| A review of cost-effectiveness, cost-containment and economics curricula in graduate medical education. | |
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MedLine Citation:
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PMID: 20630001 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: Numerous studies performed over the last 30 years suggest that doctors have poor knowledge of the costs of medical care. In most graduate medical education programmes, trainees do not receive formal training in cost-effective medical practice. METHODS: Comprehensive literature search of electronic bibliographic databases for articles that describe health economics, cost-containment and cost-effectiveness curricula in graduate medical education. Critical appraisal of the literature and qualitative description is presented. Heterogeneity of curricula precluded quantitative summary of data. RESULTS: We identified 40 articles that met the inclusion criteria for this review. Internal medicine residents were the targeted learners in 27 studies (68%); Family Medicine and Surgery residents were each targeted in five studies (13%); Rehabilitation, Paediatrics and Emergency Medicine residents were each targeted in one study. In general, the methodological quality of the included studies was poor to moderate and mostly targeted knowledge of health economics or cost-containment as opposed to targeting cost-effectiveness. In terms of describing the standard curricular components, studies sufficiently described the different educational strategies (e.g. didactics, interactive, experiential, self-directed) and the component of learner assessment, but lacked the description of other elements such as needs assessment and curriculum evaluation. CONCLUSION: Cost-effectiveness curricula in graduate medical education are lacking and clearly needed. |
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Authors:
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Prathibha Varkey; Mohammad H Murad; Chad Braun; Kristi J H Grall; Vivek Saoji |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of evaluation in clinical practice Volume: 16 ISSN: 1365-2753 ISO Abbreviation: J Eval Clin Pract Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609066 Medline TA: J Eval Clin Pract Country: England |
Other Details:
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Languages: eng Pagination: 1055-62 Citation Subset: IM |
Copyright Information:
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© 2010 Blackwell Publishing Ltd. |
Affiliation:
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Division of Preventive, Occupational and Aerospace Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. murad.mohammad@mayo.edu |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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