xRead - Outside the Box (March 2024) - Full Articles

World J Surg (2018) 42:1655–1665

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Table 2 Characteristics of included studies

First author

Article type

Factors

Participants (n)

Findings

Ackerly Prospective

L, C

MD/MBA residents at a single institution (32)

By developing both clinical and management skill sets during the graduate medical education, the MBA holds promise for future leaders of health care at an early career stage Study reports that at least 20% of the physician executive’s time was spent in dealing with OR conflict which reached resolution with improved communication and problem solving efforts Physicians who hold MBAs reap rewards in higher starting salaries and greater job satisfaction than counterparts The physician executive salaries were not necessarily higher just because they went to business school, but they were doing interesting and creative things with the MBA portion in addition to practicing Physician leadership development strengthened organizational performance and collaborative, interdisciplinary work MD/MBA graduates tend to receive higher starting salaries in their careers due to their leadership roles in organizations and ancillary business ventures than traditional physicians MBA graduates will be optimally positioned to assume leadership positions in healthcare institutions and industry 81% of physicians with MBA degree believed their business degree was useful in the advancement of their careers Joint programs train physician leaders to address complexities in improving healthcare delivery Graduates of the MD/MBA report improved applicability of managerial principles in the medical practice Physician executives are change agents for healthcare and quality improvement Physician executives will require a new set of skills in finance and population management to navigate the complex healthcare environment Strengthening business education of residents will equip young surgeons to take a more active role in improving the economics of medicine Physician leadership is necessary to develop high-performance healthcare teams that can deliver top-quality care at a reasonable cost The physicians stated that the most pertinent skills they had acquired were related to systems operations and implementing improvements, learning how to be an effective leader, working within a team, comprehending financial principles and negotiating effectively Graduates with an MD and MBA report mostly positive attitudes toward their training, and many are pursuing leadership and primarily non-clinical roles later in their careers Respondents gained an understanding of healthcare market trends such as financial pressures from reimbursement rates and rising practice costs This study found that the average surgeon perceives himself or herself to be poorly equipped to understand basic financial accounting principles, financial markets and economics of healthcare Respondents reported improved leadership skills, improved negotiation skills and more self-awareness of leadership style

Attri

Survey

T, N Attending surgeon respondents at a single institution

Butcher [29] Butcher [19]

Survey

C, I, W, P MD/MBA graduates at 48 universities (108)

Survey

L, C, T, I, W

MD/MBA students at 12 universities (92)

Frich

Retrospective cohort

L, F, T, N, P

Residents and attending surgeons at 11 institutions (45)

Goldman Survey

L, I, W MD/MBA attending physicians (55)

Hall

Survey

L, C, I, P MD/MBA attending surgeons (133)

Koegh

Retrospective cohort

L, C, F, T, P

MD/MBA graduates at 52 universities

Krupat

Survey

L, C, T MD/MBA students at a single institution

Larson Survey

L

MD/MBA students (329)

Lazarus

Prospective cohort

C, P

MD/MBAs in the American College of Physician Executives (12)

Love

Survey

L, F, T Analysis of C-suite executive focus group (39)

Lusco

Survey

F, P

Program directors in general surgery (189)

Orlando Prospective cohort

L, F, T, N Physician executives at a single institution (74)

Parekh Retrospective cohort/survey

L, C, F, T, I,N,W, M

Physician graduates at three East Coast business schools (161)

Patel

Survey

L, C, W MD/MBA graduates at a single institution from 1981 to 2010 (247)

Pham Survey

F

Physician executives at 12 institutions (107)

Satiani [27]

Survey

F, I, M Surgeons at institutions in 12 Midwest states (133)

Satiani [15]

Prospective cohort

L, C, N Physician executives at a single institution (24)

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