The Most Important #ChoosingWisely List: Med Students & Trainees

Please join me in enthusiastically applying the latest Choosing Wisely Canada recommendations, as developed by the Canadian Federation of Medical Students (CFMS) and the Fédération médicale étudiante du Québec (FMEQ).

This amazing list of 6 items for Medical Students and Trainees to question is extremely important. It does a few things above and beyond what the other Choosing Wisely Canada lists could. Namely, the list:

  • Creates and promotes a culture of appropriateness in care early on in the careers of physicians, ensuring this way of thinking is embedded in their style of practice
  • Recognizes the professionalism, critical-thinking ability, and ethical intelligence of young clinicians
  • Engages medical educators and recognizes the mutual influence that learners and instructors can have on each other's practice
  • Is directed squarely at providers; while discussion between patient and provider may seem notably absent, each of the items is patient centred at a high-level; the list ensures that the goals of the patient – not the learner – are paramount, and that the learner will advocate in this regard

Hopefully the Students and Trainees Advocating for Resource Stewardship (STARS), students selected to champion the Choosing Wisely campaign, will be able to integrate these Top 6 into their medical schools' curricula.

Congratulations to the members of CFMS, FMEQ, and STARS on this fantastic work.

Review the 'Six Things Medical Students and Trainees Should Question' list.


Ask | Share | Know : Patient Resource for talking with your healthcare provider

Here is a snappy resource from Australia that can help patients (and advocates) create meaningful interactions with their healthcare providers.

The Ask | Share | Know project aims to empower patients to discover the information they need in order to make shared decisions with the health professionals they encounter. They suggest three key questions:

Asking the questions is a start, but even more important is the sharing of values and information with health care providers (HCPs). Patients have lives, values, and needs beyond their diseases, of course!

When your HCP can understand you and your needs better, they can help give you the knowledge you need to make an informed decision that goes beyond just medical facts and is tailored to your situation and goals.

Detailed follow-up questions, time to think, and opportunity to discuss with your main supports may also be needed before you make a decision. Try it out!