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Executive Director Report to Members
Central Island Division of Family Practice
Executive Director Report to Members
August 2020
AGM
AGM date is now set for September 16 and will take place at casino in Port Alberni. The AGM is designed to included Port Alberni members, and members will be encouraged to bring spouses and make a social event of the dinner. We hope you can join us!
If you wish a hard copy of our 2019 Annual Report, please do not hesitate to contact me.
Nominations and Elections
The CIDFP Board nominations period ran from July 17 to August 10. Notice of AG meeting went out to members the first time on July 21 and was repeated several times until the end of the election period. One nomination was received for one open seats on the Division Board. That means no election will be required and the nominated member will step up to the Board through acclamation.
The Division is Moving!
Division was approached by the Town of Qualicum Beach as they are hoping to be released from their standing lease at Qualicum Commons. The Town offered Division the old Life Labs space on Primrose Street for the Division. Preliminary renovations have been completed and it is anticipated that we will move to this space on September 15.
Future Proposals
Shared Care for Psychiatry Network
We have received $15,000 funding to begin “Phase 1” of this project. Tina Biello is heading up the project. If you have an interest in joining this network, please let Tina know.
Maternity proposal
Tina Biello will take the lead on this proposal and has started the outreach component for this opportunity. The proposal is not due until September end so there is still time for development.
PMH funding through Innovation fund
A three-pronged application to continuing work in the PMH project was submitted to GPSC in August. We are also currently approaching the PCN Steering Committee to request Change Management funding to assist in further supporting the Oceanside PMH.
Port Alberni
After meetings between Island Health (Port Alberni) and division representatives as well as GPSC and Ministry of Health it was decided in July to complete an EOI for PCN #2 funding to develop a Port Alberni specific PCN Service Plan.
An EOI writing group was established and is working on the Expression of Interest in August and September. That includes gathering data, determining from family physicians and NPs if there is an appetite for creation of a PCN Service Plan and engaging First Nations and community groups for conference during the service planning phase. It is anticipated that the EOI will be submitted to the Ministry of Health after ratification at the CSC table in October.
PPE
Sharon Todd continues to manage a supply of PPE that is under control of the Division. Once weekly she is checking with family care providers and First Nation partners to ensure they still have stock.
She has taken the lead in communicating with Ministry and IH to ensure that the application process for emergency PPE is well-suited to all Central Island family practitioners and is received in a timely manner at IH when requested. Sharon has expressed how happy she is with the improved relationships with IH staff over this period. As well, IH staff has found a large amount of PPE that was destined for family care providers. They are currently turning all of that over to Sharon for distribution.
It has been an unusually busy summer and the fall/winter promises to be busier even still. If you have any questions or comments about the Divisions or this report, do not hesitate to contact me at 250-703-6159 or eclark@divisionsbc.ca.
Evelyn Clark
Executive Director
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Patient Medical Home Update
The Palliative Care Network meeting will take place on September 1. With Covid restrictions lifted to Phase 3, we will meet in person at the Beach Club resort. See email invite for details. We will pick up where we left off with a presentation on ‘My Virtual Visit’ and an overview of the referral process for Palliative Care, with Della Roberts and Dr. Sue Hunter.
The MOA network will finally also be able to meet again on August 12, in Port Alberni. We are offering MOAs support topics in EMR usage and Pathways.
GPSC has offered an opportunity to fund a Maternity network in Port Alberni. Stay tuned for the beginning of this work in the fall.
Co-presentation of the PCN development and the Nurse in Practice model will be taking place September 23 from 6-8 pm at Tigh-Na-Mara. Email invite to follow.
Nurse in Practice:
Murray Coughtrey has been working with Dr. Biglow, Dr. El Karsh and Dr. Bailey in this role and is available to any other clinics who might be interested in this model. If anyone would like further information, please get in touch with Tina Biello, Project Manager.
Here are some key points for the NiP work:
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Patients have expressed satisfaction being seen by both a RN and their GP. They have said there is more time to be ‘heard’. Follow up by RN ensures care plan for patient is documented and recorded.
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RN Murray Coughtrey has also been able to see patients who need same day visits, who would have gone to the ER or Urgent care, decreasing the patient cost to the system.
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During this time of Covid restrictions, Murray has also done multiple home visits in his role as Nurse in Practice.
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Eleven home visits were done in total in the last several weeks and of those, only 2 patients were sent to higher levels of care.
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For the visits with patients in long term care, this meant they were not required to self-isolate in their rooms for 14 days. The care they received was more thorough in a physical assessment as opposed to virtual contact. Patients were also seen from other clinics and the RN was able to connect with those GPs to care conference regarding their patients. These GPs were able to be kept informed of their patient’s situation and the result was follow up to those patients from their GPs.
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This model is ensuring team-based care targets are being met and brings patient medical home to the community.
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Primary Care Network in Port Alberni
Hello Port Alberni Family Practitioners,
Central Island Division received this notification from GPSC yesterday afternoon. It is important information about the potential for a Primary Care Network in Port Alberni....
"Primary Care Network (PCN) implementation is making a difference throughout the province – supporting both patients and providers. We want to start by thanking our partners for the time, dedication and hard work you have put in toward the development of PCNs.
We recognize and support the many communities interested in starting PCN planning. As a result of the COVID-19 response and planning for a potential second wave, the Ministry of Health and the General Practice Services Committee (GPSC) are facing challenges to onboard new PCN communities while supporting existing communities and ensuring they are set up for success.
As a result, the ministry and GPSC will not begin approving new expressions of interest (EOIs) from communities which have yet to start formal PCN planning until after December 2020. Once this process resumes and an EOI is submitted and approved, planning funding will be issued as capacity allows through 2021.
In the interim, we are encouraging communities to continue to move forward with projects or work in alignment with PMH/PCN strategic directions at the community level both within the division and in partnership as current resources allow. This includes continuing to work with your partners to strengthen readiness to enter formal planning prior to submitting the EOI and continuing to prioritize other key shared initiatives.
We thank you for your interest in moving forward with PCN planning and implementation. If you have any questions regarding the EOI process, please direct them to your ministry or GPSC liaison."
So, it looks like Division and Island Health has another couple of months to prepare an Expression of Interest.
As the writing team has some steam now, the EOI project will proceed, looking to ratification and support from the Central Island Collaborative Services Committee in October.
Then right when we receive "go ahead", we will submit promptly to GPSC. Thank you for your patience and collaboration while we work through the details of this funding opportunity. If you have any questions or concerns do not hesitate to contact me.
Sincerely,
Evelyn Clark
Executive Director
Central Island Division of Family Practice
250-703-6159
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Long-Term Care: 819-Intolerable-Risk
BC Ministry of Health specifies conditions under which clients can receive a priority for more urgent placement due to intolerable client risk. Please click here for information.
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Online Leap Training Available
The BC College of Family Physicians is hosting Pallium Canada’s Learning Essential Approaches to Palliative Care (LEAP) online course for rural and remote family physicians in BC.
LEAP was created for healthcare professionals working in the community and provides the essential skills and competencies of the palliative care approach. It is evidence-based, peer reviewed and evaluated and updated regularly.
This online course includes 16 self-directed and interactive online modules completed at your own pace (approximately 8 hours of work); 2 three-hour online webinars led by a LEAP facilitator where you will work through cases and discuss the online modules; and an electronic copy of the Pallium palliative pocketbook.
Upon completion of LEAP Online, learners should be able to:
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promote and undertake advance care planning discussions
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assess and manage pain; delirium; gastrointestinal symptoms, hydration, and nutrition; and dyspnea
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recognize/diagnose depression, anxiety, and grief and initiate treatment plans
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develop plans to address spiritual, religious, or psychosocial needs
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initiate essential discussions related to palliative and end-of-life care in daily work
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prepare patients and families for last days and hours
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understand and apply the criteria to be met before initiating palliative sedation
This Group Learning program has been certified by the College of Family Physicians of Canada for up to 24 Mainpro+ credits.
Through a generous bequest of one of our members, we have funding to subsidize the registration fees for those interested in this online course.
If you are interested in attending the online LEAP Course, please contact Tina Biello, Project Manager at: tbiello@divisionsbc.ca
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BC Guidelines External Reviews
The Guidelines and Protocols Advisory Committee (GPAC) is a joint committee of the Ministry of Health and the Doctors of BC. We develop and publish clinical practice guidelines for primary care practitioners. Peer review is a critical part of our guideline development process. We reach out to family practitioners through mail and our newsletters for review of our guidelines.
If you have any questions or need more information please let us know.
Thanks very much,
The BC Guidelines Team
www.bcguidelines.ca
Invitation to participate in BC Guidelines External Review
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MRI Prioritization and CT Prioritization Guidelines are open for External Review until August 14th, 2020. These guidelines summarize suggested wait times for common indications where MRI or CT are the recommended first imaging tests. The purpose is to inform primary care practitioners of how referrals are prioritized by radiologists, radiology departments and community imaging clinics across the province. Please visit the BC Guidelines External Review Page to download the draft MRI Prioritization and CT Prioritization guidelines and submit feedback via our online questionnaire.
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Cardiovascular Disease - Primary Prevention guideline open for External Review until August 14th, 2020. This guideline provides recommendations on the primary prevention of atherosclerotic cardiovascular disease (CVD) in adults aged ≥ 19 years without clinical CVD. It does not apply to patients with a known history of CVD or who currently have signs or symptoms of CVD, as this would require treatment and secondary prevention. The recommendations include how to assess a patient‘s risk of CVD and how to manage their CVD risk factors. Please visit the BC Guidelines External Review Page to download the draft CVD guideline and submit feedback via our online questionnaire.
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Falls: Prevention, Risk Assessment and Management for Community-Dwelling Older Adults guideline open for External Review until September 16th, 2020. This new guideline addresses the identification and care management as needed of older adults aged ≥ 65 years living in the community with risk factors for falls. The guideline facilitates individualized assessment and provides a framework and tools to manage risk factors for falls and prevent fall-related injuries. Please visit the BC Guidelines External Review Page to download the draft Falls Prevention guideline and submit feedback via our online questionnaire.
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BC College of Family Physicians - New resources for family physicians, 2020 Family Medicine Conference
BC College of Family Physicians would like to share two new resources.
Family Medicine Conference – Friday, October 9
We are excited to announce our lineup for the 2020 Family Medicine Conference. Online registration is now open. This year’s conference explores how we can work Together Towards a Better Future and will provide attendees with a new sense of how to care for themselves as well as for their patients.
Our keynote speaker is Dr. Mamta Gautam, a psychiatrist, executive coach, author, consultant and speaker who specializes in keeping well professionals well.
Online registration: Please click here
New resources for family physicians: Care During COVID-19
Our new series of one-page resources supports family physicians in caring for vulnerable and marginalized populations throughout the coming months of the pandemic.
Using these guides, family physicians can hold anticipatory discussions with patients to help them maintain health, stay mentally resilient, manage chronic conditions, and prepare for any potential upsurges in COVID-19 cases.
Full webpage link: click here
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EMR Connect Update from Island Health
EMR Connect is a web-based Island Health application that allows you to upload patient care documents directly and securely into Island Health's electronic health record, addressing a need brought forward by the VDFP’s Transitions in Care and Patient Summaries team.
We heard from community providers and specialists that they want to share more patient documentation with Island health to support the transition of care for their patients. As of June 24, 2020, we now have 38 new consult note types in the EMR Connect Application, for a total of 40 different types of documents available that can be uploaded directly into PowerChart.
For a complete list click HERE.
Click HERE to view the Island Health Memo.
Our EMR Connect team at Island Health is now offering EMR Connect engagement virtually. If you would like to request a refresher course or if you have any questions about EMR Connect, please contact us at EMRConnectFeedback@viha.ca.
Jo-Anne Beeren-Parsons
Physician Engagement Specialist, EMR Connect Project, IH
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Victoria Gynecology and Continence Clinic
Victoria Gynecology and Continence Clinic would like to welcome Dr Emily Sandwith. She will commence her practice on the 1st of September 2020.
Dr Sandwith was born and raised in Victoria, BC. She graduated from UBC’s Island Medical Program in 2013 and completed her residency in Obstetrics and Gynecology at the University of Calgary in 2018. She recently completed a two-year fellowship in Female Pelvic Medicine and Reconstructive Surgery at the University of Calgary. She is looking forward to joining the team at the Victoria Gynecology and Continence Clinic.
Dr Quinlan will continue with the Victoria Gynecology and Continence Clinic. His practice will consist of office consultations, specialist surgical assistance and colposcopy.
Referrals should be made to the Victoria Gynecology and Continence Clinic
VICTORIA GYNECOLOGY AND CONTINENCE CLINIC
Gynecology and Urogynecology
Dr David Quinlan BSc MBBCH FRCOG FRCSC
Dr Emily Sandwith BSc MD FRCSC
101 – 1964 Fort Street Tel – (250) 5951059
Victoria, BC Fax – (250) 5951097
V8R6R3 E mail – victoriagcc@gmail.com
Website – drdavidquinlan.com
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St. Paul's Emergency Medicine Virtual Conference
Get your emergency medicine fix! We have transitioned our very popular St. Paul’s conference normally held in Whistler to online!
Join us for a full day of updates on topics we know you want to know more about!
Please click here to visit our website.
Have a look & see where you can benefit!
Saturday, Sep 26
8:00 Welcome & Opening Remarks | Dr. Brian Lahiffe
A Typical ED Shift
8:10 Stressful Testing: Cardiac Testing for Low Risk Patients | Dr.Christine Henderson
8:30 Cuffs & Dislocations: Shoulder Injury Pearls | Dr. Matt Petrie
8:50 Ticked Off: Lyme Disease in the ED | Dr. Emilia Rydz
9:10 The Violent Patient Whisperer: Pearls for Agitation in the ED | Dr. David Barbic (speaker TBC)
9:30 Break
COVID Corner
9:50 Ultrasound and the Pandemic: Ultrasound Pearls During COVID | Dr. Oron Frenkel
10:10 Just in Case Life Wasn't Stressful Enough: Airway Pearls During COVID | Dr. Jeff Yoo
10:30 More Than Just a Simple Runny Nose: COVID in Children | Dr. Meghan Gilley
10:50 Shifting Sands of COVID: BC COVID Public Health Update for Fall 2020 | Dr. Patricia Daly
11:20 Break
Becoming a Better Practitioner
11:40 Little Person Literature: The Best Pediatric EM Literature of the Past Year | Dr. Ran Goldman
12:00 The Job Doesn't Have to Be Lonely: Real Time Resources for BC EM Practitioners | Dr. Kendall Ho
12:20 More Than Just Preening for the Camera: Pearls for Practicing Effective Telemedicine | Dr. John Pawlovich
12:40 Big Person Literature: The Most Important EM Literature of the Past Year | Dr. Corinne Hohl
13:00 Lunch Break
Substance Use in the ED
13:30 Shakes and Sweats: Management of Alcohol WIthdrawal in the ED | Dr. Isabelle Miles
13:50 Street Drug Roulette: Common Drug Contaminants & Combinations in the ED | Dr. Roy Purssell
14:10 The Other Epidemic: Suboxone Pearls in the ED | Dr. Andrew Kestler
14:30 Break
14:50 KEYNOTE - Pearls in Penetrating Chest Trauma | Dr. Kenji Inaba
15:50 Closing remarks | Dr. Brian Lahiffe
16:00 Conference ends
St. Paul’s Emergency Medicine Update Conference
Sep 26 (Sat) | 0800 – 1600 PDT
Target audience: Family physicians, emergency physicians, nurse practitioners, emergency nurses, paramedics, residents, students
Up to 6.5 Mainpro+/MOC Section 1 credits
To Register: click here
You also might be interested in:
HANDS-ON WORKSHOP!
Emergency Medicine Procedures Courses
Oct 1 (Thu: SEMP) & Oct 2 (Fri: UGEMP) | 0825 – 1555 PDT | In-Person Workshop (maximum 24 participants)
Target audience: emergency physicians, rural physicians, family physicians, pediatricians, intensive care physicians, anesthetists, trauma physicians, hospitalists, internal medicine physicians, residents & IMGs
Up to 30.0 Mainpro+ (2 cr/hr)/15.0 MOC Section 3 (PER COURSE)
Register: SEMP Click here
Register: UGEMP: Click here
GRAND ROUNDS!
BC Virtual Health Grand Rounds: Handheld Ultrasound Devices - What Are the Options?
Sep 22 (Tue) | 0800 – 0900 PDT | +Add to calendar | Virtual Rounds
Target audience: All healthcare professionals
Up to 1.0 Mainpro+/MOC Section 1 credits
Register: Click here
UP-TO-DATE RESOURCES!
COVID-19 Resource Hub
We have a comprehensive COVID-19 hub of reliable education and resources offered by UBC CPD and other education providers.
Email us any questions or suggest resources: cpd.covid-19@ubc.ca.
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Request for Working Group Representation - Cancer Screening
Correspondence Review and HPV Self-Collection Pilot
Cancer Screening Primary Care Working Group Invitation Letter
Please consider paticipating in a Cancer Screening Primary Care Working Group to improve critical screening program processes at it relates to primary care, and to support the development of important cancer screening initiatives, specifically:
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Reviewing provider and patient correspondence from the Colon Screening Program.
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Reviewing provider and patient correspondence for the Cervix Screening Program.
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Identify the information needs of primary care providers for a pilot program featuring at-home HPV screening.
Please view the terms of reference for the Working Group here. It is anticipated that the committee will meet via video conference a total of three to four times in the coming months:
September 3, 2020
4:00 pm
Primary Topic: Program Correspondence
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Overview of Colon and Cervix Screening processes and correspondence.
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Discussion and identification of correspondence needs.
October 2020
4:00 pm
Primary Topic: HPV Self-Collection – Provider Engagement
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Introduction to HPV Self-Collection Pilot
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Discussion about provider education requirements and patient support tools.
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Overview of BC Cancer Screening health promotion and provider engagement activities
November 2020
4:00 pm
Primary Topic: HPV Self-Collection – Provider Engagement
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Presentation of proposed HPV Self-Collection support and education materials for primary care providers.
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Discussion on engagement strategies and provider communication channels.
I would be delighted if a representative from your Division would attend. The engagement and input from Primary Care Providers on these topics is highly valued.
Meetings will be held virtually, likely Zoom, and financial support for meeting time and meeting preparation time is available for non-salaried providers. If you are interested, please respond by 28 Aug 2020 by emailing laura.gentile@bccancer.bc.ca.
Please contact me directly with any questions about this working group.
Laura Gentile
Operations Director
Colon Screening and Cervix Screening
BC CANCER
Suite 800, 686 West Broadway
Vancouver BC V5Z 1G1
D: 604.707.5913
C: 778.886.5842
www.screeningbc.ca
bccancer.bc.ca
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Pediatric Atopic Dermatitis Online Module
NEW online course!
Pediatric Atopic Dermatitis Online Education
Atopic dermatitis is the most common chronic inflammatory skin disease, affecting up to 20% of children. Developed in partnership by Child Health BC, BC Children’s Hospital, and UBC CPD, this interactive online course is designed to help you better recognize, treat, and manage atopic dermatitis in a primary care setting. It includes videos, images, a PDF action plan, and helpful patient resources to better equip parents and caregivers with the knowledge they need for management and follow-up care.
Please click here for a Pediatric Atopic Dematitis Flyer
Target audience: family physicians, nurse practitioners, pediatricians, pharmacists and other health care providers that care for children
Up to 1.0 Mainpro+/MOC Section 3
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Very practical course for GPs
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Helpful to identify atopic dermatitis in patients and understand methods to treat
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Very helpful. Now I know where to look for information. The pictures and the flow chart would be of great help in engaging parents
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Therapeutics Initiative - Methods Speakers Series 2020
The TI Methods Speaker Series are offered free of charge and everyone is welcome. The event is usually held at noon on the last Wednesday of each month and used to take place in Rudy North Lecture Theatre (CBH 101) in the Centre for Brain Health, UBC Point Grey Campus. During the COVID-19 pandemic, while physical distancing measures are in effect, the TI Methods Speaker Series are offered via videoconference. The presentations are recorded and the video recordings are posted online.
Please click here to visit the website for a list list of the talks scheduled to be offered as part of the TI Methods Speaker Series in 2020. Please note that all dates, topics and speakers for future events are tentative and subject to change without notice.
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Flu Survey
Dear Colleagues,
As discussed in the bi-weekly Primary Care COVID-19 Task Force on July 31st, Island Health is preparing for the upcoming influenza vaccination campaign and would like the feedback of the primary care providers in our region through the survey (link below), in addition to those already received from Comox and Campbell River. We would appreciate your support in disseminating this survey to Division members.
FLU SEASON SURVEY: Click here
We kindly ask that all surveys be completed by EOD, August 21st to ensure that the valuable feedback provided is included in our planning.
Recognizing the significant impacts of COVID-19 on primary care practice, as well as the importance of influenza vaccine as a preventative measure not only for influenza disease itself, but also as part of the COVID-19 pandemic response, we would like to proceed with a collaborative, informed approach with all community immunizers to have a successful campaign.
Thank you for all your contributions to community health and prevention.
Shaun Lorhan on behalf of Dr. Dee Hoyano, Medical Health Officer, Island Health
mobile: 250-920-6715
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The 32nd Annual Diabetes Directors Seminar
The 32nd Annual Diabetes Directors Seminar
Friday, October 23rd 2020
The Endocrine Research Society is pleased to present the 32nd Diabetes Directors Seminar – an annual, CFPC and RCPSC-accredited gathering of leading diabetes experts and caregivers across British Columbia.
Join us virtually from home or work over Zoom Videoconferencing for a full day presentation series covering the latest and most pertinent aspects of diabetes therapeutics and clinical care.
Target Audience: Specialists and family physicians with an interest in diabetes care, as well as nurses, dieticians, pharmacists and other diabetes educators responsible for diabetes management within their own groups and communities.
Register now as space is limited. Online registration can be found by clicking here.
Please contact Ashini Dissanayake at the Endocrine Research Society for further information or registration questions.
Email: endocrine.research.society@gmail.com
Phone: (604) 689-1055
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Oceanside Hospice Society
The Oceanside Hospice Society serves individuals and families experiencing end-of-life, care-giving and bereavement in the area stretching from Deep Bay to Nanoose, and west to Errington and Whiskey Creek
OHS currently delivers the following services to the community:
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Medical Equipment Loan Program
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One to One Client Support Services
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One to One Grief Support
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Grief Support Groups
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Grief Walking Groups
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Self Care Fridays
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Caregiver Respite and Companioning
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Palliative Vigil Team
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Lending Library
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Community Networking , Education and Training
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Advance Care Planning Guidance
We strive to provide links in the continuum of care by supporting care giving at home, in hospital or the palliative care unit at Trillium and at community care facilities.
Please contact us at 250.752.6227 or visit www.oceansidehospice.com for further information.
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Divisions in the News
See what is going on in other divisions around BC:
https://www.divisionsbc.ca/provincial/news-and-events/in-the-news
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