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The Medical Professionalism Blog

Tag Archives: physician charter

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.

Choosing Wisely® Abroad

I couldn’t be more pleased that the Choosing Wisely campaign is finding its way across international borders. Choosing Wisely Canada will be operational this fall under the umbrella of the Canadian Medical Association and guided by the University of Toronto. At least eight Canadian specialty societies will release lists of five tests and procedures to [...]

Well-Being, Job Satisfaction and Professionalism

Some people feel dread as the work week looms. Others find it hard to engage in their daily tasks. Everyone suffers from work stress from time to time, but ongoing stress can erode well-being and lead to burnout. With physician burnout, there can be severe consequences for both physician well-being and patient care. Health care [...]

Recommended Reading: November 9-15

For some time, the ABIM Foundation has featured a weekly Recommended Reading post containing brief descriptions of several recent articles on medical professionalism. We wanted to change the format of this weekly post to focus on a single recent article and discuss its significance in the field of medical professionalism. As we go forward, we [...]

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 [...]