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DoM October 2024 Newsletter



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In this edition

View previous updates


  • The " Short" Report from Dr. Christine Short
  • Important dates
  • In memoriam: Dr. Ron Stewart
  • Member updates
  • A continuation of our "Conflict and Culture" series
  • Awards and recognitions
  • DoM in the news
  • Research
  • Education
  • Learning opportunities
  • Quick reference / recurring content
 

The "Short" Report from Dr. Christine Short


Hello everyone,


In this beautiful fall season, I’d like to take a moment to reflect on Mi’kmaw History Month. This is a time for all of us living and working in the part of Mi’kma’ki we call Nova Scotia to deepen our understanding of the history, culture, and contributions of the Mi’kmaq people. In the Department of Medicine, our commitment to improving our equity, diversity, inclusion, accessibility, and reconciliation aligns with the spirit of this month. For healthcare practitioners, it is essential to acknowledge this history and incorporate its lessons into our practice. Building meaningful relationships with Indigenous communities and fostering culturally safe care are steps we can all take to achieve better health outcomes for all.


This month also brings Diwali (October 31 to November 1 this year), the festival of lights, which celebrates the triumph of light over darkness, knowledge over ignorance, and good over evil. To all our colleagues celebrating, I wish you joy, peace, and prosperity during this special time.


I’d also like to update you on the progress of our strategic plan refresh, Forward Together. As I mentioned last month, this refresh is a vital opportunity for us to align our efforts with the realities and emerging needs of the Department and to position ourselves for future success. On October 10th, we held an executive retreat to kick off the process. We received some excellent input from our executive team and will share a summary of that soon. Realizing that all of your voices are critical, we want to hear from you too! To capture your thoughts, we’ve developed a survey that takes just 10-15 minutes to complete, and we are introducing a digital suggestion box, which you can access anytime. We made the suggestion box anonymous to create a safe space for departmental feedback, but feel free to leave your name with your suggestions or comments if you want us to know where they are coming from. Your insights will shape the Department and the final strategic plan, which we aim to launch by late spring or early summer 2025.


In our newsletter this month, Brennan Dempsey continues his review of The Mindful MD and summarizes some of the wellness advice presented in that book. This advice includes identifying and focusing on things that are within the locus of our control. It is by no means meant to diminish the huge amount of work that still needs to be done in the health care system that we work in to make our work environment a place that reduces the factors that contribute to burnout—quite the contrary. By offering a variety of mindfulness-based strategies, Gazelle offers us a way to continue engaging in the important work of system change and advocacy without sacrificing our health and wellbeing in the process.


As physicians and health care workers, we often put ourselves last, which contributes to our own burnout. This renders us incapable of advocating for the system changes that will have the largest impacts on the work environment. Like Gazelle argues, “physicians should see themselves as their most important patient.”  This attitude is not about putting ourselves ahead of our patients; it is valuing our wellness so we can be what we need to be for our patients. 


We have adopted a similar approach as a Department. 


Identifying what is in our power to change and advocating for things we cannot change by ourselves has created meaningful results. A few examples of the successes we have realized using this approach over the last few years include:


  • A total increase of 32 AFP FTEs to the department across our divisions, which represents a 23 % increase in the size of our physician workforce. As well, we have been involved in several business cases that will add more physician resources into areas that have critical shortages. 
  • In collaboration with the Dept. of Hospitalists Medicine, we have created a separate admission pathway for Hospitalist patients which has greatly decreased the stresses on our staff and residents in the Emergency Department. We continue to work collaboratively with the Hospitalist group to change the way we manage acute care patients that can help both of our Departments manage patient care better. 
  • We have added two Associate Physicians to support our internal medicine work, and we have gotten some of our overnight work recognized as extra work and not just an on-call. 


Although we have a lot more to do as a Department and with our stakeholders to optimize our work environment and further reduce the risk of burnout, outcomes like these help us know we are definitely headed in the right direction. 


I want to thank you all again for the work you do every day to keep the system functioning and for taking care of the patients and families we serve.

Take care,


Christine



Christine Short, MD, FRCP(C), FACP

Associate Professor & Head/Chief, Department of Medicine

Dalhousie University / Central Zone, Nova Scotia Health





Dr. Christine Short

Short

Photo by Nick Pearce




Important Dates

In our community


In this segment, we highlight commemorative dates and periods of time that are of significant importance for members of our community. Building our awareness of and engagement with these dates, weeks, and months helps us connect to patients and, ultimately, each other, in more open, attuned, and caring ways.

 

Mi'kmaw History Month, 2024: "Food Gathers us Together"

 

In Mi’kmaw tradition, food doesn't just nurture people's physical health; it also nurtures communities, ceremonies, and collective well-being. Like healthcare, food and its significance in Mi'kmaw culture is rooted in care, resilience, and healing.


Learning more about Mi'kmaw culture and heritage and recognizing the values of netukulimk – living sustainably with respect for all life – can inspire holistic approaches to patient care, education, research, and community health. This month reminds us of the importance of honoring treaty relationships, including our shared responsibility to protect natural environments that support well-being for all.


Visit mikmaqhistorymonth.ca to learn more about the history and importance Mi'kmaw History Month for all of us who live and work on Mi'kma'ki; and, to learn more about this year's theme, take a closer look at the poster above – clicking on it will enlarge it.



Canadian Islamic History Month, 2024: "Health and Healing"

 

Canadian Islamic History Month aims to celebrate and share with fellow Canadians the rich Muslim heritage and contributions to society in sciences, humanities, medicine, astronomy, and other disciplines that have greatly benefited human progress.


This year's theme is "Health & Healing," offering a special opportunity to explore and celebrate the profound contributions of Muslim scholars and scientists to the field of medicine. Throughout history, Muslim physicians, scientists, and scholars have pioneered work in medicine, laying the foundation for modern healthcare practices. Their innovations not only advanced medical knowledge, but also introduced new approaches to healing and wellness that resonate with us even now.


Scan the QR code above or visit islamichistorymonth.ca to learn more, including a list of Muslim luminaries in the field of medicine.



October 16 - International Pronouns Day


International Pronouns Day, which takes place every year on the third Wednesday of October, aims to make respecting, sharing, and educating about personal pronouns commonplace.


Referring to people by the pronouns they determine for themselves affirms their dignity and is particularly meaningful for anyone who is transgender or gender-nonconforming. In the Department of Medicine, where patient care, collaboration, and education intersect, recognizing and using correct pronouns fosters an environment of inclusion and respect.


Together, we can create spaces that honor everyone’s identity and contribute to a more compassionate healthcare system. To learn more about International Pronouns Day and its significance, visit pronouns.org/day.



While we would like to recognize all dates, weeks, and months that are important for our wider community, our selections are only a fraction of the many that are deserving of our attention and acknowledgement.


To stay up to date, we encourage you to review the following calendars regularly:


Calendar of Health Promotion Days


Calendar of Important and Commemorative Days


If you have suggestions for particular dates you'd like us to mention, let us know! Email Candice at candice.albright@nshealth.ca with your ideas.




Dates of note for DoM members


Dates in this segment are intended to help DoM members stay up to date on opportunities to engage, reflect, and contribute to both the department’s work and the broader healthcare community — from commemorative days, weeks, and months that highlight important themes in medicine, to operational deadlines and events.

 

Annual Flu Campaign / Departmental Flu Champions


Nova Scotia Health's Annual Flu Campaign is currently underway until mid-December. Click here to see the flu clinic schedules, and click here if you're interested in becoming a Departmental Flu Champion.


You can also get your flu vaccination from participating family doctors, nurse practitioners, family practice nurses, pharmacies, public health offices and mobile units. Options for booking an appointment (including for COVID-19 vaccines):



If you receive your influenza immunization in the community, please report it to OHSW.

Continuing Care Month


October is Continuing Care Month, and this year's theme, "Compassion in Action: Enriching the Lives of Nova Scotians," aims to highlight the vital role continuing care professionals play in supporting patients beyond clinical settings.


As partners in care, their work ensures smoother transitions, better patient outcomes, and improved quality of life. Recognizing their contributions strengthens collaboration across healthcare, fostering a more connected and compassionate system for all Nova Scotians. Visit nshealth.ca/continuing-care for more.

Breast Cancer Awareness Month


Breast cancer is one of the most common forms of cancer and the second leading cause of cancer-related death among women living in Canada. One in eight women is expected to be diagnosed with breast cancer in their lifetime.


Raising awareness of breast cancer screening to detect cancer at an earlier, more treatable stage, is crucial for the health of Canadian women. Read the latest message from Public Health Agency of Canada on Canadian advancement in breast cancer, and visit cancer.ca for important screening information.

 

October 29 - World Psoriasis Day


World Psoriasis Day has been celebrated on October 29th for more than a decade and is observed in over 70 countries around the world.


This year's theme is "Family," and IFPA – the international federation of psoriatic disease associations – has developed an extensive series of resources detailing the effects of psoriatic disease on the family economy, work life, social life, relationships, etc. 


Visit IFPA | World Psoriasis Day to learn more.

October 31 - Bring the spooky! Second Annual DoM Halloween Costume Contest


Have a fun costume or Halloweeny outfit? Wear it to work!


Next Thursday, the DoM is hosting our second annual Halloween Costume Contest. Whether goblin, bat, or cheeky pop-culture reference, we want to see your creativity on full display! Best costume wins lunch on us.


To enter, take a picture of your costumed self at work and send it to Nicole nicole.chiasson@nshealth.ca. We'll share our winner, highlights, and best-of's in next month's newsletter. Stay tuned!

November 19 - Research Evening


Taking place on November 19 from 6:00-8:30pm at Nova Scotia Health Innovation Hub (1625 Grafton Street, 13th floor, South Tower), Research Evening is an event to celebrate research in the Department of Medicine. Awards will be presented and several speakers will highlight their work in research.


Please consider attending this inspiring and illuminating event! Register on Eventbrite at this link.



December 5 - Holiday Party


Join us for our annual holiday party on December 5! This festive, drop-in event will be held at the Prince George Hotel from 6:30-9:30 pm. Mingle with your colleagues while enjoying appetizers and two complimentary drinks. All DoM members are welcome, and you are invited to bring a plus one as well.


If you haven't received a save-the-date for the party in your inbox, please email Nicole Chiasson at nicole.chiasson@nshealth.ca and she will forward it to you. See you there!



December 6 - Medicine Matters


At this full-day, educational event on Friday, December 6, from 8:25 am - 4:15 pm, CHEB, Room 170 (Collaborative Health Building, 5793 University Ave), participants can expect to:


  • Learn how to recognize when change is needed, and how to incorporate effective change using change management models
  • Understand the basics of harm reduction approach, and the management of bacterial complications of injection drug use
  • Be able to summarize the new recommendations based on evidence and expert clinical remarks for screening (ILD in systemic autoimmune rheumatic disease, lung cancer), treatment (COPD), medications (obesity), and vaccinations.
  • Learn how to integrate the new recommendations and guidelines in clinical practice
  • Develop an informed approach to incorporating AI scribes in clinical encounters
  • Understand the benefits and concerns of social media in medicine


Register for Medicine Matters here, and view the event program for full details.

 

In Memoriam: Dr. Ron Stewart

 

Honouring a visionary leader


Along with the Dalhousie Faculty of Medicine and the wider medical community, we are deeply saddened at the passing of Dr. Ron Stewart, 82, professor emeritus in the Department of Emergency Medicine and pioneer of emergency and paramedicine.


Throughout his illustrious career, Dr. Stewart transformed the field of emergency care, both locally and internationally. As the first medical director of the Los Angeles paramedic program and Nova Scotia's Minister of Health, he spearheaded innovations that continue to save lives today, including the province's Emergency Health Services (EHS).


Dr. Stewart’s legacy will live on through his contributions and his unwavering dedication to improving the well-being of others. Read more about his life and work at Dal News.


A celebration of life and reception will be held on Wednesday, Nov. 20 in the McInnes Room of Dal's Student Union Building from 6:00-9:00 pm. All are welcome.



Dr. Ron Stewart in the early 1990s

(Michael Creagen photo)

 

DoM Member Updates

We welcome the following members to their new positions!

July

  • Dr. George Worthen joined the Division of Nephrology on July 1
  • Dr. Peter Gregory joined the Division of General Internal Medicine on July 1
  • Dr. Kelly Aminian joined the Division of Neurology on July 1
  • Dr. Joshua Goodwin joined the Division of Geriatric Medicine on July 1
  • Dr. Steven Morrison joined the Division of Nephrology on July 1
  • Dr. MacKenzie Turpin joined the Division of General Internal Medicine July 1


August

  • Dr. Rebecca George joined the Division of Neurology on August 26

September

  • Dr. Amye Harrigan joined the Division of Hematology on September 1
  • Dr. Ruth Ann Marrie joined the DoM as Multiple Sclerosis Research Chair on September 1

October

  • Dr. Shannon Rasmussen started at DGH October 1
  • Dr. Thomas Brothers joined the Division of General Internal Medicine on October 9

November

  • Charlene Shortell, Secretary D, will join the Division of Endocrinology on November 4



We wish the following member a very happy retirement!

June

  • Dr. Romuald Panek retired from the Division of Nephrology on June 30



Conflict and Culture

To help further the work of our strategic plan, we are focusing on strengthening our toolkit to improve culture and address conflict in our workplace. Content is submitted by our externally contracted culture and conflict experts, Diane LeBlanc, Basia Solarz, and Brennan Dempsey.

 

Welcome back to Brennan Dempsey’s review of The Mindful MD by Gail Gazelle. In Part 1, Brennan examined how Gazelle identifies the root causes of burnout among physicians and the foundational mindfulness techniques she offers to help distance oneself from negative thoughts and self-criticism. Now, Brennan continues his review by exploring Gazelle’s insights on reducing emotional reactivity, cultivating compassion, and rediscovering purpose in the medical profession.

The Mindful MD – A Path to Autonomy and Burnout Relief (Part 2 of 2)



Building on the strategies we covered in Part 1 of my review, Gazelle’s next injunction is to “step out of mental stories.” Long, exhausting work days can lead to mental narratives about inefficacy, regret, and frustration. Some physicians ruminate or worry about mistakes and their impact. As one cardiologist told Gazelle, those worries are “like a drug with a terrible side effect profile.” Gazelle tells us that we should not try to banish these stories entirely, for, as she says, “what you resist, persists.” Instead, mindfulness requires seeing these stories for what they are and recognizing where they depart from reality. Even recognizing that we are caught up in a story of our own making can help us focus on what is true. 

 

Gazelle goes on to explain that mindfulness is also about reducing our mental and emotional reactivity. Frustration over electronic medical systems and paperwork, charting, impositions from above, and dysfunction can lead to an emotional storm that is difficult to escape. In Gazelle’s experience, physicians share common triggers that drive their emotions: being told they are not doing a good job, a sense of being treated unfairly, and feeling like they are not being respected. Like negative thoughts, these triggers by themselves are often transitory; the problem is that we get caught in a feedback cycle of emotions we struggle to escape. She suggests that we can reduce this reactivity by taking purposeful pauses as short as three breaths to create a gap between ourselves and our emotions. We can also become observers of our own inner state: rather than standing under the waterfall of our feelings, we can watch it cascade from a more distant vantage point. Finally, Gazelle recommends a meditation practice to reduce emotional reactivity, which is empirically proven to have a positive effect on burnout. 



Read more
 

Awards and Recognitions


NSH Quality Awards - Open for Nominations until November 13


The annual NS Health Quality Awards competition is open for submissions! This is an opportunity to share the great quality work that your team is doing across NS Health and to showcase your team’s commitment to excellence, quality improvement, patient experience, and patient safety.


Nova Scotia Health Quality Awards are modeled on the Canadian College of Health Leaders (CCHL) National Awards Program. Apply by 4 pm on Wednesday, November 13. All details can be found in the submissions forms online at this link.



Making Waves Awards - Open for Nominations until November 15


The Making Waves Awards recognize the exemplary efforts and contributions of employees, physicians, researchers and volunteers who advance Nova Scotia Health’s values and strategic directions.


If you are interested in nominating a colleague, nominations are now open for the 2024 awards until November 15! Visit this page to make your nomination, and review this list of the most recent winners for the eligible categories.

Canadian Medical Association (CMA) Awards - Open for Nominations until November 30


The Canadian Medical Association’s annual awards celebrate changemakers from across the country for their significant contributions to health, health care and the medical profession.


Recipients of the CMA Awards come from different career stages, specialties and backgrounds, and from rural and remote areas as well as big cities. They also reflect the diversity of the profession and the communities we serve.


The nomination period for the 2025 CMA Awards is now open and closes on November 30. Learn how to make your nomination, here.

 

DoM in the News

 

‘Revolutionizing’ cancer treatment: How donor CAR T-cells changed Debbie Purchase’s life


In this article by Nova Scotia Health, they recount how CAR T-cell therapy transformed the life of Debbie Purchase after other treatments failed. Dr. Mahmoud Elsawy, from our Division of Hematology, led the way, offering a donor-based CAR T-cell infusion—a groundbreaking approach with curative potential.


Debbie’s journey proves the power of clinical research and personalized care, and Dr. Elsawy's work reflects our department’s commitment to advancing treatments that change lives. Read the full article to learn more.

Heartfelt collaboration: enhancing patient care through cardiology research in Nova Scotia


This NSH article highlights how the Division of Cardiology is improving lives by combining clinical care with cutting-edge research, offering patients access to new therapies and personalized treatment. Led by Dr. Ratika Parkash, Cardiology oversees 50-60 active studies, including clinical trials and genetic research. Read more to learn how the division's innovation and collaborative approaches are shaping patient care.

Heart of Health: RN Danielle Worth says patients at Hematology Clinic inspire her to do better


In Nova Scotia Health’s Heart of Health series, they profile Danielle Worth, a dedicated nurse at the QEII’s VG Hematology Clinic. Danielle, who never imagined becoming a nurse, now plays a vital role supporting hematology patients throughout their care journey. Inspired by her patients' strength, Danielle is committed to making difficult days more manageable. Read more about her compassion and resilience here.

 

Dean's Blog: Faculty of Medicine


In his October blog, the Dean of the Faculty of Medicine, Dr. David Anderson, highlighted several achievements connected to the Department of Medicine. These include Dr. Kenneth Rockwood's appointment to the Order of Canada, Dr. Nikhil Thomas receiving Dalhousie’s Award for Excellence in Graduate Supervision, and a Lancet publication by Drs. Curtis Marcoux, Luke Chen, and colleagues from the Division of Hematology.


These accomplishments reflect the exceptional impact of our faculty members in research, education, and clinical care. Read the full post and Dr. Anderson's words of congratulations here.

 

Research

 

UIMRF Competition, 2024


Don't miss out! UIMRF is currently accepting applications for grant and fellowship funding for the following categories and deadlines:


  • Matching Research Funds – deadline 4 weeks prior to external application deadline


If you haven't received them already, please contact DoMResearch@nshealth.ca for information and application forms.

 

Learning Opportunities

 

Continuing Care Webinar with Glenda Keenan


During Continuing Care Month, the Continuing Care team is taking the opportunity to highlight the role of their team, along with their care partners within Nova Scotia Health and in the community, to support Nova Scotians of all ages who need home care, community care services, and long-term care.

 

On Wednesday, October 23 at noon, you are invited to join Glenda Keenan, Senior Director at Continuing Care for an online presentation to learn more about the services offered by Continuing Care and their integral role within the healthcare landscape.


To register, scan the QR code in the adjacent poster or visit this link. The webinar will be held on Microsoft Teams.



Canadian Patient Safety Week Webinars


For Canadian Patient Safety Week, October 28 to November 1, Nova Scotia Health and Healthcare Excellence Canada are hosting a series of events and learning opportunities over Zoom. We think the following will be of particular interest:


  • Expanding Perspectives: Understanding and Reducing Healthcare Harm, October 28, noon to 1:00 pm ET: "Gain a comprehensive understanding of healthcare harm, including physical, psychological, social, and spiritual harm." Sign up at this link.


  • First Nations, Inuit and Metis Experiences with Racism and in Healthcare Systems, October 19, noon to 1:30 pm ET: "In this webinar, learn about the impact of distinctions-based experiences of racism in healthcare systems.” Sign up at this link.


  • Let's Talk About Safer Care in the Community, October 30, noon to 1:30 pm ET: "Explore a broadened understanding of harm and what safety means to those providing and receiving health and social care in the community." Sign up at this link.



Creating Healthy Learning Environments: A Dalhousie Webinar Series


In this webinar series from October 21-November 29, open to all faculty at Dalhousie's Faculty of Medicine, you will:

  • Recognize how the learning environment is linked to student/trainee and faculty wellness; develop approaches to support student/trainee wellness.
  • Learn what is meant by student/trainee mistreatment, how it occurs, and what can be done about it in relation to its impact on the learning environment.


Sign up and learn more here.



Medical Education Research Roundtables


Held on MS Teams from 12-1 pm, roundtables will be taking place on the following dates:


  • November 12: Help me Understand…Authorship Dr. Sarah Burm
  • December 10: Rigour in Qualitative Inquiry Dr. Jacqueline Torti
  • January 14: Developing and revising an interview guide for quality interviews: A real-life example Dr. Dawn Burleigh & Dr. Sarah Burm


(February to June dates TBD.)


For more information, please contact sara.burm@dal.ca.



November Grand Rounds


Click here for the November Grand Rounds schedule.


And check out our latest recorded Grand Rounds here:



Missed a topic? Contact domgrandrounds@nshealth.ca for a link to our archived YouTube videos.





Questions about DoM research?


Email us at domresearch@nshealth.ca and we'll get back to you as soon as we can!

Quick Reference / Recurring Content

Department of Medicine

DoM Strategic Plan Survey

We want to hear from you! Please fill out our survey to help us refresh our strategic plan. Click the link below or scan the QR code.



DoM Suggestion Box


Have any suggestions for the department? Leave them anonymously here:





DoM Research

https://sites.google.com/view/domresearch


The page was initially developed for the resident group, but it’s also useful to faculty and their research teams. DoM Research wants to ensure that the link is easily accessible to anyone in the department.



DoM Email Addresses



Mental Health & Well-Being



Doctors Nova Scotia: Professional Support Program


Employee Assistance Program (EAP)


Mental Health and Wellness, Government of Nova Scotia


Nova Scotia Mental Health and Addictions Crisis Line

  • 1-888-429-8167


Canadian Medical Association Wellness Hub

Nova Scotia Health’s Mental Health and Addictions Program (MHAP) has free e-Mental Health and Addictions tools available to all Nova Scotians including health care workers and physicians. These tools include:


  • Mindwell U – free online support that takes just five minutes a day, and can be accessed anywhere and on any device. This service is available in English and French. https://app.mindwellu.com/novascotia


  • Therapy Assistance Online (TAO) – free and private online resource that includes interactive activities and videos for people having challenges with their mental health. This service is available in English and French. https://www.taoconnect.org/


  • Wellness Together Canada – mental health and substance abuse support that contains free online resources, tools, apps and connections to trained volunteers and qualified mental health professionals when needed. https://wellnesstogether.ca/en-CA


  • Togetherall – free and safe online peer-to-peer mental health community that empowers individuals to anonymously seek and provide support 24/7. It is available to all youth and young adults aged 16-29, providing an inclusive and supportive place to connect with others with real lived experience with common mental health concerns. To sign up go to togetherall.com and use your Nova Scotia postal code to register. https://togetherall.com/en-ca/


For more online tools and how to register, visit MHAhelpNS.ca/tools.


NSH Library - Healthy Living





Nova Scotia Health

COVID-19 Hub

https://covid19hub.nshealth.ca/new


Shows latest developments for visitation and masking.



Firstline Antimicrobial Stewardship App

https://firstline.org/antimicrobial-stewardship/

https://firstline.org/nsha/


NSH logo needs to be visible in the upper left corner of the home screen to ensure you are accessing local content.



Media Relations Guidelines

The Nova Scotia Health Media Relations Team, led by John Gillis, has shared guidelines for physicians or staff who receive media requests. All media requests should be vetted through the NSH media relations office.




Additional Links

Dalhousie University

Faculty of Medicine

medicine.dal.ca

Doctors Nova Scotia

doctorsns.com



Nova Scotia.ca

novascotia.ca/news



Personal Directive - Legal Info Nova Scotia

https://www.legalinfo.org/personaldirective

Fill out online then download/email; once signed and witnessed, it's valid.




When you take care of yourself, you take care of others.

 
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We Teach, Research, and Serve our patients on Mi’kmaw territory, the ancestral and unceded territory of the Mi’kmaq people. The people of the Mi’kmaw Nation have lived on this territory for millennia, and we acknowledge them as the past, present, and future caretakers of this land. We are all Treaty people.




We recognize that African Nova Scotians are a distinct people whose histories, legacies, and contributions have enriched that part of Mi’kma’ki known as Nova Scotia for over 400 years.