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eConsult spotlight: Psychiatry

QBIC (Quality Based Improvements in Care) is a program hosted by the eHealth Centre of Excellence (eCE) that works to provide primary care providers within Waterloo Wellington with support to incorporate telehealthcare services, such as eConsult, into their practice workflow.

 

Improved access to psychiatric care is now available in the Waterloo Wellington Local Health Integration Network (WWLHIN) via eConsult. Using the Ontario Telemedicine Network (OTN), primary care physicians and nurse practitioners can ask participating psychiatrists a question about current symptoms, medication issues or other treatment options and receive an answer in 3-5 days. With eConsult, many in-person visits can be avoided and patients will receive faster treatment without having to travel long distances to receive care.

 

Over 30 psychiatrists are now available on eConsult. In collaboration OTN and OntarioMD, the eHealth Centre of Excellence is actively recruiting psychiatrists in our region to join their colleagues in this exciting initiative.

 

The following psychiatrists from our LHIN are currently available to receive eConsults:

 

Dr. Susan Senior – General Adult Psychiatry

 

Specializes in general adult psychiatry but can also consult on those adolescents 16 years +

Special interests: collaborative care; workplace and mental health; mood and anxiety disorders; chronic disease management; sleep disorders; offering clinical management advice along with medication reviews/suggestions

 

“I value my role with helping the doctors in our area region as well as remote areas of the province where I have been fortunate to have been able to consult on the practitioners in northern communities.”

 

Dr. Senior is a Royal College Fellowship Trained Psychiatrist (2003) and McMaster Psychiatry Program Graduate.

 

Dr. David Sherman – Geriatric Psychiatry

 

“I am happy to eConsult on cases of patients over the age of 65 with mental health and cognitive concerns or patients younger than 65 with cognitive concerns.

 

I am recognized as a Fellow of the Royal College of Physicians and Surgeons of Canada as a board certified Geriatric Psychiatry Sub-Specialist in addition to being certified in Psychiatry.  I completed my Geriatric Psychiatry Sub-Specialty training and Psychiatry training at the University of British Columbia in 2016.   I am an Assistant Clinical Professor (Adjunct) in the Department of Psychiatry & Behavioural Sciences at McMaster University. I graduated from medical school at the University of Toronto in 2010.  Prior to that I received my Masters of Science in Neuroscience and Neuroanatomy from Dalhousie University and Bachelors of Science, with Honours in Psychology from Acadia University.

 

I am currently practicing outpatient and community outreach Geriatric Psychiatry at the Guelph Family Health Team and Consultation Liaison Geriatric Psychiatry at the Freeport Site of Grand River Hospital in Kitchener.”

 

Dr Vivian Polak – Perinatal/Reproductive Psychiatry

 

Specializes in patients experiencing psychiatric symptoms in the following situations: during pregnancy or in first year following delivery (women and men); fertility difficulties; miscarriage, stillbirth, termination, or death of baby or young child; pre-pregnancy assessments (i.e., for advice on the safety of psychiatric medications during pregnancy/lactation). Psychiatric symptoms or diagnoses include mood disorders (unipolar depressive disorders or bipolar disorders), generalised anxiety disorder, panic disorder, social phobia, post-traumatic stress disorder, obsessive-compulsive disorder, psychotic disorders, comorbid substance use disorders, eating disorders, etc.

 

Also available on eConsult:
  • Dr. Mohammad Saleem
  • Dr. Sophiya Benjamin
  • Dr. Dinesh Benjamin
  • Dr. Natasha Snelgrove
  • Dr. Anjali Sharma
  • Dr. Alexandre Tavares
  • Dr. Rasyidah Halim
  • Dr. Shahzad Shahmalak
  • Dr. Robyn Fallen

 

To view our other eConsult spotlights, please click here!

 

NEW: Benefits Realization case study highlights the benefits of eConsult - click here to take a look!

 

 

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eConsult spotlight: Spinal Cord Injury

QBIC (Quality Based Improvements in Care) is a program hosted by the eHealth Centre of Excellence (eCE) that works to provide primary care providers within Waterloo Wellington with support to incorporate telehealthcare services, such as eConsult, into their practice workflow.

 

Dr. James Milligan is a local primary care provider with specialized training in spinal cord injury (SCI) in primary care. Dr. Milligan accepts eConsults for patients of any age for preventative care around SCI, bowel, bladder, spasticity, pain, and respiratory. He has experience as a family physician working in an interprofessional primary care Mobility Clinic.

 

As a result of the Mobility Clinic’s unique model, it has received the following awards: 

  • Association of Family Health Teams of Ontario (AFHTO) Bright Lights Award 2014 for creating a flexible clinic for mobility problems 
  • Ontario College of Family Physicians 2014 Award of Excellence for the exceptional service the Mobility Clinic provides to the community 
  • College of Family Physicians of Canada Bruce Halliday Award for Care of the Disabled
“People with mobility challenges are a marginalized population that we need to take better care of because they face complex medical needs and may use more health care resources and require more hospitalizations.” - Dr. Milligan

 

On November 13, 2014, Dr. Milligan was named the recipient of the Bruce Halliday Award for Care of the Disabled because of his contribution to the welfare of disabled patients at the Mobility Clinic. The award, which is supported by the Research and Education Foundation of the College of Family Physicians of Canada, is named in the memory of Dr. Bruce Halliday, a past president of CFPC and OCFP, a federal member of parliament for 20 years and a champion of the disabled in Canada. 

 

The Mobility Clinic is continuing to work with the Ontario Neurotrauma Foundation and UW-Schlegel Research Institute for Aging in research activities.  In addtion, the Mobility Clinic will be expanding, opening a second clinic at the Andrew Street Medical Centre in the fall. We will be accepting referrals from across the LHIN for helping individuals with significant physical disabilities (i.e. spinal cord injury, MS, stroke, cerebral palsy, arthritis) or secondary complications (neurogenic bowel, bladder; spasticity) related to physical disabilities.

 

Their contact number for information is (519) 904-0656.

 

To view the other eConsults we've profiled, please click here!

 

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eConsult spotlight: GeriMedRisk

QBIC (Quality Based Improvements in Care) is a program hosted by the eHealth Centre of Excellence (eCE) that works to provide primary care providers within Waterloo Wellington with support to incorporate telehealthcare services, such as eConsult, into their practice workflow.

 

We will be using our blog to highlight providers in our region who are receiving eConsult services – and this month, we would like to put the spotlight on GeriMedRisk.

 


 

Medications are an important part of managing health and well-being for many older adults. Often a number of medications are needed to support those with multiple chronic conditions.

 

However, as the number of medications increase, so does the risk and currently, thousands of older adults experience an adverse drug event (ADE) or a negative reaction as a result of medications. Previous research has shown that decreating the number of medications can lower the risk and improve older adults’ quality of life, but it requires careful consideration.

 

An innovative new program called GeriMedRisk aims to tackle this issue, and a pilot project is kicking off at the Centre of Excellence for Innovation in Aging. GeriMedRisk was developed by Dr. Joanne Ho (Schlegel Clinical Scientist at McMaster University) to provide care teams with specialized geriatric support when addressing multiple medications in older adults. 

 

Clinicians can access GeriMedRisk’s specialized team of nurses, pharmacists, and physicians by telephone or through telemedicine, so it offers reliable support and advice much more quickly than referring to a specialist.

 

By supporting clinicians in optimizing medications for older adults, there is potential to reduce adverse events and their consequences, for example, drug-related cognitive impairment, falls, and hospital visits. The hope is that by piloting GeriMedRisk, we can show it is not only timely and cost-effective but enhances quality of life for older adults who are reliant on multiple medications.

 

For more information or to request an eConsult via the Ontario Telemedicine Hub (OTNHub), please visit www.gerimedrisk.ca

 

GeriMedRisk is generously supported by a strong partnership of organizations including the Research Institute for Aging, Canadian Mental Health Association of Waterloo Wellington, McMaster University, St. Joseph's Health Centre Guelph, Ontario Telemedicine Network, Grand River Hospital and the Ontario Poison Centre.

 

 

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eConsult spotlight: Addictions

QBIC (Quality Based Improvements in Care) is a program hosted by the eHealth Centre of Excellence (eCE) that works to provide primary care providers within Waterloo Wellington with support to incorporate telehealthcare services, such as eConsult, into their practice workflow.

 

We will be using our blog to highlight providers in our region who are receiving eConsults – and this month, we would like to put the spotlight on Dr. Yelena Chorny.

 


 

Dr. Chorny is a local primary care provider with specialized training in addictions, and she accepts eConsults for patients of any age with suspected or known substance use disorders (including alcohol, illicit substances and prescribed medications). She has experience in outpatient community-based programs, inpatient/medical detox and residential treatment settings. 

 

Dr. Chorny has completed a fellowship in Addiction Medicine at CAMH in 2013 and was certified by the American Board of Addiction Medicine in 2014.

 

 

 

 

 

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