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SMA CEO OTTAWA-BOUND | Q&A: RURAL LIFE FOR RESIDENTS? | MEDICAL OFFICE INSURANCE<br />

COLLEGIALITY | NEW WORKSHOP FOR SPOUSES OF PHYSICIANS | BILLING REVIEW SESSIONS<br />

A publication of the <strong>Saskatchewan</strong> <strong>Medical</strong> Association<br />

Volume 51 Issue 1<br />

Spr<strong>in</strong>g 2011<br />

<strong>Exam<strong>in</strong><strong>in</strong>g</strong> <strong>collegiality</strong><br />

<strong>in</strong> <strong>Saskatchewan</strong>


SPRING 2011 | VOLUME 51 ISSUE 1<br />

SMA News Digest is the official member<br />

magaz<strong>in</strong>e 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 practis<strong>in</strong>g physicians <strong>in</strong> <strong>Saskatchewan</strong>.<br />

Upcom<strong>in</strong>g issues<br />

The next issue of SMA News Digest will be<br />

distributed <strong>in</strong> June 2011; the follow<strong>in</strong>g issue<br />

will be distributed <strong>in</strong> September 2011.<br />

Byl<strong>in</strong>es<br />

Where byl<strong>in</strong>es are not given, articles<br />

were written or solicited by SMA Communications<br />

staff.<br />

Advertis<strong>in</strong>g<br />

The deadl<strong>in</strong>e for book<strong>in</strong>g and submitt<strong>in</strong>g<br />

advertis<strong>in</strong>g for the Summer issue is Tuesday,<br />

May 24, 2011. Rates for display advertis<strong>in</strong>g<br />

are available upon request. Classified<br />

ad placement is free for members<br />

promot<strong>in</strong>g 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 advertis<strong>in</strong>g <strong>in</strong>quiries to:<br />

Doré Collett<br />

Communications Advisor<br />

<strong>Saskatchewan</strong> <strong>Medical</strong> Association<br />

402 - 321A - 21st Street East<br />

Saskatoon SK S7K 0C1<br />

dcollett@sma.sk.ca<br />

(306) 244-2196<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; to<br />

advance the honour and <strong>in</strong>tegrity of<br />

the profession; and to promote quality<br />

health care practices, quality health<br />

services, and to advocate for a quality<br />

health care system for <strong>Saskatchewan</strong>.


Ice and snow melt on the South <strong>Saskatchewan</strong> River.<br />

contents<br />

FEATURES<br />

2 Vogel Ottawa-bound after seven years at the helm<br />

4 COVER STORY:<br />

Physician <strong>collegiality</strong> is alive <strong>in</strong> <strong>Saskatchewan</strong>, but is it well?<br />

RURAL LIFE<br />

8 Q&A: Sask R1s consider rural practice<br />

9 Prairie Doctor: Physician’s book explores life <strong>in</strong> rural <strong>Saskatchewan</strong><br />

TECHNOLOGY<br />

11 Take advantage of health and well-be<strong>in</strong>g resources on your<br />

SMA website<br />

12 eHealth <strong>Saskatchewan</strong> advances one patient: one record<br />

health care system<br />

13 Better patient-centered care for lower back pa<strong>in</strong><br />

WEALTH<br />

14 Physician s<strong>in</strong>gs high praise for bill<strong>in</strong>g review session<br />

15 <strong>Medical</strong> office property <strong>in</strong>surance: Know your limits<br />

LEADERSHIP<br />

16 Spotlight on the SMA Board of Directors<br />

17 2011 schedule set for the SMA’s <strong>in</strong>-house PMI program<br />

CALENDAR<br />

18 Upcom<strong>in</strong>g courses, conferences, and events<br />

19 SMA <strong>in</strong>troduces session for physician spouses<br />

CLASSIFIEDS<br />

23 Announcements, physician opportunities, and obituaries


Vogel Ottawa-bound after seven years at the helm<br />

By Scott Donaldson<br />

Dr. Mart<strong>in</strong> Vogel is a man on the move. After seven years at the<br />

helm of the <strong>Saskatchewan</strong> <strong>Medical</strong> Association, Dr. Vogel will<br />

assume the position of vice president of community build<strong>in</strong>g<br />

with the Canadian <strong>Medical</strong> Association start<strong>in</strong>g <strong>in</strong> April 2011.<br />

So what <strong>in</strong>fluences one to make the decision to leave a position<br />

where you are the master of your doma<strong>in</strong> to accept a<br />

senior leadership position as part of a larger team? For Dr.<br />

Vogel, it was the opportunity to further <strong>in</strong>fluence change <strong>in</strong><br />

the profession of his call<strong>in</strong>g. Dr. Vogel first came to Canada<br />

to practise as a general practitioner <strong>in</strong> rural <strong>Saskatchewan</strong><br />

<strong>in</strong> 1991. He quickly became <strong>in</strong>volved with the SMA, sitt<strong>in</strong>g<br />

on various committees and was president <strong>in</strong> 2000. His colleagues<br />

saw great promise <strong>in</strong> Dr. Vogel; when the SMA CEO<br />

position became available <strong>in</strong> 2004, he was chosen to lead the<br />

association <strong>in</strong> the next phase of its ongo<strong>in</strong>g development.<br />

2 Spr<strong>in</strong>g 2011 SMA News Digest<br />

Under Dr. Vogel’s leadership, the association has successfully<br />

built strategic relationships with health care partners<br />

and decision makers both prov<strong>in</strong>cially and nationally. When<br />

asked to comment on the progress the SMA has made dur<strong>in</strong>g<br />

his tenure, Dr. Vogel reflects, “I th<strong>in</strong>k that build<strong>in</strong>g <strong>in</strong>ter-organizational<br />

relationships and develop<strong>in</strong>g physician leadership<br />

capacity are two areas where the association is flourish<strong>in</strong>g.”<br />

Accord<strong>in</strong>g to Dr. Vogel, the tim<strong>in</strong>g couldn’t be better.<br />

“In the 20 years that I’ve lived <strong>in</strong> Canada, there has never<br />

been a better opportunity for physicians to make a mean<strong>in</strong>gful<br />

contribution towards system-wide health care transformation,<br />

than there is right now,” says Dr. Vogel conv<strong>in</strong>c<strong>in</strong>gly.<br />

“As physicians, we have a professional responsibility to take<br />

a leadership role <strong>in</strong> effect<strong>in</strong>g the changes needed to improve


We have a professional responsibility to take a<br />

leadership role <strong>in</strong> effect<strong>in</strong>g the changes needed to improve<br />

the quality of care Canadians receive...<br />

the quality of care that Canadians receive every day.” Hav<strong>in</strong>g<br />

physicians at the table with the policy makers and hav<strong>in</strong>g the<br />

skill set to <strong>in</strong>fluence decisions on the future of health care <strong>in</strong><br />

Canada is “a critical success factor without which significant<br />

improvement <strong>in</strong> the system will not be realized.” He is quick<br />

to add, “Of course we need to beg<strong>in</strong> by ensur<strong>in</strong>g that we are,<br />

ourselves, truly provid<strong>in</strong>g patient-centered care.”<br />

It was Dr. Vogel’s desire to build on his work with the SMA<br />

that drew him to the new opportunity <strong>in</strong> Ottawa. “I knew<br />

that the board had set a new strategic course for the CMA<br />

and was undergo<strong>in</strong>g a structural reorganization <strong>in</strong> order to<br />

be <strong>in</strong> the best position to advance its vision, at the federal<br />

level, for a susta<strong>in</strong>able health care system that is more responsive<br />

to patient needs. As the organizational changes<br />

unfolded, and the newly created position was def<strong>in</strong>ed, I saw<br />

the opportunity to br<strong>in</strong>g some of the work we were do<strong>in</strong>g <strong>in</strong><br />

<strong>Saskatchewan</strong> to the national stage,” says Dr. Vogel.<br />

“With the CMA, I am look<strong>in</strong>g forward to work<strong>in</strong>g with all<br />

the prov<strong>in</strong>cial and territorial medical associations and other<br />

health partners throughout the country dur<strong>in</strong>g this very important<br />

time <strong>in</strong> health care transformation.”<br />

So, are there any regrets for the 49-year old health care executive<br />

as he leaves the prov<strong>in</strong>ce he has called home for the<br />

past 20 years? “I will not leave with any regrets; my time<br />

here has been reward<strong>in</strong>g.”<br />

On the personal front, he reflects, “I have faced challenges<br />

like anyone else, and these have not been unique to me. However,<br />

my life <strong>in</strong> <strong>Saskatchewan</strong> has afforded me, and my family,<br />

tremendous opportunities to grow and develop, to see and<br />

do th<strong>in</strong>gs we would never have been able to experience else-<br />

FEATURE<br />

where and to prepare us for the next chapter <strong>in</strong> our lives.”<br />

“It is the people,” he adds, “that one will always miss. That<br />

was true when I left South Africa, and it will be true when I<br />

move to Ottawa.”<br />

On the professional front, Dr. Vogel cites not be<strong>in</strong>g here to participate<br />

<strong>in</strong> the SMA’s progress towards achiev<strong>in</strong>g the priorities<br />

of the strategic plan as one area which causes him some melancholy.<br />

He sees the SMA board’s direction as play<strong>in</strong>g a critical<br />

role <strong>in</strong> successfully br<strong>in</strong>g<strong>in</strong>g about the changes <strong>Saskatchewan</strong><br />

needs <strong>in</strong> order to improve the quality of health care services<br />

delivered and to improve the patient experience.<br />

However, he takes great comfort <strong>in</strong> the fact the SMA has a<br />

focused and responsible board that will ensure that progress<br />

is made. “I am comfortable that the SMA has made excellent<br />

strides towards develop<strong>in</strong>g effective governance and<br />

adm<strong>in</strong>istrative structures to see the successful achievement<br />

of the board’s strategy and to make an <strong>in</strong>valuable contribution<br />

to the prov<strong>in</strong>ce’s health care improvement agenda. This<br />

is a strong board with good leadership, and l am confident<br />

that they will make an excellent choice for my replacement.<br />

I have no doubt that the association will cont<strong>in</strong>ue to flourish<br />

for years to come,” a humble Dr. Vogel states.<br />

“We all have our strengths and weaknesses as leaders, and<br />

I have played to my strengths. A new CEO will create new<br />

energy, will carry forth the values of the association, and the<br />

SMA will cont<strong>in</strong>ue to achieve great th<strong>in</strong>gs,” concludes Dr. Vogel.<br />

“As I head east <strong>in</strong>to the sunrise, I do hope to be remembered...<br />

at least for a little while.”<br />

SMA News Digest Spr<strong>in</strong>g 2011 3


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

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

but is it well?<br />

By Kerilyn Voigt<br />

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

his career. The retired family physician<br />

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

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

announced his plans for Medicare<br />

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

Medicare crisis of 1962 and has recently<br />

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

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

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

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

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

from 1967 to 2010.<br />

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

medical community of the<br />

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

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

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

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

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

that general practitioners are practically<br />

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

how patient care is delivered.<br />

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

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

changed drastically over the past 50<br />

years. Physicians are more specialized,<br />

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

health regions are pushed to deliver<br />

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

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

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

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

care delivery?<br />

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

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

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

any sort of professional relationship,<br />

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

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

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

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

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

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

sense of mutual collaboration and trust,<br />

openness, transparency, a common focus<br />

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

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

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


tual respect amongst colleagues even<br />

when they have differ<strong>in</strong>g op<strong>in</strong>ions;<br />

understand<strong>in</strong>g that the common goal<br />

is good patient outcomes; non-competitiveness<br />

<strong>in</strong> that the entire medical<br />

team w<strong>in</strong>s when good outcomes are<br />

achieved; correct<strong>in</strong>g mistakes through<br />

quality assurance <strong>in</strong> a non-blam<strong>in</strong>g environment;<br />

and help<strong>in</strong>g each other <strong>in</strong><br />

car<strong>in</strong>g for the patient by us<strong>in</strong>g full and<br />

complete communication.<br />

Good <strong>in</strong> theory, but how does it translate<br />

to practice? Dr. Bill Haver, manag<strong>in</strong>g<br />

partner of Lakeside <strong>Medical</strong> Cl<strong>in</strong>ic<br />

<strong>in</strong> Saskatoon, says the concept of <strong>collegiality</strong><br />

is one of the pillars on which<br />

the cl<strong>in</strong>ic’s success is built. The cl<strong>in</strong>ic<br />

<strong>in</strong>cludes 21 physicians offer<strong>in</strong>g both<br />

appo<strong>in</strong>tments and walk-<strong>in</strong> care. “We<br />

discuss th<strong>in</strong>gs <strong>in</strong>formally all day, every<br />

day. We meet over lunch or coffee. We<br />

meet more formally at group meet<strong>in</strong>gs<br />

and CME sessions. We wander <strong>in</strong>to each<br />

other’s office, or we meet <strong>in</strong> the hallway<br />

randomly or <strong>in</strong>tentionally,” Dr. Haver<br />

says. “We get another op<strong>in</strong>ion. We<br />

consult. We discuss, we debate, and we<br />

research. We compare experience. We<br />

seek further clarification.”<br />

He goes on to say that “this has become<br />

an <strong>in</strong>tegral part of our culture: we help<br />

each other. The ultimate beneficiary of<br />

this is the patient, but we all feel very<br />

fortunate to be surrounded by people<br />

who understand the problem and are<br />

will<strong>in</strong>g to help.”<br />

Physician <strong>collegiality</strong> also seems to be a<br />

key component of work/life harmony.<br />

“A collegial environment, at least for<br />

us, extends beyond the walls of our<br />

cl<strong>in</strong>ic and beyond the practice of medic<strong>in</strong>e,”<br />

expla<strong>in</strong>s Dr. Haver. “Medic<strong>in</strong>e is<br />

just a part of our life – the part we have<br />

chosen as our profession – but, as colleagues,<br />

we understand that our lives<br />

have to <strong>in</strong>clude far more <strong>in</strong> order to<br />

ma<strong>in</strong>ta<strong>in</strong> perspective.”<br />

Dr. Vuksic argues that trust<strong>in</strong>g your<br />

colleagues, one of those underp<strong>in</strong>n<strong>in</strong>g<br />

values of <strong>collegiality</strong>, means be<strong>in</strong>g confident<br />

shar<strong>in</strong>g your patients, know<strong>in</strong>g<br />

that the same standard of care and best<br />

practices are be<strong>in</strong>g applied whether<br />

you are <strong>in</strong> the room or not.<br />

If it’s broke, can we fix it?<br />

How you def<strong>in</strong>e <strong>collegiality</strong> and the degree<br />

to which it exists <strong>in</strong> <strong>Saskatchewan</strong><br />

obviously depends on the vastly different<br />

experiences of each of the prov<strong>in</strong>ce’s<br />

more than 2000 physicians.<br />

An <strong>in</strong>ternational medical graduate arriv<strong>in</strong>g<br />

<strong>in</strong> <strong>Saskatchewan</strong> <strong>in</strong> January may need<br />

<strong>collegiality</strong> <strong>in</strong> the form of a colleague<br />

FEATURE<br />

teach<strong>in</strong>g her family to skate and commiserat<strong>in</strong>g<br />

about the cold, on top of cl<strong>in</strong>ical<br />

support that helps her adjust to new practice<br />

norms and expectations. A family<br />

physician <strong>in</strong> rural <strong>Saskatchewan</strong> may feel<br />

as isolated and overworked as an endocr<strong>in</strong>ologist<br />

practis<strong>in</strong>g <strong>in</strong> Saskatoon, both<br />

<strong>in</strong> need of professional relief. A first-year<br />

resident needs a collegial atmosphere <strong>in</strong><br />

which he can ask questions, develop his<br />

skills, and get the most out of his tra<strong>in</strong><strong>in</strong>g.<br />

However, whatever the def<strong>in</strong>ition or<br />

context, two common concepts emerge<br />

as key to build<strong>in</strong>g <strong>collegiality</strong>: compassion<br />

and communication.<br />

Dr. Vuksic believes that hav<strong>in</strong>g compassion<br />

for one’s colleagues – be<strong>in</strong>g<br />

able to understand each other’s roles<br />

Physicians and staff at Lakeside <strong>Medical</strong> Cl<strong>in</strong>ic <strong>in</strong> Saskatoon enjoy lunch together.<br />

SMA News Digest Spr<strong>in</strong>g 2011 5


FEATURE<br />

and appreciate each other’s challenges<br />

– is essential to hav<strong>in</strong>g collegial relationships<br />

and deliver<strong>in</strong>g high-quality<br />

patient care. That compassion can help<br />

bridge some of the divides that permeate<br />

the prov<strong>in</strong>cial health care community:<br />

urban vs. rural, GP vs. specialist,<br />

or physician vs. nurse, for example.<br />

Dr. Mary K<strong>in</strong>loch, a fifth-year pathology<br />

resident <strong>in</strong> Saskatoon and president<br />

of the Professional Association<br />

of Internes and Residents of <strong>Saskatchewan</strong>,<br />

agrees. “I feel that the rotat<strong>in</strong>g<br />

first year that residents do is crucial for<br />

develop<strong>in</strong>g <strong>collegiality</strong>,” she says. “It<br />

is the equivalent of walk<strong>in</strong>g a mile <strong>in</strong><br />

someone else’s shoes. Then, when you<br />

are be<strong>in</strong>g asked for someth<strong>in</strong>g from<br />

another department, you have a better<br />

understand<strong>in</strong>g of why they need it and<br />

you can be more supportive.”<br />

Practis<strong>in</strong>g compassion also results <strong>in</strong><br />

a shared responsibility for patients, a<br />

sense of car<strong>in</strong>g of ‘our’ patient rather<br />

than ‘your’ patient, even if that patient<br />

is com<strong>in</strong>g from a different community<br />

or medical specialty.<br />

6 Spr<strong>in</strong>g 2011 SMA News Digest<br />

Obviously, compassion for your colleagues<br />

is easier to achieve where there<br />

is a commitment to respectful and thorough<br />

communication. “How you feel<br />

and how you communicate are two different<br />

th<strong>in</strong>gs,” says Dr. Vuksic. “When<br />

two physicians aren’t communicat<strong>in</strong>g<br />

properly, patient care suffers.” Even if<br />

you disagree with your colleagues or<br />

are feel<strong>in</strong>g stressed or exhausted, basic<br />

standards of respectful communication<br />

must be used.<br />

Dr. Doig recalls the ease of communication<br />

<strong>in</strong> the past, when specialists,<br />

family physicians, nurses and others<br />

on the health care team had much<br />

more face time with each other. “We<br />

had corridor consultations, general<br />

kibitz<strong>in</strong>g,” he says, smil<strong>in</strong>g. The result,<br />

however, was a true sense of “tak<strong>in</strong>g<br />

care of our patients.”<br />

Dr. K<strong>in</strong>loch says she experiences <strong>in</strong>terdiscipl<strong>in</strong>ary<br />

<strong>collegiality</strong> all the time,<br />

<strong>in</strong> her case most often with radiologists<br />

and surgeons: “Correct diagnoses<br />

and proper management h<strong>in</strong>ge on be<strong>in</strong>g<br />

able to communicate and support<br />

colleagues.” She admits, though, that<br />

family physicians are at a bit of a disadvantage<br />

just by proximity. “It would be<br />

nice to engage family physicians more<br />

with some of the same <strong>in</strong>terdiscipl<strong>in</strong>ary<br />

rounds that we [<strong>in</strong>-hospital specialists]<br />

do to enhance our service to our<br />

patients,” she says.<br />

Look<strong>in</strong>g to the future<br />

MD Lounge is a publication produced<br />

by the Canadian <strong>Medical</strong> Association,<br />

<strong>in</strong> partnership with The College of Family<br />

Physicians of Canada and The Royal<br />

College of Physicians and Surgeons of<br />

Canada. Its purpose is to provide Canadian<br />

physicians with <strong>in</strong>formation and<br />

advice from lead<strong>in</strong>g experts and help<br />

strengthen collegial relations between<br />

family physicians and other specialists.<br />

From the November 2010 issue: “In the<br />

many <strong>in</strong>terviews conducted for MD<br />

Lounge <strong>in</strong> our exploration of <strong>in</strong>traprofessionalism<br />

<strong>in</strong> Canada, physician after<br />

physician mentioned that the loss of direct<br />

<strong>in</strong>teraction between general practi-


tioners/family physicians and other specialists<br />

has had a negative impact on their<br />

ability to provide quality patient care. For<br />

these reasons, we are start<strong>in</strong>g a process<br />

to create a virtual doctor’s lounge as an<br />

offshoot of this pr<strong>in</strong>t publication.”<br />

The virtual doctor’s lounge is to be housed<br />

on the CMA’s secure social network<strong>in</strong>g<br />

site, Asklepios. (Visit www.cma.ca to log<br />

on.) It’s likely that onl<strong>in</strong>e channels will be<br />

a hallmark of professional <strong>collegiality</strong> <strong>in</strong><br />

the future, if they are not already.<br />

Beyond develop<strong>in</strong>g onl<strong>in</strong>e tools and<br />

forums for communication, what can<br />

professional associations do to foster<br />

<strong>collegiality</strong>? The <strong>Saskatchewan</strong> <strong>Medical</strong><br />

Association will be consider<strong>in</strong>g that<br />

question at the spr<strong>in</strong>g meet<strong>in</strong>g of the<br />

Representative Assembly. Dr. Vuksic<br />

suggests that hold<strong>in</strong>g physicians accountable<br />

for their collegial – or noncollegial<br />

– behaviour is one role for<br />

the SMA, particularly as it advocates<br />

for better work<strong>in</strong>g conditions for all<br />

of its members and for better care for<br />

<strong>Saskatchewan</strong> patients. Dr. Doig argues<br />

that <strong>collegiality</strong> could be fostered<br />

through more active regional medical<br />

associations that have strong relationships<br />

with health care adm<strong>in</strong>istrators<br />

and decision-makers.<br />

The stakes for <strong>Saskatchewan</strong> health<br />

care are high. A collegial environment<br />

is the ultimate recruitment tool, Dr.<br />

Vuksic says, someth<strong>in</strong>g that is important<br />

for both practic<strong>in</strong>g physicians and<br />

health care adm<strong>in</strong>istrators.<br />

“Collegiality is def<strong>in</strong>itely a factor <strong>in</strong> decid<strong>in</strong>g<br />

where to set up your practice,”<br />

says Dr. K<strong>in</strong>loch. “A supportive staff is<br />

a very important th<strong>in</strong>g to have when<br />

start<strong>in</strong>g your career. A true collegial<br />

atmosphere is one of the most costeffective<br />

ways of recruit<strong>in</strong>g.”<br />

That sentiment may expla<strong>in</strong> why Lakeside<br />

<strong>Medical</strong> Cl<strong>in</strong>ic shows no sign of slow<strong>in</strong>g<br />

its growth. Physicians want to practice<br />

there. “Collegiality creates a sense of<br />

confidence and security, someth<strong>in</strong>g that<br />

is vital when deal<strong>in</strong>g with worsen<strong>in</strong>g<br />

stress and an <strong>in</strong>creas<strong>in</strong>g work load,” says<br />

Dr. Haver. “We are stronger as a group<br />

than we would be as <strong>in</strong>dividuals.”<br />

FEATURE<br />

Weigh <strong>in</strong>.<br />

What do you th<strong>in</strong>k of the current<br />

state of physician <strong>collegiality</strong> <strong>in</strong><br />

<strong>Saskatchewan</strong>? How do you feel<br />

about the comments made by your<br />

colleagues <strong>in</strong> this article? You are<br />

welcome to share your thoughts <strong>in</strong><br />

SMA News Digest by email<strong>in</strong>g Doré<br />

Collett at dcollett@sma.sk.ca. Letters<br />

may be edited for clarity and/<br />

or length before they are published.<br />

From left to right: Dr. K<strong>in</strong>loch speaks<br />

up at the 2010 spr<strong>in</strong>g meet<strong>in</strong>g of the<br />

Representative Assembly <strong>in</strong> Reg<strong>in</strong>a, Dr.<br />

Chris Vuksic takes a call dur<strong>in</strong>g a PMI<br />

photoshoot, Dr. Noel Doig <strong>in</strong> his home <strong>in</strong><br />

Saskatoon, and Dr. Bill Haver <strong>in</strong> his office<br />

at Lakeside <strong>Medical</strong> Cl<strong>in</strong>ic <strong>in</strong> Saskatoon.<br />

SMA News Digest Spr<strong>in</strong>g 2011 7


Q&A: Sask R1s consider rural practice<br />

Carla Hol<strong>in</strong>aty, 27 (above left), and Rose Graf, 25 (above<br />

right), are classmates, friends, and first-year residents <strong>in</strong><br />

the University of <strong>Saskatchewan</strong>’s family medic<strong>in</strong>e program.<br />

They recently spoke with SMA News Digest about why they’re<br />

consider<strong>in</strong>g practis<strong>in</strong>g <strong>in</strong> rural <strong>Saskatchewan</strong>.<br />

For you, what is appeal<strong>in</strong>g about practis<strong>in</strong>g <strong>in</strong> rural<br />

<strong>Saskatchewan</strong>?<br />

CH: I th<strong>in</strong>k the most appeal<strong>in</strong>g th<strong>in</strong>g is that you get to ma<strong>in</strong>ta<strong>in</strong><br />

so much variety <strong>in</strong> your practice. I grew up <strong>in</strong> Saskatoon,<br />

but because my parents are from rural <strong>Saskatchewan</strong>, I always<br />

had rural experiences grow<strong>in</strong>g up. I th<strong>in</strong>k that’s part of<br />

the reason I like the idea of practis<strong>in</strong>g rurally, as well.<br />

RG: I grew up on a farm just outside of Wishart, SK, population<br />

of about 100. Practis<strong>in</strong>g <strong>in</strong> rural <strong>Saskatchewan</strong> is appeal<strong>in</strong>g<br />

for me because it feels like home. It’s also an opportunity<br />

to practise a very wide range of medic<strong>in</strong>e, anyth<strong>in</strong>g from<br />

trauma to obstetrics to geriatrics. That variety is why I went<br />

<strong>in</strong>to family medic<strong>in</strong>e, so practis<strong>in</strong>g rurally would allow me to<br />

ma<strong>in</strong>ta<strong>in</strong> all the skills I’m learn<strong>in</strong>g dur<strong>in</strong>g my tra<strong>in</strong><strong>in</strong>g.<br />

8 Spr<strong>in</strong>g 2011 SMA News Digest<br />

What challenges do you foresee <strong>in</strong> hav<strong>in</strong>g a rural practice?<br />

CH: I th<strong>in</strong>k the biggest challenges <strong>in</strong> rural practice have to<br />

deal with manpower and the ability to work safely at th<strong>in</strong>gs<br />

you love. I do not want to start a practice <strong>in</strong> a location where<br />

there is a high probability of end<strong>in</strong>g up as the only family<br />

physician <strong>in</strong> town. While I realize that these places still need<br />

physicians, I th<strong>in</strong>k that the risk of burn<strong>in</strong>g out as a solo doc is<br />

just too high. I want to start a practice where I can see myself<br />

stay<strong>in</strong>g long-term, perhaps for the entirety of my career. I<br />

also want obstetrics to be a big part of my practice, so it will<br />

be very important for me to end up <strong>in</strong> a location where I can<br />

provide that service safely for my patients.<br />

RG: I would want to work <strong>in</strong> a community where there are<br />

more than two physicians, so that I’m not on-call all of the<br />

time. It’s nice to have the support and experience of other<br />

physicians when you are start<strong>in</strong>g out. Another challenge is<br />

that sett<strong>in</strong>g boundaries <strong>in</strong> a small community is difficult as<br />

the patients you see are go<strong>in</strong>g to be people you see <strong>in</strong> other<br />

parts of your life too.


Dr. Carla Hol<strong>in</strong>aty and Dr. Rose Graf at West W<strong>in</strong>ds <strong>Medical</strong> Centre <strong>in</strong> Saskatoon.<br />

What support can the prov<strong>in</strong>cial government<br />

or the SMA offer to further<br />

encourage you to practise rurally?<br />

CH: The rural return-of-service bursaries<br />

are an excellent opportunity for<br />

medical students and residents. That<br />

said, I th<strong>in</strong>k it is important to remember<br />

that there are communities with<strong>in</strong><br />

Saskatoon and Reg<strong>in</strong>a that are also extremely<br />

underserviced and have highrisk<br />

populations, such as <strong>in</strong> urban low<strong>in</strong>come<br />

neighbourhoods. I wish there<br />

was more support and encouragement<br />

for people who would consider work<strong>in</strong>g<br />

<strong>in</strong> those locations. Otherwise, the biggest<br />

th<strong>in</strong>g the government can do is to<br />

start recogniz<strong>in</strong>g that today’s residents<br />

are tomorrow’s physicians. The apparent<br />

lack of recognition that we are an<br />

<strong>in</strong>tegral part of the system leaves many<br />

of us with a bad taste <strong>in</strong> our mouths,<br />

and it’s difficult to stay committed to<br />

stay<strong>in</strong>g <strong>in</strong> the prov<strong>in</strong>ce when we are<br />

made to feel unwelcome.<br />

RG: I th<strong>in</strong>k it would be great if the SMA<br />

organized a presentation for all students<br />

who are <strong>in</strong>terested <strong>in</strong> rural practice<br />

to talk about the opportunities out<br />

there. One benefit would be know<strong>in</strong>g<br />

who else is consider<strong>in</strong>g that career<br />

path, so that you could talk about the<br />

benefits of a particular place and even<br />

consider work<strong>in</strong>g together. It is difficult<br />

to go it alone, particularly be<strong>in</strong>g<br />

the “new young female <strong>in</strong> an old boys<br />

club.” Bus<strong>in</strong>ess tra<strong>in</strong><strong>in</strong>g would also be<br />

helpful; salaried positions are much<br />

more appeal<strong>in</strong>g as I have very little<br />

bus<strong>in</strong>ess knowledge.<br />

Prairie Doctor: Physician’s book<br />

explores life <strong>in</strong> rural <strong>Saskatchewan</strong><br />

After grow<strong>in</strong>g up <strong>in</strong> various towns<br />

around England and Wales, Dr. Lewis<br />

Draper moved to Glasgow to attend<br />

university. There, he met his wife,<br />

Erica and they started their family. It<br />

wasn’t long before they were on the<br />

move aga<strong>in</strong>, first relocat<strong>in</strong>g to Nigeria<br />

then back to Scotland before end<strong>in</strong>g<br />

up <strong>in</strong> <strong>Saskatchewan</strong>.<br />

At the end of their first year liv<strong>in</strong>g on the<br />

Canadian prairies, the family drew up a<br />

list of pros and cons, and f<strong>in</strong>d<strong>in</strong>g they<br />

had a lot more pros than cons, they decided<br />

to stay permanently.<br />

RURAL LIFE<br />

Prairie Doctor, Dr. Draper’s second book,<br />

traces the family’s move from Glasgow<br />

to Wadena to Lafleche, where they lived<br />

for n<strong>in</strong>e years. In this book, Dr. Draper aims to po<strong>in</strong>t out that medical practice <strong>in</strong> a<br />

small, isolated town can be reward<strong>in</strong>g <strong>in</strong> every sense of the word, despite what politicians<br />

and health care ‘experts’ may say.<br />

Prairie Doctor (© 2010 by Lewis Draper) is available for $20.00 from High Hill House Publishers,<br />

Box 1080, Lumsden, SK S0G 3C0.


CMA and GoodLife Fitness make a<br />

great fit<br />

You know that stay<strong>in</strong>g fit is the key to reduc<strong>in</strong>g<br />

stress, feel<strong>in</strong>g healthy, <strong>in</strong>creas<strong>in</strong>g your energy,<br />

and enjoy<strong>in</strong>g an excellent quality of life. The<br />

CMA knows that your well-be<strong>in</strong>g is important,<br />

so they partnered with GoodLife to give you and<br />

your family access to the benefits of exercise<br />

and healthy liv<strong>in</strong>g!<br />

In <strong>Saskatchewan</strong>, GoodLife Fitness is located <strong>in</strong><br />

Saskatoon at The Centre Mall (3510 8th St East).<br />

It's open 24 hours a day, four days per week.<br />

The CMA’s partnership with GoodLife is effective<br />

from November 1, 2010 - October 31, 2011.<br />

Membership fees are pro-rated accord<strong>in</strong>gly.<br />

CMA members can take advantage of:<br />

• a one-year membership to GoodLife Fitness<br />

• access to over 275 GoodLife Fitness clubs<br />

across Canada<br />

• the best strength and cardio equipment<br />

• women-only facilities<br />

• professionally tra<strong>in</strong>ed, friendly, and supportive<br />

staff who can assist you achieve your goals<br />

• access to saunas, pools, whirlpools, and aqua<br />

classes (where applicable)<br />

For an additional fee, you can also benefit from:<br />

• personal tra<strong>in</strong><strong>in</strong>g, health, and nutrition programs<br />

• child-m<strong>in</strong>d<strong>in</strong>g<br />

Enrol now. Call the CMA Member Service Centre<br />

at 1-888-855-2555. You need a valid CMA member<br />

ID to qualify.


The Physician Health and Well-be<strong>in</strong>g page on the SMA website<br />

is a valuable resource. It lists the programs and benefits that<br />

exist to help members get and stay healthy and f<strong>in</strong>d the support<br />

they may need <strong>in</strong> times of crisis. The page is on the public<br />

website, so no log<strong>in</strong> is required.<br />

TECHNOLOGY<br />

Take advantage of health and well-be<strong>in</strong>g resources<br />

on your SMA website<br />

Brenda Senger is the director of <strong>Saskatchewan</strong> Physician Support<br />

Programs and can be reached at 306-244-2196 or 1-800-667-3781 or<br />

brenda@sma.sk.ca.<br />

Any suggestions or questions about the website can be directed to<br />

Kerilyn Voigt at kerilyn@sma.sk.ca.<br />

Visit www.sma.sk.ca/physicianhealth.aspx. You’ll f<strong>in</strong>d the<br />

Physician Health Program page, which <strong>in</strong>cludes several selfreflection<br />

tools to help you evaluate your work-life balance<br />

and other personal challenges. You’ll also f<strong>in</strong>d a l<strong>in</strong>k to the<br />

‘Liv<strong>in</strong>g Well’ Physician Wellness Initiative page and more <strong>in</strong>formation<br />

about the Member Advisory Committee and the<br />

<strong>Medical</strong> Benevolent Society. Information and resources are<br />

always be<strong>in</strong>g added, so check back regularly. www.sma.sk.ca<br />

SMA News Digest Spr<strong>in</strong>g 2011 11


12 Spr<strong>in</strong>g 2011 SMA News Digest<br />

eHealth <strong>Saskatchewan</strong><br />

advances one patient: one<br />

record health care system<br />

By Karen Prokopetz, <strong>Saskatchewan</strong> Health<br />

On December 21, 2010, Health M<strong>in</strong>ister Don McMorris announced<br />

the creation of eHealth <strong>Saskatchewan</strong>, a treasury<br />

board crown corporation that will oversee the completion of<br />

the prov<strong>in</strong>cial electronic health record system.<br />

Transform<strong>in</strong>g the <strong>Saskatchewan</strong> Health Information Network<br />

(SHIN) <strong>in</strong>to eHealth <strong>Saskatchewan</strong> addresses a key recommendation<br />

of the Patient First Review. Commissioner Tony<br />

Dagnone urged the health system to develop a prov<strong>in</strong>cial<br />

plan for the cont<strong>in</strong>ued successful implementation of a prov<strong>in</strong>cial<br />

electronic health record system.<br />

“Residents told us <strong>in</strong> the Patient First Review that we need to<br />

better co-ord<strong>in</strong>ate their health care,” McMorris said. “We<br />

heard examples of misplaced, unavailable or scattered health<br />

<strong>in</strong>formation result<strong>in</strong>g <strong>in</strong> errors, adverse events and duplication<br />

of tests. Accessible patient <strong>in</strong>formation is vital to improv<strong>in</strong>g<br />

service <strong>in</strong>tegration and co-ord<strong>in</strong>at<strong>in</strong>g patient care.”<br />

eHealth <strong>Saskatchewan</strong> will be operational by spr<strong>in</strong>g 2011.<br />

Its representative board will oversee the cont<strong>in</strong>ued development<br />

of the eHealth systems and technological <strong>in</strong>frastructure<br />

health care professionals use to share patient <strong>in</strong>formation<br />

securely and efficiently. The ultimate result will be a one<br />

patient: one record health care system.<br />

eHealth <strong>Saskatchewan</strong> will be led by a six member board<br />

composed of representatives from partner<strong>in</strong>g groups, <strong>in</strong>clud<strong>in</strong>g<br />

the <strong>Saskatchewan</strong> <strong>Medical</strong> Association, the <strong>Saskatchewan</strong><br />

Cancer Agency, health regions, the bus<strong>in</strong>ess community<br />

and the prov<strong>in</strong>cial government.<br />

<strong>Saskatchewan</strong> residents already benefit from the first components<br />

of a prov<strong>in</strong>cial electronic health record system <strong>in</strong>clud<strong>in</strong>g:<br />

the Pharmaceutical Information System (PIP) and the<br />

Diagnostic Imag<strong>in</strong>g and Picture Archiv<strong>in</strong>g System (RIS-PACS).<br />

For more <strong>in</strong>formation, contact Brenda Jameson with <strong>Saskatchewan</strong><br />

Health at (306) 337-0662 or by email at bjameson@health.gov.sk.ca.


Better patient-centered care for lower back pa<strong>in</strong><br />

Streaml<strong>in</strong><strong>in</strong>g improves treatment option for sp<strong>in</strong>e patients<br />

By Carolyn Hamilton, <strong>Saskatchewan</strong> Health<br />

<strong>Saskatchewan</strong> is <strong>in</strong>troduc<strong>in</strong>g a new way<br />

to assess and treat patients with lower<br />

back pa<strong>in</strong> that will provide them with<br />

rapid, consistent, patient-centred care.<br />

Primary health care providers such as<br />

family physicians, chiropractors and<br />

physiotherapists can now take an onl<strong>in</strong>e<br />

cont<strong>in</strong>u<strong>in</strong>g education course on<br />

handl<strong>in</strong>g lower back <strong>in</strong>juries, made<br />

available through the <strong>Saskatchewan</strong><br />

Surgical Initiative’s sp<strong>in</strong>e pathway.<br />

Dr. Daryl Fourney, Dr. Hamilton Hall,<br />

and Dr. Joseph Buwembo, physician<br />

<strong>in</strong>structors <strong>in</strong> the <strong>Saskatchewan</strong> Sp<strong>in</strong>e<br />

Pathway onl<strong>in</strong>e CME program.<br />

Photo credit: Kiriako Iatridis<br />

‘Patient pathways’ are recognized as an<br />

<strong>in</strong>novative way to streaml<strong>in</strong>e care for<br />

patients as they move through the system,<br />

and ensure they quickly receive<br />

the most appropriate treatment. They<br />

have been shown to reduce time for assessment,<br />

improve patient outcomes,<br />

shorten hospital stays, and provide<br />

more consistent cl<strong>in</strong>ical practice. The<br />

cont<strong>in</strong>u<strong>in</strong>g education course is Phase<br />

One of the <strong>Saskatchewan</strong> Sp<strong>in</strong>e Pathway;<br />

Phase Two will <strong>in</strong>volve provid<strong>in</strong>g<br />

sp<strong>in</strong>e cl<strong>in</strong>ics at multi-discipl<strong>in</strong>ary cl<strong>in</strong>ics<br />

<strong>in</strong> Saskatoon and Reg<strong>in</strong>a.<br />

“Patients with sp<strong>in</strong>al disorders often<br />

wait too long for access to specialists,<br />

diagnostic tests and surgery,” Health<br />

M<strong>in</strong>ister Don McMorris said. “This<br />

sp<strong>in</strong>e pathway will result <strong>in</strong> improved,<br />

streaml<strong>in</strong>ed processes that quickly direct<br />

patients to the most appropriate<br />

treatment and care that is co-ord<strong>in</strong>ated<br />

among multiple health care providers.<br />

It is another step toward sooner, safer,<br />

smarter care for patients.”<br />

The sp<strong>in</strong>e course gives primary care<br />

providers a simple, accurate system<br />

to determ<strong>in</strong>e whether a patient’s back<br />

pa<strong>in</strong> can be resolved with simple exercises<br />

and rest, or whether they need an<br />

MRI or a surgical referral.<br />

“Every year, approximately 10 per cent<br />

of <strong>Saskatchewan</strong> residents will experience<br />

a back stra<strong>in</strong> or <strong>in</strong>jury,” Reg<strong>in</strong>a<br />

neurosurgeon Dr. Joseph Buwembo said.<br />

“The vast majority will get better <strong>in</strong> a<br />

short time without medical care. About<br />

10,000 will see a primary care provider<br />

to manage their pa<strong>in</strong>, which generally<br />

resolves with<strong>in</strong> six weeks without the<br />

need for medical imag<strong>in</strong>g. It can be challeng<strong>in</strong>g<br />

for family physicians car<strong>in</strong>g for<br />

these patients, as there are a multitude<br />

of different sp<strong>in</strong>e diagnoses. Which cases<br />

will resolve on their own? Which will<br />

require a referral to a sp<strong>in</strong>e surgeon?<br />

Which cases are likely to develop <strong>in</strong>to<br />

chronic pa<strong>in</strong>? To answer these challeng<strong>in</strong>g<br />

questions, an expert panel of health<br />

providers was assembled. Over a three-<br />

TECHNOLOGY<br />

year period they developed a simple,<br />

consistent process to assess and manage<br />

lower back pa<strong>in</strong>.”<br />

“There is certa<strong>in</strong>ly a problem with<br />

the current system when referrals to<br />

overburdened surgeons consist of patients<br />

who are ‘<strong>in</strong>appropriate’ for surgery,”<br />

Saskatoon neurosurgeon Dr. Daryl<br />

Fourney said. “These patients may<br />

not need surgery, but they need access<br />

to care that is timely, effective and<br />

evidence-based. The goal of the <strong>Saskatchewan</strong><br />

Sp<strong>in</strong>e Pathway is not only<br />

to improve access to the sp<strong>in</strong>e surgeon<br />

for patients who are likely to be surgical<br />

candidates, but also to enhance patient<br />

and referral physician education<br />

so that consistent <strong>in</strong>formation is provided<br />

and effective non-surgical therapies<br />

can be <strong>in</strong>itiated earlier. It requires<br />

physicians to classify symptoms based<br />

on five dist<strong>in</strong>ct pa<strong>in</strong> patterns that can<br />

be easily determ<strong>in</strong>ed by history and<br />

physical exam<strong>in</strong>ation.”<br />

The <strong>Saskatchewan</strong> Sp<strong>in</strong>e Pathway is<br />

one of the <strong>in</strong>itiatives underway as part<br />

of the <strong>Saskatchewan</strong> Surgical Initiative,<br />

which is focused on improv<strong>in</strong>g the surgical<br />

patient experience and reduc<strong>in</strong>g<br />

surgical wait times to no more than<br />

three months by 2014. More <strong>in</strong>formation<br />

about the onl<strong>in</strong>e course is available<br />

at www.sp<strong>in</strong>epathwaysk.ca.<br />

For more <strong>in</strong>formation about the program,<br />

contact Gwendolyn Friedrich with <strong>Saskatchewan</strong><br />

Health at (306) 787-3656 or by<br />

email at gfriedrich@health.gov.sk.ca.<br />

SMA News Digest Spr<strong>in</strong>g 2011 13


Physician s<strong>in</strong>gs high praise for bill<strong>in</strong>g review session<br />

By Doré Collett<br />

In January, Dr. Eben Strydom contacted SMA News Digest with<br />

high praise for a workshop he had just attended about correct<br />

bill<strong>in</strong>g of services. He wanted to share specifics with his colleagues<br />

that he found were particularly <strong>in</strong>terest<strong>in</strong>g and useful.<br />

Charlene Koch, a field officer with <strong>Saskatchewan</strong> Health’s<br />

<strong>Medical</strong> Services Branch, presented the session <strong>in</strong> Melfort<br />

that Dr. Strydom attended. “It is always great to hear that<br />

the bill<strong>in</strong>g review sessions are beneficial,” expla<strong>in</strong>ed Ms.<br />

Koch, who was on her way to Maidstone, Lloydm<strong>in</strong>ister, and<br />

then North Battleford to conduct similar sessions.<br />

The GP bill<strong>in</strong>g review session covers a variety of items, <strong>in</strong>clud<strong>in</strong>g:<br />

physician responsibilities, the payment schedule,<br />

assessment rules, explanatory codes, a claims process<strong>in</strong>g<br />

overview, frequently used codes, a review of payments, and<br />

common bill<strong>in</strong>g scenarios.<br />

Throughout the sessions, which typically run 2.5 hours, she<br />

provides plenty of opportunity for Q&A. Participation by physicians<br />

and bill<strong>in</strong>g staff adds to the learn<strong>in</strong>g experience. Of her<br />

experience with the sessions so far, Ms. Koch expresses that<br />

“the physicians always say that they take away someth<strong>in</strong>g new<br />

that they didn’t know previously, or the session rem<strong>in</strong>ded them<br />

of someth<strong>in</strong>g they used to know but have s<strong>in</strong>ce forgotten.”<br />

The field officer role is a key resource for physician bill<strong>in</strong>g <strong>in</strong>formation.<br />

In addition to the sessions offered, Ms. Koch meets<br />

with <strong>in</strong>dividual physicians and their bill<strong>in</strong>g staff to review,<br />

discuss, and expla<strong>in</strong> the physician payment schedule requirements<br />

and bill<strong>in</strong>g codes and their appropriate applications.<br />

Meet<strong>in</strong>gs are at the request of the physicians and their bill<strong>in</strong>g<br />

staff or may be <strong>in</strong>itiated by the field officer. Ms. Koch provides<br />

education to physicians who are Canadian-tra<strong>in</strong>ed or <strong>in</strong>ternational<br />

medical graduates, who are new to the prov<strong>in</strong>ce or who<br />

have been practis<strong>in</strong>g <strong>in</strong> the prov<strong>in</strong>ce for some time.<br />

Presentations are also delivered to family medic<strong>in</strong>e residents<br />

who are enter<strong>in</strong>g their second year of residency.<br />

14 Spr<strong>in</strong>g 2011 SMA News Digest<br />

Dr. Strydom’s question was resident-related. He found it quite<br />

helpful to know that “a service which is <strong>in</strong>sured by the government<br />

when provided by a physician is also <strong>in</strong>sured when provided<br />

under the supervision of a physician. Payments can be<br />

made to the physician for this supervision as long as the physician<br />

is available to <strong>in</strong>tervene promptly if necessary. Payment<br />

for a supervised service may only be made to the physician<br />

provid<strong>in</strong>g the supervision.” For more details about this <strong>in</strong>sured<br />

service, view page In.17 of the Physician Payment Schedule.<br />

With the recent media regard<strong>in</strong>g MS patients seek<strong>in</strong>g treatment<br />

<strong>in</strong> other countries, Ms. Koch mentioned that a hot topic<br />

dur<strong>in</strong>g site visits <strong>in</strong>volves an explanation of patient referrals<br />

for out-of-Canada medical coverage. She acknowledged there<br />

are situations which arise where<strong>in</strong> the M<strong>in</strong>istry of Health<br />

grants prior approval for out-of-Canada medical coverage<br />

for <strong>Saskatchewan</strong> residents <strong>in</strong> exceptional circumstances. In<br />

order for <strong>Saskatchewan</strong> residents to receive this out-of-Canada<br />

medical coverage, their referr<strong>in</strong>g specialist must request<br />

and receive prior approval from the M<strong>in</strong>istry of Health prior<br />

to seek<strong>in</strong>g the treatment outside of Canada. The specialist’s<br />

written request must describe the circumstances of the case,<br />

the services requested, and their <strong>in</strong>dication that, to the best<br />

of their knowledge, the medical service is not available anywhere<br />

<strong>in</strong> Canada. If the application for out-of-Canada coverage<br />

is approved, the M<strong>in</strong>istry of Health will pay the treatment<br />

costs. “When GPs submit these applications, it slows down the<br />

process,” expla<strong>in</strong>s Ms. Koch. “I recommend coord<strong>in</strong>at<strong>in</strong>g with<br />

the appropriate specialist <strong>in</strong>stead of submitt<strong>in</strong>g a request that<br />

will not be approved.” Further details about this bill<strong>in</strong>g topic<br />

can be found on page In.6 of the Physician Payment Schedule.<br />

To book a meet<strong>in</strong>g or to <strong>in</strong>quire about the bill<strong>in</strong>g review sessions offered<br />

by the <strong>Medical</strong> Services Branch, please contact Charlene Koch<br />

at (306) 798-2108 or by email at ckoch@health.gov.sk.ca.<br />

For further <strong>in</strong>formation and bill<strong>in</strong>g details, you can review the Physician<br />

Payment Schedule. A l<strong>in</strong>k to the payment schedule is available<br />

on the SMA website, under the Fees and Negotiations tab.


<strong>Medical</strong> office property <strong>in</strong>surance: Know your limits<br />

By Doré Collett<br />

If your power goes out and your vacc<strong>in</strong>es<br />

are compromised, if your office<br />

gets broken <strong>in</strong>to, or if your laptop goes<br />

on the fritz... are you fully covered?<br />

Almost all of the office <strong>in</strong>surance policies<br />

sold by <strong>in</strong>surers are ‘all risk’ or<br />

‘comprehensive’ package policies.<br />

These are the broadest types of policies<br />

available <strong>in</strong> the marketplace. They<br />

cover various types of losses due to<br />

fire, theft, water and w<strong>in</strong>d damage, and<br />

mysterious disappearance. They also<br />

provide coverage for general liability,<br />

loss of bus<strong>in</strong>ess <strong>in</strong>come, and crime.<br />

While these plans may appear to be the<br />

same, all of these packages have special<br />

limits. Insurers place these limits<br />

<strong>in</strong> policies to avoid exposure to certa<strong>in</strong><br />

types of situations that tend to suffer<br />

more frequent losses.<br />

The SMA <strong>Medical</strong> Office Property Program<br />

has been designed to better suit<br />

medical offices and our members’ needs.<br />

The program takes advantage of group<br />

buy<strong>in</strong>g power to provide superior coverage<br />

and more competitive premiums<br />

for medical office property and liability<br />

<strong>in</strong>surance – with fewer limits.<br />

Compared with the <strong>in</strong>dustry standard,<br />

the SMA program highlights <strong>in</strong>clude:<br />

$5 million commercial general liability<br />

protection<br />

This is covered <strong>in</strong> the package premium.<br />

The <strong>in</strong>dustry standard is about $1 million<br />

of protection.<br />

$25,000 off-premises consequential<br />

loss coverage<br />

As an example, if you have flu vacc<strong>in</strong>es<br />

stored <strong>in</strong> a fridge, this coverage would<br />

provide protection <strong>in</strong> the event that<br />

there is a power cut at a public utility<br />

plant that results <strong>in</strong> a change <strong>in</strong> temperature,<br />

thus spoil<strong>in</strong>g your vacc<strong>in</strong>es.<br />

It is not standard practice to cover any<br />

amount <strong>in</strong> this case.<br />

$5 million for tenant legal liability<br />

Landlords require their tenants to carry<br />

this <strong>in</strong>surance as protection if the<br />

tenant is found legally liable for property<br />

damage to the build<strong>in</strong>g. This high<br />

liability limit is <strong>in</strong>cluded <strong>in</strong> the package<br />

premium. The <strong>in</strong>dustry standard is<br />

about $1 million of protection.<br />

$50,000 coverage for valuable papers<br />

This <strong>in</strong>surance covers the cost of recom-<br />

WEALTH<br />

pil<strong>in</strong>g or retyp<strong>in</strong>g your medical files if<br />

they are stolen or damaged. The <strong>in</strong>dustry<br />

standard is $10,000 coverage.<br />

$5 million for non-owned auto liability<br />

If an employee needs to use his or her<br />

own vehicle for bus<strong>in</strong>ess-related tasks,<br />

he or she would be covered. This coverage<br />

provides a high liability limit to<br />

protect your bus<strong>in</strong>ess should your employee<br />

be found liable for caus<strong>in</strong>g bodily<br />

<strong>in</strong>jury or property damage to a third<br />

party. Standard practice is that this<br />

would not automatically be covered.<br />

“When compar<strong>in</strong>g packages, an office<br />

<strong>in</strong>surance policy conta<strong>in</strong><strong>in</strong>g generous<br />

special limits provides the best value<br />

for your <strong>in</strong>surance dollars and can have<br />

a significant impact on the size of the<br />

payout follow<strong>in</strong>g a loss,” expla<strong>in</strong>s Ed<br />

Hobday, SMA adm<strong>in</strong>istrative director.<br />

“We were so impressed with the reasonable<br />

premiums offered <strong>in</strong> this package<br />

that we decided the SMA office<br />

should have the same coverage.”<br />

With premiums start<strong>in</strong>g as low as<br />

$500 per year, this program comb<strong>in</strong>es<br />

all of the most necessary coverage<br />

<strong>in</strong>to one package for your medical office.<br />

Discounts are available for offices<br />

equipped with burglar alarm systems<br />

or spr<strong>in</strong>kler systems. Commercial<br />

build<strong>in</strong>g coverage is also available.<br />

The SMA <strong>Medical</strong> Office Property Insurance<br />

Program is available through Mardon<br />

Group Insurance. For more <strong>in</strong>formation,<br />

visit the Mardon Group Insurance website<br />

at www.mg<strong>in</strong>s.ca (user ID: SMA, Password:<br />

Insurance) or call 1-866-846-4467.<br />

To learn more about the various tailored <strong>in</strong>surance<br />

products available to SMA members,<br />

contact C<strong>in</strong>dy Anderson, Senior Insurance<br />

Adm<strong>in</strong>istrator at (306) 244-2196.<br />

SMA News Digest Spr<strong>in</strong>g 2011 15


Spotlight on the SMA Board of Directors<br />

<strong>Saskatchewan</strong> <strong>Medical</strong> Association members provide direction and guidance to the organization through the Representative Assembly,<br />

the Board of Directors, and a number of different committees. In each issue <strong>in</strong> 2011, SMA News Digest will spotlight a different committee<br />

or govern<strong>in</strong>g entity, with the aim of keep<strong>in</strong>g members up-to-date and <strong>in</strong>formed about the responsibilities, actions, and results obta<strong>in</strong>ed<br />

through committee work and physician leadership. In this issue, the focus will be turned to your Board of Directors.<br />

The Board of Directors of the <strong>Saskatchewan</strong> <strong>Medical</strong> Association<br />

is responsible to the Representative Assembly of the<br />

association and exercises all powers of the Association and<br />

the Representative Assembly between meet<strong>in</strong>gs. Responsibilities<br />

of the Board <strong>in</strong>clude establish<strong>in</strong>g policies relat<strong>in</strong>g to<br />

the collection of membership dues and nom<strong>in</strong>ation and election<br />

of district delegates, expend<strong>in</strong>g funds of the association<br />

as provided <strong>in</strong> the annual budget, and engag<strong>in</strong>g personnel to<br />

carry on the adm<strong>in</strong>istration of association bus<strong>in</strong>ess.<br />

Directors have many responsibilities to their district memberships,<br />

to the SMA, and to the CMA. Typically, directors<br />

have been chosen as leaders by their contemporaries.<br />

Work<strong>in</strong>g cooperatively with the SMA president and executive<br />

and the SMA’s committees, the director’s role <strong>in</strong>volves read<strong>in</strong>g,<br />

study<strong>in</strong>g, and serious consideration of topics discussed at meet<strong>in</strong>gs,<br />

which take place approximately 10 times per year. Board<br />

members come together to deliberate, debate, and make decisions<br />

on behalf of and for the association. They also develop and<br />

oversee the SMA’s strategic plan.<br />

Every director should be conversant with the association’s<br />

constitution and bylaws, goals and objectives, and the method<br />

of operation of the board. Directors represent their physician<br />

colleagues <strong>in</strong> the public, throughout the association, with gov-<br />

16 Spr<strong>in</strong>g 2011 SMA News Digest<br />

ernment and other stakeholders, and with the media.<br />

In the spr<strong>in</strong>g, board nom<strong>in</strong>ations and a formal vote by the<br />

membership takes place. At the spr<strong>in</strong>g meet<strong>in</strong>g of the Representative<br />

Assembly, the new president is <strong>in</strong>augurated, and<br />

the new Board of Directors takes over. The 2010-2011 Board<br />

of Directors is:<br />

Dr. Guruswamy Sridhar, President<br />

Dr. Phillip Fourie, Vice-President<br />

Dr. Janet Shannon, Honourary Treasurer<br />

Dr. George Miller, Past President<br />

Dr. Mark Arsiradam<br />

Dr. Shayne Burwell<br />

Dr. Nicole Hawk<strong>in</strong>s, PAIRS Rep<br />

Dr. Jeff Hunt<br />

Dr. Clare Kozroski<br />

Dr. Don McCarville<br />

Dr. Mark Brown<br />

Dr. Intheran Pillay<br />

Dr. Dalibor Slavik<br />

Ms. Melanie Flegel / Mr. Lei Xia, SMS Reps<br />

Dr. Joel Yelland, CMA Representative<br />

Dr. Mart<strong>in</strong> Vogel, CEO (staff)<br />

Mr. Ed Hobday, Adm<strong>in</strong>istrative Director (staff)<br />

Mr. Scott Donaldson, Director of Communications (staff)<br />

Ms. Wendy R<strong>in</strong>k, Executive Assistant (staff)


2011 schedule set for the SMA’s <strong>in</strong>-house PMI program<br />

Foundation level courses<br />

DATE COURSE DURATION SPEAKERS<br />

Mar 10-11 Management Dynamics 2 days JimCross/Ian McKillop<br />

Apr 29 - May 1 Engag<strong>in</strong>g Others 2.5 days Monica Olsen/Paul Mohapel<br />

May 27-29 Disruptive Behaviour 2.5 days Mary Yates/Paul Farnan<br />

Sept 22-23 Dialogue 2 days Mary Stacey/Scott Comber<br />

Nov 10-12 Negotiation and Conflict 3 days Marion Balla/Janice Ste<strong>in</strong><br />

The Physician Management Institute (PMI) is the Canadian<br />

<strong>Medical</strong> Association’s leadership development program designed<br />

specifically for physicians work<strong>in</strong>g <strong>in</strong> Canada’s health<br />

care system. With targeted fund<strong>in</strong>g, the SMA has brought<br />

the PMI series <strong>in</strong>-house.<br />

When you enrol <strong>in</strong> a PMI course, you can be confident that:<br />

• course content and examples will be practical and relevant<br />

to health care and medical practice <strong>in</strong> Canada<br />

• <strong>in</strong>structors are subject-matter and education experts with<br />

an <strong>in</strong>timate knowledge of Canada’s health care environment<br />

• learn<strong>in</strong>g approaches <strong>in</strong>corporate multiple perspectives, <strong>in</strong>clude<br />

real-life, real-time activities, and promote rich problem-solv<strong>in</strong>g<br />

among peers<br />

• classmates are medical and health care professionals with<br />

<strong>in</strong>terests and needs similar to your own.<br />

In medical school, you learn to<br />

be a cl<strong>in</strong>ical expert to make patients<br />

better. In PMI courses, you learn<br />

to be a change agent to make the<br />

health system better.<br />

- Dr. Joy Dobson, participant<br />

LEADERSHIP<br />

The dates have been set for the foundation level courses <strong>in</strong><br />

2011. Advanced level course dates are still to be determ<strong>in</strong>ed.<br />

Registration forms are available on the SMA website: www.sma.sk.ca.<br />

Contact Sarah Vogel for more <strong>in</strong>formation about your potential role<br />

as a physician leader and to enrol <strong>in</strong> our <strong>in</strong>-house PMI offer<strong>in</strong>gs:<br />

(306) 244-2196 or sarah@sma.sk.ca.<br />

SMA News Digest Spr<strong>in</strong>g 2011 17


CALENDAR 2011<br />

Upcom<strong>in</strong>g courses, conferences, and events<br />

MARCH<br />

10-11 PMI: Management Dynamics<br />

SMA In-house PMI Program<br />

Saskatoon, SK<br />

www.sma.sk.ca<br />

To register, phone: Sarah Vogel (306) 244-2196<br />

11-12 8th Annual Peter & Anna Zbeetnoff Memorial Drug<br />

Therapy Decision Mak<strong>in</strong>g Conference<br />

Evraz Place , Reg<strong>in</strong>a, SK<br />

For more <strong>in</strong>formation, phone: Ioulia Ostrikova (306) 766-4016<br />

APRIL<br />

The 6 th Annual<br />

Doctors’ Night Out<br />

Saturday, April 2, 2011<br />

Conexus Arts Centre<br />

6:00 pm Cocktails • 7:00 pm D<strong>in</strong>ner<br />

$125 per guest<br />

For tickets call Christ<strong>in</strong>e Pirlot (306) 766-4260<br />

Proceeds go to<br />

18 Spr<strong>in</strong>g 2011 SMA News Digest<br />

12 Spirit of Mozambique Art Show<br />

Featur<strong>in</strong>g Antonio Tanda, Artist<br />

Fundraiser, 7:00 - 10:00 p.m.<br />

330 Design Group, 330 Avenue G S<br />

Saskatoon, SK<br />

For more <strong>in</strong>formation, email: Keri Ladd<br />

knl750@mail.usask.ca<br />

2 The 6th Annual Doctors’ Night Out<br />

Conexus Arts Centre<br />

Reg<strong>in</strong>a, SK<br />

Tickets: $125 per guest<br />

Proceeds go to Humanity First<br />

For tickets, phone: Christ<strong>in</strong>e Pirlot<br />

(306) 766-4260<br />

20-21 Inspire: Health Care Quality<br />

Summit 2011<br />

Delta Reg<strong>in</strong>a Hotel<br />

Reg<strong>in</strong>a, SK<br />

www.qualitysummit.ca<br />

29 - May 1 PMI: Engag<strong>in</strong>g Others<br />

SMA In-house PMI Program<br />

Saskatoon, SK<br />

www.sma.sk.ca<br />

To register, phone: Sarah Vogel (306) 244-2196<br />

MAY<br />

5 Inaugural Session for Physician Spouses<br />

Sheraton Cavalier Hotel<br />

Saskatoon, SK<br />

To register, phone: Brenda Senger (306) 244-2196<br />

5-7 19th Annual Rural and Remote<br />

Medic<strong>in</strong>e Course<br />

Hosted by the Society of Rural<br />

Physicians of Canada Blue Mounta<strong>in</strong><br />

Resort, Coll<strong>in</strong>gwood, Ontario<br />

www.srpc.ca/rr2011<br />

6-7 Spr<strong>in</strong>g Meet<strong>in</strong>g of the Representative Assembly<br />

Sheraton Cavalier Hotel<br />

Saskatoon, SK<br />

www.sma.sk.ca<br />

11-14 Canadian Conference on Physician Leadership<br />

Vancouver, BC<br />

www.2011leadership.ca<br />

Contact: Patricia Lightfoot patricia.lightfoot@cma.ca<br />

27-19 PMI: Disruptive Behaviour<br />

SMA In-house PMI Program<br />

Saskatoon, SK<br />

www.sma.sk.ca<br />

To register, phone: Sarah Vogel (306) 244-2196<br />

Cont<strong>in</strong>u<strong>in</strong>g Professional Learn<strong>in</strong>g<br />

For upcom<strong>in</strong>g CME offer<strong>in</strong>gs or to register for courses<br />

through the Division of Cont<strong>in</strong>u<strong>in</strong>g Professional Learn<strong>in</strong>g<br />

at the University of <strong>Saskatchewan</strong> College of Medic<strong>in</strong>e, visit<br />

their website at www.usask.ca/cme or contact:<br />

CPL Office<br />

Box 60001 RPO University<br />

Saskatoon, SK S7N 4J8<br />

Phone (306) 966-7787<br />

Fax (306) 966-7673


SMA <strong>in</strong>troduces session for physician spouses<br />

The Physician Health Program (PHP) assists physicians<br />

struggl<strong>in</strong>g with a variety of personal issues, <strong>in</strong>clud<strong>in</strong>g physician<br />

health, mental health, addiction, and marital and other<br />

relationship issues.<br />

Did you know that your spouse or partner can access the <strong>Saskatchewan</strong><br />

PHP for support and assistance? The program is<br />

available to act as a referral source to community resources<br />

or to provide direct support and assistance to spouses.<br />

Prior to the spr<strong>in</strong>g meet<strong>in</strong>g of the Representative Assembly <strong>in</strong><br />

May, the SMA will hold an educational session for physician<br />

spouses on Thursday, May 5, from 6:00 p.m. – 9:00 p.m. at the<br />

Sheraton Cavalier Hotel <strong>in</strong> Saskatoon.<br />

By <strong>in</strong>troduc<strong>in</strong>g this session, the SMA will focus on the <strong>in</strong>clusion<br />

of spouses <strong>in</strong> the physician health program, acknowledg<strong>in</strong>g<br />

the needs of physician spouses and promot<strong>in</strong>g awareness<br />

and education about the support and resources available.<br />

The need to provide resources to physicians and their families<br />

and spouses is a priority outl<strong>in</strong>ed <strong>in</strong> the 2010-2012 strategic<br />

plan. This session is just the first of many <strong>in</strong>itiatives that<br />

will meet this goal for the spouses and families of physicians<br />

<strong>in</strong> tra<strong>in</strong><strong>in</strong>g, practis<strong>in</strong>g physicians, and retired physicians.<br />

Physician spouses are <strong>in</strong>vited and encouraged to attend.<br />

Physicians are also welcome.<br />

Hot and cold appetizers will be available. Attendees will also<br />

be <strong>in</strong>vited to attend the RA welcome reception immediately<br />

follow<strong>in</strong>g the workshop.<br />

If you plan to attend the session for physician spouses, please contact<br />

Brenda Senger by phone (306) 244-2196 or email brenda@sma.sk.ca<br />

with the follow<strong>in</strong>g details:<br />

1. Name(s) of attendees<br />

2. Contact <strong>in</strong>formation: name, phone number, mail<strong>in</strong>g<br />

address, email address<br />

SMA News Digest Spr<strong>in</strong>g 2011 19


Spirit of Mozambique Art Show<br />

Art Works by Antonio Tanda, show<strong>in</strong>g March 11-13, 2011<br />

SPECIAL MOZAMBIQUE EVENING<br />

March 12 - 7-10 PM - Fundraiser for Mass<strong>in</strong>ga’s Casa de Espera<br />

Location: 330 Design Group, 330 Ave G South, Saskatoon<br />

For more <strong>in</strong>formation, contact: Keri Ladd at knl750@mail.usask.ca<br />

Funds from the Mozambique Even<strong>in</strong>g will go toward the establishment of a Casa de Espera or home for<br />

expectant mothers. Each year, medical students from the University of <strong>Saskatchewan</strong> have the privilege of<br />

learn<strong>in</strong>g about culture and determ<strong>in</strong>ants of health of the people of Mass<strong>in</strong>ga, a small town <strong>in</strong> Mozambique.<br />

This irreplaceable experience would not be possible without the generosity and k<strong>in</strong>dness of the staff and<br />

people <strong>in</strong>volved with the Tra<strong>in</strong><strong>in</strong>g for Health Renewal Center, which is the cl<strong>in</strong>ic the students work at <strong>in</strong><br />

Mass<strong>in</strong>ga each summer. The students are <strong>in</strong>terested <strong>in</strong> giv<strong>in</strong>g back to this community by rais<strong>in</strong>g funds for<br />

the creation of the Casa de Espera. We ask that you jo<strong>in</strong> us <strong>in</strong> support<strong>in</strong>g this worthy cause, which will<br />

benefit the local community of Mass<strong>in</strong>ga as well as the medical education at the U of S, while you enjoy<br />

the beautiful and unique artwork of Antonio Tanda, who is from Mozambique. Fundrais<strong>in</strong>g activities will<br />

<strong>in</strong>clude a silent auction and donations.<br />

April 20 - 21, 2011<br />

Delta Reg<strong>in</strong>a Hotel • Reg<strong>in</strong>a, <strong>Saskatchewan</strong><br />

Learn about the transformational power<br />

of Quality Improvement:<br />

• Keynote Presentations<br />

• <strong>Saskatchewan</strong> Success Stories<br />

• Executive Round Table Discussion<br />

• Quality Improvement Expo and Displays<br />

• Workshops<br />

• Awards D<strong>in</strong>ner<br />

Get engaged, focused and energized!<br />

To learn more and register, visit<br />

qualitysummit.ca<br />

20 Spr<strong>in</strong>g 2011 SMA News Digest<br />

• Maureen Bisognano, President<br />

and CEO, Institute for Healthcare<br />

Improvement (IHI).<br />

• John Toussa<strong>in</strong>t M.D., CEO of<br />

the ThedaCare Center for Healthcare<br />

Value and author of On the Mend:<br />

Revolutioniz<strong>in</strong>g Healthcare to Save Lives<br />

and Transform the Industry.<br />

• Dr. Richard Shannon, Frank<br />

Wister Thomas Professor and Chair<br />

of the Department of Medic<strong>in</strong>e at<br />

the University of Pennsylvania.<br />

• Kishore Visvanathan, Division Head<br />

for Urology <strong>in</strong> the Saskatoon Health Region<br />

and Cl<strong>in</strong>ical Associate Professor at the<br />

University of <strong>Saskatchewan</strong>.<br />

• Norma Cameron, Storyteller and<br />

Narrative Consultant.<br />

Summit Partners:


The 6 th Annual<br />

Doctors’ Night Out<br />

Saturday, April 2, 2011<br />

Conexus Arts Centre<br />

6:00 pm Cocktails • 7:00 pm D<strong>in</strong>ner<br />

$125 per guest<br />

For tickets call Christ<strong>in</strong>e Pirlot (306) 766-4260<br />

Proceeds go to


Tourism British Columbia<br />

CANADIAN CONFERENCE<br />

ON PHYSICIAN LEADERSHIP<br />

EFFECTING CHANGE<br />

THROUGH INFLUENCE<br />

Learn how to achieve behavioural<br />

and system change<br />

13–14 MAY 2011<br />

FAIRMONT HOTEL VANCOUVER<br />

900 WEST GEORGIA STREET<br />

VANCOUVER, BC<br />

VISIT WWW.2011LEADERSHIP.CA TO LEARN MORE<br />

PRE-CONFERENCE 1-DAY PMI<br />

WORKSHOP<br />

Manag<strong>in</strong>g People Effectively<br />

12 May 2011<br />

ADVANCED PMI COURSE<br />

Talent Management<br />

11–12 May 2011<br />

Special conference rate!


classifieds<br />

ANNOUNCEMENTS<br />

SMA contract negotiations: At time<br />

of pr<strong>in</strong>t<strong>in</strong>g, contract agreement ratification<br />

ballots from <strong>Saskatchewan</strong> physicians<br />

were still arriv<strong>in</strong>g at the SMA<br />

office. For negotiations-related communications,<br />

physicians can watch for<br />

relevant President’s Letters and website<br />

updates: www.sma.sk.ca<br />

PHYSICIAN<br />

OPPORTUNITIES<br />

Saskatoon, Sask – Fantastic Opportunity!<br />

Beautiful Cl<strong>in</strong>ic! Great Location!<br />

This bustl<strong>in</strong>g East-side family practice<br />

is look<strong>in</strong>g for energetic family physicians<br />

for w<strong>in</strong>ter and long term locums.<br />

Partnership possibilities also available.<br />

Kenderd<strong>in</strong>e <strong>Medical</strong> Cl<strong>in</strong>ic has moved<br />

<strong>in</strong>to a brand new facility with experienced<br />

professional staff. One of the<br />

trailblazers <strong>in</strong> <strong>Saskatchewan</strong>’s EMR<br />

program, there is also an X -Ray and<br />

pharmacy all on site. There is a significant,<br />

large and stable patient population<br />

and high volume walk-<strong>in</strong> traffic.<br />

Offer<strong>in</strong>g a competitive split <strong>in</strong>clud<strong>in</strong>g<br />

70/30 for even<strong>in</strong>g and weekend MEC<br />

shifts! Contact Bus<strong>in</strong>ess Manager Daniel<br />

McNeil @ 306 934-6606 ext. 105 or<br />

dmcneil.kmc@sasktel.net.<br />

PHYSICIAN OPPORTUNITIES<br />

Saskatoon - Two doctor practice<br />

available <strong>in</strong> Saskatoon near city centre<br />

and University. Would suit 2 friends or<br />

husband and wife team. Please reply to<br />

Dr. McGarry at 374-2777 or 374-7144<br />

Riverbend <strong>Medical</strong> Cl<strong>in</strong>ic <strong>in</strong> Reg<strong>in</strong>a,<br />

SK. New and established physicians<br />

welcome. We are look<strong>in</strong>g to add a fulltime<br />

family physician to our exist<strong>in</strong>g<br />

solo family practice. Excellent, stateof-the-art<br />

premises. Electronic medical<br />

records. Potential for partnership.<br />

Enjoy excellent lifestyle with an excellent<br />

practice on the east side of Reg<strong>in</strong>a.<br />

Please contact Dr. Maxim Kondrashov at<br />

306-347-2500 ext. 2, or e-mail: svema17@hotmail.com<br />

Family Physician - Lumsden, Sk. Family<br />

practice only 15 m<strong>in</strong>utes from Reg<strong>in</strong>a.<br />

Level 3 and 4 Care Home. Excellent<br />

elementary and high schools. High-service<br />

Pharmacy. Fully-equipped fitness<br />

centre. Vibrant cultural events and exceptional<br />

recreational facilities. Situated<br />

<strong>in</strong> the beautiful Qu’appelle Valley.<br />

TO VIEW PICTURES: Go to FACEBOOK<br />

Lumsden <strong>Medical</strong> Cl<strong>in</strong>ic. Contact Dr.<br />

Knaus at 306-731-2862 or Kl<strong>in</strong>ic2@<br />

sasktel.net.<br />

Family Physician Wanted - Saskatoon.<br />

Busy medical cl<strong>in</strong>ic seeks family<br />

physician for part time walk-<strong>in</strong> shifts.<br />

Sundays and even<strong>in</strong>gs available. Competitive<br />

overhead. Please email if <strong>in</strong>terested:<br />

dr.mv@live.ca.<br />

Er<strong>in</strong>dale Health Centre is a family<br />

practice oriented medical office situated<br />

<strong>in</strong> the south east corner of Saskatoon<br />

– an area currently experienc<strong>in</strong>g rapid<br />

growth and expansion. We are look<strong>in</strong>g<br />

for other physicians to jo<strong>in</strong> us – as full<br />

partners, as full or part-time locums, or<br />

as casual relief. Our office has four doctors<br />

and is open on an extended hours<br />

schedule, 9am-8pm on weekdays and<br />

10am – 4pm on weekends. Premises are<br />

newly renovated and are fully computerized<br />

with friendly, well-tra<strong>in</strong>ed, and<br />

efficient staff. X-ray facilities are on<br />

site, a pharmacy adjo<strong>in</strong>s our office, and<br />

laboratory facilities are nearby. The<br />

services of a Certified Respiratory Educator<br />

and a Diabetic Education Nurse<br />

are offered on site as well. All <strong>in</strong>quiries<br />

are welcome. Please contact our office<br />

manager, Sheila Volk, at (306) 934-6601,<br />

Ext 104 or email svolk@sasktel.net.<br />

SMA News Digest Spr<strong>in</strong>g 2011 23


Family Physician<br />

Department of Academic Family Medic<strong>in</strong>e<br />

Four Directions Community Health Centre, Reg<strong>in</strong>a <strong>Saskatchewan</strong><br />

The Opportunity:<br />

An excit<strong>in</strong>g opportunity exists for a certified Family Medic<strong>in</strong>e<br />

practitioner to become a faculty member <strong>in</strong> the Department of<br />

Academic Family Medic<strong>in</strong>e and practice medic<strong>in</strong>e at the Four<br />

Directions Community Health Centre located <strong>in</strong> Reg<strong>in</strong>a,<br />

<strong>Saskatchewan</strong>. This full-time faculty position <strong>in</strong>volves patient<br />

care, teach<strong>in</strong>g, resident supervision, learner supervision, and<br />

research.<br />

The Four Directions Community Health Centre is an<br />

<strong>in</strong>terdiscipl<strong>in</strong>ary primary health care centre located at two sites<br />

<strong>in</strong> North Central Reg<strong>in</strong>a which assists <strong>in</strong> meet<strong>in</strong>g the needs of a<br />

vulnerable, transient community. While the doors are open to<br />

all seek<strong>in</strong>g medical help, there has been a determ<strong>in</strong>ed effort to<br />

reflect, <strong>in</strong> the programs offered, a focus on First Nations and<br />

Métis health, and collaboration with traditional healers. The<br />

cl<strong>in</strong>ical focus <strong>in</strong>cludes significant acute care medic<strong>in</strong>e, family<br />

plann<strong>in</strong>g, mother and child health services, <strong>in</strong>fant/child<br />

assessment, common illness and episodic treatments as well as<br />

addictions with its related complications. Other cl<strong>in</strong>ical<br />

professionals <strong>in</strong>clude two Nurse Practitioners.<br />

The Department of Academic Family Medic<strong>in</strong>e has 28 full-time<br />

faculty members, 79 Family Medic<strong>in</strong>e and Emergency Medic<strong>in</strong>e<br />

Residents and consists of six divisions <strong>in</strong>clud<strong>in</strong>g Saskatoon<br />

Urban, Reg<strong>in</strong>a Urban, Rural (Pr<strong>in</strong>ce Albert & Swift Current),<br />

Emergency Medic<strong>in</strong>e (Saskatoon & Reg<strong>in</strong>a), Research and<br />

Northern <strong>Medical</strong> Services.<br />

The Department is an <strong>in</strong>tegral participant <strong>in</strong> all stages of medical<br />

education and plays a key role <strong>in</strong> establish<strong>in</strong>g more generalist<br />

content and comprehensive family medic<strong>in</strong>e <strong>in</strong> the MD<br />

education curriculum as outl<strong>in</strong>ed <strong>in</strong> The Future of <strong>Medical</strong><br />

Education <strong>in</strong> Canada (FMEC): A Collective Vision for MD<br />

Education.<br />

Physicians <strong>in</strong> the Department enjoy the benefits of a dynamic<br />

<strong>in</strong>terdiscipl<strong>in</strong>ary team environment to support their cl<strong>in</strong>ical,<br />

teach<strong>in</strong>g and scholarly activities. Physicians and residents <strong>in</strong> all<br />

locations participate <strong>in</strong> the provision of a broad range of care<br />

<strong>in</strong>clud<strong>in</strong>g adult medic<strong>in</strong>e, obstetrics, pediatrics and <strong>in</strong>hospital/nurs<strong>in</strong>g<br />

home care.<br />

The University:<br />

A publicly funded <strong>in</strong>stitution established <strong>in</strong> 1907, the University<br />

of <strong>Saskatchewan</strong> offers a full range of curricula, both academic<br />

and professional, with students registered <strong>in</strong> 13 colleges,<br />

<strong>in</strong>clud<strong>in</strong>g the health sciences (medic<strong>in</strong>e, nurs<strong>in</strong>g, dentistry,<br />

physiotherapy, pharmacy & nutrition and k<strong>in</strong>esiology) and<br />

veter<strong>in</strong>ary sciences.<br />

The College of Medic<strong>in</strong>e utilizes a distributed education model<br />

with approximately 270 university based faculty and over 800<br />

community faculty distributed throughout all 13 <strong>Saskatchewan</strong><br />

Health Regions. The College of Medic<strong>in</strong>e is expand<strong>in</strong>g and has<br />

a current enrolment of approximately 250 undergraduate<br />

medical students and 300 postgraduate medical students (71 of<br />

which are <strong>in</strong> Family Medic<strong>in</strong>e).<br />

Reg<strong>in</strong>a Qu’Appelle Health Region:<br />

The Reg<strong>in</strong>a Qu’Appelle Health Region serves a population base<br />

of over 250,000 <strong>in</strong>clud<strong>in</strong>g the city of Reg<strong>in</strong>a, several towns,<br />

villages, rural municipalities and 17 First Nation communities <strong>in</strong><br />

the surround<strong>in</strong>g area. The Reg<strong>in</strong>a Qu’Appelle Health Region is<br />

dedicated to learn<strong>in</strong>g and is a partner <strong>in</strong> the education of medical<br />

students and residents from the College of Medic<strong>in</strong>e, University<br />

of <strong>Saskatchewan</strong>.<br />

The City of Reg<strong>in</strong>a:<br />

The City of Reg<strong>in</strong>a offers a relaxed and healthy lifestyle <strong>in</strong> a<br />

scenic sett<strong>in</strong>g with convenient transportation, affordable hous<strong>in</strong>g<br />

and cost of liv<strong>in</strong>g, and urban amenities with the warmth and<br />

friendl<strong>in</strong>ess of a small town. A wide range of outdoor activities,<br />

music, sport and cultural events are available along with<br />

excellent schools provid<strong>in</strong>g plenty of special programs.<br />

The Candidate:<br />

The successful candidate must be certified with the College of<br />

Family Physicians of Canada, fully licensed to practice Family<br />

Medic<strong>in</strong>e <strong>in</strong> the Prov<strong>in</strong>ce of <strong>Saskatchewan</strong> and possess full<br />

credential<strong>in</strong>g with the Reg<strong>in</strong>a Qu’Appelle Health Region. We<br />

are particularly <strong>in</strong>terested <strong>in</strong> hear<strong>in</strong>g from physicians who<br />

possess experience, qualifications and/or <strong>in</strong>terest <strong>in</strong> teach<strong>in</strong>g<br />

Family Medic<strong>in</strong>e residents and undergraduate medical students.<br />

To Apply:<br />

Interested family physicians are <strong>in</strong>vited to submit a current<br />

curriculum vitae and three letters of reference as soon as<br />

possible. For further <strong>in</strong>formation regard<strong>in</strong>g this position,<br />

qualified applicants are encouraged to contact either:<br />

Dr. Alanna Danilkewich, Act<strong>in</strong>g Department Head,<br />

Department of Academic Family Medic<strong>in</strong>e<br />

College of Medic<strong>in</strong>e, University of <strong>Saskatchewan</strong><br />

Phone: (306) 655-4200 E-mail: alanna.danilkewich@usask.ca<br />

Dr. Sally Mahood, Reg<strong>in</strong>a Unit Head,<br />

Department of Academic Family Medic<strong>in</strong>e<br />

College of Medic<strong>in</strong>e, University of <strong>Saskatchewan</strong><br />

Phone: (306) 766-4040 E-mail: sally.mahood@usask.ca<br />

The University of <strong>Saskatchewan</strong> is committed to employment equity. Members of<br />

designated groups (women, aborig<strong>in</strong>al people, people with disabilities and<br />

members of visible m<strong>in</strong>orities) 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.


The Saskatoon Community Cl<strong>in</strong>ic is recruit<strong>in</strong>g family physicians for the follow<strong>in</strong>g<br />

two positions.<br />

1) Family Physician, <strong>in</strong>clud<strong>in</strong>g provision of Obstetrical Services, Permanent 0.88<br />

Full Time Equivalent, start<strong>in</strong>g July 1, 2011 (negotiable).<br />

This position is primarily located at our Downtown Cl<strong>in</strong>ic, and also <strong>in</strong>cludes<br />

provid<strong>in</strong>g one half‐day per week of physician services to Delisle Primary Health<br />

Centre.<br />

2) Family Physician, Locum 1.0 Full Time Equivalent, Aug 1, 2011 to Jan 31, 2012 .<br />

This position is primarily located at our Westside Cl<strong>in</strong>ic, and <strong>in</strong>cludes 2 half‐days<br />

per week at our Downtown cl<strong>in</strong>ic.<br />

The Saskatoon Community Cl<strong>in</strong>ic is an <strong>in</strong>novative consumer sponsored primary<br />

health care centre. Our multi‐discipl<strong>in</strong>ary team sett<strong>in</strong>g enables practitioners the<br />

time, support, and access to services they need to provide quality family and patient<br />

centred care.<br />

On site discipl<strong>in</strong>es <strong>in</strong>clude counselors, diagnostic services <strong>in</strong>clud<strong>in</strong>g lab and X‐Ray,<br />

nurses, nutritionist, occupational therapy, physiotherapy, and pharmacists. We<br />

place a strong emphasis on health promotion, disease prevention, quality<br />

improvement, and support for persons with special needs. Our salaried<br />

remuneration is competitive with fee‐for‐service earn<strong>in</strong>gs. Excellent work hours,<br />

benefits, vacation and study leave provisions are offered.<br />

Applicants must be able to obta<strong>in</strong> a license to practice <strong>in</strong> <strong>Saskatchewan</strong> and obta<strong>in</strong><br />

family medic<strong>in</strong>e privileges <strong>in</strong> the Saskatoon Health Region. Preference will be given<br />

to applicants with certification <strong>in</strong> family medic<strong>in</strong>e. We are committed to<br />

employment equity and welcome applications from all qualified candidates. People<br />

of aborig<strong>in</strong>al ancestry, people with disabilities and visible m<strong>in</strong>orities are <strong>in</strong>vited to<br />

identify themselves as members of these designated groups.<br />

For additional <strong>in</strong>formation, or to apply with submission of CV, please contact:<br />

Leane Bett<strong>in</strong>, M.D., C.C.F.P.<br />

Head of the <strong>Medical</strong> Group<br />

Saskatoon Community Cl<strong>in</strong>ic<br />

455 2nd Avenue N, Saskatoon, SK S7K 2C2<br />

www.saskatooncommunitycl<strong>in</strong>ic.ca<br />

P (306) 652‐0300<br />

F (306) 664‐4120<br />

Email LBett<strong>in</strong>@communitycl<strong>in</strong>ic.sk.ca


CLASSIFIEDS<br />

WALK-IN (ONLY) PRACTICE<br />

POSITION IN PRINCE ALBERT.<br />

WANT TO BE DONE WITH WORK<br />

AT 8PM? NO AFTER HOURS!<br />

No hospital calls. Work only one<br />

weekend a month. Look<strong>in</strong>g for a GP<br />

with full registration (f<strong>in</strong>ished Canadian<br />

exams) that wants to settle, long term,<br />

with group benefits, <strong>in</strong> Pr<strong>in</strong>ce Albert.<br />

6-8 hour shifts only. Attractive split and<br />

potential to become part of cost share<br />

agreement. Jo<strong>in</strong> two South African<br />

GPs <strong>in</strong> a fun and quality of life practice<br />

opportunity. Located conveniently<br />

<strong>in</strong>side SUPERSTORE, Pr<strong>in</strong>ce Albert, SK.<br />

Contact:<br />

Dr. Jaco Furstenberg, MBChB.CAFCI<br />

drfurstenberg@saktel.net<br />

or<br />

Dr. Nico Basson, MBChB<br />

drbasson@sasktel.net<br />

www.supermedcl<strong>in</strong>ic.com<br />

26 Spr<strong>in</strong>g 2011 SMA News Digest<br />

PHYSICIAN OPPORTUNITIES<br />

Established practice available <strong>in</strong> Lloydm<strong>in</strong>ster, SK. Well<br />

established practice available for take-over later this year -<br />

possibly Fall. Plann<strong>in</strong>g to retire after 32 years <strong>in</strong> Lloydm<strong>in</strong>ster.<br />

Office can accommodate 2 physicians. Ideal for a couple<br />

that is already licensed to practise <strong>in</strong> <strong>Saskatchewan</strong>. Obstetrics<br />

would be a great asset. For further <strong>in</strong>formation, contact<br />

Dr. Isaac Thomas. Phone: (306) 825-6345. Fax: (306) 825-6340.<br />

Email: medi.it@sasktel.net.<br />

GAMA Integrated <strong>Medical</strong> Centre - Warman. Dr. M. S<strong>in</strong>gh<br />

is look<strong>in</strong>g for a full-time or locum family physician to practise<br />

at the GAMA Integrated <strong>Medical</strong> Centre <strong>in</strong> Warman. For<br />

more <strong>in</strong>formation about this opportunity, please contact Dr.<br />

S<strong>in</strong>gh at (306) 374-8082 or (306) 220-1841.<br />

Taylor <strong>Medical</strong> Cl<strong>in</strong>ic - Saskatoon. Dr. M. S<strong>in</strong>gh is look<strong>in</strong>g<br />

for a full-time or locum family physician to practise at the<br />

Taylor Street <strong>Medical</strong> Cl<strong>in</strong>ic <strong>in</strong> Saskatoon. For more <strong>in</strong>formation<br />

about this opportunity, please contact the office at (306)<br />

374-8082 or Dr. S<strong>in</strong>gh at (306) 220-1841.<br />

Full-time family physician needed <strong>in</strong> busy Saskatoon cl<strong>in</strong>ic.<br />

Stonebridge <strong>Medical</strong> Cl<strong>in</strong>ic is look<strong>in</strong>g for a family physician<br />

to jo<strong>in</strong> its grow<strong>in</strong>g practice. This two-physician cl<strong>in</strong>ic is<br />

located <strong>in</strong> a boom<strong>in</strong>g Saskatoon neighbourhood. The modern<br />

facility <strong>in</strong>cludes digital x-ray and lab service on site and<br />

is fully EMR. For more <strong>in</strong>formation or to express <strong>in</strong>terest,<br />

contact Dr. Aasim Malik at 306-381-8286 or drmalik@stonebridgecosmetics.com.


LOCUM OPPORTUNITIES<br />

Locum Opportunity - Reg<strong>in</strong>a<br />

The Reg<strong>in</strong>a Community Cl<strong>in</strong>ic is look<strong>in</strong>g for a Family Physician to work on a locum basis.<br />

Position is available until July 2011. Compensation is guaranteed on a contractual basis.<br />

The Cl<strong>in</strong>ic is a busy multi-discipl<strong>in</strong>ary co-operative health center with eight salaried Family<br />

Physicians and two Nurse Practitioners. Additional services at the Cl<strong>in</strong>ic <strong>in</strong>clude: Lab, X-ray,<br />

ECG, Mental Health Counsell<strong>in</strong>g, Lifestyle Counsell<strong>in</strong>g (Exercise Specialist and Nutritionist)<br />

and an FASD Diagnostic Centre. The Cl<strong>in</strong>ic is a prov<strong>in</strong>cial Primary Health Care Site focuss<strong>in</strong>g<br />

on health promotion, disease prevention, and supportive care.<br />

Applicants must be licensed to practise <strong>in</strong> <strong>Saskatchewan</strong> and obta<strong>in</strong> privileges from the<br />

Reg<strong>in</strong>a Qu’Appelle Health Region. Preference will be given to applicants with certification <strong>in</strong><br />

family medic<strong>in</strong>e.<br />

Contact: Mary Flynn, Executive Director<br />

Reg<strong>in</strong>a Community Cl<strong>in</strong>ic<br />

1106 W<strong>in</strong>nipeg Street<br />

Reg<strong>in</strong>a, SK S4R 1J6<br />

Phone: (306) 543-7880, ext. 246<br />

Email: adm<strong>in</strong>@reg<strong>in</strong>acommunitycl<strong>in</strong>ic.ca<br />

OBITUARIES<br />

Dr. Carla Eisenhauer<br />

Dr. Eisenhauer died on December 26, 2010. Hav<strong>in</strong>g completed<br />

her medical degree at Queen’s University <strong>in</strong> 1979, she received<br />

her certification with the College of Family Physicians <strong>in</strong> 1981<br />

and practised at the Saskatoon Community Cl<strong>in</strong>ic for nearly<br />

30 years. A champion of health quality, Dr. Eisenhauer spearheaded<br />

numerous health improvement <strong>in</strong>itiatives throughout<br />

<strong>Saskatchewan</strong> and Canada. Actively <strong>in</strong>volved with the Health<br />

Quality Council, she implemented advanced access schedul<strong>in</strong>g<br />

and chronic disease management programs <strong>in</strong> Saskatoon. In<br />

2010, Dr. Eisenhauer was awarded the Family Physician of the<br />

Year award from the College of Family Physicians of Canada.<br />

She was a cherished friend to many, a car<strong>in</strong>g and dedicated<br />

family physician, and an advocate for those <strong>in</strong> need.<br />

Dr. John Alexander M. Ba<strong>in</strong><br />

CLASSIFIEDS<br />

Dr. Ba<strong>in</strong> died peacefully <strong>in</strong> his home country of Scotland on<br />

December 29, 2010. Dr. Ba<strong>in</strong> was a highly regarded GP <strong>in</strong> Canada<br />

for 40 years. He was a medical practitioner at the Lanigan<br />

<strong>Medical</strong> Centre for many years but returned to Scotland <strong>in</strong><br />

1997 when he retired.<br />

SMA News Digest Spr<strong>in</strong>g 2011 27


<strong>Saskatchewan</strong>’s<br />

putt<strong>in</strong>g the pieces together!<br />

Work<strong>in</strong>g together, we’re creat<strong>in</strong>g<br />

a healthier, smoke-free prov<strong>in</strong>ce.<br />

Dur<strong>in</strong>g NatioNal NoN-SmokiNg Week,<br />

we celebrate <strong>Saskatchewan</strong>’s progress and thank the<br />

government and members of the legislative assembly<br />

for support<strong>in</strong>g these excellent measures.<br />

We celebrate <strong>Saskatchewan</strong>’s progress and thank<br />

the Government and Members of the Legislative<br />

Assembly for support<strong>in</strong>g these excellent measures.<br />

Let’s keep work<strong>in</strong>g together<br />

for a healthier future.<br />

NATIONAL NON-SMOKING WEEK – JANUARY 16-22<br />

MJ-SC-PA – 10 x 167


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

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