Health Careers For CENTRAL EAST

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Scarborough Health Network

The Inter-Professional Spine Assessment and Education Clinic (ISAEC) is a model of care in which patients receive rapid low back pain assessment, education and evidence-based self-management plans. Funded by the Central East Local Health Integration Network (Central East LHIN) and hosted at the Scarborough Health Network, it is designed to decrease the prevalence of unmanageable chronic low back pain, reduce opioid initiation, and reduce unnecessary diagnostic imaging as well as unnecessary specialist referral.
The low back pain RAC is specifically for patients with:

  • persistent low back pain and/or related symptoms (e.g. sciatica, neurogenic claudication) 6 weeks to 12 months post-onset
  • recurrent / episodic unmanageable low back pain and/or related symptoms of less than 12 months post-recurrence.



Position:  Advanced Practice Provider (APP), MSK Rapid Access Clinic for Low Back Pain

Region:  Scarborough, Durham Region, Northumberland, Kawartha Lakes, Peterborough, Haliburton

Description:  

Scarborough Health Network is inviting applicants for Registered Physiotherapists and Nurse Practitioners based in the Central East LHIN (Scarborough, Durham, Northumberland County, Peterborough City and County, City of Kawartha Lakes and Haliburton County) to become contracted APPs delivering rapid patient assessment, education and self-management advice from their respective practice locations for patients with low back pain.
The Inter-Professional Spine Assessment and Education Clinic (ISAEC) is an innovative, upstream, and shared-care model of care in which patients receive rapid low back pain assessment, education and evidence-based self-management plans. Funded by the Central East Local Health Integration Network (Central East LHIN) and hosted at the Scarborough Health Network, it is designed to decrease the prevalence of unmanageable chronic low back pain, reduce opioid initiation, and reduce unnecessary diagnostic imaging as well as unnecessary specialist referral. This work stems from the successful pilot program: Inter-professional Spine Assessment and Education Clinics (ISAEC) for low back pain as part of the provincial Musculoskeletal (MSK) Rapid Access Clinics (RAC) to assist people with MSK pain access the right treatment faster. The low back pain RAC is specifically for patients with:
  • persistent low back pain and/or related symptoms (e.g. sciatica, neurogenic claudication) 6 weeks to 12 months post-onset
  • recurrent / episodic unmanageable low back pain and/or related symptoms of less than 12 months post-recurrence. 

Scarborough Health Network is recruiting low back pain Advanced Practice Providers (APPs). As a member of a RAC, the APP will act as the first and primary point of contact for consultation and assessment of referred patients; provide a defined program of care to the patient with an emphasis on education, self-management and health promotion strategies; develop a collaborative care plan with the patient and their primary care provider and document progress against the care plan; and identify signs and symptoms requiring a change in the plan of care, diagnostic imaging/testing, or referral to a Physician Specialist.
The APP is a skilled clinician, with requisite entry-to-practice training in a regulated health discipline and will be responsible for delivering rapid patient assessment and education for this specific population of low back pain patients, from their respective practice location.
The APP will be connected to a Clinical Sponsor (Physician Specialist) and Practice Leader who will provide clinical guidance and advanced low back pain education. Additionally, all APPs will be connected through a centralized referral and case management system. The successful candidates must complete both practical (in person 2 days/week for 3 weeks) and theoretical training (1 week online) in low back pain topics.
 
  Qualifications:
  • Minimum 4 years of clinical experience following completion of an accredited, entry-to-practice program in a regulated health profession required.
  • Including, at least 1 year of clinical experience in the musculoskeletal-spine area required.
  • 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:
  • Act as the first and primary point of contact for consultation and assessment of referred patients with low back pain.
  • Provide specialized care, education and counseling for patients.
  • Perform a medical history, physical and health status for patients.
  • Conduct comprehensive assessment and communication of a diagnosis.
  • Determine the suitability and eligibility of patients for surgical assessment.
  • Differentiate between inflammatory and non-inflammatory conditions.
  • Hold a broad understanding of indications for different evidence-based treatments for low back pain.
  • Identify signs and symptoms of undiagnosed medical conditions requiring a referral to diagnostic imaging/testing and/or referral to a Physician Specialist in accordance with established ISAEC guidelines.
  • Initiate communication and appropriate surgical and non-surgical referrals based on established ISAEC assessment and referral guidelines.
  • Establish, communicate and document clinical impressions/medical diagnoses within defined scope of practice.
  • Develop plan of care in collaboration with the patient/family and primary care provider.
  • Document plan of care according to established ISAEC guidelines.
  • Communicate internally and externally to facilitate plan of care (i.e. other health care professionals).
  • Evaluate and revise the plan of care in collaboration with patient/family and primary care provider.
  • Communicate specific medical diagnoses to primary care provider.
  • Utilize a patient-centered care approach consistent with patient goals, needs and values.

2. Teaching and Learning:
  • Participate in RAC sponsored regional and central education and training events.
  • Collaborate with the RAC team to identify learning needs of patients and primary care providers.
  • Provide formal and informal education internally and externally to RAC team members and primary care providers.
  • Facilitate knowledge transfer and evidence-based practice.

3. Organization Responsibilities:
  • Act as an active member of the RAC.
  • Accountable to align activities and performance with strategic goals and objectives of the RAC.
  • Adhere to the RAC standards, policies and procedures, including centralized referral and clinic management system processes.
  • Participate in quality and performance management activities.
  • Participate in policy and procedure development.

4. Program Evaluation:
         In collaboration with RAC colleagues you will enable, implement, and conduct evaluations of clinical services related to the program.
5.       Perform other duties consistent with the APP role, as assigned or requested.

Salary:  To be negotiated

Terms of Employment:  Part-Time Contract

Deadline for Application:  Saturday, February 02, 2019

How to Apply:  Reference Job ID: J1218-0913

Submit Application To: Megan Liu, Recruitment Associate (mliu@shn.ca)


Location:  Scarborough, Durham, Northumberland County, Peterborough City and County, City of Kawartha Lakes and

Profession Type:  Physiotherapists

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