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October 23/30, 2013

Teaching Value in Academic Environments: Shifting the Ivory Tower

Author Affiliations
  • 1American College of Physicians, Philadelphia, Pennsylvania
  • 2Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York
  • 3Department of Medicine, University of Toronto, Toronto, Ontario, Canada
JAMA. 2013;310(16):1671-1672. doi:10.1001/jama.2013.280380

In the United States, low-value care is a pervasive problem. Low-value care can be defined as care for which harms, defined in terms of resource use, financial expenditure, or patient harm, outweigh clinical benefits. Defensive medicine, fragmented care, misaligned financial incentives, and cultural factors1,2 are all associated with low-value care.