SHM Converge Scientific Abstract ePoster Gallery-High-Value Care Perceptions: Surgical vs. Medical Clerkship Experiences

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This longitudinal survey study at Johns Hopkins School of Medicine examined how medical students perceived high-value care (HVC) during surgical versus non-surgical clerkships, and whether a first-year HVC course improved those perceptions.<br /><br />Students completed surveys after rotations in surgery, obstetrics/gynecology, pediatrics, internal medicine, emergency medicine, psychiatry, or neurology. The survey measured comfort discussing HVC, perceived barriers such as knowledge gaps and fear of poor evaluation, perceptions of excessive testing, team receptiveness, and cost transparency. The researchers compared surgical with non-surgical experiences and also analyzed differences by specialty.<br /><br />Key findings showed that students in surgical rotations felt less comfortable discussing HVC and reported greater barriers, especially related to cultural receptiveness. They also perceived more excessive testing and more pressure or guidance to order unnecessary tests in some specialties. Significant differences were seen across rotation specialties in these HVC-related attitudes and experiences.<br /><br />Participation in a first-year HVC education course did not significantly change most outcomes, suggesting that general early education alone may not be enough to shift behavior or confidence in clinical settings.<br /><br />The study highlights that fostering a culture of HVC is especially important in surgical environments, where students may feel less empowered to speak up about unnecessary care. The authors conclude that more targeted strategies are needed to address cultural barriers, strengthen faculty engagement, and improve students’ ability to apply HVC principles in real clinical practice.<br /><br />Limitations included self-reported data, possible confounding from differences in clinical exposure and faculty support, and small sample sizes within individual specialties.

Asset Subtitle

Angela Renne

Meta Tag

Author List Amanda Bertram, Amit K. Pahwa, Angela Renne, Ashwini Niranjan-Azadi, Kalyani Kumar, Lauren Russell, Niloofar Latifi, Shi Nan Feng, Tess Baldwin

Category Research

Concept High-Value Care

Concept Medical Student Perception

Concept Clerkship Rotation

Concept Barrier

Concept Comfort Level

Distinguished Non-Finalist

Presenter Organization Johns Hopkins School of Medicine

Presenting Author Angela Renne

Track Education

Keywords

high-value care

medical students

surgical clerkships

non-surgical clerkships

Johns Hopkins

survey study

clinical education

excessive testing

cultural barriers

medical training

High-Value Care

Medical Student Perception

Clerkship Rotation

Barrier

Comfort Level