Role Modeling and Regional Health Care Intensity: U.S. Medical Student Attitudes Toward and Experiences With Cost-Conscious Care.
Andrea N. Leep Hunderfund,Liselotte N. Dyrbye,Stephanie R. Starr,Jay Mandrekar,James M. Naessens,Jon C. Tilburt,Paul George,Elizabeth G. Baxley,Jed D. Gonzalo,Christopher Moriates,Susan Dorr Goold,Patricia A. Carney,Bonnie M. Miller,Sara J. Grethlein,Tonya L. Fancher,Darcy A. Reed +15 more
TLDR
Medical students endorse barriers to cost-conscious care and encounter conflicting role-modeling behaviors, which are related to regional health care intensity, which may help prepare future physicians to address health care costs.Abstract:
PurposeTo examine medical student attitudes toward cost-conscious care and whether regional health care intensity is associated with reported exposure to physician role-modeling behaviors related to cost-conscious care.MethodStudents at 10 U.S. medical schools were surveyed in 2015. Thirty-five itemread more
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Concerns and Responses for Integrating Health Systems Science Into Medical Education.
Jed D. Gonzalo,Kelly J. Caverzagie,Richard E. Hawkins,Luan Lawson,Daniel R. Wolpaw,Anna Chang +5 more
TL;DR: The authors recommend the initiation and continuation of discussions between educators, clinicians, basic science faculty, health system leaders, and accrediting and regulatory bodies about the goals and priorities of medical education, as well as about the need to collaborate on new methods of education to reach these goals.
Journal ArticleDOI
Health Systems Science in Medical Education: Unifying the Components to Catalyze Transformation.
Jed D. Gonzalo,Anna Chang,Michael Dekhtyar,Stephanie R. Starr,Eric S. Holmboe,Daniel R. Wolpaw +5 more
TL;DR: The historical context of several key systems-related competency areas are explored and the authors articulate 6 rationales for the use and integration of a broad HSS framework within medical education.
Journal ArticleDOI
Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation
Reshma Gupta,Reshma Gupta,Christopher Moriates,Christopher Moriates,James D. Harrison,Victoria Valencia,Victoria Valencia,Michael K. Ong,Robin Clarke,Neil Steers,Ron D. Hays,Clarence H. Braddock,Robert M. Wachter +12 more
TL;DR: The results provide support for the reliability and validity of the HVCCS to assess high-value care culture among front-line clinicians and may be used by healthcare groups to identify target areas for improvements and to monitor the effects of high- value care initiatives.
Journal ArticleDOI
Aligning Education With Health Care Transformation: Identifying a Shared Mental Model of "New" Faculty Competencies for Academic Faculty.
Jed D. Gonzalo,Amarpreet Ahluwalia,Maria Hamilton,Heidi Wolf,Daniel R. Wolpaw,Britta M. Thompson +5 more
TL;DR: A broad competency framework for faculty development programs expands existing curricula by including a comprehensive scope of health systems science content and skills and can be used to better align faculty education with the real-time needs of their health systems.
Journal ArticleDOI
Attitudes toward cost-conscious care among U.S. physicians and medical students: analysis of national cross-sectional survey data by age and stage of training
Andrea N. Leep Hunderfund,Liselotte N. Dyrbye,Stephanie R. Starr,Jay Mandrekar,Jon C. Tilburt,Paul George,Elizabeth G. Baxley,Jed D. Gonzalo,Christopher Moriates,Christopher Moriates,Susan Dorr Goold,Patricia A. Carney,Bonnie M. Miller,Sara J. Grethlein,Tonya L. Fancher,Matthew K. Wynia,Darcy A. Reed +16 more
TL;DR: For example, this article found that medical students were more likely than physicians to agree that cost to society should be important in treatment decisions and that physicians should sometimes deny beneficial but costly services.
References
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