SCOPE - Meet the Team

Meet the Team

SCOPE connects you and your patients to specialized care with just one phone call. Become a registered SCOPE provider today and give your patients access to these specialized SCOPE services.

Nurse Navigator

Fiona Ryan

SCOPE Nurse Navigator

Fiona Ryan is the SCOPE Nurse Navigator at Halton Healthcare.

Fiona graduated from York University with a Bachelor of Nursing Science 2011.

Fiona has experience working in both hospital and community settings and has worked in community care, Med/Surg and Bundled Care Nurse Navigation. Prior to joining the team in the role of SCOPE Nurse Navigator, Fiona worked as a Care Coordinator with HCCSS Mississauga Halton and was involved with various projects and program development serving patients of the region.

In her role as SCOPE Nurse Navigator, Fiona will provide primary care providers with assistance navigating hospital and community resources to support primary care and improve patient care needs.


Contact the SCOPE Nurse Navigator: 289-952-2457

Physician Leads

Dr. Nadia Alam

Primary Care

Dr. Nadia Alam is a recognized physician leader and policy analyst. She has worked as a family doctor and anesthetist for over a decade. She graduated from Dalhousie University's undergraduate medicine program, after which she completed Family Medicine and a 3rd year in GP-Anesthesia at Queen's University. She has also completed a Masters at the London School of Economics in Health Economics, Policy and Management.

She is active in policy and strategy with a special focus on primary care at the provincial, regional and local level. She has co-chaired bilateral tables with the Ministry of Health, as well as representing family medicine in Ontario Health's Central Region Mental Health and Addictions table as well as other tables for the Central Region. Locally, she has worked on the COVID@Home program and the business case for the Halton SCOPE program for Connected Care Halton OHT. She is cross-appointed as faculty at UofT's Department of Family and Community Medicine and the Institute of Health Policy, Management and Evaluation. She is a sought-after speaker and writer for traditional and social media. She is Past - President and Past - Board Director of the Ontario Medical Association and has won a number of awards over the past five years for her leadership.

Dr. David Skogstad-Stubbs

General Internal Medicine

Dr. Skogstad-Stubbs is a specialist in General Internal Medicine. He attended medical school at Queen's University and then a completed internal medicine residency as well as a two year fellowship in General Internal Medicine at the University of Toronto.


His areas of interests include diagnostic reasoning, perioperative medicine and point of care ultrasound.

Dr. Deborah Marshall

Palliative Care

Dr. Deb Marshall is a Hospitalist at Milton District Hospital and Physician Co-Lead of the Milton Community Palliative Care Physician Group, which she helped develop from its infancy.

Dr. Marshall is passionate about improving palliative care access and quality in the Halton Region. She will apply this enthusiasm to her role as the Palliative Care Lead for SCOPE.

Dr. Gina Di Primio

Diagnostic Imaging

Dr. Di Primio has worked at Oakville Trafalgar Memorial Hospital since 2015 and a Professor adjunct at McMaster University. She completed her undergraduate education, medical school and diagnostic radiology residency at the University of Ottawa. She completed sub-specialty, a musculoskeletal fellowship at the Mayo Clinic (Jacksonville and Rochester) in 1999 and went on to complete a mini-fellowship in Body MRI in Montreal, Quebec in 2000. In 2014, after 16 years of Academic practice in Ottawa, new family commitments led to move to the Toronto area and is currently in community practice at the Oakville Hospital. In November 2020, she took on the role of Medical Director for radiology at the Oakville Trafalgar Memorial Hospital and focused on improving radiology services to the community using evidence based best practice guidelines.

She is committed to providing radiology insight into the SCOPE program in order to improve services to community physicians and help avoid Emergency room referrals.

Dr. Jonathan Sam


Dr. Jonathan Sam is a consultant paediatrician and physician leader. He completed his medical degree at University of Toronto and paediatric residency at BC Children’s Hospital as a chief resident. He brings over 10 years of inpatient experience at Halton Healthcare, but has also led neonatal resuscitation instructor teams, simulation programs, and an innovative peer support program called CovidCARE. He also leads a thriving multidisciplinary community practice as the medical director of West Oak Medical.

Dr. Sam is very excited to collaborate with hospital and community stakeholders in the SCOPE project to provide the best care possible for our region’s smallest patients.


Dr. Jan Orfi 


Dr. Jan Orfi is a Cardiologist working at Oakville Trafalgar Memorial Hospital since 1997. He attended medical school at the University of London in the U.K. He completed his Internal Medicine residency at Memorial University in St. John's, Newfoundland, and his Cardiology fellowship at Western University in London, Ontario. 


Dr. Orfi has been the Chief of Cardiology at OTMH for over a decade. This has allowed him ample opportunity to pursue his passion for scheduling and workflow. He is looking forward to improving Cardiology patient care through the SCOPE program. 

Dr. Chris Lu

Fracture Clinic

Dr. Chris Lu is an Orthopaedic Surgeon at Halton Healthcare.  He has worked at Georgetown Hospital for over a decade.  He attended medical school at the University of Glasgow and completed his Orthopaedic Surgery residency at the University of Manitoba.  This was followed by two fellowships at the University of Toronto: one fellowship in Lower Extremity Reconstruction at Mount Sinai Hospital, and one fellowship in Foot and Ankle Surgery at Toronto Western Hospital.


Subspecialty Interests:

Ankle instability/sprains, Ankle ligament reconstruction, Ankle osteochondral lesions, Os trigonum, Ankle arthritis, Ankle arthroscopy, Arthroscopic Subtalar fusion, Arthroscopic ankle fusion, Lisfranc injuries, Midfoot arthritis, 1st MTP arthritis and MIS Bunion and Hammer toe surgery/forefoot reconstruction.


Dr. Lu is looking forward to improving Orthopaedic Care in Halton through the SCOPE program.

SCOPE was launched at Halton Healthcare in November 2021. SCOPE is evaluated as part of a Quality Improvement initiative. SCOPE is supported by the Connected Care Halton Ontario Health Team and is being delivered by Halton Healthcare.

Contact SCOPE: 289-952-2457