Chapter Guidelines

As a grassroots organization, our success depends on you!


1. Structure:

  • A PRO chapter can help providers who believe that value is an important aspect of patient care to find each other and organize locally, thereby promoting culture change.

2. Resources:

  • PRO Pages: our roughly monthly newsletter.  For those who opt in, these newsletters include Chapter updates and a review of interesting news and articles related to high-value care.
  • We will provide a home for project tools in our website's Toolbox tab of our website. We encourage you to look there for seeds for your chapter's projects.

3. Visibility:

  • PRO will highlight your work in our monthly ProPages as you indicate, and offer a space to have open questions for other chapters.
  • PRO will host a website with a webpage dedicated to your chapter. You can use this webpage to relay information about upcoming events for your chapter, and provide resources.



1. Have a local leadership team (ProCore) with an internal structure that can guide the work of the chapter. We will communicate most directly with the faculty advisor and resident director. We recommend the following:

  • A faculty advisor is a faculty member with an interest or a background in high-value care who will be present for continuity over the next few years.
  • A resident director is a current physician-trainee who can serve to organize local efforts within the residency.
  • ProCore members are active individuals whose work drives the chapter.  They may be members who are contributing to local QI or education projects, working to build capacity and resources for the chapter, and/or advancing the culture of High-Value Care within the institution. They attend local PRO meetings and vote in group decisions.
  • Chapter members are individuals who philosophically aligned with the movement towards high-value care and is willing to take the pledge. They are invited to attend general meetings and contribute however they seem fit.

2. Advance work in the following areas:

  • Encourage a culture of high-value at your institution, with at least one email to providers at your institution per year inviting them to sign the pledge and join the organization. We will give you the information to order PRO-tags (keychain light) to distribute to those who sign the pledge, as a symbol of unity.
  • Design or continue one educational activity for your institution - either as part of residency education, the medical school curriculum, or for providers at large. If it is a new creation, this can be shared on the PRO website education tab, if it is generalizable to other chapters. We encourage doing 1-2 I-CARE cases per year, developed at Yale.
  • Work on at least one high-value promoting project over the course of the academic year. Refer to our toolkit for a few ideas for chapters oridentify a new target that is relevant to your institution.

3. Keep your chapter page on the PRO website up to date for your chapter. 

4. Contribute to ProPages with chapter updates and new articles/links

5. Participate in quarterly conference calls and an annual all-chapter meeting.

6. Use the PRO logo and name where possible, but without edits unless pre-approved. We encourage using it for project posters and chapter materials. Please contact us if you would like to use it otherwise.

7. For continuity, have a transition plan at the end of the academic year for identifying the new leadership team.