About
As a skilled Internist / Geriatrician, Dr. Jacob Rowan Forbes Michie offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, he serves the surrounding communities with a warm and community-focused approach. Dr. Michie provides comprehensive care in Internal Medicine and Geriatric Care, adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO). His commitment is to deliver personalized, compassionate care to help patients maintain their health and independence.
Dr. Michie graduated with a Medical Degree from the University of Cambridge School of Clinical Medicine in 2019, in the United Kingdom. He completed extensive post-graduate medical training, gaining key certifications in internal medicine and geriatrics, ensuring he is well-equipped to manage complex adult health conditions. His training emphasizes thorough evaluation and multidisciplinary collaboration to optimize patient outcomes.
With a warm and patient-centered philosophy, Dr. Michie is dedicated to fostering trust and open communication in his practice. He speaks fluent English and is committed to serving the diverse Toronto community. His goal is to provide accessible, community-oriented healthcare that respects each patient’s unique needs and values.
Dr. Michie provides expert care for adults with a wide range of medical conditions, including:
Geriatric Syndromes & Focused Elder Care
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
Complex Diagnostic & Multi-System Issues
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
Select Infectious & Inflammatory Conditions
- Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
- Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
Dr. Michie 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.
- Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
- Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
- Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
- Coordination of Specialist Care: Acting as a central point of contact to help manage and coordinate input from various medical specialists for patients with multi-system diseases.
- 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. Michie. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Michie'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).
Dr. Michie’s practice is located in the Lawrence Park neighborhood of Toronto, within Toronto West Medical. The location is conveniently accessible from the Kensington Market area via public transportation, including the TTC subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Michie? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Michie 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. Michie. 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. Jacob Rowan Forbes Michie 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. Michie 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. He can provide information and facilitate these discussions.
- What should I bring to my first appointment?
- Please bring:
- Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
- The referral letter if you have it.
- A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
- A list of your past medical history, surgeries, and known allergies.
- Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
- A list of your specific questions or concerns for Dr. Michie.
- What kind of tests might Dr. Jacob Rowan Forbes Michie order?
- Depending on your specific medical situation, Dr. Michie may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). He will explain why any tests are being recommended.
Toronto West Medical
2075 Bayview Ave D4 416a
Toronto, ON M4N 3M5
Phone: (416) 480-4593
The facility is wheelchair accessible.
Dr. Michie 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/Michie-Jacob-Rowan-Forbes/0329034-119421