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Editor's Note |

Just Listen and Think
Comment on “What the Surgeon Should Have Said to My Patient With Thin Malignant Melanoma”

Rita F. Redberg, MD, MSc
Arch Intern Med. 2012;172(12):908. doi:10.1001/archinternmed.2012.1930.
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One of the most difficult challenges for physicians in 2012 is not suggesting another test or procedure, even when not having one is what is best for our patients. Every incentive in our system is to do something. We get paid more for doing more, pharmaceutical and device companies encourage us to use their wares, we often must meet procedure volume standards to maintain excellence designations, and patients have come to expect “something.” But before doing any test or procedure, we need to consider if it has a significant clinical benefit for our patient. If not, the time could be better used for thinking and talking.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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