If you missed the broadcast (and our live-tweeting!) this morning, be sure to check out the great discussion of Choosing Wisely, unnecessary care, and what patients and providers can do about it on the Diane Rehm show this morning! The panel included our program director, Shannon Brownlee, Dr Christine Cassel of the ABIM Foundation, Dr. Eric Topol of Scripps Health, and Dr. Ranit Mishori of the Georgetown University School of Medicine.
The panel was well-informed and willing to admit the strengths and weaknesses of the Choosing Wisely program. They all agreed that patients can't fix overtreatment on their own--doctors have to take responsibility for making evidence-based recommendations, and for considering whether test results have any real clinical consequences. In cases where a test doesn't provide any useful or consequential information, the responsible thing to do is skip the test. They also agreed that the problem goes beyond fear of malpractice lawsuits--overtreatment and unnecessary care comes from a culture of "more medical care is better," and the financial incentives that go along with that assumption.
There's a lot more in the program: check it out! And don't forget to look at the website for the Avoiding Avoidable Care conference, coming up later this month!