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I would like to highlight 10 keys that, according to the video, should allow a generational change in the practice of medicine:
- Learn to listen patients and appreciate what their circumstances are.
- Forget about persuasion and learn the technique of motivational interviewing.
- Help patients to make clinical decisions for themselves.
- Rate the burden of treatment and learn to deprescribe whenever necessary.
- Take the time for clinical reasoning and adopt the Bayesian probabilistic thinking.
- Request tests that make sense clinically, thinking about the value they will bring.
- Learn to teamwork, specially when facing complex patients.
- Watch out for overdiagnosis when practicing prevention and share it with target people.
- Incorporate palliative methodology in your clinical practice and know how to have the proper conversation about the end of life with patients and their families.
- Know how to get the "Right Care" sources.
Main "Right Care" sources
- The Cochrane Collaboration, active since 1993.
- Collection of articles Less is more in JAMA Network, since 1998.
- Campaign Too much medicine of the British Medical Journal, since 2002.
- Do not do. Recommendations arising from clinical practice guidelines from NICE, since late 2006.
- Choosing Wisely. ABIM Foundation Program. Collect recommendations from American scientific societies, since 2011.
- The "Essencial" Project from AQuAS. It has the support of Catalan scientific societies, since 2013.
- Diana Salud, a website of the epidemiology research network CIBERESP. Excellent searcher of 18 sources "Right Care" worldwide.
From this blog I wish the campaign "The values of clinical practice", promoted by the Clinical Management Section of the SCGS, to echo, both in medical schools and medical residents programmes.