Ontario-wide virtual specialist consultations · Physician or nurse practitioner referral required

General internal medicine

A broad specialist view of complex adult medicine

Referral-based virtual assessment of complex medical concerns, abnormal investigations and diagnostic or management questions that benefit from an integrated internal medicine perspective.

Reasons for referral

When the clinical picture crosses traditional boundaries

Internal medicine consultation can help organize complex information, refine a differential diagnosis and support a practical management plan.

Diagnostic questions

Unexplained symptoms or abnormal investigations requiring a broad adult-medicine assessment.

Medical complexity

Multiple chronic conditions, polypharmacy or competing treatment considerations.

Second-look review

Focused consultation where clarification, prioritization or additional recommendations may help.

Consultation approach

From information overload to a clear clinical plan

The consultation begins with the specific question from the referring clinician. Relevant history, medications, laboratory findings, imaging and previous specialist opinions are reviewed to identify priorities and reasonable next steps.

Recommendations may include additional investigation, medication review, risk management, monitoring, referral to another specialty or an in-person assessment when required.

This service does not replace longitudinal primary care or emergency assessment. Patients should continue routine and ongoing care with their primary-care clinician. Acute or unstable concerns require the appropriate local urgent or hospital pathway.

Referral-based specialist care across Ontario

Referring clinicians may submit relevant clinical information through the clinic’s referral pathway.

Referral Information