Student High Value Care Initiative: a Longitudinal Model for Student-Led Implementation and Scholarship

Background: Educating medical trainees to practice high value care is a critical component to improving quality of care and should be introduced at the beginning of medical education. Aim: To create a successful educational model that provides medical students and junior faculty with experiential learning in quality improvement and mentorship opportunities, and produce effective quality initiatives. Setting: A tertiary medical center affiliated with a medical school in New York City. Participants: First year medical students, junior faculty in hospital medicine, and a senior faculty course director. Program Description: The Student High Value Care initiative is a longitudinal initiative comprised of six core elements: (1) project development, (2) value improvement curriculum, (3) mentorship, (4), Institutional support, (5) scholarship, and (6) student leadership. Program Evaluation: During the first 3 years, 68 medical students and ten junior faculty participated in 10 quality improvement projects. Nine projects were successful in their measured outcomes, with statistically significant improvements. Nine had an abstract accepted to a regional or national meeting, and seven produced publications in peer-reviewed literature. Discussion: In the first 3 years of the initiative, we successfully engaged medical students and junior faculty to create and support the implementation of successful quality improvement initiatives. Since that time, the program continues to offer meaningful mentorship and scholarship opportunities.