Are internists running amok with tests and imaging orders?

The May edition of JAMA Internal Medicine presented three studies showing that internists tend to over-test and over-treat their patients. A July 22 Forbes blog offers a response from an internist who is also a behavioral scientist (and a book author, to boot).

“We need to go beyond identifying which clinical practices we need to avoid,” writes Peter Ubel, MD, of Duke University, “and go on to develop systems that help us and our patients avoid them.”

One of the procedures he looks at is carotid ultrasound imaging.  

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Dave Pearson

Dave P. has worked in journalism, marketing and public relations for more than 30 years, frequently concentrating on hospitals, healthcare technology and Catholic communications. He has also specialized in fundraising communications, ghostwriting for CEOs of local, national and global charities, nonprofits and foundations.

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Former American Society of Echocardiography president and well-known cardiac ultrasound pioneer Roberto Lang, MD, died at the age of 73. He helped develop 3D echo technology that is now used by care teams on a daily basis.

Imaging and radiology are in a transition right now as more departments and practices are choosing to bring their 3D labs in-house.  

John Simon, MD, CEO of SimonMed Imaging, says imaging has considerably advanced for noninvasive detection of disease and it may be time for it to play a greater role in annual physicals, especially in executive physical exams.