December 2015

Volume 5, Issue 4
 

Competency by Design
 
As you may now, the Royal College of Physicians and Surgeons of Canada (RCPSC) will introduce Competency by Design (CBD) into residency training in a multi-year initiative based on the premise that the use of outcome-driven educational and assessment tools ensures that physicians have the knowledge and abilities they need for every stage and role in their careers.
 
This raises a sensitive albeit valid question: Aren’t we already providing this type of training experience to our residents? The answer is yes, but with a caveat: We can provide more.
 
This is not to negate the many positive features of our current training. Our Department consistently graduates an exceptional cadre of talented and competent surgeons. However, just as the creative process is limitless in its boundaries, so the learning experience is vast and boundless. The changing patient experience calls for an upgrade in the physician education system, so that we may continue to graduate trainees who are properly prepared for independent practice.
 
The transition to a CBD program will occur stepwise.  Divisions will be split into six cohorts, each cohort beginning its turn with the incoming PGY1’s annually until 2022. It is anticipated that the assigned Specialty Committees and Program Directors will require a full two years to develop and embed these changes. The Specialty Committees have access to educational resources, including assistance from the RCPSC’s Educational Product Development and Dissemination Unit.
 
Training will be organized into stages with well-defined benchmarks of competency for each rotation. Educators will evaluate the Milestone and Entrustable Professional Activities (EPAs) performance against each competency requirement before permitting progress to the next rotation. The RCPSC classifies Milestones as “observable markers of an individual’s ability along a development continuum”. The EPAs are the clinical tasks assigned to the trainee once sufficient competency has been demonstrated. Since evaluation will occur more frequently, performance difficulties will be identified earlier along with the appropriate course of remediation. With time viewed as a resource rather than a limitation, trainees can achieve their competencies (milestones) at their own rate without compromising their access to patient-level experiences.
 
In the Department of Surgery, we have been fortunate to have advanced experience in a competency-based curriculum (CBC). Under the leadership of Oleg Safir, Bill Kraemer, Markku Nousiainen, Peter Ferguson, and others, the Division of Orthopedics has fully developed and implemented a competency-based approach into its residency training. As pioneers in a RCPSC-approved competency-based program, they will certainly serve as beacons of light and inspiration to other Divisions moving towards CBD programs. Recently, PGME director, Ron Levine, guided the Program Directors in developing competency-based guidelines for their resident assessments. This has also been an excellent exercise in preparation for the upcoming transition.
 
CBD is coming.  We are preparing for it.  Otolaryngology and Medical Oncology are in the first cohort which is apparently advancing quite well.  Future specialties to tackle the CBD curricula will benefit from the past cohort’s experience, with assistance from the RCPSC, and the Specialty Committees.  Given our past experience with competency based training and leadership in scholarly education, I know the Department of Surgery will be contributing in major ways to the success of CBD across Canada.
 

Sincerely,  


James T. Rutka, MD, PhD, FRCSC
RS McLaughlin Chair
 

RECENT EVENTS  

Department of Surgery University Rounds
 
2015 Lister and George Armstrong-Peters Award Winner Presentations
Drs. Emil Schemitsch (Lister Prize) and Marcelo Cypel (George Armstrong-Peters Prize) presented their work on Friday, December 4, 2015 at The Hospital for Sick Children.  Photo left to right:  J. Rutka, M. Cypel, E. Schemitsch
 

 

Department of Surgery Holiday Party
Thursday, December 10, 2015, Casa Loma
 

Finance Seminar
Barry Rubin held the second finance and negotiations seminar for residents and fellows on Wednesday, December 16, 2015. 

 

BRA Day
November 28, 2015
http://www.pressreader.com/canada/national-post-latest-edition/20151128/282029031146696/TextView
 

 

 
Dec 18
George Christakis received the John Provan award for undergraduate medical education across Canada. Congratulations!
 
Dec 10

‪@UofTSurgery‪ BEST Holiday Party Yet. @CasaLomaToronto @JamesRutka 

                        

          






Dec 4 

Emil Schemitsch delivered the Lister Prize Lecture at University Rounds at Sick Kids this morning! 
                        




                      
Dec 4 

Marcelo Cypel delivered the George Armstrong Peters lecture at University Rounds at Sick Kids today! 

                        





Dec 3 

Dept. Surgery Univ Rds Dec.4 7:30 a.m., SickKids.  George Armstrong-Peters and Lister Prize Winners presenting. 

 
Dec 3
Congratulations to Drs. T. Waddell & M. Cattral and teams for successful life-saving triple transplant surgery.  ‪http://www.cbc.ca/news/canada/toronto/toronto-teen-triple-transplant-1.3348595 …           

                       
Dec 3
TGH performs world-first triple transplant of double lungs, liver & pancreas: ‪http://bit.ly/1Nr2Jfu  ‪@CAHOHospitals ‪#onHWS ‪@rezamoridi
                        

Dec 2 

Our very own Martin McKneally received the Distinguished Service to JCB Award! ‪@UofTSurgery ‪@SKeshavjee ‪@SKeshavjee
 
 

Karen Davis (Neurosurgery) received a 2-year grant from the Mayday Fund for the project entitled “Development of a Pain Treatment Prediction Tool”.
 







Fred Gentili (Neurosurgery) has been appointed to the Crean Hotson Chair in Skull Base Surgery at UHN. 
 




Stefan Hofer (Plastic and Reconstructive Surgery) was named an honorary member of BAPRAS (British Association of Plastic, Reconstructive and Aesthetic Surgeons) for exceptional contributions to the society for managing their journal for the last 7 of my 10 years with it and making it highly successful scientifically and financially.



 
Martin McKneally (Professor Emeritus) received the "Distinguished Service to the JCB Award" during the 20th anniversary celebration of the Joint Center for Bioethics.

 

HIGH IMPACT PAPERS HOT OFF THE PRESS

 
Abdallah FW, Dwyer T, Chan VW, Niazi AU, Ogilvie-Harris DJ, Oldfield S, Patel R, Oh J, Brull R.   IV and Perineural Dexmedetomidine Similarly Prolong the Duration of Analgesia after Interscalene Brachial Plexus Block: A Randomized, Three-arm, Triple-masked, Placebo-controlled Trial.  Anesthesiology. 2015 Dec 9.
 
Alshafai N, Falenchuk O, Cusimano MD. Practises and controversies in the management of asymptomatic aneurysms: Results of an international survey. Br J Neurosurg. 2015 Nov 5:1-7.
 
Bittencourt S, Covolan L, Hamani C, Longo BM, Faria FP, Freymuller E, Ottersen OP, Mello LE.  Replacement of Asymmetric Synaptic Profiles in the Molecular Layer of Dentate Gyrus Following Cycloheximide in the Pilocarpine Model in Rats.  Front Psychiatry. 2015 Nov 17;6:157.
 
Chiu A H Y, Marotta, TR. Pipeline embolization device thrombosis induced peri-construct collateral channels. J NeuroIntervent Surg. 2015 Nov 24.
 
Choi D, Fox Z, Albert T, Arts M, Balabaud L, Bunger C, Buchowski JM, Coppes MH, Depreitere B, Fehlings MG, Harrop J, Kawahara N, Martin-Benlloch JA, Massicotte EM, Mazel C, Oner FC, Peul W, Quraishi N, Tokuhashi Y, Tomita K, Verlaan JJ, Wang M, Crockard HA. Prediction of Quality of Life and Survival After Surgery for Symptomatic Spinal Metastases: A Multicenter Cohort Study to Determine Suitability for Surgical Treatment. Neurosurgery. 2015
 
Cintolo-Gonzalez JA, Bedada AG, Morris J, Azzie G.  An International Surgical Rotation as a Systems-Based Elective: The Botswana-University of Pennsylvania Surgical Experience.  J Surg Educ. 2015 Nov 16.
 
Clarke GM, Holloway CM, Zubovits JT, Nofech-Mozes S, Liu K, Murray M, Wang D, Yaffe MJ.  Whole-mount pathology of breast lumpectomy specimens improves detection of tumour margins and focality.  Histopathology. 2015 Dec 8.
 
Cook GE, Bates BD, Tornetta P, McKee MD, Morshed S, Slobogean GP, Schemitsch EH.  Assessment of Fracture Repair.  J Orthop Trauma. 2015 Dec;29 Suppl 12:S57-61.
 
Coutinho JM, Sacho RH, Schaafsma JD, Agid R, Krings T, Radovanovic I, Matouk CC, Mikulis DJ, Mandell DM.  High-Resolution Vessel Wall Magnetic Resonance Imaging in Angiogram-Negative Non-Perimesencephalic Subarachnoid Hemorrhage.  Clin Neuroradiol. 2015 Nov 25.
 
de Almeida JR, Carvalho F, Vaz Guimaraes Filho F, Kiehl TR, Koutourousiou M, Su S, Vescan AD, Witterick IJ, Zadeh G, Wang EW, Fernandez-Miranda JC, Gardner PA, Gentili F, Snyderman CH. Comparison of endoscopic endonasal and bifrontal craniotomy approaches for olfactory groove meningiomas: A matched pair analysis of outcomes and frontal lobe changes on MRI. J Clin Neurosci. 2015 Nov;22(11):1733-41.
 
Di Ieva A, Lam T, Alcaide-Leon P, Bharatha A, Montanera W, Cusimano MD.  Magnetic resonance susceptibility weighted imaging in neurosurgery: current applications and future perspectives.  J Neurosurg. 2015 Dec;123(6):1463-75.
 
Duncan NW, Hayes DJ, Wiebking C, Tiret B, Pietruska K, Chen DQ, Rainville P, Marjańska M, Ayad O, Doyon J, Hodaie M, Northoff G. Negative childhood experiences alter a prefrontal-insular-motor cortical network in healthy adults: A preliminary multimodal rsfMRI-fMRI-MRS-dMRI study. Hum Brain Mapp. 2015 Nov;36(11):4622-37.
 
Egol KA, Nauth A, Lee M, Pape HC, Watson JT, Borrelli J Jr.  Bone Grafting: Sourcing, Timing, Strategies, and Alternatives.  J Orthop Trauma. 2015 Dec;29 Suppl 12:S10-4.
 
Eswara JR, Kielb S, Koyle MA, Wood D, Wood HM.  The Recommendations of the 2015 AUA Working Group on Genitourinary Congenitalism.  Urology. 2015 Nov 25.
 
Fatehi Hassanabad M, Mansouri A, Alotaibi NM, Hazrati LN, Bernstein M.  Metastatic saccrococcygeal chordoma.  J Clin Neurosci. 2015 Nov 18.
 
Faulkner S, Ruff C, Foltz W, Armstrong E, Basilious A, Fan S, Yager J, Fehlings M. A translational model of intrauterine growth restriction: Evaluating abnormalities in neurobehavioural gait and white matter myelination. Int J Dev Neurosci. 2015 Dec;47(Pt A):45.
 
Fehlings MG, Nater A, Tetreault L, Kopjar B, Arnold P, Dekutoski M, Finkelstein J, Fisher C, France J, Gokaslan Z, Massicotte E, Rhines L, Rose P, Sahgal A, Schuster J, Vaccaro A. Survival and Clinical Outcomes in Surgically Treated Patients With Metastatic Epidural Spinal Cord Compression: Results of the Prospective Multicenter AOSpine Study. J Clin Oncol. 2015 Nov 23.
 
Fehlings MG, Tetreault L, Côté P, Arnold P, Kopjar B. Reply to the letter to  the editor regarding "A clinical prediction model to assess surgical outcome in patients with cervical spondylotic myelopathy: internal and external validation using the prospective multicenter AOSpine North American and International datasets of 743 patients." Spine J 2015;15:388-397. Spine J. 2015 Nov 1;15(11):2447-8.
 
Gallo M, Coutinho FJ, Vanner RJ, Bazett-Jones DP, Lupien M, Dirks PB.  MLL5 Orchestrates a Cancer Self-Renewal State by Repressing the Histone Variant H3.3 and Globally Reorganizing Chromatin.  2015 Dec 14, Cancer Cell 28,1-15.
 
Govshievich A, Somogyi RB, Brown MH.  Conservative mastectomies and immediate reconstruction with the use of ADMs.  Gland Surg. 2015 Dec;4(6):453-462.
 
Gray MJ, Kannu P, Sharma S, Neyt C, Zhang D, Paria N, Daniel PB, Whetstone H, Sprenger HG, Hammerschmidt P, Weng A, Dupuis L, Jobling R, Mendoza-Londono R, Dray M, Su P, Wilson MJ, Kapur RP, McCarthy EF, Alman BA, Howard A, Somers GR, Marshall CR, Manners S, Flanagan AM, Rathjen KE, Karol LA, Crawford H, Markie DM, Rios JJ, Wise CA, Robertson SP.  Mutations Preventing Regulated Exon Skipping in MET Cause Osteofibrous Dysplasia.  Am J Hum Genet. 2015 Dec 3;97(6):837-47.
 
Greenberg JA, Hsu J, Bawazeer M, Marshall J, Friedrich JO, Nathens A, Coburn N, Huang H, McLeod RS.  Compliance with Evidence-Based Guidelines in Acute Pancreatitis: an Audit of Practices in University of Toronto Hospitals.  J Gastrointest Surg. 2015 Nov 30.
 
Hajiha M, Elterman D.  Urinary urgency and frequency in a 53-year-old woman.  CMAJ. 2015 Nov 23
 
Halperin JJ, Kurlan R, Schwalb JM, Cusimano MD, Gronseth G, Gloss D.  Practice guideline: Idiopathic normal pressure hydrocephalus: Response to shunting and predictors of response: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.  Neurology. 2015 Dec 8;85(23):2063-71.
 
Hart T, Chandrashekhar M, Aregger M, Steinhart Z, Brown KR, MacLeod G, Mis M, Zimmermann M, Fradet-Turcotte A, Sun S, Mero P, Dirks P, Sidhu S, Roth FP, Rissland OS, Durocher D, Angers S, Moffat J.  High-Resolution CRISPR Screens Reveal Fitness Genes and Genotype-Specific Cancer Liabilities.  Cell. 2015 Dec 3;163(6):1515-26.
 
Hirpara DH, Cleghorn MC, Kwong J, Saleh F, Sockalingam S, Quereshy FA, Okrainec A, Jackson TD.  Perception and Awareness of Bariatric Surgery in Canada: a National Survey of General Surgeons.  Obes Surg. 2015 Dec 5.
Isaac KV, Murphy BD, Beber B, Brown M.  The Reliability of Anthropometric Measurements Used Preoperatively in Aesthetic Breast Surgery.  Aesthet Surg J. 2015 Dec 8.
 
Kalsi-Ryan S, Beaton D, Ahn H, Askes H, Drew B, Curt A, Popovic M, Wang J, Verrier M, Fehlings M.  Responsiveness, Sensitivity and Minimally Detectable Difference of the Graded and Redefined Assessment of Strength, Sensibility, and Prehension, Version 1.0 (GRASSP V1).  J Neurotrauma. 2015 Nov 11.
 
Kapus A.  A little (up)SET THEORY: a philosophical and psychological pondering of a scientist on the state of our art.  Can J Kidney Health Dis. 2015 Dec 1;2:48.
 
Karadimas SK, Laliberte AM, Tetreault L, Chung YS, Arnold P, Foltz WD, Fehlings MG.  Riluzole blocks perioperative ischemia-reperfusion injury and enhances postdecompression outcomes in cervical spondylotic myelopathy.  Sci Transl Med. 2015 Dec 2;7(316):316ra194.

Kayssi A, de Mestral C, Forbes TL, Roche-Nagle G.  Predictors of hospital readmissions after lower extremity amputations in Canada.  J Vasc Surg. 2015 Nov 21.
 
Kulkarni AV. Editorial: Predicting shunt failure in children. J Neurosurg Pediatr. 2015 Nov 6:1-2.
 
Kumar A, Jakubovic R, Yang V, Dacosta L.  Traumatic anterior cerebral artery aneurysms and management options in the endovascular era.  J Clin Neurosci. 2015 Nov 28.
 
Lafay-Cousin L, Lindzon G, Taylor MD, Hader W, Hawkins C, Nordal R, Laperriere N, Laughlin S, Bouffet E, Bartels U. Successful treatment of primary intracranial sarcoma with the ICE chemotherapy regimen and focal radiation in children. J Neurosurg Pediatr. 2015 Nov 20:1-5.
 
Lin CA, Swiontkowski M, Bhandari M, Walter SD, Schemitsch EH, Sanders D, Tornetta P 3rd.  Reaming Does Not Affect Functional Outcomes After Open And Closed Tibial Shaft Fractures: The Results Of A Randomized Controlled Trial.  J Orthop Trauma. 2015 Nov 25.

Macdonald RL. Subarachnoid Hemorrhage and Loss of Consciousness. JAMA Neurol. 2015 Nov 9:1-2.
 
Martin LW, Darling GE, Wigle DA.  Adjuvant radiotherapy for resectable locally advanced non-small cell lung cancer: Benefit or harm?  J Thorac Cardiovasc Surg. 2015 Dec;150(6):1407-9
 
Mathers JD, Lo N, Leung P, Ho A, Das S. Large intracranial subdural haematoma with midline shift following accidental dural puncture for labour analgesia. Int J Obstet Anesth. 2015 Nov;24(4):391-3.
 
McWilliams RR, Maisonneuve P, Bamlet WR, Petersen GM, Li D, Risch HA, Yu H, Fontham ET, Luckett B, ScD CB, Negri E, La Vecchia C, Talamini R, de Mesquita HB, Bracci P, Gallinger S, Neale RE, Lowenfels AB.  Risk Factors for Early-Onset and Very-Early-Onset Pancreatic Adenocarcinoma: A Pancreatic Cancer Case-Control Consortium (PanC4) Analysis.  Pancreas. 2015 Dec 5.
 
Merali Z, Sharma S, MacDonald RD, Massicotte EM. Emergent and Urgent Transfers to Neurosurgical Centers in Ontario. Prehosp Emerg Care. 2015 Nov 3:1-9.
 
Morales A, Bebb RA, Manjoo P, Assimakopoulos P, Axler J, Collier C, Elliott S, Goldenberg L, Gottesman I, Grober ED, Guyatt GH, Holmes DT, Lee JC; Canadian Men’s Health Foundation Multidisciplinary Guidelines Task Force on Testosterone Deficiency.  Diagnosis and management of testosterone deficiency syndrome in men: clinical practice guideline.  CMAJ. 2015 Dec 8;187(18):1369-77.
 
Mueller MH, Vandenbussche K, Pelliccia M, Smith M, Karanicolas P, Hanna S, Coburn N, Law C.  Enteral Nutrition Support Reduces the Necessity of Total Parenteral Nutrition to Reach Patient-Specific Caloric Goals Postpancreaticoduodenectomy.  South Med J. 2015 Dec;108(12):748-53.
 
Nadler A, McCart JA, Govindarajan A.  Peritoneal Carcinomatosis from Colon Cancer: A Systematic Review of the Data for Cytoreduction and Intraperitoneal Chemotherapy.  Clin Colon Rectal Surg. 2015 Dec;28(4):234-246. Review.

Nagoshi N, Nakashima H, Fehlings MG. Commentary: Preclinical Validation of Multilevel Intraparenchymal Stem Cell Therapy in the Porcine Spinal Cord. Neurosurgery. 2015 Nov 3.
 
Nauth A, Lane J, Watson JT, Giannoudis P.  Bone Graft Substitution and Augmentation.  J Orthop Trauma. 2015 Dec;29 Suppl 12:S34-8.
 
O'Sullivan KE, Byrne JS, Hudson A, Murphy AM, Sadlier DM, Hurley JP.  The effect of obesity on acute kidney injury after cardiac surgery.  J Thorac Cardiovasc Surg. 2015 Dec;150(6):1622-8.
 
Osman E, Tan KT, Tse L, Jaskolka J, Roche-Nagle G, Oreopoulos G, Rubin B, Lindsay T.  The in-hospital costs of treating high-risk patients with fenestrated and branched endografts.  J Vasc Surg. 2015 Dec;62(6):1457-64.
 
Plant MA, Novak CB, McCabe SJ, von Schroeder HP.  Use of digital images to aid in the decision-making for acute upper extremity trauma referral.  J Hand Surg Eur Vol. 2015 Dec 2.
 
Riva-Cambrin J, Kestle JR, Holubkov R, Butler J, Kulkarni AV, Drake J, Whitehead WE, Wellons JC 3rd, Shannon CN, Tamber MS, Limbrick DD Jr, Rozzelle C, Browd SR, Simon TD; Hydrocephalus Clinical Research Network.  Risk factors for shunt malfunction in pediatric hydrocephalus: a multicenter prospective cohort study.  J Neurosurg Pediatr. 2015 Dec 4:1-9.
 
Roy T, Forbes T, Wright G, Dueck A.  Burning Bridges: Mechanisms and Implications of Endovascular Failure in the Treatment of Peripheral Artery Disease.  J Endovasc Ther. 2015 Dec;22(6):874-80.
 
Ruff CA, Faulkner SD, Armstrong E, Basilious A, Fan S, Thiyagalingam S, Yager  JY, Fehlings MG. Intrauterine growth restriction-induced cerebral palsy: Evaluating histological and behavioural differences in a translational rodent model. Int J Dev Neurosci. 2015 Dec;47(Pt A):60-1.
 
Shamji MF, Rodriguez J, Shcharinsky A, Paul D.  High Rates of Undiagnosed Psychological Distress Exist in a Referral Population for Spinal Cord Stimulation in the Management of Chronic Pain.  Neuromodulation. 2015 Nov 26. doi: 10.1111/ner.12373.

Shearer DW, Volberding PA, Schemitsch EH, Cook GE, Slobogean GP, Morshed S.  Building Networks for Global Clinical Research: The Basics.  J Orthop Trauma. 2015 Dec;29 Suppl 12:S15-8.
 
Song D, Slater K, Papsdorf M, Van Laeken N, Zhong T, Hazen A, Vidal D, Macadam SA.  Autologous Breast Reconstruction in Women Older Than 65 Years Versus Women Younger Than 65 Years: A Multi-Center Analysis.  Ann Plast Surg. 2015 Dec 4.
 
Stanojcic M, Chen P, Xiu F, Jeschke MG.  Impaired Immune Response in Elderly Burn Patients: New Insights Into the Immune-senescence Phenotype.  Ann Surg. 2015 Nov 25.
 
Steinbok P, Gopalakrishnan CV, Hengel AR, Vitali AM, Poskitt K, Hawkins C, Drake J, Lamberti-Pasculli M, Ajani O, Hader W, Mehta V, McNeely PD, McDonald PJ, Ranger A, Vassilyadi M, Atkinson J, Ryall S, Eisenstat DD, Hukin J.  Pediatric thalamic tumors in the MRI era: a Canadian perspective.  Childs Nerv Syst. 2015 Nov 23.
 
Sun Y, Giacobbe P, Tang CW, Barr MS, Rajji T, Kennedy SH, Fitzgerald PB, Lozano AM, Wong W, Daskalakis ZJ. Deep Brain Stimulation Modulates Gamma Oscillations and Theta-Gamma Coupling in Treatment Resistant Depression. Brain Stimul. 2015 Nov-Dec;8(6):1033-42.
 
Szaszi K.  A basic scientist's reflections on research funding.  Can J Kidney Health Dis. 2015 Dec 1;2:50.
 
Tetreault L, Tan G, Kopjar B, Côté P, Arnold P, Nugaeva N, Barbagallo G, Fehlings MG.  Clinical and Surgical Predictors of Complications Following Surgery for the Treatment of Cervical Spondylotic Myelopathy: Results From the Multicenter, Prospective AOSpine International Study of 479 Patients.  Neurosurgery. 2015 Nov 25.
 
Topolovec-Vranic J, Zhang S, Wong H, Lam E, Jing R, Russell K, Cusimano MD; Canadian Brain Injury and Violence Research Team. Recognizing the Symptoms of Mental Illness following Concussions in the Sports Community: A Need for Improvement. PLoS One. 2015 Nov 4;10(11):e0141699.
 
Verrier M, Fehlings M. Responsiveness, Sensitivity and Minimally Detectable Difference of the Graded and Redefined Assessment of Strength, Sensibility, and Prehension, Version 1.0 (GRASSP V1). J Neurotrauma. 2015 Nov 11.
 
Wang J, Wu C, Peng J, Patel N, Huang Y, Gao X, Aljarallah S, Eubanks JH, McDonald R, Zhang L.  Early-Onset Convulsive Seizures Induced by Brain Hypoxia-Ischemia in Aging Mice: Effects of Anticonvulsive Treatments.  PLoS One. 2015 Dec 2;10(12):e0144113.
 
Wei Q, Tang YJ, Voisin V, Sato S, Hirata M, Whetstone H, Han I, Ailles L, Bader GD, Wunder J, Alman BA.  Identification of CD146 as a marker enriched for tumor-propagating capacity reveals targetable pathways in primary human sarcoma.  Oncotarget. 2015 Nov 24;6(37):40283-94.
 
Westwick HJ, Giguère JF, Shamji MF. Incidence and Prognosis of Spinal Hemangioblastoma: A Surveillance Epidemiology and End Results Study. Neuroepidemiology. 2015 Nov 19;46(1):14-23.
 
Wilder TJ, McCrindle BW, Phillips AB, Blackstone EH, Rajeswaran J, Williams WG, DeCampli WM, Jacobs JP, Jacobs ML, Karamlou T, Kirshbom PM, Lofland GK, Ziemer G, Hickey EJ.  Survival and right ventricular performance for matched children after stage-1 Norwood: Modified Blalock-Taussig shunt versus right-ventricle-to-pulmonary-artery conduit.  J Thorac Cardiovasc Surg. 2015 Dec;150(6):1440-1452.e8.
 
Yanagawa B, Ruel M, Bonneau C, Lee MM, Chung J, Al Shouli S, Fagan A, Al Khalifa A, White CW, Yamashita MH, Currie ME, Teoh H, Mewhort HE, Verma S.  Dual antiplatelet therapy use by Canadian cardiac surgeons.  J Thorac Cardiovasc Surg. 2015 Dec;150(6):1548-1554.e3.
 
Zani A, Zani-Ruttenstock E, Eaton S, Pierro A.  Value of Surveys in Pediatric Surgery.  Eur J Pediatr Surg. 2015 Dec 7.
 

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