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Examining collegiality in Saskatchewan - Saskatchewan Medical ...

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P hysician <strong>collegiality</strong><br />

is alive <strong>in</strong> <strong>Saskatchewan</strong>,<br />

but is it well<br />

By Kerilyn Voigt<br />

Dr. Noel Doig has seen a lot of change <strong>in</strong><br />

his career. The retired family physician<br />

emigrated from England to <strong>Saskatchewan</strong><br />

<strong>in</strong> 1958, just before Tommy Douglas<br />

announced his plans for Medicare<br />

<strong>in</strong> 1959. He was active throughout the<br />

Medicare crisis of 1962 and has recently<br />

written a book about those years. He<br />

was Chief of Staff at City Hospital <strong>in</strong><br />

Saskatoon <strong>in</strong> the 70s and early 80s, and<br />

he served on <strong>Saskatchewan</strong> <strong>Medical</strong><br />

Association committees cont<strong>in</strong>uously<br />

from 1967 to 2010.<br />

Dr. Doig fondly remembers the <strong>Saskatchewan</strong><br />

medical community of the<br />

1960s and 1970s. “All of the doctors were<br />

friends. It didn’t matter if you were<br />

a specialist or a GP or so on,” he said.<br />

“That doesn’t exist now.” He worries<br />

that general practitioners are practically<br />

excluded from hospital work, impact<strong>in</strong>g<br />

how patient care is delivered.<br />

There’s no deny<strong>in</strong>g that the way medic<strong>in</strong>e<br />

is practised <strong>in</strong> <strong>Saskatchewan</strong> has<br />

changed drastically over the past 50<br />

years. Physicians are more specialized,<br />

system demands have <strong>in</strong>creased, and<br />

health regions are pushed to deliver<br />

the most care for the least money <strong>in</strong><br />

the shortest amount of time. Has physician<br />

<strong>collegiality</strong> become a casualty <strong>in</strong><br />

the ongo<strong>in</strong>g battle for optimal health<br />

care delivery<br />

Def<strong>in</strong><strong>in</strong>g Collegiality<br />

What is <strong>collegiality</strong><br />

“There are certa<strong>in</strong> values that underp<strong>in</strong><br />

any sort of professional relationship,<br />

and those values should translate <strong>in</strong>to<br />

behaviours,” says Dr. Christ<strong>in</strong>a Vuksic,<br />

senior medical officer at Reg<strong>in</strong>a<br />

Qu’Appelle Health Region. “The values<br />

that lead to the ephemeral th<strong>in</strong>g we<br />

call <strong>collegiality</strong> are th<strong>in</strong>gs like respect, a<br />

sense of mutual collaboration and trust,<br />

openness, transparency, a common focus<br />

on the patient, and compassion.”<br />

Dr. Vuksic goes on to expla<strong>in</strong> that<br />

the result<strong>in</strong>g behaviours <strong>in</strong>clude mu-<br />

4 Spr<strong>in</strong>g 2011 SMA News Digest

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