[Smarter medicine in ambulatory care : beliefs and practices of family doctors and training of future clinicians].

Following an American and then international initiative, the Swiss Society of Internal Medicine launched the « Smarter Medicine » campaign in 2014 with five recommendations of activities to be avoided, focusing on low back pain, antibiotic prescriptions, pre-operative chest x-rays, prostate cancer screening and treatment with proton pump inhibitors. In 2016, 69 % of family physicians reported that they knew the recommendations and levels of agreement were very high. However, physicians reported differences between recommendations in how often they are followed in practice, and there remains room for improvement. We need to put in place training programs at the pre- and post-graduate levels, as well as continuing medical education. It would also be useful to educate patients.