And maybe of some interest even if you’re not.
Following this year’s successful launch of the Choosing Wisely Australia campaign by NPS Medicinewise, we have produced a second round of recommendations about unnecessary tests, treatments and procedures.
I chair the RACGP working group, and we have just shortlisted the fifteen items shown below. Yesterday we sent the list to all RACGP members for a ‘top five’ vote, although many wanted to vote for all 15!
This is part of the important conversation among doctors and patients that sometimes, less is more. Over-testing and over-treating can harm patients both directly, and also by robbing time and resources that would be better spent on things that are actually helpful.
No surprise if some items are a tad controversial – we have deliberately focused on tests and treatments that are commonly used by Australian doctors.
- Don’t routinely perform a pelvic examination when doing a Pap smear or prescribing an oral contraceptive
- Don’t advocate screening mammography in women < 50 yo or > 74, unless high-risk
- Don’t order colonoscopy as screening test for bowel cancer in the 98% of population where faecal occult blood testing (FOBT) is recommended