[Will disruption lead to renewal?].

Dear Colleagues, In this year’s last column, it is difficult to tell you about the College’s many areas of engagement without acknowledging the considerable challenges Ontario family physicians are currently facing, following the collapse of the Ontario Medical Association’s negotiations with the provincial government. During Family Medicine Forum, held in Toronto, Ont, in mid-November, a town hall meeting between family physicians and the Ontario Deputy Minister of Health and Long-Term Care, Dr Bob Bell, was organized (still “on” at the time of writing) to foster dialogue, gain a better understanding of the issues, and, possibly, begin to renew efforts to move forward. The Ontario College of Family Physicians (OCFP) is involved, not as a negotiator (a role led by the Ontario Medical Association) but as a stimulator of important ideas for both parties to consider. You can learn about the latest developments from the OCFP’s ongoing communications and send feedback to the OCFP. What follows here is a CFPC perspective on the Ontario situation, with reflections for us all.