Reforming Your Health Care Reform Curriculum

Date of Review: October, 2018

Residents need to understand health care payment and delivery reform to join any practice today. This curriculum, from MedEdPORTAL, is intended for residents from any discipline and unfolds as a series of interactive lectures and one scripted role-play debate, optimally delivered during a ‘health care reform’ week. One strength of the resource is an initial information-packed slide presentation on key terminology and concepts in U.S. health system reform such as fee-for-service, bundled payments, and value-based purchasing. Notes on the lecture slides allow any lecturer with a modicum of familiarity to deliver this presentation. Think-pair-share exercises punctuate the lectures. Each lecture could be delivered as a stand-alone session or as part of a reform week. As of 2018, the content remains up-to-date and relevant, though it will need to continue to be checked and updated by users. Outcomes were measured as retrospective, self-reported pre/post assessments of participants’ knowledge and interest in specific topics, results showed benefit of the curriculum. Some slides are specific to New York State, but they can easily be replaced with ones relevant to any state. One lecture requires recruitment of a physicians’ organization advocate, such as a leader in the American College of Physicians or other such group. This lecture could be omitted if recruitment proved too challenging. —Heather Heiman, MD, NCEAS

Corresponding Author’s Email:


Hofstra Northwell School of Medicine at Hofstra University

Where Was the Curriculum Implemented?

Hempstead, NY

Source of the Curriculum/Resource:


Clinical Specialty:

Emergency medicine, family and community medicine, internal medicine, physical medicine and rehabilitation, psychiatry and behavioral sciences

Outcomes that Have Been Reported for the Curriculum:

Self reported learner attitude and self reported learner knowledge

Outcome and Study Design:


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