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The Medical Professionalism Blog

Monthly Archives: July, 2012

The 2012 ABIM Foundation Forum: Choosing Wisely in an Era of Limited Resources

One of the measures of success for the Affordable Care Act (ACA) is how many of the 50 million get coverage. The sustainability of the health care system, and the political and economical viability of ACA, depends upon whether health care costs can be brought under control while ensuring quality and safety of care.

Choosing Wisely®: Changing Words is Altering Health Care Policy and Conversations

The Supreme Court’s decision to uphold the Affordable Care Act’s individual mandate as a tax rather than as a permissible use of Congress’ power under the Commerce Clause was a reframing of the legislative issue with real meaning and consequences for the law’s survival.

Recommended Reading: July 14 – 20

This week’s Recommended Reading features articles related to the 2012 ABIM Foundation Forum, focused on wise decision-making by physicians and working within health systems. In Application of “Less Is More” to Low Back Pain, the authors find strong evidence supporting American Academy of Family Physician’s recommendation as part of the Choosing Wisely® campaign, “Don’t do [...]

Recommended Reading: July 6 – 13

This week’s Recommended Reading includes articles on the importance of cultivating cost-consciousness among residents and practicing physicians: In Cents and Sensitivity — Teaching Physicians to Think about Costs, Lisa Rosenbaum and Daniela Lamas argue, “Whether it’s lack of time, fear of  ‘missing something,’ or simple ignorance, the incentives to do more often overwhelm our impulse [...]

Choosing Wisely®: It is All About the Conversation

From our communications research, we’ve learned that one of the most difficult challenges physicians say they face in talking to their patients about why a test or procedure is not necessary or will not alter a treatment plan is they simply don’t have enough time during a regular office visit. They often say that if [...]