Physician Experiences with High Value Care in Internal Medicine Residency: Mixed Methods Study of 2003–2013 Residency Graduates

摘要

PhenomenonHigh healthcare costs and relatively poor health outcomes in the United States have led to calls to improve the teaching of high value care (defined as care that balances potential benefits of interventions with their harms including costs) to physicians-in-training. Numerous interventions to increase high value care in graduate medical education were implemented at the national and local levels over the past decade. However, there has been little evaluation of their impact on physician experiences during training and perceived preparedness for practice. We aimed to assess trends in US physician experiences with high value care during residency over the past decade.