OCFP eNews: October 2017
Challenging topics, renowned clinician-teachers, certified Group Learning - just a few reasons you don't want to miss ASA 2017 . Need more? Check out the full program, or see the small sample below of the more than 100 presentations taking place at the premier family physician conference in Ontario.

  • Cannabis for Chronic Pain ... What's the Buzz?, Dr. Alan Kaplan
  • Skin Cancers, Squamous Cell, Basal Cell, Actinic Keratosis, Psoriasis and Lichen Sclerosus: Diagnosis and Treatment, Dr. Gary Sibbald
  • Aedes to Zika: Arboviruses Coming to Your Clinic Sooner than Later, Dr. Jay Keystone
  • The Opioid Crisis: How We Got Here ... and How Do We Get Out of It, Dr. Joel Bordman
  • Acute Severe Headache Diagnostic and Management Pearls 2017, Dr. Sean Moore
Partnered Supports to Help Navigate the Pain Management Landscape

Caring for patients with chronic pain is a complex challenge that demands a multi-pronged approach.

In an effort to ensure programs and resources are available to family physicians, the OCFP is partnering with organizations across the health system to provide coordinated supports for clinicians.

One such program is the OCFP Collaborative Mentoring Networks , which have been shown to improve the capacity and confidence of family physicians in managing complex patients in primary care, including mental health, addictions and chronic pain.

Available from Health Quality Ontario in November 2017, confidential opioid-focused Primary Care Practice Reports will enable family physicians to see and reflect on their opioid prescribing patterns compared with the provincial average.

Learn more about these resources and other Partnered Supports for helping patients manage pain, housed on the HQO website.
Promoting Compliance with Existing Limited Use Criteria for Fentanyl Transdermal Patch

The Ontario Public Drug Programs has implemented a new Health Network System feature for fentanyl transdermal patches. Effective Octoer 1, 2017, the new feature is applicable to Ontario Drug Benefit (ODB) eligible recipients.

The new feature promotes the appropriate prescribing and dispensing of fentanyl transdermal patches, by helping pharmacists ensure that patients meet the applicable clinical criteria for these products at the time of dispensing.

For more information , please see the Frequently Asked Questions document published by the Ontario Ministry of Health and Long-Term Care.
2017 CMN Members Conference
Mental Health, Addictions and Pain Management

A special post-ASA event taking place at the Fairmont Royal York, Toronto:
> Friday November 24: 6 p.m. to 9:30 p.m. and
> Saturday November 25: 8 a.m. to 4:30 p.m.

Registration fee: $50

Register now for the CMN Members Conference
Not a member of the Collaborative Mentoring Networks?
>  Learn more about the CMN
> Email us for more information
> Join the CMN by completing a Mentee application form (below)

OHIP+: What Family Physicians Need to Know

As announced by the Ontario Government this past spring, starting January 1, 2018, Ontarians with a valid health card who are 24 years old or younger will be able to get their prescription medications for free. Coverage will be automatic, with no upfront costs. 

What does this impending change mean for you and your patients? For some patients who need access to medications that are NOT on the ODB formulary, there are some things you can do now to ensure seamless coverage .

The OCFP has prepared a brief Q&A  to help answer questions that family doctors may have. In addition, a fact sheet for prescribers is available from the Ministry of Health and Long-Term Care and further questions or comments about OHIP+ may be emailed to: OHIPplus@ontario.ca.

Flu Season Is Coming

Just in time for flu season, here are some helpful resources from Public Health Ontario, including two brand new fact sheets on vaccines.

  • Ontario Respiratory Pathogen Bulletin: A weekly summary of influenza (and other respiratory pathogen) activity in Ontario, including information on the onset, duration, conclusion, geographic patterns, severity and progression of seasonal influenza activity.

  • Influenza webpage: A new centralized webpage on influenza includes laboratory test information, resources for health care providers and links to national and global influenza information.
Great Ideas: Family Docs and Hospitals Finding Ways to Improve Care Transitions
The OCFP and the Ontario Hospital Association have launched an Ideabook highlighting success stories led by hospitals and family doctors who are actively working together to advance the delivery of more seamless, high-quality patient care.

Stronger Together: Family Physicians and Hospitals Inspiring New Ways of Caring highlights innovative solutions in various communities to the challenges patients face when they transition from one health-care setting to another. These efforts have resulted in better outcomes for patients, an enhanced patient experience, and higher quality care.

Download a copy of Stronger Together [PDF 1.4 MB PDF ]
Tools for Practice 
Clinical question #196: What is the evidence for infant sleep training?

Clinical question #197: Does early peanut introduction in infancy influence the development of peanut allergy?
November is Osteoporosis Month - Learn More about Fragility Fractures

About 13,000 people living in Ontario experience a hip fracture every year. Roughly 20 per cent of these people will die within a year of their fracture, another 20 per cent who had been independent before their fracture will be admitted to long-term care, and less than half of those who had previously lived independently will be able to walk without aids.

More from Health Quality Ontario about quality care for fragility hip fractures:

> Infographic: Why we need a quality standard for hip fractures in Ontario
> More resources and information about Care for People with Fragility Fractures
Research Study: Clinical Screening and Referral Practices for Suspected Axial SpA

Researchers at the University Health Network are studying current clinical screening and referral practices for suspected axial spondyloarthritis (SpA) in adults with chronic back pain.The study seeks to understand how these practices align with clinical knowledge, awareness of existing tools, and the factors that help and hinder referral of patients suspected to have the condition for diagnostic assessment by rheumatologists.

Results will help inform the development of education strategies and models of care to facilitate early detection in primary care settings in Ontario, in order to ensure optimal care and outcomes for patients.

Just Certified! MSK Education: Joint Assessment Made Easy

The OCFP is pleased to announce certification of the MSK Education: Joint Assessment Made Easy program. Registration is currently open for sessions in Toronto and Ottawa for this 3-credit-per-hour Group Learning program, now certified by the College of Family Physicians of Canada for up to 21.0 Mainpro+ credits.

Developed in collaboration with Dr. Janice Harvey, t his comprehensive hands-on full-day workshop enables participants to develop an organized and efficient physical exam of the major joints of the musculoskeletal system , and to identify and differentiate between the various mechanisms of common musculoskeletal injuries.
Upcoming CPD Workshops and Events

  • Osteoporosis: Free, certified online course developed through a collaboration of the OCFP, McMaster University, Osteoporosis Canada and other experts

CPD By Request
Did you know you can request OCFP’s certified Continuing Professional Development workshops at your own local site?  Find out more about OCFP’s By-Request Workshops.
November is Radon Action Month

November is Radon Action Month, a good time to refresh your knowledge about radon and consider how you can help your patients reduce their risks of exposure and related illnesses.

In this timely article, family physician Dr. Farhan Asrar answers some common questions about radon for patients and family doctors alike.

( Photo: ©All Rights Reserved. Radon Reduction Guide for Canadians. Health Canada, 2013. Adapted and reproduced with permission from the Ministry of Health, 2017)
Tracking Opioid-Related Harms

Public Health Ontario's Interactive Opioid Tool has been updated to include 2016 data, showing a growing number of opioid-related harms in Ontario over the past decade and a 136 per cent increase in the number of opioid-related deaths.

The tool helps support the Ministry of Health and Long-Term Care's opioid strategy and local public health units responding to opioid-related harms.
Coming Soon - Family Medicine Conference 2018 Call for Abstracts

A Call for Abstracts for FMF 2018 will be open from December 15, 2017 to February 15, 2018. Stay tuned and check the FMF Abstracts webpage for updates.
Celebrating the Contributions of Family Doctors
As we get set to celebrate Family Doctor Week in Canada, the OCFP is proud to acknowledge the great work of family physicians in delivering high high-quality care in communities across the province.
Ontario College of Family Physicians | 400 University Avenue, Suite 2100 | Toronto, ON M5G 1S5
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