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Examining collegiality in Saskatchewan - Saskatchewan Medical ...

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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-

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