Blog Category: Letters from the Foundation

Purpose vs. Payment

The 2013 ABIM Foundation Forum was entitled “Purpose vs. Payment:  Motivating Change in Health Care.”  The title was, of course, a false dichotomy. Going into the meeting, I was pretty sure that the collective answer would be “both, of course!” But as the animated and spirited conversations among the participants continued over the three-day meeting,… Read more »

Adventures in Imaging

I was turning a ripe old age and wanted to improve my physical conditioning. My program included hoisting two 15-pound dumbbells and two sets of twenty sit-ups. This exercise, intended to preserve my last trace of youth, resulted in a self-inflicted injury of my left elbow. After a very uncomfortable month, I relented and sought… Read more »

A Consequence of Choosing Wisely®

In rural Maine, Choosing Wisely brought primary care and specialists together to discuss the recommendations – a positive, unintended consequence of the campaign. Early in the development of the campaign, we learned that physicians did a lot of finger-pointing around who was responsible for overuse. The primary care physicians blamed the specialists and the specialists… Read more »

One Doc’s Reactions to Choosing Wisely®: An Interview with Dr. Blair Erb

Dr. Blair Erb of Bozeman Deaconess Health Group, located in Bozeman, MT, is a Trustee of the American College of Cardiology and sits on the Clinical Quality Committee steering committee. He is board certified in Internal Medicine and in Cardiovascular Disease. His special interests include echocardiography, valvular heart disease and risk factor modification. Dr. Erb… Read more »

Selling Proton Therapy to the Public: High Costs Without Benefit

Arriving in a train station in a Northeast city the other day, I was struck by the number of advertisements for proton therapy at a local academic medical center (AMC) plastered throughout the station and in local subways. The ads feature a bicycle racer with the tag line: “THE WIND IN YOUR FACE IS WORTH… Read more »