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    Managing Pain with Interdisciplinary Care: Part 1

    enMay 04, 2023
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    About this Episode

    Having led innovative interdisciplinary clinics focused on treating pain and preserving wellness for more than 40 years, Dr. Angela Mailis believes interprofessional collaboration is the best way to deliver pain management. In this part one episode of a two-part series we chat with Dr. Mailis, a physiatrist, specialist pain physician, clinical professor, and leading authority on the diagnosis and management of chronic pain. She’s joined by Dr. Demetry Assimakopoulos, OCA’s 2022 Dr. Michael Brickman Heart and Hands Award winner, who has worked collaboratively with Dr. Mailis since 2015. Together, they share their best practice approaches to pain management. Dr. Mailis also outlines her introduction to chiropractic care, the role chiropractors play in her clinic and what she seeks in the DCs she hires. 

    Topics Covered:

    • Physician-led Pain & Wellness Centre in Vaughan and its interdisciplinary model
    • The Centre's innovative culture, patient-centred communications and supports to optimize it
    • Dr. Assimankopoulos' approach to pain management
    • Unique features of Demetry's work and environment
    • How Dr. Mailis learned about chiropractors and what surprised her
    • Demetry's  transition to the Univerity Health Network (UHN)
    • Evolution of chiropractic care at UHN
    • Role and value of chiropractors at the Centre
    • Dr. Mailis' message to other physicians
    • Top three attributes Dr. Mailis seeks in chiropractors

    Key Links to References/Resources Discussed:

    About Dr. Angela Mailis:

    Dr. Mailis is a specialist in Physical Medicine and Rehabilitation, has a Master's Degree from the Institute of Medical Science, University of Toronto, has served as Senior Investigator with the Krembil Neuroscience Centre/ University Health Network up to 2015, and became a full professor at the Department of Medicine, University of Toronto in 2005. She is a member of the School of Graduate Studies at the University of Toronto and is currently an Adjunct Clinical Professor, Faculty of Medicine, University of Toronto, Division of Physical Medicine. Since she started practising in 1982, her clinical and research interests focus on the diagnosis and management of chronic pain.

    Dr. Mailis founded and directed the Comprehensive Pain Program of the Toronto Western Hospital, University Health Network (1982-2015) and continues to be a full member of the Division of Physical Medicine and Consultant at the University Health Network Comprehensive Integrated Pain Program.

    She is a national Evidence-Based Guideline developer, Chair of ACTION Ontario since 2005 (a not-for-profit organization for education and advocacy for patients with neuropathic pain), and a highly respected medicolegal expert in matters of chronic pain across the country.

    Dr. Mailis has published more than 130 peer-reviewed scientific papers; credited with “first publications in the world” on a number of pain conditions; recognized as an international expert on specific specialty areas; has trained numerous students and international trainees; and has lectured around the world on matters of chronic pain.

    She is also a Popular Science writer (has written BEYOND PAIN published in the USA and Canada) and CARP-Advocacy electronic newsletter contributor monthly (2009-2014), while her new book “Smart, Successful and Abused” will be published in September 2019 by Sutherland House. She has appeared on numerous media outlets (print, radio, TV) over the years promoting understanding and advocacy on chronic pain.

    She has participated in several hospital and university committees and serves as an advisor to the Ontario Ministry of Health since 2009 as well as federal committees and health panels.

    Dr. Mailis was nominated to the 75 semi-finalists “top immigrants” in Canada for 2011. She is a recipient of the Hellenic Women’s Coming of Age Celebration Award (May 2004); Division of Physiatry, University of Toronto, Achievement Award (June 2005); the 2013 Canadian Pain Society Harold Merskey Award; and the Division of Physiatry Life Award in 2014.

    As of September 2014, Dr. Mailis created an interdisciplinary best-practices community pain clinic in Vaughan (Pain & Wellness Centre). The Centre was proclaimed in October 2016 by the Ontario Ministry of Health the “Demonstration Project of Ontario” as the template for further similar community-based clinics, that connect the community to the academic hospitals. The Pain and Wellness Centre not only offers chronic pain consultations but serves as an educational hub for numerous trainees, and also a research centre studying chronic pain in the community.

    About Dr. Demetry Assimakopoulos ('Dr. Demetry'):

    Dr. Demetry received his specialized honours undergraduate degree from York University in 2008. He concurrently earned a specialty in Fitness Assessment and Exercise Counseling, and the title of Certified Exercise Physiologist (CEP) through the Canadian Society for Exercise Physiology (CSEP).

    Dr. Demetry graduated from the Canadian Memorial Chiropractic College (CMCC) in 2012 and immediately began practising in midtown Toronto. In 2014, Dr. Demetry became the Clinical Coordinator for the University Health Network (UHN) Comprehensive Integrated Pain Program at The Toronto Rehabilitation Institute. In the hospital setting, Demetry works with a team of physicians, nurses, occupational therapists, and physiotherapists to adequately diagnose and manage chronic pain. 

    He earned his diplomate in chronic pain management through the Canadian Academy of Pain Management in 2015. He has since been hosted by several provincial associations across Canada to lecture to health care providers on the conservative and interdisciplinary management of chronic pain. He was happy to finally join the fabulous team at the Pain and Wellness Centre in November 2017.

    Dr. Demetry was voted to receive the members' choice  2022 Dr. Michael Brickman Heart and Hands Award  from the Ontario Chiropractic Association  for embodying a generous and giving spirit (the heart) with remarkable passion and dedication to chiropractic care (the hands).

    Recent Episodes from ON Spinal Chat

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    Fostering Self-Care Rituals for Healthier Lives

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    • Selecting the book's 21 influential Canadians or mentors
    • Role of science and evidence-based care
    • Who benefits from Take Good Care?
    • What drives Dr. Chapin to strive for optimal health and wellness
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    Key Links to References/Resources Discussed:

    About Dr. Dwight Chapin:

    Dr. Dwight Chapin is an award-winning chiropractor, owner of a large multidisciplinary wellness clinic, Team Chiropractor for the Canadian Football League’s Toronto Argonauts, onsite clinician and Health Advisor for The Globe and Mail, and author. 

    He has co-authored workplace wellness e-learning modules for the Canadian Centre for Occupational Health & Safety-CCOHS, was awarded the 2018 Chiropractor of the Year by the Ontario Chiropractic Association and is a two-time Grey Cup champion as a member of the Toronto Argonauts’ medical staff.   

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    Managing Pain with Interdisciplinary Care: Part 2

    Managing Pain with Interdisciplinary Care: Part 2

    In part two of this series on pain management, Dr. Demetry Assimakopoulos returns to provide a more in-depth view of the work chiropractors do at the Comprehensive Pain Program at the University Health Network (UHN) and the Pain and Wellness Centre in Vaughan. Both these clinics were founded and led by Dr. Angela Mailis, a physiatrist, pain physician, clinical professor, and leading authority on the diagnosis and management of chronic pain. In Part 1, Dr. Mailis discussed her interdisciplinary approach for addressing pain, her experience and her work with chiropractors.

    In this episode, Dr. Demetry will share a case study about a patient who was given the full-blown treatment at these clinics. To help you and other chiropractors hone an expertise in chronic pain management, he will also provide tips and useful resources, including must-read articles you can start with today.

    Topics Covered:

    • Key points about Dr. Mailis' approach to interdisciplinary care
    • Differences between work chiropractors do at University Health Network (UHN) versus the Pain & Wellness Centre in Vaughan
    • Evolution of the interdisciplinary model at UHN
    • Dr. Demetry's tenure at UHN
    • How chiropractors can prepare for working in an interdisciplinary clinic and what to expect
    • How chiropractors can enhance their work with physicians
    • Case study of patient with chronic pain
    • Impact of mental health on chronic pain and treatment
    • Must-read current research on chronic pain management
    • How you can develop an expertise in chronic pain management

    Key Links to References/Resources Discussed:

    About Dr. Angela Mailis:

    Dr. Mailis is a specialist in Physical Medicine and Rehabilitation, has a Master's Degree from the Institute of Medical Science, University of Toronto, has served as Senior Investigator with the Krembil Neuroscience Centre/ University Health Network up to 2015, and became a full professor at the Department of Medicine, University of Toronto in 2005. She is a member of the School of Graduate Studies at the University of Toronto and is currently an Adjunct Clinical Professor, Faculty of Medicine, University of Toronto, Division of Physical Medicine. Since she started practising in 1982, her clinical and research interests focus on the diagnosis and management of chronic pain.

    Dr. Mailis founded and directed the Comprehensive Pain Program of the Toronto Western Hospital, University Health Network (1982-2015) and continues to be a full member of the Division of Physical Medicine and Consultant at the University Health Network Comprehensive Integrated Pain Program.

    She is a national Evidence-Based Guideline developer, Chair of ACTION Ontario since 2005 (a not-for-profit organization for education and advocacy for patients with neuropathic pain), and a highly respected medicolegal expert in matters of chronic pain across the country.

    Dr. Mailis has published more than 130 peer-reviewed scientific papers; credited with “first publications in the world” on a number of pain conditions; recognized as an international expert on specific specialty areas; has trained numerous students and international trainees; and has lectured around the world on matters of chronic pain.

    She is also a Popular Science writer (has written BEYOND PAIN published in the USA and Canada) and CARP-Advocacy electronic newsletter contributor monthly (2009-2014), while her new book “Smart, Successful and Abused” will be published in September 2019 by Sutherland House. She has appeared on numerous media outlets (print, radio, TV) over the years promoting understanding and advocacy on chronic pain.

    She has participated in several hospital and university committees and serves as an advisor to the Ontario Ministry of Health since 2009 as well as federal committees and health panels.

    Dr. Mailis was nominated to the 75 semi-finalists “top immigrants” in Canada for 2011. She is a recipient of the Hellenic Women’s Coming of Age Celebration Award (May 2004); Division of Physiatry, University of Toronto, Achievement Award (June 2005); the 2013 Canadian Pain Society Harold Merskey Award; and the Division of Physiatry Life Award in 2014.

    As of September 2014, Dr. Mailis created an interdisciplinary best-practices community pain clinic in Vaughan (Pain & Wellness Centre). The Centre was proclaimed in October 2016 by the Ontario Ministry of Health the “Demonstration Project of Ontario” as the template for further similar community-based clinics, that connect the community to the academic hospitals. The Pain and Wellness Centre not only offers chronic pain consultations but serves as an educational hub for numerous trainees, and also a research centre studying chronic pain in the community.

    About Dr. Demetry Assimakopoulos ('Dr. Demetry'):

    Dr. Demetry received his specialized honours undergraduate degree from York University in 2008. He concurrently earned a specialty in Fitness Assessment and Exercise Counseling, and the title of Certified Exercise Physiologist (CEP) through the Canadian Society for Exercise Physiology (CSEP).

    Dr. Demetry graduated from the Canadian Memorial Chiropractic College (CMCC) in 2012 and immediately began practising in midtown Toronto. In 2014, Dr. Demetry became the Clinical Coordinator for the University Health Network (UHN) Comprehensive Integrated Pain Program at The Toronto Rehabilitation Institute. In the hospital setting, Demetry works with a team of physicians, nurses, occupational therapists, and physiotherapists to adequately diagnose and manage chronic pain. 

    He earned his diplomate in chronic pain management through the Canadian Academy of Pain Management in 2015. He has since been hosted by several provincial associations across Canada to lecture to health care providers on the conservative and interdisciplinary management of chronic pain. He was happy to finally join the fabulous team at the Pain and Wellness Centre in November 2017.

    Dr. Demetry was voted to receive the members' choice  2022 Dr. Michael Brickman Heart and Hands Award  from the Ontario Chiropractic Association for embodying a generous and giving spirit (the heart) with remarkable passion and dedication to chiropractic care (the hands).

    Managing Pain with Interdisciplinary Care: Part 1

    Managing Pain with Interdisciplinary Care: Part 1

    Having led innovative interdisciplinary clinics focused on treating pain and preserving wellness for more than 40 years, Dr. Angela Mailis believes interprofessional collaboration is the best way to deliver pain management. In this part one episode of a two-part series we chat with Dr. Mailis, a physiatrist, specialist pain physician, clinical professor, and leading authority on the diagnosis and management of chronic pain. She’s joined by Dr. Demetry Assimakopoulos, OCA’s 2022 Dr. Michael Brickman Heart and Hands Award winner, who has worked collaboratively with Dr. Mailis since 2015. Together, they share their best practice approaches to pain management. Dr. Mailis also outlines her introduction to chiropractic care, the role chiropractors play in her clinic and what she seeks in the DCs she hires. 

    Topics Covered:

    • Physician-led Pain & Wellness Centre in Vaughan and its interdisciplinary model
    • The Centre's innovative culture, patient-centred communications and supports to optimize it
    • Dr. Assimankopoulos' approach to pain management
    • Unique features of Demetry's work and environment
    • How Dr. Mailis learned about chiropractors and what surprised her
    • Demetry's  transition to the Univerity Health Network (UHN)
    • Evolution of chiropractic care at UHN
    • Role and value of chiropractors at the Centre
    • Dr. Mailis' message to other physicians
    • Top three attributes Dr. Mailis seeks in chiropractors

    Key Links to References/Resources Discussed:

    About Dr. Angela Mailis:

    Dr. Mailis is a specialist in Physical Medicine and Rehabilitation, has a Master's Degree from the Institute of Medical Science, University of Toronto, has served as Senior Investigator with the Krembil Neuroscience Centre/ University Health Network up to 2015, and became a full professor at the Department of Medicine, University of Toronto in 2005. She is a member of the School of Graduate Studies at the University of Toronto and is currently an Adjunct Clinical Professor, Faculty of Medicine, University of Toronto, Division of Physical Medicine. Since she started practising in 1982, her clinical and research interests focus on the diagnosis and management of chronic pain.

    Dr. Mailis founded and directed the Comprehensive Pain Program of the Toronto Western Hospital, University Health Network (1982-2015) and continues to be a full member of the Division of Physical Medicine and Consultant at the University Health Network Comprehensive Integrated Pain Program.

    She is a national Evidence-Based Guideline developer, Chair of ACTION Ontario since 2005 (a not-for-profit organization for education and advocacy for patients with neuropathic pain), and a highly respected medicolegal expert in matters of chronic pain across the country.

    Dr. Mailis has published more than 130 peer-reviewed scientific papers; credited with “first publications in the world” on a number of pain conditions; recognized as an international expert on specific specialty areas; has trained numerous students and international trainees; and has lectured around the world on matters of chronic pain.

    She is also a Popular Science writer (has written BEYOND PAIN published in the USA and Canada) and CARP-Advocacy electronic newsletter contributor monthly (2009-2014), while her new book “Smart, Successful and Abused” will be published in September 2019 by Sutherland House. She has appeared on numerous media outlets (print, radio, TV) over the years promoting understanding and advocacy on chronic pain.

    She has participated in several hospital and university committees and serves as an advisor to the Ontario Ministry of Health since 2009 as well as federal committees and health panels.

    Dr. Mailis was nominated to the 75 semi-finalists “top immigrants” in Canada for 2011. She is a recipient of the Hellenic Women’s Coming of Age Celebration Award (May 2004); Division of Physiatry, University of Toronto, Achievement Award (June 2005); the 2013 Canadian Pain Society Harold Merskey Award; and the Division of Physiatry Life Award in 2014.

    As of September 2014, Dr. Mailis created an interdisciplinary best-practices community pain clinic in Vaughan (Pain & Wellness Centre). The Centre was proclaimed in October 2016 by the Ontario Ministry of Health the “Demonstration Project of Ontario” as the template for further similar community-based clinics, that connect the community to the academic hospitals. The Pain and Wellness Centre not only offers chronic pain consultations but serves as an educational hub for numerous trainees, and also a research centre studying chronic pain in the community.

    About Dr. Demetry Assimakopoulos ('Dr. Demetry'):

    Dr. Demetry received his specialized honours undergraduate degree from York University in 2008. He concurrently earned a specialty in Fitness Assessment and Exercise Counseling, and the title of Certified Exercise Physiologist (CEP) through the Canadian Society for Exercise Physiology (CSEP).

    Dr. Demetry graduated from the Canadian Memorial Chiropractic College (CMCC) in 2012 and immediately began practising in midtown Toronto. In 2014, Dr. Demetry became the Clinical Coordinator for the University Health Network (UHN) Comprehensive Integrated Pain Program at The Toronto Rehabilitation Institute. In the hospital setting, Demetry works with a team of physicians, nurses, occupational therapists, and physiotherapists to adequately diagnose and manage chronic pain. 

    He earned his diplomate in chronic pain management through the Canadian Academy of Pain Management in 2015. He has since been hosted by several provincial associations across Canada to lecture to health care providers on the conservative and interdisciplinary management of chronic pain. He was happy to finally join the fabulous team at the Pain and Wellness Centre in November 2017.

    Dr. Demetry was voted to receive the members' choice  2022 Dr. Michael Brickman Heart and Hands Award  from the Ontario Chiropractic Association  for embodying a generous and giving spirit (the heart) with remarkable passion and dedication to chiropractic care (the hands).

    Advocacy to Advance the Profession: Part 2

    Advocacy to Advance the Profession: Part 2

    In part two of this series on OCA's advocacy work to advance the chiropractic profession, Caroline Pinto, Managing Principal, of Counsel Public Affairs, returns to outline OCA’s current strategy, objectives, and some of the activities it will undertake to support them. In this episode, we’ll also chat about OCA's Local Leaders Program and how OCA members can get involved and help drive results.

    Topics Covered:

    • Current advocacy objectives
    • Overall strategy
    • Current priority: scope enhancement
    • Grassroots initiatives
    • Member involvement and the Local Leaders Program
    • OCA's upcoming activities to advocate for the profession

    Key Links to References/Resources Discussed:

    About Ms. Caroline Pinto:

    As Managing Principal and a co-founder of Counsel Public Affairs, Caroline Pinto provides strategic political and policy advice across a broad range of issues and sectors, including health care, the sharing economy, housing and land development, forestry, Indigenous issues, regulated industries, and professions, as well as a host of not-for-profit sectors.

    Ms. Pinto’s profound understanding of the political and public policy development process stems from her work as a policy advisor to the Attorney General of Ontario and Minister Responsible for Native Affairs under the Mike Harris government, from 1995 to 1998. Building on her experience in government, she had a two-year stint as Vice President and Director in the Private/Public Partnership Group at Deloitte & Touche LLP. Prior to her more than 20-year career in politics and government relations in and around Queen’s Park, Caroline practiced law in Ontario.

    Clients count on her to craft and execute complex and integrated government and public relations action plans built to succeed, including effective political and public policy analysis and solutions, stakeholder mapping and engagement, and strategic communications.

    Ms. Pinto’s experience as a trusted strategist is supported by years of leading interdisciplinary teams, her work on coordinating health professions’ regulatory reviews, and working collaboratively with government on emerging public policy areas including the sharing economy.

    Advocacy to Advance the Profession: Part 1

    Advocacy to Advance the Profession: Part 1

    Advocating for you, our profession, and our patients is a key part of our work. But what does this mean in the context of a member-based organization like the OCA? In this two-part series on advocacy to advance the profession, we’ll define advocacy, outline OCA’s approach, achievements, strategy, and how you can get involved. Tune into this part one episode to hear what advocacy entails, including grassroots advocacy, at the OCA, and for our members. We’ll also chat about OCA’s approach and our progress to date.  

    Topics Covered:

    • Defining advocacy and grassroots advocacy
    • Role and value of advocacy to OCA
    • Impact of other regulated health professions
    • OCA's approach to advocacy
    • Changes in perceptions of the profession
    • Innovative work to enhance perceptions
    • Insights supporting the chiropractic profession and other regulated health professions
    • OCA's top three advocacy achievements in recent years (interprofessional collaboration, Rapid Access Clinics for low back pain, and spousal exception)
    • Spousal exception and why it matters
    • Strategy to  declassify  chiropractic care as complementary and alternative medicine
    • Impact of initiatives to date

    Key Links to References/Resources Discussed:

    About Ms. Caroline Pinto:

    As Managing Principal and a co-founder of Counsel Public Affairs, Caroline Pinto provides strategic political and policy advice across a broad range of issues and sectors, including health care, the sharing economy, housing and land development, forestry, Indigenous issues, regulated industries, and professions, as well as a host of not-for-profit sectors.

    Ms. Pinto’s profound understanding of the political and public policy development process stems from her work as a policy advisor to the Attorney General of Ontario and Minister Responsible for Native Affairs under the Mike Harris government, from 1995 to 1998. Building on her experience in government, she had a two-year stint as Vice President and Director in the Private/Public Partnership Group at Deloitte & Touche LLP. Prior to her more than 20-year career in politics and government relations in and around Queen’s Park, Caroline practiced law in Ontario.

    Clients count on her to craft and execute complex and integrated government and public relations action plans built to succeed, including effective political and public policy analysis and solutions, stakeholder mapping and engagement, and strategic communications.

    Caroline’s experience as a trusted strategist is supported by years of leading interdisciplinary teams, her work on coordinating health professions’ regulatory reviews, and working collaboratively with government on emerging public policy areas including the sharing economy.

    Supporting Mental Health Needs

    Supporting Mental Health Needs

    While the diagnosis and treatment of mental health conditions is not within a chiropractor’s scope of practice, Dr. Janet D’Arcy believes chiropractors like you can play an important role in identifying someone who may need assistance, helping them access practical resources and making appropriate referrals. In this episode, Dr. D’Arcy, a certified mental health first aid instructor and chiropractor, outlines how you can increase your mental health literacy and prepare to appropriately engage and support a patient, colleague, or family member in their time of need. 

    Topics Covered:

    • Mental Health First Aid and Training
    • How Dr. D'Arcy Became Involved
    • Practical Application of Mental Health First Aid
    • Key Available Resources and Applications
    • Safeguarding Your Own and Family Members' Mental Health
    • Chronic Pain and Mental Health
    • Supporting a Patient's Mental Health Within Scope
    • Real-Life Examples and What Helped
    • Three Steps to Start
    • Future Mental Health Support 

    Key Links to References/Resources Discussed:

    About Dr. Janet D'Arcy:

    Dr. Janet D’Arcy is a seasoned chiropractor who practises in an east-end Toronto Beach(es) clinic, along with a registered massage therapist. 

    In addition to her private practice, she is an Assistant Professor at the Canadian Memorial Chiropractic College (CMCC). Within this role, Dr. D’Arcy supervises interns providing patient care at CMCC’s clinic at Sherbourne Health. She also serves on the OCA’s Board of Directors.

    Dr. D’Arcy received her undergraduate degrees in biology and physical & health education from Queen’sUniversity in 1989 and her Doctor of Chiropractic degree from the CMCC in 1993. She was also certified in acupuncture from Acupuncture Canada (formerly AFCI) in 2007.

    In 2014, Dr. D’Arcy was certified by the Mental Health Commission of Canada to teach mental health first aid. Since then, she’s helped fellow clinicians, as well as CMCC staff, faculty and students increase their knowledge of mental health conditions, resources and practical approaches.

    Dr. D’Arcy also received her Fellowship in Sports Sciences from the Royal College of Chiropractic Sports Sciences (Canada) in 2016. Along with Dr. Cameron Borody, she was recently awarded a Canadian Chiropractic Research Foundation (CCRF) grant for a study on Attitudes toward chiropractic: a survey of Canadian sport and exercise medicine physicians.

    Why Rapid Access Clinics Matter to You

    Why Rapid Access Clinics Matter to You

    Rapid Access Clinics or.RACs for low back pain are designed to support not replace a chiropractor's care. They provide patients, who qualify for the program with a timely consultation on their low back condition and related symptoms to support their self-management. In this episode, we speak with Dr. Henry Candelaria, who has been involved in Ontario's RACs since 2012. Tune in to hear Dr. Candelaria discuss why RACs matter to you, your patients, and our health ecosystem. He outlines the rewards, challenges, and what to expect from the RAC for low back pain (RAC-LBP)'s clinical roles for chiropractors. He also explains how you can advocate for your patients who may benefit from the RAC-LBP and use a new tool to help facilitate their referral. 

    Topics Covered:

    • Purpose of the Rapid Access Clinics (RACs)
    • Dr. Candelaria's involvement with the RACs
    • Types of RACs
    • Design of RACs and role of hospitals
    • Difference between RACs for Low Back Pain and others
    • Patient referral process
    • Primary care provider engagement and registration requirements
    • How to facilitate patient referrals to a RAC-LBP
    • RAC-LBP patient outcomes
    • Chiropractors' skills and RAC-LBP requirements
    • Chiropractor roles in the RAC-LBP program
    • RAC-LBP chiropractors' feedback
    • Growing pains or challenges working in a RAC-LBP
    • Chiropractors' experience and insights from RAC-LBP work

    Key Links to References/Resources Discussed:

    About Dr. Henry Candelaria:

    Dr. Candelaria is a Practice Lead at Trillium Health Partners, Mississauga Halton Rapid Access Clinic for Low Back Pain and also a practising chiropractor in Oakville, Ontario. 

    Dr. Candelaria holds a Bachelor of Physical Health and Education from the University of Toronto.  He graduated Magna Cum Laude from the Canadian Memorial Chiropractic College (CMCC) in 2007.  During his time there, he was heavily influenced by a number of leaders and trailblazers in the chiropractic profession who placed an emphasis on functional movement analysis and evidence-based manual therapy and rehabilitation.  Most importantly, the process of establishing an accurate diagnosis was instilled in him during his time at CMCC and is something he has carried with him since graduation and throughout his career.  

    Since graduation in 2007, he sought out non-traditional interprofessional chiropractic opportunities in the health care system.  He has since worked in various capacities in four different greater Toronto area hospitals, as well as a family health team and a community physiatry practice both in his current hometown of Oakville, Ontario.  These experiences have provided opportunities to engage and collaborate with a variety of musculoskeletal-related medical specialties, including neurology, physiatry, orthopaedics, neurosurgery, rheumatology, and sports medicine.  

    He has also benefited from working with some of the best in the manual therapy and rehabilitation fields, ranging from osteopaths, physiotherapists, massage therapists, athletic therapists, chiropractors, strength and conditioning coaches, personal trainers, functional movement experts, and pilates and yoga practitioners."

    Collaborating with Primary Care: An NP's Perspective

    Collaborating with Primary Care: An NP's Perspective

    Ontario has a few team-based programs for musculoskeletal (MSK) care and a number of you work in interdisciplinary/ interprofessional clinics – but there’s room for more opportunities. In this episode, we speak with Kristy Naulls, an award-winning Nurse Practitioner (NP) about how collaborative care is improving her clients' or patients’ outcomes. Kristy works at the Belleville Nurse Practitioner-Led Clinic, is actively involved in the Primary Care Low Back Pain program, and has been working with OCA’s Opioid and Pain Reduction Collaborative and its tools. She shares her experience and offers ideas you can apply to expand your opportunities to effectively coordinate care with an NP or MD.

    Topics Covered:

    • Motivation for becoming a nurse practitioner (NP)
    • NP's introduction to chiropractic care
    • Value of chiropractic care to NPs
    • How NP assesses patients for manual therapy
    • NP's process for selecting the type of manual therapy for each patient
    • NP's priorities when selecting a chiropractor to refer to
    • Barriers and solutions to collaborating with primary care providers
    • Pandemic's effect on collaboration between primary care and chiropractors
    • Addressing the opioid crisis with collaboration
    • Using OCA's Opioid and Pain Reduction Collaborative tools
    • How chiropractors can provide extra value to NPs

    Key Links to References/Resources Discussed:

    About Kristy Naulls:

    Ms. Naulls is a full-time Nurse Practitioner (NP) at the Belleville Nurse Practitioner-Led Clinic and is also a Certified Respiratory Educator.  

    She graduated from Queen's University in 2004 and worked at Kingston General Hospital for eight years before moving to Belleville to work as an NP.  

    Ms. Naulls has a Master’s degree in nursing and enjoys teaching NP students online as a course instructor for Athabasca University.

    She is a well-regarded clinical preceptor for NP students from a variety of universities

    Ms. Naulls won the Patient Choice Award from the NPAO in 2015 and is a big advocate for patient-centered care and the benefits of working in a collaborative, multidisciplinary model of care. 

     

    Ontarians' Evolving Attitudes on Health Care

    Ontarians' Evolving Attitudes on Health Care

    The pandemic prompted many changes. So, OCA commissioned an Environics Research survey last fall to learn how it has affected Ontarians’ attitudes, goals and behaviours about their health care, including chiropractic care. In this episode, we speak with Nancy Gale, OCA’s VP, Strategic Communications and Stakeholder Management who led this project to discuss highlights of this research. Nancy outlines how consumers’ priorities have shifted, what they're willing to invest in their health, why they are seeking chiropractic care, and more.

    Topics Covered:

    • Purpose of OCA-commissioned fall 2021 Environics Research survey
    • Overview of survey audience demographics and timing
    • Ontarians' current attitudes toward their health
    • How Ontarians are prioritizing time and money for their physical and mental health
    • Issues currently prompting Ontarians to seek chiropractic care
    • The gap between chiropractors' scope and consumers' perceptions
    • How OCA is working to  raise awareness of the breadth of chiropractic care and what members can do
    • Ontarians' access to and attitudes about extended health care or employee benefits
    • How Ontarians value specific online features in their health care professionals' clinics
    • Top opportunities for Ontario chiropractors
    • How Ontarians assess their health

    Key Links to References/Resources Discussed:

    About Nancy Gale:

    An award-winning accredited Business Communications (ABC) professional, Nancy is Vice President, Strategic Communications and Stakeholder Management for the Ontario Chiropractic Association (OCA). She has more than 25 years of experience designing and executing measurably successful strategies for public and private sector organizations in Canada.  

    Nancy joined the OCA after more than a decade of experience in leadership roles for several public sector health care organizations, including Southlake Regional Health Centre, Mississauga Halton Community Care Access Centre and Trillium Health Centre.

    Lessons Learned to Lead Forward in a Covid-19 World

    Lessons Learned to Lead Forward in a Covid-19 World

    Even though restrictions are lifting, experts predict Covid-19 will be with us for some time. In this episode, we check in with Dr. Erika Kuehnel, an Ontario chiropractor, registered massage therapist and multidisciplinary clinic owner. We discuss lessons learned and how you can lead forward in a Covid world. As a member of OCA’s Return to Practice Working Group, Dr. Kuehnel, also took an extra deep dive into discovering best practices from the pandemic’s early days. She shares what her clinic did and will keep doing to safely care for patients and best support clinicians and staff. Dr. Kuehnel also chats about business changes and new practices that help her clinic continue to flourish. Listen to discover tips that may help you enhance your patient care and make your clinic thrive. 

    Topics Covered:

    • Best practices implemented to protect patients, clinicians and staff during the pandemic
    • Extra steps clinic took to enhance safety
    • Good practices likely to be retained as we move out of the pandemic and beyond
    • Advice for managing staff and colleagues' needs
    • How to best support registered massage therapists within and outside your clinic
    • Keeping in touch with patients in the pandemic or uncertain times
    • Patients who haven't returned for care
    • Virtual care or telehealth during the pandemic
    • Keeping patients, staff and clinicians safe when mandatory restrictions drop
    • New or tweaked business practices that are helping now and beyond the pandemic

    Key Links to References/Resources Discussed:

    About Dr. Erika Kuehnel:

    Dr. Erika Kuehnel is a Chiropractor, Registered Massage Therapist and CMCC graduate. 

    She owns and operates a multidisciplinary practice in Milton, Ontario, at Milton Back Doc, provides assessment services to the Low Back Pain Rapid Access Clinic, teaches in the massage therapy program at Oxford College, and is on the Board of Directors for the Registered Massage Therapists' Association of Ontario (RMTAO) Her prior involvement with the OCA includes working with the OCA advocacy program (now the Local Leaders program) and the Return to Practice Working Group

    Dr. Kuehnel lives in Milton with her husband, her two children and two dogs. She can be found hiking and camping in her spare time.

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