In this Teaching Value in Healthcare Hangout, Dr. Neel Shah interviews Dr. Wade Iams, who co-led Vanderbilt's efforts to drive cultural change in promoting value through a challenge aimed at reducing unnecessary lab orders. The challenge is structured as a friendly, team-based competition between inpatient internal medicine resident teams. While the competition aspect may serve as a motivational tool, the true aim is to improve patient care and satisfaction.

As part of the Costs of Care and ABIM Foundation's Teaching Value Hangout Series, Dr. Marc Willis of Baylor School of Medicine discusses cultural changes and awareness of evidenced-based medicine as result of the Radiology-TEACHES program.

In this Hangout Dr. Swaroop discusses the novel longitudinal "Business of Medicine" curriculum she developed to increase cost-awareness among trainees as part of the internal medicine residency training program at University of California, Irvine, School of Medicine.

Hosted by Dr. Neel Shah, this month's Teaching Value in Healthcare hangout features a conversation with Drs. Accurso and Palchaudhuri about the Providers for Responsible Ordering (PRO) effort started at Johns Hopkins Bayview.

Dr. Miriam Schechter from Albert Einstein School of Medicine and Dominic Lorusso from Consumer Reports discuss a partnership to promote student and faculty use of patient education materials on Choosing Wisely recommendations.

Jessica Perlo from IHI's Open School discusses the I-CAN network.

Dr. Muntz and colleagues assigned third-year medical students on their internal medicine clerkship to roles as "High Value Care Officers." The students were prepared using a series of short podcasts and an iPad-based Choosing Wisely checklist before being asked to initiate conversations with colleagues on opportunities for improvement.

It is well known that surgical costs are extremely high, but most surgeons have little knowledge of their operating room costs. The goal of OR SCORE (OR Surgical Cost Reduction Project) is to enable surgeons to practice cost-effective surgery by providing them with price transparency information about their surgical cases.

SOAP-V is a modified SOAP presentation that encourages students to consider high value care during patient care delivery. The SOAP-V model prompts students to consider:

1) Before choosing an intervention, have I considered whether the result would change management?

2) Have I incorporated the patient’s goals and values, and considered the potential harm of the intervention compared to alternatives?

3) What is the known and potential cost of the intervention, both immediate and downstream?

Dr. Mitesh Patel from the University of Pennsylvania discusses an intervention implemented by the Division of General Internal Medicine at the University of Pennsylvania aimed at increasing the prescribing of generic equivalents when available.