Applying High-Value Care Principles in a Pediatric Case: A Workshop for Health Professions Students

Jain, Priya; Eagle, Steven; Schechter, Miriam; Rhim, Hai Jung Helen; Acholonu, Rhonda Graves

doi:10.15766/mep_2374-8265.11030

Cited by 3 publications

(2 citation statements)

References 34 publications

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“…It seems that physicians and health professions students have a poor understanding of the costs of medications and diagnostic tests. Teaching high-value and cost-conscious care to future physicians seems necessary [14]. Educational interventions may help physicians to deliver high-value, costconscious health care.…”

Section: Discussionmentioning

confidence: 99%

High-Value-Care Case Based Management in Pediatric Wilson Disease

Rouzbehani¹

2022

J Gast Hepa Rep

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High-value care (HVC) is a term used for providing the best care possible for patients while simultaneously decreasing unnecessary expenses. HVC is a good instance of striking a balance between cost and benefit. Principles of value-based health care provide physicians with the necessary knowledge, tools, and strategies to improve the process of clinical reasoning. In this article, we present a case of Wilson’s disease in an 8-year-old boy as a clinical example of the impact of HVC on clinical decision-making and clinical reasoning

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Section: Discussionmentioning

confidence: 99%

High-Value-Care Case Based Management in Pediatric Wilson Disease

Rouzbehani¹

2022

J Gast Hepa Rep

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“…However, the implementation of such curricula has posed a challenge, as there is currently no standardized or optimal approach to providing instruction in HVC. Some institutions have begun to include HVC content separately from foundational coursework, 5 – 7 but introduction of new courses into crowded curricula can be time-consuming and challenging. We sought to develop a feasible, effective, and sustainable approach to introduce pre-clinical medical students to HVC principles at our institution.…”

Section: Introductionmentioning

confidence: 99%

Integrating High-Value Care Concepts into Preclinical Medical Education: A Practical Approach

Carey

Gilmore

Hoddwells

et al. 2023

Journal of Medical Education and Curricular Development

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Objectives Although some US medical schools have incorporated high-value care into their preclinical curriculum, there is no standardized approach and major curricular overhaul can be prohibitively onerous. The objectives of this study were to develop a feasible and effective high-value care curriculum, integrate it into an existing pre-clinical course, and assess student and faculty perceptions of the educational value of the curriculum. Methods Between 2019 and 2021, University of Vermont preclinical medical students participating in the Students & Trainees Advocating for Resource Stewardship (STARS) program collaborated with the faculty director of the preclinical pathophysiology course to identify Choosing Wisely® recommendations relevant to course topics. For each recommendation, STARS students created a case-based, multiple-choice question, answer key and rationale to accompany standard course materials. At each year's course completion, participating students and faculty were invited to complete a survey to assess their perceptions of the curriculum. Results Seventeen case-based questions were integrated into existing pathophysiology course sessions each year. Over the 3-year period, 420 students and 35 teaching faculty participated in the course, and 171 (40.7%) students and 24 (68.6%) faculty completed the post-course survey. Among student respondents, 80% agreed the curriculum increased their awareness of high-value care, 79% agreed they would be more likely to apply high-value care concepts during their medical career, and 92% agreed it was valuable to discuss Choosing Wisely® recommendations during the second year of medical school. Conclusion A student-led initiative to incorporate high-value care content within an existing pre-clinical course was well-received by medical students, who reported increased awareness of and intention to apply high-value care principles. This model may offer a feasible and effective approach to high-value care education in the absence of an extensive formal curriculum.

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