Empowering Medical Students to Practice High-Value Care

Author:

Echeverria Carlos1ORCID,Weinstein Adam1,Rycki Brandon2,McHugh Douglas1ORCID

Affiliation:

1. Frank H. Netter MD School of Medicine, Quinnipiac University, Hamden, CT 06518, USA

2. Digital Media Creator, Southington, CT 06489, USA

Abstract

Over the last decade, initiatives like the Choosing Wisely campaign have promoted the practice of evidence-based, cost-conscious care. However, education surrounding value in medicine has been largely restricted to graduate-level medical education or post-clerkship undergraduate medical education. Here, we present a mixed-methods study evaluating pre-clerkship medical student engagement with and response to new value-based curricular initiatives to assess whether high-value care (HVC) can be introduced successfully earlier in training. Initiatives were introduced into the pre-clerkship clinical curriculum without major alterations to the established curricular structure. These comprised an annual event devoted to self-reflecting on HVC observed in prior and current clinical experiences and subsequent small-group facilitated discussion. Engagement with and response to these initiatives were analyzed for two whole-class cohorts using an abductive, progressive focusing approach complementing quantitative survey data. Baseline familiarity with HVC and post-event response to the annual event was higher and more positive, respectively, among responders from the Class of 2025 compared with those from the Class of 2024. Analysis of reflection essays revealed the emergence of five primary themes differentiating the two class years: (1) understanding HVC, (2) addressing barriers to HVC, (3) medical waste and underserved communities, (4) patient–physician relationship and value, and (5) self-reflection. Evaluation of thematic patterns in light of survey response data suggests that early clinical exposure combined with intentional self-reflection could promote engagement with HVC topics in a way that shapes students’ foundational understanding of the practice of medicine.

Publisher

MDPI AG

Reference46 articles.

1. Peterson-KFF Health System Tracker (2024, January 04). How Does U.S. Life Expectancy Compare to Other Countries? [Internet]. Available online: https://www.healthsystemtracker.org/chart-collection/u-s-life-expectancy-compare-countries/#Life%20expectancy%20in%20years%20at%20given%20age,%202019%C2%A0.

2. Porter, M., and Teisberg, E. (2006). Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business Press.

3. Eliminating Waste in US Health Care;Berwick;JAMA,2012

4. An Evidence Review of Low-Value Care Recommendations: Inconsistency and Lack of Economic Evidence Considered;Kim;J. Gen. Intern. Med.,2021

5. Defining and Implementing Value-Based Health Care: A Strategic Framework;Teisberg;Acad. Med.,2020

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3