Evidence map›Paper›PMID 38528995›Full record

ArticleCureus2024

Integrating Choosing Wisely, Value-Based Care Principles, Into Undergraduate Medical Education: A Pilot Study.

Omar El Fadel, Zachary N Goldberg, Amiti Jain, Nitya Venkat, Anjali Upadhyaya, Shale Mack, Mitchell Kaminski, Dimitri Papanagnou, Deborah Ziring, Geoffrey Hayden

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Omar El FadelInternal Medicine, Thomas Jefferson University, Philadelphia, USA.
Zachary N GoldbergInternal Medicine, Thomas Jefferson University, Philadelphia, USA.
Amiti JainInternal Medicine, Thomas Jefferson University, Philadelphia, USA.
Nitya VenkatInternal Medicine, Thomas Jefferson University, Philadelphia, USA.
Anjali UpadhyayaInternal Medicine, Thomas Jefferson University, Philadelphia, USA.
Shale MackInternal Medicine, Thomas Jefferson University, Philadelphia, USA.
Mitchell KaminskiFamily and Community Medicine, Thomas Jefferson University, Philadelphia, USA.
Dimitri PapanagnouEmergency Medicine, Thomas Jefferson University, Philadelphia, USA.
Deborah ZiringInternal Medicine, Thomas Jefferson University, Philadelphia, USA.
Geoffrey HaydenEmergency Medicine, Thomas Jefferson University, Philadelphia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare spending represents a large portion of the GDP of the United States. Value-based care (VBC) seeks to decrease waste in health care spending, yet this concept is insufficiently taught to medical students. The Choosing Wisely Students and Trainees Advocating for Resource Stewardship (STARS) campaign promotes initiatives that integrate knowledge of VBC into undergraduate medical education (UME). This study sought to determine the most effective strategy to educate medical students on key principles of VBC as taught by the STARS campaign.

methodsChoosing Wisely principles were incorporated into the UME curriculum of an academic medical institution via the creation of eight new learning objectives (LOs) for case-based learning (CBL) sessions and lectures. Medical students completed an annual 10-question survey from 2019 to 2022 and 10 formal examination questions during the preclinical (years 1 and 2) curriculum after exposure to varying quantities of LOs. Pearson correlation, chi-square, and logistic regression were employed to determine the association between increased LOs in the curriculum and (1) campaign awareness and (2) knowledge of VBC principles.

resultsA total of 700 survey responses over a four-year period (2019 to 2022) were analyzed. Student awareness of the campaign and knowledge of VBC principles increased year over year during the survey period (39% to 92% and 64% to 74%, respectively). There were significant associations between increased LOs in the curriculum and (1) campaign awareness (0.828, p<0.0001) and (2) knowledge of VBC principles (0.934, p<0.001). Students also performed well on formal examination questions related to VBC principles (mean: 81.5% and mean discrimination index: 0.18).

conclusionIntegration of VBC-focused LOs is significantly associated with awareness of the Choosing Wisely STARS campaign and knowledge of VBC principles taught by the campaign. Collaborative initiatives to increase exposure to VBC education may improve students' knowledge of these principles during medical school.

Indexed as

choosing wiselyhealth systems sciencehigh-value caremedical educationresource stewardshipvalue-based care

Identifiers

PMID38528995
PMCPMC10963070

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.