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New curriculum teaches internal medicine residents high value, cost-conscious care principles
Date:7/10/2012

Philadelphia, July 10, 2012 -- The American College of Physicians (ACP) and the Alliance for Academic Internal Medicine (AAIM) today unveiled a high value, cost-conscious care curriculum to help train internal medicine residents about how to avoid overuse and misuse of tests and treatments that do not improve outcomes and may cause harms.

The free curriculum, available at www.highvaluecarecurriculum.org, is designed to engage internal medicine residents and faculty in small group activities organized around actual patient cases that require careful analysis of the benefits, harms, costs, and use of evidence-based, shared decision making. The flexible curriculum consists of ten, one hour interactive sessions that can be incorporated into the existing conference structure of a program.

"Physicians receive little specific training about identifying and eliminating wasteful diagnostic and treatment options," said Cynthia D. Smith, MD, FACP, ACP's Senior Medical Associate for Content Development and the lead author of "Teaching High-Value Cost-Conscious Care to Residents: The AAIM-ACP Curriculum," published online in Annals of Internal Medicine, ACP's flagship journal. "Residency training is an excellent time to introduce the concept of high value, cost-conscious care because the habits that residents learn during training have been shown to stay with them throughout their professional careers."

Health care expenditures are projected to reach almost 20 percent of the United States' GDP by 2020. Many economists consider this spending rate unsustainable. Up to 30 percent, or $765 billion, of health care costs were identified as potentially avoidable -- with many of these costs attributed to unnecessary services.

The committee that developed the curriculum consisted of ACP-AAIM members and staff, program directors, associate program directors, a department chair, residency faculty, and internal medicine residents.

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Contact: Steve Majewski
smajewski@acponline.org
215-351-2514
American College of Physicians
Source:Eurekalert

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