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Dear Colleague:

Systems-based Practice (SBP) is an important, required competency for inclusion in all US Graduate Medical Education (GME) programs. Yet it remains a challenge to incorporate SBP lessons and materials within existing clinical rotations. We are pleased to offer you the model and materials that Tufts used in our highly-acclaimed, annual "Mini-Rotation on the Health Care System" to address topics and issues in this domain.

Over a period of 17 years, Tufts Health Care Institute worked with leaders and colleagues at our founding institutions—Tufts University School of Medicine and Tufts Health Plan—along with other physicians and health care executives in New England, to provide information, exercises and materials that would help clinical residents and their program directors to address multiple aspects of systems-based care and quality improvement. Course faculty included clinical and administrative leaders from health care delivery systems, health plans, academia and government.

We invite you to read these pages about the THCI Mini-Rotation on the Health Care System, and to browse our educational materials for use in your own programs. Feel free to download and use specific course materials, small group exercises and assessment tools related to our model; and browse other areas of content and practice that we addressed over the years. We are happy to share these with you.

For general information about Tufts Health Care Institute and the Mini-Rotation, you may contact Rosalie Phillips at

With best wishes,

Anthony Schlaff, MD, MPH
Professor, Public Health and Community Medicine
Director, Public Health Program
Tufts University School of Medicine

Rosalie Phillips, MPH
Founding Executive Director
Tufts Health Care Institute
Clinical Assistant Professor, Department of Public Health and Community Medicine
Tufts University School of Medicine