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{
    "pk": 17719,
    "title": "Emergency Medicine Resident Needs Assessment and Preferences for a High-value Care Curriculum",
    "subtitle": null,
    "abstract": "Introduction: \nConsideration of the cost of care and value in healthcare is now a recognized element of physician training. Despite the urgency to educate trainees in high-value care (HVC), educational curricula and evaluation of these training paths remain limited, especially with respect to emergency medicine (EM) residents. We aimed to complete a needs assessment and evaluate curricular preferences for instruction on HVC among EM residents.\nMethods:\n This was a qualitative, exploratory study using content analysis of two focus groups including a total of eight EM residents from a single Midwestern EM residency training program. Participants also completed a survey questionnaire.\nResults:\n There were two themes. Within the overall theme of resident experience with and perception of HVC, we found five sub-themes: 1) understanding of HVC focuses on diagnosis and decision-making; 2) concern about patient costs, including the effects on patients’ lives and their ability to engage with recommended outpatient care; 3) conflict between internal beliefs and external expectations, including patients’ perceptions of value; 4) approach to HVC changes with increasing clinical experience; and 5) slow-moving, political discussion around HVC. Within the overall theme of desired education and curricular design, we identified four sub-themes: 1) limited prior education on HVC and health economics; 2) motivation to receive training on HVC and health economics; 3) desire for discussion-based format for HVC curriculum; and 4) curriculum targeted to level of training. Respondents indicated greatest acceptability of interactive, discussion-based formats.\nDiscussion:\n We conducted a targeted needs assessment for HVC among EM residents. We identified broad interest in the topic and limited self-reported baseline knowledge. Curricular content may benefit from incorporating resident concerns about patient costs and conflict between external expectations and internal beliefs about HVC. Curricular design may benefit from a focus on interactive, discussion-based modalities and tailoring to the learner’s level of training.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Value-Based Health Care"
        },
        {
            "word": "Graduate Medical Education"
        },
        {
            "word": "Health Care Economics and Organizations"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Education",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8859g10m",
    "frozenauthors": [
        {
            "first_name": "Bennett",
            "middle_name": "H.",
            "last_name": "Lane",
            "name_suffix": "",
            "institution": "University of Cincinnati College of Medicine, Department of Emergency Medicine, Cincinnati, Ohio; University of Cincinnati Health Air Care & Mobile Care, Cincinnati, Ohio",
            "department": "None"
        },
        {
            "first_name": "Simanjit",
            "middle_name": "K.",
            "last_name": "Mand",
            "name_suffix": "",
            "institution": "University of Cincinnati College of Medicine, Department of Emergency Medicine, Cincinnati, Ohio",
            "department": "None"
        },
        {
            "first_name": "Stewart",
            "middle_name": "",
            "last_name": "Wright",
            "name_suffix": "",
            "institution": "University of Cincinnati College of Medicine, Department of Emergency Medicine, Cincinnati, Ohio",
            "department": "None"
        },
        {
            "first_name": "Sally",
            "middle_name": "",
            "last_name": "Santen",
            "name_suffix": "",
            "institution": "University of Cincinnati College of Medicine, Department of Emergency Medicine, Cincinnati, Ohio",
            "department": "None"
        },
        {
            "first_name": "Brittany",
            "middle_name": "E.",
            "last_name": "Punches",
            "name_suffix": "",
            "institution": "Ohio State University, Colleges of Nursing and Medicine, Department of Emergency Medicine, Columbus, Ohio",
            "department": "None"
        }
    ],
    "date_submitted": "2022-12-13T21:55:15Z",
    "date_accepted": "2022-12-13T21:55:15Z",
    "date_published": "2023-12-08T21:39:22Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17719/galley/9050/download/"
        }
    ]
}