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NATIONAL MEETING
Bringing together health professionals, patients, system leaders, and researchers, this two-day virtual event is a unique opportunity to learn about leading Choosing Wisely efforts taking place across the country. Join the online Choosing Wisely Canada National Meeting in collaboration with the Canadian Medical Association on May 12 and 13,2021.
BECOMING A CHOOSING WISELY CANADA HOSPITAL Hospitals are designated “Choosing Wisely Canada Hospital” at Level 1, 2, or 3. Hospitals will receive a certificate of designation and gain national recognition as a leader in tackling overuse. It is the responsibility of your hospital to uphold the projects submitted as part of the original application. TRANSFUSION MEDICINE The Canadian Society for Transfusion Medicine (CSTM) compiled its Choosing Wisely Canada list of recommendations by putting out a call to its membership for suggested list items. Members were asked to provide suggestions, rationale and references. Once all suggestions for list items had been received and the deadline for submissions had passed, the CSTM board voted on the accumulated list and TOOLKIT: THE COLD STANDARD Toolkit: The Cold Standard – Second Edition. The delivery and organization of health care services has changed rapidly in response to COVID-19. Many primary care clinics have increased the adoption of virtual care due to the inability of providing in-person assessment. As primary care providers adjust to these changes, emerging challenges CHOOSING WISELY ALBERTA Choosing Wisely Alberta. Choosing Wisely Alberta (CWA) started in 2014 and is a provincial campaign to reduce unnecessary care in the province of Alberta. CWA is organized by the Alberta Medical Association, in partnership with the Physician Learning Program, Alberta College of Family Physicians, Alberta Health, Alberta Health Services, Alberta Innovates Health Solutions, Institute of Health TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
COLONOSCOPY: WHEN YOU NEED IT AND WHEN YOU DON’T Colon cancer screening should begin at age 50 for most people. If a colonoscopy doesn’t find adenomas or cancer and you don’t have risk factors, the next test should be in ten years. If one or two small, low-risk adenomas are removed, the exam should be repeated in five to ten years. Ask your health care provider when and how often tohave
OVERTREATED: I RECEIVED TREATMENT FOR CANCER I NEVER HAD Overtreated: I Received Treatment for Cancer I Never Had. by: Samantha Relich for Choosing Wisely Canada. Renée Pellerin believes she could still have half of her thyroid. She also believes the cancer that led to the removal of her thyroid should not have been called cancer at all. Before the surgery that removed her thyroid in 1994, Pellerin TOOLKIT: LOSE THE TUBE Toolkit: Lose the Tube. At Sunnybrook Health Sciences Centre in Toronto, 18% of hospitalized patients were catheterized even though 69% lacked an appropriate guideline-based reason. Urinary catheter removal was frequently haphazard and many urinary catheters CHOOSING WISELY CANADARECOMMENDATIONSTOOLKITRESOURCESFAMILY MEDICINEPATIENT PAMPHLETSABOUT For clinicians and patients, this is a crucial time to talk. Choosing Wisely Canada encourages conversations between clinicians and patients with serious or progressive illnesses. Taking the time to talk can help to avoid potentially harmful or overly aggressive tests and treatments that may not align with a patient’s goals and wishes.NATIONAL MEETING
Bringing together health professionals, patients, system leaders, and researchers, this two-day virtual event is a unique opportunity to learn about leading Choosing Wisely efforts taking place across the country. Join the online Choosing Wisely Canada National Meeting in collaboration with the Canadian Medical Association on May 12 and 13,2021.
BECOMING A CHOOSING WISELY CANADA HOSPITAL Hospitals are designated “Choosing Wisely Canada Hospital” at Level 1, 2, or 3. Hospitals will receive a certificate of designation and gain national recognition as a leader in tackling overuse. It is the responsibility of your hospital to uphold the projects submitted as part of the original application. TRANSFUSION MEDICINE The Canadian Society for Transfusion Medicine (CSTM) compiled its Choosing Wisely Canada list of recommendations by putting out a call to its membership for suggested list items. Members were asked to provide suggestions, rationale and references. Once all suggestions for list items had been received and the deadline for submissions had passed, the CSTM board voted on the accumulated list and TOOLKIT: THE COLD STANDARD Toolkit: The Cold Standard – Second Edition. The delivery and organization of health care services has changed rapidly in response to COVID-19. Many primary care clinics have increased the adoption of virtual care due to the inability of providing in-person assessment. As primary care providers adjust to these changes, emerging challenges CHOOSING WISELY ALBERTA Choosing Wisely Alberta. Choosing Wisely Alberta (CWA) started in 2014 and is a provincial campaign to reduce unnecessary care in the province of Alberta. CWA is organized by the Alberta Medical Association, in partnership with the Physician Learning Program, Alberta College of Family Physicians, Alberta Health, Alberta Health Services, Alberta Innovates Health Solutions, Institute of Health TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
COLONOSCOPY: WHEN YOU NEED IT AND WHEN YOU DON’T Colon cancer screening should begin at age 50 for most people. If a colonoscopy doesn’t find adenomas or cancer and you don’t have risk factors, the next test should be in ten years. If one or two small, low-risk adenomas are removed, the exam should be repeated in five to ten years. Ask your health care provider when and how often tohave
OVERTREATED: I RECEIVED TREATMENT FOR CANCER I NEVER HAD Overtreated: I Received Treatment for Cancer I Never Had. by: Samantha Relich for Choosing Wisely Canada. Renée Pellerin believes she could still have half of her thyroid. She also believes the cancer that led to the removal of her thyroid should not have been called cancer at all. Before the surgery that removed her thyroid in 1994, Pellerin TOOLKIT: LOSE THE TUBE Toolkit: Lose the Tube. At Sunnybrook Health Sciences Centre in Toronto, 18% of hospitalized patients were catheterized even though 69% lacked an appropriate guideline-based reason. Urinary catheter removal was frequently haphazard and many urinary cathetersHOSPITAL MEDICINE
The Canadian Society for Hospital Medicine (CSHM) established its Choosing Wisely Canada (CWC) Top 5 recommendations by creating a CWC subcommittee within its Quality Improvement (QI) Committee. The subcommittee members represent a diverse group of hospitalists from across Canada, practicing in a variety of settings. BECOMING A CHOOSING WISELY CANADA HOSPITAL Hospitals are designated “Choosing Wisely Canada Hospital” at Level 1, 2, or 3. Hospitals will receive a certificate of designation and gain national recognition as a leader in tackling overuse. It is the responsibility of your hospital to uphold the projects submitted as part of the original application. TAKING THE NATIONAL MEETING ONLINE (AGAIN) Choosing Wisely Canada held its annual National Meeting on May 12 and 13. Although we spent the two days online and physically apart, the National Meeting continues to be an opportunity for our Choosing Wisely community to connect. USING ANTIBIOTICS WISELY Using Antibiotics Wisely. Unnecessary antibiotic use is a direct contributor to antimicrobial resistance – one of the most serious health threats facing our world today. Over 23 million antibiotic prescriptions are written for human consumption in Canada, 30-50% of which are estimated to be unnecessary. Wide use of antibiotics breeds COLONOSCOPY: WHEN YOU NEED IT AND WHEN YOU DON’T Colon cancer screening should begin at age 50 for most people. If a colonoscopy doesn’t find adenomas or cancer and you don’t have risk factors, the next test should be in ten years. If one or two small, low-risk adenomas are removed, the exam should be repeated in five to ten years. Ask your health care provider when and how often tohave
PAEDIATRIC SURGERY
The ideal timing for surgical correction of undescended testes is 6 months – 1 year of age. Orchiopexy should not be performed before 6 months of age, as testes may descend spontaneously during the first few months of life. The highest quality evidence recommends orchiopexybetween 6
TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
TOOLKIT: SAY NAY TO THE X-RAY Share on Facebook Share on Twitter How Tos 6/9/21 Toolkit: Say Nay to the X-Ray. Paediatric ankle injuries are a very common presenting complaint in both general and paediatric emergency departments. USING ANTIBIOTICS WISELY IN PRIMARY CARE Using Antibiotics Wisely in Primary Care. It is estimated that over 90% of antibiotics are prescribed in the community. To help reduce unnecessary antibiotic use in primary care, Using Antibiotics Wisely has created resources and materials for clinicians to help them to ‘choose wisely’ in practice. INSOMNIA AND ANXIETY IN OLDER PEOPLE: SLEEPING PILLS ARE Share on Facebook Share on Twitter Download (pdf) Insomnia and Anxiety in Older People: Sleeping pills are usually not the best solution. Nearly one third of older people in Canada take sleeping pills. CHOOSING WISELY CANADARECOMMENDATIONSTOOLKITRESOURCESFAMILY MEDICINEPATIENT PAMPHLETSABOUT For clinicians and patients, this is a crucial time to talk. Choosing Wisely Canada encourages conversations between clinicians and patients with serious or progressive illnesses. Taking the time to talk can help to avoid potentially harmful or overly aggressive tests and treatments that may not align with a patient’s goals and wishes.RECOMMENDATIONS
The Medical Professional Society Handbook guides professional societies through the engagement process in Choosing Wisely Canada. The handbook provides a detailed overview of developing a recommendation list, communication tools to promote a list, going beyond the list by putting recommendations into practice and usefulresources.
NATIONAL MEETING
Bringing together health professionals, patients, system leaders, and researchers, this two-day virtual event is a unique opportunity to learn about leading Choosing Wisely efforts taking place across the country. Join the online Choosing Wisely Canada National Meeting in collaboration with the Canadian Medical Association on May 12 and 13,2021.
TRANSFUSION MEDICINE The Canadian Society for Transfusion Medicine (CSTM) compiled its Choosing Wisely Canada list of recommendations by putting out a call to its membership for suggested list items. Members were asked to provide suggestions, rationale and references. Once all suggestions for list items had been received and the deadline for submissions had passed, the CSTM board voted on the accumulated list and PEDIATRIC NEUROSURGERY The Canadian Pediatric Neurosurgery Study Group (CPNSG)’s membership is composed of pediatric neurosurgeons practicing in Canada. Contact information for the group’s members was used to invite pediatric neurosurgeons practicing in Canada to complete two anonymized emailed questionnaires, first to brainstorm recommendations, and then to ratethem.
TOOLKIT: THE COLD STANDARD Toolkit: The Cold Standard – Second Edition. The delivery and organization of health care services has changed rapidly in response to COVID-19. Many primary care clinics have increased the adoption of virtual care due to the inability of providing in-person assessment. As primary care providers adjust to these changes, emerging challenges TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
BONE DENSITY TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Bone Density Tests: When you need them and when you don’t. A bone-density test is a way to measure the strength of your bones. The test, called a DEXA scan, is a kind of X-ray. Many people get a bone-density test every few years. The main reason to have the test is to find and treat serious bone loss, called osteoporosis, and prevent PAP TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Pap Tests: When you need them and when you don’t. A Pap test is a test of cells of the cervix. The cervix is the opening between the vagina and the uterus. The Pap test looks for cells that are not normal and can cause cervical cancer. You may receive a regular pap test if you are between the ages of 21 to 69 – but it may not alwaysbe
BYE-BYE, PPI
4. Introduction. This toolkit was created to support the implementation of interventions to reduce long-term prescription of proton pump inhibitors (PPI) where an indication is lacking. CHOOSING WISELY CANADARECOMMENDATIONSTOOLKITRESOURCESFAMILY MEDICINEPATIENT PAMPHLETSABOUT For clinicians and patients, this is a crucial time to talk. Choosing Wisely Canada encourages conversations between clinicians and patients with serious or progressive illnesses. Taking the time to talk can help to avoid potentially harmful or overly aggressive tests and treatments that may not align with a patient’s goals and wishes.RECOMMENDATIONS
The Medical Professional Society Handbook guides professional societies through the engagement process in Choosing Wisely Canada. The handbook provides a detailed overview of developing a recommendation list, communication tools to promote a list, going beyond the list by putting recommendations into practice and usefulresources.
NATIONAL MEETING
Bringing together health professionals, patients, system leaders, and researchers, this two-day virtual event is a unique opportunity to learn about leading Choosing Wisely efforts taking place across the country. Join the online Choosing Wisely Canada National Meeting in collaboration with the Canadian Medical Association on May 12 and 13,2021.
TRANSFUSION MEDICINE The Canadian Society for Transfusion Medicine (CSTM) compiled its Choosing Wisely Canada list of recommendations by putting out a call to its membership for suggested list items. Members were asked to provide suggestions, rationale and references. Once all suggestions for list items had been received and the deadline for submissions had passed, the CSTM board voted on the accumulated list and PEDIATRIC NEUROSURGERY The Canadian Pediatric Neurosurgery Study Group (CPNSG)’s membership is composed of pediatric neurosurgeons practicing in Canada. Contact information for the group’s members was used to invite pediatric neurosurgeons practicing in Canada to complete two anonymized emailed questionnaires, first to brainstorm recommendations, and then to ratethem.
TOOLKIT: THE COLD STANDARD Toolkit: The Cold Standard – Second Edition. The delivery and organization of health care services has changed rapidly in response to COVID-19. Many primary care clinics have increased the adoption of virtual care due to the inability of providing in-person assessment. As primary care providers adjust to these changes, emerging challenges TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
BONE DENSITY TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Bone Density Tests: When you need them and when you don’t. A bone-density test is a way to measure the strength of your bones. The test, called a DEXA scan, is a kind of X-ray. Many people get a bone-density test every few years. The main reason to have the test is to find and treat serious bone loss, called osteoporosis, and prevent PAP TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Pap Tests: When you need them and when you don’t. A Pap test is a test of cells of the cervix. The cervix is the opening between the vagina and the uterus. The Pap test looks for cells that are not normal and can cause cervical cancer. You may receive a regular pap test if you are between the ages of 21 to 69 – but it may not alwaysbe
BYE-BYE, PPI
4. Introduction. This toolkit was created to support the implementation of interventions to reduce long-term prescription of proton pump inhibitors (PPI) where an indication is lacking.HOSPITAL MEDICINE
The Canadian Society for Hospital Medicine (CSHM) established its Choosing Wisely Canada (CWC) Top 5 recommendations by creating a CWC subcommittee within its Quality Improvement (QI) Committee. The subcommittee members represent a diverse group of hospitalists from across Canada, practicing in a variety of settings. TAKING THE NATIONAL MEETING ONLINE (AGAIN) Choosing Wisely Canada held its annual National Meeting on May 12 and 13. Although we spent the two days online and physically apart, the National Meeting continues to be an opportunity for our Choosing Wisely community to connect.GENERAL SURGERY
Ultrasound is an accurate and cost-effective imaging modality for initial evaluation of suspected appendicitis in the pediatric population. Evidence shows that the sensitivity and specificity of ultrasound is high with reports of up to 95%, though this may vary based on center experience and capabilities. COLONOSCOPY: WHEN YOU NEED IT AND WHEN YOU DON’T Colon cancer screening should begin at age 50 for most people. If a colonoscopy doesn’t find adenomas or cancer and you don’t have risk factors, the next test should be in ten years. If one or two small, low-risk adenomas are removed, the exam should be repeated in five to ten years. Ask your health care provider when and how often tohave
USING ANTIBIOTICS WISELY Using Antibiotics Wisely. Unnecessary antibiotic use is a direct contributor to antimicrobial resistance – one of the most serious health threats facing our world today. Over 23 million antibiotic prescriptions are written for human consumption in Canada, 30-50% of which are estimated to be unnecessary. Wide use of antibiotics breeds RESPIRATORY MEDICINE 6. Asthma exacerbations are characterized by decreased expiratory airflow as well as increased shortness of breath, cough, wheezing, chest tightness, or a combination of these symptoms. When such an attack is precipitated by an infection, it is much more likely to be viral than bacterial. BONE DENSITY TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Bone Density Tests: When you need them and when you don’t. A bone-density test is a way to measure the strength of your bones. The test, called a DEXA scan, is a kind of X-ray. Many people get a bone-density test every few years. The main reason to have the test is to find and treat serious bone loss, called osteoporosis, and prevent TOOLKIT: SAY NAY TO THE X-RAY Share on Facebook Share on Twitter How Tos 6/9/21 Toolkit: Say Nay to the X-Ray. Paediatric ankle injuries are a very common presenting complaint in both general and paediatric emergency departments. TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
STRENGTHENING CANADA'S BLOOD SUPPLY Share on Facebook Share on Twitter News 6/9/21 Strengthening Canada’s Blood Supply. Next week is National Blood Donor Week (June 13-19), recognizing and celebrating the essential role volunteer donors play in strengthening Canada’s blood supply. CHOOSING WISELY CANADARECOMMENDATIONSTOOLKITRESOURCESFAMILY MEDICINEPATIENT PAMPHLETSABOUT For clinicians and patients, this is a crucial time to talk. Choosing Wisely Canada encourages conversations between clinicians and patients with serious or progressive illnesses. Taking the time to talk can help to avoid potentially harmful or overly aggressive tests and treatments that may not align with a patient’s goals and wishes.RECOMMENDATIONS
The Medical Professional Society Handbook guides professional societies through the engagement process in Choosing Wisely Canada. The handbook provides a detailed overview of developing a recommendation list, communication tools to promote a list, going beyond the list by putting recommendations into practice and usefulresources.
NATIONAL MEETING
Bringing together health professionals, patients, system leaders, and researchers, this two-day virtual event is a unique opportunity to learn about leading Choosing Wisely efforts taking place across the country. Join the online Choosing Wisely Canada National Meeting in collaboration with the Canadian Medical Association on May 12 and 13,2021.
TRANSFUSION MEDICINE The Canadian Society for Transfusion Medicine (CSTM) compiled its Choosing Wisely Canada list of recommendations by putting out a call to its membership for suggested list items. Members were asked to provide suggestions, rationale and references. Once all suggestions for list items had been received and the deadline for submissions had passed, the CSTM board voted on the accumulated list and PEDIATRIC NEUROSURGERY The Canadian Pediatric Neurosurgery Study Group (CPNSG)’s membership is composed of pediatric neurosurgeons practicing in Canada. Contact information for the group’s members was used to invite pediatric neurosurgeons practicing in Canada to complete two anonymized emailed questionnaires, first to brainstorm recommendations, and then to ratethem.
TOOLKIT: THE COLD STANDARD Toolkit: The Cold Standard – Second Edition. The delivery and organization of health care services has changed rapidly in response to COVID-19. Many primary care clinics have increased the adoption of virtual care due to the inability of providing in-person assessment. As primary care providers adjust to these changes, emerging challenges TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
BONE DENSITY TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Bone Density Tests: When you need them and when you don’t. A bone-density test is a way to measure the strength of your bones. The test, called a DEXA scan, is a kind of X-ray. Many people get a bone-density test every few years. The main reason to have the test is to find and treat serious bone loss, called osteoporosis, and prevent PAP TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Pap Tests: When you need them and when you don’t. A Pap test is a test of cells of the cervix. The cervix is the opening between the vagina and the uterus. The Pap test looks for cells that are not normal and can cause cervical cancer. You may receive a regular pap test if you are between the ages of 21 to 69 – but it may not alwaysbe
BYE-BYE, PPI
4. Introduction. This toolkit was created to support the implementation of interventions to reduce long-term prescription of proton pump inhibitors (PPI) where an indication is lacking. CHOOSING WISELY CANADARECOMMENDATIONSTOOLKITRESOURCESFAMILY MEDICINEPATIENT PAMPHLETSABOUT For clinicians and patients, this is a crucial time to talk. Choosing Wisely Canada encourages conversations between clinicians and patients with serious or progressive illnesses. Taking the time to talk can help to avoid potentially harmful or overly aggressive tests and treatments that may not align with a patient’s goals and wishes.RECOMMENDATIONS
The Medical Professional Society Handbook guides professional societies through the engagement process in Choosing Wisely Canada. The handbook provides a detailed overview of developing a recommendation list, communication tools to promote a list, going beyond the list by putting recommendations into practice and usefulresources.
NATIONAL MEETING
Bringing together health professionals, patients, system leaders, and researchers, this two-day virtual event is a unique opportunity to learn about leading Choosing Wisely efforts taking place across the country. Join the online Choosing Wisely Canada National Meeting in collaboration with the Canadian Medical Association on May 12 and 13,2021.
TRANSFUSION MEDICINE The Canadian Society for Transfusion Medicine (CSTM) compiled its Choosing Wisely Canada list of recommendations by putting out a call to its membership for suggested list items. Members were asked to provide suggestions, rationale and references. Once all suggestions for list items had been received and the deadline for submissions had passed, the CSTM board voted on the accumulated list and PEDIATRIC NEUROSURGERY The Canadian Pediatric Neurosurgery Study Group (CPNSG)’s membership is composed of pediatric neurosurgeons practicing in Canada. Contact information for the group’s members was used to invite pediatric neurosurgeons practicing in Canada to complete two anonymized emailed questionnaires, first to brainstorm recommendations, and then to ratethem.
TOOLKIT: THE COLD STANDARD Toolkit: The Cold Standard – Second Edition. The delivery and organization of health care services has changed rapidly in response to COVID-19. Many primary care clinics have increased the adoption of virtual care due to the inability of providing in-person assessment. As primary care providers adjust to these changes, emerging challenges TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
BONE DENSITY TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Bone Density Tests: When you need them and when you don’t. A bone-density test is a way to measure the strength of your bones. The test, called a DEXA scan, is a kind of X-ray. Many people get a bone-density test every few years. The main reason to have the test is to find and treat serious bone loss, called osteoporosis, and prevent PAP TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Pap Tests: When you need them and when you don’t. A Pap test is a test of cells of the cervix. The cervix is the opening between the vagina and the uterus. The Pap test looks for cells that are not normal and can cause cervical cancer. You may receive a regular pap test if you are between the ages of 21 to 69 – but it may not alwaysbe
BYE-BYE, PPI
4. Introduction. This toolkit was created to support the implementation of interventions to reduce long-term prescription of proton pump inhibitors (PPI) where an indication is lacking.HOSPITAL MEDICINE
The Canadian Society for Hospital Medicine (CSHM) established its Choosing Wisely Canada (CWC) Top 5 recommendations by creating a CWC subcommittee within its Quality Improvement (QI) Committee. The subcommittee members represent a diverse group of hospitalists from across Canada, practicing in a variety of settings. TAKING THE NATIONAL MEETING ONLINE (AGAIN) Choosing Wisely Canada held its annual National Meeting on May 12 and 13. Although we spent the two days online and physically apart, the National Meeting continues to be an opportunity for our Choosing Wisely community to connect.GENERAL SURGERY
Ultrasound is an accurate and cost-effective imaging modality for initial evaluation of suspected appendicitis in the pediatric population. Evidence shows that the sensitivity and specificity of ultrasound is high with reports of up to 95%, though this may vary based on center experience and capabilities. COLONOSCOPY: WHEN YOU NEED IT AND WHEN YOU DON’T Colon cancer screening should begin at age 50 for most people. If a colonoscopy doesn’t find adenomas or cancer and you don’t have risk factors, the next test should be in ten years. If one or two small, low-risk adenomas are removed, the exam should be repeated in five to ten years. Ask your health care provider when and how often tohave
USING ANTIBIOTICS WISELY Using Antibiotics Wisely. Unnecessary antibiotic use is a direct contributor to antimicrobial resistance – one of the most serious health threats facing our world today. Over 23 million antibiotic prescriptions are written for human consumption in Canada, 30-50% of which are estimated to be unnecessary. Wide use of antibiotics breeds RESPIRATORY MEDICINE 6. Asthma exacerbations are characterized by decreased expiratory airflow as well as increased shortness of breath, cough, wheezing, chest tightness, or a combination of these symptoms. When such an attack is precipitated by an infection, it is much more likely to be viral than bacterial. BONE DENSITY TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Bone Density Tests: When you need them and when you don’t. A bone-density test is a way to measure the strength of your bones. The test, called a DEXA scan, is a kind of X-ray. Many people get a bone-density test every few years. The main reason to have the test is to find and treat serious bone loss, called osteoporosis, and prevent TOOLKIT: SAY NAY TO THE X-RAY Share on Facebook Share on Twitter How Tos 6/9/21 Toolkit: Say Nay to the X-Ray. Paediatric ankle injuries are a very common presenting complaint in both general and paediatric emergency departments. TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
STRENGTHENING CANADA'S BLOOD SUPPLY Share on Facebook Share on Twitter News 6/9/21 Strengthening Canada’s Blood Supply. Next week is National Blood Donor Week (June 13-19), recognizing and celebrating the essential role volunteer donors play in strengthening Canada’s blood supply. CHOOSING WISELY CANADARECOMMENDATIONSTOOLKITRESOURCESFAMILY MEDICINEPATIENT PAMPHLETSABOUT For clinicians and patients, this is a crucial time to talk. Choosing Wisely Canada encourages conversations between clinicians and patients with serious or progressive illnesses. Taking the time to talk can help to avoid potentially harmful or overly aggressive tests and treatments that may not align with a patient’s goals and wishes.NATIONAL MEETING
Bringing together health professionals, patients, system leaders, and researchers, this two-day virtual event is a unique opportunity to learn about leading Choosing Wisely efforts taking place across the country. Join the online Choosing Wisely Canada National Meeting in collaboration with the Canadian Medical Association on May 12 and 13,2021.
BECOMING A CHOOSING WISELY CANADA HOSPITAL Hospitals are designated “Choosing Wisely Canada Hospital” at Level 1, 2, or 3. Hospitals will receive a certificate of designation and gain national recognition as a leader in tackling overuse. It is the responsibility of your hospital to uphold the projects submitted as part of the original application. TRANSFUSION MEDICINE The Canadian Society for Transfusion Medicine (CSTM) compiled its Choosing Wisely Canada list of recommendations by putting out a call to its membership for suggested list items. Members were asked to provide suggestions, rationale and references. Once all suggestions for list items had been received and the deadline for submissions had passed, the CSTM board voted on the accumulated list and TOOLKIT: THE COLD STANDARD Toolkit: The Cold Standard – Second Edition. The delivery and organization of health care services has changed rapidly in response to COVID-19. Many primary care clinics have increased the adoption of virtual care due to the inability of providing in-person assessment. As primary care providers adjust to these changes, emerging challenges CHOOSING WISELY ALBERTA Choosing Wisely Alberta. Choosing Wisely Alberta (CWA) started in 2014 and is a provincial campaign to reduce unnecessary care in the province of Alberta. CWA is organized by the Alberta Medical Association, in partnership with the Physician Learning Program, Alberta College of Family Physicians, Alberta Health, Alberta Health Services, Alberta Innovates Health Solutions, Institute of Health COLONOSCOPY: WHEN YOU NEED IT AND WHEN YOU DON’T Colon cancer screening should begin at age 50 for most people. If a colonoscopy doesn’t find adenomas or cancer and you don’t have risk factors, the next test should be in ten years. If one or two small, low-risk adenomas are removed, the exam should be repeated in five to ten years. Ask your health care provider when and how often tohave
TOOLKIT: LOSE THE TUBE Toolkit: Lose the Tube. At Sunnybrook Health Sciences Centre in Toronto, 18% of hospitalized patients were catheterized even though 69% lacked an appropriate guideline-based reason. Urinary catheter removal was frequently haphazard and many urinary catheters OVERTREATED: I RECEIVED TREATMENT FOR CANCER I NEVER HAD Overtreated: I Received Treatment for Cancer I Never Had. by: Samantha Relich for Choosing Wisely Canada. Renée Pellerin believes she could still have half of her thyroid. She also believes the cancer that led to the removal of her thyroid should not have been called cancer at all. Before the surgery that removed her thyroid in 1994, Pellerin TREATING BLOCKED LEG ARTERIES: WHEN YOU NEED A PROCEDURE Extra cholesterol and fat can cause blocked arteries. Avoid saturated fat, trans fat and cholesterol. Limit foods with added sugar such as desserts and sodas. Eat vegetables, fruits, low-fat dairy products and whole grains. Take your medicines. You will need to take aspirin and/or clopidogrel (Plavix and generic) to prevent blood clots. CHOOSING WISELY CANADARECOMMENDATIONSTOOLKITRESOURCESFAMILY MEDICINEPATIENT PAMPHLETSABOUT For clinicians and patients, this is a crucial time to talk. Choosing Wisely Canada encourages conversations between clinicians and patients with serious or progressive illnesses. Taking the time to talk can help to avoid potentially harmful or overly aggressive tests and treatments that may not align with a patient’s goals and wishes.NATIONAL MEETING
Bringing together health professionals, patients, system leaders, and researchers, this two-day virtual event is a unique opportunity to learn about leading Choosing Wisely efforts taking place across the country. Join the online Choosing Wisely Canada National Meeting in collaboration with the Canadian Medical Association on May 12 and 13,2021.
BECOMING A CHOOSING WISELY CANADA HOSPITAL Hospitals are designated “Choosing Wisely Canada Hospital” at Level 1, 2, or 3. Hospitals will receive a certificate of designation and gain national recognition as a leader in tackling overuse. It is the responsibility of your hospital to uphold the projects submitted as part of the original application. TRANSFUSION MEDICINE The Canadian Society for Transfusion Medicine (CSTM) compiled its Choosing Wisely Canada list of recommendations by putting out a call to its membership for suggested list items. Members were asked to provide suggestions, rationale and references. Once all suggestions for list items had been received and the deadline for submissions had passed, the CSTM board voted on the accumulated list and TOOLKIT: THE COLD STANDARD Toolkit: The Cold Standard – Second Edition. The delivery and organization of health care services has changed rapidly in response to COVID-19. Many primary care clinics have increased the adoption of virtual care due to the inability of providing in-person assessment. As primary care providers adjust to these changes, emerging challenges CHOOSING WISELY ALBERTA Choosing Wisely Alberta. Choosing Wisely Alberta (CWA) started in 2014 and is a provincial campaign to reduce unnecessary care in the province of Alberta. CWA is organized by the Alberta Medical Association, in partnership with the Physician Learning Program, Alberta College of Family Physicians, Alberta Health, Alberta Health Services, Alberta Innovates Health Solutions, Institute of Health COLONOSCOPY: WHEN YOU NEED IT AND WHEN YOU DON’T Colon cancer screening should begin at age 50 for most people. If a colonoscopy doesn’t find adenomas or cancer and you don’t have risk factors, the next test should be in ten years. If one or two small, low-risk adenomas are removed, the exam should be repeated in five to ten years. Ask your health care provider when and how often tohave
TOOLKIT: LOSE THE TUBE Toolkit: Lose the Tube. At Sunnybrook Health Sciences Centre in Toronto, 18% of hospitalized patients were catheterized even though 69% lacked an appropriate guideline-based reason. Urinary catheter removal was frequently haphazard and many urinary catheters OVERTREATED: I RECEIVED TREATMENT FOR CANCER I NEVER HAD Overtreated: I Received Treatment for Cancer I Never Had. by: Samantha Relich for Choosing Wisely Canada. Renée Pellerin believes she could still have half of her thyroid. She also believes the cancer that led to the removal of her thyroid should not have been called cancer at all. Before the surgery that removed her thyroid in 1994, Pellerin TREATING BLOCKED LEG ARTERIES: WHEN YOU NEED A PROCEDURE Extra cholesterol and fat can cause blocked arteries. Avoid saturated fat, trans fat and cholesterol. Limit foods with added sugar such as desserts and sodas. Eat vegetables, fruits, low-fat dairy products and whole grains. Take your medicines. You will need to take aspirin and/or clopidogrel (Plavix and generic) to prevent blood clots. MEDICAL MICROBIOLOGY A Choosing Wisely Canada top five list in medical microbiology was developed by the Association of Medical Microbiology and Infectious Diseases Canada (AMMI Canada) through broad consultation of its members. Following an electronic survey requesting members to identify low-value practices within microbiology, AMMI Canada convened a Working Group which developed a list of draft CHOOSING WISELY CANADA'S NATIONAL MEETING 2021 Yahoo! Calendar. Join us May 12-13, 2021 for Choosing Wisely Canada’s National Meeting in collaboration with the Canadian Medical Association. This two-day virtual event will bring together health professionals, patients, system leaders, and researchers from across the country to discuss and engage in topics related to overuse inhealth care.
CHOOSING WISELY ONTARIO Choosing Wisely Ontario (CWO) is a campaign organized by Health Quality Ontario and Choosing Wisely Canada, in partnership with the Ontario College of Family Physicians. The current areas of focus for CWO are: Preoperative testing prior to low-risk surgeries. Red bloodcell transfusions.
COLONOSCOPY: WHEN YOU NEED IT AND WHEN YOU DON’T Colon cancer screening should begin at age 50 for most people. If a colonoscopy doesn’t find adenomas or cancer and you don’t have risk factors, the next test should be in ten years. If one or two small, low-risk adenomas are removed, the exam should be repeated in five to ten years. Ask your health care provider when and how often tohave
INSOMNIA AND ANXIETY IN OLDER PEOPLE: SLEEPING PILLS ARE Share on Facebook Share on Twitter Download (pdf) Insomnia and Anxiety in Older People: Sleeping pills are usually not the best solution. Nearly one third of older people in Canada take sleeping pills. PEDIATRIC NEUROSURGERY The Canadian Pediatric Neurosurgery Study Group (CPNSG)’s membership is composed of pediatric neurosurgeons practicing in Canada. Contact information for the group’s members was used to invite pediatric neurosurgeons practicing in Canada to complete two anonymized emailed questionnaires, first to brainstorm recommendations, and then to ratethem.
STARS - CHOOSING WISELY CANADA Choosing Wisely Canada has engaged medical students, residents, faculty, universities, professional organizations and regulatory bodies to embed resource stewardship principles into medical education. STARS is a medical education campaign that supports student-led implementation of grassroots initiatives to advance resource stewardship in the TOOLKIT: LESS SEDATIVES FOR YOUR OLDER RELATIVES Toolkit: Less Sedatives for Your Older Relatives. At Sinai Health System in Toronto, 15.9% of patients who were not previously on benzodiazepines or other sedative hypnotics (BSH-naïve patients) were prescribed these medications during their hospital stay. Of TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
CHOOSING WISELY NEWFOUNDLAND AND LABRADOR Choosing Wisely Newfoundland and Labrador. Choosing Wisely Newfoundland and Labrador (CWNL) launched in October 2016 and is coordinated by the Translational & Personalized Medicine Initiative (TPMI) at Memorial University.CWNL works in partnership with all provincial Regional Health Authorities, Newfoundland Labrador Center for Health Information (NLCHI), Newfoundland & Labrador Medical CHOOSING WISELY CANADARECOMMENDATIONSTOOLKITRESOURCESFAMILY MEDICINEPATIENT PAMPHLETSABOUT For clinicians and patients, this is a crucial time to talk. Choosing Wisely Canada encourages conversations between clinicians and patients with serious or progressive illnesses. Taking the time to talk can help to avoid potentially harmful or overly aggressive tests and treatments that may not align with a patient’s goals and wishes.RECOMMENDATIONS
Recommendations and Resources, by Specialty. Developed by professional societies representing different clinical specialties in Canada, these recommendations identify tests and treatments commonly used in each specialty that are not supported by evidence, and could exposepatients to harm.
BECOMING A CHOOSING WISELY CANADA HOSPITAL Hospitals are designated “Choosing Wisely Canada Hospital” at Level 1, 2, or 3. Hospitals will receive a certificate of designation and gain national recognition as a leader in tackling overuse. It is the responsibility of your hospital to uphold the projects submitted as part of the original application.NATIONAL MEETING
Bringing together health professionals, patients, system leaders, and researchers, this two-day virtual event is a unique opportunity to learn about leading Choosing Wisely efforts taking place across the country. Join the online Choosing Wisely Canada National Meeting in collaboration with the Canadian Medical Association on May 12 and 13,2021.
GENERAL SURGERY
Ultrasound is an accurate and cost-effective imaging modality for initial evaluation of suspected appendicitis in the pediatric population. Evidence shows that the sensitivity and specificity of ultrasound is high with reports of up to 95%, though this may vary based on center experience and capabilities. TOOLKIT: THE COLD STANDARD Toolkit: The Cold Standard – Second Edition. The delivery and organization of health care services has changed rapidly in response to COVID-19. Many primary care clinics have increased the adoption of virtual care due to the inability of providing in-person assessment. As primary care providers adjust to these changes, emerging challenges USING ANTIBIOTICS WISELY Using Antibiotics Wisely. Unnecessary antibiotic use is a direct contributor to antimicrobial resistance – one of the most serious health threats facing our world today. Over 23 million antibiotic prescriptions are written for human consumption in Canada, 30-50% of which are estimated to be unnecessary. Wide use of antibiotics breeds TOOLKIT: LOSE THE TUBE Toolkit: Lose the Tube. At Sunnybrook Health Sciences Centre in Toronto, 18% of hospitalized patients were catheterized even though 69% lacked an appropriate guideline-based reason. Urinary catheter removal was frequently haphazard and many urinary catheters OVERTREATED: I RECEIVED TREATMENT FOR CANCER I NEVER HAD Overtreated: I Received Treatment for Cancer I Never Had. by: Samantha Relich for Choosing Wisely Canada. Renée Pellerin believes she could still have half of her thyroid. She also believes the cancer that led to the removal of her thyroid should not have been called cancer at all. Before the surgery that removed her thyroid in 1994, Pellerin TREATING BLOCKED LEG ARTERIES: WHEN YOU NEED A PROCEDURE Extra cholesterol and fat can cause blocked arteries. Avoid saturated fat, trans fat and cholesterol. Limit foods with added sugar such as desserts and sodas. Eat vegetables, fruits, low-fat dairy products and whole grains. Take your medicines. You will need to take aspirin and/or clopidogrel (Plavix and generic) to prevent blood clots. CHOOSING WISELY CANADARECOMMENDATIONSTOOLKITRESOURCESFAMILY MEDICINEPATIENT PAMPHLETSABOUT For clinicians and patients, this is a crucial time to talk. Choosing Wisely Canada encourages conversations between clinicians and patients with serious or progressive illnesses. Taking the time to talk can help to avoid potentially harmful or overly aggressive tests and treatments that may not align with a patient’s goals and wishes.RECOMMENDATIONS
Recommendations and Resources, by Specialty. Developed by professional societies representing different clinical specialties in Canada, these recommendations identify tests and treatments commonly used in each specialty that are not supported by evidence, and could exposepatients to harm.
BECOMING A CHOOSING WISELY CANADA HOSPITAL Hospitals are designated “Choosing Wisely Canada Hospital” at Level 1, 2, or 3. Hospitals will receive a certificate of designation and gain national recognition as a leader in tackling overuse. It is the responsibility of your hospital to uphold the projects submitted as part of the original application.NATIONAL MEETING
Bringing together health professionals, patients, system leaders, and researchers, this two-day virtual event is a unique opportunity to learn about leading Choosing Wisely efforts taking place across the country. Join the online Choosing Wisely Canada National Meeting in collaboration with the Canadian Medical Association on May 12 and 13,2021.
GENERAL SURGERY
Ultrasound is an accurate and cost-effective imaging modality for initial evaluation of suspected appendicitis in the pediatric population. Evidence shows that the sensitivity and specificity of ultrasound is high with reports of up to 95%, though this may vary based on center experience and capabilities. TOOLKIT: THE COLD STANDARD Toolkit: The Cold Standard – Second Edition. The delivery and organization of health care services has changed rapidly in response to COVID-19. Many primary care clinics have increased the adoption of virtual care due to the inability of providing in-person assessment. As primary care providers adjust to these changes, emerging challenges USING ANTIBIOTICS WISELY Using Antibiotics Wisely. Unnecessary antibiotic use is a direct contributor to antimicrobial resistance – one of the most serious health threats facing our world today. Over 23 million antibiotic prescriptions are written for human consumption in Canada, 30-50% of which are estimated to be unnecessary. Wide use of antibiotics breeds TOOLKIT: LOSE THE TUBE Toolkit: Lose the Tube. At Sunnybrook Health Sciences Centre in Toronto, 18% of hospitalized patients were catheterized even though 69% lacked an appropriate guideline-based reason. Urinary catheter removal was frequently haphazard and many urinary catheters OVERTREATED: I RECEIVED TREATMENT FOR CANCER I NEVER HAD Overtreated: I Received Treatment for Cancer I Never Had. by: Samantha Relich for Choosing Wisely Canada. Renée Pellerin believes she could still have half of her thyroid. She also believes the cancer that led to the removal of her thyroid should not have been called cancer at all. Before the surgery that removed her thyroid in 1994, Pellerin TREATING BLOCKED LEG ARTERIES: WHEN YOU NEED A PROCEDURE Extra cholesterol and fat can cause blocked arteries. Avoid saturated fat, trans fat and cholesterol. Limit foods with added sugar such as desserts and sodas. Eat vegetables, fruits, low-fat dairy products and whole grains. Take your medicines. You will need to take aspirin and/or clopidogrel (Plavix and generic) to prevent blood clots. GERIATRICS - CHOOSING WISELY CANADA The Canadian Geriatrics Society (CGS) established its Choosing Wisely Canada Top 5 recommendations by first establishing a small group of its Council members and Committee chairs to evaluate the American Geriatrics Society (AGS) Choosing Wisely® list. TRANSFUSION MEDICINE The Canadian Society for Transfusion Medicine (CSTM) compiled its Choosing Wisely Canada list of recommendations by putting out a call to its membership for suggested list items. Members were asked to provide suggestions, rationale and references. Once all suggestions for list items had been received and the deadline for submissions had passed, the CSTM board voted on the accumulated list and CHOOSING WISELY ONTARIO Choosing Wisely Ontario (CWO) is a campaign organized by Health Quality Ontario and Choosing Wisely Canada, in partnership with the Ontario College of Family Physicians. The current areas of focus for CWO are: Preoperative testing prior to low-risk surgeries. Red bloodcell transfusions.
CARDIOLOGY - CHOOSING WISELY CANADA The Canadian Cardiovascular Society (CCS) established its Choosing Wisely Canada top 5 recommendations by working closely with the American College of Cardiology (ACC). The ACC provided the CCS with the literature review, complete to 2009, that had informed their top 5recommendations.
CHOOSING WISELY ALBERTA Choosing Wisely Alberta. Choosing Wisely Alberta (CWA) started in 2014 and is a provincial campaign to reduce unnecessary care in the province of Alberta. CWA is organized by the Alberta Medical Association, in partnership with the Physician Learning Program, Alberta College of Family Physicians, Alberta Health, Alberta Health Services, Alberta Innovates Health Solutions, Institute of Health PEDIATRIC NEUROSURGERY The Canadian Pediatric Neurosurgery Study Group (CPNSG)’s membership is composed of pediatric neurosurgeons practicing in Canada. Contact information for the group’s members was used to invite pediatric neurosurgeons practicing in Canada to complete two anonymized emailed questionnaires, first to brainstorm recommendations, and then to ratethem.
COLONOSCOPY: WHEN YOU NEED IT AND WHEN YOU DON’T Colon cancer screening should begin at age 50 for most people. If a colonoscopy doesn’t find adenomas or cancer and you don’t have risk factors, the next test should be in ten years. If one or two small, low-risk adenomas are removed, the exam should be repeated in five to ten years. Ask your health care provider when and how often tohave
TOOLKIT: DROP THE PRE-OP Toolkit: Drop the Pre-Op. North York General Hospital’s (NYGH) Preoperative Assessment Clinic (PAC) was evaluating about 40 patients per day and over 900 patients per year. Most of these patients were presenting for low/moderate-risk surgery and were considered low/moderate-risk patients. An internal audit revealed that many ofthese cases
BONE DENSITY TESTS: WHEN YOU NEED THEM AND WHEN YOU DON’T Bone Density Tests: When you need them and when you don’t. A bone-density test is a way to measure the strength of your bones. The test, called a DEXA scan, is a kind of X-ray. Many people get a bone-density test every few years. The main reason to have the test is to find and treat serious bone loss, called osteoporosis, and prevent LOW-RISK PROSTATE CANCER: DON’T RUSH TO GET TREATMENT Share on Facebook Share on Twitter Download (pdf) Low-Risk Prostate Cancer: Don’t rush to get treatment. If you are diagnosed with low-risk prostate cancer, you should discuss treatments and quality-of-life issues with your cancer care team.* About
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Search Choosing Wisely Enter _search_ terms Search Choosing Wisely Enter _search_ terms CHOOSING WISELY CANADA is the national voice for reducing unnecessary tests and treatments in health care. USING RESOURCES WISELY IN THE COVID-19 PANDEMIC The COVID-19 pandemic presents an unprecedented challenge to the capacity of health care systems and providers around the world. Now, more than ever, stewardship of limited resources is critical. In response, this list was developed to raise awareness about the need to use limited health care resources wisely. View Recommendations VIRTUAL GATHERING DURING COVID-19 Tune-in to our weekly virtual gathering on using resources wisely during COVID-19 for interactive learning and discussions, engaging talks by leading speakers and more importantly, an opportunity to stay connected. The weekly virtual gatherings will take place every Wednesday, 12-1 p.m. (ET). See Upcoming Gatherings 2020 CHOOSING WISELY CANADA NATIONAL MEETING CANCELLATION Due to the evolving and uncertain nature of the COVID-19 outbreak, we have made the decision to cancel Choosing Wisely Canada’s National Meeting, scheduled for May 25-26 2020 in Ottawa, Ontario. This was a difficult decision as the National Meeting has and continues to be a central component of the Choosing Wisely Canada campaign. However, the health, safety, and professional obligations of our community to patient care is our top priority.Read More
RECOMMENDATIONS AND RESOURCES, BY SPECIALTY Select a Specialty Anesthesiology Blood and Marrow Transplant Cardiology COVID-19 Critical Care Dermatology Emergency Medicine Endocrinology and Metabolism Family Medicine Fertility and Andrology Gastroenterology General Surgery Geriatrics Headache Hematology Hepatology Hospital Dentistry Hospital Medicine Hospital Pharmacy Infectious Disease Inflammatory Bowel Disease Internal Medicine Long Term Care Medical Biochemistry Medical Genetics Medical Microbiology Medical Radiation Technology Medical Students Nephrology Neurology Nuclear Medicine Nursing Nurse Practitioner Obstetrics and Gynaecology Occupational Medicine Oncology Orthopaedics Otolaryngology Paediatric Surgery Paediatrics Palliative Care Pathology Pediatric Neurosurgery Pharmacist Physical Medicine and Rehabilitation Psychiatry Radiology Respiratory Medicine Residents Rheumatology Spine Sport and Exercise Medicine Transfusion Medicine Urology Vascular Surgery Go* a Anesthesiology
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USING BLOOD WISELY
A national campaign that aims to reduce unnecessary red blood cell transfusions in hospital settings.Read
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CHOOSING WISELY CANADA NATIONAL MEETING CANCELLATION Notice regarding Choosing Wisely Canada's National Meeting on May 25-26 in Ottawa, OntarioRead
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