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Preparing Trainees to Deliver High-Value and Cost-Conscious Care in Hematology

  • Health Economics (N Khera, Section Editor)
  • Published:
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Abstract

Purpose of Review

Despite national-level directives to reduce healthcare waste and promote high-value care (HVC), clinical educators struggle to equip trainees with the knowledge and skills needed to practice value-based care. In this review, we analyze ongoing efforts in graduate medical education (GME) to enhance trainee competence in delivery of high-value and cost-conscious care.

Recent Findings

Surveys of residents and program directors have shown that while many training programs want to offer formal training in high-value care delivery, few succeed. Although several studies suggest that trainees model stewardship behaviors after clinical preceptors, there remains a shortage of faculty role models skilled in providing HVC.

Summary

Preparing future hematologist–oncologists to provide cost-conscious care will require significant cultural change at the institutional and program levels and will depend heavily on the development of skilled clinical role models.

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Authors and Affiliations

  1. Knight Cancer Institute, Oregon Health & Sciences University, Portland, OR, USA

    Sarah J. Nagle

  2. Department of Medicine, Division of Hematology and Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

    Erin Aakhus

  3. Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA

    Erin Aakhus

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  1. Sarah J. Nagle
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Correspondence to Erin Aakhus.

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Nagle, S.J., Aakhus, E. Preparing Trainees to Deliver High-Value and Cost-Conscious Care in Hematology. Curr Hematol Malig Rep 15, 248–253 (2020). https://doi.org/10.1007/s11899-020-00595-0

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