CFMSAnnualGeneralMeetingSeptember23-25th,2016Edmonton,Alberta–SuttonPlaceHotelFriday,September23rd,2016AGM2016IntroductionsbyDrCarlWhiteUlysse,AGM2016Chair

• WhoweareattheCFMS• Agendaandmeetingdocumentsavailableatwww.cfms.org• CFMSElections–SaturdaySeptember24th,2016

o Nominationsclose12noontoday(Friday,September23rd)• Member’sResolutionsSession

o Deadline12noontoday(Friday,September23rd)• ReviewofCFMSAGM2016Agenda

o Socialeventso Wellnessactivitieso Reviewofsocialmediasharingoptions,with#AGM2016o Socialmediachallenge,raffleforphotoswithCFMSscarf

President’sReportbyDrAntheaLafreniere,CFMSPresident2015-16

• Visionasaframeworkforallmeetings:Tomorrow’sphysiciansleadingorhealthtoday,reviewofcorevalues,organizationalguidingprinciples

• TheYearThatWas(2015-2016),definingissues:o TheResidencyMatch:focusontheunmatchedCMG,advocacyfora

transparentmatchingprocessforallmembers,roleinenhancingandensuringtherightsofourmembers

o Education:advocacyforthecontinuationofthebidirectionalCACMS-LCMEaccreditation,accreditationstudentworkload,ongoingcollaborationwithAFMCelectivesandportalteamsandsubcommittees,withcommonimmunizationformasamajorsuccess

o CMAEngagement:AntheaasamemberofCMAboard,CMAambassadorprogramenhancement,greatengagementoflearnersandearlycareerphysiciansattheCMAgeneralcouncilthisyear

o RelationshipswithFMEQ:criticalrelationshipswithourcolleagues,jointexecutivemeetingatSGM,continuedcollaborationonspecialprojects

o RelationshipwithRDoC:currentpresidentsarepastCFMSexecutives,involvingstudentsintheirwork,collaborationonmanyfronts

o RelationshipwithMDMF:wonderfulpartnershipsincludingleadershipandtravelawards,continuedsupportofstudents

o Wellness:NationalWellnessSurveydatacollected,presentedatCCMEandatICPHandmanuscriptoutsoon,issueofwellnessandresiliencyhasgainedgreattraction(recentMaclean’sarticle)

o Professionalism:challenginginteractionsonsocialmedia,medicalstudentsbeingpubliclymistreated,especiallywithverypublicTPSAdebateinOntario

• TheYearAhead(2016-2017)o AdvocacyStrategy:ensuringacohesivestrategybetweenportfolios,

includingLobbyDayasaplatformforpushingouradvocacyportfolioso CMAAmbassadorprogram:ensuringmeaningfulinvolvementfrom

thestudentambassadorso CFMSStrategicPlan:finalassessmentandevaluationtocompletefor

SGM/AGM2017,begintoprepareforStrategicPlan2017-2020• Antheacanbecontactedafterthemeetingatpastpresident@cfms.org

GreetingsfromAFMCbyDr.GenevièveMoineau,AFMCCEOandExecutiveDirector

• IntroductionbyDr.CarlWhiteUlysse• AFMCBoard:17Deansofmedicine,Dr.JesseKancir(asalearner

representative)• AFMCisheretosupportlearners,inadditiontotheFacultiesofMedicine• FutureMDCanadatool

o Supportslearnersastheythinktoapplytomedicalschoolorresidency(forstudentsbothinCanadaandabroad)

• FutureofMedicalEducationinCanada(FMEC)-MDo Developedthe“entrustableprofessionalactivities”,asetof

competenciesexpectedofanMDgraduateo RecommendationX:Promoteleadershipamonglearnerso CanMEDS2015broughtinword“Leader”insteadof“Manager”o Leadershipcurriculumtobeincludedasanaccreditationstandardo Focusonthehiddencurriculumo CFMSWellnessSurveyresultsareconcerning,lotsofworktobedone

• AFMCStudentPortalo Workoncommonimmunizationformnearlycompleteo Now12schoolsonboard,moretocome(UBC,Montreal,Sherbrooke)

• Graduationquestionnaire• Co-chairPRPTF(PhysicianResourcePlanningTaskForce)withfederaland

provincialgovernments• BestwishestoFrancoandthenewexecutiveteam!• StayintouchviaTwitter(@gmoineau)

Questions:

• TavisApramian,Western:WhatareyourthoughtsonthemajorchangesforCBME,IPA,transitiontoresidency?Whatdoyouthinkaresomeoftherisksofthese?

o A:Riskforlearnersisnegative,i.e.canonlybeagoodthing.CBMEensuresthatstudentscanbeobservedandsupportedmoreintheireducationsotheirpreceptorscanbettertestifytocompetencybeingthere.CanMEDSfocusisonresidencytraining,butthethoughtwas

theretoincorporatemilestonesfordifferentlevelsoftraininginmedicalschooltoo.Thiswasnotfavoredsincealltheschoolsstructuretheircurriculumdifferently.Overall,thegoalistoensurethatallstudentsfinishmedicalschoolwiththesameendpointcompetencies.TheriskofCBMEforschoolsisthatitrequiresmoreresources,closerfollow-upandmorethoroughevaluationoflearners.Ultimately,wewillgetthroughthesetechnicaldifficultiesandmedicaleducationwillbethebetterforit.

• AliDamji,Toronto:Gladyoumentionedwellnessinyourpresentation,OMSAdoesmuchworkinthisspaceaswell.Itisnicetoseewellnessisnowamorebroadissueandconversation.ArecentarticleinMaclean’smentionedtheadventofmandatorywellnessandresiliencycurriculum.Frankly,IwasdisappointedtoseethatAFMCdidnotfindthistypeofcurriculumnecessary.WehaveseenfromtheWellnessSurveythatthesearerealissuesnation-wide.IwishtogetsomeclarificationontheAFMC’spositiononthis.

o A:TheMaclean’sinterviewwasnottotallyaccurate.Thereporterfromthatarticlewishedtohaveastatementfrommeonwhateveryschoolshoulddo.WhatIdidsaytothereporterwasthatwebelievewellnessisahugeissue.Resiliencyiscertainlyworthdiscussing,butIcannotbeprescriptiveastowhethereveryresidencyprogramshouldhaveamandatorycourseentitled‘resiliency’.Therearecertainlysomeexcellentthingsbeingdoneatvariousschoolsonthisfront.Theotherpiecethatiskeyisthelearningenvironment.Itisnecessarythateverypersonincontactwithalearnerunderstandtheimpactoftheiractionsandwordsonthelearningenvironment.ThiscanbedonethroughtheCMA,wherewecangethelpfindandenactthosesolutions.

• FrancoRizzuti,Calgary:WhataretheAFMC’sthoughtsontacklingdiversityinmedicine?

o A:Iamfullysupportiveofhavingaverydiversestudentpopulation,whichmeansdiversephysicianpopulation.Admissionsisthemostimportantpartofourimpactonthefutureofmedicine.NodoubtthathavingadiversesetoffutureMD’sisanimportantwayofaddressingsomeofournationalhealthissues.Diversityincludesethnic,gender,geographic,SESconsiderationsforus.WewouldlovetospendsometimewiththeCFMStoelaboratethisandthisisaconversationwewouldliketocontinue.

MDFinancialManagementBrandAwarenessbyAlisonForestell

• MDMF:whollyownedsubsidiaryoftheCMA,withmandatetosupportphysicianstoachievetheirfinancialwell-being

• Pleaseengagewithme,ontwitter,byemailifyoueverhaveanyquestions,pleaseengagewithusatourboothlaterforachancetowinanapplewatch

• PartnershipHighlights:

o Launchofstudentfinancialresourcessectiononcfms.orgo MDFMStudentLeadershipAwardsCelebratoryreception(atSGM)o MDprovidestravelawardfundingsostudentscanattendSGM,AGM,

LobbyDayo MD-CFMScollaborationonTheWellnessChallenge#KeepsMeWell

• Resources,toolsformedicalstudentso YourEarlyCareerAdvisor(locallyatschools)o MedicalSchoolCostCalculator(online)o RentorBuyCalculator(online)

• MDandtheenvironmento Officesarenowcarbon-neutral,CMAbuildingwillsoonbeaswello NewFossilFuelFreeFundoptions

• AnImagineCanadaCaringCompanyo MDMFdonatesatleastonepercentofdomesticpre-taxprofitsto

supportdomesticcharitiesandnon-profitgroupso Wewanttoknowaboutyourcharitablegivingviews!Stopbythe

CMA-MDboothtodaytosubmityouremailtobeincludedinournextsurvey.YouwillautomaticallybeenteredtowinanAppleWatch.ContestisexclusivetoCFMSAGMattendees.

WelcomeSpeechbyDr.RichardFedorak,DeanofMedicineandDentistry,UniversityofAlberta

• IntroductionbyDrCarlWhiteUlysse• Thankyoutothesponsorsandpartners• Howmedicinehasevolved!All17Deansmeetregularly,speakabout

studentsincessantly• FlexnerReport:oneofthemostimportantmedicaleducationwritingsin

NorthAmerica• UniversityofAlbertaFacultyofMedicineandDentistry,

o Establishedin1913.Originallya2-yearprogramo In1925,hosted11students,goldmedallistoftheclasswasLeona

MacGregor,whobecameapathologistatHarvardo Early1920s,JamesColliphelpedsynthesizeinsulinforthefirsttime.

Firstisletcelltransplantin1989atUofA.Late1980s,discoveryofHepatitisCanddevelopmentofavaccinewhichisundergoingclinicaltesting,nominatedforNobelPrize.

o Now:57residencyprograms,5700fundedresearchprojects,15000alumni,997residents.Facultyincludes5programs:MD(700students),dentalprogram,dentalhygiene,medicalsciencelab,radiationtherapyprogram.

• Wearethefutureleadersofhealthcareandresearch.Acquiringknowledgeandskillstomakeourpathsinthemedicalmilestones.Daretogofurther,don’tletthethirsteverrunout.ThisisthesinglebestprofessionEVER.

SmallWorkingGroupIntroductionbyHanYan,WesternRegionalRepresentative

• SmallWorkingGroupsBudgetPresentationbyFrancoRizzuti,VPFinanceandPresident-elect

• Motiontomoveincamerao MoverNebrasWarsi(VPMedicalEducation),seconderEmily

Hodgson(QuebecRegionalRepresentative)o RolecallbyCarlWhiteUlysse.Allschoolspresent,exceptMoncton.

• Motion1(movedbyFrancoRizutti,secondedbyAntheaLafreniere)o Motioncarriesunanimously

• Motion2(movedbyFrancoRizutti,secondedbyAntheaLafreniere)o Motioncarriesunanimously

• Motion3(movedbyFrancoRizutti,secondedbyAntheaLafreniere)o Motioncarriesunanimously

• Motion4(movedbyFrancoRizutti,secondedbyAntheaLafreniere)o AmendmenttoaddGAACrepasmemberoffunddecisioncommittee

§ Amendmentmotionpasseso Motionpassesunanimously

• Motiontomoveoutofcamerao AntheaLafreniere(President),seconderTavisApramian(Western)

OMSAPresentationbyAliDamji,OMSAChair

• OMSAeventso Wellnessretreat:inMarch,medicalstudentsattendandheavily

subsidizedbyOMSA,fullweekendtolearnaboutself-careandresiliency.

o LeadershipSummit:combinedwithProvincialLobbyDaytolearnaboutleadershipandtheask

o NewLobbyDayorganizationthispastyear:studentsaskedtoratetheissuesmostrelevanttothemandtheirpeers.MedicalSocietypresidentsvotedonthefinalask.

o ScrubIn:publicationwithstudentresearch,writtenpieceso OMSAMedicalStudentoftheMontho OMSAwebsite:hopingtotweekitsoono Educationportfolio,newx1year,greatprojectslaunching

§ 5000$x8medicalstudentresearchsummergrants§ participateineducation-orientedresearch

o Innovatorgrantsandconferencegrants§ Univore,arecipeappdevelopedbyUniverstyofToronto

o Self-fundedLobbyDay:usedtoberuninpartnershipwiththeOMA,whocoveredlogistics.OMSAtookoverlogisticsoftheeventandranaverysuccessfulLobbyDay.NextoneplannedforApril2017.

o OMAAmbassadorProgram

o HealthQualityTransformation:biggestQIconferencesintheprovince,groupsfromacrossthecountryandworldtodiscushealthcarequality.Twopre-clerkshipstudentperschoolarepairedwithamentorfordurationofconference.

o OMSAIncomingStudentHandbook:forallfirstyearstointroducethemtomedicalstudentsandtheprovinceofOntario

o GuidetojobprospectsforOntariomedicalstudents:basedonFMEQandCFMSguidesandMatchBooks.

o PhysicianServicesAgreement–voteputouttoentireOMAmembership,affectingfundingofserviceforthenext4years.Lookedatbothlegalanalyses,decidedtosupportthePSA.ThisagreementdidNOTpassandwearestillensuringthatstudentsarerepresentedinthediscussion.OMSAsecuredassistancefromtheOMAandarenowinvitedtobeonthePolicyCommittees.

o CallforOMSACommittees–closestonightat11:59Questions:

• JessicaHarris,Saskatchewan:WhyishealthandhumanresourcesinformationnotdisseminatedtostudentsoutsideofOntario?

o A:Primarilyfinanciallydriven.Thisisconfirmationthattherearenomoreplannedreductionsinresidencypositionsin2017.Initialcutswereinablackbox,notmuchcalculationdone,25positionscut.

• RyanGiroux,Toront:CoalitionofOntarioo A:Linesofcommunicationopen,butlapsesinprofessionalismand

publicinsultsonsocialmedialedtodecreaseineffectivenessofcommunication.Frustratinginteractions,professionneedstocometogetherandmorerespectfuldiscussionsneedtohappen.

• HanYan,Western:WhatcantheCFMSRegionalRepsdotobroadenthescopenation-wide?

o A:Expandtouchpointstoexpandservicesandopportunities.ThevalueoftheOntarioRegionalRepsistobringbacktheinitiativesfromotherprovincestoOMSAandtoOntario.

CaRMSPresentationbyMrJohnGallinger,CaRMSCEO

• IntroductionbyDrCarlWhiteUlysse• Member-basedorganization,with3appointedmembersontheBoardfor

conversationsandmeetings.• CaRMSmission:Fairness,Objectivity,Reliability,TransparencyintheMatch• TheMatchsendsalearneralongtheircareerpaths.Theprocessis

accompaniedbymuchanxiety.PartofCaRMS’roleistoreducethatanxietybyprovidinginformationtohelpstudent’sdecision-making.

• Update:o MatchResults=MatchPolicy(Faculties,provincialministriesof

health,AFMC)+MatchProcess(CaRMSonly)

o In2015,inWindsor,Ipromisedafewthings:clientexperience,reliability,quality,partnershipintheprocess.

§ VoiceofClientProgram• Clientsatisfaction97%,systemreliability99.9%• Addedlinesofcommunication:tostayintunewith

deadlines,sotherearenosurprises.o Continuousqualityimprovementinitiatives,heavilytechnology-

enabledorganization,movingtoonlinedocumentsonly.o Stakeholderrelations:neweraofcollaboration,nothingtobegained,

butwehaveaninterestincreatinganeasierprocess.§ Learnersmeeting§ Membersmeeting(CMA,RoyalCollege,CFPC,AFMC)§ Applicationreviewcommittee§ Schoolvisits

• R1MatchTrendDatao Severalyearsofcomparativedata

§ Matchstatistics,disciplinechoices,supplyanddemand§ Concretemulti-yearinformationtoinformdecision-making

o Applicantsapplytoanaverageof17programso Newinteractivedatatool

§ Helpsstudentsunderstandthequotatrendsandquotafillyeartoyear,interactivedatatoolforStudentAffairsatourschools

§ Cansortbyschoolanddiscipline,showstrendsinquotanumbersapplicantinterestinthatdiscipline

o Unmatchedstatistics§ 48unmatchedCMGaftersecondroundin2016,increasing

since2013§ For2013,83%matchedlateraftersecondround.In2015,56%

matchedaftersecondround.o TheCaRMScommitment:“Ifitmatterstoyou,itmatterstous.”

• Questions

o NebrasWarsi,McGill:Theunmatchedgraduateisofteninthebackofourminds.WhatisCaRMS’roleinofferingresourcestostudentswhentheunthinkablehappens.

§ John:Policiestosupportcontinuation.Intermsofadviceandcounsel,puttingstudentsintouchwithappropriateresourcesattheirFacuties.OurroleisalsotoprovidingstrategiesabouttheMatchbeforehand,especiallyregardingback-upplans.Somestudentswillchoosea“riskier”Matchapproachandaslongastheyaremakechoiceswithyoureyeswideopenandunderstandtheimplications,that’sthebestwecando.

o RyanGiroux,Toronto:ThefinancialburdenofusingCaRMSapplicationisveryreal,especiallywithanincreasingnumberofprogramapplciationsperstudent.Hastherebeenanydiscussion

regardingchangingthenumberofapplicationsincludedinthebaseapplicantfee?

§ John:ThiswasactuallybroughtupanddiscussedlastAugust.Wewanttomakesurethatthefeesarefairandappropriate,butalsocovertheappropriateadministrativeburden.WeareintheprocessofrethinkingthisissueandpresentingtoourBoardthisfall.

IntroductiontoResolutionsSession

• Generalintroduction• Robert’sRulesofOrderadaptationsexplained• Onlyapplaudwithunanimousadoptionofmotion

ResolutionsSession#1Motion1:Nemocontravoting

o Moverspeaksfor2minutes,chairasksfordirectnegatives,ifnonegativesmotioncarriesunanimously.Ifdirectnegative,canproceeddirectlytovoteoropenspeakerslist(5x1minspeakers).

• Movedby:NebrasWarsi,McGill• Secondedby:DrAntheaLafreniere,Ottawa• MotionPASSESunanimously.

Motion2:CFMSProfessionalism

• Updatetoourpreviously-adoptedprofessionalismstatement• Shortened,updatedwithfocusontheCanMEDSprofessionalrole

• Movedby:TamaraIbrahim,McGill• Secondedby:LaurenCrosby,Western• SpeakerslistopenedbyToronto• Speakerslist:

o Shima,Toronto,speakingAGAINST:Thereasonweupdatethepapersistoreflectourneedsandviews.Wedon'tnecessarilyneedtohavethispositionsinceCanMEDSissowidelyaccepted.Were-addressthisissuefromtheperspectiveofthestudent.Oftenthisword(professionalism)isusedagainstthestudent.Ifwearetalkingaboutthewordprofessionalisminthestudentcontext,weshouldbetouchingonwhatthiswordactuallymeanstomedicalstudents.

o AliDamji,Toronto,speakingFOR:Agreethatamorerobustframeworkisneededforprofessionalism.Ithinkthatthatisn’tnecessarilytheroleofthispaper,though.

o DanielTurski,McMaster,speakingFOR(Firsttimer!):Idon’tseeaproblemwiththepaper.Itiscertainlyusefultoupdatethesepapersregularly.

o JessicaHarris,Saskatchewan,pointofINFORMATION:ThedefinitionofprofessionalismvariessomuchfromschooltoschoolandIdon’tthinkit’sourroletodefinethatforeachschool,butwedefinitelyneedanup-to-dateposition.HowdoesthisrelatetoCanMEDS?

o Tamara,McGill,responding:We’veincludedupdatesthatweremadetoCanMEDS“professional”roleandintegratedthemintothepaper.

• MotionPASSES(2ABSTENTION,1AGAINST,otherwiseFOR)

Motion3:PermanenceofBilingualismCommittee

o Bilingualismhasbeenensuredinpastbyvolunteertranslatorsoninformalbasis.Teamhasalwaysbeentemporaryinnature.TranslationneedsofCFMSareongoingandpermanent.ThismotionwouldallowdevelopmentofToRsforthegroup,withassignedroles,definingoftheseislefttotheincomingChairandbringthecommitteeforward.

• Movedby:EmilyHodgson,McGill• Secondedby:JessicaHarris,Saskatchewan• Nodirectnegatives.• MotionPASSESnemocontra.

Motion4:CFMSGlobalHealthProgramStrategicPlan2016-2019

o OutlinestheGlobalHealthStrategicPlanforthenext3years.FeedbackreceivedfromGHLs,presidents,CFMSreps.Nosignificantchangesweremadetothedocumentbasedonfeedback.Alreadyplanningimplementation.

• Movedby:GoldenGao,UBC• Secondedby:SarahSilverberg,Toronto• Nodirectnegatives.• MotionPASSESnemocontra.

Motion5:Indigenoussuicidepaper

• Suiciderates5-7xhigherforaboriginalyouth,highestinInuityouth.Indigenoushealthportfolioworkedonpaperforthisissue.Outlines3recommendationsinlinewithCFMSvaluesandgoals.Timelypaperformanyindigenouscommunities.

• Movedby:KaiHomer,Alberta• Secondedby:AliSumner,Toronto• Speakerslist:

o Nicole,Alberta,speakingAGAINST:Whenpresentinginformationtomedicalstudentsregardingaboriginalcommunities,weshouldalsoincludethedetailsoftheconditionsaboriginalpeoplearelivingin,otherwiseprimarycomponentsofcontextaremissing.

o BrandonChau,Western,pointofINFORMATION:I’mwonderingaboutthepartofthemotionstatingthatwewillmakeourpositionpublic.Isthereanythingmeantbeyondourusualprocedureofpublishingofourpositionpapertothewebsite?

o Kai,Alberta,answering:Wemeantwewillpublishourpositionasperusualprotocolandadvocateinthatvein.

o JoshPalay,Manitoba,speakingAGAINST:Ithinkrecommendations2and3havetooprescriptiveofatone,weshouldnotberecommendingthattribecouncilsdocertainthings.Weshouldadoptamorecollaborativeapproach.Alsoissuesofsubstanceabusearenotmentionedinbackground,despitebeingincludedinrecommendations.

o AdamForster,Western,speakingFOR:Iwishtocommendthequalityoftheresearchbackground.Verythoroughlydone,andIamverymuchinfavourofadoptingthispaper.

o Josh,Calgary,pointofINFORMATION:Inrecommendation1,subsectionD,pleasedefinewhatismeantby‘traditionalsuicidepreventionstrategies’.

o AliSumner,Alberta,clarification:Inthepaper,whatismeantistraditionaltherapiesusedineachcommunity,somethingverywelldescribedintheliteratureandreferstocommunity-basedinterventionandprevention.

o Kai,Alberta,clarification:Thisisleftintentionallyvaguebecauseitiscommunity-specificandmeantasanon-prescriptiveterm.

o JohnWhite,Western,speakingFOR:Thispaperaddressestheneedforcrisismanagement.Thepapercouldpotentiallybeseenasprescriptiveintone,butitismoreinsultingtotheaboriginalcommunitiestohavenopositiontwoyearsafterAttawapiskat.

o AntheaLafreniere,Ottawa,pointofORDER:PleaseremembertodirectyourcommentstotheChairortothemotion,nottospecificindividuals.

o JoshPalay,Manitoba,subsidiaryMOTION:Thoughanimportanttopic,ifweproduceapaperthatisnotattheheightofwhatwecanproduce,IproposewepostponethemotiontonextSGM.

o Chair,clarification:Iftheprimarymotionisdefeated,itcannotbere-presentedforanotheryear,ifpostponementmotionfailsthemovershavetheoptiontowithdrawthepaper.

§ Voteonmotiontopostpone:20FOR,18AGAINST§ MotionpostponedtoSGM2017.

Motion6:HumanTrafficking

• Recentlyhumantraffickingresearchhasbecomemoreofafocus.Thelinkbetweenthispracticeandhealthcareisclear.Manyhealthconcernsexist,forwhichvictimsseekhelp.Manycomeincontactwithhealthcareprofessionalswhilestillincaptivity.Thispaperaimstoleadstudentstoabetter

understandingoftheissueandthetrainingtorecognizeitandtakeappropriateaction.

• Movedby:JuliannaDeutscher,Alberta• Secondedby:SunnyLee,Saskatchewan• Speakerslist:

o SarahSilverberg,Toronto,speakingAGAINST:Ihaveacoupleofpointsofconcern.Manyoftherecommendationsspecifythattheyneedtobeincorporatedintolecturesatschools,howevernoteveryschoolcurrentlyhastherelatedlecturesandthus,implementationisnotreasonable.Alsodonotthinktherequiredhoursofworkdedicatedtothisisproportionatetothoseforotherissues.Althoughthespiritofthemotionisgood,theconversationneedstobeabitbroader.

o FrancoRizzuti,Alberta,motiontoAMEND:Iproposeinstead“BIFRTtheCFMSVPs…supportcurriculumdevelopment,inpartnership,whereapplicablewithCanadianhumantraffickingresearchers.”(friendlyamendmentaspermovers).Reasoning:TheCFMSdoesnotdevelopordictatethecurriculaitself.

o GoldenGao,UBC,speakingAGAINST:AtSGMtherewere2papersproposedonthistopicandafterpostponementtothismeeting,wewerehopingfor1cohesivepaper.Ataskforcehasbeenformedtolookatthisissue.Aswecansee,thispaperisnotallthatdifferentfromthepreviouslypresentedone.Iamstillhopefulforone,morecohesivepaper.

o MarkWoo,McGill,motiontoAMEND:TransplanetaryisusedinoneoftheBIRTclauses.Thisactuallymeansacrossplanets...Ibelievewhatismeantistransnational.

o KorayDemir,McGill,pointofINFORMATION:Wheredothe2000hoursofcommittedtimecomefrom?Couldthemoverselaborateonwherethattimewouldgo?

o EmmaHerrington,McMaster:Thiswouldnotbeimplementedjustlocallyatschools,buttheNO’swouldneedtosupportthisinitiative.LookingatsomeUSimplementations,itseemedthatthiswasdoneover3-5years,hencethis2000hourswouldbesplitoverthattimeandwouldbesplitbetweenmanyindividuals.

o KaylynnPurdy,NOSM,speakingAGAINST:Healthlecturesthiscurriculumwouldbeincorporatedintoarenotalreadypartofthecurriculumforallschools.Forexample,NOSMhasonly2lecturesacrossthe4years,sothisisreallynotimplementableatthatschool.

o VivianNg,McMaster,speakingFOR:AtSGM,bothhumantraffickingpaperswerepostponed.Therewasademandtoworktogether.Thisteamhashadtroubleworkingwiththeotherteamandthisbureaucracyshouldnotdetractfromthegreatworkofthispaper.

o JennaWebber,NOSM:Proposetopostponethemotion,inordertofurtheraddressthecollaborationissuesandfurthercoordinatewiththeNORSH,sincethathasnotoccurredsinceSGM.

§ SecondedbyBenCassidy,NOSM.§ Motiontopostponefails.

o JacquelineCarverhill,Saskatchewan,pointofINFORMATION:Iassumethatthiscurriculumwouldbeimplementedbythepan-Canadianallianceonhumantrafficking,butsincethisgroup’smembersarenotoncurriculumdevelopmentgroups,howfeasibleisthatimplementation?

o Emma,clarifying:Everymemberofpan-Canadianalliancewasselectedfortheirabilityandmotivationtoimplementchangeattheirownschools,andhavebeenworkingtodojustthat.Bycreatinganationalalliancewe’vefacilitatedcommunicationacrosstheschools.Wehavepeoplewithexperiencepushingthiskindofthingforward.

o GoldenGao,UBC,pointofINFORMATION:CanEmmaclarifytheworkthathasbeendonebythisallianceanditscomposition?Pleasealsocommentonchangesthatweremadetothispaperandwhataspectsoftheotherpaperwereincludedinthisone?Whateffortshavebeenundertakentocollaboratebetweenthetwoteams?

o EmmaH,responding:We’vejustformedourteamofabout10members.Wearehopingfor2representativesfromeachschoolonthecommittee.We’vestartedtoimplementthepaperandaddinfurtherresearch.We’rejuststartingout.MoreresearchwasaddedtothepaperaboutLGBTQcommunities.We’veaddedsomethingsonthepan-Canadianallianceandexplainhowtheywillbefurtherimplementingthepaper.We’vebeenincontactwiththeotherhumantraffickinggroupsincemid-July.Ourofferofequalauthorshipwasdenied.Ourofferofcreationofonedocumentwithintroductionandcurriculumseachfromonepaperwasalsodenied.

o BrendanLew,McMaster,motiontoAMEND:Iproposeanamendmenttochangeallreferencesto“classes”to“curricula”,thusremovingtheproblemNOSMandotherschoolshavewiththatpoint.(friendlyamendment)

o KorayDemir,McGill,speakingAGAINST:I’mstillconcernedwiththenumberofworkhoursrequiredofthispapersincetheyaresoheavilyweighingontheNationalOfficerportfolios.Notknowingexactlyhowthesehoursaredistributedandspent,IcannotsupportthisburdentomysuccessorasNORP.

o MargheriteHeyns,pointofINFORMATION:Howdothesehoursplantobespent?Whowouldbedoingwhataspartofthat?

o Emma:Whenweputnumbersdown,theyareoftenarbitrary.Thesehoursarebasednotjustonimplementation,butcurriculummaintenancealso.Thefactisthatthispan-Canadianalliancehasbeencreatedtohelpalleviatethisburden.Ourgoalisnottoforcepeopleintolaboringonaprojecttheyarenotpassionateaboutit.Ittakesa

lotoftimeandeffortforthemonitoringofthesecurricula.Ifpeopleareconcernedaboutthenumber,wecaneasilychangethenumber.

o Chair:Normallythenumberofhoursmustrepresentthenumberofhourstotheorganizationitself(CFMS).Iftheyincludetheworkhoursofthealliance,thenweneedtochangethenumber.

o Emma:Inthatcase,Iagreetochangethenumber.o Chair:Whatwouldbeyournewestimate?o Emma:Overathree-yearperiod,thiscouldbeputataround300

hours.o TavisApramian,Western,speakingAGAINST:Wehavesolvedthe

issueofthehoursquestion.However,theCFMShasneverbeeninthebusinessofcreatingfullcurricula.Itisnotinourskillset…yet.

o AntheaLafrenier,Ottawa,pointofORDER:Forclarification,acurriculumhasbeenadoptedbytheCFMSatthelastmeeting,withtheadoptionoftheAdvocacyandLeadershipCurriculumdesignedbyDavidBenrimoh.

o TavisApramiancallsthequestion.SecondedbyNebrasWarsi.McGill.§ Motiontocallthequestionpassesunanimously.

o Motionpasseswith22FOR,15AGAINST,1ABSTAINED.Motion7:TerritorialStatementatgeneralmeetings

• WishtostarteachCFMSmeetingwithaprayerorsongorgreetingfromanindigenousperson,tohonorandrespectourpresenceontheland.Thisisacriticalpartofrespectingindigenouspeople,andasteptowardsreconciliationandrecognitionofancestralrights.

• Movedby:BenGuidolin,UBC• Secondedby:HeleneRedfern,Calgary• Speakerslist:

o BrandonChau,Western,motiontoAMEND:(typographicalamendment,friendly).

o Josh,Calgary,motiontoAMEND:Thecostofbringinganeldertothemeetingmayendupbeingcloserto100$than50$.(Friendlyamendment)

o AmandaSauvé,Western,speakingFOR:Assomeonewhohasattendedmanyindigenousmeetingsandgatherings,Ibelievethiswouldhelpbringawarenessaboutindigenousoccupationofthelandandiskeyinformingrelationshipswiththesecommunities.Fantasticwork,guys!

o VivianNg,McMaster,pointofORDER:Itisdifficultforustodiscussthemotionwhenwereceivedthedocumentwithinanhourofvoting.Whatarewegoingtodotocombatthiskindofissuegoingforward?

o Chair:Motionsaccompaniedbypositionpaperaredue3weeksinadvance.Motionswithmorethan1000$ofspendingaredue2weeksinadvance.Thereasonthismotiondoesn'tfallunderthosecategories

isthatthedocumentisnotaproposal,norapaperforadoption.Thus,thedeadlineforitwasnoontoday.

o VivianNg,McMaster,replying:Wewouldthenliketohavefurtherdiscussionontheissueofsubmissiondeadlines.

o Chair:Agreed!Seeingnomorespeakers,Icallthequestion.• Motionpassedunanimously

Saturday,September24th,2016HowtoGetGreatBuy-InForYourStudentAdvocacyProjectsbyDrDavidKeeganandDrSusanBannister

• IntroductionbyDrCarlWhiteUlysse• DrsKeegan&BannistermetatCFMSAGMinSt-John’s,manyCFMS

Presidentswereushersandreadersattheirwedding!• Matchprospectsbackintheday:200studentswentunmatched!Our

generationwascalledupontoaddressbudgetissues,visaissues,billingissuesbyprovince,etc.andyetourCFMSbudgetwassominimalthatwesleptonthefloorsandsofas.

• Activity#1:Roleplayo Keymessage:focusontheneedsofastakeholdergroup,oftena

perfectsolutioncanbefoundevenwhenitseemsthattwogroupsareatodds.

• Activity#2:DeterminingStakeholderNeedso Keymessage:Eachstakeholderhasspecificneeds/prioritiesand

theseareimportantinfulfillingthoseneedsorcarryingprojectstoterm.

• Activity#3:StakeholderNeedsAssessmentforStudentProjectso Keymessage:Performingastakeholderneedsassessmentcanhelp

bringyourprojectstofruitionandbringaddedvalueforotherstakeholders.

• ThankyoumessagebyFrancoRizzutiResolutionsSession#2Motion8:PositionStatementonMedicalAssistanceInDying

o Balancedpositionpaperbasedonproposedlegislation.Inclusionofpalliativeandend-of-lifecare,torecognizeasafederationthatthereisalackofaccesstohigh-qualitypalliativecareacrossthecountry.Allowsustoadvocateforaccesstotraineeopportunitiesforourmembers.

• Mover:JacquelineCarverhill,Saskatchewan• Seconder:TamaraIbrahim,McGill• Speakerslist:

• MichaelTaylor(Alberta),speakingAGAINST:Thisisaverydifficulttopic,andrequiresnewcurricularcontentasMDlearners,butalsonewcontentforourprogramsandpreceptors.ItiscontentiousatcurrenttimebecauseFacultyadministrationandpreceptorsarestilltryingtofigureouttheirownopinionsonthematter.

• AntheaLafreniere(Ottawa),speakingFOR:Alotofactionhastakenplaceontheeducationfrontaboutthisissue.Thepositionstatementandtheaccompanyingdocumentreallyspeakstomedicaleducationaroundthistopic.AmotionwaspassedattheCMAGConinclusionofaccreditationstandardsinmedicalaidindyingandend-of-lifecare,thefocustherealsobeingoneducation,notonspecificpositionsfororagainstthemaintopic.

• Aaron(Alberta),speakingAGAINST:Iamagainstthemotioninitscurrentformsincethetitleissomewhatdeceiving.Thisisrathermoreonend-of-lifecarethanmedicalaidindying.

• JessicaHarris(Saskatchewan),speakingFOR:Wehavehadmany,manymediarequestsaboutourCFMSpositionoverthelast3-4fewmonths.Ibelieveitimperativetohaveastancebecauseourpositionneedstobeavailable.

• Yasmin(Alberta),pointofINFORMATION:Whatwastheconsultationprocessthattookplaceondevelopingthisposition.?

o Jacqueline:Itwasacollaborativeeffortwithmedicalstudentsfrom5faculties,easttowestincluded.Wewereinformedbyfederallegislation,provincialroyalcollegesandpalliativephysicians.

• SarahHanafi(Alberta),speakingFOR:Excellentqualitypaper,verywellresearched.Thisisanissuethatlearnersfacewithmuchdistress.Thelandscapehaschangedmuchrecentlyandtheneedsoflearnershaven’tbeenaddressedtodate.

• DanTurksi(Alberta):Asaphilosophygrad,theargumentthat“nowthatitislegal,patientshavetherighttoaccessit”doesn’tsoundveryconvincing.Thingshavebeenlegalizedbeforeandwedidn’tsuddenlyseethemasrights.Legalityasjustificationforarightisn’tlogicallycoherent.Howdoesthepaperdiscussphysicianrighttochoice?

o Jacqueline:Wefocusedonthemedicallearners,howevertherighttoconscientiouslyobjectispreservedwithinthedocument.

• StephanieSmith(Calgary),pointofINFORMATION:AsanICUnurseformanyyearsI’vewitnessedmuchofpalliativecare.Isthisthefirsttimethatwearelimitingstudentsabilitytodiscusswithpatientswithoutsupervision?

o Jacqueline:End-of-lifediscussionsareverynuanced,asyouknow.Appropriateteachingstructuremustbeinplacetoofferpropersupervisionofcomplexbio-psycho-socialsituations.

o Tamara:Similartoend-of-lifecare,thispaperstipulatesnoresponsibilityonthepartofthemedicalstudent.

o Jacqueline:Studentsmustbeprotectedfromgettinginvolvedinsituationsthatareaboveourheads.

• CalvinTseng(Alberta),pointofORDER:Isitpossibletochangethetitleofamotionwhileitisunderdiscussion?

o Chair:Ifitchangesthemeaningorfocusofthepaper,itshouldcomebacktothegeneralassembly.

• Calvin,motiontoAMEND:Iwishtoproposechangingthetitleto“CanadianFederationofMedicalStudentsPositionStatementonMedicalAssistanceinDyingandEndofLifeCare”(friendly)

• FrancoRizzuti,Calgary,speakingFOR:Thiswasahighly-discussedtopicatCMAGC,andgreatrecommendationsarebeingbroughtforward.Ourpartnersandstakeholdersneedourstanceinthesedifficultconversations.Weasanorganizationhavehadmanyrequeststoleanintothisconversationanditsdifficulttoimpossibletodosowithoutafirmpaper.

• Chris(Manitoba),pointofINFORMATION:Isthisamissedopportunitytoaddresstherequestsanddifferencesbetweenprovincialstances?

o Jacqueline:Thepaper’sapproachistoremainwithintheguidelinesthatthefederalgovernmentputforward.Wearenottakingastanceonmorecontentiousissues,thatmaybechallengedinthefuture.Atthecurrenttime,wearenottakingastanceonwhatisnotallowedinpractice.

• BasilKadoura(Alberta),speakingFOR:Thestrongerpointisthatwediscusspalliativecare,andinthatwearepartofpatienteducationandplanning.Wewillbeaskedaboutthisissuebypatients,familyandfriends.Ourowneducationisvitaltoensureweknowsothatwecansupportandprovideguidanceasobjectivelyaspossible.

• Victoria(Toronto),speakingAGAINST:Medicalassistanceindyingistoocomplicatedanissuetobesummarizedin2pages.TherewasnomentioninthispaperofmentalhealthissuesItcannotbetitledend-of-lifecarewithoutaddressingwhoqualifiesforit.

• SarahSilverberg(Toronto),speakingFOR:Thereisaneedforstudentstobepartoftheinstitutionaldiscussionandfollowthediscussionatthenationallevel,todiscusshowwegoaboutbringingend-of-lifecaretoourpatients.Thispaperisadvocatingforinclusioninmedicaleducation.Wecanstilladvocatethatweneedtobehavingthesediscussions,withouttakingastanceonthemainissue.

• EricZhao(UBC)callsthequestion.o Seconder:Marie-PierBastrash(McGill)o Motiontocallthequestionpassesunanimously.

• Motionpasses(3AGAINST,1ABSTENTION,otherwiseFOR)

Motion9:CreationofaCFMStaskforceontheenvironmentandhealtho ThisCFMSresolutionwaspreviouslyrejected(lackofToRsanddueto

thefinancialcostinvolved).Thetaskforceitselfhasbeenapprovedandwillfacilitateclimatechangediscussions.ThismotionistodeterminetheToRsandcompositionifthegroupmainly:anon-votingchair,theVPMedEd/GH/GAorotherappointees.

• Mover:HenryAnnan,Dalhousie• Seconder:GoldenGao,UBC• Chair,clarification:SGMmotioncalledforcreationofthistaskforceandwas

approved.Ifthismotiondoesnotpass,theexecutivewilldecidewhattodountiltheToRiscreated.

• Speakerslists:• VivianNg,McMaster,pointofINFORMATION:HavetheVPsbeenconsulted

inthecreationofthisToR?o KellyLau,McGill:Golden(VPGH)wasconsulted,aswasprimarilyGH

representation,moreoutofinterestratherthannecessity.Hopefullyothergroupswillbeinvolvedintheselectionofcommitteemembers.Theformationofthegrouphasmuchflexibility.

• EmilyMacPhail,Calgary,motiontoAMEND:SuggestanamendmenttotheToRforgrammaticalerror.

• Chair:DeniedsinewecannotamendtheToRitself–itisanannexeddocument.WecanpassitandtheCOPwillfixitlaterorifitdoesnotpassitcanbeamended.

• FrancoRizzuti,Calgary,pointofINFORMATION:MyworryisabouttheprecedenceofpassingamotionandthensubsequentlycreatingmotionsforToRdrafting,whichcreatesextrawork.Iwouldthinkthatthisissomethingthatcreatesprecedenceandwillburdenfuturemeetingsthataremoremotion-heavy.

• JennaWebber,NOSM,speakingFOR:Itistimethatthisismovedforward.ThisisaverytimelyissueanditoverlapswellwithReproductiveandSexualHealthinthefaceoftheZikavirus.Callsthequestion.

• Motionpasses(2AGAINST,2ABSTENTIONS,otherwiseFOR)SpecialAddressbyDrPaulSawchuk,BoardofDirectors,CFPC

• IntroductionbyDr.CarlWhiteUlysse• Thesearechallengingtimestobeinmedicalschool.Ontariohashadits

recentPSAfailure,inQuebecunilateraldecisionsarebeingmadeaboutphysicianpractice.Despiteallthesechallenges,itisaninterestingtimetobeaphysician.Connectionstofamilyphysicianshavebeenshowntokeeppatientsoutofhospital.Thisisdoneviacontinuityandcomprehensiveness.Provincialgovernmentsarestartingtorecognizetheimportanceandroleoffamilyphysicians,withtheirspecialsauce(comprehensivenessandcontinuity).I’vebeentoldthatthenewgenerationofdoctorsarenotinterestedincontinuityandcomprehensiveness,choosinginsteadtowork

withnichepopulationsandspecializedcare.Thefourprinciplesoffamilymedicineare:familyphysicianasamedicalexpert,importanceofpatient-doctorrelationship,community-baseddiscipline,resource-limitedenvironments.Mytimeashospitaladministratorshowedmethatthemostimportantworkisbeingdoneoutinthecommunity,notinthehospitalsetting.

Questions:• AliDamji,Toronto:WithregardstothesituationinOntario,therehasbeen

muchin-fightinganddivisivenessandIamwonderingwhatyouseeasthewayforward?

o A:SpeakingasanindividualandnotonbehalfoftheCollege,Iamabigbelieverinphysiciansasself-regulatingandself-monitoring.Wedoarelativelygoodjob,butweneedtodobetter.InOntario,wedidnotshowaunitedfront,sothereismuchworktobedone.Thisisnotsomethingthatcanbeachievedquickly.InManitoba,thereislessdivisionbetweenspecialistsandfamilyphysicians,andultimatelythismakesournegotiationsmoreeffective,whichallowsformoreeffectiveservicedelivery.

• EmilyMacphail,Calgary:AtCFMS,werepresentmanywhowillbegoingintofamilymedicine,alongwithotherspecialties.Howdoyouseeallthesestudentsworkingtogethertodeliverbestpossibleservices?

o A:Havingapeer-to-peerrelationshipmeansyouareveryclosenow,butasyougoontospecialize,youwillgoyourseparatewaysandmayforgetwhatisimportantandsignificanttotheotherperson.Iamgladtoworkcloselywithspecialistsinmyregionandthereisahappyinteraction,butintertiarycenterstherearemanymoredifficulties.Thefamilydocbringsinacomprehensiveunifyingvision,eventhoughwemaynotknowthedetailsofoneparticularsystemaswellasaspecialist.Wedefinitelyneedtocontinueourfamiliaritythroughandafterspecialtytraining.

• Josh,Calgary:DoyouthinkchangelikeatBellaBellaispossibleinothercommunities?

o A:Thisparticularcommunity,BellaBella,hasbeensoverywelcomingandappreciativeandinclusivesoastoseeincredibleresults.Anycommunitycanlearnfromanyotherone,butsuccessisneveraguarantee.

CFMSExecutiveElectionsbyDrBryceDurafourt(CFMSPast-President)

• Housekeepingintroduction,includingprocesssummaryofinstantrunoffvoting.

CFMSExecutiveElections2015-2016withDrBryceDurafourt

• Electoralspeeches,Q&Aforallpositions,including:• VPMedicalEducation:TavisApramian(Western)• VPCommunications:EmilyHodgson(McGill)

• VPFinance:NikhileMookerji(Ottawa),DanielPeretz(McGill)• VPStudentAffairs:HanYan(Western)• VPGlobalHealth:JessicaBryce(Western),SarahBryson(Dalhousie),Hidy

Girgis(McGill),OsmanRaza(Ottawa)• VPGovernmentAffairs:SarahSilverberg(Toronto)• AtlanticRegionalRepresentative:CourtneyManuel(MUN),AlexandraTaylor

(Dalhousie)• QuebecRegionalRepresentative:JulianNguyen(McGill),AngeloRizzolo

(McGill)• OntarioRegionalRepresentative(2):BenjaminCassidy(NOSM),Brandon

Chau(Western),SamikDoshi(Toronto),ShreyaJalali(Ottawa),KaylynnPurdy(NOSM)

• WesternRegionalRepresentative(2):BrandonChristensen(Alberta),Amir-HosseinDanishwar(UBC),KaiHomer(Alberta),AbdullahIshaque(Alberta),LauraKin(UBC),EmilyMacphail(Calgary),DevonMitchell(UBC),GurmeetKaurSopi(Manitoba)

Sunday,September25th,2016FMEQpresentationbyJessicaRuel-LaliberteandEricGuimond,FMEQPresidentandExecutiveVP

• IntroductionbyDrCarlWhiteUlysse• ThanksCFMSExecutiveforagreatmeeting• TheFMEQrepresentsmedicalstudentsat4universitiesand7campuses• RepresentationworkhappensnationallyalongsideCFMS,RDoC,FMRQand

provincially• Services(manythesameasCFMS,butnotall)• WellnessSurvey(2011)

o 1out6suffersharassment,manycampaignstopromotestudentlearningenvironment

• Pass/Failgradingissueo Francophoneschoolsonlyhavepass/failgradinginclerkship,weare

workingtowardspre-clinicalalso• ProvincialLobbyDay2016–Bill20,strike• GuideonResidencyprograms:Success!Includesprojectionsonemployment,

entrancecriteriaforQuebecprograms,etc• CaRMSDay(250participants,workshopsandconferences)

SpecialAddressbyMs.SamanthaDunnigan(Med-4Toronto),CFPC-SOMSCo-Chair

• 80554activelypracticingphysicians,52%arefamilyphysicians• CFPChasover35000members• GoalistoensurethatallCanadianshaveaccesstohigh-qualityprimarycare

byafamilyphysician• Reach:FP,residents,medicalstudents,interprofessionalism

• SOMS=SectionofMedicalStudents,tacklinghiddencurricula,includeinterestgrouppresidentsateachfaculty.

• Connectionsatthelocal,provincialandnationallevel,onlyspecialtytodoso• Question:HowcanSOMSandtheCFPCbetterpartnerwiththeCFMS?

o Collaboration?o Jointprojects?

• Email:soms@cfpc.cawithyourideas!• Connectwithusonsocialmedia• Questionperiod:

o RyanGiroux,Toronto:PlaceforcollaborationinourIndigenousHealthProgram?

§ Samanthaagrees,welcometodiscussafterwards.IndigenousHealthProgramUpdatesbyAmandaSauve(LOIH,Western)andRyanGiroux(NationalOfficerofIndigenousHealth)

• IndigenousHealthportfolio:2009-2015:aboriginalhealthliaison,then2014-2015:indigenoushealthprogramdevelopment,now2015-2016:IHPFirstYear.!

o Wenowhave29LOIH,representingeveryschool• PassedpositionpaperonIndigenousHealthinmedicaleducation,presented

atCCMEandIndigenousHealthConference.CurrentlythisisbeingpeerreviewedtobeincludedinCMAJ.

• EducationAdvocacyToolkit• PBLandlearningOSCEscenarios,beingincorporatedatafewmedical

schools• Successesinresearchandadvocacy

o Evaluationofstudentpre-clerkshipseminarserieso Nation-widestudyonexperiencesofIndigenousmedstudentso PositionpaperonIndigenouspopulationsandsuicide–passed

• Identifiedopportunitieso Sharingsuccessesbetweenschoolso Ensuringallmembersareengagedo Adequateandtimelycommunication(fromNOIH,toLOIH,and

facilitatebetweenLOIHs)• Amanda(LOIH,Western)

o TruthandReconciliationCommission(TRC) § Documentproducedafter6yearsofdevelopment,productout

in2015,encouragealltoreadit§ Definitionofreconciliation§ WhatcantheCFMSdo?

• 1.Learnthetrutho 6750statementsfromsurvivorsandtheir

familiesintheTRC• 2.Listentothoseimpacted

o 900eventsover6years,15000studentsparticipatedforeducationpurposes

• 3.Callyourselvestoactiono 94callstoactiono 5specifictoIndigenousHealth

§ Recommendation20,21,22,23o JusticeMurraySinclair,awarethatreconciliation

won’thappeninhislifetime,butencouragealltochooseonecalltoactionandfocusonit.

o OCAPPrinciples,appliedtoallresearchwithfirstnationscommunities.Frombeingresearchedtobeingresearchers,communitiesmoreinvolvedintheinformationgatheringandusage.

§ Ownership§ Control§ Access§ Possession

o GlobalHealthProgram:StandUpforHealth,modifiedtoIndigenouspopulations

§ 2-weeksimulationofwhatitwouldbeliketolivewithaspecificidentityandlivinginaspecificcommunity

§ 1weekonthegroundatLongLake#58FirstNationtolearnonthegroundhowtodevelopthesimulation

§ Community-based,followstraditionalpractices§ Scenarioswillbegivenbacktothecommunitiesforreview

priortobeingusedwithstudentso What’sonethingthatmedicalstudentsshouldknowaboutyour

community?§ Usewordsthatpeopleunderstand,notthebigwords§ Havingadoctoronsite,regularly,HCPsfromthereserve,

trustworthyo TipsonengagingwithIndigenousCommunities

§ OCAPprinciples§ Respectfulattitudes§ Makesurethatwearegivingsomethingbacktothecommunity§ Understandingtraditionallearningsystemsandpractices§ ReadtheTRC!Orpartsthereof

o Questions§ BenCassidy,NOSM:Accesstoservicesisdifferentbasedon

remotenessofreserves.Differentbarriersexistineveryregion.§ GoldenGao,UBC:TRCisanincredibledocument,executive

summaryishundredsofpageslong.Whatmoreaccessibleresourcecouldyourecommendasastartingpoint?

• A:www.trc.cahasmoreconcisesummaries.TryreadingtheCallstoActionrelatedtohealth,astheyareshortandhigh-yield.

§ Josh,Calgary:Manycallstoactiondon’tfallunderhealth.Howdowetieinthesemanyothercallstoourwork?

• Ryan:Becausethesocialdeterminantsofhealthtouchonsomanythingsyoucanchooseacalltoactionthatdoesnotneedtobeinthehealthcarerealm,butitisrecommendedtochooseonethatspeakstoyoutointegrateintoyourlifeandpractice.

§ AlyseSchacter,McMaster:Manyinthisroomarehungryformoreinformationonthetopicafteryourwonderfulpresentation.Whatcanwedonext?

• Ryan:Toolkitstoundergraduatemedicaltrainingareoutthere,there’sanIndigenousHealthConferenceinToronto,tryreading“FirstPeoplesSecondClassTreatment”anexcellentbook.TrycontactingtheLOIHatyourschooltogetinvolvedlocally.FirstNationsHousesineverymajorcitywillorganizeeventsandarewelcomingtoeveryone.

LessonsonAdvocacyfromtheOfficeoftheMinisterofHealthbyDrJesseKancir

• IntroductionbyDrCarlWhiteUlysse• Reflectionsonpoliticaladvocacyinpractice• Workedasapolicyadvisor(BillC14,publichealth,healthaccordwork,

pharmacare,FirstNationsrelations,blooddonationdeferralsfromMSM,regulatoryaffairs,etc.)

• Worldofpoliticsisdifferentthananythingexperiencedbefore• PoliticsTrumpsPolicy:HowHealthMinistersMakeDecisions(Cull,2016),

documenthighlyrecommended.• FourtestsforAdvocacy

o Simplicity(t-shirttest):Uselanguageunderstoodbyeveryone.Simplicityisagift.Unclearmessageisacardinalsignofanissue.Mustbeabletofityourmessageontoat-shirtthatcanbereadatareasonabledistance.

o Nonlinearity(numberstest):Lobbyingisnotassimpleasastraightline.Itsaboutrelationships,whicharemorecomplexthanthat.Nexttimeyoureadanarticle,checkwhoitisthatiscommentingonbehalfoftheMinister.ThosepeoplearejustasvaluableconnectionsastheMinistersthemselves.Howmanydirectcontactsdoyouhaveontheissuethatyouareadvocating?Bureaucrats,execstaff,otheradvocates,media

o RelationshipBuilding(phonecalltest):Peopleandpersonalitiesdrivechange,notideasalone.UsethetimepriortoLobbyDayandafterLobbyDayfor365-dayadvocacyefforts.Itsnotthemostcomfortablewayofgoingaboutadvocacywork,butyouneedtobeabletogetitdone.

o PrincipledPragmatism(therealitytest):Constraints,politicsbalancesbothprinciplesandpragmatism.Ensureyouunderstandtheeconomicconsiderationsofyourask,readuponthebusinesssectionofpapers(makesureyouunderstand:GDPgrowth,labourmarkets,interestrates,inflation).Takeamacroeconomicscourseifnecessary.Thesearetoolsthatwillmakeyouabetteradvocate,byunderstandingthestructuralconsiderationsofmedicine.Knowingtheconstraints,thesituationalmapislaidoutandyoucanunderstandthelikelihoodofyouraskbeingaddressednoworlater:WhereWEfitwithinTHEIRplan.

• Questions:o Jeffrey,NOSM:Howwouldyoudescribetheroleofanadvisorvsthe

Minister’srole?Whatstepscanbetakentoendupwhereyouarenow?

§ A:Justask!Oftenpeoplewillgiveajobtosomeonewhoispassionateorinterested.Showinterestanddon’tbeafraidtoaskforajob.Dowhatyoulovetodo–therewillalwaysbeplaceforchange.Pickupthephoneandaskforit.

o JacquelineCarverhill,Saskatchewan:Onprincipledpragmatism:Howdowebalanceoureffortsbetweengrassrootsinitiativesandaligningwithpoliticalagendas?

§ A:Muststillfightforyourprinciples,butunderstandthelimitsofwhatcanbedonewithcurrentgovernmentalagenda.

o SarahSilverberg,Toronto:Whatareyourthoughtsaboutadvocatingformultisectoralportfolios,complextopics?

§ A:Reachouttoallplayers,dothebackgroundwork.o JessicaHarris,Saskatchewan:Simplicitytest:howdowegoforward

withtopicswithoutgettingtoocomplicated(contentexpertise)?§ A;Stateyourposition,mapallthestakeholders,seewhoison

boardandwhoisn’t.o AntheaLafreniere,Ottawa:I’llbehonestnowthatmymandateas

Presidentisover,Idon’tlikethePharmacareaskandIhaveneverlikedPharmacareask,althoughIhaveworkedtopushtheCFMSagendaonthataskforyearsnow.WithyourmanyyearsexperienceattheCFMSandnowingovernment,whatdoyouthinkweshouldbeadvocatingforwiththefederalgovernment?

§ A:ThemandatelettersofalmosteveryMinisterincludeimplementingtheCallstoActionoftheTRC,noexceptionsinthehealthportfolio.Manyothergroupsarealsoworkingonthatfrontandthiswouldbeanissuewhereinmanyalliedgroupscouldbefound.Drugfiles(opioids,antimicrobialresistance,ChoosingWisely)isalsoaveryhottopicatthemoment.Asmedicalstudents,thisisoneofthosetopicsthatyoualreadyatbaselineunderstandbetterthantheaveragecitizensothereisagoodroleformedstudentstoplayinthatask.

o EricZhao,UBC:HaveyourpoliticalviewschangedthroughthisexperiencewiththeMinisterorhavetheyevergotteninthewayofyourwork?

§ Yes,ofcourse!Cannotgetintomanydetails.Youlearntolivewithitandworkdespiteanypersonalfeelingsyouhaveontheissues.

CMAStudentSegmentPresentationbyMs.JennaLove

• IntroductinonbyDrCarlWhiteUlysse• AmbassadorsProgram,AdvocacySkillsTrainingaresuccessesfromthelast

year• Lovetohaveideasfromstudents,canchampionstudentideasonCMA’s

behalf• Alwayshappytoanswerallquestions,connectuswiththeappropriate

people• Ryanistheprimaryliaisonwithinthe3companies(MD,Joule,CMA)

o Canspeaktoalltheservicestheyoffer• Joule

o Newbranding,opportunitytousehands-onclinicalapplicationtools§ DynaMed+§ RxTx§ Wanttohearwhatotherappsweareusing

o JouleInnovationGrants§ 150000$grantsformedicalstartups§ Appthatwonthisyearwastranslationtool§ Hack-a-thons,opentomedicalstudents§ InnovationGrantsareavailabletomedicalstudents

• MDFinancialo 49officesinthecountryo Story:finalyearresidentwith850000$indebt.Don’tneglectyour

finances,evenforjustafewyears!Freeservices,allstaffonsalary(nocommissions)sowon’ttrytosellyouaserviceifitisn’tinyourbestinterestorisn’tneeded.

• Questions:o RyanGiroux,Toronto:OntheapplicationformfortheInnovation

grants,itmentionsthatstartupfunds(about10000$)arerequiredpriortoapplying,thisisveryprohibitivetomedicalstudents.

§ A:Thisaspectisstillaworkinprogress.Thisyearwastheveryfirstiterationoftheawards.Wewelcomecommunicationofflinetodiscussthisissueandanyothersyouguysmayhave.

Aspecialthank-youtoAntheaLafreniere,CFMSPresident2015-2016,forherexceptionalserviceanddedicationtotheCFMSovermanyyears,

ChoosingWiselyCanada(CWC)byAngelaHan&DaphneCheung• Reviewofprogram,“SixThingsMedicalStudentsandTraineesShould

Question”,resourcestewardshippaperendorsedbyCFMS• Programresults,keyenablers• STARStomeetatLeadershipSummitFeb26-272017withnationalChoosing

Wiselyevent• WhatisonethingtheCWCandCFMScanachievetogetherinthenextyear?

o StephanieSmith,Calgary:Easierforouryoungpatientstobuyintothisprogramofquestioningphysiciansmore,asopposedtoolderpatientswhoareusedtoamorepaternalisticmodel.Iwouldbeinterestedtoseeifwecanadvocatemorespecificallywiththoseolderagegroups.

o BenCassidy,NOSM:WearestillatthelevelofmakingstudentsawareofCWCactivitiesandthatmaybeanoverlappingrolewiththeCFMS,givenitslinesofcommunication.

o CalvinTseng,Alberta:IthinkcontinuedevaluationoftheCWCprogramisneededandassessingourprogresstodate.

ResidentDoctorsofCanada(RDoC)presentationwithDr.TerryColbourne,RDoCVice-President

• IntroductionbyDrCarlWhiteUlysse• RDoC,WhoWeAre:

o Represent10000residentdoctorsinCanada,establishedin1992,5-personexecutive

o Strategicplanoverview• Overlappingportfolioitems

o Increasingnumberofcommonportfolios,includingCaRMS,CBME,continuedworktopromoteandensuretraineewellness(resiliencycurriculumfromRDoC)

o RDoCdriveschangethatimpactslessitscurrentmembersandmoreitsfuturemembers(i.e.currentmedicalstudents)

• ConsiderinvolvementwithRDoCearly,sinceresidencyisveryshort(especiallyforFamilyMedicine!)

Questions:• BenCassidy,NOSM:Couldweimplementtheresiliencycurriculumin

medicalschool?o A:Thisisapilotprojectatthemomentandweareimplementingit

carefullytobeabletomonitorandassessitsmerits,butit’scertainlysomethingtolookintointhefuture.

• KaylynnPurdy,NOSM:Asamilitarymember,Ihavereceivedlotsofresiliencytrainingandhavealsonotedthatthemedicalcultureisoneof“dealtwithit”whenitcomestopressuresanddifficulties.Shouldwenotbeaddressingculturalshiftasopposedtoresiliencytraining?

o A:Resiliencyisonlyabrickinthewall,everyonereactstoourtrainingexperiencesverydifferentlyandcanstruggle.Regardlessofthe

problemswiththeculture,wedoneedtheresiliencytrainingtoarmourtraineeswiththeskillstocope

• StephanieSmith,Calgary:Justheardaboutyourresiliencyprogramanditsoundswonderful.AsIamalsoexperiencedwiththemilitary,Icanseethatitisagreatexampleforproactiveresiliencywork.

o A:Militarywasourbasisformuchofthecurriculum.Itsgreattoseetheenthusiasmthecurriculumhasgeneratedandhopetocarrythatmomentumforward.

TheYearAheadwithCFMSPresidentFrancoRizzuti

• Acknowledgementoftreaty6land• CFMSVision,Mission• Ourmembershipisourdrivingforce,servedbytheexecutive• Introspection:withdevelopmentofnextstrategicplan(2017-2020)• Yearofgrowth:“We’veoutgrownwhatwewere,butwe’retoosmallforwhat

wewanttobe”• Reunification:bringingGlobalHealthbackintothecoreCFMSfamily• Bigissuesfortheyear

o TheunmatchedCMGo Physiciantraineewellness

• Getintouch,getinvolved(FallCallupcoming!)ExecutiveQ&A

• AbigthankyoutoRosemary,theExecutive,ourhostsatUniversityofAlbertaandsponsorsforalleffortstobringtogetherthismeeting

• JoshPalay,Manitoba:HowdoweincreasememberengagementwiththeCFMSCommuniqué?

o Carl:TheCommuniquéhasbeeninredesign(comingsoon),BrandonChristensenisworkingonthis.

• TaneilleJohnson,UBC:FortheWellnessSurvey,ifunpleasantresultsdocomeup,howwilltheseensitiveproblemsbedealtwith?

o HanYan,Western:TheWellnessSurveydatacurrentlysitswithBrandonMaser.Thecurrentplanistoreviewthedataasateam.DataforeachschoolwillbereturnedtoeachschoolwithcarefulrollouttotheDeansandstudents.Oneofmygoalsistocarefullyreleasethisdata.

o AntheaLafreniere,Ottawa:ThisistheexactissuewehavebeenhavingwiththeDeansregardingtheSurvey.WehavebeeninfrequentcontactwiththeDeansonthistopic.Ihavestoodbyandstandbythehighcaliberoftheresearchinthisproject.WeneedtobecarefulbecausetheremaybesomeconcernsifSurveydataisatoddswithlocalFacultydata.

o Taneille:Mymainconcernisthecensorshipofthedata…

o Anthea:Forinstance,Idon’twantittobeknownthatschoolXhasafivetimeshigherrateofsuicidecontemplationthanthenationalaverage.Thatisnotappropriateanddoesnotleadtochange.Wewillhavedatathatwillbesenttoschools,butwewillask/push/demandthatschoolsmakechangesiftheyarenotuptopar.Wewillnotpubliclysingleoutschoolsbasedontheresults,butwewilladvocateclearlywiththeschoolsthatarenotmakingchanges.

• JennaWebber,NOSM:IwishtocommendtheExecutiveteamabouttheirapproachabilitythisyear.Also,Rosemary,weloveyou!AsforengagementwithinIFMSA(globally),Iunderstandthatourmedicalprogramsareshorterthanmostworldwide,butdowehaveaplantoengageCFMSfurtherwithIFMSA?

o FrancoRizzuti,Calgary:Wedoneedtolookatoutglobalengagementstrategy.SomeaspectsofIFMSAworkwell,somedon’tandIfeelweneedtobestrategicaboutourengagement.Idon’twanttotieJessica(Bryce)’shands,butthisispartofourplan.Theotheraspectisbudget:itcostsalottobeinvolvedatthegloballevelsothatmustbeconsideredalso.

• CalvinTseng,Alberta:DoestheCFMSsupportlocalinitiativesforcurriculumdevelopment?

o JessicaHarris,Saskatchewan:WiththeAdvocacyandLeadershipCurriculum,weworkedcloselywithlocalpeoplealreadyadvocatingateachschool.OurrolewouldbetofacilitatethoseconversationsandpullintheEducationCommittee.

• TavisApramian,Western:WiththeWellnessSurvey,weshowedourcapacitytoproducehigh-qualitynationalresearch.Iseepotentialforanannualnationalresearchsurveythatcouldincludethequestionsmostpressingtousandhelpguideourwork.Whatdoyouthink?

o Anthea:OurbiggestchallengewiththeWellnessSurveywasethicsapproval,whichwasdoneatUBC,buttheDeansbecamequiteadamantthatweneededethicsapprovalfromeachlocalschool.ThiswasproblematicatManitoba,MUN,etc.sothemapofnationaljurisdictionsforethicsapprovalwasdifficult.Thiswasabigbarriertothiskindofworkandwouldbeifweweretocontinuethistypeofsurvery.

o Carl:Nationalcommunications-wise,thiswouldbetoughbecausewehaveneededtostandardizethecommunicationsstrategiesacrosstheboardfortheresearchtoholdvalidity,whichisahugechallengeforbothCFMSandtheschools.OnsomethingasimportantastheNationalWellnessSurveywewerewillingtoputinthateffort,howeveritwouldnotbefeasibleonanannualbasis.Studentsarealsocalledupontofilloutmanysurveysthroughoutmedicalschool,thusannualonesfromuswouldverymuchaddtothat.

o Franco:Ourlimitationisourcapacitytodothisworkandwearecurrentlyworkingonexpandingourhumanresourcescapacity.

Anotherproblemisthedataownershipandvariationsindatabetweenoursandfaculty’ssoasnottoputusatoddswiththefaculties.

• BushraKhan,McMaster:Howdoyouthinkwecanreachouttotheapatheticstudent?Carl,Emily,doyouhaveanythoughts?

o CarlWhiteUlysse,McGill/Toronto:Itwasabigpieceofmymandatetofindnewwaystoengageourmembers.SomenewwaysincludetheThunderclapcampaignduringthelead-uptoLobbyDay.Wereleasedpostersateachschool,becauseIbelieveintheimportanceofaphysicalpresenceoncampus.Ithinkweneedtobeoncampusesmore,includingNationalOfficersandExecutive.There’salsotheswagpiece,whichhelpspeopleknowwhoyouare–theclipboardshavebeenagreatwayofdoingthat.

o Emily:WehadtheMonctoncampusjoinourorganizationrecentlyandtheirprimaryreasonforjoiningwastheirownphysicalisolation.Theywereinterestedinjoiningusbecausewehaveastrongvirtualpresenceadresourcesforourmembersinthatvirtualspace.IhopetobuildonCarl’sworkinadditiontobolsteringupouronlinepresence,whereeverystudentdoeshavetheirvoice(website,Twitter,Facebook),andbringthatvirtualconnectednessintotherealspacethroughourTravelAwards,LeadershipAwardsandSIGs.

• KaylynnPurdy,NOSM:Thereiscurrentlyalargemovementtowardsopen-accessmedicaleducation.Allofourresourcesarelockedandmanyofourmembersdon’tknowhowaccessthem.Whatareyourfeelingsonunlockingtheseresources?

o Franco:Goodquestion.Ondiscountside,thesearemoresafelyguarded.Historically,therewasmoretensionbetweenCFMSandFMEQandweweremoreguardedbecauseofmembershipconcerns.Moreandmorenowistakeninaopenmodel.We’llputitonourradar

o Carl:Respectfullydisagree.Membershiprecruitmentispointlessifallourresourcesareopen-access.

o Kaylynn:Somethingtoconsiderbecausenoneofthe14schoolshaveachoiceintheirmembershipandglobalhealth-wisewecanshowoffinitiativesanddocumentstoothercountries.

• Jeff,NOSM:Wanttocommendthiseventasitwasverywellorganized,verywellrun.Allofthedetailsmakethisanefficientandpleasantmeeting.Goodjob!

o Fatemeh:WanttocommendtheUniversityofAlbertateam,Julianna,BrandonandBrendan!

• Margherite,UBC:HowtowegetthegeneralmembershipmoreinvolvedintheleadershipoftheCFMS?HowdowemixupacycleofNOtoCFMSexecutive?Howtoincreasethefairnesstoourgeneralmembers?

o Anthea:We’vehadonly4returningmembersoftheExeclastyearanddespitealltheirexcellentwork,werequiremoreonboardingtime

thanusual.We’reworkingonincludinggeneralmembersintheelectoralprocessandthevideoconferencingelectionscertainlyhelp.

o JessicaHarris:Abigpartofmyworkthisyearhasbeenfosteringthesegrassrootsinitiativestoinvolvethegeneralmembership.

o Carl:Travelawardsareabigwayofbringinginthegeneralmembership,EmilyHasanexample(fromtravelawardwinnertoExec).

o Franco:Thestrugglewiththesemeetingsisalwayscapacity.Wehitourcapacityofspaceandwecan’texpandtolargevenueswithoutsignificantlyincreasedhotelexpenses.Ahugeamountoftheworkwedoasanorganization,policypapers,committee,etc.comesformthegeneralmembershipinalongitudinalmanner.

• VivianNg,McMaster:Lookingforward,Ihavesomeconcernsaboutoperations.Weareconstantlyexpandingandwehavesomanypositionpaperandmotions.Howarewegoingtoprioritizetofitthemallintoourtwomeetingseveryyear?

o Carl:Thisisaverygoodquestion.Balancingourmeetingcontentwithelectionsandpapersistough.Wewanttoallowformemberengagementandallowforthepapersbutthereisalsolimitedtime.Expandingthemeetingisnotanoptionbecauseofleaveofabsencetimeconstraintsonallstudents.Wemayhavetolookatcappingthenumberofpapers.

o Vivian:WouldyouconsidercappingforthenextSGM?o Carl:Iwouldhavetodeferthattothenextexec.

Closing

• Thankstothechair,DrCarlWhiteUlysse• Motiontodestroyelectoralballots

o MovedbyJennaWebber,secondedbyMargheriteHeynso Motionpassesnemocontra.

• Motiontoadjourno MovedbyRyanGiroux,secondedbyEmilyHodgson.o Motionpasses.