The power of anecdotes on resident HVCCC curriculum

Abstract

A formal high value, cost-conscious care (HVCCC) curriculum was implemented at a community hospital-based university-affiliated residency program starting January 1, 2014, based on the recommendations of the American Board of Internal Medicine's (ABIM) Choosing Wisely campaign. The program included a competition requiring each resident to write a HVCCC case based on an actual patient experience. Residents completed a questionnaire assessing their understanding of HVCCC near the end of the program. Residents subsequently reviewed two actual cases that had vividly described unexpected adverse outcomes (‘anecdotal’ cases). Postexposure data were collected and the results were analyzed.

Editor's notes

“…There is a pharmacy school study reviewing hospital records, adding to the literature on the benefit of N -acetylcysteine in preventing contrast-induced nephropathy ( 1 ). Four papers involve medical resident education: a pilot study on the benefit of teaching musculoskeletal ultrasound training ( 2 ); the benefits of using Multiple Mini Interview format for recruitment ( 3 ); a quality improvement project regarding adherence to correct guidelines by residents when treating acute respiratory infections ( 4 ); and the importance of faculty development and residency engagement when practicing between principles of High Value Care and defensive medicine ( 5 ).…”