Past Meeting Summaries and Resources

Session Summary: 

Session Topic: Working Smarter, Not Harder Part 1: Charting Tips

Description: Are you followed by a dark cloud of charts waiting to be completed? Charting is a critical aspect of physician's work, but there are ways to make it less painful. We explore tips and strategies for effective charting, including the potential future role of AI.

Session Hosts: Dr. Janet Craig, Dr. Andie Bains, Dr. Lindsay Nanninga, Dr. Jerrett Stephenson

Guest Presenters: Dr. Sarah Smith, Dr. Tim Weighman

Session Objectives: 

At the end of this webinar, you will be able to:

• Describe strategies for
  • Completing your charting after every patient
  • Leading your clinical encounters
  • Having an exact plan for inboxes
  • Managing your interruptions
• Explain 8 ways that artificial intelligence (AI) can help alleviate the administrative burden for Alberta physicians

Recommended Resources: 

• Session Recording
• Sarah Smith

 Books on AI

• The patient will see you now, The creative disruption of Medicine, Deep Medicine: Dr Eric Topol
• AI superpowers: Kai Fu Lee
• The coming wave; Mustafa Suleyman
• Prediction Machines: Power and Prediction: Agrawal, Gans, Goldfarb

Potential PPIP Opportunities:

• One:carepath research opportunity information (remunerated)
• Shared Decision Making for Physicians – short survey

Session Highlights & Themes:

Charting: 

• Not completing chart notes by the end of the day means doing them on your own time and possibly not being remunerated for that time
• Charting never seems to end - it’s overwhelming
• The *goal* is to complete charting after every patient
• Consider providing A+ care and writing B- chart notes; where is your valuable time better spent?
• Use tools like templates to save time
• If you don’t have time to do the charting, do your future self a favour by leaving ‘bread crumbs’ – just a few words that will jog your memory when you come back to it
• Remember that you’re the ‘boss’ in the exam room – you can use words as cues to help the patient stay focused (e.g., “What are we doing today?” vs. “How are you?”
• Have specific strategies for dealing with your inbox
• Manage interruptions – try not to leave the exam room unnecessarily; do your charting somewhere secluded, if possible
• Start by becoming ‘curious’ – what happens during your clinical day? Why? How could you try doing it differently?
• Seek community and make changes together!

Artificial Intelligence:

• Artificial intelligence is here and is going to have a lasting and ongoing impact on medicine
• AI can help alleviate the administrative burden of family doctors in Alberta in several ways:
  • AI-powered scheduling systems can optimize appointment bookings, reduce no-shows and wait times, and allow doctors to focus more on patient care.
  • AI can enhance telemedicine platforms, enabling doctors to diagnose and treat patients remotely, which can save time and reduce the need for in-person visits.
  • AI algorithms can assist doctors in interpreting medical images, lab results, and other data, speeding up diagnosis and reducing the risk of errors.
  • These systems use AI to analyze patient data and provide evidence-based recommendations, helping doctors make more informed decisions.
  • AI can automate billing and claims processing, reducing paperwork and ensuring that doctors are reimbursed more quickly and accurately.
  • AI-powered chatbots and virtual assistants can handle routine inquiries from patients, schedule appointments, and provide basic health information, freeing up doctors’ time for more complex tasks.
  • AI can assist in managing prescriptions, including checking for drug interactions, monitoring adherence, and sending refill reminders to patients.
  • AI can streamline the management of electronic health records by automating data entry, reducing errors, making it easier for doctors to access and update patient information.

• Session Summary
• Recording
• CPSA website: resources
• MyL3Plan - free PPIP reporting tool from the Physician Learning Program/Lifelong Learning Office at the UofA
• MyPI – subscription support program from UofC (PLP)
• Facing the Drain of Medical Practice – 90-minute webinar for PPIP-3 addressing burnout prevention (contact AMA ACTT program at networks@albertadoctors.org)
• One:carepath research opportunity information
  • Link to website
• HQCA Healthcare Panel Report
• HQCA Patient Safety Culture survey – email info@hqca.ca (Jonas Shultz)
• HQCA Patient Experience survey - email info@hqca.ca (Roland Simon)
• MyL3 Plan: My Lifelong Learning Plan: a free, accredited online tool that supports practice improvement - College of Physicians & Surgeons of Alberta | CPSA
• MyPI: A new practice improvement tool for Alberta physicians - College of Physicians & Surgeons of Alberta | CPSA
• How big does a PPIP activity have to be? - College of Physicians & Surgeons of Alberta | CPSA

• Session Summary
• Recording
• Clinic Conflict Resolution Norms – sample
• A Guide to Group Governance Agreements
• Suggested Reading:
  • Crucial Conversations: Tools for Talking When Stakes are High, Joseph Grenny, et al
  • Managing Conflict: A Practical Guide to Resolution in the Workplace, David Liddle
• Related Physician Champion Webinar Recording: March 09, 2022: ​I'm Okay, You're Okay: Techniques for Managing Conflict

Presented by: Dr. Janet Craig and Dr. Jerrett Stephenson

Resources:

• Session Summary
• Recording
• Recommended Resources:
  • Podcast episode on primary care nurse’s (RN, LPN) scopes of practice
  • ‘Primary Care Nursing in Alberta: A guide to the role’
  • Ideal Panel Size Calculator and other resources
  • Access-related tools & resources

Presented by: Michele Hannay

Resources:

• Session Summary
• Recording
• Recommended Reading:
  • Carol S. Dweck, Ph.D:  Mindset: The New Psychology of Success 
  • Marshall Goldsmith: What Got You Here Won’t Get You There

Presented by: Michelle Tobias Pawl. 

Resources: 

• Session Summary
• Recording
• Recommended Resources: 
  • Governance Essentials Training 
  • ACTT PCN Governance Info
  • ACTT Practice Supports
  • Institute of Corporate Directors (ICD)

Presented By: Michele Hannay

Resources: 

• Session Summary
• Recording
• Recommended Reading: 
  • Brene Brown, Braving the Wildness: The Quest for True Belonging and the Courage to Stand Alone
  • Jillian Horton, M.D., We Are All Perfectly Fine: A Memoir of Love, Medicine and Healing

Presented By: Christal Lacombe, Dr. Andie Bains, Dr. Lindsay Nanninga, Dr. Oliver David

Resources: 

• Session Summary
• Recording
• Recommended Resources: 
  • CII/CPAR 1 pager
  • ACTT CII/CPAR Website

Presented By: Presented by Dr. Christine Luelo and Lori Choma

Resources: 

• ​Session Summary
• Ted Talks
  • The Happy Secret to Better Work – Shawn Achor
  • How to Make Hard Choices – Ruth Chang 
  • Dare to Disagree – Margaret Heffernan
  • How Great Leaders Inspire Action – Simon Sinek
  • Why Good Leaders Make you Feel Safe – Simon Sinek
  • Your Body Language may Shape who you are – Amy Cuddy
• Books:
  • The Seven Habits of Highly Effective People – Stephen Covey
  • 10-10-10: A Life-Transforming Idea - Suzy Welch
• Recording

Presented By: Dr. Tina Nicholson, Erin Hay and Michelle Hannay

Resources:

• Session Summary
• Sequence to Achieve Change Workbook for Teams
• Recording

Presented By: Dr. Chris Waller, Michele Hannay

Resources:

• ​Call Summary
• Recording

Presented By: Dr. Janet Craig, & Michele Hannay

Resources: 

• Roles and responsibilities
• ​Call Summary
• Recording

Presented By: Dr. Janet Craig, & Angille Heintzman

Resources: 

• Sequence to Achieve Change
• The Model for Improvement and PDSA Worksheet
• Physician Practice Improvement Program (PPIP)​
• Call Summary
• Recording

Presented By: Dr. Carla Laidlaw, Stephanie Balko, Dr. Oliver David & Jody Pow

Resources: 

• The Prosci ADKAR model for change 
• CII/CPAR information 
• About the HQCA Primary Healthcare Panel Reports 
• Access your HQCA panel report 
• 46th Annual Pearls for Family Practice
• Session Summary​

Presented By: Dr. Chris Waller & Michele Hannay

Resources:

• Session Summary​
• Recording

Presented By: Dr. Joseph Ojedokun, Dr. Heather La Borde, Michele Hannay

Resources:

• ​Team Huddles Guide
• Session Summary

Presented By: Dr. Chris Waller & Michele Hannay

Resources: 

• Burnout, The Cost of Caring (Christina Maslach, PhD)
• Burnout, the secret to unlocking the stress cycle (Emily Nagoski, PhD & Amelia Nagoski, DMA)
• Session Summary

Presented By: Dr. Janet Craig & Dr. Heather La Borde

Resources: 

• Session Summary

Presented By: Dr. Heather La Borde and Michele Hannay

Resources: 

• Connect First: 52 Simple Ways to Ignite Success, Meaning, and Joy at Work by Melanie Katzman
• Give and Take: A Revolutionary Approach to Success by Adam Grant
• Session Summary​

Presented By: Dr. Heather La Borde, Dr. Linda Slocombe and Michele Hannay

Resources: 

• ​Home to Hospital to Home Transitions Guideline
• Session Summary

Presented By: Dr. Heather La Borde and Michele Hannay

Resources: 

• ​The Fifth Discipline: The art and practice of the learning organization (Peter Senge)
• The Advantage: Why Organizational Health Trumps Everything Else in Business (Patrick Lencioni)
• Drive: The Surprising Truth About What Motivates Us (Daniel Pink)
• Podcast: One Nail at a Time episode 13. A Culture of Joy with Kush Badshah (IHI)
• IHI Framework for Improving Joy in Work
• Session Summary

Presented By: Dr. Heather La Borde and Dr. Joseph Ojedokun

Resources: 

• Alberta Health Care Insurance Plan Bulletin: Additional Virtual Care Codes for Physicians During COVID-19 Epidemic
• Webinar #5: COVID Talks for Docs: Assisting physicians in promoting self-care in a rapidly changing environment
• Session Summary

Presented By: Dr. Bill Hendriks and Michele Hannay

Resources: 

• Scaling Up: A Principled Approach for Primary Care Transformation in Alberta 
• ​Dare to Lead: Brave Work. Tough Conversations. Whole Hearts. (Brene Brown) 
• Crucial Conversations: Tools for Talking When Stakes Are High (Patterson, Grenny, McMillan & Switzler)
• OPTIONAL RESOURCE: The Crucial Conversations authors have a blog that you can subscribe to here https://www.vitalsmarts.com/crucialskills/subscribe/ 
• Session Summary

Presented By: Dr. Heather La Borde and Dr. Janet Craig

Resources: 

• ​ACTT website: CII/CPAR
• One Nail at a Time: Insights for Building Your Patient’s Medical Home podcast: episodes 15, 16, 18
• CII/CPAR: short videos addressing various aspects and barriers
• Session Summary

Presented By: Dr. Heather La Borde and Michele Hannay

Resources: 

• Physician Champion Network Mission Statement

Suggested Reading - LEAD SELF:

• Goleman, D. Social Intelligence (2006): The Revolutionary New Science of Human Relationships. 
• Langer, E. (2014) Mindfulness. 
• Dweck, CS. (2017) Mindset: Changing the Way You Think to Fulfill Your Potential 
• Cocker F, Joss N. Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review. Int J Environ Res Public Health. 2016;13(6):618. Published 2016 Jun 22. doi:10.3390/ijerph13060618 
• Mathieu, F., & Cameron, R.W. (2007). Running on Empty: Compassion Fatigue in Health Professionals. 
• Mathieu, F. (2011). The Compassion Fatigue Workbook: Creative Tools for Transforming Compassion Fatigue and Vicarious Traumatization. 
• Session Summary

Presented By: Dr. Heather La Borde and Dr. Brad Bahler

Resources: 

• Scaling up Primary Care Transformation
• Physician Champion Research
• Physician Champion Literature Summary 
• LEADS Framework
• Session Summary