Engaging residents to choose wisely: Resident Doctors of Canada resource stewardship recommendations

  • Justin Hall University of Toronto
  • Reza Mirza McMaster University
  • James Quinlan Memorial University of Newfoundland
  • Evan Chong University of Toronto
  • Karen Born University of Toronto
  • Brian Wong University of Toronto
  • Christopher Hillis McMaster University
Keywords: resource stewardship, choosing wisely, residency education

Abstract

Background: Resident doctors are integral to healthcare delivery in Canada. Engaging residents in resource stewardship is important for professional development, but also as they are drivers of healthcare resource use. To date, no national resident-specific resource stewardship guideline has been developed. Resident Doctors of Canada (RDoC) in collaboration with Choosing Wisely Canada (CWC) sought to develop an evidence-informed, consensus-based list of five recommendations to promote resource stewardship.                  

Methods: RDoC convened a taskforce with diverse geographic and specialty representation to develop candidate recommendations targeting resident resource stewardship behaviours using a consensus-based process, supported by a literature review. Residents across the country provided feedback on the candidate recommendations via an online questionnaire. The taskforce used this feedback to finalize the list.

Results: The taskforce prepared 28 candidate recommendations for consideration. A detailed literature review and consensus process narrowed this list to 12 candidate recommendations for consultation. A total of 754 residents (754/10,068 residents = 7.5%) representing all provinces and levels of residency training reviewed and ranked the candidate recommendations. The highest-ranked recommendations comprised the final list.

Conclusion: Resident doctors are willing and able to demonstrate leadership in advancing resource stewardship by the development of a national resident-specific list of Choosing Wisely Canada recommendations.

Author Biographies

Justin Hall, University of Toronto

Resident Doctor,University of Toronto, Department of Medicine, Division of Emergency Medicine, Toronto, Canada

Reza Mirza, McMaster University

Resident Doctor,McMaster University, Department of Medicine, Internal Medicine, Hamilton, Canada

James Quinlan, Memorial University of Newfoundland

Resident Doctor, Memorial University of Newfoundland, Department of Medicine, Internal Medicine, St. John’s, Canada

Evan Chong, University of Toronto

Resident Doctor, University of Toronto, Department of Family & Community Medicine, Toronto, Canada

Karen Born, University of Toronto

Assistant Professor,University of Toronto, Institute of Health Policy, Management and Evaluation, Toronto, Canada

Brian Wong, University of Toronto

Associate Professor,University of Toronto, Department of Medicine, Division of Internal Medicine, Toronto, Canada

Christopher Hillis, McMaster University

Assistant Professor,McMaster University, Department of Oncology, Hamilton, Canada

Published
2019-03-14
Section
Major Contributions