SHM Converge Scientific Abstract ePoster Gallery-Perceptions of High-Value Care in Longitudinal Ambulatory Clerkship: Evaluating a First-Year Educational Intervention

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This prospective single-institution study (2021–2024) evaluated whether a first-year high-value care (HVC) course improved medical students’ perceptions and application of HVC during longitudinal ambulatory clerkships. The study included 265 first- and second-year medical students, comparing those who participated in the HVC course with those who did not. Students completed surveys assessing recognition and understanding of HVC principles and confidence in discussing HVC concepts. Statistical analyses included chi-square tests, t-tests, regression models, and linear mixed-effects models.<br /><br />Overall, participation in the pre-clinical HVC course was associated with better HVC scores and a greater likelihood of recognizing when orders were excessive. Students also became more comfortable discussing HVC from first year to second year, suggesting that exposure and clinical experience may reinforce HVC awareness over time.<br /><br />However, the study found gender-related differences in confidence. Female-identifying students reported lower comfort and greater feelings of not being knowledgeable enough to discuss HVC compared with male-identifying students, despite similar educational exposure. This suggests that confidence gaps may persist even when knowledge improves.<br /><br />The findings support the inclusion of early HVC education in pre-clinical medical curricula to improve students’ awareness and practice of HVC. The authors also highlight the need for further research into the causes of gender disparities in confidence and for targeted interventions that promote equitable HVC education outcomes.<br /><br />Key limitations include the single-institution setting, moderate sample size, potential selection bias from voluntary course enrollment, and reliance on short-term outcomes.

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 Patient Benefit

Concept Waste

Concept Harm

Concept Unnecessary Order

Distinguished Non-Finalist

Presenter Organization Johns Hopkins School of Medicine

Presenting Author Angela Renne

Track Education

Keywords

high-value care

medical education

pre-clinical curriculum

ambulatory clerkships

medical students

survey study

confidence gap

gender differences

clinical exposure

single-institution study

High-Value Care

Patient Benefit

Waste

Harm

Unnecessary Order