introduction: Healthcare Administration, Leadership, and Management (HALM) offers a broad area of expertise that is key to health care delivery and health services research. The Accreditation Council for Graduate Medical Education (ACGME) established a Review Committee (RC) specific to the HALM fellowship to enhance the agenda further. Some of the core health systems competencies are already common program requirements. Although most residency programs offer a curriculum in health systems to fulfill these requirements, a dearth of data exists on the outcomes of these curricula.
Methods: We implemented a HALM curriculum in a family medicine residency program featuring competencies in patient safety, health care quality, care management, and systems of care. This study compares pre-HALM and post-HALM groups by measuring the achievement of the Kirkpatrick Level 2, 3, and 4 outcomes in a quasi-experimental pre- and postdesign. The levels were ranked as a demonstration of interdisciplinary leadership within the program (Kirkpatrick Level 2), demonstration of a significant leadership role outside of the program (Kirkpatrick Level 3), or attainment of a physician leadership role or significant entrepreneurship postgraduation (Kirkpatrick Level 4).
Results: The results showed increased achievement of Kirkpatrick Level 2, 3, and 4 outcomes in the post-HALM group compared to the preimplementation of the HALM curriculum. The average number of demonstrated Kirkpatrick Level 4 behaviors, leadership role postgraduation, increased significantly from pre- to postimplementation of the HALM curriculum. This difference was statistically significant with a P value <.05.
Conclusions: Overall, implementing the HALM curriculum was associated with an increase in both physician leadership during residency training and after graduation.},
URL = {https://journals.stfm.org//primer/2025/nguyen-2024-0140/},
eprint = {https://journals.stfm.org//media/biwmfvbu/primer-9-50.pdf},
}