Clinics & Inpatient Care Centres
The Department of Pediatrics at St. Michael’s Hospital provides pediatric services for southeast Toronto’s inner city population. Inpatient services include a 20 bed Level II Neonatal Intensive Care Unit (NICU) as well as outpatient services through the Pediatric Ambulatory Clinics. These clinics provide general pediatric consultative services, antenatal consultations for high risk pregnancies due to either maternal or fetal issues, development and school problem assessments, neonatal follow-up and specialty support in the areas of fetal alcohol spectrum disorder and inner city youth (teens). The clinics provide services to the surrounding community agencies and family physicians as well as more regional support for southeast Toronto and beyond.
Our clinics include (click/tap to expand):
Antenatal Consultation Clinic
In this clinic, prenatal counselling is provided for mothers whose babies are at risk for neonatal complications either because of various maternal issues (i.e. IDDM, lupus, renal dysfunction, heart problems, etc.), pregnancy related issues (infections, HIV, gestational diabetes, PIH etc.), perinatal drug/illicit substance exposure, socioeconomic disadvantage and/or prenatally diagnosed fetal abnormalities (malformations, deformations, syndromes etc.). With a multidisciplinary approach, families are appropriately counselled and perinatal plans of care are outlined and coordinated.
The pediatric dermatologist provides consultative services for children from newborn to 18 years of age. The clinic focuses on all pediatric dermatologic problems, with a special interest in hemangiomas of infancy, atopic dermatitis and alopecia areata.
Developmental Services Clinic
The Developmental Services Clinic evaluates preschool and school age children who have been referred due to developmental concerns. The clinic works closely with parents, teachers and community agencies to ensure that the child’s needs are recognized and appropriate services and supports are put in place. Children are initially assessed in the General Pediatric Consultation Clinic at St. Michael's Hospital to facilitate medical evaluation and investigation, commence collection and collation of relevant information for triage to the most appropriate Developmental Services team member. We attempt to identify developmentally challenged children as early as possible but realize (especially in a culturally diverse population) that developmental difficulties may not be recognized until school age. Following assessment, most services are provided by linkage to community agencies such as daycares, elementary schools, Toronto Preschool Speech and Language Services, Community Care Access Centres, Toronto Association for Community Living, Toronto Preschool Autism Services, mental health facilities, family support workers and medical subspecialties.
Dietetic/Lactation Support Clinic
The Dietetic/Lactation Support Clinic provides counselling for the pediatric population. Reasons for referral may include prematurity, food allergies, feeding tubes, poor weight gain and failure to thrive. The Dietitian and the Lactation Consultant have expertise in working with premature and special needs infants. Referral through the General Pediatric Consultation Clinic is required.
Fetal Alcohol Spectrum Disorder Diagnostic Clinic
This clinic uses a multidisciplinary approach that provides diagnostic services, a plan of care for each identified individual, and co-ordination of community referrals as needed. The clinic assesses individuals of all ages with suspected FASD. Infants who have been identified because of prenatal exposure in high risk mothers are entered into the clinic from birth.
General Pediatric Consultation Clinic & Outreach Services
The General Pediatric Consultation Clinic see patients referred for diagnosis, evaluation and management of problems ranging from asthma to zinc deficiency. This clinic has a special interest in the inner city population including developmental delay, child behavioural issues, new immigrants and socially disadvantaged families. Children from birth up to 16 years of age are seen in the clinic, and particular emphasis is placed on children with chronic disabilities or diseases that require evaluation monitoring, treatment and ongoing advocacy. The outreach clinics were established in order to meet the needs of underserviced, high risk and economically disadvantaged children who face barriers to accessing health care. Outreach locations presently include several inner city health clinics and shelters for homeless families and children.
Immigrant Health and Infectious Disease Clinic
The goal of the Immigrant Health and Infectious Disease Clinic is to diagnose and treat infants, children and adolescents who may be at high risk of infectious diseases acquired abroad (tropical diseases), as well as infectious diseases acquired in Canada. There is a special emphasis on immigrant and refugee children, internationally adopted children and children returning from travel. Antenatal counseling is provided for pregnancies where fetus/baby are at risk for acquiring infections in pregnancy or delivery.
Neonatal Follow-up Clinic
As a regional perinatal centre and a Level II NICU provider, St. Michael's Hospital provides continued care after discharge from hospital through the ongoing assessment of growth and development during the first two years of life. Infants who are eligible include those who are born at St. Michael's Hospital and/or transferred from tertiary care centres for Level II care at St. Michael's Hospital and who meet the regional follow-up criteria including alcohol and drug exposed infants, infants at high-risk for developmental disability and infants exposure to a high-risk pregnancy.
Pediatric Cardiology Clinic
There is a wide spectrum of pediatric cardiology services available at St. Michael's Hospital, ranging from fetal echocardiography for prenatal screening, diagnosis and counseling; NICU and newborn inpatient consultation; and outpatient Pediatric Cardiology Clinic with ECG, echocardiography, and holter monitoring. Children with congenital heart disease may be prenatally diagnosed at St. Michael's Hospital, delivered here and undergo a cardiac assessment prior to hospital discharge, return for outpatient cardiology clinic visits, and potentially graduate to an adult cardiologist all in one setting.
Pediatric Hematology Clinic
The clinic provides consultative services in benign general hematology to children from newborn to age 18. Common reasons for referral may include anemia, thrombocytopenia, neutropenia, abnormal bleeding, and counselling around hereditary hematological disease, among other benign hematological issues. In addition, the hematologist provides antenatal consultation to pregnant women with congenital or acquired hematological disorders themselves whose newborns may be at risk for related hematological issues or complications. Adolescent patients seen in the paediatric hematology clinic who require ongoing follow-up, may be seen by the hematologist in her adolescent young adult hematology clinic at St. Michael's Hospital once they turn 18.
Specialized Nutritional Clinic
The Specialized Nutritional Clinic uses a multidisciplinary approach including two specialized pediatricians, dietitian, a lactation consultant and nursing support. The clinic focuses on complex nutritional issues including failure to thrive, feeding behavioural problems, feeding tube evaluation and assessment of micronutrient deficiencies. Particular emphasis will be placed on infants and children with complex nutritional issues requiring ongoing evaluation, monitoring and treatment.
The teen clinic provides comprehensive health care services and prevention education regarding primary and sexual and reproductive health care tailored to the needs of young people. The clinic sees youth with a variety of medical and mental health conditions such as menstrual irregularities, teenage pregnancy, eating disorders, depression, anxiety and other chronic diseases. The clinic also provides care to special populations such as young families and lesbian, gay, bisexual, and transgender youth.
Anna Banerji, MD, MPH, FRCP(C), DTM&H
Infectious Diseases and Immigrant Health
Jillian Baker MD, MSc, FRCPC(C)
Pediatric Hematologist and Pediatrician
Joey Bonifacio MD FRCPC MSc MPH
General Pediatrician and Adolescent Medicine Specialist
Tony Barozzino, MD, FRCP(C)
Sam Cammisuli, BSc, MD, FRCP(C)
Douglas Campbell, MD, MSc, FRCP(C)
General Pediatrician and Neonatologist
Sloane Freeman, MD, MSc, FRCP(C)
General Pediatrician & Outreach Services
Jonathon Maguire, MD, MSc, FRCP(C)
Pediatric Clinician and Scientist
Paul Pencharz, MD FRCP(C)
Pediatric Gastroenterologist and Nutrition
Ra Han, MD FRCP(C)
Michael Sgro, MD, FRCP(C)
Diann Superina, MD, FRCP(C)
Ethel Ying, MD, FRCP(C)
General Pediatrician and Neonatalogist
Elizabeth Young, MD, FRCP(C)
For further information or to make a referral, contact us:
Pediatric Ambulatory Clinics
61 Queen St. East, 2nd Floor
Toronto, ON M5C 2T2
* All consultations are by referral only
Monday to Friday
8 a.m. to 4 p.m.