• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Public Health

New score assesses residents’ knowledge of high value care

byJeffrey CampbellandSai Folmsbee
October 13, 2014
in Public Health
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. Using questions from the Internal Medicine In-Training Exam, the authors developed a score to measure residents’ knowledge of high value care (HVC).

2. There was no association between residents’ self-reported HVC behaviors and HVC subscore, but there was a weak, inverse relationship between hospital care intensity and the HVC subscore.

Evidence Rating Level: 2 (Good)       

Study Rundown: Residency programs have begun to emphasize high value care (HVC), which balances benefits with costs and harms, in training physicians. The authors of this study developed a tool to measure internal medicine residents’ knowledge of HVC using the Internal Medicine In-Training Exam (IM-ITE), where the authors selected questions pertaining to HVC to create a standardized system. The authors calculated HVC subscores for the residents’ training programs and compared the programs’ scores with residents’ self-reported HVC behaviors and with a national index reflecting intensity of care at training hospitals. There was no association between self-reported HVC practices and HVC subscore. There was a small, inverse relationship between HVC subscore and the intensity of care at residents’ training hospitals, but this was only observed among residents at hospitals at the extremes of care intensity. This study is limited in that the HVC scores were based on multiple-choice questions and not on clinical practice, and questions were not specifically designed to assess HVC. Furthermore, exam questions change from exam to exam, so ensuring consistent application of the subscore likely would require development of further questions and validation of their reliability as measures of HVC. Overall, the HVC subscore has potential to serve as part of the HVC evaluation for residents.

Click to read the study in Annals of Internal Medicine

Relevant Reading: High-Value, Cost-Conscious Health Care: Concepts for Clinicians to Evaluate the Benefits, Harms, and Costs of Medical Interventions

In-Depth [cross-sectional]: This score represents the first attempt to develop a comprehensive measure of HVC knowledge among internal medicine residents. Three authors, all experienced clinician-educators, selected IM-ITE questions by consensus for inclusion in the subscore. Each question related to one or more of six HVC competencies: 1) low-value, high-cost or harmful diagnostic tests, 2) recognizing a diagnosis without further testing, 3) conservative management, 4) selecting the best-value test or therapy among equally-effective options, 5) considering cost and risk for screening recommendations, and 6) understanding statistics for tests or therapies. The authors used the hospital care intensity (HCI) index to assess training hospitals’ intensity of care, and a standardized questionnaire to measure residents’ HVC behaviors. Among programs, 30% ranked in the same quartile according to HVC subscore and HCI index. The authors recommend addition of tools like observed structured clinical examinations to continue to refine HVC knowledge assessment.

RELATED REPORTS

#VisualAbstract: Implementing a ban on commercial indoor tanning across England would be both cost-effective and life-saving

Oral HIV preexposure prophylaxis limits willingness to pay for long-acting injectable prophylaxis

#VisualAbstract A multimodal intervention reduced peripheral intravenous catheter failures in hospitalized patients

Image: PD

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT. 

Tags: cost-effectivelow cost carereducing healthcare costs
Previous Post

Cigarette smoking remains a leading cause of preventable medical problems

Next Post

Inconsistent quality of evidence for biomarker use on FDA drug labels

RelatedReports

#VisualAbstract: Implementing a ban on commercial indoor tanning across England would be both cost-effective and life-saving
StudyGraphics

#VisualAbstract: Implementing a ban on commercial indoor tanning across England would be both cost-effective and life-saving

February 24, 2022
Quick Take: Effect of Pregabalin on Radiotherapy-Related Neuropathic Pain in Patients With Head and Neck Cancer: A Randomized Controlled Trial
Chronic Disease

Oral HIV preexposure prophylaxis limits willingness to pay for long-acting injectable prophylaxis

February 14, 2022
#VisualAbstract A multimodal intervention reduced peripheral intravenous catheter failures in hospitalized patients
StudyGraphics

#VisualAbstract A multimodal intervention reduced peripheral intravenous catheter failures in hospitalized patients

September 9, 2021
Total knee replacement with post-surgical regimen yields greater relief vs nonsurgical treatment alone
Orthopedic Surgery

Total knee replacement cost-effective in obese patients with knee osteoarthritis

March 23, 2021
Next Post
Oral contraceptive pills associated with reduction in ovarian cancer incidence

Inconsistent quality of evidence for biomarker use on FDA drug labels

Recurrent violence in post-conflict communities linked to increased mental disorders

Increased orexin levels linked with poor sleep quality in Alzheimer Disease

Esmolol-induced heart rate reduction may aid in septic shock

2 Minute Medicine Rewind October 6 – October 13, 2014

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Vitamin and mineral supplementation associated with minimal to no benefit in the primary preventing of cardiovascular disease and cancer – US Preventative Services Task Force
  • RSVpreF vaccine prevents symptomatic respiratory syncytial virus infection
  • Incidence of Kawasaki disease found to be lower during the COVID-19 pandemic in the United States
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.