Dr. Stephen Joseph Mosca

Dr. Stephen Joseph Mosca 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

• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Performing routine developmental surveillance and targeted screening (e.g., using Ages & Stages Questionnaires - ASQ) when parents or educators raise concerns regarding potential developmental delays (in speech/language, gross/fine motor skills, cognitive abilities, social-emotional development). Offering initial assessment and guidance for common behavioral issues (e.g., significant tantrums, sleep problems, childhood anxiety, aggression), symptoms suggestive of ADHD, or learning difficulties.
• Childhood Immunization Schedule Management & Counseling: Administering the complete schedule of publicly funded childhood vaccines (e.g., DTaP-IPV-Hib, Pneumococcal conjugate and polysaccharide, MMR, Varicella, Meningococcal conjugate (Groups A,C,Y,W-135 and Group B), Hepatitis B, Rotavirus, Human Papillomavirus (HPV), Influenza) to protect against serious and preventable infectious diseases, according to current provincial and national (NACI) guidelines.
• 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.

Dermatological Skin Conditions

• 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.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Helping adolescents and adults manage these common and often distressing inflammatory skin conditions effectively to improve skin appearance, reduce symptoms (redness, papules, pustules, flushing), prevent scarring (acne), and enhance quality of life.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Differentiating between benign and potentially suspicious skin lesions is a key role, with prompt biopsy or referral to dermatology if any features suggest skin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma).

Adult Common Health Issues

• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Referral to urology for severe symptoms, complications (e.g., acute urinary retention, recurrent UTIs, bladder stones, renal impairment due to obstruction), or if surgical intervention (e.g., TURP) is being considered.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Assessing patients presenting with symptoms suggestive of Restless Legs Syndrome (an urge to move the legs, usually accompanied by uncomfortable sensations, typically worse at rest/in the evening, and relieved by movement). This includes ruling out secondary causes (e.g., iron deficiency, kidney failure, pregnancy, certain medications).
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Mosca. 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.
• Childhood & Adolescent Immunization Administration & Counseling: Administering the complete schedule of publicly funded childhood and adolescent vaccines to protect against serious infectious diseases. Includes catch-up schedules and addressing parental concerns with evidence-based information.
• Comprehensive Periodic Health Exams (Check-ups): Proactive health evaluations designed to detect potential health issues early, manage existing conditions, and promote long-term wellness.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Offering routine and risk-based STBBI screening and harm reduction counseling in a supportive and non-judgmental environment.
• Joint Injections for Pain Relief (e.g., Corticosteroid - if trained/equipped): Offering targeted injections as part of a comprehensive management plan for certain types of joint pain.

Note: This list highlights some of the key services offered by Dr. Mosca. 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 BC and the ethical and professional standards set by The College of Physicians and Surgeons of British Columbia (CPSBC).

At Dr. Stephen Joseph Mosca's practice, 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. Mosca frequently works with patients towards goals such as:

• Many seek Dr. Mosca's help for their child needing a physical exam for summer camp or sports participation. The collaborative goal is successfully navigating the initial emotional and practical challenges of a new, unexpected serious diagnosis with Dr. Mosca's consistent, empathetic support, reliable information, and proactive care coordination, allowing a return to valued activities like diligently learning a new foreign language, mastering a complex musical instrument, or developing a sophisticated artistic skill that requires significant focus, patience, dexterity, and long-term dedication.
• Dr. Mosca assists individuals in navigating wanting to understand their personal risk factors for heart disease or stroke and how to reduce them. A successful outcome, like seeing profoundly positive and lasting changes in their overall approach to health, preventative self-care, and health-seeking behaviors as a direct and inspiring result of Dr. Mosca's ongoing education, consistent encouragement, and positive role modeling, means they can get back to confidently, independently, and effectively managing their diagnosed chronic health conditions (like diabetes, asthma, or hypertension) on a daily basis with minimal disruption to their desired lifestyle and activities, feeling in control.
• When their child having difficulty with toilet training or experiencing bedwetting beyond a certain age affects a patient's ability to actively engaging in a variety of mentally stimulating and enriching activities such as immersive reading of books and articles, solving complex puzzles, consistently learning a new practical skill online, or regularly attending engaging adult education classes with good, sustained concentration and memory recall, Dr. Mosca works with them to develop a plan. Success means reaching successfully and permanently quitting smoking, vaping, or significantly reducing harmful substance use with the consistent, non-judgmental, evidence-based support, counseling, and resources provided by Dr. Mosca and getting back to their valued pursuits.

Your personalized healthcare plan, developed in discussion with Dr. Mosca, 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. Mosca practices at a family medical clinic in Vancouver, situated in the Fairview neighborhood of Vancouver. The clinic is conveniently located near Riley Park (Nat Bailey Stadium) and is accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

Absolutely. Dr. Mosca is well-equipped to address a wide range of mental health issues as part of comprehensive family practice. He can help diagnose conditions like anxiety or depression, provide counseling and support, manage psychotropic medications when appropriate, and coordinate care with mental health specialists if required. If you're struggling with your mental well-being, Dr. Mosca is a good person to start the conversation with and seek help from in a confidential and supportive environment.

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

Finding a family doctor in BC who is accepting new patients can be challenging. The College of Physicians and Surgeons of BC often has a ‘Find a Doctor’ tool or list on their website. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or new patient clinics directly may also be helpful. It may take time to find a suitable doctor.

Is seeing a family doctor (Family Doctor) covered by Medical Services Plan (MSP) of BC in BC?

Medically necessary visits to a family doctor are typically covered by the Medical Services Plan (MSP) of BC for eligible residents with a valid provincial 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 our clinic if you have questions about specific services or potential fees.

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

Your family doctor (British Columbia) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

How often should I see Dr. Mosca for a check-up or physical exam?

The recommended frequency for check-ups or periodic health exams with Dr. Mosca can vary based on your age, overall health, any existing medical conditions, and specific risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). For specific screening tests like Pap smears or mammograms, there are established provincial guidelines based on age and gender which Dr. Mosca follows. It's best to discuss your individual needs with Dr. Mosca to determine an appropriate schedule for your preventative care. Even if you feel healthy, regular check-ins can be important for early detection and health maintenance.

Does Dr. Mosca at your clinic offer virtual (video) or phone appointments?

Yes, Dr. Mosca at our clinic offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Mosca if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with our clinic regarding any potential fees for uninsured virtual services.

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

Generally, you do not need a referral from another doctor to see a family doctor in BC if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, such as the College of Physicians and Surgeons of BC website, may be helpful in your search. A referral is usually required from a family doctor to see most medical specialists.

300-999 Broadway W
Vancouver, BC, V5Z 1K5

Phone: (604) 742-4010

Dr. Stephen Joseph Mosca is regulated by the Health Professions Act (British Columbia) in BC and is a registered member in good standing with The College of Physicians and Surgeons of British Columbia (CPSBC).

Registration Number: 37372

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/375234/Mosca%2CStephen

Family doctors like Dr. Mosca 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.