Original Publication
Open Access

High-Value Care Pediatric Curriculum

Published: July 16, 2015 | 10.15766/mep_2374-8265.10146

Included in this publication:

  • HVC Instructor's Guide.docx
  • HVC 1 Intro for MEP.docx
  • HVC 1 Intro for MEP.pdf
  • HVC 1 Intro for MEP.pptx
  • HVC 2 Overorder for MEP.docx
  • HVC 2 Overorder for MEP.pdf
  • HVC 2 Overorder for MEP.pptx
  • HVC 3 Biostats for MEP.docx
  • HVC 3 Biostats for MEP.pdf
  • HVC 3 Biostats for MEP.pptx
  • HVC 3 Case 1.docx
  • HVC 3 Case 2.docx
  • HVC 3 Case 3.docx
  • HVC 4 Insurance for MEP.docx
  • HVC 4 Insurance for MEP.pdf
  • HVC 4 Insurance for MEP.pptx
  • HVC 5 Screening for MEP.docx
  • HVC 5 Screening for MEP.pdf
  • HVC 5 Screening for MEP.pptx
  • HVC 6 Balancing Benefits for MEP.docx
  • HVC 6 Balancing Benefits for MEP.pdf
  • HVC 6 Balancing Benefits for MEP.pptx
  • HVC 7 Barriers for MEP.docx
  • HVC 7 Barriers for MEP.pdf
  • HVC 7 Barriers for MEP.pptx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This series of seven modules provides a formal curriculum for pediatric residents and medical students in the concepts of high-value care (HVC). HVC aims to reduce unnecessary health care costs while still providing high-quality care for patients. This pediatrics curriculum has been adapted from the American College of Physicians and Alliance for Academic Internal Medicine HVC curriculum for internal medicine residents and republished with the permission of the American College of Physicians. This presentation has been successfully deployed as a morning report series for pediatric residents and medical students at a single institution. The use of an audience response system enhanced participation and received overwhelmingly positive feedback from the participants. The real-time survey results allowed pre- and posttest comparison of the participants’ thoughts from the start to the end of a module. Participants also enjoyed working in small groups and practicing case-based learning. At the end of each module, they showed an interest in learning more about the subject matter and were challenged to see how the material would change their daily practice. Residents were more engaged in learning and understanding HVC with this educational series in both the inpatient and outpatient settings. Evidence-based guidelines are embedded in the modules to support clinical decision-making during case discussion. Work has also been started to develop collaborative models of education and expansion to departments including internal medicine, radiology, and emergency medicine at our institution.

Educational Objectives

By the end of this module, the learner will be able to:

  1. Define and emphasize the importance of high-value care in medical education.
  2. Engage learners to be cost-conscious stewards of health care resources.
  3. Provide examples of common pediatric scenarios that highlight areas of misuse and overuse that lead to health care waste.
  4. Promote the use of evidence-based guidelines to support clinical decision-making.
  5. Articulate strategies for bringing high-value care into daily practice and into care discussions with patients and families.

Author Information

  • Suzanne Woods, MD: Duke University Medical Center
  • Carolyn Avery, MD, MHS: Duke University Medical Center
  • Kathleen Bartlett, MD: Duke University Medical Center
  • William Bordley, MD, MPH: Duke University Medical Center
  • Aimee Chung, MD: Duke University Medical Center
  • Brian Eichner, MD: Duke University Medical Center
  • Mikelle Key-Solle, MD: Duke University Medical Center
  • Heather McLean, MD: Duke University Medical Center
  • David Ming, MD: Duke University Medical Center

Drs. Woods and Avery are co-primary authors on this publication.

None to report.

None to report.


  1. Cassel CK, Guest JA. Choosing wisely: helping physicians and patients make smart decisions about their care. JAMA. 2012;307917):1801-1802. http://dx.doi.org/10.1001/jama.2012.476
  2. Crosson FJ. Change the microenvironment: delivery system reform essential to controlling costs. The Commonwealth Fund website. http://www.commonwealthfund.org/publications/commentaries/2009/apr/change-the-microenvironment. Published April 27, 2009. Accessed July 2014.
  3. Curriculum for educators and residents. American College of Physicians website. http://hvc.acponline.org/curriculum.html. Published July 2012. Accessed July 2014.
  4. Kelley R. Where Can $700 Billion in Waste Be Cut Annually From the U.S. Healthcare System? Ann Arbor, MI: Thomson Reuters; 2009.
  5. Weinberger SE. Providing high-value, cost-conscious care: a critical seventh general competency for physicians. Ann Intern Med. 2011;155(6):386-388. http://dx.doi.org/10.7326/0003-4819-155-6-201109200-00007
  6. Yong PL, Saunders RS, Olsen L, eds. The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary. Washington, DC: National Academies Press; 2010.


Woods S, Avery C, Bartlett K, et al. High-value care pediatric curriculum. MedEdPORTAL. 2015;11:10146. https://doi.org/10.15766/mep_2374-8265.10146