Buyse, MD, pediatrician and chief medical director of Scott & White
Memorial Hospital Health Plan, wants Texas physicians to spark discussion with
patients by using Choosing Wisely.
is particularly exciting to Scott & White," Dr. Buyse said. "An
initiative like Choosing Wisely has been missing for a long time in specialty
Wisely promotes conversations between physicians and patients based on evidence
provided by dozens of national specialty societies. These organizations
representing medical specialists were asked to "choose wisely" by
identifying tests or procedures commonly used in their field whose necessity physicians
and patients should question and discuss. The resulting lists of "Five
Things Physicians and Patients Should Question" will aid conversations about
many frequently ordered tests or treatments.
Buyse calls the program a "terrific initiative, a really fresh new view
on patient and doctor conversation."
& White Health Plan recognizes the importance of conversations between
patients and physicians. Dr. Buyse explained that when specialty societies
signed onto the Choosing Wisely initiative, each one provided a list of
recommendations that was supported by their evidence.
should be practicing and promoting evidence-based medicine," Dr. Buyse
said. "Choosing Wisely gives that to specialty care in a broad way by
providing lists," making it easier for physicians and healthier for
& White Health Plan and Choosing Wisely urge physicians and patients to
talk about the recommendations to find what is best for the patient's care, she
"Evidence, patients, and physicians. This triangle is linked in the campaign and is the
heart of the campaign," Dr. Buyse said.
Buyse explained how simplicity makes Choosing Wisely an attainable goal.
Information overload leads to errors in health care. But the Choosing Wisely
lists help physicians manage the information they share with their patients.
She says it takes four times as long without the written lists to explain to
patients why a particular choice was made.
"It is an easy way to coordinate
care," Dr. Buyse said. "I would advise getting information for
patients in the office to remind you. Get information for the conversation.
Both physician and patients have a stake in care."
Buyse has promoted the Choosing Wisely initiative since early 2012. Scott &
White Health Plan provides six Choosing Wisely lists that patients need most.
Their goal is to try to "close the loop" for primary care by using
The ABIM Foundation
awarded TMA and its philanthropic arm, the TMA Foundation, a grant to advance
the Choosing Wisely campaign among Texas physicians. Nine Texas county medical
societies, six state medical specialty societies, and the Texas Osteopathic
Medical Association are participating in the program with TMA. Support for the
grant program comes from the Robert Wood Johnson Foundation.
Action, Dec. 4, 2013