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PEDIATRICS Vol. 101 No. 4 Supplement April 1998, pp. 739-745

Pediatric Education and Managed Care: A Literature Review

Received Nov 6, 1997; accepted Nov 11, 1997.

Richard J. D. Pan* and Jonathan A. Finkelstein*, Dagger

From * Children's Hospital, Boston, Massachusetts, and the Dagger  Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts.

Managed care is becoming the dominant form of health care delivery and financing in the United States, necessitating changes in pediatric education. This transition is redefining the questions of what needs to be taught, who should be teaching it, where it should be taught, and how to pay for this education. We performed a literature review and examined reports from policy and professional groups to seek answers to these questions. We have identified curricular, administrative, and financial challenges to pediatric education in managed care. Although road maps for innovation have been described, there is a deficiency of research and information in key areas of pediatric education in the managed care environment.

Key words: managed care, graduate medical education, pediatric residency, health care financing, pediatric training.


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