Howard Brody, MD, wrote an article for The New England Journal of Medicine calling on professional societies across medicine to create a list of things in their specialties that were very expensive but of limited use. The American Board of Internal Medicine Foundation teamed up other societies, including the American College of Rheumatology (ACR), and began the Choosing Wisely (CW) campaign.
“The whole point of CW is to get doctors to think about what the data show in terms of decision making instead of just reflexively ordering things because you can,” says Charles King, MD, senior rheumatologist with North Mississippi Health Services in Tupelo. “Every time you make a medical decision that is going to require the use of limited resources, you should make it a well-informed one.”
The ACR formulated and released its CW lists for both adult and pediatric patients in 2013. Since the program was started in 2012, more than 60 societies have joined the campaign. Although mainly published with those in that particular specialty in mind, many of the suggestions from other groups can also have an impact on the practice of rheumatology.