The case of Johnson v Kokemoor illuminates the conflict between patients’ right to informed consent and clinicians’ need to learn through practice, a conflict that possibly could be resolved through greater transparency about clinicians’ experience or experience-dependent medical fees.
Nonmaleficence must not be sacrificed in the name of the patient’s autonomy, but there is no need to undertake needlessly invasive treatments for a small boost in protection against cancer recurrence if the patient does not wish to do so.
Although not everything on the Choosing Wisely lists is likely to reduce low-value care, it is a good starting point for a conversation about curtailing low-value interventions.
The Geisel School of Medicine at Dartmouth College has integrated health care delivery science, which includes quality improvement and leadership training, into its medical school curriculum.
It is important for young medical professionals to understand the many systems of professional regulation and their role in defining and enforcing standards of professional conduct.
The Wisconsin Academy for Rural Medicine seeks candidates with an increased probability of practicing in rural Wisconsin, delivers the curriculum in collaboration with rural partners, and encourages students' interest in rural practice and living.
The American Society of Transplant Surgeons offers web-based educational modules and public discussions to promote exploration of ethical issues in the field.