A review of cost-effectiveness, cost-containment and economics curricula in graduate medical education

Journal of Evaluation in Clinical Practice
Prathibha VarkeyVivek Saoji

Abstract

Numerous studies performed over the last 30 years suggest that doctors have poor knowledge of the costs of medical care. In most graduate medical education programmes, trainees do not receive formal training in cost-effective medical practice. Comprehensive literature search of electronic bibliographic databases for articles that describe health economics, cost-containment and cost-effectiveness curricula in graduate medical education. Critical appraisal of the literature and qualitative description is presented. Heterogeneity of curricula precluded quantitative summary of data. We identified 40 articles that met the inclusion criteria for this review. Internal medicine residents were the targeted learners in 27 studies (68%); Family Medicine and Surgery residents were each targeted in five studies (13%); Rehabilitation, Paediatrics and Emergency Medicine residents were each targeted in one study. In general, the methodological quality of the included studies was poor to moderate and mostly targeted knowledge of health economics or cost-containment as opposed to targeting cost-effectiveness. In terms of describing the standard curricular components, studies sufficiently described the different educational strategies (e.g. didac...Continue Reading

References

Apr 13, 1979·JAMA : the Journal of the American Medical Association·S J DresnickA Blum
Jul 1, 1992·Journal of General Internal Medicine·J E BilliJ K Stross
Jul 15, 1991·Annals of Internal Medicine·L M FrazierM A Khayrallah
Jan 26, 1990·JAMA : the Journal of the American Medical Association·S B Soumerai, J Avorn
May 24, 1990·The New England Journal of Medicine·W M TierneyC J McDonald
Jul 1, 1989·Academic Medicine : Journal of the Association of American Medical Colleges·P T DowlingL Culpepper
Feb 1, 1989·Archives of Internal Medicine·J A PughE Linfors
Feb 26, 1988·JAMA : the Journal of the American Medical Association·W M TierneyD K Martin
Jan 1, 1986·Journal of General Internal Medicine·S V Williams, J M Eisenberg
Sep 1, 1987·Journal of General Internal Medicine·J E BilliJ K Stross
Mar 1, 1987·Medical Care·D R Thomas, K M Davis
May 9, 1985·The New England Journal of Medicine·J M Cameron
Dec 1, 1985·American Journal of Clinical Pathology·M NovichA I Tauber
Mar 1, 1985·Medical Education·F G Fowkes
Sep 1, 1984·Journal of Medical Education·S J McPheeJ K Leong
Jul 13, 1984·JAMA : the Journal of the American Medical Association·S A SchroederJ K Leong
Jul 4, 1980·JAMA : the Journal of the American Medical Association·I Praiss, C Gjerde
Dec 4, 1980·The New England Journal of Medicine·A R MartinE Braunwald
Nov 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J C Horrow, H Rosenberg
Sep 1, 1994·Journal of the American Geriatrics Society·L GlickmanJ Avorn
Dec 31, 1997·Archives of Internal Medicine·D W BatesM J Tanasijevic
Dec 5, 1997·Academic Medicine : Journal of the Association of American Medical Colleges·A G GomezS A Skootsky
Dec 24, 1998·JAMA : the Journal of the American Medical Association·D H SolomonM H Liang
May 7, 1999·The American Journal of Medicine·D W BatesM Tanasijevic
Feb 10, 1983·Journal of Health Economics·F A SloanA B Steinwald
Oct 12, 2000·Archives of Internal Medicine·S ReichertE A Halm
May 11, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·A HakimV Santilli
May 11, 2001·Archives of Physical Medicine and Rehabilitation·E J RothM L Moses
Jun 13, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·D W RudyJ F Wilson
Jun 26, 2001·Journal of General Internal Medicine·S J KravetJ A Carrese
Aug 30, 2001·Archives of Internal Medicine·D H SolomonJ Avorn
Jan 31, 2002·The Journal of School Health·M K Tappe, R A Galer-Unti
Feb 6, 2002·Annals of Internal Medicine·UNKNOWN ABIM Foundation. American Board of Internal MedicineUNKNOWN European Federation of Internal Medicine

❮ Previous
Next ❯

Citations

Sep 6, 2011·Advances in Health Sciences Education : Theory and Practice·Boaz ShulrufTim Wilkinson
Jan 10, 2014·Journal of Graduate Medical Education·Kieran Walsh
Mar 25, 2014·The American Journal of Emergency Medicine·Camille Broadwater-HollifieldTroy E Madsen
Aug 19, 2015·Journal of Graduate Medical Education·Adam J ObleyLinda L Humphrey
Aug 19, 2015·Journal of Graduate Medical Education·Kira L RyskinaTara F Bishop
Jan 21, 2016·Teaching and Learning in Medicine·Grace C HuangRichard M Schwartzstein
Jan 15, 2014·Journal of Surgical Education·Kieran Walsh
Oct 25, 2011·The American Journal of Medicine·Stephen A Geraci, S Calvin Thigpen
Mar 6, 2016·European Journal of Internal Medicine·Carmen Sanclemente-AnsóXavier Corbella
Sep 11, 2013·Medical Education·Kieran WalshJames Gazzard
Jun 13, 2014·European Journal of Clinical Investigation·Pilar Brito-ZerónXavier Bosch
May 2, 2015·Journal of General Internal Medicine·Kimberly M TartagliaCynthia Ledford
Aug 20, 2014·Advances in Health Sciences Education : Theory and Practice·Kieran Walsh
Nov 8, 2013·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·Kieran Walsh, Peter Jaye
Aug 8, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·John Myers, Carlee Lehna
Dec 17, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·John MyersCarlee Lehna
Dec 23, 2017·Journal of Graduate Medical Education·Michael J TchouRebecca Blankenburg
Jun 13, 2018·The Clinical Teacher·Linghong Linda ZhouShirley Lake
Sep 2, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Kieran Walsh
Jun 2, 2012·Journal of Graduate Medical Education·Raj Tek Sehgal, Paul Gorman
Jul 23, 2014·Journal of Interprofessional Care·Kieran WalshStephen Maloney
Sep 13, 2014·Medical Teacher·Kieran Walsh
Oct 30, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Christopher MoriatesGeorge F Sawaya
Oct 14, 2014·Medical Education·Ashley A DennisCharlotte E Rees
Apr 27, 2011·Journal of Evaluation in Clinical Practice·Nathalie I H WellensPhilip Moons
Feb 14, 2014·British Journal of Hospital Medicine·Kieran Walsh
May 25, 2012·The Medical Journal of Australia·Jennifer M WellerJennifer J Conn
Dec 21, 2016·Journal of Interprofessional Care·Stephen MaloneyKieran Walsh
Dec 17, 2019·Journal of Medical Education and Curricular Development·Samara B GinzburgJerrold E Hirsch

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved