Dialogue Volume 15 Issue 1 2019 - Page 33

PRACTICE PARTNER the MMAP network and the Clinical Lead of the CMN. Currently, MMAP has 32 mentors and 336 mentees in communities across Ontario, including urban, rural and remote settings. Many of the mentees also choose to become mentors. With additional government fund- ing, MMAP is looking to bring in more mentees and mentors over the next 18 months. Mentees can use the mentorship services at no cost whenever they need to, at their convenience and earn continuing professional development credits in the pro- cess. It is entirely up to the mentees as to how long they want to stay in the networks, in fact, there are many mentees who have been enrolled in the program since it launched almost 12 years ago. Centre for Effective Practice Academic Detailing for primary care and the Knowledge Translation in Primary Care Initiative are two projects led by the Centre for Effective Practice (CEP) to help primary care providers deliver high-quality care to their patients. The Knowledge Translation in Primary Care Initiative focuses on the development of evidence-based clinical tools for primary care providers, some of which have been downloaded by more than half of Ontario’s primary care providers. The academic detailing service is a natural extension to implement these clinical tools. Academic Detailing In effect since March 2018, CEP’s primary care aca- demic detailing service is unique from other forms of educational outreach or continuing professional devel- opment with its emphasis on an interactive discussion style that focuses on the specific needs and questions of the participating family physician. Academic detailing service visits are scheduled at a time and place conve- nient to the physician (e.g. usually in their clinic office). The CEP’s academic detailers are all clinical pharma- cists with strong foundational experience in pharma- cotherapy and clinical evidence appraisal. The detailers undergo comprehensive training in clinical evidence relevant to the topics they deliver as well as skills de- velopment to assess and understand physicians’ clinical needs and practice barriers. Because the service has, to date, focused on topics with a strong pharmacology component, pharma- cists were identified as the best equipped to deliver this knowledge to family physicians, many of whom do not have regular access to a pharmacist. During each visit, academic detailers concentrate on understanding the physician’s specific needs and tailor- ing the information accordingly. The information cov- ered during a visit can include talking tips for leading challenging conversations with patients regarding their management options and treatment expectations, ap- proaches to initiating, monitoring and tapering medica- tions, putting in place safeguards and harm reduction strategies for patients on medications, or navigating local resources for patients that are geographically and financially accessible. Academic detailers also equip par- ticipating family physicians with relevant clinical tools developed by the CEP. There are currently 18 academic detailers who have provided visits to more than 590 family physicians across eight LHINs including Erie St. Clair, South West, Waterloo Wellington, Hamilton Niagara Hal- dimand Brant, Mississauga Halton, Toronto Central, North West and North East LHINs. CEP is also seeing referrals into the service, from participating physicians to their colleagues, and information sharing within practices, which is a positive effect as a result of the program. The service is free for family physicians. Interested family physicians can learn more and sign up for a visit at: cep.health/academic-detailing. Knowledge Translation in Primary Care Initiative In addition to creating an academic detailing network, the CEP continues to provide clinical tools and health information resources for physicians through its work with the Knowledge Translation in Primary Care Initia- tive, which is a collaboration with the Ontario College of Family Physicians (OCFP) and the Nurse Practitio- ners’ Association of Ontario (NPAO). From updating the CORE Back Tool to introducing the Management of Chronic Non-Cancer Pain Tool and integrating it into EMRs, the CEP’s work helps ISSUE 1, 2019 DIALOGUE 33