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Fédération des médecins résidents du Québec

FMRQ Express Vol. 7, No. 3 September 2010

FMRQ Express is a publication of the Fédération des médecins résidents du Québec which reports on developments with regard to the main issues to which special attention is paid and on decisions made by Federation bodies, notably the Executive Committee, Board of Directors and Delegates’ Assembly.

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GRIEVANCE CONCERNING CALL DUTY SCHEDULES – 24 HOURS VS. 16 HOURS MOONLIGHTING VS. ROTATION – WHICH PRACTICE NUMBER MUST I USE? POSTGRADUATE EDUCATION ROTATIONS OUTSIDE QUEBEC – ONTARIO-SPECIFIC RULES ADDITIONAL TRAINING IN FRANCE – NEW REQUIREMENTS FOR CLINICAL FELLOWSHIPS FAMILY MEDICINE CONFERENCE – NOVEMBER 13–20, 2010 IN RIVIERA MAYA CHRONIC PAIN FELLOWSHIP AT LAVAL UNIVERSITY– REGISTRATION DEADLINE: OCTOBER 15, 2010 HOW WELL DO YOU KNOW YOUR COLLECTIVE AGREEMENT? o TRAVEL EXPENSES IN THE DECENTRALIZED MEDICAL TRAINING PROGRAM REIMBURSED BY THE ESTABLISHMENT TRAVEL EXPENSES IN THE CENTRALIZED MEDICAL REIMBURSED BY THE FMRQ IMPORTANT DATES DON’T MISS QUEBEC CAREER DAY, OCTOBER 29, 2010 RESTRICTIVE PERMIT–RESIDENT/MOONLIGHTING ALDO-QUEBEC – CALENDAR FOR 2010

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GRIEVANCE CONCERNING CALL DUTY SCHEDULES – 24 HOURS VS. 16 HOURS   

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Arbitration hearings for the grievance concerning 24-hour call duty continued August 16–19, 2010. The FMRQ’s evidence ended with the testimony of a resident who presented the reasons why residents in internal medicine at the McGill University Health Centre (MUHC) appreciated performing 16-hour call duty, as designed under a pilot project put in place by the program. Whereas the FMRQ followed the procedural rules negotiated between the parties at the start of the arbitration, notably with respect to the length of time required for tabling documents, submission of scientific articles or recognition of witnesses, counsel for the MUHC and the government did not show us the same respect. They violated all the rules, and this considerably undermined our confidence in the government’s intentions on the issue of 16-hour call duty. That was not a good start to the hearings! During the week, the FMRQ presented scientific evidence of the dangers that can be incurred by those working more than 16 hours in a row. At no time did the government succeed in countering our scientific arguments, since no sleep specialist or researcher who would have conducted studies on call duty schedules testified in their favour. Some medical residents testified at most as to their ability to perform call duty lasting 24 hours, or even 36 hours. They maintained that training hours would decrease if call duty were based on a 16-hour call duty system, despite the fact that the system proposed by the FMRQ has no impact on the number of hours worked by medical residents in a given period. Moreover, these medical residents appear not to have understood the distinction made by the FMRQ between call duty at home, which remains at 24 hours, and call duty in an establishment, whereas the reduction in call duty to 16 hours, as expressed in the grievance, covers only call duty in an establishment. It is also important to note the government’s negative attitude on this issue. In fact, before the hearings even began, the government notified us that it was refusing to extend its legal counsel’s mandate, thus unilaterally bringing the arbitration process to an end on August 20, although the process had not terminated. In so doing, the government was denying the most fundamental rights of the medical residents who had made the decision, democratically, to use the grievance procedure recognized by their collective agreement to put forward their position on this issue. Fortunately, the arbitrator informed the MUHC and government representatives that he would take the arbitration of the grievance through to its conclusion, with or without them! Upon consideration, the government had to reverse its decision, and the arbitration will continue in November 2010. We will keep you informed of the discussions as they occur at that time.

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MOONLIGHTING VS. ROTATION – WHICH PRACTICE NUMBER MUST I USE?   

We remind you that when you receive your restrictive permit–resident or regular permit to practise and are pursuing your postgraduate education or a fellowship with a training card, you may use only one practice number: the latest one you received. The Collège des médecins du Québec and the Quebec health insurance board (RAMQ) recognize only one permit, the most recent one granted by the Collège. THEREFORE, as soon as you receive the new permit, you must use that number for any prescription or for consultations, whether you are moonlighting or on rotation as part of your residency.

POSTGRADUATE EDUCATION ROTATIONS OUTSIDE QUEBEC – ONTARIO-SPECIFIC RULES   

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As part of your residency, a number of you will choose to perform rotations outside Quebec. To do so, you must have your rotation approved by your program director and your Associate Dean, who will sign the appropriate form and forward it to the Collège des médecins du Québec to confirm its validity. You will also have to provide proof of malpractice insurance coverage. To obtain this proof, which you will have to send to those responsible for your rotation outside Quebec, you must contact the insurance programs branch of the Association québécoise d’établissements de santé et de services sociaux (AQESSS) by calling 514-282-4254, and provide your name, the name of your paying establishment, the name of the host establishment, the rotation start and end dates, and a copy of the form ―Request for a Rotation in a Non-accredited Site, Quebec and Outside Quebec‖ duly approved by the Collège. If you are performing a rotation in Ontario, however, there are certain additional formalities to be completed. You must register one month in advance and provide, among other things, a certificate of conduct, which you can obtain from the Collège. You will also have to provide a medical certificate. For further information, consult the College of Physicians and Surgeons of Ontario (CPSO) site or contact the Registration Office at 416-067-2617, ext. 221.

ADDITIONAL TRAINING IN FRANCE – NEW REQUIREMENTS FOR CLINICAL FELLOWSHIPS     

Terminating residents wishing to undergo additional training in a specialty in France and to perform medical acts will now have to obtain a special permit to do so. If you are in that position, we invite you to consult the information below immediately, and to find out about the timeframe involved in such a procedure, which can take more than a year to complete. If you perform a fellowship in France, you will be deemed to be ―faisant fonction d’interne‖ (FFI, or ―training as an intern‖). You will have to obtain a long-stay or type D visa. For all visa applications, it is mandatory to go through the Centre des études en France before scheduling an appointment with the visa department of the French Consulate in Quebec.

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This procedure applies to FFIs: physicians or pharmacists registered in France for specialized training (formation spécialisée) or advanced specialized training (formation spécialisée approfondie) or, as of November 1, 2010, the DFMS (diploma of specialized medical training, or diplôme de formation médicale spécialisée) and DFMSA (diploma of advanced specialized medical training, or diplôme de formation médicale spécialisée approfondie); laureates of the Foreign Interns exam; and interns in medicine and pharmacy at public and private hospitals. A French-language proficiency test has to be passed, as well as written tests on academic prerequisites (these are organized by the Cultural Affairs and Co-operation Department in Montreal). Students must set up a file on the Campus France site, complete and validate their form, then make an appointment with the appropriate officer: persons in the Montreal area should contact montreal@campusfrance.org, while those in the Quebec City area should email nicole.pellerin@diplomatie.gouv.fr.

Partial list of documents to be provided (originals plus two copies of all your originals)        

One long-stay application form duly completed and signed. One identification photo, in colour. Your original passport with photocopies of the principal pages. Supporting evidence of your legal status in Canada, notably your permanent residence card, or your study or work permit. A letter from the department in the French hospital describing your duties and the length of time you will be performing such internship duties, along with the duration, salary and starting date of employment. The specific French Immigration and Integration Office (OFII) form, the upper part of which must be completed by the applicant. Note that fees are charged for this procedure. For further information, please consult the section of the Consulate General of France in Montreal site concerning the visa for medical interns (doctors carrying out an internship).

FAMILY MEDICINE CONFERENCE – NOVEMBER 13–20, 2010 IN RIVIERA MAYA   

The annual family medicine conference organized by the FMRQ will be held November 13– 20, 2010, at the Grand Palladium Colonial Resort and Spa in Riviera Maya, Mexico. All medical residents in family medicine and specialties have received the invitation by email. We can confirm as of today that all available places have been booked.

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CHRONIC PAIN FELLOWSHIP AT LAVAL UNIVERSITY– REGISTRATION DEADLINE: OCTOBER 15, 2010    

The anaesthesiology department of Laval University in Quebec City will be offering an interdisciplinary subspecialty training program in pain management, starting in July 2011. This program is intended for physicians who have completed their training in anaesthesiology. It is of one year’s duration and is aimed, among other things, at mastering advanced interventional procedures in the treatment of chronic pain. For further information, please get in touch with the director of the Laval University chronic pain training program, Dr Jacques Chabot, by calling 418-656-3685 or emailing jackchabot@videotron.ca. ATTENTION: Deadline for registration is October 15, 2010.

HOW WELL DO YOU KNOW YOUR COLLECTIVE AGREEMENT? TRAVEL EXPENSES IN THE DECENTRALIZED MEDICAL TRAINING PROGRAM REIMBURSED BY THE ESTABLISHMENT

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If you are performing a rotation in a region under the decentralized medical training program, the reimbursement scales for your expenses are as follows: o One return trip per rotation-month at the rate of $0.43/km; o Accommodation provided by the establishment or, if it is not provided, a lump sum of $580 per rotation-month for accommodation; o A living allowance of $225 per rotation-month for non-designated geographical areas and $325 per rotation-month for designated geographical areas; To be eligible for these benefits, you must be established in the region for the entire duration of your rotation; Travel expenses are always based on the distance in kilometres between the home university and the rotation site; If you are performing rotations under the decentralized medical training program, you cannot claim travel expenses from the FMRQ or association; To obtain this reimbursement, you must apply to the establishment where you are performing your rotation. The establishment must pay you before your rotation ends. TRAVEL EXPENSES IN THE CENTRALIZED MEDICAL TRAINING PROGRAM REIMBURSED BY THE FMRQ If you are not eligible for the decentralized medical training program and you are performing one or more rotations in Quebec in one or more establishments located within a radius of more than 50 kilometres from your residency site, you may receive the following benefits: reimbursement of travel, accommodation and living expenses. To receive reimbursement, you must complete the appropriate form, a copy of which is to be found on the FMRQ site. This form must be duly signed by your program director attesting to the rotation. You will also have to provide receipts proving that the travel took place in order to be reimbursed, such as a gas bill, a letter attesting to your attendance at a course, and so on. But you are not entitled to any reimbursement if you have performed all your rotations, during a given academic year (13 periods), in a region other than the region where the university in which you are registered is located. In addition, if you have performed your rotations outside Quebec, you will not be reimbursed for any expenses.

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For 2010-2011, the reimbursement scales have been increased, as follows: Travel:

$0.43/km, for one statutory return trip per period; plus 3 additional return trips per period, with a bill proving you actually made the trip. If the distance travelled is more than 800 km, the FMRQ reimburses the plane ticket or other transportation mode (car), whichever costs less.

Accommodation: $580/period, except where accommodation is provided. Living expenses: $225/period, except where food is provided by the establishment OR prorated, if the establishment provides only certain meals.  

All applications for reimbursement for the current academic year must reach the Federation by August 31 of the following academic year at the following address: FMRQ, 630 Sherbrooke Street West, Suite 510, Montreal, Quebec H3A 1E4. For further information, please contact Anna Beaudry, administrative technician at the Federation, by calling 514-282-0256 or 1-800-465-0215 or emailing abeaudry@fmrq.qc.ca.

IMPORTANT DATES 

Don’t miss Quebec Career Day, October 29, 2010 o Don’t miss Quebec’s largest medical employment fair—the FMRQ’s Quebec Career Day—being held Friday, October 29, 2010, at Montreal’s Palais des congrès convention centre. o Look out for further details in an upcoming issue of FMRQ Express.

Restrictive permit–resident/moonlighting/ eadlines for sending your documents to the Collège Deadline October 6, 2010 November 3, 2010 December 7, 2010

Collège meeting October 21, 2010 November 18, 2010 December 16, 2010

Note that the restrictive permit–resident has to be approved at meetings of the authorities concerned at the Collège des médecins du Québec. Meetings are held approximately three weeks after the deadline for submitting applications. Permits are issued within a few days of these meetings.

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ALDO-Quebec – Calendar for 2010 (registration required one month prior to training session) September 30 October 12 October 26 November 9 November 25 December 8 December 15    

University of Sherbrooke McGill University University of Montreal University of Sherbrooke University of Montreal McGill University Laval University (on an exceptional basis, 9:30 am to 12:30 pm)

ALDO-Quebec training sessions run from 1 pm to 4 pm, unless indicated otherwise. Sessions offered at McGill University are given in English only. The registration form is available on the Collège site, and must reach the department responsible at least one month prior to the training session in which you wish to participate. In some cases, you may register after the deadline, but additional fees could be charged. For further information, consult the Collège des médecins du Québec site at www.cmq.org, under Students, Residents and Fellows/Examinations and ALDO.

Charles Dussault, MD President For further information, please contact the FMRQ by phoning 514-282-0256 or 1-800-465-0215 or emailing fmrq@fmrq.qc.ca, or visit our Web site at www.fmrq.qc.ca.

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