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Teaching High-Value Care: Case Vignettes for Pediatric Practice.

Lauren LaRue Walker1, Akshata Hopkins2, Sahar Nayereh Rooholamini3

  • 1Assistant Professor, Department of Pediatrics, Baylor College of Medicine.

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Summary
This summary is machine-generated.

A new case-based curriculum effectively teaches medical trainees high-value care (HVC) principles. Piloted at four institutions, the curriculum was well-received and deemed applicable to daily clinical practice.

Keywords:
High-Value CarePediatrics

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Area of Science:

  • Medical Education
  • Health Policy
  • Pediatrics

Background:

  • Healthcare systems increasingly emphasize high-value care (HVC), focusing on evidence-based, economically responsible, and individualized patient outcomes.
  • Optimal methods for educating medical trainees in HVC principles to foster practice and behavior change remain underexplored.

Purpose of the Study:

  • To design and evaluate a case-based curriculum for teaching high-value care (HVC) principles to medical trainees.
  • To assess the feasibility, reception, and perceived applicability of the HVC curriculum in pediatric clinical settings.

Main Methods:

  • A curriculum was developed using six common pediatric clinical scenarios mapped to HVC principles.
  • The curriculum included learning objectives, small-group activities, resources, facilitator guides, and participant evaluations.
  • The curriculum was piloted at four major teaching hospitals and adapted by facilitators to local needs.

Main Results:

  • 331 trainees participated, with a 76% evaluation response rate (n=253).
  • Participants found the sessions a valuable use of time (4.2-4.6/5) and recognized HVC principles applicable to daily practice (4.4-4.6/5).

Conclusions:

  • The case-based HVC curriculum is feasible and well-received by diverse medical trainees.
  • The curriculum is perceived as valuable and directly applicable to clinical practice.
  • Future work includes longitudinal assessments and development of tools to measure HVC-related behavior changes.