RT Journal Article SR Electronic T1 Clinical Decisions Made in Primary Care Clinics Before and After Choosing Wisely™ JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 471 OP 474 DO 10.3122/jabfm.2015.05.140332 VO 28 IS 4 A1 Kost, Amanda A1 Genao, Inginia A1 Lee, Jay W. A1 Smith, Stephen R. YR 2015 UL http://www.jabfm.org/content/28/4/471.abstract AB Background: The Choosing Wisely™ campaign encourages physicians to avoid low-value care. Although widely lauded, no study has examined its impact on clinical decisions made in primary care settings.Methods: We compared clinical decisions made for 5 Choosing Wisely recommendations over two 6-month time periods before and after the campaign launch and an educational intervention to promote it at 3 primary care residency clinics.Results: The rate of recommendations adherence was high (93.2%) at baseline but did significantly increase to 96.5% after the launch. These findings suggest primary care physicians respond to training and publicity in low-value care, though further research is needed.Conclusion: Given that even small decreases of physician test ordering can produce large cost savings, the Choosing Wisely project may help achieve the health care triple aim.