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The Medical Professionalism Blog

Tag Archives: quality improvement

Physician Measurement: Good in Theory but Not in Practice

Most issues in health care are replete with nuance rather than absolutes. I was reminded of this recently at the National Physician Alliance’s (NPA) 2014 Annual Conference & Transforming Healthcare Summit. NPA is considered a “progressive” physician leadership organization. It champions transparency in the disclosure of conflicts of interest, health care reform and avoiding waste […]

Eating Chocolate and Other Lessons from the ABIM Foundation Forum

This post originally appeared on FutureDocsBlog.com. Every year, the ABIM Foundation convenes a set of thought leaders on American health care to answer the tough questions. At first glance, this year’s meeting had the same standard agenda – talks and discussions followed by networking and informal activities. However, for some reason, this Forum was more exhausting. Perhaps trying […]

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 […]

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: December 1 – 7

The Choosing Wisely® campaign continues to generate conversations about improving care, both here in the U.S., as well as internationally. Read more in this week’s Recommended Reading: In “The Choosing Wisely Campaign and Its Potential Impact on Diagnostic Radiation Burden,” two radiologists at Johns Hopkins University examine the possible effects of Choosing Wisely imaging recommendations […]

Recommended Reading: November 24 – 30

This week’s Recommended Reading features articles on low-value health care services in both the United States and Australia, along with a piece on emotional support for physicians coping with medical errors and adverse events: In a new Archives of Internal Medicine article, the authors report that diagnostic tests are frequently repeated among Medicare beneficiaries. Such […]

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 […]

The “Other” Physician and Patient Competencies—What’s all the Fuss?

What competencies are needed for physicians and patients/caregivers in the 21st century in order to achieve the triple aim – better patient experience, improved health of populations, and reduced cost in high-performing delivery systems?  This question was posed at the 2012 ABIM Foundation Forum, Choosing Wisely in an Era of Limited Resources.

Putting Joy Into Practice: A Journey Into Primary Care

Dr. Christine Sinsky is on a mission to improve the work-life of primary care physicians and clinicians to improve care and attract physicians to primary care. A member of the Board of Directors of the American Board of Internal Medicine, Dr. Sinsky is a board certified internist who practices internal medicine at Medical Associates Clinic […]

Where, Oh Where Do Physicians Learn About Cost-Effectiveness?

The Institute of Healthcare Improvement (IHI) defines the Triple Aim as: Better health (population health) Better care (quality improvement) Reduced cost Although many quality improvement organizations and delivery systems are focused on the Triple Aim, cost is not often a part of their efforts.