National medical specialty societies as well as organizations representing other members of the clinical care team are working with the ABIM Foundation and Consumer Reports to help providers, patients and other health care stakeholders think and talk about overuse of health care resources in the United States.
Participating clinician groups are asked to:
- Create list of practices that are overused, following these guidelines:
- Practices should be used frequently and/or carry a significant cost.
- There should be generally-accepted evidence to support each recommendation.
- Each item should be within the purview and control of the organization’s members.
- The process should be thoroughly documented and publicly available upon request.
- Review and update list on an annual basis to ensure that it continues to reflect the best evidence; in addition, review and update list as needed upon publication of new evidence that contradicts one or more society recommendations.
Consumer Reports works with with many of the specialty society partners to develop patient-friendly materials from the lists of recommendations and disseminate them to consumers through a network of Choosing Wisely consumer partners.
The American Association of Neurological Surgeons (AANS) is a scientific and educational association with more than 8,100 members worldwide. The AANS is dedicated to advancing the specialty of neurological surgery in order to provide the highest quality of neurosurgical care to the public. Fellows of the AANS are certified by the American Board of Neurological Surgery, the Royal College of Physicians and Surgeons (Neurosurgery) of Canada or the Mexican Council of Neurological Surgery, AC. Neurological surgery is the medical specialty concerned with the prevention, diagnosis, treatment and rehabilitation of disorders that affect the entire nervous system including the spinal column, spinal cord, brain and peripheral nerves. Participating in the Choosing Wisely® campaign aligns with AANS’ commitment to evidence-based medicine, informed decision-making and quality improvement initiatives focusing on patient-centered care. For more information, find the American Association of Neurological Surgeons (AANS) on Facebook, Twitter and Neurosurgery Blog.
The American Association for Pediatric Ophthalmology and Strabismus (AAPOS) is the largest association of eye physicians and surgeons dedicated to promoting the highest quality medical and surgical eye care worldwide for children and for adults with strabismus. AAPOS’s goals are to advance the quality of children’s eye care, support the training of pediatric ophthalmologists, support research activities in pediatric ophthalmology, and advance the care of adults with strabismus. AAPOS establishes practice guidelines for pediatric ophthalmology at the highest level of competence and ethics, and fosters concepts that benefit children’s eye health through preventive as well as remedial activities. Children deserve eye care that is evidence-based, and the adults who care for children need the necessary information to make informed choices about their care. AAPOS collaborates with groups interested in improving the quality of care that our patients receive, and the Choosing Wisely® campaign helps to foster communication that will help patients to receive their best eye care.
The American Association for the Study of Liver Diseases (AASLD) is the leading organization of scientists and health care professionals committed to preventing and curing liver disease. AASLD was founded in 1950 by a small group of leading liver specialists to bring together those who had contributed to the field of hepatology. AASLD has grown to an international society responsible for all aspects of hepatology, and its annual meeting, The Liver Meeting®, has grown in attendance from 12 to more than 9,500 physicians, surgeons, researchers, and allied health professionals from around the world. Hepatology has been recognized as a discipline only in the last few decades, and AASLD played a seminal and unifying role in focusing interest on hepatological problems, as well as the founding of other hepatological societies.
The American Chiropractic Association (ACA) is the largest professional association in the United States representing doctors of chiropractic. Chiropractors focus on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health and function. Chiropractic services are used most often to treat conditions such as back pain, neck pain, pain in the joints of the arms or legs, and headaches. Widely known for their expertise in spinal manipulation, chiropractors practice a hands-on, drug-free approach to health care that includes patient examination, diagnosis and treatment. On behalf of its members, ACA educates the public about the benefits of chiropractic services, supports research, and provides professional and educational opportunities for chiropractors, with the goal of advancing high-quality patient care. ACA promotes the highest standards of ethics and evidence-informed patient care, and is proud to partner with the Choosing Wisely campaign. To learn more about ACA, visit www.acatoday.org.
The American College of Cardiology (ACC) is proud to be a partner in the Choosing Wisely® campaign. The ACC is a 39,000-member nonprofit medical society comprised of physicians, surgeons, nurses, physician assistants, pharmacists and practice managers. For more than 60 years, the College has led in the development of health policy, data registries, evidence-based standards and guidelines and cutting-edge professional education. The ACC believes that partnerships between patients and health care providers are crucial to achieving better outcomes and lowering health care costs. To that end, we are excited to join with Choosing Wisely to encourage open communication about the costs and benefits of tests and treatments. From our CardioSmart National Care Initiative, aimed at helping patients better understand and/or prevent heart disease, to our state-of-the-art educational programming and decision-support tools that place evidence-based guidelines at a clinician’s fingertips, we are committed to ensuring the most appropriate, cost-effective care.
As the global leader in clinical chest medicine, the American College of Chest Physicians (CHEST) represents more than 18,700 members who provide patient care in the areas of pulmonary, critical care, and sleep medicine in the United States and more than 100 countries worldwide. From cutting-edge medical research in the journal CHEST; evidence-based guidelines in antithrombotic therapy, lung cancer, and chronic cough; to innovative clinical education delivered through the CHEST annual meeting, simulation education program, and Board Review courses, CHEST strives to fulfill its mission – to promote the prevention, diagnosis, and treatment of chest diseases through education, communication, and research.
As the national medical specialty society representing emergency medicine, the American College of Emergency Physicians (ACEP) is proud to be a partner in the Choosing Wisely Campaign. Emergency physicians are key decision-makers who mobilize resources and coordinate care for their patients. They represent four percent of America’s doctors, but provide care for 11 percent of all outpatient visits and 28 percent of all acute care visits. Founded in 1968, ACEP has promoted the highest quality of emergency care and is the leading advocate for emergency physicians, their patients, and the public. Headquartered in Dallas, Texas, ACEP has more than 32,000 members and 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies. Emergency physicians are recognized and valued for their commitment to high quality patient care, teaching, leadership, research and innovation. Emergency medicine is a valued and essential public service.
The American College of Medical Genetics and Genomics (ACMG) is pleased to join the Choosing Wisely® campaign. Our board certified specialists include clinical geneticists as well as directors of clinical biochemical, cytogenetic, and molecular genetics laboratories. Tests performed by the laboratories are utilized by clinical geneticists as well as other medical specialists and primary care physicians. The number and complexity of genetic tests are increasing as genomic advances occur. Health care professionals in all disciplines with an admitted low level of comfort with their knowledge in this area, create the potential for misuse and incorrect or inappropriate ordering of genetic tests. Some large genetics laboratories have reported considerable incorrect ordering of tests or misuse that has a significant impact on quality of care, as well as health care costs. It also leads to unnecessary patient anxiety. In part, this has led to the establishment of alternative forms of oversight of genetic testing by payers and institutions. ACMG looks forward to working with the broader medical community to find ways to improve the use and ordering of genetic and genomic tests.
The American College of Medical Toxicology (ACMT) is an association of physicians with recognized expertise in the diagnosis, management, and prevention of human poisoning and other adverse health effects due to medications, occupational and environmental toxins, and biological agents. ACMT is proud to join the Choosing Wisely® campaign, as it directly aligns with its mission of advancing quality care of poisoned patients and public health. Concern for adverse health effects resulting from exposure to environmental toxins and medications used to treat disease affects all members of the population, and information available to the public and physicians regarding the diagnosis and management of poisoning can be confusing and conflicted. As the only organization representing Board Certified Medical Toxicologists, ACMT values the importance of research and evidence based practice in combating human poisoning. The Choosing Wisely campaign connects with these values and promotes awareness for patients and physicians of practices that are not cost-effective, necessary, or are potentially harmful. Joining this campaign supports ACMT’s goals of advancing the optimal care of poisoned patients and of being the pre-eminent education resource for all issues related to human poisoning.
The American College of Nurse-Midwives (ACNM) is pleased to partner with Choosing Wisely to promote evidence-based care practices to consumers and providers. Historically midwives have been known for their superb outcomes and cost effective care, largely due to their respect for the physiologic nature of women’s life cycle events and focus on psychosocial components of care. Midwives are uniquely positioned to positively influence women’s healthcare practices due to their expertise in normalcy and the value they place on shared decision making and individualized, evidence-based care practices. Midwifery services include primary care; gynecologic and family planning services; preconception care; care during pregnancy, childbirth and the postpartum period; care of the normal newborn during the first 28 days of life; and treatment of male partners for sexually transmitted infections. ACNM leads the nation’s largest midwifery quality improvement efforts and strongly supports the aims of Choosing Wisely.
As the professional organization for certified nurse-midwives (CNMs) and certified midwives (CMs) in the United States, ACNM sets the standard for excellence in midwifery education and practice in the United States and strengthens the capacity of midwives in developing countries. With roots dating back to 1929, ACNM is the oldest women’s health care organization in the United States. ACNM creates standards for midwifery, provides professional resources for practicing CNMs and CMs, reviews research, administers and promotes continuing education programs, and works with organizations, state and federal agencies, and members of Congress to advance the well-being of women and infants through the practice of midwifery. ACNM’s core values are: Excellence; Formal Education; Inclusiveness; Woman-Centered Care and Respect for Physiologic Processes; Primary Care; Partnership; Advocacy; and Global Outreach.
The American College of Obstetricians and Gynecologists (The College), representing over 56,000 physicians and partners in women’s health, is proud to partner with the Choosing Wisely® campaign. The College promotes quality, safety and efficiency in the delivery of women’s health care services. The College believes that the efforts of the Choosing Wisely campaign will directly contribute to these goals. Recommendations that are based on specific medical evidence should be discussed between physicians and their patients to help make wise decisions about appropriate care. These efforts are particularly important since women are the primary decision makers for themselves and their families with regard to health care.
The American College of Occupational and Environmental Medicine (ACOEM), representing nearly 4,500 physicians who specialize in occupational and environmental medicine, is proud to support the Choosing Wisely® campaign. Founded in 1916, ACOEM is the nation’s largest medical society dedicated to promoting the health of workers through preventive medicine, clinical care, disability management, research, and education. ACOEM members are leaders in treating job-related diseases, recognizing and resolving workplace hazards, instituting rehabilitation methods, and providing well-managed care. ACOEM sponsors the annual American Occupational Health Conference, the nation’s largest conference of its kind, and periodically issues position papers and reports that set practice guidelines for a variety of workplace/environmental settings. ACOEM publishes the monthly Journal of Occupational and Environmental Medicine and sponsors the Corporate Health Achievement Award to recognize the finest health programs in North American companies. ACOEM has also established a Code of Ethical Conduct to guide occupational and environmental physicians. Through efforts such as our strategic partnership with the Choosing Wisely® campaign, ACOEM is pledged to advancing the principles of evidence-based care to deliver quality outcomes for patients.
The American College of Physicians (ACP) supports the Choosing Wisely® campaign, which complements and builds upon ACP’s ongoing efforts in its High Value, Cost-Conscious Care initiative to help physicians provide the best possible care to their patients while simultaneously reducing unnecessary health care costs. Founded in 1915, ACP is the largest medical specialty organization and the second-largest physician group in the United States. Our 132,000 members include internal medicine physicians and related subspecialists. ACP is committed to producing evidence-based clinical recommendations; educating physicians and patients about the benefits, harms and costs of an intervention; and providing guidance about reducing the unsustainable costs of health care while preserving or increasing the delivery of high-value, high-quality care.
The American College of Preventive Medicine (ACPM) fully supports the mission and goals of the Choosing Wisely® campaign. As the professional medical society for the specialty of Preventive Medicine and physicians dedicated to prevention, ACPM supports evidence- and systems-based approaches to improving health and health care. By publicizing the overutilized or unnecessary tests, treatments and practices unique to each specialty, we believe that the Choosing Wisely campaign will go a long way towards supporting primary care quality improvement, improving patient care practices and outcomes, and maximizing use of limited health care resources.
The American College of Radiology (ACR) is proud to be a partner in the Choosing Wisely® campaign. With 34,000 members, including radiologists, radiation oncologists and medical physicists, ACR has long initiated quality and safety efforts in medical imaging and radiation therapy. ACR Appropriateness Criteria® help doctors prescribe the best imaging exam for a patient’s condition and reduce unnecessary scans. ACR facility accreditation programs set stringent physician, equipment and personnel standards and are recognized as the Gold Standard in quality assurance. The College is a founding member of the Image Wisely and Image Gently initiatives to lower radiation dose received from medical imaging exams. ACR co-founded RadiologyInfo.org to equip patients with information on imaging scans and radiation therapy they may receive. The College’s participation in Choosing Wisely is an extension of ACR’s longstanding commitment to keep medical imaging and radiation oncology safe, effective and accessible to those who need it.