Primary Focus with Dr. Tara Kiran

Dr. Tara Kiran

Patients, politicians and clinicians agree: it’s high time to fix primary care in Canada. But, what could a stronger, more inclusive, more efficient public system look like? In this smart, engaging podcast, family doc and researcher Dr. Tara Kiran brings together the voices of frontline healthcare workers, patients, researchers and policymakers from around the world to unpack the issues and innovations that could—and should—transform primary care in Canada. With a focus on actionable insights and real-world solutions, episodes will take you behind the scenes to understand how different health systems and clinics are solving access problems, stretching healthcare dollars and ensuring quality care for all. At the heart of each conversation is a shared commitment to a better public healthcare system—one that not only serves every person in Canada, but leads the world.

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September 17 · 49 min
[From the Vault] In the Netherlands: who’s accountable for access?
How do you design a system that delivers timely primary care — not by chance, but by design? In this final episode in the Netherlands, Tara visits a health insurance company and reflects with her travel companion, Rosemary Hannam on what stood out from their trip to the Netherlands. They discuss how features like standardized GP contracts, clear access guarantees, strong physician leadership and a customer-orientation help keep primary care timely and organized — and consider what Canada can learn from the Dutch approach. If you missed Part 1, Part 2 or Part 3, click to catch up. See a gallery of Dr. Kiran’s photos from her trip to the Netherlands. Hear Dr. Kiran speaking about her trip on CBC’s White Coat, Black Art Read Dr. Kiran’s 4-part series for the Medical Post on her trip Subscribe to our Substack newsletter to get bonus content. Take the OurCare national survey to share your experiences with primary care. Mainpro+ Credits Family doctors in Canada can now earn Mainpro+ credits by listening to Primary Focus Podcast episodes published after May 1, 2026. This self-learning Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 30 Mainpro+ credits, with 1 credit available per eligible episode. To claim your credit, listen to the episode, review the show notes and complete the self-learning survey. Your certificate will be emailed to you. Find more information at OurCare.ca/podcast Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by a grant from the St. Michael’s Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
September 17 · 45 min
[From the Vault] In the Netherlands: after-hours care that works
Emergency departments in Canada are overcrowded — but what if they didn’t have to be? In Part Three of her audio documentary series from the Netherlands, Dr. Tara Kiran takes listeners behind the scenes at two Dutch after-hours clinics: one in the university town of Nijmegen, and another in bustling Amsterdam. She follows Dr. Tim Olde Hartman into a modern after-hours centre that serves over 400,000 people — and learns how Dutch GPs came together to fix a broken model. Rather than being on call alone, GPs in the Netherlands now work together in large regional cooperatives to provide care 24/7. Patients call one number, speak with a specially trained practice assistant, and are guided to the right level of care — whether that’s phone advice, an in-person visit, or a doctor dispatched directly to their home. It’s a system built on trust, triage, and teamwork — and it results in emergency rooms that are calm, efficient, and often… empty. Mainpro+ Credits Family doctors in Canada can now earn Mainpro+ credits by listening to Primary Focus Podcast episodes published after May 1, 2026. This self-learning Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 30 Mainpro+ credits, with 1 credit available per eligible episode. To claim your credit, listen to the episode, review the show notes and complete the self-learning survey. Your certificate will be emailed to you. Find more information at OurCare.ca/podcast Resources If you missed Part 1 and Part 2, click to catch up. See a gallery of Dr. Kiran’s photos from her trip to the Netherlands. Hear Dr. Kiran speaking about her trip on CBC’s White Coat, Black Art Read Dr. Kiran’s 4-part series for the Canadian Health Network on her trip Read an article about Tara’s host, Dr. Tim Olde Hartman: A Giant Standing on the Shoulders of Giants Subscribe to our Substack newsletter to get bonus content. Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by a grant from the St. Michael’s Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
September 3 · 31 min
[From the Vault] In the Netherlands: a day in a GP practice (Part 2)
Why are Dutch GPs called “huisarts” — house doctors? In Part Two of her visit to a Nijmegen clinic, Dr. Tara Kiran talks with Dr. Suzanne Ligthart about the Dutch tradition of home visits. She then meets Kris Arts, a practice assistant, and learns how these highly trained team members serve as the doctor’s right hand — expertly triaging patients, coordinating follow-up, and keeping the clinic running smoothly. Dr. Kiran ends the episode with reflections on what Canada might learn from the Dutch approach to primary care. Stay tuned for Part 3 where Tara takes listeners behind-the-scenes to explore the Dutch after-hours care system. Mainpro+ Credits Family doctors in Canada can now earn Mainpro+ credits by listening to Primary Focus Podcast episodes published after May 1, 2026. This self-learning Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 30 Mainpro+ credits, with 1 credit available per eligible episode. To claim your credit, listen to the episode, review the show notes and complete the self-learning survey. Your certificate will be emailed to you. Find more information at OurCare.ca/podcast Resources If you missed Part One of the documentary series on the Netherlands, click here to catch up. See a gallery of Dr. Kiran’s photos from her trip to the Netherlands. Hear Dr. Kiran speaking about her trip on CBC’s White Coat, Black Art Read Dr. Kiran’s 4-part series for the Canadian Health Network on her trip Read an article about Tara’s host, Dr. Tim Olde Hartman: A Giant Standing on the Shoulders of Giants Subscribe to our Substack newsletter to get bonus content. Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by a grant from the St. Michael’s Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
September 3 · 36 min
[From the Vault] In the Netherlands: a day in a GP practice (Part 1)
How is it that 99% of people in the Netherlands have access to primary care? How can Dutch doctors look after large numbers of patients while still providing primary care? Those are some of the questions Dr. Kiran is set on answering when she visits the Netherlands to learn more about their primary care system. In the first of this four part series, Dr. Kiran brings you with her as she visits a GP practice in Nijmegen. She shadows Dr. Tim Olde Hartman and Dr. Suzanne Ligthart to understand a typical work day. She meets key members of their team and unpacks how they all work together. In Part Two, Dr. Kiran introduces you to what she called “the secret sauce” of the Dutch primary care system. Stay tuned! Mainpro+ Credits Family doctors in Canada can now earn Mainpro+ credits by listening to Primary Focus Podcast episodes published after May 1, 2026. This self-learning Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 30 Mainpro+ credits, with 1 credit available per eligible episode. To claim your credit, listen to the episode, review the show notes and complete the self-learning survey. Your certificate will be emailed to you. Find more information at OurCare.ca/podcast Resources See a gallery of Dr. Kiran’s photos from her trip to the Netherlands. Read Dr. Kiran’s 4-part series on the Netherlands published in the Medical Post and the insights she shared with Andre Picard at the Globe and Mail.Listen to Dr. Kiran speaking about her trip on CBC’s White Coat, Black ArtRead an article about Tara’s host, Dr. Tim Olde Hartman: A Giant Standing on the Shoulders of GiantsSubscribe to our Substack newsletter to get bonus content. Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by a grant from the St. Michael’s Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
August 21 · 54 min
[Feed Swap] The Intersection Between Primary & Emergency Room Care with Dr. Anton Helman & Dr. Danielle Martin
Is the primary care access problem the cause for ED overcrowding?  Do emergency rooms have to be the safety net in our system - or is there another way? How can primary care and emergency medicine better collaborate? While the Primary Focus team takes a brief summer break, we are sharing a special crossover episode from Emergency Medicine Cases. Host Dr. Anton Helman sits down with Dr. Tara Kiran and Dr. Danielle Martin to talk about the place where primary and emergency care meet. Together, they unpack common myths and discuss how integrated call-first triage, shared digital records, and an educated public can help us build a better system for everyone. (Note: This episode was recorded in October 2025, prior to Dr. Danielle Martin’s election as Member of Parliament for University-Rosedale.The views and opinions expressed by Dr. Martin in this discussion were her own at the time of recording and do not represent or reflect the views, policies, or positions of the Government of Canada.) Listen to the full conversation on EM Cases on their podcast feed (search “Emergency Medicine Cases” on your favourite app. View a one-page summary of the conversation produced by EM Cases Listen to our previous interview with Dr. Danielle Martin Read more about the Dutch model of primary care or listen to our 4-part series on primary care in The Netherlands More about Primary Focus: Subscribe to our Substack newsletter Have an idea for an episode? Email primary.focus@unityhealth.to Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. Primary Focus receives financial support from the MAP Centre for Urban Health Solutions, the St. Michael’s Foundation, and the Max Bell Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. Original Emergency Medicine Cases Show Notes: There are few things more frustrating for an Emergency Physician than caring for patient after patient who lands in the ED not because it’s necessarily the best place for their care, but because every other door in the health care system was closed, confusing or impossible to find. Emergency Medicine and Primary Care often operate in different worlds—one built around rapid diagnosis and uncertainty, the other around continuity and prevention—but our patients move constantly between the two. In this special EM Cases podcast, EM–Primary Care Health Systems Strategies, we step outside the usual ED lens with Dr. Tara Kiran (host of the Primary Focus podcast) and Dr. Danielle Martin to ask how we can deliver the right care, in the right place, at the right time. We challenge assumptions about what drives ED use and explore team-based primary care, after-hours cooperatives, call-first triage, virtual care, information sharing and warm handoffs. Drawing on models from Canada, the Netherlands, Denmark and elsewhere, we finish with practical strategies to reduce fragmentation, improve continuity and make the system work better for patients and providers. Please consider a donation to EM Cases to support our mission of providing high quality free open access medical education here: https://emergencymedicinecases.com/donation/. Disclaimer: This episode was recorded in October 2025, prior to Dr. Danielle Martin becoming a candidate for government office. The views and opinions expressed by Dr. Martin in this discussion were her own at the time of recording and do not represent or reflect the views, policies, or positions of the Government of Canada. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
June 19 · 49 min
In Spain: A healthcare centre in every community (Part 2)
Can you imagine driving down the highway and seeing street signs directing you to your local primary care clinic instead of a hospital? In this episode, Dr. Tara Kiran hops in a car with health economist Tino Marti for a healthcare road trip across Catalonia, Spain, to tour three different clinics. They serve different populations in different settings under different governance models. But all three deliver care to every resident in their surrounding community. First, they visit CAP Vilafranca North, a clinic run by the public agency that runs 80% of Catalonia’s primary care centres, where rotating "health points" ensure even small rural villages of 1,000 people can get care in their community. Next, they tour CAP Castelldefels, a joint venture between the government and local municipalities that embraces the philosophy of "subsidiarity"—allowing nurses and administrative teams to independently treat minor issues so family doctors can focus on complex care. Finally, they head to CAP Sardenya, an entrepreneurial, clinician-owned cooperative that integrates university research and gives doctors more schedule flexibility. Listen in to see how the Spanish model combines performance bonuses, quality dashboards, and community engagement to build a system where nobody falls through the cracks. Learn more about Spanish primary health care: Read this four-page summary on primary care teams in Catalonia Review this comprehensive policy paper to dive deeper into primary care transformation in Spain Mainpro+ Credits Family doctors in Canada can now earn Mainpro+ credits by listening to Primary Focus Podcast episodes published after May 1, 2026. This self-learning Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 30 Mainpro+ credits, with 1 credit available per eligible episode. To claim your credit, listen to the episode, review the show notes and complete the self-learning survey. Your certificate will be emailed to you. Find more information at OurCare.ca/podcast Listen to More From Our Healthcare Infrastructure Series In Spain: a primary care centre in every community (Part 1) In Costa Rica: Integrating Public Health and Primary Care In Vancouver: A Clinic Accountable to the Community It Serves More About Primary Focus Subscribe to our Substack newsletter Have an idea for an episode? Email primary.focus@unityhealth.to Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus receives financial support from the MAP Centre for Urban Health Solutions, St. Michael’s Foundation, and the Max Bell Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
June 5 · 40 min
In Spain: A healthcare centre in every community (Part 1)
Imagine living in a country where no resident struggles to access primary care. There are no wait lists. Everyone can be seen at the local health centre, even if they haven’t registered in advance. In this episode, Dr. Tara Kiran takes you on a journey to Spain—where the right to primary care is guaranteed in law and where every community has a local health centre. Walking through the streets and historic health ministries of Barcelona, Tara speaks with health economist Tino Marti and healthcare strategy director Dr. Rafael Ruiz to understand how neighbourhood hubs bring doctors, nurses, social workers, and even publicly-covered psychologists and physiotherapists under one roof to care for entire communities. Finally, Tara sits down with digital health leader Dr. Oscar Solans to learn about La Meva Salut—a patient app that has given millions of Catalans easy digital access to lab tests, imaging, medications and more since 2009.Learn more about Spanish primary health care Read this four-page summary on primary care teams in Catalonia Review this comprehensive policy paper to dive deeper into primary care transformation in Spain Mainpro+ Credits Family doctors in Canada can now earn Mainpro+ credits by listening to Primary Focus Podcast episodes published after May 1, 2026. This self-learning Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 30 Mainpro+ credits, with 1 credit available per eligible episode. To claim your credit, listen to the episode, review the show notes and complete the self-learning survey. Your certificate will be emailed to you. Find more information at OurCare.ca/podcast Listen to More Episodes About Community-based Primary Care Models If you want to learn more about how different jurisdictions organize community-oriented, team-based care models, listen to these related episodes: In Costa Rica: How a middle-income country built a world-class primary care system In Costa Rica: Integrating public health and primary care In Durham: Community Wellness and Black Health More about Primary Focus: Subscribe to our Substack newsletter Have an idea for an episode? Email primary.focus@unityhealth.to Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus receives financial support from the MAP Centre for Urban Health Solutions, St. Michael’s Foundation, and the Max Bell Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
May 22 · 39 min
What the 2025 OurCare Survey Tells Us About Healthcare in Canada, with Kelly Grant
More than 5.8 million adults in Canada don't have a regular family doctor, nurse practitioner or primary care clinic--and where you live has a lot to do with whether you're one of them. To make sense of the newest research on primary care in Canada, Dr. Tara Kiran flips the script and welcomes award-winning health reporter Kelly Grant from The Globe and Mail to ask her the tough questions. Together, they dig deep into the newly released 2025 OurCare Survey data, exploring why provinces like Manitoba and Ontario are faring better, why Quebec leads the nation in out-of-pocket medical fees, and why patients in the Territories report being more satisfied with care. The data raises as many questions about healthcare as it answers — which is exactly what makes this conversation worth hearing. Explore the Data The 2025 OurCare Survey tracks how primary care is performing in every province and territory. You can dive into the results yourself at OurCare.ca Read the reports at OurCare.ca/survey Explore the interactive dashboard at data.ourcare.ca Read Kelly’s piece in the Globe and Mail summarizing the key findings Mainpro+ Credits Family doctors in Canada can now earn Mainpro+ credits by listening to Primary Focus Podcast episodes published after May 1, 2026. This self-learning Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 30 Mainpro+ credits, with 1 credit available per eligible episode. To claim your credit, listen to the episode, review the show notes and complete the self-learning survey. Your certificate will be emailed to you. Find more information at OurCare.ca/podcast Listen to an episode about the genesis of the OurCare Survey A historic win for primary care in Ontario with Peter MacLeod Why millions of Canadians are still waiting for a family doctor with Dr. Danielle Martin More about Primary Focus: Subscribe to our Substack newsletter Have an idea for an episode? Email primary.focus@unityhealth.to Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus receives financial support from the MAP Centre for Urban Health Solutions, St. Michael’s Foundation, and the Max Bell Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
S2 · E9
March 5 · 57 min
In Durham: Community Wellness and Black Health
In this episode, Dr. Tara Kiran travels to Durham, Ontario, to visit the Durham Community Health Centre, where CEO Francis Garwe leads a team rethinking what primary care can look like when it is truly rooted in community. Touring a repurposed public school that now houses a wide range of services—from mental health counseling and a regional diabetes team to food security programs, youth programming, and community gardens—Tara sees firsthand how Durham CHC addresses the social determinants of health alongside clinical care. She then sits down with Francis Garwe, Dr. Akeem Stewart, and Dr. Kirk Stewart to discuss how the centre is advancing Black health through initiatives like the Kliniki clinic and a community ambassador model designed to build trust and improve access. Together they explore what it takes to co-create programs with the communities they serve—and what other clinics in Canada might learn from Durham’s approach to equity-driven primary care. Donate to Durham CHC Durham CHC relies on private donations, grants, and other sources to fund some of the important services they offer that address social determinants of health. To support the Durham Community Health Centre’s innovative work, visit their website at www.durhamchc.ca. Podcasthon Primary Focus is proud to take part in Podcasthon, the world’s largest charity podcast event! We were tasked with creating an episode dedicated to supporting a charity or non-profit that truly matters to us, and we chose Durham CHC. Podcasthon brings together podcasters globally to raise awareness for important causes - without any money involved. It’s all about uniting voices to make an impact, with more than 1,000 podcasts highlighting a charity of their choice. Listen to more episodes as part of Podcasthon here. Research and programs mentioned in this episode Get more information on the Durham Community Health Centre. Learn more about Ontario Health’s Black Health Plan, informed by the work done by Francis Garwe and the Durham CHC Find out about the Black Health Committee, a committee for the Alliance for Healthier Communities Visit the Black Physicians Association of Ontario website to learn more about their work on Black health MAINPRO CREDITS: Family doctors can claim Mainpro Credits by completing a linking learning exercise. Listen to other episodes of Primary Focus in our series on community-driven health equity clinics: In Costa Rica: How a middle-income country built a world-class primary care systemIn Costa Rica: integrating public health and primary careIn Vancouver: A Clinic Accountable to the Community It Serves More about Primary Focus: Subscribe to our Substack newsletter Have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus receives financial support from the MAP Centre for Urban Health Solutions, St. Michael’s Foundation, and the Max Bell Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
February 17 · 55 min
In Vancouver: A Clinic Accountable to the Community It Serves
In this episode, Dr. Tara Kiran travels to Vancouver, British Columbia, to visit the Umbrella Multicultural Health Co-op Clinic — a clinic built by and for newcomer communities. Umbrella pairs physicians and nurse practitioners with cross-cultural health brokers who act as language and cultural interpreters, helping bridge gaps not just in communication, but in navigating the healthcare system itself. Tara tours the clinic with Naomi Armstrong, Director of Integrated Health Programs, and then sits down with Dr. Mei-Ling Weidmeyer, family physician and clinical lead. Together, they discuss Umbrella’s origins as a mobile clinic for migrant farm workers, its cooperative governance model, and how culturally safe, community-accountable primary care can have a meaningful impact on people’s lives. Donate to UmbrellaUmbrella relies on donations from the public to continue offering services to newcomers–especially for those without insurance coverage. To donate to Umbrella Multicultural Health Co-op, head to their website umbrellacoop.ca Research and programs mentioned in this episode Learn about the OurCare Standard and how it was developed Watch this 3-minute video about Umbrella Read a research paper or short report on how Umbrella is integrating cross-cultural health brokers in primary care Find out more about national efforts to bring cross-cultural health brokers to primary care MAINPRO CREDITS: Family doctors can claim Mainpro Credits by completing a linking learning exercise. More about Primary Focus: Subscribe to our Substack newsletter Have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus receives financial support from the MAP Centre for Urban Health Solutions, St. Michael’s Foundation, and the Max Bell Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
S2 · E7
January 29 · 44 min
How Nova Scotia Is Expanding Access to Primary Care with Dr. Nicole Boutilier
In this episode, Tara speaks with Dr. Nicole Boutilier, Executive Vice President of Medicine and Clinical Operations at the Nova Scotia Health Authority — a family doctor leading primary care transformation from within the government. Dr. Boutilier walks Tara through Nova Scotia’s multi-pronged plan to improve primary care access: transforming the province’s centralized waitlist into an active patient management tool, building and strengthening Health Homes (team-based primary care clinics), creating pathways for people without a family doctor to access care while they wait, and modernizing how data flows — so patients can access and share their own health information through the YourHealthNS app. Research and programs mentioned in this episode Read the OurCare reports from the Provincial Priorities Panels (including Nova Scotia’s). Find out more about Nova Scotia’s Need a Family Practice Registry and Health Homes model. Get more info on Nova Scotia’s Longitudinal Family Medicine (LFM) physician payment model. Watch a video about how the YourHealthNS app gives patients access to their health data. Learn more about Nova Scotia’s new pathways for integrating internationally-trained medical graduates and the new Cape Breton Medical Campus training rural family doctors. Dive into the research on virtual care in Canada. MAINPRO CREDITS: Family doctors can claim Mainpro Credits by completing a linking learning exercise. More about Primary Focus: Subscribe to our Substack newsletter Visit our website at primaryfocus.ca Learn about the OurCare Standard Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by a grant from the St. Michael’s Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
S2 · E6
Dec 19, 2025 · 33 min
In Costa Rica: integrating public health and primary care
In Part Two of our Costa Rica series, Dr. Tara Kiran takes you inside an EBAIS (Equipos Básicos de Atención Integral de Salud) clinic on the Nicoya Peninsula in Costa Rica to see what it actually looks like to deliver primary care beyond clinic walls. Costa Rica organizes primary care around geography. Each clinic is accountable for a defined population — and community health workers play a central role in making sure no one is missed. They visit households, provide education on prevention and chronic condition management, deliver vaccines, identify risks early, and act as a bridge between public health and clinical care. It isn’t a perfect system. But it is an ambitious one. And it offers a powerful contrast to Canada’s often fragmented approach to primary care and public health — reminding us that building a system where everyone has care is not just a matter of funding, but of design. Further reading: Listen to Part 1 of our series on Costa Rica with Dr. Madeline Pesec Take a look at the research article that first introduced me to Madeline (co-authored by Dr. Atul Gawande) Explore this brief Commonwealth Fund case study on the Costa Rican primary care system or dive deeper into this more detailed case study from Ariadne Labs Read the article “Costa Ricans Live Longer Than We Do. What’s the Secret?” in the New Yorker magazine by Dr. Atul Gawande Read the BBC article Tara mentioned about how Nicoya Peninsula is home to a large number of centenarians Learn more about rising violence in Costa Rica related to femicide and gang violence MAINPRO CREDITS: Family doctors can claim Mainpro Credits by completing a linking learning exercise. More about Primary Focus: Subscribe to our Substack newsletter Visit our website at primaryfocus.ca Learn about the OurCare Standard Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by the MAP Centre for Urban Health Solutions, St. Michael’s Foundation and the Max Bell Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
S2 · E5
Dec 4, 2025 · 56 min
In Costa Rica: How a middle-income country built a world-class primary care system
This episode is the first in a two-part series on the primary care system in Costa Rica. Dr.Tara Kiran sits down with Dr. Madeline Pesec, an internal medicine physician and pediatrician, to explore Costa Rica’s ambitious primary health care system. They talk about how Costa Rica's commitment to health as a human right and its community-oriented primary care have led to significant improvements in health outcomes. From the concept of "Hospital Without Walls" to the role of community health workers, Madeline shares insights from her extensive research and personal experiences in Costa Rica. Then, join us in our next episode where Tara goes on a tour of a Costa Rican clinic and speaks to members of the EBAIS (Equipos Básicos de Atención Integral de Salud) about both how and why they do their work. Further reading: Take a look at the research article that first introduced me to Madeline Explore this brief Commonwealth Fund case study on the Costa Rican primary care system or dive deeper into this more detailed case study from Ariadne Labs Read the article “Costa Ricans Live Longer Than We Do. What’s the Secret?” in the New Yorker magazine by Dr. Atul Gawande MAINPRO CREDITS: Family doctors can claim Mainpro Credits by completing a linking learning exercise. More about Primary Focus: Subscribe to our Substack newsletter Visit our website at primaryfocus.ca Learn about the OurCare Standard Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by the MAP Centre for Urban Health Solutions, St. Michael’s Foundation and the Max Bell Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
S2 · E4
Nov 21, 2025 · 59 min
In Quebec: Improving timely access one clinic at a time
In this episode, we take you to Saint-Hyacinthe to see how a team in Quebec is transforming timely access to primary care. Quebec has more interprofessional primary care teams than anywhere else in Canada — yet it remains one of the provinces struggling most with access. So how do you turn a team into one that actually works? Dr. Kiran sits down with Dr. Isabelle Gaboury, a researcher and QI leader who, alongside colleague Mylaine Breton, has modernized the “advanced access” model for today’s interprofessional clinics. Together, they’ve coached more than 40 practices to redesign workflows, clarify roles, and use data to constantly iterate. Then I take you inside GMFU Richelieu-Yamaska, where waits dropped from 14–16 days to just 3. You’ll hear how receptionists learned to triage using a symptom-based algorithm, how nurses and social workers took on new responsibilities, and how the whole clinic shifted from working harder to working differently. It’s a story about change management, team-based care, and what it really takes to deliver timely, patient-centred access — in Quebec and across Canada. Resources mentioned in the episode: An article on why it’s so hard to find a family doctor in Quebec Isabelle and Mylaine’s contemporary advanced access model How Canada compares to peer countries when it comes to timely care An older commentary from Tara that delves into why timely access is such a problem in Canada A summary of Quebec’s data from the OurCare survey Explore Quebec data from the 2022 OurCare National Survey at data.ourcare.ca or read this article Visit the website for GMFU Richlieu-Yamaska Listen to our 4-part series on The Netherlands (mentioned in this episode when discussing training for primary care nurses MAINPRO CREDITS: Family doctors can claim Mainpro Credits by completing a linking learning exercise. More about Primary Focus: Subscribe to our Substack newsletter Visit our website at primaryfocus.ca Learn about the OurCare Standard Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by the MAP Centre for Urban Health Solutions, St. Michael’s Foundation and the Max Bell Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
S2 · E3
Oct 30, 2025 · 59 min
In Renfrew County: A hybrid solution to the rural family doctor shortage
In this episode of Primary Focus, Dr. Tara Kiran travels to Renfrew County, Ontario, where an innovative team is tackling the family doctor shortage with a new kind of hybrid care - where your doctor is virtual, but your team is on-site. At the Petawawa Centennial Family Health Centre, Dr. Jonathan Fitzsimon shows Tara how patients are matched with virtual family physicians who work alongside local nurses, pharmacists, and other health professionals to provide full-service, ongoing care. The result? More than 6,000 people who once had no family doctor are now receiving comprehensive, team-based care. It’s a story about creativity, access, and what’s possible when rural communities rethink how primary care can be delivered. Further reading: Explore more about the Petawawa Centennial Family Health Centre Read a report summarizing Renfrew’s Integrated Virtual Care model Dive into research on the Integrated Virtual Care model including papers on early patient outcomes, patient experience, and staff experience. See some photos of Petawawa Centennial Family Health Centre (link to post) MAINPRO CREDITS: Family doctors can claim Mainpro Credits by completing a linking learning exercise. More about Primary Focus: Subscribe to our Substack newsletter Visit our website at primaryfocus.ca Learn about the OurCare Standard Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by the St. Michael’s Foundation and the MAP Centre for Urban Health Solutions. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
S2 · E2
Oct 16, 2025 · 51 min
How One Calgary Clinic Gets Team-Based Care Right
This season, we’re diving into innovative primary care practices across Canada—starting in Alberta, where one family practice is making timely, high-quality care a reality for more than 25,000 patients within a fully capitated model. In this episode, Tara visits Crowfoot Family Practice in Calgary—a clinic that’s getting team-based care right. Physicians here manage patient panels about 30 percent larger than their peers, thanks to a model where 35–40 percent of care is delivered by non-physicians. Executive Director Shauna Thome gives us a tour of the clinic, and then she and medical director Dr. Janet Reynolds join Tara in conversation. They talk about how the role of the physician on the team is different, how the team is piloting new ways to attach patients without a family doctor, and how continuous quality improvement—with patients as partners—shapes the clinic’s culture. Research mentioned in this episode Explore more about the Crowfoot Village Family PracticeTake a look at the case study evaluation Health Quality Alberta published on CrowfootRead more about the Calgary Foothills Primary Care Network Dr. Janey Reynolds leadsRead the final report from the Modernizing Alberta’s Primary Care System (MAPS) processCheck out this article that talks about how teams are our hope for the future and can theoretically help doctors care for more patientsSee some photos of Crowfoot Village Family Practice MAINPRO CREDITS: Family doctors can claim Mainpro Credits by completing a linking learning exercise. More about Primary Focus: Subscribe to our Substack newsletter Visit our website at primaryfocus.ca Learn about the OurCare Standard Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by a grant from the St. Michael’s Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
S2 · E1
Oct 2, 2025 · 50 min
Why don’t we have enough family doctors? with Dr. Ruth Lavergne
As Canada faces a family doctor shortage, Tara calls up her friend Dr. Ruth Lavergne, a primary care researcher at Dalhousie University, to ask how we ended up an estimated 23,000 doctors short — despite training more in recent years. Together they explore how the work of family doctors has grown more complex, why more are choosing focused practice or shorter hours, and how payment reforms are shaping — but not necessarily solving — the challenge. Along the way, they reflect on the moral and emotional strain of family medicine, the choices doctors make to preserve balance and meaning, and what it would take to make family medicine not just better paid, but a better job. Stay tuned to the end, when several family doctors sound off about their own practice choices — whether full-service or something different — and what led them there. Research mentioned in this episode The federal report estimating Canada is 23,000 family doctors short Tara’s research on the shift away from full-service family medicine Ruth’s research on career choices and administrative burden in primary care Dive into the commentary on physician payment that was a Ruth-Tara platonic meet-cute Here's the cross-country comparisons on physician payment mentioned in the episode MAINPRO CREDITS: Family doctors can claim Mainpro Credits by completing a linking learning exercise. More about Primary Focus: Subscribe to our Substack newsletter Visit our website at primaryfocus.ca Learn about the OurCare Standard Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by a grant from the St. Michael’s Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
Jul 4, 2025 · 43 min
A historic win for primary care in Ontario with Peter MacLeod
In this special episode, host Dr. Tara Kiran reflects on the passage of Ontario’s new Primary Care Act—the first legislation of its kind in Canada. Joined by Peter MacLeod, founder of MASS LBP and co-lead of the OurCare initiative, Tara and Peter take you behind the scenes of a national public dialogue that helped shape the new law. Nearly 10,000 Canadians participated in the OurCare process and what they said they wanted from the primary care system is now reflected in Ontario’s legislation. This episode is a story of civic imagination, moral beauty—and a hopeful step toward primary care that works for everyone. Resources mentioned in the episode: Read more about OurCare and OurCare Standard: OurCare.ca Meet some of the OurCare panelists: https://www.youtube.com/watch?v=ShkxhIJBCh8&t=25s Review Ontario’s Primary Care Act: https://www.ontario.ca/laws/statute/s25008 Watch the press conference where Ontario’s Minister of Health, Sylvia Jones, announces the Primary Care Act: https://www.youtube.com/watch?v=RFYZOosIZngRelated articles you might like: Results from the OurCare provincial priority panels Dr. Tara Kiran’s Opinion piece in the Toronto Star More about Primary Focus: Subscribe to our Substack newsletter Visit our website at primaryfocus.ca Learn about the OurCare Standard Take the OurCare national survey to share your experiences with primary care. Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by a grant from the St. Michael’s Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
Jun 19, 2025 · 48 min
In the Netherlands: who’s accountable for access?
How do you design a system that delivers timely primary care — not by chance, but by design? In this final episode in the Netherlands, Tara visits a health insurance company and reflects with her travel companion, Rosemary Hannam on what stood out from their trip to the Netherlands. They discuss how features like standardized GP contracts, clear access guarantees, strong physician leadership and a customer-orientation help keep primary care timely and organized — and consider what Canada can learn from the Dutch approach. If you missed Part 1, Part 2 or Part 3, click to catch up. See a gallery of Dr. Kiran’s photos from her trip to the Netherlands. Hear Dr. Kiran speaking about her trip on CBC’s White Coat, Black Art Read Dr. Kiran’s 4-part series for the Medical Post on her trip Subscribe to our Substack newsletter to get bonus content. Take the OurCare national survey to share your experiences with primary care. Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by a grant from the St. Michael’s Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com
#5
Jun 5, 2025 · 44 min
In the Netherlands: after-hours care that works
Emergency departments in Canada are overcrowded — but what if they didn’t have to be? In Part Three of her audio documentary series from the Netherlands, Dr. Tara Kiran takes listeners behind the scenes at two Dutch after-hours clinics: one in the university town of Nijmegen, and another in bustling Amsterdam. She follows Dr. Tim Olde Hartman into a modern after-hours centre that serves over 400,000 people — and learns how Dutch GPs came together to fix a broken model. Rather than being on call alone, GPs in the Netherlands now work together in large regional cooperatives to provide care 24/7. Patients call one number, speak with a specially trained practice assistant, and are guided to the right level of care — whether that’s phone advice, an in-person visit, or a doctor dispatched directly to their home. It’s a system built on trust, triage, and teamwork — and it results in emergency rooms that are calm, efficient, and often… empty. Stay tuned for Part Four, where Tara reflects on the trip with colleague Rosemary Hannam, who joined her in the Netherlands just before becoming Strategic Advisor on Primary Care at Ontario Health. If you missed Part 1 and Part 2, click to catch up. See a gallery of Dr. Kiran’s photos from her trip to the Netherlands. Hear Dr. Kiran speaking about her trip on CBC’s White Coat, Black Art Read Dr. Kiran’s 4-part series for the Canadian Health Network on her trip Read an article on after hours care in the Netherlands called "Quality of after-hours care in the Netherlands: a narrative review" Subscribe to our Substack newsletter to get bonus content. Take the OurCare national survey to share your experiences with primary care. Do you have an idea for an episode? Email primary.focus@unityhealth.to Dr. Tara Kiran is a family physician and researcher who is passionate about building a stronger, more equitable primary care system in Canada. She practices at St. Michael’s Hospital, Unity Health Toronto where she is also a scientist at MAP Centre for Urban Health Solutions. In 2022, Dr. Kiran launched OurCare, a national initiative to engage the public in shaping the future of primary care in Canada. You can learn more about Dr. Kiran’s research here: https://maphealth.ca/kiran/ Primary Focus is supported by a grant from the St. Michael’s Foundation. Dr. Tara Kiran is supported as the Fidani Chair in Improvement and Innovation at the University of Toronto and a Scientist in the Departments of Family and Community Medicine at St. Michael’s Hospital and the University of Toronto. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit primaryfocus.substack.com

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