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Invited Commentary | Less Is More

Changing Clinician Behavior When Less Is More

Ralph Gonzales, MD, MSPH1,2; Adithya Cattamanchi, MD, MAS3,4
[+] Author Affiliations
1Continuous Process Improvement Department, UCSF Health, University of California–San Francisco
2Division of General Internal Medicine and Center for Health Care Value, University of California–San Francisco
3Division of Pulmonary and Critical Care Medicine, San Francisco General Hospital
4Clinical and Translational Science Institute Implementation Science Training Program, University of California–San Francisco
JAMA Intern Med. 2015;175(12):1921-1922. doi:10.1001/jamainternmed.2015.5987.
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The American Board of Internal Medicine Foundation intended for the Choosing Wisely campaign to support conversations between clinicians and their patients about what care is necessary.1 The campaign sought to do so by involving professional societies in creating lists of unnecessary tests and procedures and disseminating the lists to their membership. At the same time, the campaign partnered with Consumer Reports to produce consumer-friendly briefs of Choosing Wisely recommendations and to disseminate the briefs to consumers. It remains an open question whether clinicians or consumers at large are aware of specific Choosing Wisely recommendations or have changed their attitudes toward unnecessary procedures and tests.

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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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