TY - JOUR
T1 - Spending Wisely
T2 - The Role of Cost and Value Research in the Pursuit of Advancing Anatomical Sciences Education
AU - Maloney, Stephen
AU - Pather, Nalini
AU - Foo, Jonathan
AU - Lazarus, Michelle D.
N1 - Funding Information:
This viewpoint has approached cost and value through an economic lens, containing the implicit assumption that we should seek to maximize educational outputs for a given financial spend. In reality, most choices will also hinge on what decision makers believe to be important (Gilead, 2014 ; Maloney et al., 2019 ), which in education may include factors such as supporting learners with a diverse range of learning needs, providing choice to meet individual learner preferences, and developing desired non‐traditional discipline independent skills. These non‐economic factors are highly context‐dependent, highlighting that decision making is more about individual or institutional subjective value judgments rather than broadly applicable objective values themselves (Maloney et al., 2019 ). In this sense, economic cost and value data are just one additional data point to aid educational choice. Nonetheless, economics is a primary driver for many organizations and decisions because resources are limited, particularly in a climate of decreasing government funding for higher education (Youngclaus et al., 2017 ; Bolton, 2019 ; Australian Government, 2020 ) and concerns about rising levels of student debt (Youngclaus et al., 2017 ; Pisaniello et al., 2019 ; Asch et al., 2020 ). Even the worth of human life can be considered under an economic lens; for example, the UK's National Institute for Health and Care Excellence (NICE) applies a 20,000 to 30,000 GBP per Quality‐Adjusted Life Year (QALY) threshold for funding publicly funded health interventions. Thus, while some might find a focus on cost and value research, as it relates to economics, distasteful – this approach appears to be of ubiquitous presence at multiple levels across the healthcare sector.
Publisher Copyright:
© 2020 American Association for Anatomy
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/3
Y1 - 2021/3
N2 - Studies of “cost and value” in anatomical sciences education examine not only what works, but at what cost, thus evaluating the inputs and outputs of education. This research provides insights into how to use available resources (e.g., academic time, budgets, infrastructure) as a mechanism to obtaining the maximum outcomes available. The purpose of this viewpoint article is to expand on the application of cost and value concepts to anatomical sciences education, contextualizing these concepts through a deeper dive into the more costly educational approaches of human donor dissection. In doing so, both questions and opportunities are raised for the discipline of anatomical sciences going forward. Educational decisions, inclusive of cost and value appraisals, consider the range of outcomes for which the activity is designed to achieve, and the activity's integration with the philosophy of the educational program it is contributing to; these decisions, thus, evaluate more than just cost alone. Healthcare students' engagement with human donor dissection pedagogy offers an array of reported non-economic benefits, including non-traditional discipline-independent skill (NDIS) development (e.g., professionalism, teamwork skills). These skills are often harder to measure, but are no less important to the final pedagogical decision-making process. The goal of cost and value research is to create an evidence-base toward education that delivers maximum value for a given spend. Anatomy educators, researchers, and decision makers who embrace cost and value dialogue, and interpret and apply findings from studies of educational costs, are best positioned to improve the educational value for their learners and provide effective outputs for all stakeholders.
AB - Studies of “cost and value” in anatomical sciences education examine not only what works, but at what cost, thus evaluating the inputs and outputs of education. This research provides insights into how to use available resources (e.g., academic time, budgets, infrastructure) as a mechanism to obtaining the maximum outcomes available. The purpose of this viewpoint article is to expand on the application of cost and value concepts to anatomical sciences education, contextualizing these concepts through a deeper dive into the more costly educational approaches of human donor dissection. In doing so, both questions and opportunities are raised for the discipline of anatomical sciences going forward. Educational decisions, inclusive of cost and value appraisals, consider the range of outcomes for which the activity is designed to achieve, and the activity's integration with the philosophy of the educational program it is contributing to; these decisions, thus, evaluate more than just cost alone. Healthcare students' engagement with human donor dissection pedagogy offers an array of reported non-economic benefits, including non-traditional discipline-independent skill (NDIS) development (e.g., professionalism, teamwork skills). These skills are often harder to measure, but are no less important to the final pedagogical decision-making process. The goal of cost and value research is to create an evidence-base toward education that delivers maximum value for a given spend. Anatomy educators, researchers, and decision makers who embrace cost and value dialogue, and interpret and apply findings from studies of educational costs, are best positioned to improve the educational value for their learners and provide effective outputs for all stakeholders.
KW - Cost and Cost Analysis
KW - Economics
KW - Gross anatomy education
KW - medical education
KW - Value
UR - http://www.scopus.com/inward/record.url?scp=85096809033&partnerID=8YFLogxK
U2 - 10.1002/ase.2027
DO - 10.1002/ase.2027
M3 - Article
C2 - 33068329
AN - SCOPUS:85096809033
SN - 1935-9772
VL - 14
SP - 263
EP - 269
JO - Anatomical Sciences Education
JF - Anatomical Sciences Education
IS - 2
ER -