Choosing Wisely Newfoundland and Labrador (CWNL) launched in October 2016 and is coordinated by the Translational & Personalized Medicine Initiative (TPMI) at Memorial University. CWNL works in partnership with all provincial Regional Health Authorities, Newfoundland Labrador Center for Health Information (NLCHI), Newfoundland & Labrador Medical Association (NLMA) and Patient Advisory Council (NL SUPPORT).

The current areas of focus for CWNL are:

• Appropriate use of antibiotics
• Peripheral arterial disease
• Imaging for lower back pain
• Preoperative testing prior to low-risk surgeries
• Appropriate use of antipsychotics
• HLA-B27
• IgE testing
• PPIs

Among the change strategies being implemented are campaigns for each area outlined above along with:

• Physician education
• Patient education
• Audit and feedback

To get involved, contact: Robert.Wilson@med.mun.ca