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Am J Med Qual. 2015 Nov-Dec;30(6):566-70. doi: 10.1177/1062860614540982. Epub 2014 Jun 26.

"Choosing wisely" in an academic department of medicine.

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University of California San Francisco, CA
University of California San Francisco, CA.


The "Choosing Wisely" campaign seeks to reduce unnecessary care in the United States through self-published recommendations by professional societies. The research team sought to identify factors related to low-value care in the Department of Medicine at the University of California San Francisco, using a subset of clinical scenarios published by the American College of Physicians. The team further explored respondents' values on cost consciousness. A notable minority disagreed with the identified low-value tests. In 6 of 8 scenarios, faculty were more likely to rate the scenarios as representing low-value testing (P < .05). Level of training was the only predictor of attitudes toward unnecessary care after linear regression analysis (coefficient 3.14, P < .001). Increased postgraduate education about cost of care is recommended.


academic medicine; cost consciousness; cost control; low-value care; medical expenditures

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