Andrew JK Smith
MDCM
Qualification
- MDCM, McGill University
- Residency in Neurology/Child Neurology, University of Washington, Seattle, USA
- Clinical Fellowship in Medical Genetics, University of California, Los Angeles
- Clinical Fellowship in Pain and Addiction Medicine, University of Toronto
Professional Memberships
- Canadian Pain Society
- Canadian Society of Addiction Medicine
- American Academy of Neurology
- American Society of Addiction Medicine
- International Association for the Study of Pain
Dr. Andrew Smith is a the Medical Lead of the Interprofessional Pain and Addiction Recovery Clinic (IPARC) at the Centre for Addiction and Mental Health (CAMH), a unique resource for integrated care for patients with chronic pain and concurrent problematic substance use and/or mental health conditions. He is also a staff physician at Mount Sinai Hospital and at Toronto General Hospital where he co-leads a pain clinic for patients with sickle cell disease. He is an executive member of ECHO Ontario Chronic Pain, which is a telementoring initiative to enhance skills transfer, knowledge translation and specialized care to primary care clinicians in the community who seek to manage their own patients who have complex chronic pain more effectively.
Dr. Smith obtained his medical degree from McGill University and then completed residency training in both adult and child neurology at the University of Washington. He subsequently focussed on the genetics of autism and other neurodevelopmental conditions. Noticing that a significant portion of these patients would develop problematic substance use and also were more susceptible to a variety of chronic pain conditions later in life, he became the first in Canada to complete a combined fellowship in Pain Medicine and Addiction Medicine at the University of Toronto.
Dr. Smith’s focus is on treating complex chronic pain in individuals who use drugs and innovating models of interprofessional care. His primary research interests are in knowledge translation, technology enabled collaborative care and education.
Grants
2023 – 2028 Co-Investigator. Testing Healthcare Innovations in Integrated Networks for Chronic Pain: Evaluation of the Implementation of ECHO Chronic Pain in Canada (THiiNC ECHO). Funding Source: CIHR. Principal Investigator: Dr. Andrea Furlan
2022 – 2026 Co-Investigator. Virtual Integrated Collaborative Care (VICC) using the Technology-Enabled Collaborative Care (TECC) platform. Funding source: Health Canada, Substance Use and Addictions Program
2020 – 2023 Co-Investigator. Stepped care solutions to reduce impact of the COVID-19 pandemic and beyond on youth living with chronic pain, their families, and health care providers: A pan-Canadian study. Funding Source: CIHR. Principal Investigator: Dr. Jennifer Stinson.
Recent Publications
Bosma, R., Rosenbloom, B. N., Burke, E., Aquino, C., Stanley, C., Coombs, K., …, Smith A, Di Renna, T. (2024). An examination of referrals declined for chronic pain treatment: There is increasing mental health complexity within treatment seeking patients with chronic pain over time. Canadian Journal of Pain. https://doi.org/10.1080/24740527.2024.2337074
Tania DiRenna, Emeralda Burke, Anuj Bhatia, Hance Clarke, David Flamer, John Flannery, Andrea Furlan, Dinesh Kumbhare, James Khan, Karim Ladha, Howard Meng, Andrew Smith, David Sussman & Rachael Bosma (2024) Improving access to chronic pain care with central referral and triage: The 6-year findings from a single-entry model, Canadian Journal of Pain, DOI: 10.1080/24740527.2023.2297561
Soltani S, Killackey T, Birnie KA, Smith A et al. Pain, mental health and healthcare utilization: Impact of the COVID-19 pandemic on youth with chronic pain, parents and siblings. Eur J Pain. 2023;27(10):1249-1265. doi:10.1002/ejp.2157
Smith AJK. Opioid Prescribing and Stewardship. In: Response to the Opioid Crisis. Association of the Faculties of Medicine of Canada. National Post-Graduate Education Curriculum. 2022.
Smith AJK, Gourlay D. Chronic pain and addiction. In: Lynch M and Peng P, ed. Clinical Pain Management: A Practical Guide. 2nd Edition. Wiley-Blackwell; April 2022. ISBN: 978-1-119-70115-6
Lau J, Mazzotta P, Whelan C, Smith A et al. Opioid safety recommendations in adult palliative medicine: a North American Delphi expert consensus. BMJ Support Palliat Care. 2022;12(1):81-90. doi:10.1136/bmjspcare-2021-003178
Killackey T, Noel M, Birnie KA, Smith A et al. COVID-19 Pandemic Impact and Response in Canadian Pediatric Chronic Pain Care: A National Survey of Medical Directors and Pain Professionals. Can J Pain. 2021;5(1):139-150. Published 2021 Jun 30. doi:10.1080/24740527.2021.1931069
Awards and Honours
CAMH – Dept. of Psychiatry Teaching Award 2019-2020 – Best Resident Elective Supervisor