National Physicians Alliance

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Special Invitation! Submit a “Less is More” Narrative to JAMA Internal Medicine

Posted by Becky Martin, NPA Interim Operations Director September 2, 2016 at 1:31 PM

Written by Rosemary Gibson, JAMA Internal Medicine, Perspectives Editor; NPA Board of Directors Member

I’m the Perspectives Editor for JAMA Internal Medicine, a section in the journal where we publish narratives from physicians, patients and family members about their experience of unnecessary medical treatment, or how they avoided it.

I’d love to hear your ideas for a narrative. You can join other authors who have contributed to an impressive portfolio of articles.

Dr. Rita Redberg, the journal’s editor-in-chief, launched the “less is more” focus, which spotlights areas of medicine where there are no known benefits and clear risks. The narrative series complements research published in the journal.

NPA was a pioneer in this space of appropriate use of medical care, thanks to the leadership of NPA’s Dr. Steve Smith and his team.

Dr. Smith and colleagues led the NPA project, “Promoting Good Stewardship in Clinical Practice,” that developed a list of the top 5 activities in family medicine, internal medicine, and pediatrics where the quality of care could be improved.

The results were published in JAMA Internal Medicine in 2011, “The Top 5 Lists in Primary Care: Meeting the Responsibility of Professionalism.” It helped inform the launch of Choosing Wisely.

NPA board member, Dr. John Santa, and former Director of Consumer Reports Health Ratings Center, inspired Consumer Reports to join the Choosing Wisely campaign and produce reports, brochures, and videos to help consumers and patients talk with their doctors about avoiding needless healthcare

Here are a few examples of narratives we’ve published:

• “How I Was Prescribed and Unnecessary Antibiotic While Traveling to a Conference on Antibiotic Resistance,” is one of the most viewed narratives with more than 2,300 views. If you scroll down, you can read the entire article.

• “Do I Need a Stent?” is written by a daughter whose mother changed her diet, exercised, took proper medications, and avoided a stent, which was her aim. It is a great example of a patient’s engagement with her physician.

• “Challenging the ‘Culture of Culturing,’ The Case for Less Testing and More Clinical Assessment,” is about the overuse of culturing for UTIs.

Email me if you have an idea for a narrative and we can talk about it.  They are usually 600-800 words.

I look forward to hearing from you.

Rosemary Gibson, NPA board member

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