There has been a tremendous growth of research leading to a better understanding of the science of wound healing over the past two decades. This has resulted in the development of expert consensus of best practice guideline for the treatment of various types of wounds. Advanced wound care is not a topic on the curriculum of medical schools or most nursing schools. Wound care is a multidisciplinary endeavour that requires collaboration of many types of medical professionals.
Four of the physicians at Quarry Medical have taken courses in Advanced Wound Care. Some examples are the courses from the Canadian Association of Wound Care (CAWC), the International Interdisciplinary Wound Care Course (IIWCC) at the University of Toronto, review courses with the American Professional Wound Care Association (APWCA) and/or the Academy of Physicians in Wound Healing (APWH). The doctors are Fellows in one or both of the last two associations (FAPWCA; FAPWH). Our wound care nurses have attended the CAWC courses and do ongoing continuing education in wound care.
As a group of Physicians and Nurses, we have developed an expertise in lower limb wound care. We believe that we provide wound care that is in keeping with Best Practice Guidelines. We collaborate with medical specialists in the disciplines of Family Medicine, Orthopedic Surgery, Vascular Surgery, Radiology, Infectious Disease, Dermatology and Plastic Surgery. We work closely with the Community Care Access Centre team (CCAC) and community wound care nurses. We share care with Enterostomal Therapists (ETs), Chiropodists, Orthotists, Pedorthists, Chiropractors, Diabetes Educators, Dieticians, Pharmacists and Wound Care Industry partners. All of these professionals can play an important role in wound healing which is why we believe that a virtual multidisciplinary team is necessary for good wound care. (My apologies to anyone I have missed in the health care professional list; let me know about others who should be added).
Quarry Medical’s Team provides a wound care consultation and treatment service. We strive to diagnose the wound type and advise the how to treat the person with the wound. We do sharp debridement when needed; we do Total Contact Cast treatment of some diabetic foot ulcers in collaboration with the CCAC. All of the wound care is shared with the community nursing agencies via the CCAC. We do biopsies of some wounds and we initiate and follow treatment of infected wounds. On occasion, we have arranged active and palliative wound care via home visits by the community nursing agencies.
We have also participated in the planning and presentation of Wound Care education for health care professionals with the Continuing Medical Education team at the Faculty of Medicine at Queen’s University. We teach Wound Care and Diabetic Foot Care to Family Medicine Resident Physicians from the Queen’s University program.