In an internet survey on www.man2man.ca conducted in June 2005 by Living Positive Resource Centre, answers to the following questions indicate the issue of identity:This makes MSM not only a risk-laden activity for the men involved who do not use condoms, but also more importantly it is an issue for the women in their lives who are the unwitting and unsuspecting victims of the risk behaviours being undertaken by the men in their lives.54% use a condom with their male partners, while 45% of the time when they have sex with a woman, they either “don’t pay attention” or don’t use a condom
The area covered by the Interior Health Authority is very large. Distance and terrain present a challenge to organizing and planning medical rounds in the various hospitals in the various areas.
Physicians in the Interior Health Authority are few in number for the population. The number who are aware, knowledgeable and understanding of the health needs of Men who have Sex with Men are even fewer.
Some physicians are uncomfortable and feel unsupported when it comes to treating or approaching the health concerns of Men who have Sex with Men. Sometimes personal discomfort is the issue facing the physician rather than hostility based in homophobia.
Nursing and Social Work students are essential players in the process of bringing together the project as these professionals will be communicating and supporting Physicians and other care givers in the future, while the academics train and form their students for their professional careers. They influence the academic sphere as well.
The students learn in community with a hands-on approach.
Challenges to connecting with communities about “Engaging Physicians -The Queer community exists and gathers in the rural / semi-rural areas and while being “out”, there is a degree of self-protection of themselves and others in the community. Considering the MSM population is a difficult one to identify, it is also a difficult group to reach and educate with respect to safer sex practices and reducing the probability contracting HIV and/or HCV. As they were difficult to reach and teach in the urban centers, the problems were magnified in rural settings.HIV Research Café modeled after similar ones held in Vancouver. Eighteen community members participated and was felt to be a success. Started an HIV support group – five participants – two members who are consistent in attendance. I started attending an already formed group of gay guys who meet for coffee through the week at Tim Horton’s. LPRC and Okanagan Rainbow Coalition organized a health day for PRIDE at the ORC Centre with on site HIV testing. Bill Ryan attended in the evening and spoke on GLBTQ Health.
This is the poster designed by the Nursing Student from Selkirk University.
Engaging Physicians Project
Engaging Physicians<br />Engaging Physicians is a community development project <br />to educate and inform General Practitioners (GPs) in the Thompson-Okanagan-Shuswap-Kootenay areas on creating a non-judgmental and welcoming clinical environment for Gay, Bi-Sexual Men <br />and Men who have Sex with Men (MSM) to allow for safe disclosure of their sexual practices and health concerns.<br />
Sexual Diversity <br />Q: In private, I identify myself to others as:<br />Q. In public, I appear to others as:<br />A: Straight:<br />Gay<br />Bi-sexual<br />Two-Spirit<br />Cross dresser<br />Other<br />16.7%<br />49%<br />26%<br />2.1%<br />1%<br />5.2%<br />A: Straight:<br />Gay<br />Bi-sexual<br />Two-Spirit<br />Cross dresser<br />Other<br />62.5%<br />26%<br />4.2%<br />3.1%<br />0%<br />4.2%<br />
Project Goals <br />Goal 1: <br />Increase the number of General Practitioners within Interior Health that report increased awareness, knowledge and understanding of the health needs of Gay and Bi-sexual Men and Men who have Sex with Men (January 2008 – November 2009).<br />
Project Goals <br />Goal 2:<br />To increase educational resources available for GP and other Health Care Practitioners (regarding sexual health of Gay, Bisexual and Men who have Sex in the Health Region including Remote Areas).<br />
Project Goals<br />Goal 3 <br />Engage a number of local students brought in by participating academics on the Advisory Committee to increase the awareness, knowledge of, and capacity to work with the health needs of Men who have Sex with Men. <br />
Selkirk University Student Nurse 2008 <br />Literature Review of Best Practices in Medical Health Care for Men who have Sex with Men.<br />Research on how accessibility to appropriate health care for Men who have Sex with Men is a Social Justice Issue. <br /> Search for projects like Engaging Physicians in other areas of the world. ( Engaging Physicians is adapted from a project in the United Kingdom.) <br />Created a Photo poster for the Project. (see Slide 15) <br />
UBCO Student Nurses 2008<br />Designed and refined a Physician Consultation Tool <br />Sent Physician Consultation Tool out to Physicians in the Interior Health Authority. <br />Consultation Tool sent out to 655 Physicians with 113 responding. 18%<br />Raw data (see hand-out) <br />
UBCO Student Nurses 2009<br />Contacted ten medical clinics in Kelowna and two in West Kelowna<br />Made appointment with Medical Office Assistants / Managers.<br />Obtained opportunity to meet and discuss project with ten out of the twelve clinics. <br />Had an artist render a picture to be included in a more office friendly poster? <br />
Designing a Professional Development Workshop <br />Materials ( for Physician resources and for use in Professional Development Workshop<br />Physician dialogue / consultation<br />Medical Rounds – decentralized areas are responsible for booking rounds for each hospital in the Interior Health Region. This makes it difficult for community based organizations to book rounds in sequence. <br />Accreditation (CMA)<br />
Tool Kit Resources <br />Fenway Health<br />printed materials redesigned and made suitable for the Canadian context<br />Information transferred to power point and burned to disks.<br />Power points enhanced by a voice over for presentation purposes or for physician to access and pause for review if necessary. <br />
Tool Kit Resources<br />Community Resource Booklets<br /><ul><li>Six booklets compiled one for Nelson, Penticton, Kamloops, Vernon, Kelowna as well as the Similkameen.
Google Maps are included in each booklet showing the location of offices</li></li></ul><li>Tool Kit Resources<br />The creation and designing of one pamphlet and one booklet. <br />For the physicians: Communicating with male patients who have sex with males and who live in non-urban areas. <br />For the physicians to display and make accessible in waiting rooms, “Communicating with your Doctor about sex between men. <br />
Community Development <br /><ul><li>HIV Research Café
Health Day Kelowna PRIDE </li></li></ul><li>Community of Men who have Sex with Men<br />
Community Partners of this Project <br />ANKORS101 Baker Street Nelson, BC V1L 4H1<br />AIDS Society of Kamloops (ASK)433 Tranquille RoadKamloops, BC V1C 5A8<br />Living Positive Resource Centre101 -266 Lawrence AvenueKelowna, BC V1Y 6L3 <br />