ArticleMedical science educator2020
Using Online Simulation of Pediatric Musculoskeletal Cases to Evaluate How Knowledge of Costs Affects Diagnostic Workup.
Article in Medical science educator, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Orthopedic and Trauma Physicians' Ability to Identify Selected SUT Reimbursement Amounts in Türkiye: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- Factors influencing cost awareness in hospitals: a scoping review.BMC health services research · 2025Article
- Knowledge of Musculoskeletal Medicine in Junior Doctors in Australia: Is It Adequate?Medical science educator · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRising healthcare costs have emphasized the need to teach cost-conscious care in graduate medical education.
objectiveTo teach high-value care and diagnostic evaluation of pediatric musculoskeletal complaints to residents and rotating medical students through online cases.
methodsSix online cases were developed and tested at the University Hospitals Cleveland Medical Center. Learners completed modules in one of two groups, those who saw itemized costs of diagnostic tests or those who did not. All learners completed a post-simulation survey. Measured outcomes included presumed diagnosis, cost of evaluation, tests ordered, and perceptions toward high-value care. Simulation outcomes were assessed using paired t-tests. Survey data was analyzed with Chi-squared tests. Outcomes separated by training year were analyzed using ANOVA and post-hoc Tukey test.
resultsThirty-nine residents and medical students participated and were randomly assigned to complete the cases with costs (
conclusionsInterventions that challenge learners to integrate costs into decision-making can potentially change future practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.