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The Medical Professionalism Blog

Category Archives: Physician Responsibility

Choosing Wisely®: Kinder Ways of Thinking About Resource Use

The goal of the Choosing Wisely campaign is to encourage conversations between patients and physicians about what tests and procedures are, or are not needed. We hope these conversations provide an opportunity to talk about the benefits and risks of tests and procedures, including potential harms for patients. Choosing Wisely is about thoughtful discussions and [...]

American Health Care Depends on Rebuilding and Mobilizing Full Primary Care Team

Last week was National Primary Care Week and Primary Care Progress (PCP)’s co-founder and president calls all members of the primary care community to come together as a team both to deliver primary care and to advocate for it. Last week was National Primary Care Week, an annual celebration when members of the primary care [...]

The Institute of Medicine’s Report – Best Care at Lower Cost: Changing the Paradigm and Creating a New Vision for Choosing Wisely® in U.S. Health Care

On September 6, 2012, the Institute of Medicine (IOM) released a long-awaited report: Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Recognizing that our health care system does not deliver the quality of care we would expect based on the tremendous financial resources allocated to it, the report focused [...]

Recommended Reading: September 8 – 14

This edition of Recommended Reading includes articles on the impact of payment on physician professionalism, the role of professionalism in quality improvement, and the latest on the Choosing Wisely® campaign. A new article in the Canadian Medical Association Journal explores how payment models affect physician behavior. In the article, Putting the Charter into Practice grantee [...]

Choosing Wisely: Harmonizing Clinical Guidelines to Improve Patient Care

When the original nine specialty societies were in the process of developing their recommendations as part of the Choosing Wisely® campaign, they asked ABIM Foundation staff how we would harmonize any that conflicted or appeared contradictory. Understanding the importance of each society’s contribution and respecting that they were the expert in their area, our response [...]

The “Other” Physician and Patient Competencies—What’s all the Fuss?

What competencies are needed for physicians and patients/caregivers in the 21st century in order to achieve the triple aim – better patient experience, improved health of populations, and reduced cost in high-performing delivery systems?  This question was posed at the 2012 ABIM Foundation Forum, Choosing Wisely in an Era of Limited Resources.

Recommended Reading August 20 – 24

This week’s Recommended Reading features a call for wise health care decision-making, and also celebrates the 10th anniversary of the Physician Charter: In a recent Annals of Internal Medicine commentary, Drs. Christine Cassel, Virginia Hood and Werner Bauer reflect on the 10th anniversary of the Physician Charter.  The authors discuss the impact of the Charter, [...]

Impressions of 2012 ABIM Foundation Forum: Room with a View

The ABIM Foundation recently held its annual Forum: Choosing Wisely in an Era of Limited Resources with a group of 140 diverse participants, including: consumers, family caregivers, individuals with chronic conditions, physician leaders, medical educators, residents and students, practicing physicians, payers, purchasers, researchers, journal editors and policymakers. 

Knowing the Cost: A Prescription for Choosing Wisely®

Still fresh from the recent ABIM Foundation Forum, I stumbled across a striking example of the need to integrate the principles of the Choosing Wisely campaign into our daily medical practice.  I stopped by the drugstore after work and while waiting in line for a prescription, saw a man who appeared to be upset as [...]

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.