Report from the Board of Directors

Download the Reports to the AGM (PDF).

Reaching an Amending Agreement: Physicians as leaders and stewards

1. Previous reports to the membership of the Alberta Medical Association have discussed physician leadership and stewardship of resources. The 2016-17 Reports to the Annual General Meeting goes further, demonstrating how the physicians of Alberta have begun to walk the talk in new ways to build a sustainable health care system that is affordable, yet still delivers the quality care that patients need and deserve.

2. In that light, the defining event of the year was ratification of the new Amending Agreement between the AMA and Alberta Health (AH). On October 14, President Dr. Padraic E. Carr announced that 74% of participating physicians voted in favor. Voter turnout was 29%, a bit lower than the average 38% for votes since 2003.

3. The Amending Agreement included a set of amendments to the ongoing 2011-18 master agreement. As government has publicly acknowledged, physicians were acting as leaders, coming forward to help the province deal with its financial problems by moderating the rate of growth in physician expenditures. This approach has meant working in collaboration with government, sharing risk and responsibility. The ratified amendments have brought a level of stability to the system in terms of how the parties have worked together. Ratification also allowed the AMA to move forward in some exciting new directions.

4. As the AMA’s attention necessarily turned to implementation, the challenge was that many different activities were involved and the arrangements were complex. It was easy to treat the many tasks as separate initiatives. To achieve the spirit of the Amending Agreement, the complex interlinkages had to be considered.

Implementing the Amending Agreement

5. Summaries of key activities relating to the Amending Agreement have been provided below.

6. Schedule of Medical Benefits (SOMB) Rules Savings Initiative: Seeking savings through various initiatives was a key feature of the Amending Agreement. The SOMB Rules Savings Initiative was an early and ambitious task. The parties agreed that rule changes would:

  • Where applicable, be informed by one or more of the Choosing Wisely Canada recommendations.
  • Be driven by best-available evidence and national guidelines for high-quality patient care.
  • Consider the need to reduce inappropriate variation in physician practices.
  • Be objective, transparent and driven by peer-reviewed literature, other reliable data or necessary consultations with field experts.
  • Improve alignment of incentives driving high-quality patient care practices across different modes of payment.
  • Simplify existing complexity and modernize the SOMB.
  • Be easily and quickly implemented.
  • Not impact quality of care.
  • Impact the broad range of sections as equitably as possible.
  • Be clear and easy to interpret.

7. In mid-November, the joint AMA/AH/Alberta Health Services (AHS) SOMB Working Group came to an agreement on Batch 1 rule changes for January 1, 2017 (representing about $45 million of the joint commitment to identify $100 million in savings. The AMA received credit for $15 million saved from the 2016 individual fee review conducted by the Physician Compensation Committee). In January a Batch 2 group was identified for implementation April 1, 2017.

8. The AMA’s proposals to the working group were informed by an internal AMA committee that led consultation with sections and individual physicians to bring suggestions to the table. In the end, the great majority of those selected for implementation were suggested by physicians. This was an important first example of collaboration and physician-driven stewardship to reduce costs while maintaining quality.

9. All sections were asked to contribute to this initiative and most did so. At the same time, discussions and decision making were difficult. As with so many aspects of the Amending Agreement, the work was laying new ground.

10. The Board of Directors was aware that the impact of the SOMB rules initiative varied across sections and could negatively affect equity. Accordingly, the Board directed that the AMA would make it a priority to seek opportunities in the Reconciliation Process (see below) and future allocations to recognize the degree that sections have been impacted and the contributions they have made. A commitment was also made that, throughout the implementation and eventual reconciliation process, we would monitor the actual effects and consult and act together as needed in response.

11. Reconciliation Committee (RC) is a joint AMA/AH/AHS committee that reports directly to the Management Committee. The Amending Agreement established that the RC would track utilization with the Physician Services Budget (PSB), provide analytics, report trend information, identify priorities and provide evidence and data on issues to support decision making for reconciliation in a number of areas under the agreement. The underlying task was to determine if Actual Expenditures matched the Available Amount provided by government for the PSB. Certain at-risk payments would be made to physicians only if a match occurred (or expenditures came in below the Available Amount). The at-risk payments were the 2017 and 2018 Retention Benefit payments and the April 1, 2017 SOMB adjustment.

12. The RC met every two months beginning in December. The Amending Agreement stipulated that the calculation would be finalized on June 30, 2017 and again June 30, 2018. The 2016-17 reconciliation gap was calculated according to methodology jointly developed by the committee.

As of June 30, 2017, the reconciliation showed that savings had been achieved. The rate of physician services expenditure growth slowed from the 10% annually of recent years to about 6%. As had been anticipated as a possibility (and communicated to members during the ratification period for the Amending Agreement), savings would only begin to accrue late in the fiscal year. As a result, insufficient savings accumulated to trigger payment of the 2017 Retention Benefit. The trend, though, showed there is good opportunity for the target to be achieved in 2017 and for the final two at-risk payments to be paid.

13. The loss of a Retention Benefit payment had a greater impact for members of some sections than for others. The Board included this consideration when it gave direction to recognize the contributions of sections through the SOMB Rules Savings Initiative in future allocations and equity work.

14. Peer review: Under the Amending Agreement, both AMA and AH recognized the need to develop mechanisms for reviewing the clinical appropriateness of physician claims and best billing practices. The agreement did not prescribe how this will occur. The Board expressed a preference for a strong educational role for the AMA, including an “early warning system” for members to advise when they are trending away from best billing practice. The Representative Forum (RF) asked that there be an option to refer to AH’s compliance branch for audit only for those unusual cases when education and communication failed to change behavior. To support this approach, the RF supported a two-committee structure, with an AMA-only committee focused on education and a joint AMA/AH committee to liaise on billing issues. Work to establish both of these committees was underway at time of writing.

15. Physician resource planning: Under the Amending Agreement, the government committed to pay for the new physicians that Alberta requires. The agreement created a multi-stakeholder Physician Resource Planning Committee (PRPC) to help develop a needs-based physician resource plan. As reported to members during the ratification period, in recent years Alberta’s physician numbers had been growing at a rate far above population growth. Yet pockets of need still existed, newly trained physicians were facing reduced opportunities to practice in their areas of expertise and we had no insight into the optimal supply, mix and distribution of physicians. The committee, which included resident physician and medical student representation, was to advise the minister regarding physician supply.

16. Following months of discussion among the parties, some significant progress was reached and entrenched in new regulations approved by government in July. The regulations satisfied the commitments made by the parties. They allowed the minister of health to formally establish the PRPC for the purpose of advising the ministry. The minister will establish targets for physician supply, informed by the advice of the PRPC. All physicians would be required to hold a Prac ID# to make it easier to gain a clearer picture of the physician supply environment.

17. During the course of discussion about how to approach a physician resource plan, a number of options were considered, including the possibility of new restrictions on mobility. What was actually established was a collaborative structure in which stakeholders would use their existing mechanisms to help manage supply according to the plan. No new restrictions on physicians were established.

18. Primary Care Network Governance Framework: This framework was a key provision of the Amending Agreement. It created a structure for collective decision making by the 42 PCNs as well as structured resource-sharing at the local and zonal level with AHS. Because of the importance of this arrangement, the AMA negotiated a requirement for a ratification vote by a double majority of PCNs and PCN member physicians. The president announced ratification on May 15: 88% of voting physicians and 98% of PCNs were in favor (47% of eligible physicians cast ballots).

19. The framework clarified roles and responsibilities for the parties and determined accountability as well. Creating new ways for PCNs and AHS to share resources for patients in the community was intended to close some of the gaps that open for patients as they move about the system from primary care to secondary or tertiary and back again. Affecting all physicians in the province, the framework is about more than just primary care.

20. Blended capitation model: Primary care physician leaders have been promoting a new payment model for primary care for a number of years and this was incorporated into the Amending Agreement. An option for physicians, it was designed to promote comprehensive vs. episodic primary care and was founded on a strong relationship between physicians and patients within the medical home. A pilot project for the payment model was in early stages at time of writing.

21. Formal attachment is a requirement for the blended capitation model. The Amending Agreement also provided for government to deliver a Central Patient Attachment Registry (CPAR). It was to be the centralized registry to capture the attachment of a primary care physician and patient. A Provider Registry was also in development this year. These tools are seen as a significant step forward in improving both relational and informational continuity of care.

22. Integration of care: In addition to the integrative possibilities of PCN evolution and formal attachment, the AMA collaborated with AHS in development of the Primary Health Care Integration Network. A launch of the coalition behind the network was expected in the fall. The objective established was to develop processes to support system integration among Strategic Clinical Networks and seek ways to coordinate with primary care physicians in those places where SCNs require linkages to the community.

23. Academic Alternative Relationship Plans (AARPs): The AMA has an extensive history with supporting clinical ARPs but has never had a formal role with respect to AARPs. The Amending Agreement provided for the AMA to sit on the provincial steering and operational committees for the development of the provincial AARP. In this capacity, the AMA reviewed and provided content to government on the draft Master Agreement and Individual Services Agreements which were introduced to academic staff during sessions in June with the universities, AH and AHS. The AMA also held information sessions with academic members to review the history and background and highlight some of the positives of the new AARP agreement, e.g., improved governance and consistency in policies between Edmonton and Calgary. To support the AMA representative on the steering and operational committees, the AMA has determined to form an AARP Working Group with at least three members from each university in an AARP.

24. Strategic Agreement: Negotiations with AHS in the past on behalf of independent contractor physicians paid by the health authority have often been long and difficult. We lacked formal recognition of the AMA by AHS, as well as any sort of structured way to resolve disputes. The Strategic Agreement, part of the Amending Agreement, allowed physician groups to opt for AMA representation, which also provided access to dispute resolution mechanisms if necessary. These physicians could benefit from a more uniform level of negotiations support than they have had in the past – and one that is comparable to that available to non-AHS physicians. The Strategic Agreement was applied to three groups in this first year, one of which progressed to arbitration with a finding in favor of the physicians involved. New groups have come forward to request assistance under the Strategic Agreement.

Related activities and the AMA Business Plan

25. There were a number of activities for the AMA this year that were linked by our agreements but flowing from the 2016-17 AMA Business Plan. Under the AMA’s vision and mission, the 2016-17 business plan was built on three Key Result Areas: Financial Health; Well Being and System Partnership and Leadership.

26. Upon a recommendation from the Governance Review Group, the Board of Directors initiated a review of the association’s vision and mission. The Spring RF was involved in that work. The goal was to ensure that vision and mission were well aligned with the direction of the AMA under the Amending Agreement and beyond, as well as being sufficient to provide guidance for all the work to be done. The Board approved the resulting product that will be shared with the Fall RF and membership thereafter.

System-level business

27. Physician Compensation Committee (PCC): The PCC is an ongoing provision of the 2011-18 master agreement (that remained in place with the Amending Agreement). In 2016-17, subjects of discussion included: ARP rates and full-time-equivalent definition; a standardized Intrasectional Relative Value project for fee relativity work; contracting with an external consultant to update the Business Overhead Model; and review of the Blended Capitation Model pay rates. The PCC completed the phased-in fee reduction for three of the six codes affected by the 2015-16 individual fee review in two adjustments (October 1, 2016 and April 1, 2017). A monitoring process for the fee review changes was established. The committee also received information regarding the AMA’s income equity initiative as discussed below.

28. Income equity: The AMA has reached a critical point in its evolution with respect to physician income. Recognizing the need to move toward income equity in the profession, the RF gave the Board of Directors clear direction at the 2017 Spring RF to proceed with achieving income equity as follows:

  • Apply Adjusted Net Daily Income (ANDI) as a tool toward income equity.
  • Use reallocation.
  • Implement within a five-year timeline.

29. Based on this direction, the Board directed the AMA Compensation Committee (AMACC) to:

  • Implement ANDI, once appropriate factors have been decided and included.
  • Allow for reallocation and other funding sources.
  • Define equity, including factors, equity zone, and targets.
  • Reach equity targets within a five-year horizon.
  • Provide timelines and milestones.
  • Align with other AMA priorities.

30. A Special RF was held on June 10 to further discuss and debate equity-related motions and issues that were not addressed due to lack of time at the spring meeting. This special RF built on the direction that the Spring RF meeting provided.

31. The RF asked to receive a proposed outline for implementation at the fall 2017 meeting. The RF also passed a motion to determine that members will have a chance to vote on income equity at a time to be determined.

32. In moving forward with income equity, the Board committed to open and transparent two-way communication with members and sections throughout the entire process. Between the spring and fall meetings, there were a number of engagement and consultation processes undertaken, including a number of face-to-face meetings with sections and physician groups, AMACC co-chairs, AMA executive director and AMA president. Engagement and consultation methods will continue throughout the design, development and implementation of the Income Equity Initiative.

33. Negotiations 2018: The master agreement and Amending Agreement with AH expire March 31, 2018. The Spring RF received an initial presentation on various issues, aspects and concerns and provided some initial direction for preparatory work over the summer.

34. The AMA’s Negotiating Committee was identified: Dr. Noel Grisdale, Chair (past president, General Practice, Black Diamond); Dr. Kathryn Andrusky (General Practice, Edmonton); Dr. Robert Davies (Diagnostic Imaging, Calgary); Dr. Eric Wasylenko (General Practice, Okotoks); and Dr. Brian Wirzba (Internal Medicine, Edmonton). Along with AMA staff, a professional negotiator, Mr. Lee Doney, was retained.

35. The committee has been meeting to develop a framework and opening position that the Board reviewed at its July meeting. The Fall RF will provide additional direction and discussions will begin with government soon thereafter. The committee considered current and future needs of the profession while building on the various elements and directions of the Amending Agreement toward more long-term solutions for an integrated, quality and sustainable system.

36. Informatics: Health care transformation requires access to information by health providers and patients for care delivery, for secondary research, and to understand their own practices. Much progress occurred in the past year, including the CPAR and Provider Registry projects already mentioned. Some of the other advances involved new technology and platforms. Others were collaborative efforts promising to align interests and establish strong governance for moving forward in the future.

a. Community Information Integration (CII) was an initiative to improve Albertans’ continuity of care across the health system through better access to primary care and community health information. AH, the College of Physicians & Surgeons of Alberta and AMA worked together to identify 86 data elements that could move from community electronic medical records (EMRs) to (i) Netcare for clinical purposes and (ii) to a secondary use data platform for analysis, research and statistical reporting. When a pilot project began in Sherwood Park in June, it marked the first time that information has moved from community EMRs to other shared platforms. It was hoped that the CII can evolve to become a comprehensive patient-focused application.

b. A white paper was commissioned for the provincial Health Information Executive Committee on which AMA Executive Director Mike Gormley sits. It was entitled: Health Information Exchange - Engaging Providers in Innovation. The paper was the focus of a provincial symposium in February and the RF received a presentation on it at the spring meeting. The paper explored and proposed a consensus approach for enhancing health information exchange to improve continuity of care.

c. AHS is proceeding to develop a single, provincial Clinical Information System (CIS). This system will gradually replace or supersede existing AHS systems. One of the issues arising from this direction was the ambulatory “shared EMR” information sharing framework (ISF) between the AMA and AHS/Covenant Health that had been in place since 2012. The parties engaged in the development of a new proposed ISF with a much broader scope (i.e., focus was expended to AHS CIS in general) and that included a number of substantive differences from the earlier arrangement. Physicians would no longer be custodians in AHS facilities, reducing the privacy impact assessment workload that existed under the former ISF. Individual physicians would no longer have information sharing agreements with AHS/Covenant; the AMA would enter into the ISF on behalf of members. The Fall RF will receive an update but the Board approved moving forward with the arrangement at its July meeting.

d. AMA dr2dr was a secure messaging initiative launched by the association in 2015-16 to provide an option for physicians to replace faxing and other sub-optimal and unsecured methods of electronic clinical communication. Secure messaging was seen as another important tool to promote continuity of care. Due to uncertainties at the time in the e-health environment such as the future of the AHS CIS, the free trial period for dr2dr was offered through October 2017. At time of writing further direction had not yet been determined. Members will be updated as soon as possible.

37. The AMA’s online patient engagement community, albertapatients.ca, launched two years ago. Nearly 4,900 Albertans currently participate to raise topics of interest regarding health care. The community is now large enough to support statistically valid research. In 2016-17, most new members were recruited through social media advertising on Facebook. For surveys conducted about every six weeks, the response rate average is a healthy 41%. Survey topics chosen by the community in 2016-17 included: patient experience in emergency departments; patient experience in primary care; and seniors care.

38. The AMA advocated for changes to the proposal for federal taxes on professional corporations. Led by the Canadian Medical Association, provincial and territorial medical associations across the country were seeking to remove or mitigate the changes during a consultation period established by the federal government. AMA members were encouraged to support CMA activities by writing to their Members of Parliament and the federal finance minister.

39. The AMA also contacted the provincial government to express concerns. The president spoke personally with the minister and she expressed interest in learning more about the possible implications for physicians, individual Albertans and the health care system. As a result, a meeting was held between AMA, AH and Treasury Board & Finance and AHS staff. Discussion occurred about the information that could best illustrate the issue. At time of writing next steps were being determined. The Fall RF will receive an update. MD Financial Management was also asked to contribute expertise.

40. There is no new information to provide with respect to government’s intention to publish gross payment data of Alberta physicians in the provincial sunshine list. Government has not raised the issue and seems focused on working constructively with physicians under our agreement. They are not bound to act by a certain date on publication of physician data by the legislation that enabled it.

41. The Board continues to monitor this issue and is prepared to respond. There is a sense that the profession’s leadership with respect to new payment models, fee review and income equity will be helpful in managing our response if the list is published.

Healthy physicians and communities

42. Calls for assistance from the Physician and Family Support Program (PFSP) increased again this year, rising 8% May to June over the same period the previous year. The program’s efforts toward education and health promotion expanded again, including exploration of new options to promote physician wellness, resilience and need for self-care in the service of patients. PFSP education hosted a half-day conference on physician health for 118 residents from all programs at the University of Alberta and began planning for similar events at both schools in 2017.

43. The 2016-17 school year saw 455 schools enrolled with AMA Youth Run Club involving about 27,000 students. For the fourth year, the AMA partnered with Ever Active Schools to deliver this successful program. Sponsors Alberta Blue Cross and MD Financial Management provided essential financial support to the initiative. The YRC also piloted a number of community-based fun run events and expanded programming for coaches and teachers. The volunteer efforts of physicians, resident physicians and medical students were greatly appreciated in visiting YRC schools to discuss health and active living.

Advocacy for health promotion and quality

44. Health promotion and advocacy were once again led by the AMA’s Health Issues Council. The AMA advocated or provided support for various matters with our system partners: Provincial Advisory Committee on Tobacco; consultations for review of regulations for nursing homes and coordinated home care; and all-terrain vehicle helmet regulation.

45. The AMA urged government to consider concerns with respect to adolescents and young adults as the province prepares to regulate recreational marijuana. A letter was written supporting the stance of the CMA and Canadian Pediatric Society that 21 should be the minimum age for the purchase/consumption, with potency of marijuana restricted in Alberta for those under the age of 25.

46. In 2015, the AMA hosted a session on health-related recommendations from the Truth and Reconciliation Commission. Since then there has been exploration of the AMA’s role in advocacy and support for Indigenous health. In July this year, the Board approved a new AMA Indigenous Health Policy Statement. The Fall RF will receive a presentation on the policy and it will be widely communicated to members and others outside the AMA.

47. The AMA supported the Choosing Wisely Alberta initiative. The initiative’s work this year included expanded interaction with patient leaders to carry Choosing Wisely messages to other patient-engagement venues. Various information sessions and change management activities took place in the ongoing efforts to encourage informed conversations between physicians and patients about tests that provide little value and may indeed cause harm.
48. With financial assistance from the CMA, the AMA also delivered another year of the Emerging Leaders in Health Promotion Grant Program supporting health advocacy initiatives of medical students and resident physicians in the community. Some of the projects funded addressed: pediatric cardiovascular health; physical activity for children with disabilities; and use of multi-sensory tools for dementia patients.

AMA organizational matters

49. Work proceeded this year to implement the recommendations of the 2015-16 Governance Review Group (GRG). The intent was to ensure that the AMA’s decision making and representative structures reflect the evolving nature of the association’s membership and role. The approach was approved by the Board with the support of the RF and includes maintaining robust and effective sections, clarifying responsibilities for delegates and supporting and enhancing the effectiveness of the RF. The GRG also requested that the Board review the AMA’s vision and mission (as previously noted in this report).

50. Privacy breach: The AMA has contracted with a third-party service to convert paper-based files to electronic format. On May 12, we learned that a subcontractor of a third-party vendor who provides this service had been the victim of a cyber-attack. As a result, some AMA files stored on the server were exposed because of that vulnerability. Members were immediately advised of the situation and the AMA formed a data security response team to lead the necessary activities.

51. Upon seeking advice and best practices from other organizations, the AMA contracted with Equifax, the leading national credit bureau. A comprehensive credit monitoring package for each member and employee (and any former members or employees possibly affected) was offered and was made available for a two-year period at no charge.

52. The AMA engaged the Cyber Security Team at PricewaterhouseCoopers to investigate the breach. The team was tasked with investigating:

a. Whether any AMA data was accessed by the cyber-attacker.

b. Whether there was any evidence of unauthorized removal of AMA data from the server.

53. Through their investigation, PWC found:

a. There was no evidence of unauthorized access of AMA data.

b. There was no evidence of unauthorized offloading of AMA data.

54. This outcome was a relief to all concerned. The AMA began a comprehensive review of our processes and policies to identify areas of improvement within our data protection strategy. Findings and recommendations were to be reviewed by the AMA’s Committee on Financial Audit.

55. In terms of member communications and research, there were 19 President’s Letters to members. Two tracker surveys of member opinion were conducted with a third to take place before the end of the calendar year. In addition to the regular benchmark questions, the trackers addressed members’ perspectives on physician stewardship of resources and the peer review process. Results were reported to members in the May-June 2017 issue of Alberta Doctors’ Digest. With respect to Digest, and in response to feedback in readership surveys, members were advised in the July-August issue that the AMA will begin a transition to move the magazine to an electronic-only format in 2018.

56. The volunteer, charitable and philanthropic activities of AMA members were celebrated through our Many Hands™ program. From trauma care in Iraq to refugee clinics in Calgary, from caring for homeless pregnant women in Edmonton to medical care in Thailand and more, the members of the AMA were giving back and making a difference in 2016-17. www.albertadoctors.org/many-hands

57. Recognizing and celebrating outstanding accomplishments in health care continued this year with our prestigious award programs. The highest honors of the AMA will be bestowed on six Albertans during the Fall RF and AGM.

  • AMA Medal for Distinguished Service for outstanding personal contributions to the medical profession and to Albertans that have contributed to the art and science of medicine and raised the standards of medical practice: Dr. Gary A.J. Gelfand, Calgary; Dr. David S. Gray, Edmonton; Dr. Nairne W. Scott-Douglas, Calgary.
  • AMA Medal of Honor for extraordinary contributions by a non-physician to Albertans in medical/health research or education, health care organization or promotion: Sangita (Gita) Sharma, PhD, Edmonton.
  • AMA Award for Compassionate Service for serving as an inspiration to others with outstanding compassion, dedication and extraordinary contributions to volunteer or philanthropy efforts to improve the state of the community: Dr. Moosa Khalil, Calgary; Dr. Daniel M. Li, Edmonton.

Canadian Medical Association

58. The 2017 CMA General Council (GC) was held August 20-23 in Quebec City. The CMA marked its 150th birthday at this event. The 2017 AMA delegation was:

  • AMA President
  • President-Elect
  • Immediate Past President
  • Deputy Speaker
  • 10 representatives named by the Board
  • 10 representatives named by the Nominating Committee
  • Two physician appointees of the college (at least one to be an elected member of council)
  • One dean or designate
  • Two student representatives
  • Two Professional Association of Resident Physicians of Alberta representatives

59. In partnership with faculties of medicine, the AMA brought an additional eight medical students to the event.

60. Key topics at GC included:

  • Response to proposed changes to federal professional corporation legislation
  • Canada’s opioid crisis
  • Medical Assistance in Dying: Where do we go from here?
  • Physician supply

61. Quebec family physician Dr. Laurent Marcoux was installed as the CMA President for 2017-18. Dr. Marcoux has worked in the field of medicine for over 40 years. He has actively been involved in health reform throughout his career and health of First Nations communities is one of his primary concerns.

62. Three Albertans were honored by the CMA during GC. The awards and the outstanding recipients were:

  • CMA Award for Young Leaders (Student and Resident Categories) for exemplary dedication, commitment and leadership in clinical, political, education, research and/or community service: Student Category Simei (Amy) Li; Resident Category Dr. Aravind Ganesh.
  • CMA Dr. William Marsden Award in Medical Ethics for outstanding leadership, commitment and dedication to promoting and advancing excellence in medical ethics: Dr. James L. Silvius.

Board of Directors and Executive Committee

63. An election was held for the position of president-elect 2017-18. Dr. Alison M. Clarke was the successful candidate.

64. Members of the 2016-17 Board of Directors

  • Dr. Padraic E. Carr – President
  • Dr. Neil D.J. Cooper – President-Elect
  • Dr. Carl W. Nohr – Immediate Past President
  • Dr. Kathryn L. Andrusky
  • Dr. Paul E. Boucher
  • Dr. Robin G. Cox
  • Dr. Shelley L. Duggan
  • Dr. Kimberley P. Kelly
  • Dr. Lloyd E. Maybaum
  • Dr. Christine P. Molnar
  • Dr. Paul Parks
  • Dr. A. James Pope
  • Dr. Derek R. Townsend
  • PARA observer: Dr. Michael R. Martyna (term ended June 30, 2017); Dr. Jordan M. Stosky (term began July 1, 2017)
  • Medical Students Association observer: Finola M.H. Hackett (term ended May 18, 2017); Stephanie M. Smith (term began May 19, 2017)

65. The Board met:

  • 2016:
    • September 24 (post-RF)
    • October 28
    • December 8-9
    • December 29 (teleconference)
  • 2017:
    • February 2-3
    • February 20 (teleconference)
    • March 8 (teleconference)
    • March 23-24
    • May 4 (teleconference)
    • June 1-3
    • June 28 – Special
    • July 13-14
    • August 20 – Special
    • September 6

66. Members of the Executive Committee:

  • Dr. Padraic E. Carr– President
  • Dr. Neil D.J. Cooper – President-Elect
  • Dr. Carl W. Nohr – Immediate Past President
  • Dr. Kathryn L. Andrusky – Board Representative (term began October 2016)
  • Dr. Kimberley P. Kelly – Board Representative (term began October 2016)

67. The Executive Committee met:

  • 2016:
    • September 30
    • November 18
  • 2017:
    • January 13
    • March 3
    • March 15
    • May 12
    • June 23
    • August 15

The Alberta Medical Association stands as an advocate for its physician members, providing leadership & support for their role in the provision of quality health care.