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PTMA Newsletter - Issue 7 2014

August 2014 Board of Directors Meeting Summary

Welcome

New board members were welcomed. They are:

  • Dr. Cindy Forbes - President-elect
  • Dr. Atul Kapur - Ontario
  • Dr. Celina White - Nova Scotia
  • Dr. Rao Tadepalli - Yukon
  • Dr. Michael Giuffre - Alberta
  • Dr. Maurice Roy - Manitoba
  • Dr. Guruswamy Sridhar - Saskatchewan
  • Dr. Adam Steacie - Ontario
  • Dr. William Cunningham - British Columbia
  • Dr. Bryce Durafourt- Students

Welcomed in absentia were:

  • Dr. Ravi Pullela - Residents

Elections and Appointments

  • Dr. Brian Brodie was elected as Chair of the Board
  • Dr. Brendan Lewis was elected as Honorary Treasurer from the Board
  • Dr. Nasir Jetha was elected from the Board as the Member-at-Large to the Executive Committee
  • Dr. Linda Slocombe was elected from the Board as Vice-Chair of the Board

Board members were appointed to the following committees

  • Subsidiary Boards Search Committee - Drs. Shelley Ross, Frank MacDonald, Christopher Jyu
  • Health Care Transformation Working Group - Dr. Guruswamy Sridhar
  • Appointments and Review Committee - Dr. Ann Collins
  • Committee on Finance - Drs. William Cunningham and Maurice Roy
  • Committee on Governance -Dr. Celina White
  • Staffing Committee - Drs. Brendan Lewis, Stewart Kennedy, and Virginia Walley
  • Political Action Committee - Drs. Brendan Lewis, Frank MacDonald, Celina White, Laurent Marcoux, Rao Tadepalli and Guruswamy Sridhar
  • Specialist Forum - Dr. Pierre Harvey
  • GP Forum - Dr. Maurice Roy
  • Committee on Health Care and Promotion - Dr. Michael Giuffre
  • Committee on Ethics - Dr. Atul Kapur
  • Committee on Health Policy and Economics - Dr. William Cunningham
  • Committee on Education and Professional Development - Dr. Linda Slocombe
  • Conjoint Accreditation - Dr. Virginia Walley
  • Journal Oversight Committee - Dr. Adam Steacie
  • Canadian Physician Health Institute Steering Committee - Dr. Celina White

French spokesperson

The Board appointed Dr. Pierre Harvey as the official French spokesperson for the Canadian Medical Association.

Review of General Council

The Board discussed the proceedings of the General Council meeting that concluded the previous day. The CMA policy on euthanasia and physician assisted dying will be revised to reflect the resolution passed that supports physicians following their conscience as the law permits. The improved engagement of medical students at General Council this year was noted as was the decision to create a working group to evaluate the disposition of General Council resolutions.



GC 2014: Pivotal moment for CMA and profession

The CMA and Canada's doctors are demonstrating true leadership in dealing with the challenges involved in sustaining the health care system and the integrity of the profession.

That was a message heard repeatedly during, and in the wake of the CMA's recent General Council meeting in Ottawa.

It was a meeting that saw the CMA conclude a comprehensive national dialogue on end-of-care issues by making a fundamental change to its policy on euthanasia and physician-assisted dying by saying doctors can follow their conscience on this issue, as the law permits.

The meeting was preceded by fundamental changes to the CMA itself as its Board of Directors unanimously approved a restructuring of the organization which will see creation of a new subsidiary that will house the revenue generating clinical and knowledge products and services.

General Council had a whole new look this year as well, as a number of refinements and changes were made to refresh the annual gathering and increase time delegates had to debate issues.

Many delegates applauded all of these changes and noted the discussions and meeting itself was one of the most productive in years. Special recognition was given to the quality of the dialogue on end-of-life care and the exemplary work done by the CMA to clarify the language on end-of-life care issues.

Many of the changes reduced the time spent on ceremonial aspects of the meeting and the CMA pledged to working with past officers of the association to ensure the traditions of the CMA continue to be respected moving forward.

"I can feel the CMA really cares about its members," was a comment made by a nurse who attended the meeting.

"We demonstrated leadership," said CMA Board of Directors member Dr. Ewan Affleck commenting on the meeting in general.

"The improvement of Canada's healthcare system is a professional responsibility," said CMA President Dr. Chris Simpson in taking on his new role. "If we are authentic leaders, and sincere in our intentions, we will earn the trust that Canadians place in us."

"This has been quite a ride this past year," outgoing president Dr. Louis Hugo Francescutti said after the meeting. "I am really looking forward to how we can take this to the next level."

"The CMA is now moving forward in a healthy and enthusiastic fashion," said Board member Dr. Pierre Harvey.

"We are in a phase of change at the CMA. You could smell it, taste it and feel it during General Council. I think it's going to be an exciting time," Board colleague Dr. Michael Giuffre said. Other Board members echoed the sentiment about the positive nature of the fundamental changes occurring within the association and the profession.

Many also remarked on the increased involvement of medical students in General Council.

"It's clear a lot of people read the book 'Race for Relevance' and the importance of the younger generation," said Board member Dr. Brendan Lewis. The new student ambassador program that saw the CMA host 10 Ontario medical students at the meeting for the first time was singled out for special praise.

Interim CEO Tim Smith acknowledged the hard work and creativity of CMA staff in implementing the changes for the betterment of members.



Physician perspective on end-of-life issues fully aired

Access to palliative care services rather than medical aid in dying was the priority for many delegates speaking during a second consecutive year of extensive discussion at General Council on end-of-life care.

But an advisory resolution brought forward by the CMA Board of Directors and adopted at the meeting supported the right of all physicians, within the bounds of existing legislation, to follow their conscience when deciding whether to provide medical aid in dying.

Dr. Ewan Affleck, who presented the resolution on behalf of the board, said the resolution represents a modification of existing policy and recognizes that unanimity on the issue of medical aid in dying within the profession is not going to be possible.

A straw vote of delegates taken at the meeting showed 70% felt the CMA should revise its existing policy on euthanasia and physician-assisted death, which opposes physician involvement in medical aid in dying. In another vote, 78% felt universal access to palliative care services would not eliminate the need for euthanasia and physician-assisted death.

For the past year, the CMA has been holding a national dialogue with Canadians and its membership on end-of-life care issues. As a result, CMA President Louis Hugo Francescutti said he felt the association had elevated the discussion "to a whole new level"- a comment echoed by many delegates who thanked the CMA for its initiative.

The session started with a video summary of many of the moving comments heard at the six public town hall meetings held across Canada earlier this year.

Results of the survey of almost 5,000 CMA members conducted earlier this summer were also presented. Findings showed:

  • 44.8% said they were in favour of legalizing physician-assisted death
  • 36.3% said they felt euthanasia should be legalized
  • 26.7% said they would be likely or very likely to participate if physician-assisted death was legalized

Among panel presenters at the strategic session, delegates heard from Eric van Wijlick, a health scientist from the Royal Dutch Medical Association in the Netherlands, where physician-assisted dying is legal.

Van Wijlick stressed that since the 2001 passage of legislation permitting physician-assisted dying there has been no "slippery slope" or widening of indications for the practice. He also stressed the provision of physician-assisted dying and palliative care services are part of the same care process. Of the 14,000 requests for medical aid in dying each year in the Netherlands, he said, about 3,800 are honoured.

The meeting was also addressed by Dr. Angela Genge, a neurologist and expert on incurable neuromuscular and neurodegenerative diseases, and by Ontario Medical Association Past President Scott Wooder. Genge presented what she described as a case study in discussions around the provision of physician-assisted death, and Wooder discussed the OMA initiative he led last year to develop a strategy on end-of-life care.

When it comes to end-of-life discussions, Genge said "the elephant in the room is the family." She also noted that the ability to have a good discussion with a patient who has a terminal condition is not innate or part of what students are taught when pursuing a medical degree.

Wooder said a key finding from the OMA study was the need to increase the "woefully small" number of people who engage in advance care planning. Extending the availability of palliative care is also a priority, he said.

Comments from delegates voiced during the debate:

  • Access to palliative care services "sucks", lamented former CMA president John Haggie, from Newfoundland. "We don't have a hospice in the province, anywhere."
  • "We all know palliative care services are inadequate": Dr. Barry Turchen, British Columbia
  • "Increase supports for people who wish to die at home': CMA former president Ruth Collins-Nakai, Alberta
  • "As family physicians, we must take palliative care back into our practices": Dr. Suzanne Strasberg, Ontario

Following the open discussion on end-of-life issues, delegates considered and approved several resolutions including:

  • supporting development of a strategy for advance care planning and palliative and end-of-life care in all provinces and territories
  • investigating and communicating Inuit, Metis and First Nations perspectives on euthanasia, physician-assisted death and end-of-life care
  • engaging in physician resource planning for an appropriate strategy for delivery of quality palliative care throughout Canada


Choosing Wisely Canada Campaign Update

It has been just five months since the official launch of Choosing Wisely Canada (CWC) and, with the support of various partners, the momentum continues to grow.

  • At present, there are 32 national specialty societies committed to participating in Choosing Wisely Canada.
  • Eight Canadian Lists of "Five Things Physicians and Patients Should Question" containing 41 physician recommendations have been published to date. With Waves 2 and 3 launching soon, and many societies adding to their lists, CWC recommendations will surpass 150 within a year.
  • Ten patient education pamphlets were released with Wave 1. We anticipate this number will reach approximately 50 within a year.
  • CWC public service announcements aired during this year's hockey playoffs, with an estimated reach of over 43 million.
  • Choosing Wisely Canada has been endorsed by important national groups such as:
    • Canadian Association of Professors of Medicine (the organization of Canadian departments of internal medicine represented by chairs)
    • College of Family Physicians of Canada
    • Royal College of Physicians and Surgeons of Canada
  • Choosing Wisely Canada is now a truly national campaign with the commitment of ALL provincial and territorial medical associations, including:
    • Alberta Medical Association
    • Doctors of British Columbia
    • Doctors Manitoba
    • Doctors Nova Scotia
    • Medical Society of Prince Edward Island
    • New Brunswick Medical Society
    • Newfoundland and Labrador Medical Association
    • Northwest Territories Medical Association
    • Ontario Medical Association
    • Quebec Medical Association
    • Saskatchewan Medical Association
    • Yukon Medical Association
  • Organized by Dr. Wendy Levinson and the Choosing Wisely Canada team, and hosted by the Dutch Association of Medical Specialists and the Netherlands Organization for Health Research and Development, an international community made up of those leading Choosing Wisely, or similar programs, united on June 11 and 12, 2014, in Amsterdam for an International Roundtable on Choosing Wisely. Representatives from 12 countries including Australia, Canada, Denmark, England, Germany, Italy, Japan, Netherlands, New Zealand, Switzerland, US and Wales participated in the extremely positive and informative meeting. An in-depth summary of the Roundtable will be provided at a future date.

Save the Date: October 29 - Wave 2 Launch of Choosing Wisely Canada

For additional information contact Dr. Sam Short.



Should Canada's Medical Membership Associations Perform 'Big Data' Analytics?

Adoption of electronic medical records (EMRs) in Canada over the previous decade has resulted in mass digitization and storage of clinical information, making big data analytics in healthcare possible for the first time. Big data and analytics are among those health information technology innovations with the potential to transform health and health care delivery.

While the information in the medical record belongs to the patient, and the physical record belongs to the person or organization responsible for the record's creation, various data-sharing arrangements across the provinces make it possible for other organizations, including professional associations, intergovernmental agencies, and EMR vendors whose physical infrastructure often transmits and houses patient information, to work with de-identified patient and provider data in the aggregate. This aggregate data makes it possible to perform big data analytics.

There are a number of challenges associated with performing big data analytics, including cost, complexity, culture, appropriateness of data, privacy, and a shortage of health informatics specialists.

There is potential for big data analytics to support clinical decision making, and that the long-term position of EMR vendors to perform analytics may impact the unique value proposition of medical membership associations. Furthermore, it may not be feasible for medical membership associations to amass data or perform analytics in manner comparable to vendors with access to multiple data sources and core competencies in the area. However, it is crucial that medical membership associations explore data sharing between physicians and membership associations and develop their capacity to perform analytics if they wish to remain competitive with EMR vendors.

To that end, the manner in which data is shared, structured, analyzed, and used to enhance value to members should be scoped out in a business case for performing collaborative big data analytics. Membership associations should begin by defining the types of data they currently collect about members, and the types of data their members collect about health and health care, and propose a network that would put data stewards in a position share data in a constructive and mutually beneficial manner.

To receive a copy of the full paper on whether medical membership associations should perform big data analytics, please contact Conrad Amenta - Senior Advisor, Health Information Policy and e-Health.

 



CMA clears the air ... again ... on marijuana

As marijuana use continues to be a highly-politically charged issue, Canadian Medical Association President Chris Simpson has issued a detailed statement on the association's position.

The statement came in the immediate wake of the CMA's General Council meeting and in response to a newspaper commentary by Conservative businessman David Asper. In that article, Asper called the CMA "disengenuous" for joining two other national medical organizations in refusing to endorse a Health Canada campaign on the dangers of the recreational use of marijuana for youth.

While the CMA was applauded by many delegates for its educational session on medical marijuana at GC, this was overshowed in the public eye by ongoing criticism by federal health minister Rona Ambrose and others about the CMA stance.

In direct response to Asper's comments, Simpson issued a statement inviting him to consider "elements and facts that go beyond the federal government perspective" including:

  • Concerns about the booming "medical marijuana" medical business with marijuana detailers now visiting physician offices to try and convince physicians that they should prescribe the product, even though there is little clinical evidence to ensure the product can be prescribed safely. At the GC, incoming CMA president-elect Dr. Cindy Forbes raised this concern from personal experience and the meeting was told by the head of the Federation of Medical Regulatory Authorities of Canada that such detailing would soon be banned by the federal government.
  • The fact marijuana has not been approved by the government for medical use, as happens with any other prescription medication and while recognizing that marijuana may have benefits for some patients, unless more clinical data on safety and efficacy is forthcoming, the CMA feels physicians are asked to prescribe this product "blindfolded". Interestingly, in her speech at the CMA, Ambrose applauded doctors for their "evidence based approach" to providing care but did not reference medical marijuana.
  • The negative impact of smoking marijuana on the health of individuals. A resolution adopted at GC stated CMA's opposition to smoking any plant materials.

Simpson reiterated why the CMA and the Royal College of Physicians and Surgeons of Canada and the College of Family Physicians of Canada declined to participate in the Health Canada advertising campaign.

To participate, he said, the CMA would have had to sign a confidentiality agreement "that would have limited the profession's ability to comment freely on the campaign and the issue itself."

He also noted the growing perception of marijuana use by youth as a political rather than a public health issue because of the government's attack on Justin Trudeau for his statements on marijuana use.

"As a non-partisan organization, the CMA does not endorse political parties and it was deemed that, following the withdrawal of two other medical organizations, the CMA would not proceed with this government-funded campaign," Simpson said.

"We support education on the effects of marijuana on young Canadians. And we look forward to when the political controversy dies down so that it will be possible for the education process to resume."



Upcoming events in your province or territory

Date Event City Province Details
19-21 SeptIcebowlWinnipegMBMD/CMA Exhibiting/Sponsoring
19-21 SeptFederation of Medical Women of Canada (FMWC)VancouverBCMD/CMA Exhibiting/Sponsoring
19-20 SeptAlberta Medical Association's Fall Representative Forum and Annual General MeetingCalgaryABPTMA AGM
21-SeptFamily BBQRed DeerABMD Family Event
22-SeptInsurance DinnerKitchenerONMD Event
23-SeptTom Faloon CME Accredited Billing SeminarSault St-MarieONMD Seminar
23-SeptUniversity of Toronto Medical Talk (Transition into Practice)TorontoONMD Seminar
24-SeptTom Faloon CME Accredited Billing SeminarSudburyONMD Seminar
24-SeptTax-Wise Investing For Incorporated PhysiciansSurreyBCMD Seminar
25 SeptRetirement ReceptionOttawaONMD Event
25-SeptWine Premier ShowSaskatoonSKMD Event
25-SeptTom Faloon CME Accredited Billing SeminarNorth BayONMD Seminar
25-27 SeptSaskatchewan College of Family Physicians - 60th Annual Scientific AssemblySaskatoonSKMD Exhibiting
28-SeptOttawa Fury SoccerOttawaONMD Family Event
30-SeptTom Faloon CME Accredited Billing SeminarBellevilleONMD Seminar
1-OctFemale Physician Networking EventCalgaryABMD Event
1-OctMarket Outlook: Perspectives and InsightsKitchenerONMD Seminar
1-OctTom Faloon CME Accredited Billing SeminarKingstonONMD Seminar
1-2 OctThe Family Medicine Community Preceptor's Meeting 2014St. John'sNLMD Exhibiting
1-4 OctCanadian Society of Internal MedicineCalgaryABMD/CMA Exhibiting
2-4 OctNewfoundland and Labrador College of Family Physicians 26th Annual Scientific AssemblySt. John's NLMD Exhibiting
2-OctIncorporation and Market OutlookCarleton-sur-MerQCMD Seminar
2-OctCMA Media Awards 2014OttawaONMD Exhibiting/Sponsorship
2-OctBrian, Francois and Bill with David SuzukiRichmond HillONMD Seminar
2-OctWine Pairing EventReginaSKMD Event
2-OctTom Faloon CME Accredited Billing SeminarBrockvilleONMD Seminar
2-OctLa constitution en société et perspectives sur les marchés : cinq ans après la criseCarleton-sur-MerQCMD Seminar
3-4 OctNew Brunswick Medical Society Annual General MeetingFrederictonNBPTMA AGM
5-OctMarket Outlook: Perspectives and InsightsEdmontonABMD Seminar
6-OctMarket Outlook: Perspectives and InsightsCalgaryABMD Seminar
7-OctNetworking Evening For Female Physicians (L'Espace MC Chef)QuebecQCMD Event
7-OctTax-Wise Investing For Incorporated PhysiciansTorontoONMD Seminar
7-OctTom Faloon CME Accredited Billing SeminarOttawaONMD Seminar
8-OctUniversity of British Columbia Internal Medicine SeminarVancouverBCMD Seminar
8-OctTom Faloon CME Accredited Winding Down SeminarOttawaONMD Seminar
8-OctL'intégration de la planification successorale et de l'assurance vie dans la structure de votre sociétéBaie-ComeauQCMD Seminar
15-17 OctSymposium francophone de médecine 2014MontrealQCMD/CMA Exhibiting/Sponsorship
18-OctUS Tax Considerations For CanadiansRichmond HillONMD Seminar
21-OctMarket Outlook: Perspectives and InsightsCourtenayBCMD Seminar
21-OctNetworking Evening for PhysiciansTorontoONMD Event
22-OctMarket Outlook: Perspectives and InsightsAbbotsfordBCMD Seminar
22-OctNetworking Evening For Physicians (Dishcrawl)MontrealQCMD Event
22-OctTax-Wise Investing for Incorporated PhysiciansToronto ONMD Seminar
23-OctMarket Outlook: Perspectives and InsightsSurreyBCMD Seminar
25-28 Oct2014 Canadian Cardiovascular CongressVancouverBCMD/CMA Exhibiting
28-OctWine and CheeseYarmouthNSMD Event
29-OctMarket Outlook: Perspectives and InsightsNew GlasgowNSMD Seminar
1-Nov20th OAGS Annual MeetingTorontoONMD Exhibiting
1-NovRetirement Planning WorkshopVancouverBCMD Seminar
5-NovWine PairingMontrealQCMD Event
7-Nov2014 Yukon Medical Association Annual General Meeting and CME Update WeekendWhitehorseYKPTMA AGM
8-NovMovie: Big Hero 6MonctonNBMD Family Event
8-NovMovie: Big Hero 6Saint JohnNBMD Family Event
8-NovMovie: Big Hero 6StratfordNBMD Family Event
8-NovMovie: Big Hero 6FrederictonNBMD Family Event
8-NovMovie: Big Hero 6St. John’sNBMD Family Event
8-NovMovie: Big Hero 6SydneyNSMD Family Event
8-NovMovie: Big Hero 6PeterboroughONMD Family Event
14-16 NovOntario Medical Student WeekendNiagara FallsONMD Event
13-15 Nov2014 Family Medicine ForumQuebecQCMD/CMA Exhibiting
15-NovMD Forum with Brian, Bill and FrancoisTorontoONMD Seminar
18-NovTom Faloon CME Accredited Winding Down SeminarBellevilleONMD Seminar
19-NovTom Faloon CME Accredited Winding Down SeminarKingstonONMD Seminar
20-NovTom Faloon CME Accredited Winding Down SeminarBrockvilleONMD Seminar
21-23 NovWestern Family Medicine Retreat WeekendSouth HuronONMD Event
27-NovWine PairingQuebecQCMD Event
27-29 NovOntario College of Family PhysiciansTorontoONMD Exhibiting

For additional information please contact Marie-Anne Abboud.



Tracking postgraduate practice entry cohorts - a good news story for Canada

The postgraduate training practice entry cohort is defined as graduates of Canadian medical schools (GCMS) and international medical graduates who exited Canadian postgraduate residency programs (for the first time) at a level consistent with completion of training. This analysis is restricted to GCMS and is based on information contained in the 2013-2014 Annual Census of Post-MD Trainees published by the Canadian Post-MD Education Registry as well as custom tables resulting from tracking locations using the CMA Masterfile.

Tracking practice entry cohorts

Within two years of exiting, 12% of the 1995 practice entry cohort could not be located in Canada (see graph 1). This was a period when Canada was also losing 600 to 700 practising physicians a year, primarily to the United States. Fortunately, the retention of the 1995 cohort did not further diminishat the 5, 10, 15 year mark, remaining at about 88% being located in Canada. As the number of practising physicians heading south lessened, so did the movement of new physicians. By the 2000 practice entry cohort, 94% were in Canada two years after completing training and this only fell to 91% by 2010, i.e. ten years post exit. (See graph 2).

Graph 1: Percentage of 1991 to 1995 postgraduate practice entry cohorts practising in Canada 2, 5, 10, 15 and 20 years after completing training

Graph 1: Percentage of 1991 to 1995 postgraduate practice entry cohorts practising in Canada 2, 5, 10, 15 and 20 years after completing training 

Graph 2: Percentage of 2000 to 2010 postgraduate practice entry cohorts practising in Canada 2, 5, 10, 15 and 20 years after completing training

Graph 2: Percentage of 2000 to 2010 postgraduate practice entry cohorts practising in Canada 2, 5, 10, 15 and 20 years after completing training 

While the retention of the 2002 to 2004 practice entry cohorts after two years was not ideal (90-91%), none matched the loss rate of 1995. These three cohort years actually exhibited higher retention at the five year mark than after two years.

By the 2005 cohort, Canada had retained 93% of the practice entry cohort group two years later. Similarly, 95% of the 2008 group still had Canadian addresses after two years in practice.

Given the length of the time series available, practice entry cohorts from the early 1990s have been tracked for up to 20 years. Even at that point, Canada held on to about 85% of the 1991, 1992 and 1993 groups of new physicians. Losses from the original cohort may be due to migration, early retirement, death, or simply no valid Canadian address in the data system.

Retention of practice entry cohorts in region of education or training

It is interesting to examine (again for GCMS only) the retention of these doctors not just within Canada but within regions of Canada both from the perspective of where they received their undergraduate medical degree and where they completed their postgraduate medical training. For this, the practice location in 2013 of the 2011 postgraduate exit cohort is used. Postgraduate exits include the new practice entry cohort plus any physicians who re-entered postgraduate programs for additional training.

For all regions of Canada, retention was higher based on where postgraduate training was done than where undergraduate training was completed. (see graph 3). This means, for instance, that while a physician may have done their undergraduate medical education in their home province, their move to another region to complete postgraduate training is more likely to be where they set up practice, at least initially. This seems to be particularly true in Atlantic Canada where they retained 60% of the graduates of the Dalhousie and Memorial medical schools but 77% of those that completed training in the Atlantic region.

Retention of new physicians within the region where they completed their postgraduate training is highest among those who finished training in the west with 83% retention in that region. Quebec and Ontario retention rates were the same at 80%.

Graph 3: Retention of new physicians by region of undergraduate and postgraduate education

Graph 3: Retention of new physicians by region of undergraduate and postgraduate education 

Note: GCMS only but includes both new entry and re-entry.

So while retention of physicians who have recently completed postgraduate training can vary by region, on the whole it would appear that Canada has been largely successful in keeping the graduates of Canadian medical schools practising in this country.

For additional information contact Lynda Buske.



2014 Resident Orientations

Resident Orientations were a huge success again this year. 2014 is the third year in which CMA/MD gave a “legacy” gift to new residents to mark the important transition from medical school to residency training, and the notebook giveaways received the most positive feedback to date. Residents and the University Post Grad Administrators were keen to share their thanks for a well thought-out gift. The inserted tip-on pages included a double page spread outlining the joint value proposition (JVP) of CMA/PTMA membership in each province and served as great conversation starters. In total, 2,150 notebooks were handed out at 17 events. A huge thank you to the CMA and PTMA membership teams who worked on the JVP sheets to ensure the print deadlines for the books.

Also new to this year’s program was an effort to keep track of first-year residents. The CMA membership team ‘pilot tested’ a contact or change of address form. With the residents’ consent, we gathered the new addresses for those who had moved out of province and shared them with the PTMAs. A total of 184 changes of addresses have been collected to date. These updates are sure to help everyone during the membership renewal period. Due to the success of this pilot project and great feedback, we will continue this practice in 2015 and beyond.

For additional information call Ann Vachon of MD Membership Marketing



Online physician leadership

Refreshing the CMA learning experience

The CMA has upgraded the learning platform, refreshing the look and functionality of the system to improve the user experience. Additionally, we have refreshed the Leadership begins with self-awareness course and are also offering two new products, mini-modules (short videos) and podcasts (coming soon), both at no charge to PTMA/CMA members, alongside our clinical CME courses.

We encourage PTMA/CMA members to visit the new learning platform and experience our newest products.

Leadership begins with self-awareness

This 6-week facilitated CMA course focuses on developing personal leadership skills. It is designed to help participants gain valuable insights into the personal attributes essential for effective leadership. The course promotes greater self-awareness by teaching the skills associated with examining one’s own values and principles, thinking patterns and assumptions, and addressing strengths and limitations.

  • A foundation for the PMI face-to-face leadership development courses
  • Accessible by desktop or mobile device
  • Accredited by the RCPSC and the CFPC
  • Open to PTMA/CMA members only

The CMA is now accepting registrations for our November session.

Please refer members to cma.ca/leadership for a more comprehensive description of this course and to register.