Kootenay Boundary Division of Family Practice

GP/SP Consults

AIM: To mobilize the collective intelligence between GPs/SPs, strengthen relationships and consultation processes, and advance a KB medical culture.


  • The first phase of the GP/SP Consults project included interviews with 24 GPs in eight clinics across Kootenay Boundary, and 17 SPs in five specialty areas: psychiatry, internal medicine, pediatrics, orthopedics and general surgery to learn about consultations that caused them concern and consultations that inspired confidence.
  • The impact of the medical hierarchy on the relationship between GPs andSPs, the effect of communication styles on GP/SP morale, and the importance of clear understanding of roles and responsibilities regarding shared complex patient management were key themes.
  • Physicians interviewed in phase one are now leading phase two, a fully funded Shared Care project. Improvement areas include identifying cultural enablers to the development of excellent relationships between family physicians and specialists, and the key elements of good referral — consultation.

As part of the work of the Shared Care GP/SP Consults project, a group of thought leaders comprised of family physicians and specialists have been meeting regularly to identify solutions to several consultative issues identified by physicians across the region.

Questions? Want to learn more? Please contact Rachel Schmidt, Project Manager