Photo - Dr. M. Manak

Mandy Manak MD, ABAM, ISAM, CSAM, MRO 

Dr. Manak is the Medical Director of the Interior Chemical Dependency Office, located in Kamloops, BC; her area of expertise is in dual diagnosis chronic pain and addiction, treating patients in an integrated manner with respect to mental health, addiction, and pain.  She is a medical consultant at Phoenix Detox Centre, as well as with the Sexual Assault Forensic Team at Royal Inland Hospital. She is a fellow of the American Society of Addiction Medicine, board certified with the American Board of Addiction Medicine, exam certified with the International Society of Addiction Medicine and a certificant of the Canadian Society of Addiction Medicine. She is a certified review officer with the American Association of Review Officers and previously served as an MRO for Driver Check. 

As an expert in occupational addiction medicine, she provides independent medical evaluations and medical monitoring services to substance dependent patients in safety sensitive positions through Interior Medical Monitoring.  Along with her clinical work, she is a current member of the Prescription Review Committee with the College of Physicians and Surgeons of BC and a past member of the Methadone Maintenance Panel. Since 2015, she has represented British Columbia on the Board of Directors with the Canadian Society of Addiction Medicine.  As a recognized expert on the subject of buprenorphine/naloxone, she is a frequent presenter at workshops, seminars and conferences, at a local, national, and international level on topics related to substance use disorders as well as concurrent pain and addiction disorders.


George Budd Pharm. D, B.Sc. (Pharm), R.PEBC, R.Ph

George P. Budd, a practicing pharmacist since 1992, obtained his Doctor of Pharmacy degree in 2011 from Idaho State University. He has experience in many different practice settings within the profession such as hospital pharmacy residency, community pharmacy and pharmacy manager.  Former Senior Investigator for the College of Pharmacists of BC (CPBC), former  Professional Conduct Review Consultant/Policy Liaison with the College of Registered Nurses of BC (CRNBC/BCCNP), and currently the Manager of Fraud Investigations at Pacific Blue Cross (PBC).

George is currently completing the first Pharmacist- Fellowship in Addiction Medicine at the BC Centre on Substance Use Disorder.  

George is currently on the Board of Directors of the Canadian Society of Addiction Medicine (CSAM) and is currently a public representative to the Standards Committee at the College of Nursing Professionals.

Additionally, he has been a representative on national and provincial advisory committees such as CCSA National Dialogue on Prescription Drug Misuse, Opioid Substitution Treatment Psychosocial Service Framework and many others.

George is dedicated to establishing best practices in the area of addiction medicine and has worked closely with addiction physicians, nurse practitioners, nurses and other disciplines with a strong belief that collaboration is key to achieving desired health outcomes.


Debbie Rustand RN

Debbie is the Detox Supervisor at the Phoenix Centre in Kamloops, BC. She has been with the Phoenix Centre for the past 9 years, initially as a staff nurse followed by her current leadership role of Detox Supervisor. Debbie’s clinical competency spans from addictions and mental health, adult acute care, neurology and geriatrics.  She received her Diploma in nursing at the Vancouver General Hospital in 1988. Debbie is a both a tobacco cessation educator and a Take Home Naloxone prescriber and trainer. Debbie is passionate about nursing and committed to a nursing culture of excellence, the value of professionalism and collaborative practice with client centered care.

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 Dr. Rob Tanguay an FRCPC psychiatrist who is fellowship trained and sub-specialized in both Addiction Medicine, certified under the International Society of Addiction’s Medicine (ISAM) and Canadian Society of Addiction’s Medicine (CSAM), and Pain Medicine. He is the Provincial Medical Lead for Opioid Dependency Treatment Training for Addictions and Mental Health, Alberta Health Services, the Executive Director and Medical Lead of the Transitional Outpatient Pain Program for Spine (TOPPS), the President Elect of the Pain Society of Alberta, the CSAM Regional Director for Alberta and NWT, and the Co-lead of the Opioid Working Group and Member of the Alberta Pain Strategy Steering Committee, where he will become the Co-Chair of the Alberta Pain Strategy in 2019. He is also a full member of the Hotchkiss Brian Institute, and is involved in clinical research in opioids, pain, addictions, and cannabis. Dr. Tanguay’s current clinical positions include working in pain medicine at the TOPPS clinic, a Consultant for the Opioid Deprescribing Program, Alberta Health Services, for which he was the founder, and a consultant at the Injectable Opioid Agonist Treatment (iOAT) program at Sheldon Chumir. Dr. Tanguay has been invited as a Plenary and Keynote speaker for local, national, and international events. More importantly he is a father and husband, working hard to create some work-life balance.

Photo - Dr. A. Mead

Annabel Mead MBBS, FAChAM, DABAM

Dr. Mead is an addiction physician with expertise in concurrent psychiatric disorders and chronic pain management. She is a Fellow of the Australasian Chapter of Addiction Medicine, a diplomate of the American Board of Addiction Medicine and UBC Assistant Professor.

Dr. Mead currently practices as a consultant at the St Paul’s, Vancouver General and UBC Hospitals. She provides longitudinal addiction care to the residents of New Dawn Recovery House, and is past Lead Physician of Heartwood Centre for Women.

Dr. Mead is the Director of the BCCSU Addiction Medicine Fellowship training program.

WCAF 2019 Photo Dr. M. Ghosh 1

Monty Ghosh MD, MBT, MSc., DM-EMDM, FRCPC, ISAM(Certification)

Dr. Ghosh completed his medical school at the University of Calgary and Internal Medicine training at the University of Alberta. He splits his time between Edmonton at The University of Alberta Hospital and Calgary where he works with Calgary’s most vulnerable populations at The Alex and The Opioid Dependency Program. He has particular passion for working with individuals who live with homelessness, a history of corrections, immigrants, and First Nations populations. 

He also has a passion for addiction research and education and enjoys traveling on his free time.

Dr. Ghosh has been a CSAM board representative as IT Liaison since 2018.

Photo - M. Lloyd

Matthew Lloyd BSc (Pharm), RPh

Matthew graduated from UBC Pharmacy in 2007. He worked in Northern BC (Kitimat) and Kelowna before settling in Kamloops in 2010. He works in a very busy independent pharmacy with a large addiction patient population.

WCAF 2019 Photo Dr. K. Orwaard Wong

Kim Orwaard-Wong MN, NP(Family)

Kim received her undergraduate from the University of Alberta in 2003 and went on to complete a Masters in Nursing as a Family Nurse Practitioner in 2014 from the University of Victoria.  She practiced as a Family Nurse Practitioner in Vernon, BC focusing on vulnerable populations living with mental health and addiction. Most recently, she works at the Surgical Optimization Clinic working collaboratively with the multi-disciplinary orthopedic and anaesthesia team optimizing patients for elective hip and knee joint surgery. She has obtained her full methadone and suboxone exemption and is currently working with anaesthesia to introduce a pre-operative OAT protocol for surgical patients.

WCAF 2019 Photo Dr. M. Markentin

Morris Markentin MD, FCFP

Dr. Markentin received his medical degree from the University of Saskatchewan (U of S) in 1996 and completed his family medicine residency at the U of S in 1998. He received his Fellowship from the College of Family Physicians of Canada (CFPC) in 2009. He also has received certifications from the Saskatchewan Institute of Health Leadership and the Physician Manager Institute of the Canadian Medical Association.

He is the Medical Manager of the Provincial Methadone Program of the Saskatchewan College of Physicians and Surgeons, was a board member of the CFPC from 2007-2011 and was the president of the Saskatchewan chapter of the CFPC from 2009-2011. Dr. Markentin received the Saskatchewan Medical Association Physician of the Year award in 2013.

Dr. Markentin teaches medical students on clinical rotations and is a Clinical Associate Professor at the U of S.

Dr. Markentin has been a member of CSAM since 2012.  He is on the Membership Committee and the editorial board of the Canadian Journal of Addiction. Dr. Markentin has been the Saskatchewan Regional Director on the CSAM Board since 2014.