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The Medical Professionalism Blog

Tag Archives: overuse of medical tests

Choosing Wisely®: Sticking It to Doctors Doesn’t Work

I received a call from a colleague affiliated with one of the specialty society partners of the Choosing Wisely® campaign who wanted to vent about Jeanne Whalen’s Wall Street Journal piece entitled, “Hospitals Cut Costs by Getting Doctors to Stick to Guidelines: ‘Choosing Wisely’ Campaign Has Physicians Weigh in on Standardizing Care.”  

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 [...]

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 [...]