Canadian Journal of Rural Medicine

PRESIDENTíS MESSAGE
Year
: 2021  |  Volume : 26  |  Issue : 4  |  Page : 149-

President's message. Rural Advocacy


Gabe Woollam 
 President Society of Rural Physicians of Canada, Happy Valley Goose Bay, NL, Canada

Correspondence Address:
MD, FCFP, FRRMS Gabe Woollam
President Society of Rural Physicians of Canada, Happy Valley Goose Bay, NL
Canada




How to cite this article:
Woollam G. President's message. Rural Advocacy.Can J Rural Med 2021;26:149-149


How to cite this URL:
Woollam G. President's message. Rural Advocacy. Can J Rural Med [serial online] 2021 [cited 2021 Dec 2 ];26:149-149
Available from: https://www.cjrm.ca/text.asp?2021/26/4/149/327576


Full Text



The theme of the cancelled 2020 R and R conference was 'Rural Physician Advocacy'. Our organisation exists because of the powerful advocacy of rural physicians. Over the years, the SRPC and its members have punched above their weight to improve health care for rural Canadians. Through the difficulties of the pandemic, we have continued to make advancements in some important areas of rural health care. These include national physician licensure, virtual care and rural patient transfer.

For several years, the SRPC and our allies have advocated for national physician licensure. Many rural and remote communities depend on physicians from other jurisdictions to provide virtual care and locum relief. This advocacy has continued through the pandemic. In May 2021, the SRPC and other physician groups circulated a letter to all ministers of health calling for action on a national approach to licensure. We also submitted a brief to the House of Commons Standing Committee on Health. This work appears to be garnering attention from decision-makers. The pandemic may prove to be a tipping point in the ongoing work for a system of national licensure.

Virtual care changed our practises significantly over the past year and a half. Many of the improvements are likely to become permanent parts of how we work. While virtual care has improved access for many patients, the rapid uptake has raised important questions. What conditions are most appropriate for virtual care? What platforms work best? How can virtual care support continuity of care for rural patients? These need to be answered with a rural lens and in the context of infrastructure and bandwidth deserts that remain widespread across rural Canada. SRPC has been represented on a national Virtual Care Taskforce and at a recent virtual care stakeholder summit.

The need for patient access to COVID-related critical care has highlighted the reliance on and gaps within the transfer systems for many rural and remote communities. The inadequacies of existing medical transportation infrastructure often leave patients waiting in underserved areas for too long and cause stress for patients, families and transferring physicians.[1] Following the release of our joint recommendations for improving patient transfer,[2] the SRPC is planning the next steps in advancing this issue through research and advocacy.

I hope that we can capitalise on the opportunities for change that the pandemic has given us. Canada's post-pandemic rural health care will be better as a result.

References

1Wilson MM, Devasahayam AJ, Pollock NJ, Dubrowski A, Renouf T. Rural family physician perspectives on communication with urban specialists: A qualitative study. BMJ Open 2021;11:e043470.
2College of Family Physicians of Canada, Society of Rural Physicians of Canada. Call to Action: An Approach to Patient Transfers for Those Living in Rural and Remote Communities in Canada. Online: 2021. Available from: https://www.cfpc.ca/CFPC/media/PDF/Rural-Road-Map-Call-to-Action-EN-final.pdf. [Last accessed 2021 Jul 15]. 49-21