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Dr. Sienna Bourdon is doing the kind of primary care work that quietly holds an entire community together. She’s a practicing family physician at Shoreline Medical on BC’s Saanich PeninsulaBC’s Saanich Peninsula, on the traditional and unceded territories of the W̱SÁNEĆ (Pauquachin, Tsartlip, Tsawout, Tseycum) Peoples. She’s also a medical director and a hospital medical staff president. She helps run a nonprofit clinic model that grew from five physicians to roughly 25 clinicians and an allied-health team—while still seeing patients three days a week, carving out leadership time, mentoring learners, and building systems that keep people out of the ER. And she’s doing it with a very clear north star: protect access, protect teams, and keep care rooted in what the community actually needs. So how does she do all of this, and what can the rest of Canada learn from it? Key Takeaways: Primary care scales best when it is designed around people, not ownership. Nonprofit models can unlock capital and community support that traditional clinics cannot. Access challenges are often operational problems with practical solutions. Standardized workflows enable scale while protecting clinical autonomy. Culture is the true engine of sustainable growth. Physician wellbeing must be measured and managed intentionally. Time-blocking and boundary-setting are leadership skills, not luxuries. Paying for indirect care is essential to long-term sustainability. Team-based care is critical to meeting population needs with limited supply. AI is already a must-have for reducing administrative burden, with guardrails needed for clinical reasoning. Standout Quotes: “Primary care is the backbone of our healthcare system. If we don’t do it well, everything else struggles.” “Culture is the secret sauce. You can’t scale care without trust.” “When physicians live in alignment with their values, burnout becomes far less likely.” “We are one of the only essential services expected to fund our own infrastructure and that’s not sustainable.” - To help clinics reduce administrative burden without compromising quality of care, MEDFAR created Scribe AI, fully integrated with MYLE EMR. 👉 Start your Scribe AI trial: https://www.careway.ai/fr?utm_source=... 💬 Chat with our team to see how a next-generation EMR can help your clinic thrive — no commitment required: https://calendly.com/veselina-vasilev... Designed for Canadian primary care clinics. Built to support clinician retention, workflow efficiency, and sustainable access to care. _ ➡️Subscribe to Reimagine Healthcare to hear more conversations with physicians and healthcare leaders shaping the future of care in Canada. ► Spotify podcast : https://open.spotify.com/episode/2oNT... ► Apple podcast : https://podcasts.apple.com/us/podcast... *Reimagine Healthcare is a MEDFAR podcast exploring how clinicians, leaders, and innovators are building more sustainable, human-centered healthcare systems. _ Timestamps: 00:00 Introduction to Shoreline Medical and Its Mission 06:02 Defining Success and Metrics at Shoreline Medical 09:02 Financial Sustainability and Organizational Structure 12:06 Challenges and Successes in Clinic Operations 15:08 Leadership and Personal Journey in Medicine 17:54 Balancing Administrative and Clinical Responsibilities 21:13 Core Values and Hiring Practices 24:03 Teaching and Impact on Future Physicians 27:03 Reflections on Patient Care and Vulnerability 31:42 Burnout and Work-Life Balance 34:01 Setting Boundaries in Medicine 35:18 The State of the Healthcare System 36:25 Changes in Primary Care and Patient Complexity 38:14 The Longitudinal Family Physician Model 41:21 Current Pain Points in Healthcare 44:41 Hope for the Future of Primary Care 46:44 The Role of AI in Healthcare 49:37 Policy Changes for Better Healthcare 53:39 Key Messages for Physicians 54:13 Legacy and Meaning in Medicine