{"id":"https://openalex.org/W107715305","doi":null,"title":"Practicing effectively in today's health system: teaching systems-based care.","display_name":"Practicing effectively in today's health system: teaching systems-based care.","publication_year":2004,"publication_date":"2004-01-01","ids":{"openalex":"https://openalex.org/W107715305","mag":"107715305","pmid":"https://pubmed.ncbi.nlm.nih.gov/14961405"},"language":"en","primary_location":{"id":"pmid:14961405","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/14961405","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Family medicine","raw_type":"Comparative Study"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5068906888","display_name":"Marc L. Rivo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Marc L Rivo","raw_affiliation_strings":["AvMed Health Plans, Miami, FL 33156, USA. Marcrivo@aol.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"AvMed Health Plans, Miami, FL 33156, USA. Marcrivo@aol.com","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030120224","display_name":"Dean R. Keller","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dean R Keller","raw_affiliation_strings":["University of Wisconsin, Madison"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Wisconsin, Madison","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046188676","display_name":"Arianne Teherani","orcid":"https://orcid.org/0000-0003-2936-9832","observed_orcids":["https://orcid.org/0000-0003-2936-9832"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arianne Teherani","raw_affiliation_strings":["University of California at San Francisco,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California at San Francisco,","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Mark T O'Connell","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mark T O'Connell","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053876526","display_name":"Bruce A Weiss","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bruce A Weiss","raw_affiliation_strings":["AvMed Health Plans"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"AvMed Health Plans","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5055459048","display_name":"Simeon A. Rubenstein","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1304127598","display_name":"Group Health Cooperative","ror":"https://ror.org/05kx3hd68","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1304127598"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Simeon A Rubenstein","raw_affiliation_strings":["Group Health Options"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Group Health Options","institution_ids":["https://openalex.org/I1304127598"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":6.3401,"has_fulltext":false,"cited_by_count":22,"citation_normalized_percentile":{"value":0.95264965,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"36 Suppl","issue":null,"first_page":"S63","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12413","display_name":"Health and Medical Education","score":0.004999999888241291,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11497","display_name":"Interprofessional Education and Collaboration","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/undergraduate-medical-education","display_name":"undergraduate medical education","score":0.9570000171661377},{"id":"https://openalex.org/keywords/care-coordination","display_name":"care coordination","score":0.6949999928474426},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.9660000205039978},{"id":"https://openalex.org/keywords/performance-evaluation-human-resources","display_name":"performance evaluation (human resources)","score":0.9139999747276306},{"id":"https://openalex.org/keywords/clinical-rotations","display_name":"clinical rotations","score":0.5149999856948853},{"id":"https://openalex.org/keywords/medical-curriculum","display_name":"medical curriculum","score":0.6439999938011169},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.5820000171661377},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.45500001311302185},{"id":"https://openalex.org/keywords/physician-offices","display_name":"physician offices","score":0.4480000138282776},{"id":"https://openalex.org/keywords/skilled-nursing-facilities","display_name":"skilled nursing facilities","score":0.8939999938011169},{"id":"https://openalex.org/keywords/hospice","display_name":"hospice","score":0.6729999780654907},{"id":"https://openalex.org/keywords/public-health-departments","display_name":"public health departments","score":0.8610000014305115}],"concepts":[{"id":"https://openalex.org/C61521584","wikidata":"https://www.wikidata.org/wiki/Q705899","display_name":"Accreditation","level":2,"score":0.7930350303649902},{"id":"https://openalex.org/C47177190","wikidata":"https://www.wikidata.org/wiki/Q207137","display_name":"Curriculum","level":2,"score":0.700973391532898},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.6197603344917297},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.569357693195343},{"id":"https://openalex.org/C136197465","wikidata":"https://www.wikidata.org/wiki/Q1729295","display_name":"Variety (cybernetics)","level":2,"score":0.49897289276123047},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.45505931973457336},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.446891188621521},{"id":"https://openalex.org/C2779767262","wikidata":"https://www.wikidata.org/wiki/Q5592059","display_name":"Graduate medical education","level":3,"score":0.439964234828949},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.40945807099342346},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3651440441608429},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.17267560958862305},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.11271229386329651},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.09003403782844543},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002982","descriptor_name":"Clinical Clerkship","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D003479","descriptor_name":"Curriculum","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D004504","descriptor_name":"Education, Medical, Undergraduate","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D005544","descriptor_name":"Forecasting","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012577","descriptor_name":"Schools, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015397","descriptor_name":"Program Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:14961405","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/14961405","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Family medicine","raw_type":"Comparative Study"},{"id":"mag:107715305","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/14961405","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9391000270843506,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/4","score":0.9235000014305115,"display_name":"Quality education"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W2055324659","https://openalex.org/W2082995815","https://openalex.org/W2128969594","https://openalex.org/W2160602782","https://openalex.org/W2162037751","https://openalex.org/W2166858912","https://openalex.org/W2313406286","https://openalex.org/W2412386590","https://openalex.org/W4238079613","https://openalex.org/W4238336809"],"related_works":["https://openalex.org/W2409112019","https://openalex.org/W7100229410","https://openalex.org/W2767957502","https://openalex.org/W62821005","https://openalex.org/W2072127208","https://openalex.org/W2321231355","https://openalex.org/W3044899762","https://openalex.org/W2313273770","https://openalex.org/W187499811","https://openalex.org/W2133963303"],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1],"OBJECTIVES:":[2],"The":[3,97,122,202],"Institute":[4],"of":[5,34,68,79,99,136,180,204],"Medicine":[6],"and":[7,49,66,77,94,109,129,157,173],"the":[8,22,27,53,63,69,75,90,105,116,140,153,183,192,205],"new":[9],"Accreditation":[10],"Council":[11],"for":[12,26],"Graduate":[13],"Medical":[14,24],"Education":[15,25],"General":[16],"Essentials":[17],"have":[18],"focused":[19],"attention":[20],"on":[21,178],"Undergraduate":[23],"21st":[28],"Century":[29],"(UME-21)":[30],"core":[31],"content":[32,108],"area":[33],"systems-based":[35,39,80,112,164,211],"care.":[36],"Through":[37],"teaching":[38,142,209],"care,":[40,212],"medical":[41,57,131,225],"students":[42,58,132,190],"can":[43,59],"learn":[44],"how":[45],"physicians":[46],"effectively":[47],"deliver":[48],"coordinate":[50],"care":[51,71,81,113,165,169],"within":[52],"health":[54,70,159],"system.":[55],"While":[56],"be":[60,83,219],"introduced":[61],"to":[62,103,133,191,221],"organization,":[64],"financing,":[65],"delivery":[67],"system":[72],"through":[73,85],"lectures,":[74],"principles":[76],"practice":[78],"must":[82],"reinforced":[84],"structured":[86],"learning":[87],"experiences":[88,110,138,203],"during":[89],"clinical":[91,107,137],"(ie,":[92],"third":[93],"fourth)":[95],"years.":[96],"purpose":[98],"this":[100,216],"article":[101],"is":[102],"define":[104],"undergraduate":[106],"in":[111,144,188,208,215,224],"offered":[114],"by":[115],"eight":[117,123],"UME-21":[118,125,184,206],"partner":[119,124],"schools.":[120,200],"METHODS:":[121],"schools":[126,207],"exposed":[127],"third-":[128],"fourth-year":[130],"a":[134],"variety":[135],"outside":[139],"traditional":[141],"hospital":[143],"such":[145,167],"settings":[146],"as":[147,168,213],"physician":[148],"offices,":[149],"skilled":[150],"nursing":[151],"facilities,":[152],"patient's":[154],"home,":[155],"hospice,":[156],"public":[158],"departments.":[160],"They":[161],"also":[162],"taught":[163],"skills":[166],"coordination,":[170],"performance":[171],"assessment,":[172],"quality":[174],"improvement.":[175],"RESULTS:":[176],"Based":[177],"surveys":[179],"graduating":[181],"students,":[182],"programs":[185],"were":[186],"successful":[187],"exposing":[189],"aforementioned":[193],"topics,":[194],"though":[195],"there":[196],"was":[197],"variability":[198],"among":[199],"DISCUSSION:":[201],"about":[210],"discussed":[214],"paper,":[217],"may":[218],"useful":[220],"those":[222],"involved":[223],"school":[226],"curricula":[227],"planning.":[228]},"counts_by_year":[{"year":2021,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
