Internal Medicine

AMBULATORY CLINICS

Ambulatory Care has evolved since the early sixties when the concept of outpatients coming to hospital for non-urgent treatment was an extension of the Emergency Department. Gradually it became apparent that patient numbers for this type of service were increasing and that ambulatory care needed to become a distinct and separate service.

Today, much of the work done by internal medicine specialists is outpatient in nature and may involve diagnostic clinics, follow-up clinics or treatment intervention clinics. Patients may receive outpatient service in an ambulatory clinic setting at the Saint John Regional Hospital, St. Joseph’s Hospital, Charlotte County Hospital and the Sussex Health Centre. This is a dynamic and fast paced environment with new clinics and services opening each year. The types of clinics offered at each site can vary. Patients must be referred by a Physician to access clinic appointments.

At the Saint John Regional Hospital, Internal Medicine Clinics account for half of all clinic visits including:

Allergy Anticoagulation Autologous Transfusion Calcium Cardiology Dermatology including Mohs Micrographic Surgery Endocrinology General Medicine

Haematology Hemophilia/Bleeding Disorders Interventional Cardiology Lipids Neurology Pacemaker Respirology Rheumatology Thyroid

Rehab Medicine Clinics, overseen by a Physiatrist, offered at the Saint John Regional Hospital include:

Surgery Clinics are also offered at the Ambulatory Clinic 1, Saint John Regional Hospital. These include:

Patients who require specialized treatment but do not require an overnight admission may be seen at the IV Day Hospital at the Saint John Regional Hospital. In this area, patients come in for the day to receive one of a variety of treatments such as IV infusions, blood or blood products, intravenous (IV) or intramuscular (IM) medications, therapeutic blood withdrawal or care of specialty intravenous lines. Nurses who are specially trained in vascular therapy provide care in these clinics, which are located in the Ambulatory Clinic and/or the IV Day Hospital.

Patients may be seen in specialized Ambulatory Clinics at St. Joseph's Hospital including:

Active Living Clinic Breast Clinic Endocrinology General Surgery (Minor) Internal Medicine Minor O.R. Procedures

Ophthalmology Eye Clinic Orthopaedics Clinic Plastics Clinic Proctology Clinic 24 Hr. BP Monitor

Specialists offer scheduled Ambulatory Clinics at Charlotte County Hospital located in St. Stephen, New Brunswick. The types of clinics offered are:

Arthritis Cardiology Gynecology Internal Medicine Neurology Obstetrics Ophthalmology

Orthopedics Otorhinolaryngology Paediatrics Plastics Physiatry Stoma Urology

Ambulatory Clinics at the Sussex Health Centre (SHC) have operated since 1976 and currently have 15 visiting specialists. Types of clinics held at the SHC include:

Cardiology Endocrinology ENT Gynecology Neurology Orthopaedics

Ostomy Clinic (twice/year) Pediatrics Pediatric Asthmatic Physiatry Rheumatology Urology

Last Modified:05.23.2007