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NOSM receives Charles Boelen International Social Accountability Award

The Northern Ontario School of Medicine (NOSM) was presented with the Charles Boelen International Social Accountability Award by the Association of Faculties of Medicine of Canada (AFMC) during a ceremony on April 14 at the Conference on Canadian Medical Education at the Scotiabank Convention Centre in Niagara Falls, Ontario.

Named after Dr. Charles Boelen, a world leader in social accountability in medical education, the award aims to celebrate people or organizations whose professional accomplishments are reflective of the principles of social accountability, including a focused response to the priority health concerns of citizens and society in education, research and service delivery missions.

“AFMC is pleased to award NOSM with the AFMC Charles Boelen International Social Accountability Award,” says Dr. Geneviève Moineau, President and CEO of AFMC. “NOSM has developed an innovative model of distributed, community-engaged medical education for which they should be recognized.”

NOSM is the first medical school in Canada established with an explicit social accountability mandate. The School is committed to addressing the health needs of all Northern Ontarians and improving access to quality care through education and research. Since 2009, there have been 595 graduates of NOSM’s MD program. The majority of NOSM medical students come from the North and many choose to stay in the North upon completion of their studies.

More than 90 communities participate in the education of NOSM students. Throughout the School’s four-year MD program, medical students have the unique opportunity to live and learn in these communities. All medical students complete a four-week placement in an Indigenous community in their first year, and two four-week placements in rural and remote communities in their second year. NOSM was also the first medical school in the world at which all medical students complete a Longitudinal Integrated Clerkship (LIC), the Comprehensive Community Clerkship—an eight-month third-year placement during which the students live and learn in one of 15 mid-sized communities in the region.

As part of its social accountability mandate, NOSM has the responsibility to engage partners at all levels across Northern Ontario, including those in Indigenous, Francophone, and rural and remote communities. Since 2003, the School has sought guidance from these communities, bringing together members from treaty organizations, Elders, physicians, community leaders, nurses and other health-care professionals from across the North to learn from their invaluable experience and expertise. The key elements of the School’s community-engaged learning model are a direct result of their input.

The work of NOSM researchers also plays a key role in fulfilling the School’s social accountability mandate. For years, Canadian health research took place primarily in large cities, leaving unanswered questions about health issues affecting Northern Ontarians, as well as issues specific to Indigenous and Francophone communities in the region. Today, there are many NOSM faculty members—medical anthropologists, sociologists and biologists, immunologists, physicians, other clinicians and more—who conduct leading-edge health research in the lab, in communities, in hospitals, in health clinics and in administrative offices across Northern Ontario.

“When NOSM was founded, we didn’t take an off-the-shelf model and try to transpose it,” said Dr. Roger Strasser, NOSM Dean and CEO, who accepted the award on behalf of the School. “We started in the Northern Ontario context and developed our own model of medical education for Northern Ontario, and it’s working, thanks to the hundreds of health professionals who serve as clinical faculty members for students, and the people of Northern Ontario, who have welcomed our learners into their communities and into their homes.”

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The Northern Ontario School of Medicine is committed to the education of high-quality physicians and health professionals, and to international recognition as a leader in distributed, learning-centred, community-engaged education and research.
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NOSM Board Holds First Meeting of 2019

The Northern Ontario School of Medicine (NOSM) held a regular meeting of the Board of Directors on Wednesday, March 20, 2019 by video- and tele-conference across Northern Ontario.

Special guest Dr. Sarita Verma, Dean and CEO Designate, was introduced to the Board of Directors and shared her vision for the School as she congratulated Dr. Strasser for the incredible work NOSM has done in improving access to quality health care for all Northern Ontarians. Dr. Verma begins her term on July 1, 2019.

Each of the standing committees reported updates. The Executive Committee Terms of Reference were revised and approved. The Governance Committee Principles Policy revisions were approved as well as the Board Orientation, Training and Mentoring Policy. The Board also approved the Financial Report for the period ending January 31, 2019.

Board member Danielle Belanger-Corbin, provided an update on the recruitment process for two new board members. The selection committee has scheduled interviews in Sudbury and in Thunder Bay.

Dr. Strasser updated the Board on the Remote Rural Workforce Stability Forum, an international, multi-site forum on physician recruitment and retention that took place on January 15, 2019. The forum focused on recruitment and retention of the health workforce in rural and remote communities and the role of medical schools, health service organizations, communities and government in creating workforce stability. The Making It Work Framework for Remote Rural Workforce Stability, is the result of a seven-year international partnership between institutions in Sweden, Scotland, Norway, Iceland and Canada.

Board members were reminded of important upcoming events being hosted by NOSM. Northern Constellations—a conference that brings together NOSM faculty from across Northern Ontario to share experiences, network, and participate in workshops related to educating future health professionals—will take place May 3 and 4 in Sudbury. NOSM’s 14th annual Northern Health Research Conference is being held in Little Current, Ontario on September 20-21, 2019.

NOSM’s new publications were provided including: The 5th Indigenous Community Partnership Gathering Gididaa Bimaadiziwin Wenji-Maamoobiiding  (Gathering Together For Life and Wellbeing) Report, Northern Passages, and The Scope.

The next meeting of the Board of Directors is the annual Board face-to-face meeting, this year scheduled for May 9-10, 2019 in Sioux Lookout, Ontario.

For a complete list of Board members, please visit our website at nosm.ca/board.

NOSM receives funding for virtual communities of practice

The office of Faculty Affairs and Continuing Education and Professional Development (FA and CEPD) at the Northern Ontario School of Medicine (NOSM) has succeeded in a grant application and received more than $500,000 to develop educational materials for primary care and specialist physicians on best practices in opioid prescribing. The grant application was a collaboration between leadership and faculty in the Clinical Sciences Division.

The project aims to increase recognition of the social, economic and geographic factors affecting patients in Northern Ontario, develop competence to appropriately prescribe opioids, as well as encourage physicians to draw on feedback and suggestions to evaluate their own opioid prescribing habits.

The most common reason for outpatient visits to primary care physicians in Northern Ontario is substance use disorder, according to data from the Institute for Clinical Evaluative Sciences (ICES). The North West and North East Local Health Integration Networks also have the first and second highest rates of patients being treated with opioid maintenance therapy patients per capita; the sixth and third highest rate of opioid patients per capita and the first and second highest rates of opioid related deaths in the province, according a November 2016 report from the Ontario Drug Policy Research Network (ODPRN).

“Opioid-related health problems are causing significant illness and death in Northern Ontario, and this has immediate relevance to physicians on both a professional and personal level,” said Dr. Janice Willett, Associate Dean of Faculty Affairs and Continuing Education and Professional Development at NOSM. “This project will provide physicians and other health-care providers with the tools to respond appropriately in their own practice setting, ultimately improving long-term health outcomes for their patients.”

Educational materials will include an online module aimed at increasing awareness about the link between the historical increase in prescribed opioids and the increase in opioid dependence, opioid use disorder and opioid-related deaths. The module will review the 2017 Canadian Recommendations for the use of opioids in chronic non-cancer pain, present data, discuss current gaps in treatment and review patient case scenarios.

The project will also establish virtual communities of practice using the Ontario Telemedicine Network (OTN) platform for physicians and other health-care professionals to have facilitated discussions about implementing best practice guidelines and addressing barriers faced by providers and patients in rural and remote areas, with attention to cultural competence.

The project will be funded by Health Canada’s Substance Use and Addictions Program (SUAP). SUAP is a federal contributions program, delivered by Health Canada, that provides financial support to provinces, territories, non-governmental organizations and key stakeholders to strengthen responses to drug and substance use issues in Canada.

“When used properly, prescription opioids can be very helpful in managing pain in some patients. At the same time, we know that, as with all medications, opioids come with risks. Initiatives like this one provide health care professionals with objective, evidence-based information and resources on opioid prescribing to assist them in treating patients,” said the Honourable Ginette Petitpas Taylor, Minister of Health. “By bringing together researchers, health care professionals and other stakeholders to develop best practices in opioid prescribing, we can ensure that patients continue to have access to the medications they need, while addressing Canada’s opioid crisis.”

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