The CPSO’s expectation during a public health emergency is that physicians act in the best interests of their patients and support the provision of care directly or, where necessary, indirectly by supporting their colleagues and the larger system in responding to the emergency.
ECHO Ontario Coping with COVID offers a place to share and learn about ways to build your personal/professional resilience and wellness through didactic lectures and case-based discussions. Whereas other ECHOs within ECHO Ontario Mental Health tend to focus on client cases and well-being, this new ECHO focuses on provider well-being. Please note that this program was initially launched for hospital-based health care providers and is now being offered to all health care providers across Ontario who are responding to the COVID-19 pandemic.
These screening tests are starting up slowly to keep you and the healthcare staff safe, and to help stop the spread of COVID-19. The gradual reintroduction of routine cancer screenings is consistent with the Ministry of Health’s to gradually start offering services that have been delayed because of COVID-19.
Guidance and Protocols, Visual Aids, Order Sets, Checklist, Ontario Clinical Practice Guidelines for Antimicrobial and Immunomodulatory, Therapy in Patients with COVID-19, Podcasts and Webinars, Quick ICU training, Wellness
This document contains recommendations based upon the best current available scientific knowledge for COVID-19 vaccination in special populations and expert clinician advice. Certain populations were not included in the Phase III clinical trials for current COVID-19 vaccines, or had very small representation, and require special consideration for COVID-19 vaccination. Evidence from clinical trial data is limited due to limitations in the size and duration of follow-up of trial populations; however, studies are ongoing. The evidence on COVID-19 disease and vaccines is evolving.
This 1-credit-per-hour Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 1 Mainpro+Ⓡ credits. To receive your certificate of attendance, please email the FMS team at firstname.lastname@example.org after watching the session. Please include your first and last name in the email.
".. The information that follows is intended to help people cope psychologically in the face of health risks like COVID-19. It does not convey important information that you should know about how the virus is contracted, its signs and symptoms, how to decrease your risk of contracting the virus and how the virus is treated. .."
credits: Canadian Psychological Association
Canadian Psychological Association Canadian Psychological Association
The COVID-19 pandemic is anticipated to continue spreading widely across the globe throughout 2020. To mitigate the devastating impact of COVID-19, social distancing and visitor restrictions in health care facilities have been widely implemented. Such policies and practices, along with the direct impact of the spread of COVID-19, complicate issues of grief that are relevant to medical providers. We describe the relationship of the COVID-19 pandemic to anticipatory grief, disenfranchised grief, and complicated grief for individuals, families, and their providers. Furthermore, we provide discussion regarding countering this grief through communication, advance care planning, and self-care practices. We provide resources for health care providers, in addition to calling on palliative care providers to consider their own role as a resource to other specialties during this public health emergency.
Wallace CL, Wladkowski SP, Gibson A, White P. Journal of Pain and Symptom Management. 2020;S0885-3924(20)30207-4. Wallace CL, Wladkowski SP, Gibson A, White P. Journal of Pain and Symptom Man...
A resource developed by the West Region Primary Care Council. It was designed as a guide to help balance the daily new needs of patients while working through the backlog on important preventative care and chronic disease management.
West Region Primary Care Council West Region Primary Care Council
“What do you think of the new vaccine(s)? Do you think I should get it? Is it safe? "
When patients ask these questions, it may be tempting to dive into answering. This framework will help approach these conversations thoughtfully to achieve a positive, effective interaction that builds trust while sharing important information.
The primary care associations have collaborated with public health, hospital, and health sector leaders in creating a practical guide to engaging primary care in local COVID-19 vaccine rollout. We are sharing the guide with you to inform, validate, and support your existing primary care engagement strategy.
1. Public health leadership is committed to strong primary care partnerships in all phases and in all regions. These relationships are key enablers of an effective, efficient, and equitable rollout.
2. To ensure successful partnership with primary care, 1) invite primary care professionals and teams in planning and co-design, 2) involve them in feedback and rollout, and 3) inform them of local opportunities, uncertainties, and changes.
3. The enclosed partnership checklist can inform and validate existing strategies from health leaders involved in local COVID-19 vaccine planning in engaging primary care.
Full-dose prophylactic anticoagulation held substantial benefit for moderately ill COVID-19 patients regardless of initial D-dimer level, according to interim pooled results from the ACTIV-4a, ATTACC, and REMAP-CAP trials.
The purpose of this community of practice is to support primary care providers who are implementing a remote home monitoring system for COVID-19 patients. Members will gain access to information about clinical pathways based on best evidence and other tools and resources. The CoP will use connecting calls and webinars in addition to this online space to support learning and collaboration.
All of our past CoP meetings are recorded and available here https://bit.ly/3e6Jydj (Copy and Paste into your browser)
BC's BHSA's Advice to health care providers on a) when to use Signal, b) best use cases, c) technical requirements, d) privacy and security and e) risk and limitation.
REAL Notes are high-level summaries that address critical COVID-19 related questions with the use of evidence from across a variety of credible sources, including medical databases, universities, jurisdictions, healthcare organizations, grey literature, traditional and social media.
Given updated information on COVID‑19, Droplet and Contact Precautions continue to be recommended for the routine care of patients with suspected or confirmed COVID‑19. Airborne Precautions should be used when aerosol generating medical procedures (AGMPs) are planned or anticipated to be performed on patients with suspected or confirmed COVID‑19.
Intention for use:
".. During the COVID-19 pandemic, we should be taking a virtual-first approach to diabetes care. The relative benefits and risks of an in-person versus virtual diabetes visit will depend on several factors, including an individual’s capacity for using technology, the extent of their disease and local COVID-19 prevalence.."
Highlights of changes
Reference to Ontario Health’s document on Optimizing Care Through COVID-19 Transmission Scenarios.
Importance of in-person care where essential and for those conditions and instances where patients may not benefit from virtual care (Bullet 4)
Reference to COVID-19 Screening tool for Children in School and Child Care (Bullet 14)
Change from 14 to 10 days of self-isolation following symptom onset, provided that the individual is afebrile, and symptoms are improving (Bullet 14)
Importance of not delaying assessment and treatment of issues which have symptoms that overlap with those of COVID-19 but are clinically evident of a different diagnosis (Bullet 20)
Reference to Considerations for Community-Based Health Care Workers on Interpreting Local Epidemiology (Bullet 20)
Reference to Guidance for Immunization Services During COVID-19 (Bullet 28)
Updated November 9th, 2020
For the toolkit, the CEP actively pulls together, rethinks and translates the latest information so family physicians and primary care nurse practitioners can make confident decisions in their practice. This toolkit was developed by the CEP in collaboration with McMaster University's Department of Family Medicine, OCFP and NPAO. Check back daily for the latest updates.
The COVID-19 pandemic presents an unprecedented challenge to the capacity of health care systems and providers around the world. Now, more than ever, stewardship of limited resources is critical.
In response, this list was developed to raise awareness about the need to use limited health care resources wisely.
Bereavement care is considered an integral component of quality end-of-life care endorsed by the palliative care movement. However, few hospitals and health care institutions offer universal bereavement care to all families of patients who die. The current coronavirus disease 2019 pandemic has highlighted this gap and created a sense of urgency, from a public health perspective, for institutions to provide support to bereaved family members. In this article, drawing on the palliative care and bereavement literature, we offer suggestions about how to incorporate palliative care tools and psychological strategies into bereavement care for families during this pandemic.
".. During the COVID-19 pandemic, we should be taking a virtual-first approach to diabetes care. The relative benefits and risks of an in-person versus virtual diabetes visit will depend on several factors, including an individual’s capacity for using technology, the extent of their disease and local COVID-19 prevalence. Regardless, most diabetes care and support can be delivered through virtual ‘visits,’ phone, video or secure messaging. This resource is meant to supplement the Diabetes Canada guidelines by indicating ways to adapt care for type 2 diabetes during COVID-19. It may also be useful for people with pre-diabetes. See guidelines.diabetes.ca1 for full guidelines and decision support tools for diabetes management.."
A public health emergency may force a shift away from the usual patient-first ethics, to a public-first approach. Such a shift in mindset is difficult for everyone involved. In this podcast, CMPA Physician Advisor Dr. Yolanda Madarnas and CMPA Director of Practice Improvement Dr. Steven Bellemare discuss the stress generated by the sudden need to ration resources and restrict access to certain treatments in the context of the COVID-19 pandemic.
Listen to them discuss the concept of reasonable care and the patient’s best interests to help you make sense of the unusual demands the COVID-19 pandemic may place on you.
".. The aim of this collection is to ensure immediate access to systematic reviews most directly relevant to remote health care through telehealth. The measures adopted internationally to curb the spread of COVID-19 have led to significant changes in how health care is accessed and provided. As face-to-face consultations between healthcare workers and patients pose a potential risk to both parties, remote care and telehealth offer alternatives. .."
".. Rapid evidence reviews, data analysis and thought-provoking writing relating to the coronavirus pandemic updated regularly.
The Centre for Evidence-Based Medicine based in the Nuffield Department of Primary Care Health Sciences in the University of Oxford is an academic-led centre dedicated to the practice, teaching and dissemination of high-quality evidence-based medicine to improve healthcare in everyday clinical practice..."
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is currently causing a high-mortality global pandemic. The clinical spectrum of disease caused by this virus is broad, ranging from asymptomatic infection to organ failure and death. Risk stratification of individuals with coronavirus disease 2019 (COVID-19) is desirable for management, and prioritization for trial enrollment. We developed a prediction rule for COVID-19 mortality in a population-based cohort in Ontario, Canada.
Virtual care is a powerful tool in Ontario’s efforts to contain the spread of COVID-19.
Phone consultations, emails, text messaging, remote monitoring and video visits allow care providers and patients to connect safely at a distance, minimizing the risk of community infection.
Ontario Health Data Platform COVID-19
The Ontario Health Data Platform (OHDP) is being built to better detect, plan and respond to the COVID-19 outbreak.
This is a collaborative effort by leading public sector organizations to accelerate research and analytics within Ontario to help the province better manage and respond to the pandemic.
This COVID-19 Community of Practice is a joint initiative from the University of Toronto Department of Family and Community Medicine (DFCM) and the Ontario College of Family Physicians (OCFP). Approximately every month, they bring people together virtually and share perspectives from a few practicing family physicians on topics ranging from implementing virtual care, to organizing community collaborations, to supporting patients with mental health and addiction. These one-hour webinars are interactive and questions from participants are be answered in real-time. Answers, resources, and recordings are posted after each session so that the sharing continues in the time between virtual sessions.
The Continuing Professional Development office is working closely with our Academic and Clinical partners to provide important COVID resources for our community.
We are developing a database of resources and need your help. If you have an important resource for Health Professionals that you think should be included in our listing, please let us know.
Content is updated daily.
"..During this time of crisis, Heart & Stroke is making new course types available as a temporary measure to respond to requests from healthcare partners in helping them maintain the capacity of healthcare services to essential and critical areas during COVID-19. Our objective is to ensure that through virtual means, healthcare providers can be quickly and effectively trained to be ready to work in needed healthcare services.."
In the MH region, In order to best support patients and providers in our community we have stepped forward to work with local OHTs in gathering this information so that personnel can be quickly deployed where required. By having this centralized collection point, it will help us coordinate and avoid individual physicians from having to complete this information for several different sources.
The eCE Automates team at the eHealth Centre of Excellence has launched a new bot process that will help primary care clinicians to seamlessly and efficiently document their patients’ COVID-19 vaccinations within their electronic medical records (EMRs).
The Evidence Synthesis Network (ESN) is a collaborative COVID-19 response initiative by Ontario’s research and knowledge production community. We aim to enhance collective impact, reduce duplication, standardize products, and foster collaboration in order to streamline the processing of getting evidence on COVID-19 issues and questions to the people who need it.
The ESN is comprised of prominent organizations in Ontario’s evidence synthesis and knowledge translation community. We collectively provide high-quality, relevant, and timely synthesized research evidence about COVID-19 to inform decision makers as the pandemic continues.
The Network accepts questions on COVID-19 from decision-makers in government, agencies, and the broader health system who require scientific evidence, jurisdictional scans, and promising innovation scans.
The ESN is co-chaired by Anne Hayes, Director of the Research, Analysis and Evaluation Branch of the Ministry of Health, and Rob Reid, Chief Scientist of the Institute for Better Health and Senior Vice President, Science, Trillium Health Partners.