Vol. 15, No. 11 — November 2015
Welcome to Dialogue, your link to the Royal College
Recent work to modernize the Canadian Armed Forces’ mental health treatment approach includes these two technologies: 3MDR and virtual reality.
The Royal College is in possession of two letters written in the spring of 1915 by Lieutenant-Colonel John (“Jack”) McCrae from In Flanders Fields fame.
We hope this list inspires you to think back and see opportunities for MOC reporting from your day-to-day professional life that you may have missed.
2.5 years, 600+ hours of meetings, 223 contributors, 190 web and teleconferences, four national consultations = one refreshed educational framework.
Highlights include the appointment of the next President-Elect and an update on our advocacy work.
The campaign calls on world leaders to commit to urgent and meaningful action to combat climate change.
Last month, the Canadian Medical Hall of Fame announced its newest laureates, including four of our own.
If you missed any of the plenaries – or simply want to relive them - video recordings are now available.
Attending the 2015 Simulation Summit in Banff, November 25-26? Take a look at our tips before you go.
A nomination is a significant way to pay tribute to a deserving individual whom you admire and respect.
In our newest video, Dr. Dylan Bould provides an overview of the basics of simulation-based research.
We are now accepting applications for two categories of Royal College research grants.
“Despite what you hear about the military, our people are seeking care,” said Colonel Rakesh Jetly, MD, FRCPC, Canadian Armed Forces (CAF) senior psychiatrist and mental health advisor to the Surgeon General.
Members of the CAF have a greater overall mental illness burden than the civilian population and at higher levels than in 2002.The military faces distinct challenges based on the unique stresses that their workforce endures. Reported cases of post-traumatic stress disorder (PTSD) almost doubled between 2002 and 2013 and an ongoing challenge for the CAF is keeping a younger cohort of soldiers in traditional therapy.
The CAF recently refocused its mental health research to be more strategic and (1) look at the biological underpinnings of how mental illness presents, to (2) leverage technology in treatment options and (3) examine the concept and potential for personalized medicine.
This article will examine their recent work to modernize their mental health treatment approach using two different technologies: 3MDR and virtual reality.
“I’d like us to not lose the art of Psychiatry, but to continue to inject science and technology to help us help our patients,” Colonel Jetly said, before explaining some of the work the CAF has been doing to modernize customary therapies. “Even if the evidence ends up saying it’s the same efficacy, we’re hopeful that the novelty of it may motivate more people to stay in it and not drop out — especially the younger generation.”
CAREN is a highly-advanced machine made by the Dutch company, Motek, with a wraparound screen and a split treadmill. It can simulate any kind of environment, from being on a boat to running on various terrains. It has been used to help people with physical injuries (post-stroke, amputees) but also has potential mental health applications.
The Dutch came up with the 3MDR (Motion-Assisted, Multi-Modal Memory Desensitization and Reconsolidation) idea that uses the same principles as traditional, evidence-based EMDR psychotherapy (eye movement desensitization and reprocessing) but adds motion.
The CAF is starting to train their staff and get ethics approval to proceed with their trial, while the Dutch have already begun trialing it with several patients.
“The way it works is people select their own traumatic memories as a photograph. You pick something that reminds you of your mission and some of the bad things that happened. As you’re walking through various scenarios, that image comes up. What you’re doing, figuratively, is walking towards the trauma and confronting it. It gives you that feeling of control. When you arrive at it, you do the traditional EMDR process, which is a few questions: What am I thinking right now? What words make me think of this? Where do you feel it in your body? And then through the normal EMDR, you process it and in time the edge is taken off of those images.”
Colonel Jetly explained that the idea is to use technology within a traditional psychotherapy. It’s not a technician; rather their own therapist stands there and talks them through.
The principles behind all therapies for PTSD are exposure, leading to desensitization and habituation. The CAF has been experimenting with virtual reality therapy for several years, right now limited to desktop applications.
“If the scariest thing in the world to you is a movie and I asked you to watch that movie 10 times in a row, guaranteed the tenth time it is going to be less scary than the first time.”
With support from the charity group, True Patriot Love, the CAF has taken some American software that has scenes of virtual Afghanistan and virtual Iraq, convoys etc. and rolled it out in their trauma centres. Patients can virtually recreate a scenario and ideally regain mastery over that memory. They recently converted some of those scenarios to Canadian scenarios (i.e. Canadian uniforms, Canadian vehicles, etc.) to add a bit more authenticity.
“All we’re doing with the virtual reality is that we’re modernizing the exposure. Years ago, we may have asked the person to draw a picture that represents it or write down a narrative, then we switched to audio cassettes and then digital media and so the next evolution of that is virtual-based. It’s leveraging the technology to continue to advance the treatments that we have and in time, we can hopefully do even more.”
The Royal College is in possession of two letters written in the spring of 1915 by Lieutenant-Colonel John (“Jack”) McCrae from In Flanders Fields fame.
The letters were written to Charles Ferdinand Martin, MD CM, FRCPC, FACP, a Canadian physician and former dean of McGill’s Faculty of Medicine, who worked with Dr. McCrae at the Royal Victoria Hospital and at McGill, prior to his fulltime work as dean. Dr. Martin, a former President of the Canadian Medical Association and sixth President of the American College of Physicians, was also a Charter Fellow of the Royal College of Physicians and Surgeons of Canada and is credited with championing the organization’s formation.
The second of two letters describes the Second Battle of Ypres. It is believed that on May 3, 1915, during a break in the fighting and after the death and burial of his close comrade Lieutenant Alexis Helmer, Dr. McCrae began writing down notes that would later become his famous poem In Flanders Fields.
Celebrated historian and emeritus professor at the University of Toronto, Michael Bliss, OC, FRCPSC, writing in the National Post in November 2002, suggested that Dr. McCrae’s remark in that letter that throughout the active fighting “the birds kept singing in the trees” was a forerunner to his poem’s lines “The larks, still bravely singing, fly/Scarce heard amid the guns below.”
Charter Fellowship was issued to physicians and surgeons in the early years of the Royal College (early 1930s). The Nucleus Committee of the Royal College allowed medical professionals at the time to submit applications for admission to the college without examination. To qualify for Charter Fellowship applicants had to meet the following criteria:
Physicians and Surgeons who did not meet the established criteria to obtain a Charter Fellowship were required to take a Royal College examination. If they were successful in their examination, they were then eligible for Fellowship.
The knowledgeable staff at the Royal College Services Centre can be contacted by phone at 1-800-461-9598 or 613-730-6243 (Ottawa region), and by email at firstname.lastname@example.org.
The deadline for submitting 2015 learning activities for the Royal College’s Maintenance of Certification (MOC) Program is January 31, 2016. That’s only two months away!
There’s still time to get a head start on reporting. Reporting your MOC activities can be done directly in your MAINPORT ePortfolio.
We all have them — CPD activities from a few years ago that we forgot to report. You can still report past activities in your current cycle through the credit validation process. (Contact us via the coordinates in the sidebar for more information.)
Have you ever done research to address a clinical or administrative question related to your practice? Have you ever done research to write an article or publication? Has your preparatory work for teaching or giving a presentation ever resulted in personal learning? You can track these kinds of learning activities as “Section 2: Personal Learning Projects” for two credits per hour. (Note: The actual teaching or presenting time is not eligible for credits.)
The time you spent reviewing and reflecting on data or getting peer feedback from teaching evaluations is eligible in “Section 3: Feedback on Teaching” for three credits per hour.
You can record all of your journal reading in bulk on one form as a “Section 2: Bulk journal reading with transcript” activity and claim one credit per article. You can also claim credits for reading single journal articles, book chapters, journal volumes and entire books.
You can record this type of learning for 0.5 credits per activity under “Section 2: Podcasts, audio, video.”
Any Internet scanning activities tracked by third-party organizations, such as Medscape, UpToDate or DynaMed, are considered “Section 2: Bulk scanning with transcript” activities for which you can claim one credit per hour. (Note: You must upload both the certificate and activity log/transcript in your MAINPORT ePortfolio to obtain your credits.)
Have you ever participated in a committee, working group or task force with the express aim of improving or enhancing the quality, safety or effectiveness of the health care system? The educational value of such an engagement is recognized in the CPD framework. Record your committee work in “Section 2: Quality Care/Patient Safety Committee” for 15 credits per year per committee.
Have you ever spent time peer reviewing articles or assessing your peers? This valuable learning experience can be reported in “Section 2: Peer Review” for 15 credits per year.
We hope this list of eight tips has inspired you to think back on your last five years in practice and see opportunities for MOC reporting from your day-to-day professional life that you may have missed.
“I think the best part of putting together the framework has been the incredible inclusiveness that the Royal College has undertaken: the many participants in the process; the various drafts that have gone out for international and national consultation, and I think the complete understanding of what we wanted to achieve and where we were going.”
Ian Bowmer, MD, CM, FRCPC
Medical Council of Canada
After years of partnership, consensus-building and consultation with Fellows and key partners across Canada, the Royal College delivered on its commitment to launch the revitalized CanMEDS 2015 Physician Competency Framework and its associated competency milestones on October 24, 2015, at ICRE.
The development of CanMEDS 2015 was a collaborative and iterative process. We worked with, learned from and partnered with Fellows, stakeholders and experts in the medical education and medical practice fields at every step along the way. We even validated the framework with members of the public so we can be sure that it captures and responds to patient needs.
The updated framework is a product that all Fellows can be proud of. It reflects tangible competency-based practices and includes new content useful to daily practice, such as patient safety, eHealth, physician health and handovers. The framework also includes a series of generic milestones, which are the abilities needed of a quality physician. Taken together, the updated framework and associated milestones will help strengthen physician training, patient care and allow our Fellows and partners to continue to lead the world in medical education development.
The launch of the new CanMEDS Framework and its milestones is a foundational step towards implementation of Competence by Design (CBD). CBD is the Royal College’s initiative to introduce competency-based medical education to specialty training and practice, and help ensure that the next generation of doctors has the skills and behaviours they need throughout their career to continuously meet evolving patient needs.
The specialties and subspecialties currently partnering with us to adopt and pilot CBD in their residency education programs have been using CanMEDS 2015 content for several months. Now that the framework and milestones are readily available, each additional discipline that will be transitioning their residency education program to CBD (see proposed CBD rollout schedule) will be able to use CanMEDS 2015 to guide the development of their discipline-specific milestones, entrustable professional activities (EPAs) and outcomes-focused practices. Furthermore, all disciplines (regardless of where they sit on the CBD rollout schedule) can begin incorporating the new CanMEDS 2015 materials into their program and program standards. While the initial focus of our CBD implementation is residency education, the collaborative process to define how CBD will impact continuing professional development (CPD) has already started.
We invite all Fellows and practising physicians to join in these discussions around competency-based CPD and to help determine how the new CanMEDS content could be integrated.
Moving forward, the Royal College will continue to engage, collaborate with and learn from our Fellows, partners and stakeholders. We will focus on working and learning together — understanding what works, and more importantly, what doesn’t — to adopt and implement CanMEDS 2015 and CBD overall in a manner that supports and reflects the needs of practitioners, faculties and programs across the country.
We recently spoke to several of our Fellows and partners to get their thoughts on the development of CanMEDS 2015 and to hear how they will be incorporating the new framework into their lives and practice. Here’s what they had to say.
« Le référentiel CanMEDS nous rappelle la nécessité de participer quotidiennement et activement à l'enseignement, au mentorat et à l'accompagnement professionnel et personnel des résidents. Il sollicite les propres acquis des Associés qui doivent ensuite les transmettre convenablement et les utiliser constamment. L'éthique médicale que le référentiel CanMEDS propose encourage les enseignants à servir de modèle aux résidents mais également à leurs collègues et collaborateurs. »
Noémie Rouillard-Bazinet, MD
Fourth-Year Resident, Otolaryngology – Head and Neck Surgery
l’Université de Sherbrooke
"Competence by Design is a bold and creative initiative being put forward by one of the leading educational institutions in the world. This innovative model has the potential to significantly alter the framework for residency education, and in so doing, transform the way we train, assess and certify the specialists of the future."
Richard Reznick, MD, MEd, FRCSC, FACS, FRCSEd (hon), FRCSI (hon)
Dean, Faculty of Health Sciences, Queen’s University
CEO, Southeastern Ontario Academic Medical Organization
Be sure to read next month’s issue of Dialogue to hear more from our partners.
Learn more about CanMEDS 2015 and CBD through these resources and tools.
Additional resources, including slide decks, info sheets and webinars are available in the CBD Resources section of the Royal College website.
The life of the late James H. Darragh, MD, FRCPC (Internal Medicine), a former executive director of the Royal College, long-time volunteer and Honorary Archivist and Librarian, was paid tribute to by his son, Mr. Ian Darragh, in The Globe and Mail. Read: “Lives Lived: James (Jim) H. Darragh, 90.”
David Dyment, MD, FRCPC (Medical Genetics) and Roger Zemek, MD, FRCPC (Pediatrics) were named recipients of the University of Ottawa, Faculty of Medicine Clinical Research Chair Awards for their work supporting excellence in clinical research with the goal of advancing health knowledge and patient care. Dr. Dyment is a Tier 2 Chair in Translational Epilepsy Research, Department of Paediatrics; Dr. Zemek is a Tier 2 Chair in Pediatric Concussion, Department of Paediatrics and Emergency Medicine. Read: The full list of research chair holders www.med.uottawa.ca/Research/eng/01-research_chairs.html
Ansar Hassan, MD, FRCSC (Cardiac Surgery) was named New Brunswick’s health researcher of the year for his team’s research and analysis of cardiovascular surgery outcomes. Dr. Hassan is a cardiac surgeon at Saint John Regional Hospital. Colleen O’Connell, MD, FRCPC (Physical Medicine and Rehabilitation) was named a finalist for the same award for her team’s efforts to improve the mobility of patients with spinal cord injuries or multiple sclerosis. Dr. O’Connell is research chief for Stan Cassidy Centre for Rehabilitation. Read: “Dr. Ansar Hassan named health researcher of the year.”
Brian Hodges, MD, FRCPC (Psychiatry) received the 2015 Abraham Flexner Award for Distinguished Service to Medical Education from the Association of American Medical Colleges. Dr. Hodges is a professor of Psychiatry at the University of Toronto, Faculty of Medicine, and vice president, Education, at the University Health Network in Toronto. Read: Biography of Dr. Hodges on the AAMC website.
Constantine (Dean) Karvellas, MD, FRCPC (Internal Medicine) explained the CBC Radio why the criteria for liver transplants, in particular the six-month sobriety requirement - cannot be relaxed. Dr. Karvellas is an assistant professor, attending intensivist in the E. Garner King General Systems Intensive Care Unit, and involved with the Liver Transplant Program at the University of Alberta. Read/listen: “Why alcoholics aren’t allowed to receive liver transplants.”
Natasha Leighl, MD, FRCPC (Internal Medicine, Medical Oncology), was quoted in a Maclean’s feature that challenges the stereotype that lung cancer only affects smokers. Dr. Leighl is president of Lung Cancer Canada and an oncologist at the Princess Margaret Hospital in Toronto. Read: “The changing face of lung cancer: Young non-smokers.”
Kellie Leitch, MD, FRCSC (Orthopedic Surgery), a former Conservative Cabinet Minister and pediatric-orthopedic surgeon was re-elected as a Conservative Member of Parliament for Simcoe-Grey (Ontario) in the recent federal election. Read: “Kellie Leitch re-elected for Simcoe-Grey.”
Carolyn Nessim, MD, FRCSC (General Surgery, General Surgical Oncology), Toni Zhong, MD, FRCSC (Plastic Surgery), Joan Murphy, MD, FRCSC (Anatomical Pathology), and Kirsty Boyd, MD, FRCSC (Plastic Surgery), were all featured in a CBC News article that spoke of the continued underrepresentation of females in the surgical field. Dr. Nessim is a surgical oncologist at The Ottawa Hospital; Dr. Zhong is a researcher and associate member of the surgical staff at the Princess Margaret Cancer Centre; Dr. Murphy is an oncologist and head of the Division of Gynecologic Oncology, University Health Network – Toronto; Dr. Boyd is research director, Division of Plastic Surgery, University of Ottawa and surgeon at The Ottawa Hospital. Read: “Female surgeons still scarce in male-dominated field.”
Vivian Rambihar, MD, FRCPC (Internal Medicine, Cardiology) was recently named to the University College, University of Toronto, as an “Alumni of Influence.” Dr. Rambihar is a renowned cardiologist and adjunct assistant professor, Department of Medicine, University of Toronto. Read: The full list of winners http://www.uc.utoronto.ca/2015-winners
Joel Ray, MD, FRCPC (Internal Medicine), a physician, professor and researcher at St. Michael’s Hospital in Toronto, is the author of a new study that was featured in CBC News which suggests a newborn’s Apgar score could help predict its mother’s need for critical care services. Read: “Newborn, mom’s health ‘remain intimately linked’ after birth.”
Donald Redelmeier, MD, FRCPC (Internal Medicine) is the lead researcher for a new study that suggests prolonged psychological follow-up is important for patients who receive bariatric surgery, as reported in The Globe and Mail. Dr. Redelmeier is a senior scientist at the Sunnybrook Research Institute and staff physician at the Sunnybrook Health Sciences Centre in Toronto. Read: “Failed bariatric surgery raises suicide risk, study finds.”
Joanne Todesco, MD, FRCPC (Internal Medicine, Anesthesiology) was published in the fall issue of Alberta Doctors’ Digest for her research on dealing with disruptive physician behaviour. Dr. Todesco is a past Associate Dean Postgraduate Medical Education at the University of Calgary and 2013 winner of the Dr. Derek Puddester CAIR Award for Resident Well-being. Read: “Dealing with disruptive physician behavior: Can education and mediation really make a difference?”
Richard Whitlock, MD, FRCSC (Cardiac Surgery, Critical Care Medicine) performed possibly the world’s first-of-its-kind transcatheter aortic valve implantation to replace an aortic valve on a pregnant woman, as reported in the Hamilton Spectator. Dr. Whitlock is a cardiac surgeon at Hamilton Health Sciences Centre. Eric Horlick, MD, FRCPC (Internal Medicine, Cardiology) was also quoted in the article. Dr. Horlick is an interventional cardiologist at the Peter Munk Cardiac Centre in Toronto. Read: “Hamilton surgeons perform pioneering heart operation on pregnant woman.”
Douglas R. Wilson, MD, FRCPC has been acknowledged for his work as a former dean of the Faculty of Medicine and former senior advisor to the dean of the School of Public Health at the University of Alberta with a new public lecture series named after him, called the “Douglas R. Wilson Lecture.” Read: “New lecture series honours former dean, public health champion.”
Suggestions for “Member in the news” can be emailed to email@example.com.
Desmond Copas, MD, FRCSC, died on February 4, 2015, in Vancouver, B.C., at age 87. Dr. Copas was certified by the Royal College in Psychiatry in 1969. He earned his medical degree at the University of Wales in 1950, before moving to Canada where he practised his specialty in West Vancouver for many years. He is greatly missed by his family and friends. Read more about Dr. Copas »
Fergus Albert Ducharme, MD, FRCSC, died on September 23, 2015, in Comox, B.C., at age 92. Dr. Ducharme was certified by the Royal College in Orthopedic Surgery in 1959. Remembered for his engaging personality and storytelling skills, he was also a skilled surgeon. He worked in Ottawa before moving to B.C., where he practised at Prince George Regional Hospital. Read more about Dr. Ducharme »
Maurice Falardeau, MD, FRCSC, died on June 19, 2015, in Saint-Bruno, Que., at age 80. Dr. Falardeau was certified by the Royal College in General Surgery in 1963. In 1982, he volunteered on the Royal College’s Otolaryngology – Head and Neck Surgery Examination Committee. He was a former surgical oncologist at the Notre-Dame Hospital in Montreal and is credited with co-founding the first palliative care services for Francophones in the province. Read more about Dr. Falardeau »
Herman Rudolf (Rudi) Fischer, MD, FRCPC, died on August 26, 2015, in Victoria, B.C., at age 88. Dr. Fischer was certified by the Royal College in Diagnostic Radiology in 1963. After growing up on the island of Sulawesi, Indonesia, he studied medicine in war-torn Europe before moving to Canada in the 1950s. He practised medicine in various cities in B.C., including Penticton, Vancouver and Vernon. Read more about Dr. Fischer »
Wilfred Stephen Goodman, MD, FRCSC, died on September 8, 2015, in Mono, Ont., at age 92. Dr. Goodman was certified by the Royal College in Otolaryngology – Head and Neck Surgery in 1956. He began his career as an army medical officer in the Royal Canadian Regiment and later worked as director of Postgraduate Education at the University of Toronto for many years. Read more about Dr. Goodman »
Joseph A. L. (Léo) Gosselin, MD, FRCPC, died on September 11, 2015, in Québec, Que., at age 90. Dr. Gosselin was certified by the Royal College in Internal Medicine in 1959. He earned his medical degree at Laval University in 1951. He is greatly missed by his family and friends. Read more about Dr. Gosselin »
John Anthony Jane, MD, FRCSC, died on September 18, 2015, in Charlottesville, VA, USA, at age 84. Dr. Jane was certified by the Royal College in Neurosurgery in 1966. He earned his medical degree at the University of Health Sciences, Chicago Medical School. For more than 30 years, he served as chairman of the Department of Neurosurgery at the University of Virginia School of Medicine in Charlottesville. Read more about Dr. Jane »
Colin Francis Lipscomb, MB ChB, FRCPC, died on September 23, 2015, in Qualicum Beach, B.C., at age 80. Dr. Lipscomb was certified by the Royal College in Psychiatry in in 1967. He earned his medical degree at the University of Bristol. Before his retirement, he worked for many years in Saskatchewan, including roles as regional director of the Yorkton Psychiatric Centre and regional director of the Saskatoon Mental Health Clinic. Read more about Dr. Lipscomb »
Peter Colin Mendes, MD, FRCPC, died on September 14, 2015, in Edmonton, Alta., at age 87. Dr. Mendes was certified by the Royal College in Internal Medicine in 1965. He graduated from McGill University with his medical degree in 1959. He is remembered as a kind and gifted doctor, and is greatly missed by his family, friends and colleagues. Read more about Dr. Mendes »
Harold Zvy Pomerantz, MD, FRCPC, died on August 26, 2015, in Montreal, Que., at age 92. Dr. Pomerantz was certified by the Royal College in Internal Medicine in 1952. He earned his medical degree at McGill University in 1947. Remembered as an insightful and dedicated colleague, Dr. Pomerantz is greatly missed by his family and friends. Read more about Dr. Pomerantz »
John A. Pratt-Johnson, MD, FRCSC, died on September 9, 2015, in Vancouver, B.C., at age 86. Dr. Pratt-Johnson was certified by the Royal College in Ophthalmology in 1962. He earned his medical degree from the University of Witwatersrand in South Africa. He served for many years as professor and head of the Department of Paediatric Ophthalmology and Strabismus at the University of British Columbia. Read more about Dr. Pratt-Johnson »
Michel Tétreault, MD, FRCPC, died on September 16, 2015, in Winnipeg, Man., at age 62. Dr. Tétreault was certified by the Royal College in Emergency Medicine in 1984. On-and-off from 1985-1998, he volunteered on the Royal College’s Emergency Medicine Examination Committee. At the time of his death, Dr. Tétreault was president and chief executive officer of the St. Boniface Hospital in Winnipeg. Read more about Dr. Tétreault »
Anthony Tripodi, MD, FRCPC, died on September 4, 2015, in Oakville, Ont., at age 72. Dr. Tripodi was certified by the Royal College in Diagnostic Radiology in 1973. He earned his medical degree from the University of Toronto in 1968. Dr. Tripodi is greatly missed by his family and friends, who remember in particular his infectious smile, charm and inquisitiveness. Read more about Dr. Tripodi »
Suggestions for “In memoriam” can be emailed to firstname.lastname@example.org.
The Royal College Council held its fall meeting on October 15-16, 2015, at the Royal College in Ottawa, Ont. Following tradition, Council welcomed the leadership of partner organizations to the meeting on the afternoon of October 15, 2015, to explore current and future partnership opportunities. Highlights from the Council meeting follow.
Appointment of the next Royal College President-Elect
Council appointed Françoise Chagnon, MD, FRCSC, an otolaryngologist from Montreal, Que., as the next Royal College President-Elect based on the nomination of the Nominating Committee. To be eligible for the position, a Fellow must have served one full four-year term on Council in the alternate Division of the sitting President. Dr. Chagnon will officially take office as the Royal College President-Elect in early 2016. A year later, Council will be asked to consider her appointment as President for 2017-2019.
In keeping with the Royal College’s Bylaw, Council also made a number of other key appointments at its October 15-16, 2015, meeting: appointing the members of the Executive Committee of Council and filling several appointed positions on Council (i.e. public members, Fellows-at-large and resident member). All new terms will begin on the date of the Annual Meeting of the Members on February 18, 2016.
Council was informed that the implementation of Competence by Design (CBD) continues to roll out in accordance with the established road map and based on stakeholder feedback and lessons-learned.
Guests in attendance expressed appreciation for the consultative process undertaken by the Royal College to develop CanMEDS 2015. Council and guests also affirmed the centrality of continued stakeholder engagement to ensure sound knowledge and understanding of the program, particularly medical schools, as implementation progresses across future cohorts of disciplines.
Additionally, Council provided feedback on a first draft of a road map to be followed to transition the present Maintenance of Certification (MOC) Program to a competency-based continuing professional development system – as work gets underway to address the learning in practice stage of the CBD competence continuum. Over the next several years, the Professional Learning and Development Committee, through an intentionally-collaborative process, will prepare for a 2019 anticipated launch date of the new model.
To further support the sound implementation of CBD, Council also reviewed and approved a series of revisions to the terms of reference of committees that will oversee the implementation of CBD, including, for instance, the amalgamation of the “Education Committee” and “Professional Development Committee” into the new “Committee on Specialty Education” that will be responsible for the learning continuum.
Physician assisted death
Council discussed how the Royal College should respond to the February 6, 2015, Supreme Court of Canada ruling establishing that doctors will no longer be prohibited from assisting competent adult persons with ending their own lives, when certain conditions of suffering and clarity of consent are met. Council affirmed that the Royal College needs to work with its partners to help ensure physicians are educated on how to interpret the law, and contribute to the evolving policy framework. Read more about this in last month’s message from the CEO.
Discrimination and harassment within the profession
Motivated by the publicly-released report of the Royal Australasian College of Surgeons in September 2015 about the prevalence and effects of discrimination, bullying and sexual harassment in the surgical profession in Australia and New Zealand, Council confirmed that, notwithstanding system differences, there is a need to address this issue in Canada. A plan for how the Royal College might proceed in concert with its partners to address disruptive and harmful behaviour within the broader medical care environment will be presented to Council for discussion in February.
Royal College Advocacy Guide
Council approved a Royal College Advocacy Guide as a key resource to help inform and support the increasing level of advocacy activity being pursued by the Royal College. The guide was based on the input collected from a large scale consultation with stakeholders this past spring, including Fellows, about the Royal College’s advocacy identity. In fulfilling its advocacy role, the Royal College will generally be seen as a knowledge expert, sage advisor and thought leader. To achieve the forgoing, Council provided guidance to management on an appropriate level of resourcing to enhance the Royal College’s current advocacy efforts.
Council was briefed on the Royal College’s financial position for the second quarter ended September 30, 2015. Revenue and expense trends were reported to be tracking similar to previous years and to budget. Planning for the 2016/2017 operating budget is getting underway and will be informed by the operational plan, which is developing in line with work already in progress (e.g. Competence by Design Roadmap).
Council was briefed on the current activities of Royal College International (RCI). The briefing provided information on the development of a revised business strategy and redefined financial targets for RCI; and Council, in it is capacity as a financial investor, contributed to the strategy. The Board of RCI will convene in November 2015 to finalize the corporation’s multi-year business and financial support plan that will be shared with Council in February 2016.
The next Royal College Council meeting will take place February 18-19, 2016, in Ottawa. Questions relating to Council activities can be directed to email@example.com
The Royal College is a partner of Doctors for Climate Action, a global initiative led by the Royal Australasian College of Physicians (RACP) that highlights the health impacts of climate change. The campaign calls on world leaders to commit to urgent and meaningful action to combat climate change at the upcoming UN Climate Change conference in Paris (COP21).
According to the Lancet Commission on Health and Climate Change, climate change will have far-reaching health effects that may include
The Royal College has joined more than 60 health and medical organisations from around the world in calling for action on the health impacts of climate change at the Paris forum being held next month, from December 7-8.
To learn more, please visit www.doctorsforclimateaction.org. If you would like, you can also sign the Global Consensus Statement (all individuals are welcome to sign, not just doctors).
On Monday, October 12, we marked the Day of Global Action on the health impacts of climate change with social media posts drawing attention to this critical issue.
Last month, the Canadian Medical Hall of Fame announced its newest laureates, who will be inducted at a ceremony in April 2016 in Hamilton, Ont. We would like to extend our warmest congratulations to all of the new laureates, including four of our own.
Gordon Guyatt, OC, MD, FRCPC
A distinguished professor in the Department of Clinical Epidemiology & Biostatistics at McMaster University and join member in the school’s Department of Medicine, Dr. Guyatt played a pivotal role in the development of evidence-based medicine. A highly-respected and often-cited researcher, Dr. Guyatt is a member of CLARITY (Clinical Advances through Research and Information Translation).
C. David Naylor, OC, MD, FRCPC
A former President of the University of Toronto, Dr. Naylor is a respected physician-scientist and policy advisor whose research has improved efficiencies of health care service. Among his achievements, he helped establish the Clinical Epidemiology research program at Sunnybrook Health Sciences Centre before becoming the founding CEO of the Institute for Clinical Evaluative Sciences. In 2003, he chaired the National Advisory Committee on SARS and Public Health.
Michael Bliss, OC, FRCPSC (Honorary Fellow)
A renowned medical historian, Dr. Bliss is a professor emeritus at the University of Toronto where he worked for many years as a professor of History. His work has illuminated Canada’s past, including in the areas of medical research, health care and achievements in medicine. Some of his titles include The Discovery of Insulin, Plague: A Story of Smallpox in Montreal and William Osler: A Life in Medicine.
Mark A. Wainberg, OC, FRCPSC (Honorary Fellow)
A scientist, Dr. Wainberg has helped advance the study and treatment of infection — most famously through his work identifying the anti-HIV properties of the 3TC drug that is now popularly used as an HIV treatment. A former director of Research at the Lady Davis Institute for Medical Research, Jewish General Hospital (JGH); he currently works as director of the McGill University AIDS Centre at JGH.
Visit www.cdnmedhall.org to learn more.
This year’s International Conference on Residency Education (ICRE) was one of our best. If you missed any of the thought-provoking plenaries – or, simply want to relive them – you’re in luck. Video recordings from all five ICRE 2015 plenary sessions are now available to stream online (links, below).
“If we improved graduate medical education, how would we know?”
“CanMEDS 2015: A global perspective: A journey to a 21st century competency”
“CBME: Pros and Cons…The heavyweight title fight”
“Rocking the boat and staying in it: How to be a great change agent”
In between attending conference talks, more than 50 workshops, and approximately 200 poster and paper presentations, ICRE 2015 attendees also demonstrated an impressive level of engagement with social media.
From breathtaking views of Vancouver to in-session snapshots to thoughtful interpretations of learning materials, attendees at this year’s conference were keen to share and converse on Twitter.
Check out our Storify recaps from each day of the October 22 – 24, 2015, conference to take in the best ICRE highlights that were shared on Twitter.
For more information on the 2015 conference and what’s coming up for ICRE 2016, visit www.royalcollege.ca/icre
Feeling inspired by the workshops you attended at ICRE 2015? Want to share your cutting-edge insights on residency education and training with an international audience?
Consider submitting a pre-conference workshop abstract for ICRE 2016!
Pre-conference workshops can range from half-day to full-day sessions during the hours of 0800 – 1500 on Wednesday, September 28, 2016.
The deadline for submissions is Friday, November 27, 2015.
Visit the ICRE website to download the proposal form.
Planning on attending the 2015 Simulation Summit in Banff, November 25-26?
Before polishing off your skis and hopping a plane to the beautiful snow-capped mountains of Western Canada for two days of simulation-focused learning, be sure to take a look at our Top 5 tips for enhancing your Simulation Summit experience.
For Simulation Summit information and updates right at your fingertips throughout the conference, don’t forget to download the 2015 mobile app.
The app gives attendees quick access to the full program, floor plans, session evaluations, speaker bios, personalized schedules and more, and will be available to download for iPhone, iPad and Android devices prior to the conference.
Don’t have a smartphone or other mobile device? Don’t worry! You can view the full 2015 Simulation Summit program online.
Please note: In an effort to “go green,” the 2015 Simulation Summit will only be offering a limited number of printed programs onsite at a cost of $15 each.
If you’re a simulation and social media enthusiast, remember to take part in our Reach the Summit scavenger hunt, before and during the 2015 conference.
Follow @RC_SimSummit on Twitter and respond to hints using the hashtag #SimBanffHunt, and you could win free registration to next year’s Simulation Summit in St. John’s, Newfoundland and Labrador, from October 13-14, 2016.
Continue your professional development by learning about cutting-edge technology from our 2015 exhibitors. In between plenary sessions and workshops, stop by and visit the exhibits located in the foyer and Cascade Ballroom on Mezzanine Level 2 of the Fairmont Banff Springs Hotel. This year’s exhibitors include Laerdal Medical Canada, CAE Healthcare, Evertz Microsystems Ltd., Gaumard Scientific, Limbs & Things, MedaPhor, and Spectrum Nasco.
Don’t miss your opportunity to network during the après-ski reception at the end of Day 1 in the Cascade Ballroom at the Fairmont Banff Springs Hotel.
The Simulation Summit is open to all individuals engaged in the field of simulation from across all health care disciplines, meaning this reception is an excellent forum to meet and chat with a diverse group of like-minded peers.
In addition to attending the Simulation Summit’s workshops, plenaries and presentations, medical simulation enthusiasts can also brush up on foundational principles for simulation-based education, assessment and research by viewing the Royal College’s Simulation in Health Care video series.
These free, online learning resources will appeal to all educators interested in simulation in health care. Don’t forget to check back each month for a brand-new video!
Visit www.royalcollege.ca/simulationsummit for full details on this month’s summit.
Honorary Fellowship is one of the most prestigious awards that the Royal College bestows. Its purpose is to honour distinguished physicians, surgeons or laypersons that are not already Fellows or eligible for Fellowship for outstanding performance in a particular vocation or a specific area of professional activity. A nomination is a significant way to pay tribute to a deserving individual whom you admire and respect.
The deadline to submit a nomination for 2016 is November 20, 2015 (5 p.m. EST).
They are citizens of the world who have made truly outstanding impacts on Canadian or global health care systems. They are individuals whose work and achievements have touched and benefited thousands of people. They are professionals who have made lasting impacts in their pursuit of excellence in both health care delivery and patient safety.
Alain Beaudet, MD, PhD
Nominated for exceptional contributions to research, scholarship, and innovation and leadership in health research
A. Brent Eastman, MD, FACS
Nominated for exceptional contributions in trauma research, teaching and patient care, and for volunteer contributions to the profession
Paul Grand’Maison, MD, MSc, FCFPC, FCAHS
Nominated for exceptional contributions to family medicine, medical education, social accountability and international outreach
Watch the next video in our Simulation in Health Care Video Series, featuring foundational principles in simulation-based education, assessment and research for educators with an interest in simulation in health care.
Our newest video features Dylan Bould, MBChB, MRCP, FRCA, MEd, associate professor of Anesthesiology, Department of Pediatric Anesthesia, Children’s Hospital of Eastern Ontario, providing an overview of the basics of simulation-based research.
Watch “Simulation Research” [20.23 mins]
Short on time? Skip to the part that interests you, using the navigation links in the video description.
Looking for more? Visit our video series’ webpage to watch more videos on debriefing, team training in simulation and assessment in competency-based medical education.
Are you a medical educator or fulltime researcher?
We are now accepting applications for two categories of Royal College research grants. Our research grants support exceptional research across a range of disciplines, health settings and environments to advance and improve medical education.
Applications for should be submitted directly to firstname.lastname@example.org.
Application deadline: March 4, 2016 (midnight, local time).
For more information and to view previously funded research visit