CFPC Annual Report: June 1, 2019—May 31, 2020

Annual Report June 1, 2019–May 31, 2020

Š 2020 The College of Family Physicians of Canada All rights reserved. This material may be reproduced in full for educational, personal, and non-commercial use only, with attribution provided according to the citation information below.

For all other uses permission must be acquired from the College of Family Physicians of Canada.

How to cite this document: College of Family Physicians of Canada. Annual Report: June 1, 2019–May 31, 2020.

Mississauga, ON: College of Family Physicians of Canada; 2020.

Contact us: The College of Family Physicians of Canada 2630 Skymark Avenue, Mississauga, Ontario L4W 5A4 General inquiries: 905-629-0900 Toll-free: 1-800-387-6197 info@cfpc.ca www.cfpc.ca @FamPhysCan www.facebook.com/CFPC.CMFC www.youtube.com/user/CFPCMedia

Dear members, As we look at the period of June 2019 through May 2020 in our rear-view mirror, the COVID-19 pandemic dominates the landscape. We know it has been a challenging year for you and the communities you serve. We are deeply appreciative of the dedication and perseverance you have demonstrated throughout this crisis.

Just as you have pivoted to provide care, teach, and collaborate in new ways, the College of Family Physicians of Canada (CFPC) has nimbly switched gears to meet your needs and advocate on your behalf while maintaining our regular services and programs. We are proud to have supported you and worked with you over the past year to address new priorities, find solutions to challenges, and advocate on issues affecting family medicine.

This year’s report provides a few highlights of these efforts. Looking ahead, we will continue to cover new terrain in the pandemic. As always, we are here to assist you along the way, learn from your experiences, and continue to build a bright future together for family medicine in Canada.

Francine Lemire, MD CM, CCFP, FCFP, CAE, ICD.D CEO and Executive Director

Shirley Schipper, MD, CCFP, FCFP President Annual Report 2019–2020

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Your needs are our priorities

Advocating for family physicians The College is committed to supporting our members and regularly reaches out for input to understand what you need for your work, your well-being, and your patients. This helped inform our advocacy efforts over the past year.

Pandemic supplies and support

Virtual care

The CFPC engaged with Health Canada and the Public Health Agency of Canada to emphasize the need for family practices to have stable supplies of personal protective equipment, appropriate remuneration for virtual care, and appropriate mental health support during the pandemic.

The Virtual Care Task Force, a collaboration of the CFPC, the Canadian Medical Association (CMA), and the Royal College of Physicians and Surgeons of Canada (Royal College), developed and released Virtual care: Recommendations for scaling up virtual medical services.1

Survey on COVID-19’s impact

Family medicine terminology

A survey of family physician members showed how family doctors had transformed their work in response to COVID-19.

The CFPC defended the unique value of family physicians with the position statement Appropriate Use of Family Medicine Terminology, which opposes the use of these terms by non–medical professionals to describe their services.2

Patient awareness Canada’s Chief Public Health Officer acknowledged our request to remind patients that family practices were open and not to postpone important medical appointments.

Payment models Given the shortcomings of fee-for-service models brought to light by the pandemic, we called on policy-makers across the country to shift to blended physician remuneration models.

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Marketing and Membership Services staff attended several in-person and virtual events to engage with members.

Promoting family medicine as a career In response to members’ requests for the CFPC to promote family medicine to medical

students, we kicked off a national campaign, Choose Family Medicine, that highlights the breadth of the discipline.3

Federal election priorities After polling members in 2019, we shared family physicians’ top three federal election concerns with parties and candidates: the supply of health care providers, universal pharmacare, and access to mental health services. These issues were reflected in the election platforms of leading political parties. The College hosted a live-stream health care debate with representatives from the four major federal political parties. This was a first for the CFPC.

Support for individual advocacy The CFPC’s federal election website kept CFPC members and voters informed about the health care features of major parties’ platforms. It included an automated letterwriting tool that allowed CFPC members to contact candidates in their ridings to let them know about key priorities for family doctors.

More than 1,000 letters were sent using this tool.

Universal pharmacare The College signed the joint Pharmacare Now statement as one of more than 170 national and provincial organizations calling on all federal parties to work together to

implement universal, public pharmacare during this government’s mandate.

Access to opioid agonist treatment The CFPC’s Addiction Medicine and Prison Health Member Interest Groups released the Position Statement on Access to Opioid Agonist Treatment in Detention, calling for opioid agonist therapy to be widely available to incarcerated individuals across Canada.4

Appropriate testing As part of the Using Antibiotics Wisely campaign, we collaborated with Choosing Wisely Canada to raise awareness about appropriate UTI testing and antibiotic use among older adults in long-term care.

Popular tweets The CFPC is advocating for issues that matter to our members and the general public during the current pre-election period and fall campaign.

Help us make our case by writing to your local MP though our election website.

We are counting on the federal government to enhance the infrastructure needed to deliver virtual care to patients across Canada. Show your support for policy tools that remove barriers to providing virtual care to better serve patients.

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Supporting ongoing learning We listened when you told us you want more high-quality continuing professional development (CPD) and other learning opportunities. We continue to deliver new ways to learn, including our popular clinical webinar series. In response to the pandemic we also quickly took action to curate and develop resources to help members stay safe and up to date.

COVID-19 resources

CPD sessions on demand

In March we created our COVID-19 web page to provide timely resources and trusted links.

FMF Live On-Demand Virtual Education (FMF LOVED) went live in 2020, making top sessions from Family Medicine Forum 2019 available for Mainpro+® certified credits.

Rapid publishing Between March and the end of May, Canadian Family Physician (CFP) published 39 blogs related to COVID-19 that generated 32,995 page views.

Podcasts The CFP Podcast debuted, with the first 15 episodes downloaded 11,555 times. CFP and the Besrour Centre for CFP PODCAST Global Family Medicine (Besrour Centre) also collaborated on a podcast series about international family physicians’ COVID-19 experiences.

Clinical webinar series Our clinical webinar series rapidly switched gears to create weekly sessions on “The COVID-19 Pivot,” drawing 59,990 views over 10 weeks between March and May. Popular topics included adapting to virtual care and protecting doctors and patients during the pandemic.

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Extended Mainpro+ cycles In recognition of the significant pressure members were experiencing, the College waived the 2019–2020 annual CPD requirements and extended all Mainpro+ cycles by one year to give participants more time to acquire their 250 credits.

Trend watching The Mainpro+ CPD Report 2018–2019 was released, our first annual summary of participation and certification trends.5

Fostering innovation In addition to supporting the Honours and Awards Program, the CFPC built on existing relationships and attracted new funding to expand research, enhance CPD programs, and respond to COVID-19.

Awards and grants Through the 2019 Honours and Awards Program, the Foundation for Advancing Family Medicine (FAFM) presented awards, grants, and scholarships to family physicians, residents, and students that included $413,610 in funding.

New funding The CFPC and the FAFM announced the receipt of $3.58 million in funding over five years from Scotiabank and MD Financial Management, in collaboration with the CMA, to enhance CPD programs, provide awards and scholarships for medical students and residents, and foster a strong future for family medicine in Canada.

Dr. Martin Fortin presented a poster on the Section of Researchers Blueprint at the North American Primary Care Research Group conference in 2019.

Plan for the future The Section of Researchers Blueprint 2018–2023 was produced with input from stakeholders across the country. It aligns with the CFPC’s overall strategic plan.6

Pandemic response The FAFM established the COVID-19 Pandemic Response and Impact Grant Program thanks to a generous $5 million investment from the CMA Foundation.

New award The Honours and Awards Program introduced the Val Rachlis Leadership in Family Medicine Award, with a generous endowment established by Dr. Val Rachlis, to celebrate leadership among family medicine residents.

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Addressing training needs Engaging with residents and teachers is essential to informing the College’s work related to family medicine training. We continue to plan for the future and respond to the challenges and unusual situations that COVID-19 created.

Early-career concerns Our biennial meeting of the First Five Years in Family Practice Committee, the Section of Residents, and the Section of Medical Students in early March brought together 85 representatives to strengthen collaboration.

Postponement of exams The spring 2020 sitting of the Certification Examination in Family Medicine was postponed to ensure the safety of all involved.

We advocated on behalf of family medicine residents with medical regulatory authorities across Canada to facilitate special provisional licensure for the 2020 graduating cohort based on the successful completion of training until they can complete the exam.

Emerging Topics Bulletin for Educators Supported by the CFPC’s Certification Process & Assessment Committee and Postgraduate Education

Pearls for Writing a Virtual Care Field Note Thank you for continuing to supervise and assess your residents during the COVID-19 pandemic. During this crisis, graduating residents will be provided a provisional licence based on their In-Training Assessment, not certification. Your thoughtful assessment is more crucial than ever.

Virtual care (VC) requires many of the same skills as in-person care. Providing learners with the opportunity to provide VC, as well as feedback about optimal VC, is essential for their professional development. As a reminder, ideal feedback is timely, based on observed performance of essential competencies, and ideally focuses on one take-home message to continue and/or one message to modify so as not to overload the learner (or you!).

Feedback is intended to stimulate self-reflection and support learning. This style of care will likely be more a part of our practice after the pandemic, so building skills for VC is essential. Following are unique aspects of VC that are high yield for which you can assess and provide feedback as they are either critical to do, difficult to do, or frequently missed. As this is a new way of practising for many of us, they can also be used as ideas for preceptors who are honing their own VC skills.

1. Safe, effective use of technology and local regulations:

3. Adaptive clinical reasoning: a.

Uses virtual care platform skillfully (i.e., is sufficiently familiar with the technology used) and assists patient with using platform if required (communication)

Assesses whether VC is appropriate for this visit and recognizes when patient safety or the determination of a proper diagnosis requires an in-person assessment (selectivity)

b.

b.

Uses virtual care/telemedicine in alignment with local regulations, especially for prescribing (professionalism)

Asks probing triage questions to gauge severity of symptoms, especially with audio only (clinical reasoning)

c.

c.

Carries out brief, relevant consent discussion with the patient, discussing confidentiality, limitations, and consent for recording if needed (professionalism, communication)

Adapts the encounter to an alternative communication method (audio only, video, or in person) to facilitate safe and effective care (selectivity)

d.

Attends to the multiple biases that may affect our clinical reasoning especially during a pandemic crisis (e.g., attributing all coughs to COVID-19 without considering another cause) (selectivity)

a.

d.

Clarifies with patient whether others are present when conducting an interview to assure appropriate confidentiality for the patient (communication, professionalism)

e.

Creatively seeks and uses all available data (e.g., asks patient to send logs, photos; if using video, attends to patient demeanor, patient’s background environment; asks patient to perform vitals as able (with/without coaching); asks patient to show relevant areas amenable to external examination (e.g., skin, MSK, throat, etc.)) (communication, clinical reasoning)

4. Situational awareness: a.

Adapts usual management and follow-up plans to current context (clinical reasoning)

b.

Plans future care while considering modified clinical operations, and local holistic risk to the patient (selectivity)

2. Adaptive communication: a.

Establishes rapport quickly; introduces themselves by name and role, identifies who is supervising them and how; when using video platforms maintains eye contact, is aware of background distractions (communication)

b.

Listens attentively to verbal cues (especially for telephone consultation) and seeks to clarify ambiguous statements (communication)

c.

Documents including consent and the rationale for deviation from typical management and/or follow-up plans, weighing the holistic risk to this patient (communication)

You will already be familiar with using your formative assessment tools (e.g., field notes) and the Assessment Objectives.

Many of these VC skills are adaptations of what you are already used to assessing (e.g., the skill dimensions of patient-centred care, selectivity, clinical reasoning skills, communication and professionalism). These are unchanged—the information above provides ideas to focus on to optimize safe patient care and residents’ growth in the provision of VC.

See also: Tips for Supervising Family Medicine Learners Providing Virtual Care

Remote proctoring Given the uncertainties around travel and social distancing requirements, we worked with our exam service provider to introduce the option of remote proctoring for the fall 2020 examinations.

Virtual teaching and learning The Section of Teachers (SOT) quickly produced two documents, Tips for Supervising Family Medicine Learners Providing Virtual Care and Emerging Topics Bulletin for Educators: Pearls for Writing a Virtual Care Field Note, to support family medicine educators in adapting to teaching residents virtually.7,8

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Training results Data collection for the Family Medicine Longitudinal Survey was completed for the full cohort of learners who started residency in 2014, finished their training in 2016, and had been in practice for three years in 2019. The data will be used to inform the Outcomes of Training Project, which will define the results expected of family medicine residency training and develop a system for evaluating whether training programs are meeting

current community requirements and preparing for future needs.

Residency profile Field research was completed for the Family Medicine Residency Training Profile, with input from 375 participants and 75 constituent groups about family physicians’ work. Based on the Family Medicine Professional Profile, it defines what we are aiming for in family medicine residency and forms the basis of recommendations in the final stage of the Outcomes of Training Project.

Updated residency accreditation approach

Excellence in Residency Accreditation (CanERA). This revised approach to residency program evaluation includes updated standards, addresses consistency across programs and institutions, and contributes to continuous quality improvement.

New assessment objectives We released the updated edition of the Assessment Objectives for Certification in Family Medicine, which was originally published in 2010. It serves as the foundation for content development for the Certification Examination in Family Medicine.9

The CFPC, the Royal College, and the Collège des médecins du Québec launched Canadian

Popular tweet We want to thank the 170 members who supported the fall Certification Examination in Family Medicine as examiners, centre coordinators, and exam markers, plus 30 staff personnel. We couldn’t do it without you!

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Did you know?

CFPC by the numbers

The CFPC’s membership count reached

40,000

The CFPC website averages more than

2 million visits each year.

in April 2020.

2019 Membership Survey highlights

83%

said the CFPC is Canada’s voice for family medicine.

The top three things members said they value about belonging to the CFPC were:

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75%

said the CFPC stands for something important to them.

74%

said family physicians are recognized for their excellence by the CFPC.

1. Mainpro+ 2. Certification in the College of Family Physicians of Canada (CCFP) 3. Canadian Family Physician (CFP)

The Member Interest Groups Section (MIGS) experienced huge growth over the past year. MiGroups, the MIGS online forum, registered 2,000 new members between mid-March and mid-May.

FMF 2019 was a great success in Vancouver with more than 3,500 attendees, 330 Mainpro+ certified sessions, and 3,000 participants at various networking events.

The SOT celebrated its 40th anniversary in 2019. The Celebrating Family Medicine Teaching dinner at FMF, which was part of the SOT’s anniversary celebrations, raised nearly $20,000 to support family medicine education initiatives.

A report on scientific journals from the Web of Science Group indicated CFP had its highest ever impact factor at 2.186 (compared with 1.908 the year before). This puts CFP among the topranked family medicine journals in the world.

In the 2020 National Magazine Awards: B2B, CFP took home one gold award for its July 2019 cover and one honourable mention for its May 2019 cover in the Best Illustration category.

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New websites The new CFPC portal went live in November 2019. Our membership platform has a fresh look, lets users update their profiles easily, and provides easy access to College information.

Our redesigned CFPC website debuted in March 2020, offering a modern design, a dynamic home page featuring animated banners, links to current CFPC news, and an intuitive content structure.

New resources CFP launched the monthly Clinical Inquiries series by the Family Physicians Inquiries Network in which author-formulated questions are answered with the best available evidence.

The CFPC’s Patient Education Committee collaborated with the Patients Experience Evidence Research (PEER) group to publish the PEER Simplified Decision Aid: Osteoarthritis in CFP.10 The SOT released the Guide to Family Medicine Teaching for Preceptors, Teachers, and Educational Leaders.11 The Undergraduate Education Committee released Twelve Points to Consider When Talking to a Medical Student About a Career in Family Medicine, a tool for teachers, preceptors, and residents to use in guiding these discussions.12 The Sport and Exercise Medicine Member Interest Group updated the CFPC’s position statement on Physical Activity Assessment and Counselling in response to a new World

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Health Organization global action plan on physical activity.13 The CFPC collaborated with Choosing Wisely Canada to develop The Cold Standard Toolkit, which addresses the appropriate management of respiratory tract infections.

As part of our efforts to support the Using Antibiotics Wisely campaign, the CFPC produced resources for patients in Punjabi, simplified Chinese, and Spanish.

The CFPC worked with the Centre for Effective Practice on the release of the Early Lyme Disease Management in Primary Care tool for practitioners as well as a resource for patients.14

New faces at the College Dr. David Ponka joined the CFPC leadership team as Director of the Besrour Centre.

Steve Slade was appointed the new Director of Research.

Claudia Zuccato Ria joined the College as Executive Director of the FAFM.

The Besrour Centre coordinated a team of CFPC representatives to deliver education sessions and develop new working relationships with Chinese physicians at the inaugural Sino-Canadian Forum for Excellence in Residency Education in Shanghai, China.

International family medicine The CFPC issued its Position Statement in Support of the Declaration of Astana, a renewed global commitment to build sustainable primary health care for all that has the endorsement of every World Health Organization member state.15 Representatives of the Besrour Centre worked with partners at Moi University in Kenya to provide research support to a community-led mental health initiative in western Kenya.

The Besrour Café served up monthly online chats among Canadian and international partners on topics of importance related to education and training in global family medicine. This one-year pilot project is focusing on Besrour Centre partners in Africa.

Through the generosity of Scotiabank and MD Financial Management, the Besrour Centre introduced a fellowship grant for medical education research. It supports research on using teaching methodologies to advance competencies related to pediatric care among health teams.

Going greener CFP suspended the use of a plastic polywrap for mailing the journal until a cost-effective, environmentally friendly alternative becomes available.

We supported the Canadian Association of Physicians for the Environment’s Call to Action on Climate Change and Health.

To make FMF more environmentally friendly: • All plastics and non-recyclable materials were eliminated from food services • More attendees chose to use the FMF App (with 3,500 downloads), reducing the need for print programs • Hundreds of participants chose to attend virtually via FMF Live • The main venue was Leadership in Energy and Environmental Design certified

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Chapter highlights Alberta College of Family Physicians (ACFP) • Collaborated with the CFPC to enhance the GoMainpro online learning platform to make it available to all CFPC members.

• Stepped up advocacy efforts and registered to lobby to support family physicians in government relations and to build public awareness.

• Celebrated the ACFP’s 65th anniversary.

• Released several resources related to COVID-19, including Practising Cultural Safety and Humility in the Response To COVID-19 and a series of resilience and wellness resources.

Manitoba College of Family Physicians • Changed the Annual Scientific Assembly in April 2020 from an in-person to a virtual event in less than three weeks to accommodate members’ needs during the COVID-19 pandemic.

• Hired its first full-time Executive Director— Lisa Goss—who has been modernizing the MCFP’s operations and building capacity to provide value to members across the province.

Attendees at the signing of the declaration in November 2019 included (from left): Te’ta-in Shane Pointe, BC First Nations Health Authority knowledge keeper and xʷməθkʷəy̓ əm (Musqueam) Elder; Dr. Terri Aldred, BCCFP Director; Toby Achtman, BCCFP Executive Director; Dr. Francine Lemire, CFPC Executive Director and CEO; Dr. Jeanette Boyd, BCCFP President; Dr. Evan Adams, FNHA Chief Medical Officer; and Dr. Rebekah Eatmon, Co-chief Resident of the Indigenous Family Medicine Program.

British Columbia College of Family Physicians • Launched the My Family Doctor Cares public campaign to promote the value of family medicine, advocate for improved access to family physicians, and highlight the availability of family physicians throughout the pandemic.

• Signed the Declaration of Commitment to Cultural Safety and Humility in Health Services for First Nations and Aboriginal People in BC at a special ceremony.

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• Celebrated Family Doctor Day in May with an official proclamation from the Province of Manitoba recognizing “the valuable and significant contributions family doctors make each and every day to ensure the health of all Manitobans.”

New Brunswick College of Family Physicians (NBCFP) • Continued advocacy work promoting the value of family physicians, protecting family medicine terminology from misuse, and supporting the need for alternative payment models.

• Implemented strategies to increase the accountability, transparency, and proactivity of the NBCFP’s Board.

• Participated in the Primary Care Task Force, whose objective is to establish best practices and strategies to increase access to primary care for everyone living in New Brunswick.

perspective to provincial projects and programs in development.

• Created the Mohamed Ravalia IMG Award, which recognizes excellence in international medical graduates who have committed themselves to becoming respected members and leaders of their local and medical communities.

Nova Scotia College of Family Physicians • Continued advocacy work drawing on themes from the “We Specialize in You” campaign.

• Held the annual Family Medicine Conference, which included presentations on important topics such as medical assistance in dying, deprescribing benzodiazepines, and LGBTQ+ health.

• Celebrated award recipients at a banquet that included special guests Dr. Donald Brown and Dr. Brian Hennen—two of the first family physicians to be awarded the CCFP Special Designation in 1969.

Ontario College of Family Physicians Dr. Mohamed Ravalia received the inaugural award named in his honour from Dr. Nicole Stockley, Past President of the NLCFP.

Newfoundland and Labrador College of Family Physicians (NLCFP)

• Co-created the COVID-19 Community of Practice with the University of Toronto Department of Family and Community Medicine to help Ontario family physicians learn from each other during the pandemic.

• Expanded the Director of External Engagement role beyond its initial focus on government outreach to include establishing and maintaining relationships with various partner organizations.

• Continued to support the Primary Care Virtual Community, which provides a collaborative space online for leaders in primary care who want to spark meaningful change in Ontario’s health care system.

• Gained seats on several working groups with stakeholder organizations as a result of government outreach efforts, which allows the NLCFP to add a family medicine

• Generated media interest in the 2019 OCFP Awards recipients, resulting in 40 stories in print, radio, and TV across Ontario.

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causes through the creation of a working group whose aim is to integrate a vision of sustainability and social responsibility into the QCFP’s mission and provide positive, unifying, and apolitical leadership in these areas.

In January 2020 CFPC representatives met with key government officials in PEI (from left): Dr. Kathie McNally, Director of Health Services, PEI Health and Wellness; Heather Mullen, CFPC Health Policy Analyst; James Aylward, PEI Minister of Health and Wellness; and Dr. Kristy Newson, President, PEICFP.

• Launched an updated version (in French) of the training module Practising Wisely: Judicious use of testing and treatment.

Prince Edward Island College of Family Physicians (PEICFP) • Advocated for the adoption of the Patient’s Medical Home vision of care by meeting with government officials regularly and by participating on the steering committee for primary health care reform on PEI. • Continued to work toward the goal of implementing one fully integrated provincial EMR and virtual care platform for all family physicians and other community-based specialists on PEI. • Provided the province’s first Practising Wisely session for family physicians, which was well received.

Quebec College of Family Physicians (QCFP) • Published an analysis of the QCFP’s Mentorship Program in CFP that identified strengths and how the program could be adjusted to address participants’ needs.16 • Released the QCFP’s 2020–2023 strategic plan, which positions the Chapter as a defender of social and environmental

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Saskatchewan College of Family Physicians • Organized the largest Dinner with the Docs event to date, which is an informal opportunity for medical students and family doctors to talk about what it is like to practise family medicine.

• Attended and sponsored the inaugural Med Zero event, which the University of Saskatchewan’s Family Medicine Club hosts to introduce first-year medical students to family medicine.

• Introduced the new award My Family Doc Rocks, which lets patients recognize their family physicians for going above and beyond in providing exceptional care.

2019–2020 CFPC Board of Directors

Shirley Schipper MD, CCFP, FCFP President

Paul Sawchuk MD, CCFP, FCFP, MBA Past President

Jean-Pierre Arseneau MD, CCFP Director-at-Large (2018–2020)

Carrie Bernard MD, MPH, CCFP, FCFP Director-at-Large (2018–2021)

Marie Giroux MD, CCFP, FCFP Director-at-Large (2019–2022)

John Maxted MD, MBA, CCFP, FCFP Director-at-Large (2018–2021)

Christie Newton MD, CCFP, FCFP Director-at-Large (2019–2022)

Yan Yu MD, MPP, MBA, CCFP Director-at-Large (2019–2022)

Braden Bouchard MBBS, CCFP Secretary-Treasurer

Catherine Cervin MD, CCFP, FCFP, MAEd President-Elect

Alan Katz MB ChB, MSc, CCFP, FCFP Director-at-Large (2018–2021)

Francine Lemire MD CM, CCFP, FCFP, CAE, ICD.D Executive Director and Chief Executive Officer (non-voting member)

Members of the FAFM Board of Directors

Marie-Dominique Beaulieu MD, CCFP, FCFP Chair

Peter Newbery MD, CCFP, FCFP

Jeanette Boyd MD, CCFP, FCFP Vice-Chair

Tom Berekoff CFRE, Honorary Secretary-Treasurer

Roch Bernier MD, CCFP, FCFP, LM

Suja Suntharalingham

Pierre-Paul Tellier MD, CCFP, FCFP

Francine Lemire Executive Director and CEO, CFPC and FAFM (non-voting member)

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Committee chairs 2019–2020 The CFPC Board of Directors extends its sincere gratitude to the many members who chair our committees and sections. Thank you for your commitment and dedication.

The following chairs will complete their terms at the time of the Annual Meeting of Members (AMM) on November 5, 2020, or have completed them since the 2019 AMM: Dr. Joel Andersen (Ontario), Occupational Medicine Member Interest Group Dr. Marie-Dominique Beaulieu (Quebec), Foundation for Advancing Family Medicine Board of Directors

Dr. Curtis Handford (Ontario), Editorial Advisory Board, Canadian Family Physician Dr. David Henderson (Nova Scotia), Palliative Care Member Interest Group Kerry Howell (Alberta), co-chair, Section of Medical Students Council Dr. Fiona Kouyoumdjian (Ontario), Prison Health Member Interest Group

Dr. Marc Bilodeau (Quebec), Patient’s Medical Home Steering Committee

Dr. Frank Martino (Ontario), Member Interest Groups Section

Dr. Robert Boulay (New Brunswick), Nominating Committee

Dr. Patricia Mirwaldt (British Columbia), Mental Health Member Interest Group; cochair, Collaborative Working Group on Shared Mental Health Care

Dr. Jeanette Boyd (British Columbia), Honours and Awards Committee Dr. Sarah de Leeuw (British Columbia), co-chair, History and Humanities in Family Medicine Committee Dr. Anne DuVall (Ontario), Governance Advisory Committee Dr. John Foote (Ontario), Emergency Medicine Member Interest Group

Dr. Benjamin Schiff (Quebec), Hospital Medicine Member Interest Group Dr. Mark Woo (Ontario), Section of Residents Council Dr. Keith Wycliffe-Jones (Alberta), Residency Accreditation Committee

Dr. Christie Freeman (Ontario), Dermatology Member Interest Group

Dr. Joyce Zazulak (Ontario), co-chair, History and Humanities in Family Medicine Committee

Dr. Pierre Frémont (Quebec), Sport and Exercise Medicine Member Interest Group

One-year committee chair positions held in 2019–2020:

Dr. Brian Geller (Saskatchewan), Enhanced Skills Surgery Member Interest Group

Dr. Brady Bouchard (Saskatchewan), Finance and Audit Committee

Dr. James Goertzen (Ontario), Section of Teachers Council

Dr. Shirley Schipper (Alberta), CFPC Board of Directors

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Committee chairs whose terms will be renewed for a second term or extended for one year at the time of the 2020 AMM: Dr. Michael Rondilla (Ontario), Self Learning Committee Dr. Ross Upshur (Ontario), Ethics Committee Other section and committee chairs who are continuing their terms: Dr. Amit Arya (Ontario), Palliative Care Member Interest Group Dr. Lisa Bonang (Nova Scotia), Advisory Committee on Family Practice Dr. Ian Casson (Ontario), Developmental Disabilities Member Interest Group

Dr. Michelle Greiver (Ontario), Practice-Based Research Network Action Group Dr. Leslie Griffin (Nova Scotia), co-chair, Family Medicine Forum Committee Dr. Archna Gupta (Ontario), Global Health Member Interest Group Dr. Gayle Halas (Manitoba), Family Medicine Forum Research Committee Dr. Jennifer Hall (New Brunswick), Family Medicine Specialty Committee Dr. Stephen Hawrylyshyn (Ontario), co-chair, Family Medicine Forum Committee Dr. Melissa Holowaty (Ontario), Addiction Medicine Member Interest Group Dr. Maria Hubinette (British Columbia), Undergraduate Education Committee

Dr. Jean Chen (Ontario), Patient Education Committee

Dr. Brian Hutchison (Ontario), Action Group for Advocacy in Research

Dr. William Ehman (British Columbia), Maternity and Newborn Care Member Interest Group

Dr. Vaibhav Kamble (Ontario), Family Practice Anesthesia Member Interest Group; co-chair, Collaborative Advisory Group for General and Family Practice Anesthesia

Dr. Sidney Feldman (Ontario), Health Care of the Elderly Member Interest Group Dr. Sarah Funnell (Ontario), co-chair, Indigenous Health Committee

Dr. Darlene Kitty (Ontario), co-chair, Indigenous Health Committee (on behalf of the Indigenous Physicians Association of Canada)

Dr. Marshall Godwin (Newfoundland and Labrador), Section of Researchers Council

Dr. Sudha Koppula (Alberta), Faculty Development Education Committee

Dr. Ritika Goel (Ontario), Social Accountability Working Group

Dr. Leonora Lalla (Quebec), National Committee on Continuing Professional Development

Dr. Lisa Graves (Ontario), Committee on Examinations – Family Medicine Dr. Lee Green (Alberta), co-chair, Triple C Data Oversight Committee

Dr. Kathy Lawrence (Saskatchewan), Postgraduate Education Committee Dr. Charles Leduc (Alberta), co-chair, Triple C Data Oversight Committee Annual Report 2019–2020

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Jeana MacLeod (Nova Scotia), co-chair, Section of Medical Students Council Dr. Andrew MacPherson (British Columbia), Committee on Examinations – Emergency Medicine Dr. Matthew Menear (Quebec), Research Community of Practice Action Group Dr. Annelise Miller (Ontario), First Five Years in Family Practice Committee Dr. Lori Montgomery (Alberta), Chronic Pain Member Interest Group Dr. Dominique Pilon (Quebec), Board of Examinations and Certification Dr. Lynda Redwood-Campbell (Ontario), Besrour Centre for Global Family Medicine Advisory Council Dr. James Rourke (Newfoundland and Labrador), co-chair, Rural Road Map Implementation Committee (on behalf of the Society of Rural Physicians of Canada)

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Dr. Karen Schultz (Ontario), Certification Process and Assessment Committee Dr. Ian Scott (Ontario), Section of Teachers Family Medicine Forum Committee Dr. Kevin Shi (British Columbia), SAMP Group, Committee on Examinations – Family Medicine Dr. Pierre-Paul Tellier (Quebec), Child and Adolescent Health Member Interest Group; co-chair, Joint Action Committee on Child and Adolescent Health Dr. Anna Wilkinson (Ontario), Cancer Care Member Interest Group Dr. Ruth Wilson (Ontario), co-chair, Rural Road Map Implementation Committee

Financial information 2019–2020 Revenues $37,160,206

7.69% Certification and Assessment 21.44% Programs Not Supported by Member fees (Self Learning Program, Family Medicine Forum, Non-Member Mainpro+ Participants) 70.87% Member Core and Enhanced Programs

2019–2020 Expenses $36,806,351

13.19% Certification and Assessment 23.43% Programs Not Supported by Member fees (Self Learning Program, Family Medicine Forum, Non-Member Mainpro+ Participants) 63.38% Member Core and Enhanced Programs

The total surplus for 2019/20 is $353,855, representing only 0.96% of the total expenses.

A year-end result that is +/- 1% is considered a balanced budget.

Due to COVID-19, the spring 2020 Certification Examination in Family Medicine was postponed until fall 2020.

As a result there is no specific financial information available for the 2020 Certification Examination in Family Medicine.

Annual Report 2019–2020

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References Virtual Care Recommendations for Scaling Up Virtual Medical Services: Report of the Virtual Care Task Force. Ottawa, ON: Canadian Medical Association, College of Family Physicians of Canada, Royal College of Physicians and Surgeons of Canada; 2020. Available from: https://www.cfpc.ca/CFPC/media/Images/ PDF/VCTF-report-Final-ENG-Feb-11-20.pdf.

Accessed August 17, 2020.

1

College of Family Physicians of Canada. Position Statement: Appropriate Use of Family Medicine Terminology. Mississauga, ON: College of Family Physicians of Canada; 2019. Available from: https://www.cfpc.ca/CFPC/media/Images/ News/News%20PDF/Protecting-FamilyMedicine-Terms-Position-Statement-Dec-6-19Web-ENG.pdf. Accessed August 17, 2020.

2

College of Family Physicians of Canada.

Choose Family Medicine website. 2020. https:// choosefamilymedicine.ca/. Accessed August 17, 2020.

3

College of Family Physicians of Canada.

Position Statement on Access to Opioid Agonist Treatment in Detention. Mississauga, ON: College of Family Physicians of Canada; 2019 Available from: https://www.cfpc.ca/CFPC/media/ Images/PDF/201912-Position-StatementPrison-Health-Opioid-Therapy.pdf. Accessed August 17, 2020.

4

College of Family Physicians of Canada.

Mainpro+ CPD Report 2018–2019. Mississauga, ON: College of Family Physicians of Canada; 2019. Available from: https://portal.cfpc.ca/ resourcesdocs/uploadedfiles/CPD/MainproCPD-Report-ENG.pdf. Accessed August 17, 2020.

5

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College of Family Physicians of Canada. Section of Researchers Blueprint 2. Mississauga, ON: College of Family Physicians of Canada; 2019. Available from: https://portal.cfpc.ca/ResourcesDocs/ uploadedFiles/Research/SOR-Blueprint-2018-2023. pdf. Accessed August 17, 2020.

6

Oandasan I, Cavett T, Singer A, Wolfrom B. Tips for Supervising Family Medicine Learners Providing Virtual Care. Mississauga, ON: College of Family Physicians of Canada; 2020. Available from: https://portal.cfpc.ca/resourcesdocs/ en/Supervision-of-FM-Learners-for-VirtualVisits-final.pdf. Accessed August 17, 2020.

7

College of Family Physicians of Canada.

Emerging Topics Bulletin for Educators: Pearls for Writing a Virtual Care Field Note. Mississauga, ON: College of Family Physicians of Canada; 2020. Available from: https://portal.cfpc.ca/ ResourcesDocs/uploadedFiles/Education/ For_Teacher/Emerging-Writing-ENG-v4.pdf.

Accessed August 17, 2020.

8

Crichton T, Schultz K, Lawrence K, Donoff M, Laughlin T, Brailovsky C, et al. Assessment Objectives for Certification in Family Medicine.

Mississauga, ON: College of Family Physicians of Canada; 2020. Available from: https:// portal.cfpc.ca/ResourcesDocs/uploadedFiles/ Education/Certification_in_Family_Medicine_ Examination/Assessment-Objectives-forCertification-in-FM-full-document.pdf.

Accessed August 17, 2020.

9

Lindblad AJ, McCormack J, Korownyk CS, Kolber MR, Ton J, Perry D, et al. PEER simplified decision aid: osteoarthritis treatment options in primary care. Can Fam Physician. 2020;66(3):191193. Available from: https://www.cfp.ca/ content/66/3/191. Accessed August 17, 2020.

10

College of Family Physicians of Canada. Guide to Family Medicine Teaching for Preceptors, Teachers, and Educational Leaders. Mississauga, ON: College of Family Physicians of Canada; 2020.

Available from: https://www.cfpc.ca/CFPC/ media/Images/PDF/SOT-Benefits-booklet.pdf.

Accessed August 17, 2020.

11

Horrey K, Tan A. Twelve Points to Consider When Talking to a Medical Student About a Career in Family Medicine. Mississauga, ON: College of Family Physicians of Canada; 2019. Available from: https://portal.cfpc.ca/ResourcesDocs/ uploadedFiles/Education/twelve-talking-tipsENG-Web.pdf. Accessed August 17, 2020.

12

College of Family Physicians of Canada.

Physical Activity Assessment and Counselling: A key determinant of health for every Canadian.

Mississauga, ON: College of Family Physicians of Canada; 2019. Available from: https://portal.cfpc. ca/ResourcesDocs/uploadedFiles/Resources/ Resource_Items/Health_Professionals/RevisedPosition-Statement-on-Physical-Activity-ENG. pdf. Accessed August 17, 2020.

13

Centre for Effective Practice. Early Lyme Disease Management in Primary Care. Toronto, ON: Centre for Effective Practice. Available from: https://cep.health/clinical-products/earlylyme-disease/. Accessed August 17, 2020.

14

College of Family Physicians of Canada. CFPC Position Statement in Support of the Declaration of Astana. Mississauga, ON: College of Family Physicians of Canada; 2020. Available from: https://portal.cfpc.ca/ResourcesDocs/ uploadedFiles/About_Us/Sadok_Besrour_ Centre_for_Innovation_in_Global_Health/ CFPC-Position-Statement-in-Support-of-theDeclaration-of-Astana-ENG.pdf. Accessed August 17, 2020.

15

Côté L, Deschênes D, Hudon E, Galarneau S, Bolduc G. Quebec College of Family Physicians’ new formal mentorship program. Can Fam Physician. 2019;65(11):e481-e486. Available from: https://www.cfp.ca/content/65/11/ e481. Accessed August 18, 2020.

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