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

Neha R. Malhotra; Jessica D. Smith; Alexandra C. Jacobs; Cali E. Johnson; Uzer S. Khan; Halle B. Ellison; Benjamin J. Brintz; Morgan M. Millar; William G. Cloud; Jeffry Nahmias; Kimberly M. Hendershot; Brigitte K. Smith

doi:10.1016/j.amjsurg.2020.09.032

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

Neha R. Malhotra, Jessica D. Smith, Alexandra C. Jacobs, Cali E. Johnson, Uzer S. Khan, Halle B. Ellison, Benjamin J. Brintz, Morgan M. Millar, William G. Cloud, Jeffry Nahmias, Kimberly M. Hendershot, Brigitte K. Smith

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	291-297
Number of pages	7
Journal	American Journal of Surgery
Volume	221
Issue number	2
DOIs	https://doi.org/10.1016/j.amjsurg.2020.09.032
State	Published - Feb 2021
Externally published	Yes

Keywords

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

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10.1016/j.amjsurg.2020.09.032

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Malhotra, N. R., Smith, J. D., Jacobs, A. C., Johnson, C. E., Khan, U. S., Ellison, H. B., Brintz, B. J., Millar, M. M., Cloud, W. G., Nahmias, J., Hendershot, K. M., & Smith, B. K. (2021). High value care education in general surgery residency programs: A multi-institutional needs assessment. American Journal of Surgery, 221(2), 291-297. https://doi.org/10.1016/j.amjsurg.2020.09.032

@article{8eb24cf4d6294c8d8a5e6e84b8ac7ff5,

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

abstract = "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{\textquoteright} costs of care. This underscores the need for improved scope and quality of HVC education and establishment of formal curricula.",

keywords = "Cost control, Education, Graduate, Internship and residency, Medical, Patient safety, Quality improvement, general surgery",

author = "Malhotra, \{Neha R.\} and Smith, \{Jessica D.\} and Jacobs, \{Alexandra C.\} and Johnson, \{Cali E.\} and Khan, \{Uzer S.\} and Ellison, \{Halle B.\} and Brintz, \{Benjamin J.\} and Millar, \{Morgan M.\} and Cloud, \{William G.\} and Jeffry Nahmias and Hendershot, \{Kimberly M.\} and Smith, \{Brigitte K.\}",

note = "Publisher Copyright: {\textcopyright} 2020 Elsevier Inc.",

year = "2021",

month = feb,

doi = "10.1016/j.amjsurg.2020.09.032",

language = "English",

volume = "221",

pages = "291--297",

journal = "American Journal of Surgery",

issn = "0002-9610",

publisher = "Elsevier Inc.",

number = "2",

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T1 - High value care education in general surgery residency programs

T2 - A multi-institutional needs assessment

AU - Malhotra, Neha R.

AU - Smith, Jessica D.

AU - Jacobs, Alexandra C.

AU - Johnson, Cali E.

AU - Khan, Uzer S.

AU - Ellison, Halle B.

AU - Brintz, Benjamin J.

AU - Millar, Morgan M.

AU - Cloud, William G.

AU - Nahmias, Jeffry

AU - Hendershot, Kimberly M.

AU - Smith, Brigitte K.

PY - 2021/2

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N2 - 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.

AB - 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.

KW - Cost control

KW - Education

KW - Graduate

KW - Internship and residency

KW - Medical

KW - Patient safety

KW - Quality improvement

KW - general surgery

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SP - 291

EP - 297

JO - American Journal of Surgery

JF - American Journal of Surgery

IS - 2

ER -

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

Abstract

Keywords

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