Team Up! Team-based primary and community care in action: Recent Episodes
Team-based Care BC Team
A podcast that brings together primary care providers, healthcare planners, patients, innovators and others to talk about the changes that are happening in primary care in British Columbia.
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 at teamuppod.com/feedback/ or 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.
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
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. We have a way for you to leave us a message by email or voice.
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 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 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 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, 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.
We now have TWO ways to you can send us feedback:
EMAIL: isu@familymed.ubc.ca
NOW YOU CAN SEND US A VOICE MESSAGE
Try out the voice message - we might even include your voice in the podcast!
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, 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
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 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.
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 Sean Ebert, Sarah Fletcher and (intermittently) Morgan Price, reflect on the topics related to the most recent Team Up! webinar.
In this webinar we had a lively panel discussion from a diverse group of people working in primary care teams.
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.
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 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 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/
This episode is a recording of February 18th's Team UP webinar. In this episode, family physicians Dana Hubler and Raul Gupta share their experiences with the Quality Team Coaching Program for Rural BC (QTC) and reflect on what they have learned about elements that foster the development of highly functioning teams. Rahul and Dana reflect on the importance of psychological safety, relationships and the engagement of leadership in efforts to enhance team based care in rural BC and discuss how the lessons they have learned could be applied more broadly. Learn more about the pilot program here: rccbc.ca/qtbc.ca
This episode is a recording of February 18th's Team UP webinar. In this episode, family physicians Dana Hubler and Raul Gupta share their experiences with the Quality Team Coaching Program for Rural BC (QTC) and reflect on what they have learned about elements that foster the development of highly functioning teams. Rahul and Dana reflect on the importance of psychological safety, relationships and the engagement of leadership in efforts to enhance team based care in rural BC and discuss how the lessons they have learned could be applied more broadly. Learn more about the pilot program here: rccbc.ca/qtbc.ca
This episode is from our January Team Up Webinar, a dialogue circle focused on Cultural Safety and Humility.
In this dialogue circle Syexwwalia, an elder and knowledge keeper from the Squamish Nation, Family Doctors Dana Hubler and Jeff Beslet and Destinee Barrow, a regional Health Coordinator for Vancouver Island for the Metis Nation, share their insights and stories related to their experiences of the importance of cultural safety and humility in primary care.
This episode is from our December Team Up Webinar. Maureen Clarke and Colleen Kennedy from the the BC Patient Safety and Quality Council have a great discussion about some practical tools to support team-based primary care.
More information and links to the tools they mention are here:
https://bcpsqc.ca/resource/rolling-up-your-sleeves-practical-tools-for-virtual-team-based-care/
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 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 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 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, 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.
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.