Job Description: Sport & Exercise Medicine PhysicianChange Pain Medical & Allied Health Clinic — Burnaby, BCPosition title: Sport & Exercise Medicine (SEM) PhysicianDepartment: Medical Services — Musculoskeletal & Rehabilitation StreamReports to: Medical Director (clinical/skilled); Operations Director (administrative/scheduling)Works with: Anesthesiology & Interventional Pain, Physiatry, Psychology/Counselling, Physiotherapy, Kinesiology, Occupational Therapy, Nursing, Pharmacy, Clinical AdminFTE / sessions: Full timeCompensation model: MSP fee-for-service via clinic billing. Administrative compensationEffective date: August 1st, 2026Version / review cycle:v1.0 — reviewed annually by Medical Director & Operations Manager1. Position SummaryThe Sport & Exercise Medicine Physician provides non-operative musculoskeletal (MSK) and exercise-based medical care to patients living with persistent and complex pain. The role sits at the front end of Change Pain'sinterdisciplinary model:accurate MSK diagnosis, de-escalation of unnecessary imaging and intervention, restoration of function through graded activity, andappropriate triageinto or away from interventional, psychological, and rehabilitative pathways. 3 months),frequentlydeconditioned, often carrying central sensitization, mood comorbidity, medication complexity, disability claims, and prior failed treatment. The physician is expected to practise biopsychosocial, function-first medicine and to work as a peer within a team rather than as an isolated consultant.2. Scope of PracticeThe physician practises within the full scopepermittedby their CPSBC licence class, their certification, and their demonstrated competence, and within the limits of Change Pain'sclinical privileging framework. Scope is grouped below as Core, Credential-Dependent, and Out of Scope.2.1 Core Clinical Scope (expected of all SEM physicians in this role)Assessment and diagnosis Comprehensive MSK history and physical examination of the spine, upper limb, lower limb, and pelvis, including regional and special testing.Differential diagnosis across mechanical, inflammatory, neuropathic,nociplastic, referred/visceral, and systemic causes of pain.Screening for red flags (malignancy, infection, fracture, cauda equina, inflammatory arthropathy, vascular pathology) andappropriate urgentescalation.Screening for yellow flags — fear-avoidance, catastrophizing, low self-efficacy, sleep disruption, mood disorder, trauma history — and referral into the psychology/counselling stream.Assessment of central sensitization andnociplasticpain features; explanation of pain neurophysiology to patients in plain language.Assessment of concussion and post-concussion syndrome, including persistent post-traumatic headache, cervicogenic contribution,vestibulo-ocular dysfunction,



and return-to-learn/return-to-work staging.Recognition and management of the Relative Energy Deficiency in Sport (RED-S) spectrum, disordered eating, bone stress injury, and overtraining presentations where they intersect with chronic pain.Ordering and interpreting plain radiography, ultrasound, CT, MRI, bone scan, DEXA, EMG/NCS, and relevant laboratory investigation.Applying evidence-based imaging stewardship: avoiding low-value imaging, and explicitly counselling patients on incidental and age-normal findings to prevent iatrogenic distress. Non-operative management Individualized, graded exercise and loading prescription (strength, mobility, aerobic conditioning, tendon loading, motor control, pacing).Activity modification, ergonomic and biomechanical advice, load management, and flare-up planning.Bracing, orthoses, taping, gait aids, and footwear guidance.Sleep, nutrition, weight, smoking, and alcohol counselling as they relate to pain and recovery.Manual and adjunct therapy referral with clear, measurable goals and defined review points. Pharmacological management Prescribing andmonitoringnon-opioid analgesia, NSAIDs (with GI/renal/CV risk assessment), topicals, neuropathic agents, muscle relaxants, sleep agents, and adjuncts.Managing controlled drugs and substancesstrictly in accordance with the CPSBC Practice Standard on Secure Prescribing of Drugs with Potential for Misuse/Diversion, including Pharma Netreview at every relevant encounter, treatment agreements, risk stratification, urine drug testing where indicated, and documented rationale for continuation, rotation, or taper.Opioid tapering and deprescribing in collaboration with the interdisciplinary team.Recognition of opioid use disorder and substance use disorder, withappropriate referral; the physician isnotexpected to provide opioid agonist therapy unless separately credentialed. Interdisciplinary and system responsibilities Formulating and documenting an interdisciplinary care plan; Participatingin case conferences and rounds.Triaging patients to interventional pain, physiatry, rheumatology, neurology, orthopaedics, or surgery, and receiving referrals back.Communicating with referring family physicians, nurse practitioners, and specialists viatimelyconsultation letters.Disability, functional capacity, and return-to-work management, including Work Safe BC, ICBC, private insurer, and long-term disability files; completion of associated forms and independent reporting to the standard expected of a treating physician.Medico-legal reporting and, where agreed in advance,expertor treating-physician testimony.



2.2 Credential-Dependent Scope (permitted only with documented training, privileging, and current competence)Procedure / activity — PrerequisiteDiagnostic point-of-care MSK ultrasound— Documented POCUS training (e.G. CASEM/CPo CUSMSK stream) + clinic privilegingUltrasound-guided and landmark-guided joint, bursal, and peritendinous corticosteroid injection— Training log + privileging + facility standards complianceViscosupplementation/ hyaluronic acid injection— As aboveTrigger point and intramuscular stimulation (IMS) / dry needling— Recognized training; CPSBC scope confirmationPlatelet-rich plasma (PRP), prolotherapy, and other regenerative injectates— Training + clinic sign-off + mandatory informed-consent disclosure that these are uninsured, evidence-limited servicesBotulinum toxin for myofascial or headache indications— Product-specific training; separate privilegingAspiration of joints and bursae; fracture and dislocation reduction; casting/splinting— Demonstrated competenceNail trephination, wound care, minor office procedures— Demonstrated competenceEvent, team, or sideline medical coverage on behalf of the clinic— Current ACLS; approved by Medical Director; separate coverage agreementVirtual care— Compliance with the CPSBC Practice Standard on Virtual Care and clinic telehealth policyPrivileging note: Any procedure not on the physician's approved privileging list must be requested in writing and approved by the Medical Director before first use at Change Pain. New service lines with a billing dimension require Operations sign-off before launch.2.3 Out of Scope for This Role All surgical intervention.Neuraxial, epidural, radiofrequency ablation, medial branch blocks, sympathetic blocks, and neuromodulation procedures - theseremainwithin the Interventional Pain / Anesthesiology stream unless the physician holds separate credentials and privileges.Longitudinal primary care and comprehensive family practice attachment (patientsretaintheir own primary care provider; Change Pain does not assume most-responsible-provider status for unrelated general medical care).Independent medical examinations (IMEs) for a payer where the physician has a treating relationship with the patient - this is a conflict of interest and is notpermitted.Compounding, dispensing, or selling products or supplements to patients outside approved clinic policy. 3. Non-Clinical DutiesDocumentation and records Complete, contemporaneous EMR documentation meeting the CPSBC Practice Standard on Medical Records — charts closed withinthe samebusiness hours of the encounter.Consultation letters returned to referring providers withinfivebusiness days.Adherence to PIPA and clinic privacy, retention, and disclosure policy. Billing and revenue integrity Accurate MSP billing consistent with the MSP

📌 Sport & Exercise Medicine Physician (Burnaby)
🏢 CHANGEpain
📍 Burnaby