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A Life of Service: Dr. Jean Anawati Reflects on Rural Medicine and Hopes for the Future

When Dr. Jean Anawati moved to Sturgeon Falls in the 1970s, doctors were few and far between. As a new physician, he and his colleagues were jacks-of-all trades: they delivered babies, managed the emergency room, did rounds at the hospital, and provided care for their community from beginning to end of life. Being a rural physician was demanding—it required versatility and a deep sense of responsibility. Despite the lack of physicians in the area, what stood out to Dr. Anawati most was the disconnect between young people and their engagement with health professional’s education in the region.

“I asked the high school guidance counselors why no one was going to medical school,” he recalls. “They told me, ‘People here become mechanics, farmers, and lumberjacks.’ I told them, ‘Not everyone is born to be a lumberjack.’”

It was this “radical” belief Northern Ontario’s youth could become doctors that Dr. Anawati, and a few like-minded colleagues shared, that he says would change the community of West Nipissing. This belief would benefit all of Northern Ontario and drive the region towards a brighter future. They shared the idea that health care was not just about treating patients but meeting the social and functional needs of a community, this idea would inspire much-needed initiatives across the region.

At the time when Dr. Anawati arrived in Northern Ontario to begin his medical practice, young people had little choice but to relocate to southern Ontario to pursue opportunities. This often meant many medical graduates from Northern Ontario were not likely to return to the North following their residency. To Dr. Anawati, it was clear what needed to happen: medical education in the North, for the North. Beyond that, services for Francophone and First Nations communities in the region were extremely lacking, meaning a solution that met the needs of everyone in the community was of utmost priority.

Dr. Anawati was invited by a colleague to contribute to the development of what would eventually become NOSM University. He was one of two bilingual members of the group, providing him the opportunity to advocate for Franco-Ontarians through emphasizing the importance of a bilingual Family Medicine program. Starting with the Northeastern Ontario Medical Education Corporation (NOMEC), an effort to train family physicians for Northern Ontario was underway, but the need to establish a more permanent education institution geared to Northern and rural medicine became clear.

“It was a natural evolution,” Dr. Anawati explains. “At first, we thought the Northern Ontario School of Medicine could just be a faculty within Laurentian University and Lakehead University. But we knew the goal was always independence—to run our own programs, tailored for the North, by people from the North. We weren’t politicians. We were just people who wanted to improve health care in our communities. What mattered was that we trained physicians and they chose to practise in the North.”

For Dr. Anawati, a proud member of Ontario’s sizable Francophone community, the education of Francophone doctors was vital to addressing the needs of communities across the region. “We created the Francophone Reference Group and made sure NOSM’s residency programs included French-speaking communities,” he says. “The best way to serve Franco-Ontarians was to train Franco-Ontarians. We’ve made progress, but we still need more.”

While only 5% of Ontario’s population is Francophone, about 25% of Northern Ontario’s population is French speaking. “If you look at other universities in Ontario, only 5% of their learners might be Francophone. At NOSM University, that number is more like 15%, which doesn’t fully reflect our Francophone population. There is room to improve on encouraging Francophone residents of Northern Ontario to apply to medical school to see that 25% reflected in our admissions.”

The solution is simple, says Dr. Anawati: “If you’re Francophone, train in a Francophone community. If you’re Indigenous, train in an Indigenous community. That is what we need—people from these communities becoming doctors and going back to serve them.”

Dr. Anawati’s devotion to the community was not one he tackled alone. In fact, his whole family became involved. He and his wife, Mrs. Jocelyne Anawati, shared the belief that being in health care meant being involved in the community, beyond providing strictly medical care.

“My wife was a Northern Ontarian nurse from North Bay and was deeply familiar with the reality of life in the North. As an ICU nurse, she often witnessed the challenges patients faced when they could not communicate in their mother tongue during some of the most critical and stressful moments of their lives.” Dr. Anawati shares that Jocelyne was quite accomplished and involved in their community. “For example, I didn’t grow up with hockey. I was born in Egypt, where the sport wasn’t part of our culture. However, in the emergency room we saw the results of hockey-related injuries. In Sturgeon Falls, back in those days, the newly constructed pool was underused. My wife and a group of fellow nurses took the initiative to form a swim team, which is still going to this day, providing young people with more sporting options.”

Eventually, Jocelyne stopped working as an ICU nurse and took over running Dr. Anawati’s office. “When we had students and residents in our community, we made it a point to welcome them into our home. Every Wednesday evening, we invited them for supper with our kids. Some, including a few from Sudbury, would spend the evening with us so they could feel more at home during their placements. Some residents were living close to our home and knew they could stop by if they needed anything. My wife became like an adopted mother.”

With 2025 marking NOSM University’s 20th anniversary, Dr. Anawati was asked to share his hopes and vision for the next 20 years.

“There are too many clerical demands on physicians, and that needs to be addressed. Working alone also leads to burn out. It’s time for a new generation to take the lead. I’ve done my share for a long time, and though I still have many visions for the future, the future must evolve with the new generation of physicians. We have to increase the number of students and residents—especially more rural and Francophone family physicians. And we need to increase the number of Francophone students and fully integrate them into the community. I ensured that residents spent time with the local pharmacist and Registered Nurse. I exposed them to the Women’s Shelter, the Community Living Association, and other services in the community so they can better understand their roles and responsibility to the entire community, not just their patients.”

As a final thought, Dr. Anawati reminded up-and-coming medical learners of this: “If you see a missing service, gather like-minded people and create it,” he says. “But remember one thing: if you open a door, be ready to deal with whatever is behind it. Don’t go into the community thinking you have a solution to everything. You must work with the people of that community to get it done.”

The Dr. Jean Anawati Bursary was established by Dr. Anawati in 2006. In remembrance of his wife Jocelyne, Dr. Anawati generously furthered his contribution in February 2025, bringing the bursary’s total to more than $100,000. The award benefits full-time medical students at NOSM University with connections to West Nipissing and the Franco-Ontarian community.

Spotlight on self-compassion research: NOSM University and Lakehead University learners present at international conference

 

The Mindful Self-Compassion North Research Team set a new milestone with four presentations at this year’s International Congress on Academic Medicine (ICAM) in Halifax–an exciting achievement that reflects the team’s growing impact in the field.

The team delivered workshops on several key initiatives, including the launch of new bilingual, evidence-based infographics designed to support clinicians in addressing a range of patient challenges such as depression, anxiety, PTSD, and emotional regulation. They also presented equity, diversity, and inclusion (EDI) research exploring whether self-compassion courses can help reduce intrinsic racial biases among clinicians and learners. 

In addition, the team shared oral presentations highlighting their research findings, including evidence that medical students tend to treat themselves more harshly during difficult times than they would a close friend—a pattern that appears more pronounced than in the general population—and the feasibility and effectiveness of teaching self-compassion skills through asynchronous learning methods. Below, each team member reflects on their individual contributions and shares how participating in both research and knowledge translation personally impacted them.

Eden Mackereth
Eden Mackereth

Eden Mackereth (MD, Class of 2026),  a fourth-year medical student at NOSM University, contributed to research on the use of technology in self-compassion training for medical learners. Her pilot project explored the effectiveness of a partially asynchronous learning platform to teach self-compassion principles to residents, offering practical strategies for managing the demands of high-pressure clinical environments.

The findings suggest potential for improving accessibility to self-compassion training among both learners and physicians. She also co-facilitated a workshop that introduced wellness infographics designed to help clinicians teach self-compassion skills to patients. Eden’s work reflects a broader effort to support learner and physician wellness and to foster innovation in wellness education across medical schools in Canada.

Claire Poulin
Claire Poulin

Alongside co-authors and fellow medical students Brooklyn Ranta and Eden Mackereth, Claire Poulin (MD, Class of 2026) presented research examining the prevalence of self-compassion among NOSM University medical students. The study highlighted the emotional challenges of early medical training and its impact on learner mental health.

Claire’s involvement reflects a strong commitment to student wellness and a shared goal of addressing high rates of depression and burnout in medical education through the lens of self-compassion and common humanity. Presenting at ICAM provided a valuable platform to share the voices of NOSM students—whose experiences are shaped by socially accountable education and training in remote, Northern, and rural communities—and to emphasize the need for compassionate, evidence-based support systems in medical training.

Brooklyn Ranta
Brooklyn Ranta

Brooklyn Ranta (MD, Class of 2026) contributed to both the self-compassion infographic workshop and the research exploring self-compassion within a medical student cohort, demonstrating her engagement with multiple dimensions of wellness in healthcare. In collaboration with her supervisors—Dr. Bryan MacLeod, Monique Mercier, and Dr. Robert Simpson—she co-authored a chapter in an upcoming book focused on the prevalence of burnout and poor mental health outcomes among medical students. Brooklyn has been a strong advocate for integrating self-compassion into medical education as a strategy to address these challenges and counter the isolation often experienced in medical training.

Mackenzie Barnett
Mackenzie Barnett

Mackenzie Barnett (PhD Clinical Psych Candidate, Lakehead University, Class of 2026) is a fourth-year PhD student collaborating with the MSC North team on her dissertation research. At ICAM, she co-presented a workshop with Dr. Bryan MacLeod exploring how self-compassion practices can influence clinicians’ reactions to patients. Their project builds on emerging research suggesting that mindfulness and self-compassion can reduce racial bias, applying these insights to a replicable course—Self-Compassion for Healthcare Communities—developed by Dr. MacLeod. Data collection begins this fall. Recently, research studies have shown that practicing mindfulness and/self-compassion exercises can reduce racial bias.

Mackenzie and Dr. MacLeod are taking this research one step further by applying these novel findings to a replicable self-compassion course, the Self Compassion for Healthcare Communities course, which Dr. MacLeod has been teaching to health professionals and learners for over four years. Mackenzie says that she enjoyed having ICAM participants reflect and comment on their own experiences with EDIA work and provide insights to strengthen this important research protocol. Mackenzie and Dr. MacLeod will begin data collection officially this fall. Mackenzie also firmly believes in the MSC North tongue in cheek tag of being “recovering over-achievers.” She has sadly seen too many healthcare providers and researchers burnout and suffer due to their deep desire to help others. Mackenzie hopes that MSC North can act as an example for other research teams and practitioners to embrace the practices of self-compassion and self-kindness in how they operate (and in their research!) to ensure longevity in the essential and important work they do.

Chelsea Klein
Chelsea Klein

Although Chelsea Klein (MD Class of 2027) was unable to attend the 2025 ICAM conference due to exams, her contributions were strongly felt during the infographic workshop. She is contributing to the team’s research on bilingual mental health infographics, which were presented as clinician training tools at the conference. The project examines the usability of these infographics as educational resources for clinicians and patients dealing with burnout, depression, anxiety, PTSD, or emotional dysregulation. Chelsea has played a key role in the initiative, notably leading and implementing the French translation to enhance accessibility and impact.  

As a Francophone, Chelsea is passionate about the bilingual access of these tools and led the French translation to help expand access to mental health resources, especially in Northern Ontario where approximately 21% of residents are Francophone. This bilingual approach supports NOSM University’s social accountability mandate and promotes safer and more inclusive care through linguistic congruence. 

Dr. Bryan MacLeod
Dr. Bryan MacLeod

Dr. Bryan MacLeod is a Chronic Pain Physician and Associate Professor at NOSM University. He began his medical career as a rural family physician in Marathon after completing his residency through the Northern Ontario Medical Program (NOMP). Over the years, Dr. MacLeod has held several clinical leadership roles, including Medical Director of Faculty Development with NOMP, Palliative Care at the Thunder Bay Regional Health Sciences Centre, Chronic Pain at St. Joseph’s Care Group, and ECHO North. After experiencing burnout in 2019, Dr. MacLeod shifted his focus to clinician and learner wellness, both in teaching and research. He says he is especially proud of the MSC North student researchers and their accomplishments, including being selected to present four sessions at the 2025 ICAM conference.

Dr. MacLeod and his research team would like to recognize the work and contributions of the team’s other current and past members, including: Chad Tremblay, Janelle Lazon, Dr. Sarah Hunt, and Dr. Jenna Simpson whose invaluable contributions laid the foundations for this good work and made our presentations possible. 

In 2025, the team will provide CEPD accredited, bilingual (French and English) materials for free to all NOSM University faculty and clinicians across the country. These resources are designed to support the integration of self-compassion practices into clinical care. Clinicians who choose to use the materials will also have the opportunity to provide feedback to help refine the tools prior to broader dissemination.

To participate in this initiative, please add your name and email to our confidential contact list.

NOSM University Marks a Historic 2025 Convocation

NOSM University proudly celebrates its 20th anniversary with a convocation season filled with milestones and meaning. In ceremonies held in Thunder Bay on May 23 and in Sudbury on May 30, 2025, the University conferred its 1,000th MD degree, while honouring the achievements of 69 new physicians, and 1 Masters of Medical Studies graduate.

Marking another historic moment, Dr. Michael Green was officially installed as the second President, Vice-Chancellor, Dean, and CEO since NOSM University became Canada’s only independent medical university in 2022. Presiding over the ceremonies was Dr. Cindy Blackstock, NOSM University’s inaugural Chancellor and renowned advocate for Indigenous child and family rights. Her leadership reflects NOSM University’s deep and enduring commitment to social accountability and reconciliation.

Both ceremonies opened with Nsidwaamjigan, the ceremonial object introduced in 2023 and now a symbol of honour, healing, and interconnectedness.

“In a year of such historic significance, it’s an extraordinary privilege to join NOSM University,” says Dr. Green. “To witness these new physicians courageously step into their roles as leaders and innovators in health care—many returning to serve the Northern communities they call home — is both inspiring and deeply affirming. These new physicians embody the spirit and mission of NOSM University and will go on to make a profound impact.”

With this year’s additions, NOSM University’s alumni community has grown to include 1,041 MD graduates, of whom 92 identify as Indigenous and 214 as Francophone. A remarkable 34 of this year’s MD graduates matched to family medicine, representing 49% of all MD graduates, and reaffirming NOSM University’s leadership in addressing primary care gaps that exist in primary care for remote, rural, Indigenous and Francophone communities.

Since 2009, when the first MDs and Family Medicine residents completed their training, NOSM University has played a vital role in growing and sustaining Northern Ontario’s physician workforce. As of January 2025:

  • 683 physicians have completed Family Medicine residency through NOSM University, with 60% choosing to stay and practise in the North.
  • For graduates who complete both their undergraduate and postgraduate training through NOSM University, 90% have stayed to practise in the North.
  • 53% of NOSM University graduates select Family Medicine, compared to a national average of 38%.

As NOSM University celebrates 20 years of transformative medical education, convocation offers a moment to reflect on the institution’s enduring success and unwavering mission. Since its inception, NOSM University has been firmly rooted in the principles of social accountability, health equity, and improving access to health services across Northern Ontario. Each graduating class strengthens that legacy as these exceptional graduates go on to provide care across the region and beyond.

 

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NOSM University is Canada’s first independent medical university and one of the greatest education and physician workforce strategy success stories of Northern Ontario. More than just a medical university, it was purpose-built to address the health needs of the region. While advocating for equitable access to care, the university contributes to the economic development of Northern Ontario. NOSM University relies on the commitment and expertise of the people of Northern Ontario to educate health-care professionals to practise in Indigenous, Francophone, rural, remote, and underserved communities. With a focus on diversity, inclusion, and advocacy, NOSM University is an award-winning, socially accountable organization renowned for its innovative model of distributed, community-engaged education and research.

For further information, please contact news@nosm.ca.

NOSM University