LHIN Leads


 Dr. Paul Caulford

Dr. Paul CaulfordPrimary Care Lead, Central East LHIN

Dr. Paul Caulford was born in Toronto and moved to Scarborough in 1967.  After graduating from Leaside High School, Dr. Caulford attended the University of Toronto where he received his Bachelor and Master Degrees in Science, completing research at The Hospital for Sick Children and received his Medical Degree from the University of Toronto in 1978.

Dr. Caulford has practiced Family Medicine in Scarborough for his entire medical career, where he continues to operate a general community-based family practice. He also worked as an ER physician in his earlier years in practice. 

His experience also includes serving as the former Chief of Family Medicine at The Scarborough Hospital (TSH), Program Director of the University of Toronto Family Medicine Residency Program at TSH, and as the founder of the first Family Health Team in Scarborough in 2005, which he led unto 2012.

In 2005 he was instrumental in initiating and then directing The Urban Outreach Health Centre at The Scarborough Hospital.

He has a longstanding interest in equitable access to health care for vulnerable populations - refugees and immigrants new to Canada and persons with disabilities – and is a founding member of the Community Volunteer Clinic (CVC) for the medically uninsured and Founding Medical Director of The Canadian Centre for Refugee and Immigrant Healthcare.

The CVC is a volunteer and humanitarian driven inter-professional team of medical, dental and community volunteers who give freely of their time to ensure equitable barrier free access to care, specifically for permanent residents not covered by Ontario Health Insurance Plan, including refugees and persons who are homeless.

Married to Marta for more than 45 years, he and his wife have five grown children and four grandchildren.  

 Dr. Ian Dawe Dr. Ian Dawe - Mental Health and Addictions Physician Lead, Central East LHIN

Dr. Ian Dawe is an Associate Professor of Psychiatry at the University of Toronto and the Physician-in-Chief at Ontario Shores Centre for Mental Health Sciences. At Ontario Shores, he provides leadership for medical professional practice and champions the quality and safety of medical practice and care at the Hospital.  He is also the immediate past Chair of Ontario’s Clinical Expert Committee on Autism, a diverse panel of researchers, academics and clinical experts reporting to the Minister of Children and Youth Services, which advises the government on effective treatments, current research and best clinical practices for children and young people with Autism Spectrum Disorder to inform policy design and program development, including the implementation of clinical practice guidelines and benchmarks.

Formerly the Medical Director of Toronto’s Emergency Mental Health and Addictions Alliance (2008-2011) and the Medical Director of the Psychiatric Emergency Service at St. Michael's Hospital in Toronto (2003-2011), Dr Dawe was a Research Associate with both the Keenan Research Centre of the Li Ka Shing Knowledge Institute at St Michael’s Hospital and the Arthur Sommer Rotenberg Chair in Suicide Studies at the University of Toronto from 2003 through 2011. He has acted as principle or co-investigator in clinical trials and has authored numerous articles and reports on mental health care. He is a frequent invited lecturer and has presented his findings at a wide variety of provincial, national and international seminars, conferences and symposia. In his role as Mental Health and Addictions Physician Lead, Dr. Dawe works with his MHA colleagues to provide expert advice to the Central East LHIN CEO and Senior Directors on performance and improvement opportunities in mental health systems within Ontario.  

Dr. Dawe completed medical school at Memorial University of Newfoundland and a residency in psychiatry, two years of fellowship training (Suicide Studies, Emergency Psychiatry, and Mental Health Systems Research), and a Masters degree in Health Administration, all at the University of Toronto.
Dr. Mann

Dr. Gary M. MannEmergency Medicine Physician Lead, Central East LHIN

Dr. Gary Mann is the Program Chief in the Department of Emergency Medicine at the Rouge Valley Health System’s  Ajax and Pickering Campus where he has been a full-ime Emergency Medicine physician for nearly 30 years. Dr. Mann came to work at the then Ajax and Pickering General Hospital in the fall of 1982, shortly after a residency program in General Surgery at the University of Toronto Affiliated Hospitals.  

From the very beginning of his tenure in Ajax, Dr. Mann has championed Pre-hospital Emergency Care, teaching Emergency Ambulance Attendants who were the precursors to the high level paramedics we enjoy today. To that end, Dr. Mann, established a new model of Pre-hospital care known as the Emergency Medical Response Unit. This entity made an Emergency Physician available to the Ambulance Attendants in the field for major incidents such as mass-casualty events, industrial accidents and even home births. 

Prior to the advent of LHINs, Dr. Mann served on the Durham District Health Council and chaired two of its committees.  He has also been involved in Clinical Research and has served on the Rouge Valley Health System's Ethics Board.  Medical Students, nurses, paramedics and Interns and Residents have all benefited from teaching experiences that Dr. Mann has provided over the years. 

In his capacity as Central East LHIN Emergency Medicine Physician Lead, Dr. Mann chairs the Central East LHIN Emergency Department Chiefs Group.  He is also a member of the Provincial Emergency Physician LHIN Leads, chaired by Dr. Howard Ovens, and a member of the G.T.A. Emergency Department Chiefs Group. 

Dr. Mann was raised in North York. He attended the University of Louisville where he graduated with a combined degree in Science-Medicine and graduated from the University of Louisville School of Medicine in 1979, after which he returned to Toronto for Post-graduate training in General Surgery.  Since then, Dr. Mann has proudly provided Emergency Medical care to the communities of West Durham Region. Dr. Mann continues to teach Advanced Cardiac Life Support, Advanced Trauma Life Support, and Emergency Dept. Echo (EDE), the use of Point of Care Ultrasound.
 Dr. Ed Osborne

Dr. Ed OsborneRegional Palliative Care Physician Lead for the Central East Region

The Central East Local Integration Health Network (Central East LHIN) and the Central East Regional Cancer Program (CERCP) appointed Dr. Edward Osborne as the Regional Palliative Care Physician Lead for the Central East Region.

Dr. Osborne is a family physician in Bowmanville. He has been the section chief for Palliative Care at Lakeridge Health since 2013 and co-chair of the Palliative at Home and Hospital Care team (PACT) since 1999. He has served on the Central East LHIN’s Primary Health Care Advisory Group and has held several key physician leadership roles at Lakeridge Health where he was Chief of Staff in Bowmanville from 2006 to 2009.

Dr. Osborne’s role is a partnership between the Central East LHIN and the CERCP. As Regional Palliative Care Physician Lead, he provides leadership across Central East championing both provincial and local strategies for palliative care.  He also provides support to the newly developing Palliative Care Community Teams within Central East, including engagement and support of physicians who provide community palliative care.

Dr. Osborne also actively participates in the Central East Hospice Palliative Care Network to help facilitate regional planning, palliative program development, performance measurement and quality process improvement.

 Dr. Ricci Dr. Joe Ricci - Vascular Health Physician Lead, Central East LHIN

Dr. Ricci is a graduate of the University of Toronto who completed post graduate specialty training in Cardiology at the University of Toronto. He joined the Rouge Valley Health System in 1986. As the Director of the Regional Cardiac Care Program at RVHS he has led the expansion of cardiac care at RVHS and improvements in care for our community and at Corcare. 

Dr. Ricci has special certifications in advanced cardiac imaging and a professional focus on prevention of cardiac disease progression. He is a member of provincial and regional committees including the CCN (Cardiac Care Network of Ontario), Central East LHIN, Cardiac Steering Committee, the Cardiac Rehabilitation Network of Ontario, and is a past member of the CCN Cardiac Rehabilitation Expert Panel and Ontario Cardiac Rehabilitation Pilot Steering Committee. 

He was honored to receive the RCPs Excellence in Quality of Care Award and The Canadian Cardiovascular Society Segall Award. His multiple personal interests include Cycling, Downhill Skiing (CSIA instructor), Woodworking and Jazz Music. 

“Our best opportunity to achieve long term cardiac health is to work together with our patients, their family and physicians to ensure an accurate diagnosis followed by continuous excellent care focused on prevention”.
Dr. Wax 

Dr. Randy S. Wax-  Critical Care Physician Lead, Central East LHIN

Dr. Wax received his Doctor of Medicine degree from the University of Toronto in 1994. He completed training in Internal Medicine at the University of Toronto in 1998, and subspecialty training in Critical Care Medicine at the University of Pittsburgh in 2000. He has completed additional graduate training in Higher Education at the Ontario Institute for Studies in Education/University of Toronto, awarded a Master of Education degree in 2005. 

Dr. Wax is currently the Medical Director and Section Chief for Critical Care and Resuscitation Services at Lakeridge Health Corporation in Durham Region. He also serves as the Medical Director for Education and Simulation at the Lakeridge Health Education and Research Network (LHEARN). Dr. Wax is the Medical Consultant for the Ornge Academy of Transport Medicine and is active clinically as a Transport Medicine Physician for Ornge supporting air and ground transport of critically ill patients throughout the Province of Ontario. 

Dr. Wax has an international reputation in Critical Care, and has held leadership roles with national and international organizations. He recently served as the Chair of the H1N1 Task Force, Chair of the Fundamental Disaster Management Course Committee, and Co-Chair of the Rapid Response System Task Force for the Society of Critical Care Medicine. He was a founding member of the Canadian Resuscitation Institute. He is an Assistant Professor in the Department of Medicine at the University of Toronto, has lectured extensively at international meetingd and has published many articles and book chapters in the fields of Critical Care Medicine, Medical and Interprofessional Education, Patient Simulation, Disaster Preparedness and Management, and Patient Safety.