Refer Wisely

Refer Wisely

Helping primary care providers make better use of myocardial perfusion imaging.

Refer Wisely is a joint initiative of the American Society of Nuclear Cardiology and the American College of Physicians to provide education regarding the Appropriate Use of Diagnostic Imaging with a specific focus on the appropriate use of myocardial perfusion imaging. The goal of the Refer Wisely program is to assist physicians in making wise referral decisions. The educational outreach involves both live and online programs, developed by a Steering Committee, to address the clinical challenges facing referring physicians in making an appropriate testing decision for patients with known or suspected coronary artery disease and will serve as a resource for decisionit's role in providing value. .

Refer Wisely Steering Committee

David Wolinsky, MD, Committee Chair – Cleveland Clinic, Weston, FL
Dennis Calnon, MD – OhioHealth Heart and Vascular Physicians, Columbus, OH
Gretchen Diemer, MD – Thomas Jefferson University Hospital, Philadelphia, PA
Rami Doukky, MD - Cook County Health and Hospitals Systems, Chicago, IL
Rory Hachamovitch, MD – Cleveland Clinic, Cleveland, OH
Andria Medina, MD, PhD – Oklahoma University Medical Center, Oklahoma City, OK
Larry Phillips, MD – NYU Langone Medical Center, New York, NY
Raymond Russell, MD – Rhode Island Hospital, Providence, RI
Ronald Schwartz, MD – University of Rochester Medical Center, Rochester, NY
David Winchester, MD – University of Florida, Gainsville, FL

Case Compendium

The Refer Wisely Case Compendium is a series of common clinical scenarios that referring physicians face in their practice when deciding on appropriate diagnostic testing in patients with known or suspected coronary artery disease. Each case is presented by a nuclear cardiologist and an internal medicine specialist to ensure the content is appropriate to helping referring physicians choose the right test for their patients.
Case discussions focus on patient-centered evaluation:
  • What questions need to be answered?  
  • What tests will provide the answers?  
  • What is a proper treatment plan based on test results? 

Online Videos

Appropriate Use of Myocardial Perfusion Imaging in Women
This is an online video discussion focused on choosing the appropriate diagnostic cardiac imaging test in women, discusses details on how to differentiate  symptoms of ischemic heart disease in women versus men, applying appropriate use criteria and imaging guidelines for nuclear cardiology studies

Women with Suspected Ischemic Heart Disease: What is the Best Diagnostic Approach?
This enduring video features a panel of experts discussing gender differences, risk assessment and stratification, application of AUC, current patterns of appropriate use of nuclear cardiology testing in women, value of PET imaging in women with CVD and understanding when other modalities may be more appropriate.

Appropriate Use Poster

Management and Testing of Ischemic Heart Disease:
Developed by Dr. David Winchester and edited by Dr. Andria Medina this poster provides an easy-to-use reference on the Appropriate Use Criteria in the management and testing of ischemic heart disease.  The poster is a 11”x17” downloadable pdf.