LHIN Leads

 

 Dr. Armstrong Dr. Judith A. ArmstrongPrimary Care Physician Lead - Peterborough City and County sub-region

Dr. Armstrong was born in Kingston and grew up in rural Eastern Ontario.  After two years of undergraduate studies at the University of Western Ontario she studied Medicine at Ottawa University. While in Ottawa she met classmate and then husband Rick Binette. They studied Family Medicine at the Ottawa Civic Hospital site. After graduation they travelled to New Zealand working as locums for a year before returning to Ontario.

They started their family practices at The Peterborough Clinic, the largest oldest medical partnership in Canada. They have been practicing there for over 30 years. Dr. Armstrong has a general family practice with 19 years of active admission privileges at the Peterborough hospitals and now limited active privileges at Peterborough Regional Health Centre. She has served as chairperson of The Peterborough Clinic Executive, since 2008 and is the physician lead for their COPD program at The Peterborough Clinic. Dr. Armstrong is a member of The Peterborough Clinic FHO and the Peterborough FHT.

Dr. Armstrong has served on several community boards including The School Council at St. Peter’s Secondary School and the French Immersion Committee at the Peterborough, Victoria, Northumberland and Clarington Catholic District School Board and the Kawartha Youth Orchestra as well as coaching and a trainer for soccer and girls’ hockey. Dr. Armstrong is the mother of 3 married children, a son who is an Aerospace Engineer and a son, a daughter and now a son-in-law who are Family Medicine Residents in Ontario. She is also the proud grandmother of 2 lovely granddaughters.


 Dr. Borenstein picture

Dr. David BorensteinClinical Quality Lead, Central East LHIN and Health Quality Ontario

Dr. Borenstein graduated with a Medical Degree from McMaster University in 2002 and completed his residency in Family Medicine at the University of Western Ontario in 2004. One year later, he obtained his certificate of special competence in Emergency Medicine.

Dr. Borenstein is currently The Scarborough and Rouge Hospital’s Emergency Department Director of Quality Improvement. His main focus of interest is on standardization of practice patterns and safe efficiency measures to reduce error and enhance patient care and experience. He is also a member of the License Appeal Tribunal of Ontario for the Ministry of the Attorney General and Clinical Lecturer in the University of Toronto’s Faculty of Medicine, Department of Community and Family Medicine.

Dr. Borenstein has a dual reporting relationship to the Chief, Clinical Quality at Health Quality Ontario (HQO), and the Chief Executive Officer of the Central East LHIN. Through the establishment of Regional Quality Committees, HQO and the LHINs are collaborating to advance clinical quality in a coordinated and impactful way across the province, supporting improvement in ways that are meaningful to patients. Dr. Borenstein will chair the Central East LHIN Regional Quality Committee.


 Dr. Paul Caulford

Dr. Paul CaulfordPrimary Care Physician Lead, Central East LHIN
                               Interim Primary Care Physician Lead - Scarborough North sub-region

Dr. Paul Caulford was born in Toronto and moved to Scarborough in 1967.  After graduating from Leaside High School, Dr. Caulford attended the University of Toronto where he received his Bachelor and Master Degrees in Science, completing research at The Hospital for Sick Children and received his Medical Degree from the University of Toronto in 1978.

Dr. Caulford has practiced Family Medicine in Scarborough for his entire medical career, where he continues to operate a general community-based family practice. He also worked as an ER physician in his earlier years in practice. 

His experience also includes serving as the former Chief of Family Medicine at The Scarborough Hospital (TSH), Program Director of the University of Toronto Family Medicine Residency Program at TSH, and as the founder of the first Family Health Team in Scarborough in 2005, which he led unto 2012.

In 2005 he was instrumental in initiating and then directing The Urban Outreach Health Centre at The Scarborough Hospital.

He has a longstanding interest in equitable access to health care for vulnerable populations - refugees and immigrants new to Canada and persons with disabilities – and is a founding member of the Community Volunteer Clinic (CVC) for the medically uninsured and Founding Medical Director of The Canadian Centre for Refugee and Immigrant Healthcare.

The CVC is a volunteer and humanitarian driven inter-professional team of medical, dental and community volunteers who give freely of their time to ensure equitable barrier free access to care, specifically for permanent residents not covered by Ontario Health Insurance Plan, including refugees and persons who are homeless.

Married to Marta for more than 45 years, he and his wife have five grown children and four grandchildren. 

 

 Dr. Fischler  Dr. Ilan Fischler - Mental Health and Addictions Physician Lead, Central East LHIN

Dr. Ilan Fischler is the Physician-in-Chief at Ontario Shores Centre for Mental Health Sciences (Ontario Shores), in addition to being the Medical Director, Clinical Informatics and a Geriatric Psychiatrist on the Geriatric Dementia Unit.  He is an Assistant Professor in the Division of Geriatric Psychiatry in the Department of Psychiatry at the University of Toronto and also provides Geriatric Psychiatrist services at North York General Hospital. At Ontario Shores, he provides leadership for medical professional practice and champions the quality and safety of medical practice and care. He is innovative, passionate about how the application of technology can advance the mental health care system and he is dedicated to providing recovery-oriented care to the patients he serves.

Dr. Fischler joined Ontario Shores in 2007. In addition to his role as Medical Director, Clinical Informatics, Dr. Fischler was the Physician Champion for the implementation of the hospital’s fully integrated Electronic Medical Record. He has provided leadership at the provincial level in the development of quality standards for mental health that will be applied across the system.


Dr Fischler is an active researcher and educator who has published and presented in the areas of e-health, dementia and the implementation of Clinical Practice Guidelines. He has received numerous individual and team awards for his clinical achievements and innovative leadership including the 2015 Clinical Leadership Award from COACH: Canada’s Health Informatics Association.

 Dr. Ingram Dr. K. Jennifer Ingram - Seniors Physician Lead, Central East LHIN

Dr. K. Jennifer Ingram is the chair of the Peterborough Regional Health Centre’s geriatric medicine division, consulting to Geriatric Assessment and Intervention Network teams, primary care memory clinics and the memory clinic at the Ontario Shores Centre for Mental Health Sciences. Dr. Ingram has been pivotal in developing geriatric and dementia care clinical services, including primary care neurocognitive testing, in the Central East LHIN region.

Dr. Ingram is founder and principal investigator of the Kawartha Regional Memory Clinic, founding chair of the Peterborough Council on Aging and founding member of the Peterborough chapter of Osteoporosis Canada. She is also the geriatric medicine lead and a peer evaluator for the College of Physicians and Surgeons of Ontario.

Dr. Ingram is one of three Ontario lead Investigators in a Canadian Institutes of Health Research-funded Canadian Team for Healthcare Services/System Improvement in Dementia Care, which is part of the Canadian Consortium for Neurodegeneration in Aging. This team is assessing dementia care implemented in primary health care for persons with Alzheimer’s disease and related disorders. An extension study will evaluate dementia services across primary care and geriatric clinics in the Central East LHIN region. This regional initiative is supported by the Trent Centre for Aging and Society, Seniors Care Network and Ontario Shores Mental Health Services 

In 2016, Dr. Ingram received the Irma M. Parhad Award for outstanding contributions to the understanding and treatment of patients suffering from cognitive disorders from the Consortium of Canadian Centres for Clinical Cognitive Research and the Glenn Sawyer Service Award from the Ontario Medical Association for outstanding contributions to the medical profession and the community. She has also been recognized by Trent University with a Community Leaders Award.  

 

Dr. Rahim Ladak - Primary Care Physician Lead, Durham North East sub-region

Dr. Rahim Ladak is a Primary Care physician and Anesthesiologist who has been simultaneously practicing Emergency Medicine for almost a decade in Ontario. Dr. Ladak completed his medical degree in 2004 at the University of Western Ontario, his Family Medicine specialty from McMaster University in Hamilton and completed his Anesthesia training with Queens University. He has been the President of the Bowmanville Area Medical Association for the past 5 years and is Assistant Professor with the Department of Family Medicine at Queens University. Primarily based within the Lakeridge Health Hospital Network functioning as Chief of Anesthesia at the Bowmanville Site; within his general practice, Dr. Ladak services a variety of patient populations.

Dr. Mann

Dr. Gary M. MannEmergency Medicine Physician Lead, Central East LHIN

Dr. Gary Mann is the Program Chief in the Department of Emergency Medicine at the Rouge Valley Health System’s  Ajax and Pickering Campus where he has been a full-ime Emergency Medicine physician for nearly 30 years. Dr. Mann came to work at the then Ajax and Pickering General Hospital in the fall of 1982, shortly after a residency program in General Surgery at the University of Toronto Affiliated Hospitals.  

From the very beginning of his tenure in Ajax, Dr. Mann has championed Pre-hospital Emergency Care, teaching Emergency Ambulance Attendants who were the precursors to the high level paramedics we enjoy today. To that end, Dr. Mann, established a new model of Pre-hospital care known as the Emergency Medical Response Unit. This entity made an Emergency Physician available to the Ambulance Attendants in the field for major incidents such as mass-casualty events, industrial accidents and even home births. 

Prior to the advent of LHINs, Dr. Mann served on the Durham District Health Council and chaired two of its committees.  He has also been involved in Clinical Research and has served on the Rouge Valley Health System's Ethics Board.  Medical Students, nurses, paramedics and Interns and Residents have all benefited from teaching experiences that Dr. Mann has provided over the years. 

In his capacity as Central East LHIN Emergency Medicine Physician Lead, Dr. Mann chairs the Central East LHIN Emergency Department Chiefs Group.  He is also a member of the Provincial Emergency Physician LHIN Leads, chaired by Dr. Howard Ovens, and a member of the G.T.A. Emergency Department Chiefs Group. 

Dr. Mann was raised in North York. He attended the University of Louisville where he graduated with a combined degree in Science-Medicine and graduated from the University of Louisville School of Medicine in 1979, after which he returned to Toronto for Post-graduate training in General Surgery.  Since then, Dr. Mann has proudly provided Emergency Medical care to the communities of West Durham Region. Dr. Mann continues to teach Advanced Cardiac Life Support, Advanced Trauma Life Support, and Emergency Dept. Echo (EDE), the use of Point of Care Ultrasound.



 Dr. Mehta Dr. Avnish Mehta - Primary Care Physician Lead - Scarborough South sub-region

Dr. Mehta did his undergraduate degree at Queen's University and went to medical school at the University of Ottawa. Following this he did his residency in Family Medicine at the University of Toronto.

Since graduating he has had a broad range of practice, including both in-patient/out-patient and academic/non-academic.  He has done family practice in Ottawa and Toronto. He worked as a hospitalist at Toronto Rehabilitation Centre, Ottawa Heart Institute and Rouge Valley Health System. He also has experience working as a Coroner in Ottawa.

Dr. Mehta currently is a Family Physician in Scarborough. He is working at The Scarborough Centre for Healthy Communities as their Medical Lead. He is a member of their Quality Performance and Management Committee and is their Ethics' Co-Lead. Recently he has been actively involved in physician engagement for the Scarborough Palliative Care Physician Team. Currently he is a member of the Vascular Health Strategic Aim Coalition (Central East LHIN) and Clinical Advisory Team (Association of Ontario Health Centres).


 Dr. Ed Osborne

Dr. Ed OsborneRegional Palliative Care Physician Lead for the Central East Region

The Central East Local Integration Health Network (Central East LHIN) and the Central East Regional Cancer Program (CERCP) appointed Dr. Edward Osborne as the Regional Palliative Care Physician Lead for the Central East Region.

Dr. Osborne is a family physician in Bowmanville. He has been the section chief for Palliative Care at Lakeridge Health since 2013 and co-chair of the Palliative at Home and Hospital Care team (PACT) since 1999. He has served on the Central East LHIN’s Primary Health Care Advisory Group and has held several key physician leadership roles at Lakeridge Health where he was Chief of Staff in Bowmanville from 2006 to 2009.

Dr. Osborne’s role is a partnership between the Central East LHIN and the CERCP. As Regional Palliative Care Physician Lead, he provides leadership across Central East championing both provincial and local strategies for palliative care.  He also provides support to the newly developing Palliative Care Community Teams within Central East, including engagement and support of physicians who provide community palliative care.

Dr. Osborne also actively participates in the Central East Hospice Palliative Care Network to help facilitate regional planning, palliative program development, performance measurement and quality process improvement.

 DrPStratford

Dr. Phil Stratford - Primary Care Physician Lead - Northumberland County sub-region

Dr. Stratford was born and grew up in Cobourg in Northumberland County.   After several undergraduate experiences in Ottawa and Peterborough, he got his medical degree from Queen's University in Kingston and then completed a Family Practice/Anaesthesia residency at the University of Western Ontario.  As a partner in a large, 140 physician multi-specialty clinic in the United States, Dr. Stratford spent more than ten years providing family medicine, obstetrics and anaesthesia care to his patients, as well as serving as a member of the clinic’s board of directors and as chief of staff in the local hospital.

Dr. Stratford returned to the Cobourg area in 2005 and joined a local practice, to care for residents in the community, in long-term care homes and in the hospital.  While now spending less time providing care to patients admitted to an inpatient unit, Dr. Stratford continues to work on the hospital’s palliative care service and chairs the Northumberland Hills Hospital Infection Control Committee.

Blessed with a wife, two daughters, and a supportive extended family, Dr. Stratford has become fluent in French and Spanish, and learned a smattering of Mandarin Chinese. And as a proud member of the Haliburton Tragically Hick hockey team, Dr. Stratford and his equally hockey-obsessed teammates compete in the annual Docs on Ice Charity Tournament.


 Dr Tirmizi for web Dr. Lubna Tirmizi - Primary Care Physician Lead - Durham West sub-region

Dr. Lubna Tirmizi grew up in Edmonton, Alberta with 5 siblings, 2 dogs, a cat, and a bunny. She attended the University of Alberta and completed her degree in Psychology. Her love for medicine started while volunteering in Islamabad, Pakistan studying the mental health needs for children with disabilities.  She completed her medical degree at the University of Western Ontario. Dr. Tirmizi started her residency at the University of Toronto Department of Physiatry but soon due to  her passion for family medicine she switched departments.  She completed her residency at St. Michael’s Family Practice Unit in 2004.  

Since then Dr. Tirmizi has worked in Pickering running two busy offices : family practice as well as urgent care.  She also works part-time in long-term care.  She has recently joined the palliative care working group in the long-term care setting.  She enjoys mentoring students from all backgrounds: high school, nursing, nurse practitioner and international medical graduates.  Dr. Tirmizi is currently lead physician for Central Pickering Family Health Organization. Her clinical passion focuses on care of the elderly and complex patients. Her affiliated urgent care clinic often functions as a connector clinic for many unattached patients with health resources in the community. 

Dr. Tirmizi is happily married and has three children. She enjoys various sports and her family is active in volunteering for multiple charitable organizations.    

Dr. Wax 

Dr. Randy S. Wax -  Critical Care Physician Lead, Central East LHIN

Dr. Wax received his Doctor of Medicine degree from the University of Toronto in 1994. He completed training in Internal Medicine at the University of Toronto in 1998, and subspecialty training in Critical Care Medicine at the University of Pittsburgh in 2000. He has completed additional graduate training in Higher Education at the Ontario Institute for Studies in Education/University of Toronto, awarded a Master of Education degree in 2005. 

Dr. Wax is currently the Medical Director and Section Chief for Critical Care and Resuscitation Services at Lakeridge Health Corporation in Durham Region. He also serves as the Medical Director for Education and Simulation at the Lakeridge Health Education and Research Network (LHEARN). Dr. Wax is the Medical Consultant for the Ornge Academy of Transport Medicine and is active clinically as a Transport Medicine Physician for Ornge supporting air and ground transport of critically ill patients throughout the Province of Ontario. 

Dr. Wax has an international reputation in Critical Care, and has held leadership roles with national and international organizations. He recently served as the Chair of the H1N1 Task Force, Chair of the Fundamental Disaster Management Course Committee, and Co-Chair of the Rapid Response System Task Force for the Society of Critical Care Medicine. He was a founding member of the Canadian Resuscitation Institute. He is an Assistant Professor in the Department of Medicine at the University of Toronto, has lectured extensively at international meetingd and has published many articles and book chapters in the fields of Critical Care Medicine, Medical and Interprofessional Education, Patient Simulation, Disaster Preparedness and Management, and Patient Safety.



 Dr. Young Dr. Sheila-Mae YoungPrimary Care Physician Lead - Haliburton County and City of Kawartha Lakes sub-region

Dr. Young, a Lindsay Family Physician in the City of Kawartha Lakes has enjoyed multiple leadership responsibilities throughout her career. In the community, Dr. Young is the President of Kawartha Lakes Health Care Initiative (HCI) as of June 16, 2016.  HCI is a successful volunteer group of community members with a mandate to recruit family physicians for the City of Kawartha Lakes. Dr. Young led her City of Kawartha Lakes Family Health Organization within its Family Health Team from Oct 2013 to 2015.

Throughout her career, Dr. Young has had multiple leadership responsibilities within her Community Hospital, the Ross Memorial Hospital.  She has serviced as Chief of Medical Staff, President of Medical Staff and Clinical Medical Director of the Continuing Care Program at the Ross.  Dr Young was pleased to accept the James Ross Award of Excellence, Ross Memorial Hospital in 2007 and the Glenn Sawyer Service Award, OMA in 2008.  From 2002-2006, she was Co-Chair of Quality Assurance Program of the College of Physicians and Surgeons of Ontario and since 2007 continues as a member of the Discipline Committee.

From November 2008 to May 2015, Dr. Young held the position of Primary Care Lead for the Central East Regional Cancer Program of Cancer Care Ontario, a position she held with fourteen other Regional Primary Care Leads across the Province.  In 2011 and 2012 for six months, she performed the duties of the Provincial Primary Care Lead at Cancer Care Ontario.  She has been co-lead of two Guidelines for Family Physicians and other Primary Care Providers on Referrals for Suspected Prostate and Lung Cancers that are published on the Cancer Care Ontario website in conjunction with the Program for Evidence Based Care (PEBC) and in the journal Canadian Family Physician.

Within the Central East LHIN, Dr. Young has been a member of the Primary Care Working Group since 2009 and most recently serves on the new Primary Health Care Advisory Group with its inception in 2013.  Since 2013, she has served on the LHIN's Health Professional Advisory Committee (HPAC).

In 2008 and 2010, she participated in Humanitarian visits to the Democratic Republic of the Congo, Kenya, Rwanda and Tanzania with the non-governmental organization of Institute for Cultural Affairs (ICA Canada).  Dr. Young continues in her volunteer participation in programmatic development at the community level for ICA Canada with particular interest in the “Il Ngwesi” approach to HIV/AIDS program development.

Family pursuits remain top priority and the grounding values for all activities.