Christine K. Cassel, MD
Potential Conflicts of Interest: None disclosed.
Cassel CK. Providing High-Value, Cost-Conscious Care. Ann Intern Med. 2011;155:857-858. doi: 10.7326/0003-4819-155-12-201112200-00014
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Published: Ann Intern Med. 2011;155(12):857-858.
TO THE EDITOR:
Weinberger's commentary (1) boldly and eloquently advocates for a new competency that would ensure that residents receive formal training and evaluation focused on the avoidance of overuse and misuse of tests and procedures, with an aim of reducing health care costs and improving patient outcomes. Although many stakeholders share the responsibility for building a sustainable health care system, physicians will increasingly be held accountable for practicing on the basis of wise decision making about the tests and procedures they order. The Charter on Medical Professionalism (2), published nearly a decade ago by the American Board of Internal Medicine Foundation, American College of Physicians Foundation, and the European Federation of Internal Medicine—and endorsed by more than 130 organizations—states:
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