Dr. Vincent Chien – Internist / Geriatrician | Toronto, ON

Dr. Vincent Chien is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Toronto, ON, he serves the surrounding communities with a warm and community-focused approach. His practice is committed to maintaining the highest standards of care in accordance with the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe, ethical, and evidence-based treatment.

Dr. Chien graduated with a Medical Degree from the University of Toronto in 1993 and has completed extensive post-graduate medical training, including residency in Internal Medicine. He holds key certifications in geriatrics and internal medicine, reflecting his specialized expertise in managing complex adult health issues and age-related conditions. His ongoing professional development ensures that he stays current with the latest advancements in his field.

With a warm and community-oriented philosophy, Dr. Chien is committed to building trusting relationships with his patients. He speaks English fluently and strives to provide compassionate, personalized care tailored to each individual's needs. His goal is to support his patients in achieving optimal health and well-being throughout their aging journey.

Dr. Chien provides expert care for adults with a wide range of medical conditions, including:

Geriatric Syndromes & Focused Elder Care

• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.

Complex Diagnostic & Multi-System Issues

• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.

Select Infectious & Inflammatory Conditions

• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.

Dr. Chien 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.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• 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.

Note: This list represents some of the key services offered by Dr. Chien. 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. Chien'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. Chien's practice is located in the vibrant Bay Street Corridor (Discovery District) neighborhood of Toronto, within the NYGH Elder Care Centre. The location is conveniently close to the Cabbagetown community and easily accessible via TTC, including subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility, making visits convenient for patients and their families.

How is payment handled for appointments with Dr. Chien? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Chien 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. Chien. 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.

What are typical wait times for an appointment?

Wait times for specialist appointments can vary significantly depending on the urgency of the referral, the volume of requests, and Dr. Chien's availability. Our office prioritizes referrals based on medical need. We strive to see patients as promptly as possible and will contact you once the referral is processed to schedule an appointment. You can inquire about approximate wait times when booking.

NYGH Elder Care Centre
600 University Ave
Toronto, ON M5G 1X5

Phone: (416) 586-5133

The facility is wheelchair accessible.

Dr. Chien 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/Chien-Vincent/0052751-66715