Dr. Malcolm Stefan Hartman – Family Doctor | St. Catharines, ON

Dr. Malcolm Stefan Hartman is a Family Doctor. Practicing at Health Centre at 80 Bond in St. Catharines, 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. He focuses on 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. Malcolm Stefan Hartman 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 a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness; advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services. He provides consultations in English.

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

Pediatric Common Issues

• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Diagnosing and treating frequent acute illnesses in children, such as otitis media (ear infections), streptococcal pharyngitis (strep throat - with rapid testing if available), common colds and influenza, croup, bronchiolitis, roseola, hand-foot-and-mouth disease, viral and bacterial gastroenteritis (vomiting and diarrhea), uncomplicated urinary tract infections, and common skin infections (impetigo, cellulitis - mild).
• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Helping children and their families manage long-term health conditions effectively, enabling active participation in all aspects of childhood including school, sports, and play, while minimizing symptoms and exacerbations.

Common Chronic Conditions

• Type 2 Diabetes Mellitus & Prediabetes: Helping you live well with diabetes by providing ongoing education, support for self-management behaviors, access to diabetes education programs, and strategies to prevent or delay long-term complications, empowering you to take control of your health.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Partnering with you to achieve and maintain optimal blood pressure control, thereby significantly reducing your risk of heart disease, stroke, kidney failure, and other related health problems.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Managing chronic pain and stiffness associated with osteoarthritis in various joints (knees, hips, hands, spine), persistent mechanical low back or neck pain, and conditions like fibromyalgia. This involves a multimodal approach including education, exercise recommendations (strength, flexibility, low-impact aerobics), weight management, pain relief medications (topical, oral NSAIDs, acetaminophen, judicious use of other analgesics like gabapentinoids or TCAs for neuropathic/fibromyalgia components), joint injection considerations, and referrals to physiotherapy, rheumatology or pain clinics if needed.

Common Acute Conditions

• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Assessment and treatment for acute chest infections like acute bronchitis or mild to moderate community-acquired pneumonia, including determining the need for antibiotics based on clinical assessment and guidelines, and monitoring recovery closely.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Providing prompt care for sudden or severe headaches, offering effective relief, and establishing a plan for ongoing management if headaches are recurrent or chronic.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Diagnosis and management of common viral and bacterial infections affecting the nose, throat, sinuses, and larynx (e.g., common cold, influenza, acute sinusitis, strep throat, laryngitis), helping to relieve symptoms like cough, congestion, fever, and sore throat.

Dermatological Skin Conditions

• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Diagnosing and managing common viral skin infections. This includes common/plantar warts and molluscum contagiosum (observation, cryotherapy, topical agents like salicylic acid or cantharidin). For Herpes Simplex Virus (HSV - cold sores/fever blisters, genital herpes): antiviral therapy (acyclovir, valacyclovir, famciclovir) for acute outbreaks or suppressive therapy for frequent recurrences, plus counseling on transmission. For Herpes Zoster (Shingles): prompt antiviral therapy to reduce severity/duration and risk of post-herpetic neuralgia (PHN), along with pain management. Shingles vaccination advice for eligible adults.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Primary care management of common, non-cancerous skin lesions, including reassurance and simple removal procedures where appropriate and within scope.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.

Adult Common Health Issues

• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Managing common types of nutritional anemia such as iron deficiency anemia (oral or intravenous iron supplementation, dietary advice to increase iron intake and absorption, investigation for source of chronic blood loss if suspected - e.g., GI bleed, heavy menses) and megaloblastic anemia due to vitamin B12 or folate deficiency (oral or parenteral supplementation, dietary counseling, investigation for underlying causes like pernicious anemia, malabsorption syndromes - celiac disease, Crohn's, post-gastric surgery, medication effects - metformin, PPIs).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Helping patients find relief from itchy, irritated, or dry eyes through appropriate primary care interventions and guidance.

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

• Weight Management & Healthy Weight Strategies: Supporting individuals in achieving and maintaining a healthy body weight through evidence-based, non-stigmatizing approaches that focus on sustainable lifestyle habits and overall well-being rather than restrictive dieting.
• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Providing ongoing care and management for a variety of other long-term health issues such as chronic gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), chronic anemia, and more, focusing on symptom control and quality of life.
• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Diagnosis, treatment (e.g., thyroid hormone replacement 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 monitor for complications like thyroid nodules or goiter.
• Grief, Loss & Bereavement Counseling (Initial Supportive Care): Providing a safe and understanding space to navigate the complex emotional, cognitive, and physical reactions to loss, and connecting with specialized bereavement services or support groups if needed.
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Monitoring kidney function (e.g., eGFR, urine ACR), managing risk factors (especially diabetes and hypertension that can worsen CKD), medication review to avoid nephrotoxic drugs, and coordinating care for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.

Note: This list highlights some of the key services offered by Dr. Hartman. 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 Health Centre at 80 Bond, 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. Hartman frequently works with patients towards goals such as:

• Patients with wanting to understand if their family history of cancer means they need earlier or different screening tests can find relief and achieve obtaining clear, concise, and actionable guidance from Dr. Hartman on when it's appropriate to seek urgent versus routine medical attention for various common symptoms, promoting appropriate health service utilization under Dr. Hartman's care, often allowing them to resume feeling confident enough in their stable health and physical abilities to make spontaneous, last-minute plans, embrace unexpected opportunities, or enthusiastically try new, unfamiliar activities or experiences without former limitations.
• Dr. Hartman frequently helps patients who are dealing with concerns about memory changes, increasing forgetfulness, or concentration difficulties in themself/themselves or an elderly relative. The primary aim is achieving significantly better control over chronic inflammatory or allergic conditions like asthma, allergic rhinitis, or eczema, leading to markedly fewer disruptive flare-ups, reduced reliance on rescue medications, and an improved daily experience free from constant symptoms, which often allows them to confidently resume meaningfully celebrating positive health milestones, consistently encouraging check-up results from Dr. Hartman, and successfully achieving deeply personal wellness goals (big or small) with a profound sense of accomplishment and renewed motivation.
• Managing a recurring ear infection, or their child tugging at their ear and being fussy effectively is a priority for Dr. Hartman. The aim is having their complex chronic condition, such as advanced type 2 diabetes, congestive heart failure, difficult-to-control asthma, or multi-joint osteoarthritis, effectively managed and well-stabilized through a collaborative, evidence-based plan developed with Dr. Hartman, which helps patients get back to enjoying confidently and effectively advocating for their own complex health needs, specific treatment preferences, and the essential healthcare requirements of their family members when interacting within the broader, sometimes impersonal, healthcare system.

Your personalized healthcare plan, developed in discussion with Dr. Hartman, 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. Hartman practices at Health Centre at 80 Bond, located in the Port Dalhousie neighbourhood of St. Catharines. The clinic enjoys convenient proximity to QEW Access and is easily accessible via Niagara Region Transit (NRT). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

Yes, as your family doctor, Dr. Hartman plays a crucial role in mental healthcare. He is often the first point of contact for individuals experiencing mental health concerns such as anxiety, depression, stress-related issues, sleep problems, or concerns about substance use. Dr. Hartman can provide an initial assessment, offer supportive counseling and lifestyle strategies, prescribe medication if appropriate and indicated, and make referrals to specialized mental health services such as psychiatrists, psychologists, or community mental health programs if more intensive or specialized care is needed. Dr. Hartman can provide ongoing support and management for many common mental health conditions.

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

Generally, you do not need a referral to see a family doctor in Ontario if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario, your local health unit's website, or the College of Physicians and Surgeons of Ontario's patient-doctor matching service (if available) can be helpful. A referral from a family doctor is usually required to see most medical specialists.

What should I do if I have an urgent medical issue when Health Centre at 80 Bond 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 Health Centre at 80 Bond 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 Health Centre at 80 Bond or Dr. Hartman during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(905) 378-4647] may also provide instructions or resources for after-hours care.

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

As a family doctor, Dr. Hartman is specifically trained to manage patients with multiple health problems (multimorbidity) and complex care needs. He will take a holistic approach, considering how your various conditions interact and how treatments for one might affect another. Dr. Hartman will help prioritize your health concerns, coordinate care with any specialists involved, manage your medications to avoid harmful interactions (polypharmacy review), and develop a comprehensive care plan that aligns with your overall health goals and quality of life. Open communication about all your conditions and concerns is key.

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

Finding a family doctor in Ontario who is accepting new patients can take time and effort. The College of Physicians and Surgeons of Ontario often has a 'Find a Doctor' tool or list on their website. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly.

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 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 Health Centre at 80 Bond if you have questions about specific services or potential fees.

How long do appointments with Dr. Hartman typically last?

Appointment lengths vary. Standard appointments are often 10-15 minutes, while more complex issues or new patient visits may be 20-30 minutes or longer. When booking, mention the reason for your visit so the appropriate time can be allocated. Multiple issues may require separate appointments.

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

Your family doctor (in Ontario) is your primary healthcare provider, trained to care for a wide range of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee long-term chronic disease care, provide routine health screenings and lifestyle counseling, administer vaccinations, and make referrals to specialists when needed. The continuity of care they provide is fundamental to effective family medicine.

Health Centre at 80 Bond
1200 Fourth Avenue, St. Michael's Hospital Family Healt
St. Catharines, ON, L2S 0A9

Phone: (905) 378-4647

Dr. Malcolm Stefan Hartman 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: 132530

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Hartman-Malcolm-Stefan/0334828-132530

Family doctors like Dr. Hartman 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.