Costly Conversations: Having Value Conversations with Supervisors and Consultants

Focusing on avoiding overtreatment and providing patients and families with high-value care is a relatively new concept in most areas of medicine meaning health professionals may have varying levels of understanding and background for thinking about these issues. In the hospital it can be particularly challenging to navigate various hierarchies and different perspectives. Many of us can recall times where we had to respond to a supervisor who was asking us to do something for a patient that we did not necessarily agree with, or a situation where the supervisor’s motivation was unclear. There are a few communication strategies that can be used in these situations, along with a framework1 for effective conflict resolution, advocacy, and mutual support so that we can all engage in conversations among the inter-professional team that ultimately help provide high-value care for our patients.

Activity Length
Pretest: 3 minutes | Video 1: 10 minutes | Posttest 1: 4 minutes

Target Audience

This activity has been designed for health care providers of all specialties including physicians, nurses, nurse practitioners and physician assistants.

Learning Objectives

At the conclusion of this activity, participants will be able to:

  • Identify the challenges to addressing overuse at the point-of-care;
  • Develop an approach to discussing high-value care, including overtreatment and costs, with colleagues, consultants, and supervisors;
  • Discuss strategies for “managing up” and effectively starting conversations about high-value care with supervisors.
Additional information
ACGME/ABMS Core Competencies: 
Patient Care and Procedural Skills
Practice-based Learning and Improvement
Interpersonal and Communication Skills
Systems-based Practice
For more information, please contact:
CME Coordinator Contact Name: 
September Wallingford
CME Coordinator Contact Email: 
Available credit: 
  • 0.25 AMA PRA Category 1 Credit™
  • 0.25 Participation
Activity opens: 
Activity expires: 
Physician Credit
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The University of Chicago Pritzker School of Medicine and Costs of Care. The University of Chicago Pritzker School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
The University of Chicago Pritzker School of Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Healthcare Professions Credit
Nurses and other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME, please consult your professional licensing board.
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