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What do Family Doctors do?
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Family doctor with patient combo, Norman Rockwell painting and photoDr Carmen Eadie, Vancouver BC, Sep 4, 2022.

The biggest problem with being a Family Doctor is that no one knows exactly what we do. We are involved in so many aspects of a person’s life that the lens is not clear to other people.

Dr Ian McWhinney, Canada's "Founding Father of Family Medicine"
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Photo of Dr Ian R. McWhinneyDr Ian R. McWhinney was an English physician and academic who moved to the University of Western Ontario as the first chair of family medicine in Canada where he started the country's first Department of Family Medicine in 1968. He became known in Canada and around the world as the "Father of Family Medicine".

He published over 100 articles during his lifetime and is well known for his influential book, Textbook of Family Medicine. The opening chapter, The Origins of Family Medicine, provides a brief history of medicine including the emergence and need for Family Medicine.

Are band-aids the right Rx to save family medicine?
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band-aid solutionThe $118 million announced consisting of $75 million new money plus redistribution of existing funds as a "stabilization fund" is an interim measure, a one-time handout over 4 months October 2022 to Jan. 31st, 2023, to help family physicians (FP) in the community, both longitudinal practices and walk-in clinics with overhead costs to keep their doors open until January 2023. This first step is intended to buy more time for the government and DoBC to develop a "new payment model" that will be introduced and implemented. According to DoBC President's letter, the new model will be based on compensation determined by a number of factors including time, patient encounters, and attachments/complexity.

Congratulations Dr Granger Avery named to Order of Canada
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Dr Granger AveryCongratulations to Dr Granger Avery who has been named to the Order of Canada. 

Dr Avery is an exemplary physician and visionary who has made a positive impact as a medical leader to improve health care for Canadians.

Not the only nail in the coffin of democracy at the Canadian Medical Association
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Not the only nail in the coffin of democracyDr Z. Essak, MD - Vancouver BC - August 11, 2021.

In less than two weeks, on August 22, 2021 the Canadian Medical Association will hold its AGM as a virtual meeting with proposed bylaw amendments that some doctors say will be the end of democracy at the CMA. While the proposed bylaw amendments deserve to be defeated by physician members, it is not the whole story. This is not the only nail in the coffin of democracy in the CMA and in the medical profession throughout the country and the provinces.

Update on CPSBC Bylaw Amendments - Associate Physician
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We wish to express our sincere thanks to the more than 600 BC physicians who signed the group response letter in less than 48 hours. The overwhelming response with more than 150 comments expressed strong concerns about the precedent-setting CPSBC Bylaw amendments and the potential detrimental effect on patient safety and the quality of care delivered in BC. Please see our update letter sharing what we have learned and what can be done to help uphold the integrity of physician practice in BC, keeping our patients, communities, and families safe.

President Eric Cadesky's report on the 2018 CMA Summit and General Council
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2018 CMA Summit pictureDr Eric Cadesky, DoctorsOfBC President, in his president's blog reports on the 2018 CMA meeting in Winnipeg that just recently wrapped up.

He shares,  "In past years, the CMA’s General Council meeting (GC) – the 'medical parliament of Canada' –focused on doctors debating motions on evolving and important topics ... the CMA this year instead organized a two-day Health Summit comprised of speakers and panel discussions. ... As is usual, the federal health minister attended, but was interviewed by a non-physician rather than giving a speech, and while she repeatedly stated she was “here to listen” she did not take any questions from the audience ... followed by the CMA’s Annual General Meeting and a pared-down GC without motions; many felt there was not enough time to debate the proposed changes to CMA governance and the Code of Ethics and Professionalism."

2018 Doctors of BC President-Elect election debate
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2018-05-14 Vancouver, BC Dr Z. Essak, MD2018 DoBC President Elect Debate

A must see. The 2018 Annual Dr Jim Busser Memorial election debate was live video streamed on May 9 and can be viewed anytime through the Vancouver Medical Association website (link below).

Kudos to Dr Charles Webb for keeping alive the memory and spirit of Dr Jim Busser. Kudos also to the moderator Dr Arun Garg encouraging questions and kudos to the participants present and remote for asking questions.

Beyond the opening formalities it gets interesting as questions are asked on what more should we be doing for future physicians, the lack of access, what are the main problems, use of allied professionals and physician extenders.

Dr. McDonnell on the History of Medicine in BC
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This was included as part of another post on Doclounge.net but may be more useful as a separate post, especially for history buffs.

In particular the article attached, [6] McDonnell - Early medical legislation

The full series of 12 articles by Dr. McDonnell on the History of Medicine in BC may be of interest to readers and can be obtained from public library resources and other libraries:

Will BC doctors do something before it's too late?
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Doctors hear nothing, see nothing, say nothing.Dr Z. Essak, MD - Vancouver BC - September 9, 2017.

There are a lot of calamities in the world today grabbing our attention so why is this important now?

This directly affects our BC health care system, which has slipped from being one of the best in the world to below the top ten. You don't have to tell patients and families who need care, they already see the cracks and hurdles everyday as they wait and hope to get the care they need.

What is happening this week at the BC Medical Association, the Doctors of BC, is critical. They are a well-funded, important organization that negotiates on behalf of all doctors with the BC Government and co-managing public health care. This affects not only doctors but patients and everyone in BC. It cannot be ignored.

Doctors may have become apathetic and cynical with low professional satisfaction as they feel overworked and struggle trying to get people the care they need. However, now is a critical time for them to consider these important facts. If they don't act now things may get a lot worse.

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