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jared.mp3

Introductions and context

Who are Sarah and Jared?

Sarah works in physician recruitment and retention for the Nanaimo Division of Family Practice, supporting family doctors and primary care delivery in the region.

Jared is a family physician originally from Minnesota who has been practising clinically in Nanaimo for about two years, with some involvement in residency teaching.


How primary care works in BC

What are Divisions of Family Practice and what do they do?

Divisions of Family Practice are regional, physician-led organisations that support family doctors and improve primary care in their communities. Their work reflects local priorities. In Nanaimo, this includes recruitment and retention, social prescribing programs to reduce loneliness among older adults, and supporting Primary Care Networks that integrate allied health professionals into clinics.

How does hospital care work for family doctors in Nanaimo?

Most family doctors in Nanaimo do not follow their patients into hospital. Care is typically handed off to hospitalists, similar to larger U.S. centres. Outpatient and inpatient roles are largely separate.


Billing, pay, and clinic life

Do physicians still fight insurance companies?

No. Prior authorisations are not part of daily practice. The closest equivalent is “special authority” for some specialty medications, which is handled online and is usually approved quickly.

How does billing and payment work?

The BC system is far simpler than U.S. billing. There are far fewer codes, and physicians are paid for a broader range of work, including reviewing results and managing inbox tasks, not just face-to-face visits. Income is predictable and easier to model.