Academic Psychiatry

, Volume 38, Issue 4, pp 481–484 | Cite as

The Neglected Role of Resource Manager in Residency Training

  • Melissa R. Arbuckle
  • Michael Weinberg
  • Andres Barkil-Oteo
  • David A. Stern
  • Jules M. Ranz
  • Mental Health Services Committee of the Group for the Advancement of Psychiatry
In Brief Report



The goal of this study was to investigate residency training in the four roles of systems-based practice: patient care advocate, team member, information integrator, and resource manager.


The authors surveyed 457 psychiatry residents and fellows across 12 programs from April 2009 to November 2010. Residents were asked to rate the extent in which they were encouraged to perform behaviors consistent with systems-based practice.


Approximately 52 % residents (n = 237) completed the survey. Differences in the average Likert ratings for the four roles were significant [F (3, 4,021) = 122.152, p < 0.001]. Residents were more likely to report routine encouragement to function as a team member (82 %, OR = 7.2, 95 % CI = 4.7–11.0), information integrator (77 %, OR = 5.4, 95 % CI = 3.6–8.1), or patient care advocate (74 %, OR = 4.6, 95 % CI = 3.1–6.8) compared to resource manager (38 %).


Based upon this study, residency training in resource management is relatively limited compared to other aspects of systems-based practice.


Systems-based practice Resource manager 



The authors wish to acknowledge Osman Ali, Elizabeth Auchincloss, Kimberly Best, Eve Caligor, Alejandra Durango, Elisabeth Guthrie, and Bipin Subedi, principle investigators at various sites, for their participation in study design and implementation.


On behalf of all authors, the corresponding author states that there is no conflict of interest.


  1. 1.
    Accreditation Council for Graduate Medical Education. Common Program Requirements. 2013. ( Accessed 16 Jul 2013.
  2. 2.
    Philbert I. Accreditation Council of General Medical Education and Institute for Healthcare Improvement 90 Day Project: involving residents in quality improvement: contrasting “top- down” and “bottom-up” approaches. August 2008. ( Accessed 16 Jul 2013.
  3. 3.
    Ranz JM, Weinberg M, Arbuckle MR, et al. A four factor model of systems-based practices in psychiatry. Acad Psychiatr. 2012;36(6):473–8.CrossRefGoogle Scholar
  4. 4.
    Lawrence RS. The role of physician education in cost containment. J Med Educ. 1979;54:841–7.PubMedGoogle Scholar
  5. 5.
    Detsky AS, Verma AA. A new model for medical education: celebrating restraint. JAMA. 2012;308(13):1329–30.PubMedCrossRefGoogle Scholar
  6. 6.
    Weinberger SE. Providing high-value, cost-conscious care: a critical seventh general competency for physicians. Ann Intern Med. 2011;155:386–8.PubMedCrossRefGoogle Scholar
  7. 7.
    Nasca T. ACGME. The next accreditation system and sponsor site visit program The Clinical Learning Environment Review (CLER). (slide 29) 2012. ( Accessed 2 Apr 2014.
  8. 8.
    Tilburt JC, Wynia MK, Sheeler RD, et al. Views of US physicians about controlling health care costs. JAMA. 2013;310(4):380–8.PubMedCrossRefGoogle Scholar
  9. 9.
    The Psychiatry Milestone Project. A joint initiative of The Accreditation Council for Graduate Medical Education and The American Board of Psychiatry and Neurology. April 2013. ( Accessed 24 Jul 2013.
  10. 10.
    Fried JL, Arbuckle MR, Weinberg M, Carino A, McQuiston HL, Skiandos A, et al. Psychiatry residents’ experiences with systems-based practice: a qualitative survey. Acad Psychiatr. 2014. [Epub ahead of print].Google Scholar

Copyright information

© Academic Psychiatry 2014

Authors and Affiliations

  • Melissa R. Arbuckle
    • 1
  • Michael Weinberg
    • 2
  • Andres Barkil-Oteo
    • 3
  • David A. Stern
    • 4
  • Jules M. Ranz
    • 1
  • Mental Health Services Committee of the Group for the Advancement of Psychiatry
  1. 1.Columbia University Medical Center and New York State Psychiatric InstituteNew YorkUSA
  2. 2.Columbia University Medical CenterNew YorkUSA
  3. 3.Yale School of MedicineNew HavenUSA
  4. 4.New York Medical CollegeValhallaUSA

Personalised recommendations