As we approach the upcoming PGME Accreditation in the Department of Surgery by the Royal College of Physicians and Surgeons (RCPS) next April 2013, I thought it would be wise to review our policy on Resident Duty Hours.  The PAIRO contract stipulates that residents must be relieved of clinical duties after 24 hours of in-house call with the addition of two hours allocated for handover.  As you know, the Department of Surgery at the University of Toronto has an exemption to this article of the PAIRO contract. The exemption stipulates that Surgery residents must be relieved of clinical duties by noon the day following in-house call.  Accordingly, residents in the Department of Surgery must not remain in the clinical environment after noon on their post-call day to engage in the delivery of service for patients. There is some allowance for residents to remain in the clinical environment after noon, but ONLY for their own education. The Department of Surgery interprets this allowance to apply ONLY to senior residents participating in unique operative experiences. In this case, senior residents must leave the operating room once the important learning aspects of the cases have been completed. It is the responsibility of the faculty to ensure that this occurs in every circumstance.  In this regard, I would like to ask all residents and faculty once again to abide strictly by this policy.  In addition, in many of our Divisions, we are very fortunate to have “off-service” non-surgical residents rotating on our surgical services.  These residents come from a variety of Departments including Medical Imaging, Family Medicine, Paediatrics, Medicine, and Otolaryngology.  The Department of Surgery recommends that non-surgical residents rotating on surgical services be allowed to follow the standard guidelines from the PAIRO contract, and be relieved of clinical duties after 24 hours of in-house call with the time required for handovers.  
As always, I am grateful to you for your support of the Department of Surgery this past calendar year.  Please allow me to extend my best wishes to all of you for a happy holiday season, and all the best in 2013!
James T. Rutka, MD, PhD, FRCSC
RS McLaughlin Chair


Department of Surgery University Rounds

Friday, January 11, 2013
7:30 a.m. – 8:30 a.m.

Auditorium, Women’s College Hospital

Research & Science Rounds

Warren C.W. Chan, PhD

CRC in Bionanotechnology

IBBME University of Toronto

James M Drake, MD


Hospital for Sick Children

Victor Yang, MD, PhD
CRC in Bioengineering and Biophotonics

Department of Electrical and Computer Engineering, Ryerson University

"Building a Better Operation:  Engineering in Surgery"

Toronto Musculoskeletal Centre Seminar Series

Friday, January 11, 2012

Guest Speaker – Dr. Makarand Risbud, M.Sc., M. Tech., Ph.D., Professor, Orthopaedic Surgery at Thomas Jefferson University, Philadelphia, PA. 

For the lecture time, location, and title, please contact Nadia Jaber at


The Department of Surgery held its Annual Holiday Party at the Hockey Hall of Fame on Thursday December 13th.  More than 200 faculty, family members, and friends came to celebrate the occasion. This year, the entire venue was available, and was a big hit for young children who could practice their skills in the hockey simulation centre.  In this photo, Dimitri Anastakis, Vice Dean of Continuing Education and Professional Development, is seen in front of the backdrop of the famed hockey legends of our time.
UofT and USP Collaborative
President Naylor, Dean Whiteside, along with leading clinicians, researchers and neuroscience faculty from Toronto were in attendance at a conference co-hosted by the University of Toronto and the University of Sao Paulo in Brazil  November 7-8, 2012.  The collaborative between UofT and USP will also include programs in cardiovascular sciences, and cancer.  Many faculty members in surgery will be involved.  Details of the collaborative news can be found in the U. of T. News at

Dr. Andres Lozano and Team Featured in Globe and Mail
Dr. Andres Lozano, Toronto Western Hospital, and a team of doctors and technicians at the Sunnybrook Health Sciences Centre conducted a groundbreaking procedure this week as part of a collaborative research trial by burning a hole in the brain destroying the dysfunctional neurons responsible for shaking.  This scalpel-free surgery uses more than 1,000 concentrated beams of ultrasound to create a permanent hole in the ventral intermediate nucleus located deep in the central part of the brain.  Further information is available from the Globe and Mail:
College of Physicians and Surgeons of Ontario Nominate New President
Dr. Eric Stanton, a cardiologist from Hamilton, is the new President of the College of Physicians and Surgeons of Ontario.  He is assuming responsibilties  from Dr. Bob Byrick, Department of Anesthesiology, UofT. 
Ontario Medical Association 
The 2012 Physician Services Agreement and OMA Representation and Negotiation Right Agreement are now ratified.  Results of the vote are posted on the OMA website. 
New Appointment to the Department of Surgery 

Dr. Edward Hickey has joined the Division of Cardiac Surgery at The Hospital for Sick Children as an Assistant Professor at the University of Toronto.  Dr. Hickey holds a Bachelor of Medicine degree from the University of Southampton, UK (1999), followed by his residency program in General Surgery, which he completed in 2003 at the same university. During 2003- 2005 he pursued higher surgical training in Cardiothoracic Surgery. Concurrently, he obtained his Doctorate of Medicine Research Thesis from Oregon Health Sciences University, US and from the University of Southampton. Later, he received the John Kirklin Fellowship from the Congenital Heart Surgeons’ Society, University of Toronto and spent two years (2006-2008) at the Hospital for Sick Children. Subsequently, he pursued residency training in Cardiovascular Surgery at the University of Toronto (2008-2010), followed by a clinical fellowship in Congenital Cardiac Surgery.  Dr. Hickey has also won numerous awards, among which the most recent ones are: Zane Cohen Fellowship Award 2011 from the Department of Surgery, the University of Toronto Postgraduate Leadership Award 2010, and the Richard Rowe Award both in 2008 and 2007 at the Canadian Cardiovascular Congress, Young Investigator Award 2008 from Children’s Heart Foundation, Chicago. 

Hockey Night!
Varsity Arena has been booked on Saturday, January 26 between 5 – 6 p.m.  Please let Stephanie Neilson know if you wish to play (  We are working on getting more ice time the week-end of February 22-24 but are awaiting the play-off schedule.

The following Continuing Appointment Review (CAR) took place this month under the leadership of Ori Rotstein, Associate Chair, Department of Surgery:

Marcus Selzner  
Marcus joined the Division of General Surgery and the Solid Organ Transplant Program at the University Health Network in 2009 as an Associate Professor in the Department of Surgery at the University of Toronto.  Dr. Selzner is an Abdominal Transplant Surgeon Scientist with a laboratory research commitment, focusing on organ preservation and rehabilitation and the mechanisms of ischemia-reperfusion injury to the liver. Marcus obtained his education in medicine and training in General Surgery in Germany. He conducted post-graduate research at Duke University and Zurich University under the mentorship of Professor Pierre-Alain Clavien. He completed a Fellowship in Abdominal Organ Transplantation at the University of Toronto in 2007.  Marcus then worked as a Clinical Associate in Transplantation at UHN for two years before becoming a faculty member.  Photo from left to right: A. Smith, M. Selzner, A. Kapus, and O. Rotstein.

Charles Tator (Neurosurgery) was recognized with a Council Award from the College of Physicians and Surgeons of Ontario for his work in spinal neurosurgery and traumatic brain injury.
Anand Ghanekar (General Surgery) recently received a 2012 Cancer Research Society Grant for his work entitled “Identification and characterization of tumor-initiating cells in primary human hepatocellular carcinoma”.

Agnihotri S, Burrell KE, Wolf A, Jalali S, Hawkins C, Rutka JT, Zadeh G.  Glioblastoma, a brief review of history, molecular genetics, animal models and novel therapeutic strategies.  Arch.Immunol.Ther.Exp.  DOI 10.1007/s00005-012-0203-0.  Published online: 07 December 2012

Apitz C, Honjo O, Humpl T, Li J, Assad RS, Cho MY, Hong J, Friedberg MK, Redington AN.  Biventricular structural and functional responses to aortic constriction in a rabbit model of chronic right ventricular pressure overload.  J Thorac Cardiovasc Surg. 2012 Dec;144(6):1494-1501.
Biau DJ, Ferguson PC, Chung P, Griffin AM, Catton CN, O'Sullivan B, Wunder JS.  Local recurrence of localized soft tissue sarcoma: A new look at old predictors.  Cancer. 2012 Dec 1;118(23):5867-5877.
Brunt KR, Zhang Y, Mihic A, Li M, Li SH, Xue P, Zhang W, Basmaji S, Tsang K, Weisel RD, Yau TM, Li RK.  Role of WNT/β-Catenin Signaling in Rejuvenating Myogenic Differentiation of Aged Mesenchymal Stem Cells from Cardiac Patients.  Am J Pathol. 2012 Dec;181(6):2067-2078.
D'Onofrio PM, Koeberle PD.  What can we learn about stroke from retinal ischemia models?  Acta Pharmacol Sin. 2012 Dec 3. doi: 10.1038/aps.2012.165. [Epub ahead of print]
Elhenawy AM, Feindel CM, Ross H, Butany J, Yau TM.  Valve-sparing root and ascending aorta replacement after heart transplantation.  Ann Thorac Surg. 2012 Dec;94(6):2114-2115.
Gorapalli D, Seth A, Vournakis J, Whyne C, Akens M, Zhang A, Demcheva M, Qamirani E, Yee A.  Evaluation of a novel poly N-acetyl glucosamine (pGlcNAc) hydrogel for treatment of the degenerating intervertebral disc.  Life Sci. 2012 Dec 17;91(25-26):1328-1335.
Gross AE, Callaghan JJ, Zywiel MG, Greiner JJ, Kosashvili Y, Johnson AJ, Clohisy JC, Backstein D, Mont MA.  Total Hip Arthroplasty in Down Syndrome Patients: An Improvement in Quality of Life: Replacement Arthroplasty in Down Syndrome (RADS) Study Group.  J Arthroplasty. 2012 Dec 6. doi:pii: S0883-5403(12)00619-5. 10.1016/j.arth.2012.08.022. [Epub ahead of print]
Laxton AW, Sankar T, Lozano AM, Hamani C.  Deep brain stimulation effects on memory.  J Neurosurg Sci. 2012 Dec;56(4):341-344.
Lecker I, Wang DS, Romaschin AD, Peterson M, Mazer CD, Orser BA.  Tranexamic acid concntrations associated with human seizures inhibit glycine receptors.  J Clin invest.  Doi:10.1172/JC163375.
Li R, Nauth A, Li C, Qamirani E, Atesok K, Schemitsch EH.  Expression of VEGF Gene Isoforms in a Rat Segmental Bone Defect Model Treated With EPCs.  J Orthop Trauma. 2012 Dec;26(12):689-692.
Nakajima T, Zamel R, Anayama T, Kimura H, Yoshino I, Keshavjee S, Yasufuku K.  Ribonucleic Acid microarray analysis from lymph node samples obtained by endobronchial ultrasonography-guided transbronchial needle aspiration.  Ann Thorac Surg. 2012 Dec;94(6):2097-101.
Nauth A, Giles E, Potter BK, Nesti LJ, Oʼbrien FP, Bosse MJ, Anglen JO, Mehta S, Ahn J, Miclau T, Schemitsch EH.  Heterotopic Ossification in Orthopaedic Trauma.  J Orthop Trauma. 2012 Dec;26(12):684-688.
Romao RL, Farhat WA, Pippi Salle JL, Braga LH, Figueroa V, Bägli DJ, Koyle MA, Lorenzo AJ.  Early postoperative ultrasound after open pyeloplasty in children with prenatal hydronephrosis helps identify low risk of recurrent obstruction.  J Urol. 2012 Dec;188(6):2347-2353.
Sternheim A, Lochab J, Drexler M, Kuzyk P, Safir O, Gross A, Backstein D. The benefit of revision knee arthroplasty for component malrotation after primary total knee replacement. Int Orthop. 2012 Dec;36(12):2473-2478.
Tse LW.  Commentary: first clinical case of antegrade in situ fenestration of an aortic stent-graft.  J Endovasc Ther. 2012 Dec;19(6):721-722.
Une D, Deb S, Chikazawa G, Kommaraju K, Tsuneyoshi H, Karkhanis R, Singh S, Vincent J, Tsubota H, Sever J, Moussa F, Cohen G, Christakis GT, Fremes SE.  Cut-Off Values for Transit Time Flowmetry: Are the Revision Criteria Appropriate? J Card Surg. 2012 Nov 28:1-5. doi: 10.1111/jocs.12036. [Epub ahead of print]
Have a new high impact paper in press or published?  Let us know at


For further information on divisional events, please go to the Surgery Bulletin Board