Embed Size (px)
Citation preview
Contact Information
(403) 955-9330 Fax: (403) 476-8765
Email: [email protected]
www.calgaryfamilymedicine.ca
Department of Family Medicine Handbook
Updated: December 17, 2018
City of Calgary
AHS Zone Map
4
5
City of Calgary Map …………………………………………………………………………………..... Page 2
Alberta Health Services Zone Map …………………………………………………………………. Page 3
Welcome from Zone Clinical Department Head………...…………………………………………. Page 6
Sections of Family Medicine ……………………..…………………………………………………... Page 7
Community Primary Care Section………………………………………………………………….... Page 8
Urgent Care Section ………………………………………………………………………………….... Page 9
Seniors Care Section …………………... …………………………………………………………… Page 10
Palliative Care Section……………………………………………………………………………...… Page 11
Medical Inpatient Care Section ……………………………………………………………………... Page 12
Maternal Newborn Care Section ……………………………………………………………………. Page 13
Benefits of Belonging to the Department of Family Medicine ………………………………… Page 14
AHS Medical Staff Appointment (Privileges)…………………………….. ……………………….Page 15
Licensing and Practice Readiness…………………………………………………………… …… Page 16
Access to Acute Care Services ..…………………………………………………………………… Page 17
Primary Care Networks ………………………………………………………………………………. Page 18
Academic Department of Family Medicine ……………………………………………………….. Page 20
DFM—Resources…….. ……………………………………………………………………………….. Page 22
Community Preceptor, Teacher, Examiner Opportunities Summary
Family Medicine Referral Directory
DFM Homepage Newsletter
Table of Context
6
Welcome from our Zone Clinical Department Head Dr. Mike Spady
Welcome to the Department of Family Medicine, Alberta Health Services—Calgary Zone. We are pleased to have you join our community of family physicians providing family medicine care to the citizens of Calgary in the community.
As a department we seek to serve, support and strengthen family physicians in delivering care across all age groups and locations of service. I hope you will take the time to familiarize yourself with and take advantage of some of these services. Feel free to contact us at any time with your practice needs.
There are a variety of practice options with in Calgary including the opportunity to expand your work into areas of special interest, including Hospitalist work, teaching and leadership opportunities and long term care can enhance your enjoyment of your practice. We have included information about some of these opportunities.
Welcome aboard! We look forward to serving you in the coming years.
Our Vision
A community of Family Physicians and Primary Care Providers building collaborative, integrated, and innovative medical homes, responsive to the needs of our population
Our Mission
To Serve Our Communities: To promote best practice primary health care and family medicine
To enable our members to build and support patient-centred medical homes To translate innovations in family medicine to our physicians and communities
To support medical education, credentialing, recruitment and retention
Contact Information
Zone Clinical Department Head
Zone Clinical Department Head
Dr. Mike Spady
403-955-9360
Zone Clinical Deputy Department Head
Dr. Ann Vaidya
403-955-9236
Administrative Assistant
Christina Ollivier
403-955-9226
Zone Clinical Department Head
Dr. Mike Spady
403-955-9360
7
Seniors Care
Opportunities within
supported living,
specialized geriatric
services and designated
assisted living.
Community Primary
Care
Practice in the community with the support of
the Department of Family
Medicine to help you network and develop
both professionally and clinically.
Medical Inpatient Care
Work in a hospital setting with a wide variety of options in the hospitalist program, as a
resident extender or clinical associate.
Maternal Newborn Care
Work within a dynamic multidisciplinary care model with close interaction with our
obstetrical, anaesthesia, nurse and midwife colleagues.
Urgent Care
Non hospital, unscheduled care facilities designed to meet the urgent needs of
patients not requiring hospital level care.
Palliative Care
Opportunity for Family Physicians to provide active, compassionate treatment and care of
people with terminal illness and those who are close to them.
Sections of Family Medicine
8
The Department of Family Medicine and its Community Leaders work to enrich the environment in which family physicians practice and enhance the quality of primary health care delivered in the Calgary Zone. The Community Primary Care Section aims to improve Primary Health Care delivery by: Collaborating with the Calgary Zone Primary Care Networks (PCNs) (www.mypcn.ca) Advocating for, developing and implementing services which support family physicians and a Medical Home Model of primary care. Enhancing communication among community-based family physicians and developing a better understanding of issues that affect them. Ensuring that the family physicians’ perspectives are included in the development and implementation of Alberta Health Services programs and initiatives. Supporting family physicians to enhance their practice and develop both professionally and clinically. Advocating for patient safety in community primary care settings. Overseeing privileging for Day Medicine, Surgical Assisting, and Specialized outpatient clinics such as the East Calgary Family Care, the Sexual & Reproductive Health Program and the Elbow River Healing Lodge. Our leadership team encourages you to connect if you have any questions or concerns regarding Family Medicine in Calgary. The Community Primary Care section supports the following services to enhance community family practice: Offers a connection for family physicians to Alberta Health Services. Collaborates with the University of Calgary and Calgary Zone Primary Care Networks to provide
appropriate Continuing Medical Education (CME). Communicates with Family Physicians via our Bi-weekly DFM HomePage Newsletter and our website. (www.calgaryfamilymedicine.ca) Family Physician Web Registry. Family Physician Areas of interest and referral directory. Support events including the Mackid Symposium and the Family Medicine Showcase.
Organizes the nomination and award presentation of the “Family Physician of the Year” and “Specialist Physician of the Year” awards.
Contact Information
Community Primary Care Section
Community Primary Care Section Chief Dr. Monica Sargious [email protected] 403-955-9233
9
Urgent Care Urgent Care facilities within Alberta Health Services – Calgary are non-hospital, unscheduled care facilities established by Alberta Health Services in Alberta to meet the urgent medical care needs of patients not requiring hospital-level care. An urgent care centre receives unscheduled patients who are seeking attention for non life threatening unanticipated health events. These may require human and technical resources more intensive than are available in most physician offices. Opportunities for Family Physicians: Physicians must be ACLS certified and experience in Emergency or Urgent Care is preferred. Opportunities for work include: full time, part time and casual. All work is shift work and includes weekends, evenings and holidays. There is a minimum shift commitment which varies from site to site. Remuneration: Varies from site to site. All sites are Fee for Service and some sites provide minimum guarantees.
Contact Information
Urgent Care Section
Vacant Urgent Care Section Chief
Dr. Evan Bensler Site Chief Sheldon M. Chumir Urgent Care Centre [email protected]
Dr. Lanette Prediger Site Chief South Calgary Health Centre [email protected]
Dr. Glenn Curtis Site Chief Cochrane Urgent Care Centre [email protected]
Dr. Wayne Sefcik Site Chief Okotoks Urgent Care Centre [email protected]
Sarah Dimitriou DFM Service Planning Consultant 403-955-9332 [email protected]
Dr. Elaine Desnoyers Site Chief Airdrie Urgent Care Centre [email protected]
10
The Continuum of Family Practice
For further information, contact:
Dr. Vivian Ewa Seniors Care Section Chief, Department of Family Medicine
Seniors Care Section
11
The Palliative Care Section consists of a group of 30 Physicians, who provide consultative palliative support to palliative patients across all service areas in the Calgary Zone. The Palliative Care Physician Consultants come from a variety of backgrounds (including Family Medicine, Internal Medicine, Critical Care and Cardiology). In addition, all physicians (primarily Family Medicine) who work in a Calgary hospice, are part of the Palliative Care Section.
Dr. Aynharan Sinnarajah is the current Palliative Care Section Chief (Department of Family Medicine) and is also Medical Director for the Palliative / End of Life Care program of Alberta Health Services – Calgary Zone.
Consultation is provided in all urban and rural parts of Calgary zone. Sites include acute care hospitals, home care, hospices, long-term care and supported living facilities. There’s also an inpatient palliative care unit at the Foothills Medical Centre, where tertiary level patients needing complex interventions are admitted, under the care of a Palliative physician. For more information go to: http://www.albertahealthservices.ca/services/page13177.aspx
On the educational side, the Palliative Care physician team supports all family medicine residents, in a mandatory rotation through the program every year. Other specialty residents also rotate through our service. These residents can come from community medicine, critical care, radiation oncology, medical oncology, haematology, anaesthesiology, neurology, nephrology, psychiatry and gynaecological oncology. There are also 1-3 palliative medicine fellows who spend time with the palliative care team, every year. Information about the Palliative Medicine training program can be found at: http://www.ucalgary.ca/palliativemedicine/ or http://departmentofoncology.com/education-training/residency/palliative-medicine/
Our Palliative care physicians are also active members within the Division of Palliative Medicine, Department of Oncology. More information can be found at http://departmentofoncology.com/about-2/divisions/palliative-medicine/
Contact Information
Palliative Care Section
Referral Information Visit informALBERTA.ca
Residency / Fellowship Dr. Jacqueline Hui [email protected]
Dr. Ayn Sinnarajah Medical Director & Section Chief Palliative/End of Life Care Phone: 403-944-2304 Fax: 403-270-9652 [email protected]
Dr. Russell Loftus Deputy Section Chief Palliative/End of Life Care [email protected]
12
Hospitalist Program The Program provides high quality responsive and timely care for patients requiring admission to an acute care facility. As the Most Responsible Physician (MRP), team members play a valuable role in the delivery of family medicine level care to unattached medical patients requiring hospitalization. Scope The patients receiving inpatient care under the Calgary Hospitalist Program are generally elderly and the top 6 Case Mix Groups (CMG) are currently: Dementia, Chronic Obstructive Pulmonary Disease (COPD), Pneumonia, heart failure, lower Urinary Tract Infection (UTI) and Gastrointestinal (GI) Haemorrhage. The combination of these conditions with the advanced age and of the patient population gives rise to a complex and demanding service population, care requirements and resources.
The program’s mandate is to provide continuous 24 hours per day/7 days per week in-house hospital care to patients at each adult acute care hospitals in Calgary. Schedule · At least 1 MD in house 24/7 · Physicians take call for their own patients 0800 -1600 hrs · Second MD in house for ward and medical support Census · Foothills Medical Centre: 246 patients · Rockyview General Hospital: 260 patients · Peter Lougheed Centre: 232 patients · South Health Campus: 64 patients Compensation · Contractual with hourly rate
Contact Information Bedside Physicians, Clinical Associates, Surgical Assists & Extenders—In Other Departments Critical Care Dr. Tom Stelfox ZCDH Critical Care 403-944-2334 [email protected] Obstetrics & Gynecology Dr. Colin Birch ZCDH 403-944-4808 [email protected]
Medical Inpatient Care Section
For Hospitalist Position Opportunities: Dr. James Eisner Chief, Section of Medical Inpatients [email protected] 403-944-4950
Giselle Brunel Administration Coordinator Medical Inpatient Section [email protected] 403-944-4950
Hospitalist Specialist Sandra Athron [email protected] 403-944-8382
General Surgery (Surgical Assist) Andria Marin [email protected] Orthopedic Surgery (Extenders) Charmaine Martens 403-944-6684 [email protected]
Neurosurgery Dr. Rajiv Midha Deparement Head 403-944-1259 [email protected] Trauma Dr. Rohan Lall Medical Director 403-944-3417 [email protected]
Medical Oncology Dr. Vivien Bramwell, Section Chief 403-521-3707 Cardiac Surgery Dr. Angela Waleski 403-944-1033
13
The Maternal Newborn program of the Department of Family Medicine is an active division of over 125 physicians. These physicians provide up to 50% of initial prenatal care, and are responsible for up to 40% of the deliveries in the Calgary Zone. We work within a dynamic multidisciplinary care model with close interaction with our obstetrical, anaesthesia, nurse and midwife colleagues. We are passionate about providing comprehensive, quality intrapartum care in a supportive environment.
All four adult hospitals provide antenatal, intrapartum and postpartum care – Foothills Medical Center, Peter Lougheed Center and Rockyview Hospital and South Health Campus.
There are many models to incorporate obstetrical care into your practice:
Low Risk Clinics - provision of antenatal care at independent clinics and shift based hospital care.
As Part of Family Practice - provision of antenatal care as practice and join into call groups of varying sizes and patient volumes.
As part of a Primary Care Network - provision of other new and innovative models are constantly emerging.
Physician Extender Shifts - available at some of the hospitals, allowing family physicians to provide care assisting the specialist obstetrician in outpatient, emergency and postpartum assessments as well as intrapartum care.
For more information regarding practicing low risk obstetrics in Calgary, send an email to: [email protected].
Contact Information
Maternal Newborn Care Section
Dr. Norma Spence Maternal Newborn Section Chief [email protected] 403-509-3083
Dr. Norma Spence Site Chief—FMC [email protected] 403-509-3080
Dr. Deb Hitchcock Site Chiefs—SHC [email protected] 403-452-7167
Dr. Allison Denesuk Site Chief—RGH [email protected] 403-640-0600
Dr. Valerie Lewis Site Chief—PLC [email protected] 403-735-4922
Sarah Dimitriou DFM Obstetrics & Service Planning Consultant [email protected] 403-955-9332
15
To obtain a Medical Staff Appointment with the Department of Family Medicine, Alberta Health Services: Send an email request to [email protected] or call 403-955-9227 to initiate the
application process.
Privileges cannot be requested for the following sections without a confirmed position offer: Maternal Newborn Medical Inpatient Urgent Care Palliative Care Seniors Care Community Primary Care privileges do not require a confirmed position but connect physicians
with the Department of Family Medicine allowing for valuable communication and information to be provided to physician.
The Department of Family Medicine will submit your request to the Zone Medical Affairs Office and an application package will be sent to you for completion.
Please allow 90 days to facilitate this process. Timely completion of the application and submission of documentation to the Medical Affairs Office will be very important in order to receive your clinical appointment in a timely manner.
Contact Information
AHS Medical Staff Appointment (Privileges)
Katja Moeller [email protected] 403-955-9227
Fax: 403-476-8762 www.calgaryfamilymedicine.ca
16
Requirement Contact Information Alberta License—Physician Registration
In Alberta, All physicians practicing medicine must be licensed by the College of Physicians and Surgeons of Alberta (CPSA)
For Licensure process and requirements visit the website
Registration Process Tutorial Go To: http://www.cpsa.ab.ca/services/registration_department/what_we_do.aspx
CPSA—Registration Assistants 1-780-969-4924 or 1-800-320-8624 ext. 4924 (in Alberta) Email: [email protected] www.cpsa.ca
Insurance Coverage
The CMPA provides services including legal defense, indemnification, risk management, educational programs and general advice.
For membership application, online fee calculator & fee schedule go to the website
Canadian Medical Protective Association (CMPA) Tel: 1-800-267-6522 Fax: 1-877-763-1300 PO Box 8225 Station “T” Ottawa ON K1G 3H7 www.cmpa-acpm.ca
New Practitioner Registration
All practicing physicians require a Practitioner Identification Number (PracID#) through Alberta Health & Wellness for claim payment or patient referral purposes – PracID#
Each physician’s office is required to have a facility number.
Organization Information – An organization is established when payment is to be made to someone other than the practitioner
Print & Complete “Practitioner Information” form (AHC0912) http://www.health.alberta.ca/AHCIP/forms-claims.html
Alberta Health & Wellness (AH&W) Tel: Toll Free in Alberta via 310-0000 – 780-422-1522 Fax: 780-422-3552 Professional & Facility Registries 10025 Jasper Avenue NW PO Box 1360 Station Main Edmonton AB T5J 2N3 www.health.alberta.ca
Triplicate Prescription Program In partnership with pharmacists and dentists, the Council of the CPSA established the Triplicate Prescription Program (TPP) to monitor the use of certain drugs prone to misuse and abuse for non-medical purposes. Application form available online.
Go to: www.cpsa.ab.ca
Select “Programs & Services”
Select “Triplicate Prescription Program”
Alberta Triplicate Prescription Program CPSA General Requests (including TPP Profiles) 780-423-4764 or 1-800-561-3899 ext. 4764 (Alberta only) Dr. Susan Ulan, Senior Medical Advisor 780-969-4930 or 1-800-561-3899 ext. 4930 (in Alberta) [email protected] www.cpsa.ab.ca
Workers’ Compensation Board Billing Number
Go to: www.wcb.ab.ca
Select: WCB for Health Care Workers, Resources, Forms & Guides, Physician, WCB Billing # C724—Print Form
Complete & fax to number on form
WCB Medical Aid Department Tel: 1-866-922-9221 www.wcb.ab.ca
Alberta Medical Association Benefits
Medical Liability Reimbursement—eligible physician reimburses physicians for a portion of their CMPA dues
Continuing Medical Education—reimburses physicians for eligible expenses incurred when attending education sessions
Retention Benefits—reward for years of services in Alberta
& many more * Membership optional
Alberta Medical Association www.albertadoctors.org
Any questions regarding licensing, contact Darlene Befus, Team Lead Physician Services at [email protected] or 403-955-9330
Licensing & Practice Readiness
17
Training/Access to Alberta Health Services EMR
Sunrise Clinical Manager System (SCM) - Patient Information System 403-944-2503 opt #1
PACS (Picture Archive Communication System) 403-225-2742 opt #4
AHS Photo ID & Parking Passes Photo ID required and possibly a parking pass if you plan to work on an acute care site. Physicians must present a valid driver’s license for proof of identity. Physician must have an appointment with AHS to obtain the photo ID or parking pass. Photo ID & Parking passes can be obtained from any of the locations listed in the right column. Parking options for Family Physician that visit sites infrequently for a short term stay
Purchase a PH card from Parking Office
How do I know if I am not eligible?
Do you work in a program within AHS (ie. Hospitalist, PCN inpatient program, GARP, others with AHS contract service)? If yes, you are NOT eligible
Do you provide clinical service on a scheduled bases? Scheduled activity is considered being present or likely present at the site for an expected duration (ie shift) to perform clinical service for a patient or group of patients. This could include scheduled surgical assisting shifts, low risk obstetrical shifts for a given call group. If the clini-cal activity is scheduled, then you are not eligible.
Physicians who visit sites frequently are billed annually for parking access
Access to Acute Care Services Alberta Health Services—Calgary
Parking & Security Offices
Alberta Children’s Hospital 403-955-7947
Foothills Medical Centre 403-944-1014
Peter Lougheed Centre 403-943-4067
Rockyview General Hospital 403-943-3725
Hourly Rate: $1.00 per hour
18
Opportunities for Family Physicians in Primary Care Networks
What is a Primary Care Network? Primary Care Networks are a made-in-Alberta approach to improve access to, and better co-ordinate primary health care for, Albertans province-wide. In a Primary Care Network, a team of health professionals led by family physicians delivers and co-ordinates health services, resulting in better collaboration, more timely referrals and more comprehensive care. A Network can be comprised of one clinic with many family physicians and other health professionals (e.g. nurse practitioners, dieticians, pharmacists, social workers and mental health professionals), or several family physicians in several clinics in a geographic area. Each Network has the flexibility to develop programs and provide services in a way that works locally to meet the specific health needs of patients. Networks are established within the framework set by Alberta Health and Wellness (AHW), Alberta Medical Association (AMA) and Alberta Health Services (AHS).
Primary Care Networks
19
Primary Care Networks Contacts
Bow Valley PCN Ph: 403-675-3000 Fax: 403-675-3002 www.bowvalleypcn.ca Executive Director Yvette Penman Medical Director Dr. Dino Smiljic
Calgary Foothills PCN Ph: 403-284-3726 Fax: 403-284-9518 www.cfpcn.ca Executive Director Lorraine Bucholtz Medical Director Dr. Linda Slocombe Recruitment Opportunities Liaison and Program Manger Sue Cavanagh
Calgary West Central PCN
Ph: 403-258-2745 Fax: 403-258-2746 www.cwcpcn.com Executive Director Christopher Cameron Medical Director Vacant Recruitment Opportunities HR Resource Office
Mosaic PCN
Ph: 403-250-5059 Fax: 403-250-5227 www.mosaicpcn.ca Executive Director Nicole Gleeson Medical Director Dr. Oliver David
South Calgary PCN Ph: 403-256-3222 Fax: 403-256-3223 www.scpcn.ca Executive Director Rebecca Carter Medical Director Dr. Christine Luelo Recruitment Contact Tracy McKay
Calgary Rural PCN Ph: 403-614-3846 Fax: 403-206-7027 www.crpcn.ca Executive Director Stephanie Crichton Medical Director Dr. David Piesas
Highland PCN
Ph: 587-360-1702 Fax: 587-360-1705 www.hpcn.ca Executive Director Micheline Nimmock Medical Director Dr. Tammy Paulgaard-McKnight
Rural PCN’s
Primary Care Networks
20
Message from our Academic Department Head
The University of Calgary Department of Family Medicine has a large and vibrant Residency Program. We are responsible for training over 180 Residents in the Calgary-based two year program.
Our Residency program has a strong rural component in all levels of teaching. We have 28 residents per year in our Rural-based program. Residents graduating from our program are well prepared to practice either rural or Calgary family medicine.
We offer third year programs in several areas of enhanced skills including Emergency Medicine, Sports And Exercise Medicine, Palliative Care, Care of the Elderly, FP Anesthesia, Addiction Medicine, Global Health and Maternal Newborn Care. An important component of our program is the extensive involvement of community Family Physicians in the training of residents, clerks, and medical students. The teaching opportunities document (attached to this document) provides an outline of the teaching opportunities and remuneration for preceptor, teacher, and examiner roles available to practicing Family Physicians. The Department is always recruiting interested individuals as preceptors/teachers, and examiners. If you are interested in pursuing any of the opportunities outlined, please apply for an academic appointment and once the appointment is in place contact Marianna Hofmeister at [email protected]
To apply for an academic appointment;
Academic
Contact Information
Academic Department Head Dr. Charles Leduc [email protected] 403-210-9236
Administrative Assistant Michelle Gutkin [email protected] 403-210-9236
Director Calgary Residency Program Dr. Stephen Mintsioulis [email protected] 403-955-9352
Education Manager Marianna Hofmeister [email protected]
Interim Rural Program Director Dr. Keith Wycliffe-Jones 403-388-6637 [email protected]
21
Aim
The aim of the Department of Family Medicine is to teach family medicine, model the best as-pects of family practice and advance the profession through research and advocacy.
Our Desired Future
Our department provides outstanding teaching and learning experiences in the broad gener-alist area that is family medicine.
We create and support scholarship and research endeavours that further clinical care and the translation of Family Medicine knowledge and values to patients, practitioners, and sup-port staff.
Teaching and research activities are integrated with best practice services to patients, com-munities and the profession.
All we do is supported and continually improved through high quality management, infor-mation technology, and ongoing development of people and processes.
We work in a collaborative environment, balancing individual and department expectations and resources.
Key Strategic Themes
Teaching and Learning
Scholarship and Research
Service (advocacy, clinical, social capital, to the profession, committee work)
Environment (culture, governance, external relationships, integration, partnerships)
Academic
22
Practice Tools (Email: [email protected] to obtain copies of the following:
Business Survival Guide—an overview of key tips for managing effective community practice, including billing info and office set-up/management ideas.
Directories/Handbook
DFM Special Interest Directory—a listing of Family Physicians practicing in specialty areas—for referral purposes (also included in this document).
Family Medicine Handbook
Current Information and Communications
DFM Annual Reports—annual summaries of the work being done by members of the department, Family Physicians in practice, and the teaching arm of the DFM.
_____________________________________________________________________________
Provincial Resources
RAAPID—One call does it all—Referral, Access, Advice, Placement, Information & Destination
Why Call RAAPID
Critical and/or urgent transfer or consultation with a tertiary care facility or spe-cialist;
A single point of contact for seamless transition of care;
Right care at the right place, using real time capacity information;
Repatriation returns the patient to their sending institution or closest health care facility within their community following an acute episode.
South (Calgary) - 1-800-661-1700
Resources
23
Provincial Clinics & Services Directory
www.informalberta.ca
www.albertareferraldirectory.ca (login required)
Path to Care Directory, Calgary Zone—Medical Access to Services
A single standard referral form for all involved specialties
Increased flexibility in submitting referrals
Central Intake clinics introduced in many specialty areas
Standard processes and target times for these Central Intakes
Improvements in communication strategies
Go to: http://www.departmentofmedicine.com/mas
Netcare
Alberta Netcare is the name for all the projects related to the provincial Electronic Health Record (EHR) — a secure and confidential electronic system of Alberta patients' health information.
This website has resources for the Alberta public, Alberta health care providers, and people out-side of Alberta who are interested in learning more about this innovative initiative.
Go to: http://www.albertanetcare.ca/
Physician Web Registry
Up to date contact information for family physicians in Calgary and surrounding areas
Go to: www.calgaryfamilymedicine.ca/physician-directory
Continuing Medical Education Opportunities
Go to: cumming.ucalgary.ca/cme/programs
Resources
