Teaching High-Value Care in Pediatrics: A National Survey of Current Practices and Guide for Future Curriculum Development

Abstract

Most pediatrics residency programs responding to a survey lacked formal HVC curricula. There is a desire nationally for HVC education in pediatrics, particularly in a case-based discussion format.

Development and Evaluation of High-Value Pediatrics: A High-Value Care Pediatric Resident Curriculum

“…[20][21][22][23] Despite these resources, data reveal that only 10% of pediatric program directors and 15% of internal medicine residency programs report having a formal curriculum on HVC. 24,25 In a survey of pediatric residency programs, respondents identified the largest barrier to HVC as a lack of cost transparency. The majority of respondents agreed that their program needed an HVC curriculum, and 90% of respondents reported that they would use a curriculum if one was available.…”

“…At a time when most pediatric residencies do not have formal curricula on value, High-Value Pediatrics provides an open-access resource that includes interactive case presentation components that are highly desired by both pediatric program directors and chief residents 24 in addition to didactic lectures and a framework for value-focused improvement projects. We know that clinicians have a poor knowledge of the cost of the care they provide, 10 so the results of our curriculum implementation reveal promise.…”

Reducing Point-of-care Blood Gas Testing in the Intensive Care Unit through Diagnostic Stewardship: A Value Improvement Project

“…In most hospitals, the PICU is a high-utilization area where we have reported that high-value care education does not occur as frequently. 27 However, previous projects have demonstrated success in reducing utilization in intensive care settings through standardization approaches similar to ours. 28 Establishing a culture of value, and careful evaluations of testing necessity and choice of testing modality, are important parts of improving the value of care, even in the critical care setting.…”

Applying High-Value Care Principles in a Pediatric Case: A Workshop for Health Professions Students

“…12,13 Educational interventions on HVC have been successful at increasing physician awareness of medical costs. [14][15][16][17][18] It has been suggested, in fact, that physician education regarding cost-conscious care and overuse or misuse of diagnostic testing become an additional ACGME general competency for physicians-intraining. 9,19 Studies have shown that physicians and trainees have a poor understanding of pharmaceutical and diagnostic testing costs.…”