Home About Us Contact Us News
Share |

The Medical Professionalism Blog

Author Archives: Daniel Wolfson

Inspired in Washington

I was honored to keynote the recent Choosing Wisely Summit held by the Washington State Choosing Wisely Task Force. Comprised of the Washington Health Alliance, Washington State Medical Society and the Washington Hospital Association, the Task Force has been a leader in developing community collaborations focused on the measurement and implementation of the campaign. I’ve […]

My Lean and Mean Physical Exam

More than two years ago, the Society for General Internal Medicine (SGIM) released its list of Choosing Wisely® recommendations, which included advising against performing routine general health checks for asymptomatic adults. The rationale behind the recommendation was that “regularly scheduled general health checks without a specific cause, including the ‘health maintenance’ annual visit, have not […]

A Sacred Moment Ruined

On July 28, my wife’s brother, Marcos, died from cancer at the age of 58. He died at home under hospice care and was heavily sedated over the last weeks of his life. Marcos had undergone two chemotherapy regimens and one experimental treatment. His doctor was exemplary – she provided the best treatment options yet […]

Docs Call Foul on Mark Cuban

An article in Forbes magazine entitled “Mark Cuban Doesn’t Understand Health Care” highlighted a series of tweets sent out by Mr. Cuban telling his 2.8 million followers to obtain quarterly blood tests in order to “have a baseline of your own personal health.” The Forbes piece focused on the “problems with Cuban’s argument” and included […]

Choosing Wisely: It’s a New Dawn, It’s a New Day

I recently attended a presentation by Mark Bonchek of thinkORBIT where I was inspired to reflect on the past three years of Choosing Wisely® and how the campaign reflects a cultural shift both in society at-large and in the way businesses operate. This shift has roots in self-determination theory, complexity theory, co-creation and digital strategies […]

Choosing Wisely®: From Engagement to Implementation

A recent article challenged the Choosing Wisely recommendations around routine stress testing before low-risk surgeries. The article, “Stress Testing Before Low-Risk Surgery: So Many Recommendations, So Little Overuse” suggested the campaign’s partners focus on services with “high baseline rates of inappropriate care.” In her Editor’s Note in the same issue, Rita Redberg, MD, called for […]

Information Can Empower the Seriously Ill in a Powerless Situation

One of my relatives has metastatic cancer. He has several tumors in his body, one of which measures five centimeters. Two chemotherapy regimens have failed to beat back the disease. Yet, when he’s not in treatment and has no pain, he is able to go about the daily activities of his life, even going to […]

Oregon Health & Science University: A Journey into Lean Health Care

Regular readers of this blog know I support the adoption of lean methodology to eliminate health care waste. So, it was with great pleasure that I accepted an invitation from Oregon Health & Science University’s (OHSU) Chief Medical Officer (and my friend), Chuck Kilo, to visit his academic medical center and speak about Choosing Wisely®. […]

For Patient-Centered Care, Check the (Road) Map

We all talk about “patient-centered care” without having a clear vision or definition of what it is or means. Thus I was honored to have the ABIM Foundation be one of the many organizations the Gordon and Betty Moore Foundation and the American Institutes for Research (AIR) convened to develop a roadmap for patient and […]

Professionalism as a Means for Improvement

Jeffrey Kullgren, MD, MS, MPH, a general internist and researcher from VA’s Center for Clinical Management Research and the University of Michigan Medical School has a method for implementing Choosing Wisely® recommendations. He relies on a behavioral economics technique referred to as “precommitment” which, in this instance, calls upon physicians to make choices rooted in […]