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Clinical

The Divison of General Internal Medicine faculty participate in the following additional clinics:
 
 
Urgent Fellows' Clinics
 
 
 
Perioperative Clinics
 
The Division of General Internal Medicine runs two half day clinics per week dedicated to the care of pre-operative patients with internal medicine problems. The service sees patients for risk assessment and optimization prior to surgery. Clinics are run at the HDH PSS, in parallel to anesthesia, to facilitate discussion regarding complex cases. In addition, high-risk patients are identified for inpatient post-operative follow-up by the GIM consult service. Senior trainees in GIM participate in the clinics as part of their Royal College requirements.
 
 
Bariatric Clinics
 
 
 
HTN Clinics
 
 
 
 

 

-      The GIM group at Queens has expertise in a broad range of diseases, and in particular specializes in the diagnosis and management of complex diseases.  

-      The GIM group currently runs a variety of clinics to which you can refer specifically, or your patient will be triaged to these clinics:

o  GIM Resident Clinic: for general internal medicine concerns

o  Fellow’s Urgent Clinic : run by PGY4 & 5s in GIM, supervised by an attending physician. For urgent assessments (<1month)

§ Procedures such as thoracocenteses and paracenteses can be performed in these clinics

o  Perioperative Clinics: addressing stability and management of chronic medical conditions prior to surgery

o  Obstetric medicine: managing medical conditions (eg Hypertension) in pregnancy (pre/ante/post partum)

o  Bariatric Clinic: assessing and managing patients pre and post bariatric surgery with a variety of issues (must be a patient of the bariatric centre)

 

     Specific issues that we can help with:

-      Post-discharge follow up for patients who have recently been admitted to the Clinical Teaching Units (CTUs)

-      Undifferentiated symptoms (eg SOBOE)

-      Poorly controlled chronic diseases (eg diabetes, hypertension, COPD, liver disease)

-      Abnormal bloodwork of unclear significance

-      De-prescribing, medication reviews

-      Refractory IDA requiring IV iron

 

-      Please note: 

o  With regards to the question of ‘Chronic Lyme Disease’, the GIM clinic does not prescribe antibiotics for this condition and only endorses Lyme serology testing done by Public Health Ontario 

o  The GIM clinic generally does not prescribe narcotics, these are left to the discretion of the PCP 

o  GIM cannot provide primary care to those without a PCP

 

Physician Specialties & Areas of Interest Pre Tests Required  Tele # Fax # Referral Form
Dr. B. Chan

Internal Medicine

  • Perioperative Clinic
  • Bariatric Clinic
None 613-533-2056 613-533-6654 Periop Clinic
Dr. S. Gauthier

Internal Medicine

  • Perioperative Clinic 
  • Bariatric Clinic
None 613-533-2056 613-533-6654 Periop Clinic
Dr. L. Marcotte Internal Medicine None 613-533-2780 613-533-6654 None
Dr. K. Marosi

Internal Medicine 

  • Perioperative Clinic
  • Bariatric Clinic
None 613-533-2056 613-533-6654 Periop Clinic
Dr. D. Maslove None  None 

 

613-533-6654 None
Dr. L. Milne

Internal Medicine

  • HTN Clinic 
None 

613-533-2780

613-533-6654 None
Dr. S. Montague

Internal Medicine

  • Perioperative Clinic
  • Bariatric Clinic 
 None

613-533-2056

613-533-6654 Periop Clinic
Dr. J. Murphy

Internal Medicine 

  • Perioperative Clinic
  • Bariatric Clinic
 None 613-533-2056  613-533-6654 Periop Clinic
Dr. A. Smaggus

Internal Medicine

  • Perioperative Clinic 
None   613-533-2780  613-533-6654 Periop Clinic 
Dr. C. Smith

Internal Medicine

  •  Perioperative Clinic
 None 613-533-2780  613-533-6654  Periop Clinic 
Dr. S. Srivastava

Internal Medicine

  • Perioperative Clinic 
 None 613-533-2780  613-533-6654  Periop Clinic
Dr. D. Taylor

Internal Medicine

  • HTN Clinic 
None   613-533-2780 613-533-6654   None
Dr. T. Wijeratne

Internal Medicine

  • Perioperative Clinic 
None  613-533-2056  613-533-6654  Periop Clinic

-      To be seen by a GIM specialist, you require a referral from your primary care provider (PCP), MD or NP, or from another medical specialist

-      Your referral will be reviewed by one of the consulting internists who will ‘triage’ the referral based on urgency and determine when you will be offered an appointment

-      Depending on the urgency of your case, you will be generally offered an appointment between 1-4months of the initial referral date

 

What to expect at your appointment:

-      Please bring all of your medications with you or an up to date medication list to your appointment

-      You will first be seen by a nurse who will review your medications and who will take your weight, blood pressure and heart rate

-      You will then be seen by an Internal Medicine Senior Resident  (a trainee) who will review your medical history, your current problem and perform a physical exam

-      The resident will review the case with the supervising or Attending physician who will then meet with you to discuss your diagnosis and the plan

-      You may be asked to do further bloodwork or x-rays etc.

-      You should expect to be in the clinic for ~60-90min. 

-      Depending on your problem, you may need further follow up in which case you will be contacted by the GIM office to book the appointment

-      A letter documenting the encounter will be sent to your PCP within a few weeks of the clinic appointment.

 

Internal Medicine Clinic 

Clinic Location:            Hotel Dieu Hospital 
                                       Brock 1 Clinic
                                       166 Brock St. Kingston, ON

Contact Information:    P
hysician: Dr. Laura Marcotte, Dr. Laura Milne, Dr. Andrew Smaggus, Dr. Christopher Smith, Dr. Siddhartha Srivastava, Dr. David Taylor
                                       Secretary:
Liana St. Denis 
                                       Phone: 613-533-2780
                                       Fax: 613-533-6654

 

Clinic Location:             Hotel Dieu Hospital 
                                       Brock 1 Clinic
                                       166 Brock St. Kingston, ON

Contact Information:   Physician: Dr. Barry Chan, Dr. Stephen Gauthier, Dr. Kristen Marosi, Dr. Steven Montague, Dr. Johanna Murphy, Dr. Thiwanka Wijeratne
                                       Secretary:
Sierra White
                                       Phone: 613-533-2056
                                       Fax: 613-533-6654

 

 

Fellows' Urgent Clinic

Clinic Location:             Kingston General Hospital (Tuesday) 
                                       Armstrong 4
                                       76 Stuart St. Kingston, ON

                                       Hotel Dieu Hospital (Friday)
                                       Brock 1 Clinic
                                       166 Brock St. Kingston, ON

Contact Information:   Physician: GIM Fellows
                                       Secretary:
Megan Crockford- Happy 
                                       Phone: 613-533-2538
                                       Fax: 613-533-6654                      

 


Perioperative Clinic 

Clinic Location:             Hotel Dieu Hospital 
                                       Brock 1 Clinic
                                       Presurgical Screening (PSS)
                                       166 Brock St. Kingston, ON

Contact Information:   Physician: Dr. Kristen Marosi
                                       Secretary:
Sierra White
                                       Phone: 613-533-2056
                                       Fax: 613-533-6654

 

 

Bariatric Clinic 

Clinic Location:             Hotel Dieu Hospital 
                                       Johnson 3
                                       166 Brock St. Kingston, ON

Contact Information:   Physician: Dr. Barry Chan, Dr. Stephen Gauthier, Dr. Kristen Marosi, Dr. Steven Montague, Dr. Johanna Murphy
                                       Secretary:
Sierra White
                                       Phone: 613-533-2056
                                       Fax: 613-533-6654

 

 

Hypertension Clinic 

Clinic Location:             Hotel Dieu Hospital 
                                       Brock 1 Clinic
                                       166 Brock St. Kingston, ON

Contact Information:   Physician: Dr. Laura Milne, Dr. David Tayor
                                       Secretary:
Liana St. Denis 
                                       Phone: 613-533-2780
                                       Fax: 613-533-6654

 

Internal Medicine Obstetric Clinic 

Clinic Location:             Kingston General Hospital 
                                       Armstrong 5
                                       76 Stuart St. Kingston, ON

Contact Information:   Physician: Dr. Lisa Nguyen
                                       Secretary:
Carolyn Saulnier
                                       Phone: 613-533-6000 ext. 78832
                                       Fax: 613-533-6654