February 2015 | Volume 39 | N° 1

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

Bill 20:AMOM says “NO”!

F or general practitioners inQuébec, November 28, 2014 willremain a date marked by anger

and disbelief. On that day, contrary to allexpectations, the Minister of Health andSocial Services, Gaétan Barrette,presented Bill 20 in the NationalAssembly. Since the bill was introduced,we have seen a rare display of shieldsbeing raised among general practi-tioners. And this is entirely understand-able! Let me briefly remind you of whatthis bill imposes, among others, for allgeneral practitioners. The bill calls forstiff penalties if general practitioners donot care for a minimum number ofregistered patients and work a minimumnumber of hours in institutions.

A new AMPs plan has thus beenestablished. For work in institutions, theminister himself will set the number ofhours that can be authorized for eachtype of work and will let the agencesknow through directives.

Depending on terms and conditionsthat will be determined by regulation,the bill establishes a new mechanism forreduction of remuneration in caseswhere the obligations are not met. Thisis the end of the professional approachand the joint review between the FMOQand the Ministry. In fact, the FMOQ hasbeen taken out of the picture. None of

its representatives can be a Chief of aDRMG and the minister, the height ofauthoritarianism and arbitrariness,reserves the right to modify physicians’remuneration himself to impose hisvision in terms of accessibility. Quite afew of us have been right to speak ofmedical dictatorship.

AMOM’s position

Like its members, AMOM is outragedby the legislative practice that GaétanBarrette has subscribed to. His billconstitutes an unprecedented attackagainst the professional independenceof general practitioners, their integrityand the quality of their work. Presentedwith disdain and smugness, Bill 20 willnot go without response from AMOM.The Executive, working in collaborationwith those of the other associations affil-iated with the FMOQ, started workingseveral weeks ago on its plans forresponding.

AMOM says NO to Gaétan Barretteand to the lies that he is circulating tosell his bill to the public. AMOM will notallow him to dictate the practice offamily medicine in Québec!

Let’s be united and remain united.

Québec physicians are currentlywaging one of the most importantbattles in their history. The weeks ahead

Dr. Michel Vachon

ÉditorialE

Dépôt à la Bibliothèque nationale

du Canada et du Québec,

2e trimestre 1985

ISSN 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 20152

PAGE

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

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

Did you Know? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Recruitment Efforts are Paying Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Welcome to our New Members! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Job Offers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

AMOM Delegates 2014-2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ÉummaryS

L’OMNI WILL PRINT YOURCOMMENTS

L’OMNI is a newsletter written by AMOM to provide information and allow our members

to exchange opinions.We would be delighted to publish your text -

Send it:AMOM

(info@amom.net)2000-3500, De Maisonneuve West

Westmount (Quebec) H3Z 3C1

Telephone: 514 878-9219 or 514 878-1911Fax: 514 878-2608

www.amom.net

February 2015 Newsletter from the Montreal Association of General Practitioners

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will be important and full. Our goal is to fight Bill20 to see to it that it is withdrawn, plain andsimple. The success of our action rests on the abilitythat we have to mobilize and to remain watchful.All physicians, regardless of their place of practice,young and less young, must remain united in soli-darity, standing shoulder to shoulder. You all know

the saying: “Divide and conquer”? Physicians willhave to face the adversity as one, all together andlinked by a single goal: abolish Bill 20.

Yours in solidarity,

Michel VachonPresident

Editorial… (cont’d from page 1)

O ur Association’s Annual General Meeting tookplace on November 21, 2014.

The day started off with a meeting of theparticipants with the President-Executive Directorof the Montréal Agence de santé, Mrs. PatriciaGauthier, who spoke to them about first line carein Montréal. She addressed the structure of thesystem as well as what has been achieved in recentyears to harmonize and facilitate how patientsprogress through the network.

This was followed by a morning of professionaldevelopment during which 130 physicians partici-pated in three hours of continuing medical educa-tion. Sessions dealt with diabetes, rheumatologyand the Ebola virus. At the same time, a smallgroup of physicians attended an interactive confer-ence on the DSQ and DME.

Lunch was served following the morningsessions and was followed by the business segmentof the day – the actual annual meeting. The usualreports were presented, including finance, contin-uing medical education, the secretary’s report andthen Dr. Michel Vachon presented the president’sreport. He spoke to the members about the variousadministrative and political dossiers, and then hegave the floor to Dr. Louis Godin who discussedthe main developments in the negotiations.

The president of the FMOQ mentioned thedifficulties with the current negotiations. Thearrival of a new minister led to major changes inrelations and in the manner of negotiating. Dr.Godin reported on Dr. Barrette’s bill aiming torestrict medical practice by creating obligations interms of patient load and tasks in institutions,weighted according to number of years in prac-tice. This would replace the current AMP plan. Thedata presented are incomplete and seem to be a

negotiating position forthe spring of 2015.(Editor’s note: We nowknow that this was theannouncement of Bill20 which was to betabled in a sneaky andhasty manner in theNational Assembly onNovember 28). Theyear 2015 is shaping upto be quite challengingand it will be veryimportant to remainunified.

After Dr. Godin’s speech, the results of the fallelection were announced by Me Pierre Belzile, whois the head of the FMOQ Legal Department andElections Chairman. Please see the list of delegateselected for 2014-15.

The afternoon, which was full of discussionsand exchanges, ended with several drawings. Dr. Vachon then invited the members to a cocktailreception.

For the past several years, AMOM has taken theopportunity of the annual meeting to pay tributeto its members who have been in active practicefor 50 years. In 2014, the Association thanked Dr. Jean Binda, Dr. Albert Nantel and Dr. PatriciaForbes for their tireless dedication.

The next AMOM annual general meeting willtake place on November 20, 2015 and we areplanning an afternoon and evening format.

Dr. Marie-Pierre LaflammeSecretary

Annual General Meeting

Dr. Marie-Pierre Laflamme

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Newsletter from the Montreal Association of General Practitioners February 20154

Did you Know?

T he Agence de santé et de services sociaux deMontréal has worked on several projectsover the past few years to improve acces-

sibility to specialized and diagnostic services forpatients of family physicians. Some of theseservices are already established and are oper-ating. Do you know about them?

Pediatric Access Mechanism

Offered throughout the Montréal region, thismechanism allows access to consultations ingeneral pediatrics, endocrinology and respira-tory disease (respirology). Gastro-enterologyand allergy are to be added shortly.

Clinical Triage (Accueil clinique)

Already operating in Ahuntsic/Montréal-Nord,Lucille-Teasdale, Pointe-de-l’Île, Coeur-de-l’Îleand Saint-Léonard/Saint-Michel, as well as inSacré-Coeur. The service is being developed inother sectors.

This service allows for treatment of semi-urgent

conditions that would require an investigation by anurse who uses an algorithm (e.g. to rule out TPP).

CRDS (Centre for distribution of service requests)

In the east sector, a service to access ultra-sound is in place.

In the west sector, a service for access tospecialties enables service for the 5 CSSSs of theMcGill University Integrated Health Network(RUIS). The specialties available are ophthal-mology and orthopedics. Cardiology, gastro-enterology and respirology will be added shortly.

You can find the description of the servicesoffered and the required referral forms on thewebsite of your local CSSS, in the sectionreserved for professionals/physicians.

It is hoped that the changes in structure willnot interfere with the implementation of theseservices, which are very useful for patients.

February 2015 Newsletter from the Montreal Association of General Practitioners

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REQUIRED FAMILY PHYSICIANS!Within the file regarding doctor’s health, the AMOM is constantly in search

of general physicians who would agree to treat other doctors. Please, do not hesitate to contact us!

T hanks to the effort made to recruit new members by both the professional staff and the physicians whoare members of the Executive, last November AMOM reached the magic number of 1,705 membersin good standing. This has enabled AMOM to obtain a 28th delegate to the FMOQ Council.

Remember that our association has by far the largest number of delegates at the Council, which is of primeimportance when the time comes to focus on specific issues related to Montréal. Of the new members, 32 arefrom the class of 2014. Bravo to all and let’s aim for a 29th delegate in 2015!

Below you will find the names of new members that AMOM has welcomed since the fall of 2014.

Recruitment Effortsare Paying Off

Welcome to our New Members!The following physicians have recently joined the ranks of AMOM

Dr. Johanne AllardDr. Amanda AngelusDr. Suzanne AngersDr. Tiberiu AnghelDr. David BaconDr. Élie BaraDr. Farah BenmohammedDr. Marc-André BenoîtDr. Nina Marie BenoîtDr. Ibtissama BoukasDr. Genevière BoulvaDr. Karine BrassardDr. Geneviève Brooks LegaultDr. Catherine Charpentier-CôtéDr. Humbertino DamasoDr. Adriana C. Decker GoanaDr. Valérie DesrochesDr. Ashwin DixitDr. Elena-Domnita DorobantuDr. Alison Doucet

Dr. Benjamin DuboisDr. Alix DufresneDr. Katherine-Ann DupuisDr. Marzieh EghtesadiDr. Mariane FilionDr. Daniel FriedmannDr. Pascal GagnerDr. Katya GhannoumDr. Émilie GodboutDr. Michelle GoyalDr. Albert HajjarDr. Jennifer HeineggDr. Devin HopkinsDr. Jacob Alexander HuntingDr. Kurt JansenDr. Marta KarczewskaDr. Andrew KhalilDr. Tarek KhreissDr. Andrei LiveanuDr. Christiano Martello

Dr. Lila NguyenDr. Alexandru Nicolescu-ZincaDr. Isabelle OuimetDr. Benoît PaquetDr. Vanessa PaquetteDr. Elena ParaskevopoulosDr. Annabelle PélissierDr. Alexandre ProulxDr. Signe RicherDr. Pamela RiguttoDr. Dori ShiffDr. Renaud St-LaurentDr. Meryl Alexis TabahDr. Yasmine TalabDr. Kahina TalebDr. Éliane TasséDr. Sonia TremblayDr. Katarzina WozniakDr. Jianing YangDr. Carola Zambrana

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

Dr. Marie-Pierre LaflammeAMOM Secretary

Newsletter from the Montreal Association of General Practitioners February 20156

Job Offers

Notre Clinique est entièrement informatisée et offreun environnement professionnel haut de gamme alliant

innovation et performance. Située dans le quartierdes affaires en plein centre-ville de Montréal.

BIENTÔT GMF.Bureaux neufs, plusieurs spécialités sur place,professionnels de la santé, laboratoire privé,

cryothérapie.

NOUS RECHERCHONSMédecins de famille pour prise en charge

et sans rendez-vousPlusieurs services disponibles sur place

Contactez

Justine Chamoun 514 699-4499 OUDr Samer Daher 514 730-5902jchamoun@lacitemedicale.comsdaher@lacitemedicale.comwww.lacitemedicale.com

CENTRE MÉDICAL POUR ENFANTSLASALLE !

Le Centre Médical pour Enfants, CMPE LaSalle,est à la recherche de médecins intéressés à sejoindre à son équipe (en place depuis 1989), pourune pratique en pédiatrie, avec et/ou sansrendez-vous. Nous avons l'espace pour accueillirplusieurs médecins, et garantissons l'achalandage,et la possibilité de bâtir une clientèle rapidement :plus de 3500 accouchements/an à l'hôpitalLaSalle. Beaucoup de jeunes parents sont à larecherche d'un médecin pour leur poupon ou leurenfant. Possibilité de PREM pour prise en chargede 0-5ans en négociation.

Contacter :Dre Danielle Lachance (514) 234-8029 ou

(514) 368-0441, ext 26Dre Anne Monty (514) 991-0017

Nous sommes à la recherche d’un médecin qui dispose d’une demi-journée par semaine ou plus, pour compléter notre équipe multidis-ciplinaire. Nous desservons une clientèle vivant des problèmes d’alcoolisme et de toxicomanie et nous disposons déjà d’un médecinet d’une équipe d’infirmiers(ères) 24/7 qui assure la gestion desdossiers et des rendez-vous.

Essentiellement, la tâche consiste à évaluer l’état de santé généraldes clients à leur arrivée, dans un contexte de sevrage (protocolelibrium, santé mentale, dénutrition, fonction hépatique, etc.). Leclimat de La Maison est paisible et nous refusons les cas présentantdes pathologies comportementales lourdes et susceptibles deperturber le climat de La Maison.

Notre centre possède le statut de clinique privée auprès de la RAMQet le médecin bénéficie des installations de La Maison sans devoirpayer de loyer ni de frais administratifs et a accès à toutes les valeursde laboratoire dont il pourrait avoir besoin. Une période de fami -liarisation et de formation est également prévue et sera assurée parle médecin en place.

Les médecins qui travaillent à La Maison doivent rarement composerdirectement avec une clientèle intoxiquée ou désorganisée, puisquele traitement se déroule à l’interne et que les examens médicaux sefont lorsque le client a été stabilisé.

M. Rodrigue Paré, directeur général111, rue Normand – Montréal H2Y 2K6514 288-2611www.maisonjeanlapointe.org

Recherchonsomnipraticien(ne)

La Direction de l’indemnisation des victimes d’actes crimi-nels, organisme relevant de la CSST, est présentement à larecherche d’un médecin omnipraticien(ne) afin de pourvoirun emploi contractuel à raison de 8 à 24 heures par semaine.

Sommaire de la fonction : Conseiller le personnel de laDirection sur toute question d’ordre médical. À cet effet, lemédecin analyse l’information contenue dans les dossiers unvue de déterminer les diagnostics en lien avec l’événement,les traitements et les séquelles pouvant découler d’un actecriminel. Ses avis sont requis afin d’appuyer les décisions desintervenants qui doivent être rendues dans les meilleursdélais.

Conditions d’admission : Être membre en règle du Collègedes médecins du Québec et posséder deux années d’expé-rience pertinente dans le domaine de l’évaluation du degréd’incapacité des requérants.

Pour toute information, prière de contacter :Marie-Christine GagnonRépondante en ressources humaines1199 rue de Bleury, Montréal (Québec)Téléphone : 514 906-3019, poste 2881Courriel : marie-christine.gagnon@csst.qc.ca

February 2015 Newsletter from the Montreal Association of General Practitioners

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(www.villamedica.ca)

Recherchons 1 médecin omnipraticienJoignez-vous à l’équipe médicale

d’un hôpital dynamique à dimension humainesitué au cœur de Montréal

� 142 lits� Réadaptation fonctionnelle intensive� Hospitalisation de courte durée� Médecine d’actualité – Défis variés� En lien avec le réseau universitaire – suivi conjoint� Équipe de professionnels dynamiques� Atmosphère de collégialité� Milieu multidisciplinaire

� Champs d’activité :• Neurologie • Amputés• Post chirurgical orthopédique • Convalescence active (clientèle subaigue)• Centre d’expertise pour victimes de brûlures

graves (associé au CHUM)

� Rémunération à tarif horaire

Pour toute information :Madame Suzanne Pelletier225, rue Sherbrooke EstTél. : (514) 288-8201 poste 4372

Job Offers (cont’d)

À la recherche de confrères et/ou consœurs1. Équipe pluridisciplinaire sur place;2. Médecine familiale ou spécialisée;3. Conditions de pratique souples aux plans personnel,

familial, professionnel et financier;4. À temps partiel ou complet.

Pour informations :Dr. Allen Payne, md

Lise-Anne Deshaies, directrice administrativeDr. Benoit Deshaies, md, Fondateur

Pour nous contacter :514-524-3637 / 514-527-1572

P.S. Une invitation particulière est lancée aux petitsgroupes de médecins qui voudraient démarrer unepratique de groupe avec une clientèle déjà établie.

POLYCLINIQUE MÉDICALE POPULAIRE1988, rue Ste-Catherine Est, Montréal (Qc)

Métro Papineau

Acupuncture, Cardiologie, Chirurgie générale, Ergothérapie,Massothérapie, Médecine générale, Médecine du travail,

Orthopédie, Ostéopathie, Physiothérapie, Pharmacie,Psychiatrie (Méthode Echo), Expertise médico-légale

Fondation Docteur.Benoit Deshaies

ÉQUIPE

�

MEMBERSHIP CARD

I freely join the Montreal Association of General Practitioners and pledge myself to observe its rulesand regulations.

Full name ———————————————————— Licence C.M.Q. ———————

Address (office): ———————————————————————————————

Postal Code ——————— Tel. (office) ———————— Tel. (home)————————

E-mail —————————————————————— Date of Birth————————

The Association will act on my behalf whenever required by the interest of General Practitioners orthe profession.

In rerognition of which, I have signed the —————————— of ——————— 20 ——

Doctor’s Signature

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 your union association.This form can be return par email (info@amom.net), by fax (514 878-2608) or by mail

AMOM DELEGATES 2014-2015(February 2015)

Executive Phone Fax

President ...............................................Dr. Michel Vachon ...................514 376-7702 ......514 376-2639Vice-president .......................................Dr. Jean-Pierre Villeneuve .........514 362-1000 ......514 765-7306Secretary ...............................................Dr. Marie-Pierre Laflamme........514 376-7702 ......514 376-2639Treasurer ...............................................Dr. Benoit Brodeur ...................514 384-2000 ......514 940-3304

Sector West (1)Councillor .............................................Dr. Mario Zummo...................514 631-6086 ......514 631-6691Assistant Councillor ...............................Dr. Daniel Laliberté ..................514 631-6086 ......514 631-6691

Sector South-West (2)Councillor .............................................Dr. Nathalie Girouard...............514 765-7325 ......514 365-2280Assistant Councillor ...............................Dr. Lise Dauphin ......................514 766-8700 ......514 766-8511

Sector North (3)Councillor .............................................Dr. Odile Kowalski....................514 331-2323 ......514 333-8534Assistant Councillor ...............................Dr. Natalia Vo...........................514 331-2323 ......514 333-8534

Sector East (4)Councillor .............................................Dr. Isabelle Paradis ...................514 494-4924 ......514 494-4235Assistant Councillor ...............................Dr. Catherine Belzile.................514 376-7702 ......514 376-2639

Sector Centre-West (5)Councillor .............................................Dr. Didier Serero ......................514 340-8222 ......514 340-7917Assistant Councillor ...............................Dr. Nebojsa Kovacina ...............514 734-2628 ......514 734-2605

Sector Centre-East (6)Councillor .............................................Dr. Marc Gagné .......................514 481-6399 ......514 481-5788Assistant Councillor ...............................Dr. Marie-Chantal Pelletier .......514 890-8321 ......514 412-7320

Other delegates ........................................Dr. Ayda Bachir ........................514 331-3025 ......514 331-8720Dr. Samer Daher ......................514 788-6484 ......514 788-1983Dr. Catherine Duong................514 362-8000 ......514 367-8624Dr. Renée Fournier .................514 937-8000......514 937-8884Dr. Louise Fugère .....................514 340-3503 ......514 252-3573Dr. François-Pierre Gladu..........514 340-2800 ......514 340-2802Dr. Geneviève Jacob.................514 338-2050 ......514 338-2222Dr. Christian Lauriston..............514 383-0559 ......514 383-3430Dr. Chantal Lefebvre ................514 633-1510 ......514 633-8299Dr. Teresa Petraglia ..................514 331-2228 514 331-0137Dr. Daniel Rouette....................514 631-6086 ......514 631-6691Dr. Julie Théroux ......................514 631-6086 ......514 631-6691

Alternate delegates...................................Dr. Gaston Drapeau .................514 637-8771 ......514 637-8771Dr. Claude Farah-Lajoie ............514 337-4922 ......514 337-4923Dr. Miren Ferland.....................514 331-3020 ......514 331-8720Dr. Isabelle Hébert ...................514 338-2383 ......514 338-3155

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