The Ministry of Health and Long-Term Care (MOHLTC) and the Ontario Medical Association (OMA) established an Alternative Funding Plan (AFP) for all academic physicians at Academic Health Science Centres in Ontario providing new funding beginning in 2000. NOSM physician clinical faculty were not covered by the plan. The Physician Clinical Teachers Association (PCTA) and the Northern Ontario School of Medicine ( NOSM), working with the OMA and the MOHLTC, were successful in obtaining transitional funding for NOSM physician clinical faculty of $2.1 million for 2008-09 as a first step in moving toward an agreement.
Effective April 1, 2009, the NOSM alternative funding plan, a contractual agreement between the PCTA, OMA, MOHLTC, and NOSM was signed. The signatories to this agreement were the Hon. Deb Matthews (MOHLTC), Dr. David Mutrie (President of the PCTA), Dr. Roger Strasser (Dean and CEO of NOSM), and Mr. Robert Lee (legal counsel for the OMA). The agreement provides for $7.1 million of annual funding.
The agreement is intended to:
- provide funding that recognizes the unique contributions of clinical physicians for academic activities at NOSM;
- increase the capacity of academic physicians to provide Clinical services and Academic activities in an integrated manner;
- ensure that the funding reaches participating physicians in an open and transparent manner.
The PCTA and NOSM signed an agreement in January 2010 to establish a governing body, initially called the Central Academic and Planning Resource Committee (CARP). The name has been changed to the Northern Ontario Academic Medicine Association (NOAMA). NOAMA is an unincorporated association established to manage, distribute, and administer the AFP funding on behalf of the MOHLTC and the Members in accordance with the contractual terms of the AFP Agreement. The PCTA holds the majority of the voting membership of NOAMA.
For the purposes of the AFP, NOSM and the PCTA agree that a participating physician is one who: is a member of the PCTA, holds a faculty appointment at NOSM and has signed a declaration and consent form.