Papers by Robert Woollard
Family Practice
Background Health coaching (HC) and mindfulness (MFN) are proven interventions for mobilizing pat... more Background Health coaching (HC) and mindfulness (MFN) are proven interventions for mobilizing patients’ inner resources and are slowly being integrated into public primary care. Since 2015 the medical community in Gibsons BC has integrated physician-led HC and MFN-based programs into team-based care. This exploratory study aimed to understand the mechanisms by which these rural programs helped both patients and clinicians, and to elicit priorities for future study in these fields. Methods Using a qualitative participant-engaged constructivist approach in focus groups and large-group graphic facilitation, we elicited perspectives from patients and their physicians during a 1-day event held in September 2018. Thematic analysis of transcripts using Nvivo identified emergent themes that were regularly reviewed with coresearchers, and member checked with participants via online videoconferences held at 6 weeks and 4 months postevent. Results We identified six main themes relating to the ...
Pédagogie Médicale
Problématique : Les systèmes de santé à travers le monde doivent faire face à une série de défis ... more Problématique : Les systèmes de santé à travers le monde doivent faire face à une série de défis tels qu’une demande croissante des citoyens, le vieillissement de la population, les nombreux risques pour la santé y compris ceux liés à la dégradation de l’environnement et le fait de ressources toujours limitées. On attend des principaux acteurs de santé, institutions académiques et facultés de médecine incluses, qu’ils développent une vision et un engagement commun pour édifier un secteur de la santé qui soit plus efficient et de meilleure qualité. C’est dans cette perspective que Boelen et Heck ont défini le concept de « responsabilité sociale des facultés de médecine », un concept qui encourage, non seulement à former des professionnels de santé très compétents dans leur domaine, mais possédant aussi les aptitudes nécessaires pour répondre efficacement à l’évolution du système de santé et démontrer l’effet positif de leurs actions sur la population. Exégèse : La responsabilité soci...
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC, 2017
Canadian family physician Medecin de famille canadien, 2017
To explore the development of family medicine postgraduate training in countries with varying lev... more To explore the development of family medicine postgraduate training in countries with varying levels of resources at different stages of development of the discipline. Since 2012, the College of Family Physicians of Canada has hosted the Besrour Conferences to reflect on its role in advancing the discipline of family medicine globally. The Besrour Narrative Working Group was conceived in 2012 at the first Besrour Conference. Their mandate was to use narrative and appreciative inquiry to gather stories of family medicine worldwide. The working group comprised members of various academic departments of family medicine in Canada and abroad who attended the conferences. A consultation process with our partners from lower-middle-income countries was undertaken from 2012 to 2014. Stories were sought from each global partner institute with ties to Canadian family medicine departments. An appreciative inquiry approach was chosen to elicit narratives. Thematic analysis was used to search for...
Canadian family physician Medecin de famille canadien, 2016
To find a common global definition of family medicine. Since 2012, the College of Family Physicia... more To find a common global definition of family medicine. Since 2012, the College of Family Physicians of Canada has hosted the Besrour Conferences to reflect on its role in advancing the discipline of family medicine globally. The Besrour Papers Working Group, which was struck at the 2013 conference, was tasked with developing a series of papers to highlight the key issues, lessons learned, and outcomes emerging from the various activities of the Besrour collaboration. The working group comprised members of various academic departments of family medicine in Canada and abroad who attended the conferences. Searching both definition of family medicine and history of family medicine yields a variety of defining features. Visiting family medicine training programs worldwide highlights this discrepancy. It is not an easy task to define family medicine-one of its key attributes is its adaptability to a local context, but this makes aggregation of data challenging. There is a lack of clarity ...
Medical teacher, Jan 6, 2017
Global environmental change is associated with significant health threats. The medical profession... more Global environmental change is associated with significant health threats. The medical profession can address this challenge through advocacy, health system adaptation and workforce preparedness. Stewardship of health systems with attention to their environmental impacts can contribute to mitigation of and adaptation to negative health impacts of environmental change. Medical schools have an integral role in training doctors who understand the interdependence of ecosystems and human health. Yet integrating environmental perspectives into busy medical curricula is not a simple task. At the 2016 Association for Medical Education in Europe conference, medical educators, students and clinicians from six continents discussed these challenges in a participatory workshop. Here we reflect on emerging themes from the workshop and how to plan for curricular change. Firstly, we outline recent developments in environmental health and associated medical education. Secondly, we reflect on our pro...
BMJ open, Dec 21, 2016
By identifying strategies that practicing physicians use in managing patients with medically unex... more By identifying strategies that practicing physicians use in managing patients with medically unexplained physical symptoms (MUPS), we present an interim practical management guide (IPMG) that clinical practitioners may find useful in their clinical practices and that may help guide future research. A qualitative research study based on interview data from practicing physicians with experience in dealing with MUPS and known to the physician members of the research team. A parallel exploration of patient experiences was carried out simultaneously and is reported elsewhere. 2 urban centres in 2 different Canadian provinces in a healthcare system where family physicians provide the majority of primary care and self-referral to specialists rarely occurs. The physician members of the research team invited practicing family and specialty physicians to participate in the study. We characterise the care of patients with MUPS in terms of a 4-part framework: (1) the challenge of diagnosis; (2)...
Canadian family physician Medecin de famille canadien, 2017
Canadian family physician Medecin de famille canadien, 2017
Canadian family physician Medecin de famille canadien, 2016
Canadian family physician Medecin de famille canadien, Oct 1, 2016
Medical Teacher, 2016
Health systems worldwide are confronted with challenges due to increased demand from their citize... more Health systems worldwide are confronted with challenges due to increased demand from their citizens, an aging population, a variety of health risks and limited resources. Key health stakeholders, including academic institutions and medical schools, are urged to develop a common vision for a more efficient and equitable health sector. It is in this environment that Boelen and Heck defined the concept of the "Social Accountability of Medical Schools" - a concept that encourages schools to produce not just highly competent professionals, but professionals who are equipped to respond to the changing challenges of healthcare through re-orientation of their education, research and service commitments, and be capable of demonstrating a positive effect upon the communities they serve. Social Accountability calls on the academic institution to demonstrate an impact on the communities served and thus make a contribution for a just and efficient health service, through mutually beneficial partnerships with other healthcare stakeholders. The purpose of this Guide is to explore the concept of Social Accountability, to explain it in more detail through examples and to identify ways to overcome obstacles to its development. Although in the Guide reference is frequently made to medical schools, the concept is equally applicable to all forms of education allied to healthcare.
Canadian family physician Médecin de famille canadien, 2016
Canadian family physician Médecin de famille canadien, 2016
Canadian family physician Medecin de famille canadien, 2016
Canadian family physician Médecin de famille canadien, 2016
Canadian family physician Medecin de famille canadien, Jul 1, 2016
... Examining the Barriers to Implementation of Clouds of Change I 101 Jennie L. Moore 5 Integrat... more ... Examining the Barriers to Implementation of Clouds of Change I 101 Jennie L. Moore 5 Integrating Economy, Society, and Environment through Policy ... for Hope 7 The City of Richmond: Reflections on Sustainability in Action/200 Janette Mclntosh and Robert F. Woollard 8 The ...
Canadian Family Physician, 2014
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Papers by Robert Woollard