Improving health care value has become a national priority of health care reform, as the United States aims to improve the quality of care that is delivered while making it more afford- able for the general population.1 Medical education plays a key role in training the future physician workforce to be good stewards of health care resources.

 

Background

Little is known about how well faculty at teaching hospitals role-model behaviors consistent with cost-conscious care.

Objective: We aimed to evaluate whether residents and program directors report that faculty at their program consistently role-model cost-conscious care, and whether the presence of a formal residency curriculum in cost- conscious care impacted responses.

Conclusions: Responses from residents and program directors indicate that faculty at US teaching hospitals were not consistently role-modeling cost-conscious care. The presence of a formal residency curriculum in cost- conscious care did not impact responses. Future efforts should focus on placing more emphasis on faculty development and on combining curricular improvements with institutional interventions to adapt the training environment.

Authors:

Mitesh S. Patel, MD, MBA, MS, Darcy A. Reed, MD, MPH, Cynthia Smith, MD, and Vineet M. Arora, MD, MAPP