Development of a High Value Care Educational Module for Obstetrics and Gynecology Residents

Abstract

Local Mentors: Carrie Wieneke, MD, and Michael Moxley, MD APGO Advisors: Alice R. Goepfert, MD, and Lee A. Learman, MD, PhD PURPOSE: To develop an educational module introducing high value care concepts to obstetrics and gynecology residents. BACKGROUND: Cost effective care is one of the 28 ACGME milestones to be achieved during residency training. It is imperative that physicians are aware of the components of the cost of medical care and how to maintain quality while containing cost. METHODS: Needs assessment was performed by surveying graduating seniors and junior faculty. Knowledge gaps were identified and an introductory educational module was designed. This module provides basic information defining high value care and how it can be achieved in clinical settings using a few simple tools; it was presented as an interactive small group discussion with activities illustrating cost-effective care using real life examples. EVALUATION PLAN: Participants of the study were OB/GYN residents (n=26) at two academic institutions. The introductory module started with a pretest. Evaluation of knowledge gained and decay was performed by an immediate post-test and a retention test 3 months later. The testing results are reported elsewhere. DISSEMINATION: In addition to submission to CREOG-APGO Annual Meeting, the module can be disseminated through AAMC MedEdPORTAL. REFLECTIVE CRITIQUE: Traditionally, the attitude of American medical care has been to use all available resources. A shift to taking care of patents using only the appropriate resources is a culture shift for both learners and teachers. Creating a module that is informative and interesting while achieving the goal of changing practice styles was challenging. Development of a robust national curriculum for ob/gyns should be undertaken.