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CPSA Council Update: Standards Clarify Boundaries and Practice Responsibilities

Doctors across Alberta should familiarize themselves with these two recently amended standards of practice, approved by the CPSA Council after an extensive consultation process:

  • Boundary Violations (formerly Sexual Boundary Violations) adds new expectations around non-clinical relationships with patients and learners (e.g., personal, social, business, financial), as well as prohibiting the sexualization of physician-patient relationships.
  • Responsibility for a Medical Practice defines what the College holds physicians accountable for in various practice arrangements and should be priority reading for every Alberta physician.

The standards took effect on July 1, 2018.

The Council has also adopted a Statement of Principles on sexual misconduct by physicians. This statement calls for stricter sanctions when physicians are found to have engaged in sexual misconduct and increased transparency around discipline decisions.

“The public’s expectations are changing and we’re changing with them,” said Council President Kate Wood. “The Minister of Health supports both these directions. We share the same goal: to make sure every patient feels safe seeing a doctor, and to maintain the confidence of all Albertans in the medical profession.”

Questions? Email Chantelle Dick, CPSA Standards of Practice Coordinator.

Registration is now open!

Don’t delay, register for PEIP today!

Pre-conference session confirmed!

We have added a new pre-conference session to this year’s conference line up. Led by Dr. Christy Sutherland (Vancouver inner-city harm reduction), participants will be provided strategies for identifying and evaluating patients in their practices with opioid use disorder, implementing and initiating therapy (including opioid agonist therapies), and providing ongoing treatment in the primary care setting. Participants will also enjoy the opportunity to learn from local family physician leaders—Drs. Jessica Kirkwood and Cathy Scrimshaw—in the field during this three (3) hour workshop on Friday morning. This program aims to inform participants of best practices and local resources that will allow them to optimize care for patients with opioid use disorder. (Space for this workshop is limited and available in-person only.)

2018 Conference topics include:

In addition to the popular What’s New, What’s True, What’s Poo? session, this year’s topics include:

  • Best Tips for New Moms
  • Biologics and Biosimilars
  • Diabetes Medications Update
  • Driving in the Elderly and Medically-at-Risk
  • Fatty Liver
  • Medical Oncology
  • Pearls for Primary Care in: Dermatology, Emergency Medicine, Palliative Care, Rheumatology, and Urology
  • Top 5 Non-Opioid Solutions for Chronic Pain
  • Vascular Surgery
  • VTE Prophylaxis
  • What We Do in Medicine That Works!

Notice to Members

Dear Members,

The Alberta College of Family Physicians is shocked and saddened by the criminal charges against Dr. Fred Janke announced today.

Effectively immediately, Dr. Vishal Bhella (President-Elect) has assumed the role of President, Alberta College of Family Physicians.

Please be assured that our focus remains on operations and to provide programs and services to our valued Members.

Due to the gravity of this matter, we will not be available for further comment in the immediate timeframe. However, as this matter develops, we shall communicate with our members and stakeholders in a transparent manner and in keeping with our commitment to good governance.

Ms. Terri Potter, PMP, CAE
Executive Director, Alberta College of Family Physicians

 

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.

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