After earning both his bachelor’s and master’s in law at Catholic University of Leuven Wouter Vaassen joined Liedekerke Wolters Waelbroeck Kirkpatrick where he focused on regulatory and real estate law a partner he worked with helped start a new law firm Wouter had been planning to pursue an LL.M and Praetica gave him a year’s leave of absence to earn his LL.M at Vanderbilt and helped finance his degree Wouter’s practice at Praetica now focuses predominantly on environmental law ranging from waste and soil pollution law to environmental and construction permits but he also deals with product safety regulations governing food and explosives and criminal procedure “About a third of the environmental cases I deal with have a criminal aspect,” he explained “I loved the freedom we had to choose our own classes,” he said “Besides the directly usable substantive knowledge I gained I often think back to my classes on environmental and procedural law to compare how things are done in the U.S and am able to draw arguments in favor of my clients based on that comparison.” He liked Vanderbilt’s emphasis on legal theory and methodology He also appreciated the faculty’s expertise in their subjects and their commitment to teaching—and the classroom focus on legal theory and methodology “I had Professor (Nancy) King for Criminal Law and she was great—very energetic and passionate about her subject,” he said who taught International Environmental Law was with the MSC (Marine Stewardship Council) until he retired and he had a wealth of practical knowledge.” Since returning to Brussels Wouter has become a teaching assistant at the Catholic University of Leuven where he now teaches Methodology of the Law As a lasting benefit of his Vanderbilt LL.M. Wouter formed strong relationships with his classmates “The Vanderbilt LLM gives you a network of lawyers trained in different jurisdictions around the world so you can always discuss with them on how they handle things in their jurisdiction,” he said when we were taking our Civil Procedure class with Professor Stack and also outside of class with students from all over the world provided me a lot of intellectual ammunition.” who took a year off from her job as an elementary school teacher Program Director] was a big help in helping us find a place to live where to get our driver’s licenses,” he said Not a day would pass that we didn’t so something together—having lunch inviting people over for dinner/drinks—and Wouter believes he got more out of his studies because he had three years of practice experience before he entered Vanderbilt’s LL.M “Work experience helps you be more focused on what classes you want take and what areas of law you need to learn more about,” he said “I also enjoyed having a year away from work to really think about what I wanted to do in life helped me confirm that I wanted to practice law and focus on environmental and procedural (criminal) law.” Vanderbilt University’s Online Privacy Notice Carley Borcherding shows the root viewing box on Wednesday at Katie’s Garden to visitors during a garden tour for the 20th-anniversary celebration of the site in Platteville Kathy Kubitz showcases another area of Katie’s Garden during a tour The duck race was a highlight of the 20th anniversary celebration Volunteer Dean Feldman guides ducks that have fallen behind their competitors Volunteers who help maintain Katie’s Garden are honored at a 20th anniversary celebration a Platteville volunteer for whom the garden is named Community members gather to celebrate the 20th anniversary of Katie’s Garden in Platteville Asbury News Bellevue News Clayton County News Delaware County News Dubuque News Dubuque County News Dyersville News Jackson County News Peosta News East Dubuque News Galena News Jo Daviess County News Crawford County News Grant County News Iowa County News Lafayette County News Lancaster News Platteville News Field of Dreams Coverage All Bites and Brews More Caucus News — Katie Vaassen’s spirit is alive in Platteville Twenty years after the 23-year-old died from a heart condition a memorial garden next to Platteville Regional Chamber in her name continues to thrive Vaassen accumulated over 800 volunteer hours at the chamber while in high school and later worked there as a tourism assistant while attending University of Wisconsin-Platteville “She was such a fun little pixie to be around — small and mighty,” said Kathy Kopp who served as the chamber’s executive director during Vaassen’s time “She found joy in every day and she was just a breath of fresh air.” who were at the time clearing an unkempt brushland behind the building decided to create a space there in Vaassen’s honor that now features benches picnic tables and areas for the public to gather 2004 — what would have been her 24th birthday An anniversary celebration was held Wednesday as part of Platteville’s Hometown Festival Week Community members gathered to enjoy meals while Shekinah King performed live music in the gazebo About a dozen volunteers who help maintain the gardens were honored a rubber duck race was held in the neighboring Rountree Branch waterway but you guys kind of take the edge off,” he said in a speech The garden has become a common gathering spot for the community Wedding and prom photos are often taken there with Halloween activities and an annual holiday lights display “It’s (Katie’s) spirit that created this,” Kopp said Kopp said the garden’s transformation since 2004 is a testament to Platteville’s community bond and I can’t believe that it’s been 20 years,” Kopp said “We never had any idea what it was going to be like.” When the garden was first being planned in the weeks after Vaassen’s death it seemed a lofty effort to get it finished in time for a dedication on her birthday who came in at night after their regular jobs to build this gazebo so that it was ready for the dedication in July,” Kopp said Several different garden beds are maintained entirely by volunteers “Everything’s got to stay clear of the weeds or you can’t see the features,” said volunteer Kathy Kubitz Weeding is not the only needed maintenance Due to the garden’s close proximity to Rountree Branch and its location on an incline between the chamber building and creek Volunteers have replanted beds several times over the years after they sustained flood damage but that has not deterred them to keep the space vibrant “I don’t know how many times they’ve had to replace their gardens,” Kopp said of the volunteers “They kept coming back and replanting and tending to them.” Email notifications are only sent once a day ISSN 2993-8384 (Online)ISSN 1041-293X (Print) Your browser is out of date and potentially vulnerable to security risks.We recommend switching to one of the following browsers: Account processing issue - the email address may already exist Invalid password or account does not exist Submitting this form below will send a message to your email with a link to change your password An email message containing instructions on how to reset your password has been sent to the email address listed on your account MCDONALD'S SWNEWS4U.COM GAME OF THE WEEK (Jan CUBA CITY — Upsets are abounding for the surging Cuba City boys’ basketball team following a buzzer-beating victory over No on a buzzer-beater by senior Gavin Vaassen The Cubans kept their second ranked opponent in as many weeks on their heels early Gavin Vaassen and Trevor VanNatta split scoring over the stretch with five points for Vaassen and four for VanNatta and the stoppage was effective for the traveling squad “We knew it would be a tough game in a tough environment it comes down to the little things,” Darlington head coach Tom Uppena said “There were a lot of plays throughout the course of the game that could’ve gone differently to help us get the win.” The Redbirds worked their way back into the matchup eventually claiming the first of a few leads on the night by 12:20 as Cuba City’s Miles Hinderman drained shot in the paint after nearly a minute-and-a-half of regulation on the next possession The conference rivals traded blows for the next six minutes until a pair of free throws and a field goal from Vaassen put the lead in the Cubans’ hands again though Darlington never let Cuba City pull to more than a 5-point lead to the break Both teams came out of the break ready to fight Vaassen scored the first points of the second half The Redbirds encroached on and claimed the lead three minutes into the second one it would hold onto for under two minutes After VanNatta got the Cubans to a 1-point deficit at 13:49 with a jumper in the paint Vaassen claimed a fading jumper for three to earn his team the lead yet again That advantage held strong until a three from Darlington put the lead back in the traveling team’s hands The Redbirds maintained their edge thanks to Broker Buschor and Dante Glendenning draining buckets the latter’s putback with 2:58 to play would be the final basket of the night for the Redbirds Vaassen trimmed the deficit to three points with a free throw at 2:25 Darlington appeared intent on having the last shot or taking the game to overtime The Redbirds inbounded the ball and after crossing over the half court Taggart Gille dribbled the ball near the top of the Redbirds’ court until 13.8 seconds remained and Uppena called a timeout Zeke Zuberbuhler released a three with little coverage but a pair of bounces on the rim had other plans Cuba City got the ball after it fell out of bounds with 3.2 seconds on the clock In a play reminiscent of the Redbirds’ home loss to Mineral Point a month prior Tyson Richard inbounded the ball to Vaassen with less time to play Vaassen turned and bolted with tight coverage the entire time After one final step to the hoop and 0.5 seconds on the clock Vaassen left the ground with defenders on each side His arm swung out for a hook shot and released the ball with 0.2 seconds left though the ball didn’t get the memo for at least half a second It didn’t matter though — Vaassen shot fell through signaling the upset and preventing an overtime matchup we told Gavin we are going to get him the ball and he had Miles Hinderman who hit the three to tie it in the corner,” Cuban head coach Tanner Schieve said Vaassen’s effort against Darlington was a valiant one — his 31 points led all scorers He nearly led the team in rebounds at seven Hinderman and VanNatta were second and third with 10-and-8 points “We tried to move Gavin around in our offense to get him different actions and allow him to do what he does,” Schieve said “He is a hard matchup because he shoots over 40% from the three the Redbirds were led by Buschor’s 16 points followed closely by Cagyn Paisley and Zuberbuhler at 11 points apiece “I was obviously disappointed in the outcome but I have to give a lot of credit to Cuba City,” Uppena said We’ve had three close losses that came down to the final play now Hopefully we can figure out how to win these games before the season is over.” 17 @ Cuba City)Darlington....34 24 — 58 Cuba City.....35 25 — 60   Darlington (9–4 Totals — 22-46 12-21 60.3-point goals — D: 8-28 (O’Brien 3 We use cookies on this site. By continuing to browse without changing your browser settings to block or delete cookies, you agree to the UW-Platteville Privacy Policy. Ever since she was young, April Vaassen had a passion for helping people. After numerous volunteering and tutoring experiences within the education field growing up, Vaassen slowly developed this passion into a profession. Along the way, she received a bachelor’s degree in psychology from the University of Wisconsin-Platteville and her master’s degree in school counseling from Loras College equipping herself with the knowledge to develop future leaders and successful professionals She now helps others reach their fullest potential in the career coaching and self-improvement fields “I love connecting with people and helping them live bigger and better lives,” said Vaassen “I believe with the right tools and mindset we can live any life we want and helping people achieve that is a big passion of mine.” To further this goal, Vaassen recently attained her John Maxwell certification enabling her to better assist her clients in reaching their personal and professional goals Vaassen also works to improve the lives of others as an instructor She currently teaches at Northeast Iowa Community College Vaassen will explore these topics as the new instructor of the UW-Platteville Continuing Education Institute’s Summer and Fall Business Series Each series consists of a collection of workshops dedicated to self-improvement with Vaassen serving as students’ main guide toward newfound success “A couple years ago I reached out to the Continuing Education Institute regarding an advertisement I saw for instructors,” explained Vaassen on how she joined the CEI team but I’ve been in contact with them ever since I thought it would be nice to reach out and see where things went.” Vaassen looks forward to instructing her new classes but that’s not to say she’s forgotten about her own personal and professional development She has goals of her own and is already taking steps to complete them “I’ve always wanted to be my own boss,” said Vaassen and I’ve started down that path by recently leaving my nine-to-five to focus more on coaching I hope to teach more and grow my coaching business and so far I’ve been keeping busy with that.”  Vaassen’s professional goals also tie into her personal life where she hopes her new schedule will allow her more time to spend with her kids.  Vaassen also coaches health and fitness on the side focusing on improving not just the mind but also the body Vaassen’s example is a reminder that with the right attitude and work ethic no goal is impossible to achieve—a sentiment she hopes her students will see for themselves this summer To learn more about CEI’s Summer and Fall Business Series, click here. Prospective learners are also encouraged to contact continuing@uwplatt.edu with any questions — Six outstanding individuals were recognized by the Association of Women in Agriculture Benefit Corporation (AWABC) and the Association of Women in Agriculture (AWA) for their notable contributions to AWA and the agricultural community Recognized individuals include Jill Armbruster Jill Armbruster was the recipient of the AWA Founders Award The Founders Award is presented to an individual who has had a significant influence on students and alumni of AWA Jill has had a positive impact on the financial stability of the organization and its members she ensured budgets were made and as an alumni she has donated her time by conducting annual audits Jill works as a tax consultant for Compeer Financial and has helped AWA members confidently navigate both the financial landscape and their careers in the industry Tammy Vaassen was recognized as an Outstanding Woman in Agriculture The Outstanding Woman in Agriculture is recognized for her significant influence on the agricultural industry Tammy has made a significant impact on Wisconsin agriculture through her work with the meat industry She currently serves as the Executive Director of the Wisconsin Beef Council and is dedicated to creating new opportunities for the state’s beef farmers She also fosters collaboration with other organizations such as the University of Wisconsin-Extension and DATCP to share resources for the betterment of farmers and processors in the beef industry Nicole Broege is this year’s student Outstanding Senior The Outstanding Senior is awarded for her years of leadership through AWA Nicole will graduate with a degree in dairy science this May and she’s held various leadership roles during her time as an active member The relationships she has built and connections she has made as a member of AWA have helped her immensely during her time as a student and she hopes to be able to provide those same opportunities to future students within the organization Although this alumni member is a recent graduate she is an inspiration and positive role model for all members and currently is a marketing specialist for Holstein Association USA She continues to serve AWA by creating the beautiful floral arrangements for AWA day She continues to be a friend to both alumni and active AWA members and shines a positive light on the organization Charles Sara was this year’s Honored Guest at AWA Day Charles Is an attorney at DeWitt Law Firm and works closely with the organization He played an important role in getting AWA the rights to the official AWA logo This was an important accomplishment for the organization as it will allow them to own their brand and uphold the reputation of AWA Katy Katzman was awarded the Outstanding Alumni Katy continually makes herself available to assist the student organization and promote AWA She also played an integral part in the promotion of the 50th Anniversary of AWA She rallied both students and alumni together to celebrate the milestone achievement Katy is an advocate for the agriculture industry and makes sure to share her experiences with others through social media to promote the industry further The six awards were presented at the organization’s AWA Day held on April 13 in Madison — Nearly one in three farmland owners across the Great Lakes region is over 65 and will likely transfer their farms in the next 15 years Transferring farmland to new owners and operators is complex and the land and conservation investments on them could be lost to urban expansion and development — An upcoming virtual workshop series for Midwestern farm and ranch women will teach the basics of tax planning for agricultural operations Hosted by women in agriculture extension programs at the University of Nebraska-Lincoln the three-part series will be held from 7:30 to 9 p.m a member-owned Farm Credit cooperative based in the upper Midwest Tailored for women in agriculture and related fields the event promises a unique blend of education — Eastern Wisconsin Extension’s Women in Agriculture Program returns and will be held at the Farm Wisconsin Discovery Center near Manitowoc on April 4 The $13 million attraction is a state-of-the-art interactive discovery center that focuses on the diversity of Wisconsin agriculture within a framework of sustainable and responsible farming practices The Dairy Signal to Highlight Sustainability Initiative Wisconsin Winter Wheat Production and Hay Stocks Be sure you have your GPS enabled and try again 2019 at home after battling kidney failure 2019 at Leonard Funeral Home & Crematory 2595 Rockdale Road where an informal service will be at 7:00 p.m Burial will be at a later date in Mount Olivet Cemetery In honor of Pauly please wear your favorite sports apparel Iowa the son of Allen and Carol (Maiers) Lattner He graduated from Dubuque Senior High School in 1983 Pauly and his father Allen drove trucks for many years all over our beautiful country he was employed with Marty Arensdorf Quarries On many trips to Iowa City he could point out every quarry on the way The nurses in Iowa City were sad to see him leave because he made their day go faster He enjoyed watching all sports especially NASCAR He is survived by his mother Carol Lattner Nephews: Nick Vaassen (fiancé Natalie Schildgen) along with his step-mother Linda Lattner.  He is preceded in death by his father Allen Lattner; grandparents Lyle & Helen Lattner Pete and Bertha Maiers along with many aunts John Whalen and the staff at Tri-State Dialysis Hospice of Dubuque for all their wonderful care they gave to Pauly A special thank you to all of Pauly’s friends that stopped to visit and enjoy his endless sense of humor and reminisce about old times and thank you to Jiggs Hoftender for taking Carol and Paul to Iowa City for his appointments Droste is being acquired by the Belgian chocolate group Pauwels Engineering, Hosta International, the parent company of the Dutch chocolate firm founded in 1863, announced this week The move will bring the Droste product lines under the same ownership as the brands The Belgian and aviation-inspired chocolatier Starbrook Airlines Hosta International announced in July that it was looking for a buyer for Droste who would continue the company and all associated activities the taste of real Dutch chocolate since 1863 The Belgian family holding company already has several chocolate companies in its portfolio which it acquired in 1997 to preserve its existence Droste has been struggling since the pandemic The energy crisis and extreme increase in cocoa prices in 2023 and 2024 put further pressure on the already struggling chocolate firm and prompted Hosta International to start looking for a buyer the new owner will take over the activities in Vaassen under the leadership of the current management team Pauwels Engineering will resume the production of regular Droste products Production will continue in the factory in Vaassen This website is using a security service to protect itself from online attacks The action you just performed triggered the security solution There are several actions that could trigger this block including submitting a certain word or phrase You can email the site owner to let them know you were blocked Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page An official website of the United States government “It was inspiring to see nature and conservation enthusiasts from all over the Midwest come together here in Northern Wisconsin to help make a difference for others who love the great outdoors,” said USDA Forest Service Assistant East Zone Recreation Program Manager Brady Vaassen “It is exciting to see the wonderful improvements that were made because these individuals pooled their dedication to address their shared objective of wanting to make improvements in these very special places.”     volunteers leveled out an eroding section of the trail They also removed downed trees and brushed a majority of the trail including the first section from the Deerskin Snowshoe parking lot towards Whispering Lake.  volunteers repaired broken boards on the Giant Pine Trail and leveled out the 280-foot-long boardwalk They brushed the trail and removed downed trees The volunteer group even stretched their reach outside the boundary of the Wilderness area “They went above and beyond,” said USDA Forest Service Recreation Technician Valerie Knurr “This wonderful group of volunteers definitely had a big impact on the trails and boardwalks.”  The Blackjack Springs Wilderness and the Headwaters Wilderness are 2 of 5 Wilderness areas that are located across more than 44,000 acres in the Chequamegon-Nicolet National Forest in Northern Wisconsin The Wilderness Act of 1964 created our National Wilderness Preservation System including some of America’s most iconic wilderness areas Wilderness Volunteers is a non-profit group that started in 1997 to organize service projects in cooperation with public land agencies some 450 volunteers contribute approximately 20,000 hours of labor The groups are self-contained with camping equipment Please select what you would like included for printing: Copy the text below and then paste that into your favorite email application at Gundersen Lutheran Medical Center in La Crosse the son of Leonard and Gwendolyn (Dutka) Durni  Pete graduated from Southwestern High School in Hazel Green in 1984 he moved to Arizona and worked in pest control  Pete later returned to Wisconsin and worked in various fields he was united in marriage to Mary Jo Vaassen and two daughters were born to this union  Pete was united in marriage to Nikki Bossenbroeck in 2012  Pete enjoyed fishing and music in his free time He played the drums in Mamma’s Puddin’ as well as the Blues Brothers Band  Pete loved spending time with his daughters  He will be greatly missed along with his never-ending humor and Noralyn Durni; his sisters: Amy Durni and Pamela (Dave) Kronshage ; nephews: David Fessler A Celebration of Life will be held at a later date for family and friends Expressions of sympathy may be made in whichever way(s) you wish Martin Schwartz Funeral Home & Crematory in Lancaster is entrusted with his care This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply Service map data © OpenStreetMap contributors Metrics details Physicians have become more responsible for pursuing healthcare efficiency contemporary literature uses multiple terminologies to describe healthcare efficiency To identify which term is best suitable for medical education to equip physicians to contribute to healthcare efficiency delivery in clinical practice we performed a narrative review to elucidate these terms' meanings The PubMed-database was searched for articles published in 2019–2024 describing healthcare efficiency terminology Eligible articles conceptually described and applied relevant terminologies for physicians while empirical studies and practice-specific articles were excluded The screening was supported by an open-source artificial intelligence tool (ASReview) which prioritizes articles through machine learning Two reviewers independently screened the resulting articles Final eligibility was determined through predefined inclusion criteria but our findings reveal that the perspectives herein differ on what constitutes value resource allocation to the population’s needs drives decision-making—maximizing value at population-level patient-centricity guides decision-making—maximizing value at individual patient-level High-value and low-value care are somewhat ambiguous depending solely on cost-effectiveness results or patient preferences to determine whether care is considered as low or high value Cost-effectiveness may be too rigid for patient-physician interactions while value-based healthcare might not ensure sustainable care As physicians are both stewards of finite societal resources and advocates of individual patients integrating cost-effectiveness (resource allocation for population needs) and value-based healthcare (individualized care plans) seems necessary Both terms emphasize delivering high-value care and avoiding low-value care We suggest that medical education: (1) train (future) physicians to apply healthcare efficiency principles through case-based discussion (2) use the cost-effectiveness plane to evaluate treatments (3) deepen knowledge of diagnostic and treatment procedures’ costs within evidence-based guidelines and (4) enhance communication skills supporting a healthcare efficiency-driven open shared decision-making with patients The coexistence of these diverse terms and their interpretations regarding healthcare efficiency might suggest that unrelated yet inherently intertwined topics are being addressed providing a comprehensive understanding of healthcare efficiency to improve medical education Such knowledge is needed to ultimately discuss the suitability of the different terms in educating (future) physicians to contribute effectively to enhanced healthcare efficiency within their clinical practice This conceptual understanding should provide a comprehensive perspective on the broad continuum of healthcare efficiency this understanding is important to better prepare (future) physicians to acquire skills needed to balance cost and quality in their decision-making ultimately contributing to improved healthcare efficiency in clinical practice Our narrative review involved a critical survey of articles describing and applying healthcare efficiency terminologies the criteria of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement were used to report this narrative review wherever possible (see Supplemental Material 1) one researcher (LB) searched the PubMed database to retrieve relevant articles for 2019–2024 as we were primarily interested in healthcare efficiency terminologies that are nowadays used in clinical practice Keywords used in the search strategy reflected healthcare efficiency core elements The articles in this narrative review were included based on the following criteria: articles (1) conceptually focusing on describing and applying a terminology of healthcare efficiency; (2) containing the healthcare efficiency’s core elements of the gains related to outcomes versus the losses related to resource utilization; (3) applying a healthcare efficiency terminology relevant for physicians; and (4) published in the English or Dutch language Articles with the following characteristics were excluded from the review: empirical studies and articles specifically targeting a particular population Such articles were excluded because they primarily focused on testing hypotheses or applying methodologies within specific populations they often provided limited insight into the conceptual understanding or the terminology used making them less suitable for contributing to the generic understanding of healthcare efficiency terminology We refined and validated the criteria by having two authors of this study (WvM and CN) and one research collaborator (Brigitte A.B PhD) each independently review a different set of 30 articles after which differences were discussed until consensus was reached General process related to the methodology and the specific role of ASReview it was hypothesized that no further relevant articles remained unseen within the dataset This screening phase was conducted independently by two authors (LB and SV) who reviewed the titles and abstracts of all identified studies for potential inclusion The selections were compared to identify (1) articles commonly selected and (2) articles selected by only one author Articles agreed upon by both authors were automatically included in the review while the remaining articles had their inclusions reassessed by consensus of the two authors based on full-text reading Detailed information regarding the decisions made (labeling the articles as relevant or irrelevant by the two researchers) throughout the screening process of using ASReview can be found in Supplemental Material 2 The final selection of articles consisted of the articles commonly selected by both authors Plus the articles initially selected by one author but reached consensus of the two authors based on full-text reading The data extraction yielded information on general characteristics (i.e and year of publication) and the terminology relating to healthcare efficiency mentioned in the article we identified the following four umbrella healthcare efficiency terms (i.e such as overuse with low-value care and economic evaluation with cost-effectiveness While other terms were also used in the articles we focused on those relevant to (future) physicians in clinical practice This paragraph describes each term separately—cost-effectiveness and value-based healthcare—and mentions terms related to the four terms mentioned Some related terms were not mentioned in the selected articles but were discovered upon further exploration of the included terminologies’ definitions The umbrella or (most commonly used) terms are in bold Economic evaluations include different types of analysis These evaluations can have different outcomes monetary outcome for cost–benefit and cost-minimization clinical effect outcome for cost-effectiveness An example of the practical application of cost-effectiveness in decision-making is comparing two treatments for aneurysmal subarachnoid hemorrhage: endovascular treatment and neurosurgical clipping An example of the practical application of high-value care in decision-making is prescribing a generic statin for high cholesterol instead of a branded statin variant An example of the practical application of low-value care in decision-making is performing routine imaging scans for low-back pain in all patients Related terms such as value-based procurement are derived from the value-based healthcare term An example of the practical application of value-based healthcare in decision-making is opting for palliative care over aggressive interventions for a patient with advanced heart failure after discussing what is considered valuable from the perspective of this individual patient we use the four umbrella (most commonly used) terms over the related one(s) described above in the remainder of the text In situations of scarcity concerning healthcare efficiency selecting procedures solely based on their effectiveness or costs is futile Performing procedures based on effectiveness without considering their costs can lead to unsustainable healthcare expenditures selecting procedures based on cost(s) (reduction) without considering their effectiveness can result in lower quality of care and higher health expenditures in the long run the concept of ‘value’ is central to all healthcare efficiency terminologies and is often described as a trade-off between benefits in health outcomes against resource use in healthcare costs This paragraph elaborates on how value is described across the terms low-value care provides minimal or no value and should be eliminated it is essential to find the right balance between continuing and investing in areas where high patient value (high-value care) can be achieved and discontinuing and disinvesting in areas where it cannot (low-value care) Value is central in healthcare efficiency terminologies but their meaning attributed to what constitutes value are distinct decision-making can be guided by allocating scarce resources in accordance with the entire population’s needs—maximizing value at the population-level decision-making can be guided by patient-centricity that represents the patient’s needs—maximizing value at the individual patient-level This paragraph describes the two distinct perspectives regarding the core concept of value The incremental cost per QALY is interpreted in perspective of a threshold representing the amount of money society is willing to pay for an additional QALY to determine whether an intervention is cost-effective compared to its alternative The cost-effectiveness plane with its four quadrants based on Sacristán [59] ICER = incremental cost-effectiveness ratio To identify which healthcare efficiency term is most suitable for medical education in equipping physicians to contribute to healthcare efficiency delivery in clinical practice this narrative review aimed to provide an overview and understanding of these terminologies this is the first paper to offer guidance regarding gaining a better understanding of healthcare efficiency for (future) practicing physicians It may thus insufficiently facilitate (future) physicians to deal with scarce resources in the clinical workplace at the population-level The road to patient-physician interactions might be challenging and ambitious when applying the term and concept of cost-effectiveness doubts may arise about whether it can sufficiently contribute to solidarity While cost-effectiveness and value-based healthcare operate at different levels in which considering cost-effectiveness principles inform broader resource allocation while the perspective of value-based healthcare ensures patient-centered decision-making may help bridge the gap between economic considerations on the one hand and clinical practice on the other guidelines based on cost-effectiveness and subsequently translated into a decision aid can help (future) physicians provide care in clinical practice A shared decision-making process between patients and (future) physicians may facilitate decision-making about cost-effectiveness information on a case-by-case basis it is essential for (future) physicians to understand healthcare efficiency’s meaning how to make trade-offs between outcomes and costs how to communicate this with patients appropriately and to the environmental and socio-political system (e.g While educating (future) physicians on the principles of healthcare efficiency seems important addressing these contextual factors is likewise critical to ensure healthcare efficiency delivery in clinical practice (future) physicians are advocates of individual patients on the one hand but they are also stewards of finite resources on the other By following the principles of cost-effectiveness limited resources are allocated to the population’s needs by continuing to invest in high-value care and disinvesting in low-value care Value-based healthcare’s vital and supplementary role ensures an important nuance in creating individualized care plans representing patients’ needs we advocate that medical education should stimulate and facilitate (future) physicians to acquire sufficient knowledge of the different terminologies of healthcare efficiency and obtain an understanding of diagnostic and treatment procedures’ costs in relation to contemporary evidence-based guidelines (future) physicians should be trained to acquire the adaptive expertise of applying individually tailored professional communication skills in the process of shared decision-making to practice healthcare efficiency in the clinical workplace to prepare future physicians in residency training programs to assess and concentrate on the value of care (benefits that are commensurate with their costs—‘when is it worth it’) instead of only the benefits or only the costs Medical education might focus on teaching future physicians about healthcare costs considering evidence-based guidelines This will enable them to integrate cost-effectiveness information into treatment decisions ensuring the delivery of high-value care to patients in general introducing and applying the cost-effectiveness plane by analyzing case studies in the formal curriculum of residency programs can help future physicians understand the principles of the different terminologies using a flipped classroom approach allows residents to review the cost-effectiveness plane in advance enabling active discussions and problem-solving during case-based sessions supervisors can facilitate discussions of real patient cases and compare different treatment options based on their costs and benefits Such interactive reflective practice helps train future physicians in determining which offers the best value for the individual patient and the healthcare system This adaptive approach ensures that (future) physicians can engage in informed shared decision-making that prioritizes both clinical effectiveness and cost considerations negotiate and determine the individual patient’s preferred communication style for discussing the cost-effectiveness of treatment options or conveying the message of why a treatment or diagnostic test is sometimes of low value and even harmful being a (future) physician is not just about determining patients’ benefit; it is also about understanding value from a broader societal perspective shared decision-making process informed by high-quality information about the risks and costs of care is such a value-driven discussion we hope our overview of healthcare efficiency’s terminologies enables (future) physicians to balance societal costs and individual patients’ outcomes in healthcare and communicate this process to patients our paper primarily focused on conceptual and theoretical literature to allow a comprehensive synthesis of key terminologies relevant to medical education Future research could conduct a systematic review of empirical and practice-oriented studies to offer a practical perspective on how healthcare efficiency terms are utilized and interpreted in different settings selection bias of the described terms cannot be excluded due to the variability of healthcare efficiency terminologies and the evolving healthcare field we strived to counteract the selection bias through extensive discussions related to the formulation of the in- and exclusion criteria within the research team consisting of diverse backgrounds to minimize this risk and to conform to existing important literature after careful discussion within the research team we have decided not to include those in the article since these initiatives use the terms we describe in this paper we have focused on identifying the current debate's most significant and overarching terms This narrative review provides an overview and understanding of different healthcare efficiency terminologies (i.e and value-based healthcare) and discusses their suitability for medical education in equipping (future) physicians to enhance decision-making The concept of ‘value’ is central within all healthcare efficiency terminologies they differ mainly in their perspectives on what constitutes value in decision-making: maximizing value at the population- or individual patient-level Applying the terminologies in clinical practice Cost-effectiveness might be too rigid for patient-physician interactions while value-based healthcare may equip physicians insufficiently to contribute to sustainable healthcare due to its oversimplification of the costs and outcomes of care Both terms aim to deliver care that adds value (high-value care) and avoid care that adds no value (low-value care) (future) physicians are both stewards of finite resources and advocates of individual patients we suggest that medical education teaches and trains them to integrate the principles of the healthcare efficiency terminologies by introducing the cost-effectiveness plane to analyze case studies case-based discussions can help determine which treatment option offers the best value for the individual patient and the healthcare system we suggest that medical education should facilitate and stimulate (future) physicians to acquire (more in-depth) knowledge on diagnostic and treatment procedures’ costs in the context of contemporary evidence-based guidelines Medical education should also focus on improving communication skills supporting a healthcare efficiency-driven open shared decision-making adaptively tailored to individual patients Future research may explore how the various terminologies influence physicians’ attitudes and behaviours in decision-making contextual factors—such as patient preferences and time constraints—that contribute to low-value care can be further examined from both physicians' and patients' perspectives No datasets were generated or analysed during the current study JAMA - Journal of the American Medical Association Setting a research agenda for medical overuse From best evidence to best practice: effective implementation of change in patients’ care European Commission, Directorate-General for Health and Food Safety. Defining Value in “Value-Based Healthcare.” – Opinion by the Expert Panel on effective ways of investing in Health; Publications Office, 2019. https://data.europa.eu/doi/10.2875/148325 cost-conscious care: A critical seventh general competency for physicians Cost-Conscious Health Care: Concepts for Clinicians to Evaluate the Benefits Educating trainees about appropriate and cost-conscious diagnostic testing cost-conscious care: an international imperative Teaching Value in Academic Environments: Shifting the Ivory Tower The new strategic agenda for value transformation Fostering value in clinical practice among future physicians: Time to consider COST Defining competencies for education in health care value: Recommendations from the University of California San Francisco Center for healthcare value training initiative Oxford: The Association for the study of Medical Education; 2014 Methods for the economic evaluation of healthcare programs Evidence for overuse of medical services around the world Using Evidence to Combat Overdiagnosis and Overtreatment: Evaluating Treatments and Disease Definitions in the Time of Too Much Evidence for underuse of effective medical services around the world Value-Based Healthcare From the Perspective of the Healthcare Professional: A Systematic Literature Review cost-conscious care to residents: The alliance for academic internal medicine-american college of physicians curriculum An open source machine learning framework for efficient and transparent systematic reviews Value based healthcare - principles and recommendations for organizational solutions in Poland Leveraging the Similarities Between Cost-Effectiveness Analysis and Value-Based Healthcare Artificial intelligence in systematic reviews: promising when appropriately used and Interpreting Cost-Effectiveness Results in the Context of Uncertainty: A Tutorial for Deeper Knowledge and Better Practice A Review of European Value Assessment Frameworks Is There Something Else Beyond Cost-Effectiveness Analysis for Public Health Decision Making Outcomes of venous thromboembolism care: future directions Value-based Reimbursement as a Mechanism to Achieve Social and Financial Impact in the Healthcare System Broadening the concept of patient safety culture through value-based healthcare Summary of the proceedings of the International Forum Reflections on the ISPOR special task force on U.S value frameworks: implications of a health economics approach for managed care pharmacy A Strategy to Support Efficient Development and Use of Innovations in Personalized Medicine and Precision Medicine Economic Evaluation Evidence for Resource-Allocation Decision Making: Bridging the Gap for Local Decision Makers Using English Case Studies Implications of cost-effectiveness analyses of lipid-lowering therapies: From the policy-maker’s desk to the patient’s bedside The challenge of implementing Less is More medicine: A European perspective An Evidence Review of Low-Value Care Recommendations: Inconsistency and Lack of Economic Evidence Considered Expanding theory-based evaluation: Incorporating value creation in a theory of change Methodological Approaches to Cost-Effectiveness Analysis in Saudi Arabia: What Can We Learn Interpretation of trial-based economic evaluations of musculoskeletal physical therapy interventions Delivering value-based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales Value Denominator: The Fundamentals of Costing for Orthopaedic Surgeons Calculating and Interpreting ICERs and Net Benefit Pay less and spend more-the real value in healthcare procurement The value of anticancer drugs - a regulatory view Using the MEAT VBP Framework to analyse and understand the value of surgical gloves: an explanatory case study Economic Evaluation of Medically Assisted Reproduction: A Methodological Systematic Review A Systematic Literature Review of Value Assessment Frameworks Levers for addressing medical underuse and overuse: achieving high-value health care The urgent need to improve health care quality Institute of Medicine National Roundtable on Health Care Quality Redefining Health Care: Creating Value-Based Competition on Results Boston: Harvard Business School Press; 2006 How physicians can change the future of health care Economic evaluation alongside randomised controlled trials: design Value Based Care and Patient-Centered Care: Divergent or Complementary A typology of low-value care that gives direction in de-implementation Progress in evidence-based medicine: a quarter century on Value-Based Health Care Meets Cost-Effectiveness Analysis Shifting to triple value healthcare: Reflections from England Promoting triple value healthcare in countries with universal healthcare Individualized Cost-Effectiveness Analysis Contextual factors influencing cost and quality decisions in health and care: a structured evidence review and narrative synthesis Key Factors that Promote Low-Value Care: Views of Experts From the United States Unravelling Low-Value Care Decision-Making: Residents’ Perspectives on the Influence of Contextual Factors Making sense of adaptive expertise for frontline clinical educators: a scoping review of definitions and strategies The SAFE procedure: a practical stopping heuristic for active learning-based screening in systematic reviews and meta-analyses ABIM foundation. Choosing Wisely. https://www.choosingwisely.org/ Download references Essers for her valuable input during the discussions regarding the setup of this article Her time spent on brainstorming was much appreciated and helped the development of this work The authors have not declared a specific grant for this research from any funding agency in the public LB and SV conducted a critical synthesis of healthcare efficiency literature LB wrote the article's first draft with critical revisions for important intellectual content by WvM and CN All authors reviewed and edited the article and approved the final version of the article The corresponding author attests that all the listed authors meet authorship criteria and that no others meeting the criteria have been omitted This study does not involve human participants and ethical approval was not required The authors declare no competing interests Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations Download citation DOI: https://doi.org/10.1186/s12909-025-06983-5 Anyone you share the following link with will be able to read this content: a shareable link is not currently available for this article Get the best experience and stay connected to your community with our Spectrum News app. Learn More WISCONSIN — The Wisconsin Beef Council is on the hunt for the best burger in Wisconsin.  Until Sunday, March 24, people across the state can nominate their favorite burger restaurant at this link executive director of the Wisconsin Beef Council said roughly 3,000 nominations have poured in already.  the Wisconsin Beef Council will announce the field of eight finalists and its judges will sample the goods at all eight establishments Vaassen said the nominations so far include businesses from many parts of Wisconsin She said the whole state is represented.   Dubuque Wahlert’s Ben Vaassen follows his tee shot during the final round of the city golf meet on Thursday at Dubuque Golf & Country Club Vaassen and the Golden Eagles swept the city titles Dubuque Senior's Nate Obbink hits from the fairway during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Wahlert's Ben Vaassen putts during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Wahlert's Ben Vaassen follows his tee shot during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Hempstead's Nate Kaesbauer putts during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Wahlert's Nick Splinter (center) putts during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Senior's Nate Obbink follows his tee shot during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Hempstead's Nate Kaesbauer follows his tee shot during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Hempstead's Nate Kaesbauer hits on to the green during a golf meet at Dubuque Golf and Country Club on Thursday Western Dubuque's Davis Stelzer follows his tee shot during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Senior's Tim Casey follows his tee shot during a golf meet at Dubuque Golf and Country Club on Thursday Western Dubuque's Davis Stelzer hits from the fairway during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Hempstead's Wil Sigwarth follows his tee shot during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Hempstead's Wil Sigwarth hits from the fairway during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Wahlert's Ben Cummer follows his tee shot during a golf meet at Dubuque Golf and Country Club on Thursday Western Dubuque's Jax Stelzer hits from the fairway during a golf meet at Dubuque Golf and Country Club on Thursday Western Dubuque's Davis Stelzer follows his shot during a golf meet at Dubuque Golf and Country Club on Thursday Western Dubuque's Jax Stelzer hits on to the green during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Senior's Aidan Obermueller hits on to the green during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Wahlert's Ben Cummer hits out of the sand during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Hempstead's Cole Ramler hits from the fairway during a golf meet at Dubuque Golf and Country Club on Thursday Dubuque Hempstead's Wil Sigwarth putts during a golf meet at Dubuque Golf and Country Club on Thursday Western Dubuque's Max Naumann hits out of the sand during a golf meet at Dubuque Golf and Country Club on Thursday Many Dubuque Wahlert golfers before him earned the right to be called the city’s best — which many of these players don’t take lightly — and the Golden Eagles’ steady senior was driven to join that list closing with a 77-75—152 to earn the individual title in the final round on Thursday at Dubuque Golf & Country Club also helping the Golden Eagles rally past Western Dubuque for the team crown “I’m very happy for the team,” Vaassen said It’s my last regular-season high school golf tournament and I’m glad I finished strongly.” holding off Western Dubuque’s Davis Stelzer in runner-up with a 79-80—159 and brother Jax Stelzer in third at 78-83—161 “He won pretty convincingly,” Wahlert coach Dan Mulligan said It’s kind of what we come to expect — not without appreciation — from Ben I’m happy for him as a senior because he really wanted this bad He wanted this for himself and his teammates and he really came through.” The Eagles entered the final round 6 strokes behind the Bobcats and their team total of 311 for the round was able to surpass WD at 330 to make up the ground Wahlert finished with a two-round 649 to the Bobcats’ 658 turning a 6-stroke deficit into a 9-stroke triumph “We controlled our end of things and just played a solid round,” Mulligan said “The guys showed great resiliency because the last couple rounds we have not played well The fact that they hung in there and showed a little grit today It’s a nice accomplishment anytime you can have a little local bragging rights Vaassen’s 75 was runner-up for the round behind teammate Will Coohey’s 74 while Dubuque Senior’s Timmy Casey was third with a 78 “I give him a ton of credit,” Mulligan said of Coohey “He’s had a couple of really rocky rounds for him and the fact that he bounced back is a tribute to his character and mental toughness Senior finished third in the standings with a 696 Coohey placed fourth in the individual standings with a 162 while Casey and Hempstead’s Wil Sigwarth tied for fifth with 163s Next up are the Class 4A state qualifying meets on Monday with WD and Wahlert at Glynn’s Creek Golf Course in Long Grove and Hempstead and Senior at Elmcrest Country Club in Cedar Rapids because that’s a nice confidence booster for Monday,” Vaassen said “Hoping we can transition from that and do it again on Monday.” The top three teams and top two individuals not on a qualifying team at each district advance to the state meet on Friday and Saturday “State has been the goal all year,” Bobcats coach Ben Wilson said “I don’t want to say that we were looking ahead today but the guys know what’s on the line on Monday announce their engagement and upcoming marriage on Sept at Katie’s Garden in Platteville.Parents of the future bride are Bonnie and Terry Vaassen Parents of the future groom are Connie and Steven Cullen Platteville.Samantha graduated from the Illinois College of Optometry She works as an optometrist at Medical Associates.Jared earned a Bachelor of Science in research from Edgewood College He works as a scientist/laboratory manager at the School of Medicine and Public Health As grills get heated up for Fourth of July cookouts the Wisconsin Cattlemen's Association took a "tour" of Wisconsin cattle farms and processors for their annual meeting day where WCA members and non-members alike got to tour the Roche family operation where they finish 1,300 head of Holstein steers and dairy-beef crossbreeds the group traveled 20 miles to Johnson's Sausage Shoppe & Catering in Rio was originally a deer processing facility that quickly grew into a busy beef and pork processing hub The business processes 40 head of beef on average per week and 50-70 hogs monthly and has gone through extensive renovations over the years to accommodate growing demand While offering a tour of the meat locker and other parts of her business Johnson said the $3,500 package from the Gov Evers last year was not enough and still won't be enough if there's another round this year "People are hungry and it's just common sense." said the state is fortunate to have a diverse cattle industry of mixed beef and dairy and that the group's diverse programs including the "biggest chunk of money" being spent on consumer advertising strategy helps producers to focus directly on the target audience "It is well known today that there are so many different mediums where our consumers are choosing to watch their television that we are able to focus that consumer advertising dollar in a much more directed way," Vaassen said "Rather than reaching the entire population we're really focusing in on our older millennial parents MORE: Roche brothers of Columbus consider themselves 'biological farmers' Vaassen said her organization quickly realized that many Wisconsinites didn't know how to properly freeze and thaw beef products during the pandemic due to rising Google search trends on the subject so WBC has been creating YouTube tutorial videos that reach out to younger generations who tend to go straight to the site for help "Takeover Tuesday" is another social media campaign from WBC that tells the personal stories of beef and dairy farmers each Tuesday in an effort to get consumers closer to their food source She said that campaign reached more than 100,000 people on multiple social media channels in just a single month National Cattlemen's Beef Association president-elect Don Schiefelbein visited the meeting to provide updates on various legislative and policy initiatives from the national level He said that the biggest problem facing the cattle industry right now is politicians in Washington DC writing laws and regulations for the industry without understanding what producers do is another big problem that will hopefully solve itself by the end of the year You have to take it as is and that's what we're getting to right now," Schiefelbein said If you look at the future ... I would say (in) less than six months everything will fall back in line with the supply chain." Schiefelbein said prices are high for consumers due to the bottleneck but many consumers are willing to pay those high prices for high quality meat But since meat processors are struggling with image and reputation after COVID-19 scandals involving employee health he said now is a good time to get into direct-to-consumer marketing "Everybody used to say people will never buy frozen beef or beef directly from a producer 25% of all consumers expect to buy their protein directly from somebody," he said "They never dreamed that instead of you going to the supermarket actually getting the meat WCA board member and former president Austin Arndt reported a financially successful year adding that they are projecting record membership and sales numbers ahead of the 2021 Wisconsin State Fair Membership chair Joe Scott said membership took a dip during the height of the pandemic due to a lack of events but membership has climbed back up recently said ag groups need to come together and form a coalition now in order to get new bills moved through the Wisconsin legislature He mentioned that the ag funds in the Evers administration's budget proposal are appreciated such as increased funds for producer-led watershed programs more state meat inspectors and a pilot program for farmer-led nitrogen optimization The budget is set to move to the state Senate floor for final debate before approval "We asked for and pushed for a state meat specialist that would work through inspection there's strong support for that," Ludlow said "We will find out when that goes to the floor this week to start debating There's already been a lot of work behind the scenes." meat and livestock specialist for the Wisconsin Department of Agriculture made an appearance at Johnson's to talk about direct-to-consumer marketing and the rules and regulations of selling meat from the farm While there's around 500 licensed meat processors in Wisconsin while the others are federally inspected by the US Department of Agriculture Federally-inspected facilities can sell across state lines For beef farmers who want to bring their meat back from the butcher to sell themselves Swenson says you'll need a retail license for that consumers can just pick up their purchase directly from the processor without you needing a license Not every county in Wisconsin offers this DATCP license it costs $20 plus weights and measurements Other direct marketing things to consider include keeping a meat-only freezer (ice cream and other things must be kept separately) and keeping equipment and machinery away from the meat locker Swenson said your facility could even be a shed or garage as long as it's kept clean to health inspection standards "Health inspectors say these places are cleaner than most restaurants," Swenson said "(For) most farmers who want to direct market meat With a trip to Madison on the line and the bitter memories of one year ago still in their minds the Cuba City boys basketball team took things into their own hands Saturday in Baraboo.With an 85-44 victory over Luther the Cubans secured another goal with the sectional final win and a trip to the WIAA Division 4 boys basketball semi-finals Thursday (tonight).With the first quarter under their belts and a 10-point lead the Cubans wanted to make a statement on just how good this year's team is The Cubans outscored Luther 45-15 in the next two quarters and never looked back with a 66-25 third quarter advantage.Cuba City head Coach Jerry Petitgoue said he knew Luther would try to make Cuba City play their style of basketball "I knew they wanted to get the ball down the sidelines quick and get into a fast break game," Petitgoue said "We were able to take that away from them which didn't allow them many chances."Petitgoue applauded his team for their play "I thought our guys were really focused and ready to play," Petitgoue said "I challenged Zach Adams before the game to hit the boards He has been struggling somewhat prior to this game and I gave him a challenge and he succeeded." Adams came away with a huge game leading the Cubans with 25 points on 11-14 shooting while also pulling down 12 boards including seven on offense "I knew that Cory (Vaassen) was going to do his thing but the foul trouble with Trent (Denlinger) and Nate (Murray) was unexpected," Petitgoue said "We had some great play from Einar Frimodt off the bench along with the rest of the reserve players."Vaassen added 20 while Brandon Slaats and Murray each had seven points.The Cubans shot 62 percent from the two-point range on 29-47 shooting and went 3-9 (33 percent) from beyond the three-point arc the Cubans were 58 percent on 18-31 shooting Onalaska Luther shot a meager 29 percent from two-point range and 22 percent from three-point range for a total of 25 percent The Cubans 1-3-1 defense proved hazardous to Luther creating 16 steals.In the sectional semi-final game the Cubans came away with a 56-46 victory over Cambridge last Thursday night at Monroe The Cubans led by two after the first quarter then broke the game open outscoring Cambridge 17-6 in the second quarter to take a 31-18 halftime lead Cambridge tried to make some small comebacks in the final two quarters however the Cubans suffocating defense kept them out of the game.Vaassen paced the Cubans with 24 points while Denlinger added 11 and Murray had seven The Cubans are now 26-0 and will play tonight (Thursday) at 6:35 p.m at the Kohl Center against Oshkosh Lourdes in the WIAA Division 4 state semi-final game.Petitgoue said to expect a solid game from Lourdes as they are known for their tough man-to-man defense "They play a little like the Badgers and will attempt to slow down the offense and look for the three," Petitgoue said "Their whole game is predicated on defense and controlling the ball It will be a tough match up and we are hoping our size will give us the advantage." This website has been translated using an AI program And you might also say expensive and old-fashioned We are not going to deny the first (but then you have something) the restaurant of the Dutch chef and his partner Kim Veldman, blessed with no fewer than three Michelin stars in Vaassen (just above Apeldoorn) recently received a significant upgrade Restaurant De Leest has been around for 15 years this year and that was worth celebrating. With a brand new interior. If you recognize it somewhere, that may be true. Everything was arranged by Judith van Mourik, also responsible for the seriously loved one here at Bart HQ Parc Broekhuizen in Leersum on the Utrechtse Heuvelrug spacious serenity with a corner to retreat to and comfortable chairs "Cosmopolitan influences and inventiveness provide an elegant contrast between sweet and sour flavors Perfect cuissons and subtle product associations make every bite a delicious voyage of discovery Your exceptional experience is completed by the modern interior a beautiful setting to enjoy Jacob's signature Jan Boerma: based on craftsmanship!" Perfect dishes that often become classics." CEDAR RAPIDS – Two more people were convicted last week in federal court for their roles in a fraud scheme … Home / News CEDAR RAPIDS - Two more people were convicted last week in federal court for their roles in a fraud scheme that targeted elderly people across the United States each pleaded guilty Friday to one count of wire fraud in U.S During plea hearings and in written plea agreements the Marcovs admitted they participated in the telephone scheme which involved making calls to victims and telling them one of the caller's relatives was in jail They were then asked to wire money through Western Union or MoneyGram International for bail The Marcovs said they didn't make the calls to victims but admitted to being 'runners” in the scheme received the wire transfers from the victims and then wired the proceeds to other participants in the fraud Some of the proceeds were being wired to other participants in the Dominican Republic Two other runners in the scheme were previously convicted Shawn Vaassen pleaded guilty in March and Carlos Rodriguez pleaded guilty earlier this month Sentencing hasn't been set for the Marcovs Michael Marcov remains in jail pending sentencing and Stephanie Marcov remains free on bond a fine and three years of supervised release following any prison term l Comments: (319) 398-8318; trish.mehaffey@thegazette.com Reporter covering state and federal courts. Subscribe to the Public Safety newsletter The Gazette has been informing Iowans with in-depth local news coverage and insightful analysis for over 140 years independent journalism with a subscription today © 2025 The Gazette | All Rights Reserved Three Michelin star restaurant De Leest in Vaassen is closing its doors 17 years after opening owners Jacob Jan Boerma and Kim Veldman announced They will start a new culinary adventure with the launch of a concept restaurant in Amsterdam early next year The couple plans to spend more time with their four-year-old son "I've never been to a zoo or amusement park with him," Boerma told the broadcaster "I also really want my wife to be able to put that little man to bed more than once per week." It took a colossal effort to make De Leest so successful but with that little boy there comes a time when you want to use your powers differently." Boerma and Veldman are ready to face new culinary challenges and also to explore international opportunities "This dream once began in the backseat of my parents' car," Boerma added reminiscing that even as a child he wanted to become a celebrated chef "That dream has more than come true; in 2020 I will have spent 30 years in the business De Leest opened its doors in 2002 and received its first Michelin star within five months. The second followed in 2007, the third in 2013. It was one of three restaurants in the Netherlands to hold three stars. The others are De Librije in Zwolle and Inter Scaldes in Kruiningen. © 2012-2025, NL Times, All rights reserved. 2025 Photo: Alf van Beem via Wikimedia CommonsDutch chocolate maker Droste is on the verge of going out of business thanks to the impact of coronavirus on airport sales A takeover by Belgian company Pauwels Engineering which also owns chocolate bar brand Koetjesreep was mooted this summer but has fallen through for reasons that have not been disclosed All 27 staff at the factory in Vaassen are facing redundancy, FNV union official Eric Brouwer confirmed earlier this week. “As far as I know the factory will close down,” he told the AD Droste has been making chocolate since 1863 commercial director Bernard Brummelaar said he wanted to do his utmost to safeguard jobs at the factory “One in three workers is older than 60 and has worked an average of 34 years at the factory Their life is Droste,” he said at the time Droste is best known for its small round chocolates and a tin designed in 1904 It shows a nurse holding a tray with the same tin creating what has become known as the “Droste effect” of an endless series of pictures within pictures The company has not yet been declared bankrupt no-one at the factory is answering the phone Last month a campaign was launched to keep another traditional Dutch sweet alive. Haagsche Hopjes, an iconic Dutch coffee-flavoured sweet, which can trace its history back to the early 19th century, is being taken out of production by its Italian owners because of falling demand. Fans of the distinctive coffee taste will still be able to buy a different version of the sweet, the Holland Hopje, which is oval rather than square and comes in a bag or tin. We could not provide the Dutch News service, and keep it free of charge, without the generous support of our readers. Your donations allow us to report on issues you tell us matter, and provide you with a summary of the most important Dutch news each day. Many thanks to everyone who has donated to DutchNews.nl in recent days! We could not provide this service without you. If you have not yet made a contribution, you can do so here. Please help us making DutchNews.nl a better read by taking part in a short survey. Number three on the list is De Leest in Vaassen – a village between Zwolle and Apeldoorn –  which was second last year De Librije moved last year from its town centre building to Librije’s hotel The restaurant is located under a glass roof in the former exercise yard The change in location may have had a role in the vote Lekker editor-in-chief Annelies Pijper told news agency ANP The difference between the top three in the list is minimal ‘It is like choosing between Mozart and Bach – almost impossible.’ Lekker magazine draws up a list of the best 500 places to eat in the Netherlands every year Rotterdam has two restaurants in the top 10 We could not provide the Dutch News service without the generous support of our readers Your donations allow us to report on issues you tell us matter and provide you with a summary of the most important Dutch news each day Many thanks to everyone who has donated to DutchNews.nl in recent days We could not provide this service without you