Resources

This guide to history of medicine may include links to important websites, articles, reports and other resources. For more detailed information, please ask us.

Family physician leadership is central to the PMH vision, but in the context of working in collaborative teams with a range of interprofessional health care providers that are responsive to patient and community needs. The pillars of the PMH vision o

Selected Guidelines and Resources – Page 2

The annual physical examination is known by multiple different names across Canada, including "comprehensive visit," "complete physical examination," or colloquially as a "check-up." Given the extent of debate

The ESS designation is a recognition of the achievement of competence for Family Physicians who have successfully completed an accredited Family Medicine postgraduateprogram in ESS, or who have successfully completed equivalent training, or who can demonstrate evidence that they are currently satisfactorily performing surgical procedures that are consistent with the full scope expectations outlined in ESS CAC priority topics and key features.The ESS Special Designation includes recognition of a family physician’s ability to perform Cesarean sections and other relevant obstetrical and gynecological procedures.

The OSS designation is a recognition of the achievement of competence for Family Physicians who have successfully completed an accredited Family Medicine postgraduate program in OSS, or who have successfully completed equivalent training, or who can demonstrate evidence that they are currently satisfactorily performing obstetrical surgical procedures that are consistent with the full scope expectations outlined in OSS CAC priority topics and key features.

How can I find breast cancer early? The best way to find breast lumps that may be cancer is to do two things: Have regular mammograms. Have your doctor check your breasts every year. Doing both gives you the best chance to find cancer as early as you can.

CAC through residency route

Practice Eligible route(PER)

To help Canada’s young people move towards healthier lifestyles, the Public Health Agency of Canada has developed Physical Activity Guides for Children and Youth. The guides provide families, caregivers, teachers, health care providers and recreation leaders with information and tips to help children and youth understand the importance of daily physical activity, and make informed decisions about taking steps to become more active.

Cutaneous malignant melanoma has increased more than threefold in the last 35 years. Because damage is cumulative, exposure to ultraviolet radiation early in life elevates a risk which is increased further as individuals use artificial sources of ultraviolet radiation. Consequently, the Canadian Paediatric Society is joining other prominent health organizations in support of a ban on the use of commercial tanning facilities by Canadian children and youth under the age of 18 years.

Skiing and snowboarding are popular recreational and competitive sport activities for children and youth. Injuries associated with both activities are frequent and can be serious. Physicians should have the information required to counsel children

The receipt of letters from three refereesis a mandatory requirement for candidates applying for a Certificate of Added Competence (CAC) from the College of Family Physicians of Canada (CFPC).While each candidateis required to complete information about their referees as part of their CAC online application, the referees must completetheir lettersindependently and submitthemdirectly to the College.These letters are considered part of the application, which will notbe reviewed or adjudicated until the College receives all letters.

In the credentialing phase, the College of Family Physicians of Canada (CFPC) will award Certificates of Added Competence (CACs) in Enhanced Surgical Skills (ESS) and Obstetrical Surgical Skills (OSS) to family physicians who have previously acquired competencies deemed worthy of recognition in the two newly approved domains through practice experience, successful completion of a residency training program and/or continuing professional development (CPD), and demonstrated leadership in the CAC domain.A CAC will be awarded based on an individual’s credentials and documented evidence of added competence, as judged by a peer review committee process.

Family physicians know that supporting a patient’s health requires trust, compassion, and mutual respect. For Indigenous patients and their families, this is not always achieved. Systemic racism has been identified as a major barrier to positiv

The Society of Obstetricians and Gynaecologists of Canada (SOGC) has worked with the National Aboriginal Health Organization (NAHO) to develop a Guide for Health Professionals Working with First Nations, Inuit and Métis.

This year’s theme for the main public policy initiative of The College of Family Physicians of Canada (CFPC) is "Improving Access to Care for Patients in Canada" with particular attention to Primary Care Wait Times, Access to Family

The Royal College, the Canadian Medical Protective Association (CMPA), the Canadian Medical Association (CMA), and the College of Family Physicians of Canada (CFPC) have produced a report to facilitate safety and quality improvement in health care.

For presenters and planning committee members of Mainpro+® certified programs and events.

This position paper provides new evidence and progressive recommendations focused on providing quality maternity care to women across Canada, no matter if they live in urban, rural or remote communities.

Initially brought to the public’s attention through media coverage of high profile professional athletes and dramatic complications in amateur athletes, concussion is recognised as a public health issue. This increased awareness of concussion h

The Statement was developed by a national coalition of organizations facilitated by the Children’s Hospital of Eastern Ontario (CHEO). Based on an extensive review of research, the Joint Statement provides an overview of the developmental outcomes associated with the use of physical punishment.

Family practices across Canada continue to adopt electronic medical records (EMRs) at a rapid pace. The proportion of family physicians using EMRs has quadrupled in recent years, growing to 85 per cent in 2017 from 16 per cent in 2004. EMR uptake has

The CFPC addresses Health Canada's Proposed Changes to Medical Marijuana Regulations.

Funding for formation of the Canadian Institutes of Health Research (CIHR) was confirmed in the federal budget of February 1999. The CIHR will be the major source of funds for health research in Canada and will be structured such that a limited numbe

This guide to patient education may include links to important websites, articles, reports and other resources. For more detailed information, please ask us.

Physical inactivity is the fourth leading risk factor for death worldwide, and low cardiorespiratory fitness exposes a patient to a greater risk of dying than does smoking, obesity, hypertension, or high cholesterol. Current estimates show that four out of five Canadians are not meeting national physical activity guidelines. The good news is that physicians are starting to become more engaged on this issue.

Updates will continue as additional resources are available.

The forms have been updated with current recommendations to enable family physicians to provide comprehensive, evidence-based care to patients during period health examination.

Another excellent resource for physicians is the Canadian Medical Association (CMA)’s Framework on Assisted Dying: Principles-based Recommendations for a Canadian Approach to Assisted Dying

This guideline from the Canadian Task Force on Preventive Health Care focuses on screening for thyroid dysfunction among asymptomatic nonpregnant adults in primary care beyond usual care and vigilance for signs and symptoms of thyroid dysfunction.

The CFPC believes that every Canadian in every community should have a family doctor. In 2007, the CFPC released a Position Statement: Improving Access to Care for Patients in Canada. The Statement outlined strategies to increase the number of Canadi

This document summarizes why family medicine researchers should welcome opportunities to review proposals for CIHR peer review panels.

The purpose of this joint policy statement is to reaffirm the sexual and reproductive health rights of First Nations Inuit, and Métis.

The College of Family Physicians of Canada (CFPC) is dedicated to advocating for improvements in the health care of Indigenous people.

For presenters and planning committee members of Mainpro+® certified programs and events.

What is urinary incontinence? Urinary incontinence means that you can’t always control when you urinate, or ‘pee’. As a result, you wet your clothes. This can be embarrassing, but it can be treated.

All Canadians should be given an opportunity to have a family doctor to ensure universal access to medically necessary health care services. Each province/territory must ensure care is provided for its population within the pan-Canadian wait ti

The WHO Growth Chart Training Program is an evidence-based, self-learning package designed for primary care and public health practitioners. It has been developed through a collaboration led by Dietitians of Canada and includes the Canadian Paediatric Society, the College of Family Physicians of Canada, Community Health Nurses of Canada, National Aboriginal Health Organization, Canadian Obesity Network and NutriSTEP^®.

Additional items will be shared as updates are available.

Worldwide, incarcerated populations have a higher prevalence of physical and mental illnesses and of
vulnerabilities in their determinants of health compared with the general population.i,ii,iii In addition, prior
to their arrest many individuals face multiple and complex barriers to accessing primary health care
services. Incarcerated individuals may experience deterioration of their physical, mental, and social health
because they are in custody.

Isolation, segregation, separation, cellular, or solitary confinement are some of the terms used to describe
a form of confinement where prisoners are separated from the general prison population and held alone in
their cell.i Solitary confinement refers to any confinement of prisoners for 22 hours or more a day without
meaningful human contact,ii and with limited or no access to rehabilitative programs.

What is quality improvement (QI) in health care?
Intentionally and systematically implementing change to do better for our patients, health care providers, and health care systems.

This guide is for anyone planning to sit the Certification Examination in Family Medicine of the College of Family Physicians of Canada™ (CFPC). It provides information to prepare you for this important assessment.
Only those who have met the eligibility requirements and successfully qualify as candidates are allowed to take the examination. You must pass the examination before being awarded the Certification in the College of Family Physicians of Canada (CCFP).
Residency-eligible candidates will have an opportunity to discuss and practice various components of the examination within their family medicine program. Practice-eligible candidates, and those who qualify as residency eligible from the United States, are invited to contact the nearest university-based department of family medicine or CFPC provincial Chapter for information on examination preparation sessions. Learn more about the CFPC provincial Chapters.

This is a guide for all candidates planning to sit the Examination of Added Competence in Emergency
Medicine of The College of Family Physicians of Canada. It provides background information to assist
in the preparation for the examination. When meeting all requirements, examination candidates who challenge and pass this exam will be granted a Certificate of Added Competence in Family Medicine Emergency Medicine and may use the special designation (EM) to appear as CCFP (EM) with all the rights, privileges and responsibilities pertaining thereto as long as they maintain their status as a CFPC member and ongoing Mainpro+® requirements. All new CCFP (EM) members will be honoured at convocation.

The need for a national plan to address pain and addiction has never been more urgent. More crucial, however, is the development of grass roots strategies to address the unique challenges faced by rural communities.

These best practices to recruit and retain physicians in prison health were developed by the Prison
Health Program Committee for use as an inventory tool to identify areas for growth and ways to
improve the correctional health care setting.

There are a lot reasons people might ask their health care provider about medical cannabinoids or medical marijuana. You may have heard that it can help with some health problems. Maybe you are interested because it is natural. Or maybe you have tried it in the past and found it helpful.

April 6, 2015
Dear Colleague,
The purpose of this letter is to clarify the relationship between Certificates of Added Competence (CACs) and the existing College designation in Emergency Medicine (CCFP (EM)), for both current holders of the CCFP (EM) designation, and for those who may seek to acquire the right to use it in the future by successfully challenging the EM examination, either from practice or from residency training.

October 2009
CanMEDS-­‐Family Medicine (CanMEDS-­‐FM) is an adaptation of CanMEDS 2005¹, the competency framework for medical education developed by the Royal College of Physicians and Surgeons of Canada (RCPSC). In keeping with CanMEDS 2005, CanMEDS-­‐Family Medicine’s purpose is to guide curriculum and to form the basis for the design and accreditation of residency programs. Its ultimate goal is to improve patient care and to ensure that postgraduate training programs in family medicine are responsive to societal needs.

Purpose (i)To represent the interests of all CFPC members providing care to children and adolescents, including those for whom this is part of their broad scope family practice and those with a special interest or focused practice, (ii)To ensure discussion and communication within the CFPC and CPFM of the issues relevant to these members, and (iii)To advocate for the highest quality of medical care provided by family physicians in the care of children and adolescents.

Selected Guidelines and Resources – Page 1

This position statement was created by the members of the Prison Health Program Committee of the College of Family Physicians of Canada (CFPC). The committee aims to represent the interests of all CFPC members who provide care to incarcerated men, women, and youth and to these individuals' families and communities; for these CFPC members this care may be part of a broad-scope family practice or a special interest/focused practice.

Dr. Pei-Yoong Lam FRACP
Assistant Clinical Professor, Division of Adolescent Health and Medicine

Purpose
To have a strong and active voice to advocate for the nearly 6000 CFPC early career physician members with the focus on areas that are important for family physicians in their first five years of practice.
To engage and support early career physician members, showcase the value of ongoing membership and provide opportunities for leadership within the CFPC and/or discipline.

Developed by Residents for Residents
IMPORTANCE OF PERIODIC REVIEWS Periodic reviews are sessions in which a resident and their assigned faculty adviser and/or site director discuss the resident’s progress and additional opportunities for learning in family medicine. ➤ Document progressive achievement of competence ➤ Provide a low-stakes assessment approach to track progress ➤ Offer a time to identify areas of improvement and opportunities for growth ➤ Establish a formal process that encourages self-reflection and addresses learning goals

There are a lot reasons people might ask their health care provider about medical cannabinoids or medical marijuana. You may have heard that it can help with some health problems. Maybe you are interested because it is natural. Or maybe you have tried it in the past and found it helpful.

It has been 19 years since I could consider myself a rural family doctor. I started my career in 1994 in Bella Bella, BC, the home of the Heiltsuk Nation. Serving that com-munity for almost 6 years was a wonderful personal and professional experience. Sometimes the rural doc’s broad scope of practice can be daunting. Our small hospital had the only emergency department for many miles around, with small volumes of a range of presentations. For me, the best part of rural family medicine was knowing my patients and having my patients know me. We knew each other’s contexts, families, and life situations. I knew my patients beyond their role of just “patient”; they were sons, daughters, parents, grandparents, teachers, or fishermen. I had a better sense of how their medical issues affected their lives but did not dominate their lives. It was a great les-son early in my career that my patients were much more than their diagnoses.

The symptoms you presented with today suggest a VIRAL infection.
You have not been prescribed antibiotics because antibiotics are not effective in treating viral infections. Antibiotics can cause side effects (e.g. diarrhea, yeast infections) and may cause serious harms such as severe diarrhea, allergic reactions, kidney or liver injury.

Selected Guidelines and Resources – Page 3

Selected Guidelines and Resources – Page 4

This handbook is intended as a quick-reference tool for primary care providers to assist them in implementing best practices for prescribing potentially addictive medications and managing substance use disorders in primary care.

Congratulations on your entrance into family medicine residency, and welcome to your new family medicine home, the College of Family Physicians of Canada (CFPC).
What is the CFPC?
More than just exams!
• We are leaders in family medicine.
• We are the professional organization responsible for establishing standards for the training, certification, and lifelong education of family physicians in Canada.
• We advocate on behalf of the specialty of family medicine.
• We have more than 40,000 members and offer complimentary first-year membership for residents.

What is the Social Justice Lens?
The College of Family Physicians of Canada (CFPC) is committed to social justice. This commitment is refected in Goal 2 of the CFPC Strategic Plan 2017–2022, which focuses on meeting the evolving health care needs of our communities. More specifcally, Objective 2.2 of the strategic plan states that the CFPC will advocate for equitable health outcomes for vulnerable/marginalized groups, including (but not limited to) Indigenous, rural, and remote populations.

The following document is an adaptation of the Postgraduate Medical Education WFME Standards for Quality Improvement for Family Medicine education. It may be helpful to review the original document, available at http://www.wfme.org/. Modifications generally fall into two categories. The standards have been modified to fit the requirements of family medicine training specifically, unlike the original which deals with postgraduate training in general. Specific content areas and training sites are therefore included in these standards. Secondly, the original WFME standards are designed at two levels: basic and quality improvement. The latter represents what is considered internationally as “best practice” in medical education. We believe that, in general, that is a requirement for educational reciprocity with the College of Family Physicians of Canada. Hence, we have modified the standards to eliminate any distinction between the basic standards and quality improvement standard. All programs need to be working in the quality improvement level. In some situations, the word “should” is used, rather than “must”. This represents a standard in which there is some flexibility in how the standard is met.

Preventive Care for Ages 18 to 24 years
The Greig Health Record for Young Adults
(this page is for recording preventive care manoeuvers when they are performed, at any patient visit)

The COVID-19 pandemic has led to the rapid implementation of virtual care across family medicine clinical settings. Excellent resources developed by the Federation of Medical Regulatory Authorities of Canada and the Virtual Care Task Force cover issu

Caring • We create an environment where work/life balance is valued • We make ourselves accessible and approachable • We offer our knowledge and assistance • We act and respond from a place of integrity • We acknowledge strengths and positive attributes Respect • We are receptive and open to all opinions and ideas • We work together as a strong, positive team • We treat people the way we expect to be treated • We embrace diversity and change • We are mindful of deadlines and timelines January 2018 Learning • We view mistakes as a learning opportunity • We encourage an environment that enables lifelong learning • We are curious and open to new ideas • We take on new challenges with a positive attitude • We commit to personal and professional excellence • We support professional development Integrity • We take responsibility for our actions • We acknowledge and learn from our mistakes • We are professional and ethical • We stand by our organizational mission, vision and values • We deliver on our promises Collaboration • We work together as a team to make us stronger • We listen to new ideas to achieve better outcomes • We recognize that everyone has expertise • We model open and honest communication • We support a culture of giving and receiving feedback Commitment to excellence • We strive to provide outstanding customer service to our members • We give our best and bring out the best in one another • We are dedicated to achieving quality outcomes • We respond to the needs of our members • We reflect our organizational values in our policies, procedures and processes Caring Learning t r RespecRommit esponsiveness Integity C ment toexcellence Collaboration Responsiveness • We acknowledge communications and respond in a timely manner • We provide thoughtful, thorough and respectful responses • We address issues directly • We take initiative and provide assistance • We are engaged and connected when responding

The College of Family Physicians of Canada (CFPC) thanks the many committees, departments of family medicine, organizations, and individuals (members, non-members, and CFPC staff) who contributed to the initial development and ongoing continuous improvement of these standards. The Standards of Accreditation for Residency Programs in Family Medicine were adapted from the General Standards of Accreditation for Residency Programs and developed under the leadership of the CFPC’s Residency Accreditation Committee. Special thanks go to the CanRAC Secretariat for its unwavering support.

The CFPC Residency Training Profile for Family Medicine and Enhanced Skills Programs Leading to Certificates of Added Competence (Residency Training Profile) is based on the FMPP and elaborates on what we are aiming to achieve with family medicine residency training in Canada across all the dimensions of professional practice:

• A unique professional identity and value system as described in the Four Principles of Family Medicine
• Family medicine competence as described in CanMEDS–Family Medicine 2017 and the Assessment Objectives for Certification in Family Medicine
• A comprehensive scope of practice enabled by a set of Core Professional Activities (CPAs)
• Participation in a collaborative work environment that enables the collective delivery of comprehensive and continuous care, as defined by the Patient’s Medical Home vision

The Residency Training Profile was developed to reflect our aspirations for a socially accountable family medicine workforce in Canada. While we adhere to the original social accountability tenets defined by the World Health Organization, in workforce and evaluation terms, this is often described using measures of the mix, distribution, and scope of family physicians needed to meet the needs of everyone in Canada.

The College of Family Physicians of Canada (CFPC) conducts the Certification Examination in Family Medicine twice a year, in the spring and fall, at multiple centres across Canada in English and French.

The spring 2021 examination took place from Tuesday, April 20th, through Sunday, April 25th. This year only the written component of the exam—the computer-based short-answer management problems (SAMPs)—was required, which is four hours in length with an optional 15-minute break.

Dear Mr. Jeneroux,
The College of Family Physicians of Canada (CFPC) is pleased to support Bill C-220 that you introduced in the House of Commons, amending the bereavement leave legislation to accommodate absence periods of up to 10 days.

Progress has been made, but more work is needed to improve access to rural health care
Since its inception in February 2018, the Rural Road Map Implementation Committee (RRMIC) has raised awareness across Canada about the need for improved access to health care close to home for patients in rural, remote, and Indigenous communities. RRMIC has released several resources and publications related to specific activities and accomplishments achieved in implementing the Rural Road Map for Action, which can be found on the College of Family Physicians of Canada (CFPC) website (https://www.cfpc.ca/arfm) and the Society of Rural Physicians of Canada (SRPC) website (https://srpc.ca/Rural_Road_Map_Directions).

A recent poll indicates Canadians tend to prefer to receive care from their regular family physicians, through either in-person or virtual appointments, if they can be seen in a timely fashion. However, this preference erodes as wait times grow. View the poll results.

Indigenous populations experience a high burden of poor health that is disproportionate to other populations in Canada. In response, the College of Family Physicians of Canada (CFPC) advocates for equitable health outcomes for Indigenous populations by understanding the needs and strengths of communities, paying particular attention to this across the continuum of medical education, and advocating on behalf of patients to address the needs of the vulnerable.

The refreshed Strategic Plan identifies three goals, each with supporting objectives and actions, that will drive meaningful change.

The Strategic Plan will guide our efforts to advocate for and support family physicians and their critical role in the health system. It includes practical approaches to keep members current with information and resources, as well as training and standards to support them to excel in an evolving environment. It reflects the CFPC’s commitment to adapt in how we serve our members and be the voice of family physicians in Canada.

Continuity of care—which means receiving care from the same dedicated provider over time—benefits patients and our health care system.
Strong continuity leads to:
• better health outcomes
• enhanced patient quality of life
• improved health system costs and efficiencies.

When patients with chronic pain can uncouple their responses to pain from the actual physical sensations,
they are able to form a healthier response and, in turn, suffer less.

For patients with chronic pain, cognitive behavioural therapy (CBT):
• Is centred on the idea that our thought pattens and deeply held beliefs about ourselves and the world around us drive our experiences
• Helps them evaluate the accuracy of their negative thoughts and beliefs (cognitive distortions)
• Shifts their thinking away from the pain and focuses on more positive aspects of their lives to change the way their bodies respond to anticipated pain and stress

Motivational interviewing is a collaborative, patient-centred approach for helping patients feel confident
and motivated to make changes in their lives. Motivational interviewing tends to be most successful when
patients are in the contemplative stage of change.

Help your patient identify a movement goal that:
• Is rewarding and meaningful to them
• Is achievable
• Gives them a sense of accomplishment
• Keeps them below their pain threshold
• Can be done regularly
• Is a baseline of activity they can start, then build on
• They are confident they will achieve (no lower than an 8/10 rating on an analogue scale)
• Focuses on activity rather than exercise; it is all about movement

Every year, residents from family medicine residency programs representing every medical school in the country select a topic they believe warrants development and improvement in family medicine training. Typically, the Guide for Improvement of Family Medicine Training (GIFT) provides recommendations to family residency programs for enhancing current aspects of the curriculum. Exceptionally, GIFT 2020 addresses climate change and planetary
health in family medicine education while also offering a conceptual framework for residents and practitioners alike.

Access to high-quality comprehensive continuous primary care close to home is a foundational component of an effective health care system. Read our statement.

Results of the May 2021 CFPC Members Survey on COVID-19
It is critically important to know how family doctors are caring for patients and communities as front-line health workers in response to the COVID-19 pandemic. The College of Family Physicians of Canada (CFPC) surveyed its 40,000 members in 2020 and 2021. We told their COVID-19 stories at the start of the pandemic in May 2020 (
https://www.cfpc.ca/CFPC/media/Resources/Research/Covid-19-Member-
Survey-ENG-Final.pdf). The results provided here from May 2021 show how family doctors continue to adapt their practices and the concerns they have for their patients a year later.

As teachers, preceptors, educational leaders, and family physicians, we are all individuals connected to the reality that racism prevails around us at a systemic—for many at an unconscious and for others very conscious—level of reality. There are a number of related questions for us to consider:
• Am I racist?
• Have I unconsciously caused harm in my actions or words?
• What can I do to be anti-racist?
• What is my role in reconciling the reality of systemic* racism?
• How can I be an agent of change?
• How can I do this at an individual level?
• How can I act with other colleagues?
• How can I integrate the responsibilities of an agent of change with my role as a family medicine teacher?

Quality improvement (QI) is part of everyday practice in family medicine and primary care. The College of Family Physicians of Canada (CFPC) included it as a core competency in the CanMEDS–Family Medicine 2017 Roles and as a key activity in the Family Medicine Professional Profile.

We’ve analyzed Mainpro+® data from the past year to provide a snapshot of what Mainpro+ participants are doing across the country. Despite the unprecedented challenges of the pandemic, we are pleased to see that Mainpro+ participants have continued to be engaged in lifelong learning and to record their CPD activities.
The following data refer to the period of July 1, 2020, through June 30, 2021, (unless otherwise stated) and provide an overview of the most popular types of CPD activities.

Before beginning the application for Mainpro+ Certification providers are expected to review the Understanding Mainpro+® Certification guide thoroughly. Failure to adhere to Mainpro+ guidelines may result in a delay in the review process or a rejection of the application for certification.

Program providers are strongly encouraged to review the Mainpro+ Certification Standards in full detail before applying for Mainpro+ certification.

An educational prescription for strengthening health care in changing times.
A final report and recommendations of the Outcomes of Training Project.
January 2022

Virtual care can improve access to care and continuity for patients if used appropriately as part of a long-term relationship with a regular provider. In contrast, for-profit virtual care presents a problematic approach to health care delivery as these models are fundamentally designed to maximize profits, potentially causing health outcomes to suffer.

The College of Family Physicians of Canada (CFPC) conducts the Certification Examination in Family Medicine
twice a year, in the spring and fall, at multiple centres across Canada in English and French.

Thank you for taking the time to provide peer support. As you know, continuing professional development (CPD) for physicians is a key component of improving patient care. Your guidance will not only deepen your peer’s thinking, goal-setting, and action-oriented benchmarks, it can also help you reflect on your own practice goals and ways to achieve more.
This guide is designed to provide you with some key questions and thought-provoking statements when you meet with your peer as they plan their PLP activity and complete their exercise.
Before you begin, make sure you both agree on a time and location that is convenient and as free from distractions as possible. It’s also important to say that your discussion is confidential—it will not be recorded or shared with anyone.

The Member Interest Groups Section (MIGS), formerly the Section of Communities of Practice in Family Medicine, was created to support the College of Family Physicians of Canada (CFPC)’s dedication to providing a professional home for all family physicians across diverse clinical and nonclinical interests, settings, and practice types. Established by family physicians for family physicians, the Section’s individual member interest groups link members with similar practice interests so they can share information, connect, and collaborate on projects relevant to the practice of family medicine in Canada. This includes providing thought leadership, developing practice supports, enhancing education and training, and contributing to advocacy initiatives.

Cannabis use is highly prevalent amongst Canadians, with one in four people reporting use in the past 12 months.1 Family physicians are well positioned to initiate patient-centred conversations about cannabis, but many are not comfortable with how to approach the topic. Cannabis is more accessible than ever since the initiation
of the Cannabis Act in 2018, yet family medicine training in Canada has not integrated formal learning objectives
about cannabis use.

The College of Family Physicians of Canada™ (CFPC) conducts the Certification Examination in Family Medicine virtually in the spring and fall in English and French.
The written component of the examination, the computer-based short-answer management problems (SAMPs), took place from April 19 to April 21, 2022. It was four hours in length with an optional 15-minute break. The new virtual simulated office oral (SOO) component of the Certification Examination in Family Medicine was administered to all eligible candidates. This was the biggest interactive virtual examination in Canada so far.

Structured Orals will be delivered at six sites across the country, using the virtual platform called Practique. Both examiners and candidates will connect to the platform from their individual hotel rooms. All the equipment will be provided and technical support will be available on site. Candidates are required to register at the hotel 60 minutes prior to the start of the exam.

Partout au Canada, les équipes de médecine de famille continuent d'adopter le dossier médical électronique (DMÉ) à une vitesse fulgurante. En fait, la proportion des médecins de famille qui utilisent les DMÉ

Le CMFC croit que chaque Canadien et Canadienne de toutes les communautés devrait avoir un médecin de famille. En 2007, le CMFC a publié un énoncé de position intitulé Améliorer l'accès aux soins pour les patients

Under the Access to Cannabis for Medical Purposes (ACMPR)1 section of Canada’s cannabis regulations, which came into effect with the Cannabis Act on October 17, 2018, access to medical cannabis is authorized by a physician who signs a medical document. Authorized patients may purchase cannabis from a federally licensed producer, designate another person to produce it for them, or register to produce it themselves.2 Physicians do not prescribe cannabis since it is not a Health Canada–registered medication with a Drug
Identification Number. The ACMPR medical document is an authorization for the use of cannabis for medical purposes, and, while the authorizing physician is encouraged to offer guidance on the form, strength, and dose, the dispensed form, dose, and titration are ultimately determined by the licensed producer.

Executive Summary
Introduction
The College of Family Physicians of Canada™ (CFPC), founded in 1954 and incorporated in 1968, defined the first curriculum for postgraduate family medicine training in Canada. In 1964 the CFPC established a program of accredited postgraduate training and subsequent certification in family medicine/general practice. The first Certification Examination in Family Medicine was held in 1969, and upon passing candidates were awarded certification in family medicine and granted Certification in the College of Family Physicians of Canada (CCFP).

List of CFPC members who died between October 31, 2021, and September 30, 2022

Socially accountable care is health care that can anticipate and address the priority physical health, mental health, and social needs of a local community. Socially accountable care is therefore a powerful approach to supporting pandemic recovery, promoting health equity, and improving individual and population health outcomes. Increasingly, family physicians in leadership roles within their local health care institutions and medical schools are calling for greater emphasis on socially accountable care. Yet there is still a need for institutionalizing socially accountable care throughout the training of health professionals, the organization of clinical practices, and the various accreditation processes to strengthen primary care.

High-performing primary care is widely recognized as the foundation of an effective and efficient health care system. Countries with a robust primary care sector achieve superior health outcomes at lower costs. Over the past two decades, Canadian provinces and territories have introduced primary care reform initiatives that focus on strengthening the infrastructure for primary care and establishing funding and payment models that promote performance improvement. Despite this progress, the performance of Canadian primary care trails that of many other high-income countries in access to regular doctors or places of care, timely access to care, development of interprofessional teams, and communication across health care settings.

High-performing primary care is widely recognized as the foundation of an effective and efficient health care system. Countries with a robust primary care sector achieve superior health outcomes at lower costs. Over the past two decades, Canadian provinces and territories have introduced primary care reform initiatives that focus on strengthening the infrastructure for primary care and establishing funding and payment models that promote performance improvement. Despite this progress, the performance of Canadian primary care trails that of many other high-income countries in access to regular doctors or places of care, timely access to care, development of interprofessional teams, and communication across health care settings.

In 2018 the College of Family Physicians of Canada™ (CFPC) commissioned the Outcomes of Training project as a critical review of family medicine residency training during dynamically changing times and challenges to the discipline to clarify the intended goals and outcomes of training, and to determine if and how training must evolve to meet societal needs.
The project takes place in two stages with Phase 1 focused on analysis and recommendations (now complete), and Phase 2 on planning and implementation of recommendations. We are at the beginning of Phase 2, which focuses on curriculum renewal and change stewardship. This will take at least five years given the complexity of the changes proposed. The most appropriate approach to implementing change will be determined as part of Phase 2, is a major deliverable of the Service Canada “Team Primary Care Training for Transformation” grant, and is anticipated by March 2024. The CFPC will not change educational standards until at least 2027.

A compilation of clinical snippets written by members of the Occupational Medicine Member Interest Group, covering topics such as identifying occupational health hazards, concussion in the workplace, and the family physician’s role in return to work.

This document is intended to assist candidates to familiarize themselves with the features and functions of the Prometric computerized examination delivery software that they will be using on examination day.
While every effort is made to ensure the details in this document match the actual examination tutorial, the possibility exists that updates or upgrades may occur that have not made it to publication in this document prior to the administration of the examination. Take the time provided to review the tutorial at the beginning of the examination. The time dedicated to reviewing the tutorial at the beginning of the examination appointment is separate from the time allotted to answering questions. Closing the tutorial early or rushing through the tutorial will not give you more time to answer questions. Not familiarizing yourself with the features and functionality of the interface could result in costly user errors that cannot be undone.

Better Patient Health and Greater Patient Satisfaction: Care from a family physician Canada at a glance
17 out of 20
people in Canada have a
regular health care provider1
• Of the population with a regular provider,
19 out of every 20 providers is a family physician2
• The majority in Canada—16 out of 20 people—are
satisfied with their provider3
Many people in Canada understand the benefits of a
long-term relationship with their health care provider.
Canadians are seven times more likely to want care
from their own family physician rather than a family
physician they do not know.3
Patient health outcomes
Having a family doctor is the best way to ensure access
to continuous and comprehensive primary care. Patients
with a family doctor consistently show better health
outcomes across a variety of indicators.4,5,6
Having a family doctor can lower the risk
of rehospitalizations and emergency
department use for:
Patients with
severe and non-
severe mental
illness8
Patients with
dementia9
Patients with
diabetes10,11,12
Patients in
the general
population13
Home care
patients7
A greater supply of family physicians is associated with:
• Longer life expectancy14 and fewer preventable
hospitalizations and premature deaths15
• Better health outcomes including reduced
mortality,16,17 improved health status and quality of life,
and better health after age 40
• Improved outcomes for people with chronic
conditions18 and improved maternal and child health
outcomes19,20,21
Patients without a primary care provider experience
a high burden in managing their health care (medical
history, navigating the health system, time and travel
costs).22
Family doctors provide high-quality care to patients—
family physicians performed better on nine out of 10
quality measures23 than other primary care providers.*
* Includes average number of patients who received an influenza vaccine, were screened for breast and colon cancers, and patients with
diabetes who had good results on an average glucose level test.

Certification Examination in Family Medicine
Fall 2022 Examination Administration Report
The College of Family Physicians of Canada™ (CFPC) conducts the Certification Examination in Family Medicine [Short Answer Management Problems (SAMPs) and Simulated Office Orals (SOOs) components] in the spring and fall in English and French.

The Family Medicine Professional Profile (FMPP) is the College of Family Physicians of Canada™ (CFPC)’s position statement for the discipline of family medicine. It communicates the collective contributions, capabilities, and commitments of family physicians to the people of Canada. Family physicians who have a Certificate of Added Competence (CAC) have acquired an added skill set within family medicine and are committed to maintaining that specific skill set.
Within the overarching commitment outlined by the FMPP, this companion document clarifies the contributions, capabilities, and commitments of those family physicians who have acquired CACs to the people of Canada.
The following vision for and expectations of family physicians who have acquired CACs were crafted from the work developing the Residency Training Profile. These were developed through consultations with family physicians with CACs, enhanced skills program directors, Category 1 program directors, and relevant domain-specific member organizations.

The standards described in this document apply only to activities without the financial or in-kind support of for-profit organizations that meet the following definition of faculty development:
For Mainpro+ certification, faculty development is defined as a broad range of activities used to renew or assist faculty, supervisors, preceptors, field instructors, and clinical educators in their roles. These activities are designed to improve an individual’s knowledge, skills, attitudes, and behaviours related to teaching, educational administration and leadership, and scholarship.* Scholarship is defined as those activities described in the CanMEDS-FM Scholar Role.

Context
This report applies to a nine-month period, which could affect the statistics presented:
• Member renewal efforts are ongoing
• A reduced amount of time for project completion
• The annual MIGS Forum was not held during this period
New Member Interest Group
22 There are 22 member interest groups
In November the Council reviewed and approved the expression of interest
to form a new group—Health and Environment. The group’s main objective
is to address the needs of family physicians in understanding the effects of
environmental changes on human health, from pollution and climate change
to related toxicologic and zoonotic illnesses.
MIGS Membership As of February 1, 2023
11,506 (27%)
Of the CFPC’s 43,000+ members belong
to at least one member interest group
304
More members expressed
an interest in MIGS
MiGroups (online platform hosted by TimedRight)As of February 1, 2023
4,855 (42%)
Of the College’s 11,506 members involved in
MIGS and registered as unique members
15,291
Total content interactions
MIGS Activity
Projects
10
Projects completed in the four MIGS focus areas
including projects approved in previous years
16
New projects submitted for a MIGS grant
6
Submissions approved by the MIGS Council
and supported by the Section
322.5
Mainpro+® credits have been claimed for
MIGS content on CFPCLearn; represents
2,000+ views of the content
Family Medicine Forum (FMF)
9
Sessions presented by MIGS at
FMF 2022 (virtual and in person)
78
Members attended the MIGS Networking
Event on November 11, 2022, the best
attendance to date
1,740ドル
Gross revenue generated by the
MIGS Networking event

Family physicians are the backbone of the health care system and leaders in primary care.
• Being a family doctor is hard—especially these days—and it’s not for everyone
• Family medicine is a rewarding career for someone who values relationships and wants to get to know their patients and communities; is a clinical leader who enjoys problem solving and who understands that complexity and uncertainty are natural and inherent features of primary care
• The changes proposed by the Outcomes of Training Project (OTP) support a strong professional identity for family physicians who are:
o Capable of working and meeting the needs of communities anywhere in Canada
o Able to respond to dynamic and ever-changing societal needs

In 2018 the College of Family Physicians of Canada (CFPC) commissioned the Outcomes of Training Project (OTP) as a critical review of family medicine residency training during dynamically changing times and challenges to the discipline. The purpose was to clarify the intended goals and outcomes of training, and to determine if and how training must evolve to meet societal needs. The project takes place in two stages with phase one focused on analysis and recommendations (now complete).
We are now in phase two, planning for implementation of the recommended changes, to take place no sooner than 2027. We recognize the complexity and challenge of implementing changes in the current environment. The CFPC is committed to a responsible, iterative, and collaborative systems approach, coupled with evaluation to guide ongoing efforts. The CFPC has convened an Education Reform Taskforce that includes multiple interested parties. It is governed by the Family Medicine Specialty Committee and CFPC’s Board of Directors. The task force meets regularly to help guide the curriculum and change processes.

The COVID-19 pandemic has significantly impacted the way family physicians care for patients and communities as frontline health workers. The College of Family Physicians of Canada (CFPC) surveyed its members in 2020, 2021, and 2022 to understand their experiences during the pandemic. The results from the June 2022 survey provide insight into how family doctors have adapted their practices, the concerns they have for their patients, as well as their own well-being.

The Self Learning Committee has created this special edition of the Self Learning Program as an educational resource available at no cost to CFPC members. We hope it serves to update you on the latest medical evidence, while introducing you to all that the Self Learning Program has to offer. Self Learning is an innovative educational program from the College of Family Physicians of Canada (CFPC). It offers subscribers the opportunity to learn any time, anywhere, with a focus on information that is timely and relevant to family medicine. Each issue contains clinical questions based on recent articles from a wide variety of peer-reviewed journals. The questions are developed by more than 50 family physician volunteers. This edition contains questions drawn from recent issues of Self Learning.
We encourage you to apply the same critical appraisal to articles featured in the program as you would when reading
articles in any medical journal.

As Canadians recover from the COVID-19 pandemic, new crises are adding to the various long-standing challenges that have faced Canadian health care as a whole and family medicine as a discipline. Provider burnout has been pushed to record levels, administrative burden has expanded unmanageably, and family doctors leaving the profession increase the strain on those who remain and continue to deal with ever-increasing and complex population demands for primary care. Overworked emergency departments and primary care clinics both struggle to attract and retain a sufficient workforce.

For First Nations, Inuit, and Métis peoples, storytelling honours oral tradition while also being an important method of knowledge sharing. Storytelling transmits experiences across generations in a memorable or metaphoric way. This innovative method of knowledge translation has gained recent recognition in the realm of “narrative medicine.”1 This case study compendium to the 2020 CanMEDS Family Medicine (CanMEDS-FM) Indigenous Health Supplement2 has been created to further enhance understanding and promote high-quality care that supports the right of First Nations, Inuit, and Métis peoples to attain the highest quality of health care.

Storytelling, also referred to as case studies and/or narratives, is a powerful way to support health professionals to learn from and reflect on personal or systemic biases that may shape their practice. The case studies in this guide provide information about encounters in the health care system from the perspective of First Nations, Inuit, and Métis peoples. The details provided allow for readers to engage in self-reflection and dialogue around the presented narratives.

Readers will note that a psycho-social assessment is offered with each case. First Nations, Inuit, and Métis peoples share a holistic perspective regarding the health and well-being of themselves and their families. Among Indigenous peoples, when considering health, aspects of physical, mental, emotional, and spiritual wellness are considered. Family medicine practitioners consider the psycho-social context when working with patients across the life span, and in this way they show alignment with Indigenous perspectives on health and wellness.

Solutions to bolster primary care
Family Practice Reform Policy Proposal Package
The College of Family Physicians of Canada (CFPC) calls for federal government leadership in health care through national standards and dedicated federal funding to provinces and territories to deliver results in areas of shared priority. The Government of Canada recently announced an investment of 198ドル.3 billion over 10 years, including 25ドル billion in new funding dedicated to the four shared priorities:
• Expanding access to family health services, including in rural and remote areas.
• Supporting health workers and reducing backlogs.
• Improving access to quality mental health and substance use services.
• Modernizing the health care system with standardized health data and digital tools.
The CFPC proposes actionable recommendations for the government investment that align with these commitments as they pertain to primary care, the foundation of Canada’s health care system. The recommendations are also strongly aligned with the principles laid out in the Health Workforce Crisis report recently released by the Standing Committee on Health. The CFPC identifies examples of best practices and provincial/territorial programs that could be funded and upscaled to alleviate short-term challenges in primary care and prepare the system for much-needed modernization in alignment with its Patient’s Medical Home (PMH) vision. Together, these recommendations will improve access to care and create a more efficient and sustainable system for all in Canada.

Socially accountable care is guided by values such as equity, freedom from discrimination, and person-centred care, all core to family medicine, with a particular focus on addressing the specifc health and social needs of
marginalized and underserved groups.
Socially accountable care, provided through connection to a Patient’s Medical Home and Patient’s Medical Neighborhood, has been shown to enable more integrated and trauma-informed care that leads to improved
access to services, greater patient adherence, fewer unmet care needs, and improved clinical outcomes.
Although social accountability is at the core of family medicine, it requires health systems and organizational structures that enable such care. Unfortunately, front-line health workers may unwillingly lose sight of this
important priority when faced with impossible demands on their time, energy, and resources.

This Guide for Improvement of Family Medicine Training (GIFT) tool is the latest in the series. Created by residents for residents this GIFT provides a practical approach to addressing obesity management in family practice using relevant evidence-based guidelines. Key points for management are outlined, with links to resources. Consider using this tool as a discussion guide across multiple follow-up visits.

Family physicians in Canada are not receiving fair pay commensurate with their education and training and their role supporting an efficient health care system. They make less than physicians in all other specialties and, compared to before the COVID-19 pandemic, most report stagnate or reduced revenues despite working longer hours. Family doctors are burnt out and in short supply, and a smaller proportion of Canadian medical graduates are ranking family medicine as their top choice.

We’ve analyzed Mainpro+ data from the past year to provide a snapshot of what Mainpro+ participants and continuing professional development (CPD) providers are doing across the country. This information highlights the commitment of Mainpro+ participants to ongoing learning, the adaptability of CPD providers, and the continued focus on practice assessment activities.
Mainpro+ participants must complete 250 credits in a five-year cycle, of which 125 must be certified credits. The annual cycle requirement is 25 credits, certified and/or non-certified.
The following data refer to the period of July 1, 2022, through June 30, 2023, (unless otherwise stated).

This guidance report outlines the specific roles and concrete actions that the College of Family Physicians
of Canada (CFPC) can consider and pursue as a champion of family medicine research. Research helps
define disciplines and can serve as a resource to the CFPC in its efforts to lead family medicine into the
future. Rooted in family medicine, research is a tool for practice improvement and helps inform education
and health system reform for CFPC members and family practice patients. The challenges faced by family
medicine and family physicians makes it essential to engage researchers and employ science and evidence
as a resource for advocacy.

The College of Family Physicians of Canada (CFPC) has developed a guidance report that outlines the specific
roles and actions that the CFPC can consider and pursue as a champion of family medicine research. The
proposed roles and actions were developed with input from almost 400 CFPC members and family medicine
research leaders from Canada and internationally. This guidance report identifies priorities that intersect with
the Section of Researchers’ (SOR) Blueprint.

Family physicians are the backbone of the health care system, yet underfunding, rising inflation pressures, and poor working conditions are resulting in many family physicians leaving primary care. The CFPC advocates for fair physician remuneration that improves the appeal and sustainability of family medicine and incentivizes team-based practice and complexity of care. Since 2023 there have been new provincial agreements adopted by British Columbia, Saskatchewan, Manitoba, and Nova Scotia, outlining compensation for physicians. These agreements include measures that provide examples of how to better support family physicians across Canada.

Artificial intelligence (AI) is a rapidly evolving phenomenon in today’s world. There is a potential
for AI research and development (R&D) to serve patients and populations in the context of high-
quality primary care. AI may also serve those who work in primary care, including family
physicians, other health professionals, administrators, researchers, and others. For example, AI
might assist health workers in fulfilling their professional roles, improve health service delivery
and experience, enhance physician well-being, and advance anti-racism and Indigenous health
initiatives

Six million Canadians do not have access to a family doctor.* Despite calls for
interprofessional teams to improve access, the widespread adoption and uptake
of well-resourced team-based care in Canada is incomplete. In the absence of
systemic supports and explicit directives from governments, there are only select
family practices that have organized into teams aligned with College of Family
Physicians of Canada (CFPC)’s Patient’s Medical Home (PMH) vision.
Based on a review of 17 such grassroots practices, the following were identified.

The Self Learning Committee is excited to share the 2025 Special Edition of Self Learning, dedicated entirely to Short Answer Management Problems (SAMPs). Following the success of our 2023 edition, which featured a curated selection of Gold Star questions, this year’s edition dives deeper with an exclusive set of SAMP-style questions crafted to sharpen your clinical reasoning and decision-making. Get ready for a dynamic, case-based learning experience designed by family physicians, for family physicians.

The Section of Teachers’ (SOT) Newsletter
For teachers, preceptors, and educational leaders
Welcome to the refreshed, redesigned SOT newsletter!
We hope you’re as excited as we are to see the return of our teaching newsletter! Our goal is to reach and connect with our teaching community across Canada to share resources, develop a teaching
network, circulate news and events, and share our successes, tips, and tricks.
Have something to highlight? Let us know: <[email protected]>
Spring 2025
905-629-0900, ext. 431
[email protected]
https://www.cfpc.ca/en/member-services/for-teachers
Unsubscribe
Along with our refreshed SOT newsletter, we have a refreshed SOT Council. This
standing committee at the College of Family Physicians of Canada (CFPC) has been
restructured to focus on two main pillars of work: building our teaching community,
and supporting capacity for teaching, scholarship, and leadership. We are looking to
fill all roles on the new Council (which includes a new member-at-large position). For
further details or to apply, visit the SOT Council page on the CFPC website.
Join the all-new SOT Council
Attending FMF? Submit topic ideas for the Knowledge Café
The Preceptors and Teachers Knowledge Café, hosted by the SOT, is a facilitated ta-
ble discussion session offered over lunch on the Wednesday of Family Medicine Fo-
rum (FMF), happening in November. Attendees have a variety of educational table
topics to choose from. We are currently accepting suggestions for both table topics
and facilitators. If you would like to host a discussion, please forward your interest
to [email protected] by July 10th. If there’s a hot topic you’d like to see (but not
host), please let us know as well!
Teaching Resources
In each newsletter we plan to highlight a teaching resource. This issue’s resource
comes from our outgoing SOT Chair Dr. Aaron Johnston. This 2024 article is about
engaging community-based preceptors, which aligns with the priorities of the new
SOT Council. Read the full article from the Journal of Regional Medical Campuses:
Ten tips to effectively engage community-based preceptors in distributed medical
education settings
ICAM 2026: Call for Abstracts Now Open!
Present your work at the International Congress on Academic Medicine 2026. Sub-
mission Deadline: Sunday September 21, 2025.
Submit your abstract

For teachers, preceptors, and educational leaders

The Section of Teachers’ (SOT) Newsletter
For teachers, preceptors, and educational leaders
Winter 2026

That’s a wrap on Family Medicine Forum (FMF) 2025
FMF 2025 took over Winnipeg November 5th to 8th.
The teaching stream featured 23 sessions. There were many academic interest group meetings (including the new Indigenous Health Community of Practice) and the SOT hosted the annual Knowledge Café. SOT also co-hosted Together 2025 with the Section of Researchers, Section of Residents, and the Section of Medical Students.

FMF 2026 will be in Toronto November 11th to 14th with abstracts due February 6. We hope to see you there!
Three hundred learners, teachers, and researchers attended Together 2025, the joint Section event that took place at the beautiful Canadian Museum for Human Rights.
Thirty-six student and resident scholarships were awarded at the event.
Congratulations to our recipients!
A round of applause for our learners!
Together 2025: Celebrating Learners, Teachers, and Researchers
The Section of Teachers’ (SOT) Newsletter
For teachers, preceptors, and educational leaders
The SOT Council was renewed in 2025, with new priorities and new Council members.
Congratulations to Dr. Seyi Akinola, our new SOT Council Chair, as well as all of our Council members.
We’re excited to get to work on our mandate to strengthen and support the capacity of our family medicine teaching community and we would love your thoughts on prioritizing our work ahead of our first meeting in January. Please use this survey link to send us your input.
Introducing your new SOT Council
• January 31st: Nominations due for the Society of Rural Physicians of Canada Awards
• February 6th: Deadline for FMF 2026 session and workshop abstract submissions
• February 9th to 13th: Resident Doctors Appreciation week! Join us in recognizing the
contributions of our Family Medicine residents to Canadian health care.
• March 6th to 8th: Alberta College of Family Physicians Family Medicine Summit, Cal-
gary
• April 16th to 18th: SRPC’s Rural and Remote Medicine Conference, Québec
• April 16th to 19th: Association of Faculties of Medicine of Canada’s ICAM, Ottawa
Upcoming
FMF 2026 Call for Abstracts now open
The FMF 2026 call for abstracts opened December 10th, with session and workshop submissions due February 6th.
NEW THIS YEAR! The Educational Innovation Showcase will spotlight forward-
thinking educational innovations that address real challenges in family medicine ed-
ucation. Read more in the FMF 2026 Call for Abstract Instructions.

On December 8th, over 200 high school students attended the University of Ottawa’s Destination Family Medicine, which gave attendees hands-on experience with the full scope of family medicine.
Over 50 family doctors, residents, and medical students volunteered to help teach workshops and inspire the next generation to choose family medicine.
Read or listen to the CBC article profiling this incredible event.
Destination: Family Medicine—a uOttawa initiative