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Demonstration Practices Selected for NPA Good Stewardship Project

Three practices have been selected to serve as demonstration practices for the Good Stewardship project of the NPA.  The selected practices have committed themselves to putting the “Top 5” lists in primary care into practice.

The selected practices are the Long Beach Family Medicine Residency Program, the Yale Primary Care Center, and the University of Washington Family Medicine Residency Program. The residents and faculty of each of the programs will participate in training sessions, followed by a 6-month period in which the “Top 5” recommendations in their respective specialties will be put into practice.

A chart audit will compare the practice decisions made by the physicians in the group practices during the 6 months following the training sessions with a 6-month period a year before the training sessions to see if adherence to the recommendations in the “Top 5” lists increased. Stories will also be collected from the practices describing their experience in trying to implement the “Top 5” lists.

The training sessions will focus on a 5-step approach that physicians can follow when communicating with patients who may be resistant to following the plan of care recommended in the “Top 5” lists.  VIEW the training video on YouTube.

The “Top 5” lists in family medicine, internal medicine, and pediatrics recommend changes in practice that are supported by the evidence and, if followed, would improve patient care, reduce risks and harms to patients and communities, and reduce costs.

Learn more about the NPA Promoting Good Stewardship in Medicine Project

For more information about the project, contact Becky Martin at

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