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High value care education in general surgery residency programs: A multi-institutional needs assessment
Neha R Malhotra1, Jessica D Smith2, Alexandra C Jacobs2
1University of Utah, Department of Surgery, Division of Urology, United States.
American Journal of Surgery
|October 11, 2020
Summary
General surgery residents report limited exposure to high-value care (HVC) education, with few feeling prepared for quality improvement initiatives or understanding patient costs. This highlights a need for enhanced HVC training in residency programs.
Area of Science:
- Medical Education
- Surgical Training
- Healthcare Quality Improvement
Background:
- The Accreditation Council for Graduate Medical Education (ACGME) requires residency programs to include high-value care (HVC) training.
- General surgery residency programs' current implementation of HVC education remains underexplored.
Purpose of the Study:
- To investigate the scope and perceived importance of HVC education within general surgery residency programs.
- To assess residents' preparedness to implement HVC principles in practice.
Main Methods:
- An electronic survey was administered to general surgery residents across diverse geographic locations.
- Data were collected on residents' exposure to various HVC components and their confidence in leading quality improvement (QI) initiatives.
Main Results:
- The survey achieved a 29% response rate (181/619 residents).
- While residents reported some HVC components in their curricula, only 44% considered HVC very important for future practice.
- Few residents felt confident leading QI initiatives (15%), participated in root cause analysis (20%), or were frequently exposed to cost considerations (30%).
Conclusions:
- A significant gap exists in residents' preparedness for leading QI initiatives, engaging in patient safety processes, and understanding patient costs.
- There is a clear need to enhance the scope and quality of HVC education, including the development of formal curricula in general surgery residency programs.
