1. Choose Wisely – Avoiding Overdiagnosis and Overtreatment: In April 2012, the American Board of Internal Medicine (ABIM) launched a Choose Wisely campaign that has been joined by more than 80 medical specialty groups to date. The purpose of Choose Wisely is to facilitate communication between physicians and patients and to help patients choose tests and treatments based on the following criteria: evidence-based, non-repetitive, harmless, and necessary. Each leading professional body suggests 5 unnecessary tests or treatments. See my series #ChooseWisely. In July, the Joint Commission on Hospital Accreditation (JC) organized a national meeting of academic medical groups, medical institutions, and government agencies to identify five treatments that are widely used but harmful to patient safety and quality: antibiotics for the common cold, blood transfusions, tympanic tube placement in children, early scheduling of labor and delivery, and elective cardiac stents. The AHA/ACC published new cholesterol monitoring, evaluation, and treatment guidelines in November of this year, stating that there are no clear randomized controlled trial results to support controlling cholesterol below a certain level. Therefore, the new guidelines do not specify targets for LDL and non-HDL cholesterol in primary and secondary cardiovascular disease prevention, but rather emphasize the relative reduction of LDL cholesterol with statins. At the AMA annual meeting in June, participants agreed to include obesity, which involves 1/3 of Americans and costs $190 billion annually, as a disease for comprehensive prevention and treatment.4. Warnings for several major drugs: Azithromycin can cause torsional ventricular tachycardia; fluoroquinolone analogs can Fluoroquinolones can increase the risk of permanent peripheral neuritis; clarithromycin can increase hospitalization and mortality due to acute renal failure and hypotension in patients already taking anti-hypertensive calcium antagonists; statins are associated with injuries to the skeletal system including dislocations, tendon injuries and joint sprains. 5. Cardiovascular, including all causes of mortality (except stroke); more than 28 cups of coffee per week can increase all-cause mortality in men; no calorie artificial sugar drinks can increase weight, increase the risk of metabolic disease, diabetes, cardiovascular disease; a new hypothesis suggests that antioxidants not only do not prevent but may cause tumors. 6, beneficial probiotics and cinnamon: regular consumption of probiotic-containing yogurt Women, can change the control of mood and sensory brain tissue activity; taking cinnamon supplements can improve fasting blood sugar and cholesterol levels in patients with type II diabetes. 7, drug agents to report bribes of more than $10 to doctors: The Sunshine Act (The Sunshine Act) within the Affordable Care Act (ACA) went into effect this August, requiring drug and medical device agents to report bribes to doctors The Sunshine Act, which is part of the ACA, went into effect this August, requiring drug and medical device agents to report gifts (transfers of value) to physicians that exceed $10 in value at a time. If it is less than $10 at a time, but more than $100 a year, it must also be reported. The Sunshine Act requires the Centers for Medicare & Medicaid Services (CMS) to post the total amount of bribes received by each physician online by September 2014.