How to Teach Laboratory Stewardship in the Undergraduate Medical Curriculum?

Am J Clin Pathol. 2020 Jan 1;153(1):66-73. doi: 10.1093/ajcp/aqz102.


Objectives: Promotion of high-quality care at a lower cost requires educational initiatives across the continuum of medical education. A needs assessment was performed to inform the design of an educational tool with the goal of teaching laboratory stewardship to medical students.

Methods: The needs assessment consisted of semistructured interviews with core clerkship directors and residency program directors at our institution, a national survey to the Undergraduate Medical Educators Section (UMEDS) of the Association of Pathology Chairs, and a review of existing online resources that teach high-value care.

Results: Two major themes emerged regarding opportunities to enhance laboratory stewardship education: appropriate ordering (knowledge of test indications, pretest/posttest probability, appropriateness criteria, recognition of unnecessary testing) and correct interpretation (understanding test specifications, factors that affect the test result, recognizing inaccurate results).

Conclusions: The online educational tool will focus on the curricular needs identified, using a multidisciplinary approach for development and implementation.

Keywords: Curriculum design; High-value care; Laboratory stewardship; UME.

MeSH terms

  • Clinical Clerkship*
  • Curriculum*
  • Education, Distance*
  • Education, Medical, Undergraduate*
  • Humans
  • Internship and Residency
  • Laboratories*
  • Physician Executives
  • Students, Medical