BC Guidelines

Logo of 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

Opioid Use Disorder - Diagnosis and Management in Primary Care 

Opioid Use Disorder - Diagnosis and Management in Primary Care (2018)

This new BC Guideline, developed in collaboration with the BC Centre on Substance Use, presents recommendations for diagnosis and management of opioid use disorder in primary care.  The guideline focuses on induction and maintenance of buprenorphine/naloxone (Suboxone®) opioid agonist treatment for adults and youth (ages 12 years and older).   

This is a summary version of the recently published provincial Guideline for the Clinical Management of Opioid Use Disorder developed by the BC Centre on Substance Use and Ministry of Health, available at bccsu.ca.

Ultrasound Prioritization

Ultrasound Prioritization (2018)

This new BC Guideline summarizes suggested wait times for common indications where ultrasound is the recommended first imaging test. The purpose is to inform primary care practitioners of how referrals are prioritized by radiologists, radiology departments and community imaging clinics across the province.  In some cases, notes and alternative tests are provided for additional clinical context.  This guideline is an adaptation of the British Columbia Radiological Society (BCRS) Ultrasound Prioritization Guidelines (2016).

Invitation to Participate in External Review  

Testosterone Testing Protocol – now open for External Review until July 31, 2018

The Testosterone Testing Protocol summarizes the appropriate use of serum testosterone testing in men and women aged ≥19 years. It is an updated version of Testosterone Testing  Protocol (2011). Key updates include: new hypogonadism investigation algorithm; recommendation that patients fast, use the same lab for initial and follow-up tests, and test when the sleep-wake cycle is stable; inclusion of age-dependent approximate lower limits of normal for men; separate guidance for initial and follow up (monitoring) testosterone tests.

Please visit the BC Guidelines External Review page to download the draft guidelines and submit your feedback via our new online questionnaires.

Frailty in Older Adults - Early Diagnosis and Management

We are pleased to announce the release of the revised guideline Frailty in Older Adults - Early Identification and Management (2017).

Key recommendations include:

  • Early identification and management of patients with frailty or vulnerable to frailty provides an opportunity to suggest appropriate preventive and rehabilitative actions (e.g. exercise program, review of diet and nutrition, medication review) to be taken to slow, prevent, or even reverse decline associated with frailty.
  • Use a diligent case finding approach to identify patients with frailty, particularly among older adults who regularly or increasingly require health and social services. However, routine frailty screening of the general population of older adults is not recommended.
  • Many patients with frailty can be assessed and managed in the primary care setting through a network of support, which may include family, caregivers, and community care providers. Coordinate care with other care providers and ensure patients and caregivers are referred to or connected with local health care and social services.
  • Polypharmacy is common in patients with frailty. Consider the benefits and harms of medications by conducting a medication review in all patients with frailty.
  • Initiate advance care planning discussions for patients with frailty or vulnerable to frailty.

We are also pleased to introduce a number of resources to accompany this guideline:

New BC Guidelines Mobile App Now Available at BCGuidelinesApp.ca

We are pleased to announce the release of our new BC Guidelines Mobile App for Android and Apple devices.

BC Guidelines has partnered with Dr. Matthew Toom, an experienced computer programmer and UBC Family Medicine Resident, to create the new BC Guidelines Mobile App. The free and redesigned mobile app works even without Internet connectivity so busy practitioners can instantly access BC Guidelines on any Apple or Android mobile device no matter where they are working.

New Partner Guidelines

Biopsychosocialspiritual Withdrawal Management Services and Bugs and Drugs®

We are pleased to provide links to two new partner guidelines on our Partner Guidelines page:

Perinatal Guidelines and Standards - Perinatal Services BC

www.perinatalservicesbc.ca/health-professionals/guidelines-standards 
BC Inter-professional Palliative Symptom Management Guidelines - BC Centre for Palliative Care www.bc-cpc.ca/cpc/symptom-management-guidelines/ 

Other Updates

Updated GPAC Handbook Now Available

Want to learn more about the Guidelines and Protocols Advisory Committee and the BC Guidelines development process? Check out our recently updated GPAC Handbook (2017)

Earn Continuing Medical Education Credits with BC Guidelines

Update on Mainpro+® Credits for Family Physicians

With the launch of the College of Family Physicians of Canada's new Mainpro+ system, there are now more opportunities to earn credit for continuing medical education / continuing professional development through using and participating in the development of BC Guidelines. For more details, see Continuing Professional Development (CPD) Credits.