Incidentalomas: What they are and why we should be concerned | Jill Wruble | TEDxPenn - YouTube

At the Preventing Overdiagnosis conference, I met a wide variety of people all dedicated to the same cause: the pursuit of better care for patients by way of helping them to avoid unnecessary and harmful tests and treatments.

By chance I met Dr Jill Wruble, a radiologist at Veterans Medical Center in West Haven, Connecticut and Clinical Assistant Professor with Yale and the University of Connecticut.

We talked about incidentalomas and what could be done to help improve our handling of them. When Jill told me about her TedX talk, I knew it would be worth checking out. She models appropriate care in her practice, teaches colleagues and residents, and has been making efforts to inspire others to make sure they are using diagnostic imaging meaningfully and judiciously. And she's a pretty amazing woman - did you see that bio!?


Not sure what an incidentaloma is? Or what to do if you find one (or are told you have one)? See her 15 minute talk on the subject:



Doctors' grade: C- on #ChoosingWisely Test Your Knowledge Questions in CMAJ

Fascinating results emerge from a small online poll of Canadian Medical Association Journal (CMAJ) readers. Web polls on the CMAJ site were done over the span of 7 months and the following 12 True or False questions were asked.

Although not scientific, the results tell us that (at least mildly-) engaged physicians (those going to the CMAJ website) like to provide a lot of unnecessary and harmful care, particularly in the area of diagnostic imaging.

Not only do we need more research on why physicians think this way, we also need research on what methods are effective at changing behaviours. We don't know yet if Choosing Wisely-type outreach to patients and providers can improve practice. We think and hope so . . .

See the Choosing Wisely Canada update for more.


*NB: Dr S.P. Landry has a keen eye and noticed an error; for the item pertaining to "All children with head trauma require imaging to rule our fracture and brain injuries" the answer should be FALSE. So, the correct response rate would be 70% on that question, making the overall score of respondents a little less terrible, but still remarkably bad ;)