Evaluating the Incorporation of Resource

Stewardship Into the University of

Manitoba Max Rady College of Medicine

Pre-Clerkship Curriculum

Youn-Tae Chung, Andrea Kulyk

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Background

http://www.royalcollege.ca/rcsite/canmeds/canmeds-framework-e

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Interventions

Analyze existing

curriculum

Engage with key

stake holders

Develop learning

objectives and

materials

Part 1

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Interventions

Pre-survey

(Sept 2016)Intervention

Post-survey

(May 2017)

Part 2

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Methods

Previous training

Attitude

Responsibility,

Barriers, Solutions

Awareness

Knowledge

Themes

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Findings: Previous Training in Resource

Stewardship

75.32%

65.45%

22.08%30.91%

0%

10%

20%

30%

40%

50%

60%

70%

80%

First Year Students Second YearStudents

Any Formal Teaching In Healthcare Resource Stewardship Prior to Medicine?

No FormalTraining

Some Form ofFormal Training

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Findings: Attitude

9%

65%

25%

3%

51%46%

0%

20%

40%

60%

80%

Not too serious Somewhat serious Very serious

Degree of Problem

Med 2: How much of a problem do you think the frequency of unnecessary tests and procedures in

the healthcare system is?

Pre

Post

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Findings: Responsibility

Med 1 & 2: How much

responsibility do you feel you have for making sure patients avoid

unnecessary tests and procedures?

N=131

Post Intervention Data

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Findings: Awareness of CWC

Med 1: Have You Seen or Heard About the CWC Campaign?

Pre Post

No(52% 2%)

Yes (43% 98%)

Don’t know

N=77 N=62

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Findings: Knowledge

34%

44%

22%

Pre

Agree Disagree Unsure

59%32%

9%

Post

Agree Disagree Unsure

Med 2: Should you prescribe antimicrobials for a female who is in her 33rd week of pregnancy and has bacteria in her urine, but no

symptoms?

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Discussion

Change in attitude and awareness

Responsibility Knowledge

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• Anonymity

• Coordination

Challenges

Future Directions

• Clinical Skills

• Clerkship

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Dr. Ming-Ka Chan

Dr. Eric Bohm

Mr. Jim Slater

Ms. Sarah Kirby

University of Manitoba

Diagnostic Services Manitoba

Choosing Wisely Canada

Choosing Wisely Manitoba

Acknowledgements

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Questions