Strong Steps program: Stepwise approach to identification and prevention of osteoporotic fracture

You need to login to participate in this QI program.

Please log in, or if you don't already have a free account, register to continue.

This education is accredited: RACGP 40 CPD, ACRRM 7 CME PD.

By 2022, it is estimated that 6.2 million Australians older than 50 years of age will have osteoporosis or osteopenia, placing them at high risk of minimal trauma fracture.1 Timely diagnosis and appropriate pharmacological management are essential to reduce osteoporotic fracture rates.2 However, fractures are often not linked to osteoporosis, or are seen as unimportant.3,4 The disease therefore remains underdiagnosed and undertreated in Australian General Practice.2

Strong Steps program

Accredited activity aim

This program aims to support identification, evaluation and treatment of patients at high risk of osteoporotic fracture.

Why take part in this program?

  • Evaluate and manage osteoporotic fracture risk in ten patients, with a step-by-step process of best practice and guidelines.
  • Earn up to 40 RACGP CPD points/7 ACRRM hours upon completion

Learning outcomes

After participating in this activity you will be able to:

  • Implement strategies to identify patients at risk of osteoporosis, to ensure prompt diagnosis and effective ongoing management.
  • Evaluate and individualise anti-osteoporosis treatment based on the characteristics and preferences of the patient.
  • Address patients’ treatment and lifestyle modifications to reduce fracture risk.
  • Discuss self-management strategies with patients to gain life-long commitment to treatment adherence and reduce fracture risk.

Inclusion criteria

Patients should fall into one of the following risk groups:

  1. A postmenopausal woman or a man over 50 years old with current or historical minimal trauma hip or vertebral fracture.
  2. A postmenopausal woman or a man over 50 years old with current or historical minimal trauma fracture at any other site (excluding fingers and toes).
  3. A person over 70 years old without history of minimal trauma fracture.
  4. A postmenopausal woman or a man over 50 years old without history of minimal trauma fracture but with other risk factors1 for osteoporotic fracture.

To maximise learning from this audit, it is recommended that you select patients from each of the above groups.

Patients may be recruited if they have a current minimal trauma fracture, or if they have had one when they were aged ≥ 50 years.

How long should it take?

The program has been designed to take approximately 6-8 weeks to complete. This includes patient recall from your practice, patient consult and program evaluation.


  1. The Royal Australian College of General Practitioners and Osteoporosis Australia. Osteoporosis prevention, diagnosis and management in postmenopausal women and men over 50 years of age. 2nd edn. East Melbourne, Vic: RACGP, 2017.
  2. Naik-Panvelkar P, et al. BMC Family Practice 2020;21:32.
  3. Besser SJ, et al. Arch Osteoporos 2012;7:115-24.
  4. Alami S, et al. PLoS One 2016;11:e0158365.
  5. Australian Government Department of Health. MBS Online Medicare Benefits Schedule. Available at: Accessed September 2020.

This activity is sponsored by Amgen.

Content partners: 
Strong Steps program - Predisposing activity
Strong Steps program - Education
Strong Steps program - Patient entry
Strong Steps program - Reflective activity
Strong Steps program - Evaluation