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Comment & Response
April 2015

Evaluating Clinical Management Decisions by Recent Graduates in the Era of High-Value, Cost-Conscious Care—Reply

Author Affiliations
  • 1Veterans Affairs Medical Center, VA Outcomes Group (111B), White River Junction, Vermont
  • 2Accreditation Council for Graduate Medical Education, Chicago, Illinois
  • 3American Board of Internal Medicine, Philadelphia, Pennsylvania
JAMA Intern Med. 2015;175(4):652-653. doi:10.1001/jamainternmed.2014.8090

In Reply We thank Abegunde and Mba for their inquiry regarding our recent article.1 In that study, we demonstrated that newly minted internists trained in environments characterized by more resource-intensive practice patterns were consistently less capable of recognizing when the right thing to do for a patient was less (ie, to spare the patient unnecessary medical care).

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