Yes, a referral is required for consultations with an orthopaedic surgeon.
Referrals are only valid for 6 months after your last visit with the surgeon. If it has been longer than 6 months a new referral is required.
Yes, all non-expedited consultations and surgeries performed by ROCC physicians/surgeons are covered by BC medical. Braces, certain injectables and expedited services are not covered by BC medical.
ROCC is the Rapid Orthopaedic Consult Clinic. It was set up by POSM surgeons to facilitate orthopaedic care of patients in the Coastal Health Region. This allows patients to be seen by an expert in orthopaedic care much faster than if they had to wait to see one of the surgeons. Non-operative management, treatment and education takes place in this clinic. If you are a surgical candidate and fail non-operative management you will be referred to one of the POSM surgeons for a consultation. You may choose to see the surgeon directly but the wait for most of the POSM surgeons for a public consultation is 8-12 months. Seeing a ROCC physician allows a more rapid access to orthopaedic care and, if you are a patient requiring surgery, allows for the ROCC physician to begin the work-up (e.g. appropriate MRI, CT, X-rays, lab tests) so that your care is not delayed.
The goal of the ROCC Clinic is to streamline patient care and allow for patients to see the surgeon with the shortest wait time for patients. However, if you wish to wait for a particular surgeon, you may choose to do so.
  • ROCC Clinic appointmens are at our North Vancouver office.
  • Your surgeon may see you at multiple locations. Please listen carefully to the instructions provided by the medical office assistant.
  • If you are a trauma patient or a post-operative patient you will be required to attend the cast clinic. This clinic has the appropriate staff and resources for wound assessment and management, casting and splinting as well as pre and post-surgical management for trauma patients.
  • Please be advised that for all the POSM surgeons this is a very busy clinic and as a result of the fluctuating numbers of patients injuring themselves week to week and day to day, the surgeons have limited control over the number of patients in each clinic and as a consequence patient’s may end up being seen significantly later than their booked appointment.
The JRAC or Joint Replacement Access Clinic is a focused subsidized clinic that allows patient’s access to streamlined care involving physicians and nurses. This allows more efficient processing of patients with arthritis and improves preparation for surgery and post-surgical management.
There are several locations that surgeons see patients, please listen carefully to the instructions provided by the medical office assistant.
It is difficult to estimate the exact amount of time each visit will take as it will depend on a number of factors outside of the control of the physician or surgeon.
  • Some appointments require X-rays which can increase the appointment length significantly.
  • If you have a visit in the cast clinic it is important to note that it is a very busy clinic and the X-ray department is very busy as well.
  • The number of patients seen in each clinic depends in large part on the number of patients injured in the recent weeks and is largely out of the physicians control.
  • Waits between 1-2 hours are common. You may be able to decrease your wait time significantly if you are able to get imaging performed the day before or at an outside clinic.
  • Ask the medical office assistant if you are a candidate for early or offsite imaging.
Unfortunately, there is a far greater need for orthopaedic care in the coastal region than there are orthopaedic surgeons leading to significant waits for many patients. POSM is trying to improve the access to care with the ROCC Clinic which has significantly improved the wait time for patients to see an expert in orthopaedic care or sports medicine.
  • Yes, in most cases. Your surgeon will request new X-rays if your films are older than a couple of months. Additionally, orthopaedic specialists often order different X-rays than other physicians in order to adequately assess your orthopaedic disease.
  • MRI and X-rays are different and show entirely different aspects of anatomy. X-rays will almost always be necessary even if you’ve had an MRI.
The doctors at POSM run very busy practices that keep their medical office assistants very busy. Please take note of the office hours and ensure that you contact the office during those hours.
POSM provides private options. Please talk to the medical assistant if you would like to learn more.