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Emergency Medicine Resident Needs Assessment and Preferences for a High-value Care Curriculum.
- Source :
- Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health; 2024 Supplement, Vol. 25, p51-58, 8p
- Publication Year :
- 2024
-
Abstract
- Introduction: Consideration 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. Methods: 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. Results: 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. Discussion: 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS
MEDICAL quality control
RESEARCH funding
QUALITATIVE research
FOCUS groups
QUESTIONNAIRES
OUTPATIENT medical care
EMERGENCY medicine
DECISION making in clinical medicine
HOSPITAL medical staff
SURVEYS
THEMATIC analysis
DISCUSSION
CURRICULUM planning
RESEARCH
NEEDS assessment
CLINICAL education
MEDICAL care costs
PATIENTS' attitudes
Subjects
Details
- Language :
- English
- ISSN :
- 1936900X
- Volume :
- 25
- Database :
- Complementary Index
- Journal :
- Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
- Publication Type :
- Academic Journal
- Accession number :
- 178430985
- Full Text :
- https://doi.org/10.5811/westjem.59622