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DoctorsOntario Urges All Ontarians to get COVID-19 Vaccinations

All COVID-19 vaccines appear extremely safe and highly effective to reduce infections and virtually and completely prevent severe infections that lead to hospitalization and death to the original variant. We strongly urge all Ontarians to get vaccinated as they roll out according to public health guidelines, scientific researchers, manufacturers, and leading organizations such as the WHO and CDC. Effectiveness against new variants is uncertain. Current and ongoing scientific research will provide the knowledge needed to guide the future vaccination stratgies and the development of updated vaccines if needed.



Resources for Patients and Doctors

Ontario COVID-19 Vaccination

Take the Ontario COVID-19 self-assessment
Ontario Public Health main page
Ontario Public Health Unit Locator
Ontario COVID-19 main page
Ontario how to Self-Monitor for 14 days
Ontario how to Self-Isolate
Ontario self-isolation: Guide for caregivers, household members and close contacts
Ontario multi-language resources and handouts

Centre for Effective Practice – COVID-19 Vaccines
MedCram on YouTube
Dr. John Campbell on YouTube
COVID-19 Map – Johns Hopkins Coronavirus Resource Center
STATISTA COVID-19 facts and figures
Health Canada COVID-19 main page
CDC COVID-19
WHO COVID-19


COVID-19 Urgent Update and Call To Action

March 23, 2020

Dear Colleagues,

I apologize for not getting back to you over the last two weeks. Like you, I’ve been busy setting up my practice to adapt to the sudden acceleration in COVID-19 activity in Ontario including helping to ensure my staff and physicians can work both in the office and remotely from home. My hat’s off to my office colleagues and staff, EMR provider Telus Health as well as my IT support at BlueBird IT.

By now, you should know that our lobbying efforts have helped secure telephone fee codes to provide continued care to our patients to both minimize the spread of COVID-19 and to help you cover you costs to pay your bills, your staff, and manage your personal expenses.

Continue reading “DoctorsOntario Urges All Ontarians to get COVID-19 Vaccinations”

Featured

COVID-19 What the Public and Doctors Need to Know

COVID-19 WP Simulator

To better understand how these science-based measures like social distancing work, read/watch Why outbreaks like coronavirus spread exponentially, and how to “flatten the curve” by The Washington Post.

For the Public

Take the Ontario COVID-19 self-assessment

If this is positive or if your symptoms and worsening , then go to one of the Toronto Region COVID-19 Assessment Centres

On March 11, the WHO deemed COVID-19 as a pandemic. It is currently on the increase here in Ontario. This was expected AND it is expected for governments and public health units to introduce strategies to minimize the spread of the virus. We must all do our best to comply with their directives, continue to practice good self-hygiene, help others in need, and participate in social distancing, which includes being at least 2 metres or 6 feet apart physically, to minimize the spread of COVID-19 and “flatten the curve” of the infection. Furthermore,  if you absolutely do not need to leave your home, then don’t. Isolation isn’t fun, but try to make it fun by phoning people you care about and connect to them using the Internet. Don’t give up and don’t give in. Stay home unless you absolutely must get more food, medications, or must seek medical attention. Together, we will slow and stop the spread of COVID-19 in theweeks ahead. 

Quick links:

  1. NEW: Use of Cloth Face Coverings to Help Slow the Spread of COVID-19 (CDC)
  2. Reduce your risk with advice from Health Canada
  3. How to Self-Monitor for 14 days if you may have been exposed to COVID-19
  4. How to Self-Isolate if you’ve been advised to do so for COVID-19
  5. Self-isolation: Guide for caregivers, household members and close contacts
  6. Mild Cases May Be Driving Coronavirus Spread
  7. Some COVID-19 patients still have coronavirus after symptoms disappear Researchers advise staying home 2 weeks after the symptoms end.
  8. Helping Canadians with the economic impact of the COVID-19 Pandemic
  9. Ontario Learn at Home for elementary and secondary school students
  10. WHO: Coronavirus

Please remember, social distancing does NOT mean having family or friends over to visit or vice versa.

You must self-isolate for 14 days after any travel outside Canada or if you have been in direct contact with a COVID-19 suspected or proven case.

On March 15th, Ontario doctors are now funded to provide care to you via telephone calls. Contact your doctor for more details. “eVisits” are also available as well but only for some doctors. Click here for details.

We are currently lobbying the Ford government to temporarily ease PIPEDA (privacy act) to allow us to connect with you through popular technologies like Skype, FaceTime, Zoom, and etc.

How long dose COVID-19 last on surfaces? About 3 days on hard surfaces like glass (mobile phones) and plastics and around 1 day on porous materials. See:
Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1

NEW: Learn about the rates of COVID-19 throughout the world at Worldometer

To learn more, visit the Ontario Ministry of Health COVID-19 page.

To reduce your risk, and minimize the spread, follow some simple recommendations from the experts at Ontario Public Health and Health Canada.

Dr. Rasi Wickramasinghe

This YouTube video is by US cardiologist Dr. Rasi Wickramasinghe. It has a lot of excellent information to help us all better understand and deal with COVID-19.

For Doctors

Top Resources:

  1. Health Canada: Coronavirus disease (COVID-19): For health professionals
  2. Ontario Health and Wellness: The 2019 Novel Coronavirus (COVID-19)
  3. NEJM: Coronavirus (Covid-19)
  4. CDC: Coronavirus (COVID-19)
  5. WHO: Coronavirus Guidance for health workers
  6. Ontario COVID-19 self-assessment for patients and healthcare clinics
  7. Updated IPAC Recommendations for Use of Personal Protective Equipment for Care of Individuals with Suspect or Confirmed COVID-19
  8. Telephone and Video Fee Code and Consent Details March, 13 2020

Other resources:

  1. Coronavirus COVID-19 Global Cases (CSSE) Johns Hopkins University
  2. Worldometer Coronavirus
  3. Global Covid-19 Case Fatality Rates (CEBM) University of Oxford
  4. OMA: Recommendations for Use of Personal Protective Equipment
  5. Ontario Local public health units
  6. Ontario Guidance for the Health Sector
  7. Best Practices for Prevention, Surveillance and Infection Control Management of Novel Respiratory Infections in All Health Care Settings PIDAC Ontario
  8. COVID-19 FAQs for Physicians CPSO

Contact us if you have any tips, ideas, or issues.

If you’re not a member of DoctorsOntario, then we’d love to have you join us. Remember, medical students and residents are free.

Ford government answers our call to fund telephone calls to manage patients during the COVID-19 outbreak

DoctorsOntario is pleased that Ford government has answered our call to fund telephone plus video calls to patients that will reduce the risks to patients travelling to busy office waiting rooms. It will also allow us to provide much-needed telephone support to patients with COVID-19 concerns alleviating the tremendous strain on ERs, Public Health, and Telehealth.

Telephone and Video Fee Code and Consent Details March, 13 2020


Continue reading “Ford government answers our call to fund telephone calls to manage patients during the COVID-19 outbreak”

DoctorsOntario calls the Ford government to release N95 masks

DoctorsOntario has identified Ontario healthcare facilities have hoards of N95 masks while many if not most front-line primary care physician offices can’t get any. We are calling on the Ford Government to do the right thing and release N95 masks at least to strategic front-line offices.

Click here to see and watch our call to release N95 masks on Twitter.

Ontario, things aren’t going so well for your doctors

(Full text of video message released on Twitter December 17, 2018)

This is Dr. Douglas Mark of DoctorsOntario here with a message to the people of Ontario. Today is December the 15th, 2018 and I’m here at Queen’s Park to talk to about Ontario’s doctors.

You may have heard that things aren’t going so well recently. In fact, we’ve been working for nearly for 5 years without a contract. Worse, under the previous Liberal governments, Ontario’s doctors have been struggling with government-imposed OHIP fee cuts and something called clawbacks, which is when the government takes money back from what it pays us, leaving us with a lot less money to run our practices, and even less for us to live on.

Negotiation attempts have failed and we have been in arbitration talks for months. But, even that fell apart this past week. The good news is that these may be restarting soon.

So, what does this matter to you? Aren’t you already having trouble finding doctors, waiting too long to get care, and facing over-crowding in our hospitals? What do you think your doctors are feeling? How would you feel in our shoes? Well, I can tell you that a number of my colleagues are retiring and are thrilled about it!
Are you concerned? I sure am. I’m not getting any younger.

Lastly, a word to our profession. Splitting up NOT the thing to do. This is NOT the time. We need to be united more than ever as ONE PROFESSION.

Strength in numbers, for our sakes AND the sakes of our patients.

Thank-you for watching.

December 21, 2018

Message to Ontario’s doctors

As Ontario’s doctors approach 5 years without a contract, failed negotiations attempts, and even the breakdown of arbitration talks last week, it was incredibly frustrating that the people of Ontario had little idea of what our profession is going through. Worse, the Ontario Specialist Association is tearing apart out profession. Our position is we believe in a unified profession we call #OneProfession and this is included in this week’s message.

Ontario doctors, we need your help to spread the word and build up our membership and presence. We need all of you, especially our members, to use Twitter to spread our messages farther and louder. Please visit our Twitter page (@DocsOntario at https://twitter.com/DocsOntario), choose to follow us, and retweet our tweets. If you need to set up a Twitter account, click here.

We also remind you that we need your financial support to cover our considerable costs to run our association. We need you. We can’t advocate for you and your patients without any resources. Remember, taking out a 2019 membership now and/or making a contribution to our Political Action Fund by December 31, 2018, we’ll send you a signed copy of our chief strategist Stephen Skyvington’s forthcoming book, This May Hurt A Bit; Reinventing Canada’s Health Care System (featuring a foreword by Dr. Brian Day), when it’s published on February 2, 2019.

Join online today and/or simply make a Political Action Fund contribution by visiting our website’s Join page.

If you have any questions or want to take advantage of our express , please don’t hesitate to contact Stephen Skyvington at (416) 859-2239 or at politrain@sympatico.ca.

DoctorsOntario. Together, we’re stronger.

Douglas Mark, MD, Interim President
and the Board of Directors
P.S. Help us spread the word and fight the good fight on your behalf. Urge your colleagues to visit our website at www.doctorsontario.ca and take out a membership or make a contribution.

Leaders need followers… This is where you come in!

December 13, 2018
To All Ontario Physicians

Dear Colleagues,

Ontario’s doctors are under more duress than ever. Nearly five years without a contract, ongoing fee cuts, and clawbacks of funding that was rightfully earned, yet we continue to be dedicated professionals who work hard to sustain and save lives of the people of Ontario every day. The public has virtually no clue as to what we’ve been forced to endure. We are now witness to a number of specialist groups expressing a desire to leave the Ontario Medical Association due to its lack of leadership. We wholeheartedly agree we need better leadership and representation. We have been fighting for exactly these kinds of changes for 15 years. But we don’t believe in playing into the government’s hands by helping them implement their “divide and conquer” strategy.

These are our abiding principles:

  1. A STRONG VOICE: DoctorsOntario stands for a strong voice for our profession and for our patients.
  2. ONE PROFESSION: We enter medical school as equals, striving to be the best in our chosen fields of medicine. We are all doctors. We are more effective as a united profession than as one that has been fractured. Government funding schemes have caused divisions within specialties such as family medicine, and among various specialist groups. DoctorsOntario stands for one profession, all doctors together, treating each other with respect. Remember, there is strength in numbers.
  3. REAL NEGOTIATIONS and a REAL NEGOTIATOR: We continue to express concern regarding the OMA’s inability to negotiate effectively on our behalf. We continue to call for a negotiating team that is willing to stand up for us. We have one of Canada’s top negotiators, Craig Bromell, lined up, who’s willing to take our profession forward. He will do what’s required, and won’t back down when negotiating for a more stable profession and health care system
  4. THE OMA DUES ACT: This remains a conflict of interest with respect to our Canadian Charter of Rights and Freedoms. We have never been given a choice regarding our representation. The government appointed the Ontario Medical Association AND guarantees the OMA gets our hard-earned money (after fee cuts and clawbacks, naturally). DoctorsOntario stands for doctors’ choice as who you want to represent you.

Ontario’s doctors are at a crossroads. You can choose by default to let the OMA continue to let us crumble under the weight of massive patient loads with a lack of support and resources required to look after patients, efficiently yet effectively. You can choose to let our profession splinter into small groups and lose strength, or you can help us mount a successful campaign as one profession by supporting DoctorsOntario.

Whether you’ve been a DoctorsOntario member before, or have never been one, we ask you to consider joining TODAY, when your support will do the most amount of good.

Join online and/or simply make a Political Action Fund contribution by visiting our website’s Join DoctorsOntario page.

If you have any questions, please don’t hesitate to contact Stephen Skyvington at (416) 859-2239 or at politrain@sympatico.ca.

DoctorsOntario. Together, we’re stronger.

Sincerely,

Douglas Mark, MD, President
and the Board of DoctorsOntario

P.S. Help us spread the word and fight the good fight on your behalf. Urge your colleagues to visit Join DoctorsOntario page and take out a membership or make a contribution. Unlike the OMA, DoctorsOntario is a completely voluntary, member-driven organization.

Become a DoctorsOntario Board Member
If interested, please send your resume to info@doctorsontario.ca

Ontario Fee Talks Have Failed Again, With A New Government

October 13, 2018

To All Ontario Doctors

Dear Colleagues,

For several weeks, we had been waiting patiently with hope as the new PC government and OMA actually sat down to talk taking us out of the binding interest arbitration process. Well, the wait is over. You likely found out about rumours that the new set of talks had fallen apart and there was a call to pull “specialist” and “primary care” apart. Last week, the OMA announced that talks did break down and the OMA and Ontario government are returning to arbitration the week of October 22nd to 26th. The day after this, the OMA released a rebuttal to an apparent “senior government official” breach of protocol releasing details the negotiations. This included a comment regarding the issue of relativity that “…the parties had explicitly agreed that relativity issues would be resolved only after an agreement was reached on overall compensation adjustments.” Finally in last night’s OMA President’s Update from Dr. Nadia Alam, we have learned that the OMA Board, along with the same negotiating team of Mr. Goldblatt and Mr. Barrett, has us apparently heading into arbitration with relativity as a top issue, if not the key issue. Worse, they are proposing that each OMA Section, or Section individual, gets in line, with relativity submissions in hand, like a scene out of Oliver Twist.

We are very disappointed as you must be as well.

Rather than going on and on about our negotiations mess, isn’t it time to think about  and spread the word about us, DoctorsOntario? To help you and your colleagues better understand what DoctorsOntario is all about, you’ll find several issues that we believe in below. After this, you’ll also find our recent Medical Post column called “Ontario fee talks have failed again, with a new government” that appears nationally on the Canadian Healthcare Network.

RESPECT OUR PROFESSION DESPERATELY NEEDS
Come April 1, 2019, we’ll likely enter into our 6th year without a contract while enduring 5 years of unilateral cuts and clawbacks amounting to $ billions. Worse, we provide the increasing costs of our offices from our own pockets in the face of a growing, aging population while we struggle with a shortage of doctors and hospital beds. This is a disgrace, a continuing slap in the face of our profession that must come to an end.

OUR NEGOTIATIONS CONTINUE TO BE A FAILURE AND THIS IS WHY
The OMA puts little budgetary resources towards negotiations (we have heard ~6% or less ). It was appointed to be our negotiating representative by the very government that guarantees its funding by law and without our vote. The OMA is in a conflict of interest, which lends itself to corruption by definition. Our binding interest arbitration process is being tested for the first time. We already know that it has significant flaws including a ban on organized job actions, permitting the government to pass legislation to repeal it, and having no provision of a framework to recover the $ billions taken through cuts and clawbacks. Although the OMA Charter Challenge could contest this, we fail to see a commitment.

ONE PROFESSION
DoctorsOntario strongly believes in a unified physician profession. We have strength in numbers. Any talk of splitting up into different groups plays right into the hands of the government that wants to “divide and conquer” us. Why do this? We must harmonize our differences, remain as one profession, and become stronger than ever.

WE NEED A TOUGH NEGOTIATOR
It is clear that our profession as never faced such a crisis as we do now. As a direct result, doctors are retiring by the droves, suffering low moral and apathy plus financial strain, and seem hopeless more than we have ever seen. We feel this is particularly serious for our young doctors, the residents and students, some who cannot even be matched in a residency position, struggle with high tuition debt, and face financial uncertainty without the protection of their union, PARO. To fight back, we need a tough negotiator. We have a tough negotiator waiting in the wings, Craig Bromell who isn’t afraid to stand up to anything. When enough doctors prove they are committed by joining DoctorsOntario, Craig will call a meeting all of us to start exploring our options.

HEALTHCARE THAT ALL CANADIANS DESERVE
We continue the fight for our patients to have efficient and timely access to healthcare. Our healthcare system is monopolized governments, heavy with bureaucracy, and ranks near the bottom of developed countries for technologies, doctors, and hospital beds. Patients are suffering on long wait lists and have no where to turn. We have to remain compassionate and have the courage to revitalize Canada’s floundering universal health system.

There are more core values of what DoctorsOntario is all about. The best way to summarize it is with our Mission, Vision, Goals and Objectives that took shape when we evolved from The Coalition of Family Physicians of Ontario to DoctorsOntario starting in 2010:

Our Vision

An open healthcare environment and system that allows physicians and their patients the freedom and independence to explore and participate in a broad range of medical care accessibility options that foster an uncompromising high standard of sustainable healthcare care in Ontario.

Our Mission

DoctorsOntario protects the rights, freedoms and independence of medical doctors and their patients by promoting sustainable healthcare policies and practices that safeguard accessibility and the highest standards of medical care.

Goals and Objectives

  1. To advocate for the rights of physicians in Ontario to practice medicine in a manner that
    • Promotes comprehensive accessibility to medical services;
    • Advances a high standard of sustainable care and treatment;
    • Safeguards the doctor-patient relationship.
  2. To ensure that all physicians in Ontario are fairly compensated for their services.
  3. To provide the public with information and the means to influence change related to the standard of healthcare services in Ontario, healthcare accessibility for patients, and the accountability of government and agencies responsible for healthcare.

This is what DoctorsOntario stands for.

To continue our work and to expand our efforts, we need many more of you to show your commitment to becoming members if you haven’t yet done so. We also ask that you share this with as many of your colleagues as possible and ask them to also DoctorsOntario. Government privacy laws prohibits us from getting doctors’ email addresses. The OMA does not allow us to access its email database. We can only count on you to grow.

For the over 22 years from our humble beginnings, there hasn’t been a greater need than right now. So please help us help you, our profession, and the patients we serve. Please, pull out your chequebook or credit card and download a membership form to send in, click here to join or renew online, or simply contact our chief strategist Stephen Skyvington at (416) 859-2239 or at politrain@sympatico.ca and take advantage of our express renewal service. If you have any questions, please don’t hesitate to contact Stephen as well. We want to hear from you.

Thank-you!

Without you, we couldn’t do what we do.
Douglas Mark, MD, Interim President
and the Board of DoctorsOntario

Now the real work begins… time to get busy!

June 11, 2018

DoctorsOntario needs your support to continue to work on your behalf

Dear Colleagues,The election is over, the people have spoken, and we believe they’ve made the right choice for Ontario. However, now is not the time to fall asleep at the wheel. The new Doug Ford government will officially take over from Kathleen Wynne and the Liberals on June 29, 2018. Important work is going on right now, as the premier-designate and his team plan for the future and decide who will serve in cabinet. They will also be deciding which one of their 76 MPPs will be the new health minister!

It’s therefore vital that we continue to build upon our hard work of the last few months and meet with as many new PC MPPs as possible over the next few days. Needless to say, in order to do this, we need resources so that we can engage the new government face to face and help them get health care right.

Long story short, we need all of you to get on board so DoctorsOntario can continue to do the kind of political advocacy work you need and value — as well as holding the government of the day and the OMA to account. Please consider taking out a DoctorsOntario membership for 2018 and/or make a contribution to our Political Action Fund as many of you have already done. We have a lot of work to do in the coming weeks and months, but none of this can happen without you.

You can join online by visiting our website. You can also download, complete and fax or mail in your membership and political contribution. 

If you have any questions, please don’t hesitate to contact our chief strategist Stephen Skyvington at (416) 859-2239 or at politrain@sympatico.ca.

Sincerely,

Douglas Mark, MD, Interim President
and the Board of DoctorsOntario

P.S. Remember, unlike the OMA, DoctorsOntario is a member-driven, grassroots organization that relies on its members for support. If you know of someone who’d might also like to become a member of our team, please share this message with them. 

Congrats to Doug Ford

Congrats to Doug Ford and the PC Party. DoctorsOntario is proud of what you’ve accomplished and stands ready to help you in any way we can. We look forward to a mutually beneficial partnership that respects physicians and puts our patients first. The journey has begun. Let’s take that first step together. #PremierDoug

‘A new day has dawned in Ontario’: Doug Ford PCs win majority government

Doug Ford Wins 2018 Ontario Election
Photo by : Jack Boland /Toronto Sun

DoctorsOntario endorses Doug Ford and the PC Party of Ontario

Doug Portrait with DO Logo
“As doctors, we take our responsibilities to our patients very seriously. You trust us to give you good, solid, evidence-based advice. You also trust us to always have your best interests at heart. This is why DoctorsOntario is recommending that our patients, their family members, and our colleagues support Doug Ford and the PC Party of Ontario on June 7 th. Doug has surrounded himself with a stellar team of top quality candidates, many of whom we’ve met with, and is the only leader who has taken the time to listen carefully to what doctors have to say. Our health-care system is complicated and seriously in need of intensive care. The solutions to what ails it, however, are simple. On June 7 th, let’s elect a leader and a team that knows what needs to be done, is committed to doing it, and will work in partnership with Ontario’s doctors instead of taking the easy way out and making doctors scapegoats for the failures of others.”
— Statement from Douglas Mark, MD, Interim President, DoctorsOntario