Implementing a graduate medical education campaign to reduce or eliminate potentially wasteful tests or procedures.

LESS IS MORE Implementing a Graduate Medical Education Campaign to Reduce or Eliminate Potentially Wasteful Tests or Procedures The important role of training program directors to educate residents and fellows about the value of cost-conscious diagnostic and management strategies is clear.1 Indeed, a suggestion has been made that costconscious care should be added as a seventh general competency by the Accreditation Council for Graduate Medical Education and the American Board of Medical Specialties.2 Recently, Patel et al3 reported the results from a survey by the Association of Program Directors in Internal Medicine in which fewer than 1 of every 6 residency programs had a formal curriculum in cost-conscious care. The following report details our experience implementing an institution-wide campaign related to cost-conscious care at Johns Hopkins University School of Medicine.