Sinai Health System
Program Description
The APS is provided by the Department of Anesthesia and Pain Management and consists of a Staff of Anesthesiologists and two Nurse Practitioners. The APS team is available from 08:00 to 17:00 on weekdays with evening and weekend coverage provided by the on-call Staff Anesthesiologist to facilitate 24/7 coverage.
The APS provides a consultation service to inpatients to manage or assist with acute and acute-on-chronic pain management. The APS is a supportive service to all of Sinai Health- Mount Sinai Hospital Centre`s of Excellence including:
- Surgery and Oncology
- Women's and Infants
- Urgent and Critical care
- The APS is an integral part of medical, allied health, and nursing education at MSH. APS provides comprehensive pain and analgesia education to new staff and learners via in-person and virtual lectures, online education/e-learning resources and direct mentorship. We provide shadowing opportunities to a variety of medical and nursing learners to gain clinical experience in pain management.
Lead Physician(s)/Physician Team
Dr. Matthew Sheppard
Current Members:
Dr. David Flamer, Dr. Zeev Friedman, Dr. Joshua Gleicher, Dr. David He, Dr. Kristina Khanduja, Dr. Melinda Li, Dr. Sharon Peacock,
Dr. Gita Raghavan, Dr. Joshua Rucker, Dr. Aliya Salman, Dr. Matthew Sheppard, Dr. Naveed Siddiqui, Dr. Greg Silverman, Dr. Evan Wild, Dr. Fabricio Zasso
Nurse Practitioners: Christopher Brown, Nhi Nguyen
Toronto General Hospital
Program Description
- The APS team at Toronto General Hospital supports the full spectrum of patients experiencing acute pain with our primary focus on post-surgical care. Pain management is offered both as patient controlled oral, epidural, and intravenous analgesia, as well as nurse administered analgesia.
- The APS is provided by the Department of Anesthesia and Pain Management and its team consists of a Staff Anesthesiologist and two to three Nurse Practitioners. The APS team is available on weekdays from 08:00 to 17:30 with evening, weekend and holiday coverage provided by the staff and resident anesthesiologist on-call. The APS provides a consultation service for inpatient management of acute and acute-on-chronic pain as well as opioid use disorders. The TGH APS team provides training in perioperative pain management to medical students, nurse practitioner students, anesthesia residents and clinical anesthesia fellows.
Lead Physician(s)/Physician Team
Dr. Diana Tamir
Current Members:
Dr. Bilal Ansari, Dr. Hance Clarke, Dr. Joseph Fiorellino, Dr. Karen Foley, Dr. Alexander Huang, Dr. Chris Hudson, Dr. Carlos Ibarra Moreno,
Dr. Michael Kahn, Dr. Martin Ma, Dr. Stuart McCluskey, Dr. Karen McRae, Dr. Kiritpaul Nandra, Dr. Inna Oyberman, Dr. Daniel Sellers,
Dr. Serena Shum, Dr. Diana Tamir
Lead Nurse Practitioner: Dr. Salima Ladak
Nurse Practitioners: Nicholas Vaccariello, Le Nguyen
Toronto Western Hospital
Program Description
- The APS team at Toronto Western Hospital supports the full spectrum of patients experiencing acute pain in our institution with our primary focus on post-surgical care.
- One of the primary goals is to enable patient-centered care through modalities of pain management that allow individuals to maximize control over their own pain management. This includes options such as intravenous and oral patient controlled analgesia, patient controlled peripheral nerve blocks and epidural analgesia.
- The TWH APS experience is a core educational experience for trainees of all levels. We routinely provide training in perioperative pain management to medical students, nursing students, anesthesia residents and clinical anesthesia fellows on a daily basis.
- We also host trainees from our surgical partners to help develop a comfort and experience in managing complex post-surgical pain. The APS team continued as a regular partner in educational rounds for the anesthesia department with a focuses on in-depth review of challenging scenarios, up-to-date knowledge of pain related topics and in depth QA analysis of patient outcomes. These conversations around complex pain issues allow discussion of new approaches to management of these challenging situations.
- Core to our mission is the concept of patient safety and quality assurance through review of critical incident with the goal of continual process improvement. This work is an integral part of the APS team’s quality focus and provides support to both the service itself and our partners managing routine pain throughout the hospital when needed.
Lead Physician(s)/Physician Team
Dr. Anuj Bhatia Dr. Pranab Kumar Dr. Kyle Kirkham
Nurse Practitioners: Arlene Buzon-Tan, Emma Wamsteeker
