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PTMA Newsletter - Issue 4 2015

Call For Motions — 2015 CMA General Council

On April 16th, all PTMAs and Affiliates were notified of all the pre-General Council (GC) information available on cma.ca – including the motion form for the Call for Motions for 2015.

View the information for GC delegates

Note that motions are to be submitted on or before Monday July 13, 2015, 11:59 pm (EDT).

For additional information please contact Melinda Lauzon.



CMA expands Ambassador Program for annual meeting

The Canadian Medical Association (CMA) is excited to announce an expansion of its Ambassador Program – to better engage and involve younger physicians. Working in collaboration with Provincial and Territorial Medical Associations (PTMAs) and other CMA partners, the program provides opportunities for members to become actively involved with the CMA beginning with the CMA’s annual General Council (GC) meeting in Halifax, NS. As a result, in 2015, this opportunity is only available to CMA members in the Atlantic provinces.

Following the success of last year’s Student Ambassador Pilot Program, the program is being expanded this year to include 10 medical students, 10 residents and 10 early career physicians (approximately less than 5 years in practice).

The program will help to build strong, enduring connections between the CMA and medical students, residents, and early career physicians to ensure we are meeting the needs of Canada’s new and future physicians.

Participants will have their travel and accommodations covered, and will be given unique opportunities to engage with the CMA and its leadership. Successful candidates will be expected to:

  • At GC: Attend and actively participate in 4 volunteer days at the CMA’s Annual Meeting (held Aug. 23-26, 2015 in Halifax);
  • At GC and Beyond: Connect and network with peers, colleagues and mentors on issues of importance to them and to the medical profession; and,
  • Beyond GC: Share their experience as a champion, provide feedback and advocate for the CMA and the profession.

Ambassadors will be selected randomly from applicants who:

  1. Are a medical student, resident or early-career physician (approximately less than 5 years in practice;
  2. Are a resident of the Atlantic provinces;
  3. Are a member of the CMA;
  4. Are a member of an Atlantic provincial medical association; and
  5. Demonstrate how they can benefit from engaging with CMA as an ambassador at General Council.

Eligible applicants can apply by clicking on the following link Entry Form. All entries must be received by Wednesday, May 27, 2015 at 11:59pm.

Any CMA member is welcome to attend General Council as a member observer with no registration costs.



PTMA leaders hold “unconference”

Ask leaders of the provincial and territorial medical associations (PTMAs) to set their own agendas for the day in an unstructured format and they’ll take full advantage of the situation.

That’s what happened at the recent one-day Presidents Forum hosted by the Canadian Medical Association (CMA), where PTMA presidents and CEOs participated for the first time in the “Open Space” style of meeting.

Under the direction of facilitator Misha Glouberman, participants were asked to select or join in discussing various topics, with the aim of encouraging networking but not necessarily reaching definitive conclusions on next steps.

Glouberman stressed the aim of what is also known as an “unconference” was to allow unstructured participation to whatever degree each person desired.

Based on comments made during and after the meeting, the approach was a big success.

“This gave me a huge opportunity to meet with other people across the country. I won’t hesitate to reach out given the many new relationships I was able to make thanks to this approach,” said Saskatchewan Medical Association CEO Bonnie Brossart.

Ontario Medical Association President Dr. Ved Tandan said looking at the agenda with not topics he initially wondered how the format was going to work out but agreed the end result was “fantastic.”

With several discussions taking place during the day, involving groups of two to 15 people in various settings, other participants noted the level of interaction was more intense than at most meetings.

“You have people’s undivided attention,” agreed Yukon Medical Association President Dr. Ken Quong.

Both Tandan and Doctors of BC President Dr. Bill Cavers noted that while each discussion began on a set topic, conversations often “drifted” by consensus onto other issues of interest to the participants.

The topics introduced and discussed touched on many of the main challenges facing the medical profession in Canada today. These ranged from how to make associations more attractive for Generation X and Y to how to deal with “recalcitrant” provincial governments and the face of primary care in 2020.



CMA strengthens ties with students

The Canadian Medical Association (CMA) has strengthened its relationship with its student members through a collaborative partnership between financial management subsidiary MD Financial Management (MD) and the Canadian Federation of Medical Students (CFMS) — with MD now the federation’s exclusive partner for financial services.

“This is definitely a win-win for both organizations,” said CMA President Chris Simpson. The CFMS at its spring General Assembly in Vancouver approved the new partnership.

"We are pleased to be working together with the CFMS to provide even better support to Canadian medical students," said Mike Gassewitz, MD's executive vice-president of Member Solutions.

"As a CMA company, we are dedicated to meeting physicians' financial needs throughout their lives and careers, and this starts in medical school. This partnership will enable us to help more medical students take the worry out of their finances and start their careers on the best possible financial footing, leaving them able to focus on their studies."

Simpson said: “The partnership demonstrates the strong commitment by CMA to support medical students in all facets of their life and work. It shows that CMA, through MD, will help ensure students succeed as they begin their careers, whether it is providing advice on debt management, paying for medical school or preparing for residency and practice.”

"We're very excited to be entering into this partnership with MD," said Bryce Durafourt, CFMS president. "Students will benefit from an improved level of support from CFMS and MD through a wide range of information, events and services that have been specifically created with them in mind."

Medical student members have access to MD's specialized network of advisors, who can address the financial needs and goals of medical students including advice about how to finance medical education while minimizing debt. Student and resident members can also take advantage of a special line of credit.

The partnership is just one element of the CMA’s renewed drive to support its medical student members, also demonstrated by making new clinical tools available to them and providing students with more opportunity to participate in the association’s decision-making processes.



CMA membership now includes access to ClinicalKey

In 2014, the popular CMA clinical resource MD Consult was discontinued by Elsevier. Much of the same great content is now available in ClinicalKey, plus much more! Plus, this valuable benefit saves CMA members up to $1,200* a year.

ClinicalKey is a leading online clinical tool that searches across more than 1,200 textbooks, 650 journals, 13,500 medical and surgical videos, 15,000+ customizable patient handouts and more than five million images across 30+ medical specialties. “ClinicalKey has become an essential complement to DynaMed and UpToDate when I am at my patient’s bedside,” said Dr. Pierre Harvey, a practising physician.

More info on ClinicalKey.

*Maximum cost of an annual personal subscription to one ClinicalKey specialty package



Survey the first to map Canadian physician leadership landscape

There must be more physician leaders and these leaders need more recognition and, in many cases, proper compensation.

These were among key findings from a large and unique study assessing the attributes and attitudes of Canadian physician leaders that was released at a special session during the recent Canadian Conference on Physician Leadership, held in Vancouver.

The research, featuring responses from 689 physicians in formal and informal leadership positions and 15 detailed interviews, was conducted by the Canadian Medical Association (CMA), Canadian Society of Physician Executives (CSPE) and the George & Fay Yee Centre for Healthcare Innovation at the University of Manitoba.

CMA President-elect Cindy Forbes referenced the wide range of leadership experiences of physicians in her remarks on the second day of the conference.

“Leadership isn’t something that’s reserved for an ‘elite’ group of managers or directors,” she said. “Leadership competencies are essential for effective medical practice, throughout all stages of our careers.”

The survey showed that while respondents felt they had a natural inclination towards leadership roles, there was still a widespread negative perception – starting in medical school and continuing into practice – that taking on a leadership role was “going to the dark side.”

CSPE President Dr. John Van Aerde presented the data with researcher Anita Snell (PhD). They lauded the survey’s high response rate after it was sent to all CSPE members and everyone who had attended a PMI course over the past five years. Responses were received from all areas of the country except the Yukon, and from physicians in a wide range of practice settings and leadership roles.

Noting an almost equal number of male and female respondents, Van Aerde said the current physician leadership in Canada reflects demographic changes that have seen the number of female physicians increase significantly in recent years.

For physicians in formal leadership positions, remuneration increased as the number of leadership roles rose. However, one in 14 respondents with formal leadership roles were not paid for their leadership activity, and 18% received only a stipend.

The survey revealed that those in volunteer leadership positions provided between 38 and 81 hours of unpaid work a month, and overall 40% received no administrative support for their work or compensation for improving their leadership skills.

Most respondents felt that those in formal leadership roles should maintain an active clinical practice, though there was wide variation in opinions about how big this practice should be. A minority stated that if a physician had gained an understanding of the practice environment there was no need to do clinical work while holding a full-time leadership role.

Asked about the greatest satisfaction in being a leader, respondents most frequently cited helping to improve the system and provide better outcomes for patients. Bureaucracy was identified as one of the most dissatisfying aspects of the role.

Respondents felt the CMA had a role in future advancement of physician leadership by being proactive, and by providing leadership in influencing decision-making across the health care system. The value of PMI courses was also cited by many.

Asked how to encourage physician leadership, those polled identified leadership training as the most important factor — including building such training into the medical school curriculum.



CaRMS match is biggest ever

It was the largest matching process in the history of the Canadian Resident Matching Service (CaRMS) and is likely to be the biggest we will see for some time.

But for many observers, the real story of this year’s match between medical school graduates and residency programs in Canada was the continued growth in the number of graduates selecting family medicine first. This number was at an all-time high.

Results from the CaRMS match were presented in Vancouver at the annual meeting of the Canadian Conference on Medical Education by Sandra Banner, executive director and CEO of the non-profit service.

This year there were 5,285 applicants for 909 residency programs. A total 90% of Canadian medical school graduates were matched to their first choice of discipline — a result that has been consistent for the past five years.

“Inevitably, we matched more Canadians into postgraduate training than (at) any time in the past … because (total) class size is the highest it has ever been,” said Banner in an interview. She added the numbers should now plateau, as graduating class sizes have stabilized and there is no more expansion planned.

In the first of two iterations of the match, 2,729 Canadian graduates were matched while 133 went unmatched. Among international medical graduates (IMGs) 351 were matched and 1,445 went unmatched.

For 2015, 38.5% of graduates selected family medicine first. This number is up slightly from 38.2% in 2014 but a dramatic increase from a decade ago, when 24% of medical school graduates selected family medicine. After two iterations, 98% of family medicine slots across the country were filled, with only 44 family residency positions unfilled.

CaRMS notes the growth of family medicine as a choice has increased because of the development of distributed campuses, improved fees for family physicians and revamped medical curricula.

Banner, who is retiring after 30 years with the organization, noted that this year’s increasing number of male graduates choosing family medicine is a new development, an increase of about 5% since 2013.

The growth in family medicine as a first-choice specialty has been climbing steadily since 2004. The shift is occurring at the same time as other specialties, notably surgery, are reporting some unemployment.

Another change is that 21% fewer IMGs applied for Canadian programs, a dip that can be attributed to the fact these graduates must now write the National Assessment Collaboration exam prior to applying.



Upcoming PMI Physician Leadership Courses

PMI physician leadership courses are being offered in beautiful Halifax, Nova Scotia, in early June for an opportunity for physicians to build their brand as a physician leader, and network with physician colleagues from across the country.

Developing and Leading System Improvement — June 1 – 2, 2015

The two-day course provides an introduction to quality improvement (QI) methodology and best practice. Upon completion of the course, you will be able to describe the theory and science of QI, apply tools that reveal and explore patterns and processes, and use course content to further a quality improvement agenda within your own organization. Find out more and register.

Leadership Strategies for Sustainable Physician Engagement — June 3 - 4, 2015

Physician engagement remains one of the biggest challenges facing our health system. This two-day course provides you with the knowledge, skills and abilities you need to become an active leader, and bring about effective physician engagement wherever you work. Find out more and register.

For more information on all PMI physician leadership courses, please visit cma.ca/pmi or email pmi@cma.ca.



New! Online CME Course: School children with learning disabilities

New to the CMA’s suite of free accredited online Continuing Medical Education (CME) courses, this course helps physicians assess and treat children with learning difficulties.

It’s estimated that about 10 percent of children experience learning difficulties at some point. Additionally, around one in ten (higher in some regions) school-age children suffer from attention deficit-hyperactivity disorder (ADHD) and other clinical disorders. Family physicians need to have the knowledge and skills to support these children particularly as the number of cases requiring secondary and tertiary care is growing, which can lead to long wait times and negatively affect these children who are struggling academically and socially.

Available to CMA members only, this two-hour accredited course is presented by a team of clinical experts from the University of Alberta, the Glenrose Rehabilitation Hospital and McMaster University. Upon completion of the course, you’ll be able to identify the differential diagnosis for learning and attention problems in school-aged children, describe evidence-based interventions for uncomplicated attention deficit-hyperactivity disorder (ADHD), and outline an initial intervention plan. This includes writing a basic case formulation that can be given to parents and/or schools, and collaborating with school personnel to help in the management of the child’s condition.

Participants who successfully complete the course are eligible for two MainPro–M1 credits from the College of Family Physicians of Canada and two Maintenance of Certification credits (Section 1) from the Royal College of Physicians and Surgeons of Canada.

Learn more.



Golf anyone?

ClubLink and Mont Tremblant golf discounts - Golf Season is coming, ready to join the club with CMA? Tell them you’re a “CMA Affiliate” when booking.

For additional information contact Emmanuelle Morin.



Upcoming events in your province or territory

Date Event City Province Details
May 25Market Outlook: Perspectives and InsightsSarniaONMD Seminar
May-26Incorporation – The right choice for your practice?TorontoONMD Seminar
27-MayInvestment Basics Seminar for Female PhysiciansKitchenerONMD Seminar
27-MayIncorporation – The right choice for your practice?TorontoONMD Seminar
28-30-MayCanadian Society of Palliative Care PhysiciansCalgaryABMD/CMA Exhibiting
28-MayClient Appreciation Wine and CheeseFlatlandsNBClient Appreciation
28-MayWinding Down Your PracticeCalgaryABMD Seminar
29-MayOntario Medical Student Bursary Fund – Golf TournamentMarkhamONMD Sponsoring
29-MaySaskatoon Resident IMG TalkSaskatoonSKMD Seminar
30-MayRetirement SeminarNew WestminsterBCMD Seminar
30-MayRetirement SeminarSurreyBCMD Seminar
30-MayNew Brunswick Medical Society Foundation-Celebration of Medicine 2015St.Andrew’sNBMD/CMA Exhibiting
1-JunUniversity of Alberta Graduation WeekEdmontonABMD Sponsoring
2-JunClient Appreciation Wine and CheeseTruroNSClient Appreciation
2-JunClient Appreciation Meet Greet & DineLunenburgNSClient Appreciation
4-JunInvesting Basics SeminarKitchenerONMD Seminar
4-JunStratégies mixtes : une partie reconnaissance et l’autre développement des affairesQuebecQCMD Seminar
5-JunClient Appreciation with Bill HortonWinnipegMBClient Appreciation
6-JunUniversity of Toronto Rehab and Physician Medicine TalkTorontoONMD Seminar
6-JunBeginning of practice activityLavalQCMD Seminar
4-6-JunNew Brunswick College of Family PhysiciansMonctonNBMD/CMA Exhibiting
5-6-JunDoctors Nova Scotia Annual ConferenceCape BretonNSMD/CMA
6- JunDoctors of BC Annual Meeting & Convention 2015VancouverBCMD/CMA
6-JunReception and Wine TastingCaraquetNBClient Appreciation
6- JunNewfoundland and Labrador Medical Association Annual General MeetingSt. John’sNLMD/CMA
6-9-JunCanadian Society of Otolaryngology-Head and Neck SurgeryWinnipegMBMD/CMA Exhibiting
5-7-JunRetirement Retreat WeekendJackson’s PointONMD Event
8-JunOntario IMG Financial TalkTorontoONMD Seminar
8-JunIMG Resident Orientation – University of ManitobaWinnipegMBMD Seminar
10-JunTransition to Practice & IncorporationOttawaONMD Seminar
11-JunMedical Society of PEICharlottetownPEIMD/CMA Exhibiting
9-12-JunSociety of Obstetricians and Gynaecologists of Canada Annual MeetingQuebecQCMD/CMA Exhibiting
12-JunClient Appreciation at Dancing Moose CaféYellowknifeNWTClient Appreciation
12-JunU of A Internal Med AHDEdmontonABMD Seminar
12-JunUBC Family Med GraduationVictoriaBCMD Seminar
13-JunUBC Survival Skills ConferenceVancouver BCTrade Show
14-JunFamily Event: Picnic at the ZooEdmontonABClient Appreciation
15-JunOntario IMG CMA TalkTorontoONMD/CMA Seminar
16-JunInvestment SeminarMontrealQCMD Seminar
16-17 JuneUBC Kelowna Family Medicine ProgramKelowna BCPractice Management Curriculum (PMC)
18-JunUBC Neurology AHDVancouverBCMD Seminar
19-JunUBC Survival Skills ConferenceVancouverBCTrade Show
20-JunMovie Inside Out (Vice Versa)ChicoutimiQCFamily Event
19-22-JunCAS 2015-Canadian Anesthesiologists’ Society Annual MeetingOttawaONMD/CMA Exhibiting
23 - JuneCare At The End Of Life: A Rapidly Evolving Canadian LandscapeOwen SoundONCMA Event
23-JunUBC PG Residents OrientationPrince GeorgeBCMD Seminar
24-JunGolf AfternoonVirdenMBClient Appreciation
24-JunClient Appreciation Wine and CheeseVirdenMBClient Appreciation
25-JunU of T Resident OrientationTorontoONTrade Show
25-JunUBC Resident OrientationVancouverBCTrade Show
26-JunResident Orientation – U of CCalgaryABTrade Show
29-JunResident Orientation – U of AEdmontonABTrade Show
29-JunResident Orientation – DalhousieHalifaxNSTrade Show
30-JunCalgary Stampede BreakfastCalgaryABClient Appreciation
30-JunResident Orientation – NOSMSudbury/Thunder BayONTrade Show
30-JunResident Orientation – uOttawaOttawaONTrade Show
2-JulMcMaster Resident OrientationHamiltonONTrade Show
2-JulWestern Resident OrientationLondonONTrade Show
2-JulResident Orientation Queen’sKingstonONTrade Show
20-JulOntario IMG Financial TalkTorontoONMD Seminar
20-JulOntario IMG CMA TalkTorontoONMD/CMA Seminar
24-JulStudent Orientation –U of CCalgaryABTrade Show
31-JulResident OrientationLavalQCTrade Show
7-AugResident Orientation – SherbrookeSherbrookeQCTrade Show
20-AugLaval Golf TournamentLavalQCNetworking
24-AugStudent Orientation U of AEdmontonABTrade Show
23-26-AugCMA Annual General CouncilHalifaxNSMD/CMA Sponsoring and exhibiting
25-AugFondation de l’Hôpital Montfort – Charity Golf TournamentOttawaONMD
20-22-SeptAll-Advisor ConferenceTorontoONMD/CMA Sponsoring and Exhibiting
25-26-SeptAlberta Medical Association Annual General Meeting 2015EdmontonABMD/CMA Sponsoring & Exhibiting
24-26-SeptSaskatchewan College of Family PhysiciansReginaSKMD/CMA
25-27-SeptFederation of Medical Women of CanadaTorontoONMD/CMA Sponsoring & Exhibiting

For additional information please contact Geneva Forestell.