http://surgery.utoronto.ca | April 2015
Volume 4, Issue 8
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MESSAGE FROM THE CHAIR
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![]() For some time, the Department of Surgery has been working on a process to assist with late career transitioning amongst surgeons on our faculty. Following a meeting of the Surgeon-in-Chiefs last fall, I appointed Robin Richards, Vice-Chair Clinical, and Ori Rotstein, Associate Chair, to write a draft document to encompass the principles that could be applied to late career surgeons. After several iterations, and edits, I am pleased to provide you with the wording of the “Guidelines for Late Career Transition” that has now been approved by the Executive Committee and the Senior Advisory Committee of the Department of Surgery. Special thanks are given to Robin and to Ori for enabling us to finalize a document which, to my knowledge, is a first of its kind across Canada and perhaps North America on this topic.
Sincerely, James T. Rutka, MD, PhD, FRCSC RS McLaughlin Chair |
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UPCOMING EVENTS Gallie Day |
RECENT EVENTS Palmer Lecture Dr. Timothy M. Pawlik Professor of Surgery and Oncology, John Hopkins Hospital gave the 2015 Palmer Lecture at Mt. Sinai Hospital on Friday, April 10, 2015. The title of his talk was “Perioperative Blood Management: Understanding Variation and Minimizing Overutilization”. Left to right: D. Backstein, T. Pawlik, O. Safir ![]() Department of Surgery Hockey Tournament On Sunday, April 12, 2015 at Varsity Arena, Team Urology won the final match of the season against a team of mixed Surgical Divisions. Congratulations Urology! ![]() 55th Annual Update in General Surgery was held April 23-25, 2015 at the Hilton Toronto Downtown Hotel. ![]() |
NEWSWORTHY ITEMS
![]() Continuing Appointment Reviews (CARs) The following Continuing Appointment Reviews (CARs) took place in April under the leadership of Ori Rotstein, Associate Chair, Department of Surgery. ![]() ![]() RECENT TWEETS Dr. Langer is a pioneer of liver transplant service #cdnmedheroes2015 Dr. Bernard Langer is being introduced as an inductee into the @CdnMedHallFame for leadership in medical excellence @uoftmedicine Dr. Bernard Langer-inducted into the Canadian Medical Hall of Fame last night! @UofTSurgery Congratulations. Andy Smith inducted today into membership in the American Surgical Associations! Congratulations Andy! Update in General Surgery 2015 @UofTSurgery #UGS2015 At the American Surgical Association Meeting in San Diego with Shaf Keshavjee! @UofTSurgery Congrats @JYLeeUroSMH on passing 3-year review! Well deserved! @UofTSurgery Apr 17 Congratulations to @TGrantcharovMD, newly appointed Canada Research Chair in #Simulation & Surgical Safety! @StMikesHospital @UofTSurgery Apr 17 Only 1 week until @UofTSurgery 41st Gallie Day with Gordon Murray Lecturer, Clifford Ko from @UCLA Apr 12 Team Urology wins final match of season against team of mixed Surgical Divisions at Varsity Arena. Congrats Urology! Apr 11 See Lucas Murnaghan’s surfing photography at Milk Glass gallery tonite! 1247 Dundas St W. Apr 10 Dr Pawlik presented the Palmer lecture this am, University Rounds, Mt Sinai. "Period blood management ..... Apr 9 Palmer Lecture Friday, Apr10@7:30 a.m., Mt. Sinai Aud.Dr.T. Pawlik, John @HopkinsMedicine "Perioperative blood management ... Apr 9 Congrats @TGrantcharovMD, newly appointed Canada Research Chair! http://www.chairs-chaires.gc.ca/media-medias/lists-listes/2015/april-avril-eng.aspx … #simulation #surgery Apr 7 Anand Govindarajan Mt Sinai Gen Surgery successfully completes and passes his continuing appointment review! Apr 3 Surgeons need coaches too. Our recent randomized trial shows that coaching enhances OR performance and safety. http://www.ncbi.nlm.nih.gov/pubmed/25822691 Apr 1 Breakfast with 1st year med students and George Christakis today! HONOURS AND AWARDS Barbara (Dee) Ballyk (Anatomy) has been chosen as the 2015 W.T. Aikins Award recipient in the category of Excellence in Course/Program Development. James Byrne (General Surgery) received a CIHR MSc Scholarship for his work “Impact of Pre-hospital Care and EMS Performance on Trauma Patient Mortality and Trauma Center Outcome Measures”. Karen Devon (General Surgery) received a grant from the Gold Foundation for her work “Transformative Learning Impact of Surgical Ethics Quality of Care Rounds”. Teodor Grantcharov (General Surgery) has been awarded a Tier 2 Canada Research Chair in Simulation and Surgical Safety. Congratulations Teodor! Shiva Jayaraman (General Surgery, SJHC) received a Special Commendation – Integrated Medical Education Awards for Excellence in Community-Based Teaching. Bernard Langer (Surgical Alumni) was inducted into the Canadian Medical Hall of Fame, Thursday, April 23, 2015 in Winnipeg. An article regarding this appeared in the Canadian Journal of Surgery. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4373986/ The Canadian Medical Hall of Fame contributes to a vibrant health care system by engaging Canada’s health leaders in educational programs that encourage youth to pursue careers in health sciences. Congratulations Bernie! Frank Mastrogiacomo (Orthopaedics, TEGH) received a Special Commendation for Excellence in Community-Based Teaching (Community Hospital setting). Andy Smith (General Surgery) was inducted into the American Surgical Association, April 23, 2015. Lloyd Smith (General Surgery, NYGH) received a Special Commendation for Excellence in Community-Based Teaching (Community Hospital setting). Taufik Valiante (Neurosurgery) is the recipient of a 5 year NSERC Discovery Grant (Natural Sciences and Engineering Research Council of Canada) for his work on “Probabilistic maps of spiking and connectivity in human and mouse cortex”. Toni Zhong (Plastic and Reconstructive Surgery) and co-investigators Nancy Baxter, Brett Beber, Terry Cheng, Jeffrey Hoch, Stefan Hofer, Wanrudee Isaranuwatchai, Jennifer Jones, Kelly Metcalfe, Anne O'Neill, Tony Panzarella, Jennica Platt received a 3 year grant from the Canadian Breast Cancer Foundation for their project “Pre-consultation Educational Group Intervention to Improve Shared Decision Making for Postmastectomy Breast Reconstruction”. HIGH IMPACT PAPERS HOT OFF THE PRESS
Angarita FA, Dueck AD, Azouz SM. Postoperative electrolyte management: Current practice patterns of surgeons and residents. Surgery. 2015 Apr 10. pii: S0039-6060(15)00157-9. Babona-Pilipos R, Pritchard-Oh A, Popovic MR, Morshead CM. Biphasic monopolar electrical stimulation induces rapid and directed galvanotaxis in adult subependymal neural precursors. Stem Cell Res Ther. 2015 Apr 12;6(1):67. Bosche B, Macdonald RL. Relevance of Blood-Brain Barrier Disruption After Endovascular Treatment of Ischemic Stroke: Dual-Energy Computed Tomographic Study. Letter, Stroke. 2015 Apr 14. Buonora JE, Yarnell AM, Lazarus RC, Mousseau M, Latour LL, Rizoli SB, Baker AJ, Rhind SG, Diaz-Arrastia R, Mueller GP. Multivariate analysis of traumatic brain injury: development of an assessment score. Front Neurol. 2015 Mar 30;6:68. Choi WJ, Cleghorn MC, Jiang H, Jackson TD, Okrainec A, Quereshy FA. Preoperative Neutrophil-to-Lymphocyte Ratio is a Better Prognostic Serum Biomarker than Platelet-to-Lymphocyte Ratio in Patients Undergoing Resection for Nonmetastatic Colorectal Cancer. Ann Surg Oncol. 2015 Apr 22. Correia A, Rabeneck L, Baxter NN, Paszat LF, Sutradhar R, Yun L, Tinmouth J. Lack of follow-up colonoscopy after positive FOBT in an organized colorectal cancer screening program is associated with modifiable health care practices. Prev Med. 2015 Apr 17. Daniels TR, Younger AS, Penner MJ, Wing KJ, Le IL, Russell IS, Lalonde KA, Evangelista PT, Quiton JD, Glazebrook M, DiGiovanni CW. Prospective Randomized Controlled Trial of Hindfoot and Ankle Fusions Treated With rhPDGF-BB in Combination With a β-TCP-Collagen Matrix. Foot Ankle Int. 2015 Apr 6. Diaz RJ, Dios RR, Hattab EM, Burrell K, Rakopoulos P, Sabha N, Hawkins C, Zadeh G, Rutka JT, Cohen-Gadol AA. Study of the biodistribution of fluorescein in glioma-infiltrated mouse brain and histopathological correlation of intraoperative findings in high-grade gliomas resected under fluorescein fluorescence guidance. J Neurosurg. 2015 Apr 3:1-10. Dodbiba L, Teichman J, Fleet A, Thai H, Starmans MH, Navab R, Chen Z, Girgis H, Eng L, Espin-Garcia O, Shen X, Bandarchi B, Schwock J, Tsao MS, El-Zimaity H, Der SD, Xu W, Bristow RG, Darling GE, Boutros PC, Ailles LE, Liu G. Appropriateness of using patient-derived xenograft models for pharmacologic evaluation of novel therapies for esophageal/gastro-esophageal junction cancers. PLoS One. 2015 Mar 31;10(3):e0121872. Durno CA, Sherman PM, Aronson M, Malkin D, Hawkins C, Bakry D, Bouffet E, Gallinger S, Pollett A, Campbell B, Tabori U; International BMMRD Consortium. Phenotypic and genotypic characterisation of biallelic mismatch repair deficiency (BMMR-D) syndrome. Eur J Cancer. 2015 Apr 13. Farooq H, Genis H, Alarcon J, Vuong B, Jivraj J, Yang VX, Cohen-Adad J, Fehlings MG, Cadotte DW. High-resolution imaging of the central nervous system: how novel imaging methods combined with navigation strategies will advance patient care. Prog Brain Res. 2015;218:55-78. Fehlings MG, Nater A. Development and Implementation of Guidelines in Neurosurgery. Neurosurg Clin N Am. 2015 Apr;26(2):271-282. Fitchett DH, Hegele RA, Verma S. Statin intolerance. Circulation. 2015 Mar 31;131(13):e389-91 Fowler RA, Abdelmalik P, Wood G, Foster D, Gibney N, Bandrauk N, Turgeon AF, Lamontagne F, Kumar A, Zarychanski R, Green R, Bagshaw SM, Stelfox HT, Foster R, Dodek P, Shaw S, Granton J, Lawless B, Hill A, Rose L, Adhikari NK, Scales DC, Cook DJ, Marshall JC, Martin C, Jouvet P; Canadian Critical Care Trials Group and The Canadian ICU Capacity Group. Critical Care capacity in Canada: results of a national cross-sectional study. Crit Care. 2015 Apr 1;19(1):133. Führmann T, Obermeyer J, Tator CH, Shoichet MS. Click-crosslinked injectable hyaluronic acid hydrogel is safe and biocompatible in the intrathecal space for ultimate use in regenerative strategies of the injured spinal cord. Methods. 2015 Apr Gandhi R, Zywiel MG, Mahomed NN, Perruccio AV. Depression and the Overall Burden of Painful Joints: An Examination among Individuals Undergoing Hip and Knee Replacement for Osteoarthritis. Arthritis. 2015;2015:327161. Germans MR, Macdonald RL. Preoperative angiography of middle cerebral artery bifurcation aneurysms. World Neurosurg. 2015 Apr 7. Grotenhuis HB, Yim D, Honjo O, Dragulescu A. Anomalous single coronary artery from the pulmonary artery in a neonate. Eur Heart J Cardiovasc Imaging. 2015 Mar 29. Haas B, Doumouras AG, Gomez D, de Mestral C, Boyes DM, Morrison L, Nathens AB. Close to home: An analysis of the relationship between location of residence and location of injury. J Trauma Acute Care Surg. 2015 Apr;78(4):860-5. Hallet J, Law CH, Karanicolas PJ, Saskin R, Liu N, Singh S. Rural-urban disparities in incidence and outcomes of neuroendocrine tumors: A population-based analysis of 6271 cases. Cancer. 2015 Mar 30. Hallet J, Tsang M, Cheng ES, Habashi R, Kulyk I, Hanna SS, Coburn NG, Lin Y, Law CH, Karanicolas PJ. The Impact of Perioperative Red Blood Cell Transfusions on Long-Term Outcomes after Hepatectomy for Colorectal Liver Metastases. Ann Surg Oncol. 2015 Mar 10. Hallet J, Wallace D, El-Sedfy A, Hall TN, Ahmed N, Bridge J, Taggar R, Smith AJ, Nathens AB, Coburn NG, Gotlib-Conn L. Optimizing inter-professional communications in surgery: protocol for a mixed-methods exploratory study. JMIR Res Protoc. 2015 Mar 5;4(1):e8. doi: 10.2196/resprot.3623. Hirohashi K, Anayama T, Wada H, Nakajima T, Kato T, Keshavjee S, Orihashi K, Yasufuku K. Photothermal Ablation of Human Lung Cancer by Low-power Near-Infrared Laser and Topical Injection of Indocyanine Green. J Bronchology Interv Pulmonol. 2015 Apr;22(2):99-106. Hughes J, Wang P, Alusi G, Shi H, Chu Y, Wang J, Bhakta V, McNeish I, McCart A, Lemoine NR, Wang Y. Lister strain vaccinia virus with thymidine kinase gene deletion is a tractable platform for development of a new generation of oncolytic virus. Gene Ther. 2015 Apr 16. doi: 10.1038/gt.2015.13. Ibrahim GM, Cadotte DW, Bernstein M. A framework for the monitoring and evaluation of international surgical initiatives in low- and middle-income countries. PLoS One. 2015 Mar 30;10(3):e0120368. Ibrahim GM, Morgan BR, Doesburg SM, Taylor MJ, Pang EW, Donner E, Go CY, Rutka JT, Snead OC 3rd. Atypical language laterality is associated with large-scale disruption of network integration in children with intractable focal epilepsy. Cortex. 2015 Apr;65:83-8. Insel N, Pilkiw M, Nobrega JN, Hutchison WD, Takehara-Nishiuchi K, Hamani C. Chronic deep brain stimulation of the rat ventral medial prefrontal cortex disrupts hippocampal-prefrontal coherence. Exp Neurol. 2015 Apr 1;269:1-7. Kalaniti K, Lo Rito M, Hickey EJ, Sivarajan VB. Successful Pulmonary Embolectomy of a Saddle Pulmonary Thromboembolism in a Preterm Neonate. Pediatrics. 2015 Apr 20. Kassam I, Gagnon F, Cusimano MD. Association of the APOE-ε4 allele with outcome of traumatic brain injury in children and youth: a meta-analysis and meta-regression. J Neurol Neurosurg Psychiatry. 2015 Apr 22. Kayssi A, Pope M, Vucemilo I, Werneck C. Endovenous radiofrequency ablation for the treatment of varicose veins. Can J Surg. 2015 Apr;58(2):85-6. Keshavjee S. 50th Anniversary Landmark Commentary on Pearson FG, Andrews MJ. Detection and management of tracheal stenosis following cuffed tube tracheostomy. Ann Thorac Surg 1971;12:359-74. Ann Thorac Surg. 2015 Apr;99(4):1119-20. Klotz L. Active surveillance for low-risk prostate cancer. Curr Urol Rep. 2015 Apr;16(4):24. Kruser JM, Pecanac KE, Brasel KJ, Cooper Z, Steffens NM, McKneally MF, Schwarze ML. "And I think that we can fix it": mental models used in high-risk surgical decision making. Ann Surg. 2015 Apr;261(4):678-84. Kwan BY, Krings T, Bernstein M, Mandell DM. A novel mechanism of toxic injury to the Papez circuit from chemotherapy. J Clin Neurosci. 2015 Apr;22(4):760-2. Liang S, Jayaraman S. Starting a new laparoscopic liver surgery program: initial experience and improved efficiency. Can J Surg. 2015 Apr 1;58(2):012514-12514. Lau K, Tao H, Liu H, Wen J, Sturgeon K, Sorfazlian N, Lazic S, Burrows JT, Wong MD, Li D, Deimling S, Ciruna B, Scott I, Simmons C, Henkelman RM, Williams T, Hadjantonakis AK, Fernandez-Gonzalez R, Sun Y, Hopyan S. Anisotropic stress orients remodelling of mammalian limb bud ectoderm. Nat Cell Biol. 2015 Apr 20. Law N, Greenberg M, Bouffet E, Laughlin S, Taylor MD, Malkin D, Liu F, Moxon-Emre I, Scantlebury N, Skocic J, Mabbott D. Visualization and segmentation of reciprocal cerebrocerebellar pathways in the healthy and injured brain. Hum Brain Mapp. 2015 Apr 14. Mäkinen TJ, Dhotar HS, Fichman SG, Gunton MJ, Woodside M, Safir O, Backstein D, Willett TL, Kuzyk PR. Periprosthetic supracondylar femoral fractures following knee arthroplasty: a biomechanical comparison of four methods of fixation. Int Orthop. 2015 Apr 16. Mariappan R, Mehta J, Massicotte E, Nagappa M, Manninen P, Venkatraghavan L. Effect of superficial cervical plexus block on postoperative quality of recovery after anterior cervical discectomy and fusion: a randomized controlled trial. Can J Anaesth. 2015 Apr 14. Mutabdzic D, Mylopoulos M, Murnaghan ML, Patel P, Zilbert N, Seemann N, Regehr G, Moulton CA. Coaching Surgeons: Is Culture Limiting Our Ability to Improve? Ann Surg. 2015 Apr 17. Narayanan UG. Should children with cerebral palsy exercise? Dev Med Child Neurol. 2015 Apr 16. Nayan M, Jewett MA, Sweet J, Anson-Cartwright L, Bedard PL, Moore M, Chung P, Warde P, Hamilton RJ. Lymph Node Yield in Primary Retroperitoneal Lymph Node Dissection for Nonseminoma Germ Cell Tumours. J Urol. 2015 Mar 27. Nouri A, Tetreault L, Côté P, Zamorano JJ, Dalzell K, Fehlings MG. Does Magnetic Resonance Imaging Improve the Predictive Performance of a Validated Clinical Prediction Rule Developed to Evaluate Surgical Outcome in Patients with Cervical Spondylotic Myelopathy? Spine (Phila Pa 1976). 2015 Apr 14. Nouri A, Tetreault L, Singh A, Karadimas SK, Fehlings MG. Degenerative Cervical Myelopathy: Epidemiology, Genetics and Pathogenesis. Spine (Phila Pa 1976). 2015 Apr 2. Platt J, Zhong T, Moineddin R, Booth GL, Easson AM, Fernandes K, Gozdyra P, Baxter NN. Geographic Variation Immediate and Delayed Breast Reconstruction Utilization in Ontario, Canada and Plastic Surgeon Availability: A Population-Based Observational Study. World J Surg. 2015 Apr 21. Plant MA, Fish JS. Resident use of the internet, e-mail, and personal electronics in the care of surgical patients. Teach Learn Med. 2015 Apr-Jun;27(2):215-23. Polisena J, Gagliardi A, Urbach D, Clifford T, Fiander M. Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. Syst Rev. 2015 Mar 29;4(1):37. Rahman F, Cotterchio M, Cleary SP, Gallinger S. Association between Alcohol Consumption and Pancreatic Cancer Risk: A Case-Control Study. PLoS One. 2015 Apr 9;10(4):e0124489. Richard PO, Jewett MA, Bhatt JR, Kachura JR, Evans AJ, Zlotta AR, Hermanns T, Juvet T, Finelli A. Renal Tumor Biopsy for Small Renal Masses: A Single-center 13-year Experience. Eur Urol. 2015 Apr 18. Rolston JD, Bernstein M. Errors in Neurosurgery. Neurosurg Clin N Am. 2015 Apr;26(2):149-155. Schroeder GD, Vaccaro AR, Kepler CK, Koerner JD, Oner FC, Dvorak MF, Vialle LR, Aarabi B, Bellabarba C, Fehlings MG, Schnake KJ, Kandziora F. Establishing the Injury Severity of Thoracolumbar Trauma: Confirmation of the Hierarchical Structure of the AOSpine Thoracolumbar Spine Injury Classification System. Spine (Phila Pa 1976). 2015 Apr 15;40(8):E498-503. Schuh S, Chan K, Langer JC, Kulik D, Preto-Zamperlini M, Aswad NA, Man C, Mohanta A, Stephens D, Doria AS. Properties of serial ultrasound clinical diagnostic pathway in suspected appendicitis and related computed tomography use. Acad Emerg Med. 2015 Apr;22(4):406-14. Sermer C, Devitt B, Chahal J, Kandel R, Theodoropoulos J. The Addition of Platelet-Rich Plasma to Scaffolds Used for Cartilage Repair: A Review of Human and Animal Studies. Arthroscopy. 2015 Mar 27. Siddiqui AM, Khazaei M, Fehlings MG. Translating mechanisms of neuroprotection, regeneration, and repair to treatment of spinal cord injury. Prog Brain Res. 2015;218:15-54. Sidler-Maier CC, Waddell JP. Incidence and predisposing factors of periprosthetic proximal femoral fractures: a literature review. Int Orthop. 2015 Mar 27. Tajdaran K, Shoichet MS, Gordon T, Borschel GH. A novel polymeric drug delivery system for localized and sustained release of tacrolimus (FK506). Biotechnol Bioeng. 2015 Apr 7. 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Tseng CL, Sussman MS, Atenafu EG, Letourneau D, Ma L, Soliman H, Thibault I, Cho BC, Simeonov A, Yu E, Fehlings MG, Sahgal A. Magnetic resonance imaging assessment of spinal cord and cauda equina motion in supine patients with spinal metastases planned for spine stereotactic body radiation therapy. Int J Radiat Oncol Biol Phys. 2015 Apr 1;91(5):995-1002. Turner JM, Josephson J, Field CJ, Wizzard PR, Ball RO, Pencharz PB, Wales PW. Liver Disease, Systemic Inflammation, and Growth Using a Mixed Parenteral Lipid Emulsion, Containing Soybean Oil, Fish Oil, and Medium Chain Triglycerides, Compared With Soybean Oil in Parenteral Nutrition-Fed Neonatal Piglets. JPEN J Parenter Enteral Nutr. 2015 Apr 2. Wada H, Anayama T, Hirohashi K, Nakajima T, Kato T, Waddell TK, Keshavjee S, Yoshino I, Yasufuku K. Thoracoscopic ultrasonography for localization of subcentimetre lung nodules†. Eur J Cardiothorac Surg. 2015 Apr 7. Weber-Adrian D, Thévenot E, O'Reilly MA, Oakden W, Akens MK, Ellens N, Markham-Coultes K, Burgess A, Finkelstein J, Yee AJ, Whyne CM, Foust KD, Kaspar BK, Stanisz GJ, Chopra R, Hynynen K, Aubert I. Gene delivery to the spinal cord using MRI-guided focused ultrasound. Gene Ther. 2015 Apr 23. Willett TL, Burton B, Woodside M, Wang Z, Gaspar A, Attia T. γ-Irradiation sterilized bone strengthened and toughened by ribose pre-treatment. J Mech Behav Biomed Mater. 2015 Apr;44:147-55. Witiw CD, Nathan V, Bernstein M. Economics, Innovation, and Quality Improvement in Neurosurgery. Neurosurg Clin N Am. 2015 Apr;26(2):197-205. Zarnett OJ, Sahgal A, Gosio J, Perry J, Berger MS, Chang S, Das S. Treatment of Elderly Patients With Glioblastoma: A Systematic Evidence-Based Analysis. JAMA Neurol. 2015 Mar 30. For further information on divisional events, please go to the Surgery Bulletin Board http://surgery.utoronto.ca/news/bulletin-board.htm ![]() |
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