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The CanMEDS framework that guides medical education in Canada by determining the core competencies that all practicing physicians should have recognizes the importance of stewardship of resources. Indeed, it speaks directly to the need for physicians to allocate health resources in a judicious and cost-appropriate manner. Stewardship of resources is recognized as a shared responsibility for all physicians. Unfortunately, in the ordinary day of a physician, other CanMEDS roles, such as medical expert and health advocate, take precedent, and oftentimes the judicious use of health care dollars is left out of sight and out of mind. However, wasteful practices are a major problem in our emergency departments (EDs), and this problem must be addressed. This editorial aims to highlight factors at the root cause of wastage in the ED and discuss possible solutions that we as a profession could implement to tackle this growing problem.

Reducing low-value interventions in the emergency department: you may be part of the problem