Department of Medicine, University of California, San Francisco, San Francisco, CA 94143-0131, USA.
JAMA Intern Med. 2013 Feb 25;173(4):308-10. 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.
美国毕业后医学教育认证委员会要求培训医生“将成本意识考虑因素融入实践”。然而，医学教育传统上避免涉及成本问题，而且目前大多数住院医师培训计划缺乏满足这一要求的课程。随着最近对医疗保健中不可持续的成本、低效率和浪费的广泛关注，越来越明显的是，需要在这一领域对医生进行适当的培训。在本文中，我们描述了在加利福尼亚大学旧金山分校实施的一项由住院医师主导、基于案例的医学住院医师成本意识课程，分享了我们成功的关键，并定义了指导原则。
