Choosing Wisely in Clinical Practice

National Academy of Science (US) published in 2005 that one third of spending in health care is wasteful. Miyakis et al reported that 27% of investigations done at the time of admission and 63% on subsequent days are avoidable. The American Board of Internal Medicine (ABIM) under auspices of ABIM Foundation launched in April 2012 with nine speciality societies an initiative with a goal of promoting discussions between physicians, patients and other public groups that would lead to avoidance of unnecessary tests, procedures and treatments and thus reduce waste in health care system. This initiative is called Choosing Wisely R campaign.