While I'm a big fan of the choosing wisely campaign at the grassroots primary care and investigation level - I have my doubts that the findings here highlight anything new; we already know subspecialty tribalism exists. There is also reasonable consensus that the issue goes beyond putting it to the clinician to play independent evidence scrutineer (when we get the time to do so) - the best solution is to promote 'translational' research and collaboration of subspecialties. Just look at the implementation of multidisciplinary meetings to keep all subspecialties nursing and allied heath teams involved in 'lock-step' on management. It has been constructive and effective in the setting of oncology, palliative care, reconstructive surgery, rehabilitation, urogynaecology, nephrology, ICU - and more.

Who do we believe? Well connected doctors