The Choosing Wisely RI campaign promotes productive conversations between patients and doctor--conversations that research shows produce the right level of care and go a long way towards eliminating tests, procedures and medications that provide, little, if any benefit. The campaign is organized and promoted by the Rhode Island Business Group on Health (RIBGH) and draws on the expertise of the American Board of Internal Medicine Foundation. While we provide materials that enable patients to have informed conversations with their doctors and other health care providers, we do not provide any individual medical advice.
Choosing Wisely provides employees free-of-charge access to online tools developed by ABIMF and their 80+ Specialty Society partners.
The Choosing Wisely Mobile Phone App for Apple and Android phones gives employees the chance to view the Choosing Wisely materials and recommendations on their phones - possibly when they are in their physician's office!
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Vision Care for Children
When they need it - and when they don't
August is Children's Eye Health and Safety Month. In honor of this observance, we have included Choosing Wisely's recommendations on vision screenings for children from the American Association for Pediatric Ophthalmology and Strabismus (AAPOS).
According to AAPOS, children should begin routine vision screenings early in order to rule out the condition of amblyopia, or "lazy eye," which can lead to vision loss. Traditionally, vision screenings are conducted by your child's pediatrician through the reading of vision charts or the use of photoscreeners. Photoscreeners measure the eye for vision impairment risk factors.
Here are the three key points the AAPOS advises parents to know about child vision care:
1. Most children don't need comprehensive eye exams each year.
Comprehensive eye exams are conducted by eye specialists, such as an optometrist or ophthalmologist. According to the AAPOS, children should only have comprehensive eye exams if they fail a routine vision screening, are diagnosed with a vision problem, or have a family history of vision problems. 15 in 100 children will fail a vision screening, but pass a comprehensive eye exam.
2. Children without symptoms don't need reading glasses.
Doctors sometimes prescribe low-level reading glasses for children who fail vision screenings. According to the AAPOS, these glasses are often unnecessary and ineffective. If your child demonstrates the following symptoms, they may need reading glasses:
3. Most children don't need retinal imaging tests.
Retinal imaging tests take photos or images of the retina, which is the part of the eye that sees light. According to the AAPOS, retinal imaging tests can be useful if a child:
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