Teaching systems-based practice to residents by using independent study projects

Elizabeth Allen, Judy Zerzan, Christine Choo, David Shenson, Somnath Saha

Research output: Contribution to journalReview articlepeer-review

26 Scopus citations


The changing health care marketplace requires new graduates to be familiar with complex health systems. Since 1999 the Oregon Health & Science University internal medicine residency program has offered a seminar-based health systems curriculum, but residents lacked an opportunity to actively apply learned concepts. To achieve this goal, the authors developed a second curricular component, the Health Systems Independent Study Project (HSISP). The HSISP is a self-directed assessment of a health care system or delivery issue residents complete in their third year. The curriculum was implemented in 2001 with goals of gaining a focused understanding of a health systems concept and building related skills. Residents present their study projects to all curriculum participants. Topics addressed so far include adherence to coronary artery disease guidelines in a defined population, screening strategies for lung cancer, resident burn-out, and many others. Residents have found that these projects enhance their systems knowledge, help them link systems-based-practice concepts to clinical practice, and foster opportunities for networking and early career development.

Original languageEnglish
Pages (from-to)125-128
Number of pages4
JournalAcademic Medicine
Issue number2
StatePublished - Feb 2005
Externally publishedYes


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