What question did this study set out to answer?

This research aims to assess the impact of a high-value care curriculum using patient bills on medical students' understanding and attitudes toward healthcare costs.

February 5, 2026Academic Medicine

Sticker shock: evaluation of a novel internal medicine clerkship high-value care curriculum using patient bills

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Authors

JJJeremy JonesChildren's Hospital of Philadelphia ETErik X Tan CFCharlotte Lee FrostBrigham and Women's Hospital

Discussion

Member takes

Implication

Educators implement a novel curriculum to improve cost awareness and patient advocacy among medical trainees, suggesting significant educational benefits.

Key Points

This research aims to assess the impact of a high-value care curriculum using patient bills on medical students' understanding and attitudes toward healthcare costs.
Randomized internal medicine clerkship students between intervention and control groups.
Intervention group reviewed a postdischarge hospital bill and attended a debrief on financial resources.
Control group could opt to receive a bill but without the debrief.
Surveyed all students post-clerkship regarding their attitudes towards healthcare costs.
Intervention group showed a 89% understanding of cost determination vs 57% in control (P < .001).
60% of intervention students felt confident discussing costs on rounds compared to 38% in control (P = .004).
87% of intervention group planned to incorporate cost awareness into practice vs 62% in control (P = .003).

Cite This Study

Jones et al. (2025) studied this question.

synapsesocial.com/papers/698435f0f1d9ada3c1fb5679 https://doi.org/10.1093/acamed/wvaf037

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February 5, 2026Academic Medicine

Sticker shock: evaluation of a novel internal medicine clerkship high-value care curriculum using patient bills

View Full Paper

Ask AI

Bookmark

Authors

JJJeremy JonesChildren's Hospital of Philadelphia ETErik X Tan CFCharlotte Lee FrostBrigham and Women's Hospital

Discussion

Member takes

Implication

Educators implement a novel curriculum to improve cost awareness and patient advocacy among medical trainees, suggesting significant educational benefits.

Key Points

This research aims to assess the impact of a high-value care curriculum using patient bills on medical students' understanding and attitudes toward healthcare costs.
Randomized internal medicine clerkship students between intervention and control groups.
Intervention group reviewed a postdischarge hospital bill and attended a debrief on financial resources.
Control group could opt to receive a bill but without the debrief.
Surveyed all students post-clerkship regarding their attitudes towards healthcare costs.
Intervention group showed a 89% understanding of cost determination vs 57% in control (P < .001).
60% of intervention students felt confident discussing costs on rounds compared to 38% in control (P = .004).
87% of intervention group planned to incorporate cost awareness into practice vs 62% in control (P = .003).

Cite This Study

Jones et al. (2025) studied this question.

synapsesocial.com/papers/698435f0f1d9ada3c1fb5679 https://doi.org/10.1093/acamed/wvaf037

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