About
As a skilled Internist / Geriatrician, Dr. Marc Nicholas Engfield offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Ottawa, ON, he serves the surrounding communities with a focus on providing comprehensive and patient-centered care. Dr. Engfield adheres to the highest standards of the College of Physicians and Surgeons of Ontario (CPSO), ensuring that all clinical practices meet provincial regulatory requirements. His role involves addressing complex medical conditions in adult and senior populations, emphasizing holistic assessment and tailored treatment plans.
Dr. Engfield graduated with a Medical Degree from the University of Ottawa in 1998, completing extensive postgraduate medical training in internal medicine and geriatric care. His certifications include board certification in Internal Medicine and additional specialized training in geriatrics, reflecting his commitment to ongoing professional development and excellence in clinical practice.
With a professional and clinical approach, Dr. Engfield is dedicated to serving the Ottawa community. He speaks English, French, and German, enabling him to communicate effectively with a diverse patient base. His commitment is to provide compassionate, evidence-based care that respects patient dignity and promotes optimal health outcomes.
Dr. Engfield provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
- Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
Complex Diagnostic & Multi-System Issues
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
Geriatric Syndromes & Focused Elder Care
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
Dr. Engfield 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.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
- Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
- Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
Note: This list represents some of the key services offered by Dr. Engfield. 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. Engfield'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. Engfield's practice is situated in the Carlington, Copeland Park, and Carleton Heights neighborhoods of Ottawa. The location offers proximity to Westboro Beach and the Ottawa River Pathway, providing a scenic environment for patients. Accessibility is enhanced by connections to OC Transpo services, including the O-Train LRT and bus routes, making it convenient for patients from various parts of the city. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Engfield? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Engfield 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. Engfield. 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.
- Can a family member or friend accompany me to the appointment?
- Yes, absolutely. Patients are welcome to bring a family member, friend, or caregiver to their appointment for support, to help recall information, or to ask questions. Especially for complex discussions or if memory is a concern, having a second person present can be very beneficial.
Unit E, 1770 Woodward Dr
Ottawa, ON K2C 0P8
Phone: (613) 755-2095 | Fax: (613) 731-6201
The facility is wheelchair accessible.
Dr. Engfield 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/Engfield-Marc-Nicholas/0150048-78968