Past Letters

Bundles, Professionalism and Trust – A Conversation with François de Brantes

[Bundled payments] serve to reinforce the goals we at the Foundation are trying to advance—professionalism, trust and choosing wisely.

Influencing Professionalism

Using “influencer marketing” to promote your brand or message... has the potential to create a whole new level of conflicts of interest, one that the profession—and medical schools in particular—need to prepare for.

Introducing the Trust Practice Challenge

This challenge is a key component of the Foundation’s new focus on issues of trust in health care. We chose to emphasize trust because this crucial aspect of an effective health care system is currently under threat.

Will Consolidation Leave Trust Broken in its Wake?

For a profession that is based on an intimate relationship between patients and their health care providers, the perception that hospitals are consolidating out of greed without regard for the consequences for patients could intensify the fraying of Americans’ trust in health care.

Conflicts of Interest: Eroding Trust in the Profession

Regardless of its effects on decision-making, if patients perceive a quid pro quo between a physician and a pharmaceutical company (for example), trust has already been chipped away.

[Re]Building Trust – The 2018 ABIM Foundation Forum

The 2018 Forum goals are to examine ways to build and nurture trust against a backdrop of political and social turmoil, and all-time lows in Americans’ trust in institutions across society.

Choosing Wisely: The Challenge of Overcoming Fear

We need to study the fear factor in American medicine, particularly as it pertains to perceived versus actual instances of litigation.

Beyond High Prices: Five Reasons to Continue Addressing Overuse

Per a recent JAMA article, overutilization hasn’t proven to be a main driver of high health care spending in the U.S. as it compares to other countries. But does that mean we should leave that out of the equation altogether?

Reflections on a Fireside Chat with Parker Palmer

I have been travelling almost non-stop for a month now, visiting with thought leaders across the country and talking with them about the concept of trust in health care. My sometimes traveling companion Dr. Richard Baron and I have had multiple discussions with others around the dimensions of trust, including competency, integrity and trustworthiness. During... Read more »

Conversations Will Drive Success

Finding ways to drive more conversations about Choosing Wisely will create greater opportunities for success.