The Doctor Will NOT See You Now – What to Do When the Family Doctor Retire

The Doctor Will NOT See You Now – What to Do When the Family Doctor Retires

Fred and Muriel Davis had been among Dr. David Campbell’s very first patients. Over the past fifty years the office furniture and receptionists have changed, but Dr. Campbell’s detailed knowledge and sincere interest in their well-being has been constant.

When they received written notice that he was retiring, they called to congratulate him, asking who was taking over his practice. “No one – there just aren’t enough doctors going into family practice”

The notice stated they had six months to find another doctor. Is that fair, and how will they find a new doctor?

When a Family Physician Ceases Practice

The College of Physicians and Surgeons of Ontario has strict guidelines for retiring doctors:

– the physician is only expected to notify those patients to whom they are actively providing care; and should remind patients where they can go to obtain emergency or urgent care

– the physician must make appropriate arrangements for either the retention or transfer of patient medical records, and give patients information to access their medical records

– the physician should try to ensure that patients requiring ongoing care (in hospital or care facilities, or post-operative follow-up) will continue to receive necessary care

– the physician should attempt to facilitate patient access to prescription medication required for long-term or chronic conditions by providing the patient with renewals or repeats of the required medication

By providing reasonable notice, attaching a lost of local walk-in clinics, Emergency departments and Telephone Health Advisory Service (1-866-553-7205), and meeting with patients regarding medication orders, Dr. Campbell has acted within the College’s guidelines.

But is this really enough support for a typical senior?

Who is Accepting New Patients in My Area?

The first option is to ask the retiring doctor for recommendations. Since all patients will be relocating, ask the staff where other patients are transferring. Ask friends, colleagues and the local hospital for names – but remember, your search will be confined to those physicians accepting new patients.

Consult the College of Physicians and Surgeons’ Doctor Search Service at (416) 967-2603 / (800) 268-7096 ext. 306 / www.cpso.on.ca/doctor search. Search for family doctors in your area who are accepting new patients; or do an advanced search for geriatric medicine specialists or doctors attached to specific hospitals.

While the menu lists virtually all communities in Ontario, smaller communities may elicit ‘We are unable to locate any physicians that match your search criteria’. The website also warns that:

– the College cannot guarantee that any doctor will be accepting new patients; call the doctor’s office directly to confirm

– this service cannot tell you whether a physician performs a particular procedure or has expertise in a particular area

– in some communities, there are no doctors currently accepting new patients, so widen your search to neighbouring or larger communities

Evaluating Your Options

Once you have a list of who is accepting new patients, do some research. Call the doctor’s office – a challenge in itself sometimes! – and ask the office manager:

– how old is the doctor, and how long have they been in practice?

  • to be sure your new doctor won’t be retiring soon

– does the doctor have other seniors as patients?

  • to get a sense of whether senior patients, who may take up more office time, are indeed welcome in this practice

 

– what are the major services of this family practice?

  • one senior recently signed on with a new family doctor, only to find the office teeming with flyers promoting her Botox injection services!

 

– where is the office?

  • is it convenient to the home, is there appropriate parking or transit access

 

– is the office accessible?

  • this will be important someday, even if it isn’t right now. One geriatrician, who practices from a small house, assured patients there were wheelchair facilities – but there are 8 steps leading to the front door!

 

Try to join a group practice, so you may see any physician in the group without having to wait to see a certain one. Inquire about after-hours policy, laboratory services and their hospital privileges.

 

Making a Choice

 

Once your have developed a short-list of three to five names, book an appointment:

 

– observe the waiting room – the staff, how they treat other patients and other seniors; the number of patients waiting, the wait time, and the general atmosphere

 

– meet with the doctor; explain your mission and gauge their response – do they listen? do they seem interested and motivated to take you as a patient?

 

Review your mental check-list, listen to your instincts, make your choice and have your files transferred. Congratulations!

 

It may seem like six months is plenty of time, but finding the right combination for you will take time. Since this will be one of most important relationships in the coming years, invest the time and effort to make best choice.

 

Pat M. Irwin, BA, AICB, CPCA, is president of ElderCareCanada, www.eldercarecanada.ca