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It was an honour to give the keynote address Family Medicine Forum The College of Family Physicians of Canada last week together with one of #OurCare's public volunteers, Elly Grabner There's a lot we need to do to realize the public's vision for high quality #primarycare for all. Here are my top 5:

And to think that there are programs like Renfrew County Virtual Triage & Assessment Centre that not only support unattached patients but reduce the significant burden of stress on our ER friends & Paramedics. The answers are #upstream. Jonathan Fitzsimon

R/T Danielle Martin: “Fixing primary care might sound complicated, but we know what the solutions are. We need to push leaders at all levels to take decisive action and allocate the resources needed now and over the coming decade.” thestar.com/opinion/contri… UofT Family Medicine The College of Family Physicians of Canada

Congratulations Kamila. Your work is inspiring and it is great news for primary care research in Ontario that you have been awarded this fellowship.

I’ve practiced medicine in some of the poorest and wealthiest communities in three distinct parts of the world. I’ve learnt that better health and well-being comes from good nutrition, sanitation, clean water, strong family and community supports, and access to medical care.

When I was growing up, I associated "malnutrition" with pictures of starving children in Africa. Now, the destructive impact of ultra-processed food alternatives is felt across the world. Health and well-being cannot exist alongside malnutrition.

Strong connections with family, friends and community play a vital role in health and wellbeing. Loneliness is associated with higher rates of many mental health conditions, including depression and Alzheimer's disease. Health and well-being cannot exist alongside loneliness.

I used to think of sanitation as referring to keeping human and animal waste out of our contact. We are now awash with pesticides, plastics and pollutants. Health and well-being cannot exist alongside a polluted, toxic and unsanitary environment.

Take a look at New Yorkers in 1930 after a decade of economic exuberance. There were no gyms, SoulCycles, yoga classes, or running shoes. There were no diets, Ozempic, USDA pyramids or degrees in nutrition science. Yet, look at how lean everyone is. There is no obesity.

Integrated Virtual Care - the attachment arm of @RCVTAC, taps into unused capacity in the existing family doctor workforce. 18 have part-time IVC practices, so 6000 previously unattached residents of County of Renfrew now have a family doc + team based care. journals.lww.com/cjrm/fulltext/…

We got some work to do. Couple thoughts: Leverage virtual care to improve access (Jonathan Fitzsimon ). National licensing. Proper compensation. Leverage NPs, pharmacists etc when appropriate.

This report makes depressing reading for all Canadians. A high functioning primary care system needs a strong, dynamic, motivated cadre of family doctors. Family medicine is a vital medical specialty, fundamental to the health, wealth, productivity and wellbeing of our nation.

Innovative healthcare program by Jonathan Fitzsimon uOttawa - Médecine familiale, Family Medicine uOttawa | Faculté de médecine, Faculty of Medicine Cayden Peixoto Institut du Savoir Montfort #uOttawa successfully paired residents with family physicians to highlight how integrated virtual care delivers primary care to remote communities uottawa.ca/about-us/media… #uOttawa

Happy National Physicians’ Day. In Canada, May 1st recognizes the dedication, compassion, and expertise of physicians. Thank you to my colleagues for your commitment to patient care. #NationalPhysiciansDay

I am having to add “lack of access to primary care” as a medical problem on discharge for more and more complex patients. This worsens patient outcomes and ends up costing you a lot more in tax dollars in the long run.

Our new research, published today in BMC Primary Care, details the substantial impact of unattachment (the lack of any formal enrollment with a primary care provider) on both individual patients and the healthcare system. bmcprimcare.biomedcentral.com/articles/10.11… We can now define the disparities

Powerful evidence published today, demonstrating the success of Integrated Virtual Care (IVC), the attachment arm of Renfrew County Virtual Triage & Assessment Centre. journals.sagepub.com/doi/10.1177/21… "High levels of satisfaction, strong physician trust and a positive overall experience. These findings support the potential