Welcome to the VDFP NewsFlash! Inside this issue: (click to see full story below)

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1 September 20, 2016 Welcome to the VDFP NewsFlash! Inside this issue: (click to see full story below) Division News 1. Victoria Division Calendar 2. Save the Date: 2016 VDFP Annual General Meeting November 16, RCI Update 4. Visit VDFP s new office! News and Events 5. Medical Health Officers Newsletter Immunization Update 6. Island Health Grant Opportunities CMA Award Recipients 8. Combined ACLS/APLS Course: November 17 & 18, 2016 in Vancouver 9. Guys Having Sex With Guys: A Sexual Health Update (Victoria) 10. Compassionate Care: Medical Assistance in Dying October 24, 2016 in Parksville 11. Partners in Care: Multi-discipline World Café October 26th, Update on Primary Care Informatics Get Involved 13. Island Medical Program Teaching Opportunities Recruitment and Retention 14. Practice Coverage Forms 15. Permanent and Locum Physician Opportunities 16. Are You Looking for an MOA? Reminders 17. ER TIPS AND TRICKS: Hark! What Light Under Yonder Eyelid Shines? 18. Extended until Dec 31/16 - Enhanced Response for Physician Referrals to Community Intake

2 19. UBC CPD Upcoming Online Webinars 20. Upcoming Oncology CME Events - Family Practice Oncology Network 21. Sign up for October 22 Family Medicine Conference in Kelowna 22. UBC CPD Sexual Health Forum: Online Journal Club & Practice-Focused Dialogue 23. Coming this Fall to a Neighbourhood Near You - Working with Island Health to Reorganize Community Services 24. Update: CBT Skills Groups Accepting Referrals for Patients in Victoria & Now in the Western Communities In Every Issue 25. Encourage Your Colleagues to Join the Division 26. Like us on Facebook! 27. Seeking Contributions for Next Edition of NewsFlash Division News 1. Victoria Division Calendar Click here to view the division calendar on our website. 2. Save the Date: 2016 VDFP Annual General Meeting November 16, 2016 Date: Wednesday, November 16, 2016 Time: 5:30 pm- registration/dinner Program: 6:00 pm-9:00 pm Location: Victoria Marriott Inner Harbour, 728 Humboldt Street Program Highlights: Pathways Launch Join us for the Annual General Meeting! We will confirm the new Board of Directors for , reflect on the year s successes, and learn about exciting new developments, including the roll-out of Pathways, which will be available for free to all Division members in Victoria. Pathways is a web-based tool developed by GPs, for GPs, to support physicians referring to specialists and specialized services. The VDFP has collected data specific to our community and will maintain Pathways to keep information on wait times, services and supportive resources accurate and up to date. Bring your laptop/tablet to the VDFP AGM (make sure to charge your battery!), receive your access key, log in, and learn with your colleagues how to use the tool! Watch your inbox for more details! For more information: victoria@divisionsbc.ca

3 3. RCI Update Opt-In As of mid-september, 75 Victoria and South Island physicians have opted in to the RCI, covering approximately 75% of residential care patients in our region. It s rewarding to opt in to the RCI! Contact us at victoriasouthisland.rci@divisionsbc.ca to learn about the benefits and incentives available to you. Learning Series Response has been brisk for the first session in the RCI Learning Series, September 26 th, on Medical Assistance in Dying (MAiD). Full details on the monthly RCI Learning Series coming soon! QI Intensive Update The RCI Facility QI Intensive is a program designed to support residential care facilities to more fully adopt RCI best practice expectations and remove barriers for physicians. The RCI project team is currently working with two residential care sites to generate collaborative solutions to meeting the best practice expectations, and other organizational and communications issues. Would a facility you attend benefit from a QI Intensive? Contact us for more information or to get involved victoriasouthisland.rci@divisionsbc.ca. 4. Visit VDFP s new office! The Victoria Division of Family Practice office has moved all the way upstairs! Our new office is located at Bastion Square. Feel free to stop in and visit us in this great space. Please continue to direct all mail to PO Box 8418, Victoria Main, Victoria BC, V8W 3S1. News and Events 5. Medical Health Officers Newsletter Immunization Update There have been a number of changes to the publicly-funded immunization programs in BC for children and adults, including a change to school-age meningococcal vaccine schedule and addition of HPV-9 vaccine for girls. Read more here. Previous MHO newsletters can be found on the Island Health website. 6. Island Health Grant Opportunities Did you know Island Health has a number of grants available for employees and affiliated health professionals? Learn more about Island Health s internal and external grant opportunities. These range from $250 to $40,000 and aim to encourage new researchers,

4 support current research, and raise awareness about research and knowledge translation across Island Health CMA Award Recipients The 2016 Canadian Medical Association Award Recipients have been published. Learn more about these outstanding physicians here. 8. Combined ACLS/APLS Course: November 17 & 18, 2016 in Vancouver ACLS: Provides the knowledge and skills needed to evaluate and manage the first 10 minutes of an adult ventricular fibrillation/ventricular tachycardia (VF/VT) arrest. Learn to manage 10 core ACLS cases: a respiratory emergency, four type of cardiac arrest, four types of pre-arrest emergencies, and stroke. APLS: Learn to assess and manage critically ill children during the first hours in the emergency department. Take part in this skills stations and case discussion sessions. Participants must then successfully complete the APLS Course Completion Examination. When: ACLS: Nov 17, 2016 & APLS: Nov 18, 2016 Where: ACLS: Vancouver General Hospital; APLS: Simulation BC Children s Hospital For more information, including how to register, click here. 9. Guys Having Sex With Guys: A Sexual Health Update (Victoria) Nov 15, 2016 In partnership with Island Health, UBC CPD is excited to present this free workshop on the health of gay, bisexual, and other men who have sex with men (MSM). The goal of this session is for physicians and primary care providers to develop and build the confidence to provide primary care for patients who are MSM, and move beyond sexual health into more complex issues. This workshop is designed for those who are inexperienced working with MSM patients and want to improve their care of this population. Highlights: Gain skills to identify and improve care of guys who have sex with guys; Understand the impact of social context on health; Identify common health issues experienced by these patients and their implications for care; Learn skills to improve communication with this patient population; Utilize resources and connect this patient population to appropriate supports; and Critically examine and reflect on care of this patient population in your practice. When & where: Nov 15 (Tue) Grand Pacific Hotel Victoria BC For more information, including how to register, click here.

5 10. Compassionate Care: Medical Assistance in Dying October 24, 2016 in Parksville Medical Assistance in Dying (MAiD) is a new health service in Canada. Island Health is offering an Education Event for Physicians, Nurse Practitioners, Pharmacists, and other clinical providers to share learnings about MAiD. Topics include: The place of MAiD in End of Life Care The patient/caregiver journey The MAiD eligibility assessment process The role of individual health care professions College standards and practices The education event will include opportunity for testing and a certificate for those wishing to be MAiD assessors and/or prescribers. The event is approved for up to 6.5 MOC Section 1 and 6.5 Mainpro+ study credits and will take place on October 24, 2016, from 8:30am- 4:30pm at the Parksville Community & Conference Centre. To learn more, click here. 11. Partners in Care: Multi-discipline World Café October 26 th, 2016 Partners in Care is hosting another multi-discipline world café the evening of October 26 th, Specialties participating include endocrinology, gastroenterology, emergency medicine, neurology, obstetrics/gynecology and respirology. Click here for more information and to register. 12. Update on Primary Care Informatics Check out these latest resources from the Primary Care Informatics Working Group, including excellent videos created by Dr. Ian Bekker, a VDFP board member who sits on the PCI committee. Get Involved 13. Island Medical Program Teaching Opportunities Are you interested in teaching medical students, but don t know where to start? The Island Medical Program has opportunities available for physician participation. Click here for details. Recruitment and Retention 14. Practice Coverage Forms Going away on holiday? Retiring and looking for someone to take over your practice? Our practice coverage forms are posted on our Career Resources page for those seeking permanent and locum physicians. If you already have a copy of our practice coverage forms, please ensure that you have our most up-to-date forms.

6 15. Permanent and Locum Physician Opportunities Permanent and locum physician opportunities are posted regularly on our website. Click on the links below to view all of the available positions. Permanent - GP Offices Permanent - Walk-In Clinics Locum - GP Offices Locum - Walk-In Clinics 16. Are You Looking for an MOA? The Practice Support Strategy under our A GP for Me initiative has developed a MOA job posting form to advertise positions through the Division. If your office is looking for a medical office assistant, click here for the MOA job submission form and instructions on how to submit your posting. Your posting will appear in the Careers Section of our website. Reminders 17. ER TIPS AND TRICKS: Hark! What Light Under Yonder Eyelid Shines? We ve all had the awkward and frustrating experience of trying to look UNDER someone s eyelid. There are several available techniques - grab the eyelashes, flip the lid over a Q- tip/stick, etc. - with varying degrees of success. Our local ER docs have shared a crafty, homemade solution for this touchy issue using a large paperclip and a light source. Check out our very own Drs. Steve Wheeler and Brian Farrell demonstrating their eyelid viewing technique: (with thanks to Dr. Bruce Campana for sharing the video) ~ Your colleagues on the Transitions in Care ER-GP Working Group have developed a whole series of tips and tricks to answer your questions about working with the ER to support your patients. Watch for a new one in the Newsflash or visit our website to read them all! Do YOU have a pressing question for the ER? Know a trick that can help your fellow GPs out? Send your thoughts to katwood@divisionsbc.ca to get your ideas on the list! 18. Extended until Dec 31/16 - Enhanced Response for Physician Referrals to Community Intake Island Health Community Intake (for Home and Community Care) conducted a trial of a live-answer nurse line for GP referrals which has been extended for through the end of 2016.

7 A nurse is available to speak directly with GPs regarding their referral Monday through Friday, 8:30 am 4:00 pm, and faxed information is sent to the GP s office to close the loop after referrals have been received. Physicians and healthcare professionals can access Community Intake for community services by calling Please note this is not a public number and is reserved for GPs and other healthcare professionals use only. For clients, and the general public, Community Intake offers a General Enquiries Line: or Toll-free This line is answered Monday through Friday, 9:00 am 5:00 pm (excluding statutory holidays). Please feel free to give this number to your clients and their families. 19. UBC CPD Upcoming Online Webinars Caring for the world at home: Enhancing refugee health in primary are in British Columbia Webinar The Vancouver Coastal Health (VCH) Refugee Health Physician Education Initiative aims to raise capacity of community-based family physicians to take on discharged refugee patients after their settlement period. This introductory webinar will cover topics related to refugee health including the interim federal health program, trauma-informed care and relevant resources for community-based family physicians. When: Wednesday October 5, 2016 from 6:00pm-7:00pm PT Where: Online webinar Who should attend: Any community-based family physician and specialist Cost: This session is offered free of charge courtesy of Vancouver Coastal Health Accreditation: up to 1.0 Mainpro+ credits Course page: Looking Beyond Autism: Recognizing Mental Health Disorders in Children and Youth with ASD The Online Mental Health and Autism Project is a partnership between ACT- Autism Community Training and UBC CPD which aims to create an enhanced awareness of the growing trend of children with ASD having co-morbid mental health challenges. Further, this education aims to support health professionals to better recognize these mental health challenges and provide the appropriate care. When: Thursday October 26, 2016 from 6:00pm-7:15pm PT Where: Option of in-person in Vancouver, BC or online webinar Who should attend: Any provider offering care to children and youth with ASD Cost: This session is offered free of charge courtesy of ACT - Autism Community Training Accreditation: up to 1.25 Mainpro+ & 1.25 MOC Section 1 credits

8 Course page: Upcoming Oncology CME Events - Family Practice Oncology Network Nov 19 Family Practice Oncology CME Day 6.5 Mainpro+ credits The BC Cancer Agency s Family Practice Oncology Network invites you to take part in this year s Family Practice Oncology CME Day to be held Saturday, November 19 at the Child & Family Research Institute at BC Children s/bc Women s Hospital. The event provides a great opportunity to gain the most up-to-date knowledge on in-demand oncology topics for primary care, and to build useful cancer care connections. Register today at We ve got an excellent program planned for this year, notes Dr. Raziya Mia, the Network s Clinical Coordinator of Education and Conference Chair, including insightful presentations and workshops from leading oncologists and specialists. I hope you ll join us! This Group Learning program has been certified by the College of Family Physicians of Canada and the BC chapter for up to 6.5 Mainpro+ credits. Contact Jennifer Wolfe at jennifer.wolfe@bccancer.bc.ca or Oncology CME Webcasts Fall Season The Family Practice Oncology Network hosts nationally accredited monthly oncology CME Webcasts with the University of British Columbia s Division of Continuing Professional Development. These complimentary sessions run from 8-9:00 a.m. and are accredited by the College of Family Physicians of Canada for one Mainpro+ credit each. Register at Sept 15: Multiple Myeloma Insight for Primary Care presented by Dr. Greg Dueck of the BC Cancer Agency Centre for the Southern Interior October 20: HPV Vaccines and Cancer Prevention presented by Dr. Gina Ogilvie of Women s Health Research Institute November 12: Febrile Neutropenia presented by Dr. Lee Ann Martin of the BC Cancer Agency s Fraser Valley Centre All Webcasts are recorded and available at Family physicians have the option to earn an additional five Mainpro+ credits by taking part in the College s Linking Learning exercises: Sign up for October 22 Family Medicine Conference in Kelowna This special Family Medicine Conference is set for Saturday, Oct. 22 at Kelowna's Ramada Hotel. We're partnering with the Society of General Practitioners of BC (SGP) to bring you a dual focus program. For practice management, we have a series of presentations covering billing and audits. For clinical content, sessions include: opioid prescribing; advanced care planning; cardiovascular risk assessment; and end-of-life care. Participants are eligible for up to 6.5 Mainpro+ credits. To find out more or register, please click here. Direct flights from Victoria to Kelowna are available through WestJet.

9 22. UBC CPD Sexual Health Forum: Online Journal Club & Practice-Focused Dialogue The Sexual Health Forum is a virtual community of practice a place for clinicians to learn from and with each other, and to expand knowledge, skills, and expertise in order to provide the best care for patients in the realm of sexual health care. Starting in fall 2016, the forum will connect physicians from across BC to critically appraise literature and participate in an open dialogue. The Sexual Health Forum will consist of two parts: The Journal Club will feature 5 five-week sessions running from October 2016 to May Registrants will participate in moderated appraisal of sexual health journal articles. The Dialogue section will enable practice-related discussion on sexual health topics chosen by participants. The program is $125 per participant and is CFPC Certified for up to 12.0 Mainpro+ credits. Registration and additional information can be found here. 23. Coming this Fall to a Neighbourhood Near You - Working with Island Health to Reorganize Community Services Here at the Division, we are cautiously optimistic about an Island Health reorganization designed to improve access to community services in our region. In the south island, including Victoria, this will bring the former Home and Community Care and Seniors Health staff together into neighbourhood teams. The Victoria Division has been providing input into this process for the past year. Over the summer we are taking an even more active role, with members of the Care of the Elderly Working Group and Island Health staff working together to decide how information and work will flow between GPs and the neighbourhood teams. We are hopeful the result will be a real shift in how GPs interact with Island Health, and that it will give us better access to the resources available to support our frail, elderly patients. This work builds on the Division's history and commitment to focusing on the needs of frail seniors and making the working lives of our GPs better. Neighbourhood teams will be built in partnership with neighborhood physicians, to benefit all GPs and their patients, rather than just a select few. Watch for upcoming issues of the Newsflash for more information about this work and details about engagement opportunities with the neighbourhood teams in the Fall. In the meantime, please feel free to be in touch with any questions or comments: victoria@divisionsbc.ca. 24. Update: CBT Skills Groups Accepting Referrals for Patients in Victoria & Now in the Western Communities The Cognitive Behavioural Therapy (CBT) Skills Group now has a group scheduled in the Western Communities in addition to our groups in Greater Victoria! We encourage you to refer your patients who live or work in Langford, Colwood or Sooke now.

10 From September to December, we will have groups running in the Downtown Victoria, Fernwood, Arbutus & West Shore areas. Patients are very satisfied with the program and those who have completed the program show statistically significant improvement in patient outcomes scores on all measures (i.e., depression, anxiety, functioning) pre-post group. To refer your patient for groups starting in October, please click here for our referral form. Please ensure the patient and PHQ-9 is provided on the referral form for a speedy response. If you have any questions, please contact the CBT Skills Group Team at or us at cbtskills@divisionsbc.ca. To learn more about the program, visit our website. In Every Issue 25. Encourage Your Colleagues to Join the Division We encourage all members to promote the Division with their colleagues and encourage them to join us. The closer we are to 100% enrollment, the more we ensure we're representing the family practice community. Applications can be submitted online through the Division s website. 26. Like us on Facebook! The VDFP Facebook page is another way to engage with the Division and be part of the family practice community in Victoria. Have a look and please like us! 27. Seeking Contributions for Next Edition of NewsFlash The next edition of NewsFlash is coming on or about October 4, Do you have news or announcements you would like to share with your colleagues? We welcome your feedback and contributions to the Division. Please information to victoria@divisionsbc.ca or fax to