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We have created a longitudinal elective for Harvard Medical School students completing their MS3 clerkships at Beth Israel Deaconess Medical Center (BIDMC) aimed at: engaging medical students in systems improvement; developing collaborative student-faculty projects aimed at providing better care at lower costs; cultivating a cohort of physician-leaders dedicated to health systems improvement.

Students in the elective are paired with faculty mentors and meet regularly to discuss clinical experiences, with a focus on identifying and investigating instances of waste, inefficiency, or harm. Based on these discussions, each student will identify an improvement opportunity, and work with their mentor to develop a novel intervention to improve care and/or reduce costs. Finally, students participate in a series of group discussions and seminars with BIDMC faculty to learn the policy and operational context surrounding efforts to improve health care value.

The elective launched this June.