ST Brainstorm - Rational Testing topic by Deb Hart https://padlet.com/debhart/ookywkigve9wze5o Testing has a role in diagnosing and monitoring disease, providing prognoses and predicting treatment responses. The large number of tests available , variable information available on quality, and increasing number of guidelines and recommendations, provides a challenge for clinicians to make rational decisions about the selection and use of tests. As a result, tests may be used unnecessarily or incorrectly and results misinterpreted en-us 2022-06-17 04:18:50 UTC 2022-07-21 03:18:00 UTC hello@padlet.com Pre reading debhart https://padlet.com/debhart/ookywkigve9wze5o/wish/2223701269 NZ version
Best-practice testing
Minimising waste in testing
 Inequities - who are we missing?
Poly testing
Overdiagnosis
Incidentalomas
Disease creep - changing diagnostic thresholds
Role of testing in disease prevention

What does ST version need to cover? Where are the knowledge gaps?
]]> 2022-06-17 04:24:26 UTC https://padlet.com/debhart/ookywkigve9wze5o/wish/2223701269 Data debhart https://padlet.com/debhart/ookywkigve9wze5o/wish/2223704728 What tests do we target for data?
What data is available/accessible?
e.g. 
Polytesting - how easy is it to order multiple tests with low influence on management
'Monitoring' tests - how often should you check HbA1c, FBC, cholesterol in otherwise healthy person]]> 2022-06-17 04:29:51 UTC https://padlet.com/debhart/ookywkigve9wze5o/wish/2223704728 Learning Objectives debhart https://padlet.com/debhart/ookywkigve9wze5o/wish/2223708181 NZ version 
·         Summarise the benefits, harms and limitations of testing
·         Identify factors that influence requesting of tests and the potential risks involved
·         Identify when tests might be harmful
·         Recognise that reducing inequity in testing is important for improving health outcomes
·         Recognise the importance of shared decision making and assessment of patients’ test (health) literacy

Relevance for ST?
]]> 2022-06-17 04:35:21 UTC https://padlet.com/debhart/ookywkigve9wze5o/wish/2223708181 Presentation debhart https://padlet.com/debhart/ookywkigve9wze5o/wish/2223716823 NZ version as an idea of what might be covered



]]> 2022-06-17 04:47:48 UTC https://padlet.com/debhart/ookywkigve9wze5o/wish/2223716823 Who will support the topic at the ST end debhart https://padlet.com/debhart/ookywkigve9wze5o/wish/2223718441 Is there a local  primary care testing guru to comment on subject matter?

Who will support topic development at ST end?

]]> 2022-06-17 04:50:05 UTC https://padlet.com/debhart/ookywkigve9wze5o/wish/2223718441 Alternative presentation debhart https://padlet.com/debhart/ookywkigve9wze5o/wish/2234717581 From a much older topic but concepts may be applicable]]> 2022-07-01 01:41:37 UTC https://padlet.com/debhart/ookywkigve9wze5o/wish/2234717581 Presentation Content debhart https://padlet.com/debhart/ookywkigve9wze5o/wish/2234717962 What would your groups be interested in discussing?

Ideas for comment
What tests could we omit without adversely impacting care?
Role for the wider team - who else orders tests - how is this info coordinated at the practice? Who manages abnormal results?
What does shared decision making look like in testing? Do you discuss next steps - if the result is positive then ...

]]> 2022-07-01 01:42:04 UTC https://padlet.com/debhart/ookywkigve9wze5o/wish/2234717962 Case/ Vignette for discussion debhart https://padlet.com/debhart/ookywkigve9wze5o/wish/2234720255 Case/Scenarios Ideas
What tests do we highlight for discussion?
Role of testing in management - the worried well
Managing incidentalomas - the more tests done the more likely a result will sit outside the normal range - how do you manage this?
What tests do we highlight for discussion here?]]> 2022-07-01 01:44:42 UTC https://padlet.com/debhart/ookywkigve9wze5o/wish/2234720255