M
Michelle Batthish
Researcher
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Jul 31, 2026
Episode 63: Bridging the Gap from Pediatric to Adult Rheumatology Care with Dr Michelle Batthish
12:46
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34:37

Daniel EnnisHOST
I, I'm curious if we can get a little bit more granular on how... like, how do you actually begin the transition? What are these conversations like, and what sort of tools do you work on with the patients to get them ready for booking and keeping appointments, keeping track of their medications and filling scripts, getting their blood work done? Some of the basics of attending adult appointments that, in the absence of a multidisciplinary team, we may not have the resources to remind them about or coach them on in the same way.

Michelle BatthishGUEST
So there are different models that exist, and right now we don't have evidence that one model is any better than the other.

Michelle BatthishGUEST
I think just the concept of having a transition care model at your center is excellent.

Michelle BatthishGUEST
So I can explain our experience here at McMaster, and again, there are multiple other multidisciplinary transition clinics across the country that do wonderful work.

Michelle BatthishGUEST
So at McMaster, we start at the age of 14, and any one of our patients who we anticipate needing adult rheumatology care will be booked at least once a year in our combined transition clinic.

Michelle BatthishGUEST
So this is a multidisciplinary clinic that runs twice a month with two different adult providers.

Michelle BatthishGUEST
In this clinic, they meet with the new adult rheumatologist, as well as their regular pediatric rheumatologist.
20 MINS LATER

Daniel EnnisHOST
Just before we wrap up, I'm curious if there are any other items that, Michelle, you wanted to touch on that we haven't covered.