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Waiting List
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No
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Course Type
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Elective
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Location
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Madison
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Instructors
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Course Directors: Gretchen Schwarze and Caprice Greenberg
Primary Faculty: Jon Matsumura, CW Acher, Joshua Mezrich
Clinical Faculty: Vascular, CT, Transplant surgeons
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Availability
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November, December, January
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Initial Registration
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To Add
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Elizabeth Bingman, bingman@surgery.wisc.edu
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To Drop
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Elizabeth Bingman, bingman@surgery.wisc.edu
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Report To
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Housing
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Parking
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Objectives
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1. Demonstrate understanding of system efforts to promote high value health care.
2. Integrate understanding of complex care for individuals with policy or institutional level strategies to improve health.
3. Identify processes or attitudes that may (or may not) provide for the fair and just distribution of health care resources.
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Content
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It is well-documented that the majority of adverse events experienced by hospitalized patients occur in surgery. Furthermore, surgical interventions account for a significant proportion of our nationsÂ' health care spending. For these reasons, surgery offers the ideal setting to explore these three components critical to improving the US healthcare system, namely value, quality and safety. This course provides an opportunity to examine factors that influence the care we provide and to critically consider the value (defined as outcome over spending) of this care. Value in health care can be decreased either by poor outcomes or by high costs. As such, efforts to improve value in surgery focus on quality, safety and appropriate utilization of critical resources. Within the department of surgery we have numerous opportunities to see these efforts in action and consider areas for improvement. Value and Health Care Spending: Schwarze
A Systems Approach to Patient Safety: Greenberg
Regional Disparities in Health Care Utilization: Translating Data from Clinical Trials into Clinical Practice using Renal Artery Stenting and Endovascular Aneurysm Repair as Examples: Matsumura
Measuring and Reporting Surgical Outcomes: Greenberg
Process Improvement, High Volume Centers and Evolution of Technology: Volume, Outcomes and Cost Considerations in the Treatment of Thoracoabdominal Aneursyms: CW Acher
Fair and ethical distribution of health care resources: Schwarze
The debate about the Life Years from Kidney Transplant allocation system: Mezrich
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Prerequisites
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Methods
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Students will follow patients longitudinally from clinic to discharge (including rehabilitation and home health care) and consider how these important concepts are encountered and impact care in the clinical arena. The overall strategy for this clerkship is to offer students an opportunity to follow four to six patients from the clinic, to the operating room and through their postoperative course. In addition there will be lectures, discussion groups and an assignment to write one independent narrative paper that presents a specific concept and the implications of policy or strategies to improve value in healthcare spending for the surgical patient. The concepts covered in this course will be generalizable to other disciplines.
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Materials Provided
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Expectations
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Evaluating
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Drs Schwarze and Greenberg will be responsible for grading each studentÂ's performance on this rotation. The grades will reflect the studentÂ's ability to incorporate clinical experience with concepts taught in this course. The grade will reflect observations of the studentÂ's professionalism in the hospital and clinic, group discussion leadership and integration and understanding of critical course concepts as demonstrated by the final narrative paper.
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Recommended Texts
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Meets Patient Care Requirement
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Yes
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