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Monthly Archives: July 2014

Announcing Lisa Misener, CanAm VP of Business Development

Lisa Misener joins CanAm with more than 20 years experience in the business development world – working with global companies like Pfizer to enhance their strengths and gain exposure.

LisaMisener2014Lisa studied marketing at Saint Mary’s University and went on to complete additional training in French and communications. She has held high-level sales and marketing positions with businesses across Canada, and doubled sales targets within a year while managing North American sales for the Factors Group of Nutritional Companies.

Armed with expertise in operational excellence, strategic planning, market expansion, and relationship management, Lisa comes from international companies in the nutraceutical world – providing exceptional products and service.

While working with clients locally and internationally, Lisa manages significant accounts and maintains productive relationships with clients and sales teams. She has a knack for developing and implementing effective sales strategies while ensuring superior client satisfaction and profitable sales growth.

From career transitions to relocation, CanAm has the experience and relationships with experts in their field that offer the level of service and expertise our clients deserve during their journey. Lisa has a keen eye for detail and a proven ability to ensure efficient project completion. She will be developing these relationships and growing the variety of services for our clients.

 

Changes to Labour Market Opinion Process Costly and Potential Risk to Foreign Physician Employment for Canadian Communities in Need

Recently, the federal government announced sweeping changes to the Temporary Foreign Worker (TFW) program.

Most significant are a 300% cost increase to employers and  the deletion of the Labour Market Opinion (LMO) with the new Labour Market Impact Assessment (LMIA) and Transition Plan.

The purpose of the new LMIA application is essentially the same as the LMO:

a)      to confirm that the employer has taken all reasonable steps to hire Canadian citizens and permanent residents first and has a legitimate need to hire a foreign physician.

b)      to support an application by a foreign national for a work permit in Canada.

The three changes that will most significantly complicate the process for employers considering hiring foreign physicians are:

Cost – The fee payable to government has increased from $275 to $1000 per application. In addition, the complexity of the new forms warrants that employers must also consider hiring private Immigration Consultants or Lawyers at costs ranging from $1800 to $3600 per application.  These are substantial increases for any employer, and can be a major burden for private clinics or rural communities in dire need of multiple physicians.

Processing Time – The federal government has promised to speed up processing to ten business days for the highest earning occupations, which includes physicians.  My office filed our first LMIA for the employment of a physician as this newsletter went to print, so this will be a good test of this promised 10 day turnaround.

The “Transition Plan” – The government is now requiring that all employers complete a detailed transition plan explaining how they plan to transition to a Canadian workforce.

The government offers examples of things that an employer can do to transition to a Canadian work force including offering flexible work arrangement for employees, and reaching out to groups that have traditionally been underemployed, like recent immigrants and Aboriginals. Given the 8-12 year training period required for physicians, the latter is a pointless recommendation, particularly in the short term.

The government then asks what employers will do to train Canadians. Obviously, when it comes to educating and training physicians there are extraordinary limits on what employers can do, particularly private medical clinics, rural communities, community hospitals, and even some provincial governments.

The reality that the federal government ‘apparently’ doesn’t understand is that provincial governments have very few resources and private employers have no tools to impact the supply of Canadians trained in any medical speciality.

The reality that government should understand is that any ongoing shortage in one or more medical specialties, is a much larger policy question that must be co-ordinated among Canada’s medical credentialing agencies, university based medical schools and provincial governments.

In the absence of a specific physician centered immigration policy and process, Canadian physician employers can only hope that Employment Services and Development Canada staff will exercise common sense when reviewing the transition plans submitted by employers and communities struggling with dire physician service shortages.

David Nurse of David Hunt Nurse Law Inc. for CanAm DocZoNews, July 28, 2014

Job Posting of the Month – Family Medicine / GP Locums – up to $14,000+ per week!

Nova Scotia Lighthouse2014Our Atlantic Canada client needs ongoing locum services commencing September 1st for a primary care/urgent care position until a permanent candidate is found.

–          A long term locum is preferred for the months of September – December, however, recurring locums of one week or more may also be considered.

–     Potential for income of $14000+ per week! 

To view this job vacancy follow this link – https://www.canamrecruiting.com/ViewJob.php?JobID=898.

 

For more information, please contact:

Please contact:David Nurse

CanAm Physician Recruiting Inc.

​Office: 1-902-719-7309

Fax: 1-902-640-3118 dnurse@canamrecruiting.com

Poll reveals Canadians support doctors’ moral right to deny treatment

TORONTO | An unscientific poll suggests that Canadians support a doctor’s right to refuse some procedures on the grounds of moral beliefs.

fundamental  rights of those who seek their medical services

The new stats from the College of Physicians and Surgeons of Ontario tallied up some 14,000 votes, giving the edge to the doctor’s beliefs.

The poll asked: “Do you think a physician should be allowed to refuse to provide a patient with a treatment or procedure because it conflicts with the physician’s religious or moral beliefs?”

So far, about 56% of respondents (8,331 votes) have said “yes.” Meanwhile, 43% ” (or about 6,400 votes) have said “no.” The rest picked “Don’t know.”

Check out the poll here.

The poll comes as the CPSO reviews its human rights policies.

“This policy sets out physicians’ legal obligations under the Ontario Human Rights Code and  the college’s expectations that physicians will respect the fundamental  rights of those who seek their medical services,” states the CPSO’s website.

As the review continues, the CPSO is seeking feedback from physicians and community members.

The timeliness of the review also merits mention, as the Canadian Medical Association and the health-care community at large grapples with issues such as the right-to-die and physician-assisted suicide—both of which will be on the agenda as the CMA meets next month in Ottawa.

Recently, headlines about a physician in Calgary who refused to prescribe the birth control pill also created a stir nationally about where a doctor’s rights mesh with those of patients.

“The feedback obtained during this consultation will be carefully  reviewed and used to evaluate the draft. While it may not be possible to  ensure that every comment or suggested edit will be incorporated into  the revised policy, all comments will be carefully considered,” states the college.

Click here to be a part of the discussion.

Written by JERED STUFFCO         on         July 24, 2014         for The Medical Post

Gunfire exchanged between patient and doctor at Philadelphia hospital

An investigation is underway after a gunfight at a suburban Philadelphia hospital left one caseworker dead, a doctor with a bullet wound and a former patient in critical condition.

Local law enforcement commended Dr. Silverman for his actions

District Attorney Jack Whelan told reporters that caseworker Theresa Hunt accompanied patient Robert Plotts to psychiatrist Dr. Lee Silverman’s office around 2.30p.m. on July 24. Plotts opened fire soon after, shooting and killing Hunt while Dr. Silverman ducked under his desk to retrieve a gun. He shot Plotts twice in the torso.

Investigators are still trying to determine a possible motive.

According to the Philadelphia Inquirer, the 52-year-old Dr. Silverman suffered “a graze wound to the head” during the crossfire. He has worked at the hospital for 25 years and is expected to make a full recovery.

What is not yet clear is why Dr. Silverman was armed. Plotts had a history of psychiatric issues, the Inquirer reported, and court records show a man matching his name and age with a lengthy criminal record.

But it’s not confirmed whether Dr. Silverman began carrying the weapon as a result of his experience with Plotts, Gawker reported.

The Mercy Fitzgerald Hospital has a policy barring anyone except on-duty law enforcement officers from carrying a weapon on its campus, the Associated Press reported.

Still, local law enforcement commended Dr. Silverman for his actions.

“Without that firearm, (the patient) could have went out in the hallway and just walked down the offices until he ran out of ammunition,” police chief Donald Molineux told the Associated Press.

“Without a doubt, I believe the doctor saved lives.”

Written by Tristan Bronca         on         July 25, 2014         for The Medical Post

 

U.S. doctor working with Ebola patients tests positive

The Associated Press                                       Published Saturday, July 26, 2014 10:48PM  EDT

BOONE, N.C. — A U.S. doctor working with Ebola patients in Liberia has  tested positive for the deadly virus, an aid organization said Saturday.

Samaritan’s Purse issued a news release saying Dr. Kent Brantly was being  treated at a hospital in Monrovia, the capital. Brantly had been serving as  medical director for the aid organization’s case management centre there.

The highly contagious virus is one of the world’s most deadly. Photos of  Brantly working in Liberia show him in white coveralls made of a synthetic  material that he wore for hours a day while treating Ebola patients.

Brantly was quoted in a posting on the organization’s website earlier this  year about efforts to maintain an isolation ward for patients.

“The hospital is taking great effort to be prepared,” Brantly said. “In past  Ebola outbreaks, many of the casualties have been healthcare workers who  contracted the disease through their work caring for infected individuals.”

Samaritan’s Purse spokeswoman Melissa Strickland said Brantly’s wife and  children had been living with him in Africa but are currently in the U.S.

The disease has already killed 672 in four West African countries since the  outbreak began earlier this year.

Read more: http://www.ctvnews.ca/health/health-headlines/u-s-doctor-working-with-ebola-patients-in-liberia-tests-positive-1.1933897#ixzz38fD3vtAP

Ottawa doctor who caused a public health scare has agreed never to practise medicine again

Christiane Farazli, doctor who sparked health scare, reprimanded

An Ottawa doctor who caused a public health scare in 2011 after her endoscopy clinic failed a health inspection has agreed never to practise medicine again.

Dr. Christiane Farazli was publicly reprimanded Thursday by the Ontario College of Physicians and Surgeons for disregarding the safety of patients and ignoring the fundamental principles of infection control.

“Not only did you subject your patients to a very real risk of significant harm, your actions resulted in emotional distress and anxiety for thousands of patients as well as major costs to society for the investigations of blood-borne disease that were subsequently necessary,” the college’s disciplinary committee told Farazli in a sharply worded rebuke.

Farazli was ordered in 2011 to stop performing endoscopies at her clinic on Carling Avenue after she was found to be using improper cleaning procedures for patients treated between April 2002 and June 2011, among other actions. She publicly apologized to her patients in a written statement delivered by Ottawa Public Health officials in 2011.

On Thursday, she told the college’s disciplinary committee she would undertake to never practise medicine again. Had she not done so, the committee said, she would have faced “the most severe penalties available to the college,” which would include losing her medical licence.

Not only did Farazli risk harming patients through improper safety and sterilization procedures, but the disciplinary committee found that she treated multiple patients at her endoscopy clinic “in a manner which can only be described as abusive.

“It is hard to think of a more vulnerable position for these patients. To treat patients in this position with gross insensitivity and disregard of their discomfort is unconscionable.”

Among other things, the college alleged that Farazli failed to provide patients with enough sedation to be comfortable and “persisted with a procedure despite a patient’s request to stop due to unbearable pain.”

Ottawa resident Rebecca Soroka, in a class-action lawsuit filed against Farazli in 2011, claimed in an affidavit that the doctor told her to “shut up” when she cried out in pain during a colonoscopy and said she was “being a baby.” Soroka also claimed the doctor took her glasses and refused to give them back and that she witnessed a nurse wiping a scope tube with what appeared to be a baby wipe.

Jean-François Farjon, an Ottawa engineer who is also a plaintiff in the class-action suit, said in an affidavit that he demanded Farazli stop the procedure because it was so painful but that she refused and told him to be quiet because he would scare other patients. He said is he afraid to have another needed colonoscopy because of his experience.

Their claims have not been proven in court.

Farazli’s clinic failed an inspection done by the College of Physicians and Surgeons. She was also accused by Ottawa Public Health of using improperly cleaned and sterilized equipment.

After her clinic failed health inspections, Ottawa Public Health officials sent 6,800 letters to people who had received treatments at the clinic, warning them to get tested for HIV, hepatitis B and hepatitis C. No cases of the illnesses were found to be linked to the clinic. The province later reimbursed Ottawa Public Health $730,000 for costs related to the mass public notification.

Under new legislation, the college began inspecting out-of-hospital premises including endoscopy clinics in 2010. It was through such an inspection that problems were identified at Farazli’s clinic.

The college, which is the governing body for physicians in Ontario, accused her of acting in a “disgraceful, dishonourable or unprofessional” manner through “callous, rough and unprofessional communications with patients, maintaining inaccurate notes, proposing to engage a sales representative to assist her in a procedure when no nurse was available, and exposing patients to potential infection.”

Thursday’s hearing was based on testimony of 20 former patients. The class-action lawsuit, that has not been resolved, was filed against her in 2011.

The college’s disciplinary committee offered its sympathies to Farazli’s patients.

“Dr. Farazli, your patients deserved respect, sensitivity and expertise — you provided none of these. Your patients have our sympathy. I hope they have your abject apologies.”

The college is expected to release a full written decision on the case in several weeks.

epayne@ottawacitizen.com Elizabeth Payne Published on: Last Updated:

Report makes sorrowful acknowledgement — Toronto police have ‘in effect, become part of the mental healthcare system’

By the numbers, the report of former Supreme Court Judge Frank Iacobucci on how Toronto Police deal with mentally and emotionally disturbed people goes like this: 274 pages, 84 recommendations, and one great big long-in-the-coming, almost sorrowful acknowledgement of how the world is.

Because of the chaotic patchwork that is Ontario’s mental health system and the dim prospects for change, Mr. Iacobucci has essentially told the police to accept the hard truth that like it or not, they are the front lines there too, so suck it up and get on with learning how to get better at it.

His report, requested by Chief Bill Blair last August in the wake of the controversial police shooting death of teenager Sammy Yatim on a Dundas West streetcar, is permeated both with pragmatism and magnificent empathy.

Even as he acknowledged “the basic and glaring fact that the Toronto Police Service alone cannot provide the complete answer” to the growing problem of “lethal outcomes” involving mentally ill and disturbed people, Mr. Iacobucci nonetheless provided to the force what Chief Blair called “a road map, a very clear sense of direction” for the future.

Chief Blair, for his part, immediately pledged fast implementation of the sweeping recommendations, and promised “this is not a report that will gather dust.”

At bottom, while the judge’s plan involves more training (especially in the de-escalation of crises, with the judge suggesting that the failure to de-escalate should be tied to performance reviews and promotion), more sophisticated recruit screening and hiring (in that the force might look to nursing and social work programs for candidates), better equipment (including more Tasers, to be used with body cameras, for more officers, and body-worn cameras, period, for front-line officers) and cultural change (with “mental health champions” in every division), its siren call is that police shooting deaths are so awful and so traumatic for everyone involved that preventing them — even one  — ought to be a core value of the force.

The goal, he said, “should be zero deaths when police interact with a member of the public — no death of the subject, the police officer involved, or any member of the public.”

The retired judge with the distinguished record of public service joined other members of his review team, all lawyers from the Toronto firm of Torys where Mr. Iacobucci is senior counsel, on separate ride-alongs with the force’s Mobile Crisis Intervention Teams, each composed of a psychiatric nurse and an officer.

And he was clearly distressed by what he saw and heard from about 100 interviews the team conducted, including those with four families of people who were killed by police (two in Toronto) and with three officers who have killed some of them.

As he spoke at a press conference at police headquarters Thursday, Mr. Iacobucci occasionally appeared to struggle with his own emotions, as when he said that “people in crisis,” as he calls those who meet the police when in turmoil, often exacerbated by drugs or alcohol, are “our brothers, sisters, parents and children…” or when he said that, “Above all, the person in crisis needs help.”

He later acknowledged his distress, saying he was stricken.

“You’d have to be robotic not to be moved by the human tragedy of this,” he said. “Twenty thousand encounters [this is the annual number of times Toronto Police deal with disturbed people],” he said. “There are stories behind each of those.

“That was an eye-opener to me — the complexity behind all of those stories is quite moving — and challenging.”

While Mr. Iacobucci’s call for change may be seen in some quarters as coming decades too late, he said that in his view, the Toronto force has in fact been quite nimble organizationally, and is a world “leader in this subject in a number of respects” and has done much that is positive.

He said the “most distressing societal aspect” of the review was the two-headed reality monster he and the team met — the disarray in the mental health system, and how the police with their “24/7 availability and experience in dealing with human conflict and disturbances” are “inexorably drawn into mental and emotional fields involving individuals with personal crisis.”

In other words, in the absence of a properly functioning mental health system, the police are and will continue to be not only the first front-line worker the person in anguish meets, but also perhaps the only one.

In fact, his opening words in the chapter on that system were these: “A universal theme, frequently conveyed … by police, mental healthcare workers and the community of people who have experienced mental illness, is that Ontario does not have a mental health system.”

Among the critical problems are the lingering effects of deinstitutionalizing the mentally ill without providing either housing or support in the community; the difficulty of apprehending the ill under the provincial Mental Health Act and the revolving door syndrome that follows; the Byzantine patchwork of 400 mental health organizations in Toronto alone; and the “concerning inattentiveness” of the Ontario ministry of health and long-term care, which rarely bothers even to send representatives to attend coroner’s inquests into police shooting deaths.

These things, Mr. Iacobucci said, combine to mean but one thing: The Toronto force “has, in effect, become part of the mental healthcare system.”

The message is that where, decades ago, a common police complaint was that “we’re not social workers,” modern cops must be. So, get on with it.

Postmedia News | July 24, 2014 | Last Updated: Jul 24 2:23 PM ET

CPS Mobile app coming soon for CMA members

by                     Pat Rich

7/18/2014

News Body

Members of the Canadian Medical Association will soon have exclusive free access to a new, valuable electronic point-of-care tool – CPS Mobile.

The Compendium of Pharmaceuticals and Specialties (CPS) is well-known to Canadian physicians as a primary source for drug information with more than 2000 product monographs for drugs, vaccines and natural health products, prepared by the pharmaceutical manufacturers and approved by Health Canada.

Working with the Canadian Pharmacists Association who publishes the CPS, the CMA is now making the mobile app available to its members.

“This is another example of the CMA helping physicians provide better care to patients by providing them with user friendly products and services for use at the point-of-care,” said CMA President Dr. Louis Hugo Francescutti. “The CPS is well known to virtually every CMA member so having this resource available as an app should prove to be a real benefit to many.”

CPS Mobile offers quick and easy access to product monographs and listings. A comprehensive cross-referenced index allows users to search by brand name, generic name, therapeutic class, manufacturer and DIN/NPN and is updated bi-weekly making it even more practical for physicians.

The CPS Mobile app will be available in English or French and will be available for download on iOS and Android devices. Members will soon receive an e-mail providing details on how to register for the app which will be made available later in August.

Forward any comments about this article to:cmanews@cma.ca.

Announcing David Nurse, CanAm’s Newest Physician Recruiter

John Philpott, CEO, CanAm Physician Recruiting Inc. is pleased to announce that David Nurse has joined the CanAm team as our newest Physician Recruiter. David will be working closely with me and eventually taking over all recruitment work for the province of Nova Scotia.

DaveNurseMug2014

David brings his legal skills and over a decade of experience advising senior government leaders, to his new role with CanAm.  David’s experience is varied – he has worked as a lawyer with both the Province of Nova Scotia and the Northwest Territories, has managed staff and programs in the public service, and participated in Aboriginal self-government negotiations in Canada’s North. Recently, David served for two years as the Director of  Programs and Corporate Initiatives with the Nova Scotia Office of Immigration.   He is a graduate of the University of King’s College and Dalhousie Law School.

David is well known for his professionalism and his commitment to client service, and I am pleased to welcome David to the CanAm team.  Initially, David will be working with CanAm clients in Nova Scotia to recruit world-class physicians to his home province.

In addition to his work with CanAm, David owns and operates his own immigration law practice, David Hunt Nurse Law Inc.

David and his wife Julite, a family physician, live in Lunenburg County, Nova Scotia.