COLLABORATION, RESILIENCE AND ADVANCEMENT
2020-2021 Annual Report

Evelyn Sutton, MD, FRCPC, FACP
President
It is my pleasure to introduce the Canadian Rheumatology Association’s 2020-2021 Annual Report. Although this has been a challenging period for the world as a whole, the Canadian rheumatologist community has truly come together in the face of this pandemic.
The hard work and achievements you will read about in this Annual Report are all thanks to the dedication of our Board of Directors, committees, volunteers, partners, supporters and staff.

Ahmad Zbib, MD, CPHIMS-CA
CEO
This past year has been a pivotal one for the CRA, with many firsts including the planning for our first virtual meeting, launching our first educational webinar series, and publishing several position statements in a matter of days (which historically takes weeks or months). This is not by coincidence; it is the result of gifted volunteers, dedicated staff and sound processes combined with passion and commitment to our mission. This past year we demonstrated that the CRA is a resilient and nimble organization, with a bright present and future ahead. I hope you enjoy reading through this report.
2021 Leadership and Committees
It’s Our 75th Anniversary
The road to how we got here.
Membership
Strategic Priorities

COVID-19 Podcast Episodes
Over the past year, the CRA’s Around the Rheum podcast explored Canadian perspectives of COVID-19 and how it has affected different groups.
Episodes and Topics included:
- PIMS and the Pediatric COVID-19 Experience
Rheum on the Wards – Two Rheumatologists’ Experiences Working on the COVID-19 Wards in Montreal, QC.
Changing Rheums – Rheumatology Training and COVID-19 - Head of the Rheum – A Chat with the CEO about the CRA’s role in the COVID-19 response
- Cassie & Friends: The Patient Experience During the Pandemic

CRA ACR and EULAR 2020 Updates
The ACR and EULAR 2020 virtual conferences provided healthcare professionals with a plethora of new data on rheumatic conditions. CRA speakers reflected back on all the studies presented and highlighted key studies they think can significantly change clinical practice from a uniquely Canadian lens.


The Task Force will be responsible for working with the Board of Directors, CEO and other Operational Committee Chairs to ensure the CRA delivers an inclusive opportunity and experience for all future and current members, as well as stakeholders.
Chaired by Dr. Nicole Johnson, this Task Force is currently reviewing organizational processes, with the goal of making recommendations to help the CRA be as inclusive and equitable as possible.



Dr. Sasha Bernatsky
Distinguished Investigator Award
Dr. Rachel Shupak
Distinguished Rheumatologist Award
Dr. Zahi Touma
Emerging Investigator Award
Dr. Elaine Yacyshyn
Distinguished Teacher-Educator Award
Dr. Ciarán M. Duffy
Dr. Mary-Ann Fitzcharles
Dr. James M. Henderson
Dr. Stephanie Gottheil
Practice Reflection Award – Gold
Dr. Raffaella Carlomagno
Ian Watson Award for the Best Abstract on SLE Research by a Trainee
Ms. Kimberley Yuen
Phil Rosen Award for the Best Abstract on Clinical or Epidemiology Research by a Trainee
Dr. Ariane Barbacki
Best Abstract by a Rheumatology Resident
Mr. Andrew Kwan
Best Abstract on Basic Science Research by a Trainee
Ms. Luiza Grazziotin
Best Abstract by a Post-Graduate Research Trainee
Mr. Daniel Levin
Best Abstract by a Medical Student
Mr. Anson Lee
Best Abstract by an Undergraduate Student
Dr. Jennifer Lee
Best Abstract by a Rheumatology Post-Graduate Research Trainee
Dr. Lihi Eder
Best Abstract on Research by Young Faculty
Dr. Sandeep Dhillon
Best Abstract on Spondyloarthritis Research

In 2020 CIORA funded 5 two-year grants for a total of $509,203.


Annual Scientific Meeting Program (ASM) Committee
Committee Chair
Coordinator
Dr. Vinod Chandran
Claire McGowan
Communications Committee
Committee Chair
Coordinator
Dr. Dax G. Rumsey
Kevin Baijnauth
Education Committee
Committee Chair
Coordinator
Dr. Raheem Kherani
Claire McGowan
Guidelines Committee
Committee Chair
Coordinator
Dr. Glen Hazlewood
Sue Ranta
Human Resources Committee
Committee Chair
Coordinator
Dr. Claire Barber, Dr. Jessica Widdifield
Sharon Brinkos
Pediatrics Committee
Committee Chair
Coordinator
Dr. Ron Laxer
Sue Ranta
Quality Care Committee
Committee Chair
Coordinator
Dr. Amanda Steiman
Sue Ranta
Research Committee
Committee Chair
Coordinator
Dr. Janet Pope
Virginia Hopkins
Stakeholder Engagement Committee
Committee Chair
Coordinator
Dr. Carter Thorne
Sue Ranta
Therapeutics Committee
Committee Chair
Coordinator
Dr. Rosie Scuccimarri
Sue Ranta

Committee Chair
Dr. Vinod Chandran
Coordinator
Claire McGowan
Mandate

Determine and plan all scientific elements of the CRA Annual Scientific Meeting (ASM) to ensure unparalleled education and networking opportunities are presented to all in attendance.
Achievements

2021ASM Theme:
Collaboration, Resilience and Advancement.
Successfully re-engineered conference to a content-rich, interactive virtual event.
Satellite meetings included the CRA Residents’ Pre-Course, CRA Review Course, AHPA Pre-Course, and the Canadian Arthritis Research Conference.
Priorities

Develop a comprehensive breadth of content for the Annual Scientific Meeting to ensure that members’ Continuing Professional Development (CPD) needs are met and that networking opportunities are fostered within the membership and greater rheumatology community.
Continue to crowd-source content through a member needs assessment and Request for Proposal (RFP) program for 2022 workshops.


780 Registrants

keynote lectures

workshops

poster tours

symposia

poster presentations
780 Registrants

keynote lectures

workshops

poster tours

symposia

poster presentations
Satisfaction Scores:

Satisfied with Conference

Would Recommend Conference to a Colleague

Will be Changing Practice Due to Conference
Top Reasons for Attending:

Professional Development

Rheumatology Research Updates

Poster Sessions

Committee Chair
Drs. Shahin Jamal and Trudy Taylor
Coordinator
Claire McGowan
Overview

Registrants

Presentations
Satisfaction Scores

satisfied with program

would recommend program to a colleague
Feeback:

Committee Chair
Drs. Jason Kur and Dharini Mahendira
Overview

Registrants

Presentations
Impact measures

Satisfied with program

Would recommend program to a colleague
Feeback:

Overview

Registrants

Speakers

Research with Impact – Nurture Leaders
CARC program featured:
2 keynote lectures, RA and OA themed presentations offered in 2 streams, 41 poster presentations, and Original Research Presentation Day (*Original Research Day featured 25 presentations with 75 attendees)
Original Research Presentation Day
Reasons for attending:

Presentations

Attendees
Top reasons for attending

Professional Development

Poster Sessions

Networking Opportunities
Satisfaction Score

Satisfied with program

Committee Chair
Dr. Dax G. Rumsey
Coordinator
Kevin Baijnauth
Mandate

Facilitate optimal and fluid communications among the CRA, members and stakeholders.
Achievements

2021ASM Theme:
Podcast: 8 episodes released across 2020 to date with over 2,000 streams
Accounting Column (Rheum for Growth) – two articles launched to date:
1) “To Incorporate or Not to Incorporate?”
2) “Opening a New Practice”
Social Media: Small task force created to seek out articles and resources for members to post on the CRA’s Twitter account and in select President’s Updates
Review: Provided feedback and review of investigator-led surveys and special projects (EULAR and ACR coverage)
Priorities

Who’s in the Rheum: Relaunch series of articles that will highlight CRA members.
Podcast: Record and produce episodes for season 2 of Around the Rheum in 2021. New initiatives include a focus on different formats including a guest host (Dr. Janet Pope) and a French pilot episode.
Continue to work on social media and accounting column initiatives, as well as reviewing surveys and/or special projects as needed.

Committee Chair
Dr. Raheem Kherani
Coordinator
Claire McGowan
Mandate

Provide member education through a variety of CRA
programs and initiatives designed for members and
rheumatology trainees as well as facilitate
rheumatology education for medical undergraduates, postgraduates and paediatric/internal medicine
trainees.
Achievements 2020

Introduced COVID-19 Response Webinar Series in response to global pandemic.
Developed national consensus opinion of learning outcomes for a National Undergraduate Rheumatology Cirrucula (NURC).
Developed, disseminated and reviewed annual National Written Rheumatology In–Training Examinations (NWRITE) for adult rheumatology trainees.
Rebranded CRA leadership program to LEAP (LEAdership Program) and received record number of applicants to the 2020 program.
Continued collaboration with the ASM, Residents’ Pre-Course, Review Course, LEAP and NRRW Program Committees to facilitate program planning.
Priorities

Dissemination of national learning outcomes for undergraduate rheumatology education.
Extend educational resources for Program Directors and rheumatology residents (including a national immunology curriculum).
Continue to provide accreditation of Section 1 and Section 3 activities to physician organizations.Promote best practices in CPD activities to inform CRA membership and operational committees.
Programs

National Rheumatology Residents’ Weekend (NRRW) hosted in Toronto January 10–12, 2020.
CRA LEAdership Program (LEAP, formerly known as FLIRT) meetings hosted virtually in May and October, 2020.


Committee Chair
Dr. Glen Hazlewood
Coordinator
Sue Ranta
Mandate

Prioritize, fund and support the development of evidence-based guidelines for various rheumatic diseases, and disseminate them to the membership and medical community at large.
Achievements 2020

Introduced concept of continually updated recommendations or ‘living guidelines’ for CRA guideline development.
Developed an ‘equity framework’ to be incorporated into all CRA guidelines (collaboration with Quality Care Committee).
Responded to urgent members needs with development of COVID-19 vaccination decision aid tool and work on GRADE COVID-19 Vaccine guidelines.
Priorities

Utilize the guidelines development tool MAGICapp to streamline the development process.
Finalize and publish RA, SpA, JIA Uveitis and Transition Care guidelines.

Committee Chair
Drs. Claire Barber & Jessica Widdifield
Coordinator
Sharon Brinkos
Mandate

Ensure that the CRA workforce issues are identified nationally, provincially & regionally, & that appropriate strategies are identified/developed to strengthen workforce capacity across Canada.
Achievements 2020

Successful launch of the 2020 CRA Workforce & Wellness Survey underway which will provide key information on Canada’s rheumatology workforce (supply, distribution, clinical activity, retirement planning, wellness & burnout, impact of COVID-19 pandemic on rheumatology practices). Survey will be analyzed in Spring 2021.
Drafted the 2020 CRA Rheumatology Workforce Technical Report & Position Statements.
Priorities

Analysis, manuscript preparation, and knowledge translation activities to report on the findings from 2020 CRA Workforce & Wellness Survey.
Manuscript preparation, and knowledge translation activities to report on the 2020 CRA Rheumatology Workforce Technical Report & Position Statements.
Explore interprofessional collaboration opportunities as well as develop synergies with other CRA committees & related rheumatology & medical organizations.
Collaborate with ongoing programs addressing workforce needs.
Support CRA members in advocating for HR resources in their regions.

Committee Chair
Dr. Ron Laxer
Coordinator
Sue Ranta
Mandate

Promote education and awareness of childhood rheumatic diseases and serve to strengthen the voice of pediatric rheumatology across Canada through advocacy, education, and human resources
Achievements 2020

Collaborated with Therapeutics Committee and Stakeholder Engagement committee re: advocacy efforts related to Actemra, citrate-free Humira, SIMPONI ARIA, and Anakinra.
Educated members on issues related to COVID-19 and pediatric rheumatology patients, including a PIMS webinar and podcast episode. Pediatric Executive members were lead authors on Canadian Pediatric Society PIMS Practice Point, endorsed by the CRA.
Subcommittees actively engaged on developing Choosing Wisely pediatric recommendations, JIA Uveitis Guidelines, and networking opportunities for community pediatric rheumatologists.
Priorities

Identify and influence issues of national relevance that affect rheumatologists’ practices through dissemination of Practice Patterns Survey.
Host accredited ‘National Grand Rounds’ webinars of issues of national interest.
Publish pediatric Choosing Wisely recommendations and JIA Uveitis Guidelines.
Continue to strengthen relations and collaborations with Cassie + Friends and the Canadian Paediatric Society.

Committee Chair
Dr. Amanda Steiman
Coordinator
Sue Ranta
Mandate

Support member activities in the domains of Equity, Access, Quality Patient Management, and Resource Stewardship, and work with key stakeholders to achieve optimal patient care.
Achievements 2020

JIA Transition working group is a collaboration between Quality Care, Pediatrics and Guidelines Committee. Published ‘National Priorities for High Quality Rheumatology Transition Care for Youth in Canada’ in the Journal of Rheumatology.
Supported members through the pandemic with telehealth guidance, including a webinar on best practices for telehealth use. A Telehealth Working Group has been formed with several initiatives planned for 2021.
Indigenous Health initiatives included national workshop (with Phase Two held virtually), and several local workshops for residents, PTs, OTs and nurses in BC.
Survey on type and extent of inequity in COVID-19 vaccine access developed, to be deployed in early 2021.
Priorities

Publish JIA Transition guidelines and compile transition resources; development of an educational blueprint to develop learning sessions; and creation of a ‘business case’ for transition care in rheumatology in Canada, to be used in advocacy efforts.
Develop Telehealth position statement and resources for members.
Continue to increase rheumatologists’ knowledge and practice skills in Indigenous Health topics.

Committee Chair
Dr. Janet Pope
Coordinator
Virginia Hopkins
Mandate

To work with the CEO to champion the cause of Rheumatology Research in Canada:
- The committee will be responsible for soliciting sponsorship funding for the CIORA grant program and formulating new funding strategies and establishing grant competition criteria.
- The committee will establish what can be done beyond CIORA.
- The committee will address all research agenda items for the CRA.
Priorities

Present What Can SR&ED Credits Do for You and Your Practice workshop at the CRA & AHPA Annual Scientific Meeting.
Fund 5 CIORA grants, including one community rheumatology grant.
Solicit funding for CIORA grants.
Work with IMHA and Arthritis Society to develop a national research strategy.
Achievements 2020

Launched 13th CIORA Grant Competition and funded 5 two-year grants for a total of $509,203.
Submitted articles to CRAJ Fall, Winter, Spring and Summer issues highlighting past projects.
Submitted workshop proposal for SR&ED Credits.
Solicited funding and received $475,000 in sponsorship support.
Participated on the Canadian Arthritis Research Conference planning committee.

Mandate

CIORA’s grant program supports sustainable projects related to rheumatic diseases that promote the following pillars:
Metrics


Awareness/Advocacy/ Education
Health Economics/Sustainability of Health Care/Quality Improvement

Early Access for Rheumatic Disease Patients

Multi-Disciplinary Care Teams

Community Rheumatology

$1,863,560
Requested by researchers
($2,191,924 in 2019)

$509,203
Total funding granted
($493,518 in 2019)

$475,000
Total funding received
($485,000 in 2019)

19
Grants submitted
(24 in 2019)

27
Letters of intent
(34 in 2019)

5
Applications funded
(6 in 2019)
Mandate

CIORA’s grant program supports sustainable projects related to rheumatic diseases that promote the following pillars:
Metrics


Awareness/Advocacy/ Education
Health Economics/Sustainability of Health Care/Quality Improvement

Early Access for Rheumatic Disease Patients

Multi-Disciplinary Care Teams

Community Rheumatology

$1,863,560
Requested by researchers
($2,191,924 in 2019)

$509,203
Total funding granted
($493,518 in 2019)

$475,000
Total funding received
($485,000 in 2019)

19
Grants submitted
(24 in 2019)

27
Letters of intent
(34 in 2019)

5
Applications funded
(6 in 2019)

Committee Chair
Dr. Carter Thorne
Coordinator
Sue Ranta
Mandate

Stakeholder Engagement committee works to build third-party networks that can develop credible, united voices about issues, products, and/or services that are important to our organization.
Achievements 2020

Worked with Pediatrics and Therapeutics Committee to advocate on a number of drug access issues including citrate-free Humira and Simponi Aria for pediatric patients, HCQ supplies during the pandemic, and Actemra.
Active on many stakeholder committees including Health Canada’s Multi-Stakeholder Steering Committee on Drug Shortages (MSSC) and provided requested CRA feedback to CMA on revisions to the Guidelines for Physicians Interactions with Industry.
Invited to participate in a pan-Canadian evaluation on biosimilar implementation, extended by Ontario Health (Cancer Care Ontario).
Priorities

CRA Position Statement on Pharmacare that outlines guiding values and principles to consider while including the unique rheumatology perspective.
Continue to engage with provincial and federal stakeholders on emerging drug shortages and advocate for the needs of rheumatologists and their patients.

Committee Chair
Dr. Rosie Scuccimarri
Coordinator
Sue Ranta
Mandate

Identify and address all therapeutic issues that are relevant to the CRA membership as well as develop position statements and respond to drug shortages/withdrawals as required.
Achievements 2020

Published several CRA position statements including: COVID-19 and Hydroxychloroquine Supply, Citrate-Free Humira, and COVID-19 Vaccination.
Active with other CRA committees on advocacy efforts including a letter to the Minister of Health regarding the hydroxychloroquine shortage, as well as access to drugs for pediatric patients (Actemra, Citrate-Free Humira, Simponi Aria).
Priorities

Continue responding to drug shortages, withdrawals, or new issues as required.
Continue advocacy efforts via letters, position statements, meeting participation with stakeholders, etc.
Publish updated Medical Cannabis position statement to include section on cannabidiol and a patient information pamphlet and checklist.
Finalize and publish position statement on Stem Cell Therapy.

Publications

The Journal of the Canadian Rheumatology Association (CRAJ)
The mission of The Journal of the Canadian Rheumatology Association is to encourage discourse among the Canadian rheumatology community for the exchange of opinions and information. The CRAJ is published under the direction of an Editorial Board 4 times annually in both English and French languages.
2760
Total print circulation
83%
English
17%
French

The Journal Of Rheumatology
The Journal of Rheumatology is an international serial which features peer-reviewed research articles on clinical subjects from scientists working in rheumatology and related fields, with the support of an esteemed Editorial Committee and Editorial Board. The Journal of Rheumatology is owned by the Canadian Rheumatology Association and is published monthly. JRheum also publishes Clinical Highlights for the Rheumatologist (CHR), a bi-monthly publication mailed to US rheumatologists.
3600
Global Subscribers
4200
CHR Distribution
*Combined online and print circulation (institutional and individual subscribers). **Controlled circulation All CRA members in good standing are provided complimentary subscriptions to both The Journal of Rheumatology and The Journal of the Canadian Rheumatology Association.

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2021 Exhibitors
















ASM Opening Reception

Research Conference
Research Champions:



Research Conference
Research Supporters:


CIORA sponsors




Special Projects





