Nb: These goals and objectives may be adapted into your course or session objectives as you try to incorporate teaching about value into the pediatrics clerkship. Many clerkship directors do not feel they have the expertise to teach on these topics. We encourage you to learn a little, and to realize that you probably know more than you think you do. These topics also lend themselves to wonderful teaching opportunities in the clerkship or other pediatric courses for your department chair, hospital COO, health economist, or others.
Goal: That medical students come to understand the concept of high-value care in pediatrics for during both the pediatric clerkship and other pediatric medical school coursework
Objectives: After using one of these tools, medical students will be able to:
- Place of care (school, clinic, ED, hospital, ICU)
- Familiarity with national resources, such as the "Choosing Wisely" campaign lists, article series such as "Bending the value curve" in Hospital Pediatrics
- Approaches to reduce unnecessary care or "waste"
- Ethics of unnecessary care or "waste"
- 2. Describe the basics of healthcare systems and financing including the following terms:
- Public insurance (Medicare and Medicaid, CHIP)
- Private insurance models (ACOs, PPOs, HMOs)
- Bundled payments
- Fees: Physician fees, facility fees, procedures, testing and diagnostics
- Methods currently employed to control costs in different delivery systems
- Barriers to healthcare access
- Allocation of healthcare resources
- 3. Apply key concepts from EBM and statistics in screening, prevention and diagnosis, to:
- To utilize statistics in making appropriate decisions about diagnosis and treatment
- Consider value, as in the benefit to patient-centered outcomes per dollar spent
- Determine if improved diagnostic accuracy provides meaningful patient benefit
- Compare differences in treatment efficacy while also considering costs
- Identify effective vs. ineffective population-based screening (that which either improves or does not meaningfully improve morbidity or mortality)