Intended for healthcare professionals


Physician groups each identify five of their own inappropriate practices

BMJ 2013; 346 doi: (Published 27 February 2013) Cite this as: BMJ 2013;346:f1266
  1. Miriam E Tucker
  1. 1Bethesda

Physicians from 17 specialty medical organizations have each produced lists of five common practices that are of questionable value, as part of a project to promote dialog with patients about appropriate use of tests, procedures, and medications.

The Choosing Wisely initiative ( was set up by the American Board of Internal Medicine Foundation, and 17 new lists were launched last week.

Each specialty society’s list is made up of common practices that are not supported by evidence, are not necessary, or may cause harm. The “five things physicians and patients should question” are written in simple language, including explanations for why the practice is not advised.

Antibiotic use is a major target, with advice against its routine use for acute sinusitis (from the …

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