Rapid Access Clinics for Low Back Pain (contract) – Brampton/Etobicoke, ON
Category: Marketplace / Practice Opportunities
Description:
William Osler Health System is a multi-site hospital system that serves 1.3 million residents of Brampton, Etobicoke, and surrounding communities within the Central West Local Health Integration Network. Osler’s emergency departments are among the busiest in Ontario and its labour and delivery program is one of the largest in Canada.
POSITION: CONTRACT – Rapid Access Clinics for Low Back Pain; Contract part time Fee for service model paid at market rates.
JOB LOCATION: Community (clinician must provide own site of practice). Must be able to provide services in or near either of following areas: 1. Orangeville, Mono, or Shelburne 2. South Brampton (e.g. Meadowvale, Churchville, west of Pearson Airport).
HOURS: must have availability for minimum 5 hours/week, up to 15 hours/week; Days & Times flexible according to clinician preference (Subject to change in accordance with operational requirements)
APPLICATION DEADLINE: Sept 1st, 2024 – In order be considered for this position, you must submit a current resume or detailed qualifications summary on or before this date to: RACLBP.recruitment@williamoslerhs.ca
JOB SUMMARY:
Musculoskeletal (MSK) Rapid Access Clinics (RACs) have being implemented across the province to help people with MSK pain access the right treatment faster. This work stems from the successful pilot program, the Inter-professional Spine Assessment and Education Clinics (ISAEC) for low back pain, now called the Rapid Access Clinic for Low Back Pain (RAC LBP).
The RAC LBP model is an innovative, upstream, shared-care model of care in which patients receive rapid low back pain assessment, education and evidence-based self-management plans. It is a patient-centred model of care, designed to decrease the prevalence of unmanageable chronic low back pain, reduce opioid initiation, and reduce unnecessary diagnostic imaging as well as unnecessary referral.
The RAC LPB are specifically for patients with: (1) persistent low back pain and/or related symptoms (e.g. sciatica, neurogenic claudication) 6 weeks to 12 months post-onset; and (2) recurrent / episodic unmanageable low back pain and/or related symptoms of less than 12 months post-recurrence.
Central-West LHIN is recruiting low back pain Advanced Practice Providers (APPs) to provide assessment and follow up working out of their respective community clinic locations across the CW LHIN sub-regions (including Brampton, Caledon, Dufferin, Malton, north Etobicoke and west Woodbridge). The positions are contract, part-time positions with a contractor-determined schedule.
As a member of the RAC, the APP acts as the first and primary point of contact for consultation and assessment of patients referred by primary care providers; provides a defined, evidence-based program of care to the patient with an emphasis on education, self-management and health promotion strategies consistent with the Low Back RAC recommendations; develops a collaborative care plan with the patient and their primary care provider and documents progress in the care plan; and identifies signs and symptoms requiring a change or escalation in the plan of care, diagnostic imaging/testing, or referral to a specialist physician.
The APP is a champion for best practice and innovative, patient-centred care models. The APP has the necessary skills, competencies and complex decision-making capacity to address the needs of patients presenting with not only back pain, but a range of related differential MSK/neurological conditions, and is passionate about improving access to better care for all patients.
RAC LBP APPs will be connected to a Practice Leader as well as a Clinical Sponsor (spine surgeon) who will provide clinical training and practice guidance in advanced low back pain assessment and management education. Additionally, all APPs will be connected through a centralized intake for referrals.
Please note that successful candidates must complete all training, including 3 full days of online theory modules, followed by 7 days of in-person clinical training in low back pain assessment and surgical triage within the regional spine surgical centre in South Etobicoke/Mississauga (near Queensway Health Centre or Mississauga Hospital). All training days and travel will be compensated.
QUALIFICATIONS:
• At least 3 years of clinical experience following completion of an accredited, entry-to- practice program in a regulated health profession (diagnosis in scope of practice), required.
• Member in good standing of respective professional/legislative college at the provincial level, required.
• At least 1 years of clinical experience in the adult musculoskeletal/orthopedics/spine area, required.
• Expertise in exercise prescription for adult orthopedic conditions, required.
• Practice location within Central West Local Health Integration Network, required.
• Experience working within an inter-professional health care team
• Experience in neurological rehab
• Coursework in spinal assessment/rehabilitation
• Coursework in core muscle assessment/exercise prescription
• Coursework in arthritis management
• Coursework in motivational interviewing
• Coursework in pain management
• Excellent communication and interpersonal skills
• Excellent critical thinking and problem-solving skills
• Experience in research and quality improvement
Professional Affiliations:
• Member in good standing of respective professional/legislative college at the provincial level, required.
• Member of related national/provincial professional association preferred.
KEY RESPONSIBILITIES:
1. Expert Practice
• Acts as the first and primary point of contact for consultation and assessment of referred patients with low back pain.
• Performs a thorough medical history and physical exam for low back pain patients.
• Establishes, communicates and documents clinical impressions/medical diagnoses within defined scope of practice to patient and PCP.
• Develops plan of care in collaboration with the patient/family and primary care provider.
• Provides specialized care, education and counseling (motivational interviewing) for patients to encourage independent, community-integrated self-management for low back pain.
• Has a broad understanding of indications for the various evidence-based treatments for low back pain patterns.
• Identifies signs and symptoms of undiagnosed medical conditions requiring a referral to diagnostic imaging/testing and/or referral to a physician in accordance with established Low Back RAC Guidelines.
• Initiates communication and appropriate surgical and non-surgical referrals based on established Low Back RAC assessment and referral guidelines.
• Documents plan of care according to established Low Back RAC guidelines.
• Communicates internally and externally to facilitate plan of care (i.e. other health care professionals).
• Evaluates and revises the plan of care in collaboration with patient/family and primary care provider.
• Utilizes a patient-centered care approach consistent with patient goals, needs and values.
2. Teaching and Learning
• Participates in RAC sponsored regional and central education and training events for continuing education.
• Collaborates with the RAC team to identify learning needs of patients and primary care providers.
• Provides informal education externally to primary care providers where needed.
• Facilitates knowledge transfer and evidence-based practice.
3. Contractor Responsibilities
• Acts as an active member of the Low Back RAC.
• Accountable to align activities and performance with strategic goals and objectives of the Low Back RAC.
• Adheres to the Low Back RAC standards, policies and procedures, including centralized referral and clinic management system processes and participates in quality and performance management activities.
In order to carry out the above duties, the APP must provide all equipment required for patient care and communications, including office space with administrative support, internet access, plinth, computer, printer/scanner, fax number, low cost tablet for electronic surveys, phone line.
APPLICATION DEADLINE: Sept 1st, 2024 – In order be considered for this position, you must submit a current resume or detailed qualifications summary on or before this date to: RACLBP.recruitment@williamoslerhs.ca
**Only those selected for an interview will be contacted**
While we thank all applicants, only those selected for an interview will be contacted. Any information obtained during the course of recruitment will be used for employment recruitment purposes only, and not for any other purpose.
Contact Email: human.resources@williamoslerhs.ca