As you may know, the Choosing Wisely campaign, originally started by the American Board of Internal Medicine (ABIM) Foundation in the United States, was launched in Canada in 2014. It has now spread to over 12 countries and many others are working on recommendations in line with the work.
Dr Wendy Levinson (Chair), Dr. Sam Shortt (Vice Chair) and Dr. Sacha Bhatia (Evaluation Lead) of the Choosing Wisely Canada campaign join colleagues Dr. Daniel Wolfson (Executive Vice President and Chief Operating Officer ABIM), Dr. Eve Kerr (Director, VA Center for Clinical Management Research), and Marjon Kallewaard (Director of Quality, Dutch Association of Medical Specialists) in authoring a paper summarizing the international efforts of Choosing Wisely.
The article in BMJ Quality and Safety describes the growth of a campaign from its American-launched roots as an effort "to encourage physicians and patients to talk about medical tests and procedures that may be unnecessary, and in some instances, can cause harm."
Several charts in the article compare the stages, stakeholders, and special issues in each of 12 countries as well as outlining the common principles of the campaign.
The most interesting section for me is "Challenges." Here, Levinson et al. describe some of the major barriers to developing and implementing the recommendations, as well the need to discover if the campaign has been effective.