The Family Practice Oncology Network

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

4. 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

5. 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

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

7. 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

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

9. 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

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

11. 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

12. 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

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

14. 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

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

16. 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

17. 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?

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

19. 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)

20. 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

21. 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

22. 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

23. 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

24. Input?