The American College of Surgeons (ACS) and the Commission on Cancer (CoC) have joined more than 30 leading medical specialty societies in phase III of the Choosing Wisely® campaign initiated by the American Board of Internal Medicine (ABIM) Foundation. The campaign is a response to a 2012 report from the Institute of Medicine, Best Care at Lower Cost, which noted that up to 30 percent of health care spending is duplicative or unnecessary.
To date, the campaign has brought together more than 80 organizations, including medical societies, regional health collaboratives, and consumer partners to support important physician-patient conversations about using the most appropriate tests and treatments and avoiding care if its harm outweighs the benefits. To spark these conversations, leading specialty societies have created lists of evidence-based recommendations that should be discussed to help physicians and patients make wise decisions about the most appropriate care based on a patient’s individual situation.
Choosing Wisely currently has put forth a list of more than 130 potentially unnecessary medical tests and will add to that number in late 2013 and early 2014 with the lists submitted by phase III participating groups. The ACS and the CoC have recently developed evidence-based lists of five tests/and or procedures that may be overused in their specific fields. The ACS and CoC lists were released concurrently on the ACS and Choosing Wisely websites on September 4. For more information, visit www.facs.org/choosingwisely/.