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Just Listen and Think Comment on “What the Surgeon Should Have Said to My Patient With Thin Malignant Melanoma”

Just Listen and Think Comment on “What the Surgeon Should Have Said to My Patient With Thin... One of the most difficult challenges for physicians in 2012 is not suggesting another test or procedure, even when not having one is what is best for our patients. Every incentive in our system is to do something. We get paid more for doing more, pharmaceutical and device companies encourage us to use their wares, we often must meet procedure volume standards to maintain excellence designations, and patients have come to expect “something.” But before doing any test or procedure, we need to consider if it has a significant clinical benefit for our patient. If not, the time could be better used for thinking and talking. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Just Listen and Think Comment on “What the Surgeon Should Have Said to My Patient With Thin Malignant Melanoma”

Archives of Internal Medicine , Volume 172 (12) – Jun 25, 2012

Just Listen and Think Comment on “What the Surgeon Should Have Said to My Patient With Thin Malignant Melanoma”

Abstract

One of the most difficult challenges for physicians in 2012 is not suggesting another test or procedure, even when not having one is what is best for our patients. Every incentive in our system is to do something. We get paid more for doing more, pharmaceutical and device companies encourage us to use their wares, we often must meet procedure volume standards to maintain excellence designations, and patients have come to expect “something.” But before doing any test or procedure,...
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Publisher
American Medical Association
Copyright
Copyright © 2012 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinternmed.2012.1930
Publisher site
See Article on Publisher Site

Abstract

One of the most difficult challenges for physicians in 2012 is not suggesting another test or procedure, even when not having one is what is best for our patients. Every incentive in our system is to do something. We get paid more for doing more, pharmaceutical and device companies encourage us to use their wares, we often must meet procedure volume standards to maintain excellence designations, and patients have come to expect “something.” But before doing any test or procedure, we need to consider if it has a significant clinical benefit for our patient. If not, the time could be better used for thinking and talking.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jun 25, 2012

Keywords: melanoma,surgeons

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