Special Article
Feb 25, 2013

The Value in the EvidenceTeaching Residents to “Choose Wisely”

Author Affiliations

Author Affiliations: Department of Medicine, University of California, San Francisco, San Francisco.

JAMA Intern Med. 2013;173(4):308-310. doi:10.1001/jamainternmed.2013.2286

The Accreditation Council for Graduate Medical Education mandates that training physicians “incorporate considerations of cost awareness” into practice. However, medical education has traditionally avoided addressing costs, and most residency programs currently lack curricula to fulfill this requirement. With the recent widespread emphasis on unsustainable costs, inefficiencies, and waste in healthcare, the need to appropriately train physicians in this domain is increasingly apparent. In this article, we describe the implementation of a resident-led, case-based cost awareness curriculum for medicine residents at the University of California, San Francisco, sharing our keys to success and defining guiding principles.