Become part of the future of Musculoskeletal (MSK) care
Musculoskeletal (MSK) Rapid Access Clinics (RACs) are being implemented across the province to help people with MSK pain access the right treatment faster. This work stems from the successful pilot program: Inter-professional Spine Assessment and Education Clinics (ISAEC) for low back pain.
ISAEC 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 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: (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. The ISAEC model of care is being implemented across the Toronto Central LHIN as part of the MSK RAC implementation.
As a member of a RAC, the APP acts as the first and primary point of contact for consultation and assessment of referred patients; provides a defined program of care to the patient with an emphasis on education, self-management and health promotion strategies; develops a collaborative care plan with the patient and their primary care provider and documents progress against the care plan; and identifies 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. Please note that successful candidates must complete both practical (in person 2 days/week for 4 weeks) and theoretical training (1 week online) in low back pain topics.
St. Michaels Hospital, Sunnybrook Health Sciences Centre and The University Health Network – Toronto Western Hospital are coordinating the implementation of the Low Back RAC within the Toronto Central LHIN. Each hospital will be responsible for the hiring, training, and management of Advanced Practice Providers within their region. As such, depending on your clinic’s practice location please direct your application to the appropriate hospital.
If the boundaries of your practice are within the East and Mid-East regions of the Toronto Central LHIN please forward your application to St. Michael’s Hospital
If the boundaries of your practice are within the North regions of the Toronto Central LHIN please forward your application to Sunnybrook Health Sciences Centre
If the boundaries of your practice location are within the West and Mid-West regions of the Toronto Central LHIN please forward your application to Toronto Western Hospital
Map of the sub-regions of the Toronto Central LHIN