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Comment & Response
Less Is More
February 2017

Applying Academic Detailing and Process Change to Promote Choosing Wisely

Author Affiliations
  • 1Drexel University College of Medicine, Philadelphia, Pennsylvania
  • 2ABIM Foundation, Philadelphia, Pennsylvania
JAMA Intern Med. 2017;177(2):282-283. doi:10.1001/jamainternmed.2016.8506

To the Editor We appreciate the Invited Commentary by Drs Parks and O'Malley1 on the value of the Choosing Wisely campaign and the critical need to improve the education of physicians in delivering high-value evidenced-based care. However, the authors offer an incomplete description of the conceptual basis of the Choosing Wisely campaign and miss an important distinction between shared decision making and education about risks and benefits of low-value treatments and tests. The initial goals of Choosing Wisely were not only limited to encouraging conversations between all consumers and physicians but also focused more broadly on enhancing physicians’ abilities to do so through support from specialty society partners and creation of educational materials. To this end, the ABIM (American Board of Internal Medicine) Foundation contracted with Drexel University College of Medicine to produce a series of 9 modules that highlight effective communication skills and present examples of how physicians can apply them in practice. These modules are available on the Choosing Wisely website and are prominently displayed under the resources tab.2

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