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The Medical Professionalism Blog

Tag Archives: community

Atul Gawande’s Lessons for Choosing Wisely®

I read Atul Gawande’s recent article in The New Yorker (07.29.13), “Slow Ideas,” with great interest. In it, Gawande asks, “Why do some innovations spread so swiftly and others so slowly?” I immediately harkened back to the Choosing Wisely campaign.

Exploring What Works to Improve Care: Hold the Money, Pass the Praise

On November 18th, the American Board of Internal Medicine, through a grant from the Agency for Healthcare Research and Quality, the Robert Wood Johnson Foundation and the ABIM Foundation, conducted a conference entitled, “Physician Level Assessment and Recognition: What Works?” The basis of the conference was a yet-to-be-published systematic literature review that compares the efficacy [...]

You Say Consumer, I Say Patient: Let’s Call the Whole Thing Off

There has been a long debate among health care policy wonks, thought leaders, patient and consumer advocates, and the public about the use of the word “consumer” versus “patient.” Similar debates have ensued about the use of “provider” when referring to physicians, hospitals and other clinicians. I recently heard an interesting exchange between a physician [...]

Forum 2011, Day 1: Incredible, Challenging Plenary Speakers Create a Framework

In previous posts I have written about my hopes for the 2011 ABIM Foundation Forum, which began today. Each year national leaders in medicine, patient advocacy, government, business and health systems gather to discuss and identify what they can do individually and collectively to address a single issue related to medical professionalism. This year’s Forum [...]

From Conversations on the Sustainability of Health Care to Bold Actions

“Transformation occurs when leaders focus on the structure of how we gather and the context in which gatherings take place. Each gathering needs to become an example of the future we want to create. The small group is the unit of transformation… Peer-to-peer interaction is where most learning takes place; it is the fertile earth [...]

Population-Based Medicine: Lessons Learned from “My EKG”

In March 2011, mere weeks after the launch of The Medical Professionalism Blog, I wrote a personal account of a baseline EKG I received from my former primary care physician. Based on my knowledge of national guidelines, I felt it was an unnecessary test. I asked my readers to share similar experiences of unwanted tests [...]

Changes That Face the Nation and Madison

Two previous posts reflected on the meeting that convened in Madison, Wisconsin. The purpose of the meeting was to discuss the current costs of health care and provide recommendations for building an economically sustainable system. I wrote about the “divided self” – the inner conflict between personal beliefs and actions – and competition as a [...]

The Dark Side of Competition

The participants at the Madison meeting told us that the biggest barrier to collaboration was competition. One is hard-pressed to find a community where competition doesn’t rule the day. For the last 30 years, competition has been part of this country’s health care policy strategy to reduce costs and enhance quality. The theory is that [...]

The Divided Self No More

The ABIM Foundation convened a group of health care stakeholders in Madison, Wisconsin to learn more about how they think and act about the “wise and effective management of limited health care resources,” as stated in the Physician Charter. When we convened this group of stakeholders in Madison, we didn’t know what exactly to expect. [...]

The $640 Billion Question

On May 18, Victor R. Fuchs, PhD and Arnold Milstein, MD, MPH published a perspective in The New England Journal of Medicine, titled “The $640 Billion Question –Why Does Cost-Effective Care Diffuse So Slowly?”  I highly recommend reading it.