Evolve
Better care. Better decision-making. Better use of resources. 


The RACP is encouraging physicians to implement ​the Evolve Top 5 List recommendations in their work and health services. Evolve encourages physicians reflect and consider why a clinical practice will not be of benefit to a patient by asking:

  • Are these low-value practices that I do? 
  • Are these low-value practices that I see happening?​
  • Are there systems, processes or expectations that encourage or drive these low-value practices in my health service​?
The Evolve Top 5 Lists are also available through Choosing Wisely in Australia and New Zealand.

Evolve Top 5 List Development


All RACP specialty societies are invited to develop their Top 5 List of low-value practices. The Evolve Top 5 List development process is rigorous and robust. To develop an Evolve Top 5 List, a specialty requires a:

  • Lead Fellow: Acting as an Evolve Clinical Champion and the primary point of contact with RACP
  • Working Party: Small group of specialty members that drive the evidence review and Evolve Top 5 List development
  • Membership Body: Provides feedback throughout the Evolve Top 5 List development process and actively engaged in implementation of the final Evolve Top 5 List.  

There are three steps involved in developing a specialty's Evolve Top 5 List​: 

  1. Development of an initial list of low-value practices in your specialty;
  2. Refinement of the initial list through research and data analysis, and seeking feedback from the specialty's membership; and
  3. Finalisation of the ​Evolve Top 5 List using pre-determined criteria and membership feedback to identify the final Top 5 low-value practices.
More information on Evolve Top 5 List development
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