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The Medical Professionalism Blog

Category Archives: Shared Decision-Making

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 [...]

Pharmacists: A Key Part of the Health Care Team

As part of my Master of Public Health degree, I completed my master’s thesis at an HIV/AIDS clinic in Philadelphia where I evaluated a program that helped patients adhere to their antiretroviral medications. A key part of this program was the clinic’s pharmacist, who provided ongoing medication counseling. It was the first time that I [...]

A Consequence of Choosing Wisely®

In rural Maine, Choosing Wisely brought primary care and specialists together to discuss the recommendations – a positive, unintended consequence of the campaign.

Incurable and Irreversible

My Argentinean mother-in-law is 95 years old and suffers from advancing dementia. She has lived with my sister-in-law for the last eight  years and both of her daughters are considered her caregivers. A person comes to the house for about seven hours a day to assist her in activities of daily living. After suffering what [...]

It Was Just a Cough: Wasteful and Potentially Harmful Medicine

Over the past year I’ve written much about the Choosing Wisely® campaign, but a recent personal experience serves as the inspiration for this post.

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 [...]

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 [...]

Questioning the Price

Costs of Care (Twitter: @CostsOfCare), where this post was originally published, is a Boston-based, non-profit organization that helps caregivers deflate medical bills and provide high value care. As part of the 2011 Costs of Care Essay Contest, more than 100 anecdotes were shared by patients and providers around the country that illustrate the role of cost-awareness [...]

Forum 2011, Day 2: Memorable Moments

Many thanks to Leslie Tucker who helped with this post. On day two of the Forum, attendees offered an abundance of rich ideas on how to advance the agenda to build a sustainable health care system. I will write more about that in future posts, after the dust settles and I’ve had more time for [...]

Will We Be Bold Enough?

The 150 individuals assembling at the 2011 ABIM Foundation Forum: Choosing Wisely: The Responsibility of Physicians, Patients and the Health Care Community in Building a Sustainable System are sure to have lots of excellent ideas about how to design a system that is affordable, without overuse, misuse and underuse.