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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