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You are viewing a vacancy at St. Michael’s Hospital, now a member of a new health network along with Providence Healthcare and St. Joseph’s Health Centre. Together, we are committed to a shared purpose of advancing the health of our patients and our urban communities.

Advanced Practice Provider - TCLHIN East & Mid East Regions

Competition #:835574

Job Title:Advanced Practice Provider - TCLHIN East & Mid East Regions

Job Category:Other Patient Care

New Work Type:Casual Temporary

Positions Available:1

Union Affiliation:NU

Posted Date:16/01/19

Closing date:11/02/19

Salary Range:TBD

Length of Temporary Assignment:n/a

FTE Assignment (Cas=0.000001):n/a

Musculoskeletal (MSK) Rapid Access Clinics (RAC) 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 LHIN's as part of the MSK RAC implementation. 
The East and Mid-East TCLHIN (St. Michael's Hospital) is recruiting low back pain Advanced Practice Providers (APPs). 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. 
1. Expert Practice

  • Acts as the first and primary point of contact for consultation and assessment of referred patients with low back pain.
  • Provides specialized care, education and counseling for patients.
  • Performs a medical history, physical and health status for patients.
  • Conducts comprehensive assessment and communication of a diagnosis. 
  • Determines the suitability and eligibility of patients for surgical assessment.
  • Differentiates between inflammatory and non-inflammatory conditions.
  • Has a broad understanding of indications for different evidence-based treatments for low back pain.
  • Identifies 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.
  • Initiates communication and appropriate surgical and non-surgical referrals based on established ISAEC assessment and referral guidelines.
  • Establishes, communicates and documents clinical impressions/medical diagnoses within defined scope of practice. 
  • Develops plan of care in collaboration with the patient/family and primary care provider.
  • Documents plan of care according to established ISAEC 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.
  • Communicates specific medical diagnoses to 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.
  • Collaborates with the RAC team to identify learning needs of patients and primary care providers.

Provides formal and informal education internally and externally to RAC team members and primary care providers.  
Facilitates knowledge transfer and evidence-based practice.
3. Organization Responsibilities

  • Acts as an active member of the RAC.
  • Accountable to align activities and performance with strategic goals and objectives of the RAC.
  • Adheres to the RAC standards, policies and procedures, including centralized referral and clinic management system processes.
  • Participates in quality and performance management activities.

Participates in policy and procedure development.
4. Program Evaluation

  • In collaboration with RAC colleagues, enables, implements and conducts evaluation of clinical services related to the program. 
  • Performs other duties consistent with the APP role, as assigned or requested.


  • At least 4 years of clinical experience following completion of an accredited, entry-to-practice program in, a regulated health profession, required.
  • At least 1 year of clinical experience in the musculoskeletal-spine area, required.
  • Completion of a post-graduate musculoskeletal-related credentialing program or a total of 4 or more years of clinical experience in the musculoskeletal-spine area, required.
  • Member in good standing of respective professional/legislative college at the provincial level, required.
  • Experience in an advanced practice role in an integrated primary care environment, preferred.
  • Relevant administrative experience, preferred.

Please Note:

The cover letter should describe how your professional background and personality will contribute to the success of this exciting program.  IMPORTANT: Please specify the precise address (including postal code) from where you will be providing low back pain RAC assessment and education services in your cover letter. 

If the boundaries of your practice are within the East and Mid-East regions of the TCLHIN please apply to this posting at St. Michael's Hospital.

If the boundaries of your practice are within the North regions of the TCLHIN please apply to the job posted at Sunnybrook Health Sciences Centre. Please click on link to access this posting -

If the boundaries of your practice location are within the West and Mid-West regions of the TCLHIN please apply to the job posted at Toronto Western Hospital. Please click on link to access this posting -