Choosing Wisely is a United States–based health educational campaign, led by the ABIM Foundation ( American Board of Internal Medicine ), about unnecessary health care .
108-462: The campaign identifies over 500 tests and procedures and encourages doctors and patients to discuss, research, and possibly get second opinions, before proceeding with them. To conduct the campaign, the ABIM Foundation asks medical specialty societies to make five to ten recommendations for preventing overuse of a treatment in their field. The foundation then publicizes this information, and
216-494: A DVD column, film reviews and trends, and a travel supplement called Destinations & Diversions (section D). The international edition of the paper features two sections: News and Money in one, and Sports and Life in the other. Atypical of most daily newspapers, the paper does not print on Saturdays and Sundays; the Friday edition serves as the weekend edition. USA Today has published special Saturday and Sunday editions in
324-431: A " McPaper " or "television you can wrap fish in", because it opted to incorporate concise nuggets of information more akin to the style of television news , rather than in-depth stories like traditional newspapers, which many in the newspaper industry considered to be a dumbing down of content. Although USA Today had been profitable for just ten years as of 1997, it changed the appearance and feel of newspapers around
432-547: A cleaner style. On September 14, 2012, USA Today underwent the first major redesign in its history, in commemoration for the 30th anniversary of the paper's first edition. Developed in conjunction with brand design firm Wolff Olins , the print edition of USA Today added a page covering technology stories, expanded travel coverage within the Life section, and increased the number of color pages included in each edition, while retaining longtime elements. The "globe" logo used since
540-498: A controversy around the ABIM Foundation's lack of transparency about its finances and functioning. In 2016 campaign was described as an attempt to encourage doctors and patients to recognize the illusion of control or "therapeutic illusion" in choices to use treatments which have a basis outside of evidence-based medicine . In 2017 addiction specialists in Canada said the recommendation to wait for sobriety before treating depression
648-702: A great part in USA Today 's long-standing reputation for "fluff", but after its 30th anniversary revamp, the paper took a more active stance on political issues, calling for stronger gun laws after the Sandy Hook Elementary School shooting in 2012. It heavily criticized the Republican Party for both the 2013 government shutdown and the 2015 revolts in the United States House of Representatives that ended with
756-567: A list of specialties recognized in the European Union, and by extension, the European Economic Area. There is substantial overlap between some of the specialties and it is likely that for example "Clinical radiology" and "Radiology" refer to a large degree to the same pattern of practice across Europe. In this table, as in many healthcare arenas, medical specialties are organized into the following groups: According to
864-469: A particular organ. Others are based mainly around a set of techniques, such as radiology , which was originally based around X-rays . The age range of patients seen by any given specialist can be quite variable. Pediatricians handle most complaints and diseases in children that do not require surgery, and there are several subspecialties (formally or informally) in pediatrics that mimic the organ-based specialties in adults. Pediatric surgery may or may not be
972-419: A reorganization of its newsroom, announcing the layoffs of 130 staffers. It also announced that the paper would shift its focus away from print and place more emphasis on its digital platforms (including USAToday.com and its related mobile applications ) and launch of a new publication called USA Today Sports . On January 24, 2011, to reverse a revenue slide, the paper introduced a tweaked format that modified
1080-475: A rotational internship of about 1.5 to 2 years in various specialties before attaining a medical license. The specialist training lasts 5 years. There are three agencies or organizations in the United States that collectively oversee physician board certification of MD and DO physicians in the United States in the 26 approved medical specialties recognized in the country. These organizations are
1188-512: A rundown of winning numbers from the previous deadline date for all participating state lotteries and individual multi-state lotteries. Some traditions have been retained. The lead story still appears on the upper-right side of the front page. Commentary and political cartoons occupy the last few pages of the News section. Stock and mutual fund data are presented in the Money section. But USA Today
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#17327985219621296-411: A second cover story within the second section. Each section is differentiated by a certain color in a box on the top-left corner of the first page; the principal section colors are blue for News (section A), green for Money (section B), red for Sports (section C), and purple for Life (section D); in the paper's early years, the Life and Money sections were also assigned blue nameplates and spot colors, as
1404-544: A separate specialty that handles some kinds of surgical complaints in children. A further subdivision is the diagnostic versus therapeutic specialties. While the diagnostic process is of great importance in all specialties, some specialists perform mainly or only diagnostic examinations, such as pathology , clinical neurophysiology , and radiology. This line is becoming somewhat blurred with interventional radiology , an evolving field that uses image expertise to perform minimally invasive procedures. The European Union publishes
1512-408: A snapshot in "Life" could show how many people tend to watch a certain genre of television show based upon their mood). These "Snapshots" graphs employ icons roughly pertaining to the graph's subject (using the example above, the graph's bars could be made up of several TV sets, or ended by one). Snapshots are loosely based on research by a national institute (with the credited source in fine print below
1620-409: A specific specialty of medicine by completing a multiple-year residency to become a specialist. To a certain extent, medical practitioners have long been specialized. According to Galen , specialization was common among Roman physicians. The particular system of modern medical specialties evolved gradually during the 19th century. Informal social recognition of medical specialization evolved before
1728-460: A third international printing site, based in Hong Kong . The international edition set circulation and advertising records during August 1988, with coverage of the 1988 Summer Olympics , selling more than 60,000 copies and 100 pages of advertising. By July 1991, Simmons Market Research Bureau estimated that USA Today had a total daily readership of nearly 6.6 million, an all-time high and
1836-448: A write-in candidate for president; or to focus on Senate, House and other down-ballot political races. In February 2018, USA Today published an op-ed by Jerome Corsi , the DC bureau chief for the fringe conspiracy website InfoWars . Corsi, a prominent conspiracy theorist , was described by USA Today as an "author" and "investigative journalist". Corsi was a prominent proponent of
1944-534: Is "Weather Focus", a graphic which explains various meteorological phenomena. On some days, the Weather Focus could be a photo of a rare meteorological event. On business holidays or days when bonus sections are included in the issue, the Money and Life sections are usually combined into one section, while combinations of the Friday Life editions into one section are common during quiet weeks. Advertising
2052-423: Is achieved through major surgical techniques. The internal medicine specialties are the specialties in which the main diagnosis and treatment is never major surgery. In some countries, anesthesiology is classified as a surgical discipline, since it is vital in the surgical process, though anesthesiologists never perform major surgery themselves. Many specialties are organ-based. Many symptoms and diseases come from
2160-688: Is an American daily middle-market newspaper and news broadcasting company. Founded by Al Neuharth in 1980 and launched on September 14, 1982, the newspaper operates from Gannett 's corporate headquarters in New York, NY . Its newspaper is printed at 37 sites across the United States and at five additional sites internationally. The paper's dynamic design influenced the style of local, regional, and national newspapers worldwide through its use of concise reports, colorized images, informational graphics , and inclusion of popular culture stories, among other distinct features. As of 2023, USA Today has
2268-882: Is largely due to differential application. A survey of physicians in the United States came to the result that dermatologists are most satisfied with their choice of specialty followed by radiologists , oncologists , plastic surgeons , and gastroenterologists . In contrast, primary care physicians were the least satisfied, followed by nephrologists , obstetricians/gynecologists , and pulmonologists . Surveys have also revealed high levels of depression among medical students (25 - 30%) as well as among physicians in training (22 - 43%), which for many specialties, continue into regular practice. A UK survey conducted of cancer-related specialties in 1994 and 2002 found higher job satisfaction in those specialties with more patient contact. Rates of burnout also varied by specialty. USA Today USA Today (often stylized in all caps )
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#17327985219622376-659: Is much more about saving money than improving patient care. We also predict it will be used by the unknowing or unscrupulous to further interfere with the doctor-patient relationship." In 2015 the campaign was criticized by Bob Lanier, executive director of a medical specialty society and past president of the Texas Medical Association Foundation, who said that the recommendations were compiled by societies' executive committees without good evidence and without following standards of practice or research, will lead to refusals by insurers to cover items on
2484-729: Is often covered in the Monday Money section, with a review of a recent television ad, and after Super Bowl Sunday , a review of the ads aired during the broadcast with the results of the Ad Track live survey. Stock tables for individual stock exchanges (comprising one subsection for companies traded on the New York Stock Exchange , and another for companies trading on NASDAQ and the American Stock Exchange ) and mutual indexes were discontinued with
2592-716: Is overseen by the Royal College of Physicians and Surgeons of Canada and the College of Family Physicians of Canada . For specialists working in the province of Quebec , the Collège des médecins du Québec also oversees the process. In Germany these doctors use the term Facharzt . Specialty training in India is overseen by the Medical Council of India , responsible for recognition of post graduate training and by
2700-403: Is sufficiently different in aesthetics to be recognized on sight, even in a mix of other newspapers, such as at a newsstand . The overall design and layout of USA Today have been described as neo-Victorian . On most of the sections' front pages, in the lower left-hand corner, are "USA Today Snapshots" graphs, which offer statistics on lifestyle interests according to the section (for example,
2808-506: Is the cover page feature "Newsline", which shows summarized descriptions of headline stories featured in all four main sections and any special sections. As a national newspaper, USA Today cannot focus on the weather for any one city. Therefore, the entire back page of the News section is used for weather maps of the continental United States , Puerto Rico and the U.S. Virgin Islands , as well as temperature lists for many cities throughout
2916-468: The 1984 United States presidential election , USA Today did not endorse candidates for the President of the United States or any other state or federal political office, a policy which has been re-evaluated during each four-year election cycle by the paper's Board of Contributors through an independent process, with any decision to override the policy based on a consensus vote in which fewer than two of
3024-1004: The American Board of Medical Specialties (ABMS) and the American Medical Association (AMA); the American Osteopathic Association Bureau of Osteopathic Specialists (AOABOS) and the American Osteopathic Association ; the American Board of Physician Specialties (ABPS) and the American Association of Physician Specialists (AAPS). Each of these agencies and their associated national medical organization functions as its various specialty academies, colleges and societies. All boards of certification now require that medical practitioners demonstrate, by examination, continuing mastery of
3132-596: The Choosing Wisely recommendations to be weak because they are not enforceable. In an editorial published in the Southwest Journal of Pulmonary and Critical Care , Richard Robbin and Allen Thomas expressed concern that the campaign could be used by payers to limit options for doctors and patients. However, they declare the Choosing Wisely recommendations a "welcome start." Also in 2012, Robert Goldberg, writing for The American Spectator , criticized
3240-687: The Journal Media Group , gradually began identifying themselves as part of the USA Today Network (foregoing use of the Gannett name outside of requisite ownership references) through early January 2016. In the late 2010s, as the print run declined, Gannett pulled back from the extensive and expensive distribution network, opting to have shorter deadlines, and printing the remaining copies from fewer facilities while potentially trucking them longer distances to still be available in
3348-533: The Lafayette, Louisiana -based Advertiser being the first newspapers outside of the pilot program participants to add the supplement on December 15), citing "positive feedback" to the feature from readers and advertisers of the initial four papers. Gannett was given permission from the Alliance for Audited Media to count the circulation figures from the syndicated local insert with the total circulation count for
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3456-476: The National Board of Examinations . Education of Ayurveda in overseen by Central Council of Indian Medicine (CCIM), the council conducts UG and PG courses all over India, while Central Council of Homoeopathy does the same in the field of Homeopathy. In Sweden, a medical license is required before commencing specialty training. Those graduating from Swedish medical schools are first required to do
3564-677: The National Physicians Alliance tested a project in which it organized the creation of some "top 5 lists". Analysis of the National Physician's Alliance project predicted that the health field could have saved US$ 6.8 billion in 2009 by cutting spending on the 15 services in the lists from three societies, out of total US health spending that year of US$ 2.5 trillion. US$ 5.8 billion of the savings were from one recommendation: using generic rather than brand name statin. Continuing this project, Choosing Wisely
3672-747: The Royal Australasian College of Dental Surgeons supervises training of specialist medical practitioners specializing in Oral and Maxillofacial Surgery in addition to its role in the training of dentists . There are approximately 260 faciomaxillary surgeons in Australia. The Royal New Zealand College of General Practitioners is a distinct body from the Australian Royal Australian College of General Practitioners . There are approximately 5100 members of
3780-578: The Russian invasion , and an article on sunscreen. Miranda resigned. USA Today is known for news in compact, easy-to-read-and-comprehend stories. In the main edition circulated in the United States and Canada , each edition consists of four sections: News (the "front page" section), Money, Sports, and Life. Since March 1998, the Friday edition of Life has been split into two sections: the regular Life focusing on entertainment (subtitled Weekend ; section E), which features television reviews and listings ,
3888-607: The September 11 attacks . That November, USA Today migrated its operations from Gannett's previous corporate headquarters in Arlington, Virginia , to the company's next headquarters in nearby McLean . The company moved it's headquarters to New York, NY in 2024. In 2004, Jack Kelley , a senior foreign correspondent for USA Today, was found to have fabricated foreign news reports over the past decade. Kelley resigned. On December 12, 2005, Gannett announced that it would combine
3996-574: The Super Bowl ) previously used the orange color, but later changed to the regular sports red in their sports bonus sections. To strengthen their association with USA Today , Gannett incorporated the USA Today color scheme into a standardized broadcast graphics package that was phased in across its television station group (which was spun-off in July 2015 into the separate broadcast and digital media company Tegna ) starting in late 2012. The package used
4104-411: The USA Today editorial page is the publication of opposing points of view: alongside the editorial board's piece on the day's topic runs an opposing view by a guest writer, often an expert in the field. The Board of Contributors, which is distinct from the paper's news staff, chooses the opinion pieces that appear in each edition. From 1999 to 2002 and again from 2004 to 2015, the editorial page editor
4212-404: The false conspiracy theory that Barack Obama was not a US citizen, and Infowars has promoted conspiracy theories such as 9/11 being an "inside job." In October 2018, USA Today was criticized by NBC News for publishing an editorial by President Trump that was replete with inaccuracies. The Washington Post fact-checker said that "almost every sentence contained a misleading statement or
4320-517: The fifth-largest print circulation in the United States, with 132,640 print subscribers. It has two million digital subscribers, the fourth-largest online circulation of any U.S. newspaper. USA Today is distributed in all 50 states , Washington, D.C. , and Puerto Rico , and an international edition is distributed in Asia , Canada , Europe , and the Pacific Islands . USA Today
4428-552: The 2012 redesign due to the myriad electronic ways to check individual stock prices, in line with most newspapers. Book coverage, including reviews and a national sales chart which debuted on October 28, 1994, is seen on Thursdays in Life, with the full A.C. Nielsen television ratings chart printed on Wednesdays or Thursdays, depending on release. The paper also publishes the Mediabase survey for several genres of music based on radio airplay on Tuesdays, along with their own chart of
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4536-556: The 2022 Medscape Physician Compensation Report, physicians on average earn $ 339K annually. Primary care physicians earn $ 260K annually while specialists earned $ 368K annually. The table below details the average range of salaries for physicians in the US of medical specialties: work/week There are 15 recognised specialty medical Colleges in Australia. The majority of these are Australasian Colleges and therefore also oversee New Zealand specialist doctors. These Colleges are: In addition,
4644-405: The 552 Choosing Wisely items in its electronic medical records. These give warnings to doctors, but only after they have finished talking to patients and order a procedure or drug, so too late to have the recommended discussion. The Choosing Wisely campaign makes no provision to scientifically research its own efficacy, but academic centers are making plans to independently report on the impact of
4752-606: The Mobile Excellence award for Best User Experience, the MOBI award for Editorial Content, and Mobile Publisher of the Year. The USA Today site design was launched on desktop, mobile and TV throughout 2013 and 2014, although archive content accessible through search engines remains available through the pre-relaunch design. On October 6, 2013, Gannett test launched a condensed daily edition of USA Today (part of what
4860-526: The Presto platform. Developers built a separate platform to provide optimizations for mobile and touchscreen devices. The Gravity ad won Digiday's Best Publishing Innovation in Advertising in 2016, thanks to an 80% full-watch user engagement rate on desktop, and 96% on mobile. Following the relaunch, the editorial team behind USA Today Investigations ramped up its "longread" article plans, following
4968-958: The RNZCGP. Within some of the larger Colleges, there are sub-faculties, such as: Australasian Faculty of Rehabilitation Medicine Archived 2014-12-11 at the Wayback Machine within the Royal Australasian College of Physicians There are some collegiate bodies in Australia that are not officially recognised as specialties by the Australian Medical Council but have a college structure for members, such as: Australasian College of Physical Medicine There are some collegiate bodies in Australia of Allied Health non-medical practitioners with specialisation. They are not recognised as medical specialists, but can be treated as such by private health insurers, such as: Australasian College of Podiatric Surgeons Specialty training in Canada
5076-416: The U.S. and the world. Temperatures for individual cities on the primary forecast map and temperature lists are suffixed with a one- or two-letter code, such as "t" for thunderstorms , referencing the expected weather conditions. The colorized forecast map was created by staff designer George Rorick (who left USA Today for a similar position at The Detroit News in 1986) and was copied by newspapers around
5184-688: The USA Today Careers Network (now Careers.com), a website featuring localized employment listings, then on July 18, the USA Today News Center was launched as an interactive television news service developed through a joint venture with the On Command Corporation that was distributed to hotels around the United States. On September 12 of that year, the newspaper set an all-time single day circulation record, selling 3,638,600 copies for its edition covering
5292-602: The United States at its Hong Kong publishing facility; additional editorial bureaus were launched in London and Moscow in 1996. On April 17, 1995, USA Today launched its website to provide real-time news coverage; in June 2002, the site expanded to include a section providing travel information and booking tools. On August 28, 1995, a fifth international publishing site was launched in Frankfurt, Germany , to print and distribute
5400-543: The United States in October 2013. On September 3, 2014, USA Today announced that it would lay off roughly 70 employees in a restructuring of its newsroom and business operations. In October 2014, USA Today and OpenWager Inc. entered into a partnership to release a Bingo mobile app called USA Today Bingo Cruise. On December 3, 2015, Gannett formally launched the USA Today Network, a national digital newsgathering service providing shared content between USA Today and
5508-611: The University of Toronto, and is chaired by Dr. Wendy Levinson . By 2015 and following the Choosing Wisely precedent established in the United States, doctors in Australia, Canada, Denmark, England, France, Germany, Italy, Japan, the Netherlands, New Zealand, Switzerland, and Wales were exploring whether and how to bring ideas from Choosing Wisely to their countries. English doctors "are worried how patients will perceive
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#17327985219625616-487: The amount of sales that Gannett projected. The design uniquely incorporated color graphics and photographs. Initially, only its front news section pages were rendered in four-color, while the remaining pages were printed in a spot color format. The paper's overall style and elevated use of graphics—developed by Neuharth, in collaboration with staff graphics designers George Rorick, Sam Ward, Suzy Parker, John Sherlock and Web Brya—were derided by critics, who referred to it as
5724-571: The appearance of its front section pages, which included a larger logo at the top of each page; coloring tweaks to section front pages; a new sans-serif font, called Prelo, for certain headlines of main stories (replacing the Gulliver typeface that had been implemented for story headers in April 2000); an updated "Newsline" feature featuring larger, "newsier" headline entry points; and the increasing and decreasing of mastheads and white space to present
5832-448: The campaign was likely to "alter treatment standards in hospitals and doctors' offices nationwide" and one of their opinion writers said that many tests were unnecessary. CBS News said that "the evidence is on the initiative's side." USA Today noted that the campaign was "a rare coordinated effort among multiple medical societies". While expressing the need for evidence-based healthcare recommendations, in 2012 The Economist found
5940-608: The campaign, saying that the foundation wanted to "help increase the tangible impact of the Choosing Wisely campaign". A 2013 editorial in the journal of the Netherlands Society of Cardiology reviewed the recommendations and recommended that something similar be proposed by the society; the piece did criticize the overly didactic nature of the recommendations, comparing them to the Ten Commandments , and expressed concern about whether they adequately addressed
6048-434: The campaign. The services targeted by the Choosing Wisely lists have broad variance in how much impact they can have on patients' care and costs. Doctors analyzed many services listed as low value by Choosing Wisely and other sources, and found that 25% or 42% of Medicare patients received at least one of these services in an average year, depending on definitions. The services represented 0.6% or 2.7% of Medicare costs and there
6156-715: The candidacy of Republican nominee Donald Trump , calling him "unfit for the presidency" due to his inflammatory campaign rhetoric (particularly that aimed at the press, with certain media organizations being openly targeted and even banned from campaign rallies, including The New York Times , The Washington Post , CNN and the BBC , military veterans who had been prisoners of war, including 2008 Republican presidential candidate and Vietnam War veteran John McCain , immigrants, and various ethnic and religious groups); his temperament and lack of financial transparency; his "checkered" business record; his use of false and hyperbolic statements;
6264-474: The color scheme in a rundown graphic on most stations, persisting throughout their newscasts, as well as bumpers for individual story topics. In many ways, USA Today breaks the traditional newspaper layout. Some examples of its divergence from tradition include using the left-hand quarter of each section as "reefers" (front-page paragraphs referring to stories on inside pages ), sometimes using sentence-length blurbs to describe stories inside. The lead reefer
6372-494: The company's 92 local newspapers throughout the United States as well as pooling advertising services on both a hyperlocal and national scale. The Courier Journal had earlier soft-launched the service as part of a pilot program started on November 17, coinciding with an imaging rebrand for the Louisville, Kentucky -based newspaper; Gannett's other local newspaper properties, as well as those it acquired through its merger with
6480-429: The core knowledge and skills for a chosen specialty. Recertification varies by particular specialty between every seven and every ten years. In the United States there are hierarchies of medical specialties in the cities of a region. Small towns and cities have primary care, middle sized cities offer secondary care, and metropolitan cities have tertiary care. Income, size of population, population demographics, distance to
6588-427: The difficulties of assessing risks for each patient. In 2013 critics in the Southwest Journal of Pulmonary & Critical Care said, "the present Choosing Wisely campaign has fundamental flaws—not because it is medically wrong but because it attempts to replace choice and good judgment with a rigid set of rules that undoubtedly will have many exceptions. Based on what we have seen so far, we suspect that Choosing Wisely
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#17327985219626696-607: The doctor, all influence the numbers and kinds of specialists and physicians located in a city. A population's income level determines whether sufficient physicians can practice in an area and whether public subsidy is needed to maintain the health of the population. Developing countries and poor areas usually have shortages of physicians and specialties, and those in practice usually locate in larger cities. For some underlying theory regarding physician location, see central place theory . The proportion of men and women in different medical specialties varies greatly. Such sex segregation
6804-494: The editorial board's members dissent or hold differing opinions. For most of its history, the paper's political editorials (most of them linked to the presidential election cycle) had focused instead on major issues based on the differing concerns of voters, the vast array of information on these themes, and the board's aim to offer a fair viewpoint through the diverse political ideologies of its members and avoid reader perceptions of bias. The avoidance of political editorials played
6912-422: The flagship national edition of USA Today . On January 4, 2014, USA Today acquired the consumer product review website Reviewed . In the first quarter of 2014, Gannett launched a condensed USA Today insert into 31 other newspapers in its network, thereby increasing the number of inserts to 35, in an effort to shore up circulation after it regained its position as the highest-circulated weekday newspaper in
7020-424: The following: The Choosing Wisely campaign identifies the following difficulties in achieving its goals: The American College of Emergency Physicians (ACEP) initially formed three independent task forces to evaluate whether to participate; by 2012 all three task forces recommended against participation because the recommendations do not recognize that emergency physicians need extra tests, since they do not know
7128-436: The formal legal system. The particular subdivision of the practice of medicine into various specialties varies from country to country, and is somewhat arbitrary. Medical specialties can be classified along several axes. These are: Throughout history, the most important has been the division into surgical and internal medicine specialties. The surgical specialties are those in which an important part of diagnosis and treatment
7236-411: The given area on the forecast map, are also featured. Weather data is provided by AccuWeather , which has served as the forecast provider for USA Today for most of the paper's existence (except from January 2002 to September 2012, when forecast data was provided by The Weather Channel through a long-term multimedia content agreement with Gannett). In the bottom left-hand corner of the weather page
7344-431: The graph). The newspaper also features an occasional magazine supplement called Open Air , which launched on March 7, 2008, and appears several times a year. Other advertorials appear throughout the year, mainly on Fridays. The opinion section prints USA Today editorials, columns by guest writers and members of the editorial board of contributors, letters to the editor, and editorial cartoons. One unique feature of
7452-402: The inconsistency of his viewpoints and issues with his vision on domestic and foreign policy; and, based on comments he had made during his campaign and criticisms by both Democrats and Republicans on these views, the potential risks to national security and constitutional ethics under a Trump administration, asking voters to "resist the siren song of a dangerous demagogue". The board wrote that
7560-415: The information as they like. The ABIM Foundation gave grants to help societies participate. As of April 2018, there were 552 recommendations targeting a range of procedures to either question or avoid without special consideration. They can be searched online by key words, such as "back pain" but the numerous supporting footnotes on each recommendation are only in a pdf on the clinician page, without links to
7668-661: The initiative." In 2018, Norway launched Gjør kloke valg ( lit. ' Make smart choices ' ) modeled on the Choosing Wisely program. Specialty (medicine) A medical specialty is a branch of medical practice that is focused on a defined group of patients, diseases, skills, or philosophy . Examples include those branches of medicine that deal exclusively with children ( pediatrics ), cancer ( oncology ), laboratory medicine ( pathology ), or primary care ( family medicine ). After completing medical school or other basic training, physicians or surgeons and other clinicians usually further their medical education in
7776-506: The international edition throughout most of Europe. On October 4, 1999, USA Today began running advertisements on its front page for the first time. In 2017, some pages of USA Today's website features Auto-Play functionality for video or audio-aided stories. On February 8, 2000, Gannett launched USA Today Live , a broadcast and Internet initiative designed to provide coverage from the newspaper to broadcast television stations nationwide for use in their local newscasts and their websites;
7884-604: The largest readership of any daily newspaper in the United States. On September 1, 1991, USA Today launched a fourth print site for its international edition in London for the United Kingdom and the British Isles . The international edition's schedule was changed as of April 1, 1994, to Monday through Friday, rather than from Tuesday through Saturday, in order to accommodate business travelers; on February 1, 1995, USA Today opened its first editorial bureau outside
7992-463: The launch of the paper on April 20, 1982. USA Today began publishing on September 14, 1982, initially in the Baltimore and Washington, D.C. metropolitan areas, for a newsstand price of 25¢ (equivalent to 79¢ in 2023). After selling out the first issue, Gannett gradually expanded the national distribution of the paper, reaching an estimated circulation of 362,879 copies by the end of 1982, double
8100-465: The lists, are biased against diagnostic testing, are an effort by supporters of single-payer healthcare to reduce costs so that single-payer healthcare becomes affordable, will encourage biased studies by authors funded by insurers and health delivery systems, to cut their costs, and were influenced by grants available from the ABIM Foundation. In 2015 a piece in Newsweek by Kurt Eichenwald described
8208-445: The main and section pages), clickable video advertising and a responsive design layout. The site was designed and developed to be more interactive, faster, provide "high impact" advertising units (known as Gravity), and provide the ability for Gannett to syndicate USA Today content to the websites of its local properties, and vice versa. To accomplish this goal, Gannett Digital migrated its newspaper and television station websites to
8316-407: The medical specialty societies disseminate it to their members. The campaign has garnered both praise and criticism, and some of its ideas have spread to other countries. It does not include evaluation of its effects on costs, on discussions or on medical outcomes. Some doctors have said they lack time for the recommended discussions. In 2002 the ABIM Foundation published Medical professionalism in
8424-493: The morning. In May 2021, USA Today introduced a paywall for some of its online stories. On June 16, 2022, it was reported that USA Today removed 23 articles written by journalist Gabriela Miranda after an inquiry related to one of her articles triggered an internal investigation and found that Miranda had fabricated sources on articles pertaining to the Texas Heartbeat Act , Ukrainian women's issues due to
8532-456: The new millennium: a Physician Charter . The charter states that physicians have a responsibility to promote health equity when some health resources are scarce . As a practical way of achieving distributive justice , in 2010 physician Howard Brody recommended that medical specialty societies, being stewards of a field, ought to publish a list of five things which they would like changed in their field and publicize it to their members. In 2011,
8640-553: The newer, less-obtrusive advertising strategy. Gannet Digital designed, developed, and released the longread mobile experience to coincide with the launch of Brad Heath 's series Locked Up , which won the Investigative Reporters and Editors Tom Renner Award in October 2013. Gannett Digital's focus on its mobile content experience paid off in 2012 with multiple awards; including the Eppy for Best Mobile Application,
8748-599: The newspaper began turning its first profit in May 1987, six months ahead of Gannett's corporate revenue projections. On January 29, 1988, USA Today published the largest edition in its history, a 78-page weekend edition featuring a section previewing Super Bowl XXII ; the edition included 44.38 pages of advertising and sold 2,114,055 copies, setting a single-day record for an American newspaper (and surpassed seven months later on September 2, when its Labor Day weekend edition sold 2,257,734 copies). On April 15, USA Today launched
8856-476: The next morning's paper. The sports section of USA Today , with its complete set of results, was well-regarded and generally seen as one of the main selling points of the paper. On July 2, 1984, the newspaper switched from predominantly black-and-white to full-color photography and graphics in all four sections. The following week, on July 10, USA Today launched an international edition intended for U.S. readers abroad, followed four months later on October 8 with
8964-571: The packaging of its national and international news content and enterprise stories (comprising about 10 pages for the weekday and Saturday editions, and up to 22 pages for the Sunday edition) into the pilot insert. Gannett later announced on December 11, that it would formally launch the condensed daily edition of USA Today in 31 additional local newspapers nationwide through April 2014 (with the Palm Springs, California -based The Desert Sun and
9072-498: The paper by 1987 (according to Simmons Market Research Bureau statistics) had reached 5.5 million, the largest of any daily newspaper in the U.S. On May 6, 1986, USA Today began production of its international edition in Switzerland . USA Today operated at a loss for most of its first four years of operation, accumulating a total deficit of $ 233 million after taxes. According to figures released by Gannett in July 1987,
9180-518: The paper's inception was replaced with a new logo featuring a large circle rendered in colors corresponding to each of the sections, serving as an infographic that changes with news stories, containing images representing that day's top stories. The paper's website was also extensively overhauled using a new, in-house content management system known as Presto and a design created by Fantasy Interactive, that incorporates flipboard-style navigation to switch between individual stories (which obscure most of
9288-437: The papers. Between 2012 and 2023, more than 80 specialty societies highlighted examples. While these examples are no longer maintained and available on the website (www.choosingwisely.org), specialty societies are encouraged to publish individual lists. Many of these lists are accessible through https://www.aafp.org/pubs/afp/collections/choosing-wisely.html . Some examples of the information shared in Choosing Wisely include
9396-473: The past: the first issue released during the standard calendar weekend was published on January 19, 1991, when it released a Saturday "Extra" edition updating coverage of the Gulf War from the previous day; the paper published special seven-day-a-week editions for the first time on July 19, 1996, when it published special editions for exclusive distribution in the host city of Atlanta and surrounding areas for
9504-486: The patients, do not recognize that emergency physicians need to eliminate every life-threatening possibility, will lead to refusals by insurers to cover items on the lists, let other medical societies tell emergency physicians what to do, and because the campaign does not address tort reform to address defensive testing, and the campaign publicizes the items as "unnecessary tests" even though describing them as tests to discuss carefully. In 2012 The New York Times said that
9612-644: The piece was not a "qualified endorsement" of Democratic nominee Hillary Clinton , for whom it was unable to reach a consensus (some editorial board members expressed that Clinton's public service record would help her "serve the nation ably as its president", while others had "serious reservations about [her] sense of entitlement, [...] lack of candor and... extreme carelessness in handling classified information "), suggesting instead tactical voting against Trump and GOP seats in swing states, advising voters to decide whether to vote for either Clinton, Libertarian nominee Gary Johnson , Green Party nominee Jill Stein or
9720-575: The presses used at USA Today 's printing facilities did not yet accommodate the use of other colors to denote all four original sections. Orange is used for bonus sections (sections E+), which are published occasionally for business travel trends and the Olympics . Other bonus sections for sports (such as for the PGA Tour preview, NCAA basketball tournaments , Memorial Day auto races ( Indianapolis 500 and Coca-Cola 600 ), NFL opening weekend and
9828-568: The program saying that it was "designed to sustain the rationale and ideology that shaped Obamacare" (the Patient Protection and Affordable Care Act ), that the lists were "redundant and highly subjective", and that participants in the effort would greedily benefit at the expense of others if the campaign succeeded. In February 2013 the Robert Wood Johnson Foundation provided USD $ 2.5 million in funding for
9936-586: The resignation of John Boehner as House Speaker. It also called out then- President Barack Obama and other top members of the Democratic Party for what it perceived as "inaction" during 2013–14, particularly over the NSA scandal and the ISIL beheading incidents . The editorial board broke from its "non-endorsement" policy for the first time on September 29, 2016, when it published an op-ed piece condemning
10044-456: The rollout of the first transmission via satellite of its international version to Singapore . On April 8, 1985, the paper published its first special bonus section, a 12-page section called "Baseball '85", which previewed the 1985 Major League Baseball season . By the fourth quarter of 1985, USA Today had become the second-largest newspaper in the United States, reaching a daily circulation of 1.4 million copies. Total daily readership of
10152-471: The separate newsroom operations of the online and print entities of USA Today , with USAToday.com's vice president and editor-in-chief Kinsey Wilson promoted to co-executive editor, alongside existing executive editor John Hillkirk. In December 2010, USA Today launched the USA Today API for sharing data with partners of all types. On August 27, 2010, USA Today announced that it would undergo
10260-716: The staples of the News section is "Across the USA", a state-by-state roundup of headlines. The summaries consist of paragraph-length Associated Press reports highlighting one story in each state, the District of Columbia , and one U.S. territory . Similarly, the "For the Record" page of the Sports section (which features sports scores for the previous four days of league play plus individual non-league events, seasonal league statistics and wagering lines for that day's games) previously featured
10368-426: The success of the series Ghost Factories . With differing platform requirements, USA Today's mobile website did not offer any specialized support for these multi-chapter stories. Nearing the end of 2012, more than one-third of USA Today 's readership was browsing only using their mobile phones, and the majority of these users were accessing the mobile website (as opposed to the iOS and Android applications) with
10476-525: The time. On June 11, 1981, Gannett printed the first prototypes of the proposed publication. The two proposed design layouts were mailed to newsmakers and prominent leaders in journalism for review and feedback. Gannett's board of directors approved the launch of the national newspaper, titled USA Today , on December 5, 1981. At launch, Neuharth was appointed president and publisher of the newspaper, adding those responsibilities to his existing position as Gannett's chief executive officer . Gannett announced
10584-748: The top ten singles in general on Wednesdays. Because of the same limitations as its nationalized forecasts, the television page in Life, which provides prime time and late night listings (running from 8:00 p.m. to 12:30 a.m. Eastern Time ), incorporates boilerplate " Local news " or " Local programming " descriptions to denote time periods in which the five major English language broadcast networks ( ABC , NBC , CBS , Fox and The CW ) cede airtime to allow their owned and affiliated stations to carry syndicated programs or local newscasts. The television page has never carried local scheduling information similar to those in local newspapers. Like most national papers, USA Today has no comic strips . One of
10692-438: The two-week duration of the 1996 Summer Olympics . USA Today prints each complete story on the front page of the respective section, with the exception of the cover story. The cover story is a longer story that requires a jump (readers must turn to another page in the paper to complete the story, usually the next page of that section). On certain days, the news or sports section, will take up two paper sections, and there will be
10800-582: The venture also provided integration with the USA Today website, which transitioned from a text-based format to feature audio and video clips of news content. The paper launched a sixth printing site for its international edition on May 15, 2000, in Milan , Italy , followed on July 10 by the launch of an international printing facility in Charleroi, Belgium . In 2001, two interactive units were launched: on June 19, USA Today and Gannett Newspapers launched
10908-400: The world, breaking from the traditional style of monochrome contouring or simplistic text to denote temperature ranges. National precipitation maps for the next three days (the next five days before the 2012 redesign) and four-day forecasts and air quality indexes for 36 major U.S. cities (16 cities prior to 1999), with individual cities color-coded by the temperature contour corresponding to
11016-400: The world. Gannett invested in an expensive network of printing factories and distribution during the rollout of USA Today , meaning that the paper could be printed and distributed quickly. One of the results of this was USA Today having the luxury of a later time cutoff for journalists to submit stories, such that the paper was able to include sports scores from games that finished late in
11124-515: Was Brian Gallagher, who has worked for the newspaper since its founding. Other members of the editorial board included deputy editorial page editor Bill Sternberg, executive forum editor John Siniff, op-ed/forum page editor Glen Nishimura, operations editor Thuan Le Elston, letters editor Michelle Poblete, web content editor Eileen Rivers, and editorial writers Dan Carney, George Hager, and Saundra Torry. The newspaper's website calls this group "demographically and ideologically diverse." Beginning with
11232-684: Was created to organise the creation of more "lists of five," later ten, and their distribution to more physicians and patients. Executive boards of societies, with or without participation by members, identify practices which their field may overuse. Each recommendation in the program must have the support of clinical guidelines, evidence, or expert opinion. To participate in Choosing Wisely , each society developed list of tests, treatments, or services which that specialty commonly overuses. The society shares this information with their members, as well as organizations who can publicize to local community groups, and in each community patients and doctors can consider
11340-538: Was first conceived on February 29, 1980, when a company task force known as "Project NN" met with the then-chairman of Gannett , Al Neuharth , in Cocoa Beach, Florida . Early regional prototypes of USA Today included East Bay Today , an Oakland, California -based publication published in the late 1970s to serve as the morning edition of the Oakland Tribune , an afternoon newspaper that Gannett owned at
11448-512: Was harmful and unjustified. A 2017 study reported that many patients and physicians found it challenging to use Choosing Wisely recommendations, particularly when the patient had symptoms, and the doctor recommended against a test. Barriers "included malpractice concern, patient requests for services, lack of time for shared decision making, and the number of tests recommended by specialists. Cedars–Sinai Medical Center in Los Angeles put 100 of
11556-613: Was internally known within Gannett as the "Butterfly" initiative) for distribution as an insert in four of its newspapers – The Indianapolis Star , the Rochester Democrat & Chronicle , the Fort Myers -based The News-Press and the Appleton, Wisconsin -based The Post-Crescent . The launch of the syndicated insert caused USA Today to restructure its operations to allow seven-day-a-week production to accommodate
11664-550: Was no significant pattern among types of physicians. The campaign has been cited as being part of a broader movement including many comparable campaigns. The German Network for Evidence Based Medicine considered adapting concepts from the program into the German healthcare system. In April 2014, Choosing Wisely Canada launched. Choosing Wisely Canada is organized by the Canadian Medical Association and
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