BC Guidelines


BC Guidelines are clinical practice guidelines and protocols that provide recommendations to B.C. practitioners on delivering high quality, appropriate care to patients with specific clinical conditions or diseases. These “Made in BC” clinical practice guidelines are developed by the Guidelines and Protocol Advisory Committee (GPAC), an advisory committee to the Medical Services Commission. The primary audience for BC Guidelines is BC physicians, nurse practitioners, and medical students. However, other audiences such as health educators, health authorities, allied health organizations, pharmacists, and nurses may also find them to be a useful resource.

There are several ways to find the guidelines you are looking for.

What's New

For information on COVID-19, visit the BC Centre for Disease Control website.

The Heart Failure – Diagnosis and Management guideline provides recommendations for the diagnosis and management of people aged ≥ 19 years with suspected or confirmed heart failure in the primary care setting. It focuses primarily on chronic ambulatory heart failure. The revised guideline provides new recommendations on medication titration. Given that heart failure is associated with reduced life expectancy, advanced care planning and palliative care are also addressed in his revised version of the guideline.

Step 1: Download the draft guideline for review

Step 2: Complete the online questionnaire by January 12, 2023

This guideline is an adaptation of the British Columbia Centre on Substance Use‘s (BCCSU) Provincial Guideline for the Clinical Management of High-Risk Drinking and Alcohol Use Disorder (2019). It aims to outline the identification and clinical management of high-risk drinking and alcohol use disorder in adults (individuals aged 25 years and older) and youth (individuals aged 11-24 years). The guideline was drafted by a working group of BC practitioners, including family physicians, addiction medicine physicians, as well as people with lived/living experience.

Step 1: Download the draft guideline for review

Step 2: Complete the online questionnaire by January 12, 2023


REVISED (October 27, 2022): Testosterone Testing Protocol

This protocol reviews the appropriate use of serum testosterone testing in men and women aged ≥ 19 years. This document is intended to direct primary care practitioners and to help constrain inappropriate test utilization, particularly as it pertains to “wellness” and “anti-aging” practices. This protocol expands on the guidance provided in the associated BC Guidelines.ca: Hormone Testing – Indications and Appropriate Use.

Testosterone testing for paediatric and transgender patients is out of scope of this protocol. For information and guidance on testosterone testing for transgender people, refer to Gender-affirming Care for Trans, Two-Spirit, and Gender Diverse Patients in BC: A Primary Care Toolkit, produced by Trans Care BC at the Provincial Health Services Authority


REVISED (October 27, 2022): Hormone Testing – Indications and Appropriate Use

This guideline provides recommendations on the appropriate indications for testing of selected endocrine hormones in patients aged ≥ 19 years, mainly out-patients in a primary health care setting. The document is intended to provide direction to primary care physicians and help constrain inappropriate test utilization. However, it does not represent exhaustive guidance to the appropriate use of the endocrine tests listed as other indications will be identified in the practices of Royal College of Physicians and Surgeons of Canada certified gynecologists, urologists, laboratory physicians, general surgeons performing endocrine surgery, otorhinolaryngologists, and endocrinologists.


To learn more about BC Guidelines see our video below

BC Guidelines Overview