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Bulletin de l’Association des médecins omnipraticiens de Montréal (Affiliée à la Fédération des médecins omnipraticiens du Québec)

July 2009 | Volume 32 | N° 2 Dépôt à la Bibliothèque nationale du Canada et du Québec, 2e trimestre 1985 ISSN 0831-6465

Family Medicine Specialty is Now a Reality

Dr. Marc-André Asselin

(CMFC) administered and recognized the title of specialist in family medicine for physicians who are members of this Collège who made this request according to certain criteria. A physician who graduated after 1993 was able to obtain the title upon request on the condition that all the requirements of the CFMC were met in terms of continuing medical education and of being a member. Some are already using this title here in Quebec.

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he idea of making family medicine a specialty has been discussed in many circles, in both Canada and Europe, for several years now. We all agree that the particular approach of family medicine and the scope of the knowledge needed for this discipline make it unique.

ditorial

© Photo : Le Médecin du Québec

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The specialty has been recognized in many countries, but in Quebec we resisted this recognition for reasons relating to justice, solidarity and specific modes of practice that we will explain below.

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Within 18 months approximately, the title of specialist in family medicine should be a reality in Quebec.

The recent agreements allowing for a freer flow of medical personnel between France or the other Canadian provinces and Quebec have led the Collège des médecins du Québec to review its position on the specialty of family medicine. Indeed, physicians who hold this title can come to work here in Quebec. We must, therefore, find a way to harmonize the professional designation of all family physicians practicing in Quebec. We are very pleased that the FMOQ was consulted on this issue.

We might ask what was behind the Federation’s resistance to the specialty. This requires some background information. You will see that this position was not gratuitous, far from it. For the past two years, the Collège des médecins de famille du Canada

As for those who graduated prior to 1993, year when the multidisciplinary internship disappeared, the physician had to have become a member of the CMFC (dues of approximately $700 per year) and had to have followed a oneyear training program with a mentor (approximately $2,160 in fees), culminating in an objective evaluation at the end of the training. Once these steps were completed, the physician could earn a diploma from the CMFC.

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Your Federation could not accept such conditions. All family physicians in Quebec should be recognized as specialists in family medicine and, in our opinion, the administration of this specialty should be placed under the authority of the CMQ, as are all the other specialties in Quebec. The process described above would have led to a (cont’d on page 3)

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ummary É S PAGE EDITORIAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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We Want to be Paid for What We Do . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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FMOQ vs. AMOM… A Few Clarifications Are in Order . . . . . . . . . . . . . . . . . . . . . . . . . .

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“Stealing” Registered Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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A Very Successful Gala! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Family Medicine in Quebec – an Enviable Model. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Physician’s Union Conference: The General Practitioner at the heart of Health . . . . . . . .

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Rent Based on a Percentage of Office Income and Annual Lump Sum Payments for Vulnerable Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Recruitment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Training in Montreal: You are Very Active! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Jobs Offer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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AMOM Delegates 2008-2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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L’OMNI WILL PRINT YOUR COMMENTS L’OMNI is a newsletter written by AMOM to provide information and allow our members to exchange opinions. We would be delighted to publish your texts Send it to:

AMOM ([email protected]) 1440, Sainte-Catherine West - Suite 1000 Montreal (Quebec) H3G 1R8 Telephone: (514) 878-1911 Fax: (514) 878-2608 Web Site: http://www.amom.net

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(cont’d from page 1)

rupture and a partition within our own ranks. That is something that we absolutely do not need. We would like to highlight the good will of all the parties in the talks that have taken place. The obstacles have now been lifted and within 18 months approximately, the title of specialist in family medicine should be a reality in Quebec. The grandfather clause recognized by the CMQ will make us all specialists in a recognized, complex and demanding specialty of which we are all proud. Strangely enough, the FMOQ bylaws (written in 1963) define a member by what he/she is not. A general practitioner is one who does not have a specialty diploma. This will be the ideal opportunity to modify this definition and state it in positive terms! What will be the future impact of this recognition? Time will tell. Yet, one may think that this could be a positive element for medical students when they have to choose their careers and that this will lend support to the plan for enhancement of the value of family medicine proposed by the Federation. From a financial point of view, while

some claim that the opposite is true, we have our doubts that adding a few letters after M.D. will be enough to convince our negotiating partners to loosen the purse strings and increase remuneration for all general practitioners. The discussion concerning the length of residency in family medicine is ongoing. Several European countries already require three years of training. The shortages that we are currently experiencing (a situation that shows no signs of improving in the short term) compel us to proceed with caution. This issue should be addressed in the same spirit of collaboration that prevailed during the discussions about recognition of the specialty of family medicine. Medicine is changing rapidly. The creation of a specialty in family medicine is the culmination of a long process of sharing of knowledge, listening and collaboration. This is a good example to follow. Dr. Marc-André Asselin President

Welcome to our new members! The following physicians have recently joined the ranks of AMOM Dr. Marzieh Abedpour Dardashti Dr. Sophia Aouinati Dr. Jean-Pierre Bazzo Dr. Nacera Kheira Ben Smaine Dr. Céline Cardinal Dr. Lise Couturier Dr. Ophélie De la Haye Duponsel Dr. Atika Ennaïfer Dr Genevière Ferdais

Dr. Dr. Dr. Dr. Dr. Dr. Dr.

Liliane Fortier Éliane Giguère Samer Hasswani Nebojsa Kovacina Laurie Musgrave T.K. Van Nguyen-Ong Gaël O’Shaughnessy

Dr. Gilles Plamondon

Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.

Jacques Poirier Andrew Gregory Reid Sylvie Rheault Louise-Isabelle Rivard Jacinthe Roy Renida Sam Jessica Svitek Waguih N. Tannous

By becoming members of our professional union association, they are contributing to improved representation of Montreal general practitioners on the FMOQ Council and to the promotion and defense of our specific interests. In addition, as members of AMOM they will be better informed about the issues of concern to them and will be able to benefit from AMOM assistance if needed. Dr. Marie-Pierre Laflamme AMOM Secretary

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his article summarizes in just a few words the numerous meetings that your AMOM representatives have held since February 2009: to be paid for what one does.

include any of these tasks, except for a few specific forms and a few hours in FMGs.

The AMOM Board established an agreement committee, coordinated by Dr. Michael Vachon, and assisted by myself and Dr. Jean-Pierre Villeneuve, to provide fuel for our federation in the upcoming negotiations for the renewal of the 20102016 Agreement. Our mandate was to determine the points of discontent and draft suggestions that will improve the conditions of our professional practice. We worked very hard, holding six meetings between February and April, in order to be ready to participate in the professional union conference at the end of May.

• There should be a way to bill for interdisciplinary meetings and meetings with families, regardless of the physician’s type of practice.

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• Physicians who are paid fee-for-service Dr. Francine Léger are not paid for attending meetings. Physicians no longer want to serve as volunteers for service meetings, for participating in committees relating to the CMDP. It should be normal to have billing codes for remuneration of hourly fees, as well as practices remunerated on a fee-for-service basis.

The next agreement will bind us for six more years.

There were four sub-committees made up of your sector delegates and their assistants. These committees represented the different aspects of medical practice in Montreal: – acute care: Dr. Marie-Chantal Pelletier and Dr. Didier Serero – chronic care: Dr. Marc-André Lemire and Dr. Isabelle Paradis office care: Dr. Zaïm Bardaji and Dr. Chantal Lefebvre – miscellaneous care, including among other areas, teaching, the complexity of the Agreement, AMPs/PREMs: Dr. Marie-Pierre Laflamme, Dr. Isabelle Paradis and Dr. Marie-Claude Raymond.

Two main points were raised at each meeting: • Physicians are not paid for everything that they do and for all the medical acts that they perform. • It is imperative that we obtain a salary adjustment to bring our salaries closer to what is earned by general practitioners in other provinces and by specialists here. This gap is most likely having a negative impact on recruitment of our future residents in family medicine, as externs in medicine seem to choose specialties.

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EXAMPLES? • Physicians have more and more administrative work: forms, following up on test results, meetings, calls to patients. Fee-for-service does not Newsletter from the Montreal Association of General Practitioners

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• Physicians read x-rays, ECGs, do ultrasounds, and so on and cannot bill for all these acts that require their

expertise.

• Physicians are often on duty 24/24 but the lump sum for on-call covers only evenings and weekends. Is this normal? • Friday evening and the night from Sunday to Monday should be considered as being part of the weekend. The evening rate should start at 4 p.m. and that of the night should end at 8 a.m. Consideration of these issues is ongoing. This summary does not report on all the suggestions that were made during these meetings. We will also take into account the observations and recommendations that are made at the professional union conference. At the end of July, during the delegates conference, we will review the elements to be highlighted as your association’s position is developed. It is not too late to add your thoughts. We need your suggestions and your comments, since the next agreement will bind us for six more years. Dr. Francine Léger AMOM Agreement Committee July 2009

© Photo : Le Médecin du Québec

We Want to be Paid for What We Do

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FMOQ vs. AMOM… A Few Clarifications Are in Order

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THE FMOQ

It should be noted that the FMOQ remits 20% of the amount of the annual union dues to the associations for each member in good standing. A member in good standing is defined as Dr. Michel Vachon one who has signed a membership form with the association and pays the full fees.

The Fédération des médecins omnipraticiens du Québec represents all the general practitioners in the province, approximately 8,000, regardless of their remuneration mode and their place of practice. The FMOQ is made up of 19 associations, 17 of which are regional. The two others are the Association des médecins omnipraticiens en CLSC (AMCLSCQ) and the Association des médecins omnipraticiens œuvrant en établissement psychiatrique (AMOEP).

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Thus, AMOM’s level of representation at the FMOQ could be even higher.

The FMOQ is composed of the General Management Department (Dr. Louis Godin) and three other departments: Professional Affairs (Dr. Michel Desrosiers), Professional Training (Dr. Pierre Raîche) and Planning and Regionalization (Dr. Serge Dulude). The Federation’s organigram can be found on its website, where the full structure of the Federation is described. The FMOQ Board is made up of nine members, all presidents of associations, and the President-Executive Director.

Each association is entitled to a certain number of delegates to represent it and to make up the FMOQ Council, which meets three times a year in Montreal. The number of delegates depends on the number of members in good standing from each of the associations and is calculated according to the following formula: for the first 80 members, 2 delegates; 1 more delegate for every 64 members addition. The delegates are appointed for one year. The Council represents the

© Photo : Le Médecin du Québec

supreme authority of the Federation and its Board must defer to the Council’s decisions.

t appears that many of you have trouble differentiating between these two bodies. We have thus put together a summary of their missions and their respective composition. You can find much more detailed information on the following websites: www.amom.net and www.fmoq.org

AMOM

The Association des médecins omnipraticiens de Montréal, one of the 19 associations affiliated with the FMOQ, represents close to 2,000 physicians in its territory. In terms of number of members, it is the largest association in the FMOQ, with 26 delegates. Its purpose is to defend and develop the economic, social, moral and scientific interests of its members.

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AMOM’s business is administered by a Board, composed of 10 members, that meets about six times per year: - 4 officers (President, Vice-President, Secretary and Treasurer), who are elected by universal vote at the annual general meeting in even years; - 6 sector delegates, elected by mail-in vote; each delegate represents one of the sectors (West, South-West, North, East, Centre West and Centre East) and has an assistant delegate. Finally, the 16 other delegates representing AMOM at the FMOQ are members in good standing appointed by the Board during its (cont’d on page 6)

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FMOQ vs. AMOM…

(cont’d from page 5)

November meeting. The Board also appoints substitute delegates. Our president, Dr. Marc-André Asselin, participates among others in the Federation Presidents’ Commission. This Commission acts as an advisory body to the FMOQ Board and it is composed of the 19 presidents of affiliated associations. This commission meets at least four times a year Dr. Asselin also acts as first vice-president at the Federation. This position allows him to take an active role in negotiating sessions with the Ministry. He also chairs several FMOQ committees. In conclusion, it should be borne in mind that AMOM represents only its members in good standing, i.e. only those who have signed our membership form. Thus, AMOM’s level of repre-

sentation at the FMOQ could be even higher. In fact, there are many physicians (over 250 in Montreal!) who believe that they are in good standing, but have never signed their membership form. They do not realize that not only are they contributing to decreasing our negotiating power vis à vis the other associations on the FMOQ Council, but they are also depriving their own association of the 20% remittance of their union dues, since the Federation does not redistribute these funds unless the membership forms are signed. This is simply a matter of good sense. Please check your status … and ask your colleagues to do the same. Dr. Michel Vachon AMOM Vice-president

“Stealing” Registered Patients

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enerally speaking, we often hear physicians complaining about having too much paperwork to do.

Unfortunately, since the advent of general patient registration, we have had many complaints about “abduction” of patients who are already registered with a family physician. This entails many steps to verify and rectify the situation with the RAMQ, which adds to the already substantial amount of time that a physician must spend on administrative tasks. We all recently received a letter from the president of the FMOQ, Dr. Louis Godin, concerning

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problems related to identification of a family physician. We would like to take this opportunity to support his position and to appeal to each of our members to review the procedures for patient registration in use in your office, to correct them, if need be, and to improve patients’ understanding of this formality. It is to our advantage to demonstrate collegial behaviour and respect for the rules relating to this registration. Dr. Marie-Pierre Laflamme AMOM Secretary

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A Very Successful Gala!

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people around the cause, from the Association of Physicians in the Estrie; Dr. Guy Laporte, a charismatic leader, first president and founder of AMOM; Dr. Paul Leblanc, a genuine Gaspesian physician, from the Association of General Practitioners of the Gaspé; and Dr. Yves Mathieu, a moderate force in the union movement, from the Association of Physicians of the LaurentiansLanaudière.

he organizing committee of the physicians’ union conference on May 28 and 29, 2009 chose to honour physicians who were Builders of the Federation. There were 250 guests who attended this enjoyable event, which took place in the Hotel Mortagne in Boucherville. It was a grand success.

These builders who enabled

The evening began with tributes to these physicians who, several decades ago, had participated in creating their regional associations. While they have grown since then, they have always retained their image. These visionary leaders in the 1960s left us a legacy that we are still defending today and that we are trying to develop.

the FMOQ to become

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what it is today.

Thank you to all these physicians, to those who were honoured, of course, but also to these builders who enabled the FMOQ to become what it is today.

Dr. Marc-André Asselin President

© Photo : Emmanuèle Garnier

Five of these leaders were honoured: Dr. Jean-Pierre Chagnon, a spokesman for the Association of Western Quebec; Dr. Bernard Coté, a man who was able to rally

Each one of them addressed the audience briefly to highlight the event. Some received standing ovations, in particular, Dr. Laporte, who gave a moving speech.

© Photo : Emmanuèle Garnier

© Photo : Emmanuèle Garnier

Dr. Guy Laporte’s speach.

Mrs. Gisèle Laporte, Dr. Michel Vachon and Dr. Hélène Béland, Dr. Marie-Pierre Laflamme and Mr. Carlo Mandolini, Dr Marc-André Lemire et Mrs. Célyne Champagne. Dr. Louis Godin hands a commemorative plaque to Dr. Guy Laporte, one of the driving forces behind the Montreal association. Also pictured: Dr. Paul Leblanc, one of the promoters of the Gaspé association.

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Family Medicine in Quebec – an Enviable Model

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not accepted, but also because it is legally reserved for specialists. The same holds true for male and female physicians. Simple abdominal pain in a woman would be referred because vaginal examination is prohibited. The examination tables look much more like a physiotherapy table than the one we use. The emergency room is obviously the domain of certified emergency care specialists.

recently had the chance to visit the magnificent city of Prague as part of the Fédération des médecins omnipraticiens du Québec conference. Through presentations, meetings, a visit to the Karlova Faculty of Medicine and another to a physician’s office we were able to gain a clear impression of the state of medicine in the Czech Republic. Comparisons such as this can be a source of comfort and reassurance. In the Czech Republic each citizen has a family physician, despite a specific distribution of the medical personnel. This small country has a population of 11 million and has 38,000 physicians, including just 5,000 general practitioners. This number has continued to fall for several years. It should also be noted that there is a three-year residency in family medicine.

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They do, however, take advantage of rapid access corridors to their specialist counterparts and to diagnostic testing that is easy for their clientele. While it was not clearly specified, we understood that their remuneration was slightly higher than that of their specialist counterparts, but much lower than what we earn here.

Often, when we start drawing comparison, we can take a little comfort in our situation…

None of these generalists has the privilege of practicing in an institution or even in an emergency room. There are 62 specialties covering all the disciplines and their sub-divisions. The generalists remain confined to their offices, where they are associated with a nurse who they pay out of their own pockets. Their overall remuneration includes a large portion of capitation, part fee-for-service and recently, a patient’s co-pay has been added since each citizen consults on average twelve times per year, which the government would like to decrease. Each physician is responsible for approximately 1600 patients and there is fierce competition.

Their remuneration comes from eleven different insurance companies, which the citizens pay into. An association negotiates the fees with each of the companies on the physicians’ behalf. What was most surprising by far is the type of services that these isolated family physicians can offer. For example, type 2 diabetes was followed by a specialist in diabetes; gynecological follow up by a gynecologist and a simple gynecological examination is prohibited because it is culturally

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Quebec general practitioners divide their time between hospitals and offices (60-40%) where our choice of activities is limited only by our code of ethics and our training. Contrary to what we were able to see there, Quebecois citizens expect their family physicians to do as much as possible and not refer them for the slightest complaint.

It also seems obvious that when the range of a physician’s interventions increases, the number of patients under his or her care must decrease, unless there is additional help and the support needed. A total of 1600 patients in our current context is totally impossible.

While continuing to fine tune it, I truly believe that our model must be arduously defended. Without a doubt, the theme of the XVIth Federation professional union conference of “The General Practitioner at the Heart of Health” responds quite well to our situation and to our role in Quebec society at the beginning of the 3rd millennium. Often, when we start drawing comparison, we can take a little comfort in our situation…. Dr. Marc-André Asselin President

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2. General practitioners and their professional environment Various topics were submitted for examination: organizational models, training, computerization, supports for practice, to name just a few.

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t is always interesting to get together with colleagues from all the regions of Quebec to exchange points of view and to hear firsthand information on what is going on here and there. There were 220 general practitioners participating in this year’s union conference.

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This XVIth physician’s union conference opened with the startling revelations concerning the salary gap between general practitioners and our specialist colleagues. It has now reached 54% and could rise to 63% in 2015 if no corrective measures are introduced.

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The exchanges were animated and fruitful and took place in a collegial and collaborative atmosphere. The FMOQ appointed “recorders” for all the workshops. This was truly an ideal opportunity to state our ideas.

© Photo : Emmanuèle Garnier

1. The objectives of the 2010 Agreement Each field of practice and remuneration was discussed. Those in attendance were able to raise problems encountered and to propose solutions.

3. Medical entrepreD Marie-Pierre Laflamme neurship This theme includes thorny issues such as the AMPs and PREMs, retention of medical manpower, hierarchization of care. Also discussed – physicians’ social and environmental commitment, which is barely publicized and not well known.

© Photo : Emmanuèle Garnier

Given that 2010 will be the year that we renew our General Agreement, the conference was almost entirely devoted to workshops on many aspects dealing with our practice. These workshops were divided into three main themes:

The positions will have to be clear and firm and physicians will have to act in unity.

Dr. Marc-André Asselin, president of the 2009 union congress.

© Photo : Le Médecin du Québec

Physician’s Union Conference: The General Practitioner at the heart of Health

Thursday morning press conference on the compensation gap between general practitioners and specialists. Left to right: Dr. Marc-André Asselin, Dr. Louis Godin and Dr. Claude Saucier.

(cont’d on page 11)

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Rent Based on a Percentage of Office Income and Annual Lump Sum Payments for Vulnerable Patients n response to questions posed by many members about the legitimacy of billing a percentage of rent based on the lump sums for vulnerable patients, AMOM asked for an opinion from the FMOQ legal department.

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less detailed the contract is, the more difficult it will be to determine if these amounts were taken into account. In such a case, one would have to find out what was the original intention of the parties rather than to focus on the literal meaning of the terms used.

“The rental percentage (%) is based on a principle that the more patients a physician examines, the more operating expenses he generates in the clinic. It follows that the higher the remuneration will be, the higher the physician’s expenses will be.

In cases where the contract is tersely written and makes no mention of this issue, and taking into consideration that the amount of the annual lump sum is not paid to an administrative account, if could be difficult for a clinic owner to claim a percentage due on the annual lump sum.”

There is some controversy surrounding the question of including income derived from remuneration relating to the payment of annual lump sums for vulnerable patients. There are many who believe that these amounts cannot be considered in a “cause and effect” manner with regard to a clinic’s operating expenses. Physicians do not bill the Régie for these lump sums; rather, they are automatically paid by the RAMQ. According to the Régie, these amounts are not honoraria in the sense of the General Agreement and therefore do not fall under the rules allowing the RAMQ to pay them into an administrative account. In fact, since these amounts are not billed by the physician, but are calculated by the RAMQ, the latter cannot pay them into an administrative account. Even though this is true, these sums are still income derived from a physician’s work in his office.

Me Pierre Belzile Head of the FMOQ Legal Department We hope that this opinion answers your questions. Feel free to contact us if you would like further clarification. Dr. Marc-André Asselin President

Taking into account the logic underlying the payment of annual lump sums, it may appear questionable, in principle, for a rent set in relation to a percentage of income to take this type of remuneration into account. From a practical point of view, by including annual lump sums in the calculation of rent could cause the cost of rent to rise more rapidly than the true cost of rent for the property, the services offered and staff costs. Beyond the principle, one must go to the source of the contract between the owner of the clinic and the tenant physician. Rental agreements can be drafted in different ways. Since it is a matter of a contract resulting from the mutual agreement of the parties who sign it, one must always verify the specific terms and conditions that it may include. The sums in question may have been specifically anticipated in the contract. The briefer and

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Physician’s Union Conference…

(cont’d on page 9)

The day was capped off with a gala evening that gave us the opportunity to pay tribute to the builders of the medical union movement in Quebec. Please see Dr. Asselin’s article on this evening.

Dr. Marc-André Asselin speaking to the members of the congress.

✂

Dr. Marie-Pierre Laflamme AMOM Secretary

© Photo : Emmanuèle Garnier

It was clear that we have our work cut out for us and that the next year of negotiations will not be easy, especially in the current economic climate. However, it will help to determine the future of the profession of family physician in Quebec. The positions will have to be clear and firm and physicians will have to act in unity.

Recruitment If you have a new colleague, associate or member of your department or unit, please make sure that he or she is also a member of you union association.

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Training in Montreal: You are Very Active! SPECIAL THANKS TO Dr. MARC GAGNÉ

YOUR NEW CME COMMITTEE

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The FMOQ self-directed plan, also available online, is easier to fill in than you may think.

Since Dr. Gagné has left, the AMOM Executive has established a training committee, which I am chairing. Two other veterans in the field of training, Dr. Francine Léger and Dr. MarieClaude Raymond, have joined me on this committee. Our committee has been given the mandate to choose methods and propose Continuing Professional Development (CPD) products that are most likely to promote the maintenance and improvement of our members’ professional and medical competencies. Our mandate also focuses on consolidating our network of local physicians responsible for training, as well as helping our members to take advantage of the online PADPC. We must also take charge of ensuring the day-to-day management of requests for credits and organize a conference as part of the annual meeting.

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© Photo : Le Médecin du Québec

After ten years at the helm of the AMOM Continuing Medical Education Committee, Dr. Marc Gagné has taken his leave. His many personal and professional responsibilities have led him to pass the torch. I would like to thank him personally for all the work that he has done and to say publicly that he has been my mentor these past few years as I worked alongside him as vice chair. During his mandate, numerous projects and conferences took place. The computerization of the requests for CME training credits at AMOM as well as his role in creating many workshops and symposia are just a few of his accomplishments.

Québec office, you are asked two questions: how many hours in the past year have you spent on continuing education and have you chosen our federation as the vehicle for your self-directed plan? Yes, another form, but the FMOQ self-directed plan, also available online, is easier to fill in Dr. Daniel Rouette than you may think. In addition, this reflective approach is interesting. It allows you to work through the process in a conscious manner, a process that many of us were already doing, either to consider one’s needs and areas requiring improvement and the strategies set up to go and seek information. We urge you to turn to the article in the March 2009 issue of Le Médecin du Québec (vol. 44, no. 3) which should answer any questions you may have about the online PADPC. You will also find links to the online PADPC and their review on the FMOQ website (www.fmoq.org). At the same time, we encourage you to browse this website which has a great deal of information and many useful links for your training.

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YOU ARE AMONGST THE MOST ACTIVE!

AND YOUR SELF-DIRECTED CPD PLAN?

In 2008, AMOM handled over 480 requests for training accreditation from 89 physicians in charge of local training in our network. We are truly fortunate to have AMOM Secretary, Danielle Villemaire, who provides ongoing support to our members.

During the months of May and July, as you renew your registration at the Collège des médecins du

Given the extent of the task, during the year we will try to consolidate this network and will work to

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Training in Montreal…

(cont’d from page 12)

ensure that all requests reach us electronically, within the prescribed deadlines. According to our statistics, Montreal physicians participate on average in 26 hours of Category 1 accredited training annually. The training takes many forms and quite a few physicians maintain their skills through conferences, workshops, reading and other types of learning. Our goals is to encourage all Montreal physicians to use all of the hours eligible for the training allowance fund, i.e. 42 hours per year, spread over 14 three-hour programs or 7 six-hour programs. It is unfortunate that many physicians forget to take advantage of this fund to which they are entitled. I would like to remind you that the lump sum is $336 for training programs that last 6 hours and $150 for those lasting 3 hours. Some international conferences taking place in Montreal or elsewhere will allow you to obtain

both the training allowance and credits. To find out more about this, please refer to the FMOQ policies on its website.

NOVEMBER 20, 2009….MARK THIS DATE IN YOUR AGENDA On November 20, 2009 we will be holding a 3-hour conference during the AMOM Annual Meeting. Last fall, over 100 physicians took advantage of this excellent training. We are hoping to offer enriching training at this conference once again this year. We would be pleased to hear about your needs and invite you to send in your suggestions about the format and content of this event by e-mail: [email protected]. Have a wonderful summer. Dr. Daniel Rouette, Chair Regional Training

REQUIRED FAMILY PHYSICIANS! Within the file regarding doctor’s health, the AMOM is constantly in search of general physicians who would agree to treat other doctors. Please, do not hesitate to contact us!

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Jobs Offer

Le CSSS Jeanne-Mance compte plus de 3000 employés et 100 médecins membres actifs. Il regroupe le CSLC des Faubourgs, le CSLC du Plateau Mont-Royal, le CLSC SaintLouis du Parc et les centres d’hébergement Jacques-Viger, Centre-Ville de Montréal, Émilie-Gamelin, ArmandLavergne, Bruchési et Jean-De La Lande. Deux missions distinctes qui présentent des milieux stimulants et riches en défis professionnels. Recherchons médecins Le CSSS Jeanne-Mance est à la recherche de médecins intéressés par une pratique diversifiée à se joindre à notre équipe médicale stable et dynamique en CLSC et en centre d’hébergement pour plusieurs postes disponibles plein temps ou partiel. Pour de plus ample information, veuillez communiquer avec : Dr Roger Roberge Directeur des affaires médicales 514 527-9565, poste 1458

General Practitioners Part-time or full-time positions available in acute geriatrics, day hospital, rehabilitation and long terme care at University of Montreal associated teaching hospital. All hours eligible at AMP’s. Position available for return from regional practice. Other advantages: weekly continuing medical education sessions, possibility to collaborate in clinical research projects. For more information, interested candidates should contact Dr. Suzanne Lebel, Head of General Practice Department at (514) 340-3514 or should forward their resumes by fax at (514) 340-2832 or by email at [email protected]

POSITION AVAILABLE, GREAT OPPORTUNITY! ATTENDING PHYSICIAN, CATHERINE BOOTH HOSPITAL Physician required for 16-20 beds The Catherine Booth Hospital is an 84 - bed rehabilitation hospital classified as an acute care specialized hospital (CHSGS / CHR). Average length of stay is 35 days with 10 new admissions per week per doctor. Patients are orthopedic or sub-acute, and are referred from an acute care hospital usually 4-6 days post-op or post-event. There is a multi-disciplinary approach to care and a very friendly and respectful environment. Remuneration is fee-for-service, daily mornings preferred. On-call is 1 in 4, off-site via telephone. Please call me or e-mail me if you are interested:

Dr. Catherine Lounsbury

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Recherchons omnipraticien (e) La direction des services aux personnes en perte d’autonomie du CSSS du Cœur-de-l’Île est à la recherche d’un omnipraticien (e) intéressé (e) à se joindre au programme de psychogériatrie de 2e ligne. L’horaire de travail pourra être adapté selon les disponibilités du médecin. L’équipe desservant les territoires du CSSS du Cœur-de-l’Île et de Jeanne-Mance est composée d’une infirmière, d’un (e) neuropsychologue, d’une psychologue, d’une travailleuse sociale et s’est associée l’expertise d’un gériatre consultant du CHUM. Pour de plus amples informations, veuillez communiquer avec : Sylvie Brassard, chef de programme Installation La Petite Patrie

514-481-0431

514-273-4508 # 3515

[email protected]

[email protected]

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Jobs Offer (cont’d) Le Programme québécois de dépistage du cancer du sein (PQDCS) de Montréal fait appel à tous les médecins Au Québec, une femme sur neuf sera atteinte d’un cancer du sein au cours de sa vie. Selon un sondage mené auprès des femmes :

La Direction des affaires médicales et universitaires cherche un(e) médecin omnipraticien(ne) pour se joindre à son équipe dynamique de médecinsconseils. Ce médecin assurera l’application de l’entente particulière sur les AMP, à raison d’une à deux journées par semaine (tarif horaire).

Pour plus de renseignements : Docteur Louise Ayotte Directrice des affaires médicales et universitaires ASSS Montréal 3725, rue Saint-Denis Montréal (Québec) H2X 3L9 Tél. : (514) 286-6500 poste 6942 Courriel : [email protected]

• près de la moitié des Montréalaises âgées de 50 à 69 ans n’a pas subi de mammographie de dépistage au cours des 24 derniers mois; • les médecins jouent un rôle crucial dans la décision des femmes de participer au PQDCS. Le PQDCS soutient les médecins dans la lutte contre le cancer : •

il invite systématiquement toutes les femmes de 50 à 69 ans à subir une mammographie tous les deux ans;

•

il assure le suivi de la patiente en cas de besoin d’investigation plus poussée;

•

il achemine tous les résultats au médecin de la patiente.

Le Centre de coordination des services régionaux du PQDCS de Montréal invite les médecins à encourager leurs patientes à participer au programme.

POUR EN SAVOIR PLUS ! Si vous désirez recevoir un représentant du Centre de coordination pour une séance d’information, veuillez contacter Manon Hudson au 514 528-2400 poste 3817.

(www.villamedica.ca)

3 médecins omnipraticiens Centre de soins de courte durée (200 lits) spécialisé en réadaptation, l’Hôpital Marie-Clarac agit en complémentarité avec les centres hospitaliers qui lui adressent leur clientèle adulte après le traitement en phase aiguë pour des services de réadaptation en orthopédie et en soins subaigus • Nature des fonctions : Hospitalisation • Spécialistes disponibles pour consultation : médecine interne, microbiologie et orthopédie • Rémunération à l’acte et forfaits pour la garde en disponibilité. • AMP reconnus Pour toute information supplémentaire Dre Sophie Stavrinidis, DSPH 3530, boul. Gouin Est, Mtl QC H1H 1B7 514 321-8800 # 307 ou 308 [email protected]

July 2009

Recherchons 1 médecin omnipraticien ➣ ➣ ➣ ➣ ➣ ➣ ➣ ➣

Joignez-vous à l’équipe médicale d’un hôpital dynamique à dimension humaine situé au cœur de Montréal

142 lits Réadaptation fonctionnelle intensive Hospitalisation de courte durée Médecine d’actualité – Défis variés En lien avec le réseau universitaire – suivi conjoint Équipe de professionnels dynamiques Atmosphère de collégialité Milieu multidisciplinaire

Champs d’activité : • Neurologie • Amputés • Post chirurgical orthopédique • Convalescence active (subaigus) • Centre d’expertise pour victimes de brûlures graves (associé au CHUM) ➣ Rémunération à l’acte (bonification 13%) ➣ AMP reconnues Pour toute information : Madame Suzanne Pelletier 225, rue Sherbrooke Est Tél. : (514) 288-8201 poste 4372

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AMOM DELEGATES 2008-2009 (December 2008) Phone Fax Executive President ...............................................Dr. Marc-André Asselin.............514 376-7702 ......514 376-2639 Vice-President........................................Dr. Michel Vachon ...................514 376-7702 ......514 376-2639 Secretary ...............................................Dr. Marie-Pierre Laflamme........514 642-4050 ......514 642-5438 Treasurer ...............................................Dr. Yvon Grand’Maison ............514 381-1327 ......514 331-8720 Sector West (1) Councillor .............................................Dr. Chantal Lefebvre ................514 633-1510 ......514 633-8299 Assistant Councillor ...............................Dr. Daniel Laliberté ..................514 631-6691 ......514 631-6691 Sector South-West (2) Concillor ...............................................Dr. Jean-Pierre Villeneuve .........514 362-1000 ......514 765-7306 Assistant Councillor ...............................Dr. Nathalie Girouard...............514 765-7325 ......514 365-2280 Sector North (3) Concillor ...............................................Dr. Marc-André Lemire.............514 331-3020 ......514 331-5827 Assistant Councillor ..............................Dr. Zaïm Bardaji .......................514 747-8888 ......514 747-4705 Sector East (4) Concillor ...............................................Dr. Marie-Claude Raymond......514 252-3400,#5622514 252-3482 Assistant Councillor ...............................Dr. Isabelle Paradis ...................514 494-4924 514 494-8182 Sector Center-West (5) Concillor ...............................................Dr. Didier Serero ......................514 340-8222 ......514 340-7917 Assistant Councillor ...............................Dr. Christine Florakas ...............514 340-8222 ......514 340-8298 Sector Center-East (6) Concillor ...............................................Dr. Francine Léger....................514 285-5500 ......514 285-2226 Assistant Councillor ...............................Dr. Marie-Chantal Pelletier .......514 890-8227 ......514 412-7536 Other delegates .......................................Dr. Ayda Bachir ........................514 331-3025 ......514 331-8720 Dr. Lise Cusson ........................514 338-2383 ......514 338-3155 Dr. Howard-Stanley Cohen.......514 697-8586 ......514 697-8070 Dr. Catherine Duong................514 362-8000 ......514 367-8624 Dr. François-Pierre Gladu..........514 340-2800 ......514 340-2802 Dr. Geneviève Jacob.................514 338-2050 ......514 338-2222 Dr. Christian Lauriston..............514 383-0559 ......514 383-3430 Dr. Michel Miron......................514 376-7702 ......514 376-2639 Dr. Julie Théroux ......................514 631-3391 ......514 631-6691 Dr. Nancy Tozer .......................514 695-0165 ......514 695-0991 Alternate delegates...................................Dr. Benoît Brodeur ...................514 381-9311 ......514 940-3304 Dr. Michel Dallaire ...................514 766-0546 ......514 765-3265 Dr. Gaston Drapeau .................514 637-8771 ......514 637-8771 Dr. Tuong Minh Nguyen ..........514 481-6399 ......514 481-5788 Dr. Daniel Rouette....................514 631-6691 ......514 631-6691 Dr. Quoc Kiet Tang ..................514 415-2874 ......514 731-4213 Dr. Marc Gagné .......................514 481-6399 ......514 481-5788