The American Society for Clinical Pathology (ASCP) focused its Choosing Wisely grant-related activities in the state of California, where its goals were to:
- help build pathologists’ communication skills to facilitate conversation about inappropriate care;
- foster attitude changes; and
- identify and address barriers for implementation of the Choosing Wisely recommendations.
This effort featured a three-hour CME symposium paired with a webcast at the California Society of Pathologists’ annual meeting. Materials and resources, including a physician toolkit, the webcast, podcasts and videos, were posted on the ASCP website, which featured a special section dedicated to Choosing Wisely. These efforts were supported by dissemination of materials through traditional and social media, internal communication channels and medical journals. Communications, such as op-eds and member profiles of physicians actively engaged in implementing Choosing Wisely, were pitched to local media and featured in pathology society newsletters and trade publications.
Finally, ASCP created a PhotoVoice video whitepaper based on the results of a survey of pathologists featuring 10 case studies of best practices in Choosing Wisely for pathologists and laboratory medicine. PhotoVoice is a technique where videos and photos are used by individuals to capture a sense of their environment and experiences, and share them with others. As part of a participatory action research strategy, PhotoVoice was used to understand the barriers, challenges and solutions faced by pathologists during the project implementation.