Top POEMs of 2015 Consistent with the Principles of the Choosing Wisely Campaign.

Abstract

The authors applied a novel method to identify recent clinical studies that showed results consistent with the principles of the Choosing Wisely campaign. The method, based on crowdsourcing studies known as POEMs (patientoriented evidence that matters), involved analyzing POEM ratings submitted by physician members of the Canadian Medical Association in the context of their continuing medical education. In the 251 unique POEMs delivered to these physicians in 2015, an average of 1,284 physician ratings were received per POEM. The authors then identified the POEMs that ranked highest on a single item in the rating questionnaire-namely, whether the POEM helps reduce overdiagnosis or overtreatment, which is the focus of the Choosing Wisely campaign. The result is a set of POEMs of original research that describe interventions that are not superior to other options, are sometimes more expensive, or place patients at increased risk of harm. Knowing the bottom line of these studies could help physicians and patients engage in better conversations when making decisions about clinical care.