Quality Referral Evolution

Access Improvement

Quality Referral Evolution (QuRE) is a collaborative initiative designed to make quality consultation/referral communication competencies a part of undergraduate and postgraduate medical education in Alberta, as well as an online self-study for practicing physicians and surgeons in the province.

Do you know why it is important?

  • Consultation is an important part of medical practice. Skillful and effective communication between primary care physicians and specialists is essential for safe, high-quality referral and consultation processes.
  • Poor quality of referral requests and responses leads to missing information and miscommunication about the patient’s need for specialty services.
  • There is also a growing concern in the medical community and the public about the safety issues surrounding these access delays, duplication of services and adequacy of follow-up.

Our Vision

By offering evidence-informed teaching and learning resources to future and practicing physicians and surgeons, the quality of communication and standards of practice in the consultation/referral processes will improve, resulting in improved access and safer care for Albertans.

Who are we?

is a collaboration between family physicians, surgical and medical sub-specialties, the Universities of Alberta and Calgary, and Alberta Health Services’ Access Improvement Team.

The initiative is developing best evidence-informed educational resources for teaching and learning the communication skills needed to provide quality referral and consultation. This includes a two-sided pocket QuRE Checklist, residency workshops, and training modules for continuous medical learning.

View the Learn section on this page to find resources that will help your practice.


Watch our video to learn more about QuRE.

A comprehensive list of literary articles discussing referral and consultation practices, challenges, initiatives and education is also available.


The QuRE Checklist is small enough to slip into a lab coat and sturdy enough to survive your workspace. And they’re free! Order for yourself or your workplace and we’ll mail them right to your door. Contact to order.


Be part of the referral evolution. Upcoming QuRE workshops are scheduled at the University of Alberta and the University of Calgary this fall.

University of Alberta
Department of Family Medicine residency workshop
Sept. 19, 2019

University of Calgary
PGME workshop for all residency programs
Nov. 21, 2019

Contact Us