Dr. Francis David Gifford – Family Doctor | Peterborough, ON

Dr. Francis David Gifford is a Family Doctor. Practicing at University of Toronto in Peterborough, ON, 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 Ontario (CPSO) 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. Francis David Gifford completed his Medical Degree. He brings valuable clinical experience to the practice. 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; a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care; a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being. He provides consultations in English.

Dr. Francis David Gifford 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

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• 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.
• 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.

Common Chronic Conditions

• Irritable Bowel Syndrome (IBS) - Primary Care Management: Helping individuals understand and manage their IBS symptoms to improve digestive comfort and quality oflife.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Helping patients control symptoms of heartburn, regurgitation, and epigastric pain, and prevent long-term issues associated with chronic acid exposure or ulcers.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Diagnosis, treatment (e.g., levothyroxine for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions, including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and screen for complications like thyroid nodules or goiter. Includes initial investigation of thyroid abnormalities (e.g., ultrasound for nodules) and coordination with endocrinology for complex cases.

Mental Health Concerns

• Stress-Related Conditions, Burnout & Adjustment Disorders: Helping individuals build resilience, develop adaptive coping mechanisms (e.g., problem-solving, relaxation techniques, mindfulness), and navigate stressful periods effectively to protect their mental and physical health.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Ongoing management and support for anxiety disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.

Pediatric Common Issues

• Childhood Immunization Schedule Management & Counseling: Administering the complete schedule of publicly funded childhood vaccines (e.g., DTaP-IPV-Hib, Pneumococcal conjugate and polysaccharide, MMR, Varicella, Meningococcal conjugate (Groups A,C,Y,W-135 and Group B), Hepatitis B, Rotavirus, Human Papillomavirus (HPV), Influenza) to protect against serious and preventable infectious diseases, according to current provincial and national (NACI) guidelines.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Supporting the unique physical, emotional, and social health needs of adolescents during this critical period of rapid development, fostering autonomy, responsible decision-making, and a positive transition to adulthood.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Primary care coordination for childhood asthma, eczema, and allergies, ensuring optimal health, growth, and development, with close collaboration with pediatric specialists when necessary for severe or complex cases.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Ensuring a healthy start for newborns with regular check-ups, timely interventions if issues arise, and resources for parental education and support.

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

• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Providing personalized, evidence-based advice and developing actionable plans for healthy eating, regular physical activity, optimal sleep hygiene, and effective stress management techniques to promote overall health, prevent chronic diseases, and enhance well-being.
• Hospital Discharge Follow-Up & Transitions of Care Management: Providing prompt and comprehensive follow-up care after hospital stays, emergency room visits, or specialist procedures to ensure a smooth and safe transition back to the community. This includes medication reconciliation, review of discharge summaries and specialist reports, management of ongoing issues, addressing any new concerns, and coordination of any further treatment, rehabilitation, or home care services.
• Primary Care for Overuse & Repetitive Strain Injuries: Diagnosing and managing conditions resulting from repetitive stress or overuse, such as tendinopathies (e.g., tennis elbow, golfer's elbow, Achilles tendinopathy), plantar fasciitis, and carpal tunnel syndrome (initial management).
• Management of Acute Dermatological Conditions (Rashes, Hives, Shingles): Assessment and management of sudden onset skin rashes and other common skin ailments to relieve symptoms and promote healing.
• Childhood & Adolescent Immunization Administration & Counseling: Administering the complete schedule of publicly funded childhood and adolescent vaccines to protect against serious infectious diseases. Includes catch-up schedules and addressing parental concerns with evidence-based information.

Note: This list highlights some of the key services offered by Dr. Gifford. 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 ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At University of Toronto, 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. Gifford frequently works with patients towards goals such as:

• Many patients have successfully addressed wanting to establish care with a new family doctor after moving to the area with Dr. Gifford's support. This often leads to their child successfully overcoming challenges like picky eating habits, minor feeding issues, or common toileting problems with practical, patient, and evidence-informed strategies suggested and supported by Dr. Gifford and the ability to fully participate in meticulously planning, eagerly anticipating, and thoroughly enjoying well-deserved, adventurous, or relaxing vacations and novel travel experiences, both near and far, without the constant nagging worry about potential health flare-ups, unexpected medical needs, or physical limitations once more.
• Through Dr. Gifford's guidance, patients with that persistent, dry cough that just won't seem to go away after a cold often find they can achieve feeling confident, secure, and proactive in their health because their preventative health screening needs (e.g., for cervical, breast, colorectal, prostate, and lung cancers, as well as screening for AAA, STBBIs, or domestic violence when appropriate) are being diligently and appropriately addressed according to current, evidence-based Canadian guidelines by Dr. Gifford and once again pursue boldly taking on new, exciting challenges or ambitious, multi-stage projects either at work or in their personal life with a strong sense of self-efficacy, physical capability, and mental preparedness.
• Overcoming or managing a suspicious mole or skin lesion that has changed in size, shape, or color, or started to itch or bleed is a common patient journey at Dr. Gifford's practice. The focus is on enabling finding effective, practical, and often simple solutions for common but persistently bothersome issues like recurrent allergies, chronic skin rashes, or disruptive digestive upset, expertly guided by Dr. Gifford, so that engaging in thoughtfully and proactively planning for their long-term future, including considerations for retirement, potential changes in living arrangements, or other significant life transitions, with a strong sense of health security and financial preparedness becomes a reality again.
• Dr. Gifford understands the impact of their elderly relative seeming more confused or withdrawn lately. That's why treatment is geared towards their elderly family member maintaining their cherished independence and dignity for a longer period due to Dr. Gifford's comprehensive focus on geriatric syndromes, functional assessment, fall prevention, and medication safety, helping patients get back to feeling well-prepared, physically able, and mentally positive for attending and fully participating in significant, once-in-a-lifetime family or social events like weddings, milestone anniversaries, international reunions, or major academic graduations with greater ease.

Your personalized healthcare plan, developed in discussion with Dr. Gifford, 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. Gifford's practice at University of Toronto is situated in the Downtown Peterborough, Central neighborhood of Peterborough. The clinic is conveniently located near Lansdowne Place Mall and is accessible via Peterborough Transit. Street parking and nearby public or paid lots typically offer convenient options for visitors.

What should I do if I have an urgent medical issue when University of Toronto is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until University of Toronto reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with University of Toronto or Dr. Gifford during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail may also provide instructions or resources for after-hours care.

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

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. Gifford's office. Please allow at least 2-3 business days for these requests to be processed by Dr. Gifford. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr. Gifford, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

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

Generally, you do not need a referral from another doctor to see a family doctor if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can sometimes be challenging, and provincial resources like Health Care Connect in Ontario may be helpful. A referral is usually required from a family doctor to see most medical specialists.

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

Check the website of The College of Physicians and Surgeons of ON, which often has a 'Find a Doctor' tool or list. In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics directly. It can be challenging and may take time.

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

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. Some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Confirm with University of Toronto if you have questions about specific non-insured services or potential fees.

University of Toronto
Unit Suite 602, 707 Charlotte St, Postgraduate Medical Education
Peterborough, ON, K9J 2X5

Phone: (705) 876-4502

Dr. Francis David Gifford is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 117920

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Gifford-Francis-David/0328292-117920

Family doctors like Dr. Gifford 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.