Weight Management & Metabolic Health Physician

About Stem Health

Stem Health is reimagining the primary care experience for individuals who want a more thoughtful relationship with their health. Physician-led and membership-based, we combine medical excellence with the warmth of hospitality anchored in a beautifully designed flagship clinic at First Canadian Place, opening September 2026. Our care model is relationship-based, data-informed, and built on time, trust, and exceptional service.

Position Summary

Weight and metabolic health are among the most complex, most consequential, and most underserved areas of modern primary care. They sit at the intersection of biology, behaviour, environment, and medicine and they deserve a clinical approach that is as sophisticated as the science and as human as the person sitting across from you.

Stem Health is building a medical weight management and metabolic health program that reflects that complexity. We are looking for a physician with formal training or significant clinical experience in obesity medicine to lead this program delivering evidence-based, individualized, and compassionate care to members who are navigating weight, body composition, cardiometabolic risk, and metabolic health as part of their broader health journey.

In this role, you will conduct comprehensive metabolic assessments, develop individualized treatment plans incorporating lifestyle medicine, pharmacotherapy, and advanced diagnostics, and work closely with Stem Health's clinical team, care coordinators, and primary care physicians to deliver a seamlessly integrated metabolic health experience. This is not a volume program. It is a medical program and it will be practiced with the time, the data, and the team that medical weight management actually requires.

Key Responsibilities

Comprehensive metabolic assessment

• Conduct thorough medical assessments for members presenting with overweight, obesity, or cardiometabolic risk including detailed weight history, eating behaviour patterns, physical activity history, sleep quality, endocrine evaluation, and psychosocial context.
• Order and interpret a comprehensive metabolic workup including fasting glucose, HbA1c, insulin resistance markers (HOMA-IR), lipid fractionation, thyroid function, sex hormones, cortisol, adipokines, and inflammatory markers to establish a complete cardiometabolic risk profile.
• Integrate body composition data from DEXA scanning (lean mass, fat mass, visceral adipose tissue, regional distribution) and resting metabolic rate (RMR) measured via indirect calorimetry into each member's clinical assessment grounding treatment decisions in objective metabolic physiology rather than weight alone.
• Evaluate and document obesity-related comorbidities and contributing conditions, including insulin resistance, type 2 diabetes, metabolic syndrome, non-alcoholic fatty liver disease (NAFLD/MASLD), obstructive sleep apnea, polycystic ovarian syndrome (PCOS), hypothyroidism, and mood disorders affecting appetite and energy regulation.
• Assess cardiovascular risk using validated tools (Framingham, SCORE2, ASCVD) alongside clinical findings, body composition, and metabolic data, contributing to the member's comprehensive cardiometabolic risk profile.

Individualized treatment planning

• Develop personalized, evidence-based weight management plans that integrate lifestyle medicine, pharmacotherapy, behavioural strategies, and medical monitoring individualized to each member's metabolic profile, health goals, comorbidities, and preferences.
• Prescribe and manage anti-obesity pharmacotherapy in accordance with current Canadian and international evidence-based guidelines including GLP-1 receptor agonists (semaglutide, liraglutide), GLP-1/GIP dual agonists (tirzepatide), bupropion/naltrexone, orlistat, and emerging agents with careful titration, monitoring, and ongoing clinical review.
• Apply lifestyle medicine principles across nutrition, physical activity, sleep, and stress management developing practical, achievable, and medically grounded behavioural prescriptions tailored to each member's capacity and context.
• Develop individualized caloric and macronutrient targets in collaboration with the clinical team, using RMR data and body composition findings as the evidence base for energy balance prescriptions.

Longitudinal monitoring and program management

• Provide structured, longitudinal follow-up for all weight management program members tracking weight, body composition (DEXA), metabolic markers, pharmacotherapy response, side effects, and behavioural progress at defined intervals.
• Adjust treatment plans based on objective progress data, metabolic response, member-reported experience, and evolving clinical evidence applying a responsive, individualized approach throughout the program rather than a fixed protocol.
• Monitor for and manage pharmacotherapy side effects, contraindications, and drug interactions with precision and clinical care.
• Recognize and address psychological contributors to weight and eating behaviours including emotional eating, binge eating disorder, and disordered eating patterns making appropriate referrals to the mental health team when indicated.
• Track longitudinal cardiometabolic outcomes across the member's program, documenting improvements in metabolic markers, cardiovascular risk, body composition, and quality of life as part of the Unified Health Story.

Interdisciplinary collaboration

• Work closely with Stem Health's primary care physicians to ensure weight management and metabolic health care is integrated into each member's broader primary care plan not siloed as a separate program.
• Collaborate with the Exercise Physiologist on exercise prescription grounded in each member's RMR, body composition, cardiovascular fitness (VO2 max), and metabolic response designing progressive activity plans that complement pharmacotherapy and dietary intervention.
• Partner with the Care Coordinator to manage program scheduling, follow-up cadence, laboratory requisitions, DEXA referrals, and communication with members between appointments.
• Liaise with specialist colleagues (endocrinology, psychiatry, gastroenterology, sleep medicine, cardiology) for complex co-managed cases, ensuring seamless and coordinated care.
• Contribute to Stem Health's clinical knowledge base by sharing emerging evidence in obesity medicine, metabolic health, and pharmacotherapy with the broader physician and allied health team.

Qualifications & Experience

• Medical degree (MD or equivalent) and full licensure in good standing with the College of Physicians and Surgeons of Ontario (CPSO) required.
• Residency training in Family Medicine (CCFP), Internal Medicine (FRCPC), or Endocrinology; additional fellowship or focused training in obesity medicine or metabolic health is a significant asset.
• Minimum 3–5 years of clinical experience with demonstrated expertise in medical weight management, obesity medicine, or cardiometabolic risk reduction.
• Strong working knowledge of anti-obesity pharmacotherapy including GLP-1 receptor agonists, GLP-1/GIP dual agonists, and adjunct agents with experience in clinical prescribing, titration, and management.
• Familiarity with indirect calorimetry (RMR testing) and body composition assessment (DEXA) as clinical tools in metabolic health management.
• Experience in lifestyle medicine, behavioural change counselling, and motivational interviewing as applied to weight and metabolic health.
• Understanding of the psychological and behavioural dimensions of obesity, including eating disorders, emotional eating, and the weight stigma that many members will have experienced in prior healthcare encounters.
• Experience working within a multidisciplinary team and integrating clinical findings across providers EHR proficiency required.
• Exceptional communication and interpersonal skills are non-judgmental, warm, and able to build the kind of therapeutic relationship that supports sustained engagement with a medically complex and emotionally significant health journey.
• Current CMPA professional liability coverage required.

Ideal Candidate

You understand that obesity is a disease not a character flaw and you practice accordingly. You are as comfortable reviewing a DEXA body composition report and an RMR result as you are discussing the pharmacokinetics of semaglutide or the behavioural science of sustainable dietary change. You bring clinical rigour to every assessment and genuine empathy to every encounter. You know that weight management done well is slow, data-driven, and deeply human and you are the kind of physician who stays for the long arc of it. You want to practice in an environment that gives you the time, the team, and the tools to do this medicine properly.

Why Join Stem Health

• Lead Stem Health's weight management and metabolic health program building it from the ground up with the clinical infrastructure, diagnostics, and team it deserves.
• Practice at a physician-led, multi-disciplinary clinic at First Canadian Place as part of the founding team.
• Unhurried appointments with a motivated, health-engaged member population and access to the full diagnostic picture of body composition, metabolic markers, cardiovascular fitness, and more from day one.
• An interdisciplinary team that treats metabolic health as a clinical priority, not an afterthought and a Unified Health Story that connects your work to every other dimension of each member's care.
• Competitive compensation in a part-time or contract model that fits around your broader clinical commitments.