Specialist-Led Group Medical Visits & Consultations
Evidence-based care for perimenopause and menopause.
Shannon Lockhart, MD, FRCPC (Anesthesiology) · Menopause Society Certified Practitioner (MSCP)
Often medical appointments address one symptom, one system, one visit at a time. This practice takes a different approach: physiology-first and whole-system, grounded in the mechanism-focused reasoning of anesthesiology, assessing what the body is facing and optimizing it. This approach is relevant before surgery, through the menopause transition, and across the common chronic conditions that short visits overlook. The method is consistent: time to define the problem precisely, and whole-person, evidence-based management tailored to each case.
Disease-Specific Preventive Health Consultation — metabolic syndrome and insulin resistance; dyslipidemia (including elevated ApoB or Lp(a)) and cardiovascular risk; thyroid dysfunction; prediabetes and type 2 diabetes; IBS and functional GI; persistent fatigue; iron deficiency; OSA screening. Best suited to interconnected presentations needing more time than a routine visit allows.
Prehabilitation Before Surgery — patients awaiting elective surgery who would benefit from preoperative optimization, particularly with deconditioning, poorly controlled diabetes, anemia, obesity or metabolic syndrome, frailty, or elevated cardiovascular risk. Earlier referral allows more preparation time — please include the planned surgery date.
How care works. Group Medical Visits (GMVs) are the core of this practice: MSP-covered, physician-led sessions in which referred patients receive medically-directed assessment and management, alongside the clinical reasoning behind each recommendation. Summary notes are returned to the referring provider to support coordinated care.
Two ways in. Patients: Care begins with a referral from your family physician or nurse practitioner. Give your family doctor, NP or specialist this website, or print a referral form from the Referral Forms page for them to fax in. Physicians and NPs: Referrals are welcome across British Columbia for group medical visits and consultation.