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Pediatric Children's Hospital

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Submitted By rochellejones08
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Paediatric Orthopaedic Clinic is part of he Children’s Hospital of Western Ontario, located in London, Ontario. The clinic was one treatment center of CHWO that was jointly managed with the Division of Surgery and was used for children who had experienced a severe or complex bone trauma. Specialized care was given as part of a referral process from family doctors, walk-in clinics, and urgent care clinics throughout the CHWO system.

Overall, the clinic is open for three half-day sessions per week. Hours of operation were from 8:30am-1:00pm, Monday through Wednesday. During the remainder of the week, the facilities were used by other sub-specialties of surgery. Staffing for the clinic consists of one surgeon, two senior resident students, three clerks and four registered nurses. Patient flow for the clinic was approximately 80 patients per day, with 60 percent being for follow-up appointments.

The process at the clinic can be broken down into several steps. First, at the front-desk, patients must register and verify all necessary medical and identification documents with three nurses and three clerks. Registration ends promptly at 11:30am, while verification continues until 12:45pm. Next, patients are taken to the radiology department where there is six imaging rooms and six technicians on staff. In this step, patients take two types of generic x-rays: upper extremity or lower extremity. Depending on the type of x-ray, extra time must be allotted for adjusting the machine. Patients then also had to wait for development and review of their films by radiologists. Finally, the patients had to return to the clinic and wait for a doctor to review their films with them regarding their injuries.

Dr. Kellie Leitch, Chief of Paediatric Orthaepedic Surgery at CHWO was concerned with mounting wait times that were being reported, and decided

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