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The Highs and Lows of Medical Cannabis

The Highs and Lows of Medical Cannabis

Tune in for a live-stream debate hosted by the College of Family Physicians of Canada on Tuesday, October 16th at 12:00-1:00 pm ET.

This Group Learning program has been certified by the College of Family Physicians of Canada for up to 1 Mainpro+ credit.

Dr. Mel Kahan, family physician at Women’s College Hospital in Toronto and a non-supporter of prescribing medical cannabis will defend his position against Dr. Mark Ware, family physician from Montreal and Chief Medical Officer of Canopy Growth Corporation, a leading provider of medical and recreational cannabis.

The event will be moderated by Dr. Michael Allan, the CFPC’s Director, Programs and Practice Support.

Please join us for this lively debate on a controversial topic the day before recreational cannabis becomes legal in Canada!

A link to join the live-stream debate is available on the CFPC member dashboard.

The YouTube event is best viewed using Chrome or Firefox browsers.

If you are a CFPC member and are unavailable to join the live -stream event, the debate will be recorded and a link will be shared on the CFPC member dashboard.

Tools and Supports for Primary Care

In 2017, the ACFP with their collaboration with the PEER group, published three Tools for Practice articles.


Simplified guideline for prescribing medical cannabinoids in primary care

Abstract
Objective To develop a clinical practice guideline for a simplified approach to medical cannabinoid use in primary care; the focus was on primary care application, with a strong emphasis on best available evidence and a promotion of shared, informed decision making.

Methods
The Evidence Review Group performed a detailed systematic review of 4 clinical areas with the best evidence around cannabinoids: pain, nausea and vomiting, spasticity, and adverse events. Nine health professionals (2 generalist family physicians, 2 pain management–focused family physicians, 1 inner-city family physician, 1 neurologist, 1 oncologist, 1 nurse practitioner, and 1 pharmacist) and a patient representative comprised the Prescribing Guideline Committee (PGC), along with 2 nonvoting members (pharmacist project managers). Member selection was based on profession, practice setting, location, and lack of financial conflicts of interest.

The guideline process was iterative through content distribution, evidence review, and telephone and online meetings. The PGC directed the Evidence Review Group to address and provide evidence for additional questions as needed. The key recommendations were derived through consensus of the PGC. The guideline was drafted, refined, and distributed to a group of clinicians and patients for feedback, then refined again and finalized by the PGC.

Enhancements to Engage Primary Care, ACFP’s Leader Registry

Alberta’s health care system is constantly evolving and primary care is being asked more and more to provide advice and input on these changes.

To ensure the voice of family physicians is heard when these requests come in, we have created the Engage Primary Care portal–a way to link requesters to those physicians who want to be engaged. In order for it to be a success, though, we need you!

Taking 10 minutes of your time to fill out the family physician engagement form helps us identify the leaders within our communities–those physicians who want to have some sort of an impact or a voice in how primary care works in Alberta. Whether you want to be on province-wide committees or would rather complete an occasional survey, whether you have a specific clinical interest or have some non-clinical ideas you’d like to share, we want you to be part of our Leadership Registry.

Have you already filled out the form and been engaged? We’d still like to hear from you as we have added some more questions to the registry. Contact Adam at either adam.filiatreault@acfp.ca or 587-525-8440 to update your information.

Engage Primary Care is a partnership between the Alberta College of Family Physicians, the Alberta Medical Association, Alberta Health Services, the Strategic Clinical Networks™ and the Primary Care Alliance.

Call for Volunteers!

Student Information Sessions at the University of Alberta

Once a year the ACFP organizes a student-family physician meet and greet luncheon or dinner. The event provides a great opportunity for students to meet and speak with practising family physicians. The informal setting is the perfect place for students to ask doctors the really tough questions.

Call for Volunteers: Edmonton and Area Doctors and Residents!

Share Your Passion for Family Medicine and Volunteer at Our Student Information Sessions.
The Alberta College of Family Physicians (ACFP) will be hosting an evening information session for first- and second-year medical students at the University of Alberta on Tuesday, October 30, 2018 at 5:15pm. We are looking for volunteers located from communities in northern Alberta, including Red Deer.

What
ACFP’s Student Information Sessions at the University of Alberta

When
5:15pm – 8pm, Tuesday, October 30, 2018 (dinner will be provided)

Where
Katz Centre for Pharmacy and Health at the University of Alberta

How It Works
A physician and/or resident will be assigned a room with a small group students (approximately eight to 10 students/group) for dinner. This will provide an opportunity for medical students to meet with family physicians and residents in an informal, relaxed, and interactive manner to ask questions about careers in family practice and/or family medicine residency. There is no set agenda and the discussion will be based on the questions the students have for you. All we request is that you share with students your perspective about and passion for family medicine.

Why We Need You
Evaluations from previous sessions have been very positive and this event helps to develop student awareness about the scope, diversity, and benefits of choosing a career in family practice.

Sign Up Now
For more information or to sign up as a volunteer, contact Susan Soufi at (780) 701-9716 or by email.

Earn up to 70 certified credits with the new and improved GoMainpro!

If you have not yet signed up for GoMainpro, you are missing out on the ACFP’s best kept secret.

GoMainpro is an online learning platform where you can earn certified credits for ACFP’s Tools for Practice library and ACFP’s Video Library from its past events—61st Annual Scientific Assembly and Practical Evidence for Informed Practice conferences.

Simply read a Tools for Practice article or watch a video and reflect on your learning experience and earn credits—it is that easy! Download the GoMainpro fact sheet.

Launch the Intro to GoMainpro to Take a Look!

 

New and Improved GoMainpro

GoMainpro Updates Include:

  • Updated GoMainpro look and feel
  • New and improved My Dashboard page
  • Removal of tiered subscriptions and credit limits
  • Addition of new certified content libraries
  • New credit opportunities on Tools for Practice Online
  • Addition of one new non-certified library.

Removal of Tiered Subscription Levels – What This Means
The ACFP is pleased to inform you that we have removed the tiered subscription options on GoMainpro meaning that you will no longer be limited by subscription levels and their credit limits.

All credit limits have been removed and now you can earn as many credits our content libraries can offer.

Additional Content Libraries
The ACFP is very pleased to announce the addition of two video libraries. The ACFP Video Library includes session and keynote recordings from the 61st Annual Scientific Assembly and the 2017 Practical Evidence for Informed Practice conferences.

GoMainpro subscribers can access a video title and reflect on their learning to earn credits. Download the conference program guides for the 61st ASA and 2017 PEIP conference for more information.

The ACFP Video Library Self-Learning program has been certified by the College of Family Physicians of Canada for up to 14 Mainpro+ credits.

Additional Credit Opportunities for Tools for Practice
The ACFP has re-certified the Tools for Practice Online library and it is now eligible for more credits! In fact all 200+ articles have been accounted for which totals a possible of 56 certified credits. With the removal of tiered subscriptions and credit limits, this means you can earn additional credits on Tools for Practice articles.

The Tools for Practice Online Self-Learning program has been certified by the College of Family Physicians of Canada for up to 56 Mainpro+ credits.

Non-certified Video Library
The ACFP has also added archived files from the 2016 Practical Evidence for Informed Practice conference. As a subscriber you will have access to the entire collection.

Because the ACFP is unable to report on non-certified credits, you will be required to report on non-certified credits yourself. Alternatively you can also access http://www.cfpc.ca/Linking_Learning_exercises/ form to earn further credits on these titles.

*The maximum of certified Mainpro+ credits corresponds to the total possible amount of credits from the certified libraries available on GoMainpro. Please note that credits earned from June 1, 2017 to May 31, 2018 have already been reported and submitted. Credits earned as of June 1, 2018 will be submitted to the CFPC on May 31, 2019

Prevention in Hand

The Prevention in Hand (PiH) website has an attractive new interface that is also highly functional and easy to navigate. With generous support from Scotiabank and the Foundation for Advancing Family Medicine (FAFM), the Prevention in Hand website and mobile app were updated in 2017.

Prevention in Hand website has garnered an impressive 61,000 active users, 656 cross-links from 53 different websites since it was launched in 2015.

Health care professionals can access the information individually or with their patients to review current chronic disease information, professional guidelines, e-Learning modules, online assessments, and wellness and healthy lifestyle management tools.

Family doctors who complete the eLearning modules can earn Mainpro+® credits.

In this past year, we added doctor-reviewed content on five new chronic disease topics (Chronic Pain, Insomnia, Osteoporosis, Concussion, and Thyroid Disease) for practitioners and patients and launched 4 certified e-learning modules, which over 21,000 people have accessed the modules.

Free Self Learning™ Resource—Focus On: Opioids

The CFPC is a proud supporter of Opioid Wisely, a Choosing Wisely Canada Campaign that encourages thoughtful conversations between clinicians and patients to reduce the potential harms associated with opioid prescribing. With the recent launch of this campaign, the CFPC wishes to remind members of their free online access to Focus On: Opioids, a special issue of the Self Learning™ Program.

To access Focus On: Opioids, follow these steps:

  1. Login to the CFPC’s Self Learning website using your CFPC login (email address and password)
  2. Locate the issue under the “My Self Learning Issues” on your dashboard page. The issue will be labelled #32.51–Special.*

* For those not subscribed to Self Learning, this special issue will be the only one displayed.

Members can claim five certified Mainpro+® credits with this special issue by completing a Linking Learning to Assessment exerciseIf you have any questions about this special issue or the Self Learning team by email or at 1-800-387-6197 extension 441.

 

Simplified Guideline for Prescribing Medical Cannabinoids in Primary Care

Primary care physicians can incorporate medical cannabinoids into their prescribing practices by being informed with best available evidence and using a simplified, shared decision-making approach with their patients.

Visit the Toward Optimized Practice Clinical Guidelines page for more information.

 

 

 

 

New! CanMEDS-Family Medicine Competency Framework 2017

CanMEDS-FM 2017 is a competency framework designed for all family physicians regardless of practice type, location, or populations served. Together with the College of Family Physicians of Canada’s (CFPC) Family Medicine Professional Profile, it forms an overall picture of the roles and responsibilities of Canadian family physicians along with the competencies required to support their work.

Key changes and new elements in this version compared to CanMEDS-FM 2009 include:

  • An emphasis on generalism, and as part of this, community-adaptive expertise introduced within the Family Medicine Expert Role
  • Cultural safety introduced as an important feature of care provided by family physicians, with a description of related enabling competencies
  • Increased emphasis on patient safety
  • Continuous quality improvement introduced within the Leader, Scholar and Health Advocate Roles
  • The CFPC’s Four Principles of Family Medicine strengthened and reaffirmed
  • The Leader Role replaces the CanMEDS-FM 2009 Manager Role, as per changes made in CanMEDS 2015

All seven Roles were revised; however, the Family Medicine Expert Role underwent the most extensive adaptation, aiming to integrate competencies across all Roles.

How to use CanMEDS-FM 2017

Principles and suggestions for using CanMEDS-FM 2017 are as follows:

  • It applies to all family physicians. The Role descriptions and enabling competencies are independent of practice context, practice type, and population served. Taken as a whole, it captures both the common and distinctive competency requirements for family physicians
  • It defines the abilities needed by family physicians across the educational continuum of undergraduate, postgraduate, enhanced skills training, and continuing professional development
  • It does not define levels of competence, also referred to as benchmarks or milestones
  • It can be used by others who work with family physicians in medical education, family medicine research, quality improvement, and more broadly within the health care system.

Best Advice Guide: Team-Based Care in the Patient`s Medical Home

Team-based care is an integral part of the Patient’s Medical Home (PMH) model. The continuous, comprehensive, patient-centred care provided by these family practices is made even more effective by building a strong, well-connected team that strives for the same goal.

This guide examines the benefits of team-based care for both practice efficiency and patients’ health outcomes.

More Best Advice Guides

Presented and developed by the College of Family Physicians of Canada, the Best Advice Guides are short, practical documents designed to help family physicians implement the pillars of the Patient’s Medical Home in your practice.

Past guides are available on the PMH website and new guides are always under development and added to this library as they become available.

New – Canadian Guideline for Opioids for Chronic Non-Cancer Pain

Driven by a common interest in tackling the overuse and abuse of prescription opioids in Canada, the College of Family Physicians of Canada (CFPC) is pleased to be one of eight national organizations to form the Pan-Canadian Collaborative on Education for Improved Opioid Prescribing. This Collaborative formed in response to Health Canada’s 2016 Joint Statement of Action to Address the Opioid Crisis and shares a commitment to a coordinated, pan-Canadian approach to the safe, effective, and compassionate management of pain in our communities. The Collaborative is committed to providing education for improved opioid prescribing and to addressing the issue comprehensively and collectively.

The 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain, developed by the Michael G. DeGroote National Pain Centre at McMaster University, the guideline will assist health care providers in practice decisions regarding the safe and effective use of opioids for chronic non-cancer pain management. It aims to keep patients safe from the potential harms of opioids while recognizing the therapeutic benefits of these medications.

The Collaborative is composed of members from the following organizations: the Canadian Centre on Substance Abuse, the Canadian Medical Protective Association, the Canadian Medical Association, the Federation of Medical Regulatory Authorities of Canada, Memorial University of Newfoundland MDcme, the Michael G. DeGroote National Pain Centre at McMaster University, the Royal College of Physicians and Surgeons of Canada, and the College of Family Physicians of Canada.

On May 18th The Honourable Jane Philpott, Minister of Health called for a review of the guideline development process by the Canadian Institutes for Health Research (CIHR). We understand that this may create questions about the quality of the new guideline so we want to provide you with the following information.

First, because of the importance of the opioid guideline to Canadian physicians and their patients, the CFPC understands the Minister’s decision to undertake a review that will allow all parties affected by the guideline to be certain about its credibility. The guideline development process was validated nationally and internationally and the resulting recommendations and guidance statements underwent multiple levels of review.

Based on our current knowledge, we believe the guidelines are based on the best available evidence and are appropriate to inform clinical practice, pending the outcome of the independent review. Together with our Collaborative partners, the CFPC remains committed to addressing the opioid crisis that is affecting people every day. We will keep you informed of the outcome of the independent guideline review as information becomes available.

Links and resources

The 2017 Canadian Guideline for Opioids for Therapy and Chronic Non-Cancer Pain is available online at
http://www.cmaj.ca/content/189/18/E659
http://nationalpaincentre.mcmaster.ca/guidelines.html

The guideline is also available at https://www.magicapp.org/canadianopioidGL
This is an interactive, dynamic website and mobile app, that features decision aids and facilitates decision making between patients and providers.

For more information on Opioid Management visit the Opioid Management page.

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