dépôt à la bibliothèque nationale e trimestre 1985...

February 2008 | Volume 31 | N° 1

Bulletin de l’Association des médecins omnipraticiens de Montréal(Aff i l iée à la Fédération des médecins omnipratic iens du Québec)

(cont’d on page 3)

A New Beginning

O n December 15, 2007, theFMOQ Council elected Dr. LouisGodin as President. The other

members of the Executive, who werealready in place, will be changing seatsand two new members joined the team– Dr. Marc-André Amyot and Dr. PierreMartin, from the Laurentians-Lanaudièreand the Mauricie, respectively.

Dr. Dutil was at the helm of theFMOQ for twelve years and in that time,he led the FMOQ to assume a leadershiprole in the field of health in Quebec andto become a player respected by allstakeholders. There is still, however,much to be done.

Last November, the agreement onsalary adjustment for general practi-tioners was signed. This agreementpaved the way for far-reaching modifica-tions to the organization of primarycare. It includes two main parts: on theone hand, an adjustment correspondingto 2/3 of the total, and, on the otherhand, a business plan representing thelast 1/3 of the 31% agreed upon. Some25 measures will have to be negotiatedrapidly, eight of them between now andthe end of June 2008.

This is an ambitious business plan,with the goal of reorganizing primarycare and improving accessibility throughthe promotion of patient care and longi-tudinal follow-up by family physicians.

The plan, however, will have to takeinto account two main factors and that of

medical manpower is certainly the mostimportant. This problem remainsunsolved, and even though some regionshave managed to improve their situa-tions, the balance remains fragile andthose physicians who are available aretired and somewhat disillusioned by themany promises made in the last years.This plan will not create new doctors andit will require innovation and imaginationin its preparation and implementation.The sharing of tasks with other healthprofessionals remains an option to beconsidered, but with many ifs and buts.

The other factor that is just as funda-mental as the capacity to get there is thefreedom to join the plan. We will refuseany additional constraints. It will have tobe advantageous enough for us to agreeto participate in it. On the contrary, thisbusiness plan will have to allow us to liftcertain unjust measures. I am referringhere of the scales for remuneration offixed honoraria and hourly fees thatwere supposed to disappear as early asthe first half of 2008. Our youngcolleagues will thus enjoy the sameremuneration as their older colleagues:equal work for equal pay.

The salary adjustment portion of theplan will have to be applicable toeveryone, regardless of mode of remu-neration and model of practice. Everyonewill have to be satisfied with it.

However, the challenges faced by thenew Federation Board do not stop there.As early as 2010, general practitioners in

Dr. Marc-André Asselin

ÉditorialE

Dépôt à la Bibliothèque nationaledu Canada et du Québec,

2e trimestre 1985ISSN 0831-6465

Bulletin de l’Association des médecins omnipraticiens de Montréal(Aff i l iée à la Fédération des médecins omnipratic iens du Québec)

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Newsletter from the Montreal Association of General Practitioners February 20082

ÉummarySPAGE

EDITORIAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Annual Meeting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Our Priorities for 2008. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Update on our Survey of Young Physicians in Montréal. . . . . . . . . . . . . . . . . . . . . . . . . . 5

AMOM Annual Delegates Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Could My PADPC be Used Against Me?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

What are Public Health Physicians Seeking?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Medical Federations Golf Tournament . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

December Countil Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Sector Visits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Focus on Physician Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Passports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Maimonides Physician Honoured. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Welcome to our New Members. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Job Offer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

AMOM Delegates 2007-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

L’OMNI WILL PRINT YOUR COMMENTSL’OMNI is a newsletter written by AMOM to provide

information and allow our members to exchange opinionsWe would be delighted to publish your texts - Send them to

Serge Dulude, M.D.Editor of L’OMNI

1440, Sainte-Catherine West - Suite 1000Montreal (Quebec) H3G 1R8

Telephone: (514) 878-1911Fax: (514) 878-2608

Web Site: http://www.amom.nete-mail: [email protected]

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February 2008 Newsletter from the Montreal Association of General Practitioners

3

Quebec will have to negotiate a new general agree-ment with the MSSS. Delaying would meanaccepting an increase in the gap in earningsbetween us and our Canadian counterparts. 2010is just around the corner! This means that we needto compile our list of demands this year. A unionorientation conference will take place in 2009. Thedate should be announced shortly.

This new administration will surely follow in thetradition established by their predecessors. Thisdoes not mean that it will take the same path or thatit will choose the same options. We often hear talkof the economic, social and personal health of ourmanpower, and there is certainly a parallel to that of

the population that we are serving. The two remaininextricably linked, not only through our code ofethics, but also through the history of the FMOQ.

It goes without saying that the manner and thetone of the debates will change, but that will onlyenrich the discourse and the exchanges.

Given the addition of younger members of theFMOQ Executive, we ought to be hopeful that theexpectations of general practitioners in Quebecwill be met.

Dr. Marc-André AsselinAMOM President

Editorial… (cont’d from page 1)

O ur annual meeting took place on FridayNovember 23, 2007. This meeting wasespecially important as it was the last time

that Dr. Renald Dutil, member and delegate fromour association, was to participate as the presidentof the FMOQ.

Dr. Marc-André Asselin, AMOM President,Serge Dulude, Secretary, Yvon Grand-Maison, andMarc Gagné reviewed the areas of involvement ofour Association. Dr. Dutil presented the keyelements of the agreement reached between theMSSS and the FMOQ with regard to salary adjust-ment for general practitioners.

Finally, it was fitting for AMOM to pay tributeto Dr. Dutil who has decided to leave union lifeafter 12 years at the head of the FMOQ and14 years as president of AMOM. Dr. Asselin andDr. Dulude summarized his prolific career andpresented a special gift from the Association. Thegift was a hand-made pen designed by a Québe-cois craftsman and a leather-bound book, alsohand-made, with the imprint of the FMOQ andAMOM logos. This book was designed andproduced by Dr. Michel Dallaire, an AMOMmember and delegate, whose hobby is book-binding.

During the dinnerfollowing the meeting,the Association alsoacknowledged the officialdeparture of Me FrançoisChapados, who has beenthe FMOQ legal counseland chief negotiator forthe past 37 years.

The members of theBoard and Executivehave decided that theywill try to come up witha new format for thenext annual meeting in order to make it moredynamic and more accessible for our memberswho are constantly struggling to reconcile workand family life. In spite of the special elements ofsuch a meeting that are dictated by our bylaws, webelieve that we can improve upon it and we hopeto maintain the social and festive atmosphere aswell. We’ll keep you informed!

If you have any suggestions feel free to shareyour ideas with us.

Dr. Lise CussonAMOM Vice-president

AMOMAnnual Meeting

Dr. Lise Cusson

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E ach year at its first meeting, the AMOMExecutive identifies its priorities for thecoming year. These priorities are then

approved and a budget is allocated to ensure theirsuccess.

Last year, as you will recall, we had focused ourenergies on two specific issues: that of the finalreport on remuneration and working conditions innursing homes and that concerning the establish-ment of a committee on young physicians in ourregion. The report on chronic care was adopted bythe Executive and presented by the FMOQ at thenegotiating table, and late last year, the youngphysicians committee circulated a questionnaire to400 young physicians in our region who havebeen in practice for less than 10 years.

This year, we will be focusing on three majorpriorities. The first will be an analysis of the survey,the first responses to which were received in earlyDecember. The committee will continue its workand will submit its final report in late spring.

The second priority concerns senior physiciansin our region, an issue that we have beenproposing to work on for several years now. As Iwas preparing my PowerPoint presentation for ourannual meeting, I was struck by certain demo-graphic data on the Montreal region. Did youknow that there are 1,148 male and 827 femalegeneral practitioners in our region and that theaverage age of our female colleagues is 46, whilethat of our male colleagues is over 55? As part ofthe salary adjustment for general practitioners, wedeveloped a business plan that includes 25measures, one of which is the retention in practiceof physicians at the end of their careers. In light ofthe current manpower shortages, this is essential.

As a professional union, what could we plan tofacilitate our members’ entry into retirement? Thisis the question that we will be posing in 2008. Westarted to prepare the groundwork at our dele-gates conference in 2007 and we will continue

working on this issue this year with the establish-ment of an ad hoc committee on the topic.

Finally, as we have done for the past twelveyears, we are proposing sector meetings that willgive us a chance to hear your views on theprogress of the issue of salary adjustment, perspec-tives for the future and one any other topic thatyou would like to raise. The last round took theform of early morning breakfast meetings. Wehaven’t decided on a format for this year yet. Youwill be receiving invitations in the coming months.

As you can see, we are looking forward toanother year filled with interesting projects, withthe ultimate goal of serving you better.


Our Prioritiesfor 2008

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W e are in the process of analyzing theresults of our survey of young physi-cians in Montréal. Many of you took the

time to respond : 154 physicians who have beenin practice for less than 10 years returned theircompleted questionnaires, thus a 40% rate ofresponse, which is excellent for a mail-in survey.Thank you!

Here is a brief portrait of our respondents:➣ 76% are women➣ 67.5% are between 30 and 40 years old➣ 54 have children➣ 72% wanted to do family medicine from

the time that they started their medicalstudies or their first choice for residencywas family medicine.

What do these Montreal physicians do?➣ Patient care and follow-up: 63%➣ Treatment of hospitalized patients: 51%

➣ Emergency work: 39%➣ Geriatrics: 18%➣ Home care: 18%➣ Palliative care: 17%➣ Chronic care: 16%➣ Obstetrics and newborn care: 15%➣ Public health: 6.5% ➣ Rehabilitation: 6.5%➣ Intensive care: 5%

Along with the above areas, 61% are involved tosome extent in teaching.

These statistics confirm that this cohort of physiciansdemonstrates involvement and multidisciplinarity!

The AMOM Committee on Young Physicians willsubmit a full report on the results and its recom-mendations between now and the end of May.

Dr. Lise CussonChair, Committee on Young Physicians


Update on our Survey ofYoung Physicians in Montréal

5

AMOM Annual Delegates ConferenceOur annual AMOM Delegates Conference will be held on May 30, 2008. As usual, we will bediscussing the negotiations and priorities. Salary adjustment will obviously be on the agenda, as wellas terms and conditions for the application of the special agreements whose goal are broadeningpatient care and follow up and improving accessibility.

The main theme has not yet been chosen, but it will most likely focus on young physicians and ourcolleagues who are nearing retirement.

Feel free to share your suggestions to help fuel our thinking!

Dr. Serge DuludeSecretary

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S everal of you are worried, very worried. Infact, some of you fear that your self-directedplan could be used against you in the courts

or by the Collège des médecins du Québec. Duringthe presentations in the workshop on the FMOQPlan d’autogestion de développement professionnelcontinu (Self-Directed Plan for Professional Devel-opment), three concerns were raised. We will dealwith them one by one and will try to reassure you.Self-directed professional development is, in fact,just a process of reflection that encourages thephysician to adapt his/her needs for professionaldevelopment to his professional reality.

1. Could I be asked to provide my PADPC during aCollège inquiry or a medical lawsuit?

Yes, you could have to provide your PADPC tothe courts or to the Collège des médecins du Québecif you are asked to do so.

However, let us keep certain facts in mind. First,your participation in the self-directed plan is notoptional. It is a new obligation established by theCMQ. It is thus impossible to avoid. Moreover,joining such a plan and respecting the steps andphilosophy behind it bears witness to the impor-tance that a physician attaches to his/her profes-sional development and to the maintenance of hisknowledge, as well as demonstrating a highdegree of professionalism. These elements couldcertainly play in your favour, if need be.

2. If one expresses a need for professional develop-ment does this mean that one is lacking compe-tence in a given field?

Many physicians fear that if they express a needfor ongoing professional development, this couldbe interpreted as a weakness or gap in a particularfield. The reality is quite different: expressing a need

for ongoing professionaldevelopment generallymeans that you want “toconfirm what you arealready doing” or “toperfect your knowledge”in a particular field.

However, it will beimportant to use judg-ment in formulating yourneeds for ongoing profes-sional development. Thus,it will be preferable to avoid writing that you are“weak,” “deficient,” or “dangerous” in a givenfield.

Finally, you will agree with me that with orwithout a self-directed plan, any lawyer will be ableto “skewer” you and, in short order, require you todetail your training activities and, as a result, toshed light on any “weakness” that you may havehad.

3. What will happen to me if I do not manage tocomplete my annual objectives?

Frankly, nothing. If you do not meet yourobjectives, they will be carried into the next year.Recognition of new modes of learning (reading, e-learning, etc.) and different types of learners willcertainly favour the attainment of your annualobjectives.

If you wish to learn more about self-direction andongoing professional development and the FMOQ’sPADPC, I encourage you to attend one of theupcoming workshops. Simply contact Mrs. DanielleVillemaire (514-878-1911) to register.

Dr. Marc GagnéCME Chair

Could My PADPCbe Used Against Me?

Dr. Marc Gagné

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7

Pay Equity

Our primary concern remains salary condi-tions for physicians working in public health.It should be remembered that medical acts inpublic health are remunerated according tothe hourly fee or fixed honoraria mode andthat, contrary to what one might haveunderstood from the negotiations, medicalacts for a population have nothing to do withadministrative tasks.

As early as June 2006, when part of the salaryenvelope was directed towards specific services forvulnerable patients, the wage gap between physi-cians working in public health and their colleagueswho do patient care began to grow. The packagesand amendments that followed allowed a majorityof clinicians to improve their income (still through aredirection of services). On this topic, amendment100, which has been in force since December 2007,created an inequity within the same mode of remu-neration. This amendment grants a hike of $10/hourfor certain acts carried out by physicians who arepaid hourly fees, but just for certain special agree-ments. One may applaud the fact that this recog-nizes the value of the work of physicians in CHSLDs,who are paid hourly fees or fixed honoraria.However, the corollary is that we devalue the workof physicians who are not targeted by this amend-ment, i.e., those in an entire sector, that of publichealth. What’s more, this has led to the creation oftwo categories of physicians within the same modeof remuneration. Are medical activities in the sphereof public health so misunderstood that, from oneday to the next they no longer deserve equal pay?

Finally, the conclusionof the agreement onsalary adjustment(19.3%), which includeda budget linked tospecific activities (8.1%),for an overall budget of31%, once again worksagainst those physicianswho practice publichealth. This adjustment isfar from satisfactory foreveryone: it is spread outuntil 2016, providing an increase of just 2.5% peryear over 8 years. Already in order to put in placethe first steps in the Plan d’amélioration à l’accessi-bilité (Plan for improving accessibility), the govern-ment will take part of this adjustment… For publichealth physicians this 19% is not acquired anddepends on the understanding of the parametriccalculation in its application. The wage inequity isthus reinforced.

Where Do Public Health Physicians Fit in thePlan d’amélioration à l’accessibilité

Our second concern is that public healthmedical activities are not recognized in thePlan d’amélioration à l’accessibilité. The contri-bution of populational activities to the directcare of individuals must be recognized.

A careful analysis of the 25 measures allows usto judge the fragility of the success of the proposedmeasures, in both the short and the medium-term.It becomes clear that the central premise of thesemeasures depends on the availability of an

What are Public Health Physicians Seeking?

Dr. Pierrette Michaud

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(cont’d on page 8)

Épen LetterO

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increased number of physicians as well as nurses.Given that these increased numbers are notexpected in the short and medium term, a realistictimetable to measure the success of the majority ofthese measures will clearly be in the long term.

The majority of the work done by public healthphysicians has an impact on the health of thepopulation in the medium and long term, whichreduces demands on family physicians’ time (asthey have to see fewer patients) and in turn, resultsin improved accessibility to family physicians. A fewexamples of this will illustrate the point: preventionof falls in the elderly; prevention of teen pregnancy(including collective prescriptions for contracep-tives); promotion of breastfeeding (follow up ofhealthier babies); programs for disadvantagedparents and children (from pregnancy throughage 5). And I have not mentioned some of themore obvious programs in the areas of healthprotection (infectious diseases, health and environ-ment; occupational health). To summarize, wherethere are fewer health problems for patients, thereare fewer patients to be seen by family physicians.This must be understood in this way to recognizethat even if the same specific budget of 8.1% isdirected towards activities that are agreed uponand specified in the 25 measures, populationalactivities are integral to each of these measures.

In this Plan d’amélioration à l’accessibilité, thereis one measure that proposes to “consider the rele-vance of a readjustment of remuneration for on-callduty in public health.” This is interesting, but wedo not want this to be done without correcting the

basic fee for all public health physicians to achieveparity with our colleagues. In this same plan,another measure recognizes the contribution ofphysicians in the Family Medicine Units (UMF) toteaching and research. This measure impacts onsome public health physicians, i.e., those who haveinvested several years to obtain complementarytraining (Master’s and Ph.D.), which qualifies themfor research while being subject to the sameconstraints as our colleagues in the UMFs. As forteaching in public health, these duties are notrecognized at all, which makes it difficult towelcome undergraduate students or medicalstudents in family medicine or other areas.

The Professional Status of the Public Health Physician

In conclusion, I would like to highlight the workstarted with Dr. Pierre Raîche and Me ChristianeLarouche for the renewal of the special agreementin public health, which will have led to clarificationof the professional status of public health physi-cians in their various practice settings.

Finally, I would like to take this opportunity tothank Dr. Louis Godin and the members of theExecutive for establishing the Committee on PublicHealth Physicians where we will be able to examinethe above-mentioned concerns. Dr. Marc-AndréAsselin will chair this committee.

Dr. Pierrette MichaudPresidentAssociation of general practitioners in public health in Québec (AMOSPQ)

What are public health… (cont’d from page 7)

REQUIRED FAMILY PHYSICIANS!

Within the file regarding doctor’s health, the AMOM is constantly in search of generalphysicians who would agree to treat other doctors. Please, do not hesitate to contact us!

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As we had announced in our last newsletter, duringthe dinner following our annual meeting, there wasto be a drawing for the three winners of the PAMQgolf tournament. Congratulations go to Dr. Jean-LucChoquette, Dr. Alain Neveu and Dr. Claude Paquin.This year, Dr. Lise Cusson, vice-president of theAssociation, will complete the foursome.

As in the past years, Dr. Marc-André Asselin, alongwith those elected to the Federation, will be activeparticipants at this important event, scheduled forJuly 28, 2008 at Le Mirage golf club in Terrebonne.

Congratulations to the winners!


Medical Federations Golf TournamentBenefiting the Foundation of the

Physicians Assistance Program of Quebec (PAMQ)AND THE WINNERS ARE…

9

T he FMOQ Annual Council meeting took placeon Saturday December 15, 2007. This was ameeting charged with emotion since it was to

be Dr. Renald Dutil’s last official duty as president ofthe FMOQ, as elections were held to fill the variouspositions on the Federation Executive.

Dr. Dutil reviewed the elements of the newagreement on salary adjustment for general practi-tioners, and he took the time to remind the dele-gates of the foundations and mission of our feder-ation. Understandably, he expressed his opinionabout the challenges ahead for the FMOQ and thephysicians that it represents.

Dr. Dutil received many warm tributes, asspeakers reviewed the highlights of his unioncareer and his total devotion to the Federation inhis 12 years as president.

The last part of the meeting was set aside forthe electon of the members of the Executive. Thisis an annual process and, in conformity with theFederation bylaws, the administrators are electedby and from among the delegates of each associa-tion represented at the Council.

The members of the new Executive of the FMOQ are:

President ➩ Dr. Louis Godin(South Shore)

1st Vice-president ➩ Dr. Marc-André Asselin(Montréal)

2nd Vice-president ➩ Dr. Claude Saucier (Laval)

Secretary ➩ Dr. Sylvain Dion (CLSC)

Treasurer ➩ Dr. Michel Lafrenière(Québec)

1st Administrator ➩ Dr. Josée Bouchard (Lower Saint-Lawrence)

2nd Administrator ➩ Dr. Marcel Guilbault (Western Québec)

3rd Administrator ➩ Dr. Pierre Martin(Mauricie)

4th Administrator ➩ Dr. Marc-André Amyot(Laurentians/Lanaudière).

Congratulations to those elected!

Dr. Lise CussonAMOM Vice-president

DecemberCouncil Meeting

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S tarting this spring, we will be resuming oursector visits. This is something that we haddone a few years ago. Since then, twelve

Health and Social Service Centres, the CSSSs, werecreated through the merger of institutions. TheAssociation still has six sectors, most of whichinclude two CSSS territories.

In the past, we had consulted with you duringbreakfast discussions in an informal, laid back, freeexchange. As we are writing these lines, the 2008format has not been adopted, but it does seemthat many of you liked the breakfast meetings. It isup to your sector delegates to decide on the whenand how.

The purpose of these meetings is to hear yourviews on the current challenges at the negotiatingtable, the reorganization of medical manpowernow in progress, manpower shortages, etc. Aboveall, we would like to hear about your day-to-day

reality, the challengesinherent in your practiceand in your milieu.

We would like thesevisits to have a localflavour. Find out morefrom your sector delegateor his/her assistant. Feelfree to share your sugges-tions with us.

Below is the list ofsectors with the cor-responding CSSS territories and the coordinates ofthe sector delegates and assistants are listed on theback of this newsletter.

It will be a pleasure to meet you!

Dr. Serge DuludeAMOM Secretary

◆ West SectorCSSS Dorval/Lachine/LaSalle and CSSS Ouest-de-l’Île

◆ Southwest SectorCSSS Sud-Ouest/Verdun

◆ North SectorCSSS Bordeaux/Cartierville/St-Laurent andCSSS Ahuntsic/Montréal-Nord

◆ East SectorCSSS Lucille Teasdale, CSSS St-Léonard/St-Micheland CSSS Pointe-de-l’Île

◆ Centre-West SectorCSSS de la Montagne and CSSS Cavendish

◆ Centre-East SectorCSSS Cœur-de-l’Île and CSSS Jeanne-Mance

Sector Visits

Dr. Serge Dulude

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11

O ur health, as individuals and as a group, isand will always be a priority for the Asso-ciation and the Federation. This issue has

been a hot topic of discussion for the past numberof years: editorials, creation of a list of physicianswho are available to care for our members, activeparticipation and financial support for the QuebecPhysicians Assistance Program (PAMQ), and so on.

This is just the beginning.

Last May, upon recommendation of the PAMQ,the Federation established a joint PAMQ-FMOQ-FMSQ committee to analyze the situation withregard to disability insurance. The FMOQ offers usa group insurance plan that includes groupdisability insurance. However, most of us have alsotaken out private insurance plans over the years.The oldest among us most probably rememberPaul Revere, which became Unum, then Providentand most recently RBC Insurance.

A large number of Quebecois and Canadianphysicians are insured with RBC Insurance, as theyprefer to hold personal coverage for at least part oftheir disability insurance needs.

PAMQ’s representatives have becomeconcerned about the difficulties encountered bysome disabled physicians in the management oftheir files with the insurer. A number of years ago,the Federation became involved directly with theRegroupement des assureurs de personnes à chartedu Québec (RACQ) to redefine our relations. Thesemeetings led to a standardization of forms that weare still using and to an improvement of relationsbetween physicians and insurers with Quebeccharters. RBC did not participate in these meetingsbecause it holds a federal charter.

Meetings have already taken place with RBCInsurance with respect to the problems raised bythe PAMQ. It should be noted that RBC onlyrecently acquired Provident and is thus a new

arrival on the scene of insuring physicians. ThePAMQ was well received by the RBC managers andthis dossier will be dealt with in due course. We arehopeful that there will be solutions to the problemsidentified, but the Federation’s participation hasjust begun. All the physicians contacted haveauthorized us to represent them in this matter. TheFederations have a role to play and must fulfill it,even if it cannot be as direct as it can be with theinsurers of the group plans sponsored by them.

We will keep you informed of how this issue isprogressing.


Focus onPhysician Health

Au Québec, une femme sur neuf sera atteinted’un cancer du sein au cours de sa vie.Selon un sondage mené auprès des femmes :

• près de la moitié des Montréalaises âgées de50 à 69 ans n’a pas subi de mammographiede dépistage au cours des 24 derniers mois;

• les médecins jouent un rôle crucial dans ladécision des femmes de participer au PQDCS.

Le PQDCS soutient les médecins dans la lutte contre le cancer :

• il invite systématiquement toutes les femmes de 50 à 69ans à subir une mammographie tous les deux ans;

• il assure le suivi de la patiente en cas de besoin d’investigation plus poussée;

• il achemine tous les résultats au médecin de la patiente.

Le Centre de coordination des services régionaux du PQDCSde Montréal invite les médecins à encourager leurs patientes àparticiper au programme.

POUR EN SAVOIR PLUS !Si vous désirez recevoir un représentant du

Centre de coordination pour une séance d’information, veuillez contacter Manon Hudson

au 514 528-2400 poste 3817.

Le Programme québécois de dépistage du cancer du sein(PQDCS) de Montréal fait appel à tous les médecins

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D id you know that you no longer have tooffer the service of completing passportforms for your patients? The Canadian

government customs department has simplified theprocess and a citizen may now ask an acquaintanceto fill in the new form, with certain conditions.

While it has always been our pleasure toaccommodate our patients, the task was added toall the other forms that we must fill out. Moreover,

it was sometimes annoying to have to reach a civilservant who, in the course of doing his/her job,had left us a message, asking for more informationon one of our patients.

So, there will be a little less paperwork for us todo!


Passports

Last November, Dr. Tom Zaphiratos received thefirst award for excellence from the MaimonidesGeriatric Centre for outstanding professionalism inthe care that he provides.

Dr. Zaphiratos has been a member of the medicalstaff for the past 14 years and he was chosen by his

peers as a physician who provides a very high levelof professional excellence, devotion and commit-ment to the Centre, its residents and hiscolleagues.

Congratulations!

Dr. Tom Zaphiratos (on left) and Dr. Brian Gore (on right) Director of professionnal services.

Maimonides Physician Honoured forProfessionalism of His Care

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By becoming members of our professional union association, they are contributing to improvedrepresentation of Montreal general practitioners on the FMOQ Council and to the promotion and defenseof our specific interests. In addition, as members of AMOM they will be better informed about the issuesof concern to them and will be able to benefit from AMOM assistance if needed.


Dr. Nacera BelkhousDr. Patricia BellDr. Mendy CôtéDr. Annie DemersDr. Hoang Diep Dinh

Dr. Isabelle GrenierDr. Emmanuelle HuchetDr. Nabil LabatayaDr. Vicken MinassianDr. Anne Monty

Dr. André NguyenDr. Bruno PelletierDr. Djamila RabiaDr. Robert SawoniakDr. Marie-Claude Théroux

Welcome to our New MembersThe following physicians have recently joined the ranks of AMOM

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Job Offer

Les CHSLD Lachine, Nazaire-Piché et Foyer Dorval

sont à la recherche de un ou deux médecinsafin de combler un poste vacant

au Centre d’accueil de Nazaire-Piché et au Foyer Dorval

Le ou les candidats auraient sous leurs soins de 50 à 100patients, ce qui correspond à environ de 10 à 20 heures /semaine admissibles aux AMP, selon la charge de travail. Cescentres font partie du CSSS Dorval-Lachine-LaSalle et sontsitués respectivement à Lachine et à Dorval.

La pratique comprendrait : • rémunération à tarif horaire ou à honoraires fixes;• horaire flexible;• une semaine de garde toutes les 8 semaines;• ferait partie d’une équipe médicale stable de sept

médecins déjà en place.

Si vous êtes intéressé, communiquer avec :la Dre Chantal Végiard

Chef du service médical CHSLDau (514) 634-7161, poste 2222

Le CSSS Jeanne-Mance compte plus de 3000 employés et100 médecins membres actifs. Il regroupe le CSLC desFaubourgs, le CSLC du Plateau Mont-Royal, le CLSC Saint-Louis du Parc et les centres d’hébergement Jacques-Viger,Centre-Ville de Montréal, Émilie-Gamelin, Armand-Lavergne, Bruchési et Jean-De La Lande. Deux missionsdistinctes qui présentent des milieux stimulants et riches endéfis professionnels.

Recherchons médecinsLe CSSS Jeanne-Mance est à la recherche de médecinsintéressés par une pratique diversifiée à se joindre à notreéquipe médicale stable et dynamique en CLSC et en centred’hébergement pour plusieurs postes disponibles pleintemps ou partiel.

Pour de plus ample information, veuillez communiquer avec :

Dr Roger RobergeDirecteur des affaires médicales 514 527-9565, poste 1458

HÔPITAL DE SOINS GÉNÉRAUX ET SPÉCIALISÉS DE 369 LITS

ET DE SOINS D’HÉBERGEMENT DE 103 LITSSitué dans le quartier Rosemont, dans l’est de l’île de Montréal, tout prèsdu Jardin Botanique et du Stade Olympique, l’Hôpital Santa Cabrini offredes soins généraux et spécialisés dans un milieu de travail moderne. Sasalle d’urgence figure parmi les plus achalandées de l’île de Montréal etvient d’être entièrement rénovée dans un environnement à la fois spacieuxet lumineux. La réalité multiculturelle de l’établissement en fait un milieustimulant et un endroit familial.

Nous sommes présentement à la recherche de médecins pour œuvrer dans le

➤ Postes disponibles dès maintenant➤ Pour joindre équipe dynamique de plus de 10 médecins➤ Forfaits de garde en disponibilité➤ Horaires flexibles

Si vous êtes intéressé(e) ou pour de plus amples informations, n’hésitez pas à contacter :

Dr Richard Potvin,Chef – département Clinique de médecine générale

Hôpital Santa CabriniSecrétariat des chefs de département

5655 rue St-Zotique Est – Montréal QC H1T 1P7Téléphone : (514) 252-6508 – Télécopieur : (514) 252-6501

SERVICE D’HOSPITALISATION EN COURTE DURÉEOMNIPRATICIEN(NE)S

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Job Offer (cont’d)

General Practitioners

Part-time or full-time positions available in acutegeriatrics, day hospital, rehabilitation and long termecare at University of Montreal associated teachinghospital. All hours eligible at AMP’s. Position avail-able for return from regional practice. Otheradvantages: weekly continuing medical educationsessions, possibility to collaborate in clinical researchprojects.

For more information, interested candidates shouldcontact Dr. Suzanne Lebel, Head of General Prac-tice Department at (514) 340-3514 or shouldforward their resumes by fax at (514) 340-2832 or byemail at [email protected]

Le CSSS Lucille-Teasdale est à la recherche d’un médecinpour une de ses installations, soit le Centre d’hébergementJeanne-Le Ber.

Cet établissement a une équipe médicale importante etnous pourrons respecter la disponibilité du médecin.

Pour de plus amples informations, veuillez communiqueravec :

Hong Huy Duong, m.d.DSP514 [email protected]

Gilles Liboiron, m.d.DSP adjoint514 523-1173 poste 5211514 330-2850 [email protected] ✂

RecruitmentIf you have a new colleague, associate or member of your department or unit,

please make sure that he or she is also a member of you union association.

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AMOM DELEGATES 2007-2008(January 2008)

Executive Phone Fax

President ...............................................Dr. Marc-André Asselin.............514 376-7702 ......514 376-2639Vice-president .......................................Dr. Lise Cusson ........................514 338-2383 ......514 338-3155Secretary ...............................................Dr. Serge Dulude .....................514 457-2772 ......514 457-4397Treasurer ...............................................Dr. Yvon Grand’Maison............514 381-1327 ......514 331-8720

Sector West (1)Councillor .............................................Dr. Chantal Lefebvre ................514 633-1510 ......514 633-8299Assist. Councillor ...................................Dr. Daniel Laliberté ..................514 631-6691 ......514 631-6691

Sector South-West (2)Councillor .............................................Dr. Jean-Pierre Villeneuve .........514 362-1000 ......514 765-7306Assist. Councillor ...................................Dr. Michel Dallaire ...................514 766-0546 ......514 765-3265

Sector North (3)Councillor .............................................Dr. Marc-André Lemire.............514 331-3020 ......514 331-5827Assist. Councillor ...................................Dr. Zaïm Bardaji .......................514 747-8888 ......514 747-4705

Sector East (4)Councillor .............................................Dr. Michel Vachon ...................514 376-7702 ......514 376-2639Assist. Councillor ...................................Dr. Marie-Claude Raymond......514 252-3400, 514 252-3482

Sector Centre-West (5)Councillor .............................................Dr. Didier Serero ......................514 340-8222 ......514 340-7917Assist. Councillor ...................................To follow..................................

Sector Centre-East (6)Councillor .............................................Dr. Marc Gagné .......................514 481-6399 ......514 481-5788Assist. Councillor ...................................Dr. Théodore Leibovici .............514 273-4808 ......514 273-4808

CHSLD .......................................................Dr. Ayda Bachir ........................514 331-3020 ......514 331-8720

CLSC ..........................................................Dr. Christian Lauriston..............514 383-0559 ......514 383-3430

Continuing Medical Education ................Dr. Daniel Rouette....................514 631-6691 ......514 631-6691

Geriatrics ...................................................Dr. Geneviève Jacob.................514 338-2050 ......514 338-2222

Obstetrics ..................................................Dr. Nathalie Girouard...............514 765-7325 ......514 365-2280

Offices ......................................................Dr. Jean-Pierre Guay.................514 890-8177 ......514 281-6697

Offices .......................................................Dr. Michel Miron......................514 376-7702 ......514 376-2639

Offices .......................................................Dr. Nancy Tozer .......................514 695-0165 ......514 695-0991

Offices (Lakeshore) ...................................Dr. Howard-Stanley Cohen.......514 697-8586 ......514 697-8070

Young Doctors ..........................................Dr. Catherine Duong................514 362-8000 ......514 367-8631

Young Doctors ..........................................Dr. Julie Théroux ......................514 631-6691 ......514 631-6691

Alternate delegates...................................Dr. Benoît Brodeur ...................514 381-9311 ......514 940-3304Dr. Gaston Drapeau .................514 637-8771 ......514 637-8771Dr. Tuong Minh Nguyen..........514 481-6399 ......514 481-5788Dr. Quoc Kiet Tang ..................514 415-2874 ......514 731-4213

#5622

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