Specialist group medical care and consultation

Evidence-based care for perimenopause & menopause, cardiometabolic, and perioperative health.

Virtual, across British Columbia.

Shannon Lockhart, MD, FRCPC (Anesthesiology) · IFM Certified Practitioner (IFMCP) · Menopause Society Certified Practitioner (MSCP) candidate, expected 2026

Brief appointments address one symptom, one system, one visit at a time. This practice takes the opposite approach: physiology-first and whole-system, grounded in the mechanism-focused reasoning of anesthesiology, anticipating what the body is facing and optimizing it — 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 evidence-based management tailored to each case.

Perimenopause & Menopause — Assessment, hormone-therapy decision-making, and management across the menopause transition. → [Learn more]

Disease-Specific Consultation — Systems-based assessment of common, under-managed conditions: metabolic syndrome, dyslipidemia, thyroid dysfunction, IBS, and persistent fatigue. → [Learn more]

Prehabilitation Before Surgery — Anesthesiologist-led preoperative optimization to reduce complications and improve recovery. → [Learn more]

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. Individual private consultations are available for unusual or complex presentations, billed at $350/hour, pro-rated to the session length. This is a consultative practice that complements primary care; it does not replace it. Consultation 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 — see how to get started. Physicians and NPs: referrals are welcome across British Columbia for group medical visits and consultation.