General Internal Medicine
In the setting of COVID-19, the Division of General Internal Medicine has significantly increased the proportion of ambulatory care being provided by virtual means.
When new referrals are received, they will be triaged by an attending internist as requiring virtual versus inpatient assessment.
- Please advise your patient at the time of referral that the majority of new referrals will be seen on a virtual basis (either video via Zoom telehealth or phone), unless the triaging internist is confident that in-person examination will change management.
- In-person follow-ups may be offered based on the initial virtual assessment on an as needed basis.
- If you have a clinical question that does not require internist assessment of the patient, please request a provider to provider phone consultation in your referral letter.
Wait times
Triage category | Standard wait time | Average wait time* |
---|---|---|
General Internal Medicine |
||
Urgent | 14 days | 10 days |
Semi-Urgent | 28 days | 37.7 days |
Routine & Non-Urgent | 56 days | 180.7 days |
View chart [PDF - 84KB] | ||
Immunology |
||
Urgent | 7 days | #N/A |
Non-Urgent | 56 days | 427.6 days |
View chart [PDF - 82KB] |
#N/A - shown if less than six encounters
* Includes data up to December 31, 2023
Triage criteria and referral process for physicians
General Internal Medicine |
|
---|---|
Emergent | Likely requires hospital admissionCriteria (not all inclusive)
Process
1) Must call the SENIOR INTERNIST ON CALL via locating (902-473-2220) Facilitators
2) Written note summarizing assessment given to patient to bring to emergency department |
Urgent | Requires rapid assessment as clinically unstable but not hospital admissionCriteria (not all inclusive)
Process
1) Call the GENERAL INTERNIST/CONSULT STAFF ON CALL via locating (902-473-2220) and 2) FAX referral Facilitators
3) If patient from emergency department
|
Semi-Urgent | High risk of becoming unstableCriteria (not all inclusive)
Process
1) FAX referral to 902-473-8430 Facilitators
2) Detailed referral note with clinical question prompting referral and ideally includes:
|
Routine | Stable but requiring timely assessmentCriteria (not all inclusive)
Process
1) FAX referral to 902-473-8430 Facilitators
2) Detailed referral note with clinical question prompting referral and ideally includes:
|
Non-Urgent | Very low risk of becoming unstableExpect a prolonged wait time (at least 3 months) Criteria (not all inclusive)
Process
1) FAX referral to 902-473-8430 Facilitators
2) Detailed referral note with clinical question prompting referral and ideally includes:
|
Non-face-to-face consult | Phone consultation / eConsult / letter summarizing recommendationsCriteria (not all inclusive)
Process
1a) FAX referral requesting phone consult or submit an eConsult via MyHealthNS; OR 1b) Can also call the consult general internist on call (902-473-2220) for immediate phone consult but will require written referral note to be faxed (902-473-8430) at same time Facilitators
2) Detailed referral note with clinical question prompting referral and ideally includes:
|
Please note: We do not accept referrals for discharge follow-up or routine primary care issues based on lack of access to a family doctor alone.
Immunology |
|
---|---|
Urgent / Non-Urgent | Process
1) Call or send referral to |
Contact information |
|
---|---|
General Internal Medicine | |
Fax | 902-473-8430 |
Location | 4th floor Dickson Building, VG Site |
General Internists | View list of all physicians |
Forms | GIM Emergency Department Rapid Access Clinic Referral Form |
Immunology | |
Phone | 902-425-3927 |
Fax | 902-425-3928 |
Location | 5657 Spring Garden Road |