Tag: model

Redefining excellence in health care: uniting inclusive compassion and shared humanity within a transformative physician competency model

KEY POINTS
  • The Canadian Medical Directives for Specialists (CanMEDS) revision project, due to approach completion in 2026, has identified limitations in the current framework’s ability to address the diverse needs of the Canadian population.

  • Presented here is a dynamic model — a transformed physician competency framework— that centres inclusive compassion and shared humanity and encompasses mechanisms to actively address existing systemic inequities in health care systems.

  • The model expands medical expertise and supports physicians to take an action-oriented stance and commit to equity, justice, and addressing health disparities, emphasizing the vital competencies that are required in both physician training and patient care to transform health systems.

The Canadian Medical Directives for Specialists (CanMEDS) revision project is at a crucial juncture, with implications for the medical profession in Canada. Expert groups have identified limitations in the current framework’s ability to address the diverse needs of the Canadian population, raising questions about its adaptability to concepts such as antiracism, social justice, artificial intelligence, and planetary health. Previously, we underscored the imperative to include antiracism as a foundational competency in any reimagining of CanMEDS,1,2 recognizing its pivotal role in combating health disparities. As the CanMEDS revision approaches completion in 2026, it presents a unique opportunity for transformative change in medical practice, informed by anti-oppression, cultural safety, and social justice principles. This prompts a critical examination of whether the existing framework can effectively integrate these vital competencies or if a comprehensive reimagining is necessary. The revision offers an unprecedented opportunity to envision a physician competency framework that not only facilitates, but propels transformative change within health care systems.

Transformative change in medical education and practice2,3 demands explicit integration of anti-oppressive competencies. This shift aims to redefine the physician’s role, moving from a neutral to an action-oriented stance committed

Couchiching OHT tapped to help improve provincial health-care model

‘With our strong community commitment, trust, and a clear vision, we are excited to start down this new path for our patients,’ says health team official

NEWS RELEASE

ORILLIA SOLDIERS’ MEMORIAL HOSPITAL

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The Couchiching Ontario Health Team (COHT) is being recognized for its rapid and successful development by being named to a group of OHTs selected to help further accelerate the collaborative model of integrated health-care delivery first introduced in 2019.

In an announcement by Ontario Health Minister Sylvia Jones, the Couchiching OHT was one of 12 OHTs asked to share lessons learned to support continuous learning and readiness for the next phase of implementation for all OHTs, of which there are currently 57 across the province.

With support from the Ministry of Health and Ontario Health, these teams will start by focusing on seamlessly transitioning people experiencing chronic disease through their primary care, hospital, and home and community care needs.

“Orillia and surrounding communities have truly embraced the OHT model, and we’re honoured to be selected among this initial group for the next phase of advancement,” said Lynne Davies, CEO of the Couchiching Family Health Team, the lead organization that helped create the COHT.

Improved patient navigation, greater access to care for patients without a primary care provider, along with an active and engaged primary care group and patient and family advisory council are just some of the organization’s early successes.

Dr. Kim McIntosh, COHT physician lead, says, “Even before we were established, there’s been a unique and long-standing spirit of collaboration and partnership among health-care providers across the region that we’ve been able to tap into and strengthen as part of our OHT.”

Looking ahead, Davies says the team will focus on congestive heart failure, chronic obstructive pulmonary disease while continuing with the 24/7

Chicago can become a model for reforming public health

I was pleasantly surprised by a Chicago Med episode earlier this year that highlighted #FamilyConnectsChi, a program that was piloted at Rush Medical Center. The scene opens with an indignant physician demanding funding for this program, which provides home visits for mothers and babies during the critical first six weeks postpartum.

The program aims to improve maternal health, which is one important marker for public health.

Maternal mortality in Illinois emerged as a serious concern in 2018, with the inaugural release of the Illinois Department of Public Health (IDPH) Maternal Morbidity and Mortality Report.

Even though I am a maternal-child and community health specialist, I was astounded by the statewide trends in maternal and pregnancy-related deaths. Non-Hispanic Black women experienced six times the risk of death compared to their white counterparts. Even accounting for chronic health conditions like obesity, nearly three in four pregnancy-related deaths (72%) were deemed preventable. In an updated report in 2021, four in five pregnancy-related deaths (80%) were deemed preventable.

To address the problems, IDPH recommendations included expanding home visiting programs, especially early in the postpartum period, which led to the adoption of the Family Connects International program in Chicago.

Home visiting has been proven to be effective for nearly half a century, with significant benefits to the health and lives of first-time moms and their children who are affected by social and economic inequality. The return on investment is significant: For every dollar spent on these efforts, at least $2 are saved on future spending.

The adoption of home visiting programs could be a powerful model for other preventative efforts — for example, programs to address chronic health issues like diabetes, heart disease, etc. — that could improve public health overall.

To be sure, this is not news. But better access to primary

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