Categories > Top Stories

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.

Save the Date for the 63rd ASA!

Annual Scientific Assembly—the ACFP’s Flagship CPD Event!

Join Us for Alberta’s Premier Family Medicine Conference—Education for Family Docs by Family Docs!

63rd Annual Scientific Assembly | March 2-4, 2018 | Rimrock Resort Hotel, Banff, AB

The ACFP’s ASA brings together more than 350 family physicians, family medicine residents, and medical students to network and share best practices in primary care.

Relevant and Thought-Provoking Topics

  • Medical cannabis,
  • reconciling indigenous health,
  • seniors care,
  • addictions, chronic respiratory and pain management,
  • HPV/STI/BV evidence update,
  • refugee/newcomer health,
  • the diabetic foot,
  • transgender health, and much more.

For full session details, visit the 63rd ASA Agenda page or for more information visit the 63rd ASA Conference site.

Don’t Miss Out! Register Today!

The ACFP is pleased to offer a number of registration type options to fit the ASA attendee. We are also happy to offer a number of prorated registration options for those members who cannot commit to the full ASA schedule or are only interested in attending our Pre-Conference courses. Take a look at the registration options available to you.

 

Book Your Room Early!

Why wait? Make sure you are not disappointed and book your room at the official host hotel now, the Rimrock Resort Hotel. Reserve your room by calling 1-888-746-7625.

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.

First Five Blog: Should You R3?

By Dr. Shan Lu

If you are in your second year of residency, you may be considering whether or not to do an R3. I had the same question in my second year and, to some extent, still do. This blog shares my personal story and links to the CFPC website for additional information about their Certificate of Added Competence (CAC) program.

First, the story. I became interested in the Care of the Elderly (COE) when I was in my second year of Family Medicine Residency. At the time, I was already five months pregnant with my first child. I had decided that I was interested enough in the field of COE that I would like to specialize in it, so I went ahead and applied for an R3. I was accepted and the University of Alberta even agreed to a deferred start date so I could have my maternity leave as planned.

As my deferred start date drew closer, I became increasingly aware of the difficulties I might face in balancing residency and a child under one year old. I wanted to get working (part-time at that). I had previously established enough connections in the COE field that helped me to land a related part-time position, and I’ve been working at a job I love, and learning in the field, since. Occasionally, I’ve consider returning to do a 6-month accelerated R3 in COE—mostly so that I could have the CAC behind my name.

Now the details. The CFPC currently only allows those who have completed an R3 program in the areas of COE, Sports and Exercise Medicine (SEM), Family Practice Anesthesia (FPA), Palliative Care (PC), and Emergency Medicine (EM). Newly approved domains are Addiction Medicine and Enhanced Surgical Skills.

The CFPC website states they are evaluating how people who have on the job learning could apply and be qualified for a CAC within their chosen field. For example, Emergency Medicine (EM) is a bit different, as you could gain enough experience on the job to then challenge the exam or to go through an R3 EM program. More details are available on their website: http://www.cfpc.ca/CAC/.

Everyone’s experience will be different but, here are some factors you may want to consider when deciding whether or not to do an R3:

  1. Your stage of life,
  2. If you can do the same job without the extra year or if the extra year is crucial to get into the field you like,
  3. How easily you would be able to obtain the CAC if you don’t do the R3 right after your R2 year.

Hope this has been helpful.

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.

2017 Price Comparison of Commonly Prescribed Drugs Guide

The ACFP is pleased to share with you the annual Price Comparison of Commonly Prescribed Pharmaceuticals in Alberta
document. Authored by Dr. Mike Kolber, Tony Nickonchuk, and Jayson Lee, the document identifies generic products (generally cheaper) from brand name products, a 90 day cost for standard doses (unless otherwise noted), and Alberta Blue Cross and Indian Affairs coverage.

The document is grouped by medication class and then ordered by cost. Please read the introduction for further explanation and specifically how the costs were calculated. While this document is not exhaustive, it contains many medications potentially used by office based primary care providers.

We Want to Hear From You – Please Take a Moment and Complete the Impact Assessment

We wish to hear about your experiences with and the impact the document has on your daily practice. The survey should take you ~5 minutes to complete. Questions are pertinent to the most recent year you have been using the document.

 

CFPC Launches Poverty Tool for Primary Care Providers

The College of Family Physicians of Canada (CFPC), eight of its provincial Chapters, and the territories, in collaboration with the Centre for Effective Practice (CEP), launched a new resource called Poverty: A Clinical Tool for Primary Care Providers to help family physicians identify patients who may suffer health issues as a result of living in poverty.

Individualized for Alberta

The Poverty tool is:

This clinical tool offers specific resources to help health care providers screen for and respond to poverty concerns in patient encounters, particularly when caring for underserved, vulnerable, and marginalized populations. Social determinants of health, such as poverty, play a major role in patients’ health outcomes. The CFPC and the Centre for Effective Practice (CEP) have joined forces to expand and disseminate an Ontario poverty tool, which the CEP developed with clinical leadership from Dr Gary Bloch, to raise awareness among family physicians and other health professionals of how poverty affects their patients.

Who’s Who in Alberta’s Health Care

Understanding Who’s Who in Alberta’s Health Care

Understanding the different roles that health care organizations have in Alberta’s health care system can be daunting. Each organization plays a
significant role in a family physician’s career. Here’s a quick tour around the organization and association landscape, and the ACFP’s role within it.

whoswho225

Choose Wisely – Is More Better?

Helping family doctors and their patients talk about prevention

The College of Family Physicians of Canada (CFPC) is dedicated to supporting family doctors in providing the best possible care to their patients and communities. As part of this work, the CFPC has partnered with Choosing Wisely Canada™.2016-04-21_16-12-58

Check out Dr. Mike Evan’s latest video lecture on Choosing Wisely named: Do More Screening Tests Lead to Better Health? or visit the abbreviated version 3-minute video.

Dr. Mike Evans is a family physician/professor/person working to bring the best evidence-based health information out of the clinic to wherever you are through a series of Whiteboard Health Videos.

Topics include: