- Associate Professor, Western University, Department of Medicine, Division of Geriatric Medicine
Dr. Richard Crilly is Associate Professor and Geriatrician in the Division of Geriatric Medicine at the University of Western Ontario. His interests range from osteoporosis to geriatric community program development. Dr. Crilly has extensive experience in aging, geriatric rehabilitation (in-patient and geriatric day hospital settings), system improvement and improving the management of osteoporosis and hip fractures. He led the development of the Southwestern Ontario Regional Geriatric Program, an innovative visionary model that resulted in a network of geriatric expertise in 10 counties.
His other work has focused on osteoporosis in the elderly, particularly on trying to sort out the contribution of osteoporosis to the risk of hip fracture. Many years ago he established the hip fracture interest group in London, Ontario, which spearheaded the prescribing of vitamin D to the hip fracture population, and which ran the first hip fracture management conference in Canada.
“Managing osteoporosis in long term care has always been a challenge. Firstly, it is so common that it becomes part of the background and is little recognized as a treatable problem. Secondly, until recently, the medications have required to be given in a certain way that has made them difficult to fit into a standard practice system. Thirdly, the patients are frail, may have limited life expectancy and many have cognitive impairment, such that worrying about their bones seems trivial. However it is not trivial. To ask the simple question “how frail or impaired to you need to be that a fracture doesn’t hurt?” can highlight the fact that fracture prevention in this population is of prime importance.”