Roger recently retired from over 30 years as a General Physician at Middlemore Hospital, maintaining a private practice in Rheumatology and now enjoying general medicine locums in smaller centres. For many years he was a clinical teacher coordinating General Medicine attachments at Middlemore for fourth year students. A focus of his teaching (remembered by some but not all!) was practical application of the principles of evidence-based medicine. The recent development of the Evolve programme in the RACP sees these principles applied across a wide range of clinical scenarios and will be the focus of his presentation, with particular reference to rheumatology practice.
Evolving our Practice: Reflections and Lessons for General Physicians from Rheumatic Disease Practice
The Evolve programme of the Royal Australasian College of Physicians and the wider Choosing Wisely campaign, aimed at minimising harm to our patients and/or costs to the healthcare system, have encouraged reflection on clinical practice for all of us, individually and as members of specialty associations. Beyond the specific ‘Top Five’ recommendations of specialty associations there are numerous other clinical practices that warrant scrutiny. This presentation will look at some of these from the perspective of a general physician with a specialty interest in rheumatology.