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).
Sirovich BE, Holmboe ES, Lipner RS. Evaluating Clinical Management Decisions by Recent Graduates in the Era of High-Value, Cost-Conscious Care—Reply. JAMA Intern Med. 2015;175(4):652-653. doi:10.1001/jamainternmed.2014.8090