The economic cost of failure in clinical education

a multi-perspective analysis

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Context: Failure by students in health professional clinical education intertwines the health and education sectors, with actions in one having potential downstream effects on the other. It is unknown what economic costs are associated with failure, how these costs are distributed, and the impacts these have on students, clinicians and workplace productivity. An understanding of cost drivers and cost boundaries will enable evidence-based targeting of strategic investments into clinical education, including where they should be made and by whom. Objectives: This study was designed to determine the additional economic costs associated with failure by students in health professional clinical education. Methods: A cost analysis study involving cost identification, measurement, valuation and the calculation of total cost was conducted. Costs were considered from the perspective of the student, the education institution, the clinical educator, the health service placement provider organisation and the government. Data were based on a 5-week clinical education programme at Monash University, Australia. Data were collected using quantitative surveys and interviews conducted with health professional students, clinical educators and education institute staff. Reference group representation was also sought at various education institution and health service organisation levels. A transferable model with sensitivity analysis was developed. Results: There is a total additional cost of US$9371 per student failing in clinical education from the perspective of all stakeholders considered. Students bear the majority of this burden, incurring 49% of costs, followed by the government (22%), the education institution (18%), the health service organisation (10%) and the clinical educator (1%). Conclusions: Strong economic links for multiple stakeholders as a result of failure by students in clinical education have been identified. The cost burden is skewed in the direction of students. Any generalisation of these results should be made with consideration for the unique clinical education context in which each health professional education programme operates.
Original languageEnglish
Pages (from-to)740-754
Number of pages15
JournalMedical Education
Volume51
Issue number7
DOIs
Publication statusPublished - Jul 2017

Cite this

@article{1b2eb50aae5147eeb9c8dbb22d1b9ee1,
title = "The economic cost of failure in clinical education: a multi-perspective analysis",
abstract = "Context: Failure by students in health professional clinical education intertwines the health and education sectors, with actions in one having potential downstream effects on the other. It is unknown what economic costs are associated with failure, how these costs are distributed, and the impacts these have on students, clinicians and workplace productivity. An understanding of cost drivers and cost boundaries will enable evidence-based targeting of strategic investments into clinical education, including where they should be made and by whom. Objectives: This study was designed to determine the additional economic costs associated with failure by students in health professional clinical education. Methods: A cost analysis study involving cost identification, measurement, valuation and the calculation of total cost was conducted. Costs were considered from the perspective of the student, the education institution, the clinical educator, the health service placement provider organisation and the government. Data were based on a 5-week clinical education programme at Monash University, Australia. Data were collected using quantitative surveys and interviews conducted with health professional students, clinical educators and education institute staff. Reference group representation was also sought at various education institution and health service organisation levels. A transferable model with sensitivity analysis was developed. Results: There is a total additional cost of US$9371 per student failing in clinical education from the perspective of all stakeholders considered. Students bear the majority of this burden, incurring 49{\%} of costs, followed by the government (22{\%}), the education institution (18{\%}), the health service organisation (10{\%}) and the clinical educator (1{\%}). Conclusions: Strong economic links for multiple stakeholders as a result of failure by students in clinical education have been identified. The cost burden is skewed in the direction of students. Any generalisation of these results should be made with consideration for the unique clinical education context in which each health professional education programme operates.",
author = "Jonathan Foo and George Rivers and Dragan Ilic and Evans, {Darrell JR} and Kieran Walsh and Terrence Haines and Sophie Paynter and Prue Morgan and Karl Lincke and Haria Lambrou and Anna Nethercote and Stephen Maloney",
year = "2017",
month = "7",
doi = "10.1111/medu.13266",
language = "English",
volume = "51",
pages = "740--754",
journal = "Medical Education",
issn = "0308-0110",
publisher = "Wiley-Blackwell",
number = "7",

}

The economic cost of failure in clinical education : a multi-perspective analysis. / Foo, Jonathan; Rivers, George; Ilic, Dragan; Evans, Darrell JR; Walsh, Kieran; Haines, Terrence; Paynter, Sophie; Morgan, Prue; Lincke, Karl; Lambrou, Haria; Nethercote, Anna; Maloney, Stephen.

In: Medical Education, Vol. 51, No. 7, 07.2017, p. 740-754.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - The economic cost of failure in clinical education

T2 - a multi-perspective analysis

AU - Foo, Jonathan

AU - Rivers, George

AU - Ilic, Dragan

AU - Evans, Darrell JR

AU - Walsh, Kieran

AU - Haines, Terrence

AU - Paynter, Sophie

AU - Morgan, Prue

AU - Lincke, Karl

AU - Lambrou, Haria

AU - Nethercote, Anna

AU - Maloney, Stephen

PY - 2017/7

Y1 - 2017/7

N2 - Context: Failure by students in health professional clinical education intertwines the health and education sectors, with actions in one having potential downstream effects on the other. It is unknown what economic costs are associated with failure, how these costs are distributed, and the impacts these have on students, clinicians and workplace productivity. An understanding of cost drivers and cost boundaries will enable evidence-based targeting of strategic investments into clinical education, including where they should be made and by whom. Objectives: This study was designed to determine the additional economic costs associated with failure by students in health professional clinical education. Methods: A cost analysis study involving cost identification, measurement, valuation and the calculation of total cost was conducted. Costs were considered from the perspective of the student, the education institution, the clinical educator, the health service placement provider organisation and the government. Data were based on a 5-week clinical education programme at Monash University, Australia. Data were collected using quantitative surveys and interviews conducted with health professional students, clinical educators and education institute staff. Reference group representation was also sought at various education institution and health service organisation levels. A transferable model with sensitivity analysis was developed. Results: There is a total additional cost of US$9371 per student failing in clinical education from the perspective of all stakeholders considered. Students bear the majority of this burden, incurring 49% of costs, followed by the government (22%), the education institution (18%), the health service organisation (10%) and the clinical educator (1%). Conclusions: Strong economic links for multiple stakeholders as a result of failure by students in clinical education have been identified. The cost burden is skewed in the direction of students. Any generalisation of these results should be made with consideration for the unique clinical education context in which each health professional education programme operates.

AB - Context: Failure by students in health professional clinical education intertwines the health and education sectors, with actions in one having potential downstream effects on the other. It is unknown what economic costs are associated with failure, how these costs are distributed, and the impacts these have on students, clinicians and workplace productivity. An understanding of cost drivers and cost boundaries will enable evidence-based targeting of strategic investments into clinical education, including where they should be made and by whom. Objectives: This study was designed to determine the additional economic costs associated with failure by students in health professional clinical education. Methods: A cost analysis study involving cost identification, measurement, valuation and the calculation of total cost was conducted. Costs were considered from the perspective of the student, the education institution, the clinical educator, the health service placement provider organisation and the government. Data were based on a 5-week clinical education programme at Monash University, Australia. Data were collected using quantitative surveys and interviews conducted with health professional students, clinical educators and education institute staff. Reference group representation was also sought at various education institution and health service organisation levels. A transferable model with sensitivity analysis was developed. Results: There is a total additional cost of US$9371 per student failing in clinical education from the perspective of all stakeholders considered. Students bear the majority of this burden, incurring 49% of costs, followed by the government (22%), the education institution (18%), the health service organisation (10%) and the clinical educator (1%). Conclusions: Strong economic links for multiple stakeholders as a result of failure by students in clinical education have been identified. The cost burden is skewed in the direction of students. Any generalisation of these results should be made with consideration for the unique clinical education context in which each health professional education programme operates.

U2 - 10.1111/medu.13266

DO - 10.1111/medu.13266

M3 - Article

VL - 51

SP - 740

EP - 754

JO - Medical Education

JF - Medical Education

SN - 0308-0110

IS - 7

ER -