EXECUTIVE REPORT Jessica Harris, Vice- President of Government Affairs CFMS Spring General Meeting Montréal, QC April 14 16, 2016

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I. DESCRIPTION OF POSITION The Vice- President of Government Affairs (VP GA) has a variety of duties related to leading and coordinating local, provincial, and national advocacy efforts of the CFMS. More specifically, the VP GA serves as Chair of the CFMS Government Affairs and Advocacy Committee (GAAC) and leads the organization of the annual CFMS Lobby Day in Ottawa. In conjunction with the National Officer of Health Policy, the VP GA guides the Committee on Health Policy in a regular review of existing policy documents and the creation of new documents. The VP GA will also actively collaborate with the Vice President Education on issues related to education that require political involvement. Finally, the VP GA will represent the CFMS to various external committees and organizations as deemed necessary by the president and executive. The CFMS Government Affairs and Advocacy Committee (GAAC) exists to both solicit the broader opinion of Canadian medical students on a wide variety of issues as well as to help take action at the local, provincial, and national levels. The CFMS GAAC is composed of the Chair (VP GA) and one to two representatives from each CFMS member school, selected by the individual medical societies. The mandate of the CFMS GAAC includes, but is not limited to: 1. Provide a grassroots framework to determine and advocate for the interests of the CFMS and its membership; 2. Cultivate leadership and advocacy skills in CFMS membership, and provide further opportunities for involvement with CFMS; 3. Assist with CFMS national lobbying efforts. II. ACTIVITIES Date Location September 17-20, 2015 CFMS Annual General Windsor, ON September 20, 2015 Transition with outgoing VP GA Melanie Bechard Windsor, ON October 4, 2015 October 5, 2015 1:1 with CFMS President October 7, 2015 October 9, 2015 AFMC- Infoway ehealth Advocacy Program Engaging with Learners October 16-18, 2015 CFMS Fall Executive Ottawa, ON October 22, 2015 Series - Personal & Shared Information Management November 1, 2015 1

Date Location November 1, 2015 November 10, 2015 with MP Ralph Goodale s office regarding logistics for CFMS Lobby Day November 10, 2015 1:1 with CFMS President regarding CFMS Lobby Day November 15, 2015 CFMS Lobby Day Planning November 16, 2015 1:1 with CFMS National Officer of Health November 19, 2015 Physician Resource Planning Task Force Summit Ottawa, ON November 22, 2015 CFMS Lobby Day Research Committee November 22, 2015 CFMS Fall Executive T/C November 23, 2015 Series Clinical Decision Management November 24, 2015 CFMS Committee On Health Policy (COHP) November 29, 2015 December 1, 2015 FMEC PG Transitions Career Planning and Residency Matching Process Working Group December 2, 2015 December 8, 2015 1:1 with CFMS VP Finance December 10, 2015 1:1 with CFMS National Officer of Health December 15, 2015 Series Health Communication Management January 8-10, 2016 CFMS Winter Executive Toronto, ON January 11, 2016 CFMS Social Media and Media Engagement Committee January 17, 2016 January 18, 2016 CFMS Lobby Day Research Committee January 28, 2016 CFMS Lobby Day Logistics with CFMS Lobby Day Coordinator and CMA February 3, 2016 1:1 with Dr. Van Deven from Western regarding Service Learning Credits in UME February 19, 2016 Final CFMS Lobby Day Preparations with CFMS Lobby Day Coordinator Ottawa, ON February 20-22, 2016 CFMS Lobby Day Weekend Ottawa, ON 2

Date Location February 20, 2016 CMA Media Training with CFMS Executive Ottawa, ON February 20, 2016 Ottawa, ON March 6, 2016 CFMS Winter Executive T/C March 7, 2016 Feedback on Federation of Medical Regulatory Authorities of Canada (FMRAC) Draft Framework on esurvey Blood Borne Pathogens March 18, 2016 1:1 with OMSA Director of Representation regarding OMSA Lobby Day March 22, 2016 Interprofessional Medical Education Alliance regarding Lobby Day March 26, 2016 1:1 with CFMS National Officer of Health March 28, 2016 AFMC Informatics Group ehealth Subgroup April 10, 2016 April 11-12, 2016 FMEQ Journée d Action Politique Québec City, QC April 14-16, 2016 CFMS Spring General Montréal, QC April 14, 2016 CFMS- FMEQ Executive Montréal, QC April 15, 2016 MD Financial Leadership Awards Cocktail Montréal, QC April 16, 2016 AFMC Informatics Group ehealth Subgroup Montréal, QC April 17, 2016 CFMS Executive with Medical Council of Canada (MCC) Montréal, QC III. PRIORITIES AND PROJECT AREAS CFMS Lobby Day On February 22 nd, the CFMS held one of its annual flagship events CFMS Lobby Day. Over 65 medical students from across Canada met with Members of Parliament in Ottawa to discuss strategies for cost- effective and equitable access to necessary medications. Canada is the only developed nation in the world with universal health care but no corresponding universal pharmaceutical coverage. This is an important issue for the CFMS and over the past few years we have shared our support for a comprehensive pharmacare strategy that would help address our economic inefficiencies and health inequities. This year our ASK focused on the creation of a national formulary, as a first step towards a national pharmacare program. We received positive feedback on the Hill and our documents even made their way to the desk of Canada s Health Minister! Furthermore, the Parliamentary Standing Committee on Health dedicated their committee meeting on April 13, 2016 to the Development of a National Pharmacare Program. We re glad to see Canada s policy makers are taking this issue seriously and hopefully meaningful changes are forthcoming. 3

Local Initiatives While CFMS Lobby Day is an event with significant reach and political impact for our federation as a whole, the grassroots advocacy events organized by our local reps allow for tremendous impact at the level of our individual members. One of my goals at the outset of my term as VP Government Affairs was to foster local advocacy efforts and I m happy to report that to this end, our GAAC has been very successful! Highlights of local advocacy events that have taken place over the past year include Memorial s efforts to introduce a concussion education program in school curricula, advocacy aimed at encouraging general practitioners to take on refugee families at Dalhousie s Nova Scotia campus, a town hall focused on addressing youth homelessness at Dalhousie s New Brunswick campus, an interprofessional health student summit at McGill, a national pharmacare letter writing campaign at uottawa, a Health and Human Rights Conference at Queens, faculty collaboration on advocacy in the curriculum at U of T, a Health Advocacy Symposium at McMaster, a discussion on the Ontario- OMA negotiations at Western, advocacy around harm reduction and managed alcohol programs at NOSM, a first- ever Advocacy Weekend in Manitoba, a panel discussion on physician assisted dying in Saskatchewan, a viewing session of the Federal Leaders Debate at U of A, planning for an advocacy week at U of C, a pharmacare speakers series with Dr. Steve Morgan at UBC, as well as CMA Advocacy and Media training at nearly every member school and student- run Provincial Lobby Days in BC, Alberta, Manitoba, Ontario, Quebec, and Nova Scotia! Advocacy Tracker As we come together for SGM, there are over 20 position papers up for debate and approval by the general assembly (GA). And while there is active involvement around writing, presenting, and passing the papers by GA, the question of what comes after a position paper has been passed is one that continues to surface amongst our members. In 2013, the Government Affairs portfolio expanded to include the Committee on Health Policy (COHP). The overall aim of the COHP is to keep position papers current while also helping to propose future directions for new ones. Under the leadership of our National Officer of Health, Tamara Ibrahim, the Committee on Health Policy has been developing a method for applying metrics to our position papers so we can track our advocacy efforts well in to the future. Stay tuned for further discussion on this important matter during SGM 2016. CFMS Election Toolbox The CFMS Election Toolkit was a collaborative effort with the intent of helping medical students navigate the election process. The toolkit included a how- to voting guide tailored to medical students, a template letter on pharmacare to use in reaching out to candidates, and a summary of health care highlights from each political party s platform. Finally, we encouraged medical students to connect on social media using the hashtags #elxn42 and #medvote. It was a great way to get out the med vote! 4

Sample of documents and articles produced thus far: CFMS Election Toolkit: http://www.cfms.org/index.php/media- and- advocacy- 4/election- toolkit- parent.html The Medical Post article o CFMS says now that U.S. meets international standards, Canada should reduce deferral on gay blood donation to 1 year: http://www.canadianhealthcarenetwork.ca/physicians/news/students/cfms- says- now- that- u- s- meets- international- standards- canada- should- reduce- deferral- on- gay- blood- donation- to- 1- year- 42785 CFMS Lobby Day o Delegate Backgrounder Pharmacare in Canada: An Advocacy Initiative by Canadian Medical Students to Improve Access to Medicines o MP Handout Pharmacare in Canada: Improving Access to Medicines for all Canadians CFMS Annual Review o Catching up with the GAAC: Highlights from the Government Affairs and Advocacy Committee IV. FOLLOW UP, VISION, GOALS AND RECOMMENDATIONS FOR THIS POSITION As the summer approaches, local advocacy initiatives will begin to quiet down which will leave more time for in- depth reflection on events of the past year as well as for future planning. In regards to CFMS Lobby Day, the coming months will involve continued follow- up with MPs regarding pharmacare as well as the formation of a new CFMS Lobby Day Taskforce that will be charged with reviewing the current format and suggesting new ideas. Lobby Day is a signature event for the CFMS and it deserves due time and attention to make it the best it can be. I also plan to work closely with the NOHP as the Advocacy Tracker becomes a reality. Additionally, I would like to work at making the Advocacy section of our website more comprehensive and user friendly so to highlight the valuable advocacy tools available to our members. I will continue to encourage advocacy learning within medical school curricula as well as support and encourage our membership to partake in the CMA Advocacy and Media training sessions. And of course I will keep my finger on the pulse of the political environment, specifically looking out for the imminent federal legislation regarding physician assisted dying. Please feel free to contact me with questions, comments, and/or ideas for further advocacy initiatives! Sincerely, Jessica Harris VP Government Affairs, 2015 2016 vpgovtaffairs@cfms.org // jessica.harris@usask.ca 5