The VALUE Framework: training residents to provide value-based care for their patients

Area of Science:

• Health Policy
• Medical Education
• Health Services Research

Background:

• National initiatives aim to enhance healthcare value, necessitating inclusion of graduate medical education (GME).
• Key organizations like MedPAC, ACGME, and ACP have proposed teaching value-based care to residents.
• Current residency programs lack a defined strategy for educating residents on assessing and delivering value-based care.

Purpose of the Study:

• To present the VALUE Framework as a structured approach for GME programs.
• To guide residency programs in teaching residents to assess and deliver value-based care.
• To offer practical opportunities for incorporating value-based care training into residency programs.

Main Methods:

• Development of the VALUE Framework.
• Identification of over 20 opportunities for integrating value-based care training.
• Focus on practical application within residency programs.

Main Results:

• The VALUE Framework provides a clear strategy for GME programs.
• Numerous opportunities exist for residency programs to implement value-based care training.
• The framework aims to bridge the gap in current GME preparedness for value-based care.

Conclusions:

• The VALUE Framework offers a vital tool for GME institutions.
• Implementing the framework will enhance residents' ability to provide value-based care.
• This approach supports national efforts to improve healthcare value through education.