Radiologist Suggests You Use Choose Wisely as a Consulting Tool

“Radiologists can use Choosing Wisely® to advance their role as a consultant,” Scott & White Healthcare radiologist, Debra Monticciolo, MD said.

Dr. Monticciolo suggests Texas radiologists spark discussion not only with their patients, but with clinicians as well by using the American College of Radiology’s Choosing Wisely list as a consulting tool.

Choosing 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.

The Texas Medical Association is working with the ABIM Foundation to make physicians and the public more aware of the lists and encourage their use.

“It’s good information to start dialogue between clinicians,” Dr. Monticciolo said.

She said the campaign is used to improve imaging use and that radiologists are the professionals of imaging but have little power over what tests are ordered. Other clinicians really decide which tests or procedures will be performed for each patient.

“The Choosing Wisely suggestions highlight imaging, and we believe it can be more affectively utilized and help both patients and clinicians understand,” Dr. Monticciolo said.

Don’t image for suspected pulmonary embolism without moderate or high pre-test probability— is a Choosing Wisely example she believes radiologists should start discussing more thoroughly with ordering clinicians. 

“It is not always best test for a patient, because the exposure to high waves (of radiation),” said Dr. Monticciolo. “Clinicians know this test is sometimes an issue, but this is a good starting point for radiologist to discuss with clinicians for patients’ overall well being.”

Dr. Monticciolo hopes that the American College of Radiology’s Choosing Wisely list can be used for radiologists to engage as a consultant and to further strengthen the relationship between radiologists, clinicians, and patients.

For more information, see the TMA website at

Texas Medicine, Jul. 2014

Last Updated On

May 13, 2016

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