Episode 427: How not to do what didn’t need to be done
In episode 427, James and Mike invite Mark McConnell back to the podcast to discuss the philosophy around how not to do what didn’t need to be done. You start with a differential diagnosis then think about what are the possible causes of this presentation? Next, is the patient a candidate for the end product (med/surgery/device) should a diagnosis be found and are they interested in it (their values and preferences)? Then consider the best test(s) to diagnosis it if the patient makes that informed choice.
Show notes
1) Do You Need That Test?
2) Trends in Use of Medical Imaging in US Health Care Systems and in Ontario, Canada, 2000-2016
JAMA. 2019;322(9):843-856. doi:10.1001/jama.2019.11456
3) Toward a positive theory of consumer choice
Journal of Economic Behavior & Organization 1980;1:39-60
4) Prevalence and Cost of Care Cascades After Low-Value Preoperative Electrocardiogram for Cataract Surgery in Fee-for-Service Medicare Beneficiaries
JAMA Intern Med. doi:10.1001/jamainternmed.2019.1739
5) Treatment of Fatty Liver Disease—Time to Implement Common Sense Measures
JAMA Intern Med. 2019;179(9):1272-1273. doi:10.1001/jamainternmed.2019.2244
6) Competing demands and opportunities in primary care
Canadian Family Physician 2017;63:664-8
7) Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population Between 2011 and 2017