Dialogue Volume 10 Issue 1 2014 | Page 8

FROM THE REGISTRAR’S DESK I would also like to bring your attention to an interview that we have in this issue with Dr. Wendy Levinson about an important campaign that she is leading. Choosing Wisely Canada is an initiative to reduce unnecessary, possibly even harmful, over-testing and overtreating. This initiative, which is modelled on a U.S. campaign, is an attempt to change the culture of “more is better” and get patients and doctors talking about overuse and harm. The Canadian Medical Association has already welcomed a number of medical societies to the campaign. Each society has come up with a list of five tests, treatments or procedures in their own disciplines for which there is excellent evidence of overuse, and harm. “High quality patient care is doing the right thing for people and not doing something which might be unnecessary or harmful,” says Dr. Levinson. For example, she points out that unnecessary drugs can cause side effects and unnecessary tests can lead to more tests with false positives. She makes the point that this is not an attempt to ration health care. “Specifically because it is not a costcutting measure but rather a good care exercise that it’s been so well received,” she said. “It’s good for everyone – good for doctors who don’t want to order unnecessary things but often have pressure to do so. It’s good for patients because it improves the quality of care. If it does end up saving costs, that’s good too.” This is a smart, much-needed initiative to kickstart important conversations. It is certainly an initiative that our Council and our committees support. I applaud Dr. Levinson for spearheading the campaign and I congratulate all of you for working so hard to make it a success. We welcome your feedback on any issue raised in Dialogue. Please send your comments by email to Dialogue’s Managing Editor at [email protected], or send your letters to: Managing Editor, Dialogue College of Physicians and Surgeons of Ontario 80 College Street, Toronto, ON M5G 2E2 Fax: (416) 961-8035 We reserve the right to edit letters for length and clarity. 10 DIALOGUE • Issue 1, 2014