As the US health care system strives to improve value, there is near universal agreement that medical trainees must learn to reduce waste. The Accreditation Council for Graduate Medical Education has included skills in cost consciousness in the 2013 internal medicine reporting milestones,1 the Medicare Payment Advisory Commission has recommended changes to graduate medical education to improve the economic viability of the US health care system,2 and a number of educational innovations to raise resident awareness of cost have been proposed. Despite enthusiasm for the notion of value among residents, junior physicians are overall greater users of health care resources than are older physicians,3 and residents’ ability to provide care that minimizes waste has not been, to our knowledge, previously described.
Korenstein D, Smith CD. Celebrating Minimalism in Residency Training. JAMA Intern Med. 2014;174(10):1649-1650. doi:10.1001/jamainternmed.2014.3326