umanitoba.ca/medicine

M A X R A D Y C O L L E G E O F M E D I C I N E

ANNUAL REPORT2018-2020

DEPARTMENT OF FAMILY MEDICINE

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MESSAGE FROM THE DEPARTMENT HEADAs you will read in this report, the Department of Family Medicine has been remarkably productive in 2018-2020, featuring growth in our Quality Improvement (QI) and research activities, significant changes in our educational programs, continued expansion of our distributed training network and meaningful engagements with communities across our province. It has been a busy two years with much to celebrate, attributed to the dedication of all our team members, who individually and collectively contribute to our success.

At the undergraduate level, the Max Rady College of Medicine Undergraduate Medical Education (UGME) program received full accreditation from CACMS/LCME. I would like to thank the department’s undergraduate team for their support to this effort and for their continued work. There continues to be an impressive number of our faculty involved in undergraduate teaching, and there are more opportunities than ever before for medical students at the University of Manitoba to learn about family medicine, and our role in ensuring the health and well-being of our individual patients and communities.

At the postgraduate level, our core family medicine and enhanced skills programs had a follow-up external review in fall 2018 with both programs receiving full accreditation with follow-up. The College of Family Physicians of Canada (CFPC) was very complimentary in their comments, which is testament to the tireless work of our post-graduate team. Our postgraduate team has made, and continues to make significant improvements – enhancements in resuscitation course offerings for our rural and northern programs, development of leading edge competency frameworks for enhanced skills programs, implementation of a new electronic assessment platform (Entrada), curricular mapping, to name but a few. We also appointed Dr. Mandy Buss as our new faculty lead for Indigenous Health (a first for a Canadian Department of Family Medicine) to improve our students, residents and faculty’s ability to serve our First Nation, Inuit and Métis peoples.

In September 2019, we welcomed Masters of Physician Assistants Studies (MPAS) – Canada’s only graduate level physician assistants program – to our department. The generalist orientation of MPAS complements our work and will present unique opportunities for us to develop collaborative education models and advance team-based care in our clinical settings.

We continue to grow and evolve our network of residency training sites, ensuring that our department has a presence in each of our regional health authorities. In July 2019, our first residents began their training in our new Interlake-Eastern training program based in Selkirk and in July 2020, Thompson welcomed its first two residents. In the urban environment, the period was marked by the closing of the Family Medical Centre in St. Boniface after nearly four decades as a family medicine teaching unit and serving thousands of patients. Associated with the closure was the redeployment of staff and resources which allows Access Fort Garry and Access Winnipeg West to join Kildonan Medical Centre and Access River East in a renewed urban teaching network.

Our research endeavours continue to expand – in number of project and number of collaboration, most notably in the area of QI. The Department of Family Medicine is leading the way by piloting new CFPC curriculum on QI allowing our residents to develop the knowledge and skills that they will need in an evolving clinical context.

Our family medicine practices have quickly responded to the COVID19 pandemic, including pivoting to virtual care.

The practice environment has undergone, and continues to undergo, significant change. I am encourage to see how many of faculty have taken an active role in visioning what our future health system should look like by participating on provincial clinical and preventative services planning activities. Due to our broad knowledge and varied experience, I firmly believe that our communities and patients will benefit from our increased participation in the transformation of our health care system.

Looking ahead, work begins this fall on the development of the department’s 2020-2024 strategic plan. As we celebrate the many successes in our strategic plan, we will identify new and continued challenges in education; research; patient care and community health; and partnerships and programming. Throughout this process, we will engage the participation of our faculty and staff members, whose valuable insights will inform our priorities over the coming years.

Once again, thank you to all of our faculty, our residents, our students, our staff and our many partners who have worked so well together to make these achievements – and many, many more – possible. You all contribute to making this an extraordinary academic department.

José Francois MD MMedEd CCFP FCFPHead, Department of Family MedicineMax Rady College of Medicine Rady Faculty of Health Sciences Provincial Specialty Lead, Family MedicineShared Health

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OUR DEPARTMENT

VISION, MISSION, VALUESOur VisionLeaders of comprehensive, socially accountable, innovative and collaborative care to optimize the health of individuals, families and diverse communities.

Our MissionThe Department of Family Medicine develops family physicians and promotes family medicine values through excellence in patient care delivery, diverse and interprofessional educational environments and scholarly activity along the continuum of learning.

Our ValuesAt the Department of Family Medicine, we value:• Patient-Centredness• Advocacy• Equity

• Collaboration• Innovation• Passion

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STRATEGIC DIRECTIONSIn support of the Max Rady College of Medicine’s overall Strategic Plan, the Department has articulated the following set of goals for the 2015-2020 period: • Teaching and Research

» High quality, innovative and diverse family medicine education founded on social accountability for all learners across the continuum

» A recognized base of leading-edge research and scholarly activity

• Internal Operations

» Fully integrated and aligned structures, communications and other processes across all teaching sites and between leadership faculty and staff

» Leading-edge practices incorporated into department operations

• People and Working Environment

» Highly engaged faculty and staff collaborating to leverage collective expertise in a culture of learning and innovation

» Ongoing stream of leadership and teaching capacity

• Partnerships and Integration

» Contributions of our expertise as a partner and advisor to local, national and international stakeholders

• Sustainability

» Sustainable organizational structures, processes and funding that support excellence in all aspects of our department

A full reporting of our achievements of these goals can be found at the end of this report.

Central Administrative Deparment StaffDepartment Head: Dr. José François

Associate Head, Distributed Medical Education Dr. Don Klassen

Associate Head, Winnipeg Dr. Sheldon Permack

Managing Director Christian Becker

Manager of Finance and Administrative Services Elizabeth Anna

Financial & Administrative Assistant Christina Hrankowski

Coordinator, Projects and Program Evaluation Genelee Celestial-Dela Cruz

Educational Manager Kim Le

Communications Officer Annette Elvers

Confidential Administrative Assistant Debby Hando

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OUR UNDERGRADUATE MEDICAL EDUCATION ACTIVITIES

The Department of Family Medicine is engaged in several components of the Max Rady College of Medicine’s four-year undergraduate degree, providing pre-clerkship teaching and clinical placements, allowing students to explore family medicine as a career.

PRE - CLERKSHIP The family medicine pre-clerkship program is comprised of two components, clinical interviewing and clinical skills labs. The clinical interviewing sessions are designed to provide students with an opportunity to develop communication skills by interviewing a standardized patient who has been trained to act as a patient with a specific illness and the clinical skills lab sessions teach basic foundational physical exam skills.

As part of the renewed undergraduate curriculum, medical students are introduced to the role of the family physician from the start of their training. Each med 1 and med 2 student participates in a longitudinal community clinical exposure which allows the student to develop history taking and physical examination skills, get experience working in an inter professional team, and getting and appreciation of the role of continuity in patient care.

CLERKSHIP Family medicine rural rotation Through the core family medicine clerkship rotation, our department provides students the opportunity to develop skills in a less formal setting and offers them hands-on exposures to a wide range of medical situations that are often not available in a larger urban teaching centre.

Electives The Department of Family Medicine offers rural and urban electives to both University of Manitoba and visiting students. In addition to electives in comprehensive family medicine, we facilitate electives in family medicine obstetrics, addictions, palliative care, and sports medicine.

Transition to residency selectivesThe final portion of the undergraduate medical education program, transition to residency has recently been introduced and is designed to provide learners opportunities to enhance ambulatory and community care exposures. Our department offers a variety of selectives across our urban teaching environments.

OUR POSTGRADUATE MEDICAL EDUCATION ACTIVITIES For more than 47 years, our residency program has been positively influencing the health of individuals, families and communities across Manitoba. Through clinical work, teaching and innovative research, family medicine is making a difference.

Over last two years, our program has undergone significant changes including a number of curricular improvement including – enhancements in resuscitation course offerings for our rural and northern programs, development of leading edge competency and assessment framework, implementation of a new electronic assessment platform (Entrada), to name but a few.

Our postgraduate team welcomed new members including Dr. Mandy Buss, our new faculty lead for Indigenous Health (a first for a Canadian Department of Family Medicine) and Dr. Tamara Buchel, our new postgraduate director, who succeeds Dr. Bruce Martin.

Undergraduate Director Dr Sasha Thiem 

Undergraduate Assistant Director Dr Catherine Wach

Program Assistant - Pre-Clerkship Debi Prysizney

Program Assistant - Clerkship Jana Mudra 

Postgraduate Director Dr. Tamara Buchel

Post-graduate Lead - Resident Assessment & Evaluation Dr. Terry McCormack

Post-graduate Lead - Academic Curriculum Dr. Aaron Jattan

Post-graduate Lead - Quality Improvement, Scholarship & Informatics  Dr. Allison Paige

Post-graduate Lead - Behavioural Medicine Dr. Opeyemi Sobowale 

Post-graduate Lead - Indigenous Health Dr. Mandy Buss

Program Coordinator Shannon Rankin

Education Secretary Bernice Katz

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Communities receiving family medicine learners in 2018-2020: 1. Altona2. Beausejour   3. Boundary Trails - Morden4. Boundary Trails - Winkler5. Brandon6. Carman7. Churchill 8. Dauphin9. East St. Paul10. Flin Flon 11. Gimli12. Hamiota   13. Hay River 14. Hodgson 15. Iqaluit 16. Killarney17. Lac du Bonnet18. Minnedosa   19. Morris   20. Neepawa21. Niverville22. Northwest Territories23. Norway House 24. Notre Dame de Lourdes25. Nunavut26. Oakbank   27. Pinawa   28. Portage la Prairie29. Rankin Inlet 30. Selkirk   31. Souris32. Ste. Anne33. Ste. Rose du Lac34. Steinbach35. Stonewall36. Swan River 37. Teulon   38. The Pas 39. Thompson 40. Winnipeg41. Yellowknife

OUR SITES

As part of our commitment to develop a workforce to serve all Manitobans, we have continued to grow and evolve our network of training sites – a vast network which covers all of our province’s regional health authorities and includes partnerships in Nunavut and the Northwest Territories. Our sites model comprehensive patient care and provide quality learning experiences to Master of Physician Assistant students, undergraduate medical students, family medicine residents, as well as to a variety of other health professions.

In July 2019, our first residents started their training in our new Interlake-Eastern training program based in Selkirk and in July 2020 we opened a training site in Thompson. In the urban environment, the Family Medical Centre at St-Boniface Hospital, our department’s first teaching clinic, was closed in June 2019. Staff and resources have been re-deployed to new teaching missions at Access Fort Garry and Access Winnipeg West, allowing our department to have a presence in each of Winnipeg’s six paired community areas.

Our provincial network of core family medicine residency training sites includes:

» Urban• Access Fort Garry• Access River East• Access Winnipeg

West• Kildonan Medical

Centre

» Rural• Boundary Trails

(Winkler/Morden)• Brandon• Parkland (Dauphin)• Portage la Prairie• Interlake-Eastern

(Selkirk) • Steinbach

» Bilingual• Notre-Dame• St. Anne• St. Boniface

» Northern Remote• Northern

Connections• Thompson

View full-size map

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URBAN The urban family medicine residency program is distributed over four sites within the Winnipeg Regional Health Authority:

• Kildonan Medical Centre (KMC)• Access Fort Garry (AFG)• Access River East (ARE)• Access Winnipeg West (AWW)

Using a team-based approach, each clinic provides comprehensive care, with a focus on higher needs patients in their neighbourhood (community area).

Although the sites had been engaged in undergraduate education for many years, family medicine residency training Access Fort Garry and Access Winnipeg West started in July 2019. Both sites have focused the last year on developing their faculty and local curriculum.

All four sites have worked at developing their QI capacity, with appointments of QI leads to support activities in each of the sites. Three Kildonan Medical Centre faculty, Drs Jenn Potter, Alli Paige and Jamie Falk, have been selected to join the Patients, Experience, Evidence, Research (PEER) Network, an national collaborative that aims to equip clinicians to use the best evidence for shared-informed decision making with their patients.

PATIENTS KMC AFG ARE AWW

Enrolment 3,773 6,383 5,578 5,017

Visits (per 12 months) 14,569 29,401 26,871 22,573

LEARNERS

Family medicine residents 11 2-3

Med 1-4 10-12

Nurse practitioner students 1-2

Pharmacy students 2-4

Psychiatry students 2-3

HEALTH CARE PROVIDERS

Consutant psychiatrists 1 (.1 EFT) 1 (0.2 EFT) 1 (0.2 EFT) 1 (0.2 EFT)

Chronic pain clinician 1

Clinical nurse specialist 1

Clinical psychologist 1

CODI clinician 1

Dieticians 1 (0.5 EFT) 1 1

Exercise specialists

Family physicians 8 (4.2 EFT) 8 (4.9 EFT) 12 9

Mental health counsellors

Midwives 3

Nurse practitioners 1 (1.0 EFT) 7 (5.8 EFT) 3 9

Occupational therapist 1

Pharmacists 1 (0.2 EFT) .5 EFT

Physician assistants

Physiotherapists 1 1

Primary care nurses 2 (2.0 EFT) 4 6

Respiratory therapist 1

Shared Care counsellor 1 1

Shared Care psychiatrist 1

Social workers 1 (0.5 EFT) 1 1

Kildonan Medical Centre (KMC) Education Director Dr. Opeyemi Sobowale

Site Medical Co-Leads Dr. Allison Paige & Dr. Jennifer Potter

Program Administrator Audrey Golondrina

ACCESS Fort Garry Education Director Dr. James Edye-Rowntree

Program Administrator Andrea Klymasz

ACCESS River East Education Director Dr. Erica Halmarson

Program Administrator Audrey Golondrina

ACCESS Winnipeg West Education Director Dr. Mary Jane Jamieson

Program Administrator Andrea Klymasz

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BILINGUALAs a collaborative effort between three francophone communities, St-Boniface, Notre-Dame-de-Lourdes, and Ste-Anne, the bilingual family medicine residency sites focus on training family physicians who are prepared to serve Manitoba’s French-speaking population. Because our francophone population is spread across Manitoba, we can offer residents the opportunity to experience practice in both rural and urban communities.

Through their engagement in their local MyHealth Teams, the sites are expanding their interdisciplinary teams, the most diverse being at Centre de santé St-Boniface which now includes: family physicians, nurses, nurse-practitioners, dieticians, mental health counsellors, a part-time psychiatrist, a clinical pharmacist, an occupational therapist and a certified athletic therapist/kinesiologist.

During the 2018-2020 period, the bilingual program implemented a longitudinal specialty surgical experience to better meet the needs of its residents.

In the upcoming academic year, the sites will be implementing the department’s new QI curriculum and will be exploring approaches to improving resident coaching relationships and opportunities for Interprofessional Education (IPE).

PATIENTS Centre de santé St-Boniface

Clinique Notre Dame

Centre Seine Medical

Enrolment 6,698 1,999 13,942

Visits (per 12 months) 27,739 7,282 38,853

LEARNERS

Family medicine residents 7 (shared across sites)

Med 1-4 23 8 8

Nurse practitioner students 2 1

Physician assistant students 2

Psychiatry residents 1

HEALTH CARE PROVIDERS

Family physicians 11 (5.6 EFT) 4 14

Consutant psychiatrists 1 (0.2 EFT)

Dieticians 2 1

Exercise specialists 1 (0.8 EFT)

Lab tech 1

Mental health counsellors 3

Nurse practitioners 3

Pharmacists

Physician assistants

Physiotherapists 1 (0.2 EFT)

Primary care nurses 7

Social workers 1 (0.2 EFT) 1 (0.6 EFT)

Bilingual Stream Education Director Dr. Jacqueline Gougeon

Program Administrator Mona St. Godard

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Boundary Trails

As a collaborative effort between two adjacent communities – Winkler and Morden, the Boundary Trails sites serves one of the most rapidly growing areas of the province. Residents a diverse set of clinical experiences: outpatient clinics, emergency, obstetrics and gynecology, anesthesia, surgery, dialysis, chemotherapy, specialty ambulatory care clinic, OR assist, personal care homes, palliative care, sports medicine and psychiatry.

Boundary Trails Health Centre has added an on-site paediatrician to its team and the site is planning expansion of its pediatrics education offerings. They are also in the early stages of developing an orthopedic surgery horizontal exposure.

PATIENTS CW Wiebe Medical Centre Agassiz Medical Centre

Enrolment 31,997 14,979

Visits (per 12 months) 133,059 68,226

LEARNERS

Residents (regular) 8 family medicine

Residents (elective)17 family medicine

2 obstetrics-gynecology

Med 1-4 students 21

HEALTH CARE PROVIDERS

Family physicians 50

Lab techs 1

Nurses 1

Social workers 1Boundary Trails (Morden / Winkler) Education Co-Directors Dr. Margaret Hesom & Dr. Kevin Earl

Program Administrator Patti Rach

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Brandon

The Brandon satellite campus provides core and elective rotations for medical students, a longitudinal clerkship, and residency programming in family medicine, anesthesia, psychiatry and enhanced skills emergency medicine. Family Medicine residency training is centered at Western Medical Clinic with additional time in smaller surrounding rural communities. During family medicine block time, residents provide hospital, long-term, maternity and urgent care, as well attending a resident-run teen clinic with Sioux Valley First Nation High School. Most specialty experiences (including horizontal exposures in emergency and psychiatry) are supported at the Brandon Regional Health Centre.

Brandon Education Director Dr. Joanne Maier

Program Co-Administrators Tanis Everard & Nicolas Wiewel

Administrative Coordinator Jocelyn Beever

PATIENTS # Unique patients served 4,056

Visits (per 12 months) 14,862

LEARNERS Family medicine residents 8

Med 1-4 14

Nurse practitioners 3

HEALTH CARE PROVIDERS Consultant psychiatrists 1 (0.1 EFT)

Dieticians 1

Family physicians 11 (7.5 EFT)

Mental health counsellors 2

Pharmacists 1

Primary care nurses 2

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Northern Remote

The Northern-Remote family medicine residency program was designed to address the ongoing issues of physician shortages in northern and remote regions. Northern Connection Medical Centre serves as the home base for the program’s learners over the 2 years of the residency. In addition to its comprehensive family practice, the centre has started providing teen clinic services at Gordon Bell High School.

The family medicine experience in the second year of the program involves multiple rotations in a variety of northern locations, ranging from large northern towns in Manitoba, Nunavut or the Northwest Territories, to small First Nations and Inuit communities accessible only by air. The program continues to develop its focus on Indigenous health with an emphasis on cultural safety, health policy, advocacy, and anti-racism.

PATIENTS # unique patients served 2,454

Visits (per 12 months) 16,079

LEARNERS Med 1 - 4 student electives 13

Occupational therapy students 2

Physiotherapy student 1

Residents - family medicine 30

Residents - psychiatry 2

HEALTH CARE PROVIDERS Child psychologist 1 (.2 FTE)

Dietician 1 (.5 EFT)

Occupational therapist 1 (.2 FTE)

Pharmacist 1 (.5 EFT)

Physicians 7 (FTE 4)

Physiotherapist 2 (.2 EFT)

Registered nurses 2 (1 EFT)

Share care counsellor 1 (.4 EFT)

Social worker 1 (.5 FTE)Northern Connection Medical Centre (NCMC) Education Co-Directors Dr. Joanna Lynch (PGY1) & Dr. Leah Peters (PGY2)

Site Medical Lead Dr. Ken Hahlweg

Program Co-Administrators Kate Smith (PGY1) & Jacquie Thiessen (PGY2)

Thompson Education Director Dr. Nathan Coleman

Program Administrator Dana Hamilton

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Parkland-Dauphin

The Parkland Family Medicine Program, which celebrated its 25th anniversary in 2017, is the longest running rural training site for the Department and one of the first such programs in Canada. Through use of community physician faculty in Dauphin and surrounding communities (Grandview, Ste-Rose, Swan River), along with group of dedicated inter-professional faculty, residents are exposed to a broad scope of practices. Residents experience a variety of settings including emergency rooms, hospital wards, operating rooms, family medicine and outpatient specialty clinics, personal care homes, and home visits. Professionals such as optometrists, audiologists, pharmacists, nurses and mental health care professionals are integrated into the program, ensuring a rich, interdisciplinary learning experience.

PATIENTS # unique patients served 14,250

Visits (per 12 months) 76,615

LEARNERS Med I - Med 4 students 18

Residents - family med 14

Residents - psychiatry 1

HEALTH CARE PROVIDERS Clinical psychologists 1

Dietitians 1

Family physicians 26

Mental health counsellors 1

Psychiatrists 1

Radiologists 2

Surgeons 4

Parkland (Dauphin / St. Rose) Education Director Dr. Scott Kish

Program Administrator Michelle Jubenvill

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Portage la Prairie

The family medicine training program is based out of the Portage Clinic – a large family physician and specialty practice that offers services to both Cartier Health Centre and the MacGregor Health Centre, all working through an accessible and shared EMR system. The group ensures comprehensive services within the Portage District General Hospital including ER, OR, ICU, obstetrics, dialysis, chemotherapy, psychiatry and anesthesia services. Within the larger community the group provides services to the residents of the Manitoba Developmental Centre, personal care homes, Agassiz Youth Centre, KF Aerospace Flight Training School, Sandy Bay Health Centre, AFM and a teen clinic at the local high school.

In addition to working and learning with a group a comprehensive family physicians, residents have opportunities to spend time with a variety of visiting specialists including a gynecologist, orthopedic surgeon, dermatologist, rheumatologist and ophthalmologist.

PATIENTS Visits (per 12 months) 47,984

LEARNERS Residents - family medicine 14

Med I - Med 4 students 26

HEALTH CARE PROVIDERS Family physicians 28

General surgeon 2

Kinesiologists 1

Otolaryngologists 2

Primary care nurses 4

Social workers 1

Portage La Prairie Administration Education Co-Directors Dr. Mike Omichinski & Edward Tan

Program Administrator Kathy Egan

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Steinbach

Family Medicine residency training is based out of the Steinbach Family Medical Centre, a large fee-for-service clinic and one of the first My Health Teams in Manitoba. The Bethesda Regional Health Centre serves as the site for emergency, inpatient, maternity, as well new surgery and pediatric exposures.

The site has been expanding opportunities for residents to gain experience in teaching and implementing their QI projects into the everyday practice of the clinic.

PATIENTS Visits (per 12 months) 30,514

LEARNERS Family medicine residents 8

Home for the summer students 2

Observerships 2

Rural week student 4

Med 4 electives 11

Med 3 students - 2 students every period/8 periods per year

16

HEALTH CARE PROVIDERS Clinic nurse 1

Dietitian 3

Family physicians 21

General surgeons 4

Mental health counsellor 2

Nurse 1

Nurse practitioner 1

Pharmacist 1

Steinbach Education Director Dr. Karen Toews

Program Administrator Darlene Hildebrand

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ENHANCED TRAINING

The Department of Family Medicine’s eight enhanced skills training programs are focused on supporting and extending the delivery of comprehensive, community-adaptive care by family physicians in Manitoba. These training programs require an additional 6–12 months of study.

Enhanced training is available in the following areas:

• Cancer Care• Care of the Elderly (category 1)• CCFP Emergency Medicine (category 1)• FM Scholar

• FP Anesthesia (category 1)• Obstetrics and Women’s Health • Palliative Care (category 1)• Sport and Exercise Medicine (category 1)

During the 2018-2020 period, our enhanced skills programs have been working towards moving to competency-based approaches. Our enhanced skills programs have been leaders nationally in adopting CBME.

All category 1 enhanced skills programs will be moving their residency matching processes to CaRMS as of 2020/2021. As part of this move, the Department of Family Medicine has re-enforced that as part of its commitment to Manitobans, priority shall be given to candidates who demonstrate intent for future practice in Manitoba (or in proximal jurisdictions served by Manitoba).

As of July 2021, the obstetrics and women’s health program is moving towards category 1 status and is one of only four enhanced surgical programs of its kind in Canada.

Over the next year, sports and exercise medicine programs at Legacy Sports Medicine Clinic and Pan Am Clinic will be coming together under a single program umbrella.

Recognizing the need for additional resources in the field of addictions, the departments of family medicine and psychiatry are collaborating on a new enhanced skills addictions medicine program set to start July 2021.

Enhance Skills Program Director Dr Edward Tan

Program Assistant Collette Thiessen

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ENHANCED SKILLS TR AINING REPORT SCare of the Elderly Established in 1992, the Care of the Elderly (COE) Program has been providing residents with either a six or 12-month PGY3 training opportunities. This program offered in collaboration with the Department of Internal Medicine’s Section of Geriatrics is designed to prepare family physicians become expert resources as well as leaders in the primary care of the elderly within their communities. Graduates work in a variety of settings such as Day Hospitals, Geriatric Rehabilitation Units, and Longterm Care facilities.

College of Family Physicians Emergency Medicine The Certification in the College of Family Physicians Emergency Medicine (CCFP-EM) program at the is 12-month PGY3 residency offered in collaboration with the Department of Emergency Medicine. The program is designed to enhance the competencies of family physicians to become expert resources and leaders in emergency medicine within their communities. Currently, the CCFP-EM program accepts four residents per year in Winnipeg and two residents at our Brandon Satellite Site.

Recognizing that a significant number of patients present to the emergency department have primary care concerns, and CCFP-EM residents are especially well-equipped to bridge hospital and community-based care.

Family Medicine Scholar The goal of the Family Medicine Clinician Scholar Program (CSP) is to improve the health of society by providing the next generation of family physicians with the leading-edge research training necessary to become successful clinician scientists or scholars.

The Family Medicine Clinician Scholar Program, which is delivered in collaboration with the University of Manitoba’s Clinician Investigator Program (CIP) underwent a renewal recently. Training can occur either within (starting in PGY2) or after a Family Medicine residency program. After a period of dormancy, this year the program graduated its first resident under the new format.

Family Practice Anesthesia Family Practice Anesthesia (FPA) is a 12-month PGY3 program. This program offered by the Department of Family Medicine in collaboration with the Department of Anesthesia is designed to prepare family physicians become expert resources as well as leaders in family practice anesthesia within their communities.

The program plays a critical role supporting the delivery of anesthesia services in our rural and northern communities.

Care of the Elderly & Integrated Care of the Elderly Education Director Dr. Marielle Gawryluk

Emergency Medicine Education Director Dr. Caroline Kowal

Family Practice Anesthesia Education Director Dr. Kevin Convery

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FM Cancer Care The FM Cancer Care Program at the is either a six or a 12-month PGY3 program depending on the defined needs of the resident. This program offered by the Department of Family Medicine in collaboration with Cancer Care Manitoba is designed to prepare family physicians become expert resources as well as leaders in the care of patients with cancer within their communities.

By the completion of the program, residents in the FM Cancer Care will demonstrate the requisite knowledge, skills, and attitudes to support and extend the delivery of primary care oncology by family physicians, in a variety of settings including Cancer Care’s Regional and Community Cancer Programs (CCPs)

Palliative Care Established in 1999, the palliative care residency program is one of the first to have been accredited by the Canadian College of Family Physicians. This one-year program is designed to prepare family physicians become expert resources as well as leaders in palliative care within their communities.

By the completion of the program, residents in the enhanced skills palliative care program will demonstrate the requisite knowledge, skills, and attitudes to support and extend the delivery of comprehensive community-adaptive care by family physicians.

Sport and Exercise Medicine The Sports and Exercise Medicine (SEM) training is a 12-month PGY3 program. Originally under a separate department, the Legacy Clinic based SEM program has found a new home in the Department of Family Medicine. It joins our Pan Am Clinic SEM program and, over the next year, both will be coming together under a single program umbrella.

Under the direction of Dr. Neil Craton, the Legacy Clinic SEM program has been engaged in residency training for 24 years. The program serves a broad population including pediatrics, geriatrics, elite and professional athletes and everyone in between. In addition to training a PGY3 SEM resident each year, the site receives provides clinical exposures to a variety of other learners including: medical students, physician assistant studies learners, family medicine, physical medicine rheumatology, and orthopedic surgery residents.

Led by Dr. Hein Peters, the Pan Am Clinic SEM program provides comprehensive SEM training at the Pan Am Clinic renowned for its responsive, innovative, high-quality care, and for providing cutting-edge treatments and up-to-the-minute technology. The site has been broadened its academic activities with the addition of a new resident-led journal club.

Women’s Health and Obstetrical Surgical Skills The Women’s Health and Obstetrical Surgical Skills Program is either a six- or 12-month PGY3 program depending on the defined needs of the resident. This program offered in collaboration with the department of obstetrics and gynecology is designed to prepare family physicians become expert resources as well as leaders in women’s health and maternity care within their communities.

The Women’s Health and Obstetrical Surgical Skills program has accepted five residents since its inception in 2017. Four of these residents completed advanced obstetrical surgical skills training and are practicing in rural communities. The program is evolving from a category 2 to category 1 program in 2020.

Cancer Care Education Director Dr. Tunji Fatoye

Palliative Care Education Director Dr. Michael Volpe

Sports Medicine Education Co-Directors Dr. Hein Peters & Dr. Neil Craton

Women’s Health Education Director Dr. Sarah Kredentser

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INTEGRATIVE MEDICINE IN RESIDENCY PROGRAM REPORT

The Integrative Medicine in Residency (IMR) program is a two-year program of study that explores the integration of complementary and alternative therapies with conventional family practice in an evidence-based manner.

This program is offered in conjunction with the University of Arizona Center for Integrative Medicine, and is a 200-hour, interactive web-based curriculum that is completed longitudinally alongside the family medicine residency program. This program option is available to residents in all streams as well as to family medicine faculty.

Current IMR residents stats - by stream# Residents currently enrolled in IMR Cohort starting July 2018 Cohort starting July 2019

Family Medical Centre residents 2 1

Kildonan Medical Centre residents 3 0

Public health and preventative medicine residents 0 0

Access River East residents 2 0

Northern Remote residents 5 1

Bilingual residents 0 0

Steinbach residents 2 1

Parkland residents 0 0

Boundary Trail residents 0 0

Brandon residents 1 1

Portage la Prairie residents 1 0

Other residents (enhanced skills - obs) 1 0

Total # residents enrolled in IMR 17 4

Total # faculty learners enrolled in IMR 0 0

Integrative Medicine Faculty Lead Dr. Shandis Price

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MASTER OF PHYSICIAN ASSISTANT STUDIES

In September of 2019, the Master of Physician Assistant Studies (MPAS) joined the Department of Family Medicine. This organizational move allows the program an academic home and to share resources that support the generalist philosophy and curriculum of the program.

The mission of MPAS is to educate outstanding physician assistant clinicians as generalist medical providers in service to our communities. We nurture the future leaders of the profession and lead the field in the academic preparation of physician assistants in Canada.

MPAS is nationally accredited, and Canada’s only graduate-level physician assistant education program. MPAS offers 106-weeks of medical education designed to support the CANMEDS-PA competencies, Canadian EPA-PAs, and the priority topics of the CFPC. Our curriculum consists of an academic three-term, 56-credit hours first-year (late August to July), and a 30-credit 13-month clinical second year. As part of that education, students spend 12-weeks in primary care settings.

There are 30 students currently enrolled in the MPAS program, with 15 accepted for the September 2020 cohort. The program averages 14 applicants for each of its 15-seats intakes and has graduated 137 physician assitants in 11 classes (2010-2020) since the September 2008 inaugural date. (The first eight years only had 12 students). Ninety-nine (99.1%) percent of our graduates are successful in passing the Physician Assistant Certification Council of Canada’s national examination. The graduates work in 32 different specialties and the four provinces that utilize phsyican assitatns. Until recently (past year) within four months, all graduates found employment.

Influence of COVID-19 on the program and society required a shift to delivering the academic curriculum to online platforms. To address the clinical procedures and skills missed in the spring term, an August 2020 boot-camp is planned. The senior students on clinical rotations missed two weeks in March due to concerns about exposure and resources. However, with a great effort from the MPAS clinical coordinator, physician assistant Dana Conrad, and the administrative team of Jenessa Grabinski, Darlene Lussier, and Tara Smoat, with cooperation from many clinical sites, the senior class completed all program requirements and will graduate.

New MPAS faculty The Department of Family Medicine welcomes Rebecca Mueller, PA-C, MSc, who joins our core MPAS faculty group - Dr. Deni Pirnat MD, MSc, Dana Conrad MPAS CCPA, program director Ian Jones MPAS, PA-C, CCPA, and medical director Dr. Jonathon Bellas MD.

Master of Physician Assistant Studies Program Director, MPAS Mr. Ian Jones

Medical Director Dr. Jonathon Bellas

Clinical Sciences Coordinator Deni Pirnat

Academic Coordinator Rebecca Mueller

Clinical Educational Facilitator Dana Conrad

Program Coordinator Jenessa Grabski

Administrative Coordinator, Academic Year 1 Darlene Lussier

Administrative Coordinator, Clinical Year 2 Tara Smoat

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OUR FACULTY

Our faculty excel at sharing knowledge, building competencies, and maximizing learning opportunities for students and are integral participants in all stages of medical education. Some have major undergraduate teaching roles, providing comprehensive family medicine and generalist content as well as their unique perspectives on health care.

The Department of Family Medicine is one of the largest units within the Max Rady College of Medicine:

36 Assistant Professors

343Lecturers

40Instructors

3Professors 8 Associate Professors

87Clinical Teachers

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FACULT Y DEVELOPMENT A new model of faculty development was approved and adopted in the 2018-2019 year in which the planning of faculty development events was shifted from the department’s central organizing team to shared responsibility between site leadership and central program. In the new model, the central team was responsible for program evaluation (including needs assessment, data collection); offering resources such as teaching materials, presenters, monetary support; supporting teacher excellence; liaising with relevant local and national/international organizations; and responding to unique requests. The model has gained traction and allows for a balance of local control with central input and oversight.

In 2018-2019, an accessible site for ongoing connection and resources was developed in an Entrada community for faculty developers and program assistants within the department. Faculty development events were offered centrally and at the site level.

In 2019-2020, a new faculty development committee comprised of educational leadership and faculty development leads was formed to reflect the needs of an expanded teaching program and the distributed faculty development model. Site faculty development lead roles became formalized and an award recognizing excellence in faculty development was established. The faculty development program consists of both sessions planned and taught at the site level and those planned and offered centrally. The following description is based on data submitted by sites and may not reflect the complete picture of faculty development activities throughout the department.

Topics of faculty development offer a sense of needs and priorities related to teaching. Most sessions were taught by faculty developers from within the program, many of whom teach themselves. Feedback was the only topic taught more than once in 2018-2019. The topics represented the ‘bread and butter’ of family medicine teaching with an emphasis on learning environment and professionalism. In 2019-2020, multiple topics were offered more than once including Entrada, medical error, assessment, and virtual precepting. Virtual precepting sessions were created in response to COVID-19 and the quick pivot towards meeting with patients and teaching online. In addition to teaching basics, topics represented the range of CanMEDS roles including, for example, consideration of patient safety and teaching exceptional learners.

Academic year Total number of sessions

Total number of hours

Total Number of participants

Total number of facilitators

Topics most often taught

2018-2019 14 23.5 119 16 Feedback (4)

2019-2020 30 41 280 14 Entrada (4), medical error (3), assessment (3+), virtual precepting (3)

Faculty Development Director Anita Ens

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OUR RESIDENTS - 2019 -2020 ACADEMIC YEAR

Rural Stream

Urban Stream

Bilingual Stream 7 RESIDENTS

Northern Remote Stream 35 RESIDENTS

Integrated Care of the Elderly Stream 1 RESIDENT

ENHANCED SKILLS PROGRAMS

BOUNDARY TRAILS BRANDON PARKLAND / DAUPHIN PORTAGE LA PRAIRIE STEINBACH

INTERLAKE EASTERN - 2

50 RESIDENTS

8 9 14 14 8

FAMILY MEDICAL CENTRE (FMC) FAMILY MEDICINE KILDONAN MEDICAL CENTRE (KMC) including Access River East

50 RESIDENTS

23 29

BILI

NG

UA

L ST

REA

M

NO

RTH

ERN

REM

OTE

STR

EAM

INTE

GRA

TED

CA

RE O

F TH

E EL

DER

LY S

TREA

M

RURA

L ST

REA

M

URB

AN

STR

EAM

CANCER CARE

19 RESIDENTS

0EMERGENCY MEDICINE, BRANDON

3FM ANESTHESIA

2SPORTS AND EXERCISE MEDICINE, LEGACY

2

WOMEN’S HEALTH

1

CARE OF THE ELDERLY3

EMERGENCY MEDICINE, WINNIPEG5

PALLIATIVE MEDICINE3

SPORTS AND EXERCISE MEDICINE, PAN AM

2

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Year Recipient - Resident Name Award Name Award Descriptions

2019 Dr. Shayne ReitmeierCFPC- Family Medicine

Resident Leadership Award

This award recognizes the leadership abilities of outstanding senior family medicine residents from each of the 17 Canadian family medicine residency programs. https://fafm.cfpc.ca/h-a/opportunities-residents/

2019 Dr. Sameer KassimUnicity Labs Family

MedicineTravel Award

http://umanitoba.ca/faculties/health_sciences/medicine/educa tion/pgme/media/protected/Unicity_Labs_Family_Medicine_Tr avel_Award.pdf

2018 Dr. Jordan CramCFPC- Family Medicine

Resident Leadership Award

This award recognizes the leadership abilities of outstanding senior family medicine residents from each of the 17 Canadian family medicine residency programs. https://fafm.cfpc.ca/h-a/opportunities-residents/

2018 Dr. Loni Cheng

CFPC Family Medicine Resident

Awards for Scholarly Achievement

This award recognize outstanding academic accomplishments by family medicine residents (in their first, second, or third year). These awards are intended to stimulate family medicine research and innovation in education. One recipient or team from each faculty of family medicine across Canada will be selected. https://fafm.cfpc.ca/h-a/opportunities-residents/

RESIDENT AWARDS

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OUR RESEARCH

EXPLORATION AND INNOVATION

Research in Family Medicine aims to provide an exciting opportunity to perform multidisciplinary and community-based, partnered research with practical outcomes on the health of Canadians.

The Department of Family Medicine provides a research-oriented atmosphere in which physicians and health professionals can collaborate to engage in innovative health-related research projects that have both short-and-long-term practical relevance for optimizing clinical practice and health standards within the community.

80PUBLICATIONS

56Presentations and INVITED ABSTRACTS

Service on RESEARCH16

EVALUATION OR ADVISORY COMMITTEES

15SUPERVISION OF RESEARCH TRAINEES

32

POSTERS

Director – Research and Quality Improvement Dr Alexander Singer

Associate Director of Quality Improvement Dr Allison Paige

Associate Research Director Dr Gayle Halas

Improvement Specialist Jim Small

Research Facilitator/Coordinator Lisa Labine

Program Coordinator Leanne Kosowan

Data Manager Bill Peeler

Office Assistant Alyzia Horsfall

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Within the last year, family medicine researchers at the University of Manitoba have played key roles in supporting and driving change through evidence-based research. In particular, family medicine has demonstrated leadership in several innovative areas, including quality improvement, education, informatics, interprofessional collaborative practice and patient-oriented research. This year, the department of family medicine took the first steps in formally merging research and quality improvement efforts by creating the Office of Research and Quality Improvement with a director and two associate directors. Strategic planning is underway to create a hub within the department that facilities finding solutions to complex problems facing primary care using research and quality improvement as drivers for innovation.

In the pages that follow, you will find a listing of all research projects and grants currently underway within the Department of Family Medicine. Next, year we hope that our quality improvement hub will be fully operational and able to track and support those projects as well.

To highlight a few of achievements, within the department, the following represent a brief summary of some of the leaders within this domain:

Dr. Alexander Singer, newly appointed director of research and quality improvement for the department family medicine and continues as the director of the Manitoba Primary Care Research Network (MaPCReN) has expanded the curation of practice-based electronic medical record data across Manitoba. This includes developing powerful research and quality improvement tools and unique analyses of health care data that contribute to a better understanding of diseases, health care delivery that support improved health outcomes for patients. He is also the measurement and evaluation lead for BASE eConsult Manitoba, which has been rapidly expanding delivery of rapid asynchronous virtual access to specialist expertise to thousands of patients in all regions of Manitoba and parts of Nunavut.

Dr. Gayle Halas, now the associate director of research and inaugural Rady Chair of Interprofessional Collaborative Practice and co-research lead of the Manitoba Strategy for Patient Oriented Research (SPOR) Primary and Integrated Health Care Innovation Network is focused on research that brings a collaborative lens to questions affecting primary care. Central to all of her work is authentic patient engagement and the recognition that patient perspectives play a vital role in finding appropriate and sustainable solutions, and producing real improvements in the health of patients.

Dr. Allison Paige has been appointed as the associate director of quality improvement in family medicine is actively involved in the development and delivery of the College of Family Physicians of Canada’s Practice Improvement Initiative. Within this newly established role, she is leading in innovative educational delivery to practicing family physicians and residents in core quality improvement methodologies, their relevance for daily practice and encourage the use of simple tools that enhance provider satisfaction, lead to safer patient care, improve patient outcomes/experience and lead to more prudent use of health care resources.

Dr. Jennifer Potter’s research aims to understand and address vaccine hesitancy, particularly for childhood vaccines. With feedback from parents, her work is focused on developing effective communication materials that are more interactive and appeal to the present-day concerns of parents.

Dr. Alan Katz, Director of the Manitoba Centre for Health Policy and co-research lead of the Manitoba SPOR Primary and Integrated Health Care Innovation Network is focused on questions within population health that have a specific relevance to primary care.

The people and projects listed are only a small segment of the work and accomplishments made by family medicine researchers over the past year; there are still many more remarkable contributions that continue to have impact within the broader health system, transforming the way health care is delivered in Manitoba and across Canada.

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SCHOLARLY ACTIVITY

PUBLICATIONS, 2018-2020

Abrams E, Singer A, Chan E. Letter to editor (CMAJ) RE: Early introduction of infant-safe peanut protein to reduce the risk of peanut allergy. August 2019.

Abrams E, Singer A, Soller L, Chan E. Knowledge Gaps and Barriers to Early Peanut Introduction Among Allergists, Pediatricians, and Family Physicians. The Journal of Allergy and Clinical Immunology: In Practice. Feb. 2019, Vol. 7(2): 681-684.

Abrams EM, Singer A, Chan ES. Food allergy prevention with early food introduction; New recommendations on introducing allergenic solids. Canadian Family Physician, September 2019; 65(9):637-638.

Akhtar S, Loganathan M, Nowaczynski M, Sinha S, Condon A, Ewa V, Kirk JC, Pham TN. Aging at Home: A Portrait of Home-Based Primary Care Across Canada. Healthcare Quarterly, 2019; 22(1):30-5.

Al-Azazi S; Singer A, Rabbani R, Lix L. Combining Population-Based Administrative Health Records and Electronic Medical Records for Disease Surveillance. BMC Medical Informatics and Decision Making. June 2019, 19:120, 1-12

Bello AK, Ronksley PE, Tangri N, Kurzawa J, Osman M, Singer A, Grill A, Nitsch D, Queenan J, Wick J, Lindeman C, Soos B, Tuot D, Shojai S, Brimble S, Mangin D, Drummond N. Quality of Chronic Kidney Disease Management in Canadian Primary Care. JAMA Open. Sept 2019;2(9):e1910704 (1-14).

Berdnikov, A; Singer, A (supervisor). A retrospective analysis of Winnipeg’s Urgent Care system: Have presenting patient complaints changed since converting from emergency departments

Bernstein C, Hitchon CA, Walld R, Bolton J, Sareen J, Walker JR, Graff L, Patten SB, Singer A, Lix LM, El-Gabalawy R, Katz A, Fisk J, Marrie RA. Defining the Burden and Managing the Effects of Psychiatric Comorbidity in Chronic Immunoinflammatory Disease; Increased Burden of Psychiatric Disorders in Inflammatory Bowel Disease. Inflammatory Bowel Diseases. ePub ahead of print July 2018.

Brandt, J; Leong, C(supervisor). Benzodiazepine and Z-Hypnotic Users in Manitoba from 2001-2016: a Retrospective Population-Based Cohort Study and Analysis of Prescription Drug Utilization Trends

Breton, M, Manitoba lead: Singer, A. Scaling-up eConsult in Primary Health Care: a policy analysis in four Canadian provinces Chelsea Ruth. Outpatient Antibiotic Prescribing by Manitoba Clinicians **

Colangelo, K. A Survey of Health Care Professionals to Determine the Clinical Threshold for a Patient to have a Reasonably Foreseeable Natural Death for the Purposes of Eligibility for Medical Assistance in Dying

Crampton, N, Manitoba lead: Singer, A. Administering an educational intervention to novice clinical trainee EMR users to increase documentation data quality: a pilot efficacy study

Dahl L, Schultz A, McGibbon E, Brownlie J, Cook C, Elbarouni B, Katz A, Nguyen T, Sawatzky J, Sinclaire M, Throndson K, Prior HJ, Fransoo R. Cardiovascular Medication Use and Long-Term Outcomes of First Nations and Non–First Nations Patients Following Diagnostic Angiography: A Retrospective Cohort Study. J Am Heart Assoc. 2019; 8(16):e012040. https://doi.org/10.1161/JAHA.119.012040

Ding, L; Dart, A. Current Practice in the Diagnosis and Treatment of Pediatric Hypertension in Ambulatory Clinics in Canada **

Driedger, M. Changing the patient-primary care provider dialogue: Fostering trust through joint clinical decision making

Drummond, N; Birtwhistle, R; Queenan, J. The implementation of the ‘Canadian Primary Care Sentential Surveillance Network - Data Presentation Tool’ in primary care clinics to enhance the surveillance, prevention and management of chronic disease **

Enns JE, Chartier M, Nickel N, Chateau D, Campbell R, Phillips-Beck W, Sarkar J, Burland E, Lee JB, Katz A, Santos R, Brownell M. Association between participation in the Families First Home Visiting Programme and First Nations families’ public health outcomes in Manitoba, Canada: A retrospective cohort study using linked administrative data. BMJ Open 2019;9(6):e030386

Enns JE, Holmqvist M, Wener P, Rothney J, Halas G, Kosowan L, Goertzen L, Katz A. (2019) Interventions Aimed at Reducing Poverty for Primary Prevention of Mental Illness: A Scoping Review. Mental Health & Prevention. 15:200165. https://doi.org/10.1016/j.mhp.2019.200165

Gaffney A, Christopher A, Katz A et al. The Incidence of Diabetic Ketoacidosis During “Emerging Adulthood” in the USA and Canada: a Population-Based Study J GEN INTERN MED (2019) 34(7): 1244-1250. https://doi.org/10.1007/s11606-019-05006-6

Garrison, S, Manitoba lead: Singer, A. The BedMed Initiative - Making Better Use of Existing Therapies **

Geert ‘t Jong. Inappropriate antibiotic prescription patterns in preschoolers using a population health database in Manitoba **

Greiver M, Dahrouge S, O’Brien P, Manca D, Lussier MT, Wang J, Burge F, Grandy M, Singer A, Twohig M, Moineddin R , Kalia S, Aliarzadeh B,  Ivers N,  Garies S, Turner J, Farrell B. Improving care for elderly patients living with polypharmacy: protocol for a pragmatic cluster randomized trial in community-based primary care practices in Canada. Implementation Science. June 2019, 14:55.

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Greiver, M, Manitoba lead: Singer, A. SPIDER-NET, A Structured Process Informed by Data, Evidence and Research-Network: An approach to support primary care practices in optimizing the management of patients with complex needs **

Halas G, Schultz A, Rothney J, Wener P, Holmqvist M, Cohen B, Kosowan L, Enns JE, Katz A. (2019). A Scoping Review of Foci, Trends, and Gaps in Reviews of Tobacco Control Research, Nicotine & Tobacco Research, nty269: 1-14. https://doi-org.uml.idm.oclc.org/10.1093/ntr/nty269

Halas, G. Statistical Methods for Patient-Reported Outcome Measures

Halas, G. Testing new technologies to collect patient-reported experience measures in primary care practices

Halas, G; Singer, A. Understanding Primary Care Patient Perspectives on Virtual Visits During the COVID-19 Pandemic

Harasemiw O, Drummond N, Singer A, Bello A, Komenda P, Rigatto C, Lerner J, Sparkes D, Ferguson T, Tangri, N. Integrating Risk-Based Care for Patients With Chronic Kidney Disease in the Community: Study Protocol for a Cluster Randomized Trial. Canadian Journal of Kidney Health and Disease. Volume 6: 1–9 Feb 2019.

Hensel, J. Optimizing the Centralized Psychiatric Consultation Service for Primary Care: Survey of Referrers

Ireland, L. Evaluation of BASE eConsult MB: Patient Perspectives on the use of Electronic Consultation to Improve Access to Specialty Advice in Manitoba

Ireland, L. Improving Access to Specialist Advice through Electronic Consultation in Manitoba

Ireland, L. Improving access to specialist advice through electronic consultation in Manitoba: eConsult MB Implementation in the Winnipeg Regional Health Authority, Provider and Patient Experience

Ivers NM, Jiang M, Alloo J, Singer A, Ngui D, Casey CG, Yu CH. Diabetes Canada 2018 clinical practice guidelines: Key messages for family physicians care for patients living with type 2 diabetes. Canadian Family Physician. Jan. 2019, 65(1): 14-24.

Jattan A, Kvern B. Exercise specialist should be members of our health care team. Canadian Family Physician. 2018; 64(12):879-880.

Jattan A, Penner CG, Giesbrecht M, Malin, G, Au L, Archibald D, Francois J, Dufour K, Kim GP A comparison of teaching opportunities for rural and urban family medicine residents. Med Educ. 2020;54(2): 162-170 

Jattan, A. Can an integrated addiction medicine curriculum impact knowledge and clinical practice of family physicians?

Johnston, S. A collaboration between family physicians and public health to provide rapid local data to guide the response to COVID-19 Resurgences

Jordan S, McSwiggan J, Parker J, Halas GA, Friesen M. (2018). An eHealth App for Decision-Making Support in Wound Dressing Selection (WounDS): Protocol for a User-Centered Feasibility Study. JMIR Res Protoc. 7(4): e108.

Katz A, Brownell M. Ensuring Indigenous participation in research on the health and well-being of Indigenous Peoples. CMAJ 2019;191(25):E714.

Katz A, Enns J, Wong S, Williamson T, Singer A, McGrail K, Bakal JA, Taylor C, Peterson S. Challenges Associated with Cross-Jurisdictional Analyses using Administrative Health Data and Primary Care Electronic Medical Records in Canada. International Journal of Population Data Science (2018) 3:3:6

Katz, A. Implementation of the Risk Factor Identification Tool (RFIT)

Katz, A. Perspectives on collecting data on socio-demographics and social needs within Canadian health care settings and assessing the psychometric properties of the SPARK Tool

Katz, A. The Manitoba SPOR Primary and Integrated Health Care Innovation Network (MSN): Management and operations grant

Kosowan L, Wener P, Holmqvist M, Gonzalez M, Halas G, Rothney J, Katz A. (2019). Physical Activity Promotion in Manitoba: Strengths, Needs and Moving Forward. SAGE Open Medicine. 7: 1-10. https://doi.org/10.1177/2050312118822910

Kosowan L, Wicklow B, Queenan J, Yeung R, Amed S, Singer A. Enhancing Health Surveillance: Validation of a Novel Electronic Medical Records – Based Definition of Cases of Pediatric Type 1 and Type 2 Diabetes Mellitus. Canadian Journal of Diabetes. Feb 2019, (18)1-7.

Kreindler SA, Metge C, Struthers A, Harlos K, Charette C, Bapuji S, Beaudin P, Botting I, Katz A, Zinnick S. Primary care reform in Manitoba, Canada, 2011-15: Balancing accountability and acceptability. Health Policy 2019; 123(6): 532-537. https://doi.org/10.1016/j.healthpol.2019.03.014

Kreindler, SA., Struthers, A., Metge, C., Francois, J., , C., Harlos, K., Beaudin, P., Bapujii, SB., Botting, I. «Pushing for Partnership:   Physician Engagement and Resistance in Primary Care Renewal» Journal of Health and Social Behavior; Vol. 33, No. 2 (2019), pp 126-140.

Leong C, Chateau D, Dahl M, Falk J, Katz A, Bugden S, Raymond C. Prescription medication use during pregnancies that resulted in births and abortions (2001-2013): A retrospective poulation-based study in a Canadian population. PLoS One 2019;14(3):e0211319

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Leong, C. Insights into the use of Sedative-Hypnotic/Anxiolytics in Primary Care: A Mixed-Methods Study.Leong, C. Polypharmacy and de-prescribing among community-dwelling adults 65 years and older

Liddy C, Bello A, Cook J, Cook J, Drimer N, Dumas Pilon M, Farrell G, Glassford J, Ireland L, McDonald R, Nabelsi V, Oppenheimer L, Singer A, Keely E. Supporting the spread and scale-up of electronic consultation across Canada: cross-sectional analysis BMJ Open May 2019, 9(5).

Liu S, Singer A, McAlister F, Peeler W, Heran B, Drummond N, Manca D, Allan M, Korownyk C, Kolber M, Greiver M, Garrison S. Quality of warfarin management in primary care: Determining the stability of international normalized ratios using a nationally representative prospective cohort. Canadian Family Physician. June 2019, 65 (6) 416-425.

Lix, L. Accuracy of Risk Factor Diagnoses in Administrative Health Databases **

Lix, L. Canadian Chronic Disease Surveillance System Validation **

Lobchuk MM, Hoplock L, Halas G, West C, Dika C, Schroeder W, Ashcroft T, Chambers Clouston K, Lemoine J. (2018). Heart health whispering: A randomized, controlled pilot study to promote student perspective-taking on carers’ health risk behaviors. BMC Nursing. 17(21): 1-11.

Marrie RA, Graff L, Walker JR, Fisk JD, Patten SB, Hitchon CA, Lix LM, Bolton J, Sareen J, Katz A, Berrigan LI, Marriott JJ, Singer A, El-Gabalawy R, Peschken CA, Zarychanski R, Bernstein C. Effects of Psychiatric Comorbidity in Immune-Mediated Inflammatory Disease: Protocol for a Prospective Study. JMIR Res Protoc 2018;7(1):e15.

Marrie RA, Hitchon CA, Walld R, Bolton J, Sareen J, Patten SB, Singer A, Lix LM, Hitchon C, El-Gabalawy R, Katz A, Fisk J, Fisk J, Bernstein C. Psychiatric Comorbidity Increases Mortality in Immune-Mediated Inflammatory Diseases Journal: General Hospital Psychiatry. General Hospital Psychiatry, Vol 53, July 2018, Pages 65-72.

Marrie RA, Hitchon CA, Walld R, Patten SB, Bolton J, Sareen J, Walker JR, Singer A, Lix LM, El-Gabalawy R, Katz A, Fisk J, Bernstein C. Increased Burden of Psychiatric Disorders in Rheumatoid Arthritis. Arthritis Care & Research. Vol. 70, No. 7, July 2018, pg 970–978.

Marrie, RA. Assessing Management of Diabetes and Hypertension in People with Multiple Sclerosis **

McAlister F, Singer A, Kosowan L, Garrison S. The use of direct oral anticoagulants in Canadian primary care practice 2010-2015: A Cohort Study from the Canadian Primary Care Sentinel Surveillance Network. J Am Heart Assoc. 2018;7:e007603.

Nankissoor, N, Singer A, Abrams E. Prevalence of Physician-Reported Food Allergy in Canadian Primary Care Practices. Journal of Allergy and Clinical Immunology. Feb. 2019, Vol 143(2), AB272.

Paul JA, Chateau J, Green C, Warda L, Heaman M, Katz A, Perchuk C, Larocque L, Lee JB, Nickel NC. Evaluating the Manitoba Infant feeding database: A Canadian infant feeding surveillance system. Can J Public Health 2019;Epub ahead of print.

Phung R, Singer A, Abrams E. Prevalence of physician-documented beta-lactam allergy in Canadian primary care practices. Journal of Allergy and Clinical Immunology. Feb. 2019, Vol 143(2), AB26.

Pinto, A; Katz, A. Screening for poverty and related social determinants and intervening to improve knowledge of and links to resources (SPARK) study

Ruth Ann Marrie, Charles Bernstein. Assessing clinicians response to typical notifications from drug interaction warning programs for patients with inflammatory diseases and co-morbid psychiatric conditions

Salaheddin, M. Assessment of the accuracy of childhood immunizations data in the Manitoba Immunization Monitoring System (MIMS): Population-Based Survey **

Sanchez-Ramirez D, Singer A, Kosowan L, Polimeni C. Exploring Clinical Care Among Adults With Diabetes Mellitus: Alignment With Recommended Statin and Sulfonylureas Treatment. Canadian Journal of Diabetes. 2019;ePub July, 1-6.

Sanchez-Ramirez, D. Assessing the Impact of Continuing Professional Development Activities on Patient Outcomes and Healthcare Quality Indications: A Pilot Study **

Sanchez-Ramirez, D. Exploring the impact of opioid guidelines education on physicians’ clinical practice **

Sanchez-Ramirez, D. Treatment of cough in patients with Pulmonary Fibrosis in Primary Care Settings **

Shaw, J. Rapid Knowledge Mobilization to Support the Equitable Virtualization of Care during the COVID-19 Pandemic

Singer A*, Kosowan L, Queenan J, Yeung R, Amed S, Wicklow B. Defining Pediatric Diabetes using EMR Records and Validation from linkable Manitoba Cohort Data. Under Revision December 2018.

Singer A, Kosowan L, Katz A, Appel K, Jolin-Dahel K, Mota, A, Lix, LM, Prescribing and Testing by Primary Care Providers to assess adherence to the Choosing Wisely Canada Recommendations: a retrospective cohort Study. CMAJ Open, December 2018 vol. 6(4), E603-E610.

Singer A. Using your electronic medical record to deliver evidence-based diabetes care. Canadian Family Physician. Jan. 2019, 65(1): 43-44.

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Singer, A. Defining Allergic Conditions in Canadian Primary Care Practices: Food Allergy, Penicillin Allergy and Pediatric Eczema **

Singer, A. A population-based assessment of the long-term impacts of unnecessary investigations and treatments on patients and the health system.

Singer, A. Advanced Analytics Initiative: Defining Post Traumatic Stress Disorder (PTSD) in Primary Care Electronic Medical Record (EMR) Data to Explore Prevalence, Patient Characteristics and Primary Care Experiences of Veterans, Families of Military Service Members and the General Population **

Singer, A. Collection of Primary Care Data by the Manitoba Primary Care Research Network (MaPCReN) as part of the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) **

Singer, A. Exploring the Use of Electronic Medical Records on Teaching and Supervising Learners in Primary Care Practices.

Singer, A. Frequency and Complete Infant Growth Measurements in Manitoba **

Singer, A. Identifying military families and veterans in the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) database to study the health of military families and veterass **

RESEARCH GRANTS AND CONTRACTS

Screening and Brief Intervention for Alcohol Use Disorder in a Clinical Setting - impact of a resident training program on enhancing clinician competence to deliver an evidence-based intervention for problematic alcohol use. Lead Investigator, Dr. Erin Knight [Joanna Lynch: Collaborator]

Perspective-Taking in Conversations about Health Behaviour Change: A Collaborative Knowledge-to-Action Project: Shaelyn Strachan, Cheryl Dika; Gayle Halas; Joanne Parsons; Lisa Hoplock; Michelle Lobchuk; Pamela Wener; Sandra Biesheuvel; Sandra Webber; $7500. 2019/7 - 2021/6, University of Manitoba Manitoba Centre for Nursing and Health Research Collaborative Research Grant.

Clinician-Patient Communication Interaction and Health Outcomes – A Scoping Review: Jenstad LM (NPI), Halas G (PI), Lussier M-T (PI) Abel J; Breau G; Colozzo P; Howe T;; Matieschyn Z; McKenzie M; Ribrary U; Richard C; Rieger C; Thorne S; Werker JF; Froehlich R; Jamoulle O; Mason G; Potter J; Wetzel M. $50,000. 2018/6 - 2019/5, Canadian Institutes of Health Research (CIHR) Operating Grant: Pan Canadian SPOR Network in PIHCI - Knowledge Synthesis, Research Manitoba, UBC and Reseau.

A randomized pragmatic feasibility trial to promote student perspective-taking on client physical activity: A collaborative project: Shaelyn Strachan, Cheryl Dika; Joanne Parsons; Leslie Johnson; Gayle Halas; Lisa Hoplock; Michelle Lobchuk; Pam Wener; Sandra Webber. $24,948. 2018/1 - 2019/1, University of Manitoba Collaborative Research Program

Incorporation of Mental Health Assessment and Management into Routine IBD Care (2019-2021) Principal Applicant : Targownik, L. Co-Applicants: Nguyen G, Bernstein C, Zenlea T, Bollegala N, Sapirman V, Restall G, Alamanac BB, MacQueen G, Hensel J, Singer A, Daley K. Source: Inflammation, Micorbiome and Alimentation Gastrointestinal Neuropsychiatric Effects Network, Incubator Grant Amount: $111,971

Polypharmacy and de-prescribing among community-dwelling adults 65 years and older. Principal Applicant: Leong C (March 1, 2019 - February 28, 2020); Co-Applicants: Raman-Wilms L, Singer A, Appel K, Cavett T, St. John P, Grymonpre R, Falk J, McMillan D, Kosowan L, Labine L.; Source: Research Centre on Aging, University of Manitoba Research Team Small Grant. Amount: $5,000.

SPIDER-NET, A Structured Process Informed by Data, Evidence and Research-Network: An approach to support primary care practices in optimizing the management of patients with complex needs (2018-2022). Nominated Principle Applicant: Michelle Greiver; Principal Applicants: Frederick Burge, Simone Dahrouge, Neil Drummond, Noah Ivers, Marie Therese Lussier, Donna Manca, Alexander Singer; Total operating grant: $2.66M Source: CIHR SPOR PIHCI Network: Programmatic Grants; Amount $1,000,000 Source: Matching funding of $1.7 Million from various collaborators/partners in each jurisdiction including Research Manitoba ($40,000)

A Population-based Assessment of the Long-term Impacts of Unnecessary Investigations and Treatments on Patients and the Health System. Principal Applicant: Alexander Singer; Co- Applicants: Eric Bohm, Lisa Lix, Jim Slater, Alan Katz, José Francois, Albert Mota, Sara Kirby. Source: George & Fay Yee Centre for Healthcare Innovation; Patient Engagement Award. Amount: $2,000

Insights into the use of sedative-hypnotic/anxiolytics in primary care: a mixed-methods study to support self-management strategies in the community; Principal Applicant: Christine Leong; Co-Applicants: Alexander Singer, Gerald Konrad, Lisa Labine, Leanne Kosowan. Source: George & Fay Yee Centre for Healthcare Innovation; Patient Engagement Award. Amount: $2,000

Screening for Poverty And Related social determinants and intervening to improve Knowledge of and links to resources (SPARK) Study (2018-2022); Principal Applicant: Andrew D. Pinto; Co-Applicants Is: Kris Aubrey-Bassler; Frederick Burge; Lois Jackson; Alan Katz; Nazeem Muhajarine; Cordell Neudorf; Marjeiry Robinson; Co-Investigators: Sara Allin; Imaan Bayoumi; Jackie Bellaire; Caroline Bennett-Abuayyash; Claire Betker; Onil Bhattacharyya; Gary Bloch; Yvonne Blonde; Vanessa Brcic; Bruce Burnside; Sharon Clarke; Jane Cooney; Cynthia Damba; Jeanette Edwards; Arvin Garg; Snehlata Ghose; Rick Gibson; Rick Glazier; Ritika Goel; Aisling Gogan; Susan Goold; Laura Gottlieb; Phil Graham; Anna Greenberg; Michelle Greiver; Gayle Halas; Arle Jones; Marylin Kanee; Tara Kiran; Julie Kryzanowski; Nicola Lacetera; Mark Lees; Aisha Lofters; William Lohman; Sally Mahood; Emily Marshall; Lara Murphy;

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Rosane Nisenbaum; Nav Persaud; Tia Pham; Eva Purkey; Jennifer Rayner; Noralou Roos; Tara Sampalli; Michael Schwandt; Avni Shah; Alexander Singer; Robert Smith; Joanne Thanos; Cristina Ugolini; Ross Upshur; Sakina Walji; Fiona Webster; Hazel Williams-Roberts. Source: CIHR SPOR PIHCI Network: Programmatic Grants. Amount: $1,000,000; Source: Matching funding of $1.7 Million from various collaborators/partners in each jurisdiction including Research Manitoba ($120,000).

Integrating clinical data systems to improve the capacity, performance, and value of Manitoba’s healthcare system (April 2018-March 2019); Principal Applicants/Researchers: Ryan Zarychanski (Nominated), Marshall Pitz, Alan Katz, Josée Lavoie, James Bolton, Lisa Lix, Terry Klassen; Clinicians: Piotr Czaykowski, Alexander Singer, Jitender Sareen, Thomas Mutter; Decision-Makers: Deborah Malazdrewicz, Jeanette Edwards; Collaborators: Dan Skwarchuk, Brock Wright, Sri Navaratnam, Frank Krupka. Funding: Canadian Institute of Health Research (CIHR); Operating Grant: SPOR iCT Rewarding Success, Idea Brief. Funds Awarded: $100,000. Years: 1

A Tool to Predict Cesarean Delivery in Rural First Nations Population (April 2018 – March 2019); Primary Investigator: Kheria Jolin; Co-investigators: Alan Katz, Julia Witt, Alexander Singer, Wanda Phillips-Beck. Source: Manitoba Medical Services Foundation. Amount: $30,000

Defining Post Traumatic Stress Disorder (PTSD) in Primary Care Electronic Medical Record (EMR) Data to Explore Prevalence, Patient Characteristics and Primary Care Experiences of Veterans, Families of Military Service Members and the General Population (2018-2020); Primary Investigators: Alexander Singer, Don Richardson; Co-Investigators: Farhana Zulkernine, John Queenan. Tyler Williamson, Alan Katz, Jitender Sareen, Brent Wolfrom, Dr. Sabrina Wong, Morgan Price. Matt Simpson, Neil Drummond, David Barber, Mathew Grandy, Col Rakesh Jetly, Karim Keshavjee, Gordon McDonald, Source: CIMVHR/IBM Collaborative Funding Program, Amount: $420,000

Katz A, Sanguins J, Chartrand F, Nickel N, Chateau D, Enns J. Understanding the Opioid Crisis Among Manitoba Metis: Evidence to Support Interventions. PHAC $300,000 (2019-2022).

Katz A. Health Research Foundation. Analysis of diabetes medication prescribing patterns in Manitoba. $150,000 (2017-2018).

Karim R, Saifullah M, Haque CE, Islam MA, Katz A. International Development Research Centre (IDRC). Reducing dietary related risks associated with non-communicable diseases in Bangladesh. $1,174,735. (2016-2019).

Doupe M, Lamont L, Beaudry T, Katz A, Stewart T, Beaudin P, Chateau D, Edwards J, Enns J, Johnson K, Kreindler S. Evaluating Subacute Care Hospital Transitions for Older Adults: Understanding How, Why and for Whom a Planned Intervention is Working. CIHR Operating Grant: Transitions in Care – Evaluation Grants, $200,000, 2 years (2019-2021).

McGrail K, Schull M, Katz A, McDonald T, Diverty B, Ethier JF, Walker J, et al. SPOR Canadian Data Platform. CIHR. $39,000,000 7 years (2018-2025).

Zarychanski R, Pitz M, Katz A, Lavoie J, Bolton J, Lix L, Klassen T. Integrating Clinical Data Systems to Improve the Capacity, Performance, and Value of Manitoba’s healthcare System. CIHR Operating Grant: SPOR iCT Rewarding Success, Ida Brief. $100,000 1 year (2018-2019).

Pinto AD, Aubrey-Bassler K, Burge F, Jackson L, Katz A, Muhajarine N, Neudorf C, Robinson M. Screening for Poverty And Related social determinants and intervening to improve Knowledge of and links to resources (SPARK) Study. CIHR SPOR PIHCI Network: Programmatic Grants, $1,000,000. (2018-2022).

Slater J, Katz A. FANS: Building Evidence to Inform Policies and Programs for Food and Nutrition Security in Manitoba Youth. CIHR Project Grant Fall 2017 $393 975 (2018-2021).

Driedger SM, Carter S, Chartrand F, Slater J, Bohm E, Katz A, Metge C, Singer A. Changing the patient-PCP dialogue: fostering trust through joint clinical decision making. CIHR Project Grant Fall 2017. $864,451 3 years (2017-2020)

Lavoie JG, Chartrand C, McLeod LL, Zacharias J, Halas G, Komenda P, Nickel N, Hnatiuk S, Kyoon-Achan G, Riediger N, Ibrahim N, Lavallee B, Katz A, Lynch J. Improving responsiveness across the continuum of kidney health care in rural and remote Manitoba First Nation communities (I-KHealth). CIHR Project Grant $1,575,900 (2017-2022).

Bornstein S, Brien S, Dobrow M, Esatbrooks C, Graham I, Greenough M, Grimsha J, Hillmer M, Horsely T, Katz A, Krause C, Lavis J, Levinson W, Levy A, Légaré, Majumdar S, Mancuso M, Morgan S, NadalinPenno L, Neuner A, Teare G, Tepper J, Vandyk A, Widmeyer D, Wilson M. Inappropriateness of Health Care in Canada CIHR Project Grant $275,400 (2017-2019)

Nickel NC, Thompson M, Brownell MD, Katz A, Shanahan M, Afifi T, Bolton J, Singal D, Shattuck C, Ross J, Green C, Shaw S. A Data Infrastructure for Monitoring the Impact of Cannabis Legalization: Data Collection and Linkage Strategies to Inform Health and Social Policy. CIHR Catalyst grant $99,000 (2017-2018)

Sibley KM, Barclay R, Condon A, Cooper J, Edwards J, Guse L, LeClair L, Katz A, Ripat J. Developing an Innovative Conceptual Framework of Community-Based Rehabilitation to Inform Restorative Care. University of Manitoba, Rady Innovation Grant $100,000 (2017-2018)

Jardine C, Haworth-Brockman M, Hilderman T, Sartison E, Wilson K, Bouder FE, Canning S, Driedger SM, Gray L, Heywood AE, Hui C, Rath BA, Turner N, Barozzino T, Charania N, Greenaway C, Katz A, Kowal S, Pottie K. Improving the Health of Immigrant and Refugee Women and Children through Immunization. CIHR $200,000 (2017-2019)

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Garrison SR, Katz A, Perry B, Bakal JA, McGrail KM, Trueman D, Hill MD, Mcalister FA, Lewanczuk RZ. The BedMed Initiative – Making better use of existing therapies. CIHR, $355,184. (2017-2020)

Roos N, Katz A, De Bruijn B, Enns J, Lix L, Matwin S, Milios E, Singer A. Beyond Structured Administrative Data (BEST DATA). CIHR Foundation Grant, $1,048,310. (2016-2023)

Brownell M, Nickel N, Chartier M, Enns J, Burland E, Chateau D, Katz A, Phillips-Beck W, Campbell R, Wiebe D. Strength: Supporting Resiliency in Indigenous Child Health and Development. Private Donor (Anonymous), $535,400. (2016-2019)

Shah BR, Austin P, Ivers N, Katz A, O’Reilly D, Singer A, Tu K. Derivation of risk prediction models and a computer microsimulation model in type 2 diabetes to aid clinical decision making and health technology assessment. CIHR, $424,298. (2016-2019)

Brownell M, Phillips-Beck W, Nickel N, Burland E, Campbell R, Chartier M, Chateau D, Enns J, Katz A, Santos R. Envision: Evaluating home visiting interventions for Manitoba First Nations Families. CIHR, $250,000 (2016-2018)

Katz A, Buchel T, Thompson M. Manitoba SPOR Network in Primary and Integrated Health Care Innovations. CIHR $500,000; MHRC $500,000 (2015-2020)

PEER-REVIEWED SALARY AWARDS

Joanna Lynch: Recipient of the WJ Hart Award for Community-Based Research- $ 4510.00

PRESENTATIONS AND INVITED ABSTRACTS

Ateah C, Jensen F, Condon A, Fricke M, MacDonald L, Oliver R, & Warden K (February 20-22, 2019) Implementing a Longitudinal Interprofessional Collaborative Care Curriculum at the University of Manitoba: Evaluation, Reflections and Next Steps. Western North-western Regional Canadian Association of Schools of Nursing Conference, Edmonton, Alberta.

Bello A, Mangin D, Drummond N, Singer A, Soos B, Lindeman C, Ronksley P, Kurzawa J, Osman M, Scharrer J, Tangri N, Wick J, Brimble S, Grill A. Monitoring Kidney Diseases Around the World - The Canadian Primary Care Sentinel Surveillance Network and CKD Surveillance. Invited Panel Presentation (Speaker = Bello A): American Society of Nephrology - Kidney Week 2018. San Diego CA, October 2018.

Blaney, C, El-Gabalawy, R, Bernstein C, Walld J, Bolton, J, Sareen J, Patten SB, Singer A, Lix LM, Hitchon, C, Katz A, Fisk JD, Marrie RA. Incidence and temporal trends of comorbid personality disorders in inflammatory bowel disease, multiple sclerosis, and rheumatoid arthritis: A longictudinal study in Manitoba, Canada. Paper presented at the Canadian Academy of Psychiatric Epidemiology Annual Conference. Toronto. ON, September 2018.

Francois, J. Entrustable Professional Activities for a Family Medicine Residency Training Program. WONCA. Seoul, South Korea. October 18, 2018

Francois, J. Impact d’un programme de résidence bilingue sur l’offre de services en milieu minoritaire. Global Community Engaged Medical Education Muster Conference (Muster 2018) Mount Gambier, Australia. October 16, 2018.

Francois, J. Updated Entrustable Professional Activities for a Family Medicine Residency Training Program. WONCA. Seoul, South Korea. October 18, 2018

Francois, J. The Future is Here: How virtual care is transforming our work. Department of Pediatrics Retreat, Winnipeg (MB) June 12, 2020

Francois, J., Hensel, J., Mihalchuck, A., Polimeni C. (2020) Virtual Care Case Studies – Mental Health Edition. Winnipeg (MB) May 7, 2020.

Francois, J., Tan, E, Martin, B., McCormack, T. Competency-based Medical Education (CBME) for Enhanced Skills Programs. Family Medicine Forum, Vancouver (BC) November 1, 2019.

Fricke M, Condon A, Jensen F & MacDonald, L. (October 27-29, 2018). Check your ego at the door: Evaluation results of a longitudinal Interprofessional Collaborative Care Curriculum. 24th Annual Qualitative Health Research Conference, Halifax, NS

Fricke M, Condon A, Jensen F, MaDonald L, Oliver R & Warden K. (May 10-13, 2019) Implementing a Two Year Interprofessional Education Curriculum: Opportunities and Lessons Learned. World Confederation for Physical Therapy Congress. Geneva, SZ.

Halas, G., Baldwin, A., Thiessen, H. (2019). From Research to Teaching: Including the Patient Voice. Rady Faculty of Health Sciences, Education and Faculty Development Workshop, Canada

Jensen F,  Ateah C, Condon A, Fricke M, MacDonald L, Oliver R ,Warden K (2018, December 5-6). Implementing a Two Year Interprofessional Education Curriculum: Opportunities and Lessons Learned. 21st World Congress on Nursing Education and Management, Chicago, IL.

Katz A, Komenda P, Zarychanski R, Jones P. Where’s Our Data Now? Panel Presentation. Bioscience Association of Manitoba Annual General Meeting Winnipeg, MB. October 16, 2018.

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Katz A, Lavioe J, Avery Kinew K, Ibrahim N, Dahl M. Ambulatory Care Sensitive Condition Hospital Admissions in Manitoba First Nations. Family Medicine Forum 2018, Toronto, Canada

Katz A, Lavoie JG, Kyoon-Achan G, Sinclair S, Phillips-Beck W. Ambulatory care sensitive conditions (ACSC): Deconstructing the Construct. 2018 CAHSPR Conference, Montreal, Canada

Katz A, Taylor C. (2018). How do Clinical Practice Characteristics Influence Practice Panel Size? 46th NAPCRG Annual Meeting, Chicago, United States

Katz A. Ambulatory sensitive conditions (ACSC) in Manitoba First Nations. 2019 CAHSPR Conference, Halifax, Nova Scotia

Katz A. Do First Nations fill more prescriptions for Opioids than other Manitobans? 2019 CAHSPR Conference, Halifax, Nova Scotia

Katz A. Finding Time for Primary Prevention. First Five Years in Family Practice Continuing Professional Development Session, Winnipeg, Canada

Katz A. First Nations’ readmissions ending in death: what do we know? 2019 CAHSPR Conference, Halifax, Nova Scotia

Katz A. Identification of frailty using EMR and admin data: a complex issue. 2018 International Population Data Linkage Conference, Banff, Canada

Katz A. Lessons from the past: a window on the future. 2018 International Population Data Linkage Conference, Banff, Canada

Liddy C, Keely E, Singer A. eConsult Improve Your Access to Specialists Using eConsult Services Available in Canada. CFPC Annual Family Medicine Forum. Toronto, Ontario, November 2018.

Liddy C, Moroz I, Afkham A, Jarrett P, Miraftab N, Singer A, McLellan D , Mihan A, Drimer N, Boulay E, Crowe L, Keely E. How Long are Canadians Waiting to Access Specialty Care? A retrospective study. CFPC Annual Family Medicine Forum. Toronto, Ontario, November 2018

Lui S, Singer A, McAlister F, Peeler W, Heran B, Drummond N, Manca, Allan M, Korownyk T, Kolber M, Griever M, Garrison S. Quality of Warfarin Management in Primary Care. University of Alberta Excellence in Medical Student Research. Edmonton, AB, November 2018.

Paige, A. Pneumococcal-23 Immunization in Patients with Diabetes at Kildonan Medical Centre, Quality Improvement and Patient Safety Committee Meeting, June 4, 2019 [Allison Paige]

Pereira J, Singer A, Kovacina N. Quality Improvement (QI) Debut: Harnessing QI for practice improvement (3.5 hour workshop). CFPC Annual Family Medicine Forum. Toronto, Ontario, November 2018.

Price, S. “Resiliency and Wellness” - Family Medicine National Education Administrators Professional Development Day - Family Medicine Forum, Toronto, ON - November 14, 2018

Sanchez-Ramirez D, Singer A, Kosowan L, Polimeni C. Exploring Clinical Care Among Adults With Diabetes Mellitus: Alignment With Recommended Statin and Sulfonylureas Treatment. Society for Academic Continuing Medical Education Annual Meeting. Charleston, South Carolina, USA. February 2019

Sanchez-Ramirez DC, Kosowan L, Katz A, Singer A, Polimeni C. Primary Care Providers Participation in cardiac health educational events improve likelihood of recommending appropriate lipid management. 2019 Canadian Continuing Medical Education Annual Meeting. Niagara Falls, Ontario. April 2019.

Singer A, Allard M, Leong C. Clinician Panel on Best Practices for Deprescribing (invited panelist). 2019 Manitoba Workshop on Wise Medication Use for Older Adults, Canadian Deprescribing Network. Winnipeg, Manitoba, April 2019.

Singer A, Kosowan L, Queenan J, Yeung R, Amed S, Wicklow B. Defining Pediatric Diabetes using EMR Records and Validation from linkable Manitoba Cohort Data. CFPC Annual Family Medicine Forum. Toronto, ON, November 2018.

Singer A, Suss R, Driedger M, Bohm E. Choosing Wisely: Why More Medical Tests are not Always Better. Invited Public Presentation and Panel Discussion at University of Manitoba’s Café Scientific. Winnipeg, MB, September 2018.

Singer A, Williamson T, Katz A, Kosowan L, Halas G, Ronksley P. Characterizing High System Use Across the Primary-Tertiary Care Continuum: Manitoba High System Users. CFPC Annual Family Medicine Forum. Toronto, Ontario, November 2018.

Singer A. Using Primary Care Electronic Medical Record Data to Understand Chronic Diseases Beginning in Childhood. Children’s Hospital Research Institute of Manitoba - Research Rounds. Winnipeg Manitoba, October 2018.

Singer A. Azad M, Jones M. Invited Expert Panel Presentation. Developmental Origins of Health and Disease Master-class Symposium. Winnipeg, Canada. June 2019.

Singer A. Defining Post Traumatic Stress Disorder in Primary Care, Veterans and Military Families. Canadian Institute for Military and Veterans Health Research 2018 Forum. Regina, SK, October 2018

Singer A. Improving Quality of Care Delivered to Families. Vanier Institute Families in Canada Conference; University of Manitoba Satellite Site. Winnipeg, Manitoba. March 2019.

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Singer A. Preliminary data regarding prevalence of Post-Traumatic Stress Disorder cases in Primary Care settings. Public Health Agency of Canada. Ottawa, Ontario, April 2019.

Singer A. Using de-identified primary care data for quality improvement and research. Centre For Healthcare Innovation Research Rounds. Winnipeg, MB, July 2018.

Singer, A. Diagnosing PTSD Using Electronic Medical Records from Canadian Primary Care Data 6th International Conference on Networking, Systems and Security (NSysS 2019) Dhaka, Bangladesh December 2019 [Alexander Singer]

Smithman MA, Lamoureux-Lamarche C, Dumas Pilon M, Liddy C, Keely E, Farrell G, Singer A, Nabelsi V, Gaboury I, Gagnon MP, Steele Gray C, Shaw J, Hudon C, Aubrey-Bassler K, Bush P, Côté-Boileau É, Gagnon J, Breton M. Scaling-up eConsult in Quebec: what are the main policy issues? Canadian Association for Health Services and Policy Research. Halifax, Canada. May 2019.

Spinks N, Singer A, Patton L, Boscarino C. Opening Plenary “Big Data Panel” Canadian Institute for Military and Veterans Health Research 2018 Forum. Regina, SK, October 2018

Singer, A. Integrating Pediatric Data and Validating Pediatric Case Definitions in the Manitoba Primary Care Research Network (MaPCReN) **

Singer, A. Recorded Data on Alcohol in a Canadian Primary Care EMR Database: Who Doesn’t Get Asked About Alcohol Consumption **

Singer, A. The Use of Electronic Medical Records to Change Clinician Behaviour and Increase Adherence to the Choosing Wisely Recommendations **

Singer, A; Amadeo, R; Mutter, T. Improving Access to Specialist Care through eConsult for Patients Living with Chronic Pain

Squires JE, Graham ID, Grinspun D, Lavis J, Legare F, Bell R, Bornstein S, Brien S, Dobrow M, Estabrooks CA, Greenough M, Hillmer M, Horsley T, Katz A, Krause C, Levinson W, Levy A, Mancuso M, Maybee A, Morgan S, Nadalin-Penno L, Neuner A, Rader T, Roberts J, Teare G, Tepper J, Vandyk A, Widmeyer D,Wilson M, Grimshaw JM. (2019).  Inappropriateness of health care in Canada: A systematic review protocol. Systematic Reviews. 8, Article number: 50 (2019). https://doi.org/10.1186/s13643-019-0948-1

Struthers A, Metge C, Charette C, Harlos K, Bapuji SB, Beaudin P, Botting I, Katz A, Kreindler SA.  Family physician perceptions of primary care renewal strategies in Manitoba. Can Fam Physician 2019; 2019, 65 (9) e397-e404

Tangri, N. Acute Declines in Kidney Function with CKD **

Targownik, L. Incorporation of mental health assessment and management into routine IBD care **

Theim, S; Condon, A (supervisor); Ens, A (supervisor). Family Medicine and Primary care in the preclerkship curriculum – do clinical cases provide an opportunity to address the hidden curriculum?

Wicklow, B. Access to healthcare for Children with Chronic conditions through E-health and System Navigation: Scale up (ACCESS) in the era of COVID19

Sinclair SA, Lavoie J, Phillips-Beck W, Katz A. (2018). Key Findings on Access to Mental Health Services in Manitoba First Nations and Rural and Remote Communities. 46th NAPCRG Annual Meeting, Chicago, United States, Conference Date: 2018/11

Singer A, Kosowan L, Lix L, Jolin K, Appel K, Katz A. Randomized Controlled Trial to Improve Adherence to Choosing Wisely Recommendations in Primary Care. CFPC Annual Family Medicine Forum. Toronto, Ontario, November 2018.

SERVICE ON RESEARCH EVALUATION OR ADVISORY COMMIT TEES

Katz, A. (2018) Advisory Committee Member, The Commonwealth Fund 2019, Canadian Institute for Health Information (CIHI)

Katz, A. (2018) International Advisory Board, Integration and Analysis of Heterogeneous Big Data for Precision Medicine and Suggested Treatments for Different Types of Patients (iASiS), Institute of Informatics & Telecommunications, NCSR Demokritos, Athens, Greece

Katz, A. Board of Directors, College of family Physicians of Canada (2018)

Katz, A. External review for Canada Research Chair; Department of Community Health Sciences, University of Manitoba (2019)

Katz, A. External reviewer for research grant application; M.S.I. Foundation, Edmonton, AB; “The Association between general practitioner patient volumes and health outcomes” (2018)

Permack, S. Member: Clinical Oversite Committee (Primary Care) of the WRHA

Singer, A. Advisor: Canadian Agency for Drugs and Technologies in Health, AdHoc Primary Care Pharmacare Panel (2018)

Singer, A. Advisor: CIHI’s Commonwealth Fund Survey Expert Advisory Group (2019-2020)

Singer, A. Advisory Group Member: Manitoba Centre for Health Policy Deliverable – Revisiting Primary Care Provider Projection Models (2019-present)

Singer, A. Chair: Department of Family Medicine Research and Quality Improvement Committee (2019 - present)

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Singer, A. Co-Chair: Manitoba Health Primary Care Indicator Advisory Committee (2018-present)

Singer, A. Member: College of Family Physicians of Canada - Practice Improvement Initiative, Steering Committee and Physician Competencies Sub-committee (2017-present)

Singer, A. Member: Department of Family Medicine Executive Management and Strategic Planning Committees (2019-present)

Singer, A. Member: Diabetes Action Canada – Type 1 Diabetes Registry, Steering Committee (2018-present)

Singer, A. Reviewer: The Foundation for Medical Practice Education module titled: Choosing Wisely: Preventative Health Care in Men and Osteoarthritis. November 2018

Singer, A. University of Manitoba, Family Medicine Department Head Search Committee (2018)

SUPERVISION OF RESEARCH TRAINEES

Med II Research Project Supervisor (Alexander Sharp) - Project Title: Navigating systemic and Personal Hurdles: Using a Safety Seeking Lens to Explore Primary Care Based Addiction Medicine. [Co-Supervisors: Gayle Halas & Joanna Lynch J with Team: Knight E, Reise N, Longstreet K] *Award for Med Summer Research Outstanding Clinical Project.

Med II Research Project: Lauren Baker, Project Title: Enhanced Skills and Practice Location of UM Family Medicine Enhanced Skills Graduates. [Co-supervisors: Bruce Martin & Gayle Halas]

Med II Research Project: Katrina Leong, Project Title::Building on patient experience to co-design a transitional care pathway and integrated Heart Failure management program [Co-supervisors Gayle Halas & Shelley Zeiroth]

Post Doc Fellowship Supervision: 2019/9 - 2021/8 Heather Finnegan PhD. Thesis/Project Title: Using Evidence to Inform Health Policy: Supportive Housing as a Case Study [Co-Supervisors Doupe M, Demone B, Halas G]

Med II Research Project: Nicole Zaki, Project Title: Use of Field Notes within Five Years of Being Introduced in Family Medicine Residency Training [Co-supervisors: Teresa Cavett & Gayle Halas]

Sai Krishna Gudi - A Retrospective Evaluation of Prescribing Practices Related to Intensity of Glycemic Control among Older Adults with Type-2 Diabetes across Canada. Member of Master’s Thesis Advisory Committee, University of Manitoba, College of Pharmacy (2018-2019) [Alexander Singer]

Ryan Phung – Defining Penicillin Allergy in Canadian Primary Care. University of Manitoba, BSc Med Degree Project (2018) [Alexander Singer]

Narissa Nankissoor – Prevalence of Food Allergy Documentation in Canadian Primary Care Electronic Medical Records. University College Dublin, Summer Medical Student Research Project (2018) [Alexander Singer]

Katelin McDermott – Evaluation of rule-based de-identification approaches on unstructured electronic medical record data. Member of Master’s Thesis Advisory Committee, University of Manitoba, Faculty of Community Health Sciences (2017-present ) [Alexander Singer]

Saeed Al-azazi- Improving accuracy of disease prevalence estimates by combining information from Administrative Health Records and Electronic Medical Records. Member of Master’s Thesis Advisory Committee, University of Manitoba, Faculty of Community Health Sciences (2017-2019) [Alexander Singer]

Murdoch Leeies, MSc. Department of Community Health Sciences, University of Manitoba. Student degree Sept 2019. [Alan Katz]

Kathleen Zawaly, MSc. Department of Disability Studies, University of Manitoba, Student degree Sept 2019. [Alan Katz]

Nicole Herpai, MSc. Department of Community Health Sciences, University of Manitoba. Student Degree Start Date: 2013/9. Student Degree Expected Date: 2016/8 (Co-Supervisor – completed 2018/8). [Alan Katz]

Elisabet Rodriguez Llorian, Department of Economics, University of Manitoba. Student Degree Start Date: 2017/07. Student Degree Expected Date: 2020/07. (Co-supervisor – ongoing). [Alan Katz]

Matthew Stargardter, Department of Community Health Sciences, University of Manitoba. Student Degree Start Date: 2014/1. Student Degree Expected Date: 2019/9. (Co-Supervisor - ongoing). [Alan Katz]

KNOWLEDGE SYNTHESIS

Report: Katz A, Avery-Kinew K, Starr L, Taylor C, Koseva I, Lavoie J, Burchill C, Urquia M, Basham A, Rajotte L, Ramayanam V, Jarmasz J, Burchill S. The Health Status of and Access to Healthcare by Registered First Nation Peoples in Manitoba. Manitoba Centre for Health Policy: Sept 2019

Development of the Northern Connections Medical Centre’s Physician Consensus Policy on Chronic Opioid and Benzodiazepine Prescribing. February 2019.

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THE DESIGN, IMPLEMENTATION AND EVALUATION OF EDUCATIONAL INNOVATION

Francois, J. Tam, E, Knight, E., Poulin, G., Mayes, C. Addictions Medicine Program Guide & Competency Framework. Department of Family Medicine, University of Manitoba (February 2020)

Francois, J. Family Medicine Competency Framework. Department of Family Medicine, University of Manitoba (2017;  July 2020 revised)

Francois, J., Craton, N., Peters H. Sports and Exercise Medicine, Program Guide & Competency Framework. Department of Family Medicine, University of Manitoba (April 2020)

Francois, J., Kredentser, S. Women’s Health and Obstetrical Surgical Skills Program Guide & Competency Framework. Department of Family Medicine, University of Manitoba (April 2020)

Katz, A. Invited Lecture (University seminar): Reflections on a Curiosity Driven Journey; Key note Department of Family Medicine University of Saskatchewan. April 2019

Paige, A. Post-Graduate Family Medicine Quality Improvement Curriculum Re-Design & DFM QI Support Lead

Paige, A. Revision and Delivery of the CFPC’s Practice Improvement Essentials Workshop (parts 1 and 2)

Price, S. Invited Lecture: “Mind-Body Medicine”; Department of Pharmacy, University of Manitoba - September 13, 2018

Price, S. Invited Lecture: Ayurvedic Medicine” - Department of Pharmacy, University of Manitoba - October 2, 2018

Sobowale, O. Member of the Behavioral Medicine Curriculum Re-Design team for the DFM residency program

Sobowale, O. Representative on the Medical Practice Education Committee in the development of Practice Based Small Group Learning Program (PBSG)

DISSEMINATION AND ENGAGEMENT WITH COMMUNIT Y AND OTHER STAKEHOLDERS

Francois, J. (2020) Manitoba Doctors are still open for business. Winnipeg Free Press. Winnipeg (Manitoba) May 4, 2020

Hahlweg, K. Community Talk: “Changing the Tide - An EMR facilitated process supporting safe and effective prescribing and de-prescribing  of controlled drugs” Mount Carmel Clinic, February 28, 2019

Katz, A. Government Briefing: April 16, 2019: Minister of Indigenous and Northern Relations, Eileen Clarke, Acting Deputy Minister of Indigenous and Northern Relations, Michelle Dubik re: The Health Status and Access to Health Care by Registered First Nations Peoples in Manitoba

Katz, A. Government Briefing: April 29, 2019: Winnipeg Regional Health Authority CEO Réal Cloutier: Quarterly Update

Katz, A. Government Briefing: April 3, 2019: Government of Manitoba, Dept. of Health, Seniors and Active Living re: The Health Status and Access to Health Care by Registered First Nations Peoples in Manitoba

Katz, A. Government Briefing: January 21, 2019: Winnipeg Regional Health Authority CEO Réal Cloutier: Quarterly Update

Katz, A. Government Briefing: July 3, 2019: Deputy Minister of Health, Karen Herd: 2019/20 Deliverable Negotiation

Katz, A. Government Briefing: March 11, 2019: Minister of Health, Cameron Friesen, Deputy Minister of Health, Karen Herd re: Strategies for Developing a Personal Care Home Report Card in Manitoba

Katz, A. Government Briefing: March 14, 2019: Minister of Health, Cameron Friesen, Deputy Minister of Health, Karen Herd re: MCHP Introduction

Katz, A. Government Briefing: May 2, 2019: Deputy Minister of Health, Karen Herd: Quarterly Update

Katz, A. Government Briefing: May 9, 2019: Indigenous Policy Team re: The Health Status and Access to Healthcare by Registered First Nations Peoples in Manitoba

Katz, A. Government Briefing: May 9, 2019: Minister of Health, Cameron Friesen, Deputy Minister of Health, Karen Herd re: The Health Status of Community-Dwelling Older Adults in Manitoba

Katz, A. Revisiting Physician Projection Models Principal Investigator. Manitoba Centre for Health Policy, Deliverable for Manitoba Health, 2019.

Price, S. Community Talk: “Navigating through Natural Health Products” - Med Talks - Reh-fit Center, February 20, 2018

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OUR KEY ACCOMPLISHMENTS

As our 2015-2020 strategic planning period comes to its end, we are pleased to report our key achievements in each of the plan’s theme areas:

• Teaching & Research• Internal Operations• People & Working Environment• Partnerships & Integration• Sustainability

Our results have been coded using red, yellow and green, to indicate the status, as follows:

RED – item has not been addressed

YELLOW – item has been addressed, but some work is needed to complete it

GREEN – item has been addressed and completed

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TEACHING & RESEARCH

GOAL 1: All learners across the continuum receive the highest quality, consistent, innovative and diverse family medicine education founded on social accountability

Number Objectives Achievements Results

1.1 Implement a competency-based, Triple C, CanMeds Family Medicine Curriculum

• Introduced a new Family Medicine Competency Framework which articulates 25 Entrustable Professional Activities (EPAs) which embraces concepts of CanMeds-FM2017 and FM Professional Profile

• Introduced a Resident Assessment and Support Framework• Linkages with Department of Psychiatry regarding behavioral medicine• Expanded the Department of Family Medicine’s distributed network:

• Portage-la-Prairie• Interlake-Eastern• Thompson

• Re-new the urban family medicine training sites at Access Fort Gary, Access River East, Access Winnipeg West and Kildonan Medical Centre

• Established FM-Clinical Teaching Unit at St-Boniface Hospital for inpatient family medicine experiences

• Defined core academic curriculum across sites• New approaches to training for virtual care introduced

1.2 Integrate the Family Medicine curriculum across the continuum

• Introduced Early Exposure Experiences in family medicine for MED1, MED2 and Transition to Clerkship

• Participation in transition to residency curriculum• Starting the exploration of potential of longitudinal integrated clerkship at core

residency sites

1.3 Implement a framework on collaborative practice within the context of Family Medicine within the Rady Faculty of Health Sciences

• Established linkages with the Colleges of Rehabilitation Sciences and Pharmacy regarding collaborations

• Participate in hiring of a new rehabilitation science primary health researcher • Increased participation of family physicians in IPE sessions in UGME• Integration of MPAS to the Department of Family Medicine

1.4 Adopt a leading social accountability framework within the context of Family Medicine within the Rady Faculty of Health Sciences

• Linkages with the new Indigenous Institute for Health and Healing (Ongomiizwin)• Introduced Indigenous cultural awareness training for all core family medicine residents• Appointed a new postgraduate lead Indigenous health position in the Department of

Family Medicine• Participation in Max Rady College of Medicine Truth and Reconciliation Action Plan

Working Group

GOAL 2: A recognized base of leading-edge research and scholarly activity

Number Objectives Achievements Results

2.1 Ensure an ongoing, sustainable and innovative research infrastructure and environment

• Partnership in the manitoba SPOR primary and integration health-care innovations • Growth of the Manitoba Primary Care Research Network and in Canadian Primary Care

Sentinel Surveillance Network (CPSSCN) activities • Collaborations with other colleges (Nursing, Rehabilitation Sciences) regarding primary

health research• Piloting of the CFPC’S Practice Improvement Initiative (Pii) to enhance qi training in

residency • Creation of associate director QI and associate director research positions• Hiring of a QI practice facilitator • Collaboration with clinical investigator program for the re-launch of the FM-Scholar

enhanced skills training (PGY3) to build future family medicine researcher capacity• Department of Family Medicine–Nursing collaboration leading to a spor fellowship

award• Three faculty joining the national PEER collaboration

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INTERNAL OPER ATIONS

GOAL 3: Fully integrated and aligned structures, communications and other processes across all teaching sites and between leadership, faculty and staff

Number Objectives Achievements Results

3.1 Establish an effective and efficient governance and committee structure to facilitate timely operations execution

• Updated committee structures • Designated faculty development representatives for each site on the Department of

Family Medicine’s faculty development committee

3.2 Improve communication between all faculty, staff, residents and other learners/ stakeholders supported by the appropriate technology

• Department of family medicine leaders retreat held annually• Department of family medicine newsletter launched• Secured new infrastructure in max rady college of medicine for teleconferencing/

videoconferencing (integrated boardroom)• Developed process and infrastructure for Department of Family Medicine academic

appointments/ database and distribution lists• Preparation for website migration

3.3 Ensure consistent administrative learner processes/ placements and expectations across sites

• Centralization of coordination of rural placements for undergrad and family medicine residents

• Established an electronic database for Department of Family Medicine academic faculty and sites

• Updated policy on video observation and recording• Introduction of Entrada curriculum management system to support scheduling,

assessment and evaluation processes

GOAL 4: Leading-edge practices are identified and incorporated into department operations

Number Objectives Achievements Results

4.1 Ensure that best practices in teaching are shared and utilized across Family Medicine teaching sites

• Collaborations with the office of educational and faculty development to enhance faculty development offerings

• Development of a preceptor toolkit • Appointment of a faculty development lead at each core family medicine residency site

to oversee local faculty development• Faculty development to support new initiatives (Entrada, QI, and virtual care)

4.2 Systematically gather and utilize data to inform decision-making

• Development of a program evaluation framework • Utilization of data sources to gain insight into our residency training (Entrada reports,

Triple C surveys)• Initiatives to understand graduate outcomes (Dauphin graduate, bilingual graduate

surveys) • Re-defining of curriculum committee into a curriculum QI committee

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PEOPLE AND WORKING ENVIRONMENTGOAL 5: Highly engaged faculty and staff collaborating to leverage collective expertise in a culture of learning and innovation

Number Objectives Achievements Results

5.1 Faculty and staff are clear about their own and each other’s roles and responsibilities

• All faculty leadership position descriptions updated• Developed and distributed Department of Family Medicine career path and

remuneration framework document• Resident representation on department on all relevant committees• New category of academic appointment (clinical teacher) created

5.2 Faculty and staff feel valued and recognized for their expertise and innovative ideas

• Recognition of Department of Family Medicine members in multiple university, provincial and national awards

• Recognition of multiple Department of Family Medicine teaching sites for the Gary Beazley Patient Medical Home award

• Residency program celebrations:• Dauphin 25th anniversary• Northern Connection Medical Centre 10th anniversary

• Establishment of a Department of Family Medicine faculty development excellence award

5.3 Faculty and staff have regular performance feedback and opportunities for professional growth

• Preceptor feedback reports generated and shared with site leads• New performance appraisal tools and process established • Additional administrative resources to support performance appraisal coordination,

tracking, and reporting

GOAL 6: Ongoing stream of leadership and teaching capacity

Number Objectives Achievements Results

6.1 A sustainable stream of preceptors

• Promotion of teaching/precepting opportunities to new grads • Community visits by dean and department leadership

6.2 Future leadership interest/talent is identified and actively developed

• Postgrad lead positions provide new education leadership opportunities• Support participation of a rural faculty member in North American Primary Care

Research Group (NAPCRG) grant generating initiative• Onboarding forms for Department of Family Medicine academic appointments include

interest/intent to take on leadership/research roles (captured in database)• Family medicine members in leadership roles within the MR College of Medicine • Recruitment to fill positions vacated through retirements

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PARTNERSHIPS & INTEGR ATION

GOAL 7: Contribute our expertise as a partner and advisor to our local, national and international stakeholders

Number Objectives Achievements Results

7.1 Robust partnerships that support the achievement of strategic goals are in place

• Joint position with Cancer Care for Section Head, FM Cancer Care• Re-distribution of urban teaching to Access Winnipeg West and AFG• Kildonan Medical Centre Strategic Planning

7.2 Optimized training in conjunction with our education partners

• Collaborations with ottawa, calgary for Entrada/Elentra development• Sharing of enhanced skills programs competency frameworks with multiple canadian

departments of family medicine• Partnernship with department of psychiatry for FM Addictions enhanced skills • Partnership with department of obstetrics and gynecology to support move to category

1 for enhanced obstetrical surgical skills

7.3 Improved operational success through alignment with funding bodies

• WRHA partnership for teaching clinic operations, learner placements• New funding model for St. Boniface Hospital FM-Clinical Teaching Unit • Achieve alignment between academic department and new provincial Shared Health

services structure

7.4 An ongoing contribution of our expertise in addressing health equity and social accountability

• Department of family medicine leadership in e-consult• Engagement in health service delivery planning at regional and provincial level• Family physician reps on Shared Health clinical teams• Promotion of Department of Family Medicine expertise to advance Shared Health

provincial planning activities

Number Objectives Achievements Results

8.1 A sustainable administrative structure that leads and supports the operations of the department

• Relocation of all central department administrative team members to Bannatyne campus

• Reconfiguration of manager and administrative supports the central department • Administrative process improvement initiatives

SUSTAINABILIT Y

GOAL 8: Sustainable organizational structures, processes and funding that support excellence in all aspects of our department