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The Medical Professionalism Blog

Tag Archives: improving care

Action on Antibiotic Overuse

Overuse of antibiotics represents a serious challenge facing the health care system. This week, a number of well-known organizations, inspired by the aims of the Choosing Wisely® campaign, came together to focus their efforts on this issue.

Reflections on the 2013 ABIM Foundation Forum

This year’s ABIM Foundation Forum – Purpose vs. Payment: Motivating Change in Health Care addressed what will motivate physicians and clinicians to transform medicine to achieve better quality outcomes, patient and physician satisfaction, and economic sustainability. Against the backdrop of the debates raging in Washington, DC over how to fix the Sustainable Growth Rate (SGR) [...]

ABIM Foundation Forum 2013 – Purpose vs. Payment: Motivating Change in Health Care

I recently received a call from Don Berwick, MD telling me how sorry he was to miss this year’s ABIM Foundation Forum. He has an important family engagement and he has a governor’s campaign in Massachusetts to run. While expressing his deep regret about not being able to attend, he said he would send me [...]

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.

In Search of Joy in Practice

This post first appeared on KevinMD.com on May 20, 2013. A few years after I entered my practice as a newly certified internist, about two decades ago now, I started to burn out. I felt I was becoming a documentation drone and a guideline-following automaton. I was embarrassed for some of the care I gave–attempting [...]

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 [...]

Physicians and Residents Climbing the Mt. Everest of Medical Waste

The ABIM Foundation’s “Putting the Charter into Practice” grant program is focused on advancing stewardship in health care delivery systems. In 2011, we awarded five grants of $20,000 each, and we’ve been excited to see the tremendous return on this investment.

Five Reasons Choosing Wisely® Has Appeal to Physicians

We’ve heard from a number of physicians across the country that they are beginning to think through ways to advance the Choosing Wisely campaign. They are embracing the recommendations from the specialty societies and exploring how conversations between physicians and patients about reducing overused or wasteful tests and procedures can be embedded in their practices. [...]

Recommended Reading: September 21 – 28

This week’s Recommended Reading spotlights recent articles on the Choosing Wisely® campaign and other efforts to reduce unnecessary health care tests and procedures. In The Wall Street Journal article, Cause of Death: Medical Error and Overtreatment, Marty Makary, MD shares personal stories from patients who have experienced adverse medical events. Dr. Makary argues that health 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 [...]