To the Editor: In gathering their data, Oates and colleagues1 chose not to include the cost of the learner's time. However, in most cost analyses, learner inputs are accounted for — particularly if the learners are paid (as the interns are). While Oates et al concentrated on the cost of teaching personnel, they did not take into account the cost of facilities, equipment or consumables — which can be substantial. For example, the cost of a professor teaching in a tutorial room would be quite different to the cost of a professor facilitating a session on a high technology simulation suite.2
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- 1. Oates RK, Goulston KJ, Bingham CM, Dent OF. The cost of teaching an intern in New South Wales. Med J Aust 2014; 200: 100-103. <MJA full text>
- 2. Zendejas B, Wang AT, Brydges R, et al. Cost: the missing outcome in simulation-based medical education research: a systematic review. Surgery 2013; 153: 160-175.
- 3. Walsh K, Levin H, Jaye P, Gazzard J. Cost analyses approaches in medical education: there are no simple solutions. Med Educ 2013; 47: 962-968.
- 4. Grant J. The Calman report and specialist training. Calman report builds on the status quo. BMJ 1993; 306: 1756.
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