Lessons From the Choosing Wisely Campaign’s 10 Years of Addressing Overuse in Health Care

This year marks the 10th anniversary of Choosing Wisely, a partnership between the ABIM Foundation and specialty societies designed to promote clinician-patient conversations about frequently performed tests and treatments that might do more harm than good. The campaign was inspired by 2 developments. First, in 2010, medical ethicist Howard Brody called on medical societies to identify 5 overused tests and treatments in their specialties. Second, the National Physicians Alliance, through an ABIM Foundation grant, piloted developing such lists for internal medicine, family practice, and pediatrics. The campaign now includes more than 80 clinical partners and more than 600 recommendations. 3 It has also generated commentary-and some criticism-across journals and the news media, with more than 10 000 stories and citations. In the spirit of the campaign's focus on 5 things that clinicians and patients should question, we offer 5 takeaways from this decade-long effort and thoughts on next steps.