Do not prescribe endoscopic examination when low-waste, less invasive alternatives endorsed by evidence-based clinical guidelines are available.
Less invasive tests approved by regulatory agencies as alternatives to gastrointestinal endoscopy are: fecal calprotectin in monitoring patients with inflammatory bowel diseases and in chronic diarrhea; C-13 urea breath test and stool antigen test in diagnosis of...
Don’t hesitate to ask to be appropriately evaluated during your learning process.
The competence evaluation is a fundamental stage in the learning process. A resident should always be extensively evaluated in order for him to acquire all the requested skills to become a professional who can face future challenges. In recent years, the...
Don’t recommend a test, a treatment or a procedure that will not change the patient clinical course; do not hesitate to ask your tutor for clarification if you believe that those tests, treatment or procedures are not necessary and always opt for less invasive options.
The administration of tests, treatment or procedures might not change the patient management plan for many reasons. In some cases, the pre-test probability of a patient for a certain condition is low and further testing might not be necessary (e.g. brest cancer...
Do not abuse of periprocedural and intraprocedural medication and prefer their use only when strictly indicated (e.g. avoid inadequate antibiotic prophylaxis and saline fluid intravenous solution)
The environmental burden of medications before endoscopy (bowel preparation and laxatives for colonoscopy, or mucolytic solutions), during (sedatives, antibiotics, or analgesics), and after the procedure has not been formally quantified but it has recently been...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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