Paul Fortin

Title and Accreditations

Senior Scientist, Rheumatology, MD, MPH, FRCPC

Appointments

Professor, Division of Rheumatology, Department of Medicine, Université Laval
Director, Centre ARThrite – Université Laval
Clinician-Scientist, Axe Maladies Infectieuses et Immunitaires, Centre de Recherche du CHU de Québec-Université Laval
Recipient of the Canada Research Chair on Systemic Autoimmune Rheumatic Diseases

Biography

Dr. Fortin obtained his medical degree from ‘Université Laval’ in Quebec City and graduated from McGill University in Rheumatology. He then obtained a Master’s in Public Health from Harvard University School of Public Health. He followed three years of special training in clinical epidemiology as a Harvard post-doctoral research fellow under the direction of Dr. Matthew H. Liang at the Robert Breck Brigham Multi-Purpose Arthritis Center of the Brigham and Women’s Hospital. He returned as an Assistant and then Associate Professor of Medicine at McGill University and to the Montreal General Hospital/McGill University Health Centre and Research Institute between 1992 and 2000, where he was funded uninterruptedly by operating grants from The Arthritis Society (TAS) and/or the Canadian Institutes of Health Research (CIHR).

Dr. Fortin joined the staff of Toronto Western Division/University Health Network (UHN) and Research Institute in 2000 as a Clinician Scientist and Director of Clinical Research for the Arthritis Centre of Excellence. He became Full Professor of Medicine at the University of Toronto in 2007 and held cross-appointments as staff at the Hospital for Sick Children and as Associate Professor at the Institute of Medical Sciences and the Department of Health Policy, Management and Evaluation of the University of Toronto. In August 2011, he moved to Quebec City, Canada and became Full Professor with tenure at Université Laval and Clinician-Scientist at the ‘Centre de Recherche du Centre Hospitalier Universitaire de Québec’. He’s held a senior Canada Research Chair on Systemic Autoimmune Rheumatic Diseases since 2012.

Dr. Fortin has been working on a better understanding of the bio-psycho-social impact of chronic rheumatic diseases such as systemic lupus erythematosus (SLE), the antiphospholipid antibody syndrome (APS), systemic autoimmune rheumatic diseases (SARD) and rheumatoid arthritis. He is particularly interested in clinical applications of translational research and in developing interventions for the treatment of SLE, APS and SARD.

His methodological interests cover the development and validation of health status measures and other clinical tools such as measures of disease activity or damage in SLE. His other methodological interests include the development of risk profiles for arterial or venous thrombosis in APS, the testing of treatments of disease activity or cardiovascular disease in SLE, or the validation of biological markers in SLE and SARD.

In 1995, he created the Canadian Network for Improved Outcomes in SLE (CaNIOS) with the specific goal of running a multi-centre, randomized, and controlled Study of Methotrexate in Lupus Erythematosus (SMILE). CaNIOS brought together many lupus experts who, despite their limited individual cohorts, were able to pool information for the completion of SMILE. CaNIOS has conducted several CIHR and TAS funded national studies, including the project on ‘Empowering Patients as Active Partners in Their Care: Lupus Interactive Navigator (LIN)’, ‘The Dissemination of the Lupus Health Passport’, ‘Health Improvement and Prevention Program for Persons with SLE’ (HIPP study), ‘Lupus Nephritis New Emerging Team’ (LuNNET), ‘Genetic and Environmental Factors in SLE’ (GenES Study), and ‘Role of Thrombophilic Factors in Persons with SLE’ (ThromboFIL study). Also, CaNIOS is building a national database, a clinical trial infrastructure through support from the Lupus Clinical Trial Consortium and a training environment for young researchers.

Since 2011, Dr. Fortin is building an arthritis multidisciplinary research infrastructure based on the SARD Database and Biobank hosted by Université Laval and that has been a catalyst for translational research on SLE and rheumatoid arthritis locally and nationally. His efforts have culminated in the recent creation of the Centre ARThrite, which is one of the few scientific centres recognized and supported by Université Laval.

With the arrival of the COVID-19 pandemic, Dr Fortin has undertaken research projects to evaluate the safety and efficacy of COVID-19 vaccination in patients living with SARD.

Her research focuses on two areas: 1) Studying the impact of arthritis on employment and preventing work disability. To that effect, she has developed Making-it-WorkTM , an online program helping people with arthritis deal with employment issues. 2) Evaluating the quality of health care services received by people with RA and conducting pharmaco-epidemiology studies, using BC administrative health data. Her research has been supported by peer reviewed grants from the Canadian Institutes of Health Research, the Canadian Arthritis Network, The Arthritis Society of Canada and the Canadian Rheumatology Association.

She holds peer-reviewed operating grants for her research from CIHR. She has published her research in Arthritis and Rheumatism, Annals of Rheumatic Diseases, Arthritis Care and Research, Journal of Rheumatology, Journal of Vocational Rehabilitation, Canadian Medical Association Journal, Human Immunology, Health Policy, Lancet, and Journal of Clinical Epidemiology.

She has received distinction awards for her contribution to rheumatology research, including the Jeff Shiroky Award for excellence in rheumatoid arthritis research, the Young Investigator Award from the Canadian Rheumatology Association and the Quality of Life Research Award from the Institute of Musculoskeletal Health and Arthritis (IMHA)—a distinction award for having obtained the highest score of all applications in Arthritis, Pain and Disability. Finally, she was a recipient of the Martin M. Hoffman Award for Excellence in Research at the University of British Columbia and in 2013, she was awarded the Queen Elizabeth II Diamond Jubilee Award for her research contributions.

Building on her research on employment and arthritis, she has developed the first comprehensive program specifically designed to prevent Work Disability (WD) in employed people with inflammatory arthritis, such as RA. The program enhances self-management of problems encountered at work due to arthritis and modifies risk factors for WD. The program was pilot tested and showed promising results. It resulted in concrete changes and improved self-confidence and self-rated productivity at work. Her team has converted this program into a web-based version, in order to make this valuable resource more accessible to people with RA all over the province. She has received CIHR funding to test the program’s effectiveness at reducing WD and improving at work productivity in a randomized controlled trial. By preventing WD, this research will reduce the tremendous economic and social burden of RA.

As part of her research evaluating the quality of care for RA at the population level, she has assembled a population-based cohort of RA patients in BC. This research has exposed important gaps in care for RA. She found that the majority of RA patients do not receive the care that is recommended for their disease. More than half are not using the medications considered essential for RA (DMARDs) and few are followed by rheumatologists. These results point to the need for educating family physicians and people with RA about the shift in treatment paradigms in RA, and to the need for increased rheumatologist access and manpower. She is now evaluating the impact of educational interventions, such as academic detailing to Family Physicians, on the quality of care delivered to people with rheumatoid arthritis.

She is also evaluating the effect of medications used to treat RA on cardiovascular disease. Her research has been looking at other chronic medical conditions that people with RA are at risk of, such as cardiovascular diseases, infections and osteoporosis, and evaluating how these are treated and how medications used for RA may impact these conditions.

This research is important to people with RA and their health care providers, and has potential to improve the quality of care and outcome of RA.

Research Changes Real Lives

Behind every study is a person. Meet some Canadians whose lives are moving forward thanks to arthritis research.

Vianne

Ankylosing Spondylitis

Living with Arthritis: Vianne’s Story

Arthritis Is Ageless, Vianne’s story

Read Vianne’s Story
Ty’s story

Ty

Ankylosing Spondylitis

Living with Arthritis: Ty’s story

A Run to “Make Arthritis Famous”

Read Ty’s Story
Trish’s Story

Trish

Osteoarthritis

Living with Arthritis: Trish’s Story

From a young age, I always loved participating in sports, especially downhill skiing and playing badminton. But what people don’t think about is there are often injuries in youth sports that result in life changing health conditions. For me this meant by the time that I was 22 years of age, I required ACL surgery on my knee.
Read Trish’s Story
Tamara’s Story

Tamara

Rheumatoid Arthritis

Living with Arthritis: Tamara’s Story

Making a Difference, Tamara’s story

Read Tamara’s Story
Steve’s Story

Steve

Rheumatoid Arthritis

Living with Arthritis: Steve’s Story

Arthritis Changed Everything 

I was diagnosed with rheumatoid arthritis at 25. The symptoms came on quickly. I was shocked that someone my age could have this disease. Four years later, I found myself bussing to the emergency room for what I thought were minor chest pains. In reality, I was in heart failure at 29. By the time I reached the hospital, one of the valves in my heart had almost stopped working.
Read Steve’s Story
Nikki’s Story

Nikki

Rheumatoid Arthritis

Living with Arthritis: Nikki’s Story

I was 19 years old when I was diagnosed with rheumatoid arthritis. I had zero understanding of the disease. I didn’t know anyone with arthritis and I thought it only affected the elderly. I didn’t even want to tell people around me that I had arthritis. I didn’t want to feel like a burden. So initially, I hid my disease – just trying to battle it, while keeping it to myself.
Read Nikki’s Story
Natasha’s Story

Natasha

Juvenile Idiopathic Arthritis

Living with Arthritis: Natasha’s Story

ARTHRITIS RESEARCH IN ACTION

I was 13-years-old when I was diagnosed with juvenile idiopathic arthritis (JIA). I didn’t know what it was. My grandmother had arthritis, but I was young and healthy. How could I have an incurable disease? It didn’t make sense.
Read Natasha’s Story
Lisa’s Story

Lisa

Rheumatoid Arthritis

Living with Arthritis: Lisa’s Story

ARTHRITIS CHANGED EVERYTHING

I was diagnosed with rheumatoid arthritis on my daughter’s sixth birthday. At the time, I was 37. After years of pain and worsening unexplained symptoms, I felt relieved to finally have answers. But that relief quickly changed to concern. As a physiotherapist, I was confident about treatment options and getting my disease under control. Yet, I underestimated the impact arthritis would have on my life.
Read Lisa’s Story
Kelly Barber’s Story

Kelly Barber

Osteoarthritis

Living with Arthritis: Kelly Barber’s Story

Osteoarthritis in his 40’s: Firefighter Kelly Barber Tells His Story

Read Kelly Barber’s Story
Jacob’s Story

Jacob

Ankylosing Spondylitis

Living with Arthritis: Jacob’s Story

Jacob was the picture of health. Until he wasn’t.

Read Jacob’s Story