Residents cannot learn how to deliver cost-effective medicine if it is not being practiced at their institution of training. We aim to assess if active participation of residents in auditing their patients’ bills influences their test ordering behaviors and improves health care value. At the end of every medicine rotation, each team will be required to audit the bill of any one of the patients they cared for. Price lists of inpatient labs and medications will be available at working stations. There will be a dedicated High Value Care noon conference to discuss the strategies to deflate the bill and calculate how much money could have been saved by wisely choosing the labs and medications. They will also reflect upon if the hospital stay could have been shortened, which services were unnecessary and if any unnecessary services inflicted harm to the patient. This will aim to promote a culture of cost-consciousness and encourage the residents to consider costs in decision-making.
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