Survivorship

The number of people living with cancer is increasing. Although this is clearly a good thing, survivors face unique issues that need to be addressed. This page contains resources for survivorship, including a list of recommended information and resources for the transition clinic.

Transition Clinic

Upon completion of successful treatment, cancer patients entering the survivorship phase of their cancer journey can face a number of physical, psychological, social, spiritual and financial issues. This is why the appropriate coordination of care at this stage is important when caring for these individuals.


Since 2010, Thunder Bay Regional Health Sciences Centre’s Regional Cancer Centre has been transitioning patients back to their primary care providers. This transition is coordinated through the Transition Clinic with the aim to prepare and support patients as well as their providers, and to encourage a goal of standardized surveillance care.


Once referred by their oncologist and reviewed by the oncology nurse, patients are booked for an appointment to be seen at the Transition Clinic. At their appointment, their oncologic history is reviewed including diagnostics, treatments, and complications/ongoing symptoms as well as a review of any previously or currently accessed support programs such as the BLISS Clinic, social work, dietitian services, etc.


Providers will receive a note from the Transition Clinic saying that their patient has been discharged and advising them of upcoming transition documentation. Primary care providers and patients then receive two documents: one document outlines the patient’s oncology summary and the other document is a follow-up document which outlines evidence-based follow-up recommendations. Click the two links below to view examples:

Sample Letter

Sample Recommendation Document

Transition Clinic Contact Information

Kathy Bean, Transition Clinic Nurse Practitioner
Email: beank@tbh.net
Phone: (807) 684-7200

Karen Melenchuck, Transition Clinic Nurse
Email: melenchk@tbh.net
Phone: (807) 684-7033

Transition Clinic Resource List

Pink Notes for Primary Care (Breast Cancer)

Blue Notes for Primary Care (Colorectal Cancer)

National Comprehensive Cancer Network (NCCN)

National Coalition for Cancer Survivorship

US National Cancer Institute

WE-Can Program (Wellness and Exercise Program for Individuals Living with Cancer)


The Wellness and Exercise Program for Individuals with Cancer (WE-Can) is a 10-week wellness and exercise program for individuals living with cancer. Research has shown that regular physical activity can help to prevent chronic disease, but it has also shown that for people who have cancer it can help to improve strength, fitness, mood, and quality of life.
This evidence-based program offers:

  • Supervision by certified exercise professionals
  • Individualized exercise programs
  • A safe, private and small group environment
  • Positive social support network with others undergoing similar cancer treatment

WE-Can is available for patients of Regional Cancer Care Northwest at our Hospital who are in active treatment or up to five years post-treatment. Patients may be referred by their oncologist or their primary care provider. Staff will then conduct an assessment to determine the suitability of the program for the patient.

Referral Form:
http://www.tbrhsc.net/wp-content/uploads/2015/12/WE-Can_brochure_2015.pdf