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The Family Practice Oncology Network

The Family Practice Oncology Network. Rationale. Increasing demand for cancer related care Decreasing availability of family physicians Many elements of health promotion, disease prevention can be improved. The Family Practice Oncology Council. Initial efforts by Dr. Jack Chritchly

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The Family Practice Oncology Network

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  1. The Family Practice OncologyNetwork

  2. Rationale • Increasing demand for cancer related care • Decreasing availability of family physicians • Many elements of health promotion, disease prevention can be improved

  3. The Family Practice Oncology Council • Initial efforts by Dr. Jack Chritchly • Council and Working Groups established through series of meetings from from November 2002 through March 2003 • Co Chairs selected at March Council meeting

  4. Council • Dr. Simon Sutcliff, CEO BCCa • Dr. Dan Horvat, Co Chair, Family Physician, Coquitlam • Dr. Phil White, Co Chair, Family Physician, Kelowna • Dr. Tom Bailey, Family Physician, Victoria • Dr. Henry Docherty, Clinical Associate, BCCA, Kelowna • Dr. Sharon Dougan, Family Physician, Vernon • Dr. Shirley Howdle, Clinical Associate, Vancouver • Dr. James Levins, Family Physician, Salmon Arm • Dr. Art Macgregor, Family Physician, Victoria (Family Physician of Year!) • Dr. Robert Newman, Family Physician, Dawson Creek • Paddy O’Reilly, CEO Healthy Heart Society • Dr. Keith Phillips, Family Physician, Nanaimo • Dr. Ed Turski, Family Physician, Prince George • Dr. Caroline Wang, Family Physician, Vancouver • Dr. Robert Woollard, Head of Dept of Family Practice, UBC

  5. Working Groups • Communications • Continuing Medical Education • Practice Engagement & Support • Preceptorship • Research

  6. Communications • Dr. Avis Picton, Co Chair, Clinical Associate, Surrey • Dr. Keith Phillips, Chair, Family Physician, Nanaimo • Dr. Dan Horvat, Family Physician, Coquitlam • Dr. Caroline Wang, Family Physician, Vancouver

  7. Communications • Communicate internally and externally • Newsletter • Survey • Website

  8. CME Working Group • Working Group Members • Dr. Shirley Howdle - CA, VCC • Dr. Peter Battershill - CA, VICC • Dr. Tom Bailey - FP, Victoria • Dr. Neil Hilliard - FP, Chilliwack • Dr. Trina Montemurro - FP / CA, VCC • Dr. Henry Docherty - CA, CCSI

  9. Projects • Annual Cancer Conference • Education Needs Assessment • CME Road Show

  10. Preceptorship Program • Working Group Members: • Dr. Bob Newman - FP, Dawson Creek • Dr. Sharon Dougan - FP, Vernon • Dr. James Levins - FP, Salmon Arm • Dr. Philip White - FP, Kelowna • Dr. Judith Pike - CA, VCC • Dr. Frances Wong - Rad Onc. FVCC • Dr. Mary Lymburner - CA, VCC • Christine Blyth - CA, FVCC

  11. Objectives • Ensure all patients/families have timely access to effective and up-to-date cancer care in their community • To have 2-3 oncology trained FP in every community over 15,000 population • Continued connection with BCCA

  12. Modules • Medical Oncology • Pediatric Oncology • Radiation Oncology • Palliative Care

  13. Research • Dr. Dan Horvat, Chair, Family Physican, Coquitlam • Dr. Wing Lee Leung, Clinical Associate, Victoria • Dr. Helen Karsai, Clinical Associate, Vancouver • Dr. Susan Mann, Family Physician, Kamloops

  14. Research • Survey – barriers, educational needs • Health systems research - Network vs collaborative - Practice engagement - Measures of success • Population, Clinical trials

  15. Practice Engagement & Support Task Group in Oncology (PESTO) • Dr. Dan Horvat, Chair, Family Physician, Coquitlam • Dr. Tom Bailey, Family Physician, Victoria • Dr. Cecily Bryce, Medical Oncologist, Vancouver • Dr. Kendall Ho, Associate Dean Continuing Professional Development, Faculty of Medicine, UBC • Dr. Art Macgregor, Family Physician, Victoria • Dr. Ed Turski, Family Physician, Prince George • Dr. Caroline Wang, Family Physician, Vancouver • Dr. Phil White, Family Physician, Kelowna • Dr. Bob Woollard, Head, Dept. of Family Practice, UBC

  16. Practice Engagement • What are barriers to chronic and complex disease care? • What can be done about them? • Who needs to be involved? • How will we make this happen?

  17. Patient Journeys • Map out journey of patient and their needs • Expectations of Family Physician (and other providers) • Improve patient journey • Clarify roles, enhance communication

  18. Patient Journeys, Contd • Incentives to engage in care for cancer patients • Start with breast cancer • Work with any group interested • Likely early work also with pediatric oncology, palliative care & end of life, prostate, lung, colon (resource dependent)

  19. FPON Drivers • PESTO and Preceptorship group • Create support and incentives for all family physicians to become more involved in cancer care • Create network of family physicians with enhanced expertise in cancer care • Clinical associates as a resource and partner

  20. Advantages to BCCA • Leverages tertiary care resources through enhanced capability in communities • Methodology and infrastructure that could be replicated for other disease entities • Improved patient care • Over time – enhanced health promotion and disease prevention • High quality data for research • Demonstration of exceptional leadership

  21. Requirements • Continued commitment from BCCA • Assistance with: - developing patient journeys - support of involved family physicians - supporting improved incentives for family physicians involved in high quality, longitudinal patient care

  22. Needed, Contd • Enhanced communications and support of family physicians involved with the care of cancer patients • New modes of communication with our specialist colleagues as well as others involved with looking after those with cancer

  23. Input?

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