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Jerry M. Maniate , MD, M.Ed, FRCPC Section of Haematology / Oncology, Department of Medicine

Jerry M. Maniate , MD, M.Ed, FRCPC Section of Haematology / Oncology, Department of Medicine St. Joseph’s Health Centre (Toronto) Assistant Professor, Faculty of Medicine University of Toronto. INTRAPROFESSIONAL COLLABORATION IN PRACTICE A View From The Community. T RANSITIONS.

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Jerry M. Maniate , MD, M.Ed, FRCPC Section of Haematology / Oncology, Department of Medicine

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  1. Jerry M. Maniate, MD, M.Ed, FRCPC Section of Haematology / Oncology, Department of Medicine St. Joseph’s Health Centre (Toronto) Assistant Professor, Faculty of Medicine University of Toronto INTRAPROFESSIONAL COLLABORATION IN PRACTICE A View From The Community

  2. TRANSITIONS • Moving to Toronto • Moving from Downtown to the Community

  3. OBSERVATIONS • Relatively small group of physicians • Most physicians at SJHC also have offices in the community • Many have their clinics on-site • Family Medicine physicians have on-site clinic • Palliative Care physicians also on-site • Family Medicine residents on-site • Collegiality & Respect

  4. MAKING IT WORK • The culture of: • The institution: inter-professionalism is important • The professions / units: working in teams is important • Ensuring quality patient care

  5. MAKING IT WORK • Communications between physicians • Electronic medical record • Paging system “711” • Streamlining the referral / consultation process

  6. MAKING IT WORK • Shared care in Oncology • Surgeons, Medical Oncologists, Family Physicians, Palliative Care

  7. WORKING TOGETHER • An example: • Family Physician pages to discuss a new suspected case of metastatic cancer (primary unknown) • “This is what I’ve done so far…” • “The patient is quite symptomatic and worried … can you see them soon?” • Advice: Work-up investigations, fax referral, “fast-tracked” appointment

  8. WORKING TOGETHER • Another example: • Family Physician sends a patient for a referral for a new diagnosis of metastatic cancer (lung and liver masses) • After consultation, a detailed consult letter is sent via EMR to the Family Physician that outlines the management plan for the patient

  9. LEARNING TOGETHER • Medical Education Committee • Members from all clinical departments • ASCM • Joint teaching • Role-modeling for students and residents

  10. LEARNING TOGETHER • Inter-Professional Education in the Oncology Clinic • Role-Modeling: interactions between physicians

  11. INTRAPROFESSIONAL UTOPIA?

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