friday, september 23 , 2016...september 23-25th, 2016 edmonton, alberta – sutton place hotel...
TRANSCRIPT
CFMSAnnualGeneralMeetingSeptember23-25th,2016Edmonton,Alberta–SuttonPlaceHotelFriday,September23rd,2016AGM2016IntroductionsbyDrCarlWhiteUlysse,AGM2016Chair
• WhoweareattheCFMS• Agendaandmeetingdocumentsavailableatwww.cfms.org• CFMSElections–SaturdaySeptember24th,2016
o Nominationsclose12noontoday(Friday,September23rd)• Member’sResolutionsSession
o Deadline12noontoday(Friday,September23rd)• ReviewofCFMSAGM2016Agenda
o Socialeventso Wellnessactivitieso Reviewofsocialmediasharingoptions,with#AGM2016o Socialmediachallenge,raffleforphotoswithCFMSscarf
President’sReportbyDrAntheaLafreniere,CFMSPresident2015-16
• Visionasaframeworkforallmeetings:Tomorrow’sphysiciansleadingorhealthtoday,reviewofcorevalues,organizationalguidingprinciples
• TheYearThatWas(2015-2016),definingissues:o TheResidencyMatch:focusontheunmatchedCMG,advocacyfora
transparentmatchingprocessforallmembers,roleinenhancingandensuringtherightsofourmembers
o Education:advocacyforthecontinuationofthebidirectionalCACMS-LCMEaccreditation,accreditationstudentworkload,ongoingcollaborationwithAFMCelectivesandportalteamsandsubcommittees,withcommonimmunizationformasamajorsuccess
o CMAEngagement:AntheaasamemberofCMAboard,CMAambassadorprogramenhancement,greatengagementoflearnersandearlycareerphysiciansattheCMAgeneralcouncilthisyear
o RelationshipswithFMEQ:criticalrelationshipswithourcolleagues,jointexecutivemeetingatSGM,continuedcollaborationonspecialprojects
o RelationshipwithRDoC:currentpresidentsarepastCFMSexecutives,involvingstudentsintheirwork,collaborationonmanyfronts
o RelationshipwithMDMF:wonderfulpartnershipsincludingleadershipandtravelawards,continuedsupportofstudents
o Wellness:NationalWellnessSurveydatacollected,presentedatCCMEandatICPHandmanuscriptoutsoon,issueofwellnessandresiliencyhasgainedgreattraction(recentMaclean’sarticle)
o Professionalism:challenginginteractionsonsocialmedia,medicalstudentsbeingpubliclymistreated,especiallywithverypublicTPSAdebateinOntario
• TheYearAhead(2016-2017)o AdvocacyStrategy:ensuringacohesivestrategybetweenportfolios,
includingLobbyDayasaplatformforpushingouradvocacyportfolioso CMAAmbassadorprogram:ensuringmeaningfulinvolvementfrom
thestudentambassadorso CFMSStrategicPlan:finalassessmentandevaluationtocompletefor
SGM/AGM2017,begintoprepareforStrategicPlan2017-2020• [email protected]
GreetingsfromAFMCbyDr.GenevièveMoineau,AFMCCEOandExecutiveDirector
• IntroductionbyDr.CarlWhiteUlysse• AFMCBoard:17Deansofmedicine,Dr.JesseKancir(asalearner
representative)• AFMCisheretosupportlearners,inadditiontotheFacultiesofMedicine• FutureMDCanadatool
o Supportslearnersastheythinktoapplytomedicalschoolorresidency(forstudentsbothinCanadaandabroad)
• FutureofMedicalEducationinCanada(FMEC)-MDo Developedthe“entrustableprofessionalactivities”,asetof
competenciesexpectedofanMDgraduateo RecommendationX:Promoteleadershipamonglearnerso CanMEDS2015broughtinword“Leader”insteadof“Manager”o Leadershipcurriculumtobeincludedasanaccreditationstandardo Focusonthehiddencurriculumo CFMSWellnessSurveyresultsareconcerning,lotsofworktobedone
• AFMCStudentPortalo Workoncommonimmunizationformnearlycompleteo Now12schoolsonboard,moretocome(UBC,Montreal,Sherbrooke)
• Graduationquestionnaire• Co-chairPRPTF(PhysicianResourcePlanningTaskForce)withfederaland
provincialgovernments• BestwishestoFrancoandthenewexecutiveteam!• StayintouchviaTwitter(@gmoineau)
Questions:
• TavisApramian,Western:WhatareyourthoughtsonthemajorchangesforCBME,IPA,transitiontoresidency?Whatdoyouthinkaresomeoftherisksofthese?
o A:Riskforlearnersisnegative,i.e.canonlybeagoodthing.CBMEensuresthatstudentscanbeobservedandsupportedmoreintheireducationsotheirpreceptorscanbettertestifytocompetencybeingthere.CanMEDSfocusisonresidencytraining,butthethoughtwas
theretoincorporatemilestonesfordifferentlevelsoftraininginmedicalschooltoo.Thiswasnotfavoredsincealltheschoolsstructuretheircurriculumdifferently.Overall,thegoalistoensurethatallstudentsfinishmedicalschoolwiththesameendpointcompetencies.TheriskofCBMEforschoolsisthatitrequiresmoreresources,closerfollow-upandmorethoroughevaluationoflearners.Ultimately,wewillgetthroughthesetechnicaldifficultiesandmedicaleducationwillbethebetterforit.
• AliDamji,Toronto:Gladyoumentionedwellnessinyourpresentation,OMSAdoesmuchworkinthisspaceaswell.Itisnicetoseewellnessisnowamorebroadissueandconversation.ArecentarticleinMaclean’smentionedtheadventofmandatorywellnessandresiliencycurriculum.Frankly,IwasdisappointedtoseethatAFMCdidnotfindthistypeofcurriculumnecessary.WehaveseenfromtheWellnessSurveythatthesearerealissuesnation-wide.IwishtogetsomeclarificationontheAFMC’spositiononthis.
o A:TheMaclean’sinterviewwasnottotallyaccurate.Thereporterfromthatarticlewishedtohaveastatementfrommeonwhateveryschoolshoulddo.WhatIdidsaytothereporterwasthatwebelievewellnessisahugeissue.Resiliencyiscertainlyworthdiscussing,butIcannotbeprescriptiveastowhethereveryresidencyprogramshouldhaveamandatorycourseentitled‘resiliency’.Therearecertainlysomeexcellentthingsbeingdoneatvariousschoolsonthisfront.Theotherpiecethatiskeyisthelearningenvironment.Itisnecessarythateverypersonincontactwithalearnerunderstandtheimpactoftheiractionsandwordsonthelearningenvironment.ThiscanbedonethroughtheCMA,wherewecangethelpfindandenactthosesolutions.
• FrancoRizzuti,Calgary:WhataretheAFMC’sthoughtsontacklingdiversityinmedicine?
o A:Iamfullysupportiveofhavingaverydiversestudentpopulation,whichmeansdiversephysicianpopulation.Admissionsisthemostimportantpartofourimpactonthefutureofmedicine.NodoubtthathavingadiversesetoffutureMD’sisanimportantwayofaddressingsomeofournationalhealthissues.Diversityincludesethnic,gender,geographic,SESconsiderationsforus.WewouldlovetospendsometimewiththeCFMStoelaboratethisandthisisaconversationwewouldliketocontinue.
MDFinancialManagementBrandAwarenessbyAlisonForestell
• MDMF:whollyownedsubsidiaryoftheCMA,withmandatetosupportphysicianstoachievetheirfinancialwell-being
• Pleaseengagewithme,ontwitter,byemailifyoueverhaveanyquestions,pleaseengagewithusatourboothlaterforachancetowinanapplewatch
• PartnershipHighlights:
o Launchofstudentfinancialresourcessectiononcfms.orgo MDFMStudentLeadershipAwardsCelebratoryreception(atSGM)o MDprovidestravelawardfundingsostudentscanattendSGM,AGM,
LobbyDayo MD-CFMScollaborationonTheWellnessChallenge#KeepsMeWell
• Resources,toolsformedicalstudentso YourEarlyCareerAdvisor(locallyatschools)o MedicalSchoolCostCalculator(online)o RentorBuyCalculator(online)
• MDandtheenvironmento Officesarenowcarbon-neutral,CMAbuildingwillsoonbeaswello NewFossilFuelFreeFundoptions
• AnImagineCanadaCaringCompanyo MDMFdonatesatleastonepercentofdomesticpre-taxprofitsto
supportdomesticcharitiesandnon-profitgroupso Wewanttoknowaboutyourcharitablegivingviews!Stopbythe
CMA-MDboothtodaytosubmityouremailtobeincludedinournextsurvey.YouwillautomaticallybeenteredtowinanAppleWatch.ContestisexclusivetoCFMSAGMattendees.
WelcomeSpeechbyDr.RichardFedorak,DeanofMedicineandDentistry,UniversityofAlberta
• IntroductionbyDrCarlWhiteUlysse• Thankyoutothesponsorsandpartners• Howmedicinehasevolved!All17Deansmeetregularly,speakabout
studentsincessantly• FlexnerReport:oneofthemostimportantmedicaleducationwritingsin
NorthAmerica• UniversityofAlbertaFacultyofMedicineandDentistry,
o Establishedin1913.Originallya2-yearprogramo In1925,hosted11students,goldmedallistoftheclasswasLeona
MacGregor,whobecameapathologistatHarvardo Early1920s,JamesColliphelpedsynthesizeinsulinforthefirsttime.
Firstisletcelltransplantin1989atUofA.Late1980s,discoveryofHepatitisCanddevelopmentofavaccinewhichisundergoingclinicaltesting,nominatedforNobelPrize.
o Now:57residencyprograms,5700fundedresearchprojects,15000alumni,997residents.Facultyincludes5programs:MD(700students),dentalprogram,dentalhygiene,medicalsciencelab,radiationtherapyprogram.
• Wearethefutureleadersofhealthcareandresearch.Acquiringknowledgeandskillstomakeourpathsinthemedicalmilestones.Daretogofurther,don’tletthethirsteverrunout.ThisisthesinglebestprofessionEVER.
SmallWorkingGroupIntroductionbyHanYan,WesternRegionalRepresentative
• SmallWorkingGroupsBudgetPresentationbyFrancoRizzuti,VPFinanceandPresident-elect
• Motiontomoveincamerao MoverNebrasWarsi(VPMedicalEducation),seconderEmily
Hodgson(QuebecRegionalRepresentative)o RolecallbyCarlWhiteUlysse.Allschoolspresent,exceptMoncton.
• Motion1(movedbyFrancoRizutti,secondedbyAntheaLafreniere)o Motioncarriesunanimously
• Motion2(movedbyFrancoRizutti,secondedbyAntheaLafreniere)o Motioncarriesunanimously
• Motion3(movedbyFrancoRizutti,secondedbyAntheaLafreniere)o Motioncarriesunanimously
• Motion4(movedbyFrancoRizutti,secondedbyAntheaLafreniere)o AmendmenttoaddGAACrepasmemberoffunddecisioncommittee
§ Amendmentmotionpasseso Motionpassesunanimously
• Motiontomoveoutofcamerao AntheaLafreniere(President),seconderTavisApramian(Western)
OMSAPresentationbyAliDamji,OMSAChair
• OMSAeventso Wellnessretreat:inMarch,medicalstudentsattendandheavily
subsidizedbyOMSA,fullweekendtolearnaboutself-careandresiliency.
o LeadershipSummit:combinedwithProvincialLobbyDaytolearnaboutleadershipandtheask
o NewLobbyDayorganizationthispastyear:studentsaskedtoratetheissuesmostrelevanttothemandtheirpeers.MedicalSocietypresidentsvotedonthefinalask.
o ScrubIn:publicationwithstudentresearch,writtenpieceso OMSAMedicalStudentoftheMontho OMSAwebsite:hopingtotweekitsoono Educationportfolio,newx1year,greatprojectslaunching
§ 5000$x8medicalstudentresearchsummergrants§ participateineducation-orientedresearch
o Innovatorgrantsandconferencegrants§ Univore,arecipeappdevelopedbyUniverstyofToronto
o Self-fundedLobbyDay:usedtoberuninpartnershipwiththeOMA,whocoveredlogistics.OMSAtookoverlogisticsoftheeventandranaverysuccessfulLobbyDay.NextoneplannedforApril2017.
o OMAAmbassadorProgram
o HealthQualityTransformation:biggestQIconferencesintheprovince,groupsfromacrossthecountryandworldtodiscushealthcarequality.Twopre-clerkshipstudentperschoolarepairedwithamentorfordurationofconference.
o OMSAIncomingStudentHandbook:forallfirstyearstointroducethemtomedicalstudentsandtheprovinceofOntario
o GuidetojobprospectsforOntariomedicalstudents:basedonFMEQandCFMSguidesandMatchBooks.
o PhysicianServicesAgreement–voteputouttoentireOMAmembership,affectingfundingofserviceforthenext4years.Lookedatbothlegalanalyses,decidedtosupportthePSA.ThisagreementdidNOTpassandwearestillensuringthatstudentsarerepresentedinthediscussion.OMSAsecuredassistancefromtheOMAandarenowinvitedtobeonthePolicyCommittees.
o CallforOMSACommittees–closestonightat11:59Questions:
• JessicaHarris,Saskatchewan:WhyishealthandhumanresourcesinformationnotdisseminatedtostudentsoutsideofOntario?
o A:Primarilyfinanciallydriven.Thisisconfirmationthattherearenomoreplannedreductionsinresidencypositionsin2017.Initialcutswereinablackbox,notmuchcalculationdone,25positionscut.
• RyanGiroux,Toront:CoalitionofOntarioo A:Linesofcommunicationopen,butlapsesinprofessionalismand
publicinsultsonsocialmedialedtodecreaseineffectivenessofcommunication.Frustratinginteractions,professionneedstocometogetherandmorerespectfuldiscussionsneedtohappen.
• HanYan,Western:WhatcantheCFMSRegionalRepsdotobroadenthescopenation-wide?
o A:Expandtouchpointstoexpandservicesandopportunities.ThevalueoftheOntarioRegionalRepsistobringbacktheinitiativesfromotherprovincestoOMSAandtoOntario.
CaRMSPresentationbyMrJohnGallinger,CaRMSCEO
• IntroductionbyDrCarlWhiteUlysse• Member-basedorganization,with3appointedmembersontheBoardfor
conversationsandmeetings.• CaRMSmission:Fairness,Objectivity,Reliability,TransparencyintheMatch• TheMatchsendsalearneralongtheircareerpaths.Theprocessis
accompaniedbymuchanxiety.PartofCaRMS’roleistoreducethatanxietybyprovidinginformationtohelpstudent’sdecision-making.
• Update:o MatchResults=MatchPolicy(Faculties,provincialministriesof
health,AFMC)+MatchProcess(CaRMSonly)
o In2015,inWindsor,Ipromisedafewthings:clientexperience,reliability,quality,partnershipintheprocess.
§ VoiceofClientProgram• Clientsatisfaction97%,systemreliability99.9%• Addedlinesofcommunication:tostayintunewith
deadlines,sotherearenosurprises.o Continuousqualityimprovementinitiatives,heavilytechnology-
enabledorganization,movingtoonlinedocumentsonly.o Stakeholderrelations:neweraofcollaboration,nothingtobegained,
butwehaveaninterestincreatinganeasierprocess.§ Learnersmeeting§ Membersmeeting(CMA,RoyalCollege,CFPC,AFMC)§ Applicationreviewcommittee§ Schoolvisits
• R1MatchTrendDatao Severalyearsofcomparativedata
§ Matchstatistics,disciplinechoices,supplyanddemand§ Concretemulti-yearinformationtoinformdecision-making
o Applicantsapplytoanaverageof17programso Newinteractivedatatool
§ Helpsstudentsunderstandthequotatrendsandquotafillyeartoyear,interactivedatatoolforStudentAffairsatourschools
§ Cansortbyschoolanddiscipline,showstrendsinquotanumbersapplicantinterestinthatdiscipline
o Unmatchedstatistics§ 48unmatchedCMGaftersecondroundin2016,increasing
since2013§ For2013,83%matchedlateraftersecondround.In2015,56%
matchedaftersecondround.o TheCaRMScommitment:“Ifitmatterstoyou,itmatterstous.”
• Questions
o NebrasWarsi,McGill:Theunmatchedgraduateisofteninthebackofourminds.WhatisCaRMS’roleinofferingresourcestostudentswhentheunthinkablehappens.
§ John:Policiestosupportcontinuation.Intermsofadviceandcounsel,puttingstudentsintouchwithappropriateresourcesattheirFacuties.OurroleisalsotoprovidingstrategiesabouttheMatchbeforehand,especiallyregardingback-upplans.Somestudentswillchoosea“riskier”Matchapproachandaslongastheyaremakechoiceswithyoureyeswideopenandunderstandtheimplications,that’sthebestwecando.
o RyanGiroux,Toronto:ThefinancialburdenofusingCaRMSapplicationisveryreal,especiallywithanincreasingnumberofprogramapplciationsperstudent.Hastherebeenanydiscussion
regardingchangingthenumberofapplicationsincludedinthebaseapplicantfee?
§ John:ThiswasactuallybroughtupanddiscussedlastAugust.Wewanttomakesurethatthefeesarefairandappropriate,butalsocovertheappropriateadministrativeburden.WeareintheprocessofrethinkingthisissueandpresentingtoourBoardthisfall.
IntroductiontoResolutionsSession
• Generalintroduction• Robert’sRulesofOrderadaptationsexplained• Onlyapplaudwithunanimousadoptionofmotion
ResolutionsSession#1Motion1:Nemocontravoting
o Moverspeaksfor2minutes,chairasksfordirectnegatives,ifnonegativesmotioncarriesunanimously.Ifdirectnegative,canproceeddirectlytovoteoropenspeakerslist(5x1minspeakers).
• Movedby:NebrasWarsi,McGill• Secondedby:DrAntheaLafreniere,Ottawa• MotionPASSESunanimously.
Motion2:CFMSProfessionalism
• Updatetoourpreviously-adoptedprofessionalismstatement• Shortened,updatedwithfocusontheCanMEDSprofessionalrole
• Movedby:TamaraIbrahim,McGill• Secondedby:LaurenCrosby,Western• SpeakerslistopenedbyToronto• Speakerslist:
o Shima,Toronto,speakingAGAINST:Thereasonweupdatethepapersistoreflectourneedsandviews.Wedon'tnecessarilyneedtohavethispositionsinceCanMEDSissowidelyaccepted.Were-addressthisissuefromtheperspectiveofthestudent.Oftenthisword(professionalism)isusedagainstthestudent.Ifwearetalkingaboutthewordprofessionalisminthestudentcontext,weshouldbetouchingonwhatthiswordactuallymeanstomedicalstudents.
o AliDamji,Toronto,speakingFOR:Agreethatamorerobustframeworkisneededforprofessionalism.Ithinkthatthatisn’tnecessarilytheroleofthispaper,though.
o DanielTurski,McMaster,speakingFOR(Firsttimer!):Idon’tseeaproblemwiththepaper.Itiscertainlyusefultoupdatethesepapersregularly.
o JessicaHarris,Saskatchewan,pointofINFORMATION:ThedefinitionofprofessionalismvariessomuchfromschooltoschoolandIdon’tthinkit’sourroletodefinethatforeachschool,butwedefinitelyneedanup-to-dateposition.HowdoesthisrelatetoCanMEDS?
o Tamara,McGill,responding:We’veincludedupdatesthatweremadetoCanMEDS“professional”roleandintegratedthemintothepaper.
• MotionPASSES(2ABSTENTION,1AGAINST,otherwiseFOR)
Motion3:PermanenceofBilingualismCommittee
o Bilingualismhasbeenensuredinpastbyvolunteertranslatorsoninformalbasis.Teamhasalwaysbeentemporaryinnature.TranslationneedsofCFMSareongoingandpermanent.ThismotionwouldallowdevelopmentofToRsforthegroup,withassignedroles,definingoftheseislefttotheincomingChairandbringthecommitteeforward.
• Movedby:EmilyHodgson,McGill• Secondedby:JessicaHarris,Saskatchewan• Nodirectnegatives.• MotionPASSESnemocontra.
Motion4:CFMSGlobalHealthProgramStrategicPlan2016-2019
o OutlinestheGlobalHealthStrategicPlanforthenext3years.FeedbackreceivedfromGHLs,presidents,CFMSreps.Nosignificantchangesweremadetothedocumentbasedonfeedback.Alreadyplanningimplementation.
• Movedby:GoldenGao,UBC• Secondedby:SarahSilverberg,Toronto• Nodirectnegatives.• MotionPASSESnemocontra.
Motion5:Indigenoussuicidepaper
• Suiciderates5-7xhigherforaboriginalyouth,highestinInuityouth.Indigenoushealthportfolioworkedonpaperforthisissue.Outlines3recommendationsinlinewithCFMSvaluesandgoals.Timelypaperformanyindigenouscommunities.
• Movedby:KaiHomer,Alberta• Secondedby:AliSumner,Toronto• Speakerslist:
o Nicole,Alberta,speakingAGAINST:Whenpresentinginformationtomedicalstudentsregardingaboriginalcommunities,weshouldalsoincludethedetailsoftheconditionsaboriginalpeoplearelivingin,otherwiseprimarycomponentsofcontextaremissing.
o BrandonChau,Western,pointofINFORMATION:I’mwonderingaboutthepartofthemotionstatingthatwewillmakeourpositionpublic.Isthereanythingmeantbeyondourusualprocedureofpublishingofourpositionpapertothewebsite?
o Kai,Alberta,answering:Wemeantwewillpublishourpositionasperusualprotocolandadvocateinthatvein.
o JoshPalay,Manitoba,speakingAGAINST:Ithinkrecommendations2and3havetooprescriptiveofatone,weshouldnotberecommendingthattribecouncilsdocertainthings.Weshouldadoptamorecollaborativeapproach.Alsoissuesofsubstanceabusearenotmentionedinbackground,despitebeingincludedinrecommendations.
o AdamForster,Western,speakingFOR:Iwishtocommendthequalityoftheresearchbackground.Verythoroughlydone,andIamverymuchinfavourofadoptingthispaper.
o Josh,Calgary,pointofINFORMATION:Inrecommendation1,subsectionD,pleasedefinewhatismeantby‘traditionalsuicidepreventionstrategies’.
o AliSumner,Alberta,clarification:Inthepaper,whatismeantistraditionaltherapiesusedineachcommunity,somethingverywelldescribedintheliteratureandreferstocommunity-basedinterventionandprevention.
o Kai,Alberta,clarification:Thisisleftintentionallyvaguebecauseitiscommunity-specificandmeantasanon-prescriptiveterm.
o JohnWhite,Western,speakingFOR:Thispaperaddressestheneedforcrisismanagement.Thepapercouldpotentiallybeseenasprescriptiveintone,butitismoreinsultingtotheaboriginalcommunitiestohavenopositiontwoyearsafterAttawapiskat.
o AntheaLafreniere,Ottawa,pointofORDER:PleaseremembertodirectyourcommentstotheChairortothemotion,nottospecificindividuals.
o JoshPalay,Manitoba,subsidiaryMOTION:Thoughanimportanttopic,ifweproduceapaperthatisnotattheheightofwhatwecanproduce,IproposewepostponethemotiontonextSGM.
o Chair,clarification:Iftheprimarymotionisdefeated,itcannotbere-presentedforanotheryear,ifpostponementmotionfailsthemovershavetheoptiontowithdrawthepaper.
§ Voteonmotiontopostpone:20FOR,18AGAINST§ MotionpostponedtoSGM2017.
Motion6:HumanTrafficking
• Recentlyhumantraffickingresearchhasbecomemoreofafocus.Thelinkbetweenthispracticeandhealthcareisclear.Manyhealthconcernsexist,forwhichvictimsseekhelp.Manycomeincontactwithhealthcareprofessionalswhilestillincaptivity.Thispaperaimstoleadstudentstoabetter
understandingoftheissueandthetrainingtorecognizeitandtakeappropriateaction.
• Movedby:JuliannaDeutscher,Alberta• Secondedby:SunnyLee,Saskatchewan• Speakerslist:
o SarahSilverberg,Toronto,speakingAGAINST:Ihaveacoupleofpointsofconcern.Manyoftherecommendationsspecifythattheyneedtobeincorporatedintolecturesatschools,howevernoteveryschoolcurrentlyhastherelatedlecturesandthus,implementationisnotreasonable.Alsodonotthinktherequiredhoursofworkdedicatedtothisisproportionatetothoseforotherissues.Althoughthespiritofthemotionisgood,theconversationneedstobeabitbroader.
o FrancoRizzuti,Alberta,motiontoAMEND:Iproposeinstead“BIFRTtheCFMSVPs…supportcurriculumdevelopment,inpartnership,whereapplicablewithCanadianhumantraffickingresearchers.”(friendlyamendmentaspermovers).Reasoning:TheCFMSdoesnotdevelopordictatethecurriculaitself.
o GoldenGao,UBC,speakingAGAINST:AtSGMtherewere2papersproposedonthistopicandafterpostponementtothismeeting,wewerehopingfor1cohesivepaper.Ataskforcehasbeenformedtolookatthisissue.Aswecansee,thispaperisnotallthatdifferentfromthepreviouslypresentedone.Iamstillhopefulforone,morecohesivepaper.
o MarkWoo,McGill,motiontoAMEND:TransplanetaryisusedinoneoftheBIRTclauses.Thisactuallymeansacrossplanets...Ibelievewhatismeantistransnational.
o KorayDemir,McGill,pointofINFORMATION:Wheredothe2000hoursofcommittedtimecomefrom?Couldthemoverselaborateonwherethattimewouldgo?
o EmmaHerrington,McMaster:Thiswouldnotbeimplementedjustlocallyatschools,buttheNO’swouldneedtosupportthisinitiative.LookingatsomeUSimplementations,itseemedthatthiswasdoneover3-5years,hencethis2000hourswouldbesplitoverthattimeandwouldbesplitbetweenmanyindividuals.
o KaylynnPurdy,NOSM,speakingAGAINST:Healthlecturesthiscurriculumwouldbeincorporatedintoarenotalreadypartofthecurriculumforallschools.Forexample,NOSMhasonly2lecturesacrossthe4years,sothisisreallynotimplementableatthatschool.
o VivianNg,McMaster,speakingFOR:AtSGM,bothhumantraffickingpaperswerepostponed.Therewasademandtoworktogether.Thisteamhashadtroubleworkingwiththeotherteamandthisbureaucracyshouldnotdetractfromthegreatworkofthispaper.
o JennaWebber,NOSM:Proposetopostponethemotion,inordertofurtheraddressthecollaborationissuesandfurthercoordinatewiththeNORSH,sincethathasnotoccurredsinceSGM.
§ SecondedbyBenCassidy,NOSM.§ Motiontopostponefails.
o JacquelineCarverhill,Saskatchewan,pointofINFORMATION:Iassumethatthiscurriculumwouldbeimplementedbythepan-Canadianallianceonhumantrafficking,butsincethisgroup’smembersarenotoncurriculumdevelopmentgroups,howfeasibleisthatimplementation?
o Emma,clarifying:Everymemberofpan-Canadianalliancewasselectedfortheirabilityandmotivationtoimplementchangeattheirownschools,andhavebeenworkingtodojustthat.Bycreatinganationalalliancewe’vefacilitatedcommunicationacrosstheschools.Wehavepeoplewithexperiencepushingthiskindofthingforward.
o GoldenGao,UBC,pointofINFORMATION:CanEmmaclarifytheworkthathasbeendonebythisallianceanditscomposition?Pleasealsocommentonchangesthatweremadetothispaperandwhataspectsoftheotherpaperwereincludedinthisone?Whateffortshavebeenundertakentocollaboratebetweenthetwoteams?
o EmmaH,responding:We’vejustformedourteamofabout10members.Wearehopingfor2representativesfromeachschoolonthecommittee.We’vestartedtoimplementthepaperandaddinfurtherresearch.We’rejuststartingout.MoreresearchwasaddedtothepaperaboutLGBTQcommunities.We’veaddedsomethingsonthepan-Canadianallianceandexplainhowtheywillbefurtherimplementingthepaper.We’vebeenincontactwiththeotherhumantraffickinggroupsincemid-July.Ourofferofequalauthorshipwasdenied.Ourofferofcreationofonedocumentwithintroductionandcurriculumseachfromonepaperwasalsodenied.
o BrendanLew,McMaster,motiontoAMEND:Iproposeanamendmenttochangeallreferencesto“classes”to“curricula”,thusremovingtheproblemNOSMandotherschoolshavewiththatpoint.(friendlyamendment)
o KorayDemir,McGill,speakingAGAINST:I’mstillconcernedwiththenumberofworkhoursrequiredofthispapersincetheyaresoheavilyweighingontheNationalOfficerportfolios.Notknowingexactlyhowthesehoursaredistributedandspent,IcannotsupportthisburdentomysuccessorasNORP.
o MargheriteHeyns,pointofINFORMATION:Howdothesehoursplantobespent?Whowouldbedoingwhataspartofthat?
o Emma:Whenweputnumbersdown,theyareoftenarbitrary.Thesehoursarebasednotjustonimplementation,butcurriculummaintenancealso.Thefactisthatthispan-Canadianalliancehasbeencreatedtohelpalleviatethisburden.Ourgoalisnottoforcepeopleintolaboringonaprojecttheyarenotpassionateaboutit.Ittakesa
lotoftimeandeffortforthemonitoringofthesecurricula.Ifpeopleareconcernedaboutthenumber,wecaneasilychangethenumber.
o Chair:Normallythenumberofhoursmustrepresentthenumberofhourstotheorganizationitself(CFMS).Iftheyincludetheworkhoursofthealliance,thenweneedtochangethenumber.
o Emma:Inthatcase,Iagreetochangethenumber.o Chair:Whatwouldbeyournewestimate?o Emma:Overathree-yearperiod,thiscouldbeputataround300
hours.o TavisApramian,Western,speakingAGAINST:Wehavesolvedthe
issueofthehoursquestion.However,theCFMShasneverbeeninthebusinessofcreatingfullcurricula.Itisnotinourskillset…yet.
o AntheaLafrenier,Ottawa,pointofORDER:Forclarification,acurriculumhasbeenadoptedbytheCFMSatthelastmeeting,withtheadoptionoftheAdvocacyandLeadershipCurriculumdesignedbyDavidBenrimoh.
o TavisApramiancallsthequestion.SecondedbyNebrasWarsi.McGill.§ Motiontocallthequestionpassesunanimously.
o Motionpasseswith22FOR,15AGAINST,1ABSTAINED.Motion7:TerritorialStatementatgeneralmeetings
• WishtostarteachCFMSmeetingwithaprayerorsongorgreetingfromanindigenousperson,tohonorandrespectourpresenceontheland.Thisisacriticalpartofrespectingindigenouspeople,andasteptowardsreconciliationandrecognitionofancestralrights.
• Movedby:BenGuidolin,UBC• Secondedby:HeleneRedfern,Calgary• Speakerslist:
o BrandonChau,Western,motiontoAMEND:(typographicalamendment,friendly).
o Josh,Calgary,motiontoAMEND:Thecostofbringinganeldertothemeetingmayendupbeingcloserto100$than50$.(Friendlyamendment)
o AmandaSauvé,Western,speakingFOR:Assomeonewhohasattendedmanyindigenousmeetingsandgatherings,Ibelievethiswouldhelpbringawarenessaboutindigenousoccupationofthelandandiskeyinformingrelationshipswiththesecommunities.Fantasticwork,guys!
o VivianNg,McMaster,pointofORDER:Itisdifficultforustodiscussthemotionwhenwereceivedthedocumentwithinanhourofvoting.Whatarewegoingtodotocombatthiskindofissuegoingforward?
o Chair:Motionsaccompaniedbypositionpaperaredue3weeksinadvance.Motionswithmorethan1000$ofspendingaredue2weeksinadvance.Thereasonthismotiondoesn'tfallunderthosecategories
isthatthedocumentisnotaproposal,norapaperforadoption.Thus,thedeadlineforitwasnoontoday.
o VivianNg,McMaster,replying:Wewouldthenliketohavefurtherdiscussionontheissueofsubmissiondeadlines.
o Chair:Agreed!Seeingnomorespeakers,Icallthequestion.• Motionpassedunanimously
Saturday,September24th,2016HowtoGetGreatBuy-InForYourStudentAdvocacyProjectsbyDrDavidKeeganandDrSusanBannister
• IntroductionbyDrCarlWhiteUlysse• DrsKeegan&BannistermetatCFMSAGMinSt-John’s,manyCFMS
Presidentswereushersandreadersattheirwedding!• Matchprospectsbackintheday:200studentswentunmatched!Our
generationwascalledupontoaddressbudgetissues,visaissues,billingissuesbyprovince,etc.andyetourCFMSbudgetwassominimalthatwesleptonthefloorsandsofas.
• Activity#1:Roleplayo Keymessage:focusontheneedsofastakeholdergroup,oftena
perfectsolutioncanbefoundevenwhenitseemsthattwogroupsareatodds.
• Activity#2:DeterminingStakeholderNeedso Keymessage:Eachstakeholderhasspecificneeds/prioritiesand
theseareimportantinfulfillingthoseneedsorcarryingprojectstoterm.
• Activity#3:StakeholderNeedsAssessmentforStudentProjectso Keymessage:Performingastakeholderneedsassessmentcanhelp
bringyourprojectstofruitionandbringaddedvalueforotherstakeholders.
• ThankyoumessagebyFrancoRizzutiResolutionsSession#2Motion8:PositionStatementonMedicalAssistanceInDying
o Balancedpositionpaperbasedonproposedlegislation.Inclusionofpalliativeandend-of-lifecare,torecognizeasafederationthatthereisalackofaccesstohigh-qualitypalliativecareacrossthecountry.Allowsustoadvocateforaccesstotraineeopportunitiesforourmembers.
• Mover:JacquelineCarverhill,Saskatchewan• Seconder:TamaraIbrahim,McGill• Speakerslist:
• MichaelTaylor(Alberta),speakingAGAINST:Thisisaverydifficulttopic,andrequiresnewcurricularcontentasMDlearners,butalsonewcontentforourprogramsandpreceptors.ItiscontentiousatcurrenttimebecauseFacultyadministrationandpreceptorsarestilltryingtofigureouttheirownopinionsonthematter.
• AntheaLafreniere(Ottawa),speakingFOR:Alotofactionhastakenplaceontheeducationfrontaboutthisissue.Thepositionstatementandtheaccompanyingdocumentreallyspeakstomedicaleducationaroundthistopic.AmotionwaspassedattheCMAGConinclusionofaccreditationstandardsinmedicalaidindyingandend-of-lifecare,thefocustherealsobeingoneducation,notonspecificpositionsfororagainstthemaintopic.
• Aaron(Alberta),speakingAGAINST:Iamagainstthemotioninitscurrentformsincethetitleissomewhatdeceiving.Thisisrathermoreonend-of-lifecarethanmedicalaidindying.
• JessicaHarris(Saskatchewan),speakingFOR:Wehavehadmany,manymediarequestsaboutourCFMSpositionoverthelast3-4fewmonths.Ibelieveitimperativetohaveastancebecauseourpositionneedstobeavailable.
• Yasmin(Alberta),pointofINFORMATION:Whatwastheconsultationprocessthattookplaceondevelopingthisposition.?
o Jacqueline:Itwasacollaborativeeffortwithmedicalstudentsfrom5faculties,easttowestincluded.Wewereinformedbyfederallegislation,provincialroyalcollegesandpalliativephysicians.
• SarahHanafi(Alberta),speakingFOR:Excellentqualitypaper,verywellresearched.Thisisanissuethatlearnersfacewithmuchdistress.Thelandscapehaschangedmuchrecentlyandtheneedsoflearnershaven’tbeenaddressedtodate.
• DanTurksi(Alberta):Asaphilosophygrad,theargumentthat“nowthatitislegal,patientshavetherighttoaccessit”doesn’tsoundveryconvincing.Thingshavebeenlegalizedbeforeandwedidn’tsuddenlyseethemasrights.Legalityasjustificationforarightisn’tlogicallycoherent.Howdoesthepaperdiscussphysicianrighttochoice?
o Jacqueline:Wefocusedonthemedicallearners,howevertherighttoconscientiouslyobjectispreservedwithinthedocument.
• StephanieSmith(Calgary),pointofINFORMATION:AsanICUnurseformanyyearsI’vewitnessedmuchofpalliativecare.Isthisthefirsttimethatwearelimitingstudentsabilitytodiscusswithpatientswithoutsupervision?
o Jacqueline:End-of-lifediscussionsareverynuanced,asyouknow.Appropriateteachingstructuremustbeinplacetoofferpropersupervisionofcomplexbio-psycho-socialsituations.
o Tamara:Similartoend-of-lifecare,thispaperstipulatesnoresponsibilityonthepartofthemedicalstudent.
o Jacqueline:Studentsmustbeprotectedfromgettinginvolvedinsituationsthatareaboveourheads.
• CalvinTseng(Alberta),pointofORDER:Isitpossibletochangethetitleofamotionwhileitisunderdiscussion?
o Chair:Ifitchangesthemeaningorfocusofthepaper,itshouldcomebacktothegeneralassembly.
• Calvin,motiontoAMEND:Iwishtoproposechangingthetitleto“CanadianFederationofMedicalStudentsPositionStatementonMedicalAssistanceinDyingandEndofLifeCare”(friendly)
• FrancoRizzuti,Calgary,speakingFOR:Thiswasahighly-discussedtopicatCMAGC,andgreatrecommendationsarebeingbroughtforward.Ourpartnersandstakeholdersneedourstanceinthesedifficultconversations.Weasanorganizationhavehadmanyrequeststoleanintothisconversationanditsdifficulttoimpossibletodosowithoutafirmpaper.
• Chris(Manitoba),pointofINFORMATION:Isthisamissedopportunitytoaddresstherequestsanddifferencesbetweenprovincialstances?
o Jacqueline:Thepaper’sapproachistoremainwithintheguidelinesthatthefederalgovernmentputforward.Wearenottakingastanceonmorecontentiousissues,thatmaybechallengedinthefuture.Atthecurrenttime,wearenottakingastanceonwhatisnotallowedinpractice.
• BasilKadoura(Alberta),speakingFOR:Thestrongerpointisthatwediscusspalliativecare,andinthatwearepartofpatienteducationandplanning.Wewillbeaskedaboutthisissuebypatients,familyandfriends.Ourowneducationisvitaltoensureweknowsothatwecansupportandprovideguidanceasobjectivelyaspossible.
• Victoria(Toronto),speakingAGAINST:Medicalassistanceindyingistoocomplicatedanissuetobesummarizedin2pages.TherewasnomentioninthispaperofmentalhealthissuesItcannotbetitledend-of-lifecarewithoutaddressingwhoqualifiesforit.
• SarahSilverberg(Toronto),speakingFOR:Thereisaneedforstudentstobepartoftheinstitutionaldiscussionandfollowthediscussionatthenationallevel,todiscusshowwegoaboutbringingend-of-lifecaretoourpatients.Thispaperisadvocatingforinclusioninmedicaleducation.Wecanstilladvocatethatweneedtobehavingthesediscussions,withouttakingastanceonthemainissue.
• EricZhao(UBC)callsthequestion.o Seconder:Marie-PierBastrash(McGill)o Motiontocallthequestionpassesunanimously.
• Motionpasses(3AGAINST,1ABSTENTION,otherwiseFOR)
Motion9:CreationofaCFMStaskforceontheenvironmentandhealtho ThisCFMSresolutionwaspreviouslyrejected(lackofToRsanddueto
thefinancialcostinvolved).Thetaskforceitselfhasbeenapprovedandwillfacilitateclimatechangediscussions.ThismotionistodeterminetheToRsandcompositionifthegroupmainly:anon-votingchair,theVPMedEd/GH/GAorotherappointees.
• Mover:HenryAnnan,Dalhousie• Seconder:GoldenGao,UBC• Chair,clarification:SGMmotioncalledforcreationofthistaskforceandwas
approved.Ifthismotiondoesnotpass,theexecutivewilldecidewhattodountiltheToRiscreated.
• Speakerslists:• VivianNg,McMaster,pointofINFORMATION:HavetheVPsbeenconsulted
inthecreationofthisToR?o KellyLau,McGill:Golden(VPGH)wasconsulted,aswasprimarilyGH
representation,moreoutofinterestratherthannecessity.Hopefullyothergroupswillbeinvolvedintheselectionofcommitteemembers.Theformationofthegrouphasmuchflexibility.
• EmilyMacPhail,Calgary,motiontoAMEND:SuggestanamendmenttotheToRforgrammaticalerror.
• Chair:DeniedsinewecannotamendtheToRitself–itisanannexeddocument.WecanpassitandtheCOPwillfixitlaterorifitdoesnotpassitcanbeamended.
• FrancoRizzuti,Calgary,pointofINFORMATION:MyworryisabouttheprecedenceofpassingamotionandthensubsequentlycreatingmotionsforToRdrafting,whichcreatesextrawork.Iwouldthinkthatthisissomethingthatcreatesprecedenceandwillburdenfuturemeetingsthataremoremotion-heavy.
• JennaWebber,NOSM,speakingFOR:Itistimethatthisismovedforward.ThisisaverytimelyissueanditoverlapswellwithReproductiveandSexualHealthinthefaceoftheZikavirus.Callsthequestion.
• Motionpasses(2AGAINST,2ABSTENTIONS,otherwiseFOR)SpecialAddressbyDrPaulSawchuk,BoardofDirectors,CFPC
• IntroductionbyDr.CarlWhiteUlysse• Thesearechallengingtimestobeinmedicalschool.Ontariohashadits
recentPSAfailure,inQuebecunilateraldecisionsarebeingmadeaboutphysicianpractice.Despiteallthesechallenges,itisaninterestingtimetobeaphysician.Connectionstofamilyphysicianshavebeenshowntokeeppatientsoutofhospital.Thisisdoneviacontinuityandcomprehensiveness.Provincialgovernmentsarestartingtorecognizetheimportanceandroleoffamilyphysicians,withtheirspecialsauce(comprehensivenessandcontinuity).I’vebeentoldthatthenewgenerationofdoctorsarenotinterestedincontinuityandcomprehensiveness,choosinginsteadtowork
withnichepopulationsandspecializedcare.Thefourprinciplesoffamilymedicineare:familyphysicianasamedicalexpert,importanceofpatient-doctorrelationship,community-baseddiscipline,resource-limitedenvironments.Mytimeashospitaladministratorshowedmethatthemostimportantworkisbeingdoneoutinthecommunity,notinthehospitalsetting.
Questions:• AliDamji,Toronto:WithregardstothesituationinOntario,therehasbeen
muchin-fightinganddivisivenessandIamwonderingwhatyouseeasthewayforward?
o A:SpeakingasanindividualandnotonbehalfoftheCollege,Iamabigbelieverinphysiciansasself-regulatingandself-monitoring.Wedoarelativelygoodjob,butweneedtodobetter.InOntario,wedidnotshowaunitedfront,sothereismuchworktobedone.Thisisnotsomethingthatcanbeachievedquickly.InManitoba,thereislessdivisionbetweenspecialistsandfamilyphysicians,andultimatelythismakesournegotiationsmoreeffective,whichallowsformoreeffectiveservicedelivery.
• EmilyMacphail,Calgary:AtCFMS,werepresentmanywhowillbegoingintofamilymedicine,alongwithotherspecialties.Howdoyouseeallthesestudentsworkingtogethertodeliverbestpossibleservices?
o A:Havingapeer-to-peerrelationshipmeansyouareveryclosenow,butasyougoontospecialize,youwillgoyourseparatewaysandmayforgetwhatisimportantandsignificanttotheotherperson.Iamgladtoworkcloselywithspecialistsinmyregionandthereisahappyinteraction,butintertiarycenterstherearemanymoredifficulties.Thefamilydocbringsinacomprehensiveunifyingvision,eventhoughwemaynotknowthedetailsofoneparticularsystemaswellasaspecialist.Wedefinitelyneedtocontinueourfamiliaritythroughandafterspecialtytraining.
• Josh,Calgary:DoyouthinkchangelikeatBellaBellaispossibleinothercommunities?
o A:Thisparticularcommunity,BellaBella,hasbeensoverywelcomingandappreciativeandinclusivesoastoseeincredibleresults.Anycommunitycanlearnfromanyotherone,butsuccessisneveraguarantee.
CFMSExecutiveElectionsbyDrBryceDurafourt(CFMSPast-President)
• Housekeepingintroduction,includingprocesssummaryofinstantrunoffvoting.
CFMSExecutiveElections2015-2016withDrBryceDurafourt
• Electoralspeeches,Q&Aforallpositions,including:• VPMedicalEducation:TavisApramian(Western)• VPCommunications:EmilyHodgson(McGill)
• VPFinance:NikhileMookerji(Ottawa),DanielPeretz(McGill)• VPStudentAffairs:HanYan(Western)• VPGlobalHealth:JessicaBryce(Western),SarahBryson(Dalhousie),Hidy
Girgis(McGill),OsmanRaza(Ottawa)• VPGovernmentAffairs:SarahSilverberg(Toronto)• AtlanticRegionalRepresentative:CourtneyManuel(MUN),AlexandraTaylor
(Dalhousie)• QuebecRegionalRepresentative:JulianNguyen(McGill),AngeloRizzolo
(McGill)• OntarioRegionalRepresentative(2):BenjaminCassidy(NOSM),Brandon
Chau(Western),SamikDoshi(Toronto),ShreyaJalali(Ottawa),KaylynnPurdy(NOSM)
• WesternRegionalRepresentative(2):BrandonChristensen(Alberta),Amir-HosseinDanishwar(UBC),KaiHomer(Alberta),AbdullahIshaque(Alberta),LauraKin(UBC),EmilyMacphail(Calgary),DevonMitchell(UBC),GurmeetKaurSopi(Manitoba)
Sunday,September25th,2016FMEQpresentationbyJessicaRuel-LaliberteandEricGuimond,FMEQPresidentandExecutiveVP
• IntroductionbyDrCarlWhiteUlysse• ThanksCFMSExecutiveforagreatmeeting• TheFMEQrepresentsmedicalstudentsat4universitiesand7campuses• RepresentationworkhappensnationallyalongsideCFMS,RDoC,FMRQand
provincially• Services(manythesameasCFMS,butnotall)• WellnessSurvey(2011)
o 1out6suffersharassment,manycampaignstopromotestudentlearningenvironment
• Pass/Failgradingissueo Francophoneschoolsonlyhavepass/failgradinginclerkship,weare
workingtowardspre-clinicalalso• ProvincialLobbyDay2016–Bill20,strike• GuideonResidencyprograms:Success!Includesprojectionsonemployment,
entrancecriteriaforQuebecprograms,etc• CaRMSDay(250participants,workshopsandconferences)
SpecialAddressbyMs.SamanthaDunnigan(Med-4Toronto),CFPC-SOMSCo-Chair
• 80554activelypracticingphysicians,52%arefamilyphysicians• CFPChasover35000members• GoalistoensurethatallCanadianshaveaccesstohigh-qualityprimarycare
byafamilyphysician• Reach:FP,residents,medicalstudents,interprofessionalism
• SOMS=SectionofMedicalStudents,tacklinghiddencurricula,includeinterestgrouppresidentsateachfaculty.
• Connectionsatthelocal,provincialandnationallevel,onlyspecialtytodoso• Question:HowcanSOMSandtheCFPCbetterpartnerwiththeCFMS?
o Collaboration?o Jointprojects?
• Email:[email protected]!• Connectwithusonsocialmedia• Questionperiod:
o RyanGiroux,Toronto:PlaceforcollaborationinourIndigenousHealthProgram?
§ Samanthaagrees,welcometodiscussafterwards.IndigenousHealthProgramUpdatesbyAmandaSauve(LOIH,Western)andRyanGiroux(NationalOfficerofIndigenousHealth)
• IndigenousHealthportfolio:2009-2015:aboriginalhealthliaison,then2014-2015:indigenoushealthprogramdevelopment,now2015-2016:IHPFirstYear.!
o Wenowhave29LOIH,representingeveryschool• PassedpositionpaperonIndigenousHealthinmedicaleducation,presented
atCCMEandIndigenousHealthConference.CurrentlythisisbeingpeerreviewedtobeincludedinCMAJ.
• EducationAdvocacyToolkit• PBLandlearningOSCEscenarios,beingincorporatedatafewmedical
schools• Successesinresearchandadvocacy
o Evaluationofstudentpre-clerkshipseminarserieso Nation-widestudyonexperiencesofIndigenousmedstudentso PositionpaperonIndigenouspopulationsandsuicide–passed
• Identifiedopportunitieso Sharingsuccessesbetweenschoolso Ensuringallmembersareengagedo Adequateandtimelycommunication(fromNOIH,toLOIH,and
facilitatebetweenLOIHs)• Amanda(LOIH,Western)
o TruthandReconciliationCommission(TRC) § Documentproducedafter6yearsofdevelopment,productout
in2015,encouragealltoreadit§ Definitionofreconciliation§ WhatcantheCFMSdo?
• 1.Learnthetrutho 6750statementsfromsurvivorsandtheir
familiesintheTRC• 2.Listentothoseimpacted
o 900eventsover6years,15000studentsparticipatedforeducationpurposes
• 3.Callyourselvestoactiono 94callstoactiono 5specifictoIndigenousHealth
§ Recommendation20,21,22,23o JusticeMurraySinclair,awarethatreconciliation
won’thappeninhislifetime,butencouragealltochooseonecalltoactionandfocusonit.
o OCAPPrinciples,appliedtoallresearchwithfirstnationscommunities.Frombeingresearchedtobeingresearchers,communitiesmoreinvolvedintheinformationgatheringandusage.
§ Ownership§ Control§ Access§ Possession
o GlobalHealthProgram:StandUpforHealth,modifiedtoIndigenouspopulations
§ 2-weeksimulationofwhatitwouldbeliketolivewithaspecificidentityandlivinginaspecificcommunity
§ 1weekonthegroundatLongLake#58FirstNationtolearnonthegroundhowtodevelopthesimulation
§ Community-based,followstraditionalpractices§ Scenarioswillbegivenbacktothecommunitiesforreview
priortobeingusedwithstudentso What’sonethingthatmedicalstudentsshouldknowaboutyour
community?§ Usewordsthatpeopleunderstand,notthebigwords§ Havingadoctoronsite,regularly,HCPsfromthereserve,
trustworthyo TipsonengagingwithIndigenousCommunities
§ OCAPprinciples§ Respectfulattitudes§ Makesurethatwearegivingsomethingbacktothecommunity§ Understandingtraditionallearningsystemsandpractices§ ReadtheTRC!Orpartsthereof
o Questions§ BenCassidy,NOSM:Accesstoservicesisdifferentbasedon
remotenessofreserves.Differentbarriersexistineveryregion.§ GoldenGao,UBC:TRCisanincredibledocument,executive
summaryishundredsofpageslong.Whatmoreaccessibleresourcecouldyourecommendasastartingpoint?
• A:www.trc.cahasmoreconcisesummaries.TryreadingtheCallstoActionrelatedtohealth,astheyareshortandhigh-yield.
§ Josh,Calgary:Manycallstoactiondon’tfallunderhealth.Howdowetieinthesemanyothercallstoourwork?
• Ryan:Becausethesocialdeterminantsofhealthtouchonsomanythingsyoucanchooseacalltoactionthatdoesnotneedtobeinthehealthcarerealm,butitisrecommendedtochooseonethatspeakstoyoutointegrateintoyourlifeandpractice.
§ AlyseSchacter,McMaster:Manyinthisroomarehungryformoreinformationonthetopicafteryourwonderfulpresentation.Whatcanwedonext?
• Ryan:Toolkitstoundergraduatemedicaltrainingareoutthere,there’sanIndigenousHealthConferenceinToronto,tryreading“FirstPeoplesSecondClassTreatment”anexcellentbook.TrycontactingtheLOIHatyourschooltogetinvolvedlocally.FirstNationsHousesineverymajorcitywillorganizeeventsandarewelcomingtoeveryone.
LessonsonAdvocacyfromtheOfficeoftheMinisterofHealthbyDrJesseKancir
• IntroductionbyDrCarlWhiteUlysse• Reflectionsonpoliticaladvocacyinpractice• Workedasapolicyadvisor(BillC14,publichealth,healthaccordwork,
pharmacare,FirstNationsrelations,blooddonationdeferralsfromMSM,regulatoryaffairs,etc.)
• Worldofpoliticsisdifferentthananythingexperiencedbefore• PoliticsTrumpsPolicy:HowHealthMinistersMakeDecisions(Cull,2016),
documenthighlyrecommended.• FourtestsforAdvocacy
o Simplicity(t-shirttest):Uselanguageunderstoodbyeveryone.Simplicityisagift.Unclearmessageisacardinalsignofanissue.Mustbeabletofityourmessageontoat-shirtthatcanbereadatareasonabledistance.
o Nonlinearity(numberstest):Lobbyingisnotassimpleasastraightline.Itsaboutrelationships,whicharemorecomplexthanthat.Nexttimeyoureadanarticle,checkwhoitisthatiscommentingonbehalfoftheMinister.ThosepeoplearejustasvaluableconnectionsastheMinistersthemselves.Howmanydirectcontactsdoyouhaveontheissuethatyouareadvocating?Bureaucrats,execstaff,otheradvocates,media
o RelationshipBuilding(phonecalltest):Peopleandpersonalitiesdrivechange,notideasalone.UsethetimepriortoLobbyDayandafterLobbyDayfor365-dayadvocacyefforts.Itsnotthemostcomfortablewayofgoingaboutadvocacywork,butyouneedtobeabletogetitdone.
o PrincipledPragmatism(therealitytest):Constraints,politicsbalancesbothprinciplesandpragmatism.Ensureyouunderstandtheeconomicconsiderationsofyourask,readuponthebusinesssectionofpapers(makesureyouunderstand:GDPgrowth,labourmarkets,interestrates,inflation).Takeamacroeconomicscourseifnecessary.Thesearetoolsthatwillmakeyouabetteradvocate,byunderstandingthestructuralconsiderationsofmedicine.Knowingtheconstraints,thesituationalmapislaidoutandyoucanunderstandthelikelihoodofyouraskbeingaddressednoworlater:WhereWEfitwithinTHEIRplan.
• Questions:o Jeffrey,NOSM:Howwouldyoudescribetheroleofanadvisorvsthe
Minister’srole?Whatstepscanbetakentoendupwhereyouarenow?
§ A:Justask!Oftenpeoplewillgiveajobtosomeonewhoispassionateorinterested.Showinterestanddon’tbeafraidtoaskforajob.Dowhatyoulovetodo–therewillalwaysbeplaceforchange.Pickupthephoneandaskforit.
o JacquelineCarverhill,Saskatchewan:Onprincipledpragmatism:Howdowebalanceoureffortsbetweengrassrootsinitiativesandaligningwithpoliticalagendas?
§ A:Muststillfightforyourprinciples,butunderstandthelimitsofwhatcanbedonewithcurrentgovernmentalagenda.
o SarahSilverberg,Toronto:Whatareyourthoughtsaboutadvocatingformultisectoralportfolios,complextopics?
§ A:Reachouttoallplayers,dothebackgroundwork.o JessicaHarris,Saskatchewan:Simplicitytest:howdowegoforward
withtopicswithoutgettingtoocomplicated(contentexpertise)?§ A;Stateyourposition,mapallthestakeholders,seewhoison
boardandwhoisn’t.o AntheaLafreniere,Ottawa:I’llbehonestnowthatmymandateas
Presidentisover,Idon’tlikethePharmacareaskandIhaveneverlikedPharmacareask,althoughIhaveworkedtopushtheCFMSagendaonthataskforyearsnow.WithyourmanyyearsexperienceattheCFMSandnowingovernment,whatdoyouthinkweshouldbeadvocatingforwiththefederalgovernment?
§ A:ThemandatelettersofalmosteveryMinisterincludeimplementingtheCallstoActionoftheTRC,noexceptionsinthehealthportfolio.Manyothergroupsarealsoworkingonthatfrontandthiswouldbeanissuewhereinmanyalliedgroupscouldbefound.Drugfiles(opioids,antimicrobialresistance,ChoosingWisely)isalsoaveryhottopicatthemoment.Asmedicalstudents,thisisoneofthosetopicsthatyoualreadyatbaselineunderstandbetterthantheaveragecitizensothereisagoodroleformedstudentstoplayinthatask.
o EricZhao,UBC:HaveyourpoliticalviewschangedthroughthisexperiencewiththeMinisterorhavetheyevergotteninthewayofyourwork?
§ Yes,ofcourse!Cannotgetintomanydetails.Youlearntolivewithitandworkdespiteanypersonalfeelingsyouhaveontheissues.
CMAStudentSegmentPresentationbyMs.JennaLove
• IntroductinonbyDrCarlWhiteUlysse• AmbassadorsProgram,AdvocacySkillsTrainingaresuccessesfromthelast
year• Lovetohaveideasfromstudents,canchampionstudentideasonCMA’s
behalf• Alwayshappytoanswerallquestions,connectuswiththeappropriate
people• Ryanistheprimaryliaisonwithinthe3companies(MD,Joule,CMA)
o Canspeaktoalltheservicestheyoffer• Joule
o Newbranding,opportunitytousehands-onclinicalapplicationtools§ DynaMed+§ RxTx§ Wanttohearwhatotherappsweareusing
o JouleInnovationGrants§ 150000$grantsformedicalstartups§ Appthatwonthisyearwastranslationtool§ Hack-a-thons,opentomedicalstudents§ InnovationGrantsareavailabletomedicalstudents
• MDFinancialo 49officesinthecountryo Story:finalyearresidentwith850000$indebt.Don’tneglectyour
finances,evenforjustafewyears!Freeservices,allstaffonsalary(nocommissions)sowon’ttrytosellyouaserviceifitisn’tinyourbestinterestorisn’tneeded.
• Questions:o RyanGiroux,Toronto:OntheapplicationformfortheInnovation
grants,itmentionsthatstartupfunds(about10000$)arerequiredpriortoapplying,thisisveryprohibitivetomedicalstudents.
§ A:Thisaspectisstillaworkinprogress.Thisyearwastheveryfirstiterationoftheawards.Wewelcomecommunicationofflinetodiscussthisissueandanyothersyouguysmayhave.
Aspecialthank-youtoAntheaLafreniere,CFMSPresident2015-2016,forherexceptionalserviceanddedicationtotheCFMSovermanyyears,
ChoosingWiselyCanada(CWC)byAngelaHan&DaphneCheung• Reviewofprogram,“SixThingsMedicalStudentsandTraineesShould
Question”,resourcestewardshippaperendorsedbyCFMS• Programresults,keyenablers• STARStomeetatLeadershipSummitFeb26-272017withnationalChoosing
Wiselyevent• WhatisonethingtheCWCandCFMScanachievetogetherinthenextyear?
o StephanieSmith,Calgary:Easierforouryoungpatientstobuyintothisprogramofquestioningphysiciansmore,asopposedtoolderpatientswhoareusedtoamorepaternalisticmodel.Iwouldbeinterestedtoseeifwecanadvocatemorespecificallywiththoseolderagegroups.
o BenCassidy,NOSM:WearestillatthelevelofmakingstudentsawareofCWCactivitiesandthatmaybeanoverlappingrolewiththeCFMS,givenitslinesofcommunication.
o CalvinTseng,Alberta:IthinkcontinuedevaluationoftheCWCprogramisneededandassessingourprogresstodate.
ResidentDoctorsofCanada(RDoC)presentationwithDr.TerryColbourne,RDoCVice-President
• IntroductionbyDrCarlWhiteUlysse• RDoC,WhoWeAre:
o Represent10000residentdoctorsinCanada,establishedin1992,5-personexecutive
o Strategicplanoverview• Overlappingportfolioitems
o Increasingnumberofcommonportfolios,includingCaRMS,CBME,continuedworktopromoteandensuretraineewellness(resiliencycurriculumfromRDoC)
o RDoCdriveschangethatimpactslessitscurrentmembersandmoreitsfuturemembers(i.e.currentmedicalstudents)
• ConsiderinvolvementwithRDoCearly,sinceresidencyisveryshort(especiallyforFamilyMedicine!)
Questions:• BenCassidy,NOSM:Couldweimplementtheresiliencycurriculumin
medicalschool?o A:Thisisapilotprojectatthemomentandweareimplementingit
carefullytobeabletomonitorandassessitsmerits,butit’scertainlysomethingtolookintointhefuture.
• KaylynnPurdy,NOSM:Asamilitarymember,Ihavereceivedlotsofresiliencytrainingandhavealsonotedthatthemedicalcultureisoneof“dealtwithit”whenitcomestopressuresanddifficulties.Shouldwenotbeaddressingculturalshiftasopposedtoresiliencytraining?
o A:Resiliencyisonlyabrickinthewall,everyonereactstoourtrainingexperiencesverydifferentlyandcanstruggle.Regardlessofthe
problemswiththeculture,wedoneedtheresiliencytrainingtoarmourtraineeswiththeskillstocope
• StephanieSmith,Calgary:Justheardaboutyourresiliencyprogramanditsoundswonderful.AsIamalsoexperiencedwiththemilitary,Icanseethatitisagreatexampleforproactiveresiliencywork.
o A:Militarywasourbasisformuchofthecurriculum.Itsgreattoseetheenthusiasmthecurriculumhasgeneratedandhopetocarrythatmomentumforward.
TheYearAheadwithCFMSPresidentFrancoRizzuti
• Acknowledgementoftreaty6land• CFMSVision,Mission• Ourmembershipisourdrivingforce,servedbytheexecutive• Introspection:withdevelopmentofnextstrategicplan(2017-2020)• Yearofgrowth:“We’veoutgrownwhatwewere,butwe’retoosmallforwhat
wewanttobe”• Reunification:bringingGlobalHealthbackintothecoreCFMSfamily• Bigissuesfortheyear
o TheunmatchedCMGo Physiciantraineewellness
• Getintouch,getinvolved(FallCallupcoming!)ExecutiveQ&A
• AbigthankyoutoRosemary,theExecutive,ourhostsatUniversityofAlbertaandsponsorsforalleffortstobringtogetherthismeeting
• JoshPalay,Manitoba:HowdoweincreasememberengagementwiththeCFMSCommuniqué?
o Carl:TheCommuniquéhasbeeninredesign(comingsoon),BrandonChristensenisworkingonthis.
• TaneilleJohnson,UBC:FortheWellnessSurvey,ifunpleasantresultsdocomeup,howwilltheseensitiveproblemsbedealtwith?
o HanYan,Western:TheWellnessSurveydatacurrentlysitswithBrandonMaser.Thecurrentplanistoreviewthedataasateam.DataforeachschoolwillbereturnedtoeachschoolwithcarefulrollouttotheDeansandstudents.Oneofmygoalsistocarefullyreleasethisdata.
o AntheaLafreniere,Ottawa:ThisistheexactissuewehavebeenhavingwiththeDeansregardingtheSurvey.WehavebeeninfrequentcontactwiththeDeansonthistopic.Ihavestoodbyandstandbythehighcaliberoftheresearchinthisproject.WeneedtobecarefulbecausetheremaybesomeconcernsifSurveydataisatoddswithlocalFacultydata.
o Taneille:Mymainconcernisthecensorshipofthedata…
o Anthea:Forinstance,Idon’twantittobeknownthatschoolXhasafivetimeshigherrateofsuicidecontemplationthanthenationalaverage.Thatisnotappropriateanddoesnotleadtochange.Wewillhavedatathatwillbesenttoschools,butwewillask/push/demandthatschoolsmakechangesiftheyarenotuptopar.Wewillnotpubliclysingleoutschoolsbasedontheresults,butwewilladvocateclearlywiththeschoolsthatarenotmakingchanges.
• JennaWebber,NOSM:IwishtocommendtheExecutiveteamabouttheirapproachabilitythisyear.Also,Rosemary,weloveyou!AsforengagementwithinIFMSA(globally),Iunderstandthatourmedicalprogramsareshorterthanmostworldwide,butdowehaveaplantoengageCFMSfurtherwithIFMSA?
o FrancoRizzuti,Calgary:Wedoneedtolookatoutglobalengagementstrategy.SomeaspectsofIFMSAworkwell,somedon’tandIfeelweneedtobestrategicaboutourengagement.Idon’twanttotieJessica(Bryce)’shands,butthisispartofourplan.Theotheraspectisbudget:itcostsalottobeinvolvedatthegloballevelsothatmustbeconsideredalso.
• CalvinTseng,Alberta:DoestheCFMSsupportlocalinitiativesforcurriculumdevelopment?
o JessicaHarris,Saskatchewan:WiththeAdvocacyandLeadershipCurriculum,weworkedcloselywithlocalpeoplealreadyadvocatingateachschool.OurrolewouldbetofacilitatethoseconversationsandpullintheEducationCommittee.
• TavisApramian,Western:WiththeWellnessSurvey,weshowedourcapacitytoproducehigh-qualitynationalresearch.Iseepotentialforanannualnationalresearchsurveythatcouldincludethequestionsmostpressingtousandhelpguideourwork.Whatdoyouthink?
o Anthea:OurbiggestchallengewiththeWellnessSurveywasethicsapproval,whichwasdoneatUBC,buttheDeansbecamequiteadamantthatweneededethicsapprovalfromeachlocalschool.ThiswasproblematicatManitoba,MUN,etc.sothemapofnationaljurisdictionsforethicsapprovalwasdifficult.Thiswasabigbarriertothiskindofworkandwouldbeifweweretocontinuethistypeofsurvery.
o Carl:Nationalcommunications-wise,thiswouldbetoughbecausewehaveneededtostandardizethecommunicationsstrategiesacrosstheboardfortheresearchtoholdvalidity,whichisahugechallengeforbothCFMSandtheschools.OnsomethingasimportantastheNationalWellnessSurveywewerewillingtoputinthateffort,howeveritwouldnotbefeasibleonanannualbasis.Studentsarealsocalledupontofilloutmanysurveysthroughoutmedicalschool,thusannualonesfromuswouldverymuchaddtothat.
o Franco:Ourlimitationisourcapacitytodothisworkandwearecurrentlyworkingonexpandingourhumanresourcescapacity.
Anotherproblemisthedataownershipandvariationsindatabetweenoursandfaculty’ssoasnottoputusatoddswiththefaculties.
• BushraKhan,McMaster:Howdoyouthinkwecanreachouttotheapatheticstudent?Carl,Emily,doyouhaveanythoughts?
o CarlWhiteUlysse,McGill/Toronto:Itwasabigpieceofmymandatetofindnewwaystoengageourmembers.SomenewwaysincludetheThunderclapcampaignduringthelead-uptoLobbyDay.Wereleasedpostersateachschool,becauseIbelieveintheimportanceofaphysicalpresenceoncampus.Ithinkweneedtobeoncampusesmore,includingNationalOfficersandExecutive.There’salsotheswagpiece,whichhelpspeopleknowwhoyouare–theclipboardshavebeenagreatwayofdoingthat.
o Emily:WehadtheMonctoncampusjoinourorganizationrecentlyandtheirprimaryreasonforjoiningwastheirownphysicalisolation.Theywereinterestedinjoiningusbecausewehaveastrongvirtualpresenceadresourcesforourmembersinthatvirtualspace.IhopetobuildonCarl’sworkinadditiontobolsteringupouronlinepresence,whereeverystudentdoeshavetheirvoice(website,Twitter,Facebook),andbringthatvirtualconnectednessintotherealspacethroughourTravelAwards,LeadershipAwardsandSIGs.
• KaylynnPurdy,NOSM:Thereiscurrentlyalargemovementtowardsopen-accessmedicaleducation.Allofourresourcesarelockedandmanyofourmembersdon’tknowhowaccessthem.Whatareyourfeelingsonunlockingtheseresources?
o Franco:Goodquestion.Ondiscountside,thesearemoresafelyguarded.Historically,therewasmoretensionbetweenCFMSandFMEQandweweremoreguardedbecauseofmembershipconcerns.Moreandmorenowistakeninaopenmodel.We’llputitonourradar
o Carl:Respectfullydisagree.Membershiprecruitmentispointlessifallourresourcesareopen-access.
o Kaylynn:Somethingtoconsiderbecausenoneofthe14schoolshaveachoiceintheirmembershipandglobalhealth-wisewecanshowoffinitiativesanddocumentstoothercountries.
• Jeff,NOSM:Wanttocommendthiseventasitwasverywellorganized,verywellrun.Allofthedetailsmakethisanefficientandpleasantmeeting.Goodjob!
o Fatemeh:WanttocommendtheUniversityofAlbertateam,Julianna,BrandonandBrendan!
• Margherite,UBC:HowtowegetthegeneralmembershipmoreinvolvedintheleadershipoftheCFMS?HowdowemixupacycleofNOtoCFMSexecutive?Howtoincreasethefairnesstoourgeneralmembers?
o Anthea:We’vehadonly4returningmembersoftheExeclastyearanddespitealltheirexcellentwork,werequiremoreonboardingtime
thanusual.We’reworkingonincludinggeneralmembersintheelectoralprocessandthevideoconferencingelectionscertainlyhelp.
o JessicaHarris:Abigpartofmyworkthisyearhasbeenfosteringthesegrassrootsinitiativestoinvolvethegeneralmembership.
o Carl:Travelawardsareabigwayofbringinginthegeneralmembership,EmilyHasanexample(fromtravelawardwinnertoExec).
o Franco:Thestrugglewiththesemeetingsisalwayscapacity.Wehitourcapacityofspaceandwecan’texpandtolargevenueswithoutsignificantlyincreasedhotelexpenses.Ahugeamountoftheworkwedoasanorganization,policypapers,committee,etc.comesformthegeneralmembershipinalongitudinalmanner.
• VivianNg,McMaster:Lookingforward,Ihavesomeconcernsaboutoperations.Weareconstantlyexpandingandwehavesomanypositionpaperandmotions.Howarewegoingtoprioritizetofitthemallintoourtwomeetingseveryyear?
o Carl:Thisisaverygoodquestion.Balancingourmeetingcontentwithelectionsandpapersistough.Wewanttoallowformemberengagementandallowforthepapersbutthereisalsolimitedtime.Expandingthemeetingisnotanoptionbecauseofleaveofabsencetimeconstraintsonallstudents.Wemayhavetolookatcappingthenumberofpapers.
o Vivian:WouldyouconsidercappingforthenextSGM?o Carl:Iwouldhavetodeferthattothenextexec.
Closing
• Thankstothechair,DrCarlWhiteUlysse• Motiontodestroyelectoralballots
o MovedbyJennaWebber,secondedbyMargheriteHeynso Motionpassesnemocontra.
• Motiontoadjourno MovedbyRyanGiroux,secondedbyEmilyHodgson.o Motionpasses.