Drs. Donald Neal & Samuel Appavoo
Maitland Valley Medical Centre
180 Cambria Rd., Goderich, ON N7A 4N3
Phone: 519-524-6060 Fax: 519-524-5225
Characteristics of Practice
New medical clinic with EMR. Currently Family Health Organization of 11 family physicians and 5 Nurse Practitioners. Young, energetic group. Also Family Health Team with social worker, psychologist, diabetes educator, dietician and pharmacist.Mix of 25 pts/day (various ages), 4-8 ER shifts/month. Surgical assist. Palliative care. Nursing Home. Inpatients. Procedures clinic. Obstetrics (hospital has 70-100 deliveries/yr)Call Mon-Thurs own patients, 1 in 5 weekends in the past.
Patient Population:
Dr. Neal - - 1200 patients: 30% pediatric, 45% adult medicine, 25% geriatrics
Dr. Appavoo - - 800 patients: 25% pediatric, 40% adult medicine, 35% geriatrics
Description of Location
1.5 hours north of London
Affiliated Hospital
Alexandra Marine and General Hospital
Type of Community
Traditional family practice that spans all ages in a small, friendly community on the shores of Lake Huron. Known as the "Prettiest Town In Canada." Town population base of 8,000 with catch basin of 20,000 people. Within 1 ½ hour drive of major centres. Destination location for summer and winter recreational activities for those with an interest in the outdoors. Five star resort located at Benmiller just outside of town. Three live theatre companies each within one hour.
Educational Opportunities
| On Call |
1-12 Hour ER Shifts/Week
1 Weekend (back-up for ER, hospital inpatients and anaesthesia) per month
|
| Emergency |
All emergencies managed by Emergency doctor. 1-12 shift in emergency per week.
|
| Obstetrics |
Prenatal care to 28 weeks. Possibility of doing deliveries if desired.
|
| Anaesthesia |
Provided by Dr. Appavoo and another GP anaesthetist. Epidural and emergency anesthesia after hours provided on an as needed basis.
|
| OR |
Patients of clinic are usually booked on Dr. Appavoo's anesthesia lists. However when possible, both doctors will assist at cases involving their patients.
|
| Healthy Hearts |
Cardiac rehabilitation program involving either supervision or participation on an exercise bike. Dr. Neal is responsible for Monday and Wednesday morning sessions from 7:15 a.m. to 8:15 a.m.
|
| Coroner |
Dr. Neal provides local coroner services.
|
| Office Clinics |
Clinic runs Monday to Thursday a.m. and p.m. Physicians take turns on rotation. In-house venipuncture service. Experienced office manager and R.N.s available for assistance in the office. Plastics procedures, joint injections and aspirations performed in clinics at Emergency Department.
|
| Inpatients |
Inpatients coverage provided by Dr. Neal and Appavoo from 8:00 a.m. -5:00 p.m. Monday to Friday. Inpatients are covered on the weekends and evenings by rotating inpatient call schedule.
|
| Consultants |
One general surgeon, an internist and two psychiatrists have offices in Goderich. Gastroenterology, Endocrine, Nephrology, Rheumatology, Respirology, OB/gyn, Pediatric, ENT, Radiology and Orthopedic consultants clinics in hospital. Opthalmology within 20 minutes. Other consultants available in London at tertiary care centres within one hour in emergency situations.
|
| Setting |
Traditional family practice that spans all ages in a small, friendly community on the shores of Lake Huron. Known as the "Prettiest Town In Canada." Town population base of 8,000 with catch basin of 20,000 people. Within one and a half hour drive of major centres. Destination location for summer and winter recreational activities for those with an interest in the outdoors. Five star resort located at Benmiller just outside of town. Three live theatre companies each within one hour.
Particular interests in Emergency Medicine, Obstetrics and Anesthesia. Friendly and congenial medical staff. Good opportunity for experience in a wide variety of situations. |
|
Patient Profile |
YES |
% |
Comments |
Number |
| Adult Medicine |
X |
40 |
|
|
| Geriatrics |
X |
30 |
|
|
| Gynaecology |
X |
10 |
|
|
| Obstetrics |
|
|
|
|
|
|
X |
2.5 |
With other members of group |
|
|
|
X |
|
|
6-8 |
| Palliative Care |
X |
5 |
|
|
| Paediatrics |
X |
25 |
|
|
| Mental Health Care/Counselling |
X |
5 |
|
|
| Well Baby Care |
X |
5 |
|
|
|
|
|
|
|
|
Other |
YES |
% |
Comments |
Number |
| ER |
X |
|
No. of shifts/month = |
4-8 |
| House Calls |
|
|
No. of house calls/month = |
|
| Nursing Home |
X |
|
No. of Nursing Home visists/month = |
1-2 |
| Hospital Care |
X |
|
|
|
Scheduling Information:
Can take 2-3/year.
Accommodations:
Hospital Apartment.