Dr. Samir Gupta, University of Toronto, Toronto, ON
Dr. Sachin Pendharkar, University of Calgary, AB

Unnecessary tests and treatments expose patients to harm, lead to more testing to investigate false positives and strain resources. Choosing Wisely is a campaign to help clinicians and patients engage in conversations about unnecessary tests and treatments. As part of this campaign, in 2017, the Canadian Thoracic Society published its “Top 6 Things Physicians and Patients Should Question” in Respiratory Medicine. Two of the six recommendations pertained to the importance of objective lung function testing before starting medications for airways disease (one recommendation for each of asthma and COPD). This hands-on session is a chance for members to get involved in the CTS Choosing Wisely initiative and will feature examples of de-implementation work from around the country, discuss how we might approach the implementation of objective lung function testing (gaps, consequences, barriers, enablers) and provide an opportunity for small group discussions on proposed possible de-implementation ideas.

Learning Objectives

At the end of this presentation, attendees will be able to:

  • Recognize the various initiatives from within Canada that are targeting unnecessary tests and treatments in respiratory medicine;
  • Review the gaps, consequences, barriers, and enablers to performance of confirmatory pulmonary function testing before initiating therapy for asthma or COPD; and
  • Formulate pulmonary function testing implementation interventions based on knowledge of existing gaps and barriers.