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Post-Placement Mindmap: Ontario Medical Association download - Coggle…
Post-Placement Mindmap:
Ontario Medical Association
Observations and Experiences
Expectations before focus groups
Physician engagement is not well understood
Engagement is understood on a spectrum
Physicians lie on different areas of the spectrum
Most physicians are passively engaged
Linear
Long-standing model used before Ontario Health Teams (OHTs)
Dates back to Local Health Integrated Networks (LHINs)
LHINs are now shut down
Observations after focus groups
The word "engagement" is very contentious
Physicians feel like a checkbox for the government
Engagement is not a spectrum
Better understood as a pyramid
Physicians are not moving linearly
Each prior stage is foundational to the next
Higher levels of engagement also have a smaller proportion of physicians
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Most physicians are unaware rather than passively engaged
Thoughts and Feelings
Negative
It was very slow at the beginning of my placement
Mostly planning
Very iterative
Sometimes it felt like I was never going to start
Every time I thought I was finished, I wasn't
It took almost a semester of planning
I felt frustrated and impatient at times
There was a lot of uncertainty
This was amplified when my manager left the organization
Suddenly I was working on this alone
I was to be supported by new management
It felt like going back to step 1
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Positive
Many aspects were rewarding
Beginning the focus groups
This was one of the most exciting aspects of my practicum
I couldn't wait to start the research and find out the answers to our questions
I had been planning for many months and getting started was so exciting
This process was not tedious
Interacting with Physicians
Physicians offer a perspective that is incredibly unique
Each shared their thoughts and opinions
Many different by speciality and geographic location
You could see the true difference in engagement based on several factors
I felt fulfilled after the focus groups
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Tasks
Planning
Literature reviews
Research Proposals
Sending for review
Making Edits
Having to send to various different stakeholders
Each had their own opinion and thoughts
Sometimes these sentiments clashed with one another
Finding balance was difficult
Overall process took around 5 months
Extremely iterative
Focus Groups
Much faster
Created interview guides, presentations, and emails
Most of this information was determined during planning
Putting it all together took around 2 months
Scheduling was also extremely easy as I created a sign-up form
Learning Experiences
Engagement
Extremely varient
OHTs are different from other types of medical engagement
For example, hospitals and clinics
More complex and interdisciplinary
Requires strong collaboration and communication
Differs by maturity, geography, and speciality of practice
Not a linear process
Pyramidal due to it's foundation
Most physicians are unaware
Many physicians are not even active in OHTs
OHTs are new
Maybe the government needs to do more work to push for engagement
Ontario Health Teams
Operates through funding packages and governance models
Physicians shared that there are limitations
Governance structure doesn't allow for active engagement
It is rigid and strict
I think reform is needed
OHTs are new enough and within their infancy
Change made earlier is easier to do
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Based on rosters and quotas
Required to met some threshold
Not much power is given to physicians in funding decisions
This is mostly done by administration and larger hospital leads
Physicians expressed frustration due to being left out
