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Resources for Clinicians
ACP believes that it is the responsibility of the medical profession to become cost-conscious and decrease unnecessary care that does not benefit patients.
Below ACP provides resources to help you implement High Value Care principles into your practice and focus on optimal diagnostic and treatment strategies, based upon considerations of value, effectiveness, and avoidance of overuse and misuse.
Guidelines & Recommendations
ACP develops three different types of clinical recommendations: Clinical Practice Guidelines, Clinical Guidance Statements, and Best Practice Advice. ACP's goal is to provide clinicians with recommendations based on the best available evidence; to inform clinicians of when there is no evidence; and finally, to help clinicians deliver the best health care possible.
Smart Testing: ACP and the Cleveland Clinical Journal of Medicine (CCJM) have collaborated to create a new series offering short, clinically engaging vignettes and discussions on the appropriate use of imaging procedures and other diagnostic tests. The vignettes depict common situations in clinical practice, and the discussions focus on identifying and incorporating evidence-based recommendations most likely to provide optimal patient outcome and value.
- Series Introduction: Doing the right thing to control health care costs
- Is cardiac stress testing appropriate in asymptomatic adults at low risk?
- Better care is the best defense: High-value clinical practice vs defensive medicine
Pediatric to Adult Care Transitions Initiative
This American College of Physicians (ACP) Initiative is a collaborative effort to develop a toolkit to facilitate more effective transition and transfer of young adults from pediatric to adult care, with a major focus on providing a framework for the adult care clinicians.
Although the trend in the performance measurement arena has been to measure under use of high value tests and treatments, evidence-based performance measures for low value tests and treatments are one way to help physicians provide high value care to their patients. This new direction has the potential to improve health care quality by changing clinician behavior through feedback, public reporting, pay-for-performance programs, and clinical decision support.
High Value Care Coordination Toolkit
The High Value Care Coordination (HVCC) Toolkit provides resources to facilitate more effective and patient-centered communication between primary care and subspecialist doctors. The toolkit was the work of the HVCC Project, a collaboration between ACP's Council of Subspecialty Societies (CSS) and patient advocacy groups.
High Value Care Cases
Learn how to eliminate unnecessary health care costs and improve patient outcomes while earning free CME and MOC patient safety and medical knowledge points through these 30- to 60-minute online interactive cases.
- Avoid Unnecessary Testing
- Use Emergency and Hospital Level Care Judiciously
- Improve Outcomes with Health Promotion and Disease Prevention
- Prescribe Medications Safely and Cost Effectively
- Overcome Barriers to High Value Care
High Value Care Pediatric Cases
Learn how to eliminate unnecessary health care costs and improve pediatric patient outcomes while earning free CME through these online interactive cases.
- High Value Communication
- High Value Diagnostic Testing
- High Value Management Across Settings
Managing Conflicts of Interest
Learn how potential conflicts of interest with industry can affect your professional life and the health of your patients with this educational program for practitioners.
Three 10-minute mini-lectures cover basic topics, and unfolding cases allow for in-depth learning about important topics including direct-to-consumer drug advertising, industry sponsorship of clinical trials, and the art of communicating with patients about sample medications.
- Conflicts of Interest and Industry Sponsorship in Medicine & Medical Research
- Physician Bias and Rationalizations
- Avoiding, Recognizing, and Managing Conflict of Interest in Continuing Medical Education
- Unfolding Evidence
- Drug Advertisement
- Drug Samples
As part of the ongoing Choosing Wisely campaign, ACP partnered with the ABIM Foundation to develop a set of interactive skill-building video modules to enhance physician communication. The goal is to encourage physicians, patients and other health care stakeholders to think and talk about medical tests and procedures that may be unnecessary, and in some instances can cause harm. Additionally, ACP has developed a list of "Five Things" internists and patients should question in internal medicine.
Ethics Case Studies
The following case studies are part of a series by ACP published on Medscape (login required). Receive CME credit for completion of this online educational activity featuring case studies with commentaries by the ACP’s Ethics, Professionalism and Human Rights Committee and the Center for Ethics and Professionalism.
- Stewardship of Health Care Resources: Allocating Mechanical Ventilators During Pandemic Influenza
- Stewardship of Health Care Resources: Responding to a Patient’s Request for Antibiotics
- Who Should Get What? Mammography and the Stewardship of Health Care Resources
View more Ethics Case Studies.