S05 E10 Family Physicians in Primary Care Teams
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In this episode Morgan and Sarah explore the Physician role in Primary Care. Physicians are the foundation of the primary care system and support cradle to grave care for a wide range of patient needs in a variety of care models. They provide care in rural and urban settings, in clinical settings that range from UPCCs to community health centres and FNPCIs. Team-based care is an opportunity for physicians to practice with the support of other healthcare professionals which can impact their wellbeing and adaptive capacity. We hear from physicians who practice in different settings about what they do, how TBC has impacted their wellbeing, and

The key takeaways from this episode include:

• Family Physician roles can vary considerably depending on the model of care. This impacts how they connect, in person or virtually, with a team.
• Second, teams can enhance the adaptive capacity of the overall primary care system which in turn can enhance the wellbeing of family doctors.
• The best place to start is to just start! Take a small step towards team based care by hiring a single role, doing a few shifts with a primary care team in your area, or start working with the team already in your clinic slightly differently.

Guests:

A huge thank-you to our guests from this episode for sharing their knowledge and experience with us. In this episode you heard from:

• Terri Aldred: Dr. Aldred is Carrier from the Tl'azt'en territory located north of Fort St. James. She is a member of the Lysiloo (Frog) Clan. Dr Aldred is the medical director for primary care for BC’s First Nations Health Authority, the site director for the UBC Indigenous family medicine program, a clinical instructor with UBC and UNBC, a family physician for the Carrier Sekani Family Services primary care team, which serves 12 communities in north-central BC, and the Indigenous lead for the Rural Coordination Centre of BC.
• Daphne Green: Dr. Green is a family doctor who works with a team of professionals at the Kelowna Urgent and Primary Care Centre.
• Rahul Gupta: Dr. Gupta work as an integrative medical physician, professional coach, trauma-sensitive mindfulness instructor, and advocate for physician wellness. He is currently a coaching consultant for the Physician Health Program of BC, a clinical Assistant Professor for the Department of Family Medicine, UBC, and a facilitator for Quality Team Coaching for Rural BC.
• Dana Hubler: Dr. Hubler is a Family Physician with the FNHA, the UBC Rural CPD Medical Director and Physician Advisor with the Physician Quality Improvement Island Health program.
• Anne Nguyen: Dr. Nguyen is a Victoria Primary Care and Addiction Medicine physician who worked for a number of years with Victoria Cool Aid Society. She also works for Doctors of BC as the Physician Lead for the Physician Health Program.
• Christie Newton: Dr. Christie Newton as Associate Vice-President, Health, pro tem, an associate professor and the Associate Head, Education and Engagement in the Department of Family Practice in the Faculty of Medicine. In this role, she is working on a province-wide project funded by the Ministry of Health, aimed at supporting the design and evaluation of teaching within team-based models of care embedded in Primary Care Network communities. She is also the Medical Director of the UBC Health Clinic.
• Carolyn Canfield: Carolyn is the ISU’s in house patient-disruptor and adjunct faculty member in the Department of Family Practice at UBC. Carolyn is very involved in the Department of Family Practice and shares her expertise by teaching medical residents about patient experience and engagement. She also teaches in the undergraduate medical program, serves on the medical school admissions subcommittee and contributes on a number of provincial, national and international project teams on topics ranging from partnership evaluation to understanding systems resilience to advance patient safety.

Resources and Links :

• To learn more about the Centre for Resilience in Healthcare visit: https://www.uis.no/en/research/share-centre-for-resilience-in-healthcare). Some of their recent publications include:

• Lyng, Hilda Bø, Carl Macrae, Veslemøy Guise, Cecilie Haraldseid-Driftland, Birte Fagerdal, Lene Schibevaag, Janne Gro Alsvik, and Siri Wiig. “Exploring the Nature of Adaptive Capacity for Resilience in Healthcare across Different Healthcare Contexts; a Metasynthesis of Narratives.” Applied Ergonomics 104 (October 2022): 103810. https://doi.org/10.1016/j.apergo.2022.103810).

• Lyng, Hilda Bø, Carl Macrae, Veslemøy Guise, Cecilie Haraldseid-Driftland, Birte Fagerdal, Lene Schibevaag, and Siri Wiig. “Capacities for Resilience in Healthcare; a Qualitative Study across Different Healthcare Contexts.” BMC Health Services Research 22, no. 1 (December 2022): 474. https://doi.org/10.1186/s12913-022-07887-6).

• Fagerdal, Birte, Hilda Bø Lyng, Veslemøy Guise, Janet E. Anderson, Petter Lave Thornam, and Siri Wiig. “Exploring the Role of Leaders in Enabling Adaptive Capacity in Hospital Teams – a Multiple Case Study.” BMC Health Services Research 22, no. 1 (December 2022): 908. https://doi.org/10.1186/s12913-022-08296-5).

• To learn more about the Quality Team Coaching for Rural BC program: https://rccbc.ca/initiatives/qtc4rbc/).

• To learn more about the Physician Wellbeing Program visit: https://www.physicianhealth.com/)

• To assess the effectiveness of your team, try the new Team Effectiveness Tool on the Team-based Care BC website: https://teambasedcarebc.ca/team-effectiveness-tool/#gf_6)

• To dig into a whole bunch of team-based care resources see: https://teambasedcarebc.ca/)

• If you are interested in listening to Season 2, the episodes on resilience you can find that here: https://teamuppod.com/season-2/)