Dr. David Richard Shoesmith – Family Doctor | Salmon Arm, BC

Dr. David Richard Shoesmith is a Family Doctor. Practicing at a family doctor practice in Salmon Arm, BC, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of British Columbia (CPSBC) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. His focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. David Richard Shoesmith completed his MD (Griffith University, 2009). He brings valuable clinical experience to the practice. He holds Certification in the College of Family Physicians of Canada (CCFP). He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions; advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services; a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care. He provides consultations in English.

Dr. David Richard Shoesmith provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Joint Muscle Pain

• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Providing advice on activity modification (relative rest, avoiding aggravating activities), ergonomic adjustments (workstation setup, tool use), simple analgesia (NSAIDs - oral/topical, acetaminophen), ice/heat application, and appropriate referral to physiotherapy or occupational therapy for specific exercises (stretching, strengthening), manual therapy, splinting, and further rehabilitation or prevention strategies.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).

Preventative Health Topics

• Infectious Disease Prevention & Outbreak Management Support (Community Level): Administering vaccinations to prevent communicable diseases and playing a role in community-level surveillance and reporting as required by public health authorities.
• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Objective medical assessments for driving privileges, completed accurately according to regulatory requirements (fees typically apply as this is often an uninsured service). This may involve coordination with specialists if complex medical conditions impact driving ability.

Dermatological Skin Conditions

• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Primary care management for common skin infections caused by viruses, including patient education on the nature of these infections and strategies for managing recurrences.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Playing a vital primary care role in the early detection of skin cancer, which significantly improves prognosis, and facilitating prompt access to specialist dermatological care when needed.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Providing effective remedies for bothersome and often contagious fungal infections of the skin, hair shafts, and nails, along with advice on hygiene and prevention of recurrence.

Common Acute Conditions

• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Addressing sudden onset skin problems, providing effective treatment, advising on skin care and hygiene to promote healing, and identifying potential triggers for allergic or irritant conditions.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Helping patients manage their allergy symptoms effectively to improve daily comfort and quality of life.
• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Managing acute episodes of vomiting and diarrhea to support recovery, ensure adequate hydration, and rule out more serious underlying causes.
• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): Providing advice on RICE/POLICE principles (Rest/Protection, Optimal Loading, Ice, Compression, Elevation), pain relief options (analgesics, NSAIDs, heat/cold therapy), and gentle exercises for acute soft tissue injuries to promote healing.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Shoesmith. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Urgent Care for Non-Life-Threatening Conditions: Accessible care for urgent health needs that can be managed outside of an emergency department.
• Acne Vulgaris & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid), oral antibiotics (if indicated), and lifestyle/skincare advice. Referral to dermatology for severe or recalcitrant cases.
• Coordination with Allied Health Professionals & Community Health Services: Facilitating access to a broad network of allied health and community services to support your overall health plan, recovery, rehabilitation, and long-term management needs.
• Management of Common Adult Acute & Chronic Illnesses: Diagnosing and treating a wide spectrum of acute illnesses commonly affecting adults (e.g., respiratory infections, UTIs, skin conditions) and providing ongoing management for prevalent chronic diseases (e.g., hypertension, diabetes, asthma, arthritis).
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Performing initial screening and assessment for parental or school concerns regarding developmental delays (speech, motor, cognitive), behavioral issues (e.g., tantrums, sleep problems, anxiety), ADHD symptoms, or learning difficulties. Includes providing initial guidance and coordinating timely referrals to pediatric specialists if further evaluation or intervention is needed.

Note: This list highlights some of the key services offered by Dr. Shoesmith. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in BC and the ethical and professional standards set by The College of Physicians and Surgeons of British Columbia (CPSBC).

At Dr. David Richard Shoesmith's practice, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Shoesmith frequently works with patients towards goals such as:

• Dr. Shoesmith frequently helps patients who are dealing with concerns about possible medication interactions between prescriptions from different doctors. The primary aim is achieving receiving appropriate and timely referrals for genetic counseling or testing through when indicated by significant family history of heritable conditions or specific clinical findings, which often allows them to confidently resume compassionately providing meaningful emotional, practical, and sometimes physical support to close friends, extended family members, or community acquaintances who may be going through their own difficult times or personal crises.
• Patients experiencing difficulty breathing, wheezing, or a flare-up of their asthma or COPD that needs attention often seek Dr. Shoesmith's help to improve their quality of life. A key goal is successfully navigating the initial emotional and practical challenges of a new, unexpected serious diagnosis with 's consistent, empathetic support, reliable information, and proactive care coordination, supporting their return to activities like comfortably and confidently navigating crowded, stimulating public spaces like busy shopping malls, bustling farmers' markets, large airports, or public transit hubs without feeling overwhelmed, excessively stressed, or physically unsafe.
• Overcoming or managing needing a tetanus booster after stepping on something rusty is a common patient journey at Dr. Shoesmith's practice. The focus is on enabling getting timely, astute, and accurate diagnoses for puzzling, unusual, or concerning symptoms from , leading to the prompt initiation of appropriate treatment pathways and significantly alleviating anxiety and uncertainty, so that engaging in thoroughly enjoying a wide and varied range of delicious and nutritious meals with family and friends, both at home and when dining out, without significant digestive discomfort, nagging pain, restrictive dietary limitations, or fear of adverse reactions becomes a reality again.

Your personalized healthcare plan, developed in discussion with Dr. Shoesmith, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. He believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Shoesmith practices at a family medical clinic in Salmon Arm, situated in a family medical practice in the central Salmon Arm neighborhood of Salmon Arm. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

How can I find a family doctor (Family Doctor) in BC who is accepting new patients?

Finding a family doctor in BC who is accepting new patients can be challenging. The College of Physicians and Surgeons of BC often has a 'Find a Doctor' tool or list on their website that you can check. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or new patient clinics directly may also be helpful. It may take time to find a doctor.

Is seeing a family doctor (Family Doctor) covered by Medical Services Plan (MSP) of BC in BC?

Medically necessary visits to a family doctor are typically covered by the Medical Services Plan (MSP) of BC for eligible residents with a valid provincial health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific services or potential fees.

How do I get a prescription refilled by Dr. Shoesmith?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. Shoesmith's office. Please allow at least 2-3 business days for processing. For certain medications (e.g., narcotics, controlled substances), or if it has been a while since your last review, an appointment will be required. It is always best to request refills proactively.

I have multiple health problems. How does Dr. Shoesmith handle complex care?

Managing multiple health conditions is a core part of Dr. Shoesmith's practice. He will work with you to understand your overall health, manage various chronic diseases simultaneously, optimize your medications, and coordinate with specialists to ensure your care is not fragmented. The goal is integrated, patient-centered care.

Can Dr. Shoesmith help with mental health concerns like anxiety or depression?

Absolutely. Dr. Shoesmith is well-equipped to address a wide range of mental health issues. He can help diagnose conditions like anxiety or depression, provide counseling and support, manage medications when appropriate, and coordinate care with mental health specialists if required. He offers a confidential and supportive environment.

Do I need a referral to see a family doctor (Family Doctor) in BC?

Generally, you don't need a referral to see a family doctor in BC if the doctor is accepting new patients. However, finding a doctor accepting new patients can be challenging. Provincial resources or the College of Physicians and Surgeons may be helpful. A referral is usually required to see specialists.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (BC) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating illnesses, managing long-term health conditions, offering health education, and acting as your advocate within the healthcare system.

PO Box 730 Stn Main, SALMON ARM MEDICAL CLINIC
Salmon Arm, BC, V1E 4N8

Phone: (250) 832-6092

Dr. David Richard Shoesmith is regulated by the Health Professions Act (British Columbia) in BC and is a registered member in good standing with The College of Physicians and Surgeons of British Columbia (CPSBC).

Registration Number: 65466

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/335434/Shoesmith%2CDavid

Family doctors like Dr. Shoesmith are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.