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Erschienen in: Journal of General Internal Medicine 6/2023

24.02.2023 | Innovations in Medical Education

Student High Value Care Initiative: a Longitudinal Model for Student-Led Implementation and Scholarship

verfasst von: Hyung J. Cho, MD, Surafel Tsega, MD, Mona Krouss, MD, Celine Goetz, MD, Andrew S. Dunn, MD, MPH, John Di Capua, MD, Irene Lee, MD, Anne S. Linker, MD, Sonya Makhni, MD, Deborah Korenstein, MD

Erschienen in: Journal of General Internal Medicine | Ausgabe 6/2023

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Abstract

Background

Educating medical trainees to practice high value care is a critical component to improving quality of care and should be introduced at the beginning of medical education.

Aim

To create a successful educational model that provides medical students and junior faculty with experiential learning in quality improvement and mentorship opportunities, and produce effective quality initiatives.

Setting

A tertiary medical center affiliated with a medical school in New York City.

Participants

First year medical students, junior faculty in hospital medicine, and a senior faculty course director.

Program Description

The Student High Value Care initiative is a longitudinal initiative comprised of six core elements: (1) project development, (2) value improvement curriculum, (3) mentorship, (4), Institutional support, (5) scholarship, and (6) student leadership.

Program Evaluation

During the first 3 years, 68 medical students and ten junior faculty participated in 10 quality improvement projects. Nine projects were successful in their measured outcomes, with statistically significant improvements. Nine had an abstract accepted to a regional or national meeting, and seven produced publications in peer-reviewed literature.

Discussion

In the first 3 years of the initiative, we successfully engaged medical students and junior faculty to create and support the implementation of successful quality improvement initiatives. Since that time, the program continues to offer meaningful mentorship and scholarship opportunities.
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Literatur
1.
2.
Zurück zum Zitat Stammen LA, Stalmeijer RE, Paternotte E, et al. Training physicians to provide high-value, cost-conscious care: A systematic review. JAMA. 2015;314(22):2384-2400.CrossRefPubMed Stammen LA, Stalmeijer RE, Paternotte E, et al. Training physicians to provide high-value, cost-conscious care: A systematic review. JAMA. 2015;314(22):2384-2400.CrossRefPubMed
4.
Zurück zum Zitat Leverenz D, Iams W, Heck J, Brady D. Who is going to make the wise choice? J Hosp Med. 2015;10(8):544-546.CrossRefPubMed Leverenz D, Iams W, Heck J, Brady D. Who is going to make the wise choice? J Hosp Med. 2015;10(8):544-546.CrossRefPubMed
5.
Zurück zum Zitat Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. BMJ Qual Saf. 2015. Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. BMJ Qual Saf. 2015.
6.
Zurück zum Zitat Gonzalo JD, Dekhtyar M, Hawkins RE, Wolpaw DR. How Can Medical Students Add Value? Identifying Roles, Barriers, and Strategies to Advance the Value of Undergraduate Medical Education to Patient Care and the Health System. Acad Med J Assoc Am Med Coll. 2017;92(9):1294-1301.CrossRef Gonzalo JD, Dekhtyar M, Hawkins RE, Wolpaw DR. How Can Medical Students Add Value? Identifying Roles, Barriers, and Strategies to Advance the Value of Undergraduate Medical Education to Patient Care and the Health System. Acad Med J Assoc Am Med Coll. 2017;92(9):1294-1301.CrossRef
7.
Zurück zum Zitat Steele C, Cayea D, Berk J, et al. Novel first-year curriculum in high-value care. Clin Teach. 2019;16:513-518.CrossRefPubMed Steele C, Cayea D, Berk J, et al. Novel first-year curriculum in high-value care. Clin Teach. 2019;16:513-518.CrossRefPubMed
8.
Zurück zum Zitat Moriates C, Valencia V, Stamets S, et al. Using Interactive Learning Modules to Teach Value-Based Health Care to Health Professions Trainees Across the United States. Acad Med. 2019;94(9):1332-1336.CrossRefPubMedPubMedCentral Moriates C, Valencia V, Stamets S, et al. Using Interactive Learning Modules to Teach Value-Based Health Care to Health Professions Trainees Across the United States. Acad Med. 2019;94(9):1332-1336.CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Tartaglia K, Kman N, Ledford C. Medical Student Perceptions of Cost-Conscious Care in an Internal Medicine Clerkship: A Thematic Analysis. J Gen Intern Med. 2015;30(10):1491-1496.CrossRefPubMedPubMedCentral Tartaglia K, Kman N, Ledford C. Medical Student Perceptions of Cost-Conscious Care in an Internal Medicine Clerkship: A Thematic Analysis. J Gen Intern Med. 2015;30(10):1491-1496.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Murad MH, Coto-Yglesias F, Varkey P, Prokop LJ, Murad AL. The effectiveness of self-directed learning in health professions education: a systematic review. Med Educ. 2010;44(11):1057-1068.CrossRefPubMed Murad MH, Coto-Yglesias F, Varkey P, Prokop LJ, Murad AL. The effectiveness of self-directed learning in health professions education: a systematic review. Med Educ. 2010;44(11):1057-1068.CrossRefPubMed
11.
Zurück zum Zitat Cassel CK, Guest JA. Choosing wisely: Helping physicians and patients make smart decisions about their care. JAMA. 2012;307(17):1801-1802.CrossRefPubMed Cassel CK, Guest JA. Choosing wisely: Helping physicians and patients make smart decisions about their care. JAMA. 2012;307(17):1801-1802.CrossRefPubMed
12.
14.
15.
Zurück zum Zitat Bhalla R, Jalon HS, Ryan L. The Clinical Quality Fellowship Program: Developing Clinical Quality Leadership in the Greater New York Region. Am J Med Qual. 2018;33(2):119-126.CrossRefPubMed Bhalla R, Jalon HS, Ryan L. The Clinical Quality Fellowship Program: Developing Clinical Quality Leadership in the Greater New York Region. Am J Med Qual. 2018;33(2):119-126.CrossRefPubMed
16.
Zurück zum Zitat Eden EL, Harrington T, Chen LW, et al. How Successful are Residents and Fellows at Quality Improvement? J Healthc Qual. 2020;42(4):e50-e57.CrossRefPubMed Eden EL, Harrington T, Chen LW, et al. How Successful are Residents and Fellows at Quality Improvement? J Healthc Qual. 2020;42(4):e50-e57.CrossRefPubMed
17.
Zurück zum Zitat Harrison R, Hunter AJ, Sharpe B, Auerbach AD. Survey of US academic hospitalist leaders about mentorship and academic activities in hospitalist groups. J Hosp Med. 2011;6(1):5-9.CrossRefPubMed Harrison R, Hunter AJ, Sharpe B, Auerbach AD. Survey of US academic hospitalist leaders about mentorship and academic activities in hospitalist groups. J Hosp Med. 2011;6(1):5-9.CrossRefPubMed
18.
Zurück zum Zitat Pololi L, Knight S. Mentoring faculty in academic medicine. A new paradigm? J Gen Intern Med. 2005;20(9):866–870. Pololi L, Knight S. Mentoring faculty in academic medicine. A new paradigm? J Gen Intern Med. 2005;20(9):866–870.
19.
Zurück zum Zitat Shojania KG, Levinson W. Clinicians in quality improvement: a new career pathway in academic medicine. JAMA. 2009;301(7):766-768.CrossRefPubMed Shojania KG, Levinson W. Clinicians in quality improvement: a new career pathway in academic medicine. JAMA. 2009;301(7):766-768.CrossRefPubMed
20.
Zurück zum Zitat Reid MB, Misky GJ, Harrison RA, Sharpe B, Auerbach A, Glasheen JJ. Mentorship, Productivity, and Promotion Among Academic Hospitalists. J Gen Intern Med. 2011;27(1):23-27.CrossRefPubMedPubMedCentral Reid MB, Misky GJ, Harrison RA, Sharpe B, Auerbach A, Glasheen JJ. Mentorship, Productivity, and Promotion Among Academic Hospitalists. J Gen Intern Med. 2011;27(1):23-27.CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Goetz C, Di Capua J, Lee I, et al. A Student-Led, Multifaceted Intervention to Decrease Unnecessary Folate Ordering in the Inpatient Setting. J Healthc Qual Off Publ Natl Assoc Healthc Qual. 2019. Goetz C, Di Capua J, Lee I, et al. A Student-Led, Multifaceted Intervention to Decrease Unnecessary Folate Ordering in the Inpatient Setting. J Healthc Qual Off Publ Natl Assoc Healthc Qual. 2019.
22.
Zurück zum Zitat Shinwa M, Bossert A, Chen I, et al. "THINK" Before You Order: Multidisciplinary Initiative to Reduce Unnecessary Lab Testing. J Healthc Qual Off Publ Natl Assoc Healthc Qual. 2018. Shinwa M, Bossert A, Chen I, et al. "THINK" Before You Order: Multidisciplinary Initiative to Reduce Unnecessary Lab Testing. J Healthc Qual Off Publ Natl Assoc Healthc Qual. 2018.
23.
Zurück zum Zitat Herscher M, Mikhaylov D, Barazani S, et al. A Sleep Hygiene Intervention to Improve Sleep Quality for Hospitalized Patients. Jt Comm J Qual Patient Saf. 2021;47(6):343-346.PubMed Herscher M, Mikhaylov D, Barazani S, et al. A Sleep Hygiene Intervention to Improve Sleep Quality for Hospitalized Patients. Jt Comm J Qual Patient Saf. 2021;47(6):343-346.PubMed
24.
Zurück zum Zitat Holzer H, Reisman A, Marqueen KE, et al. "Lipase Only, Please": Reducing Unnecessary Amylase Testing. Jt Comm J Qual Patient Saf. 2019;45(11):742-749.PubMed Holzer H, Reisman A, Marqueen KE, et al. "Lipase Only, Please": Reducing Unnecessary Amylase Testing. Jt Comm J Qual Patient Saf. 2019;45(11):742-749.PubMed
25.
Zurück zum Zitat Pasik SD, Chiu S, Yang J, et al. Assess Before Rx: Reducing the Overtreatment of Asymptomatic Blood Pressure Elevation in the Inpatient Setting. J Hosp Med. 2019;14(3):151-156.CrossRefPubMed Pasik SD, Chiu S, Yang J, et al. Assess Before Rx: Reducing the Overtreatment of Asymptomatic Blood Pressure Elevation in the Inpatient Setting. J Hosp Med. 2019;14(3):151-156.CrossRefPubMed
26.
Zurück zum Zitat Cho HJ, Dunn AS, Sakai Y, et al. Choosing Wisely to Mobilize Patients in Reducing Falls and Injury. Jt Comm J Qual Patient Saf. 2018;44(8):500-501.PubMed Cho HJ, Dunn AS, Sakai Y, et al. Choosing Wisely to Mobilize Patients in Reducing Falls and Injury. Jt Comm J Qual Patient Saf. 2018;44(8):500-501.PubMed
27.
Zurück zum Zitat Tsega S, Hernandez-Meza G, DiRisio AC, D'Andrea MR, Cho HJ. A Multifaceted, Student-Led Approach to Improving the Opioid Prescribing Practices of Hospital Medicine Clinicians. Jt Comm J Qual Patient Saf. 2020;46(3):153-157.PubMed Tsega S, Hernandez-Meza G, DiRisio AC, D'Andrea MR, Cho HJ. A Multifaceted, Student-Led Approach to Improving the Opioid Prescribing Practices of Hospital Medicine Clinicians. Jt Comm J Qual Patient Saf. 2020;46(3):153-157.PubMed
Metadaten
Titel
Student High Value Care Initiative: a Longitudinal Model for Student-Led Implementation and Scholarship
verfasst von
Hyung J. Cho, MD
Surafel Tsega, MD
Mona Krouss, MD
Celine Goetz, MD
Andrew S. Dunn, MD, MPH
John Di Capua, MD
Irene Lee, MD
Anne S. Linker, MD
Sonya Makhni, MD
Deborah Korenstein, MD
Publikationsdatum
24.02.2023
Verlag
Springer International Publishing
Erschienen in
Journal of General Internal Medicine / Ausgabe 6/2023
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-023-08100-y

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