• Aucun résultat trouvé

Will disruption lead to renewal?

N/A
N/A
Protected

Academic year: 2022

Partager "Will disruption lead to renewal?"

Copied!
1
0
0

Texte intégral

(1)

1104

Canadian Family PhysicianLe Médecin de famille canadien

|

Vol 61: december • décembre 2015

Cumulative Profile | College

Collège

Cet article se trouve aussi en français à la page 1103.

Will disruption lead to renewal?

Francine Lemire

MD CM CCFP FCFP CAE, EXECUTIVE DIRECTOR AND CHIEF EXECUTIVE OFFICER Dear Colleagues,

In this year’s last column, it is difficult to tell you about the College’s many areas of engagement with- out acknowledging the considerable challenges Ontario family physicians are currently facing, following the col- lapse of the Ontario Medical Association’s negotiations with the provincial government. During Family Medicine Forum, held in Toronto, Ont, in mid-November, a town hall meeting between family physicians and the Ontario Deputy Minister of Health and Long-Term Care, Dr Bob Bell, was organized (still “on” at the time of writing) to foster dialogue, gain a better understanding of the issues, and, possibly, begin to renew efforts to move for- ward. The Ontario College of Family Physicians (OCFP) is involved, not as a negotiator (a role led by the Ontario Medical Association) but as a stimulator of important ideas for both parties to consider. You can learn about the latest developments from the OCFP’s ongoing com- munications and send feedback to the OCFP. What fol- lows here is a CFPC perspective on the Ontario situation, with reflections for us all.

Timely access remains the most important indicator of high-quality care. Family physicians recognize that the public demands better access in an environment where costs are contained. To address this meaningfully and deliberately, family practices need to organize cover- age on evenings and weekends as a part of our social contract. Similarly, governments need to recognize the increasingly complex nature of our patient popula- tion and provide the appropriate infrastructure to fos- ter urgent changes. The CFPC’s Patient’s Medical Home model of care offers promise, and has been shown to be supported by patients and providers alike, and to bring greater efficiency (eg, a decrease in emergency depart- ment visits, the ability to implement advanced access).1 New graduates must be able to provide comprehensive care, which includes care outside the office for various critical services (eg, obstetrics, home care, palliative care). The New Graduate Entry Program is confusing,2 especially as it relates to supporting broad-scope family practice and filling gaps in specific areas of care (eg, pal- liative care, care in remote areas). One way to address this, with population needs in mind, is encouraging prise en charge of a number of patients, for all family physi- cians, even those who are filling gaps in certain areas.

We can learn from Quebec in this regard. Getting to

this point requires our family medicine residents to be trained in comprehensive care, a commitment to broad- scope practice by the profession, and support from regional authorities and all governments.

What about team-based care? The increasing com- plexity in family practice, as well as the shift toward community-based care, requires collaboration with oth- ers in the best interest of the patients we serve. Learners also tell us that they work in teams and expect to con- tinue to do so once in independent practice. I believe this work has only just begun, and that much remains to be learned and resolved. We must remember that dedi- cated attention and support is required for team mem- bers to “gel,” to understand each other’s roles, and to work effectively together. We need to be prepared to take stock of a formula that has traditionally served our population of patients reasonably well: the team com- prising a receptionist, a family practice nurse, and a family doctor. With better networking and innovations in technology, it should be possible to engage the larger team while preserving the core.

Nothing about me without me. The Ontario government must be accountable and transparent, return to the bar- gaining table immediately, and include family physicians in discussions that affect their future and ability to practise family medicine in Ontario. We urge the provincial govern- ment to include the OCFP in the planning of health issues such as access, equity, and quality across the province.

As I meet many family doctors who are providing superb care to their patients, often in difficult circum- stances, I am repeatedly reminded what a privileged place family doctors hold in society: every day we are ready to accept and look after all comers, for the small and big problems that affect them. It is through this, over time, that a strong patient-physician relationship develops and matures and it is through this that popula- tion outcomes can be positively affected. Thank you for all that you do. From all of us at the College, best wishes for the holiday season and for 2016.

Acknowledgment

I thank Eric Mang for his assistance with this article.

references

1. Patient’s Medical Home [website]. Why PMH? Reference chart. Mississauga, ON: CFPC; 2014. Available from: http://patientsmedicalhome.ca/files/

uploads/PMH-Why-Chart.pdf. Accessed 2015 Nov 5.

2. OCFP. New Graduate Entry Program: more questions than answers? Toronto, ON: OCFP; 2015. Available from: http://ocfp.on.ca/communications/

pulse-on-family-medicine/new-graduate-entry-program-more- questions-than-answers. Accessed 2015 Nov 5.

Références

Documents relatifs

Among the rec- ommendations was the suggestion that family medi- cine residency programs should expose residents to all aspects of care of the elderly in the

The practising family physicians, teachers, researchers, medical students, residents, family practice nurses, and other primary care professionals who attend FMF report that

Systemic  factors  that  made  dementia  care  easier  included  the  presence  of  geriatric  or  specialized 

Finally, we consider the high level of interest in men- tal health issues to be an additional strength; this bodes  well  for  future  implementation  of 

A ccording to recent qualitative research by Dr Donna Manca, her colleagues, and the College of Family Physicians of Canada (CFPC), Canadian family physi- cians

Both residents and practising physicians supported advanced skills training, which is recommended not only in the PAIRO blueprint, but also in the McKendry Report, the

VOL 49: APRIL • AVRIL 2003  Canadian Family Physician • Le Médecin de famille canadien 405.. Family physicians

as a Métis woman who has worked as a family physician in a variety of Aboriginal and non-Aboriginal settings, it appeared that at least some of what was