The VALUE framework: Training residents to provide value-based care for their patients

Document Type

Journal Article

Publication Date

9-1-2012

Journal

Journal of General Internal Medicine

Volume

27

Issue

9

DOI

10.1007/s11606-012-2076-7

Keywords

Graduate medical education; Health care value; Medical education; Residency training; Value; Value-based care

Abstract

National efforts to improve the value of health care must include graduate medical education (GME) if they are to succeed. Proposals to teach residents to provide valuebased care have come from the Medicare Payment Advisory Commission (MedPAC), the Accreditation Council for Graduate Medical Education (ACGME) and the American College of Physicians (ACP). Such proposals skip a key step: residency programs currently lack a clear strategy to prepare residents to assess and deliver value-based care. In this article, we present the VALUE Framework for programs to utilize to teach residents to assess and deliver value-based care for their patients. We then present more than 20 opportunities for residency programs to incorporate training in value-based care. © Society of General Internal Medicine 2012.

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