Cynthia D. Smith, MD; on behalf of the Alliance for Academic Internal Medicine–American College of Physicians High Value, Cost-Conscious Care Curriculum Development Committee*
Acknowledgment: Special thanks to the AAIM, ACP, and ABIM Foundation for their support and vision and to the following persons for reviewing the curriculum: Patrick C. Alguire, MD, Senior Vice President, American College of Physicians; Steven E. Weinberger, MD, Chief Executive Officer, American College of Physicians; Vineet Arora, MD, MA, Associate Professor of Medicine, Assistant Dean for Scholarship and Discovery, Pritzker School of Medicine and Associate Program Director, Internal Medicine Residency Program, University of Chicago; P. Preston Reynolds, MD, PhD, Professor, General Medicine, Geriatrics and Palliative Care, University of Virginia School of Medicine; and Edward B. Warren, Manager, Education and Career Development, American College of Physicians.
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-1519.
Requests for Single Reprints: Cynthia D. Smith, MD, Senior Medical Associate, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106; e-mail, email@example.com.
Author Contributions: Conception and design: C.D. Smith.
Drafting of the article: C.D. Smith.
Critical revision of the article for important intellectual content: C.D. Smith.
Final approval of the article: C.D. Smith.
Administrative, technical, or logistic support: C.D. Smith.
Health care expenditures are projected to reach nearly 20% of the U.S. gross domestic product by 2020. Up to $765 billion of this spending has been identified as potentially avoidable; many of the avoidable costs have been attributed to unnecessary services. Postgraduate trainees have historically received little specific training in the stewardship of health care resources and minimal feedback on resource utilization and its effect on the cost of care. This article describes a new curriculum that was developed collaboratively by the Alliance for Academic Internal Medicine and the American College of Physicians to address this training gap. The curriculum introduces a simple, stepwise framework for delivering high-value care and focuses on teaching trainees to incorporate high-value, cost-conscious care principles into their clinical practice. It consists of ten 1-hour, case-based, interactive sessions designed to be flexibly incorporated into the existing conference structure of a residency training program.
Smith CD, . Teaching High-Value, Cost-Conscious Care to Residents: The Alliance for Academic Internal Medicine–American College of Physicians Curriculum. Ann Intern Med. 2012;157:284–286. doi: 10.7326/0003-4819-157-4-201208210-00496
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Published: Ann Intern Med. 2012;157(4):284-286.
Education and Training, High Value Care.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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