WONCA Annual Report 2023

2023 ANNUAL REPORT

contents

About WONCA Executive Committee President Report Immediate Past President Report Strategic Plan CEO Report World Family Doctor Day MDD Minds Project Honorary Treasurer’s Report WHO Liaison Report Member Organisations Africa Region Report Asia Pacific Region Report East Mediterranean Region Report Europe Region Report North America Region Report South Asia Region Report

3 7 8 15 18 19 21 22 24 25 29 34 36 37 38 40 42

Working Parties & Special Interest Groups

43

Working Party on Education

43

Working Party on eHealth

45

Working Party on Ethics and Professionalism

47

Working Party on Mental Health

49

Working Party on Planetary Health

50

Working Party on Quality and Safety in Family Medicine

52

Working Party on Research

55

Working Party on Rural Practice

58

Working Party on International Classification (WICC)

60

Working Party on Women and Family Medicine

61

Special Interest Group on Adolescent and Young Adult Care

63

Special Interest Group on Ageing and Health

64

Special Interest Group on Cancer and Palliative Care

64

Special Interest Group on Emerging Practice Models for Family Medicine

66

Special Interest Group on Family Violence

67

Special Interest Group on Integrative Medicine

70

Special Interest Group on Migrant Care, Intl Health, and Travel Medicine

71

Special Interest Group on Non-Communicable Diseases

72

Special Interest Group on Policy Advocacy

73

Special Interest Group on Worker’s Health

75

Young Doctors Movements AfriWON Al Razi European Young Family Doctors Movement (EYFDM) Polaris The Rajakumar Movement The Spice Route Movement Waynakay WONCA Awards 2024 Closing Remarks

76 80 82 84 86 88 90 91 94 95

About WONCA World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians.

WONCA’s short name is World Organization of Family Doctors.

Mission: The Mission of WONCA is to improve the quality of life of the peoples of the world through defining and promoting its values, including respect for universal human rights and including gender equity, and by fostering high standards of care in general practice/ family medicine by: ■

promoting personal, comprehensive and continuing care for the individual and the family in the context of the community and society;

■

promoting equity through the equitable treatment, inclusion and meaningful advancement of all groups of people, particularly women and girls, in the context of all health care and other societal initiatives;

■

encouraging and supporting the development of academic organizations of general practitioners/family physicians;

■

providing a forum for exchange of knowledge and information between Member Organizations and between general practitioners/family physicians; and

■

representing the policies and the educational, research and service provision activities of general practitioners/family physicians to other world organizations and forums concerned with health and medical care

Short History: The World Organization of Family Doctors (WONCA) is a not-for-profit organization and was founded in 1972 by member organizations in 18 countries. WONCA now has 176 Member Organizations in 131 countries and territories with membership of about 500,000 family doctors and more than 90 per cent of the world’s population. This includes ten organizations in collaborative relations with number of family WONCA. There are some 34 members in the Academic membership catdoctors that egory, which consists of Academic Departments of Family Medicine. Over 1100 individual general practitioners and family physicians have chose to WONCA has join WONCA in their own right. Membership of WONCA.

500.000

WONCA represents and acts as an advocate for its constituent members at an international level where it interacts with world bodies such as the World Health Organization, with whom it has official relations as a non-governmental organization and is engaged in a number of collaborative projects. The WONCA World Secretariat has transferred from Bangkok, Thailand to Brussels, Belgium in November 2020.

WONCA ANNUAL REPORT 2023

3

2023 at a Glance Direct Members Africa (81)

Asia Pacific (213)

EMR (26)

Europe (106)

Iberoamericana (64)

N. America (290)

South Asia (123)

Botswana 2

Australia 73

Bahrain 2

Austria 1

Argentina 3

Bahamas 1

Bangladesh 8

Burundi 1

Brunei 1

Iran 1

Azerbaijan 1

Brazil 18

Canada 15

Bhutan 3

Cameroon 1

China 7

Jordan 1

Belgium 3

Chile 2

Haiti 1

India 38

Congo 2

Cook Islands 1

Kuwait 2

Bosnia & Herz. 1

Colombia 7

Jamaica 1

Indonesia 21

Equatorial Guinea 1

Fiji 6

Lebanon 3

Bulgaria 1

Costa Rica 2

Saint Vincent & Gr. 1

Nepal 13

Ethiopia 1

Hong Kong 1

Morocco 2

Croatia 4

Dom.Republic 2

USA 271

Pakistan 26

Gambia 1

Japan 23

Oman 3

Cyprus 1

Ecuador 7

Ghana 2

Korea 7

Palestine 1

Czech Republic 6

El Salvador 1

Kenya 5

Laos 1

Qatar 1

Finland 1

Guyana 3

Liberia 1

Macau 2

Saudi Arabia 4

France 2

Mexico 8

Malawi 1

Malaysia 13

UAE 6

Georgia 1

Panama 1

Nigeria 51

Myanmar 16

Germany 1

Paraguay 3

Rwanda 1

New Zealand 8

Ireland 2

Peru 5

South Africa 9

Papua New Guinea 1

Israel 2

Suriname 1

Uganda 1

Philippines 31

Italy 4

Venezuela 1

Zimbabwe 1

Singapore 8

Kyrgyzstan 1

Taiwan 3

Netherlands 7

Thailand 10

Norway 12

Vietnam 1

Poland 1

Sri Lanka 14

903

Portugal 11 Romania 3 Serbia 1 Spain 13

direct members

Sweden 1 Switzerland 3 Turkey 7 Ukraine 1 UK 13 Uzbekistan 1

290

106 26

81

123

213

64

WONCA ANNUAL REPORT 2023

4

Life Direct Members Africa (33)

Asia Pacific (153)

EMR (44)

Europe (93)

Iberoamericana (24)

N. America (60)

South Asia (67)

Central African Rep. 1

Australia 54

Bahrain 1

Austria 1

Brazil 6

Canada 23

Bangladesh 5

Ghana 1

China 1

Egypt 3

Belgium 6

Colombia 3

Grenada 1

Bhutan 1

Kenya 1

Fiji 1

Iran 2

Bulgaria 2

Cuba 3

Trinidad & Tobago 1

India 28

Nigeria 24

Hong Kong 9

Jordan 2

Cyprus 1

Ecuador 1

USA 35

Indonesia 7

South Africa 6

Japan 15

Kuwait 7

Czech Republic 2

Mexico 6

Pakistan 10

Korea 10

Lebanon 1

Denmark 8

Paraguay 1

Sri Lanka 16

Laos 1

Morocco 1

Finland 1

Peru 2

Malaysia 14

Oman 1

France 2

Puerto Rico 1

Mongolia 1

Palestine 1

Germany 3

Venezuela 1

Myanmar 1

Qatar 7

Greece 2

Nepal 12

Saudi Arabia 12

Hungary 1

New Zealand 6

Tunisia 1

Ireland 2

Philippines 7

UAE 5

Israel 1

Singapore 9

Italy 5

Taiwan 4

Kosovo 1

Thailand 7

Latvia 2

Vietnam 1

Malta 1

474

Netherlands 5 Norway 7 Portugal 2 Romania 3 Slovenia 1

life direct members

Spain 3 Sweden 3 Switzerland 2 Ukraine 1 UK 25

93

60

44 33

67

153

24

WONCA ANNUAL REPORT 2023

5

Member Organizations TOTAL number of Full Member Organizations: 119 TOTAL number of Associate Member Organizations: 9

By Regions (Full and Associate): Region

Number of MOs in Region

Number of Members under MOs

Africa

13

2,823

Asia Pacific

24

66,828

EMR

14

2,352

Europe

46

90,213

Iberoamericana

16

7,074

North America

7

115,336

South Asia

8

3,652

TOTAL of members under the MOs: 289,278 TOTAL number of Academic Member Organizations: 34 TOTAL number of Organizations in Collaborative Relations: 12 TOTAL number of Members (including DMs, Members under MOs): 290,655

Key Dates – 2023 WONCA Rural Conference – Hobart, Tasmania – 18 to 21 October 2023 WONCA World Conference – Sydney, Australia – 26 to 29 October 2023 WONCA Europe Conference – Brussels, Belgium – 7 to 10 June 2023

Social Media: 2020 (December)

2021 (December)

2022 (November)

2023 (December)

8,679 Likes

9.2 Likes

9.9k Likes

11.647 Likes

3,904 Followers

4,462 Followers

5,086 Followers

5,578 Followers

179 Followers

678 Followers

1,644 Followers

2,833 Followers

-

491 Subscribers

602 Subscribers

965 Subscribers

-

-

702 Followers

1,919 Followers

WONCA ANNUAL REPORT 2023

6

Executive Committee Dr Anna Stavdal President Norway A/Professor Karen Flegg President-Elect Australia Professor Val Wass Member at Large UK Professor Maria Pilar Astier Pena

Member at Large

Spain

Professor Shabir Moosa

Member at Large

South Africa

Dr Dan Abubakar

President Africa Region

Nigeria

Professor Mohammad Husni Jamal

President Asia Pacific Region

Malaysia

Professor Taghreed Farhat

President Eastern Mediterranean Region

Egypt

Professor Shlomo Vinker

President Europe Region

Israel

Dr Jacqueline Ponzo

President Iberoamericana-CIMF Region

Uruguay

Dr Jeff Markuns

President North America Region

USA

Dr Tariq Aziz

President South Asia Region

Pakistan

Dr Sankha Randenikumara

Young Doctor Representative

Sri Lanka

Dr Harris Lygidakis

CEO

WONCA ANNUAL REPORT 2023

7

President Report

I will be using the strategic plan goals and objectives to guide the work of WONCA in the next two years.

Firstly, thank you to Anna Stavdal for her leadership over the past two years. I applaud her efforts to ensure stronger governance principles within WONCA and the Executive. Thank you also to Harris Lygidakis and his team at the secretariat, particularly Andrea, Lola and Roberto, for their hard work and diligence in serving WONCA, doing all that behind the scenes work that enables us to have better processes, communicate more easily and maintain WONCA’s work throughout the world. Thank you to the team and I look forward to continuing to work with you for the next two years.

WONCA Strategic plan 2023-27

One of the key leadership activities which Anna Stavdal has driven, and which Harris and I have had significant input to is the process of formulating a strategic plan for WONCA 2023-2027.

As many of you know this began with a SWOT analysis (strengths weaknesses opportunities and threats) conducted with multiple focus groups, people from a variety of regions, groups, career stage and engagement within our organisation. It was reassuring and exciting to find that most of the groups had similar things to say. We went on to use this information to inform goals and objectives for the draft plan. Please refer to the Strategic Plan document on page 18.

I will be using the strategic plan goals and objectives to guide the work of WONCA in the next two years. Actions need to be linked to budget and this is where the limitations for WONCA are likely to arise. Our CEO has also given significant consideration to the specific activities which will enable us to achieve objectives in coming years.

Complaints Committee - membership and voting issues One of my more difficult activities as President-elect has been to chair a Complaints Committee relating to a member complaint. This committee had to get familiar with the bylaws on membership issues and our membership committee processes. A report was presented to the World Council in Sydney in October.

That committee felt that a number of other issues were raised relating to multiple membership organisations in a country and voting. This was not the only forum where such issues have been raised and as such we have established a Taskforce on Membership and Voting to be chaired by Dr Francine Lemire (Canada) which will take an in-depth look at these issues for the first time since about 1998. The process will include stakeholder consultation and the final report is expected at the World Council coming to Lisbon in 2025.

WONCA ANNUAL REPORT 2023

8

Nominations and Awards committee The President-elect also chairs the nominations committee and this year the nominations for the WONCA Fellowship award (the most prestigious award) were not as many as I had hoped. WONCA awards are a way that we can acknowledge the contributions to WONCA of the many volunteers who do such great work within our organisation. I encourage WONCA regions and WONCA groups (Working Parties and Special Interest Groups) to nominate deserving colleagues in future years.

The limitations on the WONCA Honorary Life Direct Member award permitted that only 25 living people could hold it (other than past presidents). I believe that WONCA should be generous in recognising family doctors and other health professionals who have contributed significantly to our specialty without imposing numerical constraints. As such the Nominations and Awards committee recommended to Council that the organisational policies be changed to remove the number limit of 25 holders. Council approved this recommendation.

Other Committees and greetings A new initiative for WONCA has been a meeting of Chairs of Working Parties and Special Interest groups chaired by the President-elect. It’s been a late-night meeting for me but it’s been great fun. It is wonderful to see how enthusiastic the chairs of our WONCA groups are, and how excited they all were to be able to make contact with each other in this way. This meeting has been such a success and so well received, that I intend to continue this initiative during my term of office as president. The WONCA portal should further enhance communication between WONCA groups.

I was involved in numerous committees relating to the WONCA Sydney 2023 conference including the Host Organising Committee and the International Advisory Committee.

Thank you to those WONCA colleagues who agreed to serve on the International Advisory Committee as this group was able to give important input to the local Australian team as to what happens in WONCA conferences.

Thank you to those who have asked me for electronic greetings to their conferences and other celebration events. It was a privilege to participate in a small way in your events and I look forward to being able to do this more as your WONCA president. My commitment to the Environment will mean that I will prioritise travel to WONCA events, so unfortunately as much as I love meeting my colleagues in their own countries, electronic greetings may be necessary.

WONCA ANNUAL REPORT 2023

9

Organisational Strategy for Climate change Organisations that are not adapting strategy to take climate change into account are planning for a world that doesn’t exist. Over the last 12 months I have therefore been in discussion with leaders of our WONCA Working Party on the Environment, now called the WONCA Working Party on Planetary Health. My aim is that WONCA is seen as a “Green leader” by our Member Organisations and other small international not-for-profit organisations – leading by example in green initiatives.

We are already showing strong external leadership and lobbying for sustainable healthcare through our Working Party. I would like to also look inwardly to consider our carbon footprint. Our Working Party, with my support, has this year produced a WONCA Planetary Health and Sustainable Events Policy to promote green WONCA conferences.

Our World conference in Sydney held a highly successful green day on Saturday 28th October: any of us wore green, we had keynote speeches from leaders in planetary health in Enrique Barros and Maria Neira, the press interviewed multiple people and we all gave more thought to our role in improving carbon footprint.

WONCA Executive has approved the Working Party’s “Statement to Protect Health by committing to fossil fuel non-proliferation and climate action” and it’s online here. A reminder to consider signing the related “Call for Action” calling for a just and equitable transition to sustainable energy and safeguard health. Every family doctor can join and support this advocacy by signing the open letter, sharing it with colleagues.

I am privileged to have been invited to serve on the Lancet Commission on Sustainable Healthcare Executive Committee with highly knowledgeable colleagues from around the world. I look forward to sharing the outcomes of this group.

What’s coming in 2024? Governance, greening and growth I had the priviledge of taking up the great honour you have bestowed on me in becoming the WONCA President in October, at the WONCA World conference in Sydney. I look forward to meeting more colleagues, listening to your views. I will be looking for strong governance in WONCA, to better bring us together as a stronger voice by strengthening internal policies in order that we may move forward. Like my poredecessors I look for growth despite our limited budget and Michael Kidd always reminds me to never forget “a family doctor for every family”.

Associate Professor Karen Flegg WONCA President-elect to October 2023, President from October karen.flegg@wonca.net

WONCA ANNUAL REPORT 2023

10

Immediate Past President Report 2023—what a year! This year marked the celebration of WONCA’s 50th anniversary, the first in-person WONCA Conference in 5 years, the first fully hybrid WONCA Council, and the launch of a new strategic plan. Our organization is growing, and just before 2024, the WONCA BVI branch was closed, and the WONCA Association was established with WONCA HQ in Brussels.

I am deeply grateful to CEO Harris Lygidakis for all the efforts he has put into leading WONCA operations under the most trying circumstances. I would also like to extend my thanks to the Secretariat staff—Andrea Zard, Maria Zavala, and Roberto Munoz—for their efficiency and kindness.

Our organization is growing.

I am saluting all of you who have put in a huge amount of volunteer work in your different roles in statutory committees, working parties, and special interest groups.

Last but not least, a big thank you to the members of the WONCA executive committee 2021–2023.

Executive Meetings

In total, five online meetings have been conducted, one of which lasted over two days. Moreover, two out of these were held in person over five days altogether. Despite variable meeting attendance, all meetings have been conducted with quorum.

The President-elect, Honorary Treasurer, and I have had regular online meetings with the CEO throughout the year.

The CEO and the Secretariat The CEO and I have met virtually at least once weekly on average. I have had the opportunity to visit the Secretariat several times, and the visits have been scheduled in connection with virtual executive meetings and WONCA Europe’s conference in Brussels, followed by a two-day long in-person executive meeting.

It has been invaluable for me to stay in close contact with the Secretariat team and follow the several, partly troublesome, steps of the transition of the Secretariat, the closing of the BVI branch, and the establishment of the WONCA Association. A spin-off effect of this has been the opportunity to meet with the members and working groups present in the vicinity of Brussels.

WONCA ANNUAL REPORT 2023

11

Meeting the membership To build a common identity, people need to meet. Altogether, I have traveled for nearly 150 days for WONCA since the pandemic restrictions were lifted in May/June last year.

As we all know, the pandemic disrupted the planned conferences, which was the case for the South American and the East Mediterranean regions this year.

150

the number of days that I travaled for WONCA

I have attended regional conferences in all regions at least once since I was elected president-elect in 2018. There are usually fewer regional conferences in the year of the WONCA World Conference. In 2023, I attended the WONCA Europe Conference and a high-level meeting on Primary Care in Washington, DC.

It has been a privilege to be invited to conferences and meetings in countries of several member organizations, which has allowed me to talk to, and with, members on their home turfs, such as in Tainan, Taiwan, for their Spring conference in March, in Chengdu, China, for the Cross Straits Conference in April, and in Sweden for the 50th anniversary of the Swedish College in May. I thank you for receiving me with generosity and kindness.

Some conferences have taken place in a hybrid format, and my attendance has been virtual. The monthly newsletter serves the purpose of shortening the distance between the leadership and the ordinary members. Moreover, besides building identity, the newsletter contributes to increased visibility of what WONCA stands for. The topics of my messages have been chosen according to the following three goals: build identity, increase visibility, and exert influence.

Representing WONCA To exert influence, WONCA needs to be visible in different arenas, meet and work with other professional organizations, and take part in policy dialogues with healthcare stakeholders.

Mapping WONCA’s external network has been important in prioritizing where and how to engage with other organizations.

a. Other Professional Organizations The World Psychiatric Association invited me to give presentations at their annual conferences in Bangkok in 2022 and Vienna in 2023.

I represented WONCA and contributed to a workshop at the International Conference on Preventing Overdiagnosis in Copenhagen in August 2023.

WONCA has worked closely with the World Federation of Public Health Associations (WFPHA), especially concerning statements and advocacy actions at the World Health

WONCA ANNUAL REPORT 2023

12

Assembly. In October, WONCA and WFPHA signed a Memorandum of Understanding, aiming at working together closely in the future and building a strong foundation with other professional organizations to increase advocacy for strong primary care, which is one of the objectives of WONCA’s WHO work for the 2021–2023 term. Together, WONCA and WFPHA will pursue the idea and engage with other primary care organizations in the time to come.

b. International Stakeholders WHO WHO is the most important international stakeholder for WONCA. Here, I refer to the report of WHO liaison Val Wass. In addition to our mutual WHO activities, I was invited as a speaker at the meeting on “Wellbeing Economies” at the WHO Europe Regional Office in March 2023.

This year, a WONCA delegation was present at the World Health Assembly (WHA) in May as usual.

It is also worth mentioning the side event WONCA co-hosted with the Indonesian Ministry of Health and the Besrour Center at the WHA 2023. This was a direct outcome of meetings with the Indonesian Health Minister during the APR conference in Bali in December 2022. My presentation on the development of primary care with family doctors had a prominent place on the agenda for the event and was well received.

Civil Society Commission In Spring 2023, WHO invited NSAs to apply for membership in a new body, the Civil Society Commission (CSO). The purpose of the CSO is to improve the collaboration between WHO and civil society agencies. WONCA has been accepted as a member of the commission, which held its first meeting in mid-December. As the WHO Liaison for 2024, I will follow the work of the commission and identify how our participation can support WONCA’s work with WHO. OECD OECD is currently launching the PARiS Survey, a global provider and receiver survey on chronic care. WONCA has been an associated member of the Advisory Board for the survey, and the CEO and I have covered both in-person and virtual meetings in 2023 together.

WONCA ANNUAL REPORT 2023

13

High-level Advocacy Activities Advocacy takes place in different contexts, as well as in dialogue with politicians.

Presence at WHO meetings and regional WONCA conferences and councils often entails meetings with national health authorities on different levels. Carrying the WONCA World flag can facilitate local dialogue.

This has also been a fact in my own home turf, as I have been invited to voice international perspectives on family medicine at a meeting with high-ranking national politicians organized by the Finnish Medical Association.

In July this year, WONCA co-hosted a high-level meeting on primary care in Washington, DC, with broad representation from the US Ministry of Health.

Accreditation The accreditation program is in accordance with WONCA’s mission to support the development of family medicine globally and entails the accreditation of clinics and training programs.

Besides being a member of the Accreditation Committee, I had the opportunity to perform the second and final steps of the accreditations of six clinics and two training programs in China in April this year, spread over two locations. The actual accreditations already began in 2021 with the virtual visits; however, the process was disrupted by the pandemic, and the final steps were pending. The accreditation visits took place back to back with the annual conference of Cross Straits, one of WONCA’s Chinese member organizations, where I was invited to deliver a keynote speech at the opening of the meeting.

Family Doctor Day (FDD) The activities related to FDD have increased in number and creativity. I wish to send a very special thanks to Communications Officer Maria Zavala for supporting WONCA and our member organizations in making WONCA visible on May 19.

Publications As the WONCA president, I have co-authored several editorials and position papers.

WONCA ANNUAL REPORT 2023

14

Professionalizing WONCA Strategic Plan Leading a global network of the size and complexity of WONCA requires a plan to guide how to prioritize resources and assess what we have accomplished, as well as to adjust our course along the way.

The Strategic Plan 2023–2028 was developed based on input from the broader membership of WONCA. I thank all those who contributed to the development of the plan, and I am very grateful that the plan was well received by the Council and approved during the meeting in Sydney in October.

Membership Issues One of WONCA’s primary objectives is to serve its members effectively. However, as our membership base expands, we are encountering an increasing number of challenges related to membership management. Notably, issues surrounding multiple member organizations and voting protocols often lead to confusion and tension. To address this, we proposed the formation of a dedicated task force that will investigate these challenges and offer actionable solutions to be discussed at the 2025 WONCA World Council meeting in Lisbon.

The term of reference for the task force was approved by the Council in Sydney, and so was the candidacy of Francine Lemire from Canada to chair the task force. I would like to extend my deepest gratitude to Francine Lemire for taking on this task.

One of WONCA’s primary objectives is to serve its members effectively.

Accreditation Activities There is a common understanding that part of WONCA’s mission is to support the development of training schemes, quality systems, and professional development in clinical practice. We have started to look at how we can develop WONCA`s consultancy services further to support the development of family medicine in many countries. At present, this is a work in progress.

The Core Values Project Concerning the WONCA Roadmap of 2021 and the Strategic Plan we presented to the Council in Sydney, the definition and the core values and principles of our discipline are

WONCA ANNUAL REPORT 2023

15

key. The core values of family medicine have been a field of interest for me throughout my professional career.

In the present times of rapid societal changes in an uncertain world, we need to raise awareness of the importance of core values as the foundation of the discipline and identify a common denominator for the specialty, which is applicable in different contexts.

This is the backdrop for the launch of the Global Core Values Project in March 2024.

For this, a working group with regional representation was established and had its first in-person meeting in the form of a workshop in Sydney in October. The group will work for the WONCA Council and Conference in Lisbon in September 2025. More information regarding the background of the project can be found by following this link to the March 2023 Newsletter:

A big thank you to Felicity Goodyear-Smith of New Zealand and Johann Agust Sigurdsson of Iceland for joining me in the project lead group.

WONCA Sydney The WONCA Council and Conference marked the end of the 2021–2023 term.

It was the first time that the global WONCA community met in person in 5 years.

WONCA HQ and organizer RACGP had regular calls over the last six months leading up to the event in Sydney.

Together with the CEO and the Secretariat, I arrived in Sydney a week ahead of the proceedings, which included the executive meeting over two days, regional councils, Council for 2 ½ days, and, finally, the conference itself following a day of pre-conferences ahead of the main event.

It was a pleasure to chair the first full, hybrid Council meeting in WONCA’s history. I wish to extend my gratitude to Harris Lygidakis and the staff for their thorough preparations and seamless conduct of all technical operations.

WONCA ANNUAL REPORT 2023

16

I had the honor of delivering the keynote address of the main conference, which was titled “Healthcare in Uncertain Times,” where the Global Core Values Project was also introduced.

My thanks go out to the Australian hosts—Chair of the Host Organising Committee Karen Price, Chair of the Scientific Committee Mark Morgan, and the then CEO of RACGP Paul Wappett—for the wonderful collaboration and delivering a successful conference.

Chairing the Handover and Awards Ceremony together with CEO Harris Lygidakis at the end of the conference was both an emotional and lovely moment. It allowed me to extend my heartfelt gratitude to several people, including my husband and family. I know WONCA is in good hands with my successor, Karen Flegg, and I wish her the best of luck with her presidency.

Finally, to each and every member of the WONCA community: thank you for trusting me to lead WONCA. It has been a fantastic journey.

WONCA ANNUAL REPORT 2023

17

Strategic Plan

WONCA ANNUAL REPORT 2023

18

CEO Report 2023 has been a year of significant progress for WONCA, marked by strategic initiatives, organizational transformations, and enhanced global engagement. We’ve taken substantial steps in project development, funding, and donations, all aimed at fostering collaboration and creating meaningful outcomes that resonate globally. Through these endeavors, WONCA’s continues to leverage its extensive expertise and amplify its role in advancing family medicine globally.

Strategic Initiatives: Project Development and Collaborative Funding 2023 was marked by progress in project development and the strengthening of collaborative efforts. Our strategy has been centered on advancing various projects, aiming to generate concrete results that highlight the skills and knowledge within our community. This approach aligns with WONCA’s mission and actively contributes to its advancement. A significant milestone was the introduction of the WONCA Collaborative Fund. This crowdfunding mechanism is designed to stimulate innovation and promote cooperation among our groups. It acts as an incubator for nascent ideas, democratizing the funding process and empowering our Working Parties and Special Interest Groups. Significantly, the Fund is actively supporting two key projects: the Global Family Violence Initiative and the Digital Health Training for Family Doctors.

This fund is more than just financial support; it’s about building a sustainable ecosystem for innovation in family medicine. It covers a range of domains including capacity building, training, policy development, advocacy, and research. Parallel to this, our ongoing projects, like ‘MDD Minds’, have seen success across 10 countries, demonstrating our commitment to mental health and educational outreach.

Additionally, our dedicated efforts in grant scouting and providing support in grant application development are playing a crucial role in the sustainability and growth of our projects.

We aim at securing essential funding that fuels our initiatives by actively identifying potential grant opportunities and assisting our teams in crafting compelling applications.

Organizational and Financial Milestones The year 2023 has been a landmark one for WONCA, especially in terms of organizational restructuring and financial management. A key event was the completion of the liquidation process of the WONCA International (PTC) Inc., based in the British Virgin Islands, on 21 December 2023. This marked the termination of the WONCA Trust and the successful transfer of assets to the Swiss-based WONCA Association.

The transition to the Swiss-based non-profit WONCA Association, along with the establishment of our new branch in Belgium, represent the culmination of an extensive restructuring journey that began in 2020. These strategic changes have brought our operations into greater alignment with our core mission and values, laying a robust foundation for future growth and development. The successful restructuring, including the termination of the WONCA Trust, heralds a phase of revitalized strength and clearer strategic direction in our global healthcare initiatives.

WONCA ANNUAL REPORT 2023

19

Conference Highlights The Sydney World Conference in 2023 was a highlight for WONCA, drawing over 4,400 participants. This event was a celebration of WONCA’s 50th Anniversary and a symbol of our community’s resilience and unity post-pandemic. The conference facilitated vibrant discussions and strengthened our global network.

The WONCA Europe Conference in Brussels was another significant event, showcasing the strength of our regional communities. Looking forward, we have an ambitious lineup of seven conferences in 2024, reflecting our commitment to a diverse and inclusive global family medicine community.

In 2023, WONCA strategically adopted the Core Professional Congress Organizer (Core PCO) model, a decision aimed at enhancing the management of our conferences. This model streamlines event planning, ensuring consistency, quality, and financial efficiency. The Core PCO’s role is integral, managing critical logistics and aligning each conference with WONCA’s long-term vision, thus elevating our events’ impact and relevance in the family medicine community.

Communications In 2023, we intensified our focus on WONCA’s communications strategy, aiming to elevate our brand awareness and enhance audience engagement. Key initiatives include updating our branding guidelines, transitioning WONCA News to a more efficient platform, and effectively leveraging social media and email campaigns.

The refresh of the World Family Doctor Day branding this year, including the new logo, marks a significant step in WONCA’s efforts to stay relevant and vibrant in the evolving global healthcare environment. The update represents a comprehensive approach to our branding, encompassing a media toolkit designed to empower member organizations. This toolkit provides resources for local activities, making it easier for our Member Organizations to tailor their communications and engage effectively with their communities.

Enhancing Member Engagement with the Membership Portal The introduction of the WONCA Membership Portal has marked a significant advancement in strengthening member engagement. This platform offers a dedicated space for our Working Parties and Special Interest Groups to access a wealth of resources, receive the latest updates, and explore collaborative opportunities. Currently serving a growing community of 3,500 members, the portal acts a centralized hub, facilitating communication and nurturing a stronger sense of community among our members, thereby enhancing the collaborative spirit that is essential to our mission.

Acknowledging Our Dedicated Secretariat Team In reflecting on the past year, it is important to acknowledge the dedication and hard work of our Secretariat team. Andrea Zard (Administration), Roberto Muñoz Sierra (Fundraising and Projects), and Maria Dolores Zavala (Communications) have been instrumental in driving WONCA’s initiatives forward. We extend our heartfelt thanks to Maria Dolores Zavala for her exceptional service and welcome Diarmuid Hayes as our new Communications Officer. Their contributions are invaluable to the success and smooth operation of WONCA.

WONCA ANNUAL REPORT 2023

20

World Family Doctor Day In 2023, the World Family Doctor Day (WFDD) celebrated on May 19th, highlighted the crucial role of family doctors and primary care teams in healthcare worldwide. The theme, “Family doctors: The Heart of Healthcare,” underscored their significance in delivering personal, comprehensive, and continuous healthcare.

The campaign introduced new elements including a minimalist logo and a dedicated website, receiving positive feedback and high engagement. The WFDD Toolkit on Trello facilitated campaign participation with essential resources.

Activities worldwide showcased the impact of family doctors. In Africa, Nigeria and Liberia utilized media platforms for awareness, while Malaysia and Taiwan organized grand events and educational activities. China emphasized contracted services, and Hong Kong emphasized disease prevention. In the Philippines and Mongolia, outreach programs and health education events were conducted. New Zealand and Australia shared inspiring stories and messages supporting family doctors.

In Europe, Ukraine and Spain organized seminars and events recognizing family doctors’ contributions.

Macedonia and Slovenia held conferences and press events advocating for improved primary healthcare.

Portugal and Kyrgyzstan honored family doctors through various initiatives.

Latin American countries including Brazil, Dominican Republic, and Venezuela engaged in social media campaigns and events. Costa Rica hosted a congress, while Colombia, Cuba, and Ecuador organized activities to commemorate the day.

In North America, Canada and the United States participated through social media campaigns, interviews, and website banners, recognizing the efforts of family physicians.

In South Asia, Bangladesh, India, and Nepal organized medical camps, walkathons, and gatherings to highlight the importance of family doctors in delivering quality healthcare.

The Young Doctors’ Movements (YDM) played a significant role in the campaign, contributing through videos, social media engagement, and support across all regions.

WONCA emphasized continued support for family doctors globally, urging donations to ensure access to quality healthcare.

Overall, the 2023 campaign showcased the essential role of family doctors in healthcare and promoted their recognition and support worldwide.

WONCA ANNUAL REPORT 2023

21

MDD Minds Project The MDD MINDS FOR PRIMARY CARE Program, addressing the critical need for enhanced care for major depressive disorders worldwide, aims to improve the quality of care for major depressive disorders by empowering family doctors in Africa-Middle East, Asia, and Latin America.

To achieve this, the Program encompasses three key phases: a self-paced online course called “MDD Minds 101”, a more in-depth Train-the-Trainer course, and a performance in practice initiative.

This program has been developed by a diverse Master Faculty consisting of 12 WONCA mental health experts: ■

Abdullah al Khatami from Saudi Arabia

■

Adekunle Joseph Ariba from Nigeria

■

André Luís Bezerra Tavares from Brazil

■

Christ Dowrick from UK

■

Christos Lionis from Greece

■

Cindy Lam from Hong Kong

■

Darien Cipta from Indonesia

■

José Javier Mendoza Velásquez from Mexico

■

Joy Mugambi from Kenya

■

Ryuki Kassai from Japan

■

Sankha Randenikumara from Sri-Lanka

■

Yasmin Cordova Rios from Peru

In a second phase, participants who successfully complete “MDD Minds 101” will have the opportunity to enrol in a more in-depth Train the Trainer course. Additionally, selected participants will have the chance to develop in-practice quality improvement projects.

This initiative is led by WONCA’s Working Party on Mental Health, implemented in collaboration with Mosaica Solutions and funded by an unrestricted grant from Pfizer*. *An unrestricted grant is a form of funding provided to an organization without specific limitations or conditions imposed on its use. This means there are no restrictive guidelines or specific requirements dictating how the money should be spent, nor any influence on the content or outcome of the program. In this case, WONCA Association has the freedom to implement the program according to its principles and maintaining its autonomy.

Milestones in 2023 ■

January 2023. We officially launched MDD Minds for Primary Care. The Steering Committee of the Project met in Brussels to establish milestones, timelines, and plans for the successful execution of the project.

WONCA ANNUAL REPORT 2023

22

■

April 2023. We had the first meeting to onboard the Master Faculty of the MDD Minds project, who will guide the curriculum and the content design, development, and implementation. The members of the Master Faculty are specialists in Primary Mental Health Care and understand the particularities and challenges of the region where they practice.

■

August 2023. We had the second meeting of the Master Faculty to work and share updates of the project.

■

October 2023. The self-paced online training course started. Within just three weeks of its launch, over 200 participants have registered.

•

The Master Faculty, convened at the WONCA World Conference in Sydney, on October 26, 2023. This in-person and virtual meeting, provided a platform to work in the design and implementation details for phase 3 Train the Trainer and phase 4 Performance in Practice.

■

November 2023. Launched the website https://mddminds.org/. This virtual space serves as a comprehensive resource, offering a deeper understanding of the program’s mission, participant testimonials, and the latest updates.

■

December 2023. Over 650 participants registered and already more than 50 graduated.

•

The Portuguese version of the course has been launched.

MDD Minds in numbers ■

9 countries: Brazil, Indonesia, Japan, Kenya, Mexico, Nigeria, Peru, Saudi Arabia, Sri Lanka

■

Enrolled students: 1014

■

Course completed January 2024: 165

Testimonials Dr. O. Adeleke from Nigeria shares a heartening success story. Applying course principles, Dr. Adeleke guided a 4th-year medical student through anxiety and depression, fostering shared decision-making, psychoeducation, and cognitive-behavioural therapy.

The student, once facing cognitive distortions, now stands on the path to recovery—a testament to the transformative power of MDD Minds.

Dr. A. Mohamed from Kenya shares with us “I have completed the course and now I am equipped with improved knowledge and tools to make a difference in MDD care.”

Dr. Wilson D from Brazil: “The Course has been very useful and interesting. It will certainly increase our abilities as a Medicine Family doctor”

Next steps. plan for next year In 2024, we are set to expand our reach by launching the Japanese and Spanish versions. Additionally, the Train the Trainer and Performance in Practice phases will be implemented in Brazil, Japan, and Nigeria, marking a significant step towards our goal of global impact.

WONCA ANNUAL REPORT 2023

23

Honorary Treasurer’s Report I am delighted to present my first report as Treasurer of WONCA. WONCA has been able to weather the difficult COVID Pandemic period and has managed to maintain its reserves of $250,000. Membership income remains the core source of income (aprox $0.5M).

Opening balance was $1,717,939 and the closing balance was $1,528,112 for the year 2022-2023, with a profit of $27,825 for the fiscal year.

Congratulations to Prof. Karen Price and the Host Organising Committee for organising a very successful WONCA World Conference in Sydney in 2023, with a healthy contribution of $190,940 to WONCA World.

Our plans with the CEO and his team are to diversify income streams through increasing activity, eg consultancy and to build on income stream, such as conference income.

WONCA has a small (4-5 persons) secretariat based led by the CEO in Brussels which I had the pleasure to visit in early 2024 and they are an amazing resource of many talents to help deliver the goals of WONCA. Our ambitions for WONCA will need a larger secretariat if we are to achieve our goals. Over the next year, we will look to increase our income streams in order to build the team further.

I look forward to working with the Regional Treasurers and the finance committee over the next year to develop our systems to improve transparency and efficiency.

Best wishes Steve Dr Steve Mowle MBE FRCGP Member at Large WONCA Treasurer

WONCA ANNUAL REPORT 2023

24

WHO Liaison Report Background: These are challenging times as the United Nations and the WHO acknowledge we face stagnation in improving access to health services, increasing health inequities globally and delayed 2030 targets for the Sustainable Development goals (SDGs) and Universal Health Care (UHC)1. It is a worrying time too as, to address the huge shortfall in health care workers (10 million by 2030), the WHO seeks solutions for widening primary health care (PHC) teams through different modes of delivery. This risks oversight of the crucial leadership of Family medicine (FM) doctors. Now, more than ever, WONCA must work effectively at the WHO table through clear delivery aims and targets.

WONCA aims 2022-23: To share expertise and information to work collaboratively and strategically with WHO to: 1. Contribute effectively to show how primary care can address health inequities and achieve UHC. 2. Build sustainable regional collaborations to maintain impetus when leadership changes.

3. Harness expertise of Working Parties/ Special Interest Groups (SiGs) to provide technical support for WHO projects.

World Health Assembly (WHA) 2023: The WONCA President, CEO, WHO liaison member and Communications officer represented WONCA World at the 76th WHA in Geneva in May 2023. Meetings were held to assess progress and widen networks. These included: ■

WHO Head Quarter Integrated Health Services, Clinical Services and Systems

■

Non Communicable Disease (NCD) directorate

■

The WHO healthcare workforce

■

World Federation of Public Health Associations

■

International Council of Nurses

■

International Federation of Medical Students’ Association

■

World Federation of Medical Education.

WONCA ANNUAL REPORT 2023

25

Summary of progress against our aims: 1. Contribute effectively: 1:1 Ensure that FM doctors’ leadership in primary care teams is visible to the WHO. Ongoing The WHO focus, to address the large deficit in healthcare workers, is on training community healthcare workers. Making the crucial expertise and leadership offered

by FM doctors remains of paramount importance. WHO have made it clear to us that memorandums and statements of intent are not enough- actions speak louder than words. We are targeting key areas for work which builds on the expertise of our working parties and special interest groups.

Action: Set achievable outcomes for work with WHO reporting progress regularly to Executive.

1:2 Establish within the WHO organisation where focal points for effective engagement lie: Achieved We now have a committed link into WHO through John Fogarty Technical Officer WHO Head Quarter Integrated Health Services, Clinical Services and Systems who is engaging positively.

1:3 Active engagement: Ongoing Building on the WHA 2023 discussions we now have: Supported WHO work on developing a global compendium of health care services to demonstrate how primary care services contribute-. A continuing action for 2024.

WONCA ANNUAL REPORT 2023

26

Agreed and disseminated a joint statement (link here) with the WHO NCD directorate: This was jointly announced with the WHO at the World Council in Sydney. It is now being progressed by developing concrete actions harnessing working party expertise.

Started to establish a strong “Global Forum” of organisations delivering PHC. The first step has been the signing of a Memorandum of Understanding (MOU) between the World Federation of Public Health Associations (WFPHA) ”and WONCA. Commenced exploring the role WONCA can play in the newly established WHO Civil Society Commission.

1:4 Collaboration plan between WHO and WONCA for 2022-2024. Ongoing.

2023 review of the WONCA Collaboration Plan 2022-24 for the WHO Non-State Actor’s triennial review of official relations was challenging for several reasons. Many objectives were not SMART (Specific, Measurable, Achievable, Relevant, Time-bound). Working parties (WPs) ( often due to a change in chair) were unaware they were signed up to deliver objectives and regular review of progress by Executive was not in place. Some WP members with specific expertise were working with WHO as individuals and not under their WP WONCA “umbrella”- a missed opportunity for WONCA.

Action: Careful planning is now essential to deliver achievable targets for the 2024-26 plan.

2. Build sustainable regional and member organisation (MO) collaborations Ongoing 2:1 The CEO and President have worked hard to become well connected, respected and have established important networks. Our Communication Officer actively disseminates events and progress. Personal interactions work and need sustaining wherever possible. To build on this Anna Stadval, as Past President elect, is leading WONCA WHO liaison for 2024. She is supported by Pilar Astier Pena (Member at Large) to enable building relationships and continue work when Anna steps down in 2025.

Action: Continue to build relationships across WHO and regularly highlight and communicate WHO events and WONCA achievements .

2:2 Establishing communication links through Regional Presidents with WHO Regional offices to understand WHO in country activities is proving essential but challenging.

WHO activities tend to be “in country” and we need to understand how to link and harness and identify where specific FM expertise exists across regions. This needs enhanced regional president focus on their WHO responsibilities.

Proposed Action: Work with the Regional Presidents to establish effective reporting to Executive and CEO on their work with the WHO Regional office and Member Organisation WHO activities

WONCA ANNUAL REPORT 2023

27

3. Harness expertise of Working Parties/ Special Interest Groups (SiGs) 3:1 Across our WONCA network there is significant WP, SiG and individual expertise linking directly into the WHO through collaboration and consultancies. Yet, we are failing to harness this effectively to join together to create the strong organisational voice necessary for advocate for FM leadership within PHC. Never has this been needed more urgently. WP and SiG annual reports yielded scant information, if any, of work for WHO and clear aims and objectives for doing so.

Proposed Action: Work with WPs and Sigs to establish effective reporting to Executive and CEO on their work with the WHO Regional office and Member Organisation WHO activities

Conclusion: Over the past two year it has been challenging but successful inroads have been made in actively linking WONCA as an organisation with the WHO and gaining a better understanding of how to impact through active productive work rather than statements of intent. Across the regions, WPs, SiGs and members, there are opportunities to strengthen our work and these need to be harnessed.

Val Wass WONCA Member at Large and WHO Liaison Officer 2022-23 https://www.un.org/en/sdgmediazone/programme

WONCA ANNUAL REPORT 2023

28

Member Organisations Full Member Organisations (119 Organisations) Country

Member Organization Name

Acronym

Year Joined

Afghanistan

Afghanistan Family Medicine Association

AFMA

2015

Armenia

Armenian Association of Family Physicians

AAFP

2007

Australia

The Royal Australian College of General Practitioners

RACGP

1973

Austria

Austrian Society of General Practice

ÖGAM

1996

Bahrain

Bahrain Family Physicians Association

BFPA

2004

Bangladesh

Bangladesh College of General Practitioners

BCGP

1987

Bangladesh

Bangladesh Academy of Family Physicians

BAFP

2004

Belgium

Belgian Society for General Practitioners

BSGP

1998

Bolivia

Bolivian Society of Family Medicine

SOBOMEFA

2002

Bosnia and Her.

Association of Family Physicians of Republic of Srpska

Bosnia and Her.

Association of Family Physicians of the Federation of Bosnia and Herzegovina

Botswana

Botswana Association of Family Physicians

Brazil

Brazilian Society of Family and Community Medicine

SBMFC

2002

Bulgaria

Bulgarian General Practice Society for Research and Education

BGPSRE

2016

Cameroon

Medcamer Family Medicine

MFM

2020

Canada

The College of Family Physicians of Canada

CFPC

1973

Chile

Scientific Society of Family and General Medicine of Chile

SOCHIMEF

2002

China

Chinese Medical Doctor Association General Practitioners Sub-Association

CMDA-GP

2018

China

Chinese Society of General Practice

CSGP

1995

China

General Practice Branch of Cross-Strait Medicine Exchange Association

SEMA-GP

2016

Colombia

Colombian Society of Family Medicine

SOCMEF

2002

Costa Rica

Costa Rican Association of Specialists in Family and Community Medicine

Croatia

Croatian Family Physicians Coordination

KOHOM

2010

Croatia

Croatian Association of Family Medicine

CAFM

1997

Cuba

Cuban Society of Family Medicine

SOCUMEFA

2006

Czech Republic

Czech Society of General Practice CLS JEP

CSGP

1993

Denmark

Danish College of General Practitioners

DSAM

1976

Dominican Rep.

Dominican Republic Society of Family Medicine

SODOMEFA

2004

Ecuador

Ecuador Society of Family Medicine

SEMF

2002

Egypt

Egyptian Family Medicine Association

EFMA

2007

Estonia

Estonian Family Doctors Society

ESFD

1996

Fiji

Fiji College of General Practitioners

FCGP

1993

Finland

Finnish Association for General Practice

FAGP

1984

France

French College of General Practice

LECMG

2014

Georgia

Georgia Family Medicine Association

GFMA

2004

Germany

German College of General Practitioners and Family Physicians

DEGAM

1982

Ghana

Society of Family Physicians of Ghana

SOFPOG

2017

Greece

Greek Association of General Practitioners

ELEGEIA

1988

2011 AFPFBIH

2011 2019

2004

WONCA ANNUAL REPORT 2023

29

Country

Member Organization Name

Acronym

Year Joined

Greece

Greek College of General Practitioners

GCGP

2019

Greece

Hippocrates, Association of General Practice

HAGP/FMG

2020

Hong Kong

The Hong Kong College of Family Physicians

HKCFP

1978

Hungary

Hungarian Research Organization of Family Physicians

CSAKOSZ

2010

Iceland

The Icelandic College of General Practitioners

ICFP

1980

India

Indian Medical Association College of General Practitioners

IMACGP

2011

India

Academy of Family Physicians of India

AFPI

2011

Indonesia

Indonesian Society of Teachers in Family Medicine

KIKLPI

2017

Indonesia

The Indonesian Association of Family Physicians

IAFP

1982

Iran

Iranian Society of General Practitioner

ISGP

2016

Iraq

Iraqi Family Physicians Society

IFPS

2005

Ireland

Irish College of General Practitioners

ICGP

1985

Israel

Israel Association of Family Physicians

IAFP

1973

Italy

Accademia Italiana Cure Primarie - ETS

Jamaica

The Caribbean College of Family Physicians

CCFP

1992

Japan

Japan Primary Care Association

JPCA

1985

Jordan

Jordan Society of Family Medicine

JSFM

2004

Kazakhstan

Kazakhstan Association of Family Physicians

KAFP

2003

Kenya

Kenya Association of Family Physicians

KAFP

2004

Korea

Korean Academy of Family Medicine

KAFM

1983

Kosovo

Association of Family Physicians of Kosovo

AFPK

2019

Kuwait

Kuwait Association of Family Physician and General Practitioners

KAFPGC

2015

Lebanon

Lebanese Society of Family Medicine

LSFM

2003

Lesotho

Lesotho Medical Association

Liberia

Society of Family Physicians of Liberia

SOFPOL

2020

Lithuania

The College of Family Physicians of Lithuania

LSGK

1997

Luxembourg

Société Scientifique Luxembourgoise de Médecine Générale

SSLMG

2005

Macau

Associacao dos Medicos de Clinica Geral de Macau

AMCGM

1992

Macedonia

Association of General Practitioners of Macedonia

AGPM

2012

Malaysia

Academy of Family Physicians of Malaysia

AFPM

1975

Malaysia

The Malaysian Family Medicine Specialists’ Association

FMSA

2019

Malta

Malta College of Family Doctors

MCFD

1989

Mexico

Mexican College of Family Medicine

COMMEFAC

2002

Mongolia

Mongolian Association of Family Medicine Specialists

MAFMS

1998

Morocco

National Collective of Moroccan General Practitioners

MG MAROC

2015

Myanmar

Myanmar Medical Association, General Practitioners’ Society

GPSM

2005

Nepal

General Practitioners’ Association of Nepal

GPAN

1997

Netherlands

Dutch College of General Practitioners

NHG

1973

New Zealand

The Royal New Zealand College of General Practitioners

RNZCGP

1973

Nicaragua

Asociación Nicaraguense de Medicina Familiar

ANIMEF

2006

Nigeria

Faculty of Family Medicine, National Postgraduate Medical College of Nigeria

FGMPNPMCN

1998

Nigeria

Association of General and Private Medical Practitioners of Nigeria

AGPMPN

1980

Norway

Norwegian College of General Practice

NFA

1976

Oman

Oman Family and Community Medicine Society

FAMCO

2007

2023

2007

WONCA ANNUAL REPORT 2023

30

Country

Member Organization Name

Acronym

Year Joined

Pakistan

Pakistan Society of Family Physicians, Lahore

PSFP

1996

Pakistan

College of Family Medicine Pakistan

CFMP

1973

Palestine

Palestinian Association of Family Medicine

Panama

Asociación Panamena de Medicina Familiar

APMF

2002

Paraguay

Paraguayan Society of Family Medicine

SPMF

2004

Peru

Peruvian Society of Family and Community Medicine

SOPEMFYC

2002

Philippines

Philippine Academy of Family Physicians

PAFP

1973

Poland

The College of Family Physicians in Poland

KLRwP

1996

Portugal

Portuguese Association of General Practice and Family Medicine

APMCG

1985

Romania

Romanian National Society of Family Medicine

SNMF

1998

Russia

All Russian Fund - Association of General Practitioners of Russian Federation

Saudi Arabia

Saudi Society of Family and Community Medicine

SSFCM

1994

Serbia

Section of General Practice of Serbian Medical Society

SMAS

2006

Singapore

College of Family Physicians Singapore

CFPS

1973

Slovak Republic

Slovak Society of General Practice

SkS GP

1993

Slovenia

The Slovenian Medical Association / Slovenian Association of Family Physicians

SFMS

1993

South Africa

South African Academy of Family Physicians

SAAFP

1981

Spain

Spanish Society of Family and Community Medicine

SEMFYC

1988

Sri Lanka

College of General Practitioners of Sri Lanka

CGPSL

1978

Sweden

Swedish College of General Practice

SFAM

1977

Switzerland

Swiss Society of General Internal Medicine

SGAIM/SSMIG

1995

Syria

Syrian Association of Family Medicine

Taiwan

Chinese Taipei Association of Family Medicine

Tajikistan

Public Organization National Association of Family Medicine Workers of Tajikistan

Thailand

The General Practitioners/Family Physicians Association of Thailand

GPFPAT

1985

Turkey

Turkish Association of Family Physicians

TAHUD

2003

Uganda

Association of Family Physicians of Uganda

AFPU

2010

Ukraine

Ukrainian Association of Family Medicine

UFMA

1999

United Arab Em.

Emirates Family Medicine Society

United Kingdom

Royal College of General Practitioners

RCGP

1973

United States

Society of Teachers of Family Medicine

STFM

1981

United States

American Academy of Family Physicians

AAFP

1973

Uruguay

Uruguayan Society of Family Medicine

SUMEFAC

2002

Venezuela

Venezuelan Society of Family Medicine

SOVEMEF

2002

Vietnam

Vietnam Association of Family Physicians

VAFP

2005

Zambia

Association of Family Physicians of Zambia

Zimbabwe

The College of Primary Care Physicians of Zimbabwe

2019

2007

2022 CTAFM

1988 2018

2006

2021 CPCPZ

WONCA ANNUAL REPORT 2023

1976

31

Associate Member Organisations (10 Organisations) Country

Member Organization Name

Acronym

Year Joined

Argentina

Argentine Federation of Family and General Medicine

FAMFyG

2002

Australia

Australian College of Rural and Remote Medicine

ACRRM

2000

Canada

The Section of Teachers and Section of Researchers

STSR

2006

China

Cross-Straits Medicine Exchange Association Committee of International and Medicine

Latvia

Rural Family Doctors Association of Latvia

RFDAL

2005

Nigeria

Society of Family Physicians of Nigeria

SOFPON

2007

Philippines

Foundation for Family Medicine Educators, Inc

FFFME, Inc

1995

Spain

Sociedad Española de Médicos de Atención Primaria

SEMERGEN

2023

United States

American Board of Family Medicine

ABFM

1986

United States

Association of Departments of Family Medicine

ADFM

2012

Acronym

Year Joined

2019

Organisations in Collaborative Relations (12 Organisations) Country

Member Organization Name

Belgium

The Network: TUFH Office

France

International Federation of Medical Students' Associations

IFMSA

2010

Italy

International Society of Doctors for the Environment

ISDE

1989

Kenya

Institute of Family Medicine of Kenya Trust

INFA-MED

2004

Netherlands

International Primary Care Cardiovascular Society

IPCCS

2017

Switzerland

World Federation of Public Health Associations

WFPHA

2017

Switzerland

World Health Organization

WHO

2017

Uni. Kingdom

European Association of Communication in Healthcare

EACH

2015

Uni. Kingdom

International Primary Care Respiratory Group Dept. of General Practice and Primary Care

IPCRG

2007

United States

North American Primary Care Research Group

NAPCRG

1997

Switzerland

International Hospital Federation

IHF

2022

Uni. Kingdom

World Federation of Mental Health

WFMH

2023

2006

WONCA ANNUAL REPORT 2023

32

Academic Member Organisations (35 Organisations) Country

Name of Academic Member

Australia

University of Western Australia

Australia

The Australian National University

Australia

Monash University

Bangladesh

Bangladesh Institute of Family Medicine & Research

Bhutan

Khesar Gyalpo University of Medical Sciences of Bhutan

Canada

Memorial University Health Science Centre

Canada

University of Toronto

Canada

Queen's University

China

United Family Health Care

China

Ruijin Hospital North Shanghai Jiaotong University School of Medicine

Colombia

Universidad de la Sabana

Colombia

Fundación Universitaria Juan N. Corpas

Cyprus

University of Nicosia Medical School

Egypt

Aswan Family Medicine Residency

Haiti

Queensland University

Indonesia

Faculty of Medicine, Universitas Gadjah Mada

Jamaica

Department of Community Health & Psychiatry

Kuwait

Kuwait Medical Institute for Medical Specialisation

Malawi

University of Malawi

Netherlands

Erasmus Medical Center

Netherlands

Radboud University Nijmegen Medical Center

Netherlands

University Medical Center Utrecht

Norway

University of Bergen

Pakistan

Aga Khan University

Palestine

Annajah University Nablus- West Bank

South Africa

University of Cape Town

Tajikistan

National Republican Training and Clinical Family Medicine Center

Tanzania

Aga Khan University- Eastern Africa

United Kingdom

King's College London

United States

South Side Hospital

United States

Boston University

United States

University of Florida

United States

Florida State University

United States

University of Wisconsin Medical Foundation

Norway

Department of General Practice, University of Oslo

WONCA ANNUAL REPORT 2023

33

Africa Region Report Preamble – I was elected president elect in Seoul South Korea in 2018 and was ratified as president on 17th October 2021 in a virtual meeting. This was the first time a president was ratified virtually, no thanks to COVID 19 PANDEMIC that caused the unexpected delay that have given rise to the New Normal.

THE EXECUTIVE 1.

President – Dr Dan Abubakar [Nigeria]

2. The President Elect [Uganda] – Dr Jane Namatovu 3. Secretary – Dr Kwame Ayisi-Boateng [Ghana] 4. Treasurer – Dr Elizabeth Reji [South Africa] 5. Member at Large 1 – Dr Temitope Ilori [Nigeria] 6. Member at Large 2 – Dr Joy Mugambi [ Kenya] 7. Ex officio member – Prof Shabir Moosa [immediate past president] 8. AFRIWON Rep – Dr Ettang Ewongo [ South Africa]

MONTEGUT SCHOLARSHIP 2022 recipients ■

Dr Tijani Oseni [ Nigeria] and Dr Mercy Wanjala [ Kenya ]. Supported to attend WONCA Abuja conference 2022.

2023 recipient ■

Dr Melvina Thompson [Sierra Leorne]. Supported to attend WONCA Sydney 2023.

FIVE STAR DOCTOR ■

2021 - Prof Victor Inem [Nigeria]

■

2022 – Prof Modupe Martha-Alice [Nigeria]

■

2023 – Prof Gulnag Mohamoud – [Kenya]

SOUTH AFRICA WON BID FOR WONCA 2027 – this is very important to Africa region. The last time Africa hosted WONCA world conference was in Durban in South Africa in 2001.

Its time for Africa to host the WONCA conference again. The MOs in Africa region were united in giving full support to this bid.

WONCA ANNUAL REPORT 2023

34

WHO AFRO ■

We have a collaborative relationship with WHO AFRO and MOU was signed in 2018.

■

WHO AFRO have invited WONCA Africa region to the Annual WHO AFRO Regional Committee for Africa in NSA Category since 2018.

■

We are equally invited to the 73rd WHO AFRO Regional Committee for Africa 28 August to 1st Sep 2023 at Garborone Botswana. 3 persons – Dr Dan Abubakar, Dr Innocent Besiygne and Dr Olusola Oluwaseun represented WONCA Africa region.

■

However, WHO AFRO do not carry us along in other activities and hardly responds to communication. We need more collaborations in areas of Primary Health Care PHC, Rural Health Research, training / re training and health care infrastructural development especially in the rural areas where about 70% of the people live.

WORLD BANK ■

We made contact with World Bank and they attended the 7th WONCA Abuja conference 24-26 November 2022; they presented a paper on Challenges of health care financing in Africa. It was delivered by Dr Olumide Okunola, Head of International Finance Corporation IFC Group world bank.

Dr Abra Tholsi Fransch died in Victoria Australia on the 21st September 2023 after a protracted and well fought battle with cancer. She was buried on the 29th September 2023 in Echuca, Victoria, Australia. She was a past president of wonca Africa region and was the first female president. May her soul rest in peace.

CHALLENGES IN THE REGION 1.

Membership development – it has been very difficult to increase number of member organizations. No thanks to the general economic downturn of African countries.

The members in the MOs are also not growing as expected in Africa.

2. Francophone challenge. No French speaking country have joined WONCA. Despite setting up 5 platforms for 5 French speaking countries, none have joined WONCA so far. They complain of lack of financial resources and also raised pertinent questions on benefit of WONCA to the MOs and members.

3. Loss of voting rights by MOs. Since 2021, multiple MOs in a country nominates one person to vote on behalf of the MOs in that country. MOs frown at this and may lead to loss of members and member organizations.

4. Fund transfer difficulties – many countries including developing countries like Africa faces a lot of difficulties transferring funds from Africa to WONCA.

Dr Dan Abubakar, Africa Regional President 2021/2023.

WONCA ANNUAL REPORT 2023

35

Asia Pacific Region Report WP/SIG Executive Board Past President Prof Meng Chih Lee, President Elect and Hon Treasurer Dr Brian Chang Hon Secretary Dr S Kaviayarasan MAL Dr Frank Jones , Dr Tin Myo Han , Dr Aileen Espina and Dr Yang Hua The Rajakumar Movement Chair Dr Wong Ping Foo

Activities 2023 WONCA Asia Pacific Conference Bali 2022, The Rajakumar Movement webinars, Participation in survey on international COVID-19 primary care pandemic response study

by Prof Felicity Goodyear-Smith, Executive and Regional virtual meetings

WHO Collaborations Initial communications were established with the Manial-based WPRO representatives as well as attendance at the 72nad and 73rd sessions of WHO Western Pacific

WONCA ANNUAL REPORT 2023

36

East Mediterranean Region Report WP/SIG Executive Board Prof. Taghreed Farahat (President ) Dr. Abdulaziz Al-Mahrezi (President-Elect) Prof.

Nagwa Nashat Hegazy (Honorary Secretary) Dr. Mona Osman (Honorary Treasurer) Dr.Fatima Zohra Mchich Alami (Member at Large) Dr.Ashraf A. Qayoum Amir (Member at Large) Dr.Mohamed Rabee (Member at Large) Dr.Anas Almohtaseb (YDM representative)

Activities 2023 15 virtual executive board meetings had been conducted since WONCA world a one face to face. Formulation of WONCA EMR Bylaws and Regulations Committee, Nominating and Awards Committee, Finance Committee, and scientific committee WONCA EMR Collaborations: These were partnerships with other regional and international organizations to advance the goals and objectives of WONCA EMR. Some of the collaborations were with WHO EMRO and others were with International medical center and Alfalah Academy. Regional Professional diploma: WHO Regional diploma Collaboration: Launching of the Regional Professional Diploma in Family Medicine - 28 February 2022 by the Arab Board for Health Specializations (ABHS), and the World Organization of Family Doctors (WONCA), the World Health Organization Regional Office for the Eastern Mediterranean (WHO/EMRO) Initiation of WONCA EMR newsletter and publishing 2 issues All member organizations held either annual scientific activities or local conferences. local conferences were held in United Arab Emirates, Saudi Arabia, Iraq, Morocco, Kuwait and Syria with nearly 10,000 attendees overall. A dedicated session was organized in all member organizations’ local conferences to promote visibility for WONCA by shedding light on its vision, mission, membership, network, and role to support family physicians in the region

WHO Collaborations WHO EMRO in collaberation with WONCA EMR and ABHS have pooled resources and expertise to design and launch the RPD. The diploma program aims to elevate the competencies of primary healthcare practitioners by offering specialized training and certifications. It addresses the region’s healthcare needs by fostering a cadre of proficient family medicine practitioners equipped to handle diverse medical challenges.

WONCA EMR’s involvement in this collaboration has been pivotal. It actively contributed to curriculum development, ensuring the RPD aligns with international standards and caters to the region’s specific healthcare requirements. The ongoing partnership has facilitated the dissemination of best practices, leveraging the combined knowledge and experience of both organizations.

WONCA ANNUAL REPORT 2023

37

Europe Region Report WP/SIG Executive Board Shlomo Vinker, President of WONCA Europe; Thomas Frese, WONCA Europe PresidentElect; Eva Hummers, Hon. Secretary of WONCA Europe; Zalika Klemenc Ketis, Hon. Treasurer of WONCA Europe; Adam Windak, EURACT, member at large; Radost Assenova, EGPRN, member at large; Jose-Miguel Bueno-Ortiz, EQUIP, member at large; Aaron Poppleton, EYFDM, member at large; Barbara Toplek, WONCA Europe Secretariat; Ferdinando Petrazzuoli, EURIPA, member at large; John Brodersen, EUROPREV, member at large

Activities 2023 We initiated a call for contributions to foster special collaborative studies. The response was overwhelming, as we garnered approximately 15 proposals from dedicated participants. After careful evaluation, we are delighted to unveil the two projects that have been selected for awards: • EURODATA Study, by semFYC with partners addresses workforce capacity building in family practice in Europe. • The project, Lessons Learned in Primary Care of Value to the Health Sector from the COVID-19 pandemic, by EQUIP with partners. Its’ aim is to publish a Position Paper that summarizes the wide range of topics in publications of the European PRICOV-19 Study. Both winning projects will be awarded a prize of 5,000 EUR each. In 2023, our approach to pursuing EU grants and projects underwent a refined selection process. This discerning strategy led us to become part of two consortia and secure grants for both endeavors. Through these achievements, our prominence and engagement in significant European undertakings were further amplified, reinforcing our position as advocates of family medicine. Notably, these projects delve into subjects integral to our mission, enhancing our contribution to matters of utmost importance. EARLY: The goal of the project is to improve youth mental health and contribute to reduction of MHCs in youth by reducing exposures in youth living in the community.

POINT: The purposes of POINT are to build detailed knowledge on the link between the postacute phase (PAP) of COVID-19 and NCDs. And to identify robust biomarkers and build predictive tools that help early identification and management of risk of NCDs. Our collaborative efforts with diverse scientific organizations across Europe remained steadfast, yielding fruitful outcomes. A notable highlight among these endeavors was the workshop conducted in partnership with the European Federation of Periodontology (EFP). This collaborative workshop culminated in the publication of a manuscript.

WONCA ANNUAL REPORT 2023

38

Collaborations Our collaborative efforts with diverse scientific organizations across Europe remained steadfast, yielding fruitful outcomes. A notable highlight among these endeavors was the workshop conducted in partnership with the European Federation of Periodontology (EFP). This collaborative workshop culminated in the publication of a manuscript titled: ‘Association between Periodontal Diseases and Cardiovascular Diseases, Diabetes, and Respiratory Diseases: A Consensus Report“.

WHO Collaboration Our efforts are currently dedicated to crafting a comprehensive statement for the upcoming regional meeting scheduled in Astana in October 2023. Moreover, our engagement extends to active involvement in the preliminary virtual activities and preparations leading up to this significant event.

WONCA ANNUAL REPORT 2023

39

North America Region Report WP/SIG Executive Board No official board (yet)

Activities 2023 he focus this biennium in WONCA North America has been on refining and preparing a new set of guidelines to provide the region with a more formal structure aimed at enhancing and strengthening WONCA in North America. Many of the North American region’s strong independent organizations returned to in-person meetings over this period, including the AAFP’s FMX, CFPC’s Family Medicine Forum, STFM’s Annual Spring Conference, and NAPCRG held it’s 50th annual meeting in Phoenix, Arizona. The CCFP also held it’s annual Distinguished Lecture in an online format.

WONCA and global health in general have retained an active profile across the North American organizations. While the AAFP’s Global Health Summit is no longer held as an independent meeting, it has now been integrated into the beginning of FMX to try to increase exposure of the general membership to global health issues. In 2022 at CFPC’s Family Medicine Forum, the Besrour Centre for Global Family Medicine had the pleasure of hosting international delegates from Indonesia, Madagascar, Argentina, Uganda, and Saudi Arabia. These international delegates had the opportunity to attend inspiring keynote sessions and access best evidence-based education sessions and networking opportunities, including a visit to a family health team in downtown Toronto, Ontario. The ABFM, the ABFM Foundation and the Center for Professionalism and Value in Health Care partnered with WONCA, PAHO, WHO, the National Academies of Sciences, Engineering, and Medicine (NASEM), Ariadne Labs, and several philanthropies to hold an international conference on The Essential Role of Primary Health Care for Health Security..

The 2021 NASEM report, Implementing High-Quality Primary Care, has had a cascade effect across U.S. federal and state agencies in support of primary health care and the conference was designed to bring the US into the international primary health care (PHC) fold. WONCA President Anna Stavdal was featured and helped produce a conference paper together with Viviana Martinez-Bianchi about the Astana Declaration and international PHC agreements. The conference also allowed the regional Presidents of both North America and Iberoamericana-CIMF to meet with leadership at the Pan American Health Organization (PAHO) to discuss opportunities for mutual cooperation and the eventual potential establishment of WONCA as a Non-State Actor, similar to its status with WONCA. Potential areas for collaboration included the establishment of Family Medicine as a specialty in geographies of the region where it does not yet exist, as well as support for quality control and improvement of training programs for frontline PHC workers.

WONCA ANNUAL REPORT 2023

40

The ABFM working with the National Academies Global Forum on Innovation in Health Professional Education also led a global interprofessional preconference on Building the Workforce for Implementing High Quality Primary Care. Of note, ABFM and others in Family Medicine in the U.S. have been very involved in the redesign of post-graduate training, and starting this July 2023, perhaps the most significant changes in Family Medicine residency education in the U.S. since 1969 are now in place.

CFPC has also been engaged in a similar major national effort, both of which may be of interest to the broader global community. STFM has also recently undertaken development of new training programs on point-of-care ultrasound, as well as artificial intelligence and machine learning.

WHO Collaborations We have worked together with leadership from IberoAmericana-CIMF on efforts to formalize a collaboration with PAHO, working particularly with Dr. James Fitzgerald, Dr. Ernesto Bascolo, Dr. Benjamin Puertas, and Ms. Colette Boughton.

WONCA ANNUAL REPORT 2023

41

South Asia Region Report WP/SIG Executive Board Dr TAriq Aziz President, Dr Raman Kumar Past President, Dr K Sri Ranjan President Elect, Dr Noor Abdal Honory Secretary, Dr Pramendra Parasad Treasurer. Dr Basharat Ali Academic Secretary, Three members at Large, Dr Arulraj Sundram, Dr shehla Naseem, Dr Abdul Qaytum, Dr Zainab Anjarwala Chair SPice Route.

Activities 2023 WONCA Council Meeting attended at BALI, Brusselss, WONCA World COuncil At Sydney, Several research seminars by the research chapter under DR HINA Javed. Annual international conference at Lahore. Several ZOOM meetings of regional council were held to discussed regional matters and regional elections nominations completed.

Collaborations I have worked as Board member of committe Ethics and professionlism. Monthly meetings were held and presentations at WONCA Europe and WONCA World conference prepared . Different objectives of Ethics commitee were discussed and terms of reference were finalized with selections of Deputy Chair and completion of board members from all regions of the world.

WHO Collaboration I worked with the WHO regional head at New Delhi with Mr Pablo, and Mr Ibadat Dhillon .I also worked with WHO office at Islamabad with Tecnical officer Tahira. I also prepared working paper for the regonal meeting at Bhutan to highlight and provide action plan to solve regional Primary Care problems.

WONCA ANNUAL REPORT 2023

42

Working Parties & Special Interest Groups Working Party on Education WP/SIG Executive Board Maria Andrades (Pakistan) Carmen Cabezas (Ecuador) Laura Goldman (USA) Nagwa Nashat (Egypt) KRISHNA SUVARNABHUMI (Thailand) Fabian Dupont (Germany) Brunee Dorsett (Bahamas) Bola Fatusin (Nigeria) Akye Essuman (Ghana)

Brief Description The WONCA Working Party on Education will support high quality education, training, assessment and continuing professional development in general practice / family medicine for medical students, doctors in training, and established general practitioners and family doctors.

Activities 2023 The WONCA Working Party on Education (WWPE) had a busy couple years from 20212023. Throughout these past two years, we strengthened our governance structure.

We ensured that we had a representative from all WONCA regions and reached out to the young doctors for representation. We now have staggered terms for our executive members such that not all of them will complete their terms at the same time ensuring institutional memory and continuity. We have monthly meetings that are consistently attended by most of the executive members. Many of them have been helpful leading specific portfolios and are also working on the Undergraduate medical education textbook due to be launched next year at the WONCA World conference in Sydney. I would also like to acknowledge and congratulate Drs. Marie Andrades and Nagwa Nashat who have been appointed the honorary treasurer and chair-elect of the WWPE. They will be in these positions from 2023-2025.

As COVID pandemic evolved into allowing in person events, the WWPE has been active at giving presentations. In the summer of 2022, WWPE member leaders (Victor Ng, Marie Andrades, Val Wass) attended the WONCA Europe conference in London. We held a WWPE meeting which was well attended. We explored issues faced by educators in Europe and beyond and provided insight on how WONCA and the working party can

WONCA ANNUAL REPORT 2023

43

assist. The WWPE also had representation at the Primafammed conference in Malawi where we were offered a keynote and workshop. Professor Akye Essuman, our African regional executive members presented this on our behalf, and I was able to submit a video submission to participate. At the WONCA Africa conference, Dr. Bola Fatusin, our young doctor’s representative represented the WWPE and presented on some of the work and activities of the working party. Her presentation generated significant interest at the conference with many members signing up to the WWPE shortly after. Finally at the recent WONCA Asia Pacific conference, I presented a plenary discussing the importance of building health systems through family medicine education. We also held a working party meeting in conjunction with the Indonesian Society of Family Medicine Teachers. The WWPE was also active in 2023 WONCA Europe conference in Brussels where we presented the draft standards for the WONCA Global postgraduate standards.

These were well received by the audience, and we look forward to further refining them and ultimately incorporating them into the revised postgraduate standards.

The Working Party has been involved with several consultancies. We recently participated in the accreditation visit with UMP GOLD program in Guangzhou/Hong Kong. A report has been submitted to the accreditation committee. We have also been asked to review continuing professional development material for accreditation. The chair of the WWPE participates on the WONCA accreditation committee and as a group, we are keen to improve the accreditation process and provide a quality improvement service to our partners. In 2023, the WONCA accreditation committee was sunsetted and a new quality improvement process is being developed by the WONCA executive. We look forward to working with the WONCA leadership on this new important initiative.

We are also engaged with the WONCA Secretariat to start working on the portal. Our WWPE executive members, Drs Nagwa Nashat and Brunee Dorset have been very involved with setting up the portal and helping to work with the secretariat to set up a marketing and scaling plan. Hopefully by next year, most of our members will be on the portal and using it and offer a more streamline way for us to communicate, information share and collaborate.

Collaborations with WP/SIGs and others The WWPE have collaborated with groups such as the Working Party on Quality and Safety and have a joint workshop prepared for WONCA World in Sydney. The workshop focuses on how we can promote patient safety in practice and how to best embed those teachings in the curriculum. Additionally, we are working with the special interest group on emergency medicine to prepare workshops for upcoming conferences. Collaborated with Working Party on Mental health when asked by the WHO to describe how family doctors work in the field of mental health. We are also active in collaborations young doctor movements with two young doctors on the WWPE executive.

WHO Collaboration We would like to collaborate with the WHO - particularly with regards to the new WHO academy but have not had the opportunity.

WONCA ANNUAL REPORT 2023

44

We have been in contact with the WHO regarding preparing education related to mental health. I had an interview in 2022 related to mental health education for family doctors.

I advocated the important role that family doctors play in providing mental health care to their communities and in particular, communities that do not have access to psychiatrists or psychologist. Additionally, the family doctor’s ability to provide continuing care and understand the family and personal dynamics make them an ideal provider to care for mental health and concurrent conditions. We have since been invited to a workshop hosted by the WHO and Chris Dowrick from the working party on mental health will be attending. I look forward to further collaborations with the WHO in this area and other work that is underway at their academy.

Plan for 2024 We have 3 main priorities for 2023 and beyond.

1.

Promote the WONCA undergraduate medical education textbook - encourage uptake and readership.

2. Collaborate with WONCA leadership on the new quality improvement initiative and revise the postgraduate education standards accordingly.

3. Continue to collaborate with WONCA working parties and special interest groups presenting at regional and world conferences.

Working Party on eHealth WP/SIG Executive Board Chair: Ana Luisa Neves Deputy Chair: Liliana Laranjo Past Chair: Pramendra Prasad Young Doctor Liaison: Pablo Ramirez Members of the executive: · Karen Kinder · Keith A Thompson · Nick Guldemond · Raquel Gómez Bravo · Steven Van de Vijver

Brief Description Our mission is to promote thought leadership, knowledge exchange, and international collaboration to advance the science and implementation of digital health in primary care, with a focus on digital literacy, medical education &capacity building.

Activities 2023 From an organizational perspective, we have conducted election for a new Chair and Executive Committee in 2023, and selected a Young Doctor Representative (Dr Pablo Ramirez). Our webpage was updated accordingly. In 2023, our Working Party on eHealth collaborated on the organization of CME activities and webinars in collaboration with a variety of WPs. Dr Nick Guldemond was a speaker of the Young Doctors Webinar on Digital Health. Dr Pramendra Prasad Gupta was invited as a Guest speaker during the

WONCA ANNUAL REPORT 2023

45

WONCA East Mediterranean Conference in Oman where he delivered a talk on AI in Primary Care. WONCA has entered in a collaboration agreement with MIMS — an education provider based in Singapore/Hong Kong, with the aim of developing a series of webinars targeting the South Asia / Asia Pacific region. The Working Party on eHealth was invited for a webinar in which Dr Pramendra Prasad Gupta and Dr Ana Luisa Neves acted as speakers alongside other experts from the Asia Pacific region. The topics of the presentations were, respectively, ‘Telemedicine and Telehealth: Role in improving primary healthcare” and “Towards a safer and better version of digitally-enabled primary care”. Our Working Party on eHealth also participated in the WONCA Europe Conference 2023 in Belgium, where we organized the workshop ‘’Best Practices in using Digital Health in Vulnerable Populations’’. Following on work started in 2021, we developed a Lexicon to synchronize semantics moving forward and ensure everyone understands what is meant by various terminologies in use. A Resource Repository was also established to create a place someone could reach out to regarding various digital health themes. At the WONCA World Conference in Sydney the eHealth Working Party organised the workshop “Spectrum of Digital Health in Primary Healthcare: now, next, and beyond”, which involved a 10-min presentation by Liliana Laranjo followed by a group discussion with 25 attendees.

Collaborations with WP/SIGs and others We have submitted a project to the WONCA Collaborative Fund, aiming to evaluate the needs for digital health training in Family Medicine curricula, in collaboration with the WP Research and SIG Policy Advocacy. This project was one of the two selected for a global crowdfunding campaign led by WONCA World. Additional collaborations with other WP/SIGs in the context of external communications are also described in detail in the previous section.

WHO Collaboration In March 2023, WHO SEARO invited Dr Pramendra Prasad Gupta to contribute to the workshop on ‘Strengthening Telemedicine in SEARO Region’. Our Collaboration with WHO started in early 2022. We met on two occasions with the WHO team (Surabhi Joshi and Derrick Muneene). A presentation to WONCA Ehealth WG and WHO Lead Surabhi Joshi was made December 02-2022, by Ms Kit August from IEEE SA. The topic was knowledge gaps on medical device literacy, focusing on BP (Blood Pressure) measurement devices and proper BP measurement techniques in the field.

Our discussions in the joint session held could be continued in future around the topics each WHO member presented as potential areas of collaboration.

Plan for 2024 From a network perspective, we will co-design our new vision and mission with our wider membership, starting with a Strategy Development Workshop that will take place in January 2023, with all our members. We will actively invite the involvement of current members, and make further efforts to encourage the recruitment of new ones. Regarding

WONCA ANNUAL REPORT 2023

46

specific projects, we aim to evaluate current needs for digital health training in General Practice/Family Medicine, as submitted to the WONCA Collaborative Fund. We will leverage our contact networks and the wider WONCA infrastructure to raise awareness and create a network of global changemakers on this topic, ultimately aiming to produce recommendations to influence undergraduate and postgraduate curricula. We also anticipate developing a research paper focusing on reconciling the McWhinney principles in the digital realm. We will regularly present our activities at international conferences, aiming to maintain a regular presence at WONCA conferences as active presenters, as well as in other network at regional levels. From an educational perspective, we aim to develop a strategy to identify key topics on digital health, relevant to a Primary Care audience, and develop regular webinars to our members and a wider audience. Finally, we anticipate the publication of a book on Digital Health in Primary Care, as part of the WONCA Series development of which will start in 2024.

Working Party on Ethics and Professionalism WP/SIG Executive Board We have an Executive Board with two members for each WONCA World region. Africa: Tracy Jacovides and Walter Jaoko Asia Pacific: Tania Moerenhout (Chair) and Avni Patel (YDM liaison) East Mediterranean: Amal Al Ali and Issam Shaarani Europe: Ignaas Devisch and Andrew Papanikitas (Deputy Chair - Chair-Elect) Iberoamericana-CIMF: Mariano Granero and Carmen Nadal Agost North America: Ross Upshur and Derrick Aarons South Asia: Tariq Aziz and K Sri Ranjan

Brief Description The WPEP focuses on ethical challenges primary care workers may encounter in their everyday practice, aiming to progress medical ethics teaching as well as analysis of timely and relevant topics in primary care ethics.

Activities 2023 We have finalised the Terms of Reference for our Working Party and changed the name to ‘Ethics and Professionalism’.

This included updating our short- and long-term goals.

Our membership was extended to 40 regular members on top of the Executive Board of 14 members. We held a workshop at the WONCA Europe conference in June 2023, facilitated by K Sri Ranjan and John Spicer titled ‘Touch in post-covid medical encounters: ethical and practical considerations’. We organised a webinar in collaboration

WONCA ANNUAL REPORT 2023

47

with the SIG Ageing and Health in October 2023, on Cultural Considerations in Aged Care.

We had 67 registrations for this webinar, which is now also available on the WONCA website (https://www.globalfamilydoctor.com/News/ InsightsCulturalconsiderationsinagedcare.aspx).

We participated in the WHO Astana PHC conference, providing a video presenting the WPEP and also contributing to the discussion of the ‘Dreaming Big’ plenary and Big Data and AI Deep Dive. We organised a workshop at the WONCA World conference in Sydney on the topic of Active patient participation in the electronic health record: ethical and professional considerations.

Lastly, we held our Annual Meeting at the same conference, discussing ethical considerations of AI use in primary care.

Collaborations with WP/SIGs and others We have collaborated with the SIG Ageing and Health for the webinar on Cultural Considerations in Aged Care, held in October and available to watch again on the WONCA website (https://www.globalfamilydoctor.com/News/InsightsCulturalconsiderationsinagedcare.aspx)

WHO Collaboration We participated in the WHO Astana conference, attending the pre-conference virtual roundtable plenary Dreaming big: future-proofing PHC policy and practice and the Deep dive 2 | PHC of the future – making most of Big Data and Artificial Intelligence.

Plan for 2024 These are our four main goals for 2024: - Organise a workshop at the WONCA Europe conference focusing on a timely topic relating to medical ethics and professionalism. Start research and other projects (possibly a roundtable) on the development of a core curriculum and syllabus for medical ethics teaching. - Organise webinars on current ethical topics and dilemmas (where relevant in collaboration with other WPs and SIGs).

We are already planning a collaboration with the WP on eHealth and the YDM to organise a series of webinars on the topic of cybersecurity and telehealth. - Publication of selected dilemmas and analyses of ethical issues in respected journals. We are working on a position statement on the ethical use of AI in primary care.

WONCA ANNUAL REPORT 2023

48

Working Party on Mental Health WP/SIG Executive Board Prof Christos Lionis - Chair Dr Marilena Anastasakis – Public Health Interface, Member at large Dr Joseph Adekunie Ariba – Regional Vice-Chair (Africa) A/Prof Jill Benson AM – Member at large Dr Darien Cipta – Regional Vice-Chair (Asia Pacific) Dr Flavio Dias – Secondary care Interface, Member at large Prof Christopher Dowrick – Past Chair Dr Pramendra Prasad Gupt – Regional Vice-Chair (South Asia) Dr James Jackson – Secondary care Interface, Member at large Dr Abdullah al Khatami – Regional Vice-Chair (EMR) Dr Phoebe Holdenson Kimara – Regional Vice-Chair (Asia Pacific), Young Doctor Representative Dr Juan Mendive – Secretary Dr Alfredo Oliveira Neto – Regional ViceChair (Iberoamerica) Dr Daniel Ostergarde – Regional Vice-Chair (North America) Dr Ferdinando Petrazzuoli – Regional Vice-Chair (Europe) Dr Sonia Roache – Regional ViceChair (Caribbean) Dr Heather Rogers – Psychology Interface, Treasurer Dr Ana Bertha Perez Villalva – Young Doctor Representative

Brief Description WWPMH’s mission is to empower GPs and PHC practitioners and their care teams to improve the quality of care in regards the mental health status of their patients and in parallel to their patient access to behavioral health services.

Activities 2023 Many activities undertaken in 2023 and many others have started and will continue in the next year. There were involvements in global conferences, as in the 28th WONCA Europe Conference in London, in 23rd WPA World Congress of Psychiatry in Vienna and in Congreso Nacionale Medicina Familiar in Ciudad Juarez. A highlight was our involvement in WONCA 2023 Sydney. The Advocacy Project and the funded project MDD Minds for Primary Care Project are active. The new WWPMH book is in preparation, under the umbrella of Taylor & Francis/CRCPress WONCA Family Medicine Book Series. The title of the book is “Challenges in Primary Mental Health Care: models for interdisciplinary collaboration” and it contains a series of interesting subjects.

The WP group on the WONCA Membership Portal has launched and it offers an area where we can communicate, start discussions and share content. The “Music and Mental Health Project”, the “Sudan postgraduate primary mental healthcare program” and the “Postgraduate PMHC Training Courses” are in progress, too. An important achievement was the training program “MHT UKRAINE – Protecting mental health of health care professionals in war-zones. Building resilience and self-care for Ukrainian doctors”.

WONCA ANNUAL REPORT 2023

49

Working Party on Planetary Health WP/SIG Executive Board Chair - Özden Gökdemır Vice Chairs: Sankha Randenikumara (Sri Lanka) Dr Terry Kemple (UK) Other Executives; Enrique Falceto De Barros (Brasil) – Past chair/ Innovations and Health Equity Manager Alan Abelsohn (Canada) – Provost Alice McGushin (UK) – Climate Change Adviser Andy Haines (UK) – Science Advisor

Brief Description Vision Healthy people, communities and ecosystems on a healthy planet. Mission To lead Family Doctors in protecting the health of patients and communities from the impacts of environmental hazards and threats, and promote environmental and planetary health at both the local and the planetary level.

Activities 2023 Name Change WONCA Working Party on the Environment changed its name to WONCA Working Party on Planetary Health in 2023 after an extensive discussion carried out with the membership. Policy papers published by the WP on Planetary Health 1.

Statement on the Environmental Impact of Inhalers https://www.globalfamilydoctor.com/News/WPonEnvironmentSharesStatementontheEnvironmentalImpactofInh. aspx

2. WONCA Planetary Health Equitable and Sustainable Events Policy 2023 3. Statement to Protect Health by committing to fossil fuel non-proliferation and climate action https://www.globalfamilydoctor.com/News/WPontheEnvironmentStatem enttoProtectHealth-NoFossilFuelProl.aspx

Advocacy Public advocacy by the open letter ‘A call from Family Doctors to secure a just and equitable transition to sustainable energy and safeguard health from the climate emergency’ was well-received by the professional organisations and was endorsed by 40 organisations representing more than 3 million family doctors, doctors and health professionals across the globe. https://www.globalfamilydoctor.com/News/ AcallfromFamilyDoctorstosafeguardhealthfromclimateemergency.aspx 2) Public advocacy at WONCA World Conference 2023, Sydney, Australia · Green day – Last Saturday of the WONCA World Conference was announced as a green day, people wearing green and displaying the commitment for planetary health. · At the lunchtime event on the

WONCA ANNUAL REPORT 2023

50

green day, representatives of the world’s GP and family doctor organisations launched the open letter urging governments to adopt measures as urgent health interventions. · Planetary Health photo competition World Environment Day Celebrations 2023 WP commemorated the World Environment Day on 5th of June 2023 with a webinar entitled “Family Doctors and Planetary Health”. Prof Sir Andy Hines (UK), Dr Catherine Pendrey (Australia) and Prof Sonja Wicklum (Canada) were speakers. WONCA’s COP28 Climate Health Collaboration COP28 took place in Dubai from 30 November to 12th December 2023 and our member Dr Paola Rava (Uruguay) represented WONCA at this conference and also spoke at the WHO side event “Integrating Health into Climate Change Responses - The Role of Health Professionals”.

Contribution to conferences WONCA World Conference 2023 Sydney Australia • Keynote presentations by Prof Enrique Falceto de Barros and Dr Maria Neira (WHO). • Workshops by WP by Planetary Health 2) IZAHED Congress 202, the first International “Planetary health and Family Medicine” Congress by Izmir Family Physicians Association, Turkey, The members of WP on Planetary Health were the keynote speakers. http://turkishfamilyphysician.com/articles/ short-research-report/14th-national-izmir-family-physiciansassociation-congress-abstracts-book/ 3) 11th International Congress on Family and Community Medicine Peru by Perivian Society of Family and Community Medicine Dr Sankha Randenikumara presented on ‘Planetary Health: Is it important to family doctors?’ Some of the Publications by WP members: · El Niño and health in an era of unprecedented climate change https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01664-1/ fulltext · The World Organization of Family Doctors Air Health Train the Trainer Program: lessons learned and implications for planetary health education https://www.thelancet. com/journals/lanplh/article/PIIS2542-5196(22)00218-2/fulltext · Family doctors to connect global concerns due to climat

WONCA ANNUAL REPORT 2023

51

Collaborations with WP/SIGs and others Submitted proposals for collaborative fund with other WPs/SIGs

WHO Collaboration N/A

Plan for 2024 Collaborative webinars with WONCA groups, other organisations and institutes (Eg: LSHTM) Developing policies for important themes Research collaborations Training of trainers programmes on climate change and air health World Family Doctor Day Celebrations 2024 under the theme of greening WONCA Collaborating with international organisations to promote importance of primary care interventions in planetary health actions

Working Party on Quality and Safety in Family Medicine WP/SIG Executive Board José María Valderas (Singapore) (JMV) -WPQ&S Chair and Executive Committee (WPQ&SEC) Member (elected 2023 (uncontested)) Oana Bulilete Bulilete (Spain) (OBB) -WP Secretary and WPQ&SEC Member (elected 2023 (uncontested)) Mercy Wanjala (Kenia) (MW) - WPQ&SEC Member (elected 2023 (uncontested)) Leonardo Graever (Brasil) (LG) - WPQ&SEC Member (elected 2023 (uncontested)) María Pilar Astier Peña (Spain) (MPAP) -WPQ&S Immediate Past Chair and WPQ&SEC Member (ex-officio) Andrée Rochefort (Ireland) (AR) – EquIP liaison and WPQ&SEC Member (ex-officio) Sky Koh (Sinagpore) (SK) - WPQ&SEC Member (since 2021) José Miguel Bueno Ortiz (Spain) (JMBO) - WPQ&SEC Member (since 2021)

Brief Description Our aim is to support WONCA members in caring for their patients with the highest standards of quality and safety by leading our membership through deliberation and collaborative action.

Activities 2023 Co-ordination and engagement -Virtual and face to face WP membership meetings (WP): preparation, agenda, conduct and follow-up. -Monthly Executive Committee Meetings (WPQ&S EC members): preparation, agenda, conduct and follow-up. -Weekly coordination meetings (Chair and Secretary): preparation, agenda, conduct and follow-up.

-Written updates on progress in relation to the annual before each WP membership virtual meetings: preparation and circulation (JMV, OBB). -Interim and final Annual Reports:

WONCA ANNUAL REPORT 2023

52

preparation and circulation (JMV, OBB). -Set up and maintenance of WP space in WONCA Portal (JMV, OBB). -Set up of regional networks in Africa and CIMF/Latin-America: invitations of expressions of interest, appointment of and meetings with co-chairs, drafts implementation plans (JMV, OBB, MW, LG, Edgar Leon, Olafu George). Initial conversations held with incoming president of WONCA AP to support a regional network. -Set up of the Human Factors Core Group within the WP: meetings and development of draft proposal (Maud Nauta (MN), John Beasley, Richard Roberts (RR), JMV) -Elections: invitations of expressions of interest from all WP members for roles of Chair, Secretary and Member of Executive Committee using standardised forms and elections calendar.

Single proposal for Chair (JMV) and Secretary (OBB)(unchallenged) and two proposals for Member of Executive (MW, LG) all approved by unanimity of Executive Committee.

-Participation in regular and adhoc WONCA meetings and activities, including: WONCA Would Council Meeting; WONCA President/member at large meeting with WP/SIG chairs; updates on WONCA portal; WONCA Collaborative Fund Information meetings; WP Chair’s message to participants in 62 EQuiP Conference (12/05/2023) (JMV, OBB).

-Frequent exchange of information with Organization for Economic Cooperation and Development (liaison: Candan Kendir (CK), the Society for Academic Primary Care Special Interest Group in Quality & Safety (liaison: JMV), and more recently with the International Society for Quality of Care (ISQua) (liaison: JMV). Accreditation scheme -Review and approval of accreditation documents (details not included to preserve confidentiality) (JMV) -Participation in meetings (JMV) Book “Patient Safety in Family Medicine”, WONCA Family Medicine Series edited by CRC Press, Taylor & Francis Group -Meetings with editor (virtual and in person in WONCA Europe: agreed scope, process and revised timeline) -Invited expressions of interest from all WP members and appointment of final editorial team (JMV, MPAP, MW, OB, SK, David Moores (DM)) -Chapter template, table of content, and list of lead contributors completed (JMV, MPAP, MW, OB, SK, DM). Webinars, Workshops and Symposia - Participation on behalf of WONCA in the “International Symposium for the launch of the PaRIS OECD initiative” organised by the Ministry of Health of Romania (22/05/2023) (JMV, CK) -Workshop on deprescribing and medication safety presented at WONCA Europe 2023 (PA, JMBO, JMV, Ana Cebrian (AC), Sara Ares (SA), plans for conversion to webinar (not started) -Symposium “Implementing deprescription as a patient safety tool in primary care” (PA, JMBO, JMV, AC, SA, others) at 62nd EQuiP Conference (12/05/2023). -Webinar “Rethinking Patient Safety in Family Medicine” in collaboration with MIMS (16/03/2023) (MN, JMV), 25 mins sessions and participation in panel. Presenter fees donated by MN and JMV to the WP. -First webinar in series Human factors for Patient Safety

Collaborations with WP/SIGs and others See above for collaborations with Accreditation Committee, WP in Research and Education and for engagement with external organizations including the OECD (liaison Candan Kendir), Society for Academic Primary Care (JMV). In addition links have been forged with the International Society for Quality of Care (ISQua) to explore the creation of a task force for collaboration in the areas of patient safety in Primary Care. As a first step, one board member and one patient representative from ISQua have been invited to contribute to the research agenda setting. For collaboration with WHO, please see

WONCA ANNUAL REPORT 2023

53

below. Scoping review on patient and family engagement for patient safety in primary care -Completed (Ignacio Ricci-Cabello, JMV, MPAP, MW, OB, SK, and other members of WP) in collaboration with WP in research - Presented at WONCA Europe 2023 meeting (oral), ISQuA World 2023 (brief oral), WONCA World 2024 (oral) (JMV on behalf of all the above). -Manuscript currently in preparation for submission (Ignacio Ricci-Cabello (IRC), JMV, MPAP, MW, OB, SK, and other members of WP) in collaboration with WP in research -Spin-off collaboration with Department of Family Medicine at the National University of Singapore on systematic review of patient and family engagement for patient safety in primary care interventions (IRC, JMV, OB, SK). Research agenda on patient and family engagement for patient safety in primary care -Draft protocol prepared (IRC, OBB, JMV) will be shared with other members of WP&QS and WP in Research. Training to support Family Physicians in patient and family engagement for patient safety in primary care -Training activity developed in collaboration with Working Party in Education (led by Victor Ng, VN) and to be presented at WONCA World 2023 (Victor Loh, VN, JMV)

WHO Collaboration WHO Patient Safety Day -We have established a planned set of initiatives around the WHO Patient Safety Day of recurrent nature: gathering information among our members on ideas for the annual theme and taking part in the theme decision making process; conducting literature synthesis of appropriate scope on the theme and to develop a research agenda as focused on Primary Care and Family Medicine in collaboration with the WP in Research; development of educational activities based on the evidence retrieved through the literature synthesis in collaboration with the WP in Education. For progress on 2023, see above. For 2024, we have gathered all ideas from our members and the Executive will move with a recommendation to WHO. WHO Meeting Global Experts’ Consultation “Implementing the Global Patient Safety Action Plan 2021–2030: Pandemic and beyond (Geneva 6-7/12/2022) -Participation on behalf of WONCA (JMV) WHO Meeting World Patient Safety Day 2023 Global Conference on ‘Engaging patients for patient safety’ (Geneva 12-13/09/2023) -Presentation and participation on behalf of WONCA (JMV) Coordination with Pan American Health Organization (PAHO) -Meeting with PAHO team Jonas Gonseth-Garcia, Ariel Palacios, and Blanca Penaloza to identify opportunities and support for nascent regional network.

Plan for 2024 Coordination and Engagement: To further develop nascent regional networks and to develop new ones with the aim of having networks in all WONCA regions by the of the next term. Completion of the History of the WP project, with overviews of all past chairperson for the benefit of the WP and the broader membership (online resource and publication). Research: Publication of scoping review on patient and family engagement for patient safety in primary care in collaboration with WP in research that will feed into the development of a modified Delphi for the development of a research agenda on the topic, also in collaboration with the WP in research. Organization of one topic in Frontiers in Health Services in relation to the Family Physician Day and the Patient Safety Day to be coedited by WP members.

WONCA ANNUAL REPORT 2023

54

Education: delivery of further seminars and development of webinar on patient and family engagement for patient safety in primary care in collaboration with WP in Education based on the scoping review for presentation at WONCA meetings. Organization of another webinar of the series Human factors for Patient Safety in Primary Care. WHO: Consolidation of role as active partner in relation to Patient Safety through WPQ&S coordinated activities with other WONCA WPs. Quality standards: Conduct of survey of WONCA members on patient and family engagement for patient safety in primary care.

Book: Progress on book on Patient safety in Family Medicine, WONCA Family Medicine Series edited by CRC Press, Taylor & Francis.

Working Party on Research WP/SIG Executive Board Felicity Goodyear- Smith, Duygu Ayhan Başer, Jose Valdares, Mehmet Ungan, Christos Lionis, Chris van Weel, Sairat Noknoy, Bob Philips, Bob Mash, taghreed farahat, Lidia Caballero, Nagwa Nashat

Brief Description WONCA Working Party on Research (WP-R) strives to achieve objectives that are consistent with WONCA’s principle of encouraging and supporting the development of academic organisations of general practitioners/family doctors. The main mission of the WP-R is to promote, support and conduct high-quality research in Family Medicine/ primary care.

Activities 2023 WONCA Family Medicine Series book Anxiety and Depression in Primary Care: International Perspectives: As WWPR we have published several research related WONCA endorsed books in the pasts. Now our past chair Felicity Goodyear-smith and our member Sherina Mohd-Sidik edited a new WONCA-endorsed book: Anxiety and Depression in Primary Care.

There are several members of our WP who have contributed to this book as chapter authors, including executive and council members namely, Mehmet Akman, Mehmet Ungan, Nagwa Nashat, Bob Mash, Christos Lionis and Amanda Howe. The book will be included in the CRC press WONCA family medicine series and will be

WONCA ANNUAL REPORT 2023

55

on the market soon. The book is announced in the link below: https://www.routledge. com/Anxiety-and-Depression-in-Primary- Care-International-Perspectives/GoodyearSmith-Mohd-Sidik/p/book/9781032479514 Workshops The following workshop has been realised in WONCA Europe 2023, Brussels Post-COVID-19 integration of public health and primary care: Country experiences and research gaps. Presenters Mehmet Akman, Felicity Goodyear Smith, Jose M Valderas, Peter Decat and Peter Torzsa. This joint workshop with EGPRN contributed to strengthening the link between the global WP and the regional network of the same theme: primary care research. This positive experience convinced us to work together in future events as well. The following workshop has been submitted for WONCA World, Oct 2023 in Sydney How to write and how to publish: presenters: Mehmet Akman, Felicity Goodyear Smith and Karen Flegg. This is a traditional WS run by our WP, targeting especially early and mid-career researchers. We work on real examples of scientific abstracts, underlining common mistakes and providing hints for writing. On the other hand, how to publish part is developed from the editors’ perspective, making it clear what is in editors’ minds and how to avoid being rejected by generic mistakes. Also, we are giving a perspective for selecting the best journal for a specific article. The WS mentioned above is specifically submitted as our WP’s WS, however, our members will be running several additional WSs, some of which are endorsed by our WP. Webinars We continued our webinar series this year as well with a great success. Zoom participation was more than 50 mostly and additional participation of more than a hundred from the docquity platform. Below is the synopsis for these webinar series: With our member Sairat Noknoy’s proposal on behalf of Thai Royal College of Family Physicians, we (Felicity, Sairat and myself) started to explore possibility of a webinar series on different aspects of primary care on a country-comparative basis. We agreed on the following activities: 1. A webinar organized every two months, with 10-minute presentations from four different countries on a snapshot of the nature of family medicine and primary health care in their country, using the template for PowerPoint presentation slides.

The webinar series is planned to take place over 1 the year 2022 to 2023. 3. Each webinar will present a case, and the presenter will describe how much involvement family medicine / primary care has in managing such a case. The three sub-themes are: ■

Core functions of primary care (comprehensiveness, coordination, continuity, access)

■

Core values of primary care .practice transformation

Collaborations with WP/SIGs and others PBRN initiative and collaboration with WWPR – Anna Dania is the responsible person Collaborative WONCA fund applications – Jose Valderas is the responsible person. WWPR has been actively involved in both selected proposals for the collaborative WONCA fund.

With these two proıposals, we collaborated with several other WPs and SIGs.

WHO Collaboration Mehmet Akman, chair, has been a consultant for WHO AZE since 2019 and he has contributed to AZE activities for the Astana conference of PHC in 2023. Also WP-R had

WONCA ANNUAL REPORT 2023

56

collaborated with WONCA liaison person (Maria Pillar) for WHO, both for Adtan event and other issues.

Plan for 2024 Main areas we work on are: · Primary care research priorities and funding, · Research priorities and capacity building for young doctors, · Mentorship program · Workshop planning about publication processes (journal rules, issues or study types preferred by journals, etc) via invitations of editors · Research, capacity building, and policy document creation, Following that, we initially planned to realise the following activities:: § WWPR Portal: improving its usability, implementing effective promotional strategies, and ultimately transforming it into a highly efficient communication platform. § International research collaborations: to secure funding and cultivate connections with developed and developing countries by planning a multicenter research project. The absence of a cohesive group working collaboratively is a current challenge. § New webinar planning: Additional webinars on different topics, following the same format and approach that proved successful in the previous sessions in 2023. § Dedicated slot in conferences: Adopting a continuous approach to foster sustained collaboration with various regional networks and groups, especially addressing the needs of young doctors in each conference, implementing mentorship programs within a co-working research seniors group, and allocating dedicated slots for presenting their research. § Mentorship program: Establish this initiative as an annual tradition, aiming for sustained engagement and improving the research capacity of WONCA members, especially those coming from low-resource settings. § Online cources: Introduction of an online course accessible through the portal. he course would consist of specific modules covering various topics, including introduction, research design, and methodology. § New book projects:’ Future Perspectives of Primary Care Research,’ deep diving into qualitative research, implementation research, and other topics closely aligned with primary care which are recently used and becoming more frequently practised in primary care research..

Furthermore, alternative book concepts are being discussed, such as ‘Innovation and Primary Health Care: Bridging the Gap Between Theory and Practice.’

WONCA ANNUAL REPORT 2023

57

Working Party on Rural Practice WP on Rural WP/SIG Executive Board Bruce Chater Pratyush Kumar John Wynn-Jones Ian Couper Jo Scott-Jones Zakiur Rahman Mercy Nafula Wanjala Bikash Gauchan Alexandra Ferrara Gobith Ratnasingam Amber Wheatley Canan Tuz Giulia Scorsin

Brief Description The WONCA Working Party on Rural Practice (Rural WONCA) is an active network of rural doctors and rural academics from each of the world’s regions. Members of the working party are expected to be engaged and active in the Google group. Members can apply to be on Rural Wonca Council.

Activities 2023 Our activity is based around an overall goal of REACHing Health for All Rural People Repositioning and relationship Our website has been updated and content shifted to www.RuralWonca.org during the pandemic when maintenance and upgrade of our former site became problematic. The site is in ongoing development. Rural Wonca Executive meets monthly by video conference and the Council will meet Face to Face and virtually at Wonca 2023. Education and Research Our flagship publication, the Rural Medical Education Guidebook (RMEG) V2 has been released and published at https:// ruralwonca.org/documents/ A special Limerick conference issue of the Journal of Rural and Remote Health on Rural Health has been published. Activism and Advocacy The Blueprint for Rural Health has been widely disseminated. We have published a paper around the elements of the blueprint entitled “Towards blueprint for Rural Health”. The Blueprint is included with our other policy documents at https://ruralwonca.org/documents/ See the WHO section for our WHO collaborations. Our Honorary Secretary, Dr Pratyush Kumar continues to develop, with Council and Executive our social medical presence. Conferencing and Communication The 19th World Rural Health Conference was hosted in rural Ireland at the University of Limerick with the theme ‘Improving Health, Empowering Communities’, with over 650 participants coming from 40 countries and an additional 1,600 engaging online. The conference has considered the role of national health systems and all stakeholders, in keeping with the commitments made through the Sustainable Development Goals and the enjoyment of the highest attainable standard of health as one of the fundamental rights of every human being The conference was addressed by experts in rural health from all regions of the world.

The conference declaration, developed from the “Blueprint for Rural Health” declaration from the 17th World Rural Health Conference in Bangladesh, sets out a comprehensive

WONCA ANNUAL REPORT 2023

58

plan for rural health in Ireland. In the lead up to Wonca2023, rural doctors have been invited to participate in the meeting of FRAME (Federation of Rural Australian Medical Educators) in Devonport Tasmania before an opportunity to meet with the Rural Doctors Association of Australia and Australian College of Rural and Remote Medicine at Rural Medicine Australia (RMA) Rural Wonca hosted a panel on Rural Workforce, with Euripa joining virtually at RMA and Rural Wonca and the Australian Rural Health Commissioner will cohosted a subsequent Rural Workforce Roundtable at Wonca2013.

The next International Rural Health Conference Ubuntu 2024 will be held in September 10-13, 2024, in partnership with Network: Toward Unity for Health (TUFH) and organised by a consortium of Universities in Cape Town South Africa. https://ubuntu2024.com/ Rural Seeds The future of Rural Health relies on the next generation of rural doctors and their colleagues. New Rural Seeds Ambassadors were elected in 2022. Sadly, we lost Much loved Rural Seed Ambassador Mustapha Aminu Tukur in a tragic boating accident this year Rural seeds have developed Scholar Rx Bricks on rural and planetary health.

They have continued their Rural Seeds Webinar Series, run a Rural Seeds Rural Family Medicine Café Abuja Edition 2022 on the Role of students and young professionals in pandemic preparedness and response.Rural seeds launched Mentor Mentee 2.0 to assist linking aspiring rural doctors with rural doctors.

Collaborations with WP/SIGs and others The working party actively communicates and collaborates with Working parties with common interests esp. Women and Family Medicine, Health Equity, Research, Education, Environment. The latter includes the Planetary Health and Planetary Health for Primary Care MOOC. We assisted with facilitating the SWOT analysis that resulted in the new strategic plan. With Rural seeds we have co-hosted a webinar on The Role of Young Doctors on Addressing Rural Health Challenges as part of the WONCA YDM-WPs/Sigs Collaborative webinar series

WHO Collaboration With the WHO Workforce Department we developed the Pathways to Rural Practice document and assisted in development and launch of the new WHO Guideline on health workforce development, attraction, recruitment and retention in rural and remote areas document and have been promoting it widely. Rural Health Equity within WHO Geneva office have had a strong collaboration with us. Theadora Koller-Swift Senior Technical Advisor, Health Equity, Department for Gender, Equity, Human Rights, Director General’s Office / World Health Organization Headquarters attended and presented at our Limerick conference, and we continue to collaborate on their work in this area and with OECD. As Chair I attended the OECD Rural Development conference and the WHO side event on Rural Proofing in September. Ian Couper’s group, on behalf of Rural WONCA, has been funded by WHO and has engaged Rural Seeds in two papers on rural proofing particularly focusing on the needs of the next generation. This will be published with other papers in a special addition of the Journal of Rural and Remote Health. WONCA itself continues collaboration with the PHC branch and builds on the work we did with them in the Delhi declaration. We look forward to further collaboration in future. I presented

WONCA ANNUAL REPORT 2023

59

at a PAHO webinar, Strategies to ensure access to health services: overcome barriers and guarantee continuity with over a thousand participants from 51 countries joining the session. Rural Wonca Executive member and Rural Seeds Ambassador, Dr. Mercy Wanjala, presented a statement to the WHO World Health Assembly https://www.youtube.com/watch?v=-BaVOgxWWu4

Plan for 2024 The next International Rural Health Conference Ubuntu 2024 will be held in September 10-13, 2024, in partnership with Network: Toward Unity for Health (TUFH) and organised by a consortium of Universities in Cape Town South Africa. https://ubuntu2024.com/ WE will be hosting a number of webinars ain the lead up to this.

Working Party on International Classification (WICC) WICC Executives: Elena Cardillo, Gustavo Gusso (chair), Julie Gordon, Preben Larsen, Øystein Hetlevik (deputy chair)

Brief Description of WP/SIG The mission of the Wonca International Classification Committee is to develop and maintain classifications that accommodate the complete domain of family/general practice, and to ensure that these classifications are interoperable to the highest degree possible with standard international health care terminologies and classifications, in order to contribute to equitable quality health care worldwide.

From this mission statement, we derive the following primary GOALS: ■

To achieve widespread international use of ICPC

■

To maintain and revise ICPC to accommodate expanded health care knowledge

■

To develop productive working relationships with other international standards development organizations

Activities undertaken in 2023 ■

support in translation of ICPC 3

■

workshop at Wonca World Conference

■

monthly meeting of executives

■

support for maintenance of ICPC 3

■

member of advisory committee of Foundation WONCA ANNUAL REPORT 2023

60

Collaborations ■

We did an open day in Australia and invited all working parties

■

Work done in Collaboration with WHO

■

WICC represents Wonca at WHO-FIC Council and Gustavo Gusso was at the last WHO-FIC meeting in Bonn in 2023

Plan for 2024 ■

Meeting of WICC members and ICPC Foundation

■

Meeting with former presidents and leaders of WICC

■

Meeting with other WPs and SIGs

■

Project to use LLM to structure data with ICPC

■

Face to face meeting in Newcastle

Working Party on Women and Family Medicine WP/SIG Executive Board Dr Elizabeth Reji(Chair), Dr Hina Jawaid(Chair Elect), Prof. Amanda Howe(WHO liaison officer and Past WWPWFM chair), Prof. Amanda Barnard(Past WWPWFM Chair) Prof. Lucy Candib(Communication officer)

Brief Description This working party started in 2001. it support women doctors to reach their full potential in contributing to patient care, especially women’s health, and to education, training, research, mentorship, leadership and WONCA initiatives around the world

Activities 2023 Preconfrence at Sydney conference, had 5 newsletters on the WONCA website, 2 YouTube videos, and many webinars and educational activities in the regions.

WONCA ANNUAL REPORT 2023

61

Collaborations with WP/SIGs and others We had 3 joint workshops during the Main Wonca conference at Sydney with the SIG family violence group. We conducted a workshop for the young doctors movement during our Pre-conference and had showcased our working party at the market place event in the young doctors venue during the Pre-conference and had webinars in partnership with young doctors. The chair and the Chair elect was part of the Organizational equity workshop as presenters. Prof.

Amanda H is active with SIG policy.

WHO Collaboration Prof. Amanda Howe was the WWPWFM liaison officer for WHO and she was attending the PMNCH meeting. Currently we are developing a member to represent WHO in all the regions with Dr. Hina Jawaid as the WWPWFM liaison officer for WHO 2023-2025.

Plan for 2024 To develop and maintain a regional team in each WONCA region To develop and maintain communication Platform within WONCA and its regions of WWPWFM To have a pre-conference and fireplace wisdom at each WONCA region To have activities on women’s health in all the regions To develop mentorship programs and support women to become leaders within the regions and WONCA. To develop teaching and research activities within the regions

WONCA ANNUAL REPORT 2023

62

Special Interest Group on Adolescent and Young Adult Care WP/SIG Executive Board Muna Chowdhury - CHAIR

Brief Description Bring together family physicians from diverse international backgrounds on common themes and work around adolescent and young adult health. Work collaboratively to advocate for this group and learn from each other re best practices/evidence based practices.

Activities 2023 With limited admin support from WONCA, it is very hard to organize and support this SIG as a lone Chair. In the past, our group has presented in the WONCA meetings. In the near future, we plan on meeting virtually to see ways to collaborate.

Collaborations with WP/SIGs and others Collaborating with SIG on Education to develop primary palliative care curriculum framework. I will be collaborating with SIG on NCD and Ageing for collaborative lectures and to work on the LANCET global commission on palliative care.

WHO Collaboration I am a new Chair. At this present time we haven’t collaborated with any other groups.

In the past, there was collaboration with the mental health SIG. I am also engaged with SAHM and IAAH and hope to bring in collaborative efforts with these entities during my tenure.

Plan for 2024 Bring together family physicians from diverse international backgrounds on common themes and work around adolescent and young adult health. Work collaboratively to advocate for this group and learn from each other re best practices/evidence based practices.

WONCA ANNUAL REPORT 2023

63

Special Interest Group on Ageing and Health Brief Description The SIG aims to improve care of older persons in primary care in all countries by developing new primary care models, advocating for improved training at an undergraduate & post-graduate level and promote research in care of older persons in primary care.

Activities 2023 1) Meeting of the SIG at WONCA Conference 25/10/2023 - discuss and set objectives for 2024. 2) 2 Presentations at WONCA Conference Sydney on Abuse & Social Prescribing 29/10/2023 3) Webinar WONCA Series 4, in conjunction with MIMS ‘Improving care of older patients in primary care’, presenters Dimity Pond & Leon Geffen 30/09/2023 4) Webinar ‘Cultural Consideration in Aged Care’ October 2023, in collaboration with working party on Ethics & Professionalism 5) Election of new Chair Leon Geffen to take over role from outgoing Chair Prof Dimity Pond, October 2023 6) Comunication email sent 13/12/2023 to all SIG members from Leon Geffen to outline vision and objectives of the SIG for 2024 / 2025

Collaborations with WP/SIGs and others Yes 1) WONCA working party on Ethics and Professionalism, led by Tania Moerenhout: Cultural Considerations in Aged Care 2) SIG Family violence - identification and management of family violence in older people who have cognitive impairment, presentation at WONCA World Conference 3) SIG Social Prescribing Social prescribing: new paradigms for meeting the needs of older patients - WONCA World Conference 4) joint presentation with SIG Family Violence, RACGP SIG Abuse and Violence in Families, and WWPWFM: Family Violence (FV): How to manage cases while taking care of ourselves 5) WONCA / MIMS Primary Care Asia webinar series 4 – Improving Management of Older Patients in Primary Care Leon Geffen, Dimity Pond

Special Interest Group on Cancer and Palliative Care WP/SIG Executive Board Dr. Shrikant Atreya (Chairperson, SIG Palliative Care and Cancer), Dr. Alan Barnard (South Africa), Dr. Scott Murray(Edinburgh), Dr. Daniel Munday (Nepal), Dr. Chamath Fernando (Srilanka)

WONCA ANNUAL REPORT 2023

64

Brief Description Palliative Care SIG will work towards expanding primary palliative care knowledge across the globe by inviting faculties from oncology, palliative care and primary care from various countries in the world. The SIG is also collaborating with with other organisations to develop research in primary palliative care education and framework development.

Activities 2023 Workshop on “Primary Palliative Care network for global education and service development” We organised a workshop on “Primary Palliative Care network for global education and service development” on 25/10/2023 at WONCA conference held in Sydney. We had eminent speakers across the globe share their experience and evidence on primary palliative care developments, challenges and solutions taken across the globe. The speakers included Dr. Scott Murray, Emeritus Professor, Primary Palliative Care at the University of Edinburg, Dr. Daniel Munday, Consultant in Palliative care and General practice, Green Pastures Hospital, Nepal and Dr. Chamath Fernando, Generalist Palliative Care physician, University of Jayewardenepura, Srilanka. The speakers deliberated on various topics on primary palliative care such as current models in primary palliative care, their successes and failures, research activities globally on primary palliative care and their interim results and finally vision and goal for primary palliative care and how this would impact palliative care development globally. It was a hybrid workshop attended by 25 participants working in general practice and palliative care across the globe. Transition of the Chair of WONCA SIG on Palliative Care and Cancer There was a transition of the chairperson for the WONCA SIG on Palliative care and Cancer. Dr. Shrikant Atreya took over as a chairperson from Dr. Alan Barnard in the month of October. Dr. Atreya will be serving the post from 2023-2025.

Collaborations with WP/SIGs and others Collaborating with SIG on Education to develop primary palliative care curriculum framework. I will be collaborating with SIG on NCD and Ageing for collaborative lectures and to work on the LANCET global commission on palliative care.

Plan for 2024 1. Education: A quarterly webinar will be organised by the SIG with faculties presenting their works exclusively on primary palliative care 2. Service development: Working in close collaboration with Asia Pacific Hospice Network for standardising primary palliative care curriculum across the globe. A rapid review to scope the extent of literature in primary palliative care is ongoing. 3. Research development: SIG WONCA is collaborating with the Lancet commission to develop primary palliative care in low, middle and upper middle-income countries. A protocol towards this is being submitted to international journal followed by systematic framework synthesis to understand the state of palliative care in these countries. The lancet commission envisions to develop interventions with local stakeholders to develop palliative care.

WONCA ANNUAL REPORT 2023

65

Special Interest Group on Emerging Practice Models for Family Medicine WP/SIG Executive Board 1. Prof. Dr. Jingwen Gu (China) 2. Prof. Dr. Donald Li (Hong Kong, China) 3. Dr. Anna Stavdal (Norway) 4. Prof. Dr. Mehmet Ungan (Turkey) 5. Prof. Dr. Shanzhu Zhu (China) 6. Dr. Alan Ping Foo Wong (Malaysia) 7. Dr. Ling L. Qiu (USA) 8. Prof. Dr. Sunfang Jiang (China) 9. Prof. Dr. Zhigang Pan (China) 10. Prof. Dr. Yanwen Lu (China) 11. Dr. Pu Zhou (China) 12. Prof. Dr. Xuejun Zeng (China) 13. Prof. Dr. Jing Wu (China) 14. Dr. Timothy Noel Stephens (USA) 15. Prof. Dr. Yuqing Zhu (China) 16. Prof. Dr. Zhenya Song (China)

Brief Description The ultimate goal of EPMFM is to provide patients with the best medical experience and health protection.

Activities 2023 1.Professor Wendy Jingwen Gu is honored to be elected President of the World Organization of Family Doctors (WONCA SIG) Emerging Practice Models For Family Medicine 2.On October 25th, 2023, the workshop of Emerging Practice Models For Family Medicine was held at the Sydney International Convention Center. It was co-hosted

by Professor Wendy Jingwen Gu and Professor Donald Li. Participants included members from various WONCA associations, including Professor Zhuanzhu Zhu’s team from China, as well as family doctors from Malaysia and Sri Lanka. There were enthusiastic discussions focused on the construction and development of emerging practice models.

3.Professor Wendy Jingwen Gu presented on ‘The Road to Emerging Practice Models— Experience and Exploration in China,’ introducing the development process of emerging practice models and explorations from Shanghai Huashan Hospital in China. Professor Donald Li delivered a report titled ‘Jiahui Family Medicine Fellowship Enhancement Program JH-FMFEP.’

Collaborations with WP/SIGs and others Link up with WP on Education and WP on Quality and Safety to set up accreditation systems. This will be a good business model for WONCA. As more and more practice models, premium medical services and Concierge medicine plans emerge globally, there will be huge demand for accreditation. Link up with WP on eHealth: the role of Digital Health, IT, AI will enable efficient premium services with assured quality.

WONCA ANNUAL REPORT 2023

66

Special Interest Group on Family Violence WP/SIG Executive Board We have a Steering Committee, composed by the following members: Sajaratulnisah Othman (Co-Chair) Raquel Gomez Bravo (Co-Chair) Nena Kopcavar (Past Co-Chair) Jennifer Neil (Secretary) Hagit Dascal- Weichhendler (Past Co-Chair) Kelsey Hegarty (Past Co-Chair) Leo Pas (Past Co-Chair) Nina Monteiro Carmen Fernandez Alonso Joyce Kenkre Jinan Usta Omneya Ezzart El Sharif Elena Klusova (Networks Liaison) Eliana Vesga (YDM representative member)

Brief Description Our SIG focuses on addressing family violence (FV), a global issue affecting health and well-being of countless individuals. We promote evidence-based PHC and prevention, effective interdisciplinary care, and policy development in the area of FV, providing vital support to family doctors in their practices and shaping policies.

Activities 2023 Our operational framework revolves around five core strategies: Connect, Resource & Support, Educate, Communicate, and Evaluate. CONNECT: The global surge in FV during the COVID-19 pandemic has reinforced the significance of our connections. SIG members have proactively fostered relationships, exchanging vital information, innovative ideas, and valuable resources throughout and beyond the pandemic. This spirit of collaboration is exemplified by the IMOCAFV project, which involves representatives from twenty-four countries spanning several continents and the FaV project.

Despite transitioning to virtual platforms, we remain committed to maintaining connections and forging partnerships with various WONCA Working Parties, SIGs, networks, WHO, and the European Parliament. RESOURCE AND SUPPORT: SIGFV members are actively advocating for the integration of FV and gender violence (GV) agenda, guidelines, and training materials within their respective national Colleges and healthcare institutions. This aligns with the Call to Action Statement of Recommendations on FV. To raise awareness and provide educational resources, we consistently publish national and international materials, including journal articles and book chapters. In response to the alarming increase in FV during the pandemic, we have posted a comprehensive summary with valuable information and links on the WONCA site. We are also working diligently to make the best practices for PHC on FV and other outputs of the IMOCAFV project available online for widespread use. Furthermore, we provide a comprehensive framework for FV consultancy work, offering education, training, policy development, and research, accessible through face-to-face interactions, online channels, and secondary consultation. EDUCATE: We are dedicated to educating our members and the broader medical community. To achieve this, our SIG remained active with a variety

WONCA ANNUAL REPORT 2023

67

of activities. These included workshops, oral and poster presentations, and keynote speeches throughout the year. As example, we have conducted webinars and actively participated in conferences. Dr. Kopcavar represented the SIG in a WONCA Webinar on Elder Abuse, and several members have presented at various conferences. Furthermore, we also continued to publish research findings in high-impact journals. We presented workshops in WONCA Europe Brussels in June 2023, and held 3 workshops during WONCA World Sydney in October 2023 plus organizing a Preconference. At both national and international levels, several research projects on FV are currently in progress, with more detailed information available upon request (the FaV project and the IMOCAFV project, this last has also been prominently showcased at EGPRN conferences. COMMUNICATE: Our engagement with SIG members remains robust through regular online newsletters and an active Google group. Despite the challenges posed by the pandemic and after, our routine meetings continue.

Our executive team has been actively involved in WONCA meetings dedicated to enhancing our communication strategies. EVALUATE: Numerous SIG members are engaged in research projects and publications at both national and international levels. The SIG is at the forefront of leading the IMOCAFV PROJECT (‘Implementation Of Primary Care for Family Violence’) in collaboration with various organizations and the FaV project.

Collaborations with WP/SIGs and others Our WP/SIG has engaged in fruitful collaborations, including: - Submission of the FaV project in collaboration with several WP and SIGs. - Research initiatives in collaboration with several WP and SIGs. • Collaboration with the WWPWFM, WONCA Working Party on Rural Practice (WRP), the Young Doctors’ Movement (YDM), and the WONCA SIG on Ageing and Health. • Collaborations with the European Public Health Association (EUPHA) and the European Federation of Junior Doctors (EFJCA). • Participation in the Women in Global Health (WGH) #HealthToo campaign.

WHO Collaboration Our WP/SIG has actively engaged with the World Health Organization (WHO) in various ways: Participation in the CSO Virtual Town Hall with the WHO Director-General, discussing the crucial role of Civil Society Organizations (CSOs) in preventing, detecting, and responding to sexual exploitation, abuse, and harassment. Ongoing collaboration with WHO involves facilitating the distribution of key materials, such as the Clinical

WONCA ANNUAL REPORT 2023

68

Handbook, to regional organizations, ensuring that essential resources are readily available for healthcare professionals worldwide.

OTHERS: Inclusion of Young Doctors: We are committed to engaging young doctors by extending invitations to participate in our workshops, webinars, research projects, and even our executive team. Eliana Vesga, who recently joined us this year, is actively involved. The representation and active participation of young doctors have consistently been a top priority for us.

Gender Equity: While acknowledging the significant prevalence of gender-based violence, our efforts in violence prevention are inclusive of all affected individuals, transcending the focus solely on women and girls. We are steadfast in our dedication to promoting gender equity, emphasizing the active inclusion of people across all gender identities. Our approach prioritizes equity, extending invitations to our male colleagues and organizing activities accessible to everyone. It is also notable that our group primarily consists of women, yet it’s important to recognize that our initial convenor was a male, Dr. Leo Pas.

Plan for 2024 CONNECT 1. Focus on improving regional connections and representation 2. Continue and increase Young Doctor connections across the regions 3. Continue connecting and collaborating with WPs and SIGs Activities: Through conferences and meetings in the different regions seek connections and broader representation as members of the SIG Contact the different Young Doctor groups and seek nominations of doctors to join as active members of the SIG An understanding of how best to exchange resources and connect with the young doctors in the family violence area Regular contacts –maintain and increase RESOURCE 4. Strengthen connection with WHO and UN to enable regional support and resourcing: Website redeveloped that links to key resources Ongoing links to enable distribution of key materials e.g Clinical Handbook to regional organizations SUPPORT 5. Offer to provide advice to members who want support in this difficult area - Website re developed to reflect this with a specific link/connect button EDUCATION 6.

WONCA ANNUAL REPORT 2023

69

Present basic workshops on FV Identification and Response (adapted to local situation) at as many conferences as possible 7. Encourage and support members’ presentations 8. Develop a practical clinical-cases handbook Activities: Development of basic Family violence pack that could be delivered by members who are going to world and regional conferences Assist with coordination of other conference presentations Proposal to Jo COMMUNICATE 9. Develop and implement a communication plan via website and newsletters: developing a Communication plan, updating the website and the WONCA membership portal with regular news items EVALUATE 10. Support collaboration on research projects globally: Continue to look for opportunities to resource the research work of the SIG network and collaborative research projects. 11. Evaluate our own performance and objectives

Special Interest Group on Integrative Medicine WP/SIG Executive Board Sankha randelkumara Patrick Reichel Uma Senthilkumar Dimitrios Alepidis

Brief Description The WONCA Special Interest Group on Integrative Care supports WONCA’s vision by promoting integrative medicine for universal health coverage and sustainable development. It provides a forum for doctors practising traditional medicine to exchange knowledge, enhancing their understanding of different healing modalities.

Activities 2023 Presentation at Brussels WONCA Workshop at Sydney WONCA Planning for webinar January 2024 Set up of formal communication for members

Plan for 2024 Over the next two years, we will be focusing on increasing our membership base ensuring a spread across the globe. We will be running webinar series on integrative medicine run by key members of our SIG. Furthermore, we will be running online journal clubs delving into the evidence-base for integrative medicine.

WONCA ANNUAL REPORT 2023

70

Special Interest Group on Migrant Care, Intl Health, and Travel Medicine Brief Description Migrant people worldwide encounter similar issues: access to safe care; communication barriers, ethnic and cultural differences, mental illnesses, and communicable diseases.

We help doctors with knowledge, resources and peer support.

Activities 2023 WONCA Europe in Brussels 2023 was an energising environment to turn our attention to Trauma-focussed Care. Presentations by five of the SIG members helped stimulate discussions on the qualities and skills Family Doctors need to help people who have poor psychological health related to their migration history. Maria generously stepped in at the last minute when a speaker was unavailable and shared her wisdom around the impact of migration on children. Other members have supported the European Young Family Doctors Movement at the conference with their similar interests and attended their stimulating workshop, which included a Learning Needs Assessment for Migrant Health. Members are a superdiverse group who have many interests including research, medical education, and primary care delivery to refugees and other migrants. We have intermittent remote meetings online to share ideas and best practices, but primarily to offer peer support to colleagues working in this challenging field.

Collaborations with WP/SIGs and others We are excited to participate in putting together a bid for WONCA collaboration funding with the WP on Mental Health around education to support colleagues working in difficult circumstances related to migration. Following a call from the WHO for non-state actors to participate in their Global Research Agenda on Health and Migration, convened by the WHO Health and Migration Programme (PHM), three members of the SIG (Rita Aguilar Fonseca, Aaron Poppleton and Rebecca Farrington) attended 3 meetings and contributed to their Delphi process over a three-month period in early 2023.

WHO Collaboration Following a call from the WHO for non-state actors to participate in their Global Research Agenda on Health and Migration, convened by the WHO Health and Migration Programme (PHM), three members of the SIG (Rita Aguilar Fonseca, Aaron Poppleton and Rebecca Farrington) attended 3 meetings and contributed to their Delphi process over a threemonth period in early 2023.

Plan for 2024 We hope to be fully supported by the WONCA membership platform and begin more formal sharing of resources that currently takes place via social media. High on the

WONCA ANNUAL REPORT 2023

71

agenda will be submitting a workshop proposal for the WONCA Europe conference in Dublin in September 2024. Meantime we continue to look for new members worldwide to contribute their experiences and ideas.

Special Interest Group on Non-Communicable Diseases WP/SIG Executive Board Ana Mª Cebrián Cuenca (chair) Spain, WONCA Europe Joao Sequiera (secretary) Portugal, WONCA Europe

Brief Description To serve as a focus to stimulate and promote standards of excellence in the primary care management of NCDs, consistent with patient and professional values and with reference to evidence based health care and to put people at the centre of health. We are a group of 54 Family Doctors worldwide which main goal is to serve as a focus to stimulate and promote standards of excellence in the primary care management of NCDs, consistent with patient and professional values and with reference to evidence based health care.

Activities 2023 Workshop on therapeutic inertia and adherence in type 2 diabetes. 28th WONCA Europe Conference held in Brussels, Belgium on 7 – 10 June 2023. Ana Cebrian. DEGREE OF CONTROL AND DELAY IN INTENSIFICATION OF HYPOGLYCAEMIC THERAPY IN PATIENTS WITH OF HYPOGLYCAEMIC TREATMENT IN PATIENTS WITH DM2 (DIAMOND2 STUDY) . 28th WONCA Europe Conference held in Brussels, Belgium on 7 – 10 June 2023. Ana Cebrian, Domingo Orozco-Beltrán, Fernando Álvarez-Guisasola. Orozco-Beltrán D, LecumberriPascual E, Quesada JA, Moreno-Pérez O, Ruiz-Quintero MA, Pomares-Gómez FJ, Jodar-Gimeno E, Pardo-Ruiz C, Mascarell-Martinez I, Mirete- López RM, Morant-Bes B, Cebrián-Cuenca AM. Psychometric properties of the Clarke questionnaire for hypoglycemia awareness in the Spanish population with type 2 diabetes. Postgrad Med. 2023 Mar;135(2):141-148. doi: 10.1080/00325481.2022.2138469.

Epub 2022 Dec 7. PMID: 36475508. Gorgojo-Martínez, J.J.; Mezquita-Raya, P.; Carretero-Gómez, J.; Castro, A.; CebriánCuenca, A.; de Torres-Sánchez, A.; García-de-Lucas, M.D.; Núñez, J.; Obaya, J.C.; Soler, M.J.; Górriz, J.L.; Rubio-Herrera,

WONCA ANNUAL REPORT 2023

72

M.Á. Clinical Recommendations to Manage Gastrointestinal Adverse Events in Patients Treated with Glp-1 Receptor Agonists: A Multidisciplinary Expert Consensus. J. Clin.

Med. 2023, 12, 145. https://doi.org/10.3390/jcm12010145. Van Grondelle SE, Van Bruggen S, Rauh SP, Van der Zwan M, Cebrian A, Seidu S, Rutten GEHM, Vos HMM, Numans ME, Vos RC. The impact of the covid-19 pandemic on diabetes care: the perspective of healthcare providers across Europe. Prim Care Diabetes. 2023 Apr;17(2):141-147. doi: 10.1016/j. pcd.2023.02.002. Epub 2023 Feb 16. PMID: 36822977; PMCID: PMC9933343.

Cebrián-Cuenca Multidisciplinary Panel Consensus for the Management of Patients with Type 2 Diabetes: A Delphi Study. Arch Med Res. 2023 Dec 22;55(1):102923.

Collaborations with WP/SIGs and others WONCA STATEMENT on Non Communicable Diseases (NCDs) and Primary Health Care (PHC) to WHO

WHO Collaboration WONCA as the World Organisation of Family Doctors has a crucial role to collaborate with WHO to: • Advocate to building of strong model of PHC in health systems with national governments around the world. • Promote advanced skills, training and education in FM as well as research for a continuous improvement of PHC impact in world health through WONCA working parties and special interest groups. • Train family physicians to lead PHC teams within country. • Promote the participation of family physicians in the decision making process of the reorganization of PHC in national healthcare system in every country

Plan for 2024 Educational tools and videos at youtube and other platforms Support translations of ICPC 3 Support research and 1. To develop an online training course on NCDs 2. To participate in international forums or statements about NCDs 3. To develop a webinar about Chronic Conditions and COVID

Special Interest Group on Policy Advocacy WP/SIG Executive Board Amanda Howe & Sankha Randemikumara (Co-Chairs) - Sankha also lead for South Asia region, Marina Guisado Europe, Shabir Moosa Africa, Mariano Granano IberoAmerica, and EMR/Asia Pacific in progress,

WONCA ANNUAL REPORT 2023

73

Brief Description The vision of the Special Interest Group (SIG) is to help build capacity for policy advocacy by family doctors at national and local level, through sharing evidence, good practice, and the learning of additional skills..

Activities 2023 We presented regular webinars, and also hosted several workshops in WONCA Sydney, We started to use the new Membership Portal, and to build up our Executive (as we are a relatively new SIG). We are also liaising with experts in the field, and discussing new initiatives; and are linking with the WONCA Europe SIG to ensure mutual benefit.

Collaborations with WP/SIGs and others Yes - offered support to all bidding to the Collaborative Fund that we would assist with the use of findings, and we are named on one of the successful projects as collaborators. Also liaising with WONCA Europe who se yt up a separate SIG. In discussions with one of the US policy centres, and drawing on expertise of others. And also linked through our own networks with YDMs, current WONCA Exec, and AfroPHC,

Plan for 2024 The SIGPA plans to host a webinar every 3 months, to share new learning resources in the Portal, to submit work for WONCA conferences (when we know members can attend), and to work with WONCA Exec. as invited.

WONCA ANNUAL REPORT 2023

74

Special Interest Group on Worker’s Health Brief Description Family medicine has a biopsychosocial perspective, including an understanding of the context in which people live and work. This interest group focused on the relationship between health and work aims at the dissemination, training, and research.

Activities 2023 We are coordinating with ICOH, the International Commission on Occupational Health, to carry out collaborative work regarding the health of workers.

Plan for 2024 These are our four main goals for 2024: - Organise a workshop at the WONCA Europe conference focusing on a timely topic relating to To collaborate with ICOH, the International Commission on Occupational Health, in order to contribute to the dissemination, training, and research on the topic of the relationship between health and work.

WONCA ANNUAL REPORT 2023

75

Young Doctors Movements Young Doctor Representative Sankha Randenikumara YDM Lead (2021-2023)

YDM Committee Rohini Pasricha - Secretary/Polaris Chair Reina Alameddine - Treasurer Enwongo Ettang - AfriWon Chair Anas Almohtaseb - Al-Razi Chair Stuart Holmes - EYFDM Chair Ping Foo - Rajakumar Chair Zainab Anjarwala - Spice Route Chair Alejandro Saldana - Waynakay Chair

Activities Undertaken in 2023 New YDM Operational Guidelines A subcommittee worked on revising the YDM Operational Guidelines which contains the new process of selecting the Young Doctors’ Lead, including young doctor liaisons and representatives of other young doctor groups in the YDM Council, etc. The revised guidelines were endorsed by the WONCA executive in April 2023. https://www.globalfamilydoctor.com/site/DefaultSite/filesystem/documents/Groups/ youngDoctorsMovement/WONCA%20YDM%20Operational%20Guidelines%20April%20 2023-v2.docx.pdf

YDM Global Fund It was decided to start and operate the YDM Global Fund as a subaccount under the WONCA account. A SOPs document was drafted and approved by the YDM Committee. https://donorbox.org/ydmfund?utm_medium=qrcode&utm_source=qrcode

World Family Doctor Day (WFDD) Celebrations YDM prepared a video to promote the core values of family medicine.

Link: https://www.youtube.com/watch?v=s3BmZRE_V6o

WONCA ANNUAL REPORT 2023

76

WONCA World Rising Star Award The WW Rising Star Award selection process was revised completely by the committee to make the assessment more objective. Regional nominations were assessed and the winner was selected and ratified by the Executive Committee. The winner was Dr Albert Yong from Malaysia.

YDM collaborations with WPs/SIGs YDM-WP/SIG collaborative Webinar Series Five (5) more joint webinars in collaboration with the WONCA WPs/SIGs have been conducted in year 2023 in addition to the previous two webinars.

■

Education prospective around the regions (Al-Razi and WP on Education)

■

Digital Health: The Role in Family Medicine (Polaris and WP on eHealth)

■

Health Equity around the World (Spice Route and SIG on Health Equity)

■

The Role of Young Family Doctors in addressing Rural Health Challenges (AfriWon and WO on Rural Practice)

■

Hot topics in Emergency Medicine for Family Medicine (EYFDM and SIG on Emergency Medicine)

Integrating Care Leadership & Advocacy Program by WONCA WP on Mental Health and WONCA YDM The second step (beta-testing) of the above programme conducted by WONCA Working Party on Mental Health in collaboration with the YDM, commenced in August 2023 with the participation of 8 selected young doctors from the LMICs. Programme runs for the 8 months.

WONCA Collaborative Fund YDM collaborated with the WPs and SIGs in submitting a few proposals to the WONCA collaborative fund. One of the proposals “The Family Violence Project” was selected as one of the two winning projects.

Collaborations with the IFMSA YDM started to have a close relationship with the International Federation of Medical Student Associations (IFMSA). Two of the IFMSA members were given bursaries by exempting registration fees for the WONCA Europe Conference 2023.

WONCA ANNUAL REPORT 2023

77

YDM had its first webinar with the IFMSA – ‘Voice of the future: Medical Students’ Perceptions on Family Medicine’ in September 2023 to share experience and promote family medicine among medical students.

YDM Global Projects ■

FM 360 Exchange Programme – Revamped after the COVID-19 pandemic. A workshop was conducted at WONCA Sydney by the FM360 Project.

■

ASPIRE programme – Special webinar series on ‘Leadership’ was conducted. A leadership workshop was conducted at WONCA Sydney.

■

A new YDM Global Project on Mentoring is in the pipeline.

WONCA World Conference, Sydney 2023 ■

A full day YDM Preconference was held on 25.10.2023 at ICC Sydney with a participation more than 150 young doctors across the globe. This included the YDM marketplace which allowed the WPs/SIGs to collaborate with young doctors attended the preconference.

■

YDM conducted three workshops at the conference.

■

YDM had a special stall in the exhibition area which served as an information desk and a meet and greet point.

Young Doctors’ Lead’s Activities Conferences I physically attended three conferences within 2023 and actively participated in young doctors’ events took place in those conferences.

■

WONCA Europe Conference 2023 in Brussels, Belgium

■

International Symposium 2023 by Colombian Society of Family Medicine (SOCMEF) & Waynakay Meeting in Cali, Colombia

■

WONCA World Conference 2023 in Sydney, Australia

WONCA ANNUAL REPORT 2023

78

Presentations I was invited to speak in several events and those opportunities were used to promote family medicine and YDMs among the early career doctors. Some of those events were; ■

World Medical Association (WMA) Junior Doctors’ Network (JDN) Fall (April 2023)

■

Waynakay Meeting in Cali, Colombia (September 2023)

■

International Symposium 2023 by Colombian Society of Family Medicine – SOCMEF (September 2023)

Other representations ■

Actively involved as a member in the Global Health Workforce Network (GHWN) Youth Hub hosted by the Health Workforce Department at the WHO.

■

Initiated the discussions with the United Nations Office on Drugs and Crime (UNODC) in establishing a global young doctors/prescribers network.

Selection of the New YDM Lead According to the WONCA Bylaw change and new operational guidelines, the new YDM Lead election was conducted for the first time by the YDM committee. A special YDM council meeting was held to offer a fair opportunity to the candidates to present their candidacy. Elections were conducted at the special YDM Committee meeting.

Chan Yuen Ching (Cheryl) of Hong Kong was elected as the Young Doctors’ Representative for next biennium 2023-2025.

All the best Cheryl!

Plans for 2024 1.

Continuing YDM-WP/SIG collaborative webinar series

2. A collaborative webinar series with the Interpol on Cyber security 3. World Family Doctor Day Celebrations in May 2024 4. Planning fund raising projects for the YDM Global Fund

WONCA ANNUAL REPORT 2023

79

AfriWON AfriWon RENAISSANCE [FEB-DEC 2023] This report outlines the significant achievements and activities of AfriWon Renaissance, a branch of WONCA Africa focused on young family physicians in Africa.

RESEARCH COLLABORATIVE: This program, designed to enhance the research capabilities of young doctors in primary care, successfully completed its third cycle in August 2023. It engaged 22 participants from various African countries. These doctors received comprehensive support, including online modules on research methods and an eBook titled “How to do Primary Care Research.” The program operates under the education subgroup of WONCA Africa, PRIMAFAMED. EDUCATION AND TRAINING: Dedicated to advancing education in family medicine, AfriWon ETG organized monthly virtual meetings throughout 2023. These sessions covered topics such as Clinical Audit, Scientific Writing, Teaching Methods, and Assessment Techniques in Medical Education. Additionally, monthly CPD sessions were conducted, featuring MCQs in Family Medicine, contributing significantly to the professional development of members.

RESEARCH THEME GROUP: Activities included monthly research meetings, an online mentorship program called Small Online Group for Effective Research (SOGER), and the establishment of a network of young family physicians across Africa to enhance research collaboration and knowledge exchange.

WEBINAR [August 13, 2023] In collaboration with Rural Seeds, AfriWon organized a highly successful webinar on the theme: “The Role of Young Family Doctors in Addressing Rural Health Challenges”, that attracted young family doctors and general practitioners from all continents. The primary goal was to facilitate meaningful discussions on the crucial role young doctors play in addressing health challenges in rural communities.

Distinguished speakers shared valuable insights, best practices, and success stories in the field. As a follow-up to the webinar’s success, AFRIWON and Rural Seeds are actively working to establish a collaborative platform for ongoing discussions, resource sharing, and joint projects aimed at enhancing healthcare in rural communities.

WONCA ANNUAL REPORT 2023

80

RISING STAR DOCTOR AWARD Dr Mercy Wanjala has been selected as the recipient of the Rising Star Doctor Award due to her outstanding achievements, unwavering commitment to advancing family medicine, and significant contributions to healthcare in Kenya. Her exceptional skills, compassionate patient care, and innovative research efforts position her as a potential influencer in the medical community.

2023-2025 EXCO ELECTION AND 2024 OUTLOOK A new Executive Committee wa selected in October and has so far held 3 meetings and is in the process of drafting a strategic plan biennium 2023-2035 and reviewing the Afriwon Constitution

AFRIWON PRECONFERENCE Afriwon will hold a 1-day Pre-Conference in collaboration with the Working Party on Emergency Medicine at the 8th WONCA Africa Region Conference on the 5th of June 2024.

WONCA ANNUAL REPORT 2023

81

Al Razi Executive Board Al Razi Council: New Members (Since Feb 2023): Haneen Taher (Jordan) thanks for Dana Al-Daghlise for representing Jordan for the previous term. Previous Members: Anas Almohtaseb (Chair, Jordan), Adel Yasky (Secretary, Saudi Arabia), Nouf Alnoon (Treasurer, UAE), Beesan Maraqa (Palestine, Executive member), Gehad Fareed (Egypt, Executive member), Adnane Alaoui Ismaili (Morocco), Marwa Alraisi (Oman), Omar Alshammari (Kuwait), Yousef Rizq (Lebanon). Other Membership: 1. E-Health WP: Adel Yaski, 2. ASPIRE Group: Beesan Maraqa. 3. FM360: Tareq Alsioury (Palestine). 4.

Treasurer of YDM Lead: Reina Alameddine (Lebanon) Al Razi Meetings: Three meetings from March to Aug 2022. ▪ WONCA EMR: Anas attended all meetings of the executive group of WONCA EMR. Being a member of the Nomination and Award Committee, Anas participated in the nomination of Five Star Doctor Award and Montegut Scholar Award of WONCA EMR. ▪ YDM Lead: Anas & Reina attended most of YDM Leads meetings.

Anas participated with a subgroup in reviewing the operational guidelines. Reina participated in writing YDM Global Fund SOP, suggesting recommendations to support newly elected YDM representative. Beesan Maraqa was Al Razi Candidate for YDM Representative elections

Activities 2023 WONCA YDM - WP/SIG Collaborative Webinar: ▪ Education (Jan 2023): conducted by Al Razi YDM & WP on Education in Jan 2023. Organized and moderated by Gehad with support of Adel. Maram Smairat (Jordan), participated as a speaker. ▪ Digital Health (Mar 2023): Adel participated as a speaker. ▪ Health Equity (May 2023): Haneen participated as a speaker. 3. WONCA Sydney Pre-Conference Workshop: Adel, Beesan and Nouf were nominated on behalf of Al Razi to participate in the formulated committee to prepare for the workshop. Beesan will present Al Razi and its achievements during the pre-conference workshop. 4. Rising Star Award: Haneen designed and posted the announcement, 11 applications received from Jordan, Palestine, Saudi Arabia, Oman, and Syria. Marwa and Haneen independently assessed the applications and nominated the first two candidates. Both agreed that Beesan Maraqa was ranked first, accordingly, Anas and Adel announced that Beesan is the candidate of Al Razi for this award.

5. Celebrating some global events: (1) World Family Doctor’s Day: Adnane recorded video clip (on behalf of Al Razi YDM), that was grouped into YDM shared video celebrating WFDD 2023. 6. Al Razi Bylaw Revision: the designated taskforce (Beesan, Adel, and Marwa) submitted its amendments to the bylaw to Al Razi EG, waiting for final review and approval before submission for WONCA-EMR Council. 7. Participation in regional workshops: Beesan and Marwa participated in NCD Priorities in Children and Adolescents in the Eastern Mediterranean Region workshop, Muscat, Oman, in March 2023. 8. Preparation for Al Razi Council meeting and election of new Al Razi Chair and Executive Group: An announcement to be made in September for council meeting in

WONCA ANNUAL REPORT 2023

82

October 2023, including the election of the new chair and members of the executive committee for the next term (2023 – 2025). Extra Local Teams Activities: Oman: Marwa was elected as the Head of Media Committee of the Oman Family Medicine Society (OFMS) March 2023. Saudi Arabia: Haila Al Othman and Samiah Al Mihamdi suggested lifestyle medicine workshop during Sydney preconference. Egypt: conduction of several scientific activities and participation in medical campaigns in rural areas. Palestine: Monthly scientific day, in collaboration with PAFM and Palestinian MoH, and hiking activity for the team. Jordan: Awareness video and poster about fasting Ramadan for diabetic patients https://fb.watch/jsv63I33g2/ (2) Attending the Annual Scientific Day of the Jordan Society of Family Medicine in April 2023. (3). Celebrated WFDD by designing a poster. Morocco: 3 new members joined, increasing members from 11 to 14. Adnane, Hind El Kamch, and Farah Hadadi celebrated WFDD by presentation in the 13th National Congress of General Medicine, May 2023.

Plan for 2024 As we are moving with bigger collaborations and expansions on all levels Al-Razi has refreshed its bylines to include more physicians across the region and along with that changing its council members. With the fresh addition of new members Al-Razi is looking forward for more Proust presence in local grounds and to facilitate regional collaborations and encouraging for international reach. A wholistic approach with social media presence to expert hosted events and webinars along with support of the WONCA EMR Al-Razi will do its best to achieve a better overall performance on multiple levels.

WONCA ANNUAL REPORT 2023

83

European Young Family Doctors Movement (EYFDM) We changed our name from the Vasco da Gama Movement to the European Young Family Doctors Movement in 2022 and at the beginning of 2023 we adopted a new logo. We feel it reflects the values of energy, connection and opportunities that are so important to us and our members. We have also moved to a new website, and we have established ourselves as an independent legal entity registered in the Netherlands.

Change within the EYFDM Executive Stuart Holmes (UK) formally took over from Nicholas Mamo (Malta) as president at WONCA Europe in June and other new members of the Executive included Marika Svatošová (Czechia) as treasurer, Yanica Vella (Malta) as exchange officer and Carolina Cordovil (Portugal) as image officer. Other members of the executive remained in post.

Rabee Kazan (Spain) was appointed as the project lead for WONCA’s FM360 exchange project at the global level.

Raisa Álvarez Paniagua (Spain) will take over from him as the European coordinator for FM 360.

EYFDM pre-conference 2023 We were hosted by the young family doctors of Belgium for our annual EYFDM pre-conference in June, which was so popular that tickets sold out! Many of our members are at a stage in their lives when we are starting families of our own, and this was our first pre-conference which was officially ‘family friendly,’ so new parents could bring their children and remain involved in the EYFDM community.

WONCA ANNUAL REPORT 2023

84

Impact on WONCA Europe in 2023 EYFDM made a large impact on the WONCA Europe conference 2023 - young doctors were approximately one third of total attendees we made significant contributions to the scientific programme. EYFDM was given a session in the main hall, which we used to share our reflections on some of the challenges facing family medicine in 2023 but also where we see hope for the future. This session was recorded and you can watch it here. EYFDM also worked with the organising committee of Brussels 2023 to make the main conference family friendly, which was a great success!

We also collaborated with the organising committee of the WONCA Europe conference in Brussels to award 15 bursaries to enable EYFDM members from less privileged countries to attend and participate in the conference - particular mention must go to Marta Kurdzielewicz (EYFDM awards and fundraising officer) for her work on this project. We also ran a fundraising lottery in Brussels where we raised nearly 4,000 euros for our bursary fund for future conferences!

Contributions to WONCA World We worked with young doctor colleagues from around the world to help produce WONCA’s video to celebrate World Family Doctor Day in May, and we collaborated with WONCA World’s Emergency Medicine SIG to present an educational webinar for young doctors around in September.

Exchanges within Europe In 2023, EYFDM members hosted peers from other European countries for pre-conference exchanges in Spain, the Netherlands, Belgium, Italy, Bosnia & Herzegovina, the UK and France. Eleven bilateral exchanges between individual EYFDM members also took place throughout 2023.

WONCA ANNUAL REPORT 2023

85

Polaris October 2021 ■

Polaris Fall 2021 Newsletter: World Conference and Leadership Roles

November 2021 ■

WONCA YDM Pre-Conference and Networking at WONCA World Conference in Abu Dhabi (Virtual)

■

Facilitated YDM Pre-conference workshop on digital presence in the 21st century

March 2022 ■

Initiated myth busters and spotlight of the month campaigns through social media channels: Instagram/Facebook (Instagram: @woncapolaris). Goal of these initiatives is to increase awareness on careers in family medicine and highlight young doctors in the Polaris region.

May 2022 ■

Collaborated with other YDM groups in developing a video for World Family Doctor Day 2022

July 2022 ■

Spring 2022 Polaris Newsletter: Resiliency in Medicine

■

To increase comfort on conducting virtual care encounters, Rohini co-founded the Virtual Care Working Group within the College of Family Physicians of Canada-Section of Medical Students. As part of this, she helped to develop a virtual care module that can be used by medical students to help navigate a virtual care encounter (https:// somsvcwg.wixsite.com/virtualcare). It is now available online for students to use.

August 2022 ■

Polaris executive member, Brunèe Dorsett has taken on the role of YDM rep on the WONCA Working Party on Education. In this role, she is helping to develop a webinar for the YDM members on education in family medicine.

September 2022 ■

USA Reps on Polaris executive team helped to facilitate a successful pre-conference global health summit prior to FMX 2022 held in Washington D.C. in September 2022

■

Participated and supported WONCA YDM – WP/SIG Collaborative webinar series: Webinar #1: The Young Family Doctor and Environmental Changes, hosted by Waynakay and Working Party on the Environment

WONCA ANNUAL REPORT 2023

86

November 2022 ■

Rohini Pasricha collaborated with the Academic Family Medicine (AFM) team and shared her insights on increasing family medicine engagement and recruitment as a panelist speaker at the Family Medicine Forum 2022 in Toronto, Canada

■

Participated and supported WONCA YDM – WP/SIG Collaborative webinar series: Webinar #2: Fall in Older Persons, hosted by the Rajakumar Movement and Special Interest Group on Ageing Health

December 2022 ■

Fall 2022 Polaris Newsletter: Migrant Health

January 2023 ■

Participated and supported WONCA YDM – WP/SIG Collaborative webinar series:

■

Webinar #3: Education: Prospective Around the Regions, hosted by Al-Razi Movement and Working Party on Education

March 2023 ■

Hosted the WONCA YDM – WP/SIG Collaborative Webinar series: Webinar #4: Digital Health – The role in family medicine, in collaboration with Working Party on E-Health

May 2023 ■

Collaborated with other YDM groups in developing a video for World Family Doctor Day 2023

■

Participated and supported WONCA YDM – WP/SIG Collaborative webinar series: Webinar #5: Health Equity Around the World, hosted by Spice Route Movement and Special Interest Group on Health Equity

August 2023 ■

Participated and supported WONCA YDM – WP/SIG Collaborative webinar series: Webinar #6: The Role of Young Family Doctors in Addressing Rural Health Challenges, hosted by Afriwon, Rural Seeds and Working Party on Rural Practice

■

Polaris Rising Star Award 2023 Nomination

September 2023 ■

Polaris Newsletter: Top 10 Resources in Family Medicine

WONCA ANNUAL REPORT 2023

87

The Rajakumar Movement Executive Board PingHsun Chang (Chinese Taipei) - Chair Wong Ling Ying (Malaysia) - Vice Chair Michael Angelo Arteza (Philippine) - Secretary Elaine Chua lee Lea (Singapore) - Treasurer Nantikarn Yingrattanasuk (Thailand) - Image Lead Haslina Mukhtar Aajamer (Malaysia) - FM 360 Coordinator Mya Win Hnit (Myanmar) – ASPIRE Wong Ping Foo (Malaysia) Immediate Past Chair

Activities 2023 January 2023 Participated and supported the WONCA YDM - WP/SIG Collaborative Webinar Webinar #3 on Education: Prospectives Around the Regions, hosted by Al-Razi Movement and Working Party on Education March 2023 Participated and supported the WONCA YDM - WP/SIG Collaborative Webinar Webinar #4 on Digital Health: Role in Family Medicine, hosted

by Polaris and Working Party on eHealth April 2023 Family Medicine Learning Session Webinar The Patient-Centered, Family-Focused, and Community-Oriented (PFC) Approach May 2023 Photo with heart sign in conjunction with World Family Doctor Day 2023 celebration Participated and supported the WONCA YDM - WP/SIG Collaborative Webinar Webinar #5 on Health Equity Around the World, hosted by Spice Route Movement and Special Interest Group on Health Equity July 2023 Family Medicine Learning Session Webinar Transforming Healthcare Delivery through Digital Health and AI in Primary Care TRM Rising Star Award 2023 Nomination August 2023 Participated and supported

WONCA ANNUAL REPORT 2023

88

the WONCA YDM - WP/SIG Collaborative Webinar Webinar #6 on The Role of Young Family Doctors in Addressing Rural Health Challenges, hosted by Afriwon, Rural Seeds and Working Party on Rural Practice September 2023 Participated and supported the WONCA YDM - WP/SIG Collaborative Webinar Webinar #7 on Hot Topics on Emergency Medicine for Family Medicine hosted by European Young Family Doctors Movement and WONCA SIG on Emergency Medicine October 2023 Organised the WONCA YDM PreConference and networking activities during the WONCA World Conference in Sydney Presented and participated in workshops during the WONCA World Conference in Sydney November 2023 Family Medicine Learning Session Webinar Men’s Health in Primary Care webinar series

Collaborations In 2023, we participated and supported activities and webinars with all the WONCA regional young doctors movement groups, and the following WP/SIG: Working Party on Education Working Party on eHealth Special Interest Group on Health Equity Working Party on Rural Practice Special Interest Group on Emergency Medicine Rural Seeds

Plan for 2024 1. Enhance and facilitate FM360 face-to-face exchange. 2. Establish an intra-regional exchange program in Asia-Pacific region. 3. Explore different GP/family-doctor systems and possibilities for young doctors.

WONCA ANNUAL REPORT 2023

89

The Spice Route Movement WP/SIG Executive Board Chair : Dr.Kinley Bhuti (Bhutan ) Secretary : Dr. Manoj L. Priyadarshana (Srilanka ) Aspire Rep: Dr. Rubia Farid (Pakistan) FM 360 coordinator : Dr. Vishnu BS ( India ) Image/web coordinator: Dr. Rohendra Pande (Nepal) Treasurer: Dr. Sayeed ( Bangladesh)

Activities 2023 The new members took our roles past October 2023, the team has been actively recruiting new members for their country and then the South Asia region. We are almost organised as a team and actively working for the upcoming WonCa rural Conference in May 2024.

Collaborations I have been closely having discussions with past Wonca YDM lead and current lead to formulate our plans for way ahead, we have another meeting coming up on 7th February for discussion. As for SAR region , we have meeting end of this month to plan our way forward, planning for more collaboration within and across region also to celebrate world health days as before and continue our online SPICe route webinars

Plan for 2024 ■

Work for upcoming WONCA rural Conference

■

Distribute significant days among countries in the regions ( eg. World GP day, mental awareness day, etc) and celebrate

■

Continue Spice Route Webinar- alleast once every three months to refresh and enhance our skills and knowledge

■

Continue monthly meetings of council members

WONCA ANNUAL REPORT 2023

90

Waynakay The Board of Directors of Waynakay Latin America for the term 2022-2023 was composed of the following individuals: Mesoamerica Subregion: Alejandro Saldaña (Mexico) Andean Subregion: Julliana Sandoval (Peru) Southern Cone Subregion: Gabriela Di Croce (Argentina) In the elections during the assembly for residents, young families and community doctors held virtually alongside the Ibero-American Congress in Brazil, two out of the three representatives mentioned above were ratified.

In the last two years, the youth movement underwent two very different phases. After the COVID-19 pandemic, the movement’s immediate focus was on recovering spaces that had been weakened due to the suspension of in-person activities caused by the pandemic. In the second phase, with more energy and greater participation, work was reorganized and directed towards renewing, strengthening, and developing local movements and the regional space.

Thus, strategies were developed within each subregion to attract the new generation and sustain the participation of young people in each country. One such strategy was to convene through academic meetings. A survey was conducted to understand the members’ interest towards training topics, which led to the organization of a series of virtual meetings every two months, jointly conducted by two countries in the region, following the webinar model that YDM Global implemented in 2021. Each pair and topic to be developed were drawn live and approved by the Board of Directors.

Two significant events strongly encouraged participation, and these were linked to the two Ibero-American events of 2022 and 2023: the Summit in Guatemala and the unfortunately cancelled Ibero-American Congress.

In the months leading up to and during the organization of both events, the residents and young people from all subregions expressed significant interest in attending the events, which shows how important in-person meetings are and that they should be conducted whenever possible.

Following the cancellation of the Ibero-American congress, the movement sought to organize a regional in-person event to facilitate the meeting of members and representatives of national movements. The event coincided with an important visit from Sankha Randenikumara, the representative of young people in the Executive of WONCA. To make

WONCA ANNUAL REPORT 2023

91

this event possible, the SOCMEF, CIMF, and WONCA showed immense collaboration. The event took place last September in Cali, Colombia. During the event, in line with the Family Medicine Symposium of the Pacific Chapter of the Colombian Society, the day and assembly of residents and young people took place, including the election of the new Waynakay Board.

Within the Executive Committee of WONCA Ibero-American CIMF, participation was consistent, ensuring the representation of the voice of the youth in all discussions and tasks. Youth participation was present in all working committees that emerged from the summit, the follow-up of the implementation of family medicine in Guatemala, and the internship and scientific committees of the Ibero-American Congress. The call for participation in these activities sparked the interest of many young people in countries where the movement does not yet exist.

Concerning Waynakay’s youth and their connection with other regions of WONCA, some noteworthy milestones were achieved, such as the participation of representatives from Latin America in the YDM webinars and the inclusion of young people in the coordination of working groups of WONCA, with many of the selected individuals belonging to our region.

Finally, we are pleased to report that the WONCA FM360 program was reactivated recently. The program promotes exchange and internships between residents and young people from around the world. Our region has a team of representatives from seven countries in the exchange area, currently coordinated by Dr Liliana Villegas from Colombia, the regional representative of the program.

Some achievements that this management supported in the last biennium are described below: ■

Full incorporation of young people in the Executive and Board of WONCA IberoAmerican CIMF, giving them a voice and vote

■

Maintenance of simultaneous translation into Spanish at YDM virtual events

■

Participation in organizing committees for the Ibero-American events of CIMF

■

Call for providing economic assistance scholarships for young people to facilitate access to regional academic events

■

Establishment of a process for the election of the youth representative for the Executive of WONCA Ibero-America CIMF. WONCA ANNUAL REPORT 2023

92

Waynakay in numbers: ■

Member countries of Waynakay Latin America, with established and ratified leadership: 9 (Argentina, Uruguay, Paraguay, Chile, Peru, Colombia, Mexico, Panama, Dominican Republic)

■

Countries with movement in the process of formation/restoration: 2 (Brazil, Bolivia).

■

Countries in the region with an interest in participating, having established contact with the Waynakay Board: 3 (Venezuela, Cuba, Puerto Rico)

■

Countries with youth participation without a representative on the Board: 1 (Ecuador)

■

Currently active thematic committees: 2 (Exchanges and communication and dissemination)

■

There is no data on internships to date due to the recent reactivation of the WONCA program.

■

Young people nominated for the economic assistance scholarship for Waynakay’s regional event in Cali 2023: 12, 6 winners (Peru, Bolivia, Chile, Panama, Mexico).

■

Candidacies received for the position of youth representative for the CIMF Executive Committee: 2

■

Participation in chat interaction groups: 217 people from 15 countries

WONCA ANNUAL REPORT 2023

93

WONCA Awards 2024 Fellowships

WONCA Foundation Award

1. Donald Li 2. Val Wass 3. Shabir Moosa 4. Mohammad Husni Jamal 5. Jacque Ponzo 6. Marvin Reid 7. Raman Kumar 8. Alan Abelsohn 9. Enrique Barros 10. Basharat Ali 11. Marie Andrades 12. Terancy Shyamale Perera Samaranayaka

Hoffie Conradie

Honorary Life Direct Individual Members 1.

2.

3.

4.

Karen Kinder Nobutaro Ban Ryuki Kassai Tai-Yuan Chiu

Montegut Global Scholars Award 1.

2.

3.

4.

5.

6.

7.

8.

Melvina Thompson Mel Acuerva Khaled el Khatib Mihai Iacob Faridah Amin Shyamalee Samaranayaka Paula Henry Mariano Granero

Taiwan Family Medicine Research Award 1.

2.

3.

4.

Akeen Akinbode Daniel Mutonga Jacqueline Javier Pramendra Prasad

Global Five Star Award Suha Hamshari

WONCA ANNUAL REPORT 2023

94

Closing Remarks Gratitude is extended to the WONCA Executive, Chairs of WONCA Working Parties, Special Interest Groups, and Young Doctor Movements for their invaluable support in finalizing this report.

Your contributions were indispensable, and this accomplishment wouldn’t have been possible without your assistance!

WONCA ANNUAL REPORT 2023

95