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Review the last 10 musculoskeletal referrals (e.g. rheumatology, orthopaedics, sports and exercise medicine):
Did your provisional diagnosis and plan fit with the outcome of referral?
Could any other appropriate management have been delivered in primary care or the community (e.g. physiotherapy, occupational therapy)?
Review a random selection of musculoskeletal referrals in the past year who were discharged after a single outpatient attendance:
Was the referral appropriate?
Could these patients have been managed differently?