March 2019 What I’m Thinking About…

Complexity from a Patient Perspective: Glimpses into Learning and Adapting to Bridge Gaps

Presenters: Drs. Laura Nimmon, Paris-Ann Ingledew & Carolyn Canfield

Date: Tuesday, March 5, 2019

Time: 12:00pm to 1:30pm

  • formal presentations and discussion from 12:00pm – 1:00pm, ongoing moderated discussion 1:00pm – 1:30pm
  • feel free to bring a bagged lunch


  • LSC CMR 1312 (host venue)
  • DHCC 2262
  • NHSC 9-374
  • RJH CA 011



Healthcare presented as a complex adaptive system usually describes care delivery operations that encompass a multitude of structures, components, actors, resources and behaviours at many scales. An alternative relationship-based model of care delivery proposes therapeutic dyads that depend on communications and knowledge exchange in a clinician-patient partnership. Both seem to overlook the lived experience of the patient who is familiar with a very different and quite independent complex dynamic that is “patient-hood”. The patient perspective is a much less explored “parallel universe” to the complex adaptive system of the provider. However, relationships may bridge the two realities and also illuminate individuality, agility, and resilience potential.


  1. Situate healthcare in a complex adaptive model at the intersection between provider-centric and patient-centric dynamic systems.
  2. Assess patient-initiated strategies to bridge gaps in medical knowledge with tools to evaluate quality of online information sources.
  3. Consider complexity in heart failure care through understanding interdependent relationships between patients and caregiver partners.


The University of British Columbia Division of Continuing Professional Development (UBC CPD) is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME) to provide study credits for continuing medical education for physicians. This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by UBC CPD. You may claim a maximum of 1.5 (x 10 sessions) hours (credits are automatically calculated). This Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by UBC CPD for up to 1.5 (x 10 sessions) Mainpro+ credits. Each physician should claim only those credits he/she actually spent in the activity.

Accredited by UBC CPD