Dr. Vincent Todd Spilchuk – Internist / Geriatrician | Toronto, ON

As a skilled Internist / Geriatrician, Dr. Vincent Todd Spilchuk offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, he serves the surrounding communities, providing comprehensive care in Internal Medicine and Geriatric Care. Dr. Spilchuk adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and safety in his practice. His role involves addressing complex medical conditions prevalent among adults and seniors, with a focus on holistic and evidence-based approaches to healthcare.

Dr. Spilchuk graduated with a Medical Degree from the University of Saskatchewan College of Medicine in 2013.0 (Canada). He has completed extensive post-graduate medical training, including residency in Internal Medicine, and has obtained certification through relevant medical boards. His training emphasizes a thorough understanding of adult and geriatric health issues, enabling him to deliver nuanced and individualized care.

With an evidence-based and informative clinical philosophy, Dr. Spilchuk is committed to providing patient-centered care grounded in the latest medical research. He is dedicated to serving the Toronto community and speaks English fluently. His approach involves careful assessment, diagnosis, and management to optimize health outcomes for his patients, emphasizing clear communication and shared decision-making.

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

Management of Chronic Diseases

• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• 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

• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.

Endocrine & Metabolic Disorders

• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.

Dr. Spilchuk 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.

• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• 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.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.

Note: This list represents some of the key services offered by Dr. Spilchuk. 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. Spilchuk'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. Spilchuk’s practice is located in the vibrant St. James Town neighborhood of Toronto, within Windsor Regional Hospital. The location offers convenient access for patients from the downtown core and surrounding areas, with proximity to Cherry Beach and the Port Lands. The facility is easily accessible via TTC, including subway, streetcar, and bus services. The practice is situated in a building that is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Spilchuk 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. Spilchuk. 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 kind of tests might Dr. Vincent Todd Spilchuk order?

Depending on your specific medical situation, Dr. Spilchuk 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.

Does Dr. Vincent Todd Spilchuk discuss goals of care or advance care planning?

Yes, discussing goals of care is an important part of patient-centered practice, especially in managing chronic illness or in geriatric care. Dr. Spilchuk encourages conversations about patient values, preferences for future medical treatment, and advance care planning (including identifying a substitute decision-maker) to ensure care aligns with what matters most to the patient. He can provide information and facilitate these discussions.

Windsor Regional Hospital
36 Toronto Street
Toronto, ON M5C 2C5

Phone: (416) 864-5074

The facility is wheelchair accessible.

Dr. Spilchuk 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/Spilchuk-Vincent-Todd/0288867-101093