Developed by Canadian national societies representing a broad spectrum of clinicians, these lists contain tests and treatments commonly used that are not supported by evidence, and/or could expose patients to unnecessary harm.
About The Lists
Canadian national societies, representing a broad spectrum of clinicians, participating in the campaign have or are in the process of developing lists of “Things Clinicians and Patients Should Question.” These lists contain tests and treatments commonly used in their specialty, but are not supported by evidence, and/or could expose patients to unnecessary harm.
National medical professional societies are free to determine the process for creating their lists, as long as they are done in accordance with the following principles:
- The development process is thoroughly documented and publicly available
- Each recommendation is within the specialty’s scope of practice
- Tests and treatments included are those that (a) are frequently used, and, (b) may expose patients to harm or stress
- Each recommendation is supported by evidence
Choosing Wisely Canada recommendations are not intended to be used to establish payment and coverage decisions. Rather, the lists are meant to spur conversation about what is appropriate and necessary treatment. As each patient situation is unique, clinicians and patients should use the Choosing Wisely Canada materials to determine an appropriate treatment plan together.