Inside Shoreline Medical’s collaborative healthcare model

March 3, 2026

Reimagine Healthcare with Dr. Sienna Bourdon

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 Peninsula, on the traditional and unceded territories of the W̱SÁNEĆ (Pauquachin, Tsartlip, Tsawout, Tseycum) Peoples. She’s also a medical director and hospital medical staff president. She is part of the leadership team that runs Shoreline Medical, a nonprofit clinic model, that grew from five physicians to roughly 25 clinicians and an allied-health team. Dr. Sienna managed all this 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?

“Primary care is the backbone of our healthcare system. If we don’t do it well, everything else struggles.”

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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.
The positive impact of BC’s Longitudinal Family Physician payment model
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.

On The Reimagine Healthcare Podcast, we explore how healthcare leaders across Canada are building smarter, more human systems of care — through innovation, technology, and better workflows.

And in this episode, Dr. Bourdon makes one thing very clear: access isn’t just a staffing problem, it’s a system problem.

When clinics are spending hours a day on documentation and administrative work, it becomes harder to scale, harder to retain clinicians, and harder to protect same-day access.

That’s where technology can make a real difference, not as a “nice-to-have,” but as an operational lever.

“AI scribe has been huge! It allows you to look at the patient, have that connection.”

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To help clinics reduce administrative burden without compromising quality of care, MYLE brings everything your clinic needs into one seamless platform, designed around real workflows, not disconnected features.
Clinical, administrative, and AI capabilities work together inside a single system, with one contract and one accountable partner.

Because AI is built directly into the platform, tasks like documenting visits, renewing prescriptions, completing forms, and managing results happen faster and with less friction.