Choosing Wisely Canada is a campaign to help physicians and patients engage in healthy conversations about potentially unnecessary tests, treatments and procedures, and to help physicians and patients make smart and effective choices to ensure high-quality care. It got underway initially in Ontario and has been endorsed by all provincial and territorial medical associations who have established mechanisms to support the adoption of the campaign.
Canadian national societies, representing a broad spectrum of physicians, participating in the campaign have or are in the process of developing lists of Five Things Physicians and Patients Should Question. These lists contain tests, treatments or procedures commonly used in their specialty, but are not supported by evidence, and/or could expose patients to unnecessary harm.
The Canadian Society of Palliative Care Physicians endorses the Choosing Wisely Canada campaign and has included advance care planning in their list, advising that physicians and patients not delay advance care planning discussions.