Advanced Practice Provider (APP), Rapid Access Clinics for Low Back Pain (RAC LBP)
formerly known as Inter-Professional Spine Assessment and Education Clinic (ISAEC)
Job Title: Advanced Practice Provider (APP), Rapid Access Clinic for Low Back Pain
Company Name: Kingston Health Sciences Centre
Job Type: Part-Time Permanent Independent Contractor Position (0.1-0.5 FTE) – Fee For Service
Location: 1 position Brockville region, 1 position Kingston/Napanee region
Kingston Health Sciences Centre is recruiting qualified Physiotherapists and Chiropractors registered in Ontario to become contracted APP’s delivering patient assessment, education, self-management advice, and triage for lumbar conditions at their respective practice locations.
The Rapid Access Clinics for Low Back Pain (RAC LBP) have been implemented across the province to help patients access the right treatment faster. RAC LBP stems from the successful pilot program: Inter-professional Spine Assessment and Education Clinics (ISAEC) for low back pain (LBP).
RAC LBP is an innovative, shared-care model funded by the Ministry of Health. Ontario South East’s RAC LBP is hosted by Kingston Health Sciences Centre with APP clinicians contracted across the region. By providing the right care at the right time, RAC-LBP is designed to decrease the prevalence of unmanageable chronic low back pain, reduce unnecessary diagnostic imaging, and reduce unnecessary specialist referrals while expediting surgical consultation and access to specialist care when appropriate. RAC LBP is specifically for patients with: (1) persistent low back pain and/or related symptoms (e.g. radiculopathy, neurogenic claudication), 6 weeks to 12 months post-onset; and (2) disabling episodic low back pain and/or related symptoms of less than 12 months post-recurrence.
As a member of the RAC LBP, the APP will:
-
perform a thorough history and physical examination
-
provide a program of care to the patient with an emphasis on education, self-management and health promotion strategies
-
develop a collaborative care plan with the patient, their primary care provider, and/or other allied health providers and document progress against the care plan
-
identify signs and symptoms requiring further diagnostic imaging/testing, referral to the practice lead/physician specialist/surgeon, or a change in the plan of care.
-
act as the primary point of contact for consultation with the patient’s primary care provider
This is an excellent opportunity for advanced professional development in low back pain management. The APP will be connected to the regional Practice Lead and Physician Specialists 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: Successful candidates will complete both paid practical training (approximately 4-5 days in-person over 4-6 weeks) and theoretical training (online) in low back pain topics. Following the formal training period, participation in clinical education sessions is an expectation of the APP role. Mandatory meetings will be compensated.
-
Minimum 4 years of clinical experience following completion of an accredited physiotherapy or chiropractic program.
-
Including, at least 1 year of clinical experience in the musculoskeletal-spine area required.
-
Member in good standing of respective professional/legislative Ontario college required.
-
Minimum $5,000,000 Liability Insurance required.
-
Member of related national/provincial professional association preferred.
-
Possession of a laptop/Chromebook, tablet, and printer.
-
Convenient practice location with internet. Accessible via public transportation preferred.
-
Expert Practice
-
Act as the first and primary point of contact for consultation and assessment of referred patients with low back pain.
-
Review medical history/health status and conduct a comprehensive physical assessment.
-
Communication of a diagnosis.
-
Provide specialized care, education and counseling for patients.
-
Determine the suitability and eligibility of patients for surgical assessment.
-
Differentiate between inflammatory and non-inflammatory conditions.
-
A broad understanding of indications for evidence-based low back treatments.
-
Identify signs and symptoms of undiagnosed medical conditions requiring a referral for diagnostic imaging/testing and/or referral to a Physician Specialist in accordance with established RAC LBP guidelines.
-
Initiate communication with primary care providers and Practice Lead to facilitate appropriate surgical and non-surgical referrals based on established RAC LBP assessment and referral guidelines.
-
Establish, communicate and document clinical impressions/medical diagnoses within defined scope of practice.
-
Develop plan of care in collaboration with the patient/family and primary care provider.
-
Promptly document plan of care according to established RAC LBP guidelines.
-
Communicate internally and externally to facilitate plan of care (i.e. other health care professionals).
-
Evaluate and revise the plan of care in collaboration with patient/family and primary care provider.
-
Communicate specific medical diagnoses to primary care provider.
Utilize a patient-centered care approach consistent with patient goals, needs and values.
-
-
Teaching and Learning
-
Participate in RAC sponsored education and training events.
-
Collaborate with the RAC team to identify learning needs and those of patients and primary care providers.
-
Provide/receive education to/from RAC team members and primary care providers.
Facilitate knowledge transfer and evidence-based practice.
-
-
Organization Responsibilities
-
Act as an engaged member of the RAC.
-
Accountable to align performance with objectives of the RAC.
-
Adhere to the RAC standards, policies and procedures, including centralized referral and clinic management system processes.
-
Participate in quality and performance management activities.
Participate in policy and procedure development.
-
-
Program Evaluation
In collaboration with RAC colleagues, you will cooperate with evaluations of clinical services related to the program.
-
-
Perform other duties consistent with the APP role, as assigned or requested
Please provide a resume and cover letter describing how your professional background and personality will contribute to the success of this exciting program. Please specify the precise address (including postal code) from where you will be providing RAC LBP assessments and education services in your cover letter.
We thank all applicants; however, only those selected for an interview will be contacted.
KHSC is located on the ancestral lands and waters of the Anishinaabeg and Haudenosaunee and serves a wider geographical area that encompasses many Indigenous communities including Tyendinaga, Katarokwi, as well as communities within the Weeneebayko Area Health Authority. As we partner in care, discovery, and learning to achieve better health outcomes for our communities, KHSC is committed to actively advocating for and acting upon the Truth and Reconciliation Committee’s Calls to Action on Health.
Unless specifically stated, all job postings are for existing positions at KHSC. KHSC is committed to recruitment practices that support and contribute to building a respectful, diverse and inclusive workplace in compliance with legislation such as the Employment Standards Act and Accessibility for Ontarians with Disabilities Act. We welcome all applications from women, racialized persons, persons with disabilities, Indigenous Peoples, persons in the 2SLGBTQIA+ community, and members of other equity deserving groups.
Kingston Health Sciences Centre may use artificial intelligence systems to assess and screen applicants. All hiring decisions are made in accordance with KHSC policies and applicable employment legislation.
We thank all applicants, but only those selected for next steps will be contacted. Kingston Health Sciences Centre is committed to inclusive and accessible employment practices. If you require an accommodation to fully participate in the hiring process, please notify the Recruitment Team.
