Choosing Wisely: Resource Stewardship Education in Canadian Medical Schools

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Published: Jan 23, 2017
DOI: https://doi.org/10.18192/uojm.v7i1.1818
Keywords:
resource stewardship, choosing wisely, medical education

Main Article Content

Anastasiya Muntyanu
University of Ottawa Faculty of Medicine
Danusha Jebanesan
University of Ottawa Faculty of Medicine
Peter Kuling
The Ottawa Hospital Academic Family Health Team, University of Ottawa

Abstract

Abstract

Resource stewardship has important implications in terms of healthcare costs as well as patient safety. Currently, there is limited formal teaching in the undergraduate curriculum in Canadian medical schools that addresses this topic. Recently, Choosing Wisely Canada has launched a student campaign to integrate Choosing Wisely concepts into the curriculum, hoping to challenge medical students into thinking about value-based healthcare and patient safety. This article intends to highlight need for resource stewardship education, including associated test costs and its impact on the healthcare system. The strategies currently being implemented at the University of Ottawa will also be discussed. 

Résumé

L’intendance des ressources a d’importantes répercussions sur les coûts liés aux soins de santé, ainsi que sur la sécurité des patients. À l’heure actuelle, le curriculum de premier cycle des écoles de médecine canadiennes comporte peu d’enseignement formel à ce sujet. Récemment, Choisir avec soin (version francophone de « Choosing Wisely Canada ») a lancé une campagne étudiante pour intégrer les concepts de Choisir avec soin au curriculum, dans l’espoir d’encourager les étudiants en médecine à réfléchir aux soins de santé et à la sécurité des patients fondés sur la valeur. Cet article cherche à souligner l’importance de la formation sur l’intendance des ressources, incluant les coûts associés aux examens et leur impact sur le système de soins de santé. Les stratégies mises en œuvre à l’Université d’Ottawa à l’heure actuelle seront également présentées. 


Article Details

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UOJM Epub
Section
News and Letters
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Author Biography

Anastasiya Muntyanu, University of Ottawa Faculty of Medicine

Faculty of Medicine

Medical Student

References

1. Cooper C. ‘Over-treating’ patients is wasteful, unnecessary and can cause them harm, campaign claims. [Internet]. Independent. 2015 May 12 [cited 2016 Aug 29]. Available from: http://www.independent.co.uk/life-style/ health-and-families/health-news/over-treating-patients-is-wasteful-unnecessary-and-can-cause-them-harm-campaign-claims-10245283.html.
2. Institute of Medicine. The Healthcare Imperative: Lowering Costs and Improving Outcomes. Washington, DC: National Academies Press; 2010.
3. Long T, Silvestri MT, Dashevsky M, Halim A, Fogerty RL. Exit Survey of Senior Residents: Cost Conscious but Uninformed. J Grad Med Educ.
2016;8(2):248-51.
4. Choosing Wisely Canada. The Lists [Internet]. [cited 2016 Aug 29]. Available from: http://www.choosingwiselycanada.org/recommendations/.
5. Royal College. How do you teach residents to allocate finite resources [Internet]. The ICRE Blog; 2013 Jan 18 [cited 2016 Aug 29]. Available from: http://icreblog.royalcollege.ca/2013/01/18/how-do-you-teach-residents-to-allocate-their-finite-resources/.
6. Frank JR, Snell L, Sherbino J, editors. CanMEDS 2015 Physician Competency Framework. Ottawa: Royal College of Physicians and Surgeons of Canada; 2015.
7. Lakhani A, Lass E, Silverstein WK, Born KB, Levinson W, Wong BM. Choosing Wisely for Medical Education: Six Things Medical Students and Trainees Should Question. [Epub ahead of print]. Acad Med. 2016 Aug 2. [cited 2016 Oct 5] Available from: http://journals.lww.com/academicmedicine/Fulltext/publishahead/Choosing_Wisely_for_Medical_Education___Six_ Things.98431.aspx.
8. Choosing Wisely Canada. STARS: Students and Trainees Advocating for Resource Stewardship [Internet]. [cited 2016 October 16]. Available from: http://www.choosingwiselycanada.org/news/2015/12/08/stars-students-and-trainees-advocating-for-resource-stewardship/.
9. Silverstein W, Lass E, Born K, Morinville A, Levinson W, Tannenbaum C. A survey of primary care patients’ readiness to engage in the de-adoption practices recommended by Choosing Wisely Canada. BMC Res Notes. 2016;10(9):301.