Community rheumatology practice in Thunder Bay: a Canadian experience from northwestern Ontario

The practice experience of a rheumatologist in Thunder Bay, within the well-defined, relatively isolated area of Northwestern Ontario, is described. The population base of approximately 200,000 results in a waiting period for elective consultations of 3 months. (The number of other consultants for musculoskeletal problems in the community compares favorably with national and provincial ratios.) The majority of patients had well-defined rheumatic diseases. Nonarticular rheumatism comprised a relatively small proportion of visits. A ratio of 1 rheumatologist: 100,000 population would seem to be a realistic one.