title: The power of anecdotes on resident HVCCC curriculum.
abstract: A formal high value, cost-conscious care (HVCCC) curriculum was implemented at a community hospital-based university-affiliated residency program starting January 1, 2014, based on the recommendations of the American Board of Internal Medicine's (ABIM) Choosing Wisely campaign. The program included a competition requiring each resident to write a HVCCC case based on an actual patient experience. Residents completed a questionnaire assessing their understanding of HVCCC near the end of the program. Residents subsequently reviewed two actual cases that had vividly described unexpected adverse outcomes ('anecdotal' cases). Postexposure data were collected and the results were analyzed.
authors.affiliation: Department of Internal Medicine, Easton Hospital, Drexel University, Easton, PA, USA; paragkumar_patel@chs.net.
authors.forename: Paragkumar
authors.initials: P
authors.lastname: Patel
authors.affiliation: Department of Internal Medicine, Easton Hospital, Drexel University, Easton, PA, USA.
authors.forename: Wuqiang
authors.initials: W
authors.lastname: Fan
authors.affiliation: Department of Internal Medicine, Easton Hospital, Drexel University, Easton, PA, USA.
authors.forename: David
authors.initials: D
authors.lastname: Livert
authors.affiliation: Department of Internal Medicine, Easton Hospital, Drexel University, Easton, PA, USA.
authors.forename: Mahesh
authors.initials: M
authors.lastname: Krishnamurthy
keywords: anecdotes; cost-conscious care; defensive medicine; high value