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The Medical Professionalism Blog

Tag Archives: choosing wisely

Public Citizen versus HealthFair, Inc.

I recently received an e-mail from a frustrated physician who expressed his concerns to me about HealthFair, a company providing screening services at his local academic medical center. Tuned into the Choosing Wisely® campaign, the physician claimed the cardiovascular screenings HealthFair was offering (echocardiograms and electrocardiograms) went against the specialty societies’ recommendations.

A Little Friendly Competition Sparks Choosing Wisely®

“In every job that must be done, there is an element of fun. You find the fun and – SNAP – the job’s a game!” Who knew that Mary Poppins’ advice could apply to reducing waste in health care? Apparently, the Society of Hospital Medicine (SHM) and the Minnesota Medical Association (MMA) did. To get [...]

Social Justice and Choosing Wisely®: Radical Idea or Basic Tenet?

This past April, the Choosing Wisely campaign celebrated its second anniversary. As is the case with the passing of any milestone, I have been reflecting on what the campaign has achieved and what we have yet to accomplish. It also made me take stock of the environment in which we incubated this concept and launched [...]

Impressions on Choosing Wisely®’s Global Expansion

As noted in a previous blog post, Choosing Wisely is gaining traction abroad. Global initiatives include Choosing Wisely Canada, Choosing Wisely Netherlands and “Slow Medicine” in Italy.  I am fascinated by the different ways other countries are promoting the campaign to physicians and patients, and leveraging it to tackle issues prevalent in their particular health systems.

Malpractice and Choosing Wisely®: Lessons From My Hometown

I recently spoke to several health system/hospital quality experts and physician groups in Upstate New York about the Choosing Wisely campaign. I was looking forward to speaking about the campaign to a hometown crowd (I was born and raised in Syracuse) and an audience that included my former next-door neighbor, the regional president of Excellus. [...]

Defining Appropriate Use System-Wide

A number of specialty organizations have identified preoperative testing (i.e., lab tests, x-rays and cardiac testing) in healthy patients undergoing low-risk surgery as a frequently overused service and have included it on their Choosing Wisely® lists of tests and procedures that may be unnecessary. As preoperative testing may be ordered or requested by a multiple [...]

Choosing Wisely® Spreads to Training: An Exciting Development at Johns Hopkins Hospital

It’s incredible to see Choosing Wisely spread throughout delivery systems, local communities and internationally. To see it grow in residency programs gives me particular joy knowing that the next generation of physicians will have competencies in stewardship and systems-based practice that surpass the current physician workforce.

Choosing Wisely® Summit: Activism and Common Ground

Last week, 21 sub-grantees of the Robert Wood Johnson Foundation assembled at the Choosing Wisely Summit to learn from each other, advance skills to spread the awareness of the campaign and plan for the future. The event was a great success; I felt that all of the grantees were re-energized after sharing their stories and [...]

Choosing Wisely® Summit: Making Connections

On April 30, 21 diverse organizations will convene to present their findings and learn from each other about ways to advance the Choosing Wisely campaign at the local level. The ten regional health collaboratives and eleven specialty societies and state medical associations are sub-grantees of the Robert Wood Johnson Foundation (RWJF) and dedicated to improving [...]

In response to: Are docs Choosing Wisely?

On April 15th Jordan Rau of Kaiser Health News published a thoughtful article examining the Choosing Wisely campaign. This type of analysis is a critical part of the transparent, honest dialogue about the issues of unnecessary medical care that we have sought to encourage since launching the campaign. That said, we think it is unfortunately [...]