The RACP, in partnership with the Australasian Chapter of Addiction Medicine, have launched the latest Evolve Top-5 recommendations on low-value practices. Find out how you can improve the quality and safety of patient care at evolve.edu.au/recommendations/AChAM

COVID-19 Recommendations

The COVID-19 pandemic presents an unprecedented challenge to the capacity of health care systems and providers around the world. Now, more than ever, stewardship of limited resources is critical.

In response, Choosing Wisely Canada developed this list of recommendations with input from international leaders to raise awareness about the need to use limited health care resources wisely.

Developing Evolve Recommendations

Evolve is a partnership between the RACP and specialties. The movement provides a trusted process for each Specialty to remain up-to-date with the latest evidence. The development of Evolve ‘Top-Five’ recommendations is:

  • Fellow-led, collaborative, evidence and consensus-based
  • flexible – guided by agreed criteria, the process allows for adaptability in approach and pathways tailored to Specialties, and
  • transparent.

​Tips on implementing Evolve

Evolve aims to support physicians to safely and responsibly phase out low-value tests, treatments and procedures where appropriate, provide high-value care to patients based on evidence and expertise, and influence the best use of health resources, reducing wasted expenditure.

There are several ways you can help implement Evolve ‘Top-Five’ recommendations in your workplace, including:

  • Order Evolve merchandise and collateral for your next event to share the word.
  • Follow us on TwitterFacebookInstagram and LinkedIn.
  • Join the Evolve Policy Reference Group and help shape and drive the Evolve initiative (email evolve@racp.edu.au to join). 
  • Be a part of developing your Specialties Top 5 Recommendations.
  • Make recommendations a routine part of clinical handovers.
  • Include recommendations in education sessions like grand rounds, workshops, clinical case reviews, team meetings and more.
  • Undertake a clinical audit and feedback project on a recommendation.
  • Build your skills to enable them to participate in joint decision making with their patients, or have difficult discussions with their colleagues or supervisor.
  • Engage hospital management in implementing the recommendations across the health service.
  • Discuss the recommendations with referring doctors and your multidisciplinary care team.
  • Encourage organisational and department Evolve Champions to help drive change.
  • Undertake research on Evolve and implementation of Evolve recommendations
  • Share your experiences, ideas and challenges with us and other physicians.
Don’t forget you may be able to claim some of your Evolve activities as CPD. Check against the MyCPD Framework.

Endocrine Society of Australia (ESA) members have been enthusiastic about this process. They see the advantages to patients and the community to reduce the number of tests and/or treatments that are of marginal or no benefit and are not cost effective

Associate Professor Warrick Inder, Endocrinologist Qld Health
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