Choosing Wisely Implementation Guide

…. to support conversations and action to reduce unnecessary tests, treatments and procedures.

This implementation guide was developed to support anesthesiology departments in addressing all five Choosing Wisely recommendations, developed by the Canadian Anesthesiologists' Society,  for reducing unnecessary pre-operative testing. Using a case study approach to reflect the diversity of the health system and a range of possible approaches, the implementation guide includes templates, tools, guidance and change management suggestions to enable all hospitals to achieve the benefits of reduced costs and improved patient care by not subjecting patients to unnecessary testing that requires them to visit the hospital more frequently and, more importantly, has the possibility of causing them harm.




This Implementation Guide has been peer-reviewed by:

Susan Bell, BScN, MEd

Dr. André M. Bernard, MD, MSc, FRCPC

Dr. Kyle Gorman, MD, FRCPC

Nancy Groff, RN, BScN

Dr. Thomas Mutter, MD, MSc, FRCPC

This Implementation Guide was prepared by:

Dawn Richards, PhD, Implementation Guide Writer

Dr. Jane Cooke-Lauder, BA, MBA, DM, CMC, BTM Strategic Consultant

Emily Hill, Administrative and Communications Coordinator

Development of this Implementation Guide has been overseen by:

Choosing Wisely Advisory Group:

Dr. Sylvain Gagne, MD, FRCPC, Anesthesiologist

Dr. Kyle Kirkham, MD, FRCPC, Anesthesiologist and Chair, CAS Choosing Wisely Committee

Dr. Rohit Kumar, BSc, MD, FRCPC, Anesthesiologist

Dr. Aaron Mocon, HBSc, MD, FRCPC, Anesthesiologist

 Dr. Rachel Meyer, MD, FRCPC, Anesthesiologist

Dr. Monica Olsen, BScPT, MD, FRCPC, Anesthesiologist

Choosing Wisely Project Hub:


Dr. Stephen Brown, MD, FRCPC, Anesthesiologist

Dr. Natalie Clavel, MD, FRCPC, Anesthesiologist

Dr. Christopher Harle, MBChB, FRCA, FRCPC, Anesthesiologist

Dr. David Neilipovitz MD, FRCPC, Anesthesiologist

Dr. Gita Raghavan, MD, PGY-5 Anesthesiology

Dr. Anita Rao, MD, FRCPC, Anesthesiologist

Dr. Senthil Thiyagarajan, MD, FRCA (UK), FRCPC, Anesthesiologist

Dr. Catherine Wong, MD, FRCPC, Anesthesiologist

~ Learn More About Going Beyond the Mask ~

Our BTM project management team is conducting a series of interviews with Anesthesiologists who are Going Beyond the Mask — individuals identified by their peers as important leaders in the healthcare system. Interviewees share their stories and provided insights on a variety of useful topics to help you, our members, become aware of opportunities, tools and support mechanisms. Click here to learn more and to read about their success then head over here to nominate another Anesthesiologist who is Going Beyond the Mask.

The Section has been exploring a number of strategic issues and concerns on behalf of Anesthesiologists across Ontario and is committed to raising the image and profile of our specialty. Beyond the Mask, a five-year strategic initiative, was crafted to enable Anesthesiologists to demonstrate innovative and leadership skills and abilities within the peri-operative suite and beyond and thus elevate our role and profile in the health care system. If you would like to hear more about our upcoming projects and/or participate in our Working Group, please click here. 

Our members are invited to access our Resource Centres on PetalMD, which features distinct Chief, Family Practice Anesthetist and General Membership groups. These Resource Centres have dynamic tools for Ontario Anesthesiologists to engage in discussions and share information about a range of peri-operative and leadership activities. They are accessible on your desktop, phone, or tablet. Click here for more information. 

In these ever-changing and sometimes volatile times, strong leadership skills are more important than ever. Strengthen your existing skills and build new knowledge and connections by attending one of OA’s Leadership Development Days. Previous days have tackled such topics as strategic leadership in a reform environment and fundamentals of the Ontario health system. For more details on future Leadership Development Days, watch your inbox and the OA’s social media feeds.

The Public Website for the Section on Anesthesiology of the Ontario Medical Association is intended to give general information about who Ontario’s Anesthesiologists are and what they do. This website is NOT intended to be a source of medical advice.