WONCA Annual Report 2022

ANNUAL

REPORT

2022

CONTENTS

TABLE OF

03 05 08 09 15 17 19 21 26

ABOUT WONCA

2022 AT A GLANCE EXECUTIVE COMMITTEE

PRESIDENT Dr A n n a S tavdal

PRESIDENT ELECT Asso c . P r of Karen Flegg

STRATEGIC PLANNING

CEO

Dr Harris Lygidakis

WHO LIAISON Prof V a l Wass

MEMBERSHIP Memb e r Organizatio ns Ful l M e m b ers Asso c i a t e Members Orga n i z a t ions in Collaborative Relation Acad e m i c Members

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REGIONS Afri c a Asi a P a c i fic EMR Euro p e CIMF Nort h A m e rica Sout h A s i a

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WORKING PARTIES Educ a t i o n eHea l t h Envi r o n m e nt Ethi c a l I s s ues Ment a l H e alth Qual i t y a nd Safety in Family Medicine Rese a r c h Rura l P r a ctice Wome n a nd Family M edicine

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SPECIAL INTEREST GROUPS Adol e s c e n t and Young Adult Care Agei n g a n d Health Canc e r a n d Palliative Care Comp l e x i t ies in Health Emer g e n cy Medicine Emer g i n g Practice Models for Family Med i c i n e Fami l y V i olence Gene t i c s LGBT Q H ealth Migr a n t C are, Int Health, and Travel Me d i c i n e Non- C o m municable Diseases Poi nt o f Care Testing Pol i cy A d vocacy Quat e r n a r y Prevention and Over-medica l i z a t i o n

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YOUNG DOCTOR’S MOVEMENTS YDM R e p resentative Afri W O N Al R a z i EYFD M Pol ar i s The R a j a k umar Movement Spi ce R o u te Wayn a k a y Aspi r e P r ogramme FM36 0 E xchange Pr ogram

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STATUTORY COMMITTEES Byl aw s Fina n c e Memb e r s hip Orga n i z a t ional Equity

125 139 Thank you to the WONCA Executive, Chairs of WONCA Working Parties, Special Interest Groups, and Young Doctor Movements for their assistance in the completion of this report.

We also acknowledge the contribution of the secretariat staff - Andrea Zard, WONCA Chief Administrative Officer and María Zavala WONCA Communications Officer in the compilation and design of this report.

WORLD FAMILY DOCTOR DAY 2022

ACCREDITATION

ABOUT

WONCA

WONCA | 2022

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

WONCA's short name is Organization of Family Doctors.

World

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;

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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

WONCA | 2022

OUR

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 132 Member Organizations in 111 countries and territories with membership of about 500,000 family doctors and more than 90 per cent of the world’s population. This includes 11 organizations in collaborative relations with WONCA. There are 34 members in the Academic membership category, which consists of Academic Departments of Family Medicine. Over 1560 individual general practitioners and family physicians have chose to join WONCA in their own right.

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 was transferred from Bangkok, Thailand to Brussels, Belgium in November 2020.

Dr David Game (left) in 1972 with Donald Rice MD, of Canada, who would become the second president of WONCA

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WONCA | 2022

KEY DATES JUNE

MAY

MARCH

17 - 20 June 2022 – WONCA World Rural Health Conference 2022 - Limerick, Ireland

19 May 2022 – WFDD2022: Family Doctors, Always There to Care

14 March 2022 – Official Launch of the EMR Regional Professional Diploma in Family Medicine

27 June 2022 - World Council Meeting 2022

22-28 May 2022 – WONCA at the 75th World Health Assembly

WONCA AT A GLANCE

10 -12 November 2022 – WONCA EMR Conference Muscat, Oman

28 Jun - 1 July 2022 – WONCA Europe Conference 2022 - London, United Kingdom

19 August 2022 – Launch of new Special Interest Group on Policy Advocacy

JULY

AUGUST

10 - 11 November 2022 – WONCA CIMF Iberoamerican Summit of Family and Community Medicine – Guatemala

8 - 10 December – WONCA Asia Pacific Regional Conference - Bali, Indonesia

24 - 26 November 2022 – 7th WONCA Africa Region Conference 2022

12 – 15 December WONCA EMR / WHO EMR – Meeting on Primary Health Care for Universal Health Coverage and Health Security in the Eastern Mediterranean Region – Cairo Egypt

NOVEMBER

DECEMBER

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WONCA | 2022

WONCA MEMBER ORGANIZATIONS WORLDWIDE

SOCIAL MEDIA

14 MEMBER ORGANIZATIONS

49 MEMBER ORGANIZATIONS

EAST MEDITERRANEAN

EUROPE 7 MEMBER ORGANIZATIONS

8 MEMBER ORGANIZATIONS

NORTH AMERICA

SOUTH ASIA

10,000 LIKES 5,192 FOLLOWERS 1,936 FOLLOWERS 874 FOLLOWERS

AFRICA IBEROAMERICA

14 MEMBER ORGANIZATIONS

ASIA PACIFIC

24 MEMBER ORGANIZATIONS

16 MEMBER ORGANIZATIONS

WONCA DIRECT MEMBERS & LIFE DIRECT MEMBERS WORLDWIDE

331 DIRECT MEMBERS 49 LIFE DIRECT MEMBERS

61 DIRECT MEMBERS 40 LIFE DIRECT MEMBERS

135 DIRECT MEMBERS 73 LIFE DIRECT MEMBERS

WONCA NEWS & E-UPDATES 23,020 NEWSLETTER SUBSCRIBERS

EAST MEDITERRANEAN

155 DIRECT MEMBERS 63 LIFE DIRECT MEMBERS

EUROPE

NORTH AMERICA

SOUTH ASIA

WONCA WEBSITE 271,043 PAGE VIEWS

AFRICA IBEROAMERICA

68 DIRECT MEMBERS 16 LIFE DIRECT MEMBERS

112 DIRECT MEMBERS 29 LIFE DIRECT MEMBERS

ASIA PACIFIC

95,732 VISITORS

313 DIRECT MEMBERS 115 LIFE DIRECT MEMBERS

MEMBERSHIP

CHANNELS 6

COMMITTEE

EXECUTIVE

WONCA | 2022

EXECUTIVE COMMITTEE DR ANNA STAVDAL

ASSOC. PROF KAREN FLEGG

WONCA President

WONCA President - Elect

DR DONALD LI

DR HARRIS LYGIDAKIS

Immediate Past President

WONCA CEO

PROF VAL WASS

PROF MARIA PILAR ASTIER PENA

Member-at-Large, Honorary Treasurer, & WHO Liaison

Member at Large

PROF SHABIR MOOSA

DR DAN ABUBAKAR

Member-at-Large

President Africa Region

PROF MOHAMMAD HUSNI JAMAL

PROF TAGHREED FARHAT

President Asia Pacific Region

President East Mediterranean Region

PROF SHLOMO VINKER

DR JACQUELINE PONZO

President Europe Region

President IberoamericanaCIMF Region

DR JEFF MARKUNS

DR TARIQ AZIZ

President North America Region

President South Asia Region

DR SANKHA RANDENIKUMARA Young Doctor Movement Representative

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WONCA | 2022

WONCA

PRESIDENT

DR ANNA STAVDAL

LEADING THE EXECUTIVE COMMITTEE For the first time in WONCA’s history, a new Executive Committee was constituted virtually, rather than through a face-to-face meeting. To build a well-functioning team, I met with all directors of the board on one-to-one calls during January to explore the directors’ views on the plans and perspectives I outlined in my inauguration speech, in November 2021, and to map resources and views among the executive members.

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We held eight online executive meetings in 2022, of which two were scheduled over two days. The highlight was the face-toface meeting in Oslo in the first days of July.

Online meetings offer limited options for informal exchanges among board directors and offer no options for socializing. To compensate for this and to address the roles of board directors and related governance issues, each executive meeting included a workshop session.

Topics related to governance such as the role of a board of directors and focused on planning processes.

WONCA | 2022

WONCA Executive Meeting in Oslo, Norway

STRATEGIC PLAN In March, the strategic planning process was launched. For a description of the process and how far we progressed by the end of 2022, refer to the report by President-Elect, Dr Karen Flegg. I am looking forward to presenting a WONCA Strategic Plan to Council in Sydney, in October this year.

I feel fortunate and deeply grateful for having a successor who values-long term planning and who is able and willing to contribute to and actively take part in and lead parts of the process. That vouches for a good future for our organization.

Continuity is a hallmark of clinical family medicine and an organization’s good governance.

COUNCIL MEETING 2022 As a result of the transition of the secretariat from Thailand to Belgium and incorporation in Switzerland, we have a new requirement to hold annual general meetings, which for WONCA means annual Council meetings. This will enable us to update the Council members more regularly on the budget and ongoing operational procedures. The 2022 annual WONCA Council was organized in London at the end of June. This was the first Council meeting in a hybrid format in WONCA’S history.

THE WONCA SECRETARIAT Over the last three years, many countries, including Belgium, have been subject to restrictions due to the pandemic. Despite the restrictions, it has been a priority for me to visit the secretariat in person as it added great value to my collaboration with the CEO and his staff. I have attended four online executive meetings from Brussels. Despite limited human and financial resources, the secretariat has modernized WONCA operations under the leadership of the CEO, Dr Harris Lygidakis. We now have a wellfunctioning, multilingual secretariat. I am grateful for and impressed by the CEO’s ability to develop the secretariat under extraordinarily difficult circumstances, considering the many-faceted consequences of the pandemic. I am expressing a big thank you to Harris and his team for the efforts they have made.

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WONCA Council Meeting 2022,.

London, UK

WONCA | 2022

WONCA REGIONAL MEETINGS The WONCA Europe Conference 2022 was the first face-to-face WONCA conference since the onset of the pandemic and took place in London. The conference was a joint venture between the Royal College of General Practitioners (RCGP) and WONCA, as both organizations were celebrating their 70th and 50th anniversaries respectively. I delivered the opening keynote speech jointly with the RCGP President, Dr Martin Marshall. I also offered greetings the WONCA Europe Council at their meeting.

The Council approved the Core Values Document, the outcome of a regional brainstorming process that I had been leading since I stepped down as WONCA Europe Regional President in 2019 At the end of 2022, several regions organized conferences, which led me having an extensive traveling schedule.

The following were some of the conferences: WONCA Iberoamericana CIMF Heath Summit: Guatemala: November 8–12 WONCA Africa Conference, Nigeria: November 22–24.

WONCA Asia Pacific Conference, Indonesia: December 8–9.

WONCA President Anna Stavdal at the WONCA Europe Conference 2022 in London and the WONCA Iberoamericana CIMF Heath Summit in Guatemala

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I delivered keynote speeches at all of these conferences. To develop and maintain our global network, WONCA members must hear from their leaders, and regional conferences and councils provide excellent opportunities for dialogue.

The WONCA North American region is different from the other regions as it has no governance structure as a region. The CEO and I went to Washington, D.C., in September to attend the Council of the American Academy of Family Physicians (AAFP). We also took part in the conference on international health organized at the same venue, partly on the same dates. We also met with both the president and CEO of AAFP.

WONCA | 2022 It is worthwhile for the president to utilize his extra time when attending our regional conferences as it offers opportunities to visit health facilities, meet with local health authorities, and not least meet with representatives of different chapters.

I would like to thank all of you who have received me with kindness and hospitality in your local community, be it on the national or regional level.

LISBON 2025

WHO Over the last 12–14 years, WONCA has developed an increasingly strong relationship with WHO. Over the years, both organizations have developed, and WONCA’s WHO strategy has evolved accordingly.

Our current strategy can be summarized as follows: Strengthen the regional links between WHO and WONCA.

Focus on impact on the technical level; we have chosen non-communicable diseases (NCDs) as a focus area.

Strengthen the advocacy for primary health care (PHC) in general practice and family medicine in particular. It is important to contribute to universal health coverage (UHC). WONCA is currently exploring how it can team up with other professional organizations to make achievements in that direction.

The Portuguese Association of Family Medicine (APMGF) was successful in its bid to host the WONCA World Conference in 2025. I was invited to attend their annual national conference in Aveiro, Portugal, to meet with the local organizers and to show support for the ongoing preparatory work, including raising awareness of the importance of our global network’s work. I delivered a keynote speech, and I attended meetings with different groups of Portuguese members.

NFGP When I stood for election as PresidentElect, I was nominated by the Norwegian College of General Practice (NFA) and also by other Nordic colleges that form the Nordic Federation of General Practice. At the annual meeting of the Norwegian College in May and at the Nordic Federation’s annual meeting in Copenhagen in March, I gave updates on global WONCA matters.

Meeting with Helga Fogstad, WHO Executive Director, Partnership for Maternal, Newborn & Child Health (PMNCH)

WONCA President Anna Stavdal and CEO Harris Lygidakis at the American Academy of Family Physicians (AAFP) National Conference in Washington D,C.

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WONCA | 2022

The CEO and I represented WONCA at the World Health Assembly (WHA), in May, in an in-person meeting announced on short notice.

In October, our WHO liaison officer Prof.

Val Wass, with CEO Harris Lygidakis and myself, went to Geneva and met with WHO leaders WONCA is engaging with.

Please refer to the WHO liaison report for further information.

REPRESENTING WONCA

WONCA President Anna Stavdal at the NAPCRG annual conference, held in Arizona, USA Photo Credit: Laura O'Connor

The list of talks that I have delivered at arenas outside WONCA is long. The same goes for meetings with other stakeholders, aimed at identifying synergies and potential collaborative projects. My impression is that WONCA is welcome in many arenas. Given the limited financial and human resources, strict prioritization is needed.

I strongly believe that family doctors can achieve more and better when working in teams, whether it be in the clinical setting, community setting, or in our organizational work. WONCA is constantly striving to advocate on behalf of family medicine and primary care to be more efficient and have more impact.

Engagement with international stakeholders is key.

Organization for Economic Cooperation and Development (OECD) The OECD is launching the PARIS Survey at present. For more information, see https://www.oecd.org/health/paris/.

WONCA has long been invited to attend the OECD Advisory Board meetings to give inputs to the strategy, content, and implementation strategy. Thus, I attended an in-person meeting in Paris in May. North American Primary Care Research (NAPCRG) The North American Primary Care Research Group (NAPCRG) is another partner of WONCA, with partly overlapping constituencies/members. I was invited to give a keynote speech at the NAPCRG annual conference, held in Arizona, USA, in November. It provided a great networking opportunity, besides the opportunity to offer inputs to the NAPCRG Forum.

World Psychiatric Association (WPA) In August, I was invited to attend the annual meeting of the World Psychiatric Association (WPA) in Bangkok, Thailand. I contributed to two sessions in the scientific program, one in collaboration with the International Federation of Mental Health.

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WONCA | 2022 PUBLICATIONS Getting our messages across to relevant target groups, both internally and externally, also means publishing views and perspectives. I have contributed to such activities together with different WONCA members and working groups.

In February, I was invited to represent the professional voice in the online launch of The Lancet Commission on Depression.

The session is available online: https://event.on24.com/wcc/r/3570306/508 431E37714BA0389EC3F34BBE50DC4

GENERAL REFLECTIONS AND THANKS This has been an interesting year for WONCA. We are gradually developing our global network into a professional organization.

WONCA is in transition. Change takes time, and teamwork is needed.

The hurdles are many, and sometimes very high, in a transition process like the one we have almost finalized during 2021 and 2022. WONCA’s achievements are completely dependent on a well-run secretariat. Thus, I extend a big thanks to the secretariat, led by CEO Dr Harris Lygidakis.

I would also like to thank my colleagues on the Executive Committee who are contributing to solving the huge challenges we are currently facing.

I also want to thank WONCA people in different current and former roles, including some of my predecessors. I am deeply grateful for your availability and invaluable support.

DR ANNA STAVDAL WONCA President

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WONCA | 2022

WONCA

PRESIDENT - ELECT ASSOC. PROF KAREN FLEGG

My role in the past year has focused on supporting the current president Dr Anna Stavdal. I have watched her with admiration driving a new agenda for WONCA, looking at what we share, where we are going and how we are going to get there.

WONCA STRATEGIC PLANNING Since commencing office, our president, Dr Anna Stavdal, has driven an organization-wide strategic planning process. The process of strategic planning assists an organization to enhance its understanding of where it is going, how it is going to get there and how it will know if it has been in achieving its aims.

WONCA GROUPS EXCHANGE IDEAS It has been a joy and an honour to initiate regular meetings of the chairs of our WONCA Working Parties and Special Interest Groups over the past 15 months.

These meetings have proven that despite time differences, we are all enthused about sharing ideas and learning from each other, and such meetings must happen more often than for a short time at every world conference. This year in particular, many of our chairs are in their first term of office and it is been wonderful

to see the more experienced chairs sharing their knowledge and ideas.

Enthusiasm has been high, and we are exploring further options to increase the capacity to exchange and communicate. A new initiative which has worked particularly well!

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WONCA last planning process began in 2008, when a Group to Redesign the Operations of WONCA (GROW) was established. That group presented the “GROW” report to Executive in 2009, and in turn, to the Cancun Council meeting, in 2010. WONCA has not undertaken a strategic planning process since.

WONCA | 2022 The process so far in 2022, has provided a wonderful opportunity to engage with many colleagues who are active in WONCA. The initial phase involved the development of a ‘SWOT’ analysis looking at our Strengths, Weaknesses, Opportunities and Threats. This process involved nine focus groups and 51 individuals, a diverse range of colleagues including chairs of our Working Parties and Special Interest Groups, WONCA Past Presidents, current and former Executive Committee members and of course Members of the Young Doctors’ Movement.

The enthusiasm generated by these focus groups was high. It was reassuring to find that there was strong agreement across groups and also many were already thinking of the actions that might eventually be implemented through our Strategic Plan. Our thanks to the group facilitators Bruce Chater, Rob Dijkstra, Raquel Gomez-Bravo, Donald Li, Harris Lygidakis, Dimity Pond, Ruth Wilson, Kim Yu. WONCA Executive has held strategic workshops as part of its meetings, thanks to the initiative of our President. Several of workshop sessions have enabled further development of core goals, and particularly priority actions.

An interesting step was a workshop considering to these questions: What action can we take to minimise weaknesses using the opportunities identified?

How can we minimise the weaknesses to avoid the threats identified?

Which of our strengths can be used to maximise the opportunities?

How can we use our strengths to minimise the threats identified?

At the time of writing, a draft plan including goals, objectives and some key actions is being prepared for Executive consideration and for Council 2023.

It is a considerable achievement that, despite few face-to-face meetings, our President will present Council in 2023 with the first WONCA Strategic Plan in over a decade.

This will have been a process involving multiple internal stakeholders which benefited from the input of WONCA colleagues across with different interest areas in WONCA and involving past, present and future presidents, regional presidents and other office bearers.

#WONCA SYDNEY2023 Since commencing office, our president, Dr Anna Stavdal, has driven an organization-wide strategic planning process. The process of strategic planning assists an organization to enhance its understanding of where it is going, how it is going to get there and how it will know if it has been in achieving its aims.

I have chaired the International Advisory Committee, and also participated in the Host Organising Committee for the WONCA 2023 world conference (RACGP - WONCA 2023) being held in Sydney from October 26-29, 2023.

Recovery, re-connection and revival - a celebration of primary care is our theme Regular meetings of both committees have been held (as well as our Scientific Committee) and we have been overwhelmed with ideas. We have very much valued the input of our international experts to both academic and social programs and we hope to continue such input in 2023. Committee members can be seen on this page. RACGP - Committees I look forward to welcoming you to Sydney, in October 2023.

As your next WONCA President, I will be excited to carry forward the long term strategies developed in this process, securing continuity from one Executive to the next - the only way forward if we wish to build on past achievements.

ASSOC. PROF KAREN FLEGG WONCA President - Elect

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WONCA | 2022

STRATEGIC

PLANNING

WONCA has established a strategic planning process, led by its President, Anna Stavdal, and President-Elect, Karen Flegg, which will assist the Organisation to define its vision and goals for the next five years, the actions and resources needed to attain these goals, and how it will measure progress.

The last strategic planning process was developed by the Group to Redesign the Operations of WONCA (GROW). The GROW report, which was presented in 2009, consisted of a plan to restructure WONCA and increase its operational capacity and financial means.

While some of its recommendations have come to fruition, some, in retrospect would seem to have been unachievable.

PROPOSED STAGES OF THE STRATEGIC PLAN 1. Formulation – The first stage of plan formulation involved understanding the organisation's current performance, using SWOT analyses (strengths, weaknesses, opportunities, threats).

2. Define the Organisation’s mission, vision, purpose and objectives.

3. Strategic Intent - Third, determine where we realistically want WONCA to be in the medium to long term.

4. Strategy developed with broad strategic goals/intents and several objectives under each which can move us forward to where we want to go. Objectives where possible should be Specific, Measurable, Achievable, Relevant, and Timely (SMART).

OUTCOME The outcome of this process will be a five year plan with: mission statement and objectives (in our case some ideas for future enhancements); an outline of strategic goals each with some objectives and proposed activities; an assessment of our resources to proceed with activities.

PHASE ONE The first phase of the Strategic Planning process took place in 2022. It consisted of conducting focus groups with SWOT analyses. The participants had the opportunity to exchange points of view and ideas to understand the trends and the future of WONCA. WONCA's main stakeholders were assigned to nine focus groups, which included Past Presidents, Young Doctors' Movements Leads, Members at Large, Regional Presidents, as well as Chairs from Working Parties and Special Interest Groups, and some of WONCA’s Member Organizations.

Each focus group was assigned a facilitator, chosen for their knowledge and experience within WONCA. The results of each group were synthesized into a final report which is presented in the following page.

Finally, some key measures of performance must be set to monitor progress with implementation. Review – A strategic plan should be reviewed at least annually.

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WONCA | 2022

SWOT G R A P H I C STRENGTHS

WEAKNESSES

Organizational/structural

Organizational/structural

Building relationships between family doctors worldwide Inclusivity and Diversity (incl LMIC/gender equity) WONCA group activities (WPs/SIGs) Secretariat: dedicated, language skilled, modernizing operations Resilience: Adaptable operations (e.g. pandemic) YDMs expansion and growing future leaders

Financial means (limited revenue streams) Human resources (secretariat) Weak internal governance process(Groups/Reg) Lack of structured strategic planning process Lack of business plan Succession planning to leadership positions Variation in group & region activity levels Leadership not all skills based (world /reg/groups) Small delegations at stakeholder meetings

Brand/image/external position

Building relationships between family doctors worldwide Inclusivity and Diversity (incl LMIC/gender equity) WONCA group activities (WPs/SIGs) Secretariat: dedicated, language skilled, modernizing operations Resilience: Adaptable operations (e.g. pandemic) YDMs expansion and growing future leaders

Brand/image/external position

Membership is organizational, not individual Not the “go to” organization for PHC policy Unrecognized by Family Doctors & some MO members Lack of engagement with other professional organizations / PHC stakeholders

Products and services

Products and services

Lack of control over conferences (quality, income, access) Publications and standards in need of review Unclear rules around WONCA intellectual property Linguistic related difficulties

Professional services for family doctors (publications, guidelines, webinars) Information distribution (website, newsletter) Conferences

THREATS Breakaway of countries, MOs, regions, WPs , SIGs Other stakeholders become the PHC voice (negativity towards doctors) World events (eg Pandemic, costs) reduces face to face interactions internal and external A rise in sub-specialist doctors’ international voice at expense of GP/FM Losing identity (of family medicine) Loss of relevance to Young FM Doctors Rival programs reduce income (accreditation)

OPPORTUNITIES Technological advances create increased inclusivity (online events) ICPC work to meet need for worldwide data coding WONCA to be a FM research, FM education and continuing prof development hub PHC collaborators keen to work together and unite as PHC voice.

Remain the sole international FM voice Desire for exchange of knowledge and learning to improve FM in each country – (learn from diversity, and each other) New income sources (projects, grants, increased accreditation demand) Climate change leadership

Groups = WPs and SIGs Reg = regions YDM = Young Doctors’ Movement MO = Member Organization OCR =Organizations in Collaborative relations

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WONCA | 2022

CEO We are excited to share WONCA’s annual report and showcase the organisation’s activities and accomplishments from 2022, including building capacity, education, advocacy, and research. Throughout this report, you will learn about our continuous engagement with the WHO and the development of WONCA’s strategic plan.

The report also highlights Working Parties, Special Interest Groups, and Regions and Young Doctors' Movements. In the final pages, you will find reports from the 2022 World Family Doctor Day and the accreditation program.

Below are a few of the ways that WONCA continues to support and engage with members, creating value under its mission: Supporting communities by introducing groups to the Membership Portal. These workspaces are an instrumental engagement resource for the Working Parties and Special Interest Groups and include blogs, fora, newsfeeds, and shareddocument libraries.

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DR HARRIS LYGIDAKIS

WONCA | 2022 The Working Parties on Research and Mental Health and the Special Interest Group on Policy Advocacy have already a dedicated space. The Working Parties on Education, Rural Practice, Patient & Safety, Women and Family Medicine, and the Special Interest Group on Emergencies are expected to launch a space within the first six months of 2023.

Strengthening WONCA’s output with active exploration of opportunities to develop projects, identify calls for grants, and participate in consortia as partners. For example, the MDD Minds project of the Working Party on Mental Health is coordinated by WONCA. We have also begun developing a fundraising strategy, parts of which will launch in 2023.

Enriching communications and strengthening WONCA’s brand position in the broader primary healthcare ecosystem through campaigns, reports, communication materials, and a growing social media presence. The monthly newsletters and weekly e-updates are now produced on a new platform where we also seek feedback from our readers.

A foundation for the future: Authorities across the globe—and our members and constituencies—require transparency in the transactions and due diligence. The legal and financial regulations are changing, and international non-profits like WONCA must operate within an increasingly strict landscape. WONCA is adapting to this reality with continued organizational restructuring that ensures a solid foundation and future growth. WONCA recently completed its registration in Switzerland and is now recognised as a non-profit by Swiss authorities. This immediately positively impacted our operations (e.g., enabling essential services, such as banking and electronic card transactions).

We enter 2023 with renewed energy and a deep sense of purpose. Our collective strength and passion make WONCA unique, and together, we can continue making a positive difference and inspire others to do the same.

Supporting a return to in-person conferences. As we emerge from the height of the pandemic, the WONCA community was ready to meet, share and rejoice across the world, including in Limerick (WONCA Rural), London (WONCA Europe), Muscat (WONCA East Mediterranean), Abuja (WONCA Africa), Bali (WONCA Asia Pacific), and Guatemala (WONCA Iberoamericana VIII Summit of Family and Community Medicine).

Preparations for the next World Conference in Sydney are underway with our partners at the Royal Australian College of General Practitioners. The committee members are continuing their efforts to ensure a successful meeting. We also look forward to welcoming you to Brussels (WONCA Europe) and Santo Domingo (WONCA Iberoamericana) this June.

DR HARRIS LYGIDAKIS WONCA CEO

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WONCA | 2022

WHO

PROF VAL WASS

OUR AIM

Member-at-Large, WHO Liaison

To share expertise and information to work collaboratively and strategically with WHO to: (i) Contribute effectively to show how primary care can address health inequities and achieve UHC.

Liaison with the WHO remains a top priority. Progress has been made this year. Increasingly, support from member organisations, regions, working parties and SiGs is becoming essential.

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(ii) Build sustainable collaborations so that impetus is maintained when leadership changes. (iii) Harness expertise of Working Parties and SiGs to provide technical support for WHO projects.

WONCA | 2022

Dr Anna Stavdal with Dr Bente Mikkelsen, Director, Non-Communicable Diseases THE CHALLENGES ARE TO: i: Ensure that the family medicine doctors’ leadership in primary care teams is visible to the WHO. ii: Find within the complexities of WHO organisation where focal points for effective engagement lie. iii: Maintain impetus when WONCA and WHO leaders change to build sustainable collaborations. iv: Identify where across WONCA membership collaboration with WHO already exists. v: Harness the technical expertise within WONCA to support WHO initiatives. vi: Work within budget restrictions.

Geneva is an expensive venue.

This report outlines how during the year we have addressed these challenges:

VISITS TO WHO HEADQUARTERS IN GENEVA: 1: In May 2022 President Anna Stavdal and CEO Harris Lygidakis attended the seventy-fifth World Health Assembly in Geneva, the first in-person Health Assembly since 2019.

WONCA collaborated with other organisations in multiple constituency statements and important relationships were established through meetings.

2: In October 2022: President Anna Stavdal, CEO Harris Lygidakis and WHO liaison officer Val Wass organised a two day visit to WHO in Geneva to further build relationships through a series of meetings.

The WONCA Executive approved prioritising three main outcomes to: i: Bring WONCA technical expertise to the WHO work on Non-Communicable Diseases (NCDs). ii: Collaborate to form a “Global Forum for Primary Health Care (PHC)”- working initially with the World Federation of Public Health Associations (WFPHA) and the International Council of Nurses. iii: Continue to build WHO relations identifying links and work in action at WONCA Regional level.

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THE ROLE OF WONCA WORKING PARTIES AND SIGS: HARNESSING OUR TECHNICAL EXPERTISE. This year has seen a change in our approach as we begin to harness the technical expertise of our working parties to WONCA initiatives:

Dr John Fogarty and Dr Teri Reynolds with WONCA representatives, Prof Val Wass, WONCA President Anna Stavdal, and WONCA CEO, Harris Lygidakis.

The Working Party on Mental Health was represented by Professor Chris Dowrick at the World Health Organisation's conference on pre-service education for mental health in Geneva in December. A valuable contribution was made to the WHO aim of advancing preservice training in mental health for nonspecialist health care providers.

The Working Party on Women and Family Medicine is represented by Professor Amanda Howe on the Partnership in Maternal, Newborn and Child Health’s (PMNCH’s) collaboration with the Healthcare Professional Association (HCPA) to address global workforce shortages.

THE WAYS FORWARD: WHAT ARE WE LEARNING? We need to focus and prioritise areas where our technical expertise in family medicine can enhance WHO workstreams. This will be built into the WONCA three year strategy to ensure work can be sustained through changes in roles within WONCA. Harnessing existing expertise and projects within member organisations, regions and our working parties and SiGs is of paramount importance. This will the main focus this year as we look forward to the 2023 World Health Assembly in May.

WONCA at the WHO Headquarters: Heather Adair-Rohani, WONCA President Dr Anna Stavdal, Prof Val Wass, Dr Maria Neira, Director of the Department of Environment, Climate Change and Health at the World Health Organization, and Dr Harris Lygidakis

23

MEMBERSHIP

WONCA

WONCA | 2022

WONCA MEMBERSHIP

FULL MEMBER ORGANIZATIONS COUNTRY

FULL MEMBER ORGANIZATIONS

ACRONYM

YEAR

Afghanistan

Afghanistan Association

Medicine

AFMA

2015

Algeria

Société Algérienne Générale

Médécine

SAMG

2015

Argentina

Argentine Federation of Family and General Medicine

FAMFyG

2002

Armenia

Armenian Physicians

AAFP

2007

Australia

The Royal Australian General Practitioners

RACGP

1973

Austria

Austrian Society of General Practice

ÖGAM

1996

Bahrain

Bahrain Family Physicians Association

BFPA

2004

Bangladesh

Bangladesh Practitioners

College

of

General

BCGP

1987

Bangladesh

Bangladesh Physicians

Academy

of

Family

BAFP

2004

Belgium

Belgian Society Practitioners

General

BSGP

1998

Bolivia

Bolivian Society of Family Medicine

SOBOMEFA

2002

Bosnia & Herzegovina

Association of Family Physicians of Republic of Srpska

Bosnia & Herzegovina

Association of Family Physicians of the Federation of Bosnia and Herzegovina

Botswana

Botswana Physicians

Brazil

Brazilian Society of Community Medicine

Bulgaria

Bulgarian General Practice Society for Research and Education

Cameroon

Medcamer Family Medicine

Canada

The College of Family Physicians of Canada

Family

de

Association

of

Family

College

for

Association

of

of

2011

AFPFBIH

Family

Family

and

2019

SBMFC

BGPSRE

MFM

26

2011

CFPC

2002

2016

2020 1973

WONCA | 2022

WONCA MEMBERSHIP

FULL MEMBER ORGANIZATIONS COUNTRY

FULL MEMBER ORGANIZATIONS

ACRONYM

YEAR

Chile

Scientific Society of Family General Medicine of Chile

and

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 Coordination

Croatia

Croatian Medicine

Cuba

Family

Physicians

2004

KOHOM

2010

CAFM

1997

Cuban Society of Family Medicine

SOCUMEFA

2006

Czech Republic

Czech Society of General Practice CLS JEP

CSGP

1993

Denmark

Danish College Practitioners

DSAM

1976

Dominican Republic

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 Practice

FAGP

1984

France

French College of General Practice

LECMG

2014

Association

Association

of

of

for

Family

General

General

27

WONCA | 2022

WONCA MEMBERSHIP

FULL MEMBER ORGANIZATIONS COUNTRY

FULL MEMBER ORGANIZATIONS

ACRONYM

YEAR

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

Ghana

West Africa College of Physicians, Faculty of Family Medicine - Ghana Chapter

WACPGCFM

1999

Greece

Greek Association Practitioners

ELEGEIA

1988

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 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

College

of

General

of

General

28

WONCA | 2022

WONCA MEMBERSHIP

FULL MEMBER ORGANIZATIONS COUNTRY

FULL MEMBER ORGANIZATIONS

ACRONYM

YEAR

Italy

Centro Studi e Recerche in Medicina Generale

CSeRMEG

1991

Jamaica

The Caribbean Physicians

CCFP

1992

Japan

Japan Primary Care Association

JPCA

1985

Jordan

Jordan Society of Family Medicine

JSFM

2004

Kazakhstan

Kazakhstan Physicians

Family

KAFP

2003

Kenya

Kenya Association of Family Physician

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

Kyrgyzstan

Family Group Practice and Nurses Association of Kyrgyzstan

FPGA

2003

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

North Macedonia

Association of General Practitioners of Macedonia

AGPM

2012

Malaysia

Academy Malaysia

of

AFPM

1975

Malaysia

The Malaysian Family Specialists' Association

Medicine

FMSA

2019

of

College

Association

Family

of

of

Family

2007

Physicians

29

WONCA | 2022

WONCA MEMBERSHIP

FULL MEMBER ORGANIZATIONS COUNTRY

FULL MEMBER ORGANIZATIONS

ACRONYM

YEAR

Malta

Malta College of Family Doctors

MCFD

1989

Mexico

Mexican College of Family Medicine

COMMEFAC

2002

Mongolia

Mongolian Association Medicine Specialists

of

MAFMS

1998

Morocco

National Collective General Practitioners

Moroccan

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 Medicine Society

FAMCO

2007

Pakistan

Pakistan Society of Family Physicians, Lahore

PSFP

1996

Pakistan

College of Family Medicine Pakistan

CFMP

1973

Palestine

Palestinian Medicine

Panama

Asociación Panamena de Medicina Familiar

APMF

2002

Paraguay

Paraguayan Medicine

SPMF

2004

of

and

Association

Society

Family

Community

of

of

Family

Family

30

2019

WONCA | 2022

WONCA MEMBERSHIP

FULL MEMBER ORGANIZATIONS COUNTRY

FULL MEMBER ORGANIZATIONS

ACRONYM

YEAR

Peru

Peruvian Society of Community Medicine

Family

SOPEMFYC

2002

Philippines

Philippine Physicians

of

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 Community Medicine

and

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 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 Medicine

SGAIM/SSMIG

1995

Academy

of

Family

Family

Family

General

and

and

Internal

31

2007

WONCA | 2022

WONCA MEMBERSHIP

FULL MEMBER ORGANIZATIONS COUNTRY

FULL MEMBER ORGANIZATIONS

ACRONYM

YEAR

Taiwan

Chinese Taipei Association of Family Medicine

CTAFM

1988

Tajikistan

Public Organization Association of Family Workers of Tajikistan

Thailand

The General Practitioners/Family Physicians Association of Thailand

GPFPAT

1985

Turkey

Turkish Association Physicians

TAHUD

2003

United Arab Emirates

Emirates Family Medicine Society

Uganda

Association of Family Physicians of Uganda

AFPU

2010

United Kingdom

Royal College of General Practitioners

RCGP

1973

Ukraine

Ukrainian Medicine

UFMA

1999

Uruguay

Uruguayan Society of Family Medicine

SUMEFAC

2002

United States

Society of Teachers of Family Medicine

STFM

1981

United States

American Physicians

AAFP

1973

Venezuela

Venezuelan Society of Family Medicine

SOVEMEF

2002

Vietnam

Vietnam Association Physicians

VAFP

2005

Zambia

Association of Family Physicians of Zambia

Zimbabwe

The College of Primary Care Physicians of Zimbabwe

Association

Academy

National Medicine

of

Family

of

Family

of

Family

of

Family

32

2018

2006

2021

CPCPZ

1976

WONCA | 2022

WONCA MEMBERSHIP

ASSOCIATE MEMBER ORGANIZATIONS COUNTRY

FULL MEMBER ORGANIZATIONS

ACRONYM

YEAR

Australia

Australian College 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

Italy

Italian Academy of Family Physicians

AIMEF

1999

Latvia

Rural Family Doctors Association of Latvia

RFDAL

2005

Nigeria

Society of Family Physicians of Nigeria

SOFPON

2007

Philippines

Foundation for Educators, Inc

FFFME, Inc

1995

Romania

The National Centre for Studies in Family Medicine

CNSMF

2006

United States

American Board of Family Medicine

ABFM

1986

United States

Association of Departments of Family Medicine

ADFM

2012

of

Family

Rural

and

Medicine

33

2019

WONCA | 2022

WONCA MEMBERSHIP

ORGANIZATIONS IN COLLABORATIVE RELATIONSHIP (OCR) COUNTRY

FULL MEMBER ORGANIZATIONS

ACRONYM

YEAR

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 Cardiovascular Society

IPCCS

2017

Switzerland

International Hospital Federation

IHF

2022

Switzerland

World Federation of Public Health Associations

WFPHA

2017

Switzerland

World Health Organization

WHO

2017

United Kingdom

European Association Communication in Healthcare

of

EACH

2015

United Kingdom

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

IPCRG

2007

United States

North American Research Group

NAPCRG

1997

2006

Care

Primary

34

Care

WONCA | 2022

WONCA MEMBERSHIP

ACADEMIC MEMBER ORGANIZATIONS COUNTRY

ACADEMIC MEMBER ORGANIZATIONS

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

35

REGIONS

WONCA

WONCA | 2022

WONCA | 2022

AFRICA

REGION

REGIONAL EXECUTIVE COMMITTEE Dr Dan Abubakar - President Dr Jane Namatovu - President Elect Dr Kwame Ayisi-Boateng - Secretary Dr Elizabeth Reji - Treasurer Dr Ettang Enwongo - Young Doctor Representative Dr Temitope Ilori - Member at Large Dr Joy Mugambi - Member at Large Prof Shabir Moosa - Past president

ACTIVITIES UNDERTAKEN IN 2022 Communication - we strengthened communication with and within all Member organizations in the African region. This enabled us to reach all our individual members with WONCA Info by setting up several online groups.

Conference - we successfully hosted the 7th WONCA Abuja conference in Abuja from 24–26 Nov 2023, had 2-day Advocacy from 22–23 Nov 2023, Preconference for Afriwon, our YDM, WONCA working party and supported annual conference / meetings of MOs. We encouraged webinars at the MOs' levels.

WONCA GROUPS COLLABORATION

COLLABORATION WITH THE WHO

We are in strong communication and collaboration with WONCA, working party of women in Family Medicine (WWPWPM), AFRIWON, our Young Doctors movement in Africa, WONCA working party on mental health and WONCA working party on Education and AFROPHC.

We have a relationship with WHO AFRICA REGION. Three executive committee members: Dr Dan Abubakar, Dr Joy Mugambi and Prof Shabir Moosa were invited to attend the WHO REGIONAL COMMITTEE FOR AFRICA which was held in Line Togo Republic from 21–26 August 2022 as Non-State Actors NSA.

Members were encouraged to join working parties and many did. We supported these working parties and SIGs during WONCA Abuja 2022 by providing both direct and indirect support.

However, only Regional President Dr Dan Abubakar attended the physical meeting.

We have been invited to attend similar meetings since 2019. Despite the interactions at the regional level and MOs’ engagements at country levels, there have not been tangible and significant benefits to WONCA Africa Region and MOs at country levels.

The WONCA President, Dr Anna Stavdal and CEO Dr Harris attended the conference and activities of the working parties and SIGs. We provided the venue for the WONCA women working party and women in family medicine. We also ensured that the various groups presented workshops and symposiums to sensitise and stimulate the interest of more members to join their various organizations. We attended the AfroPHC conference in Cape Town, South Africa in 2022.

Membership Development - we have engaged organizations in five Francophone countries of Benin Republic, Togo, Mali, DRC, and Burkina Faso; the sixth is in Gambia (Anglophone). No one has joined WONCA but work is in progress. Technical consultations with WHO and WORLD BANK are on.

WONCA President Dr Anna and CEO Dr Harris attended the 7th WONCA Abuja conference

38

WONCA | 2022

More work is being done to get better dividends from WHO Africa Region. We are working on stakeholders’ engagement with WHO at their headquarters in Brazzaville, Republic of Congo, before August 2023 to strengthen our collaboration. We have an MOU in collaborative relationship with WHO since 2019.

PLANS FOR 2023 WFDD - To sensitise MOs to organize World family Doctor Day in all African countries with MOs including the ones yet to join WONCA.

To involve the WONCA president Prof Anna in planning and implementation.

WONCA President Dr Anna and CEO Dr Harris attended the 7th WONCA Abuja conference

WWP & SIG - To continue the sensitisation of individual members to join groups of their choice. Communication To deepen current communication efforts.

WONCA Sydney 2023 - We set up platforms to sensitise members to attend the conference with encouraging results.

We are doing same for WONCA Brussels 2023.

AfroPHC - We have an MOU in collaborative relationship to continue it.

Membership Development - To continue with the sensitisation and constructive engagements with the five Francophone countries and one Anglophone country currently being mentored for membership of WONCA. To work more closely with WONCA CEO and Communication Officer to achieve this objective.

WHO - To arrange a stakeholders’ meeting with WHO AFRO to strengthen our collaboration.

WORLD BANK - To arrange a stakeholders’ meeting with the World Bank through the Senior Communication Advisor on Healthcare Financing in Africa.

DR DAN ABUBAKAR President Africa Region

39

WONCA | 2022

ASIA PACIFIC

REGION

REGIONAL EXECUTIVE COMMITTEE Prof Meng Chih-Lee - Past President A/Prof Dr Mohammad Husni Jamal President Dr S Kaviayarasan - Hon Secretary Dr Brian Chang - President Elect and Hon Treasurer Dr Frank Jones - Member at Large Dr Ailieen Espina - Member at Large Dr Yang Hua - Member at Large Dr Tin Myo Han - Member at Large ACTIVITIES UNDERTAKEN IN 2022 1.Regional Council meetings 2.Executive Council meetings 3. WONCA APR Bali Conference 4. The Rajakumar Movement activities

The WONCA APR Council had organized the following series of meetings for the year 2022.

1.

Two virtual meetings on the 12th February and 22nd October 2.

One Executive meeting on the 9th April.

3. One hybrid meeting in Bali on 5th December.

In attendance was Dr Anna Stavdal, Dr Harris Lygidakis and Prof Valerie Wass.

The following matters were discussed: 1. Award of 5-Star Doctor to Prof MengChih Lee 2. At the golden anniversary of WONCA World - Sydney 2023, , the APR council made a representation to recognize/pay tribute to a Founding member organizations of WONCA. 3.

Dr Brian Chang of Taiwan won the President-Elect nomination

40

WONCA APR Council meeting in Bali,.

December 2022

WONCA | 2022

WONCA APR Council meeting in Bali, December 2022

4.

Briefing on WONCA Sydney by Dr Frank Jones and the bid to host the WONCA APR 2025 Korea was accepted.

COLLABORATION WITH THE WHO 73rd Session of the Regional Committee for the Western Pacific Regional Office (WPRO), World Health Organization PLANS FOR 2023 1. Collaborate with WHO Western Pacific Region - will be discussed at the coming APR Executive meeting 2. Explore possible collaboration with UNICEF and World Bank

WONCA APR Bali Conference

PROF MOHAMMAD HUSNI JAMAL President Asia Pacific Region

41

WONCA | 2022

EAST MEDITERRANEAN REGIONAL EXECUTIVE COMMITTEE Professor Taghreed M. Farhat WONCA EMR President Professor Abdulaziz Al-Mahrezi WONCAEMR President-Elect Nagwa Nashat Hegazy - Honorary General Secretary Mona Osman - Honorary Treasurer: Ashraf A. Qayoum Amir - Member at Large Fatima Zohra Mchich Alami - Member at Large Mohammed Ali Rabae - Member at Large Anas Almohtaseb - YDM Representative:

The member organizations organized diverse activities in the region on the whole, e.g., the creation of an educational brochure (Iraq), a free health camp at Qambar Intersection (Afghanistan), radio speeches (Jordan and Saudi Arabia), a campaign (Oman), health education sessions and memorable gift (Palestine), and several conferences (Egypt and Algeria).

The 7th edition of the WONCA East Mediterranean Region Family Medicine Congress 2022 was held from November 10–12, 2022, in Muscat, Oman. The congress was organized by WONCA EMR, under the theme “where opportunity meets action.”

ACTIVITIES UNDERTAKEN IN 2022 The monthly executive board meeting was held virtually. WONCA EMR Committees, i.e., Nominating and Awards Committee, Finance Committee, Scientific Committee, and Bylaws and Regulations Committee, were formed. A dedicated session was organized in all member organizations, and local conferences were held to promote visibility for WONCA by shedding light on its vision, mission, membership, network, and role to support family physicians in the region.

These sessions and local conferences were held in Saudi Arabia, Iraq, Morocco, and Syria with nearly 4,000 attendees overall. The collaborative manuscript entitled “The paradigm shift from NAFLD to MAFLD: A global primary care viewpoint” was published in Liver International (LIV). Celebrations of World Family Doctor Day 2022 were conducted, where the WHO EMRO Regional Director issued a statement directed toward WONCA EMR to highlight the importance of implementing family practice in the countries of the region.

42

REGION

EMR Council Meeting and 7th edition of the WONCA East Mediterranean Region Family Medicine Congress 2022 in Muscat, Oman.

WONCA | 2022 The congress’s vision was to facilitate an enabling environment to encourage and support the development of academic organizations and general practitioners/family physicians. Over three days, the conference witnessed the participation of attendees from 22 countries for multiple key note sessions, parallel workshops, and presentations of abstracts.

The conference witnessed 15 scientific sessions along with 13 workshops facilitated by 50 faculty members. Al Razi YDM had its own Preconference Schedule Workshops that comprised four workshops. Supporting IFMSA took place at the conference.

The regional meeting on “Primary health care for universal health coverage and health security in the Eastern Mediterranean Region” was attended on December 11–15 at the Four Seasons hotel at the First Residence (Cairo, Egypt).

It was facilitated by the WHO’s Regional Office and involved the signing, on December 15, 2022, by health leaders from across the 14 member states. a call for action for the national recognition of the regional Professional Diploma in Family Medicine.

Further, other member organizations in the region were approached to join WONCA, e.g., the Syrian Family Medicine Society and Libya as well as academic departments. Al-Razi YDM was supported in their activities.

COLLABORATION WITH THE WHO 1. Collaboration for the WHO Regional Diploma: The WHO EMRO Regional Director has formed a Steering Committee (SC) for promoting the practice of family medicine in the EMR. The Committee comprises members from the WHO EMRO as well as partner organizations, including The Arab Board of Health Specializations (ABHS), the World Organization for Family Doctors (WONCA), and academic institutions.

The 24-month Regional Professional Diploma in Family Medicine (RPD-FM) was launched with two objectives: 1) meeting the training duration of most accrediting bodies; 2) opening up career and training pathways for graduates through the option of completing the Arab Board training after graduation.

On 15th of December,2022, health leaders from across the Region will signed a call for action for the national recognition of the regional Professional Diploma in Family Medicine.

43

The launch of the Regional Professional Diploma in Family Medicine took place on February 28, 2022. Subsequently, the screening of the candidates and removal of incomplete and duplicate submissions resulted in a total of 900 applications.

Thereafter, official communication with the health ministries in different countries to track the candidates’ credentials took place.

2. Collaboration for “Mapping the Scene” of family physicians in the region.

3. Member of the regional health alliance accelerators forged by WHO EMRO.

WONCA | 2022

14 Member States signed the Cairo Call for Action for the national recognition of the regional Professional Diploma in Family Medicine.

PLANS FOR 2023 1. Carry forward the previous plans e.g., increase WONCA visibility and take followup actions concerning the collaboration for the WHO Regional Diploma 2. Addressing marketing-related issues: Developing the WONCA EMR website Managing awareness campaigns and fund-raising initiatives Sending out an E-Newsletter every month to inform all members about WONCA EMR’s activities Marketing for utilization ICPC in WONCA EMR 3.

Scientific development Organize webinars so that WONCA EMR can remain in contact with global members if no WONCA conferences and events are held.

Bring out the WONCA EMRO scientific journal.

Develop and maintain a database for potential members.

PROF TAGHREED FARHAT President East Mediterranean Region

44

4. Working toward providing continuous medical education Work toward building necessary research capacity in the EMR region.

Organize continuous training courses to ensure that all family physicians should acknowledge the existence of health inequity and be able to identify and evaluate its contributing factors.

WONCA | 2022

EUROPE

REGION

REGIONAL EXECUTIVE COMMITTEE Prof Shlomo Vinker - WONCA Europe President Thomas Frese, WONCA Europe President-Elect Eva Hummers, Hon. Secretary 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 Ferdinando Petrazzuoli, EURIPA, Member at Large Barbara Toplek, WONCA Europe Secretariat Zalika Klemenc Ketis, Hon. Treasurer of WONCA Europe

PROTECT-Europe – Aims to contribute to the implementation of Europe’s Beating Cancer Plan, which aims to support Member States’ efforts to extend the roll-out of routine HPV vaccination of girls and boys to eliminate cervical cancer and other cancers caused by HPV in the coming decade.

Smart CARE – Aims to develop a “Cancer Survivor Smart Card” to summarize patients’ clinical history and to facilitate and monitor follow-up care including the patients’ own experience PRAISE U – Aims to explore the situation regarding early prostate cancer detection in Europe.

WONCA Europe Executive Board meeting in London

ACTIVITIES UNDERTAKEN IN 2022 The year 2022 had been highlighted by the “return to normal” in the post–COVID19 pandemic. The other major event in Europe was the Russian invasion and the war between Russia and Ukraine. We took several actions to support our colleagues in Ukraine, helping them with private donations, educational materials, and support and updates in our webinars, newsletters, and website.

During the year, the WE EB had monthly virtual meetings, and we had three faceto-face meetings.

Many national conferences and many activities were carried out in the networks and SIGs. And the pick was the first face-to-face WE conference after three years in London in the summer of 2022 with more than 2,000 participants.

WONCA Europe increased its activity in joint applications through big EU grants and projects. We were involved in more than 10 proposals, and 3 of them were successful.

45

WONCA | 2022 I attended many national conferences as a keynote lecturer or offered greetings at the opening ceremonies, the vast majority, virtually. The following are some of them: The 11th International Trakya Family Medicine Congress, March 2022, Turkey ELEGIA (Greece)– Opening of the annual conference, May 2022 The annual conference of the Association of General Practitioners/Family Medicine of South East Europe in North Macedonia – June 2022 The annual conference of the Romanian National Society of Family Medicine – October 2022 To increase the diversity of our income resources, we applied for several educational grants from Pharma companies.

Montegut Global Scholars Program The WONCA Europe 5-Star Award The WONCA Europe Scholarship WONCA GROUPS COLLABORATION We introduced a special edition of the EJGP dealing with COVID-19 and family medicine, and we had a lot of submissions that will feature in around 15 accepted publications.

We had a lot of self-generated webinars on various clinical topics, as well as the endorsement of educational activities by leading CME programs like Medscape.

We increased our cooperation with other scientific organizations in Europe like EASO (European Association for the Study of Obesity), EFP (European Federation of Periodontology), and Lancet Liver Primary.

We continued with our monthly newsletter and increased our activity on social media.

We started with a new initiative of producing every month a summary and update of the EB meeting and activities to increase the engagement of our members.

The face-to-face council meeting in London after three years was very successful. It allowed us to change the bylaws to introduce virtual council meetings and also enabled the introduction of a new member to WE EB representing EURIPA.

WONCA Europe Members at the 2022 Conference in London, UK.

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WONCA | 2022

COLLABORATION WITH THE WHO Therapeutic patient education – BRIEF project on patient education in the management of NCD with the involvement of WE in many parts of the project building and dissemination.

Attending WHO regional meeting in Tel Aviv, Israel, in September 2022.

WONCA Europe endorsed the following statements: 1.

Statement on agenda item 5: The WHO European framework for action to achieve the highest attainable standard of health for persons with disabilities in 2022–2030.

2.

EFAD and the undersigned organizations call upon WHO to not leave nutritional care behind.

3.

Statement on agenda item 17 (D): Implementation of the Action Plan for the Prevention and Control of Noncommunicable Diseases in the WHO European Region 2016–2025: Progress report by the INTERNATIONAL ASSOCIATION FOR HOSPICE & PALLIATIVE CARE.

4. Statement on agenda item 9: Road map to accelerate the elimination of cervical cancer as a public health problem in the WHO region.

5.

Joint Statement by Euro Health Net and other Non-State Actors at the 72nd Session of the WHO Regional Committee for Europe Provisional Agenda item 3: “Regional digital health action plan for the WHO European Region (EPW flagship)”

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Members of WONCA Euope and EURIPA .

WONCA | 2022

PLANS FOR 2023 We will have our annual conference in Brussels on June 2023, and we will continue the preparations for Dublin 2024 and hosting WONCA in Lisbon 2025 All our networks went to normal activity meetings, conferences, EB meeting and courses in 2023.

We plan to continue with self-generated webinars and other educational activities with collaboration with other stakeholders and scientific organizations in Europe

61st EQuiP Assembly Meeting Zagreb, Croatia

Prof Shlomo Vinker and Dr Hans Henri P. Kluge, WHO Regional Director for Europe

PROF SHLOMO VINKER President Europe Region

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IBEROAMERICANA - CIMF

WONCA | 2022

REGION

REGIONAL EXECUTIVE COMMITTEE Jacqueline Ponzo – President Thomas Meoño Martín - CIMF CEO Marina Almenas - Honorary Treasurer Marcela Cuadrado - Southern Vice Presidency Sonia Ortiz - Mesoamerica Vice Presidency Rosa Villanueva Carrasco - Andean Countries Vice Presidency Maria Fernández García - Vice Presidency of Iberia Gabriela DiCroce - Waynakay Representative Dora Patricia Bernal – President Elect

2022 was the year of recovery of our faceto-face activities. Many countries had a National Congress of the FM/FCM. Some of these countries had the participation of CIMF in the academic program (Puerto Rico, Mexico, Ecuador, Dominican Republic).

WONCA GROUPS COLLABORATION Technical cooperation with Guatemala for developing FCM, in training and in the health system since 2021.

Participation in Global Climate and Health Alliance (WHO group)

ACTIVITIES UNDERTAKEN IN 2022 Virtual meetings of the Executive Committee with all the Boards of National Associations of the region.

"Salvador Tranche Call" for the presentation of academic works that show the participation of the FM/FCM in the COVID-19 pandemic.

Organization and development of the VIII Ibero American Summit of FM/FCM in Guatemala, a country in which our specialty is not established as yet.

225 persons from the CIMF and Guatemala participated in working groups for four months before the Summit, to develop the work documents around four themes: FM/FCM profile and competencies, certification and recertification, work conditions, and the role of FM/FCM in the health system and during emergency situations.

An ordinary session of the CIMF Board was conducted in Guatemala (Nov 2022).

The first awards edition of "Iberoamerican Five Star Doctor" was released in this session.

The YFM meeting Guatemala(Nov 2022).

happened

in

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VIII Ibero-American Summit of Family and Community Medicine in Guatemala Waynakay Movement Members at the VIII Ibero-American Summit of Family and Community Medicine in Guatemala

WONCA | 2022

COLLABORATION WITH THE WHO PAHO (WHO in the Americas)coorganized the Summit in Guatemala.

The summit was attended by the National Representative of PAHO, Dr Gerardo Alfaro, and some technical consultants such as Sandra Fraifer.

Presently, some of the authorities in PAHO are changing. The new Executive Director is Jarbas Barbosa da Silva Jr. from Brazil.

PLANS FOR 2023

Publication of the academics works of "Salvador Tranche Call" Publication of the documents of the Summit developed in Guatemala

The VIII Ibero-American Summit of Family Medicine culminated with the reading and signing of the Declaration of Guatemala, which represents a commitment to promote family and community medicine in the region.

YDM (Waynakay) will have a renewal of the board of directors. Bimonthly webinars, encouragement, and participation are called for in countries in which the movement is weak or not yet established.

The Group of Women Family Doctors has planned an academic program for 2023.

Implementation of the changes in the bylaws of CIMF: Two members are to be elected at large to be a part of the next Executive Committee.

The next sessions of the CIMF Board are planned for Jun (Punta Cana) and Oct (Sydney). Change of authorities in the CIMF Board will happen during the Sydney session.

Regional Congress: Punta Cana, Dominican Republic, from Jun 29 to Jul 2.

DR JACQUELINE PONZO

Continued support to Guatemala

President IberoamericanaCIMF Region

Institutional strengthening of CIMF

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WONCA | 2022

NORTH AMERICA

REGION

ACTIVITIES UNDERTAKEN IN 2022 The focus this year in WONCA North America has been on refining and preparing a new set of bylaws to provide WONCA with a more formal executive structure to enhance and strengthen the regional structure for WONCA in North America.

Many of the North American region’s strong independent organizations returned to in-person meetings this year, including the AAFP’s FMX, CFPC’s Family Medicine Forum, STFM’s Annual Spring Conference, and NACRG held it’s 50th annual meeting in Phoenix, Arizona. The CCFP also held it’s annual Distinguished Lecture in an online format​ and hosted several activities to celebrate World Family Doctors day inclusive of newspaper articles, social outreach activities and and a webinar with theme “Walk together to combat chronic diseases in the COVID 19 era” ​ WONCA and global health in general have retained an active profile across the North American organizations. Jeff Markuns, the regional president for North America, spoke at CCFP’s Annual Distinguished Lecture . In addition, Dr Markuns gave the Daniel Ostergaard Lectureship on Global Health at the AAFP’s FMX meeting, where the Global Health Summit was integrated into FMX for the first time, and World WONCA President Dr Anna Stavdal and WONCA CEO Dr Harris Lygidakis both also attended AAFP’s FMX as well

In addition, the Besrour Center for Global Family Medicine held its annual meeting at CFPC’s FMF, and Dr Stavdal was also the keynote speaker for the opening plenary at NAPCRG’s 50th annual meeting, where the organization has made a deliberate effort to now expand and engage beyond North America.

The AAFP has a Global Health 365 Series through the upcoming year that can be found at aafp.org, and other global health educational opportunities can be found a the Besrour Center at cfpc.ca. STFM offers its annual spring conference with several global health offerings at stfm.org and NAPCRG is continuing to look to expand its international presence, and you can find more at napcrg.org. Last but certainly not least, we are grateful that the ABFM also continues to sponsor global health connections through the Montegut scholarship for attendees to WONCA events.

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DR JEFF MARKUNS President North America Region

Dr Tochi Iroku-Malize AAFP President, with WONCA President Anna Stavdal and WONCA CEO, Harris Lygidakis at the AAFP’s FMX

WONCA | 2022

SOUTH ASIA REGION REGIONAL EXECUTIVE COMMITTEE Dr Raman Kumar - Immediate Past President Dr Tariq Aziz - President Dr K Sri Ranjan - President Elect D. N.M. Abdal - Honorary Secretary Dr Pramendra Prasad Gupta Honorary Treasurer Dr Basharat Ali - Academic Secretary Dr Md Abdul Quayum - Member at Large Dr Arulrhaj Sundaram - Member at Large Dr Shehla Naseem - Member at Large Dr Zainab Mohammad Anjarwala Chair, Spice Route NOMINATED MEMBERS, WORKING PARTIES AND SPECIAL INTERESTS GROUPS Dr Roshni Jhan Ganguly - Chair, Continuous Professional Development (CPD) Dr Hina Javed - Chair, South Asia Primary Care Research Network Dr Ramakrishna Prasad - Editor, WONCA SAR Journal Dr Mohammed Idris Shariff - Editor, WONCA SAR Website Dr Bijayraj R - Chair, Working Party on Ethics Issues Dr Tula Krishna Gupta - Chair, Special Interest Group on Mental Health Dr Dumindu Wijewadana - Chair, Working Party on Quality and Safety Dr Shyamalee Samaranayaka - Chair, Curriculum Committee, WONCA SAR Dr Zakiur Rahman - Chair, Special Interest Group in Health Equity Dr Pratyush Kumar - Chair, WORSAWONCA Rural South Asia Dr Chhabi Lal Adhikari - Chair, Special Interest Group on NCDs Dr Kishore P Madhwani - Chair, SIG on Occupational Medicine

ACTIVITIES UNDERTAKEN IN 2022

WONCA GROUPS COLLABORATION

1.

Annual Int. Conference at Avari – Lahore, May 21–22, 2022 The sessions were on :

Collaboration with WPs/SIG on research with the above-mentioned activities. Dr Roshni & Dr R.K. Prasad.

Family Medicine, Medicine & Allied, Surgery & Allied, Gynecology / Obstetrics, and Certified Ultrasound Course.

YDM session with Dr Sankha & Dr Zainab Anjarwala.

2. Weekly CME throughout the year except for the Ramadan month (due to fasting) in collaboration with different universities and medical colleges.

3. Research sessions or webinars under the research group comprising Dr Hina, Dr Roshni, Dr Basharat, and Dr Tariq Aziz 3A - 4 research projects completed 3B - 7 research webinars conducted

Dr Kishore Madwani, Chair, Occupational Health, also presented papers at Bali, Indonesia.

Please see the list of research projects conducted thus far. One study has been published, another one is accepted for publication, and two studies are underway.

1. Challenges faced by practicing family physicians in South Asia in conducting research (multi-country study underway) 2. Views of South Asian physicians on climate-related health effects.

A multinational cross-sectional pilot study (manuscript accepted for publication in the American Journal of Climate Change) 3. Breast cancer knowledge among health professionals: A pre-post knowledgebased intervention study. Published in the Journal of Family Medicine and Primary Care, Volume 11: Issue 9: September 2022. Authors: Huma T. Rehman, Hina Jawaid, Aisha Tahir, Misha Imtiaz, Tehzeeb Zulfiqar, & Tariq Aziz DOI: 10.4103/jfmpc.jfmpc_1226_22 4. Knowledge and use of different types of contraceptive methods to prevent pregnancy and STIs among women in the reproductive age group (study underway) Please see the list of sessions conducted

by WONCA SAR Primary Care Research Network from Dec 2021 to date

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WONCA | 2022 1. Supporting Primary Care Research by Dr Ramakrishna Prasad & Dr Hina Jawaid on Dec 28, 2021 2. Research Overview & Study design: Basic Tips for Beginners by Dr Basharat Ali & Dr Tehzeeb Zulfiqar on March 11, 2022 3.

Rural Primary Care Practice, Research& Leadership by Dr Pavitra Mohan on May 30, 2022 4. Developing Family Medicine/Primary Care Education, Faculty and Leadership in South Asia: Lessons From an African Context by Dr Kenneth Yakubu on Aug 20, 2022 5. Research Ethics and Plagiarism by Dr Mariam Hasan on September 14, 2022 6. Bridging Practice & Policy in Primary Health Care: The Art and Science of Public Policy for Healthcare Professionals

by Dr Sanjay Pattanshetty on Oct 5, 2022 7. Community-Based Primary Care Activities and Promoting Basic Life Support Trainings at Undergraduate level

by Dr Abdul Jalil Khan on January 17, 2023

Dr Basharat Ali MBBS, FRCGP, PhD Adjunct Faculty of Family Medicine University of Health Sciences Lahore, Pakistan Academic Secretary, WONCA SAR Examiner to CPSP & MRCGP [INT], South Asia Dr Tehzeeb Zulfiqar MBBS, MSc, MPhil, MPH, PhD. Fellow Infectious Disease Epidemiology and Modelling Group National Centre for Epidemiology and Population Health ANU College of Health and Medicine The Australian National University Canberra ACT 2600 Dr Pavitra Mohan MD, MPH Co-Founder, Basic Healthcare Services(BHS) Rajasthan, India Dr Kenneth Yakubu MPhil, MBA-HUM,FWACP (Fam Med), FMCFM, MBBS Scientia PhD Scholar, University of New South Wales & The George Institute of Global Health,Sydney, Australia

Details of the speakers invited in above sessionsis as below: Dr Hina Jawaid MBBS (Pak), MRCS (UK), MSc (UK), MRCGP (UK) Associate Professor in Family Medicine University of Health Sciences Lahore, Pakistan Chair, WONCA South Asia Primary Care Research Network Member, WONCA Global Organizational Equity Committee Member, WONCA Working Party of Women and Family Medicine Sessional GP, NHS, UK

Dr Ramakrishna Prasad MD, MPH Founder & Director, PCMH Restore Health Chair, AFPI National Centre for Primary Care Research& Policy, India

An interactive session was conducted on World Heart Day, 29th Sept, 2022, by the Department of Family Medicine at UHS.

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WONCA | 2022 Dr Mariam Hasan MBBS, MSc, Clinical Trial PGD Bioethics, EFRE Fellow Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan Dr Sanjay Pattanshetty MD Head, Department of Global Health Governance, Prasanna School of Public Health, Manipal Academy of Higher Education, India Dr Abdul Jalil Khan MBBS, FRCGP, CCT, DDMPC, MSc MEd, FHEA, FFPH Sessional GP, NHS, UK Specialist Advisor, Care Quality Commission, UK Assistant Professor & HOD, Family Medicine Khyber Medical University, Peshawar, Pakistan Dr M. Tariq Aziz MBBS ,MCPS, MRCGP, FRCGP Prof and Faculty at University of Health Sciences and College of Physicians of Pakistan President, WONCA SAR President, Pakistan Society of Family Physicians COLLABORATION WITH THE WHO WHO SAR 1) Dr Pitalo -Developed written statement on primary care for the whole region WRITTEN STATEMENT UHC can be achieved through the involvement of GPs or primary care physicians.

A huge field force of GPs/family physicians can easily be trained, and their existing services can be modified according to the WHO model of FPA (Family Practice Approach).

Trained family physicians through the development of a family medicine department is the need of the day, and it can also play a crucial role in health insurance.

UHC can be achieved following initiatives:

through

the

1. Creating family medicine departments in all medical colleges through faculty development program.

2. Strengthening primary care through trained family physicians.

3.

Developing trained family physicians through CMEs and credit hours Certificates by PMC. 4.

Developing a proper referral system for all points to channelize through suitable specialties, making the process cost-effective.

5. Including all parameters of prevention of polio, measles, rubella, TB , mother and child care and NCDs PLANS FOR 2023 - WONCA Research Workshop (a twoday workshop is planned at Colombo in May 2023, which got delayed due to COVID and the financial crisis in the region) - Annual International Conference at Lahore on March 18–19, 2023, at Royal Palm, Lahore, with different sessions as in the past.

- Weekly CMEs and research webinars throughout the year.

- WONCA conferences at Brussels and Sydney.

Family medicine departments should be established in all medical colleges to create a “Faculty in Primary Care,” resulting in the proper training of family physicians to provide an effective “Referral System.”

DR TARIQ AZIZ President South Asia Region

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PARTIES

WORKING

WONCA | 2022

WONCA | 2022

EDUCATION EXECUTIVE BOARD

DR VICTOR NG Chair WP on Education

Brunee Dorsett (Bahamas) Robin Ramsay (UK) Laura Goldman (USA) Bola Fatusin(Nigeria) Marie Andrades (Pakistan) Chandra Nadarajan (Malaysia) Akye Essuman (Ghana) Carmen Cabezas (Ecuador) Nagwa Nashat (Egypt)

ABOUT THE WP ON EDUCATION The WONCA Working Party on Education supports 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. All are welcome.

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ACTIVITIES UNDERTAKEN IN 2022 The WONCA Working Party on Education (WWPE) had a busy year in 2022.

Throughout the year, 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 have now 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 in 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.

WONCA | 2022 As the COVID pandemic evolved, 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 assist.

The WWPE also had representation at the Primafammed conference in Malawi, where we were offered a keynote and a workshop. Professor Akye Essuman, our African regional executive member presented this on our behalf, and I was able to participate by making a video submission. At the WONCA Africa conference, Dr Bola Fatusin, our young doctors’ 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 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 in 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.

Further, we are 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 to offer a more streamlined way for us to communicate, share information sand collaborate.

WONCA GROUPS COLLABORATION We have collaborated with groups such as the Working Party on Quality and Safety and have a joint workshop prepared for WONCA World in Sydney. We also both sit on the accreditation committee together. Additionally, we are working with the special interest group on emergency medicine to prepare workshops for upcoming conferences.

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WWPE executive meeting and scientific activities WWPE Chair, Victor Ng, at the WONCA Asia Pacific Conference 2022

WONCA | 2022 COLLABORATION WITH THE WHO

PLANS FOR 2023

Please describe any work that has been done by your WP/SIG in collaboration with the WHO. If no work has been done with the WHO, then please type N/A. Please provide the contacts that you are working with at the WHO.

We have 3 main priorities for 2023.

We have been in contact with the WHO regarding preparation of educational material related to mental health. I had an interview this year related to mental health education for family doctors. I advised 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 ideal providers of 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 collaboration with the WHO in this area and other work that is underway at their academy.

1. Complete the WONCA undergraduate medical education text book for Sydney.

2. Revise the postgraduate education standards and submit to WONCA Executive for approval.

3. Review and participate in providing input on how the WONCA accreditation and quality improvement services can improve and evolve.

WWPE members at executive meeting, scientific activities and regional conferences

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WONCA | 2022

eHEALTH ABOUT THE WP ON eHEALTH

DR PRAMENDRA PRASAD GUPTA Chair WP eHealth

EXECUTIVE BOARD Co-Chair- Karen Kinder SecretaryLilliana Laranjo Members: Ana Luisa Neves Keith Thompson Unben Pillay Raquel Gomez Bravo

To create; disseminate information and resources; draft guidelines on digital health interventions and innovations, offer training to accredit interventions; advocate for high quality digital health research; and facilitate collaborations to advance research in the area.

ACTIVITIES UNDERTAKEN IN 2022 We have conducted few workshops in WONCA Europe Conference 2022 and also online. We are working on the publication of a book from the working party. We are also trying to start a research project on NCD soon.

COLLABORATION WITH THE WHO We are having our online meeting every month where we invited the guest from WHO and we are planning for a research projects with WHO on NCDs. PLANS FOR 2023 1. Organize a meeting of the working party and workshops during WONCA World Conference in 2023 - with a prominent speaker from Australia on Digital Health.

2. We are also proposing a workshop during WONCA Europe Conference 2023 and in other regional conferences.

WONCA GROUPS COLLABORATION

3. We will be finalizing the young doctors’ representative for WP eHealth, from the candidates provided by the Young Doctors Groups.

We are trying to coordinate with other working party for joint research projects in future.

4. We will be having an election during the WONCA World Conference 2023, for the new executive committee of WP eHealth.

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WONCA | 2022

ENVIRONMENT DR ÖZDEN GÖKDEMIR Chair WP on Environment Co-Convenor or other office bearers: Dr Sankha Randenikumara (Sri Lanka) Dr Terry Kemple (UK) EXECUTIVE BOARD Dr Enrique Falceto De Barros (Brasil) Past chair - Innovations and Health Equity Manager Prof Alan Abelsohn (Canada) Provost Dr Alice McGushin (UK) - Climate Change Adviser Prof Andy Haines (UK) - Science Advisor Dr Dilge Kocabaş (Turkey) - Medical Students´ Associations Chair

ABOUT THE WP ON ENVIRONMENT Our vision is healthy people, healthy communities and healthy ecosystems on a healthy planet. We welcome interested family physicians / general practitioners or students. You are welcome to join our discussion group; or participate in any of our ongoing projects; or attend workshops on environmental health at WONCA conferences.

Webinars, zoom meetings, and educational MOOCs have been introduced and distributed.

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ACTIVITIES UNDERTAKEN IN 2022 Some of the publications: Family doctors to connect global concerns due to climate change with local actions: State-of-the art and some proposals

WONCA | 2022

On the importance of primary and community healthcare in relation to global health and environmental threats: lessons from the COVID-19 crisis Planetary health action framework: A case study Air pollution: a scoping review for clinical recommendations for family and community medicine Environmental impact ratings that could drive positive environmental changes in the manufacture and use of pharmaceuticals RCGP hosted European WONCA Conference in London-2022 and had many sessions about "planetary health and environment". There was also a preconference by the junior international committee of RCGP-EYFDM - European Young Family Doctors Movement ...

(VdGM) in which "planetary health and environment" has been mentioned in many sessions.

The group has also advertised for the active network of RCGP and UK's Green Practice network.

The webinar was structured using YDM, and the translation was done simultaneously by colleagues (Waynakay, YDM of Iberoamericana has led this webinar and the EYFDM (VdGM) has supported them with contributions).

With Aile Hekimliği Akademisi, in an online meeting, Prof. Dr Paolo Lauriola and Dr Oleg Kravtchenko gave "invited speeches" in 2022. Dr Andrée Rochfort and Prof. Dr Enrique Falceto de Barros gave "invited speeches" in 2021 in Turkey.

WONCA GROUPS COLLABORATION RCGP Waynakay - YDM of Iberoamericana, EYFDM Aile Hekimliği Akademisi, WHO TAHUD EQUIP EGPRN

The online course about "Planetary Health" has also been announced, which has been also prepared by the WONCA Working Party on Environment's members.

COLLABORATION WITH THE WHO

At the same time, collaboration with other associations is also going on such as WHO, TAHUD, EQUIP, EGPRN.

We have completed the webinars and are now focusing on our 'Train the Trainer' program, led by Prof Alan Abelsohn

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PLANS FOR 2023 Attend and present at upcoming WONCA conference.

Develop engaging and informative presentations to showcase our research Webinar series which will begin with "inhalers" Evaluate and implement new options for research management to streamline our processes and increase productivity over the next year.

WONCA | 2022

ETHICAL ISSUES TANIA MOERENHOUT Chair WP on Ethical Issues

ABOUT THE WP ON ETHICAL ISSUES The WP on Ethical Issues is devoted to encouraging the maintenance of the high esthetical standards in practice, education, and research in Primary Care. Anyone who is involved in teaching ethics to medical students, or who has a specific interest in ethical challenges of GP work, is very welcome to join the group.

EXECUTIVE BOARD Africa Keymanthri Moodley Walter Jaoko Asia Pacific Tania Moerenhout (Chair) Aotearoa New Zealand East Mediterranean Amal AL Ali Issam Shaarani

Europe Ignaas Devisch Andrew Papanikitas Iberoamericana-CIMF Carmen Nadal Agost North America Ross Upshur South Asia Tariq Azi K Sri Ranjan - Sri Lanka

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ACTIVITIES UNDERTAKEN IN 2022 We held the first annual meeting for all members, coinciding with the WONCA Europe Conference in London. At the WONCA Europe Conference, we organized a workshop titled "Teaching ethics to medical students: where are we and where do we go from here?".

WONCA | 2022 Both of these events presented the work we are currently reactivating to develop a core curriculum and syllabus for ethics teaching to medical students. This will be a project stretching out over many years and we will reach out to other WP/SIG and WONCA members to join us in this effort.

As part of this debate, three executive members (Ross Upshur, Andrew Papanikitas, and Tania Moerenhout) have published an editorial in BJGP: https://bjgp.org/content/72/720/310.

Activities of the WP largely came to a stop during the COVID pandemic, and with a new chair, we have worked hard to reactivate the group. We have updated our membership and are actively looking for new members to join. We are also in the process of extending the executive board to 14 members in total, 2 for each WONCA World Region.

In 2022, we attracted 4 new Board members, and we still have 3 positions to fill. We are now holding monthly meetings (10 a year) with the board and have developed Terms of Reference which are in a final draft (to be discussed with WONCA exec team).

WONCA GROUPS COLLABORATION We have been communicating with the SIG Older People and Health about a possible collaboration on a webinar next year. We are also planning to reach out to the WP on Education, to collaborate with us on the development of a core curriculum for ethics teaching.

PLANS FOR 2023 We plan to hold two conference workshops in 2023 - one at WONCA Europe and one at WONCA World. Both will focus on the ethics of technology use in general practice (AI and electronic health records). We will further consolidate the executive board and Terms of Reference and continue with monthly meetings with the exec team. We hope to welcome new members to the group from all over the world as well.

We plan to organize one to two webinars in 2023, one possibly in collaboration with the SIG Older People and Health, and potentially, a separate one with the WP on Ethical Issues. We are also looking into organizing a round table with experts to develop a syllabus with topics to be included in ethics teaching for medical and GP students.

Lastly, we want to continue with our work of developing a core curriculum for ethics teaching, which will require collaboration with other groups, as we also take stock of current teaching efforts.

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WONCA | 2022

PROF CHRISTOS LIONIS Chair WP on Mental Health

MENTAL HEALTH REGIONAL VICE-CHAIRS:

EXECUTIVE BOARD Prof Chris Dowrick - Past Chair Dr Abdullah al Khatami - Vice Chair Dr Juan Mendive - Secretary Dr Heather Rogers - Treasurer Prof Jill Benson - Member at large

Dr Joseph Adekunie Ariba - Africa Dr Abdullah al Khatami (Saudi Arabia) - EMR Dr Ferdinando Petrazzuoli - Europe Dr Pramendra Prasad Gupta - South Asia Dr Darien Cipta and Dr Phoebe Holdeson Kimara - Asia Pacific Dr Daniel Ostergarde - North America Dr Sonia Roache - Caribbean

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SECONDARY CARE INTERFACE: Dr James Jackson Dr Darien Cipta Dr Flavio Dias YOUNG DOCTOR REPRESENTATIVE: Dr Phoebe Holdeson Kimara Dr Ana Bertha Perez Villalva

WONCA | 2022 ABOUT THE WP ON MENTAL HEALTH 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.

GEOGRAPHICAL REPRESENTATION In the Executive Board of the Working Party (WP), regional groups of Africa, EMR, Europe, Iberoamerica, South Asia, Asia Pacific, North America and Caribbean are operating and their representatives are serving the WP as Regional Vice Chairs.

YOUNG DOCTORS INCLUSION Dr Phoebe Holdeson Kimara, member of our Executive Board is the Young Doctor representative.

Recently, the WP approved the proposal for a new representative of young doctors and Dr Ana Bertha Perez Villalva has already joined the board.

GENDER EQUITY There has been given specific attention to gender equality when the new executive board was composed. Dr Jill Benson, Dr Heather Rogers and Dr Phoebe Holdeson Kimara are valuable members in our current WP. Dr Sonia Roache has also joined the Regional Group of North America and Caribbean. In addition, and jointly with the Young Doctor Group, Dr Ana Bertha Perez Villalva has nominated as the new member of the WP Board.

ACTIVITIES UNDERTAKEN IN 2022 Many activities undertook in 2022 and many others have started and will continue in the next year. In regards of WP’s internal issues, certain efforts have been made to update the WP page on the WONCA website. Also, the WP group on the WONCA Membership Portal is under preparation.

There have been new funding opportunities for The Advocacy Project. A new book is in preparation, under the umbrella of Taylor & Francis/CRCPress WONCA Family Medicine Book Series.

The title of the book is “Models for interdisciplinary collaboration to address mental health primary care” and it contains a series of interesting subjects.

A highlight has been the participation in WONCA Webinars by MIMS, with the webinars “Primary Care: current challenges and the role of family physician” and “Mental Health and COVID19”.

The funded project MDD Minds about the online training programme on major depression intended for family doctors in Africa, Asia, Eastern Mediterranean and Latin America is on progress.

Meetings of the funded project MDD Minds Project

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Representing the WONCA Working Party on Mental Health, Prof Chris Dowrick and Prof Christos Lionis at WONCA Europe Conference 2022 in London , UK.

The promising Music and Mental Health Project is in preparation, too. Another important moment has been our participation in WONCA Conferences. For example, in the 27th WONCA Europe Conference in London with the workshop entitled “Time for united action on Depression” and in the WONCA Asia Pacific Regional Conference in Bali.

WONCA GROUPS COLLABORATION The chairman of the WP has been involved in all the meetings with the WP/SIGs that have been arranged from WONCA global. In addition, a letter of interest has been prepared to be sent to selected institutions, networks and scientific societies aiming to enhancing networking and interdisciplinary collaboration.

COLLABORATION WITH THE WHO

PLANS FOR 2023 The Advocacy Project and The MDD Minds for Primary Care Project will continue in 2023. Likewise, The Music and Mental Health Project.

Abstracts and round tables are under preparation for our involvement in 28th WONCA Europe Conference and in WONCA Sydney World Conference.

A letter of interest has been prepared and it will be sent to networks to promote ideas and proposals for collaboration.

We are preparing for the launch of the WP group on the WONCA Membership Portal and new updates are in progress for the WP’s page on the WONCA website.

Meetings with publisher of the new WWPMH are on the way so the book could be published within the next year.

Prof. Dr Chris Dowrick represented WONCA in the WHO conference on preservice education for mental health, which took place in Geneva. The focus was on developing guidance for low and middle income countries on why and how to include mental health in undergraduate curricula. Prof. Dowrick, also, had specific conversations with colleagues from Mexico, India and Nigeria which may lead to direct connections in these countries.

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QUALITY & SAFETY EXECUTIVE BOARD

PROF JOSE M VALDERAS Chair WP on Quality and Safety

José María Valderas Chair and WP Executive Committee Member María Pilar Astier Peña –Immediate Past Chair and WP Executive Committee Member José Miguel Bueno Ortiz - Secretary and WP Executive Committee Member Oana Bulilete – WP Manager and WP Executive Committee Member Andrée Rochefort – EquIP liaison and WP Executive Committee Member Sky Koh - WP Executive Committee Member

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ACTIVITIES UNDERTAKEN IN 2022 Whole WP meetings executive meetings.

and

monthly

Progress on book discussing Patient Safety in Family Medicine in the WONCA Family Medicine Series - edited by CRC Press, Taylor & Francis Group.

Contributions to WHO efforts on patient safety as outlined below.

Started a scoping review on patient and family engagement for patient safety in primary care in collaboration with WP in research and key international leaders.

Organization of symposium on the Organization for Economic Cooperation and Development (OECD) PaRIS initiative for the primary care performance evaluation based on patient reports in EQuiP meeting.

WONCA | 2022 Presentation at the seminar on medication safety at the WONCA Europe meeting.

Organization of the first webinar of the series Human factors for Patient Safety in Primary Care. Started the History of the WP project, with overviews of all past chairpersons for the benefit of the WP and the broader membership (available as an online resource and a publication will be submitted).

Contributions to the WONCA World Newsletter from our activities: for the Patient Safety Day and Family Medicine day

WONCA GROUPS COLLABORATION We have established initiatives around the 2023 WHO Patient Safety Day theme with the WPs in Research and Education (see above). We have linked with the Ethics SIG to explore their potential function or the eventual creation of an internal WONCA ethics committee.

We have made the EQuiP President an ex-officio member of the executive. We have contributed to the functioning and decision making process of the Accreditation Committee. We have created the role of liaison with the Organization for Economic Cooperation and Development (OECD) and have presented with them in the academic fora.

We have explored publication of annual guest editorials on Patient Safety with the Eur J Gen Pract.

The chairperson has linked up with a number of external organizations to explore synergies, including the North American Primary Care Research Group (they don´t have activity around Quality & Safety), the International Society for Quality in Health Care (ongoing discussions), the Society for Academic Primary Care in the UK (supported their creation of a own Quality & Safety SIG and agreed to mutual support in dissemination efforts), and the Australasian Association for Academic Primary Care (they don´t have activity around Quality & Safety).

WONCA President, Dr Anna Stavdal and representatives from the WONCA Working Party on Quality and Safety at the OECD

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WONCA | 2022 COLLABORATION WITH THE WHO We made a significant contribution to WONCA dissemination activities on occasion of the 2022 Patient Safety Day and the chairperson deliveredan institutional presentation as part of the webinar organized by WHO. We have secured support from WHO for the WP´s proposal for the 2023 Patient Safety Day theme on patient and family engagement.

The chairperson has contributed as an expert to the WHO Expert Meetingin Geneva. As WONCA, our contacts are with Neelam DHINGRAKUMAR, in a personal capacity for relatedaspects, but for non WONCA specific projects, our contacts are with Kathrin O Neill,Briana Rivas-Morello, and Dirk Horemans.

PLANS FOR 2023 Research: Completion 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.

Presentations at WONCA, and other fora, development of a webinar disseminating the scoping review and submission of two papers. Organization of two topics in Frontiers in Health Services in relation to the Family Physician Day and the Patient Safety Day to be coedited by WP members.

Education: Development of seminar and 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.

Organization of MIMS webinar on patient safety in family medicine.

Quality standards: Conduct of survey of WONCA members on patient and family engagement for patient safety in primary care.

History: completion of the History of the WP project, with overviews of all past chair person for the benefit of the WP and the broader membership (online resource and publication).

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

Engagement: further contributions to WHO efforts on patient safety, upon request.

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WONCA | 2022

RESEARCH ACTIONS TAKEN TO INCREASETHE GEOGRAPHICAL REPRESENTATION

EXECUTIVE BOARD REGIONNAL REPRESENTATIVES

PROF MEHMET AKMAN Chair WP on Research

Pierre Pluye, - North America Bob Mash – Africa Mehmet Ungan – Europe Sairat Noknoy - Asia Pacific Raman Kumar - South Asia Jacqueline Ponzo – Iberoamericana Taghreed Farahat East Mediterranean Faisal Al Nasir - East Mediterranean REGIONAL MEETING COORDINATORS

Being present on the membership portal,started webinar series to have more attention to membership INCLUSION OF YOUNG DOCTORS The WP on Research is providing writing and publishing WS in regional conferences, in order to improve capacity of young doctors GENDER EQUITY

Nagwa Nasha - Young Doctors Representative Chris van Weel - Panel Workshop Convener Christos Lionis - IFPCRN

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Events like webinars, conference, WS, etc. - we are doing our best to have gender equity among the presenters.

WONCA | 2022 ABOUT THE WP ON RESEARCH The WONCA Working Party on Research seeks to expand research in general practice/family medicine and welcomes interested family doctors to join.

Our vision: Research is a core component of general practice/family medicine/primary health care training, scholarship, and clinical practice in all nations.

ACTIVITIES UNDERTAKEN IN 2022 INTERNATIONAL EXAMPLES OF PRIMARY CARE COVID-19 PREPAREDNESS AND RESPONSE: A COMPARISON OF FOUR COUNTRIES

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.

2. 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 have in managing such a case. The three sub-themes are core functions of primary care (comprehensiveness, coordination, continuity, access) Expected outcomes from the webinars:

After the WWPR workshop, which took place during the virtual world conference 2021, we decided to report the results as a journal article. This initiative was led by Felicity Goodyear-Smith, and published in Family Medicine Community health journal. The citation of this article is: Goodyear-Smith F, Kidd M, Oseni TIA, Nashat N, Mash R, Akman M, Phillips RL, van Weel C. International examples of primary care COVID-19 preparedness and response: a comparison of four countries.

Fam Med Community Health. 2022 Apr;10(2): e001608. doi: 10.1136/fmch2022-001608. PMID: 35418499; PMCID: PMC9013790.

Workshops: The following workshop have been realized in WONCA Europe 2022, London: "Primary health care as the cornerstone of the global response and recovery from current and future public health crisis" – featuring Candan Kendir, Mehmet Akman, Michael Kidd, Amanda Howe, Felicity Goodyear-Smith.

Webinars: After 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. Collaboration between academic centers, GP/FP associations from different countries and WONCA to strengthen knowledge and research capacity in family medicine and primary health care.

2. Improvement in knowledge about family medicine and primary health care systems.

3. Publications in peer-reviewed journals from the webinar series.

The first Webinar took place on 12th Dec 2022. It was a success, with 65 participants from all over the world. In this webinar, presentations from Thailand, South Africa, Myanmar and Japan took place. Chris Van Weel kindly accepted to be the commentator of this session. The second webinar is planned for the 13th of February, 2023. Already, presenters from Turkey and Argentina have been confirmed.

WONCA GROUPS COLLABORATION We have submitted a joint WS with EGPRN to Europe 2023 conference in Brussels. Also, the chair of WP on Quality and Safety is also member of our WP, so we are exploring ways to collaborate.

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COLLABORATION WITH THE WHO The Chair of working party, Prof Mehmet Akman has been working as consultant for WHO Azerbaijan for the last 2 years.

PLANS FOR 2023 We will continue the webinar series and also submit abstract for WONCA world and regional conferences.

We are planning to have papers based on webinar series and workshops.

We are also planning to revise our principle documents including mission and vision.

We want to use the membership portal as a communication and discussion platform and make use of it efficiently.

We would like to increase the number of our members and especially plan activities for the young or early career researchers for capacity building in scientific research.

WONCA | 2022

RURAL PRACTICE ABOUT THE WP ON RURAL PRACTICE

EXECUTIVE BOARD

PROF ALAN BRUCE CHATER Chair WP on Rural Practice

Bruce Chater Australia Pratyush Kumar India John Wynn-Jones - UK Ian Couper - South Africa Jo Scott-Jones - New Zealand Zakiur Rahman - Bangladesh Mercy Nafula Wanjala - Kenya Bikash Gauchan – Nepal Mayara Floss - Brazil Gobith Ratnasinga - Sri Lanka Amber Wheatley - UK British Virgin Islands Canan Tuz - Turkey

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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.

WONCA | 2022 ACTIVITIES UNDERTAKEN IN 2022 This year marks 30 years of Rural WONCA. The WWPRP was formed at the 1992 WONCA World Conference in Vancouver with the encouragement and support of the then WONCA Secretary/Treasurer (later CEO) Wes Fabb, following an ad hoc meeting during that conference.

The Working Party broke new ground for WONCA by meeting regularly via audio teleconference between 1992 and 1995 during which time, the WWPRP developed the WONCA Policy on Training for Rural Practice that was formally approved by the WONCA Council at its meeting in Hong Kong in 1995.

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 was addressed by experts in rural health from all regions of the world.

The conference declaration is in response to the “Blueprint for Rural Health”the declaration from the 17th World Rural Health Conference in Bangladesh set out a comprehensive plan for rural health in Ireland.

19th World Rural Health Conference was hosted in rural Ireland at the University of Limerick

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Network TUFH have been employing fellows to develop educational academies.

A Rural and Remote course has been developed by Mustapha Tukur who is also one of our Rural Seeds ambassadors in collaboration with senior Rural WONCA members. Many of the lecturers from our 2020 joint lecture series have volunteered to contribute. It will be jointly badged and marketed.

John did a marvelous job connecting us, informing us, modelling humanity,and providing some much help required in these times, humor on occasions, in Rural Miscellany. He will now have a welldeserved rest.

A special Limerick conference issue of the Journal of Rural and Remote Health on Rural Health has been published.

Other activities:

Our website has been updated and content shifted to www.RuralWonca.org during the pandemic which maintenance and upgrade of our former site became problematic. The new site is an ongoing development.

The Blueprint for Rural Health has been widely disseminated. As Chair, I have published a paper around the elements of the blueprint entitled “Towards blueprint for Rural Health”

Rural Seeds.: Active on social media (Instagram, Facebook, LinkedIn) which is increasing visibility and communication with members New ambassadors have been elected Rural health success stories and videos – this project has continued after a hiatus Rural seeds cafes (Rural Proofing Project) Limerick conference merchandise & workshops/presentations/talks History of Rural WONCA padlet

The Rural Medical Guidebook edition 2 published on our website last year but has now been painstaking stitched together and is available with an ISBN and cover.

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Rural seeds members at the 19th World Rural Health Conference was hosted in rural Ireland at the University of Limerick.

WONCA | 2022 WONCA GROUPS COLLABORATION The working party actively communicates and collaborates with working parties with common interests especially Women and Family Medicine, Health Equity, Research, Education, Environment.

The latter includes the Planetary Health and Planetary Health for Primary Care MOOC. As Chair I also assisted with facilitating the SWOT analysis.

COLLABORATION WITH THE WHO

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 the future.

PLANS FOR 2023 Rural WONCA is collaborating with Euripa and WHO to present at the WONCA Europe 2023 conference. We have an exciting year ahead with WONCA 2023 in Sydney and the official conference, Rural Medicine Australia, a week before in Hobart,Australia.

With the Workforce Department we developed the Pathways to Rural Practice document and assisted in development and launch of the new WHO guidelines document on health workforce development, attraction, recruitment, and retention in rural and remote areas - 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 a paper 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

There are a number of proposals for concurrent events including: An invitation to participate in the meeting of FRAME (Federation of Rural Australian Medical Educators) in Launceston Tasmania before RMA A chance for Rural Doctors Associations to meet with the Rural Doctors Association of Australia at RMA A visit to the Centre for Antarctic Remote and Maritime Medicine A road trip between Hobart and Sydney Some rural practice visits And more in development A Rural WONCA council meeting will be held in conjunction with these.

Our collaboration with WHO and TUFH will continue

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WOMEN & FAMILY MEDICINE EXECUTIVE BOARD Prof. Amanda Howe - Ex-Lead Prof. Amanda Barnard - Ex-Lead Dr Lucy Candib – Secretary

DR ELIZABETH REJI Chair WP on Women & Family Medicine

The previous chair was Dr Noemi Mimi Doohan, who resigned on the 28th of October 2022 due to personal reasons (we are thankful for her leadership).

Dr Elizabeth Reji, who was the ChairElect, stepped up to this position. Will fill the Chair-Elect post and the young doctors’ representative at the Sydney Conference, Australia in 2023.

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ABOUT THE WP ON WOMEN & FAMILY MEDICINE The party will support women doctors to reach their full potential through their contribution to patient care, education, training, research, mentorship, leadership, and WONCA initiatives around the world and to ensure equity in implementing WONCA policies and procedures at conferences.

WONCA | 2022 ACTIVITIES UNDERTAKEN IN 2022 1. Jan 2022: Dr Elizabeth Reji was the observer for the World Council meeting in the 1st quarter.

2. March 2022: WONCA newsletter had published a letter written by the WONCA Working Party for Women and Family Medicine (WWPWFM) chair about the International Women's Day celebration (IWD) 2022.

3. May 19 2022: WWPWFM–Africa webinar on World Family DoctorsDay: Theme of the day was "The Uniqueness of Women Family Doctors: Always There to Care." The three speakers were Dr Taiwo Soyinko (Nigeria); Dr Aramide Oteju (Sierra Leone); and Dr Joy Mugambe (Kenya). Over 1-00 people attended.

6 June 2022: Prof. Amanda Barnard was WWPWFM observer at Rural WONCA Council meeting.

7. June 2022: 27th WONCA Europe Conference, London. a) WWPWFM workshop - Fireside Wisdom Women's Cafe 's theme "Women Family Doctors as champions for equity during the COVID Pandemic and beyond" b) SIGFV and WWPWFM workshop: Family Violence – A Hidden Pandemic within COVID-19 c) Three accepted presentations – Responding to Family Violence; Gender Inequality Within Healthcare Exposed by COVID 19 Pandemic; and Gender Inequality in Family Medicine Careers.

4. June 2022: An article was published in the WONCA Newsletter about the WWPWFM African Webinar 2022.

d) Prof. Amanda Barnard was WWPWFM observer at WONCA Council meeting in London.

5. June 2022: WONCA Rural Health Conference, Limerick.

8.

7th WONCA Conference

a) Practical skills workshop on training GPs in responding to family violence, focusing on a rural context, WONCA Working Party on Women and Family Medicine (WWPWFM) and SIGFV. b) A joint workshop: WWWPFM, WONCA Rural and WONCA SIGVF. Strengthening the response to Family Violence in Rural Practice.

Africa

Regional

a) 23rd November 2022: WWPWFM pre conference. There were 3 speakers: Prof.

Gulnaz Mahamoud (Kenya) spoke about women and academics issues; Dr Foluke Olaniyi George (Nigeria) spoke about women in entrepreneurship / private practice; and Dr Funmilola Daramola (Nigeria) spoke about the life of woman doctor in private practice.

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WONCA Rural Health Conference, Limerick.

WONCA | 2022 It was facilitated by Drs Mercy Wanjala and Ajike Oladoyin. About 20 people attended this preconference both virtually and physically. There were some male associates that attended it. b) 25th November 2022: Fireplace wisdom: About 50 people attended it and there were 3 speakers. c) Eight out of 30 conference papers were accepted and presented. Well attended by both males and females with good feedback.

9. Update on WONCA dedicated Portal for WWPWFM, all email names and addresses have been migrated from WONCA women listserv to portal, as well as the description of our group and our welcome letter have been uploaded. We are awaiting instructions on how to work with the portal.

10. Dr ElizabethReji represents the WWPWFM in the organizational equity committee since June 2022.

11. Dr Elizabeth Reji attended 2 WONCA strategic meeting in April 2022.

WONCA GROUPS COLLABORATION Close collaboration with SIGFV, as evidence in joint workshop development and presentations at WONCA Rural and WONCA Europe 2022.

COLLABORATION WITH THE WHO The previous chair (Dr Mimi Dooham) attended the WONCA partnership for women's, children's, and adolescent’s health (PMNCH) meeting on June 2022.

The WONCA Working Party for Women in Family Medicine is celebrating the uniqueness of Women Family Physicians on this World Family Doctors Day.

PLANS FOR 2023 1. Develop a communication platform for networking amongst the women in the working party via social media, websites, group list serve etc., and teams in each region of the world.

2. Support the development of a regional team in each continent.

3. Identify the key issues for women patients and doctors in all the WONCA member countries; rural, urban, and remote areas in developed, developing and underdeveloped countries and seek for solutions.

4. Support mentorship around teaching, training, research, and leadership roles amongst women in regional and international WWPWFM. 5. Support women to become WONCA leaders in their region or WONCA world.

6. Support women in the participation of WWPWFM focused and personal presentations at the regional/rural and international conferences and workshops.

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7. Establish equity and transparency by reviewing WONCA policies and procedures on representation and programs during regional and international conferences and develop policies for WONCA around equity.

8. Support women doctors’ participation in WONCA initiatives and identify issues around the linguistic, cultural, and economic barriers encountered.

9. Discuss women’s health at various health settings and seek solutions.

GROUPS

SPECIAL INTERESTS

WONCA | 2022

ADOLESCENT & YOUNG ADULT CARE

ACTIVITIES UNDERTAKEN IN 2022

MARIA VERONICA SVETAZ

ABOUT THE WP ON ADOLESCENT & YOUNG ADULT CARE

Co-Chair SIG on Adolescent & Young Adult Care

Today’s world has the largest generation of 10–24 years old in human history. Our understanding of brain development highlights adolescence as the secondmost crucial leverage point for preventative but mainly promotional behavioral interventions: imagine the impact of learning evidence-based practices on how to work with them!

PIERRE-PAUL TELLIER Co-Chair SIG on Adolescent & Young Adult Care

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This past year, we participated in different conversations with the WONCA leadership and were hoping to be one of the first groups to use the new WONCA platform to reach out to our members. As we have not been able to do so, we just created a group to start working toward next year’s Global Conference.

We have created several publications that we want to present on our SIG website:

WONCA | 2022 Tellier, P.P.,Ataman, R., Zaccagnini, M., Gore, G. and Rodriguez, C., 2023.Adolescent medicine training in postgraduate family medicine education: A scoping review.

International Journal of Adolescent Medicine and Health.

Svetaz, M.V.,Miller, K. JG O'Brien and McPherson, L., 2021. Adolescent Health: Communication With Adolescent Patients. FP essentials, 507, pp.11–18.

Miller, K., McPherson, L., JG O'Brien and Svetaz, M.V., 2021. Adolescent Health: Substance Use. FP essentials, 507, pp.26–32.

McPherson, L., Miller, K., JG O'Brien[Stan1] and Svetaz, M.V., 2021. Adolescent Health: Media Use. FP essentials, 507, pp.33–38.

McPherson, L., Miller, K., JG O'Brien and Svetaz, M.V., 2021. Adolescent Health: Prevention of Injury and Death.

FP essentials, 507, pp.19–25.

Barral R, Svetaz MV, Kelley MA, Kanbur N, Thruston W, CoyneBeasley T, Mihaly L, Raymond-Flesch M. The Role of Critical Consciousness and Inclusive Curricula in Adolescents and Young Adults' Wellbeing: A Call for Critical Multicultural Education.

J Adolesc Health. 2022 Oct;71(4):387– 389.doi:10.1016/j.jadohealth.2022.06.

016. Epub 2022 Aug 6.

Kim HD, EpsteinNB, Hancock GR. Hurtado GA. Svetaz MV. Allen M. Latent change modeling of Latino parent–child conflict and pathways to mental health. https://doi.org/10.1111/jomf.12880.

First published: 02 September 2022 Raymond-Flesch M, Koyama A, Dhar CP, Brittner M, Chulani VL, Svetaz MV, Baca MA, Barral RL, Hwang LY. Adolescent Medicine Providers: A Critical Extensionof the Abortion Service Network. J Adolesc Health.

2022 Nov;71(5):526–529. doi: 10.1016/j.jadohealth.2022.08.004.

Epub 2022 Sep 8.

Helping Our Teens Rise Above the Noise and Find Their Own Rhythm.

Chapter.Book: Congrats, You are having a teen! Strengthen your Family and Raise a Good person. American Academy of Pediatric/Elsevier 2022 We presented both at WONCA and IAAH, doing two workshops at each International Conference: IAAH- Peru 2021 WONCA Abu Dabhi 2021

Her goal in this role will be to create a Plenary on Adolescent Medicine presenting the experiences and richness of the Southern Hemisphere. The WONCA SIG is powerful in Africa, the Asia Pacific, and the East Mediterranean regions, perfect for creating panels with Regional leaders presenting their expertise.

COLLABORATION WITH THE WHO Dr Pierre Paul Tellier was a consultant for the years 2020 and 2021;we did not have any collaboration with the WHO.

WONCA GROUPS COLLABORATION

COLLABORATION WITH THE WHO

The WONCA Working Party for Mental Health started a vibrant conversation about models for Adolescent and Child Mental health. We created an initiatory document, and we recently reconnected about this project to decide what to do first, given the overwhelming need.

We are coordinating different submissions of workshops for our Conference 2023.

The idea is to map the diverse needs and present a series of workshops. If all are accepted, we will create a track in which each WONCA participant could receive a Certificate of attendance to the 2023 WONCA Adolescent Health Education track by answering pertinent postworkshop educational questions.

Dr Svetaz has been working with the Society for Adolescent Health and Medicine (SAHM) as an elective Board Member since March 2022. She is also working as a Diversity Consultant for SAHM. Dr Tellier is a SAHM Fellow, active in the International SAHM Committee.

Dr Svetaz, the current SAHM Emissary to the Confederación de Adolescencia y Juventud de Iberoamérica Italia y Caribe (CODAJIC), will serve on the Plenary Selection Sub-committee for the 2024 Annual Meeting of SAHM. This would be a one-year appointment from March 2023–2024. She will collaborate with other members of this sub-committee to help identify and select speakers for three plenary sessions. She was assigned this role by the upcoming 2023 SAHM President, Manuel OscosSanchez, hoping to create a set of Plenary Sessions that will have global relevance and appeal.

Dr Oscos Sanchez has forged a strong relationship with CODAJIC, which Dr Svetaz has been strengthening lately. Dr Svetaz's goal is to bring CODAJIC Fam Med providers to WONCA.

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So far, these are the essential topics/workshops we envision: Strength-based communication with our teens, Strength-based communication with Parents of our teens, The way to make your Office Adolescent-Friendly, Migrant Adolescents and their families, Critical Elements of Inclusive Care, and Panel from the regions represented in our SIG: Africa,Asia, and East Mediterranean.

Continue our exploration with the WONCA Working Party for Mental Health,which has triggered a vibrant conversation about models for Adolescent and Child Mental health, and decide the next steps.

Another project we would love to consider is the creation of an Adolescent Medicine Curriculum for the Southern Hemisphere.

Currently, the curriculum suits most Northern countries (Euro Teach), but no one targets the South, where most adolescents live and where more socioeconomic disparities exist. This point would be great to discuss with WONCA and WHO to explore funding.

WONCA | 2022

AGEING & HEALTH ABOUT THE WP ON AGEING & HEALTH The WONCA Special Interest Group on Ageing and Health (formerly Elderly Care) was established in October 2007 and revamped in 2018. It serves as a focus for the development of elderly care issues for WONCA worldwide.

PROF DIMITY POND Chair SIG on Ageing & Health

Since the last report the SIG has been very busy despite the pandemic.

Membership has grown from 53 to 62 and as the list of contributions below will attest, our members are contributing to a variety of activities in relation to Ageing and Health, as well as their clinical work.

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WONCA | 2022 ACTIVITIES UNDERTAKEN IN 2022 CONTRIBUTIONS NEWSLETTER

TO

THE

WONCA

There have been a number of submissions to the WONCA Newsletter, under the heading “Ageing Lines” . These include: December 2021: Care for the Carer: the need for Universal Health Care January-February 2022: A case study about the importance of grandparenting which concludes: “making our elderly patients realise they have an important place in our lives is very important”.

March 2022: Vignettes of extraordinary older women for International Women’s Day August-September 2022: Article by our Polish member on a Polish app which helps older adults to safely execute long term therapies October 2022: A series of clinical stories from caregivers and older patients CONFERENCE PRESENTATIONS AND WEBINARS WONCA Europe London, June 2022: Louise Robinson and Aaseem Farid presented two models of care for older people. Aaseem presented a hospital in the home service, and Louise presented on 'Post diagnostic dementia care in primary care - an evidence based, task shared approach'. These presentations were followed by lively audience discussions.

WONCA Asia Pacific Bali 2022: Three of our members presented on projects relevant to the Asia Pacific region. Fairuz Ali presented on a GP led stroke patients support group in Malaysia.

This empowered them to organise activities that are in line to their long term stroke rehabilitation and social integration. It aroused considerable interest from the Indonesian family doctors at the conference on how to implement a model like this.

Lee Kheng Hock presented on a program of social prescribing in Singapore which brings the community, in the form of Mahjong Games (Proven to improve mental function), lessons on the use of the mobile phone to connect to families and other activities into three community hospitals. He introduced the concept of a social prescribing toolkit available from WHO. Louise Robinson presented on two countries to establish whether national dementia strategies improve dementia care. One was a high income country, where a national dementia plan was launched 10 years ago, and the other an LMIC country which does not have a national dementia plan implemented.

Despite the existence of a national dementia plan in one of the countries, in both countries she found ongoing disparities in dementia care between rural and urban areas and the need for primary care to provide more post diagnostic care.

OTHER CONTRIBUTIONS Webinar in 2022: In association with the Young Doctors Movement.

SIG members: Dr Wong Ping Foo, YDM convenor Dr Basmon Manomaipiboon coconvenor Dr Sankha Randenikumara coconvenor

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Prof Dimity Pond SIG Ageing and Health convenor Prof Saniya Sabzwari: Assessment of falls Dr Mercy Wanjala: Prevention of falls in the elderly: QI and patient safety approaches Prof Ngaire Kerse: Falls in residential aged care homes and hospitals The webinar was well attended with over 50 attendees. There was active A&A afterwards (including some chat about international recipes to help older people enjoy nutritious meals).

PLANS FOR 2023 WONCA WORLD, Sydney 2023 The SIG has been very busy submitting abstracts for workshops at this function.

One of the abstracts was in collaboration with the new SIG Social Prescribing, and the other abstract was a collaboration with the SIG Family Violence.

WONCA | 2022

CANCER & PALLIATIVE CARE PLANS FOR 2023

DR ALAN BARNARD Chair SIG on Cancer & Palliative Care

Thank you for the opportunity to send this brief report.

The Cancer and Palliative Care SIG has not been active this past year.

I have had contact with Dr Atreya Srikant from India who has agreed to participate in the committee, and perhaps to be involved in leadership.

The Primary Palliative Care network has met at regional palliative care meetings and will continue to work in these forums, which overlap to some extent with the WONCA SIG objectives.

I am no longer able to participate as chair of this SIG and would like to hand over the important work of the SIG to a new committee. I would be able to contribute to this committee for the first year of its term, but not as convenor or chair.

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1. I ask the WONCA leadership to convene a committee including young doctors and one senior member to continue the work of this SIG 2. Compile a list of potential active members of the SIG 3. Organise a schedule of regular committee meetings and public / professional events 4. Develop the cancer part of the SIG 5. Improve relationships with other SIGs and collaborate as much as possible Please accept my apologies for the brevity of this report, but I do want the work to continue, if the committee is willing to accept my offer to continue and help with support as above.

WONCA | 2022

COMPLEXITIES IN HEALTH

ABOUT THE SIG ON COMPLEXITIES IN HEALTH

Complexity drives health.

Interconnectedness and inter-dependencies drive health, healthcare, and services.

Limited and fragmented approaches fail to deliver high quality continuous personcentered care. Complexity thinking stimulates innovation with pragmatic applications for clinical care.

A/PROF CARMEL MARTIN Chair SIG on Complexities in Health

A/PROF JOACHIM STURMBERG Co - Chair SIG on Complexities in Health

We are an active group, currently we are looking to expand our social networking and research collaborations to promote the application of complexity theory/science to clinical, organizational issues and biopsychosocial, knowledge and philosophical understandings of primary care.

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WONCA | 2022 ACTIVITIES UNDERTAKEN IN 2022 Workshop WONCA Europe, London, June 2022 AFRO-PHC Workshop

Collaboration

and

Publications on Universal Health Care in collaboration with experts Collaboration with the NAPCRG Working Group of Complexity in Health(care)/Workshop at NAPCRG Annual Meeting 2022 Collaboration with the International Society for Systems and Complexity Science for Health Presentation at Annual Conference 2023 Regular online meetings WONCA GROUPS COLLABORATION Aged Care, Equity, Climate Change, Policy Advocacy WPs/SIGs WONCA. NAPCRG Committee on the Scienceof Family Medicine,Working Group on Complexity in Health, the International Society for Systems and Complexity Science for Health

COLLABORATION WITH THE WHO Editorial and a series of Papers to address universal health care to contribute to WHO policy

PLANS FOR 2023 WONCA World — Workshop on What are Complex Systems in Health (care)? at EYFDM at the WONCA world SIG workshop. How to use complexity thinking in the consultation.

Sustaining the primary care workforce –— International Perspectives (Symposium) WONCA Europe — Workshop on AI and Complexity SIG meeting Collaboration with NAPCRG on White Paper on Super utilization, AI and Primary Care, and Equity in Aged Care and Complex systems in conjunction with ISSCSH. Quarterly online SIG Meetings Published a Paper on Systems thinking in the Family Practice journal (WONCA)

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EMERGENCY MEDI CI NE ABOUT THE SIG ON COMPLEXITIES IN HEALTH

EXECUTIVE BOARD Nisanth Menon Nedungalaparambil Joy Mugambi Victor Ng Kim Yu Pramendra Prasad Gupta.

DR ELENA KLUSOVA Chair SIG on Emergency Medicine

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Membership is open to all healthcareworkers interested in emergencies, as well as rural & hostile environments medicine.

Dear adrenaline addicts, doctors in love with the immediacy of reaction and the speed of decision based on the deep understanding of the mysteries of the human body, this is the group for you.

WONCA | 2022 ACTIVITIES UNDERTAKEN IN 2022 As is traditional, the group has participated in the annual congress of WONCA Europe held this 2022 in London. We have collaborated with our little brothers from the EYFDM EM SIG in the Pre-Conference Marketplace session, supporting them in their magnificent Primary Care Emergencies workshop.

At the WONCA London congress, the group stood out for its original interactive workshop on Daily life Polytrauma, which had very high attendance and received extraordinary reviews. What has distinguished our workshops for years now is the originality of the modalities and the fun way of learning, thanks to the Gaming technique and updated content according to the latest recommendations of the European and American councils on emergency medicine.

The nature of emergency medicine means that those working in this environment are always under stress, which has increased greatly during the pandemic. People are suffering from fatigue, burnout, and depression, and many emergency departments are understaffed, risking the quality of the healthcare they can provide. It is vital for both them and patients that emergency medicine professionals receive what they need: more attention, better recognition, and improved working conditions.

WONCA EM SIG has actively participated in the celebration of Emergency Medicine Day 2022 carried under the logo "We take care of you; please take care of us."The louder we are, the bigger the change.

WONCA SIG on Emergency Medicine during the WONCA Europe 2022 Conference in London

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WONCA | 2022 Following the same line, the members of the group Nisanth Menon and Elena Klusova have worked together with the team of The European Society for Emergency Medicine (EUSEM) in elaborating the Policy statement on minimal standards for safe working conditions in Emergency Medicine. On September 12, 2022, the statement has been published in the European Journal of Emergency Medicine.

WONCA EM SIG is named among the co-authors/collaborators of the document.

WONCA GROUPS COLLABORATION EUSEM (The European Society for Emergency Medicine): strong collaboration with the EUSEM Toxicology section.

EURIPA (The European Rural and Isolated Practitioners Association): for two years, we are in close contact with EURIPA, maintaining a long line of joint collaborations in the WONCA and EURIPA congresses. A joint project is currently being prepared for presentation at WONCA Sydney.

Daily collaboration with EYFDM EM SIG EUSEM, the joint elaboration of the Policy statement on minimal standards for safe working conditions in Emergency Medicine COLLABORATION WITH THE WHO 1) In accordance with the invitation of The Director-General of the World Health Organization (WHO), two executive members of our SIG have participated in the 6th, 7th, and 8th meetings of the Working Group on Strengthening WHO Preparedness and Response to Health Emergencies representing WONCA. The value and practical objective of this participation have not been very clear, and assessing it with the CEO of the organization will be better to find out if it makes sense to continue participating.

2) From the working group, we have presented the applications for the Technical Advisory Group on Integrated Clinical Care (TAG-IC2), which is the advisory group to WHO for clinical support tools related to primary, emergency, operative, and critical care. This objective, in return, seemed interesting and practical to us. Unfortunately, our application had been unsatisfactory. We have remained on the reservist list for next year's elections.

PLANS FOR 2023 Creation of the quarry of GPs working in EM, who are excited about the collaboration with WONCA, will be our highest priority.We want to expand our borders to the countries hitherto very little involved in our group. Australia, the USA, Canada, and Latin America are among our first goals. We are very interested in establishing contacts with the Nordic countries, meeting our colleagues from Japan and, of course, strengthening our relationship with the scientific societies of European countries, the best addressed by our group so far. Maintaining the closest ties with our colleagues on the African continent, parts of Asia, and the Middle East is our permanent task.

Conferences, Congresses, and other scientific events are our strong point, the activity that the participants like the most.

Based on international brainstorming, we have created a database with the top 30 topics for GPs involved in EM at an international level, and we will track the best ideas to present, paying special attention to the development of novel teaching/learning models based on gaming and clinical simulation.

Relationships with other groups and networks, such as EURACT, EURIPA, Mental health WP, and Social Media group´s content repository through the official WONCA channels, are among the tasks to follow.

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ER Exchanges — our main goal. As a long-term project, we will prepare a complex base for the creation of a network of low-cost professional exchanges between family doctors who are dedicated to emergencies.

WONCA | 2022

EMERGING PRACTICE MODELS FOR FAMILY MEDICINE DR DONALD LI Chair SIG on Emerging Practice Models for Family Medicine

EXECUTIVE BOARD Prof Rich Roberts Dr Wendy Gu Dr Ling Qiu, Prof. Mehmet Ungan Dr Ramen Kumar Dr Ping Foo Wong Prof Amanda Howe

ACTIVITIES UNDERTAKEN IN 2022 During the 2021 Abu Dhabi WONCA World conference held on line, a workshop on the emerging practice models in Family Medicine was held, November 25–27 2021.

Dr Wendy Gu attended the WONCA WP/SIG meeting on behalf of the SIG on Emerging Practice Models in Family Medicine in August 2022. About 20 participants, Chairs from WP/SIG, President Elect, Dr. Karen Flegg, and the WONCA administration team joined the meeting together. The purpose of the meeting was to exchange views and share information on the work of WP/SIG.

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A workshop was planned for the WONCA APR Conference in Bali, but none of the members could attend in the end.

PLANS FOR 2023 Despite little activities during the past three years due to the coronavirus pandemic, as the pandemic settles, we look forward to more activity in 2023 and a workshop during the WONCA World conference in October 2023.

WONCA | 2022

FAMILY VIOLENCE ASST PROF NENA KOPČAVAR GUČEK Chair SIG on Family Violence

DR RAQUEL GÓMEZ BRAVO Chair SIG on Family Violence

EXECUTIVE BOARD Hagit Dascal-Weichhendler - past coconvenor (Israel) Kelsey Hegarty - past co-convenor (Australia) Leo Pas - past co-convenor (Belgium) Jinan Usta - Lebanon Nina Monteiro - Portugal Joyce Kenkre - UK Carmen Fernandez Alonso - Spain Omneya Ezzat Elsherif - Egypt Sajar Othman - Malaysia Elizabeth Reji - WWPWFM

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ABOUT THE SIG ON FAMILY VIOLENCE Violence within families, as well as sexual violence, is a major public health problem all over the world. Violence affects all family members. It affects individuals and society and impacts the quality of life, health behavior, morbidity, and mortality, as well as health care use and costs.

Family doctors have an important role in early identification by encouraging disclosure of family violence, providing a sensitive response, and offering possibilities for referral, intervention, and follow-up to all family members, Our aims are to promote Evidence-based primary care and prevention for those affected by family violence to enhance the safety, health, and quality of life of families and individuals Effective interdisciplinary care for those affected by family violence

WONCA | 2022 To achieve them, our objectives are to: 1. Update and disseminate available evidence and resources on family violence in general practice/family medicine and primary care settings, whilst promoting, developing, and sharing guidance and training on family violence for primary care professionals to enhance their attitudes, skills, and knowledge about family violence.

2. Encourage research and quality improvement on this topic for family physicians and other primary health care teams 3. Promote the involvement of national academies and colleges to develop policies and training on family violence and encourage individuals and organizations to raise awareness of family violence in the professional community.

ACTIVITIES UNDERTAKEN IN 2022 Workshops, oral and poster presentations, and keynote speeches are constant activities during the year in our SIGFV, as well as publications in high-impact journals. Moreover, several research projects are taking place at the national and international levels (more detailed information can be provided upon request) WONCA GROUPS COLLABORATION The WWPWFM, the WONCA Working party on Rural practice (WRP), the YDM, and the WONCA SIG on Ageing and Health

PLANS FOR 2023

Objective

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

Activity

Indicator

Through conferences and meetings in the different regions, seek connections and broader representation as members of the SIG

Active members from all regions in the SIG

Contact the different Young Doctor groups and seek nominations of doctors to join as active members of the SIG Understand how best to exchange resources and connect with the young doctors in the family violence area

Active young doctors from different regions Regular meetings and email exchange At conferences, deliver joint workshops, and during the year run joint projects

Regular contacts – maintain and increase

Website redeveloped that links to key resources

RESOURCE 4. Strengthen connection with WHO and UN to enable regional support and resourcing

Website accessed

Ongoing links to enable distribution of key materials, e.g.

Clinical Handbook to regional organizations

Links distributed to regional associations

Website redeveloped to reflect this with a specific link/connect button

Number of requests

SUPPORT 5. Offer to provide advice to members who want support in this difficult area

EDUCATION 6. Present basic workshops on FV Identification and Response (adapted to the local situation) at as many conferences as possible 7. Encourage and support members’ presentations 8. Develop a practical clinicalcases handbook

Development of a basic Family violence pack that could be delivered by members going to world and regional conferences Assist with the coordination of other conference presentations Proposal to Jo

Presentations undertaken Number attending Presentations undertaken Ongoing

Collaboration with EUPHA and EFJCA Collaboration in the WGH #HealthToo campaign COLLABORATION WITH THE WHO Participation in the CSO Virtual Town Hall with WHO Director-General “The role of CSOs in the prevention, detection, and response to sexual exploitation, abuse, and harassment” on 26 April 2022 on behalf of WONCA.

COMMUNICATE Communication plan 9. Develop and implement a communication plan via website and newsletters

WONCA membership portal

Communication plan developed Website updated Regular news items Total number of items

EVALUATE 10. Support collaboration on research projects globally 11. Evaluate our performance and objectives

Ongoing links to enable distribution of key materials, e.g. Clinical Handbook to regional organizations

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Continue to look for opportunities to resource the research work of the SIG network

Collaborative research projects

WONCA | 2022

PROF IMRAN RAFI Chair SIG on Genetic Medicine EXECUTIVE BOARD Secretariat- Jude Hayward ABOUT THE SIG ON FAMILY VIOLENCE Advances in Genomic medicine will impact across all specialties including primary care however for successful implementation we will need education, and assessment of training needs as well as considering information recording , populations affected and consideration of referral pathways

GENETI C MEDI CI NE

ACTIVITIES UNDERTAKEN IN 2022

PLANS FOR 2023

Ongoing educational activities working with the genomics education programs including Gene notes, educational talks and planned potential webinars . An area of research is around pharmacogenomics in primary care in the context of poly pharmacy and the current research project will complete in 2024. We are working with NHS England on various working groups and members of the group will be editing an up to date version of the Oxord handbook Genomics Medicine

Continuation of activities - we are heavily involved and influencing the needs of primary care

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WONCA | 2022

LGBTQ HEALTH

EXECUTIVE BOARD Elma De Vries Wee-Sian Woon Murilo Mouro Sarno Eriko Yoshida Sara Carvalho Ferreira Ana Paula Amorim

DR JULIEN ARTIGNY Chair SIG on LGBTQ Health

ABOUT THE LGBTQ HEALTH Objectives of the SIG are to educate FPs and GPs about the healthcare inequities experienced by LGBTQ patients, provide evidence-based healthcare, facilitate and create research focusing on LGBTQ health, connect LGBTQ-identified and ally FPs and GPs in a safe and affirming space within the WONCA.

DR. FILIZ AK Chair SIG on LGBTQ Health

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WONCA | 2022 ACTIONS TO INCREASE GEOGRAPHICAL REPRESENTATION The members of the Executive Board of the SIG on LGBTQ Health were selected by taking into account geographical regional representation.

Each representative would be in contact with the members of their region.

YOUNG DOCTORS INCLUSION Workshops at WONCA congresses created an opportunity to meet young physicians and introduce SIG on LGBTQ Health. There with all the executive board consists of young doctors, too.

ACTIONS TO ENSURE GENDER EQUITY

WONCA GROUPS COLLABORATION SIG on family violence offered to contact SIG on LGBTQ Health and carry out a research project together. We hope to keep in touch on this matter.

PLANS FOR 2023 For 2023 SIG on LGBTQ on Health plans to carry out scientific research projects by reaching family physicians and general practitioners working in WONCA member countries, to do research to identify local health problems and needs by reaching out to local LGBTIQ+ associations, and to preparing an inclusive curriculum proposal for family medicine and general practice residency programs.

LGBTIQ+ issues is also the main topic of the concept of gender equality/equity. It is essential that all organizations that want to take a step towards gender equality/equity should also be sensitive about LGBTIQ+ rights. Establishing a SIG on LGBTQ Health within WONCA means being inclusive of both LGBTIQ+ physicians and LGBTIQ+ health issues and needs. SIG on LGBT Health is proud of being inclusive for all gender and sexual identities and to be the direct voice of LGBTIQ+ physicians in WONCA. ACTIVITIES UNDERTAKEN IN 2022 A workshop titled "How to be an ally for LGBTQIA patients?" (with authors Julien Artigny, Stuart Holmes, Filiz Ak, Fred Thomas) carried out by SIG members and a presentation titled "Let’s co-create a common European framework for LGBTIQ+ health within family medicine/general practice curricula" (with authors Filiz Ak, Julien Artigny, Stuart Holmes, Fred Thomas) was made in 27th WONCA Europe Conference. During the online meetings of SIG members suggestions for conducting scientific research were shared. It was planned to carry out research by turning it into a project.

Dr Artigny, as keynote speaker with Dr Nick Mamo and Marina Jotić Ivanovic., at WONCA Europe 2022 in London.

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WONCA | 2022

DR REBECCA FARRINGTON

MIGRANT CARE, INTERNATIONAL HEALTH & TRAVEL MEDICINE

Chair SIG on Migrant Care, International Health & Travel Medicine

ABOUT THE SIG ON MIGRANT CARE, INTERNATIONAL HEALTH & TRAVEL MEDICINE Since 2008, we have exchanged knowledge, resources, and experiences with Family Doctors from many backgrounds. Despite differences in local healthcare systems, GPs worldwide encounter similar issues: communication skills, ethnic and cultural differences, mental illnesses, and communicable diseases.

We ran a workshop and networking event at the London 2022 conference. Since then, we have had a remote meeting to share ideas and best practices and plan participation in next year's conferences.

WONCA GROUPS COLLABORATION Collaborated with the Working Party in Mental Health to issue a statement on refugee health at the time of the Ukraine invasion in Spring 2022.

COLLABORATION WITH THE WHO Please describe any work that has been done by your WP/SIG in collaboration with the WHO. If no work has been done with the WHO, then please type N/A. Please provide the contacts that you are working with at the WHO. We applied to be part of a WHO consultation but have not yet had any response.

PLANS FOR 2023 We plan a workshop for the conference in Belgium and will continue remote meetings in the New Year. We communicate ideas and opportunities regularly via a Whats App group.

ACTIVITIES UNDERTAKEN IN 2022 Members have many interests including research, medical education, and primary care delivery to refugees and other migrants.

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WONCA | 2022

DR ANA CEBRIÁN

NONCOMMUNI CABLE DI SEASES

Chair SIG on Non-communicable diseases ABOUT THE SIG ON NONCOMMUNICABLE DISEASES Quaternary prevention provides a complex but necessary approach oriented to provide person -focused care; promote equity in healthcare; prevent overdiagnosis, unnecessary interventions, and avoid harm: and so, in few words, to humanize medicine. All the efforts within this global movement combine ethical sustainability with critical thinking, to oppose the vision of health as a commodity.

Our mission is to create an international network to support ongoing activities and promote dissemination and skills to apply the concepts all over the world.

Webinars with other international societies, and building bridges of communication with them.

Internal meetings to bring together views on topics of interest in chronic diseases.

Course review endorsement.

for

WONCA

Proposal for activities to the executive committee.

Proposal for the creation of the European Non-Communicable Diseases Special Interest Group.

Proposal for a course on chronic care with a specific, broad and discussed agenda, and funding sought.

ACTIVITIES UNDERTAKEN IN 2022 We participated in numerous activities at the WONCA Europe congress:

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GROUPS COLLABORATION Collaboration with the International Society of Nephrology and KDIGO. PLANS FOR 2023 Webinars groups.

in

collaboration

with

other

Internal meetings to collate views on topics of interest in chronic diseases.

Creation of the European NonCommunicable Diseases Special Interest Group.

Executive board approval obtained for the course on chronic care.

WONCA | 2022

POI NT OF CARE TESTI NG ABOUT THE SIG ON POINT OF CARE TESTING Point-of-care testing refers to rapid, pathology testing that informs the professional and patient during the patient consultation. POCT is rapidly evolving and may benefit health care when used properly. The SIG provides a forum for family doctors to meet, discuss, learn, and collaborate.

DR ROGIER HOPSTAKEN Chair SIG on Point of care testing

DR SUSANNE MATTHEWS Chair SIG on Point of care testing

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ACTIVITIES UNDERTAKEN IN 2022 We have updated our member list. We have informed our members of new activities. We have designed and sent an online survey to our members and will continue doing so for every new member.

We will analyze the data in Q1–Q2.

We have presented on several international occasions and invited GPs to become part of our WONCA SIG community. I have presented various global webinars, together with industrial and diagnostic partners, and highlighted our WONCA SIG work.

I have presented on POCT at the ECCMID (Lisbon) conference to discuss and stimulate more interaction and collaboration between microbiologists and primary care throughout the world.

I have presented and participated in discussion panels for the French Cooperation Santé and French parliament members to enhance actions to combat antimicrobial resistance (AMR) with the help of POCT solutions.

We have taken our first steps to start an open, WONCA communication platform.

WONCA GROUPS COLLABORATION I have presented on POCT and WONCA involvement in a webinar of the African PHC group, initiated by Prof. Shabir Moosa.

We have proposed a SIG workshop and specific POCT-AMR presentation for the WONCA London meeting. I had to withdraw because only the workshop was accepted. Weighing the pros and cons of leaving busy general practice (without finding a colleague to replace me) made me decide to cancel.

We have (co)organized a consensus meeting in Lisbon, and (co)organized a full-day workshop with seven EU teams in Brussels to move from evidence into action regarding the country implementation of CRP POCT in various countries. I have asked the scientific GP experts to consider membership in our SIG.

PLANS FOR 2023 Open our interactive, WONCA communication platform for members; Give active, scientific, and implementation input on POCT communication platform and enhance online interaction; Engage with WHO on vision and possible interaction; Analyze members' survey and shot communication for the results and action points; Apply for SIG workshop WONCA, Sydney; Strengthen communication with our administrative office at the Flinders University, Australia; Arrange new lectures on POCT for various professional groups of health care workers. (some already planned in Q1); and Discuss POCT with various governments on the facilitation of proven POCT solutions (some already planned in Q1).

I am one of the initiators of the ENASPOC scientific expert group on CRP POCT to combat AMR.

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WONCA | 2022

PROF SHABIR MOOSA Chair SIG on Policy Advocacy

POLI CY ADVOCACY ACTIVITIES UNDERTAKEN IN 2022

ABOUT THE SIG ON POLICY ADVOCACY

The SIG has created a web page (with resources) and member portal presence (with additional resources and communication). There are 84 members so far. A blog has been set up in the portal. The key open activity has been quarterly online eWorkshops in two time zones to cater to global diversity and participation with the principal attendees, being the network of family doctors across WONCA.

The Special Interest Group (SIG) on Policy Advocacy is trying to build capacity for policy advocacy by family doctors at national and local level: sharing experiences, developing skills, and creating a repository of resources.

Two eWorkshops (each twice) have been held so far on 8th September and 1st December. On 8th Sept, Amanda Howe shared the SIG objectives, Shabir Moosa shared on theory, and Mohamed Husni Jamal shared insights from Asia Pacific.

PROF AMANDA HOWE Chair SIG on Policy Advocacy

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On 1st Dec, Harris Lygidakis shared on skills in communication, and Raquel Gomez Bravo and Sara Ares shared on the influence of COVID research work in Europe. There were good attendances of 10–20 in each session. The presentations, readings and recordings are being put up in the membership portal.

WONCA GROUPS COLLABORATION All WPs/SIGs are invited to join these Workshops as well as to share their experiences.

PLANS FOR 2023 There are three eWorkshops planned for 2023: 2nd March 2023, 8th June 2023, and 7th September 2023

WONCA | 2022

QUATERNARY PREVENTION & OVERMEDICALIZATION ABOUT THE

DR KARIN KOPITOWSKI Chair SIG on Quaternary Prevention & Overmedicalization

ACTIVITIES UNDERTAKEN IN 2022

Promote Quaternary Prevention (P4) focus on research questions.

During 2022, we have carried out the following activities:

Support national societies to include P4 and over-medicalization in the undergraduate and graduate programs.

At the International Congress of Family Medicine in Ecuador, workshops, and presentations related to the theme have been developed.

Promote understanding of overmedicalization and the need for P4 in mass media.

Organize activities disseminate P4.

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oriented

to

At the National Congress of the Argentine Federation of Family and Community Medicine, the central conference was on Quaternary Prevention and the de-implementation of low-value practices.

In the Documents prepared at the Cumbre in Guatemala, the emphasis was on the need for a look from the quaternary prevention in the profile of specialists in family medicine. We work on the incorporation of P4 content in undergraduate programs in medical careers at public and private universities in Argentina.

In some Universities, we saw Content is transversal, which means there is not just one class with the subject but that the perspective of P4 informs the Study Plan.

Undoubtedly, four activities that I consider very relevant are 1) Participation in the workshop at the 2022 Preventing Overdiagnosis Conference on overdiagnosis in low- and middle-income countries.

2) The publication of a panoramic review with that same working group.

3) Attendance at the Round Table of the organization Choosing Wisely in Lisbon. In this event, I was able to network with people from many countries and have elements to promote Choosing Wisely in countries where there are none yet.

4) Participation in the advisory board of the Global Center for Sustainable Health Care. I share the advisory board with Fionna Godlee, Victor Montori, Gordon Guyatt, and Anna Stavdal.

Links of interest to publications and initiatives Sustainable Healthcare Overdiagnosis and overuse of diagnostic and screening tests in lowincome and middle-income countries: a scoping review “Deimplement” low-value practices: an ethical imperative Quaternary Prevention

PLANS FOR 2023 By the year 2023, through the network with Choosing Wisely and with the Global Initiative for Sustainable Care, we will be able to advance in greater dissemination and advocacy of quaternary prevention issues.

It is necessary to continue generating evidence on the subject.

We will ensure that in every Congress and event of Family Medicine, there is a P4 outlook. Continue working on supporting institutions that want to de-implement lowvalue practices. In this sense, we are already working with the Ministry of Health of Argentina and some health institutions.

We will participate in academic events on Family Medicine and other specialties (it is imperative to advocate in other areas. In 2022, we have done so with Gynecology and Endocrinology Societies) We will also participate in the 2023 Preventing Overdiagnosis Conference in Copenhagen.

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MOVEMENTS

YOUNG DOCTORS'

WONCA | 2022

YDM

REPRESENTATIVE YDM YOUNG DOCTORS' MOVEMENTS

EXECUTIVE BOARD Rohini Pasricha - Secretary/Polaris Chair Reina Alameddine - Treasurer Enwongo Ettang - AfriWon Chai Anas Almohtaseb - Al-RaziChair Nick Mamo - EYFDM Chair Ping Foo - Rajakumar Chair Zainab Anjarwala - Spice Route Chair Alejandro Saldana - Waynakay Chair

ACTIVITIES UNDERTAKEN IN 2022 Action Plan The YDM Committee compiled an action plan for the next two years with all the planned activities and their timelines New YDM Logo The YDM logo has been changed in accordance with the WONCA branding guidelines. The new logo was developed

by Maria Dolores Zavala, WONCA Communications and PR Officer,and approved by the YDM Committee in March 2022.

World Family DoctorDay (WFDD) 2022 Celebrations YDM made a promotional video for the WFDD with contributions from all regions, which was well- received on social media Young Doctor Activities

Representatives’

I attended three conferences, namely WONCA Europe Conference in the UK, WONCA EMR Conference in Oman, and WONCA APR Conference in Indonesia, and actively participated in young doctors’events in the conferences.

I was invited to speak at several events, including a webinar organized by the Junior Doctors’ Network (JDN) of the World Medical Association on “Sharing Best Practices – How to Plan and Implement Global Health Advocacy?” (April), WMA JDN Fall (October), Rural Seeds Ambassador Induction (October), Al Razi Preconference in WONCA EMR Conference (November), Waynakay Preconference in WONCA IberoAmerican Summit (November), Rajakumar Preconference in WONCA APR Conference (December)

DR SANKHA RANDENIKUMARA Young Doctor Movement Representative

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WONCA | 2022 I am attending the 2023 RACGPWONCA International Advisory Committee meetings continuously and contributing for the next world conference’s organizing work.

WONCA GROUPS COLLABORATION Young Doctor Liaisons in WPs/SIGs Following WONCA WPs/SIGs now have young doctor liaisons in their executive committees; the WPs are on education, mental health, & e-health and SIGs are on emergency medicine, health equity & family violence. Young doctor liaisons were selected by through an open application process.

YDM-WP/SIG Collaborative Webinar Series Two joint webinars with the WONCA WPs/SIGs have been conducted up to now. Waynakay Movement collaborated with the WONCA WP on the environment in September and the Rajakumar Movement in November with SIG on aging and health.

Astana Declaration 4th Anniversary Celebrations (October 20–26 2022) WONCA YDM collaborated with the Junior Doctors’ Network (JDN) of World Medical Association (WMA) and young doctors of the African Forum for Primary Health Care (AfroPHC) to launch a social media campaign to raise awareness on this international declaration and increase the commitment of young doctors to strengthen primary health care through their action. WONCA extended the social media campaign to all its members by introducing a special “Astana Anniversary profile picture frame” for social media users. The social media campaign was a great success with a high number of post reaches and post engagements in all social media handles.

Dr Sankha Randenikumara at the wonca Executive Meeting in Oslo, Norway and WONCA APR Conference 2022 in Bali.

PLANS FOR 2023 1. Continuing YDM-WP/SIG collaborative webinar series every other month.

6. Initiating a mentoring program for young doctors/trainees.

2. Conducting collaborative sessions with WMA-JDN and IFMSA to promote family medicine.

7. Making selections for WONCA Rising Star.

3. Restarting FM360 Physical Exchange Program.

4. Amending YDM Operational Guidelines, including Young Doctors' Representative election process.

5. Reviving YDM Global Fund.

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8. Organizing WONCA World Conference, Sydney: YDM Preconference & YDM workshops

WONCA | 2022

A F RI W O N DR ENWONGO ETTANG Chair YDM - AfriWON

COMMITTEE MEMBERS Dr Stephen Engman - Education and Training Theme Lead Dr Benjamin Olowojebutu - Image Theme Lead Dr Tijani Oseni - Research Theme Lead Dr Melvina Thompson - Exchange Theme Lead Dr Mercy Nafula Wanjala - Beyond AfricaTheme Lead Dr Nitta Nayeja - Rural Theme Lead Dr Bolan Fatusin - Vice President Dr Ibrahim Baneru - Country Representative (Nigeria) Dr. N.K. Ayisi-Boateng - Afriwon Exofficio

ABOUT AFRIWON The aim is to create an environment for enabling collaboration among young doctors, exchanging ideas between different nations,building capacity and ensuring mentoring of young doctors,and above all, improving healthcare.

ACTIVITIES UNDERTAKEN IN 2022 AfriWON Pre-Conference, November 2022 Monthly training and multiple choice questions prepared by the Education Theme group.

Multiple research collaborative groups created to build and foster crosscountry research capacities Newsletter released Rural conference attended

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PLANS FOR 2023 Publish a quarterly newsletter Get country representatives from six African countries Plan and participate in joint webinars with other YDM groups Build a mentoring program for young doctors

WONCA | 2022

A L RA ZI DR ANAS ALMOHTASEB. Chair YDM - Al Razi

COMMITTEE MEMBERS Council members + Regular representatives Dr Adel Yasky (Saudi Arabia) Dr Besan Maraqa (Palestine) Dr Raina Alameldin (Lebanon) Dr Dana Dalghesh (Jordan) Dr Nouf Al Noun (United Arab Emirates) Regular representatives only Dr Adnan Al Aloui (Morocco) Dr Marwa Al Raesi (Oman) Dr Gihad Farid (Egypt) Dr YousifRizq (Lebanon) Dr Omar Al Shimary (Kuwait)

PLANS FOR 2023 Prepare for the election of the new chair Refresh and adjust the bylaws Participate in collaborative webinars with WONCAWP on the topic of education Participate in organizing WONCA EMR Jordan chapter and making pertinent presentations Represent the region on ASPIRE and SIG E-Health Organize and make presentations during the 5th meet-the-expert webinar Participate in and make presentations at WONCA World in Australia

ABOUT AL RAZI A movement to gather and connect young family and primary care physicians in the Eastern Mediterranean Region (EMR) with their peers while facilitating their growth and connections by providing a platform to share experience and gain knowledge.

WONCA GROUPS COLLABORATION Continued collaborating with Spice Route, RajaKumar, Pollaris, AfriWon, WaynaKay, and EYFDM by seeking their participation in webinars, asking for and benefiting from their expertise in organizing webinars as well as their support with translation, and facilitating the reach of their press releases in certain area by connecting them to local hosts and experts.

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Al Razi Pre-conference. 7th Wonca EMR Family Medicine 2022

WONCA | 2022

EYFDM DR NICK MAMO Chair YDM EYFDM

COMMITTEE MEMBERS Kerry Greenen - Secretary Nadia Toumi - Treasurer Marta Kurdzielewicz - Awards and Fundraising Officer Christian Rechtenwald - Image Officer Rocio Garcia-Gutierrez Gomez Exchange Officer Ikbal Humay Arman - EventsOfficer Ana Cristina Franco Spinola - Policy Officer Aaron Poppleton - WONCA Europe EYFDM Liaison Stuart Holmes - President-Elect

ABOUT EYFDM The European Young Family Doctors Movement is the network for early-career family doctors of the European Regional Branch of the World Organization of Family Doctors (WONCA Europe).

EYFDM envisions a world where every early-career family doctor is empowered, connected, supported and heard.

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The European Young Family Doctors Movement face-to-face council meeting in London

WONCA | 2022

ACTIVITIES UNDERTAKEN IN 2022 For EYFDM, 2022 has been a busy year!

Indeed, it had been such a long year that we were still VdGM at the beginning of the year!

We had two ordinary council meetings, in January and June, involving some very big discussions, votes,and elections (Ikbal Humay Arman was elected Events Officer in January; Stuart Holmes became President-Elect; and Aaron Poppleton elected as WONCA Europe-EYFDM Liaison in June).

We also had an informal face-to-face council meeting in London in June as part of clarifying our vision and aims as well as how we want to present ourselves publicly.

We held our 7th Forum in January in Edinburgh. This was a great way to come back together in a fantastic city. We had amazing workshops, a ceilidh (Scottish dance) and very inspiring speakers! We also recognized the contributions of Raquel Gomez Bravo, giving her the semiannual Being Young Staying Young award for a GP who, in spite of not being a young doctor anymore, has continued to support our work and movement.

During the main conference, young doctors contributed actively with many workshops and presentations, and for the first time, EYFDM was asked to run a plenary session, with Julien Artigny, Marina Jotic Ivanovic, and Nick Mamo taking on this task. The plenary was very well received and sparked great discussion. We also raised a record €4600 for our bursary fund to support young doctors from lower-income countries.

In September, the executive met in Poland to make plans for the year ahead and kept meeting every month to ensure we kept developing our movement.

Our exchanges have also been picking up very well after the COVID restrictions were mostly lifted. We have had several exchanges with over twelve confirmed to have completed their exchanges and all tasks associated.

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PLANS FOR 2023 This is a big year for EYFDM. After changing our name, we are now finalizing the process to become an independent association registered in the Netherlands.

We are also getting ready to present our new logo and host our new website.

Moreover, we have some exciting policy development plans specifically around accessibility in particularly making events more family-friendly and working on our fundraising in this new era for our movement.

WONCA | 2022

POLARIS DR ROHINI PASRICHA Chair YDM POLARIS COMMITTEE MEMBERS Brunèe Dorsett - Vice-Chair Abigail Pira Natalia Galarza Natali Smiley Paula Ann Slaney Jian Fen Sung Additional Executive Members: Kiera Hayes Nikita Pasricha Kolby Nelson ABOUT POLARIS Polaris is the North American Young Doctors Movement. Our goal is to create a strong network of early-career physicians, family medicine residents, and medical students in Canada, the USA, and Caribbean who are passionate about a career in family medicine and global health.

ACTIVITIES UNDERTAKEN IN 2022 Our Polaris YDM has partaken in a range of activities throughout the year, be it within each of our regions (Canada, USA, and Caribbean) or as a collective group.

These activities included attending conference events, developing webinars, creating educational resources, and increasing engagement across our social media platforms.

To increase comfort in 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 develop a virtual care module that can be used by medical students to help navigate a virtual care encounter. It is now available online for students’ use.

Our USA colleagues had a successful preconference global health summit before FMX 2022 held in Washington, D.C., in September 2022.They continued to work hard in preparing a quarterly global health webinar series that will be available for everyone.

To illustrate the broad scope of clinical practice in which our physicians, residents, and medical students work and learn, we developed a spotlight of the month campaign using our social media platforms (Instagram and Facebook: @woncapolaris), highlighting the clinical and non-clinical activities of one individual in our region each month.

Moreover, we have developed a “debunking myths in family medicine” campaign to help increase awareness of what the field of family medicine entails.

Some examples of myths we have debunked include “family physicians do not provide life-saving care”and “family physicians only hand out referrals.” We hope to break down common misconceptions and broaden our understanding of what family medicine has to offer.

Our Polaris executive team continued to develop newsletters that highlight relevant topics in family medicine. Our newsletters in 2022 focused on two main topics: 1) resiliency and 2) migrant health. They are available for the public to view on our Polaris website.

WONCA GROUPS COLLABORATION Our Polaris members have worked closely with the College of Family Physicians of Canada (CFPC) and the American Academy of Family Physicians (AAFP).

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Our USA colleagues have helped develop a successful pre-conference global health summit for the annual FMX 2022.

Furthermore, through her involvements with the CFPC, 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.

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

PLANS FOR 2023 Our plan for 2023 is to continue our current initiatives including our quarterly newsletters, myth-busters, and spotlight of the month campaigns, as well as engagement at various conferences (within our regions and abroad). We will be collaborating with the WONCA Working Party on Digital Health to develop a webinar for March 2023 made available to all YDM members.

Additionally, we are in the process of developing a mentorship program for our Polaris members that will allow mentors and mentees to engage in “coffee-chat” conversations with one another and exchange experiences, interests, and learn from one another. Our goal is to facilitate large Zoom sessions for our members (approximately 3–4 sessions throughout the year) and then use breakout rooms to facilitate these mentor/mentee relationships.

WONCA | 2022

THE

RAJAKUMAR

MOVEMENT

DR. WONG PING FOO Chair YDM the Rajakumar Movement COMMITTEE MEMBERS Dr Wong Ping Foo (Malaysia) – Chair Dr Erfen G. Suwangto (Indonesia) – Immediate Past Chair Dr Zhaohui Du (China) – Vice Chair Dr Phoebe Holdenson Kimura (Australia) – Vice Chair Dr Mel Anthony E. Acuavera (The Philippines) – Honorary Secretary Dr Pinghsun Chang (Chinese Taipei) – Treasurer Dr BasmonManomaipiboon (Thailand) – Image Lead Dr Suthiwat Khumngoen (Thailand) – FM 360 Coordinator Dr. Wee Sian Woon (Australia) – ASPIRE

WONCA GROUPS COLLABORATION Collaborated with Spice Route in conducting FM360 sharing session and exchange.

Collaborated with WP Mental Health in organizing a webinar.

ABOUT THE RAJAKUMAR MOVEMENT

Collaborated with SIG Ageing & Health in organizing a webinar.

The most culturally diverse YDM in the Asia-Pacific region – The Rajakumar Movement. We envision bringing new and future family doctors together to create international best practices in family medicine. It is a platform where we find great friendship, exchange of experience, support and many more.

Collaborated with the Academy of Family Physicians of Malaysia and the Malaysian Family Medicine Specialists Association in organizing a webinar.

ACTIVITIES UNDERTAKEN IN 2022 Research workshops.

Clinical Teaching Sessions with the approach to common presentations on primary care.

Collaborations: Webinars with WP/SIG/YDM. Celebrations: World Family Doctor Day, Astana Declaration Anniversary and Universal Health Coverage Day.

Supported webinars by YDMs of other regions through participation and by providing a translator.

Successfully organized Preconference Workshop WONCA APR Bali.

PLANS FOR 2023 Research Webinar Case-Based Discussion Approach to common conditions in primary care World Family Doctor Day celebration Collaborative Webinar with WP/SIG Preconference Workshop WONCA Sydney

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The Rakakumar Movement Preconference Workshop WONCA APR Bali.

WONCA | 2022

WONCA | 2022

THE

SPICE ROUTE

MOVEMENT

DR ZAINAB MOHAMMAD ANJARWALA Chair YDM Spice Route Movement

COMMITTEE MEMBERS Dr Serin Kuriakoseas Regional Secretary Dr Gobith Ratnam as RegionalFM 360 Exchange Coordinator Dr. Rohendra as Image Coordinator Dr Abu Sayyed as Treasurer Dr Kinley Bhuti as the ASPIRE Representative

ABOUT THE SPICE ROUTE The Spice Route is the WONCA South Asia Region working group for new and future doctors who have an interest in family or general practice. It aims to promote excellence in this field and address challenges pertaining to global health.

ACTIVITIES UNDERTAKEN IN 2022 The Spice Route logo was redesigned by the WONCA Communication and PR Officer (Maria Dolores Zavala) on request.

After the joint consensus of and approval by all council members, the logo is now being used by all members.

To commemorate the World Family Doctor Day on May 19, 2022, the Spice Route conducted a WONCA webinar based on the WFDD theme “Always there to care.”

The session had three speakers– one each from Pakistan, Bhutan and India. It witnessed high attendance from young doctors in the region. All members updated their social media profiles with WFDD templates by WONCA.

The Spice Route South Asia Council selected important days to be celebrated at the South Asia level as a part of the regular CPD program. In the second half of 2022, we celebrated World Hepatitis Day on July 28, 2022, by creating a video presentation. The Spice Route team, Bhutan,hosted the webinar for the World Mental Health Day on October 10, 2022.

Recognizing the importance of rising burden, the Spice Route team, Pakistan, celebrated the World Diabetes Day on November 14 by organizing a webinar.

The webinar’s theme was “Access to Diabetes Care.” Young doctors from all over the region, including countries such as Bangladesh, Bhutan, Nepal,India, Pakistan and Sri Lanka,participated in the webinar.

WONCA GROUPS COLLABORATION The Spice Route team organized a virtual exchange program with the EYFDM on March 19, 2022. Two countries (Nepal and Sri Lanka) from Spice Route and two countries (Bosnia & Herzegovina and the Netherlands) from EYFDM made videos to display the primary care practices in their country.

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Another virtual exchange program was organized on October 21, 2022 between the Rajkumar Movement and the Spice Route Movement. The opening remark was an introduction through a video by TRM and TSR. This was followed by video presentations from Malaysia and Thailand of the Rajkumar Movement and from India and Pakistan of the Spice Route Movement. Both the sessions were successful in providing a platform for collaboration between young doctors in the regions.

PLANS FOR 2023 The Spice Route Movement is in the process of planning inter-country exchange programs between the six nations under the Spice Route South Asia Region. The FM 360 Exchange team led

by Gobith has devised guidelines for this regional exchange program and is in the process of planning.

The goal of this program is to provide insights into the family medicine practice in the region. More webinars are being planned in the coming year to celebrate important days as a part of the CPD program.

WONCA | 2022

WAYNAKAY

MOVEMENT

DR ALEJANDRO SALDAÑA Chair YDM Waynakay COMMITTEE MEMBERS Gabriela Di Croce Juliana Sandoval Cassandra Renault Lilian Guillen Brando Cantu Gabriel Cordova Rocio Artiles Alejandra León Felipe Moreno Piedrahita Ronald Alvarado Mariana Pose Dakira Camarena Eros Angeletti ABOUT WAYNAKAY MOVEMENT The general objective of Waynakay Movement is to bring together young family doctors from Latin America to increase their strengths in search of excellence in the specialty.

ACTIVITIES UNDERTAKEN IN 2022 We incorporated representatives of countries into Waynakay and participated in the vaccination drive for COVID-19.

Further, we participated with active members of WONCA YDM in Mexico as well as with resident doctors of family medicine of UMF 37 in NL, sharing and learning from great leaders of the specialty worldwide.

Our team participated in “Women leaders of Family Medicine in the Ibero-American region,” addressing the issue of women in the health sector and women’s health, representing Latin America from the perspective of the family medicine residency.

Waynakay Movement Preconference.

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WONCA | 2022 Dr Brando Cantú represented Waynakay Mexico at the 2021 Global Health Summit of the AAFP (American Academy of Family Physicians). Waynakay established networks and shared knowledge.

summary was addressed and doubts cleared, in addition to the use of a platform where the progress of each participant’s protocols was monitored.

Waynakay is committed to patient education, making and sharing videos explaining the correct self-monitoring of glycemic levels as well as giving dietary recommendations.

We attended the XIII Panamanian Congress of Family Medicine “APS more important than ever” on May 26–28, 2022, where an advertising banner with the Waynakay Panama logo was placed and shared with the attendees of the congress on the philosophy of the movement.

Dr Janeth Domínguez, in Mendoza, Argentina, shared knowledge about the certification of family physicians in Mexico, as well as the way of conducting family health studies and the advantages of being part of the Colegio de Medicina Familiar del Estado de Nuevo León.

In September, we participated in the organization of the WONCA YDM-WP/SIG webinar, having the central theme “The Young Family Physician and Environmental Challenges.”

In addition, we attended the 3rd Congress of Family Medicine in Saltillo where Dr. Brando Cantú, Dr Janeth Domínguez, and Dr. Alejandro Saldaña participated and highlighted the role of family doctors in the comprehensive approach to the elderly.

In Mexico, work regarding the trimestral newsletter was carried out with the coordination of the Editorial team by Dr. Clara Gómez, where articles are reviewed, the Waynakay members’ experiences in professional practice are written, and the projects to be carried out in the next trimester are reported.

Waynakay has focused on continuing medical education, for which a courseworkshop on the development of research protocols was created to support residents in the development of their protocols, with asynchronous sessions and a weekly live session being conducted where a weekly

In November, the Waynakay Movement participated in the VIII Ibero-American Summit of Family and Community Medicine “Family and Community Medicine, an essential specialty for the transformation of health systems in the XXI century.” Active participation was demonstrated with interventions in presentations and work tables.

WONCA GROUPS COLLABORATION

Authorities of the Instituto Mexicano del Seguro Social CIMF Environment Group Sociedad Familiar

Panameña

de

Medicina

Colegio de Medicina Familiar del Estado de Nuevo León A.C PLANS FOR 2023 Provide support to the extent necessary and advise alternative solutions to conflicts of an academic and labor nature that arise among residents of different locations where future family doctors are trained.

Encourage the acquisition of knowledge that strengthens the family medicine specialty, in search of continuous feedback on what has been learned and what is new.

Promote research in family medicine, for the linking, dissemination and publication of research papers for the benefit of our population and academic community.

We participated with the following entities and groups: Authorities of the Social Security Fund of Panama in a community activity on the prevention of cardio vascular diseases in July 2022 Authorities of the Social Security Fund of Panama The Waynakay Movement participated in the VIII Ibero-American Summit of Family and Community Medicine in Guatemala

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WONCA | 2022

DR UMA SENTHILKUMAR Chair ASPIRE Programme

ASPIRE

PROGRAMME

COMMITTEE MEMBERS Dr Beesan Maraqa - ASPIRE Al-Razi (East Mediterranean) Liaison Dr Natalia V. Galarza - ASPIRE Polaris (North America) Liaison Dr Wee-Sian (pending new rep) ASPIRE Rajakumar (Asia Pacific) Liaison Dr Kinley Bhuti - ASPIRE Spice Route (South Asia) Liaison Dr Maria Joao Nobre - ASPIRE EYFDM (Europe) Liaison Dr Mario Alejandro Saldaña Salazar ASPIRE Waynakay (South America) Liaison ABOUT ASPIRE PROGRAMME ASPIRE, Program of YDM was launched to enhance the young family medicine doctors connections with global family medicine community by means of educational workshops, conferences, research; thereby increasing involvement in the national and regional organizations, as well as WONCA World.

ACTIVITIES UNDERTAKEN IN 2022

PLANS FOR 2023

Since I have taken the role in May 2022, we are working on one of the goals proposed:

1) To start Physician Wellness Retreats/Programs to address the global phenomenon of physician burnouts, especially among primary care physicians.

1) ASPIRE leadership program - The goal is to provide leadership training and enhance skills in the clinical leadership for the junior WONCA members and beyond.

We are starting a webinar series to launch the leadership training and will be conducting a workshop during Sydney WONCA world conference 2023.

We aim to conduct a 3-part webinar series with a solid curriculum designed for leadership trainingand application in the field of Family Medicine.

WONCA GROUPS COLLABORATION We are working with YDM Representative, Organizational Development at Yuma Regional Medical Center, Ms. Isra Khan for developing the online program.

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2) To create a white paper along with a proposed action plan to address the work burden issues related to EHR use postoffice hours.

3) To provide various platforms/avenues for global GP/FM doctors to share their expertise in all areas of ASPIRE via regional and global conferences, workshops, or summits.

4) Integrated Primary care interest groups

WONCA | 2022

FM360

EXCHANGE PROGRAMME DR VIVIANE SACHS FM360 Exchange Programme

COMMITTEE MEMBERS Dr Melvina Thompson - Africa region (AfriWon Renaissance) Dr Suthiwat Khumngoen - Asia-Pacific region (Rajakumar Movement) Dr Tareq Jawad Alsioury - East Mediterranean region (Al Razi) Dr Rianne van Vliet - Europe region (EYFDM) Dr Lili Villegas - Iberoamericana CIMF (Waynakay Movement) Dr Viviane Sachs - North America region (Polaris) Dr Gobith Rathnam - South Asia region (Spice Route Movement)

ABOUT THE FM360 EXCHANGE PROGRAMME FM360 is a global exchange program, with educational intent, designed for young doctors. The Program is based on objectives, planned by the visitor and agreed by the host, in order to justify the quality of the exchange. It can run between one to four weeks.

ACTIVITIES UNDERTAKEN IN 2022 Since the COVID-19 pandemic, the activities have been on pause. During 2022, we had 2 virtual exchanges that took place in March 2022 and October 2022.

The first virtual exchange was organized between EYDM and Spice Route Movement and the second one was between Spice Route Movement and Rajakumar movement. There were no inperson exchanges in 2022.

There was a change in Regional Coordinators in 2022 and the new coordinators are named above.

In September 2022, all the coordinators had a meeting and received a training on how to use the FM360 platform. The platform will be functional in 2023.

Currently, we have the virtual meetings for the new coordinators to get familiarized with the platform.

A Whats App group has been created for the coordinators to improve communications.

WONCA GROUPS COLLABORATION FM360 is based on collaboration with all 7 young doctors movement.

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PLANS FOR 2023 Platform functional and the exchange be done utilizing the platform.

Update the website of FM360 Present at WONCA World Conference in 2023 and in person meeting,if possible. Open for the in person exchange in 2023.

COMMITTEES

STATUTORY

WONCA | 2022

WONCA | 2022

BYLAWS & GOVERNANCE COMMITTEE’S WORK IN 2022 The WONCA Bylaws and Governance Committee of 2021–2023 comprises Shabir Moosa (South Africa), Steve Mowle (UnitedKingdom), Henry Lawson (Ghana), GabrielaDi Coce (Argentina), Thomas Meono (Costa Rica), and Francine Lemire (Canada). The committee has only met once in 2022 (on March 3).

It deliberated on the 2021 term of the previous committee as well as the outstanding issues. It was proposed that the members and the voting structure in the bylaws be the priority. It was also felt that this could only be addressed after the Greek complaints were dealt with by the Executive Committee.

Other issues ,e.g., the definition of family medicine and family doctors, and a discussion on the vision, mission, and values of WONCA, were deferred till the culmination of the Executive Committee’s Strategic Planning process that is currently underway. Certain questions were raised during the meeting about how regional bylaws could be addressed.

It was felt that the work of the committee needed review and prioritization by the Executive Committee. A report on this was submitted to the Executive Committee on August 25, 2022.

PLANS FOR 2023 The WONCA Bylaws and Governance Committee plans to meet again in the first quarter of 2023 to discuss the priorities determined by the Executive Committee in the latter’s Jan–Feb meetings so that the proposals for the Council, if any, would be ready by October 2023.

I wish to share my appreciation for all of the members of the committee for the work done thus far.

The proposals in the report were supported by the Executive Committee, but there was a lack of clarity among the Executive Committee members on the issue of membership and voting, and a revised report was requested, and a discussion was proposed on these issues.

This revised report was tabled, but it is yet to be discussed by the Executive Committee.

PROF SHABIR MOOSA Chair of the Bylaws and Governance Committee

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WONCA | 2022

FINANCE

COMMITTEE

ACKNOWLEDGEMENTS: The Finance Committee, once again, have offered wise and practical advice across the year enabling us to adapt and adjust fairly and equitably to keep the budget balanced. Their support has been invaluable. I remain most grateful for the extraordinary hard work of our CEO Harris Lygidakis, finance officer Marie Mahieux and the secretariat who have budgeted with care and caution as we moved through another challenging year.

THE CHALLENGES FACED IN 2022: 1: MOVING BANK ACCOUNTS Two new main bank accounts have now been opened for the WONCA Association: in Belgium (FINTRO) and in Switzerland (Banque Cantonale de Genève).

Establishing these accounts was extremely challenging for various reasons.

When finally opened in August, all contracts were transferred from BVI to Swiss WONCA (including staff, and vendors/services). The bank account difficulties delayed the annual invoicing of member organisations but did allow us to establish a merchant account with PayPal. Other credit account options are being explored.

2: TRANSITION OF WONCA’S LEGAL DOMICILE 2022 has proved a significant year for the cost of transition from the old BritishVirgin-Islands based WONCA International Inc. (BVI)- legal domicile to the new Swiss-based WONCA Association.

Until European Bank accounts were in place, two legal entities were in operation. For 2022, two separate finance audits are necessary.

However, the move to Switzerland is proving advantageous.

The Swiss authorities have granted tax exemption to the WONCA Association, formally recognising its non-profit status. When finally achieved, some restrictions currently placed on financial transactions, because of BVI’s status and money laundering concerns, will no longer exist.

3: INFLATION

MOVING FORWARD: From 1 Jan 2023, WONCA is operating exclusively from the Swiss Association as we work on the liquidation of BVI WONCA. This has multiple steps which require time and include: moving assets from the Singapore bank to Swiss WONCA, closure of the Singapore account, transferring liabilities, appointing a liquidator, filing with authorities. We aim to complete by the end of 2023.

The high international levels of inflation, impacting at 10% on the secretariat, and across all operations, have necessitated careful budgeting. A travel policy has been introduced requiring advanced planning with the use of a travel platform to establish and limit claims to the most economical flights with clear agreement on what can and cannot be claimed.

OVERALL END OF YEAR FINANCIAL POSITION: We have completed 2022 with a small surplus of $58,837.The unaudited yearend accrued revenue of $733,149 sits against expenses of $674,312. Our core reserves have increased to $482,563 which includes the $250,000 reserve funds recommended by the Finance Committee.

Member organisation fees constitute 69.8% of our revenue. Despite the delays in invoicing, 95% of the fees had been paid by the year end. We thank member organisations for their prompt payment and trust, as credit card and PayPal options become available, that the process will become increasingly streamlined. Accreditation of training programmes and practices provided 16.6%, conference levies 6.1% and direct membership 4.0% of the revenue. For 2023, WONCA is piloting a strategy for donations and project grants to increase the organisation’s activities and widen income streams.

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PROF VAL WASS Member-at-Large, and Honorary Treasurer

WONCA | 2022

MEMBERSHIP

COMMITTEE

COMMITTEE’S WORK IN 2022

PROF MARIA PILAR ASTIER PENA Chair of the Membership Committee

PLANS FOR 2023

We assessed one associated membership: International Federation of Hospitals.

We met in August 2022 via Zoom.

We assessed one associated membership: International Federation of Hospitals.

We are now assessing a new membership: Semergen (with a new composition due to conflict of interest of two members)

To finish the new member application of Semergen.

To work with the bylaw committee on the regulation of some special situations so as to have several family medicine associations within the same country.

ORGANIZATIONAL EQUITY COMMITTEE The Organizational Equity Committee (OEC) is a statutory committee of World WONCA established under the world bylaws of the organization. The mission of the OEC is to identify and address various issues related to diversity, equity and inclusion within the institution of WONCA itself (different from the broader issue of health equity).

COMMITTEE’S MEMBERS Jeffrey Markuns, Chair (USA) Viviana Martinez-Bianchi (USA), Immediate Past Chair Julien Artigny (France) Dora Bernal (Colombia) Innocent Besigye (Uganda)​​ Suha Hamshari (Palestinian Territory) Hina Jawaid (Pakistan) Elizabeth Reji (South Africa) Marjorie Cross (Australia ) COMMITTEE’S WORK IN 2022 In prior years, the OEC identified and address issues of gender equity, economic equity, language equity, broadband equity, and pandemic-related inequities.

In prior cycles, the committee identified the following issues: Gender Equity – Variation was considerable on the regions, and there seemed to be a lack of programs or plans to empower women to enter leadership positions. In addition, safety and inclusion of LGBTQ+ members was an aspect of significant concern.

Economic Equity – Regional inequities continue to be observed between low, middle and high income countries.

These inequities limit participation of family doctors, particularly from low income countries due to high costs of WONCA meetings, and thus also impacts representation within the organization.

Language Equity – English language proficiency was noted to impact ability to participate in leadership, and also leaving non-English language proficient members feeling disenfranchised – especially when language interpretation is not available. Anglophone cultural and traditional norms also influence the organization, and may be less known to people from countries without this socio-cultural background.

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WONCA | 2022

Anglophone cultural and traditional norms also influence the organization, and may be less known to people from countries without this socio-cultural background.

Broadband Equity – Lack of digital access and inequities in broadband high-speed reliable internet affects all regions, and more disproportionately those from low income countries. With the increase in online meetings and events, the pandemic has also highlighted the now essential nature of having a high quality internet connection.

Pandemic-related inequities – Members identified a global disparity in access to personal protective equipment during the pandemic and the illness, as well as concerns that the illness and death of family doctors was under reported. In addition, vaccine access has also been inadequately available to some members.

One of the first actions of the committee in this cycle was to adjust the membership to include the past chair in order to maintain continuity, and include representation from every region – something not normally accommodated in the organizational bylaws.

In addition, the Committee advanced a motion to recommend the formation of an Organizational Equity Committee for each individual region of WONCA. More recently, the OEC has been working on preparing an educational program to support regions in the development of such regional committees, including one potential session to be delivered at World WONCA.

DR JEFF MARKUNS

More recently the committee identified ethnic, racial and regional inequities as being of concern within the organization as well.

Chair of the Organizational Equity Committee

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DAY

FAMILY DOCTOR

WORLD

A

YS

CA

AL W

RE

FA

RS

DOCT ILY O M

THERE TO

WONCA | 2022

WORLD FAMILY DOCTOR DAY

2022

World Family Doctor Day (FDD) – 19th May - was first declared by WONCA in 2010 and it has become a day to highlight the role and contribution of family doctors and primary care teams in healthcare systems around the world.

FAMILY DOCTORS

This celebration is the perfect opportunity to acknowledge the central role of Family Doctors in the delivery of personal, comprehensive and continuing health care for all patients. It’s also a chance to celebrate the progress being made in family medicine and the special contributions of primary care teams globally.

ALWAYS THERE TO CARE

The 2022 theme was: Family Doctors, Always There to Care!

ALWAYS Family Doctors are present at all times, and continuity is a fundamental feature of their work. They continuously provide care in all stages of patients’ lives, and throughout the big and small moments. Continuity is also present in care through the ongoing follow-up carried out to patients, where coordination with other levels of care and health care professionals is crucial. Lastly, continuity represents their constant preparation and skills development, uninterrupted research, and the ability to adapt and build resilience to change, technologies, methodologies, and educational strategies.

3

THERE

PILLARS OF

WORLD FAMILY DOCTOR DAY 2022

Family doctors and primary care professionals are there, wherever and whenever needed. Always at the front line —in war, health crises and times of peace. They are part of the communities they work with, proactively reaching and engaging with members, sharing their core values, creating a unique connection with their patients, and building bonds of trust.

The three fundamental pillars of World Family Doctor Day were also available in: Español Français

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Delivering accessible, equitable, sustainable, high-quality care is Family Doctors' raison d'etre. Being a Family Doctor is both a privilege and a responsibility, always looking after people and providing what is necessary for their welfare and protection, identifying their patients' needs to guarantee the fundamental right to health.

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WONCA | 2022

WFDD2022

SUPPORT FAMILY FAMILY DOCTORS DOCTORS!

WONCA MESSAGES We released two videos: one with a message from WONCA President, Dr Anna Stavdal, and a second one with WONCA President-Elect, Assoc Prof Karen Flegg. Both videos highlighted the crucial role of Family Doctors and Primary Care teams in providing quality health services for all. They also promoted the 2022 campaign and invited the audience to join the celebration.

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To help tailor every communication and simplify all the advocacy efforts, for the 2022 edition we created a Media Kit with all the campaign elements. The graphic identity and messages of the “Family Doctors, Always There to Care” campaign were present on the 19th of May worldwide, in multiple languages ​and creative formats!

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LET'S CELEBRATE FAMILY MEDICINE!

WONCA | 2022

WFDD AT THE WONCA REGIONS AFRICA REGION When WONCA declared World Family Doctor Day WFDD on 19 May every year in Cancún, Mexico 2010, many family physicians and general practitioners from Africa Region were there. Every year since 2010, family Doctors in the WONCA Africa region participate in this global event.

This year’s theme – ‘family doctors always there to care’, is very apt as it encapsulates the essence of the family physician who is always there to care.

Many African countries took this day as an opportunity to call government agencies, medical houses, and legislative and executive arms of government to create awareness of the critical roles of family doctors in health care systems. Ghana, for example, planned an advocacy meeting headed by the Society of Family Physicians of Ghana SOFPOG, a wellattended meeting with stakeholders, and the Minister of Volta Region and the Regional Health Directorate.

Many countries in the WONCA Africa region participated in this year's celebration. In Nigeria, national and regional events were carried out successfully, with 2 to 7-day activities depending on their nature. Thirteen states of Nigeria, including Lagos, Cross River, Oyo and Rivers States, had a variety of activities, including Health walk-in beautifully branded WFDD t-shirts, Free Medical Outreaches in underserved communities, health talks, Career counselling for medical doctors, Radio / TV shows, free continuous professional development lectures for doctors and dinner night.

The Wonca Working Party on Women in Family Medicine WWPWFM organized an event on 19 May 2022, focused on ‘the uniqueness of women family doctors: always there to care’. Speakers from West Africa, Central/East Africa and South Africa participated in this session, along with WONCA President Prof Anna Stavdal, Dr Dan Abubakar, WONCA Africa President, Chair of WONCA Working Party on Women Dr Mimi Doohan and Past Chairs Dr Amanda Barnard and Dr Kate Anteyi. This event gathered over 100 doctors from Africa and beyond.

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WONCA | 2022 Many African countries took this day as an opportunity to call government agencies, medical houses, and legislative and executive arms of government to create awareness of the critical roles of family doctors in health care systems. Ghana, for example, planned an advocacy meeting headed by the Society of Family Physicians of Ghana SOFPOG, a well-attended meeting with stakeholders, and the Minister of Volta Region and the Regional Health Directorate.

Social media was not left aside as many African doctors promoted the campaign on their channels, especially the vibrant and energetic young doctors of Afriwon Renaissance.

I want to thank the leaders of the Member Organizations MOs for mobilizing their members for the WFDD celebrations and working as a team with other MOs to make this year’s event a huge success.

Remember that family doctors are always there to care.

Dr Dan Abubakar, President WONCA Africa Region

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WONCA | 2022

ASIA PACIFIC REGION In the Asia Pacific Region, the Royal Australian College of General Practitioners (RACGP) promoted World Family Doctor Day as a timely reminder that general practice care needs a shot in the arm to ensure GPs can continue to meet patient needs.

Through a video, the RACGP President Adj. Professor Karen Price invited the audience to join the 2022 campaign and recognise GP contributions to healthcare.

In China, WONCA's three member organizations jointly organised the celebration of World Family Doctor Day 2022 with the theme of "Contract with family doctors and keep healthy". The event was successfully held both online and in person. It showed the situation of primary care practitioners and managers, community residents, and local health organizations in China to the public.

About 250,000 people watched the celebration and gained a deeper understanding of family medicine. The General Practice Branch of Cross-Strait Medicine Exchange Association organized a special online event for all family doctors. The Chinese Taipei Association of Family Medicine also carried out a mountain hike at the Warship Rock in the Yangming Mountains to commemorate this celebration.

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WONCA | 2022 The Rajakumar Movement (TRM), WONCA Asia Pacific Region (APR) organised a much awaited get together session virtually to celebrate World Family Doctor. The session started with an impactful opening speech delivered by Associate Professor Dato’ Dr Muhammad Husni Jamal, President of WONCA APR, followed by YDM video showcase and performances by young doctors in the region.

EAST MEDITERRANEAN REGION The WHO EMRO Regional Director issued a statement to highlight the importance of implementing family practice in the countries of the region. The regional activities included: In Afghanistan, the AFMA Free Health Camp at Qambar Intersection, a place located in the fifth district of Kabul Municipality. Afghan Association of Family MedicineDoctors (AFMA) with the cooperation of members (AFMA) in cooperation with the Ministry of Health, Kabul Public Health Department, launched a specialized health camp in the centre of Kabul province.

In Algeria, the 3rd Western Regional Meeting of the Algerian Society of General Medicine. A meeting to remember. The theme for this year's WONCA is"family doctors always there for care. "They were there for their training, for their developers, for their patients." All generations attended. Also, the Secretary of the society created a video about general practice role in Algeria. Also, a talk was produced on the Mostaganem radio show about family doctor day.

In Bahrain, the Department of Family and Community Medicine at the College of Medicine and Medical Sciences at the Arabian Gulf University, in cooperation with the World Health Organization office in Bahrain, celebrated the International Day of the Family Physician, in the presence of the Director of the WHO Office in Bahrain, Tasneem Atatreh, and the Vice President of Medical Services in Primary Health Care at the Ministry of Health, Dr Mona Al-Tahw.

In Egypt, the Ministry of Health and Population celebrated the International Day of Family Medicine, which falls on May19of each year, under the patronage of Dr Khaled Abdel Ghaffar, Minister of Higher Education and Scientific Research and Acting Minister of Health and Population, at the headquarters of the Princess Fatima Academy for Vocational Medical Education. The celebration of cooperation between the health care and nursing sector of the Ministry and the World Health Organization came in the presence of a number of Ministry leaders and representatives of United Nations bodies. WONCA EMR president was a guest speaker at this event. Also, family physician created a video for the Arabic version of the WONCA tree and explained the skills that a family doctor must have.

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In Iraq, colleagues created an educational brochure by the Iraqi family medicine association highlighting the role of family physicians and the important role that they play in providing optimal and comprehensive primary health care.

In Jordan, the Jordan Society of Family Medicine (JSFM) & AlRazi-Jordan celebrated WFDD, Dr M R Tarawneh JSFM president delivered a speech on this occasion. Also, a radio episode was done that day by Dr. Hadeel Al-Jarboua, family medicine specialist, at the Ministry of Health the health, highlighting the importance of the day and the role of the family doctor in evaluating healthy and nutritional behaviour.

In Morocco, MG Morocco thanked all the general practitioners, Moroccan and international for their work and their investment. It thanked them for their work in the field, for the growing number of research projects in general medicine, for a strong involvement in professional and institutional think tanks, for everyone contributes daily to improving the care of patients and their entourage, and for promoting General Medicine/Family Medicine, through media and radio show.

WONCA | 2022 In Oman, an awareness campaign on the prevention of high blood pressure. As the world hypertension day is on the 17th of May so the association chose to celebrate the day by shedding the light on the family physician's role in the prevention of hypertension. A radio show and TV show was done on behalf of this event.

In Palestine, health education sessions were conducted, and a poster was developed showing gratitude to every family physician for their dedicated work.

Also, a memorable gift carrying the theme of the day was gifted to the family physicians working in the PHC. Qatar celebrated WFDD by conducting a Family Doctor Research Day on the 19th of May by presenting 7 different research topics. Multiple School Visit to Leabaib HC PHCC Family doctors, headed by Dr Maryam Ali Al Hitmi, Consultant Family Medicine, celebrated World Family Doctor Day by welcoming ZIKRIT KINDERGARTEN FOR GIRLS, to inform them of the vital role Family doctors play in providing comprehensive and ongoing healthcare services to the community, as well as, introducing them to PHCC’s Rashid Family characters, with whom the kids played and received give-away colouring book kits. During the event, family doctors talked about several topics with the students of autistic spectrum disorder and special needs and highlighted the important role family doctors play in society and primary care systems. At the end of the day, students and family doctors created art crafts and gave them away to the school as a memorable gift.

In Saudi Arabia, a radio show was done by the MO highlighting the importance of the three pillars of the celebration.

In UAE, the Emirates Family Medicine Society withhold the celebration for 40 days as they are in the mourning period.

Lastly, the regional Young Doctor Movement, Al-Razi joined the celebrations with graphics and a video.

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WONCA | 2022

EUROPE The Portuguese Association of General and Family Medicine (APMGF) celebrated World Family Doctor Day (WFDD) in 2022 with a debate about the current and future role of family doctors in the healthcare system and how they can contribute to improve the proximity of primary healthcare services to the population. This debate took place in a Lisbon Hotel, but was also broadcast live on APMGF’s website and social media. Alongside APMGF’s president, Nuno Jacinto, the panel also included the head of the Portuguese Medical Council and the former Healthcare Secretary of State and current Member of the European Parliament (MEP) Manuel Pizarro.

APMGF’s president was also a guest on a morning news show, on a national TV station, where he had the opportunity to describe, in detail, some of the most important challenges family doctors face today and the core values of Family Medicine that must be preserved at all cost, especially in a post-pandemic era when health inequalities tend to increase.

Finally, APMGF released social media content devised to generate awareness about this unique day, focusing on the close bond between family doctors and their patients.

Member organizations in other European countries such as France, Ireland, Spain and others promoted WFDD 2022 campaign on social media with videos and graphics.

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WONCA | 2022

IBEROAMERICANA REGION CIMF Multiple organizations from WONCA Iberoamericana - CIMF celebrated World Family Doctor Day with activities, videos, photos and graphic material. The Waynakay Movement (YDM) also joined the celebration on social media.

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WONCA | 2022

NORTH AMERICA REGION World Family Doctor Day was promoted by the AAFP, the CFPC, the CCFP and STFM. The WONCA NA region President tweeted out materials provided by World WONCA from @BU_GHC, and promoted a similar tweet from the Primary Health Care Performance Initiative (PHCPI) (@improvingphc).

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WONCA | 2022

SOUTH ASIA REGION Several member organizations from the WONCA South Asia region celebrated World Family Doctor Day with multiple activities, videos and photos. The Spice Route Movement (regional YDM) also celebrated WFDD2022 with a live session on family medicine.

YOUNG DOCTORS' MOVEMENTS

YDM YOUNG DOCTORS' MOVEMENTS

The WONCA Young Doctors Movements gathered family doctors around the globe to celebrate the World Family Doctor Day. YDM prepared a promotional video for the WFDD with contributions from all regions which was well-received by social media.

The multiple movements also had their own celebrations with digital sessions, activities and social media publications.

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WONCA | 2022

WFDD ON SOCIAL MEDIA Several member organizations from the WONCA South Asia region celebrated World Family Doctor Day with multiple activities, videos and photos. The Spice Route Movement (regional YDM) also celebrated WFDD2022 with a live session on family medicine.

This year's social media frame had a total of 6,550 downloads.

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ACCREDITATION & CERTIFICATION

WONCA | 2022

ACCREDITATION & CERTIFICATION Congratulations: This year has seen the full WONCA accreditation of an innovative new Clinical Masters programme in Family Medicine at the Arabian Gulf University in Bahrain. We congratulate the team, led by Professor Afif Bin Salih, on their remarkable achievement in graduating the first cohort of 40 students to work independently in Bahrain’s Primary Health Care (PHC) centres.

The accreditation process: The two-year Clinical Masters curriculum was endorsed

by WONCA in February 2020, just before the Covid-19 pandemic, with the aim of meeting WONCA’s postgraduate training standards (here) for full accreditation at graduation in March 2022. A virtual support visit was held in March 2021 and face to face full accreditation in March 2022.

Professors Marie Andrades (Pakistan) and Val Wass (UK), from the WONCA Working Party on Education led all visits.

Achievements: Despite the pandemic , training with patients in the PHC centres was maintained and successfully balanced with the secondary care rotations which were not service driven. All students successfully met both their clinical competency assessments and university credit requirements.

What was learnt? i: Respect and mutual understanding between primary care and secondary care strengthened as specialist content was negotiated to focus on common PHC presentations. ii: The quality improvement programme, despite the effort and time, was valued by students.

iii: The programme proved highly socially accountable. Students contributed to Covid-19 initiatives and became community focused volunteering for other charity roles . iv: University IT links, supported high levels of recording of student progress, enabling struggling students to be supported and the development of a student app.

Conclusion: WONCA has been able to use the Education Working Parties postgraduate training standards to support the AGU’s innovative clinical Masters PHC curriculum from conception through to graduation. This Government supported initiative to train GCC county doctors to work locally strengthened understanding and support for PHC from secondary care.

Students graduated with a strong sense of social accountability.

Why is this Clinical Master’s programme innovative? Bahrain has 27 well established PHC centres. All offer a wide range of multi-professional services, from acute to preventative, adapted to patient needs in different localities. To increase the ratio of skilled family physicians per patient in Gulf Cooperation Council (GCC) countries, the Bahrain Government supported AGU to develop a clinical Masters programme for doctors resident in the GCC. The course innovatively balances training in primary and secondary focusing content on relevance to family medicine and includes a quality improvement project to nurture critical appraisal and evidence-based practice.

WONCA accreditation of an innovative new Clinical Masters programme in Family Medicine at the Arabian Gulf University in Bahrain

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