I am a full-service family doctor and researcher. I live as an uninvited visitor on the unceded, traditional territories of the Coast Salish peoples, including the Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh), the xʷməθkwəy̓əm (Musqueam), and the Skwxwú7mesh (Squamish) Nations. These lands are also known as Vancouver, British Columbia.
I am an Assistant Professor in the Faculty of Medicine at the University of British Columbia where I study the "family doctor shortage" and underlying issues related to primary care access. I have developed tools to better describe where and how much primary care is being delivered. And, how family physician career patterns have changed over time. I am specifically interested in the type of healthcare organization that is needed to provide equitable, high-quality team-based care to all people who need it, and at the same time offers a rewarding and sustainable work environment for family physicians and other primary care providers.
My other research work includes primary care prescribing patterns, assessing the effects of too much medication, and effective methods to change prescribing patterns. I have a particular interest in the intended and unintended consequences of "better opioid prescribing" education and policies, and how they impact health equity.
REDONNA - last quantitative paper - our intervention did not change prescribing behaviour and other reflections
Our REDONNA team in British Columbia used a personalized "audit and feedback letter", named Portrait, to see if we could reduce the number of first-time opioid prescriptions for pain. The study was a randomized trial involving all eligible family docto...
I wrote an article with my colleague, Dr. Lindsay Hedden, in Healthcare Management Forum, as a way to start rethinking the #FamilyDoctorShortage. Briefly... Lessons from public schools can help with the family doctor shortage. Just like schools are o...
Groups that I work with
Models And Access to Primary care in British Columbia
Reducing Inappropriate Initiation of Opioid Analgesics to Opioid Naïve Patients