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Innovation in Primary Care: Caring for Unattached and Marginalized Patients

The College of Family Physicians of Canada (CFPC) is pleased to share a new issue in its Innovation in Primary Care series that focuses on caring for unattached and marginalized patients across a range of social circumstances.

Case studies are featured from Alberta, British Columbia, Newfoundland and Labrador, Ontario, and Quebec.

The CFPC and its Advisory Committee on Family Practice developed the Innovation in Primary Care series to give individuals and teams opportunities to showcase innovations in care that they have introduced in their local jurisdictions of practice and to open the possibility of scaling up these ideas.

The series supports collaboration and learning among Chapters and among family physicians across the country by sharing local approaches to health care that are working well.

If you have an innovative model or practice that you would like to submit, or if you would like to provide feedback on the series, please send an email to: healthpolicy@cfpc.ca.

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.

Credit Requirement Poll Results and Reporting Deadline Reminder

Last month we asked, “Do both certified and non-certified credits quality for the CFPC’s minimum annual credit requirement?”

The correct answer is: YES! Both certified and non-certified credits fulfill this requirement.

All Mainpro+ participants, including Non-Member Mainpro+ Participants, are required to earn and report a minimum of 25 credits per year during their five-year cycle. The annual minimum may be comprised of any combination of certified and/or non-certified credits in the Group Learning, Self-Learning, and Assessment categories; a minimum of 250 credits are required within the five-year cycle and at least 125 of those credits must be certified.

Thank you to everyone who participated in our poll. We received 172 responses—130 “yes” and 42 “no”—and all correct answers were entered in a draw to receive a $25 Starbucks gift card. Five lucky winners were drawn at random:

  • Dr. Anita Augustine (Medicine Hat)
  • Dr. Charlene R. Dunn (Calgary)
  • Dr. Olexandra Markevych (Edmonton)
  • Dr. Gregory Oman (Edmonton)
  • Dr. Shirley Traynor (Calgary)

Congratulations to our winners!

REMINDER! June 30 is the CFPC’s Annual Mainpro Credit Reporting Deadline!

Members of the CFPC must report a minimum of 25 credits annually. Both certified and non-certified credits qualify for this annual requirement. Don’t wait until June 30—enter your credits now!

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.

 

April’s E-Panel Results Are In!

April’s e-Panel asked about Clinical Decision Support Tools (CDSTs) and how they can be better accepted and implemented by primary care physicians. Respondents were also asked to rank barriers to using CDSTs in their practices, list their favourite CDSTs, and discuss ways that CDSTs can be developed to be most useful at the point of care.

An interesting aspect of this question is that even when analyzed based on practice location (urban vs. rural) or practice type (solo vs. group) these remained the top four choices, just in different configurations.

The chart below shows the most popular ways that CDSTs can be developed to be most useful at point of care. Respondents were asked to check all choices that applied out of ten options, and these four were the most favoured. They also did not change based on practice type or location.

Respondents were also asked to list their favourite CDST and give a brief explanation as to why it is their favourite. This list is available in the full results of the e-panel, along with additional barriers and ways to make the content of CDSTs more relevant to practice.

Full e-panel results are available for download here.

The Alberta Family Medicine E-Panel is an initiative supported by the Alberta College of Family Physicians, Alberta Health Services Strategic Clinical Networks™, Alberta Health Services Primary Health Care Integration Network, and the Alberta Medical Association. If you would like to be a member of this e-panel, please contact Adam Filiatreault.

The CFPC Releases a Family Medicine Professional Profile

Family Medicine Professional Profile

The Family Medicine Professional Profile is a position statement that defines the discipline of family medicine, describes the scope of practice and training for family physicians, and highlights our philosophy of care.

WHY WAS IT DEVELOPED?

  • Standard setting: To guide the development of educational standards with a clear description of the work of family physicians in keeping with a competency-based medical education (CBME) paradigm
  • Social accountability: To describe the collective commitment of family physicians to the people of Canada. To articulate the contribution of generalists and generalism in family medicine, introducing the concept of community-adaptiveness
  • Communication: To better inform others (partner organizations, policy-makers) about the role and scope of family physicians and to guide our messages to medical students about family medicine as a career

HOW WAS IT DEVELOPED?

An initial prototype was drafted based on consultations and definitions occurring as part of the development of the College of Family Physicians of Canada (CFPC) Triple C Competency-based Curriculum. The prototype statement was further refined and revised using a deliberative and iterative process of consensus building with CFPC committees, broad consultation with the membership via survey, and targeted consultation with key internal and external stakeholders.

Related Content

May 19 is World Family Doctor Day!

Alberta, Let’s Show the World How Our Family Doctors Rock!

World Family Doctor Day (FDD) – 19th May – was first declared by WONCA in 2010 and it has become a day to highlight the role and contribution of family doctors in health care systems around the world.

The event is a wonderful opportunity to acknowledge the central role of the family medicine specialty in the delivery of personal, comprehensive, and continuing health care for all of our patients. It’s also a chance to celebrate the progress being made in family medicine and the special contributions of family doctors globally.

Family doctors—leading the way to better health

World Family Doctor Day on May 19, 2018 has the theme: “Family doctors—leading the way to better health”. In advance of World Family Doctor Day the WONCA President invites members to submit case examples of best practice that lead to better health.

Share your story with WONCA and highlight how Alberta Family Doctors are leading the way to better health

Why Family Docs Rock!

  • A family doctor-patient relationship is often times one of the most trusted in health care. It is a relationship that both the doctor and patient have been nurturing since a patient’s first visit—and often the patient’s first encounter with the health care system. We know patients count on family doctors and value these relationships.
  • Family physicians often act as the central hub for managing your health and provide a higher level of continuity of care.
  • Family physicians play an important role in health promotion and illness prevention, coordinating care with other specialties and health professionals, and advocating on behalf of their patients with respect to the care and services they need in all other parts of the health care system.

Share Your Story With Us and We’ll Share It With the Rest of the World!

Help us promote the value of the family physician—in your life and in Alberta. Share your story at myfamilydocrocks@acfp.ca.

Dr. Guy Blais Talks to 630 CHED’s Ryan Jespersen on the Ryan Jespersen Show!


Alberta Declares May 19th Family Doctor Day in Alberta!

 

PRIHS Submission Deadline Approaching – April 27

Alberta Health Services and Alberta Innovates are pleased to announce the 2018/19 Partnership for Research and Innovation in the Health System (PRIHS) competition.

This PRIHS opportunity targets the implementation of high quality, evidence informed solutions to “Enhancing Care in the Community” to address performance gaps (“Focus Areas”) in the health care system that prevent optimal patient care, resource use, delivery, and access to affordable and sustainable health services.

What is PRIHS?
The Partnership for Research and Innovation in the Health System (PRIHS) is a partnership between Alberta Innovates (AI) and Alberta Health Services (AHS) focused on supporting health research and innovation projects that will adopt and implement evidence to maintain or improve quality of patient care and services while substantially reducing costs in the healthcare system.

This partnered funding opportunity targets the implementation of high quality, evidence informed solutions to “Enhancing Care in the Community” to address performance gaps (“Focus Areas”) in the healthcare system that prevent optimal patient care, resource use, delivery, and access to affordable and sustainable health services.

Expression of Interest submission deadline is April 27, 2018

Research Showcase: 2018 Recap

One of the most valued opportunities in Alberta for primary care and family medicine researchers to share their projects–the ACFP’s What’s Up Doc? Research Showcase–was held on March 2, 2018 in Banff, AB. The selection process for abstracts is very competitive and often sees over 50 research abstracts submitted each year.

In 2018, a total of 45 research abstracts were selected for presentation or display at the Showcase. We are honoured to acknowledge our 2018 What’s Up Doc? Research Showcase award recipients:

Poster Display Category

1st Place: Integrating Elements of Observable Behaviour Into an Effective Progress Report to Make High Stakes Decisions About Resident Competence

  • Adam Mullen, University of Alberta
  • Deena Hamza, University of Alberta
  • Shelley Ross, University of Alberta

2nd Place: Development of Multi-Faceted Education Workshops to Enhance Safe Opioid Prescribing

  • Katrina Nicholson, PLP, University of Calgary
  • Sampson Law, PLP, University of Calgary
  • Ashi Mehta, PLP, University of Calgary
  • Antonia Stang, PLP, University of Calgary
  • Kelly Burak, PLP, University of Calgary

3rd Place: Physicians as Teachers and Lifelong Learners: The Roles of Basic Pscyhological Need Satisfaction and Involvement in Clinical Teaching

  • Mao Ding, University of Alberta
  • Oksana Babenko, University of Alberta
  • Sudha Koppula, University of Alberta
  • Anna Oswald, University of Alberta
  • Jonathan White, University of Alberta

Oral Presentation Category

1st Place: Chaperon Use–What Do Patients Want?

  • Sonya Lee, University of Calgary
  • Sarah Jacobs, University of Calgary
  • Maeve O’Beirne, University of Calgary

2nd Place: Knowledge Synthesis and Actionable Recommendations for Better Wise: Improving Cancer Surveillance for Breast, Colorectal, and Prostate Cancer Survivors

  • Melissa Shea-Budgell, University of Calgary
  • Denise Campbell-Scherer, University of Alberta
  • Carolina Aguilar, University of Alberta
  • Kris Aubrey-Bassler, Memorial University of Newfoundland
  • Aisha Lofters, University of Toronto
  • Eva Grunfeld, University of Toronto
  • Isabella Carneiro, University of Alberta
  • Donna Manca, University of Alberta

3rd Place: A Funny Thing Happened on the Way to an App

  • Lee Green, University of Alberta
  • Sylvia Teare, PaCER
  • Jean Miller, PaCER
  • Deborah A. Marshall, PaCER
  • Jolanda Cibere, Arthritis Research Canada
  • Behnam Sharif, University of Calgary
  • Jacek Kopec, Arthritis Research Canada
  • Kelly Mrklas, Alberta Health Services
  • Tracy Wasylak, Alberta Health Services
  • Nancy Marlett, PaCER
  • Denise Campbell-Scherer, University of Alberta
  • Peter Faris, Alberta Health Services
  • Tanya Barber, University of Alberta
  • Brittany Shewchuk, University of Calgary

Congratulations to all our Research Award Winners! 

Award recipients were determined through a peer-review process and evaluated based on the following criteria:

  1. Relevance and importance to family medicine;
  2. Relevance to primary care research and researchers;
  3. Innovations/originality;
  4. Clear, well-written description, well-defined objectives, and appropriate learning methods/style.

Saturday Morning Research Workshop Presented at ACFP’s 63rd ASA

Asking Questions and Finding Answers

10:15-12:00 ONLY (PRESENTED ONLY ONCE)
Tanvir Turin Chowdhury, MBBS, MS, PhD, Calgary, AB; Donna Manca, MD, MCISc, FCFP, Edmonton, AB; and Maeve O’Beirne, Calgary, AB

In this workshop, participants had the opportunity to identify and explore their own questions. Working in small groups, participants learned how to navigate evidence.

The workshop was conducted in an interactive manner and was built around the following manuscripts. These manuscripts are meant to provide a simplified outline for the beginner researcher.

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