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In
the news
...
Physician
training and brand name prescribing
Physicians in
training are twice as likely to order a costly brand-name
statin (used to lower blood cholesterol
levels) when supervised by senior physicians who
prefer those medications in their own practice.
The linkage was strongest for the most junior resident
physicians in training. With brand name statin prescribing
accounting for an estimated $5.8 billion in low-value
spending annually, these findings represent an opportunity
for improvement in graduate medical education to increase
value in health care spending.
"These findings provide early empirical evidence that
low-value practices among physicians are transferred from
teachers to trainees, highlighting the importance of
re-design of graduate medical education," said Kira
Ryskina, MD, a general internal medicine fellow. "We
observed considerable variation in the prescribing
practices of both attending physicians and residents,
suggesting room to improve cost-effectiveness."
Perelman School of
Medicine at the University of Pennsylvania.
Journal of General Internal Medicine
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