Primary Care in a Pandemic: Recent Episodes
UBC Medicine Learning Network
In this podcast we look at the changes in primary care in British Columbia during the COVID-19 pandemic. We talk about ways primary care clinics can and are adapting in this crisis. Each episode we tackle a different topic from how to stay connected as a team to how to approach advanced care planning with patients. We try to keep things real and practical so you can apply these ideas in your practices.
Brought to you by the University of British Columbia's Primary Care Innovation Support Unit in the Department of Family Practice.
This is our wrap up episode - or rather our TeamUP episode. We have decided, in the spirit of resilience, sustainability, and doing good work, to merge our two podcasts over at TeamUP - the content was going to be so similar this season that it made sense to take this opportunity
This season of TeamUP focus on practical tools in primary care to support the adaptive capacity of the system.
Please check out TeamUP at www.teamuppod.com and subscribe or follow in your favourite podcast app.
Perhaps it is better to TeamUP than to just pod-fade away...
Thanks for listening,
Sarah and Morgan
In this episode we talk with our own Amanda Frazer about our own immPACC Mapping Project (immunization-Primary And Community Care Mapping). We get into the weeds a bit quickly because, well, we are very excited about how this tool is able to help communities engage in and accelerate local ideas to improve immunization uptake.
If you want to see a short overview video that also give a visual of what the maps look like, we have a 5 min video on YouTube:
More information can be found online here in our COVID-19 Immunization Toolkit for Primary Care
We are also actively training facilitators to run immPACC sessions .
Please email us if you are interested in learning more: immpacc@covidtoolkit.ca
FOR SEASON THREE
If you have topic suggestions, please email us at ISU@familymed.ubc.ca
In this episode, we talk to several Canadian experts and share with you two tools to support you and your patients talk about vaccine hesitancy and boost vaccine confidence.
The tools we talked about in this episode:
Vaccine Hesitancy Guide: https://www.vhguide.ca
C.A.R.D.: Available through Immunize Canada https://immunize.ca/card
How better to follow up our last episode (focused on languishing in the time of COVID) than to shift the focus to flourishing. In this episode Morgan and Sarah talk about the concept of flourishing. After a brief overview of flourishing measures, we focus on the activities provided on the flourishing.app website and how they may help support providers and patients .
Harvard Human Flourishing Program: https://hfh.fas.harvard.edu
The Flourishing App Website: https://flourishing.app
After a quick chat about current COVID state of affairs (and Star Wars day), we talk about "languishing" - a new term but one that we think fits really well and that we will hear more often. Then we dive into a few ideas we have on how we can help ourselves and our patients address feelings of languishing. Hopefully these are useful for you as well.
And here are some books and resources we mentioned (not affiliate links): Cal Newport: Deep Work - https://www.calnewport.com/books/deep-work/ Time Block Planner - https://www.timeblockplanner.com/
Daniel Pink: When - https://www.danpink.com/books/when/
Mihaly Csikszentmihalyi: Flow - https://www.amazon.ca/Flow-Psychology-Experience-Mihaly-Csikszentmihalyi/dp/0061339202/ref=sr_1_1?dchild=1&keywords=flow&qid=1620417754&sr=8-1
New York Times Article that started this one: Languishing - https://www.nytimes.com/2021/04/19/well/mind/covid-mental-health-languishing.html
EPISODE UPDATE ALERT: SCIENCE CHANGE
In this episode from April, we talked about encouraging people to keep on with the public health orders and the concerns and risks of the AstraZeneca vaccine and how to compare that to lightning strikes.
Since we published this, our understanding of the clot risks has changed, with the risk of clot increasing to around 1:100,000. When we recorded this episode the science suggested the risk was 1:250,000. We wanted to update that this material and the comparisons to things like risk of lightning strikes is now out of date.
A quick bonus episode from Morgan, where he shares a small idea that he hopes will help him not get overwhelmed this week.
In this Episode Sarah and Morgan sit down (at a distance and for the first time ever IN PERSON) to reflect on what they have been hearing from patients about the vaccine, how to support patients and and what people want to know before coming in for immunization
In this episode Morgan is joined by Rita McCracken and Alex Singer, two other primary care providers, to talk about vaccine hesitancy and our important role in primary care.
Visit www.primarycareinapandemic.ca/podcast for more episodes.
You can also check out our newly released Primary Care COVID-19 Immunization Clinic Toolkit at covidtoolkit.ca
It has additional information on vaccine hesitancy along with information and guides for preparing your office to run a COVID-19 Immunization Clinic.
n this episode Sarah shares with Morgan patient questions she has collected about COVID-19 Vaccines and Immunizations and he does his best to answer them. Enjoy listening as Morgan is in the hot seat and does his best to answer the questions and help other primary care providers answer similar questions.
Visit www.primarycareinapandemic.ca/podcast for more episodes or subscribe.
For more answers and guides to preparing for the day when you can provide COVID-19 immunizations in your primary care office, we will have a new toolkit ready soon.
In this episode, we talk about connecting to patients virtually and ideas to support new or improved ways of strengthening connection. We discuss tips to support communication with patients as practices respond to the changing context of the pandemic, and the potential value of virtual group visits- both in terms of having multiple providers participate in a virtual appointment and multiple patients in a virtual group visit.
Feedback, please email us: isu@familymed.ubc.ca
In this episode, we reflect on changes to the way we work and the importance of continuing efforts to support teambuilding and the development of a shared culture in primary care practices. We talk about teamlets and rethinking space and place, tools to support the important work of team-building, in person and virtually, and how to make the space for social connection in out increasingly virtual workspaces. More information about Team Mapping and all the resources you need to get started can be found here:
https://isu.familymed.ubc.ca/resources-2/team-mapping-facilitating/
Feedback, please email us: isu@familymed.ubc.ca
In this episode, talk about how ways to bring some public health into our practices, working with nurses (if we are lucky enough to have a RN working with us in practice) and think about how to reduce the stress of our patients at this time with a quick mental health check in.
Some of the resources are available at our site:
http://isu.familymed.ubc.ca
Feedback, please email us: isu@familymed.ubc.ca
Episode 7 - Being Resilient in a Pandemic
We talk about how to be resilient and effective, take care of ourselves, and ask a friend for help. We get a chance to hear from Drs. Tandi Wilkinson and Rita McCracken.
Taking Care of Each Other During COVID-19 – Peer Support for Physicians:
https://thischangedmypractice.com/peer-support-for-physicians-during-covid-19/
more information on Failure Friend Conversations:
https://intensivecarenetwork.com/voices-in-my-head/
Tandi has a workshop that has been in person but is likely shifting to a virtual evening series. Anyone interested in further information can contact Tandi at kootenaytandi@gmail.com
Published on June 22, 2020.
Links to Products discussed (not affiliate links):
11" iPad Pro - base model, no additional software installation needed=
CTA Locking Tablet Stand - link to Amazon. Chose this one for it's locking and flexibility with positioning as well as it is aluminum so easier to clean.
USB-C Hub - link to Amazon. We used a similar hub to this as it has loop in it to thread the cable lock through. It has many ports, however, all we wanted was the ethernet port and the power pass through, so a smaller hub could be used (or if using WiFi, no hub would be needed).
Doxy.me Telehealth Software (can run from a browser on the phone or tablet)
Tips for Supervising Family Medicine Learners Providing Virtual Care (CFPC):
https://portal.cfpc.ca/resourcesdocs/en/Supervision-of-FM-Learners-for-Virtual-Visits-final.pdf
Field Note Guide from the CFPC: https://portal.cfpc.ca/ResourcesDocs/uploadedFiles/Education/For_Teacher/Emerging-Writing-ENG-v4.pdf
Sarah and Morgan explore how we can take this need to do more Telehealth as an opportunity to be more relationship centred. Thank yous to Dr. John Pawlovich and Dr. Alex Singer for their time, audio, and wisdom that contributed to this episode
In this episode we talk about things you can do right now to stay better connected as a primary care team while working apart, even if your team is just two people.