"The values of clinical practice" Campaign for doctors in training

The Clinical Management Section of the Catalan Society of Health Care Management (SCGS) has just released a video to promote the values of the clinical practice among physicians in training.

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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:

1. Learn to listen patients and appreciate what their circumstances are.
2. Forget about persuasion and learn the technique of motivational interviewing.
3. Help patients to make clinical decisions for themselves.
4. Rate the burden of treatment and learn to deprescribe whenever necessary.
5. Take the time for clinical reasoning and adopt the Bayesian probabilistic thinking.
6. Request tests that make sense clinically, thinking about the value they will bring.
7. Learn to teamwork, specially when facing complex patients.
8. Watch out for overdiagnosis when practicing prevention and share it with target people.
9. 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.
10. 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.


Jordi Varela
Editor