In May, 2011 a paper was published presenting the results of a process called the Good Stewardship Project. In this Project, five doctors gathered in each of three specialties- internal medicine, family medicine, and pediatrics- to develop a list of five actions each specialty should stop doing. Each recommendation had to improve the quality of care and reduce the cost of care.
Dr. Lavin was honored to lead the group of 5 pediatricians, who came from practices from across the nation.
Our five recommendations were published in the Annals of Internal Medicine: http://www.ncbi.nlm.nih.gov/pubmed/21606090
Now, nearly 4 years later, we have just been informed that our work has inspired a similar set of processes across the world. Similar groups have published or begun similar work in the following countries, across 4 continents: Canada, Australia, Germany, Italy, Japan, Switzerland, and the Netherlands.
Dr. Lavin is honored to have led the original pediatric team in this project and pleased the idea has spread across the world.
The top five recommendations were:
1. Do not prescribe antibiotics for a sore throat unless it is proven to be a strep throat.
2. Do not do CT or MRI scans for minor head injuries.
3. Do not seek an ENT consultation for uninfected fluid in the ear early in the course of fluid present.
4. Advise families not give their children cough and cold remedies.
5. Use inhaled steroids in asthma when indicated.
These recommendations are now standards of good pediatric care and have been followed at Advanced Pediatrics for many years.
Advanced Pediatrics is pleased to see the approaches we take to care endorsed not only by a US paper in 2011, but now featured in the work of doctors in countries around the world.
To your health-
Dr. Arthur Lavin
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