Simply put, the timing was right for Dr. Jeffrey Gollish, Medical Director, at the Holland Centre, Susan Robarts, orthopaedic physiotherapist, Deborah Kennedy, Manager of Rehabilitation and Program Development and Anne Marie MacLeod, the Centre's Director, to develop a team-based model of care aimed at reducing wait times and providing good care.
"By coincidence," recalls Gollish, "Susan Robarts had been networking with international facilities and came across a team in Glasgow that not only had faced similar wait time challenges and designed a solution, but also had a previous fellow of mine on staff.
"Previously", says Gollish
, "some surgeons with large practices would see patients at the one or two-year mark and then tell them to call if they ever have any trouble.
Once a month, Gollish
and the APP
team do early morning rounds.
The advanced practice team can ask for a topic to discuss or to see specific types of cases.
"It's an ongoing education endeavour," says Gollish
"Some patients may need surgeon input, depending on the complexity of their original problem," says Gollish
, "but the vast majority of it can be done by the APP
"The interesting thing for me" says Gollish
, "is the wide spectrum of patients we've managed this way - from Joe and Joan Public to CEOs to physicians to lawyers, you name it - and no one has ever complained to me about seeing an advanced practice physiotherapist instead of a surgeon.
Patients are actually calling up and asking if they can see a certain APP whom they've seen over time, which says to me that people understand where to get good care and it doesn't always have to be someone with an MD after their name."
gives credit to Bone and Joint Canada and Drs.