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The Medical Professionalism Blog

Tag Archives: choosing wisely

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 […]

Choosing Wisely® – Building Bridges Across Care

When the ABIM Foundation launched the Choosing Wisely campaign, we created a set of operating principles for our society partners and gave them guidelines to help them develop their lists. Among these guidelines was a stipulation that recommendations needed to be within the control or purview of that specialty. Each society was asked to take […]

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 […]

SOAP-V: Applying High-Value Care During Patient Care

This guest post was submitted by winners of the ABIM Foundation and Costs of Care Teaching Value and Choosing Wisely Challenge.  “It’s important to teach the principles of cost-conscious, high-value care, but how do we enable our medical students to actually practice it?” This question gripped our group of clinician educators gathered at the Millennium […]

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 […]

New Fellowship Aims to Improve Value and Implement Change

Physician and patient organizations alike have increasingly emphasized the importance of improving value in health care and reducing unnecessary (and potentially harmful) care. Choosing Wisely®, the ACP’s High Value Care initiative and other programs have successfully stimulated interest and conversation, but what actual steps to take to improve value in hospitals is not entirely clear. […]

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 […]

Adventures in Choosing Wisely®

This post was written by Amy Berman, BS, RN and first appeared on the John A. Hartford Foundation blog. I live with stage IV cancer—cancer that has spread to the far reaches of my body, an incurable disease, a terminal diagnosis. But if you saw me—if our carts randomly bumped into each other in the […]