Contents:

1. Fundamental elements of ethical practice
   1. Hippocratic oath
   2. Primum non nocere
   3. Personal responsibility
   4. Honest and open communications
   5. Critical self analysis
      
      
2. Clinical database and outcome analysis
   1. Data collection
   2. Risk stratification
   3. Statistical analysis
   4. Regular review of data
   5. Comparative analysis
      
      
3. Cost factors and clinical outcome
   1. Analysis of redundancy, waste, inefficiency
   2. Entrepreneurial approach to cost and quality
      
      
4. Practice arrangements
   1. Administration of practice (e.g., fees, collections, insurance, billing, overhead, office management)
   2. Advantages and disadvantages of different practice arrangements
      
      
5. External economic forces
   1. Managed care
   2. Medicare, Medicaid, Champus
   3. PROs, IPAs
   4. Contracts
   5. Capitation
      
      
6. Medico-legal factors
   1. Prevention of litigation
   2. Record keeping
   3. Response to malpractice lawsuit
   4. Expert witness testimony
      
      
7. Time management
   1. Family needs
   2. Practice needs (e.g., patients, administration, associates)
   3. Community responsibilities
   4. Personal needs (e.g., continuing education, personal growth, life outside medicine)