Interested in Writing a Case in High Value Care?

The goal of this series of clinical vignettes is to provide residency program directors with a way to teach resident physicians the cost of medical care using common clinical scenarios.

Upon submission, all cases are reviewed and may be edited for clarity, accuracy, and agreement with ACOG documents.

Once a case it accepted, it will be available on the CREOG website for five years, when it will be reviewed again to determine if the medical information and costs in the case are still appropriate.

Instructions for Authors

Clinical Scenarios

Outline two clinical scenarios (maximum of 250 words each) that highlight two different ways the same patient could be managed. One scenario should model cost-conscious care, and the other scenario should model an alternative, less cost-conscious plan of care.

Discussion Questions

Create at least two discussion questions designed to facilitate discussion around the different ways the cases are managed, and where unnecessary spending occurred.


List the approximate costs or charges of the patient encounter in both scenarios. Information on costs may be obtained from your hospital billing department, the Clear Health Costs website, or from the Health Care Blue Book website, and should be referenced appropriately.

Cost will be defined as the amount that is typically paid by an insurance company for the billed visit or procedure, or what your hospital has determined to be the cost to provide the care. Note that this is different from the charge associated with a visit or procedure, which is what the hospital or provider would bill.

If unable to obtain cost information, you may use charges which are also available from your hospital billing department. Be sure to clarify this in your case.

Teaching Moment

Summarize the places where a high value change can occur without compromising patient care or clinical outcomes. (Maximum 250 words)


Provide at least two references that are less than five years old for each teaching point.

*If you are a resident or medical student, you must have a faculty mentor review your case prior to submission.

Submit a Case