Get ready for Clinical Practice Redesign - Saskatchewan Medical ...
Get ready for Clinical Practice Redesign - Saskatchewan Medical ...
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The SMA joins social<br />
media revolution<br />
A publication of the <strong>Saskatchewan</strong> <strong>Medical</strong> Association<br />
Volume 52 Issue 1<br />
Local physician receives<br />
national recognition<br />
Spring Springg 2012 201 20 20122 New SASM president talks<br />
CONCUSSION<br />
IN SPORT<br />
�����������������������������������<br />
SMSS Wellness Week<br />
������������������<br />
Membership survey 2012
SPRING 2012 | VOLUME 52 ISSUE 1<br />
SMA News Digest is the official member<br />
magazine of the <strong>Saskatchewan</strong> <strong>Medical</strong><br />
Association. It is published four times per<br />
year and is distributed to nearly 90 per cent<br />
of practising physicians in <strong>Saskatchewan</strong>.<br />
Upcoming issues<br />
The next issue of SMA News Digest will be<br />
distributed in June 2012; the following<br />
issue will be distributed in September<br />
2012.<br />
Bylines<br />
Where bylines are not given, articles<br />
were written or solicited by SMA communications<br />
staff.<br />
Advertising<br />
The deadline <strong>for</strong> booking and submitting<br />
advertising <strong>for</strong> the summer issue is Tuesday,<br />
May 22, 2012. Rates <strong>for</strong> display advertising<br />
are available upon request. Classified<br />
ad placement is free <strong>for</strong> members<br />
promoting physician, locum and practice<br />
opportunities; ads should be submitted<br />
via email and must not exceed 150 words.<br />
Feedback<br />
Member feedback is valuable and encouraged.<br />
Please direct comments, letters,<br />
ideas and advertising inquiries to:<br />
Nicole Quintal<br />
Communications Advisor<br />
<strong>Saskatchewan</strong> <strong>Medical</strong> Association<br />
402 - 321A - 21st Street East<br />
Saskatoon SK S7K 0C1<br />
(306) 244-2196<br />
nicole@sma.sk.ca<br />
CEO<br />
Dr. Vino Padayachee<br />
SMA mission<br />
The mission of the <strong>Saskatchewan</strong> <strong>Medical</strong><br />
Association is to advance the educational,<br />
professional and economic<br />
welfare of <strong>Saskatchewan</strong> physicians;<br />
to advance the honour and integrity of<br />
the profession; and to promote quality<br />
health care practices, quality health<br />
services, and to advocate <strong>for</strong> a quality<br />
health care system <strong>for</strong> <strong>Saskatchewan</strong>.<br />
3<br />
4<br />
16<br />
contents<br />
Board calls <strong>for</strong> member input<br />
The SMA board of directors is beginning the planning cycle<br />
<strong>for</strong> the upcoming 2013-2016 strategic plan and wants to<br />
consider members’ current needs.<br />
SMA goes a-Twitter<br />
The SMA has entered into the realm of social media. Follow<br />
@sma_docs on Twitter.<br />
Sports medicine in <strong>Saskatchewan</strong><br />
The new SASM president, Dr. Paul Taillon, discusses the<br />
new concussion research that is happening at the University<br />
of <strong>Saskatchewan</strong>.<br />
16
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Photo by Josh Schaefer<br />
spring 2012<br />
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your SMA<br />
President’s note<br />
Board calls <strong>for</strong> member input<br />
SMA docs is now on Twitter<br />
New life insurance plan benefits members<br />
Specialist directory a user-friendly resource<br />
Spotlight on the Appointment and Awards Committee<br />
Local doctor receives national recognition<br />
SMA Physician of the Year Award<br />
health care<br />
<strong>Get</strong> <strong>ready</strong> <strong>for</strong> <strong>Clinical</strong> <strong>Practice</strong> <strong>Redesign</strong><br />
SMA hopeful new research will improve efficiency<br />
Ministry plans to LEAN the system<br />
Lab results faster? Now that’s a good thing!<br />
EMR Roadshow generates interest<br />
Sports medicine in <strong>Saskatchewan</strong><br />
How privacy considerations drive patient decisions<br />
students and residents<br />
Med 1 hosts annual art show and silent auction<br />
SMA showcases Rural Relief Program<br />
U of S medical students gear up <strong>for</strong> Wellness Week<br />
spring calendar<br />
classifieds<br />
obituaries
president’s note<br />
New initiatives at SMA<br />
Spring is just around the corner<br />
and just as new life will<br />
soon be seen throughout <strong>Saskatchewan</strong>,<br />
so are a number of new<br />
undertakings coming to life at your<br />
association.<br />
Facts from this issue<br />
2 Spring 2012 SMA News Digest<br />
In this issue you will learn about<br />
our impending membership survey,<br />
which I strongly urge you to participate<br />
in as your insight will prove<br />
valuable to our future direction. You<br />
will also get a glimpse into our new<br />
collaborative life insurance plan <strong>for</strong><br />
our respective members.<br />
We will also talk about what is happening<br />
on the provincial front with<br />
our government undertaking an<br />
ambitious 50-year process to LEAN<br />
health care throughout the province<br />
and throughout the system. We’ll<br />
also talk about some exciting happenings<br />
regarding sports medicine<br />
research in <strong>Saskatchewan</strong>, and I encourage<br />
all members to take an ac-<br />
tive role in your particular section’s<br />
activities.<br />
Please enjoy this issue of your SMA<br />
News Digest and as always, email me<br />
at smanewsdigest@sma.sk.ca with<br />
any questions, comments, or concerns.<br />
Dr. Phillip Fourie<br />
Contact SMA President Dr. Phillip Fourie<br />
by email: smanewsdigest@sma.sk.ca<br />
�� The <strong>Saskatchewan</strong> Laboratory Results Repository (SLRR) database has al<strong>ready</strong> accumulated more than<br />
15 -million laboratory test results, increasing by approximately 50,000 additional results each day*<br />
Read the full article on page 13<br />
�� 641 physicians in 192 clinics across the province are enrolled in the <strong>Saskatchewan</strong> EMR Program*<br />
Read the full article on page 15<br />
�� The results of a recent privacy survey indicated that 43.2 per cent of patients would withhold in<strong>for</strong>mation<br />
from their care provider based on privacy concerns. 42.9 per cent stated they would seek<br />
care outside of their community due to privacy concerns, with 33.7 per cent indicating that they<br />
would travel 50 kilometers or more in order to keep their sensitive in<strong>for</strong>mation confidential*<br />
Read the full article on page 19<br />
�� Facts current as of press time
Board calls <strong>for</strong> member input<br />
Survey will help shape strategic direction<br />
By Scott Donaldson<br />
your SMA<br />
“Results from a membership survey will help in<strong>for</strong>m the<br />
strategic direction of the organization.”<br />
-Dr. Phillip Fourie<br />
The SMA board of directors is beginning the planning cycle<br />
<strong>for</strong> the upcoming 2013-2016 strategic plan. The board will<br />
set strategic priorities that will make the SMA mission come<br />
alive, while considering membership’s current needs.<br />
“Other than the SMA’s mission, the organization needs to remain<br />
accountable to the membership. One of the best ways to<br />
do this is by requesting their feedback on various topics related<br />
to the services we provide,” says SMA President Dr. Phillip Fourie.<br />
“Results from a membership survey will help in<strong>for</strong>m the<br />
strategic direction of the organization.”<br />
The survey process will be simple. The SMA has a proposal from<br />
Insightrix Research, a <strong>Saskatchewan</strong>-based company, to de-<br />
�������������������������������������������������������������<br />
a 55-day time-frame. There<strong>for</strong>e member participation will be<br />
�����������������������������������������������������������������tegic<br />
planning.<br />
Survey questions will encompass all of the service areas the<br />
SMA is currently involved with as well as probing members <strong>for</strong><br />
��������������������������������������<br />
“The survey will encompass everything from communications,<br />
to insurance, to privacy, to physician health and beyond,” Dr.<br />
Fourie says. “Results from the survey will provide valuable evaluation<br />
of our current practices and help the board to determine<br />
the values and topics of interest to our members. This in<strong>for</strong>mation<br />
can then be taken into the strategic planning process.”<br />
The SMA member survey will be conducted within the next few<br />
months. Dr. Fourie would like to thank members in advance <strong>for</strong><br />
their participation and valuable insights that will help shape<br />
the association’s future direction.<br />
SMA SM SMA News Ne News w Dig Digest iges es est Spring Sp Spri ri r ng 2012 201 01 012 2 3
your SMA<br />
@sma_docs<br />
is now on<br />
twitter<br />
4 Spring 2012 SMA News Digest<br />
Follow us on Twitter!<br />
The SMA has entered into the realm of social media. You<br />
can find us on Twitter. We’re @sma_docs – check us out at<br />
twitter.com. Follow us and we’ll follow you.<br />
To get started, head to twitter.com and create an account.<br />
You will then need to fill in your profile and start following<br />
the people and companies you’re interested in.<br />
It’s quite simple. To find the SMA, put sma_docs into the<br />
search menu. You will soon be able to start tweeting.<br />
Have something to say? Go ahead and type it in.<br />
Good luck and happy Tweeting!<br />
New life insurance plan benefits members<br />
By Doré Collett<br />
The SMA has joined <strong>for</strong>ces with the AMA and the BCMA<br />
to provide a new life insurance plan <strong>for</strong> our respective<br />
members. This collaboration, with its significant purchasing<br />
power, has resulted in an extremely competitive and<br />
comprehensive common group life insurance product<br />
with Sun Life Assurance Company of Canada.<br />
All SMA life insurance plan holders will have received a<br />
detailed letter regarding the changes. If you hold insurance<br />
through the SMA, your coverage will be automatically<br />
rolled over into the improved plan; it will be rounded<br />
up to the nearest $50,000 and won’t reduce over time.<br />
Residents with SMA life insurance will also benefit from<br />
the changes and the University of <strong>Saskatchewan</strong>, through<br />
the collective agreement with PAIRS, will continue to pay<br />
your premiums while you are a resident.<br />
Due to the change in insurance carriers from Standard<br />
Life to Sun Life, it will be necessary to complete the Beneficiary<br />
Designation Form (available in the members section<br />
of the website) and return it to the SMA. Upon receipt<br />
of the completed <strong>for</strong>m, you will be mailed your new<br />
life insurance benefit schedule.<br />
If you have any questions about your SMA insurance coverage,<br />
please contact Cindy Anderson via email cindy@sma.<br />
sk.ca, or call (306) 244-2196 in Saskatoon or toll-free in <strong>Saskatchewan</strong><br />
1-800-667-3781.
Specialist Directory a user-friendly resource<br />
Submitted letter<br />
This letter is to update you on some exciting developments<br />
regarding the <strong>Saskatchewan</strong> Specialist Directory.<br />
The online Directory is accessed by about 750 different<br />
visitors every month. You play an important role in ensuring<br />
the continued success of this important resource.<br />
The Specialist Directory was created because primary care<br />
physicians asked <strong>for</strong> in<strong>for</strong>mation to assist them in referring<br />
patients to the appropriate specialists. Championed<br />
by the Senior <strong>Medical</strong> Officer Committee and supported<br />
by the <strong>Saskatchewan</strong> <strong>Medical</strong> Association, it was the first<br />
tool of its kind in Canada and supports shared decisionmaking<br />
between doctors and their patients.<br />
The Specialist Directory is being promoted through a<br />
province-wide television commercial that began airing in<br />
mid-February – one of a number of initiatives underway<br />
to promote this user-friendly resource. The commercial<br />
features a <strong>Saskatchewan</strong> family physician who has found<br />
the directory to be a valuable tool that helps him better<br />
serve his patients.<br />
The Specialist Directory can be found at www.health.gov.<br />
sk.ca/specialists. With only two mouse clicks, it allows doctors<br />
and patients to view all the surgeons who per<strong>for</strong>m a<br />
particular procedure. You can use the in<strong>for</strong>mation to find<br />
the timeliest option <strong>for</strong> patients, and feel confident that<br />
the surgeon selected can provide the required procedure.<br />
Patients still need a doctor’s referral to see a specialist.<br />
Doctors and patients can work together to find useful in<strong>for</strong>mation<br />
on all surgeons who per<strong>for</strong>m surgeries in hospital<br />
operating rooms in <strong>Saskatchewan</strong>. The Specialist Directory<br />
simply shows them their options and helps them<br />
choose a surgeon based on what’s important to them,<br />
whether that is location, surgeon or timeliness of service.<br />
It may be especially useful to physicians who are new to<br />
the province and unfamiliar with practising surgeons.<br />
Over the past year, we gathered feedback from primary<br />
care physicians and patients and used it to improve the<br />
Directory. Plans are now underway to expand the Directory<br />
to include other specialties.<br />
<strong>Saskatchewan</strong> physicians inspired these ef<strong>for</strong>ts to im-<br />
your SMA<br />
The Specialist Directory is<br />
accessed by about 750 different<br />
visitors every month.<br />
prove surgical referral processes. We would like to encourage<br />
you to work with your patients in using the directory<br />
and thank you <strong>for</strong> supporting our mutual goal of<br />
reducing surgical wait times.<br />
Sincerely,<br />
Dr. Phillip Fourie<br />
President, <strong>Saskatchewan</strong> <strong>Medical</strong> Association<br />
AND<br />
Dr. Brian Laursen, Chairperson<br />
Senior <strong>Medical</strong> Officer Committee<br />
SMA News Digest Spring 2012 5
your SMA<br />
Spotlight on the Appointment and Awards<br />
Committee<br />
By Susan Randell<br />
<strong>Saskatchewan</strong> <strong>Medical</strong> Association members provide<br />
direction and guidance to the organization through<br />
the Representative Assembly, the Board of Directors<br />
and a number of different committees. In each edition in<br />
2012, SMA News Digest will highlight a different committee<br />
or governing entity, with the goal of keeping members<br />
up-to-date and in<strong>for</strong>med about the responsibilities,<br />
action and results obtained through committee work and<br />
physician leadership. In this issue, the focus is on your<br />
Appointments and Awards Committee.<br />
The current Appointments and Awards Committee is<br />
made up of the following members:<br />
Dr. Guruswamy Sridhar, Chair of Nominating Committee<br />
Dr. Phillip Fourie<br />
Dr. Intheran Pillay<br />
Dr. Janet Shannon<br />
Staff<br />
Ms. Brenda Senger, Director, Physician Support Programs<br />
Ms. Wendy Rink, Executive Assistant<br />
The committee’s role is to:<br />
�� conduct an annual review and periodic evaluation of<br />
committees, their membership and chairs and Terms<br />
of Reference<br />
�� review SMA representation on outside bodies as<br />
needed from time to time<br />
�� review awards to be bestowed and review suitable<br />
candidates when requested by the board of directors<br />
�� make recommendations to the board of directors on<br />
appointments to committee chairs, SMA representation<br />
on outside bodies and suitable candidates <strong>for</strong> receiving<br />
awards.<br />
6 Spring 2012 SMA News Digest<br />
Interested in joining an<br />
SMA committee?<br />
Many of our committees are looking <strong>for</strong> members.<br />
If you are interested in joining one of them, then<br />
please contact us at sma@sma.sk.ca indicating the<br />
committee you’re interested in.<br />
Our committees are:<br />
Economics<br />
Finance<br />
In<strong>for</strong>mation Technology<br />
Insurance<br />
Intersectional Council<br />
Legislation and Policy<br />
<strong>Medical</strong> Benevolent Society Board of Directors<br />
<strong>Medical</strong> Benevolent Society Management<br />
<strong>Medical</strong> Compensation Review<br />
Physician Benefits<br />
Physician Health Program<br />
Political Action<br />
Primary Care<br />
Rural and Regional <strong>Practice</strong><br />
SMA eHealth<br />
Specialist Recruitment and Retention<br />
Tariff<br />
Uninsured Services
Local doctor receives national recognition<br />
By Susan Randell<br />
<strong>Saskatchewan</strong>’s very own Dr. Lalita<br />
Malhotra has been piling up the<br />
accolades over the past few years and<br />
has been recently named one of Canadian<br />
Living magazine’s Top 35 Amazing<br />
Women. The women were chosen<br />
because they inspire others to stop<br />
and look at life a little differently.<br />
She’s certainly in good company –<br />
she was listed along with Honourable<br />
Dr. Lalita Malhotra<br />
Michaelle Jean, <strong>for</strong>mer Governor-<br />
General of Canada, astronaut Julie<br />
Payette and writer Alice Munro.<br />
These types of awards are becoming<br />
commonplace <strong>for</strong> Dr. Malhotra. One<br />
of her most outstanding achievements<br />
to date has been receiving the<br />
Order of Canada in 2006. She has also<br />
been awarded the <strong>Saskatchewan</strong> Order<br />
of Merit in 2001 and Prince Albert<br />
Citizen of the Year in 2008. In 2010,<br />
she was also named one of Canada’s<br />
Top 25 Immigrants, an award presented<br />
by RBC Royal Bank.<br />
Dr. Malhotra says she finds inspiration<br />
in the people around her to do<br />
the work she does. Much of her work<br />
centres on women’s health issues and<br />
she also works closely with First Nations<br />
in northern <strong>Saskatchewan</strong> who<br />
SMA Physician of the Year Award<br />
In order to recognize the valuable contribution and service<br />
of another exemplary <strong>Saskatchewan</strong> physician, the<br />
SMA is now accepting applications <strong>for</strong> its Physician of the<br />
Year Award. The SMA board of directors has broadened<br />
the physician nomination criteria this year and simplified<br />
the submission process. Under the new criteria, a colleague,<br />
a section, an RMA, a community or a citizen can<br />
nominate a physician. A CV of the candidate will no longer<br />
be necessary. Instead, a summary of the candidate’s<br />
achievements and why they should be considered is all<br />
that is required. All submissions will be <strong>for</strong>warded to the<br />
Appointments and Awards Committee <strong>for</strong> consideration.<br />
In order to be considered, a physician must be an SMA<br />
member and be living in <strong>Saskatchewan</strong> at the time of<br />
the nomination. The award is presented <strong>for</strong> outstanding<br />
contributions made by a physician either during a par-<br />
your SMA<br />
have labeled her the ‘Angel of the North’.<br />
“I’ve been in <strong>Saskatchewan</strong> <strong>for</strong> 36<br />
years and I find the people around me<br />
are so stimulating,” she said, adding<br />
that she regularly visits schools in<br />
northern <strong>Saskatchewan</strong> to promote<br />
the importance of education – an<br />
experience she finds both rewarding<br />
and fun.<br />
Dr. Malhotra recently travelled to India<br />
to meet Premier Brad Wall who<br />
was on a trade mission promoting<br />
<strong>Saskatchewan</strong> industries abroad. Dr.<br />
Malhotra is receiving support from<br />
the Government of <strong>Saskatchewan</strong> and<br />
the <strong>Saskatchewan</strong> Cancer Agency to<br />
establish a cervical screening program<br />
to improve maternal health<br />
<strong>for</strong> hundreds of women in the New<br />
Delhi area.<br />
ticular time span or throughout his s or<br />
her career. Physician contributions s can<br />
be made in the medical profession n or volunteer<br />
sector and can be to a community munity<br />
or district, or at the provincial, national onal or<br />
international level.<br />
There must be two nominators, and nominations must<br />
include a completed nomination <strong>for</strong>m signed by both<br />
nominators, a summary of the candidate’s achievements<br />
and at least one letter of reference. The new <strong>for</strong>ms are on<br />
the SMA website at the following link: www.sma.sk.ca/<br />
poty.aspx<br />
The nomination deadline is March 23, 2012, with the<br />
award being presented at the spring meeting of the<br />
Representative Assembly in May 2012.<br />
SMA News Digest Spring 2012 7
health care<br />
<strong>Get</strong> <strong>ready</strong> <strong>for</strong> <strong>Clinical</strong> <strong>Practice</strong> <strong>Redesign</strong><br />
�������������������������������������������������������������������������<br />
Most office processes simply become habit over<br />
time, and rarely do we step back and think about<br />
why things are done in a certain way and how<br />
they can be improved. Even when we know “there’s got<br />
to be a better way,” the solution isn’t always obvious.<br />
<strong>Saskatchewan</strong>’s new <strong>Clinical</strong> <strong>Practice</strong> <strong>Redesign</strong> initiative<br />
gives you the tools and support you need to assess<br />
the demands on your practice, identify your capacity and<br />
identify priority areas <strong>for</strong> making improvements, within<br />
and between practices and other health care services (e.g.<br />
specialists and labs).<br />
The <strong>Clinical</strong> <strong>Practice</strong> <strong>Redesign</strong> initiative is being developed<br />
in partnership by the Health Quality Council, the<br />
<strong>Saskatchewan</strong> Ministry of Health and the <strong>Saskatchewan</strong><br />
<strong>Medical</strong> Association (SMA). It is being delivered as part of<br />
the <strong>Saskatchewan</strong> Surgical Initiative.<br />
<strong>Clinical</strong> practice redesign is a set of tools and methodologies<br />
designed to improve access to care, office processes<br />
and communication and effectiveness between office settings<br />
and other health care providers. You may be familiar<br />
with other approaches aimed at providing patients with<br />
better, quicker access to care. But improving access to<br />
care is only one part of the clinical practice redesign.<br />
If you are experiencing frustration at work or your workload<br />
seems overwhelming, improving your office processes<br />
can often make a radical difference. Part of clinical<br />
practice redesign involves finding ways to make office<br />
processes more efficient, to make the best use of everyone’s<br />
time—creating a more manageable and enjoyable workplace.<br />
8 Spring 2012 SMA News Digest<br />
<strong>Clinical</strong> <strong>Practice</strong> <strong>Redesign</strong> is designed to achieve four objectives:<br />
1. Improve the patient experience<br />
2. �����������������������������������������������������<br />
3. ������������������������������������������������������<br />
4. Improve the staff experience<br />
Working with a geographic coach can help<br />
In support of the initiative, Regional Health Authorities<br />
have hired geographic coaches, located throughout the<br />
province. A coach can help a clinic’s improvement team:<br />
�� learn how to use continuous improvement tools and<br />
methods to make and test changes<br />
�� understand what data to collect and what that in<strong>for</strong>mation<br />
is telling you about your improvements<br />
�� learn how to use a special web-based tracking tool,<br />
created as part of the initiative, to make measurement<br />
easier<br />
�� improve communication at all levels by making sure<br />
those most affected have an opportunity to provide<br />
feedback on your changes<br />
�� create a plan <strong>for</strong> sustaining all your great work.<br />
���� ��������� ������� ������������ ���� ����������� ��� ���� ���������<br />
�����������������������������������������������������������������<br />
have an available coach, you can still access coach support by<br />
������������������������������������������������������������-<br />
���������������������������������������������������������������<br />
hqc.sk.ca.
More time to enjoy<br />
your practice<br />
More input into<br />
changes that affect<br />
you and your patients.<br />
Start and end your<br />
day on time.<br />
Coaches can help you<br />
make improvements<br />
that stick.<br />
<strong>Clinical</strong> <strong>Practice</strong><br />
<strong>Redesign</strong>TM<br />
Your solutions. Your practice. Everyone’s health.<br />
CPR<br />
Government of<br />
<strong>Saskatchewan</strong><br />
For more in<strong>for</strong>mation contact:<br />
Mel Weiman, Health Quality Council<br />
(306) 668-8810 ext. 102 or<br />
mweiman@hqc.sk.ca
health care<br />
SMA hopeful new research will improve efficiency<br />
By Susan Randell<br />
On Friday, January 20, 2012, the Government of Canada<br />
announced new research funding aimed at improving<br />
Canada’s healthcare system. The announcements were<br />
made at West Winds Primary Health Centre in Saskatoon<br />
by the Honourable Leona Aglukkaq, Minister of Health;<br />
the Honourable Don McMorris, <strong>Saskatchewan</strong> Minister of<br />
Health and Dr. Robyn Tamblyn from the Canadian Institutes<br />
of Health Research (CIHR).<br />
“When it comes to health care, our<br />
government is focused on getting results<br />
<strong>for</strong> Canadians,” said Minister Aglukkaq.<br />
“I’m proud to announce this<br />
investment because this research will<br />
support provinces and territories in<br />
their ef<strong>for</strong>ts to make their health systems<br />
more efficient and effective.”<br />
The more than $30 million in funding will support teams<br />
of researchers and decision-makers to conduct research<br />
in two areas: chronic disease prevention and management<br />
and access to care <strong>for</strong> vulnerable populations, such as children,<br />
seniors, poor, elderly and Aboriginal communities.<br />
Federal Minister of Health Leona Aglukkaq<br />
addresses reporters in Saskatoon.<br />
10 Spring 2012 SMA News Digest<br />
In attendance on behalf of the SMA were President Dr.<br />
Phillip Fourie and CEO Dr. Vino Padayachee.<br />
“Funding to help improve the health care system in <strong>Saskatchewan</strong><br />
is always welcome,” said Dr. Fourie. “We must<br />
remember, however, that it is important to allocate funds<br />
appropriately, based on thorough dialogue between all of<br />
health care’s stakeholders, so that<br />
“Funding to help improve<br />
the health care<br />
system in <strong>Saskatchewan</strong><br />
is always welcome.”<br />
we can meet our goal of improving<br />
the health of the people in <strong>Saskatchewan</strong><br />
with a sustainable delivery<br />
system.”<br />
The Honourable Don McMorris<br />
agrees: “Strengthening primary<br />
health services to ensure patientcentred<br />
care is key to trans<strong>for</strong>ming<br />
health care delivery. This initiative<br />
offers health research teams in <strong>Saskatchewan</strong> and other<br />
jurisdictions the opportunity to enhance chronic disease<br />
management and better connect patients to primary<br />
care.”<br />
- Dr. Phillip Fourie<br />
One part of the program, to be led by the Saskatoon Health<br />
Region, will promote the retention of current and potential<br />
employees by offering tools and support such as skills<br />
upgrading and language training to help them bridge<br />
into their trained professions. The five-year project is expected<br />
to assist more than 200 health care employees in<br />
<strong>Saskatchewan</strong>. The goal of the projects, funded by Health<br />
Canada, is to put more health care professionals in practice<br />
in <strong>Saskatchewan</strong>.<br />
The College of Medicine at the University of <strong>Saskatchewan</strong><br />
will head the second part of this initiative, which will<br />
evaluate a <strong>Saskatchewan</strong>-based pilot assessment process<br />
<strong>for</strong> international medical graduates (IMGs) who wish to<br />
practise medicine in <strong>Saskatchewan</strong>. The result of this new<br />
assessment process will be that IMGs from an expanded<br />
list of countries will be more easily able to enter the work<br />
<strong>for</strong>ce. Minister McMorris was quick to add that the government’s<br />
priority isn’t just having people fill positions,<br />
but rather ensuring that potential employees are competent<br />
and qualified <strong>for</strong> jobs.
Ministry plans to LEAN the system<br />
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<strong>Saskatchewan</strong>’s Ministry of Health is in the midst of an<br />
ambitious plan to alter the way it strategizes and delivers<br />
health care across the province. If successful, the<br />
province will be the first in Canada to introduce the lean<br />
system of management to all of its 43,000-plus health care<br />
workers and managers.<br />
Dan Florizone, deputy minister of health, says the 50-year<br />
project will include everyone from the nurse practitioner<br />
in a remote northern clinic to dozen-member teams in big<br />
city operating rooms.<br />
“This is trans<strong>for</strong>mational,” Florizone said. “No state or<br />
province that I’m aware of in the world has attempted it<br />
on this scale.”<br />
In 2008, Florizone was recruited to the ministry from<br />
his post as CEO of the Five Hills Health Region in Moose<br />
Jaw largely to lead the introduction of lean management<br />
across the provincial health system. Florizone had instituted<br />
the lean system in Five Hills, which acted as a test<br />
site <strong>for</strong> the province’s early dabbling in the philosophy.<br />
Pilot projects in that region reduced injuries and eliminat-<br />
health care<br />
ed a backlog of jobs <strong>for</strong> maintenance workers, squeezed<br />
in more colonoscopies without increasing spending and<br />
juggled supply carts to cut down time professionals spent<br />
doing inventory counts.<br />
A last-minute redesign of the Moose Jaw Union Hospital’s<br />
ER has also paid off. In a recent Health Quality Council<br />
survey of emergency room patients, respondents gave that<br />
hospital some of the best ratings in the province <strong>for</strong> waiting<br />
times and quality of care from health-care workers.<br />
What is lean management?<br />
Pioneered by Toyota, lean methods have been embraced<br />
by players in the manufacturing and service sectors. The<br />
key is to look at a product or service from a customer’s<br />
perspective and identify waste or aspects a customer<br />
wouldn’t pay <strong>for</strong> by choice. Defective products, waiting or<br />
walking back and <strong>for</strong>th to see different health-care workers<br />
have no value in the eyes of consumers.<br />
Eliminating waste every time a step is repeated can add<br />
up to significant gains, according to the philosophy. The<br />
ideas about what constitutes waste have to come from the<br />
SMA News Digest Spring 2012 11
health care<br />
“No state or province that I’m aware of in the<br />
world has attempted it on this scale.”<br />
front lines - in this case, health care workers, patients and<br />
their families.<br />
Florizone admits he was skeptical until he participated in<br />
a workshop at Seattle’s Virginia Mason <strong>Medical</strong> Centre in<br />
2004.<br />
“It’s going to take a lot of leadership to be able to convince<br />
people this isn’t a fad,” Florizone said. “There’s only<br />
one way to convince the skeptic and that’s the way I was<br />
convinced - let’s do it.”<br />
It is a mistake to think health care is so different from<br />
other industries that it can’t use the same solutions manufacturers<br />
have al<strong>ready</strong> found to similar problems, Florizone<br />
said.<br />
“The old way of cost-cutting was absolutely wrong-headed,”<br />
he said. “I realized <strong>for</strong> the first time why we were so<br />
mistaken in the ‘80s and ‘90s when we were cutting budgets<br />
and ending up with poor service at the end of the<br />
day.”<br />
Deciding what to tackle is another key component of lean<br />
management. Florizone said an organization needs to<br />
pick just a couple of top priorities and focus intensely on<br />
them be<strong>for</strong>e moving on to the rest of its wish list. “If everything’s<br />
a priority, nothing’s a priority.”<br />
The government has organized lean’s provincial rollout<br />
into two phases.<br />
The planning phase in lean management is usually called<br />
hoshin kanri, a Japanese phrase. The government is calling<br />
it ‘strategy deployment.’<br />
Unlike current strategic planning, high-level executives<br />
will run their proposed priorities be<strong>for</strong>e teams of lowerlevel<br />
managers and front-line workers, and then consider<br />
their feedback be<strong>for</strong>e proceeding.<br />
12 Spring 2012 SMA News Digest<br />
-Dan Florizone, Deputy Minister of Health<br />
Phase two will take several years and involves building up<br />
local expertise and getting more than 43,000 workers in<br />
the province’s health regions, the <strong>Saskatchewan</strong> Cancer<br />
Agency, the Health Quality Council and the Health Ministry<br />
thinking like a synchronized lean machine: Identify<br />
waste, test a possible fix, evaluate the outcome and repeat.<br />
The cycle can, and should, go on <strong>for</strong>ever.<br />
To do this, the province needs a lean expert, or sensei, to<br />
lead it. This fall, the <strong>Saskatchewan</strong> Association of Health<br />
Organizations issued two requests <strong>for</strong> proposals - one<br />
contract <strong>for</strong> about six months of lean leadership to do the<br />
first phase of planning - hoshin kanri - and a longer-term<br />
contract to help roll out the lean system.<br />
SAHO Past President and CEO Susan Antosh said the first<br />
contract was awarded in October to American consultants<br />
John Black and Associates. The second contract has not<br />
yet been awarded.<br />
The consultants won’t just teach and run, she said - the<br />
region wants to build a long-term relationship with someone<br />
who has the experience and knowledge to guide them<br />
through years of significant cultural change.<br />
The SMA is currently in discussions with the provincial<br />
government regarding lean implementation and the role<br />
<strong>for</strong> physicians in the trans<strong>for</strong>mation process.
Lab results faster? Now that’s a good thing!<br />
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You may have wondered if the day would come when you’d see a patient in the morning, order lab tests, and then<br />
have the results on your computer later in the day. With this in<strong>for</strong>mation in hand, you could contact your patient<br />
and order treatment, without further delay. This is the reality <strong>for</strong> <strong>Saskatchewan</strong> physicians al<strong>ready</strong> receiving lab results<br />
through their electronic medical record (EMR) systems.<br />
And along the same lines, did you hope <strong>for</strong> a day when you<br />
knew that other providers working with your patients<br />
could access past lab results no matter where the patients<br />
received treatment, whether it be in a walk-in clinic, the<br />
emergency room or a specialized surgery or treatment in<br />
another <strong>Saskatchewan</strong> community?<br />
Beginning in April 2012, 85 per cent of all electronic<br />
laboratory results will be available <strong>for</strong> viewing online by<br />
authorized health care professionals through <strong>Saskatchewan</strong>’s<br />
eHealth Portal. The eHealth Portal is a secure online<br />
tool developed by eHealth <strong>Saskatchewan</strong>, with the<br />
support of Canada Health Infoway, that will allow authorized<br />
health care providers to see lab results <strong>for</strong> patients,<br />
even <strong>for</strong> tests they have not ordered.<br />
With the addition of the eHealth Portal, lab results<br />
will be available to you in these ways:<br />
EMR<br />
If you have an EMR, results <strong>for</strong> lab tests you order are delivered<br />
to your EMR, copied to others you choose such as<br />
specialists and stored securely in the <strong>Saskatchewan</strong> Laboratory<br />
Results Repository (SLRR). If your EMR al<strong>ready</strong><br />
receives electronic lab results, and an ordering provider<br />
copies you on the requisition they are making, a copy of<br />
those results will be sent to your EMR.<br />
The eHealth Portal<br />
The eHealth Portal has been developed by eHealth <strong>Saskatchewan</strong><br />
<strong>for</strong> use by a wide variety of health care providers<br />
including physicians, pharmacists, nurse practitioners<br />
and home care nurses. If your patient receives<br />
care from another authorized provider, and lab work is<br />
ordered, the results are stored in the SLRR <strong>for</strong> access by<br />
you or other authorized providers. Beginning April 2012,<br />
physicians will be one of the first groups that will be offered<br />
this service<br />
Sunrise <strong>Clinical</strong> Manager<br />
If Sunrise <strong>Clinical</strong> Manager is available in your health region,<br />
you may use it to view local lab results <strong>for</strong> your patients.<br />
eHealth <strong>Saskatchewan</strong><br />
Lab Results Now Available to Providers Sooner<br />
<strong>Saskatchewan</strong> has a new electronic health<br />
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health care<br />
A <strong>Saskatchewan</strong> Treasury Board<br />
Crown Corporation<br />
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Above: A preview of one of the new eHealth<br />
posters promoting new developments in the<br />
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<strong>Saskatchewan</strong> electronic health in<strong>for</strong>mation<br />
system. As of April 2012, 85 per cent of all electronic<br />
lab results will be available <strong>for</strong> viewing<br />
online by authorized health care professionals<br />
through <strong>Saskatchewan</strong>’s eHealth Portal.<br />
Image courtesy of the <strong>Saskatchewan</strong> Ministry of Health<br />
SMA News Digest Spring 2012 13
health care<br />
Saving you money, time and ef<strong>for</strong>t<br />
Using tools like these can save your practice money. Receiving<br />
lab results electronically reduces your paper use<br />
and storage, and will result in reduced distribution and<br />
duplication costs <strong>for</strong> you. It virtually eliminates the need<br />
to receive or <strong>for</strong>ward lab results by fax or courier.<br />
The eHealth Portal provides the ability <strong>for</strong> authorized<br />
providers across the province to look up past results easily,<br />
significantly reducing the need to order duplicate tests<br />
<strong>for</strong> patients.<br />
Where is the service available now?<br />
Any eligible authorized care provider with access to a<br />
qualified EMR system, or access to the eHealth Portal, can<br />
securely view laboratory results. Although not every region<br />
is currently providing results to the SLRR database,<br />
we’re working on it.<br />
Over 85 per cent of all test results captured by regional<br />
laboratory in<strong>for</strong>mation systems (LIS) and the <strong>Saskatchewan</strong><br />
Disease Control Laboratory are al<strong>ready</strong> available<br />
in SLRR. The tool al<strong>ready</strong> contains results from: the <strong>Saskatchewan</strong><br />
Disease Control Laboratory and the Regina<br />
Qu’Appelle, Sunrise, Five Hills and Saskatoon Health Regions.<br />
Other regional health authorities will be phased<br />
in shortly. Kelsey Trail Health Region lab results will be<br />
available early in 2012 and Sun Country Health Region in<br />
the first half of 2012. As the remaining regional health authorities<br />
replace their LIS, their results will be available<br />
via SLRR.<br />
Electronic laboratory results are safe and secure<br />
Safeguards are in place to ensure only health professionals<br />
involved in direct care can access a patient’s personal<br />
health in<strong>for</strong>mation. Policies, procedures and computer<br />
systems are in place to protect in<strong>for</strong>mation from unauthorized<br />
use, error or loss and to record who has viewed<br />
the data. While there are many benefits to the program, a<br />
masking option has been developed where residents can<br />
request that their laboratory results be hidden from view.<br />
If you have patients who would like to investigate this option<br />
please ask them to call the eHealth <strong>Saskatchewan</strong> Privacy<br />
Service at 1-800-667-1672, or visit www.health.gov.<br />
sk.ca/masking <strong>for</strong> more in<strong>for</strong>mation.<br />
14 Spring 2012 SMA News Digest<br />
The SLRR has al<strong>ready</strong> accumulated<br />
over 15-million laboratory test results,<br />
increasing by approximately<br />
50,000 additional results each day.<br />
How to access the service<br />
More in<strong>for</strong>mation about the EMR program is available<br />
through the <strong>Saskatchewan</strong> <strong>Medical</strong> Association at this<br />
email address EMR@sma.sk.ca, at www.sma.sk.ca or by<br />
contacting Davin Church at (306) 337-5455.<br />
To learn how to access the eHealth Portal, please contact<br />
Transition and Change Management Services at eHealth<br />
<strong>Saskatchewan</strong> at (306) 337-0633.<br />
For more in<strong>for</strong>mation about associated privacy considerations<br />
please contact the provincial eHealth Privacy Service<br />
at privacyandaccess@ehealthsask.ca or call 1-800-<br />
667-1672.<br />
You may receive questions about the eHealth Portal. In<br />
addition to the in<strong>for</strong>mation on our website www.gov.<br />
sk.ca/labresults, printed in<strong>for</strong>mation is available that you<br />
can display in your office. To order brochures and posters,<br />
please contact Transition and Change Management Services<br />
at eHealth <strong>Saskatchewan</strong> at (306) 337-0633.<br />
The provincial electronic health record<br />
SLRR joins other components of the provincial electronic<br />
health record and regional point-of-service electronic<br />
systems al<strong>ready</strong> in place.<br />
The Radiology In<strong>for</strong>mation System and Picture Archiving<br />
System (RIS-PACS) allows authorized clinicians to securely<br />
access digital images such as CT scans, MRIs, ultrasounds<br />
and mammography, regardless of their physical location:<br />
at the office, at home or wherever a secure internet connection<br />
is available.<br />
The Pharmaceutical In<strong>for</strong>mation Program (PIP) contains<br />
a record of prescription drugs dispensed from all community<br />
pharmacies in the province. The primary goal of PIP<br />
is to improve quality of care by providing the in<strong>for</strong>mation<br />
and tools that authorized care providers need to make optimal<br />
drug therapy decisions.
EMR Roadshow<br />
generates interest<br />
By Doré Collett<br />
health care<br />
The <strong>Saskatchewan</strong> EMR Program hosted a series<br />
of in<strong>for</strong>mation sessions in November 2011. SMA<br />
members were invited to meet members of the<br />
EMR team and other physicians to learn about the benefits<br />
of converting to an electronic medical record solution.<br />
All three approved EMR vendors, Med Access, MD<br />
Physician Services and Optimed, answered questions and<br />
gave hands-on demonstrations of their applications. The<br />
vendors noticed that attendees were impressed with how<br />
easy and advantageous using an EMR can be.<br />
A total of 192<br />
clinics and 641 physicians in<br />
the province have<br />
implemented an EMR solution.<br />
Eighty-four people attended the three sessions, which<br />
took place in Regina, Saskatoon and Prince Albert. Fortyfive<br />
practices were represented by 34 physicians and 50<br />
of their medical office staff. Almost all of the attendees<br />
stated that after attending the EMR in<strong>for</strong>mation event,<br />
their overall feelings toward the use of EMR has become<br />
more positive.<br />
At the time of publication, a total of 192 clinics and 641<br />
physicians in <strong>Saskatchewan</strong> had implemented an EMR solution.<br />
As a result of the EMR Roadshow, 16 more clinics<br />
expressed interest in the program.<br />
SMA News Digest Spring 2012 15
feature<br />
Sports<br />
Medicine in<br />
<strong>Saskatchewan</strong><br />
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Sports are a fundamental part of life in <strong>Saskatchewan</strong><br />
and across Canada. Sports create a sense of community,<br />
instilling a shared sense of pride when watching<br />
the home team take the gold or marveling in the sheer<br />
athletic brilliance that some of our favourite sports stars<br />
bring to the game.<br />
However, <strong>for</strong> athletes to achieve that gold medal or that<br />
extra point, they obviously must maintain optimum physical<br />
fitness – but they also rely on a team of professionals<br />
to help keep them healthy and injury-free as much as possible.<br />
One of these professionals is Dr. Paul Taillon, a sports<br />
medicine physician with the University of <strong>Saskatchewan</strong><br />
(U of S) Huskie Athletics and the new president of the <strong>Saskatchewan</strong><br />
Academy of Sports Medicine (SASM).<br />
Dr. Taillon has been involved with sports medicine since<br />
1987, primarily with hockey. He made the move to Saskatoon<br />
in 1995 when he began practising with the U of S<br />
Huskies hockey team – a role he still fulfills today. In addition<br />
to his work with local sports teams, he has stretched<br />
his practice to national and international levels; he was<br />
part of three Canada Games’ medical teams, in addition to<br />
the IIHF World Junior Hockey Tournament, world figure<br />
skating and world junior volleyball medical teams when<br />
those events were held in <strong>Saskatchewan</strong>.
Concussion in sport<br />
One particular aspect of sports medicine Dr. Taillon is<br />
most passionate about has been a hot topic in the media<br />
lately, especially following the recent crop of injuries sustained<br />
by superstars such as Sidney Crosby – concussion<br />
in sport.<br />
Dr. Taillon said research in this area has evolved immensely<br />
in the last 20 years. In the past, concussions were<br />
categorized as mild, moderate or severe, and physicians<br />
would primarily rely on the gradual<br />
resolve of symptoms be<strong>for</strong>e returning<br />
an athlete to sport; however, exciting<br />
research developments are happening<br />
right here in <strong>Saskatchewan</strong> that are allowing<br />
<strong>for</strong> a more reliable determination<br />
of recovery all be<strong>for</strong>e the athlete<br />
returns to contact play.<br />
“As you know, concussion in sport is<br />
a real focus now with all these super-<br />
-Dr. Paul Taillon, SASM President<br />
stars being sidelined. Anywhere from<br />
25 to 35 players are out in the NHL at<br />
any given time because of post-concussion symptoms,”<br />
Dr. Taillon explained. “So there is a lot of attention and Dr. Paul Taillon, SASM President<br />
development of some science, but also some useful tools<br />
so that we can be more sure that when [athletes] return,<br />
they’re safe.”<br />
The U of S recently received research funding that allowed<br />
Rhonda Shishkin, head athletic therapist <strong>for</strong> Huskie<br />
Athletics, to develop a computerized database that encompasses<br />
in<strong>for</strong>mation from three sports teams – a men’s<br />
hockey team, a women’s hockey team and a football team.<br />
As part of the pilot project, all of the athletes participated<br />
in baseline testing, such as simple memory and concentration<br />
tests, balance testing and computerized neuropsychology<br />
testing to gather the data.<br />
In November, one of the university athletes suffered a<br />
concussion. Dr. Taillon says because the athlete’s prior<br />
test results were stored in the database, the sports medicine<br />
team was able to follow the athlete’s recovery more<br />
closely.<br />
“Because we have that baseline, we are able to check that<br />
they have recovered in terms of their balance, and also<br />
[check recovery through] these cognitive tests <strong>for</strong> memory<br />
and reaction speed,” Dr. Taillon explained.<br />
feature<br />
Overall, this research allows the health care team to be<br />
more sure when returning an athlete to sport, which becomes<br />
very important when dealing in a university setting,<br />
Dr. Taillon explained.<br />
“They are students first and athletes second, and we want<br />
to safeguard their brains.”<br />
Keeping athletes safe is a rewarding experience – it’s fun<br />
to watch the sport and be involved with the athletes, Dr.<br />
Taillon says, adding that it presents almost a reverse set<br />
of protocol than other types<br />
“So there is a lot of attention and<br />
development of some science,<br />
but also some useful tools so that<br />
we can be more sure that when<br />
[athletes] return, they’re safe.”<br />
of medical practice.<br />
“[Athletes] want to get better<br />
as fast as possible, so it’s<br />
almost the reverse of ordinary<br />
medicine where you’re<br />
pushing people to get better.<br />
Here, you’re actually holding<br />
them back so that they<br />
can be rehabbed and safe to<br />
return to the sport.”<br />
SMA News Digest Spring 2012 17
Name:<br />
Address:<br />
Membership In<strong>for</strong>mation<br />
The <strong>Saskatchewan</strong> Academy of Sports Medicine (SASM) offers numerous<br />
benefits to its members, including access to sports medical resources (ACL<br />
injuries, concussion assessment) and electronic journal articles. Membership<br />
in SASM also translates into membership with the Sport Medicine and<br />
Science Council of <strong>Saskatchewan</strong>. SASM members are also eligible to apply<br />
<strong>for</strong> compensation <strong>for</strong> sport-related CME that cannot be paid through<br />
the SMA’s CME fund. Student and residents are offered complimentary<br />
membership to SASM in addition to research grants of $1,500 <strong>for</strong> sportrelated<br />
research.<br />
To take out or renew your membership with SASM, please complete the<br />
<strong>for</strong>m below.<br />
SASKATCHEWAN ACADEMY OF SPORTS MEDICINE<br />
ANNUAL MEMBERSHIP DUES<br />
City: Postal Code:<br />
Phone: Fax:<br />
Email:<br />
Please complete the above in<strong>for</strong>mation and include this notice with your payment. Thank you.<br />
2012 Membership Dues now due: $25.00<br />
Please remit to:<br />
Cary Brunett, SASM Administrative Assistant<br />
P.O. Box 338<br />
Delisle, SK S0L 0P0
health care<br />
How privacy considerations drive patient decisions<br />
and impact patient care outcomes<br />
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Fair Warning, Inc. (FWI), an American company, recently<br />
commissioned a survey on how patient privacy considerations<br />
impact the actual delivery of health care and to<br />
what degree patients believed health care executives and<br />
managers should be held accountable <strong>for</strong> privacy protection<br />
and breaches.<br />
The survey was meant to serve as a baseline <strong>for</strong> future<br />
surveys and to determine how privacy affects patient<br />
behaviours and influences care outcomes. FWI plans to<br />
commission this survey again in one year to determine if<br />
there have been any changes in attitudes.<br />
There is no doubt that we live in a society that is both<br />
obsessed with having in<strong>for</strong>mation and is equally obsessed<br />
with privacy of personal in<strong>for</strong>mation. Governments are<br />
also aware of the high value citizens place on privacy<br />
and this includes health records and personal health in<strong>for</strong>mation.<br />
This results in a push and pull with regards<br />
to balancing the collection and subsequent protection of<br />
in<strong>for</strong>mation and allowing <strong>for</strong> the flow of in<strong>for</strong>mation between<br />
patients and their health care providers. Appropriate<br />
access to in<strong>for</strong>mation and privacy are there<strong>for</strong>e two<br />
concepts that go hand in hand.<br />
Physicians, <strong>for</strong> the most part, understand that they have<br />
an ethical responsibility to ensure their patients’ privacy.<br />
This certainly isn’t a new concept – it is even spoken<br />
about in the Hippocratic Oath. Then there are the legal<br />
obligations that physicians have under the various Access<br />
to In<strong>for</strong>mation and Privacy (ATIP) laws in place in Canada.<br />
In <strong>Saskatchewan</strong>, the Health In<strong>for</strong>mation Protection Act<br />
(HIPA) is one of the main pieces of ATIP legislation that<br />
must be adhered to by physicians.<br />
In their survey, FWI asked more than 1000 respondents<br />
thirty questions that sought to understand the degree to<br />
which Canadian patients’ health care decisions are affected<br />
by privacy. The key findings were as follows:<br />
Trust in the confidentiality of medical records is influencing<br />
when, where, from whom and what kind of medical<br />
treatment is delivered to patients in Canada. These privacy<br />
concerns affect the flow of in<strong>for</strong>mation to providers<br />
to use in the diagnosis and care of their patients. The results<br />
of the survey indicated that 43.2 per cent of patients<br />
would withhold in<strong>for</strong>mation from their care providers<br />
based on privacy concerns. Nearly 43 per cent stated<br />
they would seek care outside of their community due to<br />
privacy concerns, with 33.7 per cent indicating that they<br />
would travel 50 kilometers or more in order to keep their<br />
sensitive in<strong>for</strong>mation confidential. By withholding medical<br />
in<strong>for</strong>mation, Canadian patients are impacting the care<br />
they receive.<br />
The article also indicates that hat 61.9 per cent<br />
of Canadian patients reported ed that if there<br />
were serious or repeated breaches reaches of patients’<br />
personal in<strong>for</strong>mation n at a hospital<br />
where they had treatment, ent, it would<br />
reduce their confidence in the quality of<br />
the health care offered there. ere. The survey<br />
summary does indicate that more research<br />
is needed to fully understand nderstand the<br />
impact of privacy breaches on health<br />
care outcomes, but acknowledges edges<br />
that when in<strong>for</strong>mation is withheld<br />
or falsified, treatments nts<br />
are impacted.<br />
A major part of the survey ey<br />
focused on patients’ exxpectations<br />
that health care re<br />
providers and hospital exececutives aggressively protect patient<br />
privacy. In fact, the survey urvey<br />
found that more than four out of<br />
five Canadian patients stated ed that,<br />
if a health care executive knowingnowingly failed to act to reduce the he risk<br />
of breach and a breach occurred, curred,<br />
they should be fined or fired. ed. Sixty-nine<br />
and a half per cent stated<br />
that there should be a public lic listing<br />
hosted by the government nment<br />
that lists which hospitals have ave had<br />
breaches of patient health records.<br />
Aside from the hospital’s reputareputa- SMA News Digest Spring 2012 19
health care<br />
“What I may see or hear in the course of the treatment or even outside of the treatment in<br />
regard to the life of men, which on no account one must spread abroad, I will keep to myself,<br />
holding such things shameful to be spoken about.”<br />
-Hippocratic Oath<br />
tion, 75.4 per cent of respondents felt that a provider’s<br />
reputation influenced their choice to seek care from him<br />
or her. The study showed that Canadian patients believe<br />
stronger en<strong>for</strong>cement of existing privacy protection laws<br />
would reduce the number of privacy breaches.<br />
The most compelling part of the survey showed the negative<br />
consequences a patient experienced from being a victim<br />
of a breach. The most common situations noted were:<br />
�� victim became the subject of gossip in their social<br />
circle and/or workplace<br />
�� a sensitive medical issue was no longer private<br />
�� a significant amount of personal time was required to<br />
correct the situation<br />
�� private in<strong>for</strong>mation was used against them in a lawsuit<br />
�� inaccurate medical in<strong>for</strong>mation was added to their<br />
record.<br />
Patients have a lot to lose as a result of a privacy breach.<br />
A person’s privacy is very important and we all have the<br />
right to have it protected; this is enshrined in the Canadian<br />
Charter of Rights and Freedoms. As a physician,<br />
you also have a great deal to lose as a result of a privacy<br />
breach: Your patients’ trust, your community’s trust, your<br />
patients’ health outcomes and your reputation being just<br />
some of those things. What can you do to prevent this<br />
from happening?<br />
�� First understand the need to minimize risk<br />
�� Make sure staff are aware of the importance you place<br />
on patient privacy<br />
�� Develop a written privacy policy <strong>for</strong> your office and<br />
USE IT<br />
�� Talk about patient privacy with your staff at meetings<br />
�� Learn from the mistakes of others and take steps to<br />
ensure they don’t happen to you<br />
�� Talk openly with your patients about privacy and<br />
your office’s policies<br />
�� �������������������������������������������������-<br />
�������������������������������������������������������<br />
at (306) 244-2196 or rhunt@sma.sk.ca<br />
20 Spring 2012 SMA News Digest<br />
Charter:<br />
Section 8 [2] Reasonable<br />
Expectation of Privacy<br />
In fostering the underlying values of dignity, integrity<br />
and autonomy, it is fitting that s. 8 of the<br />
Charter should seek to protect a biographical core<br />
of personal in<strong>for</strong>mation which individuals in a free<br />
and democratic society would wish to maintain<br />
and control from dissemination to the state. This<br />
would include in<strong>for</strong>mation which tends to reveal<br />
intimate details of the lifestyle and personal choices<br />
of the individual. The computer records investigated<br />
in the case at bar while revealing the pattern<br />
of electricity consumption in the residence cannot<br />
reasonably be said to reveal intimate details of<br />
the appellant’s life since electricity consumption<br />
reveals very little about the personal lifestyle or<br />
private decisions of the occupant of the residence:<br />
R. v. Plant, 1993 CanLII 70 (S.C.C.), 1993 CanLII 70<br />
(S.C.C.), 1993 CanLII 70 (S.C.C.), [1993] 3 S.C.R. 281;<br />
R. v. Tessling, 2004 SCC 67 (CanLII), 2004 SCC 67<br />
(CanLII), 2004 SCC 67 (CanLII), 2004 SCC 67.<br />
** The Fair Warning survey expects that patient attitudes<br />
may change as a result of media coverage related to privacy<br />
breaches, the addition of health care laws, the en<strong>for</strong>cement<br />
of privacy laws, awareness of patient rights, and the further<br />
adoption of electronic health records.<br />
SMA staff look <strong>for</strong>ward to seeing the results of the next<br />
survey and will communicate them to its membership.
Med 1 hosts annual art show and silent auction<br />
students and residents<br />
First-year medical students at the University of <strong>Saskatchewan</strong> held their ninth-annual charity art<br />
show and silent auction on February 8. Students showcased their artistic side by creating naturethemed<br />
pieces with all proceeds allocated to the Child Hunger and Education Program (CHEP), a<br />
charity located in Saskatoon. CHEP works with children and families to promote food security and<br />
boost community access to nutritious food.<br />
Photo story by Nicole Quintal
students and residents<br />
SMA showcases Rural Relief Program at resident<br />
recruitment event<br />
�����������������<br />
The SMA showcased its Rural Relief Program at the Physician Recruitment Agency of <strong>Saskatchewan</strong> and University<br />
of <strong>Saskatchewan</strong> Family Medicine Recruitment Event held on January 13.<br />
Below is a list of some of the most common questions the SMA received about the program at the event:<br />
Rural Relief Program FAQ<br />
Q: What is the Rural Relief Program?<br />
A: Many rural physicians provide medical coverage with<br />
heavy call responsibilities to the communities they serve.<br />
The Rural Relief Program is intended to provide relief<br />
from this demanding regime <strong>for</strong> practices in rural communities<br />
in which there are fewer than five physicians.<br />
Through this program, the SMA employs physicians who<br />
are available to travel throughout rural <strong>Saskatchewan</strong> and<br />
replace the local physician on a temporary basis.<br />
Q: How will I benefit from participating in this program?<br />
A: There are many benefits to becoming a Rural Relief<br />
physician. It is an excellent way to maintain a variety in<br />
your practice. For residents, there are opportunities to repay<br />
student debt while trying out different clinics around<br />
the province.<br />
Q: How long are Rural Relief contracts?<br />
A: A Rural Relief contract can be completed in either a six<br />
or 12-month contract. Both offer excellent benefits, such<br />
as competitive pay, no overhead and flexible scheduling.<br />
Q: What is the average rate-of-pay <strong>for</strong> a Rural Relief physician?<br />
A: The 12-month contract offers those who have worked<br />
fewer than five years in rural <strong>Saskatchewan</strong> a daily rate of<br />
$1030 ($865 <strong>for</strong> each travel day), with an added weeknight<br />
call stipend of $130 and weekend call stipend of $1300.<br />
The 12-month contract also includes a signing bonus of<br />
$11,000 and, upon fulfilling the contract obligations, an<br />
end bonus of $10,000. A 12-month contract is fulfilled<br />
22 Spring 2012 SMA News Digest<br />
with the completion of just 200 working days; this includes<br />
travel days.<br />
Q: How flexible will my schedule be under the Rural Relief<br />
Program?<br />
A: Schedules are developed well in advance, and virtually<br />
all requests <strong>for</strong> time off are granted. During the average<br />
month, a locum will work 21 days, including travel days.<br />
Q: Where can I live while working as a Rural Relief physician?<br />
A: You can live anywhere you want,<br />
whether it be Saskatoon or Arcola, and we<br />
will pay mileage. Mileage is paid at $0.52/<br />
km <strong>for</strong> the first 5,000 km and $0.46/km<br />
thereafter.<br />
Q: Which communities can access the Rural<br />
Relief Program?<br />
A: Any community with fewer than five practising<br />
physicians can access the Rural Relief<br />
Program.<br />
Q: Where do I stay when working in a rural community?<br />
A: Accommodations are arranged by the host<br />
physician in each community and must have<br />
phone, internet and a kitchenette.<br />
Q: How long do I have to stay in each community?<br />
A: Rural Relief physicians provide relief from the demanding<br />
schedules of permanent rural physicians <strong>for</strong> periods<br />
of four to 14 days.
Rochelle Plemel, the SMA’s Physician Relief Program Administrator,<br />
speaks to residents about the Rural Relief Program.<br />
students and residents<br />
Q: I am an SMA bursary recipient. Can I fulfill my rural<br />
<strong>Saskatchewan</strong> return-in-service through the Rural Relief<br />
Program?<br />
A: You can fulfill your return-in-service to the province of<br />
<strong>Saskatchewan</strong> in half the time.<br />
Q: Where can I find more in<strong>for</strong>mation about the program<br />
or sign up to become a Rural Relief physician?<br />
A: For more in<strong>for</strong>mation about the program or to become<br />
a Rural Relief physician please contact:<br />
Rochelle Plemel<br />
Physician Relief Program Administrator<br />
(306) 244-2196 or rochelle@sma.sk.ca<br />
Or visit the SMA website at www.sma.sk.ca.<br />
Health region display booths at the PRAS/University of <strong>Saskatchewan</strong><br />
Family Resident Recruitment Event on January 13 in Saskatoon.<br />
SMA News Digest Spring 2012 23
U of S medical students gear up <strong>for</strong> Wellness Week<br />
�����������������<br />
It’s no secret that health care professionals<br />
don’t often have a lot<br />
of spare time. Trying to balance<br />
busy schedules, long working hours,<br />
family and social commitments can<br />
be challenging – and trying to fit<br />
physical activity and healthy meal<br />
planning into the mix can seem next<br />
to impossible.<br />
However, leading a healthier lifestyle<br />
doesn’t always require ample<br />
amounts of spare time. This is one of<br />
the key themes <strong>for</strong> the 2012 Student<br />
<strong>Medical</strong> Society of <strong>Saskatchewan</strong><br />
(SMSS) Wellness Week event that is<br />
being held from April 16 to 20 at the<br />
University of <strong>Saskatchewan</strong> Health<br />
Sciences Building.<br />
Year-2 medical students Melissa An-<br />
24 Spring 2012 SMA News Digest<br />
dersen, 25, and Kristine Pederson, 23,<br />
who are involved with the planning of<br />
this year’s Wellness Week, sat down<br />
with the SMA to discuss the unique<br />
initiative that will offer event-goers<br />
in<strong>for</strong>mation, tips and activities that<br />
can be incorporated into everyday<br />
life to decrease stress and improve<br />
overall health and wellness.<br />
“We’re really trying to give in<strong>for</strong>mation<br />
that can help you fit wellness in<br />
everyday, even if you only have 10 or<br />
20 minutes,” Melissa said.<br />
From nutrition to yoga, body-scanning<br />
sessions and calisthenics, Wellness<br />
Week offers sessions geared<br />
toward time-strapped medical students,<br />
residents, physicians, staff and<br />
faculty.<br />
Student Affairs Representative Kristine Pederson (left), and Melissa Andersen<br />
are helping to plan the 2012 Wellness Week event at the U of S.<br />
For instance, a session on nutrition is<br />
being held to address how health care<br />
professionals normally eat and the<br />
challenges associated with eating onthe-go.<br />
Solutions <strong>for</strong> finding healthy,<br />
quick meals, as well as what professionals<br />
should opt <strong>for</strong> when faced<br />
with the hospital cafeteria will be presented.<br />
Attendees will also be treated<br />
to an international lunch courtesy of<br />
the college’s Global Health Committee<br />
and Physician Wellness Initiative<br />
(PWI) group.<br />
The PWI’s stress committee is also<br />
putting on a yoga night that will consist<br />
of simple stretching, relaxation<br />
and meditation-style techniques to<br />
combat stress.<br />
“I think the yoga night really speaks
to the high-stress environment that a lot of us live in and<br />
work in, and I think it will be a great way <strong>for</strong> people to<br />
unwind,” Kristine explained, adding that the techniques<br />
event-goers learn at this session can also be adapted <strong>for</strong><br />
use on-the-go.<br />
Attendees will discover more time-saving techniques<br />
during two five-minute body-scan sessions, along with a<br />
how-to calisthenics session – which is basically weighttraining<br />
with your own body.<br />
“A lot of residents and physicians cians have talked about<br />
how it’s really hard when you’re ’re on call or working working<br />
really long hours to be able to fit in time to<br />
go to the gym or even to use your our home<br />
gym,” Melissa said. “So this is an n idea<br />
<strong>for</strong> something that people can n do<br />
on their own, in a room with no<br />
equipment with just five minutes tes<br />
of time.”<br />
The students are also planning to take a page from the<br />
SMA’s physician wellness book by holding a Walk-the-Doc<br />
session mid-week – an activity they learned while attending<br />
the SMA’s Walk-the-Doc presentation at the Canadian<br />
Conference on Physician Health last fall in Toronto. The<br />
Walk-the-Doc session consists of a 20- to 30-minute walk<br />
along the river to get attendees out and moving.<br />
To wrap up the week, the PWI’s community committee<br />
will host a movie night at the SaskTel Theatre, in addition<br />
to a crockpot potluck complete with healthy menu items.<br />
Wellness Week growing in popularity<br />
Wellness Week is an annual SMSS event that both Melissa<br />
and Kristine say has grown considerably over the past<br />
three years because of an increase in overall interest and<br />
an expanding volunteer base.<br />
“We’re really trying to<br />
give in<strong>for</strong>mation that can<br />
help you fit wellness in<br />
everyday, even if you only<br />
have 10 or 20 minutes.”<br />
students and residents<br />
The event is important because it creates awareness regarding<br />
the environment physicians work in and what<br />
it can do to you if you neglect your health and wellness<br />
needs.<br />
“It’s a good reminder to pay attention to what you’re doing<br />
to your body and to take care of yourself,” Kristine<br />
said.<br />
“But it also reminds people about how you really can<br />
fit these good g things g into your day even with time con-<br />
straints and sleep deprivation depr and what-not,” Melissa<br />
added.<br />
The students stu are encouraging more<br />
staff and a faculty to join in on this<br />
year’s year sessions so that students can<br />
gain gai insight into how more experienced<br />
en professionals balance work<br />
and an wellness.<br />
With final exams looming in<br />
“If “I people that we’re work-<br />
April and May, stress is also on<br />
ing in with and learning from, if<br />
the minds of many university stutu- they th are leading healthier lives<br />
dents. Second-year students are<br />
it’s more conducive to us to lead<br />
planning a traditional mock OSCE<br />
exam <strong>for</strong> the first-year students s during<br />
Wellness Week. The activity ivity is<br />
-Melissa Andersen<br />
healthier heal lives. We’re learning by<br />
example,” examp Kristine said.<br />
designed to help the new students udents get<br />
This year’s event invitation is also being<br />
through some of the stress associated sociated with<br />
extended to health science students from<br />
not knowing what to expect when h writing iti this thi ma-<br />
other th colleges ll – something that hasn’t been done<br />
jor exam.<br />
at past Wellness Week events – to include pharmacists,<br />
nutritionists, dentists, physical therapy and nursing students.<br />
������������������������������������������������������������������<br />
������������������������������������������������������������������<br />
�����������������������������������������������������������<br />
�����������������������������������������������������������<br />
SMA News Digest Spring 2012 25
spring calendar<br />
*<br />
PHYSICIAN MANAGEMENT INSTITUTE<br />
26 Spring 2012 SMA News Digest<br />
SMA PMI course roster<br />
<strong>for</strong> 2012<br />
By Susan Randell<br />
The Physician Management Institute (PMI) is the Canadian<br />
<strong>Medical</strong> Association’s leadership development program<br />
designed specifically <strong>for</strong> physicians working in Canada’s<br />
health care system. With targeted funding, the SMA<br />
has brought the PMI series in-house.<br />
The following six PMI courses will be offered in 2012 in<br />
Saskatoon – mark your calendars!<br />
Disruptive Behavior (Foundation Level)<br />
March 23-25, 2012<br />
Mary Yates/ Paul Farnan<br />
Strategic Influence (Advanced Level)<br />
April 27-29, 2012<br />
Peter Kuling / Janice Stein / Carole Lavigne<br />
Talent Management (Advanced Level)<br />
June 1-3, 2012<br />
Paul Mohapel / Gillian Kernaghan<br />
Leading Change and Innovation (Foundation Level)<br />
September 21-22, 2012<br />
Brian Golden / Susan Leiff<br />
Self Awareness (Foundation Level)<br />
October 26-28, 2012<br />
Monica Olsen / Jamie Campbell / Mamta Gautam<br />
When you enrol in a PMI course, you can be confident<br />
that:<br />
�� course content and examples will be practical and relevant<br />
to health care and medical practice in Canada<br />
�� instructors are subject-matter and education experts<br />
with an intimate knowledge of Canada’s health care<br />
environment<br />
�� learning approaches incorporate multiple perspectives,<br />
include real-life, real-time activities and promote<br />
rich problem-solving among peers<br />
�� classmates are medical and health care professionals<br />
with interests and needs similar to your own.<br />
����������������������������������������������������������������<br />
�����������������������������������������������������������������<br />
������������������������������������������������������������������
Upcoming courses, conferences, and events<br />
march<br />
2-3 Ninth Annual Peter and Anna Zbeetnoff Memorial<br />
Drug Therapy Decision Making Conference*<br />
Travelodge Hotel, Saskatoon<br />
To register, visit www.usask.ca/cme/courses/registration.php<br />
14-17 Canadian <strong>Medical</strong> Bonspiel<br />
Granite Curling Club, Winnipeg<br />
Contact Greg Hammond by email:<br />
canadianmedicalbonspiel@shaw.ca<br />
23-24 CCFP Exam SOO Preparation Workshop<br />
West Winds Primary Health Centre, Saskatoon<br />
Fees $850<br />
http://web.mac.com/malees/soo/Home.html<br />
For more in<strong>for</strong>mation, contact soo.course@usask.ca<br />
23-25 PMI: Disruptive Behaviour (Foundation Level)<br />
SMA In-house PMI Program<br />
Sheraton Cavalier Hotel, Saskatoon<br />
*<br />
www.sma.sk.ca<br />
To register, phone: (306) 244-2196<br />
29-30 Trauma Repair: Kids in Crisis<br />
Regina and Saskatoon<br />
For more in<strong>for</strong>mation, call (306) 751-2730<br />
29 Taming of the Queue Conference 2012<br />
Chateau Laurier Hotel, Ottawa<br />
For more in<strong>for</strong>mation, contact brenda.trepanier@cma.ca<br />
april<br />
11-14 Canadian Conference on Physician Leadership<br />
The Westin, Ottawa<br />
To register, visit http://www.2012leadership.ca/<br />
14 MCCQE Part II <strong>Clinical</strong> Exam Prep Course*<br />
Royal University Hospital, Saskatoon<br />
17-18 Health Care Quality Summit 2012<br />
www.qualitysummit.ca<br />
TCU Place, Saskatoon<br />
17-18 Health Care Quality Summit 2012<br />
www.qualitysummit.ca<br />
TCU Place, Saskatoon<br />
spring calendar<br />
19 Neonatal Resuscitation Program (NRP) – Instructor<br />
Course*<br />
Saskatoon<br />
20 Neonatal Resuscitation Program (NRP) – Instructor<br />
Update*<br />
Saskatoon<br />
21 Neonatal Resuscitation Program (NRP) – Provider<br />
Course*<br />
Saskatoon<br />
21 Royal University Hospital Cardiology<br />
Update 2012<br />
Hilton Garden Inn, Saskatoon<br />
To register, visit http://conferences.<br />
usask.ca/cardiology<br />
27-29 PMI: Strategic Influence (Advanced Level)<br />
SMA In-house PMI Program<br />
Hilton Garden Inn, Saskatoon<br />
*<br />
www.sma.sk.ca<br />
To register, phone: (306) 244-2196<br />
may<br />
4-5 SMA Representative Assembly – Spring 2012<br />
Regina<br />
For more in<strong>for</strong>mation, call (306) 244-2196<br />
www.sma.sk.ca<br />
26 Respirology State of the Art Conference<br />
Travelodge Hotel and Conference Centre, Regina<br />
For registration in<strong>for</strong>mation, contact Stella at (306) 667-3010<br />
june<br />
1-3 PMI: Talent Management (Advanced Level)<br />
SMA In-house PMI Program<br />
Saskatoon Inn, Saskatoon<br />
*<br />
www.sma.sk.ca<br />
To register, phone: (306) 244-2196<br />
* CONTINUING PROFESSIONAL LEARNING<br />
To ���������������������������������������������������������������������<br />
�����������������������������������������������������������������������<br />
���������������������������������������<br />
SMA News Digest Spring 2012 27
classifieds<br />
ANNOUNCEMENTS<br />
In<strong>for</strong>mation regarding prescription drug shortages - Physicians worried about shortages of prescription drugs can now<br />
track these developments online. Following action by a working group that includes groups representing health professionals,<br />
such as the CMA and Canadian Pharmacists Association (CPhA) and pharmaceutical companies, the Canadian Generic<br />
Pharmaceutical Association (CGPA) and Canada’s Research Based Pharmaceutical Companies (Rx&D), have agreed to collect<br />
in<strong>for</strong>mation on “direct shortages” and “interruptions of supply” from member companies. That data is being posted on the<br />
<strong>Saskatchewan</strong> Drug In<strong>for</strong>mation Service: http://www.druginfo.usask.ca/healthcare_professional/canadian_drug_shortages.php.<br />
The in<strong>for</strong>mation will not deal with supply problems involving companies that do not belong to Rx&D or the CGPA, or provide<br />
in<strong>for</strong>mation on therapeutic alternatives to drugs in short supply. As well it will not allow physicians to report shortages.<br />
Work to develop a more robust system that will contain these features is underway.<br />
If you have any questions or comments, please don’t hesitate to contact Jill Skinner, Associate Director, CMA Public Health<br />
Group at jill.skinner@cma.ca.<br />
PHYSICIAN OPPORTUNITIES<br />
Family Physician – MedWest <strong>Medical</strong> Clinic - Saskatoon.<br />
Busy, well established family medicine and walk-in medical<br />
clinic in Saskatoon. Excellent opportunity to start a practice<br />
or work part time. Fantastic patient base in vibrant and<br />
booming Hampton Village community. Competitive over-<br />
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email Dr Marc Viger at dr.viger@live.ca to discuss this exciting<br />
family medicine opportunity.<br />
28 Spring 2012 SMA News Digest<br />
Riverbend <strong>Medical</strong> Clinic in Regina, SK. New and established<br />
physicians welcome. We are looking to add a full-time family<br />
physician to our existing solo family practice. Excellent, state-ofthe-art<br />
premises. Electronic medical records. Potential <strong>for</strong> partnership.<br />
Enjoy excellent lifestyle with an excellent practice on<br />
the east side of Regina. Please contact Dr. Maxim Kondrashov at<br />
(306) 347-2500 ext. 2 or e-mail: svema17@hotmail.com
Willowgrove <strong>Medical</strong> Group is looking <strong>for</strong> an ambitious<br />
family physician to join their busy practice. We are a fully<br />
������������������������������������������������������������ry<br />
care, occupational medicine and a wide range of specialty<br />
services including circumcisions, vasectomies and dermatologic<br />
laser treatment. We are the company physicians <strong>for</strong> a<br />
number of mining companies in <strong>Saskatchewan</strong>. We have a<br />
large and growing patient base with walk-in clientele daily<br />
��������������������������������������������������������<br />
evenings. Weekend and weekday call is shared equally with<br />
������������������������������������������������������������<br />
����������� ����� ���������� ����� ��� ��������� ����� �� ���worked<br />
computer <strong>for</strong> EMR use. Competitive expense split.<br />
�����������������������������������������������������������<br />
at (306) 242-0353 to set up a time to meet and discuss the op-<br />
�����������������������������������������������������<br />
Dr. M. Singh is looking <strong>for</strong> full-time or locum family physicians<br />
to practise at the Taylor Street <strong>Medical</strong> Clinic in Saskatoon<br />
and GAMA Family Medicine/Minor Emergency <strong>Medical</strong><br />
Centre in Warman. For more in<strong>for</strong>mation about these opportunities,<br />
please call the Taylor Street <strong>Medical</strong> Clinic at (306) 374-<br />
8082 or Dr. Singh at (306) 220-1841.<br />
A day in the country. The Town of Raymore is welcoming applications<br />
<strong>for</strong> a Family Physician. We are ideally located at the<br />
junction of highways #6 and #15, only 112 kilometres north<br />
of Regina (apx. 1 hour). The Raymore Health Centre requires<br />
a Family Physician one or two days a week, whatever would<br />
����������������������������������������������������������rent<br />
practice covers a 30-mile radius, which includes two First<br />
�������� ������������� ���� ����� ����� ��� ���� ��� ����� �������<br />
<strong>for</strong> the day. For more in<strong>for</strong>mation, please contact the Town<br />
of Raymore by calling (306) 746-2100 or email raymoretown@<br />
aski.ca and look us up on the web at www.raymore.ca.<br />
Established practice available in Lloydminster, SK. Well<br />
established practice available <strong>for</strong> take-over. Planning to retire<br />
���������������������������������������������������������<br />
physicians. Ideal <strong>for</strong> a couple that is al<strong>ready</strong> licensed to practise<br />
in <strong>Saskatchewan</strong>. Obstetrics would be a great asset. For<br />
further in<strong>for</strong>mation, contact Dr. Isaac Thomas. Phone: (306)<br />
825-6345. Fax: (306) 825-6340. Email: medi.it@sasktel.net.<br />
classifieds<br />
REGINA DOCTOR<br />
WANTED<br />
Doctor looking <strong>for</strong> full-time<br />
physician to join her busy<br />
family practice.<br />
Dr. D. Kothare<br />
3013 - 5th Ave.<br />
Regina, SK<br />
Fifth Avenue <strong>Medical</strong> Clinic is located in a<br />
residential area with a high-patient volume.<br />
The clinic was completely renovated<br />
recently and is situated next to a pharmacy.<br />
This is a fee-<strong>for</strong>-service opportunity offering<br />
a 70/30 split. Additional starting incentives<br />
are available such as guaranteed monthly<br />
income.<br />
Hospital privileges preferred.<br />
Open Monday - Friday, 9 a.m. - 5 p.m.<br />
Walk-ins welcome.<br />
Contact: Dr. D. Kothare<br />
(306) 757-2664 (office)<br />
(306) 537-8469 (cell)<br />
SMA News Digest Spring 2012 29
Mobile<br />
RADIOLOGIST<br />
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�� Al<strong>ready</strong> connected to the province-wide PACS<br />
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Dr. James H. Watt*<br />
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*Diagnostic Radiology Fellowship Specialists Certificate, Royal College of Physicians & Surgeons of Canada,<br />
American Board of Radiology Certificate
Physicians Wanted<br />
Estevan, <strong>Saskatchewan</strong> – the Energy and Sunshine Capital – is seeking physicians. Our resource rich<br />
community is growing at a rapid pace and we are in need of quality physicians to commence practising<br />
immediately. Estevan is a great place to live and raise a family with quality recreational and cultural<br />
facilities, and an abundance of outdoor activities including parks, camping, lakes and much more.<br />
We are in immediate need of the following:<br />
GPs, GP/ANAESTHETIST<br />
We offer an Excellent Incentive Package and can’t wait to welcome you to our community.<br />
In addition, our community can offer you:<br />
- Group <strong>Practice</strong> or Stand Alone Clinics<br />
- Fully Modern Offices<br />
- High patient / physician ratio<br />
- New Computerized EMR System<br />
- Commence Practising Immediately<br />
If you believe an opportunity<br />
in Estevan may be of interest<br />
to you, we would be thrilled to<br />
hear from you.<br />
Contact Greg Hof<strong>for</strong>t:<br />
(306) 637-2402 or<br />
(306) 421-3317<br />
greg.hof<strong>for</strong>t@schr.sk.ca<br />
Box 5000 – 203<br />
1176 Nicholson Road<br />
Estevan, SK S4A 2V6
obituaries<br />
OBITUARIES<br />
Dr. Helen Flegel died peacefully in St. Paul’s Hospital the<br />
morning of January 16, 2012 at the age of 86. Born in Naperville,<br />
Illinois in 1925, Dr. Flegel spent most of her working life<br />
in Saskatoon as a family physician, delivering babies, caring<br />
<strong>for</strong> families and tending to the ill. Dr. Flegel was recognized<br />
��� ���� ���������� ������� ������� ���� ����� ������ ��� ��������<br />
service to this community. But, her true recognition came<br />
��������������������������������������������������������������<br />
Hospital, the very institution in which she had worked <strong>for</strong> so<br />
many years.<br />
Dr. Flegel had a zest <strong>for</strong> life and a spirit <strong>for</strong> adventure. She<br />
traveled the world with her brother Bill Flegel and her sister<br />
�������������������������������������������������������������<br />
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She is predeceased by her mother Amelia Flegel, her father<br />
Kasper Flegel and her brothers Bill and Al Flegel. She will be<br />
greatly missed by her loving sister Mary Schnurr, her brother-in-law<br />
Cecil Schnurr, her sister-in-law Verna Flegel, sister<br />
Anne, eleven nieces and nephews, neighbours, patients, colleagues<br />
and her cat Keisha.<br />
Dr. Douglas Fraser McAlpine passed away peacefully at his<br />
family home with his family at his side following a courageous<br />
battle with cancer. Dr. McAlpine was born on November<br />
10, 1919 in Glasgow, Scotland. After completing his early<br />
education, he went on to Glasgow University to obtain his<br />
medical degree in 1942. From 1942 to 1947, he served with<br />
the Royal Army <strong>Medical</strong> Corp achieving the rank of lieutenant<br />
colonel prior to his discharge. During most of his service<br />
with the <strong>Medical</strong> Corp, he was based in Burma. He served as<br />
chief of anaesthesia at the No.1 Command General Hospital<br />
in Rangoon and as an advisor in anaesthesia to the Burma<br />
Command.<br />
Following the war, he completed his postgraduate training<br />
����������������������������������������������������������exandria<br />
Military Hospital and the Royal Cancer Hospital in<br />
London. He obtained his diploma in anaesthesia in 1947, and<br />
his MFARCA in 1948.<br />
During his time in the war and playing semipro hockey in<br />
Scotland, he met many Canadians and heard stories about<br />
Canada and was intrigued. In 1952, Dr. McAlpine moved to<br />
Regina with his family, where he practised anaesthesia and<br />
was a driving <strong>for</strong>ce in the delivery of health care in the prov-<br />
������������������������������������������������������������<br />
in Anaesthesia in the United Kingdom, Canada and the U.S.<br />
32 Spring 2012 SMA News Digest<br />
Dr. McAlpine was instrumental in the vision and develop-<br />
����������������������������������������������������������<br />
and Pulmonary Function units in Regina, where he was<br />
medical director from 1966 through 1991. Douglas served as<br />
a clinical instructor, associate professor and assistant clinical<br />
professor of anaesthesia with the College of Medicine, University<br />
of <strong>Saskatchewan</strong>. At the Pasqua Hospital, he served<br />
as chief of anaesthesia and on numerous hospital committees,<br />
including the <strong>Medical</strong> Advisory Committee. He is a past<br />
president of the Canadian Anaesthetist’s Society and has<br />
served as a member of council <strong>for</strong> the Royal College of Physicians<br />
and Surgeons of Canada. He served his colleagues as a<br />
long term chairman of the Section of Anaesthesia and as a<br />
representative to the SMA’s Economics Committee. He also<br />
��������������������������������������������������������ine<br />
holds honourary life memberships in both the <strong>Saskatchewan</strong><br />
<strong>Medical</strong> Association and the Canadian <strong>Medical</strong> Association.<br />
Dr. McAlpine will always be remembered <strong>for</strong> his many jokes<br />
and stories as he drew from his vast wealth of life experiences;<br />
from stories of his time in Burma to fast cars, competitive<br />
sports or his dogs, he was always <strong>ready</strong> with his quick wit to<br />
chat and have a good laugh. His life-enriching stories were<br />
punctuated by his charming sense of humour which will be<br />
greatly missed.
<strong>Medical</strong> Advisor<br />
Prevention Program <strong>for</strong> Cervical Cancer<br />
The <strong>Saskatchewan</strong> Cancer Agency requires a <strong>Medical</strong> Advisor <strong>for</strong> the Prevention Program <strong>for</strong> Cervical<br />
Cancer. This position is a contracted medical position to support ongoing work within the Early Detection<br />
Department of the Population Health Division. The Agency is seeking a family physician with public health<br />
experience and an interest in population-based cancer screening in <strong>Saskatchewan</strong>. The <strong>Medical</strong> Advisor<br />
will provide advice and expertise on the development plan <strong>for</strong> the Pap Test Clinic Network initiatives that<br />
establishes partnerships with care providers to increase awareness and enhanced access to Pap test<br />
services <strong>for</strong> <strong>Saskatchewan</strong> women. This position will also provide a key link between the Agency and<br />
provincial physicians, including nurse practitioners.<br />
Successful applicant must be eligible <strong>for</strong> licensure with the College of Physicians and Surgeons of<br />
<strong>Saskatchewan</strong>. Some limited travel may be required. The time commitment will be about 15-18 hours per<br />
month <strong>for</strong> a two year term with the option to renew.<br />
Letters of interest or requests <strong>for</strong> further in<strong>for</strong>mation can be <strong>for</strong>warded to:<br />
Dr. Jon Tonita or Yvonne Taylor<br />
Vice President Provincial Leader<br />
Population Health Division Early Detection<br />
<strong>Saskatchewan</strong> Cancer Agency <strong>Saskatchewan</strong> Cancer Agency<br />
400-2631 28 th Avenue 400-2631 28 th Avenue<br />
Regina, SK S4S 6X3 Regina, SK S4S 6X3<br />
Phone: (306) 359-5603 Phone: (306) 359-5887<br />
Fax : (306) 359-5604 Fax : (306) 359-5604<br />
Email: jon.tonita@saskcancer.ca Email: Yvonne.taylor@saskcancer.ca<br />
SMA News Digest Spring 2012 33
classifieds<br />
Downtown <strong>Medical</strong> Office<br />
FOR LEASE<br />
34 Spring 2012 SMA News Digest<br />
140 WALL STREET, SASKATOON<br />
•1,996 SF in prime downtown Wall Street <strong>Medical</strong><br />
Building (move-in <strong>ready</strong>)<br />
•Suite 240 includes four (4) exam rooms, five (5)<br />
offices, lunchroom and washroom<br />
•Five (5) on-site secure parking stalls available<br />
•Net Lease Rate $17.00/SF MLS ®<br />
collierscanada.com/457<br />
Ken Suchan *<br />
CELL 306 221 1825<br />
DIR 306 664 1215<br />
ken.suchan@colliers.com<br />
Kevin Johnson<br />
CELL 306 281 9929<br />
DIR 306 664 1245<br />
kevin.johnson@colliers.com<br />
* Ken Suchan (Ken Suchan Realty Inc.) has a contractual relationship with<br />
Colliers McClocklin Real Estate Corp.<br />
Colliers McClocklin Real Estate Corp. | +1 306 664 4433 | www.colliers.com/saskatoon<br />
Are you looking <strong>for</strong> a change of career?<br />
Interested in epidemiology, program development & evaluation, health policy, environmental<br />
health, changing the world?<br />
�������������������������������������������������������������������������<br />
The University of <strong>Saskatchewan</strong>’s new Royal College program in Public Health and Preventive Medicine will have a reentry<br />
position starting July 2012, based in Saskatoon.<br />
The program involves academic course work at the U of S and rotations which take advantage of <strong>Saskatchewan</strong>’s strong<br />
public health system to provide learning opportunities in public health settings in urban, rural and northern settings as<br />
well as in the ministry. Electives are available in other provinces and countries.<br />
Further details are available at www.medicine.usask.ca/che/residency-program/index.html<br />
We value people with experience. This position is appropriate <strong>for</strong> family physicians or other specialists al<strong>ready</strong> in<br />
practice looking <strong>for</strong> a career change, or potentially <strong>for</strong> international medical graduates looking <strong>for</strong> careers in the public<br />
health system in Canada. It is not appropriate <strong>for</strong> IMGs wishing to obtain certification as family physicians.<br />
Interviews will be in March.<br />
For more in<strong>for</strong>mation contact: ross.findlater@usask.ca
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list of these companies, visit md.cma.ca.
The Opportunity:<br />
20120206_CPL_SMA-ND<br />
Family Physician<br />
Faculty, Full-Time<br />
Department of Academic Family Medicine & College of Medicine<br />
Director, Continuing Professional Learning<br />
An exciting opportunity exists <strong>for</strong> a certified Family Medicine<br />
practitioner to become a faculty member in the Department of<br />
Academic Family Medicine to practice medicine at the West<br />
Winds Primary Health Centre and fill the role of Director,<br />
Continuing Professional Learning with the College of<br />
Medicine in Saskatoon, SK. This full-time faculty position<br />
involves patient care, teaching, resident and learner supervision,<br />
faculty development, research and a leadership role in continuing<br />
medical education (CME) and continuing professional learning<br />
(CPL) locally and nationally.<br />
The Department:<br />
The Department of Academic Family Medicine has 30 full-time<br />
faculty, approximately 300 community faculty and 99 Residents<br />
(Family Medicine – 86, Emergency Medicine – 8, Enhanced<br />
Skills – 5) and consists of seven divisions including Saskatoon<br />
Urban, Regina Urban, Rural (Prince Albert & Swift Current),<br />
Emergency Medicine (Saskatoon & Regina), Enhanced Skills,<br />
Research and Northern <strong>Medical</strong> Services.<br />
The Department is an integral participant in all stages of medical<br />
education and plays a key role in establishing more generalist<br />
content and comprehensive family medicine in the MD education<br />
curriculum.<br />
The Division of Continuing Professional Learning assists<br />
physicians in their ef<strong>for</strong>ts to provide the best quality of patient<br />
care through effective continuing medical education programs.<br />
Through its web site and associated distance education initiatives<br />
the Division provides access to relevant learning materials to<br />
meet the physician’s needs in their own work environment<br />
through effective and enjoyable continuing education<br />
opportunities and maintenance of certification opportunities.<br />
The University & the College of Medicine:<br />
A publicly funded institution established in 1907, the University<br />
of <strong>Saskatchewan</strong> offers a full range of curricula, both academic<br />
and professional, with students registered in 13 colleges,<br />
including the health sciences (medicine, nursing, dentistry,<br />
physiotherapy, pharmacy & nutrition and kinesiology) and<br />
veterinary sciences.<br />
The College of Medicine utilizes a distributed education model<br />
with approximately 275 university based faculty and over 800<br />
community faculty distributed throughout all 13 <strong>Saskatchewan</strong><br />
Health Regions. The College of Medicine is expanding and has a<br />
current enrolment of approximately 375 undergraduate medical<br />
students and 400 postgraduate medical residents.<br />
Saskatoon Health Region:<br />
The Saskatoon Health Region (SHR) serves more than 300,000<br />
residents in over 100 communities with approximately 12,000<br />
staff and over 850 physicians. In addition to providing a<br />
complete range of health services to residents of central and<br />
northern <strong>Saskatchewan</strong>, the SHR, with its three acute care<br />
hospitals – St. Paul’s, City, and Royal University – provides<br />
tertiary care and much of the associated teaching <strong>for</strong> the province.<br />
The new Children’s Hospital will be located at the Royal<br />
University Hospital site.<br />
The City of Saskatoon:<br />
Saskatoon Shines – with more hours of sunshine than any other<br />
major Canadian city. With a population of approximately<br />
230,000, Saskatoon is the largest city in <strong>Saskatchewan</strong>, boasting<br />
small town spirit and big city amenities. World class events,<br />
festivals and attractions, a strong arts and music focus; short drive<br />
to northern lake country; variety of indoor and outdoor sporting<br />
facilities. The city is noted <strong>for</strong> its outstanding walking and biking<br />
trails along the riverbank and excellent education facilities,<br />
including the University of <strong>Saskatchewan</strong>. What's more –<br />
everything is within 20-30 minutes of home.<br />
The Candidate:<br />
The successful physician must be certified with the College of<br />
Family Physicians of Canada, fully licensed to practice Family<br />
Medicine in the Province of <strong>Saskatchewan</strong> and possess full<br />
credentialing with the Saskatoon Health Region. The ideal<br />
candidate must have excellent communication, organizational and<br />
team development skills and experience in faculty development,<br />
CME and CPL. Experience in fostering academic activities<br />
pertaining to faculty development, CME and CPL will be definite<br />
assets. We are particularly interested in hearing from physicians<br />
who are willing to share their knowledge and expertise along with<br />
the necessary experience, qualifications and interest in medical<br />
education, peer teaching and evaluation, continuous professional<br />
development and faculty development as well as teaching Family<br />
Medicine Residents and undergraduate medical students in a<br />
clinical environment.<br />
To Apply:<br />
Interested family physicians are invited to submit a current<br />
curriculum vitae and three letters of reference as soon as possible.<br />
For further in<strong>for</strong>mation regarding this position, qualified<br />
physicians are encouraged to contact either:<br />
Dr. Alanna Danilkewich, Department Head,<br />
Department of Academic Family Medicine<br />
College of Medicine, University of <strong>Saskatchewan</strong><br />
Phone: (306) 655-4235 E-mail: alanna.danilkewich@usask.ca<br />
Website: http://www.medicine.usask.ca/family<br />
Dr. William Albritton, Dean<br />
College of Medicine, University of <strong>Saskatchewan</strong><br />
Phone: (306) 966-6149 E-mail: william.albritton@usask.ca<br />
Website: http://www.medicine.usask.ca<br />
The University of <strong>Saskatchewan</strong> is committed to employment equity. Members of<br />
designated groups (women, aboriginal people, people with disabilities and<br />
members of visible minorities) are encouraged to self-identify on their application.<br />
All qualified candidates are encouraged to apply; however, Canadian citizens and<br />
permanent residents will be given priority.
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Helping <strong>Saskatchewan</strong> Physicians<br />
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with the <strong>Saskatchewan</strong> EMR Program<br />
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Access to clinical data is one of many<br />
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1-866-454-4681
Return undeliverable Canadian addresses to:<br />
<strong>Saskatchewan</strong> <strong>Medical</strong> Association<br />
402-321A 21st Street East<br />
Saskatoon, SK Canada<br />
S7K 0C1<br />
Mail to:<br />
40007031