About Us

About Us



Dr. Ryan Patchett-Marble, MD, CCFP - HARMS Program Lead

Contact: rpatchett@mfht.org 
Dr. Patchett-Marble is a rural generalist with a special interest in addictions medicine. He obtained his MD from the University of Toronto in 2011 and completed his rural family medicine training out of the Northern Ontario School of Medicine in 2013. In addition to his addictions focus, he practices general family medicine, hospitalist medicine, and emergency medicine. He was heavily involved in the initial creation and implementation of the MFHT opioid prescribing program in 2014-15. He has worked hard to formalize the ideas from that program and in the process founded the HARMS Program. He continues to evaluate, improve, and expand the HARMS Program through education and the creation of clinical tools. Given that he is a front-line practicing clinician, he understands the challenges of family physicians and his ideas always focus on pragmatism - what good is a program if people can't do it or it doesn't improve safety? He created the START-IT tool in order to facilitate the expansion and evaluation of HARMS. He also supervises the medical students involved in the HARMS Program. His favourite past-times are spending time with his young family, playing board games and a wide variety of sports, and spending time in the great outdoors.

Niharika Shahi, MD Candidate - HARMS Program Research Assistant

Contact: nshahi@nosm.ca 
Niharika Shahi obtained her Honours Bachelor of Science in Biology at Lakehead University, Thunder Bay, in 2015. She is currently completing her undergraduate medical education at the Northern Ontario School of Medicine (NOSM). She has a passion for serving marginalized populations and a vision for advancement of knowledge in medicine through evidence-based research. She received the NOSM Dean’s Award for Summer Medical Student Researchers, and with the guidance of Dr. Patchett-Marble, completed a retrospective chart review at MFHT to help initiate the HARMS program.

Daniel Tesolin, MSc, MD Candidate - HARMS Program Research Assistant

Contact: dtesolin@nosm.ca 
Daniel Tesolin is a medical student assisting Dr. Ryan Patchett-Marble with the research and development of the HARMS Program. He is in the process of completing his medical degree at the Northern Ontario School of Medicine (NOSM) and is funded through a 2018 NOSM Summer Medical Student Research Award. Daniel's background in biochemistry and natural sciences has aided him through his task to develop educational resources designed to disseminate information about UDT, the START-IT tool and the HARMS Program to the medical community. One of the most prominent resources in development has been that of harmsprogram.ca. Daniel hopes to use this experience to further his medical education and achieve his goal of practising medicine in his community of Northern Ontario.

Marathon Family Health Team

Pictured is the Marathon Family Health Team (MFHT) Chronic Pain and Addictions (CPA) Committee. The CPA committee was involved with the initial creation of the MFHT Opioid Prescribing Program in 2014, which would later become the HARMS Program. Left to right: Shelley Heavens, Michele Lajeunesse, Dr. Ryan Patchett-Marble, Elana Armitage, Dr. Nancy Fitch and Dr. Megen Brunskill. Missing from photo: Trixie Dykstra and Margaret Cousins.