To be a useful tool for assessing quality of physician care, pay-for-performance must be designed to include process measures and to not penalize physicians for treating patients with difficult-to-manage conditions.
The Culture, Narrative, and Medicine course at Loyola University of Chicago's Stritch School of Medicine teaches cultural humility through literature and students' reflective writing.
Appropriate use of the pay-for-performance system may improve quality of care by counteracting physician incentives to overtreat in fee-for-service situations or undertreat in capitation plans.
A retired surgeon explains how keeping a journal helped him deal with difficult professional situations and led him to stronger relationships with his patients.
False information undermines health and exacerbates disabilities. Constitutional rights to free speech come with responsibilities. Clinicians and citizens have duties to counter false health information.
AMA J Ethics. 2021;23(5):E432-433. doi:
10.1001/amajethics.2021.432.