TABLE 1

Overview of the High-Value Pediatrics Curriculum

Objectives
Part 1: didactics
 Lecture 1: health care value; activity: think-pair-shareRecognize the urgent need for focus on value in health care delivery in the United States (comprehension)
Define high-value health care (knowledge)
Articulate strategies for bringing HVC into daily practice (comprehension)
Identify challenges to providing HVC (comprehension)
 Lecture 2: health care costs; activity: estimated care costsRecognize the key terms and challenges related to health care costs in pediatrics (comprehension)
Define the various types of costs that exist in health care delivery (knowledge)
Discuss the role that clinicians play in the promotion or reduction of costs (comprehension)
Practice strategies to consider costs and value in daily practice (application)
 Lecture 3: balancing benefits, harms and cost; activity: opening case discussionExplain the factors that contribute to test ordering by trainees (comprehension)
Identify sources of uncertainty in medical decision-making (comprehension)
Recognize potential biases that may hinder your clinical decision-making (comprehension)
Practice using a value-based framework in weighing benefits, harms, and costs (application)
 Lecture 4: high-value diagnosis; activity: threshold worksheetDescribe the threshold approach to clinical decision-making (comprehension)
Identify that a working knowledge of basic statistical concepts is important to practicing HVC (comprehension)
Explain the concept of likelihood ratios (comprehension)
Discuss how likelihood ratios can influence the practice of HVC (comprehension)
Practice weighing costs, benefits, and risks using the threshold approach and basic statistical concepts in clinical scenarios (application)
Part 2: monthly morning reports in which $1000 workup tool is usedDefine high-value health care
 At least monthly interactive case conference recommendedPractice using a value-based framework in weighing benefits, harms, and costs
Part 3: intensive high-value, project-based curriculumTo implement the knowledge gained about both quality and cost to improve value
 Short and focused QI project on value driven by residentsTo apply the QI process, including simple PDSA cycles and data collection
To improve the value of the care that pediatric patients receive
  • PDSA, plan-do-study-act.