High value care education in general surgery residency programs: A multi-institutional needs assessment

被引：3

作者：

Malhotra, Neha R. ^{[1
]}

Smith, Jessica D. ^{[2
]}

Jacobs, Alexandra C. ^{[2
]}

Johnson, Cali E. ^{[3
]}

Khan, Uzer S. ^{[4
]}

Ellison, Halle B. ^{[5
]}

Brintz, Benjamin J. ^{[6
]}

Millar, Morgan M. ^{[6
]}

Cloud, William G. ^{[7
]}

Nahmias, Jeffry ^{[8
]}

Hendershot, Kimberly M. ^{[9
]}

Smith, Brigitte K. ^{[10
]}

机构：

[1] Univ Utah, Dept Surg, Div Urol, Salt Lake City, UT USA

[2] Univ Utah, Sch Med, Salt Lake City, UT USA

[3] Univ Southern Calif, Dept Surg, Div Vasc Surg, Los Angeles, CA USA

[4] West Virginia Univ, Dept Surg, Morgantown, WV USA

[5] Geisinger Hlth, Dept Palliat Care, Dept Surg, Danville, PA USA

[6] Univ Utah, Dept Internal Med, Div Epidemiol, Salt Lake City, UT USA

[7] Baptist Mem Memphis, Dept Surg, Memphis, TN USA

[8] Univ Calif Irvine, Dept Surg, Irvine, CA 92717 USA

[9] Univ Alabama Birmingham, Dept Surg, Birmingham, AL USA

[10] Univ Utah, Dept Surg, Div Vasc Surg, Salt Lake City, UT USA

来源：

AMERICAN JOURNAL OF SURGERY | 2021年 / 221卷 / 02期

基金：

美国国家卫生研究院;

关键词：

general surgery; Internship and residency; Quality improvement; Patient safety; Cost control; Education; Medical; Graduate;

D O I：

10.1016/j.amjsurg.2020.09.032

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The ACGME mandates that residency programs provide training related to high value care (HVC). The purpose of this study was to explore HVC education in general surgery residency programs. Methods: An electronic survey was distributed to general surgery residents in geographically diverse programs. Results: The response rate was 29% (181/619). Residents reported various HVC components in their curricula. Less than half felt HVC is very important for their future practice (44%) and only 15% felt confident they could lead a QI initiative in practice. Only 20% of residents reported participating in a root cause analysis and less than one-third of residents (30%) were frequently exposed to cost considerations. Conclusion: Few residents feel prepared to lead quality improvement initiatives, have participated in patient safety processes, or are aware of patients' costs of care. This underscores the need for improved scope and quality of HVC education and establishment of formal curricula. (C) 2020 Elsevier Inc. All rights reserved.

引用

页码：291 / 297

页数：7

共 26 条

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