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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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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 • Council and Working Groups established through series of meetings from from November 2002 through March 2003 • Co Chairs selected at March Council meeting
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
Working Groups • Communications • Continuing Medical Education • Practice Engagement & Support • Preceptorship • Research
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
Communications • Communicate internally and externally • Newsletter • Survey • Website
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
Projects • Annual Cancer Conference • Education Needs Assessment • CME Road Show
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
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
Modules • Medical Oncology • Pediatric Oncology • Radiation Oncology • Palliative Care
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
Research • Survey – barriers, educational needs • Health systems research - Network vs collaborative - Practice engagement - Measures of success • Population, Clinical trials
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
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?
Patient Journeys • Map out journey of patient and their needs • Expectations of Family Physician (and other providers) • Improve patient journey • Clarify roles, enhance communication
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)
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
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
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
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