In this episode we have shared the audio of Dr. Jeanette Boyd's webinar presentation Partners in Care: Preserving and Enhancing Longitudinal Relationship-Based Care in the Patient Medical Home. This is the first in a series of webinars that Team Based Care BC has planned.

Please visit teambasedcarebc.ca to get more information and sign up for updates on the next webinars in the series. We are planning about one every month. The webinar video can be found here

We would also love your feedback and will bring your ideas into the webinar and podcast.

In this, our first episode, Sarah Fletcher, Colleen Kennedy, and Morgan Price reflect on relationship centred care and the ideas spurred by Dr. Jeanette Boyd's Team Up webinar that was held in September 2020.

Join the mailing list through teambasedcarebc.ca to get information on the next webinars and subscribe to this companion podcast for future episodes where we will continue to explore the important topics related to team based primary care.

Also send us suggestions for topics both for the webinar and podcast through the website.

This episode shares the recording from March 18th's TeamUp webinar: Addressing Racism in Team-Based Care: Learnings from the In Plain Sight Report. In this webinar Harmony Johnson, Executive Director of the Review Team, presents a summary of the three reports arising from the independent Addressing Racism Review into allegations of racism and discrimination in the BC health care system and discusses its importance in the transition to team-based care. For links to the reports and supplemental material referenced in the webinar please visit teambasedcarebc.ca and https://bcpsqc.ca/improve-culture/cultural-safety-and-humility/

In this mini-episode Morgan and Sarah reflect on the Webinar with Harmony Jackson focused on the In Plain Sight Report and share how Team Up is going to be continue to engage with the question of how to action anti-racism. (Spoiler alert- this is just the start of what will be a sustained effort.) 

If you know anyone whose voice you would like to hear in this continuing conversation please reach out to isu@familymed.ubc.ca

This episode shares the April 22nd recording from the TeamUp Webinar series, focused on Tools for Teams: Exploring Psychological Safety. . In this webinar April Price from the BCPSQC introduces key concepts related to psychological safety and introduces a number of tools and strategies that can be applied in practice to enhance psychological safety for teams. The tools and resources referenced in this webinar can be found at www.teambasedcarebc.ca 

In this episode Morgan and Sarah meet with April Price and Sean Ebert to reflect on the TeamUp webinar from April 22nd; focused on Psychological Safety. Listen to what is an engaging conversation that touches on actionable changes and first steps to support psychological safety in teams; reflection on the relationship between cultural safety and psychological safety and the unique capacity challenges (at month 14 of a pandemic) that underscore the value of gratitude, compassion and the space to pause to create supportive environments for teams. Visit teambasedcarebc.ca to find additional resources that support psychological safety in teams, and please give use feedback and suggestions for topics for webinars and podcasts.

In this episode Sean Ebert, Sarah Fletcher and (intermittently) Morgan Price, reflect on the topics related to the most recent Team Up! webinar.

In this episode - the last for TeamUP! season 1 - Morgan and Sarah sit down to chat with Elka Humphrys and Ian Cooper from the Innovation Support Unit about evaluation in primary care, the new Team based care Evaluation and Adoption Model (TEAM) and Capacity and Access Measurement in primary care (CAMP).
You can find more about the TEAM framework or about the CAMP survey tool.

For more information about provider well being and flourishing in the pandemic listen to Primary Care in a Pandemic S02E09

We are looking forward to more TeamUP! in the fall when we kick off season 2.

Thank you for listening!

In this episode, Morgan and Sarah set the scene for Season 2 of TeamUP, introducing the idea of  of primary care system resilience, or adaptive capacity and the format of the second season. Spoiler Alert! As well as a short series of longer episodes, this season is also going to include shorter, action-oriented TeamBits;  focused episodes to share ideas, and tools that can be applied in practice to support improvement and system resilience.

Are you wanting to be resilient, but not sure if you have the capacity to do more? are you hoping to find a little change that can make your days just that bit easier?

Check out the first episode of Season 2 of TeamUP where Morgan and Sarah draw from what we are hearing in the TeamUp webinar series and from providers in community to introduce small changes that can be made in practice to enhance the adaptive capacity of providers. In this episode they focus on ideas for small changes- including an easily applied, short team activity that can help to minimize duplication- that can be made in teams to support resilience at the team level.

Thank you to everyone who appears in this episode:

• Graham Dickson (PhD) - is a professor emeritus of leadership studies at Royal Roads university, the Senior Research advisor to the Canadian Society of Physician leaders and the Canadian Health Leadership Network and a member of the LEADS collaborative, an enterprise established to.develop leadership within the health sector in Canada
• John(y) Van Aerde, MD, MA, PhD, FRCPC- is the Executive Medical Director of the Canadian Society of Physician Leaders and the Founding Editor of the Canadian Journal of Physician Leadership
• Natasha Prodhan Balla, MN, NP(A) - is the Vice President, Provincial Health Services Authority and a Nurse Practitioner at BC Women’s Hospital and Health Centre.
• Anne Nguyen , MD, CCFP, PhD (c) is the Physician Lead for the Physician Health Program, with Doctors of BC.
• Jeanette Boyd, MD CCFP is a Rural Family Physician and past president of the BCCFP. In addition to being a passionate advocate for the value of comprehensive, longitudinal family medicine, she believes strongly in the role that team based care plays in providing sustainable, high quality, relationship-based and culturally sensitive care.

Resources and References

Leads framework

Dickson GS, Taylor D, Hartney E, Tholl B, Grimes K, Chan MK, Van Aerde J, Horsley T, Melis E. The relevance of the LEADS framework during the COVID-19 pandemic. Healthc Manage Forum. 2021 Nov;34(6):326-331.

Dickson, G., & Tholl, B. (2011). The LEADS in a Caring Environment Capabilities Framework. Ottawa, Ontario: Canadian College of Health Leaders.

Real-Time Virtual Support Program (RCCbc)

TeamUp Webinars referenced in this episode:

Reflections from the Field: The Relevance of the LEADS Framework During the COVID-19 Pandemic November 22nd, 2021

Partners in Care: Preserving and Enhancing Longitudinal Relationship-Based Care in the Patient Medical Home **** October 1st, 2020

Tools for Teams: Real-Time Virtual Supports for BC December 16th, 2021

In this TeamBIT, Sarah talks about how to improve check ins or meetings to create more opportunities for team members to get to know each other. Team relationships contribute to building team resilience; and drawing from resources with great ice breaker questions can change the environment of checkins or meetings, and can be an easy way to create the space for team members to get to know each other better.

Here are some resources to look to for further inspiration!

https://knowyourteam.com/blog/2018/01/08/the-25-best-icebreaker-questions-for-team-building-at-work/

https://teambuilding.com/blog/icebreaker-questions

In this episode we have shared the audio of our second webinar: "Getting to the “How” of Team-Based Care: A Dialogue Circle". This is the second webinar in our Team Up! series from Team Based Care BC

Please visit teambasedcarebc.ca to get more information and sign up for updates on the next webinars in the series. We are planning about one every month. The webinar video can be  found here

As always, we would love your feedback on this episode and future episodes. We will bring your ideas into the webinar and podcast in the future.

In this episode, Sarah and Morgan highlight three ideas that came out of the recent Learning Cycle on primary care system resilience and the feedback from the BC Team-Based Care Advisory Committee members who participated in a constructive workshop that was part of that learning cycle. These ideas are intentionally small ideas that feel more manageable to try. At the time of the recording (February 2022) we all have such little capacity, so these are small ideas that all give back a little capacity when tried out.

Please send us feedback at isu@familymed.ubc.ca

In this episode you also heard from:

• Dr. Terri Aldred
• Dr Bruno Malagamba

Links:

• Team Mapping
• Blob Opera (entertaining, mesmerizing, and maybe a bit rejuvenating)

As always thanks for listening

In this teamBIT Morgan is expressing gratitude for you listening and talking about how you can try a "micro-gratitude" activity at work to build resilience and improve team cohesion.

Gratitude can be a simple yet effective way to build resilience and while it can feel “soft”, there is a lot of science to back it up.

• How to Express Gratitude https://positivepsychology.com/how-to-express-gratitude/
• Power of Gratitude: https://www.health.harvard.edu/healthbeat/giving-thanks-can-make-you-happier
• Neuroscience of Gratitude: https://positivepsychology.com/neuroscience-of-gratitude/
• The Flourishing App: This website has a number of activities that you can do to help you flourish (as opposed to languish). We tested this app out in our other podcast - primary care in a pandemic in season 2. The app has a gratitude activity. https://flourishing.app

Recognize your Primary Care Team

Also we want to invite you to share some gratitude or recognition for your own team. If you have a story, as a patient, of something that your primary care team did, we are collecting stories to share in an upcoming episode. Leave us a voice mail.

In this episode we switch things up a bit to focus on patient perspectives on resilience. Recognition and gratitude is so important right now across primary care teams- and patients are an integral part of this team. Join us as listen to patient stories, and reflect on the importance of being seen and being heard in primary care.

Episode Guests

Carolyn Canfield: Pioneering to advance the patient voice, Carolyn became UBC’s first citizen-patient faculty appointment as honorary lecturer in the Department of Family Practice, and is the Innovation Support Unit’s ‘Patient Disruptor’ She is also a frequent keynote presenter for BC patient safety initiatives.

Layton Engwer: Layton is a passionate long-time advocate for including patients’ voices in health systems discussions and a patient advocate at provincial, HA and local levels assisting in the introduction of Primary Care Networks in BC. He established and chairs the Primary Care Patient Voices group in BC.

Resources and Materials Referenced in this Episode

• TeamBit: Sharing Microgratitude Across Your Team

In this teamBIT episode of TeamUP, Morgan shares the brief practice of attending that you can incorporate into your hectic days to help centre yourself a little bit. This short practice is something he learned years ago as a resident and since then uses it himself and helps to teach it to new residents in family practice.

He is grateful to his own teachers and mentors at St. Pauls’ Hospital who shared this with him way back in the day (Thank you BC, EK, MW, DK, TB, PW, DC and others) and to those who have co-taught this with him (SB, LR, and AS in particular)

In this teamBIT Morgan shares some thoughts on rest and how bring in restorative activities into you non-work time or your work.

And if you need extra permission, print out one of these:

• A Rest Prescription
• A Rest Prescription just for your to do list

Send us Feedback!

Please send us feedback on where you want to see this podcast go in coming episodes - we are starting to plan season 3 and want to get your feedback. Email us at isu@familymed.ubc.ca

Also, here are some interesting additional rest oriented resources (thank you to Michee in the ISU for these!)

Healthy Minds Program app link here

This free, evidence-based meditation app that includes both short lessons on mindfulness, and meditation practices of various lengths. Helps you over time across the following dimensions: awareness, connection, insight, and purpose.

Non-Sleep Deep Rest Video link here

Developed by Dr. Huberman, a Neuroscience professor at Stanford University, who is also the Scientific Lead of the MadeFor program. It is a free 20+ minutes Youtube video that can be used to reduce stress, increase relaxation.

Oak Meditation link here

An app for mindfulness and breathing that has different breathing exercises to guide people

Mood meter link here

A Research based app for iPhone or Android that is used for self-awareness and helps increase your own emotional intelligence

Here is a link to abstract of the Allison paper from 1970:

• Rest: A Health-Related Phenomenon and Concept in Caring Science

In this episode we return to the topic that kicked off the whole TeamUp Webinar and podcast series way back in 2020- Relationship Centeredness in Team Based Care.

Morgan and Sarah discuss the importance of relationships for patients and for providers and revisit the idea of teams as a protective factor when we think about primary care system sustainability.

‘If we could all just learn to listen, everything else would fall into place. Listening is the key to being patient centred’. — Dr. Ian McWhinney

Episode Guests

Thank you to our Guests!

• Jeanette Boyd: Jeanette is a Rural Family Physician and past president of the BCCFP. In addition to being a passionate advocate for the value of comprehensive, longitudinal family medicine, she believes strongly in the role that team based care plays in providing sustainable, high quality, relationship-based and culturally sensitive care.
• Carolyn Canfield: Pioneering to advance the patient voice, Carolyn became UBC’s first citizen-patient faculty appointment as honorary lecturer in the Department of Family Practice, and is the Innovation Support Unit’s ‘Patient Disruptor’ She is also a frequent keynote presenter for BC patient safety initiatives.
• Layton Engwer: Layton is a passionate long-time advocate for including patients’ voices in health systems discussions and a patient advocate at provincial, HA and local levels assisting in the introduction of Primary Care Networks in BC. He established and chairs the Primary Care Patient Voices group in BC.
• Tracy Monk: Tracy is a Family Doctor, an appointed member of the General Practice Services Committee (GPSC) and the Director of the Centre for Relationship Based Care at UBC.
• Natasha Prodan-Bhalla: Natasha is the Vice President, Provincial Health Services Authority and a Nurse Practitioner at BC Women’s Hospital and Health Centre.

Resources and Materials Referenced in this Episode

Webinar 1: Jeanette Boyd – Partners in Care: Preserving and Enhancing Longitudinal Relationship-Based Care in the Patient Medical Home

Active Listening Resources:

Making Time to Really Listen to Your Patients

Active Listening: More than just paying attention

Sarah and Morgan try to zoom out from the TeamBITs and tangible take aways and talk about some of the ideas that the system can help with to improve primary care resilience.

This is the last planned episode for TeamUP Season 2 ... the team is already actively thinking about Season 3. We are considering the theme and even thinking about a few bonus (between season) episodes.

To help us help you... send us feedback and topic ideas/questions by email at isu@familymed.ubc.ca

Also check out teambasedcarebc.ca for more resources and information on the TeamUP! webinar.

In this episode, you’ll hear from:

John(y) Van Aerde, MD, MA, PhD, FRCPC

John(y) is the Executive Medical Director of the Canadian Society of Physician Leaders and the Founding Editor of the Canadian Journal of Physician Leadership. He has 25 years of experience as a neonatologist in the Canadian health system, the first 10 as a clinician-researcher, the next 15 in different leadership roles. After leaving the world of newborn medicine, he has been learning, teaching and researching leadership development for physicians across Canada. He holds a PhD in Medical Sciences and a Master’s degree in Health Leadership Studies, and has published extensively in the fields of neonatal nutrition & metabolism, and leadership in health systems. Recently, he became an emeritus Clinical Professor of Pediatrics – University of Alberta. He practices systems theory by living in a self-sustainable house and by exploring forest regeneration, while his wife grows year-round organic food.

Season 3 of TeamUP is coming - this season’s theme is focused on distributed primary care teams.

Non-colocated primary care teams are more common than some people hope and they present several unique challenges. In this season, Sarah and Morgan ask questions like:

• What are examples of distributed primary care teams?
• What makes them different?
• What can you do to work better if you are in a distributed team?

You can get more information at www.teamuppod.com and as always, we love feedback and suggestions on content to make this more valuable for you. You can email us at isu@familymed.ubc.ca

Morgan and Sarah kick off this season of TeamUP! by talking about why distributed primary care teams are different. Sarah then prods Morgan to talk about about different ways to think about distributed primary care teams.

He obliges, obviously.

From this episode, we will start diving into some of the common tools and approaches to improving teaming in primary care with a special focus on how to improve distributed primary care teams. Stay tuned - we are going to publish this season weekly.

If you have topics you want us to explore or ideas or things you disagree with - email us at

isu@familymed.ubc.ca

A few links:

teamuppod.com

Health Service Executive in Ireland https://www.hse.ie/eng/services/list/2/primarycare/pcteams/

Canadian Patient’s Medical Home Vision: https://patientsmedicalhome.ca/vision/

Oh goodness no! Morgan’s back at it with Team Huddles… Sarah's had enough, so this is a solo episode.

This episode he is highlighting some specific aspects related to doing these with a team that is distributed. If you are curious about how a PCN clinic or a team with a lot of outreach should be thinking through team huddles, there should be a few nuggets in this week’s episode.

If you have topics you want us to explore or ideas or things you disagree with - email us at

isu@familymed.ubc.ca

teamuppod.com

Also check out IHI’s Daily Huddle Tool

• https://www.youtube.com/watch?v=xzBPwNFC5NE

In this episode we have shared the audio of our second webinar: "Getting to the “How” of Team-Based Care: A Dialogue Circle". This is the second webinar in our Team Up! series from Team Based Care BC

Please visit teambasedcarebc.ca to get more information and sign up for updates on the next webinars in the series. We are planning about one every month. The webinar video can be found here

As always, we would love your feedback on this episode and future episodes. We will bring your ideas into the webinar and podcast in the future.

In this episode Morgan and Sarah are back together. They talk about the importance of communication in distributed teams and introduce a number of tools and strategies to support better communication for people in different roles and across different kinds of distributed teams.

Resources and Materials Referenced in the Episode:

TeamUP Webinars:

• Reflections From the Field: Chickadee Maternity Collaborative June 16th 2022
• Skill building for Teams: Huddles, February 17, 2022

Team Up Podcast:

• Distributed Team Huddles (Season 3, Episode 3)

Courses and Resources:

• Teamwork and communications Action Series. This free and interactive 15-week action series is focused on providing skills, tools and coaching improve teamwork and communication, hosted by the BC Patient Safety & Quality Council
• Communication Course for Health Care Professionals: Navigating Challenging Conversations across the system. This course is available to be tailored for groups of physicians, as well as interprofessional teams. The full course is 8 hours plus a coaching call, but may be modified for either 6- or 3.5-hour programs, UBC CPD.
• Team Based Care (TBC) on the Run, an open-access online module series designed to promote collaborative models of practice and support the development of team-based competencies, UBC Health
• TeamSTEPPS Fundamentals Course: Module 3 Communication (45 min. Module)
• Communication Style Assessment Tool BC Patient Safety & Quality Council
• Tips for Effective Communication (handout) Patient Voices Network

Article:

• A reflection on Daily huddles in BC primary care teams, a short article introducing the value of adapting the daily huddle to virutal platforms in blended virtual teams. https://bcmj.org/articles/reflection-daily-huddles-bc-primary-care-teams

Morgan highlights the distinct value for case conferencing in distributed primary care teams. How to think distributed first and how to manage virtual and distributed teams case conferencing with patients as well.

Case conferences can be easier for distributed teams to set up and is something you can try out without a bit change commitment.

Good handover of care within primary care teams is essential. It is harder to do well when you are distributed. In this short TeamBIT Morgan talks about:

• Team norms for shared care
• Explicit handover

And how to use these in different kinds of distributed teams.

In this episode Sarah provides an overview of Team Mapping. Team mapping is a tool to support primary care clinical teams build shared understanding of roles, expertise and how a team wants to work together. In this episode, we’ll first talk about the Team Mapping session itself as most people want to hear about that. Then we’ll dive into a bit more about the preparation and feedback stages. So, if you are a coach or someone who is interested in team mapping be sure to listen to the description of how you set up and prepare for a session as well as the feedback stage!

Resources

Team Mapping Facilitator Toolkit (with full Persona Library)

Miroverse Map Template (includes a link to the facilitator toolkit)

Team Mapping Publication

In this episode Morgan tries to convince Sarah about the value of doing another survey - and he succeeds! (well almost)

We are talking about doing team pulse checks - very rapid polls or surveys to get actionable feedback within your team as a way to build up positive momentum and a sense of being a team.

Think about a pulse survey as checking team vitals.

Some example Primary Care Pulse Checks

ISU has made these in Google Forms. Feel free to copy them and use them yourselves or copy the idea of the pulse check and use the questions in whatever you want to use (email, etc.).

• Team Pulse Check - Checking in on how the team thinks it is doing.
• Team Member Pulse Check - Checking in on how members of the team are doing
• Pulse Check on Providing Care - Getting feedback on how the team feels they are doing in supporting the patients they serve.
• Primary Care Equity Pulse Check - Getting feedback on how the team feels about both team equity and equitable access for your patients.

Also add a question or two specific to your team at the end to make them actionable and relevant.

Some general links to pulse surveys:

Why you need to invest in Pulse Surveys

What is an Employee Pulse Survey? - Qualtrics

Your guide to Remote + On-site Work Pulse

Roles roles roles. In this episode Sarah and Morgan talk about the importance of role clarity in teams, and in distributed teams in particular. They also give some great examples of tangible things that can be tried in teams to improve role clarity.

Guest featured in this episode:

• Kaila McGann and Christine Matuschewski from the STEPS CHC (Steps TeamUp Webinar)
• Erin Lutz, Doctors of BC (Team Based Care Coaching team)

Resources

• Navigating the team based care journey- Guide to GPSC TBC Resources
• https://teambasedcarebc.ca/resources/resource/guide-to-gpsc-team-based-care-resources/
• Team Mapping Teambit
• Teambasedcarebc.ca resources includes a number of Role Descriptions from BC Ministry of Health (includes descriptions of clinical pharmacist, registered dietician. respiratory therapist, physiotherapist, occupational therapist, and Registered Nurse in Primary Care)

This episode is a little bit different. Morgan and Sarah had the opportunity to have a conversation with some of the new Team Based Care Coaching Team from Doctors of BC. In this episode we share back their perspectives on the experiences they have had working as ‘at the elbow’ coaching supports in BC. The coaches share some stories from working with distributed teams and highlight a number of key elements in setting teams up for success including: Setting the foundation; building strong relationships and trust to enhance psychological safety in teams; focusing on communication and coordination; and developing role clarity. We had the chance to dive into a lot of these elements over the course of this season of teamup and it was so great to hear it all tie together in this conversation!

Thanks to our special guests:

• Erin Lutz, Manager, Practice Support and Service Delivery, Team Based Care, Doctors of BC
• Carleigh Reynolds, Team Based Care Coach, Doctors of BC
• Ruth Ann Robinson, Team Based Care Coach, Doctors of BC
• Lindsay Ferguson, Team Based Care Coach, Doctors of BC

Links to Resources

There are a number of great resources designed to support teams wherever they are at in thier journey. Check out Teambasedcarebc.ca where you will find searchable resources for patients, caregivers and family members; care providers an/or team members; planners, designers or improvers.

Many of the resources referenced by the team based care coaches can be found here: GPSC Guide to TBC

Setting the Foundation

• TBC Learning Series and PSP supports
• Teambasedcarebc.ca
• TeamUp Podcast S03 E1: What do we mean by distributed primary care teams?

Building Strong Relationships and Trust

• Team Up Podcast S03 E08 Pulse Check
• TeamUP Podcast S03 E02 Huddles
• Team Huddles (Resource)
• Team Agreements (Resource)
• TeamUp Webinar: Tools for Teams- Exploring Psychological Safety

Communication and Coordination

• TeamUp Podcast S03 E03: Case Conferencing in Distributed Primary Care Teams
• TeamUp Podcast S03 E05: Case Conferencing in distributed primary care teams
• TeamUp Podcast S03 E06: Handing Over Care within distributed primary care teams
• Teamwork and Communication Action Series

Role Clarity

• TeamUp Podcast S03 E08: A quick intro to Team Mapping
• TeamUp Podcast S03 E09: Clearer Roles in Distributed Primary Care Teams
• Team Mapping Introduction

That’s a wrap! We finish Season 3 of TeamUP with some reflections on the topics covered and talk about next steps for TeamUP.

Also, the BC Team-Based Care Advisory Committee is setting up a way to help address your questions on how to do team based care better.

First you can search the website for useful resources at teambasedcarebc.ca

And now, if you don’t see an answer, then reach out to learningneeds@teambasedcarebc.ca with your specific question.

While you are there you can sign up for TeamUP Webinars, which will be ongoing this year.

Thank you to all our guests on this season you made the season so much fun!

We are looking forward to diving into planning Season 4 of the podcast and it will be coming out early next year. 

-- Sarah and Morgan

In this short season of primary care TeamUP! teamBITS, Morgan is going solo with a few teamBITS on different, common technology that primary care teams are using. This season comes from a few requests from you - so please do send us feedback:

Email us: isu@familymed.ubc.ca

Or through: teamuppod.com

And don’t worry … Sarah will be back! She’s deep into the audio of TeamUP! Season 5, which is shaping up to be our biggest season of TeamUP! yet.

In this episode of TeamUP! we have a quick teamBIT in our tech for teams season, this one is on Electronic Medical Records.

I jump into thinking about how to use the EMR for decision support and recalls and admit that we have to start with improving data quality and encourage teams to think about promoting someone on the team to a role of data quality improver or recaller.

As always - please send us feedback by email isu@familymed.ubc.ca - now is a great time to suggest future topics or pose questions.

In this episode we are sharing the audio of our third webinar: "The Power of Coaching: Sustaining Team-Based Care"

Please visit teambasedcarebc.ca to get more information and sign up for updates on the next webinars in the series. We are planning about one every month. The webinar video can be  found here

As always, we would love your feedback on this episode and future episodes. We will bring your ideas into the webinar and podcast in the future.

In this teamBIT, Morgan reflects on using telehealth - it is here to stay in primary care.

If you are interested, think about using telehealth for case conferencing.

Ask members of your team if anyone has an interesting in doing a virtual group visit - an educational session - for your practice. This is a good way to engage more peripheral team members who are part of your primary care network and maybe not co-located.

In this episode of TeamUP! Morgan talks about how your team can use a patient portal to engage patients and build capacity in your practice. 

Portals can be as simple as making your website more valuable by promoting your team or as complex as a way for patients to asynchronously engaged with their care team.

Based on request, we are continuing this theme of technology for primary care teams - please send questions to isu@familymed.ubc.ca and we will incorporate them into the podcast!

A bonus episode for TeamUP Tech for Teams season - what about Dr AI?

Some useful links: 

2021 “Primer for artificial intelligence in primary care” by Jacqueline K. Kueper in Canadian Family Physician:

https://www.cfp.ca/content/67/12/889.long

HIPAA Compliance and ChatGPT

https://compliancy-group.com/hipaa-and-chatgpt/

2023, Foundation models for generalist medical artificial intelligence, by M Moor et al. in Nature:

https://www.nature.com/articles/s41586-023-05881-4

Position Paper on Indigenous Protocol and Artificial Intelligence: guidelines for Indigenous-Centred AI design, created from diverse communities in Aotearoa, Australia, North America, and the Pacific.

Please send us questions and topic ideas to isu@familymed.ubc.ca 

Sarah is back with a cameo to end off Season 4. 

And what better way to end our tech for primary care teams season than by putting Morgan in the hot seat

Sarah has questions you might also have about Electronic Medical Records (EMRs) and how primary care teams can use them better.

Morgan has his best professor elbow patches on and is ready to talk about:

• Care Planning and EMRs
• Team members using different EMRs
• Avoid Faxing in 2023
• EMR Templates and what to think about for EMR templates and different team members

If you also have questions, please send them to us - we’ll do another AMA episode:

isu@familymed.ubc.ca

In this Episode Morgan and Sarah reunite to kick of season 5 of Team Up: “Role-Call”, focused on -you guessed it- roles in primary care teams. In this introductory episode Morgan and Sarah discuss the plans for season 5, with ~10 role-focused episodes that are going to be released weekly! As they set up the season by re-iterating the value of high functioning teams in the context of the challenges currently facing primary care, the need to balance improved efficiency (with people working to scope), and relationships and trust in primary care teams is highlighted.

Guests:

Not this time! But get ready for longer lists here in the upcoming episodes for this season, as we connect with patients, MOA’s, Nurses, Social workers, Primary Care Providers and a host of other roles in primary care teams to hear their stories and learn from their experiences.

Resources and Links :

For more information on the ‘Bread and Roses’ metaphor Sarah and Morgan introduce in E01 (and may keep coming back to over the course of this season) check out Heath, I., & Montori, V. M. (2023). Responding to the crisis of care. BMJ, 380.

Patients are (of course) key members of primary care teams. In this episode Morgan and Sarah dive into the ‘patient role’ in primary care teams.

To prepare for this episode the ISU connected with a handful of patient advocates from across BC. Drawing on the stories and experiences from these interviews Morgan and Sarah weave together aspects of the patients role in teams to talk about 3 things:

1. Patients involved in direct care
2. Patients involved in supporting the system (Education Research and Advocacy)
3. How to best support patients in the shift of primary care to team based care

The episode wraps up with a call to action that includes some great suggestions of things to try out in your teams to support patient engagement in planning, care and feedback.

Guests:

Huge Thank Yous to all of our wonderful guests for this season! In this episode you heard from:

• Marilyn Parker: Marylin is a Patient Advocate who is very involved in research related to Patient Reported Outcome Measures (PROMS) and Patient Reported Experience Measures (PREMS) in BC. Marilyn is a member of the Patient Advisory for the BC Primary Health Care Research Network.
• Carolyn Canfield: Carolyn is the ISU’s in house patient-disruptor and adjunct faculty member in the Department of Family Practice at UBC. Carolyn is very involved in the Department of Family Practice and shares her expertise by teaching medical residents about patient experience and engagement She is also engaged in a number of national and international research projects that range in focus from patient engagement in care to system resilience, to patient safety.
• Layton Engwer: Layton is a patient advocate and member of the Patient Voices Network (administered by the BC Patient Safety and Quality Council) who is very involved in primary care transformation. Layton engages at the provincial, health authority and local levels assisting in the introduction of Primary Care Networks and Team based Care in BC.
• Darren Lauscher: Darren ****is a teacher, mentor and patient advocate who grew his activist and advocacy roles in the HIV sphere in the 1980s. He is an expert in patient engagement in research and system change. Darren sits at a number of tables as a patient partner, including the UBC health council, and systems and research tables.
• Barbara Gobis: Barbara is a pharmacist and the Director of the UBC Pharmacy Clinic and the Operational Program Lead for Pharmacists in Primary Care Networks
• Carmela Gracia-Patten : Carmela is one of the first kinesiologist working in Primary Care. Based in northern BC, Carmela is a team member with the Change Program, a lifestyle intervention program focused on metabolic syndrome (people with type 2 or pre-diabetes).

Resources and Links :

• A very recent article on the patient voice, co-authored with Carolyn Canfield and Darren Lauscher who are in this episode: https://onlinelibrary.wiley.com/doi/pdf/10.1111/medu.15121
• For more information on the ‘Bread and Roses’ metaphor Sarah and Morgan reference throughout this season check out Heath, I., & Montori, V. M. (2023). Responding to the crisis of care. BMJ, 380.
• If you are interested in thinking about system resilience take a listen to Season 2 of the Team Up podcast or read some of the latest work that Carolyn Canfield has been involved in with the resilient health care society : (Webinar) Patients and Families engaged in resilient health care systems
• To learn more about the work Darren in involved in around patient and community partnerships see: Towle, Angela & Godolphin, William & Kline, Cathy & Lauscher, Darren. (2020). Building and Sustaining Patient and Community Partnerships in Interprofessional Education. 10.1007/978-3-030-40281-5_15.
• To learn more about team based care and the transformation of primary care in BC check out Teambasedcarebc.caand TeamUp community of practice (webinars and of course this podcast series)
• You can learn more about the Change program [here](https://www.changebc.net/#:~:text=Because life is too short,improve your quality of life.) or listen to the TeamUP Webinar from earlier this season : Team Up! CHANGE BC and Team Based Care: a Rural Experience

In this episode Morgan and Sarah dive into the role of the Medical Office Assistant in primary care teams. From team culture curator, to scheduling master, to on-boarder for new team members, and patient connector, MOAs are often the ‘glue’ that can hold teams together. In this episode we have the opportunity to hear from a number of MOAs, as well other other providers working in a range of clinic settings about how the MOA role is uniquely positioned to understand clinic and team capacity as well as the patient experience.

When you are thinking about how MOAs support team based care and what you can do in a team to really utilize the skills of the MOA team members here are three things to think about:

1. Engage MOAs in planning and decision making in the team
2. Create processes that really utilize the MOA’s unique position as a connector to patients and providers
3. And as always, create opportunities for teams to work together on how they want to work together

Guests:

A huge thank-you to all of our wonderful guests for this season! In this episode you heard from:

• Ava Mundy: Ava is a Medical Office Assistant and a coach with the Practice Support Program, where she has been very involved in supporting the Primary Care Network on the Sunshine Coast.
• Shania Sholtz: Shania is a Medical Office Assistant in a maternity and pediatric-focussed primary care clinic in Victoria.
• Carolyn Canfield: Carolyn is the ISU’s in house patient-disruptor and adjunct faculty member in the Department of Family Practice at UBC. Carolyn is very involved in the Department of Family Practice and shares her expertise by teaching medical residents about patient experience and engagement She is also engaged in a number of national and international research projects that range in focus from patient engagement in care, to system resilience, to patient safety.
• Caycee LaViolette: Caycee is a Social Worker who supports patients across the Sunshine Coast Primary Care Network.
• Eliza Henshaw: Eliza has practiced for 14 years as a primary care Nurse Practitioner across a populations ranging from refugees to complex populations in urban environments in Vancouver. She has been part of a number of interdisciplinary teams, and is currently joining a new clinic within the North Shore Primary Care Network, which is a partnership between Midwives and Nurse Practitioners.
• Erin Berukoff: Erin is a Nurse Practitioner in a Patient Medical Home clinic, where she works with a team of fee-for-service physicians and has her own panel of patients. Erin’s team includes an RN and a Social Worker, that they share with another clinic, as well as 3 MOAs.
• Spencer Newell: Spence is a Registered Nurse works at both the the Kelowna Urgent and Primary Care Center and the West Kelowna Urgent and Primary Care Center.
• Kelvin Bei: Kelvin is a Nurse Practitioner who works with a Community Health Centre in Vancouver, serving a diverse population that includes a large number of immigrants and refugees, as well as people who are at risk for homelessness, people struggling with mental health and substance use, and those with precarious status.

Resources and Links :

• For more information on the ‘Bread and Roses’ metaphor Sarah and Morgan reference throughout this season check out Heath, I., & Montori, V. M. (2023). Responding to the crisis of care. BMJ, 380.
• To learn more about team-based care and the transformation of primary care in BC check out Teambasedcarebc.caand TeamUp community of practice (webinars and of course this podcast series).

In this episode Sarah and Morgan explore the role of Pharmacists in Primary Care. Pharmacists provide a unique lens to care through their detective skills, patient education focus, and deep expertise on medications. We will hear from two Pharmacists about the scope of practice for primary care Pharmacists and the ways in which PCNs and clinical teams can best utilize their skills to care for complex, frail and elderly, and patients on complex drug therapies.

The key takeaways of this episode are:

1. Pharmacists are impressive detectives who will be able to see opportunities for risk mitigation and enhanced patient care that you didn’t even realize were there!
2. Pharmacists are incredibly patient-centered and they look holistically at the patient to ensure that the prescribed treatment is effective, safe, and meets the unique values of the patient.
3. Co-locate your pharmacist! Those relationships are key and the more they can be part of the full clinical scope, the EMR, the team, the more opportunities there will be for them to use their full scope of practice on the team.

Guests:

A huge thank-you to all of our wonderful guests for this season! In this episode you heard from:

• Barbara Gobis (BSc(Pharm), RPh, ACPR, MScPhm, PCC): Barbara is the Program Lead, Pharmacists in Primary Care Network (PCN) Program and Director, Pharmacists Clinic, at UBC Faculty of Pharmaceutical Sciences. Barbara has practiced for the past 30 years as a licensed pharmacist and joined the UBC Faculty of Pharmacy in 2013 to develop, establish and oversee the on-going success of UBC Pharm Sci's Pharmacists Clinic. She has also been instrumental in facilitating the integration of pharmacists in PCNs across BC.
• Sadie Quintal (BSc (Pharm), RPh, BCPS): Sadie is a Pharmacist in the the Comox Valley PCN. Sadie graduated from the UBC Faculty of Pharmaceutical Sciences in 2010 and spent the next four years of her career as a Pharmacy Officer for the Canadian Forces. Working in Island Health since 2015, her varied roles have included ward-based clinical assignments, academic detailing, and temporary Pharmacy Site Coordinator.
• Carolyn Canfield: Carolyn is the ISU’s in house patient-disruptor and adjunct faculty member in the Department of Family Practice at UBC. Carolyn is very involved in the Department of Family Practice and shares her expertise by teaching medical residents about patient experience and engagement She is also engaged in a number of national and international research projects that range in focus from patient engagement in care, to system resilience, to patient safety.

Resources and Links :

• To learn more about the work being done to embed Pharmacists in PCNs across BC, visit https://pharmacistsinpcn.ubc.ca/health-care-providers and https://pharmacistsinpcn.ubc.ca/health-care-providers-and-pcn-administrators/tools-and-resources
• To learn more about the professional practice cope of practice and guidelines for Pharmacists in BC visit https://www.bcpharmacists.org/professional-practice-policies-and-guides.
• For an example of a role description for a pharmacist in primary care see: https://teambasedcarebc.ca/resources/resource/clinical-pharmacist-role-description/
• To learn more about team-based care and the transformation of primary care in BC check out Teambasedcarebc.caand TeamUp community of practice (webinars and of course this podcast series).

In this episode Morgan and Sarah talk ‘bridges’ and ‘anchors’ (or Social Workers and Counsellors) in the context of primary care teams. Weaving together the stories and experiences of a number of primary care providers, social workers, counsellors and other team members, Morgan and Sarah discuss the scope and added value these roles can bring to primary care teams. Key take aways (that are of course generalizable to other roles in primary care as well) include:

• Figuring out how you are going to communicate and creating opportunities to get to know the counsellors and social workers on your team
• Thinking about small changes that can help to create therapeutic spaces in clinic settings and,
• Creating opportunities for providers to work together (in group appointments or case conferences)

Thanks to our Guests:

• Cayce LaViolette: Caycee is a Social Worker who supports patients across the Sunshine Coast Primary Care Network.
• Danielle Parent: Danielle is a social worker at two Urgent and Primary Care Centres in Interior Health.
• Kaila McGann: Kaila is a social worker with the STEPS Community Health Centre
• Tess Bantock: Tess is a registered clinical counsellor with the STEPS Community Health Centre.
• Amie Hough: Amie was a Primary Care Network Transformation Lead for Interior Health at the time this episode was recorded. She has a background in Social Work and has recently transition to Health Quality BC where she will be working closely with us on the next seasons of the Team Up webinar series!
• Eliza Henshaw: Eliza has practiced for 14 years as a primary care Nurse Practitioner across a populations ranging from refugees to complex populations in urban environments in Vancouver. She has been part of a number of interdisciplinary teams, and is currently joining a new clinic within the North Shore Primary Care Network, which is a partnership between Midwives and Nurse Practitioners.
• Shania Sholtz: Shania is a Medical Office Assistant in a maternity and pediatric-focussed primary care clinic in Victoria.
• Terri Aldred: Terri is Dakelh (Carrier) from the Tl'azt'en Nation. She is an outreach primary care physician with Carrier Sekani Family Services and a site director for UBC’s Indigenous Family Practice Program.
• Sydney Richardson-Carrr: Sydney is a Family Nurse Practitioner who works at the Kelowna and Vernon Urgent and Primary Care Centres. She is also a council member with NNPBC.
• Wendy Boyer: Wendy is a Team Based Care Coach with the Practice Support Program (Doctors of BC).

Resources

• To hear more about the work that Caycee does in the Sunshine coast take a listen to the Team Up Webinar episode from last season SW Team Up episode: Social Work and Team Based Care in the Community
• Kaila McGann was also a featured get on the Team Based Care in practice episode from last season: Reflections from the Field: STEPS CHC
• PCN Toolkit SW scope of practice: Social Worker Scope of Practice

In this episode Sarah and Morgan explore the role of Nurses in Primary Care. Nurses have an incredibly wide scope of practice and fill many roles in primary care - this presents a really unique opportunity to tailor Nurse in primary care roles to the needs of patients. We will hear from three primary care Nurses who work in UPCCs and PCN clinics about what they do, how they work, and what they enjoy about working in primary care.

The key takeaways of this episode are:

1. Nurses have a huge possible scope of practice. Focus in on specific care areas - chronic, preventative, urgent, specific patient populations to help narrow the scope to what is most needed in your clinic.
2. Give Nurses opportunity to identify care gaps they see and to generate innovative solutions to fill them.
3. Structure the work so nurses can build relationships - with patients and with the team.

Guests:

A huge thank-you to all of our wonderful guests for this season! In this episode you heard from:

• Spence Newell (RN): Spence Newell is a registered nurse who works at both the Kelowna and West Kelowna UPCCs. . He completed his BScN at McMaster University in 2017, and since that time he has worked as a nurse in primary care, public health and community health care settings.
• Janie Patrick (RN): Janie is a primary care Nurse working in two clinics as part of the North Shore PCN.
• Erin Williams (RN): Erin is a Certified STI Registered Nurse and Team Lead at the West Kelowna Urgent and Primary Care Centre. She has been working as a Team Lead since West Kelowna Urgent Care opened in October of 2020. Erin graduated with a BSN from UBC Vancouver in 2011 and spent her first ten years of nursing practice in the Acute Care setting before transitioning to Primary Care.

Resources and Links :

• To listen to the Team Up! Webinar on Nursing Scope of practice see: https://teambasedcarebc.ca/resources/resource/team-up-nursing-within-team-based-care-lessons-for-the-primary-care-sector-webinar/
• To learn more about the scope of practice for Nurses visit the BC College of Nurses and Midwives at: https://www.bccnm.ca/RN/ScopePractice/Pages/Default.aspx
• To learn more about RN & LPN roles in PCNs visit: https://www.pcnbc.ca/media/pcn/PCN_RN_LPN_RNC_Scope_of_Practice.pdf
• To learn more about differences between RN & LPN Roles check out some of the resources available on teambasedcarebc.ca
• To learn more about team-based care and the transformation of primary care in BC check out Teambasedcarebc.caand TeamUp community of practice (webinars and of course this podcast series).

Colleen, Sarah and Morgan get to chatting about the power of coaching from our November webinar. 

Apologies for the delay in getting this one out to everyone!

In this episode Morgan and Sarah learn more about the different kinds of roles that Family Nurse Practitioners (NPs) can take on in primary care teams in BC. NPs are uniquely positioned in BC and can act as Primary Care Providers and/or work with focused populations. In conversations with NPs who work in a range of models of care including NP clinics, Urgent and Primary Care Centres and Community Health centres Morgan and Sarah learn about NP scope of practice, and hear stories of how NPs work as part of these different kinds of teams.

Our calls to action this week are generalizable across all roles in primary care teams!

• First, create time to connect
• Second, build shared understanding of roles and standardize roles wherever possible - particularly when there is very real role overlap - like you would see with an NP and a Family Doctor (and include patients in building this shared understanding)
• Lastly Figure out communication pathways and build good communication cadence, to support coordination, and also relationships across the team.

Thanks to our guests this week!

• Eliza Henshaw: Eliza has practiced for 14 years as a primary care Nurse Practitioner across a populations ranging from refugees to complex populations in urban environments in Vancouver. She has been part of a number of interdisciplinary teams, and is currently joining a new clinic within the North Shore Primary Care Network, which is a partnership between Midwives and Nurse Practitioners.
• Sydney Richardson-Carrr: Sydney is a Family Nurse Practitioner who works at the Kelowna and Vernon Urgent and Primary Care Centres. She is also a council member with NNPBC.
• Erin Berukoff: Erin is an NP who has been providing primary health care services to her patients at Family Tree Health Clinic in Powell River for almost 5 years
• Kelvin Bai: Kelvin is an NP who works as part of the team at RISE Community Health Centre in Vancouver, which serves a diverse inner city patient population with a large number of immigrants and refugees, as well as folks with lower socio-economic status, and precarious status where the need for cultural safety and humanitarian concerns motivate the care that is provided.
• Spence Newell (RN): Spence Newell is a registered nurse who works at both the Kelowna and West Kelowna UPCCs. . He completed his BScN at McMaster University in 2017, and since that time he has worked as a nurse in primary care, public health and community health care settings

Resources:

If you would like to learn more about the scope of practice for nurse practitioners in BC check out :BC College of Nurses & Midwives: Scope of Practice for Nurse Practitioners (Standards, Limits, Conditions)

In our conversation Kelvin Bai referenced the integration guidebook as a great resource for clinics and providers. Check out : Nurse and Nurse Practitioners of British Columbia (NNPBC): Integration Guidebook

Take a listen to the TeamUp Webinar from Earlier this year focused on nursing scope of practice: TeamUP: Nursing Scope of Practice

In this episode Morgan and Sarah explore Indigenous Advocate and Indigenous liaison roles in Primary Care. Indigenous Liaisons and Advocates work across the primary care system to support Indigenous people in accessing care. This can also include supporting system transformation towards more culturally safe care, providing education to healthcare colleagues, and working alongside Indigenous Nations, elders, and community to design care for local needs. We will hear from two people who work in advocacy and liaison roles about what they do, how they work, and what they enjoy about working in primary care.

The key takeaways from this episode include:

1. Indigenous support roles might span the whole system of care and are responsive to the unique needs of each community and Nation they serve - they won’t ever look the same and that’s a good thing!
2. The approaches, decisions, and changes to care must be guided by community, elders and Indigenous people.
3. Care practice between Indigenous support roles and patients needs to: be grounded in relational care, have a deep understanding of history, take careful consideration of space, and allow the process to unfold with Indigenous patients setting the pace.

Guests:

A huge thank-you to our guests from this episode for sharing their knowledge and experience with us. In this episode you heard from:

• Reina Thurmer: Reina was born and raised in Whitehorse, Yukon, and she is a member of the Wikwemikong First Nation on her mother’s side and German on her father’s side. When interviewed for this episode, she held the role of Indigenous Wellness Advocate with the Comox Valley PCN, working on the K’ómoks First Nation supporting patients in receiving culturally appropriate care from family doctors, nurse practitioners and other healthcare team members. She has since left that role and started med school!
• Gracie Kelly: Gracie’s family roots are with the Soowahlie/Xaxlip First Nations and she is a Cultural Safety and Humility facilitator, an educator, enjoys sharing traditional teachings and is an advocate of supporting Indigenous communities. Gracie works with the Chilliwack Division of Family Practice, a non-profit society that represents Family Physicians in Chilliwack, Agassiz, Seabird Island and Hope. Their members provide primary care services from Chilliwack to Boothroyd and strive to improve health care services for patients by supporting an engaged and collegial medical community.

Resources and Links :

• To learn more about Gracie’s work with the Chilliwack Division of Family Practice have a look at the PDF they have created for Cultural Safety and Humility
• Cultural Safety and Humility Brochure.pdf
• and visit: https://divisionsbc.ca/chilliwack/sharing-cultural-safety-and-humility.
• To learn more about the breadth of work being done in the First Nations Health Authority see: https://www.fnha.ca/what-we-do. For more information about their work on cultural safety and humility across the healthcare system see: https://www.fnha.ca/wellness/wellness-and-the-first-nations-health-authority/cultural-safety-and-humility
• To learn more about pronunciation of First Nations in BC see the First Nations Pronunciation Guide: https://www.first-nations.info/pronunciation-guide-nations-british-columbia.html and https://www2.gov.bc.ca/assets/gov/british-columbians-our-governments/indigenous-people/aboriginal-peoples-documents/a_guide_to_pronunciation_of_bc_first_nations_-_oct_29_2018.pdf
• In Plain Sight Report on Addressing Indigenous-specific Racism and Discrimination in B.C. Health Care: https://engage.gov.bc.ca/app/uploads/sites/613/2020/11/In-Plain-Sight-Summary-Report.pdf
• To read more about the Chilliwack & Fraser Health Rural Primary Care Centre: https://www.fraserhealth.ca/Service-Directory/Locations/Chilliwack/chilliwack-and-fraser-health-rural-primary-care-centre-momiyelhtelaxwt.

Who doesn’t like Unicorns? Join Sarah and Morgan as they talk about primary care unicorns- or unique roles that are being tested in primary care- and the potential for extending the boundaries of how we think about primary care teams. In this episode we highlight the stories of BC’s one (and only) kinesiologist currently working in a primary care team as well as learning about the potential of adding genetic counselling to primary care teams to support patients with mental health concerns in primary care.

Thank you to our Guests!

• Carmela de Gracia Patten: Carmela is the first kinesiologist in the province hired to work in Primary Care. Based in northern BC, Carmela is a team member with the Change Program, a lifestyle intervention program focused on metabolic syndrome (people with type 2 or pre-diabetes)
• Jehaninne Austen: Jehaninne is a neuropsychiatric geneticist and a genetic counselor. They are a professor at the University of British Columbia.
• Prescilla Carrion: Prescilla is a senior research genetic counsellor and clinical associate professor in the UBC Department of Psychiatry and was the genetic counsellor for the Cool Aid Community Health Centre team as part of the GenCOUNSEL research project.

Resources

• If you would like to learn more about CHANGE BC and the engagement of kinesiologists in Primary Care in BC check out the Team UP webinar: CHANGE BC and Team Based Care: a rural experience and visit the Change BC website.
• To read more about the impact of embedding psychiatric genetic counselling in primary care visit: https://blog.invitae.com/real-stories-prescilla-c-2b8475b29e8f.
• To see the impact of psychiatric genetic counselling on a client, Prescilla recommends watching this video: https://youtu.be/gKX1MAggeX0?t=3321
• And coming soon: Carrion PB, Austin J, Elliott AM. A genetic counselor's reflections on lessons learned, challenges, and successes experienced during a one-year pilot integration in a primary care clinic. Public Health Genomics. 2023 Jun 12:1. doi: 10.1159/000530683. Epub ahead of print. PMID: 37307802.
• Slomp C, Morris E, GenCOUNSEL Study, Price M, Elliott, AM, and Austin JA. The stepwise process of integrating a genetic counselor into primary care. Eur J Hum Genet. 2022; DOI: 10.1038/s41431-022-01063-4.

In this episode Morgan and Sarah explore the Physician role in Primary Care. Physicians are the foundation of the primary care system and support cradle to grave care for a wide range of patient needs in a variety of care models. They provide care in rural and urban settings, in clinical settings that range from UPCCs to community health centres and FNPCIs. Team-based care is an opportunity for physicians to practice with the support of other healthcare professionals which can impact their wellbeing and adaptive capacity. We hear from physicians who practice in different settings about what they do, how TBC has impacted their wellbeing, and

The key takeaways from this episode include:

1. Family Physician roles can vary considerably depending on the model of care. This impacts how they connect, in person or virtually, with a team.
2. Second, teams can enhance the adaptive capacity of the overall primary care system which in turn can enhance the wellbeing of family doctors.
3. The best place to start is to just start! Take a small step towards team based care by hiring a single role, doing a few shifts with a primary care team in your area, or start working with the team already in your clinic slightly differently.

Guests:

A huge thank-you to our guests from this episode for sharing their knowledge and experience with us. In this episode you heard from:

• Terri Aldred: Dr. Aldred is Carrier from the Tl'azt'en territory located north of Fort St. James. She is a member of the Lysiloo (Frog) Clan. Dr Aldred is the medical director for primary care for BC’s First Nations Health Authority, the site director for the UBC Indigenous family medicine program, a clinical instructor with UBC and UNBC, a family physician for the Carrier Sekani Family Services primary care team, which serves 12 communities in north-central BC, and the Indigenous lead for the Rural Coordination Centre of BC.
• Daphne Green: Dr. Green is a family doctor who works with a team of professionals at the Kelowna Urgent and Primary Care Centre.
• Rahul Gupta: Dr. Gupta work as an integrative medical physician, professional coach, trauma-sensitive mindfulness instructor, and advocate for physician wellness. He is currently a coaching consultant for the Physician Health Program of BC, a clinical Assistant Professor for the Department of Family Medicine, UBC, and a facilitator for Quality Team Coaching for Rural BC.
• Dana Hubler: Dr. Hubler is a Family Physician with the FNHA, the UBC Rural CPD Medical Director and Physician Advisor with the Physician Quality Improvement Island Health program.
• Anne Nguyen: Dr. Nguyen is a Victoria Primary Care and Addiction Medicine physician who worked for a number of years with Victoria Cool Aid Society. She also works for Doctors of BC as the Physician Lead for the Physician Health Program.
• Christie Newton: Dr. Christie Newton as Associate Vice-President, Health, pro tem, an associate professor and the Associate Head, Education and Engagement in the Department of Family Practice in the Faculty of Medicine. In this role, she is working on a province-wide project funded by the Ministry of Health, aimed at supporting the design and evaluation of teaching within team-based models of care embedded in Primary Care Network communities. She is also the Medical Director of the UBC Health Clinic.
• Carolyn Canfield: Carolyn is the ISU’s in house patient-disruptor and adjunct faculty member in the Department of Family Practice at UBC. Carolyn is very involved in the Department of Family Practice and shares her expertise by teaching medical residents about patient experience and engagement. She also teaches in the undergraduate medical program, serves on the medical school admissions subcommittee and contributes on a number of provincial, national and international project teams on topics ranging from partnership evaluation to understanding systems resilience to advance patient safety.

Resources and Links :

• To learn more about the Centre for Resilience in Healthcare visit: https://www.uis.no/en/research/share-centre-for-resilience-in-healthcare. Some of their recent publications include:
  • Lyng, Hilda Bø, Carl Macrae, Veslemøy Guise, Cecilie Haraldseid-Driftland, Birte Fagerdal, Lene Schibevaag, Janne Gro Alsvik, and Siri Wiig. “Exploring the Nature of Adaptive Capacity for Resilience in Healthcare across Different Healthcare Contexts; a Metasynthesis of Narratives.” Applied Ergonomics 104 (October 2022): 103810. https://doi.org/10.1016/j.apergo.2022.103810.
  • Lyng, Hilda Bø, Carl Macrae, Veslemøy Guise, Cecilie Haraldseid-Driftland, Birte Fagerdal, Lene Schibevaag, and Siri Wiig. “Capacities for Resilience in Healthcare; a Qualitative Study across Different Healthcare Contexts.” BMC Health Services Research 22, no. 1 (December 2022): 474. https://doi.org/10.1186/s12913-022-07887-6.
  • Fagerdal, Birte, Hilda Bø Lyng, Veslemøy Guise, Janet E. Anderson, Petter Lave Thornam, and Siri Wiig. “Exploring the Role of Leaders in Enabling Adaptive Capacity in Hospital Teams – a Multiple Case Study.” BMC Health Services Research 22, no. 1 (December 2022): 908. https://doi.org/10.1186/s12913-022-08296-5.
• To learn more about the Quality Team Coaching for Rural BC program: https://rccbc.ca/initiatives/qtc4rbc/.
• To learn more about the Physician Wellbeing Program visit: https://www.physicianhealth.com/
• To assess the effectiveness of your team, try the new Team Effectiveness Tool on the Team-based Care BC website: https://teambasedcarebc.ca/team-effectiveness-tool/#gf_6
• To dig into a whole bunch of team-based care resources see: https://teambasedcarebc.ca/
• If you are interested in listening to Season 2, the episodes on resilience you can find that here: https://teamuppod.com/season-2/