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National Defence committee  I look forward to when this committee puts forward a recommendation that we study these questions. In fairness and in follow-up, right now women's health is especially hurt by our electronic patient record. It was, again, ahead of its time in its time, but it does not include easy ways to put down our grava or para.

May 12th, 2023Committee meeting

Dr. Karen Breeck

National Defence committee  Prenatally, when I joined we were expected to do all of our own prenatal care and work directly with an OB/GYN, who often actually invited us to be part of the actual delivery. However, as time has progressed, anything to do with women's health issues tended to be outsourced. It's now considered pretty standard that we outsource almost immediately upon pregnancy.

May 12th, 2023Committee meeting

Dr. Karen Breeck

National Defence committee  I'll speak faster. Absolutely, we know there's a bias across the board, on the civilian side. If I can.... To me, it's different buckets again. We already know there's a bias in primary health care. That, of course, comes over into military health care, but now we have a bias in occupational medicine as well.

May 12th, 2023Committee meeting

Dr. Karen Breeck

National Defence committee  It's the Sexual Misconduct Support and Resource Centre. It used to be called SMRC. Yesterday's announcement officially announced the new name of SMSRC. If I can add to that, again, I find it really important that we define our words. A lot of people interchange sexual misconduct with sexual assault, yet the vast majority of sexual misconduct is not sexual assault.

May 12th, 2023Committee meeting

Dr. Karen Breeck

National Defence committee  In one minute...? I'm about finding the root cause. Anything that helps is great, but on the root cause, we won't know what we won't know until we do something at a very broad, strategic level that should be helping all of the women. Again, I think of it as a quiltmaker. We have all of these different departments making quilt pieces, but we don't have a quiltmaker yet to make sure all women benefit from knowledge on, whether we're menopausal, pregnant or breastfeeding, how and when it is safe or not safe in our newer work environments.

May 12th, 2023Committee meeting

Dr. Karen Breeck

National Defence committee  Thank you for what I think is a really important question. If I can, it's very complicated, so I'll step back a little bit. What problem are we trying to solve? To me, as a clinician, what you had is an injury in your workplace. I almost don't care what it is. You were injured in your workplace, so how can we help and support you.

May 12th, 2023Committee meeting

Dr. Karen Breeck

National Defence committee  Thank you for your important question. I think the Canadian Armed Forces has come a long way with the help of gender-based analysis, with doing the right thing moving forward for new procurements. Of course, a lot of the equipment in the military is old, though, so it has all of the older issues.

May 12th, 2023Committee meeting

Dr. Karen Breeck

National Defence committee  It's an extremely complicated area, and newer technology is required to even understand the baselines. Again, I do appreciate, especially for the unusual military environmental exposures, that our best bet is to work with our allies to start gathering the data so that we have higher numbers of women so we can start documenting and moving forward.

May 12th, 2023Committee meeting

Dr. Karen Breeck

National Defence committee  Thank you. The current approach to military health care and transition is much more person-centred and trauma-informed than when I, as a medical officer, was released in 2009. Despite the significant improvements made over the last decade, there is always room for more improvements, especially for ensuring the health and well-being of military women.

May 12th, 2023Committee meeting

Dr. Karen Breeck