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Comment & Response |

Advancing Medical Professionalism and the Choosing Wisely Campaign

Richard J. Baron, MD, MACP1; Daniel Wolfson, MHSA1
[+] Author Affiliations
1American Board of Internal Medicine and ABIM Foundation, Philadelphia, Pennsylvania
JAMA Intern Med. 2015;175(3):464-465. doi:10.1001/jamainternmed.2014.7168.
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To the Editor In a recent Editorial by Grady et al,1 the authors criticized the methodological approach used by specialty societies in creating Choosing Wisely recommendations of tests and procedures that physicians and patients should question. Unfortunately, the article missed a major aspect of the campaign that we believe has contributed to its success.

At its roots, the Choosing Wisely campaign2 is about advancing medical professionalism; this difference distinguishes it from other efforts to improve health care. It appeals to physician desires to provide the best care possible for their patients by avoiding unnecessary and even harmful interventions. The specialty society lists were a means to spur these conversations between physicians and patients about what care they truly needed. To engage societies in this process, we created a framework that gave them autonomy to determine their list creation process so long as they followed 4 requirements: the recommendations had to be evidence based; tests and procedures had to done frequently; they had to be within the control of specialty; and the development process had to be transparent.

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March 1, 2015
Deborah Grady, MD, MPH; Rita F. Redberg, MD, MSc
1Department of Medicine, University of California, San Francisco2San Francisco Veterans Affairs Medical Center, San Francisco, California3Deputy Editor, JAMA Internal Medicine
1Department of Medicine, University of California, San Francisco4Editor, JAMA Internal Medicine
JAMA Intern Med. 2015;175(3):465. doi:10.1001/jamainternmed.2014.7177.
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