Quality Referral Evolution

Quality Referral Evolution (QuRE) is a collaborative initiative designed to make quality referral/consultation competencies a part of undergraduate and postgraduate medical education in Alberta, as well as an accredited 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 referral/consultation process will improve, resulting in improved access and safer care for Albertans.

Who are we?

The QuRE initiative is composed of members of Alberta Health Services, as well as both Universities of Calgary and Alberta. It represents family medicine, surgical and medical sub-specialities, the universities’ residency programs, and AHS referral and access management.

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 second year residency training module, and continuous medical learning workshops eligible for accredited continuous professional learning (College of Family Physicians of Canada Mainpro-C and Royal College of Physicians and Surgeons of Canada Maintenance of Certification).

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


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


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! Join in:

October 30, 2018
Alberta Health Services Physician Orientation (Calgary)

November 2, 2018
Alberta Health Services Physician Orientation (Edmonton)

November 14 – 17, 2018
Family Medicine Forum (FMF) 2018 (Toronto)
“Do the Needful:” QuRE working on improving the quality of referral/consultation processes

Contact Us