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The Medical Professionalism Blog

Tag Archives: physician charter

Recommended Reading: May 11—17

Get caught up on the latest articles on professionalism in this week’s Recommended Reading: The author of a new JAMA Internal Medicine commentary discusses how physician specialty societies are dealing with costs. He notes that addressing cost is part of the Physician Charter, which calls on physicians to “be committed to working with other physicians, [...]

Recommended Reading: March 30 – April 5

Catch up on the latest literature on professionalism in medical education in this week’s Recommended Reading: The authors of “e-Professionalism: A New Frontier in Medical Education” discuss the challenges posed by e-professionalism, which they define as “attitudes and behaviors that reflect traditional professionalism paradigms but are manifested through digital media.” The study “Narrative medicine as [...]

Why Professionalism Matters: A Patient’s Point of View

As an employee of the ABIM Foundation, I’ve batted around the phrase “medical professionalism” for several years but it didn’t really hit home for me until I encountered it – and the lack thereof – as a patient. Over the past six months, I’ve logged a few miles in the frequent patient program. I underwent [...]

There’s More To It Than Just Money

I highly recommend reading a recent report sponsored by the Robert Wood Johnson Foundation and the Urban Institute (the employer of the authors) by Robert Berenson and Elizabeth Docteur entitled Doing Better by Doing Less; Approaches to Tackle Overuse of Services. It is an excellent analysis of approaches that address the issue of inappropriate and [...]

Choosing Wisely®: Can Stories and Emotions Produce Change?

At the recent annual meeting of the Institute of Healthcare Improvement (IHI), Fred Hafferty of the Mayo Clinic and I gave a presentation on the effect systems have on the professional behaviors of clinicians. I asked the 100 or so attendees if they thought intrinsic (i.e., personal satisfaction and mastery) or extrinsic (i.e., payment) motivators [...]

Acts of Professionalism: Opposition to Self-Referrals by Specialty Societies

In September, the Government Accountability Office (GAO) released a report titled Higher Use of Advanced Imaging Services by Providers Who Self-Refer Costing Medicare Millions. The report concluded that: From 2004 through 2010, the number of self-referred and non-self-referred advanced imaging services—magnetic resonance imaging (MRI) and computed tomography (CT) services—both increased, with the larger increase among [...]

Recommended Reading: November 10 – 16

Catch up on the latest articles on medical professionalism in this week’s Recommended Reading: A new article in Health Affairs discusses the development of the Teamwork Effectiveness Assessment Module (TEAM), a tool for physicians to evaluate how they perform as part of an interprofessional patient care team. This research was funded in part by the ABIM [...]

Recommended Reading: October 27 – November 2

Here’s the latest medical professionalism articles in this week’s Recommended Reading: In Medical Professionalism, Revenue Enhancement, and Self-Interest: An Ethically Ambiguous Association, the author argues that the medical professionalism literature “should distinguish permissible and impermissible self-interested actions” by physicians.  He believes that financial incentives such as pay-for-performance are permissible but are not a substitute for [...]

Recommended Reading: September 8 – 14

This edition of Recommended Reading includes articles on the impact of payment on physician professionalism, the role of professionalism in quality improvement, and the latest on the Choosing Wisely® campaign. A new article in the Canadian Medical Association Journal explores how payment models affect physician behavior. In the article, Putting the Charter into Practice grantee [...]

Recommended Reading August 20 – 24

This week’s Recommended Reading features a call for wise health care decision-making, and also celebrates the 10th anniversary of the Physician Charter: In a recent Annals of Internal Medicine commentary, Drs. Christine Cassel, Virginia Hood and Werner Bauer reflect on the 10th anniversary of the Physician Charter.  The authors discuss the impact of the Charter, [...]