Description
About Dr. Anna Mary Goulding
Dr. Anna Mary Goulding is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Toronto, ON, she serves the surrounding communities with a patient-centered approach. Her practice adheres to the standards and guidelines established by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, ethical, and safe medical care.
Dr. Goulding graduated with a Medical Degree from the University of Toronto in 2016. She has completed extensive post-graduate medical training, including residency in Internal Medicine and specialized fellowship training in Geriatric Medicine. Her education and certification process have equipped her with the expertise to address complex adult health issues with a comprehensive approach.
With a professional and clinical philosophy, Dr. Goulding is committed to delivering evidence-based care tailored to each patient’s unique needs. She speaks English fluently and values clear communication and patient engagement. Her goal is to support her patients in maintaining optimal health, independence, and quality of life throughout their aging process.
Conditions Managed by Dr. Anna Mary Goulding
Dr. Goulding provides expert care for adults with a wide range of medical conditions, including:
Endocrine & Metabolic Disorders
- Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
Geriatric Syndromes & Focused Elder Care
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
Complex Diagnostic & Multi-System Issues
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
Dr. Goulding manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.
Clinical Services Offered by Dr. Anna Mary Goulding
- Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
- Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
- Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
- Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
Note: This list represents some of the key services offered by Dr. Goulding. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Goulding's scope of practice, please discuss with your referring physician or contact the clinic.
All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).
Practice Location & Accessibility
Dr. Goulding's practice is situated in the vibrant Bay Street Corridor (Discovery District) neighborhood of Toronto, within the Scarborough Hospital Network. Her location offers convenient access for patients from the Toronto core and surrounding areas. The practice is close to the Art Gallery of Ontario, making it centrally situated for many residents. Accessibility is excellent via public transportation, with options including the TTC subway, streetcar, and bus services. The facility is wheelchair accessible. Parking is available at the facility.
Frequently Asked Questions
- How is payment handled for appointments with Dr. Goulding? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Goulding are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.
- Can I book an appointment directly or do I absolutely need a referral?
- A referral from your family physician or another medical specialist is required to see Dr. Goulding. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.
- Does Dr. Anna Mary Goulding discuss goals of care or advance care planning?
- Yes, discussing goals of care is an important part of patient-centered practice, especially in managing chronic illness or in geriatric care. Dr. Goulding encourages conversations about patient values, preferences for future medical treatment, and advance care planning (including identifying a substitute decision-maker) to ensure care aligns with what matters most to the patient. She can provide information and facilitate these discussions.
- How does Dr. Anna Mary Goulding communicate with my family doctor?
- Clear communication with your referring physician is a priority. Dr. Goulding will send a comprehensive consultation letter outlining the assessment findings, diagnosis (if established), and treatment recommendations. This ensures your family doctor is fully informed and can continue to coordinate your overall care effectively.
Contact & Licensing Information
Scarborough Hospital Network
200 Elizabeth St, Department of Emergency Medicine
Toronto, ON M5G 2C4
Phone: (416) 340-4800
The facility is wheelchair accessible.
Dr. Goulding is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Goulding-Anna-Mary/0310676-109578