ArticleMedEdPORTAL : the journal of teaching and learning resources2025
Utilizing Kern's Six-Step Approach to Develop a Novel Curriculum for Enhancing Pediatric Resident Understanding of Health Care Costs.
Article in MedEdPORTAL : the journal of teaching and learning resources, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- A Scoping Review of Interventional Radiology Curricula for Medical Students and Correlation with Kern's Six-Step Framework for Curriculum Development.Cardiovascular and interventional radiology · 2026Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Although cost awareness and advocacy for quality care are core GME competencies, high-value care (HVC) curricula remain limited. Growing evidence shows families increasingly want cost conversations with providers, yet many providers feel ill-equipped. We developed a curriculum to increase pediatric residents' understanding of cost determination and confidence discussing resources with families. Methods: Using Kern's six-step approach, we created a two-session curriculum. Session 1 explores how health care charges translate to patient financial responsibility. Session 2 is a simulation in which participants make decisions from the caregiver perspective while incurring costs under randomly assigned insurance plans. Participants completed a postsession survey (session 1) and pre- and postsession evaluations (session 2). We used Wilcoxon signed-rank and chi-square tests to determine significant differences ( Results: Seventy-four residents participated between 2022 and 2024. Most respondents rated each session as Discussion: This curriculum addresses a critical gap in HVC and health systems education by centering the patient's financial experience. The two-session format of a transparent explanation of costs, paired with a simulation experience, improved participants' knowledge, self-efficacy in advocacy, and intent to practice cost-conscious care. Next steps include measuring knowledge retention, and having residents review actual bills issued for their own patients.
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