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Related Experiment Video

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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Novel first-year curriculum in high-value care.

Christopher Steele1,2, Danelle Cayea3, Justin Berk1

  • 1Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

The Clinical Teacher
|January 16, 2019
PubMed
Summary
This summary is machine-generated.

First-year medical students trained in high-value care (HVC) demonstrated improved cost-conscious practices in simulated patient encounters. This initial HVC curriculum shows promise for early skill development in medical education.

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Area of Science:

  • Medical Education
  • Health Economics
  • Clinical Skills Training

Background:

  • Most medical schools incorporate high-value care (HVC) curricula during clinical years.
  • Research on the effectiveness of HVC training for first-year medical students is currently lacking.

Purpose of the Study:

  • To evaluate the effectiveness of an HVC curriculum for first-year medical students.
  • To determine if HVC training impacts early clinical decision-making in simulated patient scenarios.

Main Methods:

  • A cohort of 118 first-year medical students completed an HVC course at Johns Hopkins School of Medicine (2013-2017).
  • Performance was assessed via a standardized patient encounter focusing on musculoskeletal back pain and imaging requests.
  • Chi-square testing compared outcomes between students with and without HVC training.

Main Results:

  • Students who completed the HVC course were more likely to reassure patients about simple back pain (48% vs. 31%) and less likely to seek preceptor assistance (11% vs. 29%).
  • No significant differences were observed between HVC students and those in other electives.

Conclusions:

  • This study is the first to assess an HVC curriculum's effectiveness in first-year medical students.
  • The findings suggest that early HVC training can equip students with essential skills for cost-effective medical practice in simulated settings.