Department of Family Medicine

2 0 1 3 • 2 0 1 4 ANNUAL REPORT

A look back at an exciting and productive year! n Cutting the ribbon to open the Halton McMaster Family Health Centre (HMFHC) in Burlington were, from left: Eric Vandewall, president and CEO, Joseph Brant Hospital; John Kelton, dean and vice-president, Faculty of Health Sciences, McMaster University; Patrick Deane, president, McMaster University; Gary Carr, chair, Halton Region; Eleanor McMahon, MPP for Burlington; Rick Goldring, mayor of Burlington; Sue Borden, alumna of the Michael G. DeGroote School of Medicine and physician at the HMFHC; Wes Stephen, chief of staff of Joseph Brant Hospital and David Price, chair, Department of Family Medicine, Michael G. DeGroote School of Medicine. - See more at: http://dailynews.mcmaster.ca/ article/ribbons-cut-to-open-halton-mcmaster-family-health-centre/#sthash. q4vve5Nw.dpuf Chair’s Report

The word The Latin root “departire” meant more their patients and their learners. Our “division” or “sharing out”. Today, the researchers develop and share their “Department” has its Canadian Oxford dictionary describes special expertise with the world and the origins in both French “department” as being a “separate part administrators of the Department of and Latin. In the 15th of a complex whole”, or “an area of Family Medicine are an integral part of special expertise”. Our Department a complex whole. century French, the of Family Medicine in the Michael G. word “department” DeGroote School of Medicine here at I hope you enjoy reading this year’s implied “going away or McMaster University, encapsulates all annual report about our individuals, three meanings. our teams and our divisions as they all

an act of leaving”. come together to create our wonderful We share our graduating [leaving] Department of Family Medicine. residents with both our local and broader community. Our teachers contribute a variety of areas of special Dr. David Price expertise which they share with both Chair, Department of Family Medicine

1 Department of Family Medicine l 2013-2014 ANNUAL REPORT

Contents

1 l Chair’s Report

4 l Endowed Chairs/Professorships

7 l Administration

9 l Information Technology

10 l Undergraduate Education

11 l Postgraduate Education

12 l CBRT

13 l Rural Stream

14 l International Medical Graduates Program

16 l Care of the Elderly Program

17 l Global Health Program

18 l Teaching Sites

25 l Division Reports

27 l Faculty Development

28 l Research

29 l Awards

37 l Funding Awarded

40 l Peer Reviewed Publications

44 l Notable Mentions

46 l Book Chapters

3 Department of Family Medicine l 2013-2014 ANNUAL REPORT David Braley and n Mrs. Moore, Dr. Carl Moore, speak with Dr. Dee Mangin at the 2014 Carl Moore Lecture. Nancy Gordon Chair in Family Medicine Chair, in developing and making Australia and the UK further increases Dr. Dee Mangin visible a model of care that integrates the international links for the program. Endowed Chairs/Professorships Endowed and, importantly, that equally values medical science and patient priorities. These initial studies added two students Effective ‘deprescribing’ to reduce to the Chair team: Olga Khudoyarova overtreatment and maximize the and Verdah Bismah. It is a pleasure to effectiveness of care is a long-term have them on board. Hannah Lamb, goal of this program. Many building the administrative assistant to the blocks need to be put in place for this Braley-Gordon Chair program, is an David Braley and Nancy to work effectively as part of a system essential part of the organization and Gordon funded this of routine care that fits the needs of her superb literacy and writing skills individual paitents and for such a have really added value to the quality Chair to foster exciting system to be recognized as high quality of the outputs we are able to produce. care. Dawn Elston and Sherrie Orr support developments in primary the chair as research coordinators and care, an endeavor achieved First Steps Jenna Parascandalo joins us soon as a Research Assistant. under Cathy Risdon’s Four foundational projects are under- way to support this work with successful Opportunities for further collaborations leadership. pilot funding gained. Three of these have emerged in membership of the will gather information, insight and OPEN pharmacy research network input from both patients and clinicians scientific advisory group and in mem- in development of this new model of bership on the Council for the Section I hope to continue this success by pro- care. The fourth will pilot use of tech- of Researchers at the College of Family moting and developing care that values nology to reduce medication complexity Physicians of Canada, as well as in an medical science and patients’ priorities for older adults regarding their medica- OMA/MLTC demonstration project in realizing healthcare that recognizes tions. These are all integrated with work for complex older patients ably led by improvement in health status not as an as scientific lead for ”Whole Person Dr Henry Siu in collaboration with the end in itself, but as a means to fulfilment Centred Care” in the TAPESTRY Hamilton Family Health Team and in a patient’s life. project. As co-investiga-tor on inter- McMaster Internal Medicine. national grants, international links have Charting the Course been established: funding awarded in Networking of another kind also adds 2014 totals $2.3 million, including opportunities for supporting the Braley- Caring for patients with multiple chronic grants centred on multimorbidity, Gordon Chair work. I am the loca illnesses while minimizing the harmful treatment for pain in arthritis, depres- director of our fledgling McMaster polypharmacy and confusingly complex ribing in residential care. An advisory University Sentinel and Information care that can result, is one of the great role on several other projects around Collaboration network, which will also challenges facing us. This provides the specific deprescring and deprescribing link with the CPCSSN pan-Canadian perfect focus for the activities of the in residential care in New Zealand, network. The hope is to use the data

Department of Family Medicine l 2013-2014 ANNUAL REPORT 4 n Dr. Ainsley Moore speaking during a Q & A portion of the 2014 Carl Moore Lecture.

from our care, for informing our care. It was an honour to be invited to give the We are delighted to have Jennifer annual Carl Moore Lectureship in 2014, Lawson joining this work for her Health and the greatest challenge - speaking and Informatics Diploma internship. sharing ideas wth colleagues you respect and trust. I have been tremendously Two awards have flowed from previous encouraged by the support for these ideas publications as editor and chapter author: from academic and clinical colleagues and The Prix Prescrire award for healthcare patients here at McMaster. texts for a manual supported by the WHO “Understanding and Responding to Phar- It is invigorating and exciting maceutical Promotion”, and the Brazilian Best Medical Text Award for The Textbook to be part of a Department of Primary Care (chapter on Polyphar- that is quite extraordinary macy). In this first year of the chair, 5 peer in its openness to actively reviewed papers were published with 2 further in press, and a book chapter on engaging in change. prescribing for women in primary care is also in press.

Looking Outwards

In addition to presentations of this work at various workshops and conferences, as Braley-Gordon Chair I have been able to present the work related to the Braley-Gor- don Chair program as a keynote speaker at several venues: a Brazilian Primary Care conference, the NZ National Consultant Pharmacy conference, the BC CME Forum, the BC Polypharmacy Initiative as well as a British Columbia multistakehold- er meeting of policymakers and health care providers on the use of clinical data. I have had the privilege to meet and speak with groups aspiring to provide more integrated primary care and hospital care services in Ontario and in British Columbia. The en- ergy for innovation is palpable in Canada.

5 Department of Family Medicine l 2013-2014 ANNUAL REPORT Professorship n Dr. David Price, Dr. John Cairney, Dr. John Kelton (Dean and Vice-President, Faculty of Health Sciences), Kalpana Nair (Research Coordinator, Department of in Child Health Family Medicine) Research Dr. John Cairney Associate Research The INCH lab is currently conducting the evidence? Health care professionals, Director several large-scale projects. For example, researchers, and students from around Dr. Cairney and his team continue to the world attended this international evaluate the tools currently recommended event. as part of the 18-month Enhanced Well-Baby Visit. Recently, the Coordina- • As of June 2014, Dr. Cairney received tion and ActivityTracking in CHildren a total of $10,051,221 from peer (CATCH) study, a longitudinal study reviewed grants from external funders looking at health outcomes of motor • As of May 1st, 2014, Dr. Cairney’s The McMaster Family coordination and physical fitness research was cited in more than 4000 Medicine Professorship abilities of young children, was launched. scientific publications (with 3000 A total of 600 families of children four to citations since 2009 alone) in Child Health five years of age are being recruited in Hamilton and surrounding commu- The INCH lab rapidly expanded since its Research was established nities. This will be the first longitudinal launch in late 2013. The lab now includes in 2008 with funding study to examine the interrelationships a doctoral fellow, three PhD students, between motor development and health and eleven research staff members. The from the Department of outcomes during the early years. lab also welcomed two new graduate students this fall. Family Medicine. Beyond his commitments to the depart- ment, Dr. Cairney was asked to serve as a scientific expert on the Healthy Kids Community Challenge Scientific Reference Committee for the Public The financial support through this Health Agency of Ontario. He was endowment, along with the department’s invited to serve as the inaugural Editor- substantial financial commitment, led in-Chief of a new journal titled Current to the founding of the INfant and Child Developmental Disorders Reports, Health (INCH) laboratory, in which which is published by Springer Press. Dr. John Cairney is director. On Throughout 2013 – 2014, Dr. Cainey November 20, 2013, the INCH lab was invited to speak at several interna- officially launched its new space located tional conferences. In early June, Dr. at McMaster Innovation Park as part Cairney gave a keynote address to the of the Department of Family Medicine. 7th International Movement and Health The new INCH lab provides a child- Conference in Czechoslovakia. His talk friendly space for studies on the healthy was titled Motor coordination as a development of children (newborns to fundamental cause of inactivity and six years old) to take place. health in children and youth: what’s

Department of Family Medicine l 2013-2014 ANNUAL REPORT 6 Administration n Osler’s Overture post performance Q & A panel.

more cohesive group and helps to Human Resources (HR) ensure equity across all areas. We continue to be actively involved in The HR team has been incredibly busy, This year we had the the planning for the move to our welcoming 57 new staff members into new site, set to open in early 2015. temporary, casual, limited term, or per- occasion to reflect back manent positions this academic year. We over a five year period A highlight event in 2013 was Osler’s also had 21 students gaining experience Overture. Led by Dr. Andrea Frolic, in the Department through the Mc- to recognize just how and inspired by William Osler’s legacy Work/Work Study, MBA, and E-Health of connecting medicine and medical programs. Sarah Collier, HR Manager, much our Department education to the patient experience, officially received her CHRP designation has grown and Osler’s Overture was an inspiring and Amber Leedham was hired to fill the even-ing of music and dance. In role of HR Administrative Assistant. She transformed. partnership with the Hamilton is a welcome addition to the team. Philharmonic Orchestra, the Depart- ment opened Osler’s Overture to the The Department also welcomed 115 new All areas of operations have expanded, community, gaving unique insight into part-time faculty members. Our part-time most notably Research and Education health care and the shared suffering and faculty play a significant role in meeting which have grown by 200% and 150% strength of providers, patients the goals and objectives of the Department respectively of what they were in 2009. and families. of Family Medicine, and their contribu- With this growth we’ve welcomed many tions are integral to our success. new people into our family – faculty While it was a very exciting and fruit- and staff across the many geographies ful year, we have had to say goodbye our Department has a presence. We have to a very valued member of our Ad- also expanded our capital assets in the ministrative Executive Team. Michael Numbers Snapshot for 2013-2014 form of facilities within which to carry Riddell, our Finance Manager, passed out our work and mission, and we have away in early October, 2014 after a Full-Time Faculty: 33 increased our influence in the areas of short but courageous battle with cancer. Part-Time Faculty: 1005 health system transformation, policy While he was only with us for a few Staff: 232 and eHealth to name a few. years, he quickly became part of our Students: 21 work family. His infectious laugh and We have expanded the scope of our fun loving ways brightened every work Administrative Executive to include day and his dedication to his representation from our local teaching job, his family and to those with whom clinics as well as our FHT, meeting on he worked closely was clearly evident. a monthly basis to discuss issues com- He was an important part of our DFM mon to us all. These monthly meetings family and he will be dearly missed by have allowed us to become a much all who knew him.

7 Department of Family Medicine l 2013-2014 ANNUAL REPORT n Halton McMaster Family Health Centre Staff. Finance

Capital expansion projects in Halton and Downtown Hamilton are nearing completion with the Halton McMas- Many thanks to our staff ter Family Health Centre opening in and faculty whose hard October 2014 and the Department of Family Medicine Downtown Campus work has resulted in our and McMaster Family Practice in early financial success. 2015. While construction projects always challenge the budget minded, funds have been allocated to meet both the expected and thankfully the unexpected as well. The Welland-McMaster FHT moved to its new Prince Charles Medical Centre Dr. Stephen Lloyd site earlier this year and the Grand-Erie Six Nations Clinical Education Campus moved to its renovated space on the Brantford General Hospital Campus site this past June. We look forward to more expansion projects in the years to come.

Department of Family Medicine l 2013-2014 ANNUAL REPORT 8 Information n IT staff providing instruction. Technology Krzysztof (Kris) Adamczyk, Manager, Information HMFHC we are introducing some merged into a central repository for Technology new technologies as well as improving research use. This project is technolo- on tried and tested technologies from gically interesting, requiring the extrac- the past. This clinic features enhanced tion of specific data components, preceptor-resident monitoring facilities. which must be common across all We are building a high performance different Electronic Medical Records network that will allow secure wired (EMRs) in order to make sense. As The year has positively and wireless connectivity throughout the such, it is a privilege to be involved clinic and educational spaces. in a project of such national importance, flown by! There are lots and part of eHealth history in the of exciting areas to Work is underway for another jaw making - McMaster DFM is doing it dropping innovation – our Downtown yet again! report on this year. Campus. This has been designed to not only be innovative in its design and Staff: space concepts, but also in its techno- logical application as well. This campus Of course, all this cannot be achieved We continue to develop OSCAR will combine clinic space, all Hamil- without a solid team – and our IT team further to a higher level. Our clinics are ton administrative staff and research forms the unseen, sturdy foundation now participating more in OSCAR user under one roof. This requires robust IT of the department, quietly soldiering testing and development to hopefully teamwork to enable seamless function- away at their duties – they really are address any challenges faced in the past. ing at all levels and sound technology the unsung heroes of our department. There are a new group of users who will to deliver everything required by all the Many do not realize how much our staff assist in the development and guide us different players. do, have done and are willing to do to through additional OSCAR user accep- make the user experiences across all of tance and implementation. At the think- The eAPPS project established a linkage our multiple sites a pleasant and efficient tank level is a newly formed clinic-level between developmental research and one. We thank all of our users once group consisting of the clinic manag- clinical technological functioning. A lot again for all their patience and under- ers, the Family Health Team (FHT) of planning went into its inception and standing over the past year. coordinator and other members of the the collaboration required was intense. FHT. This group prioritizes requests for The result was another innovation, pio- Randy Jonasz, Nahren Shamoka, OSCAR enhancements and focuses of neered by McMaster FHT, which will Pourya Heidari, Stephan Olaizola and the best possible user experience. lead the way for some amazing decision Mark Shanks. support technology for the future. Projects: CPCSSN (Canadian Primary Care Sen- Congrats IT team on a job There are many new projects. The highly tinel Surveillance Network) is another well done! anticipated new Halton McMaster new project, which IT is participating Family Health Centre (HMFHC) in. It is a project of national esteem, opened in September 2014. In the in which data from our clinics will be

9 Department of Family Medicine l 2013-2014 ANNUAL REPORT Undergraduate n Learners at Maternity Centre. Education Dr. Judy Baird, Program Director of primary care to patients, such Family medicine clerkship has undergone as addressing undifferentiated illness, several significant changes in recent chronic illnesses and preventive care years. Students have requested flexible issues. learning tools in order to maximize The cornerstone of • skills and experience in meeting clinical learning time. In response to this the family medicine patients’ needs for prevention, request, Drs. Kenya Bracken, Ainsley problem identification and manage- Moore and Jon Miklea have each been experience is the close ment, and complex disease leading interprofessional curriculum management through episodic care development working groups for the relationship that learners of patients and their families in the creation of eLearning modules. These develop with their community practice setting exciting learning tools are expected to be ready in the coming months, and preceptors while working Many thanks to our dedicated faculty will support students in their learning and staff who have helped students to about care of children, the elderly, and together to deliver care achieve these goals over the past year. vulnerable patients. Again, we would like to patients in the to express our many thanks to the faculty Under the leadership of Dr. Beryl and staff involved with the development preceptor’s office. Moore, over 200 students were given of these modules for their hard work! the opportunity to experience these curriculum goals firsthand in their early At our spring retreat this past year, we The Undergraduate Program in family clinical exposure. Student feedback from took a close look at our success and medicine is invested in helping students this experience continues to be extremely challenges, and began planning for future to develop a comprehensive understanding positive, demonstrating that learners improvements to the undergraduate of the role of the family physician in really value the close relationships they program. The retreat focused on providing care to patients and their develop with their first patients, and their evidenced-based principles of learner families. The program is grounded in the first clinical preceptor. assessment as well as reflecting on how core curriculum goals of developing the the CCC curriculum translates to the learners’: The Family Medicine Interest Group undergraduate curriculum. Over the • understanding of the broad scope of (FMIG) is a student-led organization next few years, we will continue to family medicine supported by the undergraduate pro- consider how these topics and others can • understanding of how virtual or same- gram. The group continues to be active be incorporated into the curriculum. site interprofessional teams function on all three campuses of the medical Our objective is to ensure that we are in the context of the primary care school (Hamilton, Niagara and Waterloo). providing learners with undergraduate environment Members organized events throughout family medicine experiences that will • appreciation of the challenges in the year, such as family medicine career prepare them for residencies in both addressing complex, diverse patient nights, clinical skills workshops, and the family medicine in other specialties, as care issues longitudinally very successful annual wine and cheese well as the changing landscape of health • appreciation of the nature of some of gathering at which Dr. Kathy Lawrence, care in Canada. the specific challenges in the provision CFPC President, was the guest speaker.

Department of Family Medicine l 2013-2014 ANNUAL REPORT 10 Postgraduate n Dr. Nancy Fowler, third from right, with Family Medicine residents at Education opening of Grand Erie Six Nations Education Centre, Brantford. Dr. Nancy Fowler, Program Director is with this energy that we are able to the education associates at all of our provide a premier learning environment. sites, our central education associates, Our reputation attracted 700 Canadian and all of our curriculum and academic Medical Graduate (CMG) applicants coordinators. Without continual into the Canadian Residency Matching System (CaRMS) for our Family growth and progress, Medicine Residency Program’s 88 CMG such words as positions and thousands of International Medical Graduate (IMG) applications improvement, for the remaining 12 IMG positions.

achievement and success To support our program, we are working have no meaning. at the faculty level to enhance our Faculty Development Program and Benjamin Franklin provide orientation and mentorship to our faculty.

We continue to have local, national The Residency Program, in all of its and international recognition of our facets, has experienced incredible growth preceptors and are sharing in the over the last year. We have welcomed achievements of our graduates in finding 100 first year residents into our program, careers and scholarly opportunities in the and with the assistance of Health communities where they are trained. Canada, have expanded our Enhanced Skills program in Palliative Care, Care In the upcoming year, we will continue of the Elderly and Emergency Medicine. to finalize new and existing initiatives The success of this overall growth has for learning, assessment, evaluation and been felt across the entire department. streamlining systems to ensure that we optimize the administrative processes of We have expanded not only the size of the learning experience. our learner community, but also the size of our teaching community and the We are looking forward to our upcoming support staff required for a program of accreditation cycle where we can this size. showcase all that we have accomplished.

There are many new faces in Education The program and site leadership also both centrally and at our learning sites, want to acknowledge that the residency each bringing with them a new energy program’s continued success isn’t possible and renewing our sense of purpose. It without the support and dedication from

11 Department of Family Medicine l 2013-2014 ANNUAL REPORT CBRT Dr. Nathalie Desbois, Program Director n Dr. Nancy Fowler – Program Director; Dr. Heather McCarrel – CBRT Site Leadership Award Winner; Dr. Nathalie Desbois – CBRT Education Coordinator

The Community Based a Faculty Development meeting that took place in November to discuss future Residency Training planning for our program. Program (CBRT) We have been fortunate to welcome continues to forge a Tania Baricevic as our CBRT Site Education Associate. Tania has been a path of transition and very enthusiastic addition to CBRT and renewal. has proven to be a valuable resource to staff and residents.

Looking ahead, we are delighted to be As distributed sites in our program welcoming two additional preceptors for continue to develop in the nearby the coming academic year – Dr. Steven communities of Halton and Brantford, Cusimano, whose practice is located in CBRT continues adding value to the the east-end of Hamilton, and Dr. Jason overall family medicine program by Profetto, a former McMaster Family offering a unique mix of both urban Resident graduate, in Stoney Creek. n Dr. Nathalie Desbois – CBRT and rural practice opportunities. The strength and success of CBRT rests Education Coordinator and Tania With practices from Caledonia to with our community preceptors – their Baricevic – CBRT Site Education Carlisle, and Dundas to downtown ongoing dedication, enthusiasm and Associate Hamilton, the CBRT faculty continue commitment is truly the heart of our to offer wonderfully diverse teaching program. opportunities to our residents. The CBRT/Halton resident research day program committees and undergraduate As the new CBRT Education held in May was a true highlight of this teaching. We benefited from the dynamic Coordinator, I began my tenure on academic year as faculty and residents and capable leadership of our two July 1, 2013 with the intention of gathered at McMaster Innovation Park chief residents – Jennifer Coulson and attracting new preceptors to our to share and celebrate quality assurance Heather McCarrel whose hard work program, strengthening our ties with projects carried out by graduating served as an excellent example for the existing preceptors and providing residents. A special thanks to Dr. Gina junior residents in our program. Specific our residents with a dedicated faculty Agarwal for providing the keynote recognition goes to Heather who was member who understands the challenges address Life After Residency QA Projects. the very deserving recipient of this year’s and excitement of being placed in a CBRT Resident Leadership Award. community setting. The last year saw Many of our residents were active Congratulations to all of our graduating considerable growth for CBRT including participants in CaRMs, residency R2s. You will be missed!

Department of Family Medicine l 2013-2014 ANNUAL REPORT 12 Rural Stream n Rural Stream McMaster rink entry in the Ontario Medical Association Annual Curling Bonspiel. L to R; Drs. Elaine Blau, Redekop (R2), John Reaume, Townsend Dr. Elaine Blau, and Alex Folkl (R1) Program Director

taught by rural preceptors alongside senior techniques to assist preceptors with residents competency-assessment skills-building. • May 2013 – “Getting the Most from The Rural Stream the Teaching/Learning Experience” Congratulations go to Drs. Crystal Residency Training presented by Dr. Allyn Walsh and Luchkiw and Alex Folkl, who received “Airway Management” presented by the Rural Stream Site Leadership Award program welcome 12 Dr. Jesse Guscott on Research Day. We also recognize our • September 2013 – “Pediatric Rural Stream Research project winner, incoming residents to Emergencies” presented by Drs. Julie Plume – “Triage-to-ECG Time in their R1 year in July. John Reaume “Acute Cardiac Care” Community Hospital AMI Patients”, presented by Drs. Steve Beamish and and profound thanks go to our Chiefs Lindsay Alston” of 2013/14: Drs. Alex Folkl, Crystal This adds to the 9 R2s for a total of 24 Luchkiw and Wes Eby. residents in 2013/14 academic year. This year saw the introduction of an Annual Simulation Medicine day during We welcome our new Chiefs, Dr. Their Rural Family Medicine training Academic block, and received a high- Mercedes Rodriguez (Mount Forest) and occurs within our six teaching sites: rating from participants. Residents also Dr. Chris Kapusta (Collingwood) and we Simcoe, Owen Sound, Collingwood, have an annual site visit with the site very much thank Natalie Graham, Tania Mount Forest, Fergus and Grimsby. Rural director (in-person in R1 and typically by Baricevic, Donna Marfisi, Barbara Kidd, Stream residents focus on acquiring the VC or in-person in R2 year). Glenda O’Brien, Heidi Hallman, Sue skills of a broad generalist, with in- Murray and MacCARE & ROMP for their patient, obstetrical and rural emergency Faculty derive their professional support in ensuring residents are guided room skills developed across their family development as teachers from our faculty throughout their two years with us and medicine rotations as well as during development quarterly meetings and beyond. focused specialty rotations. We have twice-annual Rural Stream retreats during organized a combination of local and which all faculty in attendance take part The Rural Stream will continue to regional rotations to ensure both context in a PBSG-ED module. Educational remain connected via our 2 rural retreats and content-specific clinical education processes are overseen by site leadership annually, Rural Academic/Sim Day, our over the two years of the Rural Stream and the monthly meetings of the Rural Rural Stream Education Committee Residency training. Stream Education Committee, consisting and our quarterly Rural Curriculum of representation from two Rural Chief Committee whose mandate will focus A year during residency in the Rural residents, one R1 representative and on elements of our curriculum currently Stream is anchored by a series of annual primary preceptor representatives from needing attention, best uses of academic educational events that complement other each site in our program. This committee time in block seven & reviewing our offerings from within the department for reports directly to the program Residency competencies for rural training. all residents. These Rural Stream events Education Committee. Future retreats included the spring and fall rural resident will include a focused look at mental and faculty retreats, where residents and health and behavioural science in the We look forward to a faculty learn clinical material together, Rural Stream settings as well as employing productive 2014/15!

13 Department of Family Medicine l 2013-2014 ANNUAL REPORT n International Clinical skills training. Medical Graduates (IMG) Program Dr. Inge Schabort, curriculum in the Ontario-wide IMG and our study “Predicting Interna- Coordinator Pre-Residency Program part one. This tional Medical Graduate success at College program is administered at the Centre Certification Exams. Responding to the for Education of Health Professionals Thomson Judicial Report on IMG Educated Abroad (CEHPEA) for all the Selection” was accepted for publication family medicine departments as well as in 2014. other specialty IMG cohorts admitted It has been another to residency programs in the province of Following our report, other medical Ontario. schools in Ontario expressed their busy, exciting year for interest in looking at their IMG data as the Department of We continue to broaden the curriculum well and the McMaster group worked for the Pre-Residency Program Part two. with the other medical schools in Family Medicine IMG During the Pre-residency Program part Ontario in order to expand the research two (PRP2) the IMG shadows an R1 into predictors for success in IMGs to a Program, with many great in family medicine through all the core wider provincial database. Our research accomplishments by rotations at one of the McMaster sites group led the initiative to combine where the resident will be doing their forces with other medical schools in our IMGs. residency during the two months pre- Ontario to apply for the Royal College ceding the start of residency. Staff at the of Physicians and Surgeons of Canada respective sites have worked tirelessly Medical Education Research Grant. The 27 International Medical Graduates to enrich the IMGs’ experiences during This was done in order to support inter- (IMGs) in the program are placed at the the PRP2 in order to prepare the IMGs medical school research on the Predictors Kitchener-Waterloo, Niagara, Brampton, for residency. of IMG Certification Success research, Hamilton, Halton, Grand Erie Six as recommended by the Thomson Nations, as well as Rural Program sites. In 2011, an independent review of access report. I am happy to report that the IMG Community Medicine residents to Postgraduate Programs by Interna- group was successful in our RCPSC also spent time during the past year in tional Medical Graduates in Ontario Medical Education Grant application for the Department of Family Medicine was conducted and submitted to the funds to support the Predictors of IMG and enriched our program with their Ontario Ministry of Health and Long – Certification Success research across contributions. Term Care and the Council of Ontario Ontario. Universities. This review – titled the Congratulations to our team of dedicated Thomson Report - highlighted very On a provincial level, PG COFM struck education assistants and supervisors who clearly the importance of discerning the Thomson Working Group to imple- excel at coordinating the scheduling and the factors that underpin international ment the Thomson recommendations meeting the needs of our IMGs at their medical graduate (IMG) selection: and the McMaster IMG research group sites. In response to the Thomson report, is also involved in developing a “Survey the McMaster Department of Family of Postgraduate Admissions Processes at McMaster Family Medicine continues to Medicine looked at all McMaster IMG Ontario Medical Schools” as a recom- develop and teach large sections of the data as recommended by Judge Thomson mended by the Postgraduate Council

Department of Family Medicine l 2013-2014 ANNUAL REPORT 14 n Clinical skills training.

of Ontario Faculties of Medicine Awards and Achievements in 2013/14 (COFM) and the COFM Thomson Working Group for completion by Dr. Markus Faulhaber is the PARO Dr. Mercedes Rodriguez, the first IMG all Postgraduate Program Directors in representative for the Niagara site in the Rural Stream, is now the first IMG Ontario. residency program. Rural Chief.

In summary, another outstanding year Dr. Abishek Narayan received the KW Drs. Jegan Jegathasan and Avni Mehta for the McMaster Family Medicine IMG Leadership Award for his outstanding from the Brampton site received an program. Thank you to all the support advocacy for all residents in the Overall Best Poster Award for their Poster staff and faculty committed to education community and within the program. “Influenza Vaccinations in pregnant and support of the IMGs in our program He completed a PGY3 in Care of the women: Are we immunizing this high- and a special thank you to Natalie Elderly at Queens and recently returned risk group in our suburban family Graham, our Education Associate. to Kitchener and is working at Freeport practices?” at the Department of Family Hospital in the hospitalist program Medicine Resident Research Day.

Dr. Randy Badahur, was accepted to do Dr Markus Faulhaber, IMG resident at a third year in sports medicine in KW the Niagara site, was a co-author on two and has done international travel as team studies about Randomized Controlled sports medicine physician. He is now Trials published in high-impact journals working in KW. in the past year.

15 Department of Family Medicine l 2013-2014 ANNUAL REPORT Care of the Elderly n Participant in TAPESTRY workshop. Program Dr. Doug Oliver, Coordinator their families and a strong philosophical at home and reduce hospitalization rates. commitment to compassionate elder Finally, Drs. Ainsley Moore and Linda care. Congratulations to the inaugural Lee were co-authors on the recently winner, Dr. Danya Al-Baldawi. Dr. published Canadian Consensus In the next 2 decades, Al-Baldawi was recognized and presented Dementia Guidelines in CFP: A the proportion of citizens with her award at our annual conference guide for Family Physicians. this year in June. over the age of 65 will Congratulations are also extended to our Dr. Al-Baldawi is the inaugural continue to increase in Stonechurch Senior’s Collaborative Care winner of the Kanwal Shankardass our communities. Program which won a Service Award for Care of the Elderly Award. Geriatric Excellence at this year’s SAGE awards ceremony in Hamilton.

Also a very special note of recognition As such, the Department of Family for our Kitchener-Waterloo site as Medicine (DFM) understands that it has Dr. Linda Lee has just successfully a major role to play in the care of the trained the 50th Memory Clinic team elderly and in promoting principles in Ontario. This was an amazing of optimal aging through research, accomplishment and a blueprint for education and clinical work. sustainable clinical innovation in the province. The DFM sponsored 5th Annual Care of the Elderly Conference, hosted in June The DFM continues it’s strong ties with 2014, was a major success, once again the Division of Geriatrics, as we now drawing participants from all across the have PGY-4 and 5 geriatric fellow country and featuring leading experts on coming to family medicine to participate policy and practice in older adult care. in an innovative Long Term Care and At this year’s event, the Chair of the Housecalls rotation with family medicine Care of the Elderly Working Group, Dr. preceptors and family medicine residents. n Dr. Danya Al-Baldawi (left) with Kanwal Shankardass, was recognized This clinical rotation will continue to Dr. Kanwal Shankardass by the DFM with an education award grow and has been a great success to date. named in his honour. The Kanwal Shankardass Annual Care of the Elderly On the research front, the Health Award will be given to the first or Canada funded, Department of Family second year resident in the program who Medicine lead TAPESTRY project, demonstrates strong leadership potential, continues to draw national attention for a willingness to advocate for patients and its efforts to help people age successfully

Department of Family Medicine l 2013-2014 ANNUAL REPORT 16 Global Health n Dr. Mulyadi, Dean of the Faculty of Medicine, Syiah Kuala University, Program Indonesia speaks to audience prior to signing letter of intent. Dr. Lynda Redwood- Campbell, Coordinator meeting with local government, the Teaching Centre as this initiative begins university president and also involved to take shape. Also, Dr. Keyna Bracken teaching modules related to Family continues involvement in teaching the Medicine. Dr. David Price (Chair, DFM), international ALARM course in Tanzania. The 2013-14 year saw Dr. Ryan McKee (KW), Dr. Louella Lobo Dr. Redwood-Campbell continues to continued incorporation (Brampton), Dr. Sameer Shaikh (PGY2 be involved in the Emergency Response EM) and Dr. Redwood-Campbell (Global Unit of the International Red Cross of global health in health lead) were part of the team. and was in the Philippines in December 2013 as Team Leader for the Canadian/ the academic half day Our faculty and learners continue to be Norwegian health emergency response Dr. Gerson teaching. involved in many initiatives locally and unit after typhoon Haiyan. globally. Locally, faculty are involved Mobo (PGY2) completed HIV/ID work in addiction work and refugee health. at Philippine General Hospital in 2013 The focus of the year was the role of the Our eight week core rotation in Rural for a month and a medical mission family physician in public health. Faculty Medicine in the PGY2 year is a source post typhoon in January 2014 with the from Brampton, KW, Hamilton and of global health enrichment for all Filipino Canadian Medical Association. Hamilton public health were involved in residents in our program. Residents the teaching. train in rural settings in southern and northern Ontario. Every year one to In November 2013, the Department three residents spend this rotation in the of Family Medicine McMaster hosted Arctic in Inuvik, Northwest Territories. Dr. Mulyadi, Dean of the Faculty of The Residents’ knowledge and skills in Medicine, Syiah Kuala University, provision of Aboriginal Health results, Indonesia. A letter of intent was signed gained during this rotation, is an at a signing ceremony between the important experience for gaining the Syiah Kuala University Indonesia and cultural and health competencies for the Department of Family Medicine. providing care for First Nations, Metis Dr. Mulyadi also attended the second and Inuit and Inuvialuit peoples of annual Besrour International Strategic Canada. Residents also work with Amish Consultation Meeting Vancouver for and Old Order Mennonite communities building capacity in Family Medicine in southwestern Ontario. in Low and Middle Income countries. Dr. Mulyadi toured the Brampton William Osler Hospital, our Brampton and KW sites to see family medicine teaching site, is developing its first in a Canadian context. In May 2014, ever Global Health Program. It is and in follow up to the letter of intent aimed at “fostering bold, innovative signing, DFM faculty members visited partnerships and creating impact beyond our partner site in Aceh, Indonesia. This our immediate community.” Dr. Klar visit incorporated strategic discussions, will represent The Family Medicine

17 Department of Family Medicine l 2013-2014 ANNUAL REPORT Teaching Sites Teaching

Brampton – Sir n Dr. Caroline Collins, Dr. Leili Pede and Dr. Judy Maynard William Osler Health System of the Year and Dr. Harmeet Bami as in Aceh, Indonesia. We helped host Dr. Brian Klar, Dr. Judy the dean of Syiah Kuaka University, Specialist Teacher of the Year. Site Director Maynard was also awarded the Jacqui Dr. Mulyadi, last fall in our community. Wakefield Award this past year by One of our faculty, Dr. Louella Lobo, McMaster University for her exemplary participated in an exciting mission to mentorship. Aceh, Indonesia to help build their capacity to train family physicians to The strength of our We also recognize our base hospital, the meet their health care needs. Family Medicine William Osler Health System (WOHS), for being such an engaged and active We continue to build our academic Residency teaching partner for our program. Beyond their and clinical offerings, through excellent ongoing operational support, WOHS has work on our varied teaching sessions, program in Brampton articulated a vision with much collabor- our community-based approach to is based on the strong ation for our program in research, global curriculum in OB and palliative medicine health and the long-term priorization of and our ability to engage partners among contributions from, and primary care. We see great opportunities our many colleagues. All this of course is for deepened partnership in these areas based on the strong work of our excellent between, our going forward. administrative team, Michele Salfarlie many partners and and Jenny Blunt, who remain the The citizens of our community should essential foundation of our activities. stakeholders. also be acknowledged for their consistent support and for seeing the strategic advantage to bring academic medicine to Brampton. Being located in such a Our family medicine resident group welcoming and multicultural community gives regular feedback about ways to brings a wealth of opportunities for our improve our program and has always learners and we hope we can continue been actively involved on committees, at to give back to our community in some CARMS, through PARO and through of our programming and other areas of their leadership and involvement. community involvement.

Our faculty members remain a core In collaboration with McMaster foundation of our program’s success. University, our program has made Their ongoing commitment to patient successes this year in building our care and resident learning in a commun- faculty’s research capacity, with two ity setting is what makes our program applicant groups who have applied and so strong. With so many capable faculty, will receive funding for medical educa- residents had their usual challenge tion research. In partnership with Dr. selecting award winners: Dr. Caroline Lynda Redwood-Campbell, we have also Collins as Family Medicine Teacher participated in a global health initiative

Department of Family Medicine l 2013-2014 ANNUAL REPORT 18 Centre for n Rose Noble, Dr. Michael Lee-Poy, Dr. Alex Kolbasnik, Stephanie Spadotto Family Medicine, Kitchener- Waterloo and in areas such as maternal-child health, Recruitment Success Area Program women’s health, dementia, mobility, travel and immunization, neurology, The KW & Area site was established in Dr. Joe Lee, psychiatry, internal medicine, refugee 2005 with the expressed objective of in- Site Director health, dermatology, diabetes, pain, creasing local recruitment and retention and others. of graduates of the McMaster program. To date, there has been approximately a The KW residents participate in many 60% retention rate of our graduates! The Kitchener-Waterloo local social events. Throughout the last (KW) & Area academic year this has included resident-faculty Major honours and awards 2013-14: interactions at hockey, basketball, soc- Awards of Excellence, College of programs are conducted cer, golf, and Oktoberfest! Residents Family Physicians of Canada have shown leadership participating Dr. Neil Arya in the Integrated Health in local community projects, teaching Dr. Joseph Lee Building in downtown medical students and organizing inter- Dr. Michael Lee-Poy professional student social evenings Kitchener at the Centre with the medical, optometry, pharmacy AFHTO Bright Light Awards and social work students. Dr. Mohamed Alarakhia for Family Medicine Dr. Linda Lee FHT by local family Faculty scholarship continues to grow The Centre for Family Medicine in the site. Major areas of research, Ms. Pat McLeod physicians, specialist grants, and program innovation are in dementia care, frailty, mobility health physicians, and other and ehealth adoption. These areas of health professionals. research and innovation form some of the basis of the KW4 Health Link which is led by the Centre for Family The KW residents share the campus with Medicine and will integrate education the McMaster Waterloo Regional under- and research with clinical services. graduate medical students and Universi- ty of Waterloo pharmacy and optometry Construction is underway to build a students. They conduct their clinical new site in Waterloo in conjunction experiences in offices, health centres, with the Research Institute for Aging and hospitals through-out Kitchener- and the University of Waterloo for the Waterloo, Guelph, Cambridge, Welles- summer of 2015. This will include a ley and the surrounding area. KW world class long-term care facility with residents are exposed to a wide variety family medicine residents, faculty, and of family medicine-centred experiences researchers caring for seniors in an inte- and primary care-based teaching clinics grated, innovative fashion.

19 Department of Family Medicine l 2013-2014 ANNUAL REPORT Halton McMaster n Halton McMaster Family Health Centre Staff. Family Health Centre and Area Program Hospital has continued to flourish, with this year and represented a special the opening of the Halton McMaster educational collaboration between our Dr. Amie Davis, Family Health Centre in September interdisciplinary, public health, family Site Director 2014. A special “Beam-Signing” event medicine and specialist colleagues. hosted by Joseph Brant was held to Additionally, throughout the year the celebrate the partnership and ongoing residents have also been active partici- The Halton Site was success with the construction of this pants in the development of weekly beautiful new clinical and education Interdisciplinary Grand Rounds at vibrant with ongoing space. Joseph Brant Hospital. These rounds growth and collaboration cover a wide variety of topics and allow Within the Halton site, we have also the residents the opportunity to deliver this past academic year. had significant growth. We welcomed a MainPro-1 certified lecture working Melanie Pulling, our site education directly in partnership with a staff associate, who has been pivotal in mentor in a supported and collegial As residency expansion came to a providing ongoing communication setting. The success of this endeavor close, we welcomed our final expanded and organization for our residents and has led to the installation of OTN so cohort of eight PGY1 residents. Due to supervisors. We have also welcomed that these rounds will be available across continued strong working relationships two new community teaching practices all partner sites in the Halton region. with Joseph Brant Hospital and Halton within Burlington. Dr. Arshad Hack Furthermore, with respect to ongoing Health Services, we further expanded and Dr. Holmes, as well as Dr. Kathy Faculty Development and education, our capacity for core rotations regionally Thomson and Dr. Kathryn Swan have we were excited to welcome Dr. and accommodated the expanded cohort joined our faculty as preceptors. Men- Phyllis McCord as our Halton Site locally. The Departments of Emergency tal Health and Behavioural Sciences Faculty Development Coordinator. Medicine, Obstetrics, and Pediatrics at (MHBS) was launched this year at the both hospitals have been enthusiastic Halton Site, and we welcomed our participants in developing Family new MHBS tutors Dr. Ann Kittler, and Medicine-relevant rotations at both Connie Marangwanda (Social work) Joseph Brant and Oakville Trafalgar to the Halton faculty. Our residents Hospital. The hospitalists at Oakville also completed their Quality Assur- Trafalgar have also been leaders in ance projects within the context of our developing a core Internal Medicine site this year, mentored by Dr. Graham rotation with competency-based objec- Swanson our Quality Assurance tutor. tives in mind, which showcases Fam- Within the next year, we look forward to ily Medicine as the core provider for integrating the Evidence Based Medicine adult inpatient care. This model will be program into Halton, thus completing expanded and offered at Joseph Brant to the academic program at our site. further enhance our site’s diversity of learning environments. Education has also been a strong focus at our site this past year. A site-specific Our partnership with Joseph Brant block seven program was implemented

Department of Family Medicine l 2013-2014 ANNUAL REPORT 20 Maternity Centre n Left, resident speaking with Dr. Keyna Bracken. of Hamilton Claudia Steffler, Unit Director Research: collaboration upstream? Building Dr. Keyna Bracken, strategies together’. Physician Director During this academic year, Claudia Steffler and Dr. Keyna Bracken Starting in fall 2014, several other represented the MC in a city-wide, studies are scheduled to start recruitment multi-disciplinary effort to address at the MC, including a multi-site trial the inequities of low birth rate amongst on depression in pregnancy co-investi- the lower socioeconomic areas in gated by Dr. Tejal Patel. This work The Maternity Centre Hamilton. The Healthy Birth Weights should complement the pilot project Coalition is a community based awarded by the Janus Foundation (MC) enjoyed another group led by Hamilton Public Health completed by Dr. Patel last year. Be with direct involvement from a large Healthy in Pregnancy, (co-investigator successful year with number of community agencies Dr. Bracken), an ongoing project record learner numbers including the School Board, McMaster recruiting pregnant women from the Family Health Team, St Martin’s academic units, expanded its recruit- and a continued stable Manor coming together to create a ment into the MC and community care pathway for young parents. The physician offices. Indeed the MC team of clinicians. Coalition was successful in obtaining remains a hot bed of interest for patient a $15,000 grant from the Women’s recruitment. XChange for the project co-submitted Dr. Michelle Barrington was the only by Dr. Bracken representing the Looking Forward: clinician addition who joined us in MC and the Department of Family January 2014 from Iqaluit and several Medicine, McMaster University. 2015 will be a year of change. doctors were off on maternity leave. The project entitled “The Healthy Birth Weights Coalition: From frag- We are looking forward to our new Continuing Education: mented system to community of care” clinic location in the new Downtown is about to start recruitment for Campus. Co-location will allow us to In the fall, the first Academic Half Day young parents and the MC will be realize new collaboration between the for the MC clinicians was held. We were a referral source. various different departments in the treated to a presentation on non-invasive DFM and Hamilton Public Health, prenatal screening. Future half days are The groundwork behind this proposal, which will promote continued excellence planned for late in 2014 with several highlighting the interface and coopera- in our daily work. The MC funding different topics being offered of relevance tive work between Public Health and the will also change and will fall under to all obstetrical care providers and we MC was selected for presentation at the the larger McMaster FHT which will will try and open up to the units. This inaugural Primary Care/Public Health simplify and ensure funding, create new half-day along with the MoreOb require- conference (Prevent More to Treat Less) collaborations and ultimately benefit ments and NCR training, endeavors in June 2014. Dr. Bracken, along with patient care. to keep all of us up to date with best Vanessa Parlette and Jennifer Vickers- practices. Manzin presented, ‘How do we move

21 Department of Family Medicine l 2013-2014 ANNUAL REPORT McMaster Family Health Team (MFHT) n Members of the MFHT team.

communities. • Research projects: TAPESTRY, 2. Embracing a culture of inter-pro- Health Links, eAAPs fessionalism through determining McMaster Family strategy, delivering service, moni- Community partnerships toring quality and educating. • Increased partnership and relation- Health Team (MFHT) 3. Educating and being educated are ship building with City of Hamilton is an academic family our priorities. Public Health Services ahead of our 4. Constantly seeking new ways to co-locating in the new McMaster health team with over work—we are inventors, beta Downtown Health Campus in 2015. 30,000 patients. testers, early adopters. McMaster Family Practice (MFP) Stonechurch Family Health Centre Highlights (SFHC) They are distributed between two Highlights clinics that graduate 40 new family Staffing changes and additions: physicians and contribute to the learning • Margaret Moscardini returned to Staffing changes and additions: of numerous other learners in the health her role as education assistant • Kathy DeCaire, clinic director professions annually. • Dolly Frid, accounting assistant • Michelle Barrington, physician • New Allied Health staff: Alison • Teresa Pitt, nurse practitioner These clinics are McMaster Family Practice Edgar Bertioa, psychologist, • Julia Millard, physiatrist and Stonechurch Family Health Centre. Kirsten Weller-Ainsworth, chiro- • New Allied Health staff: Kirsten podist, Ellen Robinson, social Weller Ainsworth, chiropodist; We are comprised of 32 family physi- worker, Janice Chaplin, Social Alison Edgar Bertoia, psychologist cians, nurse practitioners, registered Worker, Florin Feloiu, physiatrist, • Tania Ng, SFHC research assistant practical nurses, pharmacists, social Jill Berridge, clinic manager • Retirements: Joanne Jamieson, workers, dietitians, system navigators, • Retirements: Trieneke Neimeyer, nurse; Eileen Shea, lactation occupational therapists, a lactation social worker; Gary Legere, social consultant consultant, psychologist, chiropodist— worker; Carol Ridge, unit manager all supported and tended by a team of Patient numbers as of June 30, 2014 like-minded, skilled and passionate Patient numbers as of June 30, 2014 • 17,749 staff and administrators. • 14,579 New initiatives include: New initiatives include: MFHT has four major areas of our prac- • Quality assurance program: hospi- • Patient engagement survey tice that make us strong contributors to tal/emergency department discharge • Information technology: electronic the future of family medicine: management faxing • Creation of FHT eHealth Council • Renovation planning 1. Responsive to what is unique and • Information technology: electronic • Research projects: TAPESTRY, particular to our patients and our faxing Health Links, eAAPs, ORN

Department of Family Medicine l 2013-2014 ANNUAL REPORT 22 McMaster n Dr. Reg Quart with Dr. Joseph Zammit-Maempel. Niagara Family Health Centre (MNFHC) spring, Internal Medicine rounds from Dr. Reg Quart, the St. Catharines General Hospital Unit Director were videoconferenced weekly into Niagara Site Director the MNFHC and continue to be well attended by both residents and staff.

Extended evening hours are now being offered to patients improving It seems unbelievable accessibility; some physicians are providing open access booking as well. that another has flown by here in St. Catharines!

The McMaster Niagara Family Health Centre (MNFHC) continues to be thriving, attending to more and more of the needs of St. Catharines’ citizens.

Dr. Jorin Lukings has joined us at the MNFHC; Dr Lukings is a graduate of the Niagara Family Medicine Residency program and is currently building his practice with a view to precepting residents in the future. I am also happy to report that he has taken on the role of Post Graduate Family Medicine Faculty Congratulations to Dr. Bryan Leibfried Development coordinator for Niagara. for receiving the Gerry Cohen Award for outstanding resident preceptorship. This year in block seven, residents were exposed to a simulated trauma session We look forward to another supervised by emergency physicians at the Brock University Simulation lab. exciting year going forward. This event was extremely well received and will be repeated next year. In the

23 Department of Family Medicine l 2013-2014 ANNUAL REPORT n Ribbon Cutting ceremony at Grand Erie Six Nations Clinical Educaton Campus Grand Erie Six Nations (GE6N) Department of Family Medicine; enjoyed unparalled support from the Dr. Scott Elliot Dr. Nancy Fowler; and the chairman Department of Family Medicine. I would Site Director of the board of the Brant Community like to express my personal gratitude to Healthcare System, Mr. Jon Lynn- Sue Murray for her patience and Davies. guidance during this process; to all the July of 2013 was a other site directors who provided their The second milestone was the arrival wisdom when needed; to all site asso- transitional point in of the CEC’s first six residents. All six ciates who were available to us when we individuals have created an enthusiasm needed help seeing what the end product time for the Grand Erie for our medical staff. With their youth, can look like. Without the hard work Six Nations (GE6N) thirst for knowledge, and interpersonal and dedication of our site associates Ms. skills they have assimilated effortlessly Lindsay Martin and Natalie Graham we Clinical Education into our medical community. Each would not have succeeded to the degree resident has been assigned to a clinical we have. My heart felt thank you to both.

Campus (CEC). preceptor who has a community practice. The community has started As we progressed through our first year, Two very important milestones took place to recognize the value of medical we were able to introduce several inno- at this time. The first was the opening of learners being available to them both vative processes into our program. The our 10,000 square foot interactive learning medically and socially. During block residents have presented grand rounds to centre. With generous financial contri- seven, a community visit to a shelter was the entire medical staff. They have also butions from the Department of Family organized and attended by all residents. had the opportunity to become certified Medicine, The City of Brantford and The We are indebted to the following in emergency ultrasound applications. Brant Community Health Care System physicians for acting as preceptors for They work one-on-one with medical Foundation, a state of the art interactive our first cohort of residents: Dr. David staff who are presenting the 99 core learning centre was unveiled. The centre Vincent, Dr. Dwight Spicer, Dr. Jeff competencies during their clinical boasts two large teaching rooms with Manning, Dr. Bill Thorogood, Dr. John rotations. We have acquired simulation OTN capabilities, two smaller meeting Tamale and Dr. Tim Hutton. equipment and have started planning our rooms, a student lounge, office and simulation lab. clerical space for both Family Medicine Our EBM tutors are Dr. Arash Zohoor and Mac-Care, and call rooms. The centre and Dr. Ivan Shcherbatykh. MHBS As the CEC moves forward, we are plan- is available to all learners placed in our is delivered by Dr. Theresa Clarke ning weekly noon rounds to be presented distributed site. The site was offi-cially (Psychiatry), Dr. Mary Ann Gorcsi by our local faculty. We will also be inte- dedicated in September 2013. We were (Family Medicine) and Mr. Greg Guthrie grating an aboriginal component into honoured to have join us for the dedica- (social worker). Quality assurance our EBM, MHBS, and rounds presenta- tion: The mayor of Brantford, Mr. Chris is being supervised by Drs. John tions. It is our goal to create an approach Friel; the dean of the McMaster Faculty McDonald and Ross Male. Faculty that can be shared with the other distri- of Health Sciences, Dr. John Kelton; the development is under the supervision of buted sites. We also plan to open up chair of the Department of Family Dr. David Vincent. All have commented faculty development to other specialties Medicine, Dr. David Price; the post- on how well their areas are progressing. that may serve as a model for integrated graduate program director in the During our initial planning stages we faulty educational opportunities.

Department of Family Medicine l 2013-2014 ANNUAL REPORT 24 Division Reports Dr. RafiSetrakandDr. JeffGinn. by ourRegional Education Leaders; Regional Campusesare coordinated Clerks attheNiagara and Waterloo one week lecture series. is busyrevamping thecurriculumof Undergraduate Education Director. Barb up tofill Daren’s shoesasournew that Dr. BarboraPekhasstepped onto acareer inGuelph. We are pleased leadership asDr. DarenLinhasmoved We have undergonesomechangesin work intheEmergency Department. lecture seriesandthree weeks ofclinical week rotation consistingofaoneweek in Clerkship. Students completeafour the oneofhighestratedrotations Our Clerkshiprotationcontinuestobe Undergraduate Education extremely proud oftheir faculty andstaff. We are and dedicationofour As always,thesuccess due tothehard work of ourprograms is accomplishments. Division Director Dr. JohnOpie, Medicine Emergency The 8thAnnual Emergency Medicine Faculty Coordinator. of Postgraduate Regional Education Jeff Ginnwillcontinueintheirrole Waterloo where Drs.AdrianCroweand campuses inNiagara andKitchener- positions willbebasedatourregional academic year. Two oftheseresidency residentsnew forthe2014-2015 the CCFP-EMProgram selectedseven After weeding through 121applicants, Vilensky. Stephanie Sischek,andDaniel Heywood, PaulJones,AmyMcCulloch, Baraniecki, KennethCollins,David Congratulations toDrs.Robert anda Certification Research Project. Anatomy Lab, bedsideUltrasound Scenarios, Procedural Skills inthe program thatincludesSimulation Lab implemented arigorous educational Wojtowicz. Greg andJeremy have Assistant Program Director Dr. Jeremy Director Dr. and GregRutledge Program undertheguidanceofProgram their PGY3year intheCCFP EM Seven residents successfullycompleted Medicine writteninSeptember 2013. of Special CompetenceinEmergency a 100%passratefrom theExamination The CCFPEMClassof2013 received Postgraduate n Sischek andPaulJones. Baraniecki, AmyMcCulloch,KennethCollins,DavidHeywood,Stephanie Classof2014:Picturedhere(LefttoRight):Drs.DanielVilensky, Rob 25 DepartmentofFamily Medicinel2013-2014 ANNUAL REPORT Emergency Medicine (CJEM). online intheCanadianJournal of Longden Jones,PhD,MD3.Published Jeremy M.Wojtowicz, MD;Graham with functionalasplenia’.Authored by induced purpura fulminansinawoman ‘Streptococcuson hisarticle, pneumoniae– Congratulation toDr. Jeremy Wojtowicz presentations attheconference. and Dr. GregHallcontributedwith Dr. DanielKollek,Dr. IndyGhosh, emergency medicinecommunity. andrelevanceimportance toCanada’s and interactive workshops onissuesof learning through scientificsessions Canada’s bestresearch andpromote conference toshowcase isaforum a fourdayeducationalprogram. The Conference inCanada,andincorporates is thelargestEmergency Medicine Ottawa inJune 2014.Theconference Physicians helditsannualconference in The CanadianAssociationof Emergency was attendedby 192participants. was afeatured speaker. TheConference chaired theconference andDr. JeffGinn Rob KerrandJonathanSherbinoco- loaded withpearlstouseonshift.Drs. clinicaltopicispresented,minutes anew Medicine professionals. Every 10 yield practicalconference forEmergency Ten minute-EMisarapid-fire, high Convention Centre inOctober 2013. Conference washeldattheHamilton Palliative Care n LtoR - Stephen Singh, Wendey Proctor , Naheed Dosani, Erynn Shaw, Denise Wilson, Sabira Kanani and Stacey General Dr. Anne Woods, Division Director regardless of age, disease, stage of disease, Council acts in an advisory capacity to and geographical location – should the LHIN and provides collaborative have access to palliative care that meets leadership to develop a comprehensive, national standards. integrated, regional palliative care What are we doing to make this possible? program designed around the experience Nationally. The Quality End-of-Life Care of patients and families. Dr. Samantha Coalition of Canada and the Canadian Winemaker has been selected as a Vision Hospice Palliative Care Association have member of the Council. undertaken a project called The Way To humanize the Forward to ensure that all Canadians Why is family medicine integral to this experience of living and have access to high-quality palliative care care? Because of its “commitment to when and where they need it. Priority persons rather than a particular body dying actions include: Provide more support of knowledge, groups of diseases, or for caregivers. Improve the quality and special techniques” - a commitment consistency of palliative care. Encourage expressed by a special form of “enduring Mandate Canadians to discuss and plan for end- continuity.” of-life. To develop a recognized Division Education Provincially: The Declaration of program of scholarship Partnership and Commitment to Action: The Division of Palliative Care provides and research in palliative Advancing High Quality, High Value education to all levels of learners. Palliative Care echoes the national In McMaster’s Undergraduate MD care to meet the needs of project in its priorities for palliative care program, curriculum is integrated in Ontario - broaden access and increase throughout Medical Foundations and the university, healthcare, timeliness of access. Strengthen caregiver Clerkship consistent with EFPEC and the broader supports. Strengthen service capacity and competencies. Dr. Anne Boyle, who human capital. Strengthen accountability leads undergraduate education in community. and introduce mechanisms for shared palliative care, also chairs the CSPCP accountability. Build public awareness. National Undergraduate Education Improve integration and continuity. Committee. Dr. Denise Marshall Dr. Denise Marshall assumed the roles has assumed the portfolio of Family of both Provincial Head, Palliative Care Medicine Postgraduate Education When we are ill, when illness progresses, at Cancer Care Ontario and MOH/ Coordinator. In spring 2014, The and when our lives are coming towards LHIN Provincial Lead for Hospice Royal College of Physicians and the end, what do we need and hope for? Palliative Care to help lead this work. Surgeons of Canada endorsed the To be known. To be safe. To be cared establishment of palliative medicine as for. To be with those we care for and to Regionally: Recently, the Hamilton a subspecialty. Dr. Jenny Legassie is care for those we love. The College of Niagara Haldimand Brant LHIN leading McMaster’s efforts to develop Family Physicians of Canada says that “as established the Regional Hospice educational opportunities for Royal a matter of social justice, all Canadians – Palliative Care Program Council. The College residents.

Department of Family Medicine l 2013-2014 ANNUAL REPORT 26 Faculty n Dr. Carl Moore, Dr. Dee Mangin, David Braley Nancy Gordon Chair in Family Development Medicine and guest speaker at the 2014 Carl Moore Lectureship and Dr. Cathy Risdon, inaugural recipient of the David Braley Nancy Gordon Chair in Family Dr. Beryl Moore, Medicine. Coordinator

practice model, PBSG-Ed modules, expertise in the topic being presented. faculty development offerings from This annual event brings timely and the Faculty of Health Sciences, quality provocative topics with local, national The goal of faculty assurance and scholarship, the facilitator and international significance to a role and sharing resources. The forum that welcomes the McMaster, development is to inspire information gathered from these retreats Hamilton and broader community to new ways of thinking has become the building blocks needed better understand and respond to to develop a program to meet the needs issues in primary care. This year, the about teaching in clinical of all faculty members. Carl Moore Lectureship was held on June 19, 2014, at McMaster Innovation practice and to support To support these initiatives, the role Park and we were honoured to have our faculty to grow of the Faculty Development Site Dr. Dee Mangin, Associate Professor in Coordinator has been expanded to the Department of Family Medicine, both academically and include working with the Site Director to and the David Braley Nancy Gordon develop opportunities to deliver faculty Chair in Family Medicine at McMaster professionally. development, organize activities and University present the Carl Moore act as a resource at the teaching site for Lecture. Dr. Mangin’s broad interests postgraduate, undergraduate, academic include rational prescribing, innovative This year, a faculty development and curriculum preceptors. models of primary care delivery and working group was established with the the influence of science, policy and objective of reviewing and rebuilding The quarterly faculty development commerce on the nature of care. the faculty development program in sessions are also undergoing a change Dr. Mangin delivered a thought- the Department of Family Medicine. in how they will be presented. Two of provoking lecture entitled “Doing In October 2013, the working group the sessions will continue in the usual Nothing, Well: How Good Medicine hosted a retreat that focused on format to include all faculty attending Can Be Bad For Your Health”. analysing current faculty development in-person or by videoconference. The needs, understanding ongoing faculty remaining two sessions will take place at We are very excited about the upcoming development initiatives, identifying each site. The content presented at these expansion of our faculty development resources and discussing challenges in sessions will be organized by the faculty program. Information will be made the development of a meaningful and development site coordinators to address available on an updated web page comprehensive faculty development topics and issues identified at their that will become an interactive and program. A follow-up retreat was teaching site. informative resource for our faculty. held in March 2014, to continue discussions on the current trends in The Carl Moore Lectureship, now in its faculty development, an overview of the fifteenth year, is awarded to an individual proposed national frame work in faculty who has made an important contribution development, developing a community to family medicine and who provides

27 Department of Family Medicine l 2013-2014 ANNUAL REPORT Research n Participant tests exercise equipment in newly opened INCH Lab. Dr. John Cairney, Associate Research Director, of the department research enterprise Research Project Total Research Dr. Lisa Dolovich, in February 2014 highlighted that Funding Project funding Research Director McMaster University’s Department of Family Medicine is among the top 44 research projects three in research of such departments in received funding $7,700,620 Canada and on the criteria of external Research occurs at many funding support in 2014, it is arguably Books/Chapters Research the top research Department in Canada. E-books Publications locations within the Only a few of the many highlights are 4 books/e-books Department; within described below and so I encourage and/or chapters have grant-funded projects you to read through the lists of awards, been published 98 publications publications and grants to gain a more within Hamilton and complete appreciation of the breadth of research activity across the Department. DFM Faculty Type Amount Distributed Clinical Research highlights: Teaching Centres; within Principal Investigator in DFM (82% of the Residency Program; Where our funding came from research projects funded) $6,287,931 within Graduate Ontario Ministry of Health and Programs whose students Long-Term Care 53% Co-Investigators(s) in DFM (18% of are supervised by the Canadian Institutes of Health research projects Research 24% faculty members of this funded) $1,412,693 Department of Family Technology Evaluation in the Elderly Network 7% Our research is regularly recognized Medicine. with local, provincial, and national Hamilton Health Sciences awards for excellence. We work with Undergraduate medical students may Research Strategic Initiatives 4% other departments across McMaster as also be exposed to research experiences. well as across Canada and the world. Our faculty and staff lead or collaborate AHSC AFP Innovation Fund 2% We continue to have a very strong on projects that generate findings that and well-supported research culture, can be used by our patients, our learners, Ontario Mental Health Foundation 2% financially viable infrastructure and healthcare providers and society. Our local, provincial, national and grants and publications lists demonstrate Local Health Integration Network 1% international recognition for research our strength across the lifespan and a productivity and innovation. broad set of research methods. A review Other 7%

Department of Family Medicine l 2013-2014 ANNUAL REPORT 28 Department Awards n Dr. Kenneth Collins, centre, receives Residency Leadership award from Dr. Nancy Fowler, left and Jan Baxter at Family Medicine Research Day. Recipient Award Description – Date

Dr. Judy Maynard The Jacqui Wakefield Presented to a faculty member (full or part-time) Mentorship Award who has demonstrated outstanding mentoring abilities beyond normal professional duties. Nov. 2013

Dr. John Cairney Outstanding Research Grant Presented to a faculty member whose research grant most demonstrates: The potential to: contribute to better decisions about clinical practice, public health, research methodology, or health policy; or to improve health outcomes for patients and/or populations. It should also demonstrate an important addition to previous knowledge, scientific robustness, primary care relevance and creativity in research design. Nov. 2013

Dr. John Cairney Outstanding Research Mentor Recognizes outstanding performance in the mentoring of the research career of more junior colleagues. Mentoring refers to the provision of support, encour- agement, networking, and assistance in goal setting and self‐evaluation. Nov. 2013

Human Resource Team: Chair’s Award For Excellence Presented to an individual or team that executes job in Service duties in a positive manner, provides exceptional service to “clients”, consistent excellent performance in regular job duties. Fosters team work within work group, is a positive role model for others and demonstrates a willingness to maintain positive work relationships. Is an ambassador for the department and enhances the image of DFM through interaction with others. Nov. 2013

Ms Diane Gauthier Chair’s Award for Excellence This individual or group commits to policies and in Leadership practices, support a quality work and learning environ- ment, as well as demonstrates innovation and creativity. Supports work life harmony, fosters a supportive and collegial team environment and exhibits innovative and proactive leadership. They demonstrate exemplary demonstrate exemplary relationship building both

29 Department of Family Medicine l 2013-2014 ANNUAL REPORT n Resident’s PBSG session, Stonechurch Family Health Centre.

Recipient Award Description – Date

within and outside of the work unit and promotes high performance in others. Nov. 2013 Local Awards

Dr. Danya Al-Baldawi Kanwal Shankardass Annual First or second year resident in the program who Care of the Elderly Award demonstrates strong leadership potential, a willingness to advocate for patients and their families and a strong philosophical Fcommitment to compassionate elder care. June 2014

Dr. Erich Hanel Excellence in Teaching Award June 2014

Dr. Kimberly Barker Outstanding Contribution to the June 2014 CCFP EM Residency Program

Dr. Amy McCulloch CCFP EM Outstanding Resident June 2014 Award

Dr. Daniel Vilensky CCFP EM Outstanding Resident June 2014 Award

Dr. Irene Mitrana Kitchener Waterloo Postgraduate June 2014 Teacher of the Year Award

Dr. Thomas St. Amand Niagara Regional Campus June 2014 Undergraduate Teacher of the Year Award

Dr. Mike Hatcher Niagara Regional Campus June 2014 Postgraduate Teacher of the Year Award

Dr. Massoud Jalayer Undergraduate Teacher of the June 2014 Year Award

Department of Family Medicine l 2013-2014 ANNUAL REPORT 30 Local Awards continued n MFP resident’s farewell

Recipient Award Description – Date

Dr. Jonathan Lapp Undergraduate Teacher of the June 2014 Year Award

Dr. Judy Baird Michael G. DeGroote School of Each year the graduating class of the Micheal G. Medicine, McMaster University, DeGroote School of Medicine honours the very best Family Medicine Clerkship teachers with Teaching Awards presented at the Oath Teaching Award Ceremony on graduation day. May 2014

Dr. Marc Sawyer and DeafBlind Ontario Service Award June 2014 Marg Alfieri (dietician)

Dr. Brian Finn Family Physician Preceptor of the June 2014 Year for 2013-2014 as selected by the KW & area residents

Dr. Colin Terpstra Special Physician: Preceptor of June 2014 the Year for 2013-2014 as selected by the KW & area residents

Dr. Jeff Nagge Allied Health Professional June 2014 (pharmacist) Preceptor of the Year for 2013-2014 as selected by the KW & area residents

Dr. Lindsey Sutherland McMaster Family Medicine June 2014 and Dr. Talia Varley Rotary Bursary in Global Health

Dr. Lindsey Sutherland McMaster Family Medicine Dr. Sutherland will be working in Inuvik, NT. Global Health Scholarly Bursary June 2014

Dr. Talia Varley McMaster Family Medicine Dr. Sutherland will be working in Aceh, Indonesia Global Health Scholarly Bursary June 2014

Dr. Chris Charles Department of Family Medicine Dr. Charles will be studying salt intake in populations Global Health Scholarly Bursary in Cambodia to later inform public health and policy interventions. June 2014

31 Department of Family Medicine l 2013-2014 ANNUAL REPORT Local Awards continued n Infant examination at Kitchener-Waterloo site. Recipient Award Description – Date

Ms Diane Gauthier Nominee – President’s Award for The President’s awards are an opportunity for McMaster Outstanding Service in 2013 University to recognize its most high performing staff members. It is a chance to acknowledge those col- leagues who bring that extra measure of innovation and excellence to what they do. 2013

Dr. Lynda Redwood- Rotary Foundation - Paul Harris Citizens recognized for their important contributions Campbell and successes in business, society or academics. May 2014

Dr. Jennifer Bondy HHS Medical Staff Association May 2014 The Outstanding Resident of the year Resident Research Day Awards

Drs. Zein Farag and The John Snow Cup for Excel- “Winning for their project: “Effectiveness of an Ashley Guttman lence in Family Medicine electronic reminder system at increasing abdominal Medicine aortic aneurysm screening rates in outpatient primary care: a cluster randomized controlled trial.” June 2014

Drs. Cara Sterling, Kayla Best Overall Poster Winners Effect of Intracervical Xylocaine prior to intrauterine Vale and Ainsley Moore system insertion in primary care.” June 2014

Drs. Jegan Jegathasan Best Overall Poster Winners “Influenza Vaccinations in pregnant women: Are we and Avni Mehta immunizing this high-risk group in our suburban family practices?” June 2014 Dr Brittany Julian Ben Finkelstein Award In recognition of outstanding contribution to the psychosocial aspects of Family Mediciine. June 2014

Dr. Talia Varley Ted Evans Scholarchip Award In recognition of outstanding practice in the four principles of Family Medicine. June 2014 Dr. Bryan Liebfried Gerry Cohen Teaching Award In recognition of excellence as a role model, teacher and resident advocate. June 2014

Department of Family Medicine l 2013-2014 ANNUAL REPORT 32 Resident Research Day

Awards continued n Ready for your check up?

Recipient Award Description – Date

Dr. Zein Faraj – Brampton Family Medicine Site In recognition of a senior family medicine resident(s) Dr. Heather McCarrel Leadership Awards who exemplifies the characteristics of a leader. – CRBT June 2014 Dr. Susan Borden – Halton Dr. Philip Harvey – Kitchener/Waterloo Dr. Jennifer Bondy – MFP Dr. Ryan Hogg – Niagara Dr. Kylie Redekop – Niagara Dr. Crystal Luchkiw – Rural Dr. Alex Fulkl – Rural Dr. Aalla Sidahmed – Stonechurch

Dr. Erin Gallagher Family Medicine Leadership In recognition of a senior family medicine resident who Award has demonstrated an interest in further enhancement of leadership skills within organized medicine. June 2014

Dr. Caroline Collins KW - FM Teacher of the Year June 2014

Dr. Harmeet Bami KW - FM Specialist Teacher of June 2014 of the Year Provincial Awards

Dr. Joe Lee AFHTO Bright Lights Service Leadership and governance for quality. Oct. 2013 Award

Dr. Dale Guenter OCFP Regional Family Physician November 2013 of the Year

Dr. Judy Baird OCFP Award of Excellence June 2014

Dr. Anne Duvall OCFP Award of Excellence June 2014

33 Department of Family Medicine l 2013-2014 ANNUAL REPORT Provincial

Awards continued n Gillian and Claudia, Maternity Centre. Recipient Award Description – Date

Dr. Sanjeev Goel OCFP Award of Excellence June 2014

Dr. Robert Kerr OCFP Award of Excellence June 2014

Dr. Frank Martino OCFP Award of Excellence June 2014

Dr. James Milligan OCFP Award of Excellence June 2014

Dr. Doug Oliver OCFP Award of Excellence June 2014

The McMaster Family OCFP Family Practice of the Year Celebrates the accomplishments and hard work of the Health Team members of a family practice in delivering comprehen- sive services and continuity of care for their patients. June 2014

Dr. Anne Kittler Fath Research Award June 2014 Daniel Glazier Research Grant in Adolescent Health and Substance Abuse: Prevalence of substance use among adolescents in foster care: the Children’s Aid Society experience in Hamilton, Ontario

Dr. Michael Lee-Poy Continuing Professional June 2014 Development (CPD) Grants: Physical Leadership Development Program

Dr. Diana Ahmed Continuing Professional June 2014 Development (CPD) Grants: Enhanced Skills for End-of-life Care at Grantford General Hospital

Dr. Kenya Bracken College of Physicians & Surgeons The Council Award honours outstanding Ontario of Ontario Council Award physicians who have demonstrated excellence and and come closest to meeting society’s vision of an “ideal physician”. March 2014

Department of Family Medicine l 2013-2014 ANNUAL REPORT 34 Provincial

Awards continued n INCH (INfant and Child Health) Lab. Recipient Award Description – Date

SFHC Geriatric Team Team of the Year SAGE (Service Awards for Geriatric Excellence) is Regional Geriatric Program’s a unique program that celebrates the outstanding SAGE Award contributions of individuals and organizations committed to providing the highest quality of care to older adults in our communities to ensure they can age with optimal health, independence and dignity. April 2014

Dr. Myles Sergeant Individual Ward April 2014 Regional Geriatric Program’s SAGE Award National Awards

Dr. Henry Siu CCFP Award of Recognition: June 2014 Early Career Development

Drs. D. Jorgenson, Canadian Pharmacists Journal This award is given annually by the CPJ Editorial D Dalton, B Farrell, (CPJ) Best Paper of the Year: Advisory Board to the manuscript judged. Tsuyuki and Lisa Dolovich Guidelines for pharmacists inte- June 2014 grating into primary care teams. CPJ> 2013 146:342-352

Dr. Erynn Shaw Palliative Medicine Resident Award is fpr the best scholarly project by a resident Research Award – Canadian enrolled in a palliative medicine residency program Society of Palliative Care May 2014 Physicians

McMaster FHT 2014 IBCLC Community Award

35 Department of Family Medicine l 2013-2014 ANNUAL REPORT International Awards n Family Health Team, Kitcher-Waterloo.

Recipient Award Description – Date

SFHC – McMaster FHT 2014 IBCLC Community Award The IBCLC Care Directory lists recognized hospitals, (lactation) birthing facilities, birthing services, and community- based health agencies that hire currently certified International Board Certified Lactation Consultant (ABCLC) certificants and have a dedicated lactation support program.

These facilities also have demonstrated they have provided training for their nursing, medical, and other staff that care for breastfeeding families, and have implemented special projects that promote, protect, and support breastfeeding and the lactation consultant profession.

Department of Family Medicine l 2013-2014 ANNUAL REPORT 36 Funding Awarded n Painter working at McMaster Health Campus.

Agarwal G, Dolovich L, McDonough B, & St. Michaels’s Hospital. July 2013 – Cheung A, Grigoriadis S. Mental Health McLeod B, Angeles RN. A Community June 2014. ($40,000) Care Utilization Among People Who Die Paramedicine Initiative for Older Adults by Suicide: Moving Towards a More Fo- Living in Subsidized Housing. Academic Cairney J, Dunn J, Eyles J, Collins P, cused Understanding. Ontario Mental Health Science Centres Alternate In- Hobin E and Shankardass K. Healthier Health Foundation. April 2013 – March novation Fund. April 2013 – March 2014. Built Environments Ontario: An Oppor- 2015. ($149,068) ($172,706) tunity for Innovation in Mental Health & Obesity Policy. Ontario Ministry of Dahrouge S, Liddy C, Kaczorowski J, Agarwal G, Dolovich L, McDonough Health and Long-Term Care, Health Chambers L, Dolovich L, Hogg W, B, McLeod B, Thabane L, Goeree R, Services Research Fund. April 2013 – Chomiene M-H, Tu K, Taljaard M, Kaczorowski J, Chambers L. A Com- March 2016. ($1,886,361) Thabane L. Optimizing the Quality of munity Paramedicine Initiative for Older Chronic Disease Care in the Champlain Adults Living in Subsidized Housing. Cairney J, Holt N, Robeson P, Camiré LHIN: Cardiovascular disease preven- Canadian Institutes of Health Research M, Kwan M, Ogenchuk M, MacDonald tion through improved integration of Operating Grant. April 2014 - March D, Scherer D & J. Sport participation primary care and community resources. 2017. ($370,980) and alcohol use. Canadian Institutes of Health System Improvement Proposal, Health Research, Advancing Research Local Health Integration Network Grant. Bakker D, Mountjoy M, Swayze K, to Improve Boys’ and Men’s Health December 2013 - March 2014. ($118,635) Costa A, Singh P. Family Medicine Team Grant. March 2014 - February Resident Wellness: measuring the 2015. ($9,740) Greenway M, Kwan M, Siu H, Sergeant effect of a mindfulness-based stress M. Feasibility study on the implementa- reduction program on depression, Cairney J, Lipman E, Jack S, Van tion of a new PHE form in long-term burnout and resiliency. Department of Lieshout R, Boyle M, Georgiades K, care. Department of Family Medicine Family Medicine Pilot Funding for Grant K. Assisting Teen Mothers and Pilot Funding for Community Physicians, Community Physicians, McMaster their Children in Hamilton. Hamilton McMaster University. May 2014 – June University. May 2014 – June 2015. Health Sciences Research Strategic 2015. ($5,000) ($5,000) Initiatives. April 2012 - April 2014. ($300,000) Grierson LEM, Dubrowski A, Kapralos Bayer I, Wong A, Grierson LEM, Piro R, B, Brydges R, Bernard C, Musson D. Syed Z. An Initiative to Promote Devel- Cairney J, Missiuna C, Pollock N, Ben- Observational Practice and Educational opment of Faculty Technology Use in nett S, Camden C, Campbell W, McCau- Networking: Extending the Simulation- Health Sciences Education. McMaster ley D, Gaines R. Partnering for Change: based Education beyond the Simulation University Forward with Integrity. an evidence-based model of OT service Laboratory. Ontario Network of Excel- 2014-2015. ($5,000) delivery in school settings. The Ontario lence in Simulation (SIM-One). April Ministry of Health and Long-Term Care. 2014 – March 2015. ($25,000) Buchman S, Glazier R, Rosmovitz L. April 2013 - March 2015. ($994,600) Equity in Colorectal Cancer Screening. Grierson LEM, Mueller V, Lyons J. Cancer Care Ontario, Institute Cairney J, Schaffer A, Sinyor M, Studies of learning and reasoning in of Clinical and Evaluative Sciences Kurdyak P, Sareen J, Bolton J, Vigod S, medicine: The effect of expressive

37 Department of Family Medicine l 2013-2014 ANNUAL REPORT Funding

Awarded . . . continued n MFP annual corn roast.

written reflection on reducing the YR, Bailey C, Bieling P , Coyte P, Davis Slaven M, Hanvey L, You, Sudore R. impact of performance anxiety during A, Ebrahim S, Fast K, Fourney D, Gross iGAP – Improving General Practice simulation-based laparoscopic skill A, Hall H, Hanna S, McCabe R, Nash Advance Care Planning. Ministry of assessment. Royal College of Canada J, Schabort I, Thabane L, Wai E, Yen D, Health and Long Term Care Ontario. Medical Education Grant. September You J. Patient-centred interprofessional May 2014 – April 2017. ($1,045,981) 2013 – August 2014. ($19,975) shared care model for low back pain management. Canadian Institutes of Howard M, MacLennan A, Winemaker Grierson LEM, Schabort I, Philips S, Health Research. March 2014 – S, White J, Hansen N. Family Practice Walton M, Wong E, Stirrett G, Archibald February 2015. ($100,000) provision of a palliative approach: D, Cole G, Brailovsky C. Predictors of Indicator development and pilot test. Canadian Certification Success among Heyland D, Howard M, Bernard C, Department of Family Medicine Pilot International Medical School Gradu- Slaven M, Hanvey L, Siu H, You J, Funding for Community Physicians, ates. Royal College for Physicians and Sudore R, Winemaker S. Improving McMaster University. May 2014 – June Surgeons of Canada Medical Education General Practice Advance Care 2015. ($4,844) Research Grant. September 2014-Au- Planning. The i-GAP Study. Canadian gust 2015. ($24,060) Institute for Health Information-Partner- Kouyoumdjian F. Developing knowl- ship for Health System Improvement. edge translation skills and a project to Grindrod KA, Alarakhia M, Burns CM, June 2014 – May 2015. ($654,404) improve prison health in Canada. Royal McMurray DJ, Chilana P, Slonim K, St. College of Physicians and Surgeons Maurice J. Semantic interoperability of Howard M, Elmslie T, Armson H, of Canada Professional Development exchanged information on a regional Kotecha J, Allen T. Family Physicians’ Grant. March 2014. ($4,000) electronic health record that is used by practice audit and reflections for the an expanded circle of care which in- College of Family Physicians Alternate Kouyoumdjian F, Hwang S, Matheson cludes social supports and community Route to Certification Program: Descrip- F, Kiefer L, Silva D, Brown G. Planning services. Canadian Institutes of Health tion and assessment. Royal College Grant. Defining priorities and creating a Research Planning and Dissemination of Family Physicians of Canada (not network for prisoner health research in Grant. June 2014 - May 2015. ($10,000) peer-reviewed). March 2014 - February Canada. Canadian Institutes of Health 2015. ($5,906) Research. February 2014. ($24,890) Gupta S, Garvey NH, Agarwal A, Boulet L, Chan D, Dolovich L, Goel S, Kaplan A, Howard M, Heyland D, Barwich D, Klein Lee J, Milligan J, McMillan C, Bauman Lebovic G, Levinson A, Licksai C, Mad- D, Tan A, Bernard C, Hanvey L, Slaven C, Giangregario L, Lee L. Spinal Cord eley C, Mamdani M, Ophilant R, Straus M, Fassbender K, Green L, Simon J, Injury in Primary Healthcare/Mobility S, Van Dam A. eAPPS mobile – The Sudore R. i-GAP – Improving General Clinic Project. Ontario Neurotrauma Electronic Asthma Action Plan Mobile Practice Advance Care Planning. Tech- Foundation. January 2014 - December System Implementation Primary Care. nology Evaluation in the Elderly Net- 2014. ($110,000) Canadian Institutes of Health Research. work, Core Research Grant Program. June 2014 – May 2015. ($99, 100) May 2014 – April 2015. ($599,905) Lee L, Aiken S, Patel T, Staples C. Do Hearing Aids Improve Cognitive Func- Guyatt GH, Busse JW, Rampersaud Howard M, Heyland D, Bernard C, tion in Persons With Dementia and

Department of Family Medicine l 2013-2014 ANNUAL REPORT 38 Funding

Awarded . . . continued n INR Point of Care clinic.

Other Memory Disorders? 2013 Janus Lee L, Patel T. Inappropriate medication tion curriculum on transgender health. Research Grant, The College of Family use and serious medication adverse Program for Interprofessional Prac- Physicians of Canada. July 2013 - events in community-dwelling seniors tice, Education and Research (PIPER), December 2015. ($9,972) with dementia: a systematic review McMaster University. January 2014 – [Part II]. Primary Health Care System December 2014. ($5,000) Lee L, Frank C, Schultz M, Elzohairy Y, Program Knowledge User Applied Hermann N, Seitz D, Mulsant B, Naglie Healthcare Research Question, Depart- Lee-Poy M, McMillan C, Nagge J. G, Molnar F, Byszewski A, Gordon M, ment of Family Medicine, McMaster Transeducation: Development and Masellis M, Tang-Wai D, Cohen S. University. January 2014 - March 2014. Implementation of a Trans-university, Driving in Mild Dementia Decision Tool. ($13,514) Trans-disciplinary, Trans-learner Canadian Institutes of Health Research. Educational Curriculum on Transgender July 2013 - June 2015. ($174,842) Lee L, Patel T. Frailty Markers in Primary Health. Distributed Research Project Care: A Systematic Review. Department Funding, Department of Family Medi- Lee L, Heckman G, Molnar F, Seitz D, of Family Medicine Pilot Funding for cine, McMaster University. July 2013 Rochon P, Mamdani M, Hoch JS, Isa- Community Physicians, McMaster Uni- - June 2014. ($1,000) ranuwatchai W, Aminzadeh F. Planning versity. May 2014 – June 2015. ($5,000) Meeting to Evaluate Health System Mangin D, Dolovich L, Agarwal G, Siu Impacts of an Integrated Primary Care- Lee L, Pefanis J, Milligan J. “C5- H. Deprescribing to Optimize Medicine Based Model of Dementia Manage- 75”Demonstration Project to Improve Use and Safety in Seniors. Department ment for Seniors. Alzheimer Society of the Care of Medically Complex Pa- of Family Medicine Pilot Funding for Canada. March 2014 - February 2015. tients. Ontario Ministry of Health and Family Medicine Associates, McMas- ($9,950) Long-Term Care. May 2014 - April 2015. ter University. May 2014 – June 2015. ($179,012) ($5,000) Lee L, Milligan J. CFFM/RIA Director- ship for Mobility Issues. Centre for Lee L, Slonim K. Capturing the Voices Milligan J, Lee J, Lofters A. People Family Medicine and Schlegel Re- and Perspectives of Patients and living with disabilities: a neglected search Institute for Aging. 2013 - 2014. Caregivers Engaged in the Centre for population in primary healthcare ($40,000) Family Medicine Family Health Team’s research. College of Family Physicians Memory Clinic. Primary Health Care of Canada Janus Grant. July 2013 - Dec Lee L, Patel T. Inappropriate medication System Program Knowledge User 2014. ($10,000) use and serious medication adverse Applied Healthcare Research Ques- events in community-dwelling seniors tion, Department of Family Medicine, Ng S, Willett T, Brydges R, Grierson with dementia: a systematic review Western University. May 2014 - Febru- LEMEM, Jones-Bonofiglio K, Luctkar- [Part I]. Primary Health Care System ary 2015. ($15,365) Flude M, Tavares W. An Online Flipped Program Knowledge User Applied Classroom Experience in Continuing Healthcare Research Question, Lee-Poy M, Nagge J, McMillan C. Professional Development. Office for Department of Family Medicine, West- TransEducation: Development and Continuing Education and Professional ern University. January 2014 - March implementation of a trans-university, Development, Faculty of Medicine, 2014. ($11,260) trans-disciplinary, trans-learner educa- University of Toronto, Continuing

39 Department of Family Medicine l 2013-2014 ANNUAL REPORT Funding n Downtown McMaster Health Campus. Awarded . . . continued Peer Reviewed Publications

Education Research and Development Perception and Comfort Level with doi: 10.1016/j.ijmedinf.2014.03.003. Epub Award. 2014-2015. ($4,956) Diabetes Management Practices in 2014 Mar 29. Long Term Care. Canadian Journal Parekh R, Dipchand AI, Hebert D, Kim of Diabetes. 2014; DOI: 10.1016/j. Bayoumi I, Dolovich L, Hutchison SJ, Nathan PC, Ng VL, Paterson JM, jcjd.2013.12.003. B, Holbrook A. Medication-related Solomon M, Thomas KE. Long-Term emergency department visits Survival in Childhood Solid Organ Angeles RN, Dolovich L, Kaczorowski and hospitalizations among older Transplants. Canadian Institutes of J, Thabane L. Developing a theoretical adults. Canadian Family Physician. Health Research. April 2014-March framework for complex community– 2014;60(4):217-e222. 2018. ($514,679) based interventions. Health Promotion Practice. 2014; 15:100-108. Busse JW, Bruno P, Malik K, Connell Redwood-Campbell L, McKee R, Lobo G, Torrance D, Ngo T, Kirmayr K, L, Shaikh S. Attitudes, barriers, and Angeles RN, Guenter D, L McCarthy, Avrahami D, Riva JJ, Ebrahim S, Struijs enablers towards conducting primary Bauer M, Wolfson M, Chacon M, PA, Brunarski D, Burnie SJ, LeBlanc care research in Banda Aceh, Indo- Bullock I. Group interprofessional F, Coomes EA, Steenstra IA, Slack T, nesia. Department of Family Medicine chronic pain management in the Rodine R, Jim J, Montori VM, Guyatt Pilot Funding for Family Medicine primary care setting: A pilot study of GH. An efficient strategy allowed Associates, McMaster University. feasibility and effectiveness in a family English-speaking reviewers to identify May 2014 – June 2015. ($5,000) health team in Ontario. Pain Research & foreign-language articles eligible for a Management. 2013; 18(5):237-242. systematic review. Journal of Clinical Sanborn M, Grierson LEMEM, Upshur Epidemiology. 2014; 67(5):547-53. R, Vakil C, & Marshall L. Survey of Arya N. Advocacy as Medical Environmental Health Concerns, Responsibility. Canadian Medical Busse J, Ebrahim S, Riva JJ, Bance Knowledge and Learning Needs of Association Journal, 2013; 185(15):1368 S, Guyatt G, Bagby M, Kunz R. 0179 Family Medicine Residents. The College Independent Medical Evaluations - of Family Physicians of Canada Janus Bauman CA, Milligan JD, Patel T, Important, neglected, in need of reform: Research Grant. 2014-2015. ($5,915) Pritchard S, Labreche T, Dillon-Martin a systematic review. Occupational S, Ilich A, Riva JJ. Community-based and Environmental Medicine. 2014 Siu H, Price D, Howard M, Chan D, falls prevention: lessons from an Jun; 71 Suppl 1:A83. DOI: 10.1136/ Mangin D. The edosette study – Interprofessional Mobility Clinic. oemed-2014-102362.259. optimizing medication use and safety in Journal of the Canadian Chiropractic community dwelling seniors. Association. 2014; 58: 300-11. Busse JW, Riva JJ, Rampersaud R, Department of Family Medicine Pilot Goytan MJ, Feasby TE, Reed M, You Funding for Family Medicine Associ- Bayoumi I, Al Balas M, Handler SM, JJ. Spine surgeons’ requirements for ates, McMaster University. Dolovich L, Hutchison B, Holbrook A. imaging at the time of referral: a survey May 2014 – June 2015. ($5,000) The effectiveness of computerized of Canadian spine surgeons. Canadian drug-lab alerts: a systematic review Journal of Surgery. 2014; 57(2):25-30. Agarwal G, Kaasalainen S, Sherifali D, and meta-analysis. International Akhtar-Danesh N, Dolovich L. Nurses’ Journal of Medical Informatics. 2014; Busse JW, Schandelmaier S,

Department of Family Medicine l 2013-2014 ANNUAL REPORT 40 Peer Reviewed

Publications . . . continued n Official opening of Grand Erie Six Nations.

Kamaleldin M, Hsu S, Riva JJ, Per service use using Intersectionality elevated blood pressure. Annals of Olav Vandvik, Tsoi L, Lam T, Ebrahim Theory and CART analysis. Journal of Human Biology. Aug 26:1-7 S, Johnston B, Oliveri L, Montoya L, Epidemiology and Community Health Kunz R, Malandrino A, Bhatnagar 68(2):145-50. Currie O, Mangin D, Williman J, N, Mulla SM, Lopes LC, Soobiah C, McKinnon-Gee B, Bridgford P. The Wong A, Buckley N, Sessler D, Guyatt Campbell-Scherer D, Rogers J, comparative risk of new-onset GH. Opioids for chronic non-cancer Manca D, Lang-Robertson K, Bell S, diabetes after prescription of drugs pain: a protocol for a systematic Salvalaggio G, Greiver M, Korownyk for cardiovascular risk prevention in review of randomized controlled trials. C, Klein D, Carroll JC, Kaham M, primary care: a national cohort study. Systematic Reviews. Mueser J, Buchman S, Barrett RM, BMJ Open. 2013; 3:e003475. doi:10.1136/ 2013; 2: 66. DOI: 10.1186/2046-4053-2-66. Grunfeld E. Guideline harmonization bmjopen-2013-003475. and implementation plan for the Cadarette SM, Lévesque L, Mamdani BETTER trial: Building on Existing Del Giudice ME, Young SM, Vella M, Perreault S, Juurlink DN, Paterson Tools to Improve Chronic Disease ET, Ash M, Bansal P, Robinson A, JM, Carney G, Gunraj N, Hawker GA, Prevention and Screening in Skrastins R, Ung Y, Zeldin R, Levitt CA. Tadrous M, Wong L, Dormuth CR. Family Practice. Canadian Medical Systematic review of guidelines for the Comparison of orally administered Association Journal Open. 2014; 2:1-10. management of suspected lung cancer bisphosphonate drugs in reducing DOI:10.9778/cmajo.20130040. in primary care. Canadian Family the risk of hip fracture in older adults: Physician 2014; 60:e395-404. a population-based cohort study. Chan D, Howard M, Dolovich L, Bartlett Canadian Medical Association Journal. G, Price D. Revolutionizing patient deRuiter WK, Cairney J, Leatherdale S, 013; 1:97-105. control of health information. Canadian Faulkner G. A Longitudinal Examination Family Physician. 2013; 59:823-4. of the Interrelationship of Multiple Cairney J, Rigoli D, Piek J. (2013). Health Behaviours. American Journal of Developmental Coordination Disorder Chen R, Dore K, Grierson LE, Hatala R, Preventive Medicine 47(3): 283-289. and Internalizing Problems in Children: & Norman G. Cognitive Load Theory: The Environmental Stress Hypothesis Implications for Nursing Education and Dhalla IA, Gomes T, Yao Z, Nagge J, Elaborated. Developmental Review Research. Canadian Journal of Nursing Persaud N, Hellings C, Mamdani MM, 33(3): 224-238. Research. 2014; 46:28–41. Juurlink DN. Chlorthalidone versus hydrochlorothiazide for the treatment Cairney J, Veldhuizen SA, Kwan M, Cheng SM, Librach SL, Berry R, of hypertension in older adults: A Hay JA, Faught BE. Biological age and Buchman S. Healthcare integration: the population-based cohort study. Annals sex-related declines in physical activity study of the Toronto central regional of Internal Medicine. 2013; 158(6):447- during adolescence. Medicine and hospice palliative care “system” and 455. Impact factor: 16.7 Science in Sport and Exercise its integration challenges. Healthcare 46(4): 730-5. Quarterly. 2010 Jan 1; 13(4):78-83. Dore N, Kennedy C, Fisher P, Dolovich L, Farrauto L, Papaioannou A. Improving Cairney J, Veldhuizen S, Vigod S, Wade Chirico D, Wade TJ, Cairney J, Klentrou care after hip fracture: the fracture? TJ, Streiner D, Kurdyak P. Exploring the P, O’Leary DD (2014). Evidence of a Think osteoporosis (FTOP) program. social determinants of mental health hyperkinetic state in children with BMC Geriatrics. 2013; 13:130.

41 Department of Family Medicine l 2013-2014 ANNUAL REPORT Peer Reviewed

Publications . . . continued n Dr. Lisa Dolovich and Dr. Cheryl Levitt.

Dormuth CR, Filion KB, Paterson JM, Grierson LEM. Information processing, Care Transformation: To be or not James MT, Teare GF, Raymond CB, specificity of practice, and the to be? Canadian Geriatrics Journal. Rahme E, Tamim H, Lipscombe L, transfer of learning: Considerations 2013;16(4):192-195. and the Canadian Network for for reconsidering fidelity. Advances in Observational Drug Effect Studies Health Sciences Education. Published Jin M, Gagnon A, Levine M, Thabane (CNODES) Investigators. Higher online 02 April 2014, DOI 10.10007/ L, Rodriguez C, Dolovich L. Patient- Potency Statins and the Risk of New s10459-014-9504-x. specific academic detailing for smoking Diabetes: Multicenter, Observational cessation. Feasibility study. Canadian Study of Administrative Databases. Grierson LEM. Revising the Tortoise. Family Physician. 2014;60:e16-23. BMJ Open. 2014;348:g3244. Medical Education. 2014;48:461-462. Jorgenson D, Dalton D, Farrell B, Foster PD, Mamdani MM, Juurlink Grierson LEM, Lyons J, Dubrowski Tsuyuki, Dolovich LL. Guidelines for DN, Shah BR, Paterson JM, Gomes A. Gaze down endoscopic practice pharmacists integrating into primary T. Trends in selection and timing of leads to better novice performance on care teams. CPJ. 2013 146:342-352. first-line pharmacotherapy in older gaze up displays. Medical Education. patients with Type 2 diabetes diagnosed 2013;47:167-172. Juurlink DN, Dormuth CR, Huang A, between 1994 and 2006. Diabetic Hellings C, Paterson JM, Raymond C, Medicine. 2013;30:1209-13. Grierson LEM, Ohson S, Lyons J. Kozyrskyj A, Moride Y, Macdonald EM, The relative influence of movement Mamdani MM. Proton Pump Inhibitors Gordon M, Buchman D, Buchman S. kinematics and extrinsic object and the Risk of Adverse Cardiac Events. “Bad News” Communication in characteristics on the perception of PLoS ONE 2013;8(12):e84890. Palliative Care: A Challenge and Key lifted weight. Attention, Perception & to Success. Annals of Long-term Care Psychophysics. 2013;75:1906-1913. Kasenda B, von Elm E, You J, Blümle – A Clinical Journal of the American A, Tomonaga Y, Saccilotto R, Amstutz Geriatrics Society. 2007;15(4):32-38. Hajna S, Leblanc PJ, Faught BE, A, Bengough T, Meerpohl JJ, Stegert Merchant AT, Cairney J, Hay J, Liu J. M, Tikkinen KA, Neumann I, Carrasco- Gabel L, Proudfoot NA, Obeid J, Associations between family eating Labra A, Faulhaber M, Mulla SM, MacDonald MJ, Bray SR, Cairney J, behaviours and body composition Mertz D, Akl EA, Bassler D, Busse JW, Timmons BW. Step Count Targets measures in peri-adolescence: results Ferreira-González I, Lamontagne F, Corresponding to New Physical Activity from a community-based study of Nordmann A, Gloy V, Raatz H, Moja L, Guidelines for the Early Years. Medicine school-aged children. Canadian Journal Rosenthal R, Ebrahim S, Schandelmaier and Science in Sports and Exercise of Public Health 105(1):15-21. S, Xin S, Vandvik PO, Johnston BC, 45(2):314-8. Walter MA, Burnand B, Schwenkglenks Healy D, Mangin D, Applbaum M, Hemkens LG, Bucher HC, Guyatt GH, Granek L, Rosenberg-Yunger Z, Dix D, K. The shipwreck of the singular. Briel M. Prevalence, characteristics, Klaassen R, Sung L, Cairney J, Klassen Social Studies of Science. 2014:DOI: and publication of discontinued AF. (2014). Caregiving, single parents 10.1177/0306312714536270. randomized trials. The Journal of and cumulative stresses when caring the American Medical Association. for a child with a cancer. Child: Care, Heckman GA, Molnar FJ, Lee L. 2014;311(10):1045-51. Health & Development 40(2): 184-94. Geriatric Medicine leadership of Health

Department of Family Medicine l 2013-2014 ANNUAL REPORT 42 Peer Reviewed

Publications . . . continued n Tuberculosis test.

Kouyoumdjian FG, Calzavara LM, Lee L, Hillier LM, Harvey D. Integrating Severini S, Blackburn DF, Blais Kiefer L, Main C, Bondy SJ. Drug use community services into primary care: L, Bresee L, Filion KB, Kawasumi prior to incarceration and associated Improving the quality of dementia Y, Kurdyak P, Platt RW, Tamim H, socio-behavioural factors in males care. Neurodegenerative Disease Paterson JM; Canadian Network for in a provincial correctional facility in Management. 2014;4(1):11-21. Observational Drug Effect Studies Ontario, Canada. Canadian Journal of (CNODES) Investigators. Atypical Public Health. 2014;105(3): e198-e202. Lee L, Hillier LM, Weston WW. Ensuring antipsychotics and hyperglycemic the success of interprofessional teams: emergencies: Multi-centre, Kouyoumdjian FG, Findlay N, Schwandt Key lessons learned in the development retrospective cohort study of M, Calzavara LM. A systematic review and implementation of primary care- administrative data. Schizophrenia of the relationships between intimate based Memory Clinics. Canadian Research Journal. 2014;154:54-60. partner violence and HIV/AIDS. PLOS Journal on Aging. 2014;33(1):49-59. One. 2013;8(11):e81044. Ludwa IA, O’Leary DD, Wade TJ, Lee L, Weston W, Heckman G, Gagnon Cairney J, Falk B, Klentrou P. The effect Kulasegaram KM, Grierson LEM, M, Sloka JS, Lee FJ. Structured of adiposity on the relationship between Norman GR. The role of deliberate approach to the patient with memory indicators of maturity in peri-pubertal practice and innate ability in expertise: difficulties in family practice. Canadian children. Annals of Human Biology. evidence and implications. Medical Family Physician. 2013;59:249-254. 40(1):70-4. Education. 2013;47(10):979-989. Levitt CA, Chen X, Hilts L, Dolovich L, MacDonald S, Milligan J, Lee J. Kwan M, Bobko SA, Faulkner Price D, Nair K. Developing an Institute Making your office accessible for G, Donnelly P, Cairney J. Sport of Medicine aligned framework for patients with Mobility Impairments. participation and alcohol and illicit drug categorizing primary care indicators Canadian Family Physician. use in adolescents and young adults: for quality assessment. Healthcare 2014:60 253-254. A systematic review of longitudinal Quarterly 2013;16(1):39-45. studies. Addictive Behaviors. Mbuagbaw L, van der Kop ML, Lester 39(3):497-506. Levitt CA, Nair K, Dolovich L, Price D, RT, Thirumurthy H, Pop-Eleches C, Ye C, Hilts L. Refinement of indicators and Smieja M, Dolovich L, Mills E, Thabane Lee CQ-T, Kouyoumdjian FG, Christian criteria in a quality tool for assessing L. Mobile phone text messages for J. Defining research priorities for quality in primary care in Canada: a improving adherence to antiretroviral bacterial sexually transmitted infections Delphi Panel study. Family Practice. therapy (ART): an individual patient in Canada. Canadian Journal of Public 2014; DOI: 10.1093/fampra/cmu021. data meta-analysis of randomized trials. Health. 2014. 105(1): e86-e90. BMJ Open. 2013;3:e003950. DOI:10.1136/ Li J, Grierson LEM, Carnahan H. bmjopen-2013-003950. Lee J, Hillier LM, McMillan C, O’Brien Perceptual-motor features of expert G. Preparing Residents for Family acupuncture lifting-thrusting skills. McDonough B, Howard M, Angeles R, Practice: the role of an integrated Acupuncture in Medicine. Dolovich L, Marzanek-Lefebvre F, Riva “Triple C” curriculum. Canadian 2013;31:172-177. JJ, Laryea S. Lone workers attitudes Medical Education Journal. towards their health: views of Ontario 2013:4(1) e75-e80. Lipscombe LL, Austin PC, Alessi- truck drivers and their managers.

43 Department of Family Medicine l 2013-2014 ANNUAL REPORT Notable Mentions n Victoria Slager and Andrea Frolic performing part of Osler’s Overture.

BMC Research Notes. 2014: doi: TJ. Adverse childhood experiences and Reade CJ, Riva JJ, Busse JW, 10.1186/1756-0500-7-297. the cardiovascular health of children: a Goldsmith CH, Elit L. Risks and benefits cross-sectional study. BMC Pediatrics of screening asymptomatic women for McMurray J, Breward K, Breward M, 2013;13:208. ovarian cancer: a systematic review Alder R, Arya N. Integrated primary and meta-analysis. Gynecologic care improves access to healthcare Pritchard S, Milligan J, Lee J. Making Oncology. 2013;130(3):674-81. for newly arrived refugees in Canada. your office accessible for patients with Journal of Immigrant and Minority mobility impairments. Canadian Family Rice P, Mehan U, Hamilton C, Kim Health. 2014;16(4):576-585 Physician. 2014;60: 253-254. S. Screening, assessment, and treatment of osteoporosis for the Meili R, Buchman S. Social Ratnasingham S, Cairney J, Manson nurse practitioner: Key questions accountability: at the heart of family H, Rehm J, Lin Elizabeth, Kurdyak and answers for clinical practice-A medicine. Canadian Family Physician. P. The burden of mental illness and Canadian perspective. Journal of 2013;59(4):335-6. addiction in Ontario. Canadian Journal the American Association of Nurse of Psychiatry. 58(9):529-37. Practitioners. 2014;26(7):378-85. Missiuna CA, Cairney J. Psychological distress in children with Developmental Ravi B, Croxford R, Austin PC, Hollands Riva JJ, Wong JJ, Brunarski DJ, Coordination Disorder and Attention- S, Paterson JM, Bogoch E, Kreder H, Chan AH, Lobo RA, Aptekman M, Deficit Hyperactivity Disorder. Research Hawker GA. Surgeon experience and Alabousi M, Imam M, Gupta A, Busse in Developmental Disabilities complications following total joint JW. Consideration of chronic pain 35(5): 1198-1207. arthroplasty in patients with rheumatoid in trials to promote physical activity arthritis. Arthritis & Rheumatology. for diabetes: a systematic review of Moore A, Patterson C, Lee L, Vedel 2014;66:488-96. randomized controlled trials. PLoS One. I, Bergman H. Fourth Canadian 2013;8(8):e71021. Consensus Conference on the Ravi B, Croxford R, Hollands S, Paterson Diagnosis and Treatment of Dementia. JM, Bogoch E, Kreder H, Hawker GA. Rivard L, Missiuna C, McCauley D, Recommendations for family Patients with rheumatoid arthritis are Cairney J. (2014). Descriptive and physicians. Canadian Family Physician. at increased risk for complications factor analysis of the Developmental 2014;60(5):433-438. following total joint arthroplasty. Coordination Disorder Questionnaire Arthritis & Rheumatology. (DCDQ’07) in a population-based sample Prakash S, Perzynski AT, Austin PC, 2014;66:254-63. of children with and without DCD. Child: Wu CF, Lawless ME, Paterson JM, Care, Health and Development Quinn RR, Sehgal AR, Oliver MJ. Ravi B, Jenkinson R, Austin PC, 40(1): 42-9. Neighborhood Socioeconomic Status Croxford R, Wasserstein D, Escott B, and Barriers to Peritoneal Dialysis: A Paterson JM, Kreder H, Hawker GA. Rojas-Fernandez C, Patel T, Lee L. Mixed Methods Study. Clinical Journal Relation between surgeon volume and An interdisciplinary memory clinic: A of the American Society of Nephrology. risk of complications after total hip novel practice setting for pharmacists 2013;8:1741-9. arthroplasty: propensity score matched in primary care in Ontario, Canada. cohort study. BMJ. 2014;348:g3284. Annals of Pharmacotherapy. Pretty C, O’Leary DO, Cairney J, Wade 2014;48(6):785-795.

Department of Family Medicine l 2013-2014 ANNUAL REPORT 44 n Kitchener-Waterloo site.

Rosenberg-Yunger ZRS, Granek L, Soong C, Daub S, Lee J, Majewski C, Journal of Human Biology 26(4): 476-80 Sung L, Klassen R, Dix D, Cairney J, & Musing E, Nord P, Wyman R, Baker GR, Klassen AF. Single Parent Caregivers of Zacharopoulos N, Bell C. Development Vigod S, Dennis CL, Kurdyak P, Cairney Children with Cancer: Factors Assisting of a Checklist of Safe Discharge J, Guttmann A, Taylor V. Fertility rate with Caregiving Strains. Journal of Practices for Hospital Patients. Journal trends among adolescent girls with Pediatric Oncology Nursing. of Hospital Medicine. 2013:8 444-449. major mental illness: a population- 30(1): 45-55. based study. Pediatrics 133(3): e585-91. Smith KLW, Matheson FI, Moineddin R, Rourke SB, Gardner S, Burchell AN, Dunn JR, Lu H, Cairney J, Glazier RH. Walsh A, Moore A, Barber A, Opsteen Raboud J, Rueda S, Bayoumi AM, Gender differences in mental health J. Educational role of nurse practi- Loutfy M, Cooper C, Smieja M, Taylor utilization among respondents reporting tioners in a family practice centre: D, DiPede T, Wobeser W, Rachlis A, depression in a national survey. Health. Perspectives of learners and nurses. Major C, Waring V, Fisher M, Cairney (1949-4998) 5(10): 1561-1571. Canadian Family Physician. J, Mittmann N, Salit IE, Crouzat F, 2014;60: e316-e321. Gough K, Ralph E, Sandre R, Kilby Tajmir P, Grierson LEM, Carnahan H. D. Cohort Profile: The Ontario HIV Interactions between cold ambient Wasserstein D, Henry P, Kreder H, Treatment Network Cohort Study (OCS). temperature and older age on haptic Paterson JM, Jenkinson R. Risk of Total International Journal of Epidemiology acuity and manual performance. Knee Arthroplasty after Operatively 42(2):402-11. Canadian Journal on Aging. Treated Tibial Plateau Fracture: A June;32:195-202. Matched Population-based Cohort Saville D, Bray SR, Martin Ginis KA, Study. Journal of Bone & Joint Surgery. Cairney J, Marinoff-Shupe, Pettit A. Tinmouth J, Ritvo P, McGregor SE, 2014;96:144-50. Sources of self-efficacy and coach/ Patel J, Guglietti C, Levitt CA, Paszat instructor behaviors underlying LF, Rabeneck L. ColonCancerCheck Weeks M, Wild TC, Ploubidis GB, relation-inferred self-efficacy (RISE) primary care invitation pilot project: Naicker K, Cairney J, North CR, in recreational youth sport. Journal of Patient perceptions. Canadian Family Colman I. Childhood cognitive ability Sport and Exercise Psychology. Physician. 2013;59:e541-9. and its relationship with anxiety and 36: 146-156. depression in adolescence. Journal of Valaitis R, Longaphy J, Nair K, Agarwal Affective Disorders. 152-154:139-45. Shah M, Jain AK, Brunelli SM, Coca G, Griffith L, Kastner M,Oliver D, Ploeg SG, Devereaux PJ, James MT, Luo J, J, Straus S, Dolovich L. Persona- Widdifield J, Bernatsky S, Paterson JM, Molnar AO, Mrkobrada M, Pannu N, scenario exercise for codesigning Gunraj N, Thorne JC, Pope J, Cividino Parikh CR, Paterson JM, Shariff S, Wald primary care interventions. Canadian A, Bombardier C. Serious infections R, Walsh M, Whitlock R, Wijeysundera Family Physician. 2014;60(3): 294-296. in a population-based cohort of 86,039 DN, Garg AX. Association between seniors with rheumatoid arthritis. angiotensin converting enzyme inhibitor Veldhuizen S, Wade TJ, Hay JA, Arthritis Care & Research. or angiotensin receptor blocker use Faught BE, Cairney J. When and 2013;65:353-61. prior to major elective surgery and the for whom are relative age effects risk of acute dialysis. BMC Nephrology important? Evidence from a simple test Widdifield J, Bernatsky S, Paterson JM, 2014;15:53. of cardiorespiratory fitness. American Tu K, Ng R, Thorne JC, Pope JE, Bom-

45 Department of Family Medicine l 2013-2014 ANNUAL REPORT n Maternity Centre staff gets a visit from a Family Medicine resident. bardier C. Accuracy of Canadian health G, Bombardier C. The Rising Burden administrative databases in identifying of Rheumatoid Arthritis Surpasses Book Chapters patients with rheumatoid arthritis: a Rheumatology Supply in Ontario. validation study using the medical Canadian Journal of Public Health. Schwartz L, Hunt M, Redwood- records of rheumatologists. Arthritis 2013;104:e450-5. Campbell L, de Laat S. Ethics and Care & Research. 2013;65:1582-91. Emergency Disaster Response. Widdifield J, Paterson JM, Bernatsky Normative approaches and Training Widdifield J, Bombardier C, Bernatsky S, Tu K, Tomlinson G, Kuriya B, Thorne Needs for Humanitarian Healthcare S, Paterson JM, Green D, Young J, JC, Bombardier C. The epidemiology Providers. Springer Science and Ivers N, Butt DA, Jaakkimainen RL, of rheumatoid arthritis in Ontario, Business Media Dordrecht 2014. Thorne JC, Tu K. An administrative data Canada. Arthritis & Rheumatology. validation study of the accuracy of 2014;66(4):786-93. Walsh A. Chapters 5.2 Nurture algorithms for identifying rheumatoid and encourage diversity, 5.3 Seek arthritis: influence of the reference Wiist W, Barker K, Arya N, Rohde and encourage understanding of standard on algorithm performance. J, Donohoe M, White S, Lubens P, and respect for people of diverse BMC Musculoskeletal Disorders. Gorman G. Hagopian A. The Role of backgrounds and 5.5 Maintain positive 2014;15:216. Public Health in the Prevention of relationships with students. In Making War: Rationale and Competencies. Sense of Clinical Teaching. Azer S, Ed. Widdifield J, Labrecque J, Lix L, American Journal of Public Health. Hodder Arnold. London 2013. Paterson JM, Bernatsky S, Tu K, Ivers 2014;104(6):e34-e47. N, Bombardier C. A systematic review Markuns J, Walsh A, De Silva N, and critical appraisal of validation Zhu YC, Wu SK, Cairney J, Li YC, Helleman-Geschwinder I, Kersnik J, studies to identify rheumatic diseases Chen WY, Chen FC. High risk for Ludher I, Maagaard R, Marcos M. in health administrative databases. obesity in children with a subtype of Chapter 4. Education and Professional Arthritis Care & Research. developmental coordination disorder. Development. In The Contribution of 2013;65:1490-503. Research in Developmental Disabilities Family Medicine to Improving Health doi: 10.1016/j.ridd.2014.02.020 Systems: a guidebook from the World Widdifield J, Paterson JM, Bernatsky Organization of Family Doctors, 2nd S, Tu K, Thorne JC, Ahluwalia V, Edition. Kidd M, Ed. Radcliffe Health. Ivers N, Butt D, Jaakkimainen RL, London 2013. Tomlinson G, Bombardier C. Access to rheumatologists among patients with newly diagnosed rheumatoid arthritis in a Canadian universal public health care system. BMJ Open 2014;4(1):e003888.

Widdifield J, Paterson JM, Bernatsky S, Tu K, Thorne JC, Ahluwalia V, Ivers N, Butt D, Jaakkimainen RL, Tomlinson

Department of Family Medicine l 2013-2014 ANNUAL REPORT 46 n A small group, made up primarily of leadership, represents the McMaster Family Health Team as they accept the Family Practice of the Year award. • Skilled art • Informed science • Excellent care •

Department of Family Medicine Faculty of Health Sciences l McMaster University 905.525.9140 ext. 21611 l [email protected] www.fammedmcmaster.ca