Jules Willcocks chats to Deborah Leach and Paul Buntine about Choosing Wisely, how to reduce unnecessary test ordering and clinical decision making in healthcare.
Summary Writer: Laura Park
Script Writers: Jules Willcocks
Editors: Jules Willcocks
Interviewees: Deborah Leach, Paul Buntine
Interviewer: Jules Willcocks
Deborah Leach has been the Clinical Director for the Emergency Department, Box Hill Hospital for 21 years and was the Eastern Health Director of Emergency Services from 2003 to 2009.Deborah has been the Director of Medical Student Programs, Eastern Health Clinical School (Monash and Deakin University students) since August 2018.
She has also held roles within the Australasian College of Emergency Medicine, including being part of the examination committees, is also an ex-college examiner (since 2000, appointed senior examiner 2010). Deborah’s interests include leadership development, teamwork, No Unnecessary Tests, Quality & Redesign, Patient centred care and teaching.
Paul Buntine is the Director of Emergency Medicine Research for Eastern Health in Melbourne and a Clinical FACEM at Box Hill Hospital, Victoria. He has a particular interest in rational medical test ordering and reducing low value interventions and is the Clinical Lead for the Eastern Health No Unnecessary Tests project. More often than not, he will ask his junior doctors and registrars to justify why they are ordering a test or performing a particular intervention, rather than why they are not planning to do it.
With Dr Deborah Leach, Clinical Director of the Emergency Department Box Hill Hospital, Eastern Health Director of Emergency Services 2003-2009. Director of Medical Student Program, Eastern Clinical School, Monash & Deakin University and Dr Paul Buntine, Director of Emergency Medicine Research for Eastern Health in Melbourne & Clinical FACEM at Box Hill Hospital, Victoria, Australia
Introduction
Next time you order a blood test or a scan, ask yourself, is that test really necessary? Easy access to tests has led to increased test ordering, which can not only be wasteful but also harmful to the patient. Jules Willcocks speaks to Deborah Leach and Paul Buntine about the “no unnecessary test” project and how junior doctors can implement change by “Choosing Wisely.”
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