Systems survivor: A program for house staff in systems-based practice

Christine B. Turley, Richard Roach, Marilyn Marx

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Background: The Systems-Based Practice competency expanded the scope of graduate medical education. Innovative approaches are needed to teach this material. Purpose: We have designed and implemented a rotation in Systems-Based Practice focused on the interrelationships of patient care, clinical revenue, and the physician's role within health care systems. Methods: Experiential learning occurs during a 5-day rotation through 26 areas encompassing the clinical revenue cycle, guided by "expert" staff. Using a reversal of the TV show Survivor, house staff begin conceptually "alone" and discover they are members of a large, dedicated team. Assessment results, including a system knowledge test and course evaluations, are presented. Results: Twenty-five residents from four clinical departments participated in Year 1. An increase in pretest to posttest knowledge scores of 14.8% (p ≤ 0.001) was observed, with high program evaluations. Conclusions: "Systems Survivor" is successful in providing an innovative opportunity to explore complex health care systems and is an effective curriculum.

Original languageEnglish (US)
Pages (from-to)128-138
Number of pages11
JournalTeaching and Learning in Medicine
Issue number2
StatePublished - 2007

ASJC Scopus subject areas

  • Education


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