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The Medical Professionalism Blog

Tag Archives: overuse of medical tests

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 [...]

It’s About the Conversation

There is an interesting conversation taking place around Choosing Wisely® and a recent JAMA study by Pearson and Gliwa. It’s heartening to see that the campaign is doing what it was always meant to do – spark conversation. In their study, Gliwa and Pearson sought to “evaluate the role that evidence on benefits, risks, and [...]

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.

Response to JAMA Internal Medicine Commentary

The Choosing Wisely campaign was recently criticized for lacking a solid methodological approach in an editorial in JAMA Internal Medicine by Deborah Grady, Rita Redberg and William Mallon. As such, we wanted to clarify the procedures that all of our specialty society partners have followed in creating their recommendations of tests and treatments that physicians [...]

The High Value Care Challenge

This post was written by Cheryl O’Malley, MD, FACP, Program Director, Internal Medicine and Steven R. Brown, MD, FAAFP, Program Director, Family Medicine at Banner Good Samaritan Medical Center, University of Arizona College of Medicine – Phoenix. Drs. O’Malley and Brown were winners of the 2013 Teaching Value and Choosing Wisely Competition. A little friendly competition is a good thing. We’ve seen [...]

Choosing Wisely®: What Should the First Wedge Be?

At the 2011 ABIM Foundation Forum, Don Berwick gave a powerful talk on reducing waste in health care spending by targeting “wedges.” The wedges concept comes from environmental science research on reducing the trajectories of carbon dioxide levels over time. In their study, researchers concluded that there is no one magic solution–the problem must be [...]

Choosing Wisely: One in a Million

The wastefulness of unnecessary EKGs is a subject that has been featured on this blog many times before, both by me and Dr. Stephen Smith, and a topic that has recently been highlighted in multiple Choosing Wisely ® lists. When I was recently told I needed surgery for cataracts, I was sure I wouldn’t need [...]

Choosing Wisely®: A Stunning Moment

Every time I am invited to speak about the Choosing Wisely campaign, I ask the audience to raise their hands if they have witnessed or heard of unnecessary care delivered to patients, themselves and/or their family members. Usually, about three-quarters of them raise their hands. I then ask if they have witnessed or heard of [...]

Choosing Wisely: It’s About the Conversation

Since its launch in April 2012, the Choosing Wisely® campaign’s focus has always been on the conversation between physicians and patients about overuse and tests and procedures that may often do more harm than good. Trying to change the public’s mind that more care does not always equal better care is a huge challenge. Short [...]

The Evidence of Choosing Wisely®

In his recent BMJ feature article, “The challenge of doing less,” Owen Dyer points out that the process employed by the Choosing Wisely® campaign has attracted criticism. In the article, Russell Harris, Director of University of North Carolina’s Center for Excellence in Clinical Preventive Services, states, “We did a systematic review and found that overall, [...]