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. 2020 Nov 17:16:11030.
doi: 10.15766/mep_2374-8265.11030.

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

Priya N Jain  1 , Steven Eagle  2 , Miriam Schechter  3 , Hai Jung H Rhim  1 , Rhonda Acholonu  1
Affiliations

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

Priya N Jain et al. MedEdPORTAL. .

Abstract

Introduction: The cost of health care in the US is rapidly rising. Understanding the financial cost of medical care is an important competency for physicians and physicians-in-training. Medical students in their clinical clerkships are being exposed to health care decision-making often for the first time and are forming habits they will carry throughout their training and careers. Teaching high-value care (HVC) principles is crucial for students as they will be the future leaders in health care.

Methods: This 1-hour workshop was interactive and aimed to prepare medical students to apply HVC when making medical decisions. The topic of HVC was initially introduced by eliciting tests that students want to order and highlighting the concept of whether or not a test changes the management of the patient. This exercise was followed by a PowerPoint presentation which discussed HVC, Choosing Wisely guidelines in pediatrics, and how to communicate with parents and patients about this topic.

Results: Of third-year medical students, 125 participated in the workshop, with a survey response rate of 90% (n = 112). Ninety-nine percent reported that this workshop was helpful, and 97% reported that they will change their practice to reflect more cost-conscious care. Most students reported that their knowledge of HVC improved after the session, with 88% reporting scores of 3 (moderately improved) or 4 (significantly improved).

Discussion: This ready-to-implement workshop offered students an understanding of how the cost of medical care impacts patients and families and how to practice cost-conscious care in pediatrics.

Keywords: Case-Based Learning; High-Value Care; High-Value Care/Cost-Conscious Care; Internal Medicine; Pediatrics; Physician.

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References

    1. Institute of Medicine Roundtable on Evidence-Based Medicine, Yong PL, Saunders RS, Olsen L, eds. The Healthcare Imperative: Lowering Costs and Improving Outcomes. National Academies Press; 2010. 10.17226/12750 - DOI - PubMed
    1. Keehan SP, Stone DA, Poisal JA, et al. National health expenditures projections, 2016–25: price increases, aging push sector to 20 percent of economy. Health Aff (Millwood). 2017;36(3):553–563. 10.1377/hlthaff.2016.1627 - DOI - PubMed
    1. Berwick DM, Hackbarth AD. Eliminating waste in US health care. JAMA. 2012;307(14):1513–1516. 10.1001/jama.2012.362 - DOI - PubMed
    1. Cook DA, Beckman TJ. High-value, cost-conscious medical education. JAMA Pediatr. 2015;169(2):109–111. 10.1001/jamapediatrics.2014.2964 - DOI - PubMed
    1. Nelson DE, Thompson BL, Bland SD, Rubinson R. Trends in perceived cost as a barrier to medical care, 1991–1996. Am J Public Health. 1999;89(9):1410–1413. 10.2105/AJPH.89.9.1410 - DOI - PMC - PubMed