For the purpose of FPSC incentives, a family physician is working as a “community longitudinal family physician” (CLFP) when they do all of the following:
- Assume the role of most responsible physician/provider (MRP) for a known panel of patients
- Confirm patient-physician relationship with their patients through a standardized conversation or “compact”, as outlined in 14070.
- Provide, or coordinate delivery of, longitudinal full scope family medicine primary care services to a patient panel that is inclusive of patients of diverse demographics and medical needs.
- Work in community settings such as physician offices or health care clinics where patients are seen in person. CLFP may also provide some virtual services to their patient panel via telephone, video or other virtual care modality. CLFP may also provide some services to patient panel in facility settings such as hospitals, long term care, hospices, assisted living, or group homes.
- Maintain the comprehensive longitudinal medical records of each patient on patient panel.
A family physician is not considered to be working as a CLFP while they are working solely in one or more of the following health care settings:
- Episodic care settings such as (but not limited to) walk-in clinics, urgent care centres, and hospitals, where physician does not assume the role of MRP for patients.
- Virtual care settings where patient care is delivered via telephone, video, or other virtual care modalities.
- Focused practices serving a specific patient population or providing sub-specialty services such as (but not limited to) maternity care, palliative care, sports medicine, chronic pain, and addiction care.
- Facility settings such as (but not limited to) hospitals, long term care, hospices, assisted living, or group homes.