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Choose wisely

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By Andrew Buelt Questioningmedicine, intern in residency
Dennis T Ko, Jack V Tu, Peter C Austin, Harindra C Wijeysundera, Zaza Samadashvili, Helen Guo, Warren J Cantor, Edward L Hannan
IMPORTANCE: Prior studies have shown that physicians in New York State (New York) perform twice as many cardiac catheterizations per capita as those in Ontario for stable patients. However, the role of patient selection in these findings and their implications for detection of obstructive coronary artery disease (CAD) are largely unknown. OBJECTIVE: To evaluate the extent of obstructive CAD and to compare the probability of detecting obstructive CAD for patients undergoing cardiac catheterization...
July 10, 2013: JAMA: the Journal of the American Medical Association
(no author information available yet)
Given the American Geriatrics Society's (AGS) commitment to improving health care for older adults by, among other means, educating older people and their caregivers about their health and healthcare choices, the AGS was delighted when, in late 2011, the American Board of Internal Medicine Foundation invited the Society to join its "Choosing Wisely(®) " campaign. Choosing Wisely is designed to engage patients, healthcare professionals, and family caregivers in discussions about the safety and appropriateness of medical tests, medications, and procedures...
April 2013: Journal of the American Geriatrics Society
Bartosz Hudzik, Michal Hudzik, Lech Polonski
No abstract text is available yet for this article.
October 2014: Canadian Family Physician Médecin de Famille Canadien
R Sacha Bhatia, Wendy Levinson, Douglas S Lee
No abstract text is available yet for this article.
February 2015: BMJ Quality & Safety
Christopher Moriates, Krishan Soni, Andrew Lai, Sumant Ranji
The Accreditation Council for Graduate Medical Education mandates that training physicians "incorporate considerations of cost awareness" into practice. However, medical education has traditionally avoided addressing costs, and most residency programs currently lack curricula to fulfill this requirement. With the recent widespread emphasis on unsustainable costs, inefficiencies, and waste in healthcare, the need to appropriately train physicians in this domain is increasingly apparent. In this article, we describe the implementation of a resident-led, case-based cost awareness curriculum for medicine residents at the University of California, San Francisco, sharing our keys to success and defining guiding principles...
February 25, 2013: JAMA Internal Medicine
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