About
Dr. Paul Evan Bunce, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Toronto, ON, he serves the surrounding communities with a commitment to high-quality, patient-centered healthcare. His practice adheres strictly to the standards and guidelines established by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Bunce provides comprehensive care in Internal Medicine and Geriatric Care, addressing complex health issues in adult and senior populations.
He graduated with a Medical Degree from the University of Toronto in 2005 and has completed extensive post-graduate medical training, including internships, residencies, and fellowships in internal medicine and geriatrics. His certifications include certification from the Royal College of Physicians and Surgeons of Canada, ensuring adherence to rigorous professional standards and ongoing medical education.
Dr. Bunce’s clinical philosophy emphasizes professionalism, accuracy, and compassion. He is dedicated to serving the diverse needs of Toronto’s adult and senior residents. Fluent in English, he strives to deliver clear communication and respectful care, fostering a trusting doctor-patient relationship.
Dr. Bunce provides expert care for adults with a wide range of medical conditions, including:
Endocrine & Metabolic Disorders
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
- Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
Geriatric Syndromes & Focused Elder Care
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
Select Infectious & Inflammatory Conditions
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- 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. Bunce 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.
- Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
- Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
- Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
- 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. Bunce. 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. Bunce'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. Bunce's practice is located in the Bay Street Corridor (Discovery District) neighborhood of Toronto, within Pulse Family Practice. The location is conveniently situated near the Scotiabank Arena and the Museum of Contemporary Art (MOCA). Patients can easily access the clinic via TTC services, including subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Bunce? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Bunce 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. Bunce. 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.
- When should someone be referred to an Internist or Geriatrician?
- Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced infections or polypharmacy), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management. Your family doctor can best determine if a specialist consultation is needed.
- What kind of tests might Dr. Bunce order?
- Depending on your specific medical situation, Dr. Bunce 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.
- 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.
Pulse Family Practice
200 Elizabeth St
Toronto, ON M5G 2C4
Phone: (416) 340-3273 | Fax: (416) 340-3357
The facility is wheelchair accessible.
Dr. Bunce 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/Bunce-Paul-Evan/0220093-83149