Choosing Wisely is the new campaign advocated by the ABIM Foundation to help physicians "be better stewards of finite health care resources." The recommendations in the campaign have been published in Consumer Reports and has been distributed to AARP members. At first glance, the campaign seems to make sense. Limit unnecessary testing and decrease costs. However, I predict that the Choosing Wisely campaign will also have many less desirable effects. I picked ...

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Suppose your malpractice insurance company wants to settle a medical malpractice case against you - even though the case has no merit. In many cases, insurance policy language may allow the insurance company to do just that. In the 2011 case of Mohan Papudesu, MD v. Medical Malpractice Joint Underwriting Assn. of Rhode Island, the Rhode Island Supreme Court allowed an insurer to settle a case on behalf of the defendant physician ...

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Does patient satisfaction matter? The answer is a resounding "yes." In fact, as the director of an emergency department, feedback from dissatisfied patients has provided both me and our group with an early warning about several physicians who were not performing up to our standards. Studies show a clear correlation between decreased patient satisfaction and increased medical malpractice risk, so meeting our patients’ needs is not only in their best interests, ...

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