Vision, Mission, and Guiding Principles | Family Medicine | School of Medicine

Vision

Queen’s Family Medicine (QFM) believes in health for all, where persons can live to their full capacity, without distinction of any kind such as race, sex, gender, language, religion, political or other opinion, national or social place of birth, socioeconomic status, ability or disability.

Mission

QFM strives to reduce health disparities within the communities it serves through clinical care, program development, policy influence, research, education, and advocacy.

The QFM Community and Partnerships portfolio will target its future activities toward – and in collaboration with – individuals and communities where health disparities are particularly prominent.

The QFM Community and Partnership portfolio recognizes that persons and communities experiencing significant health disparities face additional challenges such that increased resources, time, and energy are required for their care. We are committed to advocating for these increased services to improve health outcomes for all.

Guiding Principles

We believe:

That Health, as defined by the World Health Organization, is a state of complete physical, mental and social well-being, and not simply the absence of disease. While there may be biologic imperatives that preclude the right to health per say, every person has the right to conditions permitting a standard of living adequate for health. This includes the right to food; housing; medical care; social services; security in the event of unemployment, sickness, disability or old age. The right to health also recognizes the interdependence between human rights and the environment, and recognizes the climate crisis as a primary threat to human and global health. These rights are enshrined in the Universal Declaration of Human Rights, and should be accorded to all persons in all places.
That Social Accountability as defined by the World Health Organization, is “the obligation [of medical schools] to direct their education, research and service activities towards addressing the priority health concerns of the community, region, and/or nation they have a mandate to serve. The priority health concerns are to be identified jointly by governments, health care organizations, health professionals and the public.” (World Health Organization 1995). We believe that medical schools have a duty of social accountability to both the local community in which they operate, to the country as a whole, and to the international community.
That Global Health is an area for study, research, and practice that places a priority on improving health and achieving equity in health for all people worldwide. Global health emphasizes transnational health issues (eg. migration, climate change, conflict, etc), determinants, and solutions; involves many disciplines within and beyond the health sciences and promotes interdisciplinary collaboration; and is a synthesis of population-based prevention with individual-level clinical care.
That Community Engagement & I-EDIAA (Indigenization, Equity, Inclusion, Anti-racism, Accessibility) is core to the work of Queen’s Family Medicine. Our approach to community engagement is rooted in welcoming the perspectives and contributions of equity-deserving communities into our spaces and the impact we create together. Community engagement and I-EDIAA includes positive working relationships with people of different backgrounds, abilities, opinions, cultures, and perceptions as well as working effectively with all members of a team. With I-EDIAA in mind, community engagement requires continuous reflection and open communication to examine power dynamics and redress historic, ongoing systemic inequalities. By actively promoting the values of I-EDIAA, we foster an environment where all members of our community can feel respected, valued, and empowered
That Structural Violence, as defined by Galtung, Farmer and others, is violence that is built into the structure of society and that shows up as unequal power and life chances, as well as limited agency. Structural violence contributes to vast health inequities within and between societies, is institutionalized, and produces great benefits to some at the great detriment to many. It can be manifested by hunger in communities where food is plentiful, inability to access medication in a wealthy society, and unequal distribution of health resources between countries, especially those burdened by post-colonial debt. It is human made, and thus modifiable.
That Power is the ability to effect change over ones own or another’s circumstances; to direct or to influence the behavior of others, or the course of events in one’s own or another’s life. It is recognized that persons with increased power have improved health outcomes, and that the unequal distribution of power negatively impacts the health of individuals and of society.

QFM operates with the following I-EDIAA values in mind:

Dignity of all human beings;
Health equity as a goal for our communities and the world;
Sustainability of care, programming, and partnerships;
Solidarity with communities and community members facing barriers to health, and with organization striving to reduce these barriers; and
Advocacy on behalf of individuals and communities experiencing structural violence, with the goal of improving the distribution of power and agency, thus contributing to individual and population health.

If you are new to Queen’s Family Medicine, be sure to check out the Human Rights and Equity Office. At this office you can learn about University-wide initiatives, campaigns, and resources, or access the Training Catalogue of EDIIA modules.

There is also an EDIIA office in the Faculty of Health Sciences. The Faculty of Health Sciences also has a library of professional development and an educational catalogue of EDIIA modules, sessions, and resources.

If you or someone you know has experienced harassment, bias/hate, or discrimination at Queen’s you can submit an anonymous report using the IN-SIGHT tool on the Human Rights and Equity Office site. You can visit the Queen’s Harassment and Discrimination Policy where you can find more information about submitting a report or filing a complaint.