In an effort to promote the wise clinical practice, the American Board of Internal Medicine (ABIM) has launched an initiative called “ Choosing Wisely” to formulate a discussion among physicians and medical specialists by identifying tests or procedures commonly used in their field whose necessity should be questioned and evaluated. This article provides an insight into some dermatological medication and diagnostics and its validity. Do NOT initiate unnecessary oral antifungal therapy for suspected nail fungus Half of the suspected nail fungal infection actually is not an infection but other conditions like nail dystrophies.

Unnecessary use of antibiotic without diagnostic confirmation of fungus should be restricted to improve the quality of treatment and to avoid side effects of antifungal therapy. Do NOT recommend Moh micrographic surgery for small, uncomplicated, non-melanoma skin…