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Choosing Wisely

Choosing Wisely® aims to promote conversations between providers and patients by helping patients choose care that is:

  • Supported by evidence
  • Not duplicative of other tests or procedures already received
  • Free from harm
  • Truly necessary

In response to this challenge, national organizations representing medical specialists have asked its providers to “choose wisely” through the identification of tests or procedures commonly used in their field, whose necessity should be questioned and discussed. The resulting lists of “Things Providers and Patients Should Question” will spark discussion about the need—or lack thereof—for many frequently ordered tests or treatments.

This concept was originally conceived and piloted by the National Physicians Alliance, which, through an ABIM Foundation Putting the Charter into Practice grant, created a set of three lists of specific steps physicians in internal medicine, family medicine and pediatrics could take in their practices to promote the more effective use of health care resources. These lists were first published in Archives of Internal Medicine:

Breast Cancer Tests (Imaging and tumor marker tests for breast cancer)
Breast Cancer Treatment
Five Things Physicians and Patients Should Question (Clinical Oncology)

Five Things Physicians and Patients Should Question (Radiation Oncology)
Hard Decisions about Cancer
Care at the End of Life for Advanced Cancer
Palliative Care 
PET Scans After Cancer Treatment
Ten Things Physicians and Patients Should Question (Hematology)