About
Dr. Janet Mary Roscoe, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Scarborough, ON, she serves the surrounding communities, providing comprehensive care in Internal Medicine and Geriatric Care. Her practice adheres strictly to the standards and ethical guidelines established by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Roscoe’s primary role involves managing complex medical issues in adult patients, with a particular emphasis on the health and well-being of older adults and seniors.
She graduated with a Medical Degree from McGill University Faculty of Medicine and Health Sciences in 1971, and has completed extensive post-graduate medical training, including residencies and fellowships in Internal Medicine and Geriatrics. Her certifications reflect her commitment to maintaining high standards of clinical excellence and ongoing professional development.
Dr. Roscoe’s clinical philosophy is rooted in evidence-based and informative approaches, prioritizing patient-centered care and shared decision-making. She is dedicated to serving the Scarborough community, speaking fluent English, and ensuring her patients receive the highest standard of medical attention tailored to their individual needs.
Dr. Roscoe provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
- Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
Complex Diagnostic & Multi-System Issues
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
Geriatric Syndromes & Focused Elder Care
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
- Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
Dr. Roscoe 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.
- Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
- 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.
- 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.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
Note: This list represents some of the key services offered by Dr. Roscoe. 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. Roscoe'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. Roscoe's practice is located in areas near the central Scarborough neighborhood of Scarborough. The clinic is easily accessible via local public transit, including bus routes and nearby subway stations. The surrounding points of interest include local shopping centers and community facilities, making it convenient for patients to attend appointments. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Roscoe? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Roscoe 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. Roscoe. 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.
- Is the focus mainly on diseases or also on daily function?
- While diagnosing and managing diseases like Cognitive Impairment & Dementia Syndromes or Chronic Kidney Disease (CKD) is crucial, Dr. Roscoe also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care (Frailty Assessment & Management), and participation in meaningful activities.
- What is the appointment cancellation policy?
- We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours' notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.
- What happens after the initial consultation?
- After your assessment, Dr. Roscoe will typically send a detailed consultation report with findings and recommendations to your referring physician. Depending on your specific situation and the reason for referral, Dr. Roscoe may arrange follow-up appointments, order further tests, or transition care management back to your family doctor with specialist guidance. The plan will be discussed with you.
3050 Lawrence Ave. E.
Scarborough, ON M1P 2V5
Phone: (416) 438-2911
The facility is wheelchair accessible.
Dr. Roscoe 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/Roscoe-Janet-Mary/0020419-25207