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MESSAGE FROM THE CHAIR

On Wednesday November 11, the first joint Faculty Development Day was held at the Chestnut Residence between the Departments of Anesthesia and Surgery.  Attendance was superb.  Following comments by Dean Trevor Young, Chair of Anesthesia, Brian Kavanagh, and Vice-Chair of Education in Surgery, David Latter, the program began with an outstanding keynote address by Brian Hodges, VP Education at UHN, on the transformation of learners, teachers, and 21st century health professional curricular.  Workshops were then held on such important topics as:  Quality improvement; effective mentorship; teaching technical skills and incorporating an assessment process; late career transitioning; time management for the busy physician; and team communication in the operating room; negotiations, taxes, and financial considerations; among several others.  I would like to thank Robin McLeod, Ori Rotstein, Paul Grieg, Ron Levine, Oleg Safir, Barry Rubin, Terry Axelrod, George Christakis, and Karen Devon for actively leading these workshops. In the afternoon session, attendees were instructed on how to incorporate medical students into the clinic and the operating room; how to let residents operate; and how to mitigate against surgeon stress.  These lectures were given by Darlene Fenech, John Hagen, Jay Wunder, and Carol-Anne Moulton respectively.  I was absolutely delighted with the academic program this year, and by the numbers of our faculty who attended.  This is clearly a “winning formula” for us in the Department of Surgery, and sets the blueprint for our future Faculty Development Day offerings with our colleagues in Anesthesia.  Special thanks must be given at this time to David Latter and his program committee for making this year’s Faculty Development Day so successful.  Please see photos below!
 

Sincerely,  


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

UPCOMING EVENTS

Department of Surgery University Rounds
 
Presentations by Winners of Lister and Armstrong-Peters Prizes
Friday, December 4, 2015, 7:30 – 8:30 a.m.
The Hospital for Sick Children
Hollywood Theatre, First Floor, Elm Wing
 
Lister Presentation – Dr. Emil Schemitsch, Orthopaedics, SMH
Armstrong-Peters Presentation – Dr. Marcelo Cypel, Thoracic Surgery, UHN
 
Ben Alman Research & Science Lecture
Friday, January 8, 2016, 7:30 – 8:30 a.m.
Toronto Western Hospital, Auditorium
Dr. Lisa McKerracher, PhD, CEO, BioAxone BioSciences, Cambridge, MA
“The translational pathway of a novel strategy to facilitate CNS regeneration: From discovery to consumer delivery”
 
U. of T. Department of Surgery Hockey Tournament
Saturday, January 9, 2016, 10:00 a.m. – noon
Varsity Arena.  If you wish to play, please contact Stephanie at: s.neilson@utoronto.ca
 


RECENT EVENTS  

Department of Surgery University Rounds
 
Robin McLeod Lecture in Clinical Epidemiology
Dr. Dorry Segev, Associate Vice Chair, Department of Surgery and Director, Epidemiology Research Group in Organ Transplantation, Johns Hopkins University gave the 2015 Robin McLeod Lecture in Clinical Epidemiology at The Hospital for Sick Children on Friday, November 6, 2015.  The title of his talk was “Of Math and Medicine: Advancing Transplant Surgery through Novel Mathematical Approaches”.  Left to right: D. Backstein, D. Segev, R. McLeod, JT Rutka
 


 
Breakfast with the Chairman
On November 18, 2015, Jim Rutka met with over 20 first year medical students to provide them with an overview of a career path in surgery.  There seemed to be great interest in surgery with this cohort of students.
 
NEWSWORTHY ITEMS
 
Ernie Spratt (Thoracic Surgery) 1939-2015 passed away on November 8, 2015.  Dr. Spratt was at St. Joseph’s Health Centre for 33 years during which time he was Chief of Surgery and Chief of Staff. 
 
Todd Mainprize (Neurosurgery) and team members have been able to open the Blood-Brain Barrier Non-Invasively With Focused Ultrasound in a patient with a brain tumour.  Please see the following press briefings - The Globe and Mail, and Focused Ultrasound Foundation.

Ash Prakash Fellowship Dinner 
On October 29th, recipients of the Ash Prakash Foundation Fellowship awards enjoyed an evening at Mistura Restaurant to speak of their experiences in surgery in Toronto, and their home hospitals in Ethiopia and Trinidad.  Left to right:  Front row:  Ash Prakash, Hanna Getachew, Darina Landa, Katerina Atanassova, Andrew Perry. Standing:  Samuel Hailu, Malcolm Burrows, James Rutka, Andrew Howard
 
Faculty Development Day
Wednesday, November 11, 2015; 89 Chestnut Residence and Conference Centre.  See Message from the Chair this month.









 


 











Continuing Appointment Review (CAR)
The following Continuing Appointment Review (CAR) took place in November under the leadership of Ori Rotstein, Associate Chair, Department of Surgery.  
 
Robert Hamilton is an Assistant Professor with the Division of Urology, Department of Surgery, University of Toronto and a faculty member at Princess Margaret Hospital, UHN.  He completed medical school and then urology residency training at the University of Toronto.  He completed a research fellowship at Duke University and then a fellowship in Urologic Oncology at Memorial Sloan-Kettering Cancer Center in New York City.  His clinical practice focuses on management of genitourinary malignancies, with particular focus in prostate and testis cancers.  His research interests focus on the epidemiology of urological malignancies and biomarkers predicting risk and progression of these diseases.  From left to right:  N. Fleshner, R. Hamilton, O. Rotstein.
 
RECENT TWEETS
 
 Nov 25
James Rutka @UofTSurgery giving remarks at UBC @UBC receiving Margolese national brain disorders prize.
 
Nov 20
@UofTSurgery Prof Grantcharov to open day 2 of Canada’s largest #healthcare #simulation event Dec.15; http://bit.ly/218nDGh  #SimExpo2015
 
Nov 16
Dr. Mike McKee from @stmikeshospital @UofTSurgery updating #tqip2015 on operative fixation of rib fractures
 
 Nov 11
@UofTSurgery Robin McLeod teaching quality at Faculty Development Day
 
Nov 11
Interesting: 21st century will be less about what you know, but "is what you know evolving"? @BDHodges1 @UofTSurgery
 
Nov 11
@BDHodges1 opens @UofTSurgery / Anesthesia @uoftmedicine Faculty Development Day with "Learners, teachers and 21st century"
 
Nov 11
Health professional education in a transformative era. @BDHodges1 Keynote speaker @UofTSurgery.
 
Nov 9
Neurosurgeon .@toddgm from @UofTSurgery opens up the blood brain barrier a first for patients with brain tumours! http://ow.ly/2bwc56 
 
Nov 6
Dr. M Ko from @UofTSurgery describing his experience in Ethiopia teaching Thoracic surgery @mystjoes clinical day
 
HONOURS AND AWARDS

Christopher Caldarone (Cardiac Surgery) has been appointed as the Dr. Robert B. Salter Chair in Surgery at The Hospital for Sick Children as Chief of Perioperative Services. 
 
James Rutka (Neurosurgery) was presented with the 2015 Margolese National Brain Disorders Prize on November 24, 2015 at the University of British Columbia,  Vancouver, BC. 
 
Michael Tymianski (Neurosurgery) has been appointed as the Harold & Esther Halpern Chair in Neurosurgical Stroke Research at University Health Network.

 
HIGH IMPACT PAPERS HOT OFF THE PRESS
 
Alotaibi NM, Badhiwala JH, Nassiri F, Guha D, Ibrahim GM, Shamji MF, Lozano AM.  The Current Use of Social Media in Neurosurgery.  World Neurosurg. 2015 Nov 13.
 
Altman RD, Bedi A, Karlsson J, Sancheti P, Schemitsch E.  Product Differences in Intra-articular Hyaluronic Acids for Osteoarthritis of the Knee.  Am J Sports Med. 2015 Nov 17.
 
Anderson KK, Tetreault L, Shamji MF, Singh A, Vukas RR, Harrop JS, Fehlings MG, Vaccaro AR, Hilibrand AS, Arnold PM. Optimal Timing of Surgical Decompression for Acute Traumatic Central Cord Syndrome: A Systematic Review of the Literature. Neurosurgery. 2015 Oct;77 Suppl 4:S15-32.
 
Antonarakis GS, Fisher DM.  Permanent Tooth Agenesis and Maxillary Hypoplasia in Patients with Unilateral Cleft Lip and Palate.  Plast Reconstr Surg. 2015 Nov;136(5):648e-56e.
 
Badhiwala JH, Nassiri F, Alhazzani W, Selim MH, Farrokhyar F, Spears J, Kulkarni AV, Singh S, Alqahtani A, Rochwerg B, Alshahrani M, Murty NK, Alhazzani A, Yarascavitch B, Reddy K, Zaidat OO, Almenawer SA.  Endovascular Thrombectomy for Acute Ischemic Stroke: A Meta-analysis.  JAMA. 2015 Nov 3;314(17):1832-43.
 
Baker JE, Pavenski K, Pirani RA, White A, Kataoka M, Waddell JP, Ho A, Schemitsch EH, Lo N, Bogoch ER, Pronovost A, Luke K, Howell A, Nassis A, Tsui AK, Tanzini RM, Pulendrarajah R, Mazer CD, Freedman J, Hare GM.  Universal tranexamic acid therapy to minimize transfusion for major joint arthroplasty: a retrospective analysis of protocol implementation.  Can J Anaesth. 2015 Nov;62(11):1179-1187.
 
Bendavid R, Lou W, Grischkan D, Koch A, Petersen K, Morrison J, Iakovlev V.  A mechanism of mesh-related post-herniorrhaphy neuralgia.  Hernia Nov. 23, 2015.

Bharadwaj S, Venkatraghavan L, Mariappan R, Ebinu J, Meng Y, Khan O, Tung T, Reyhani S, Bernstein M, Zadeh G. Serum lactate as a potential biomarker of non-glial brain tumors. J Clin Neurosci. 2015 Oct;22(10):1625-7.
 
Blaivas JG, Purohit RS, Benedon MS, Mekel G, Stern M, Billah M, Olugbade K, Bendavid R, Iakovlev V.   Safety considerations for synthetic sling surgery.  Nat. Rev. Urol. advance online publication 18 August 2015; corrected online 24 August 2015; doi:10.1038/nrurol.2015.183

Byrne JP, Xiong W, Gomez D, Mason S, Karanicolas P, Rizoli S, Tien H, Nathens AB.  Redefining "dead on arrival": Identifying the unsalvageable patient for the purpose of performance improvement.  J Trauma Acute Care Surg. 2015 Nov;79(5):850-7.
 
Chornenkyy Y, Agnihotri S, Yu M, Buczkowicz P, Rakopoulos P, Golbourn B, Garzia L, Siddaway R, Leung S, Rutka JT, Taylor MD, Dirks PB, Hawkins C.  Is there a title to this talk?  Mol Cancer Ther 2015 Nov; 14(11):2560-8. 
 
Davis KD, Kucyi A, Moayedi M. The pain switch: an "ouch" detector.  Pain. 2015 Nov;156(11):2164-6.
 
Devin CJ, Chotai S, Parker SL, Tetreault L, Fehlings MG, McGirt MJ. A Cost-Utility Analysis of Lumbar Decompression With and Without Fusion for Degenerative Spine Disease in the Elderly. Neurosurgery. 2015 Oct;77 Suppl 4:S116-24
 
Djaiani G, Silverton N, Fedorko L, Carroll J, Styra R, Rao V, Katznelson R.  Dexmedetomidine versus Propofol Sedation Reduces Delirium after Cardiac Surgery: A Randomized Controlled Trial.  Anesthesiology. 2015 Nov 16.
 
Dorfer C, Ochi A, Snead OC 3rd, Donner E, Holowka S, Widjaja E, Rutka JT.  Functional hemispherectomy for catastrophic epilepsy in very young infants: technical considerations and complication avoidance.  Childs Nerv Syst.  2015 Nov; 31(11):2103-9. 
 
Evaniew N, Noonan VK, Fallah N, Kwon BK, Rivers CS, Ahn H, Bailey CS, Christie SD, Fourney DR, Hurlbert RJ, Linassi AG, Fehlings MG, Dvorak MF.  Methylprednisolone for the Treatment of Patients with Acute Spinal Cord Injuries: A Propensity Score-Matched Cohort Study from a Canadian Multi-Center Spinal Cord Injury Registry.  J Neurotrauma. 2015 Nov 1;32(21):1674-83.
 
Fallah A, Rodgers SD, Weil AG, Vadera S, Mansouri A, Connolly MB, Major P, Ma  T, Devinsky O, Weiner HL, Gonzalez-Martinez JA, Bingaman WE, Najm I, Gupta A, Ragheb J, Bhatia S, Steinbok P, Witiw CD, Widjaja E, Snead OC, Rutka JT. Resective Epilepsy Surgery for Tuberous Sclerosis in Children: Determining Predictors of Seizure Outcomes in a Multicenter Retrospective Cohort Study. Neurosurgery. 2015 Oct;77(4):517-24.
 
Ghobrial GM, Theofanis T, Darden BV, Arnold P, Fehlings MG, Harrop JS. Unintended durotomy in lumbar degenerative spinal surgery: a 10-year systematic review of the literature. Neurosurg Focus. 2015 Oct;39(4):E8.
 
Ghobrial GM, Cadotte DW, Williams K Jr, Fehlings MG, Harrop JS. Complications from the use of intrawound vancomycin in lumbar spinal surgery: a systematic review. Neurosurg Focus. 2015 Oct;39(4):E11.
 
Goldstein D, Moskowitz AJ, Gelijns AC, Ailawadi G, Parides MK, Perrault LP, Hung JW, Voisine P, Dagenais F, Gillinov AM, Thourani V, Argenziano M, Gammie JS, Mack M, Demers P, Atluri P, Rose EA, O'Sullivan K, Williams DL, Bagiella E, Michler RE, Weisel RD, Miller MA, Geller NL, Taddei-Peters WC, Smith PK, Moquete E, Overbey JR, Kron IL, O'Gara PT, Acker MA; CTSN.  Two-Year Outcomes of Surgical Treatment of Severe Ischemic Mitral Regurgitation.  N Engl J Med. 2015 Nov 9.
 
Gondard E, Chau HN, Mann A, Tierney TS, Hamani C, Kalia SK, Lozano AM.  Rapid Modulation of Protein Expression in the Rat Hippocampus Following Deep Brain Stimulation of the Fornix.  Brain Stimul. 2015 Nov-Dec;8(6):1058-1064.
 
Gunaratne K, Cleghorn MC, Jackson TD.  The Surgeon Cost Report Card: A Novel Cost-Performance Feedback Tool.  JAMA Surg. 2015 Nov 4:1-2.
 
Ha Y, Oh JK, Smith JS, Ailon T, Fehlings MG, Shaffrey CI, Ames CP. Impact of Movement Disorders on Management of Spinal Deformity in the Elderly. Neurosurgery. 2015 Oct;77 Suppl 4:S173-85.
 
Hendry JM, Alvarez-Veronesi MC, Snyder-Warwick A, Gordon T, Borschel GH.  Side-To-Side Nerve Bridges Support Donor Axon Regeneration Into Chronically Denervated Nerves and Are Associated With Characteristic Changes in Schwann Cell Phenotype.  Neurosurgery. 2015 Nov;77(5):803-13.

Iakovlev VV, Guelcher SA, Bendavid R.  Degradation of polypropylene in vivo: A microscopic analysis of meshes explanted from patients.  J Biomed Mater Res Part B 2015.
 
Jaja BN, Lingsma H, Steyerberg EW, Schweizer TA, Thorpe KE, Macdonald RL; on behalf of SAHIT investigators. Neuroimaging characteristics of ruptured aneurysm  as predictors of outcome after aneurysmal subarachnoid hemorrhage: pooled analyses of the SAHIT cohort. J Neurosurg. 2015 Oct 23:1-9.
 
Jhas S, Pirouzmand F.  Obtuse-angled Laminotomy as a Modification of Multilevel Laminectomy for Spinal Cord Decompression.  J Spinal Disord Tech. 2015 Nov 12.
 
Kepler CK, Vaccaro AR, Fleischman AN, Traynelis VC, Patel AA, Dekutoski MB, Harrop J, Wood KB, Schroeder GD, Bransford R, Aarabi B, Okonkwo DO, Arnold PM, Fehlings MG, Nassr A, Shaffrey C, Yoon ST, Kwon B. Treatment of Axis Body Fractures: A Systematic Review. J Spinal Disord Tech. 2015 Oct 14.
 
Khan L, Chiang A, Zhang L, Thibault I, Bedard G, Wong E, Loblaw A, Soliman H, Fehlings MG, Chow E, Sahgal A. Prophylactic dexamethasone effectively reduces the incidence of pain flare following spine stereotactic body radiotherapy (SBRT): a  prospective observational study. Support Care Cancer. 2015 Oct;23(10):2937-43.
 
Klotz L.  Editorial Comment.  Urology. 2015 Nov;86(5):996.
 
Lee MM, Li RK, Yau TM.  Stem cell therapy for heart failure: Out with the new and in with the old?  J Thorac Cardiovasc Surg. 2015 Nov;150(5):1035-7.
 
Li YJ, Liu G, Xia L, Xiao X, Liu JC, Menezes ME, Das SK, Emdad L, Sarkar D, Fisher PB, Archer MC, Zacksenhaus E, Ben-David Y. Suppression of Her2/Neu mammary tumor development in mda-7/IL-24 transgenic mice. Oncotarget. 2015 Oct 9.  Who is the surgeon in this one?
 
Liang L, Aiken C, McClelland R, Morrison LC, Tatari N, Remke M, Ramaswamy V,  Issaivanan M, Ryken T, Del Bigio MR, Taylor MD, Werbowetski-Ogilvie TE. Characterization of novel biomarkers in selecting for subtype specific medulloblastoma phenotypes. Oncotarget. 2015 Oct 20.
 
Macdonald RL. Editorial: Flow diverters: one device does not fit all. J Neurosurg. 2015 Oct;123(4):829-31.
 
Micheli C, Kaping D, Westendorff S, Valiante TA, Womelsdorf T. Inferior-frontal cortex phase synchronizes with the temporal-parietal junction prior to successful change detection. Neuroimage. 2015 Oct 1;119:417-31.
 
Murphy P, Lee K, Dubois L, DeRose G, Forbes T, Power A.  Negative pressure wound therapy for high-risk wounds in lower extremity revascularization: study protocol for a randomized controlled trial.  Trials. 2015 Nov 4;16(1):504.
 
Okrainec A, Vassiliou M, Jimenez MC, Henao O, Kaneva P, Matt Ritter E.  Remote FLS testing in the real world: ready for "prime time".  Surg Endosc. 2015 Nov 18.
 
Patsouris D, Qi P, Abdullahi A, Stanojcic M, Chen P, Parousis A, Amini-Nik S, Jeschke MG.  Burn Induces Browning of the Subcutaneous White Adipose Tissue in Mice and Humans.  Cell Rep. 2015 Nov 11.
 
Sadeghi-Naini A, Vorauer E, Chin L, Falou O, Tran WT, Wright FC, Gandhi S, Yaffe MJ, Czarnota GJ.  Early detection of chemotherapy-refractory patients by monitoring textural alterations in diffuse optical spectroscopic images.  Med Phys. 2015 Nov;42(11):6130.
 
Sage AT, Bai X, Cypel M, Liu M, Keshavjee S, Kelley SO.  Using the inherent chemistry of the endothelin-1 peptide to develop a rapid assay for pre-transplant donor lung assessment.  Analyst. 2015 Nov 9.
 
Schroeder GD, Kepler CK, Koerner JD, Chapman JR, Bellabarba C, Oner FC, Reinhold M, Dvorak MF, Aarabi B, Vialle L, Fehlings MG, Rajasekaran S, Kandziora  F, Schnake KJ, Vaccaro AR. Is there a regional difference in morphology interpretation of A3 and A4 fractures among different cultures? J Neurosurg Spine. 2015 Oct 9:1-8.
 
Schroeder GD, Kepler CK, Koerner JD, Oner FC, Fehlings MG, Aarabi B, Dvorak MF, Reinhold M, Kandziora F, Bellabarba C, Chapman JR, Vialle LR, Vaccaro AR. A Worldwide Analysis of the Reliability and Perceived Importance of an Injury to the Posterior Ligamentous Complex in AO Type A Fractures. Global Spine J. 2015 Oct;5(5):378-82.
 
Shabanzadeh AP, D'Onofrio PM, Monnier PP, Koeberle PD.  Targeting caspase-6 and caspase-8 to promote neuronal survival following ischemic stroke.  Cell Death Dis. 2015 Nov 5.
 
Shakeri A, Van Asseldonk B, Elterman DS.  A Trade-off Between Invasiveness and Efficacy: Ureteroscopy vs Shock Wave Lithotripsy: Commentary on: Comparative effectiveness of shock wave lithotripsy and ureteroscopy for treating patients with kidney stones.  Urology. 2015 Nov;86(5):850-1.
 
Smith TR, Hulou MM, Yan SC, Cote DJ, Nahed BV, Babu MA, Das S, Gormley WB, Rutka JT, Laws ER Jr, Heary RF.  Defensive medicine in neurosurgery: the Canadian experience.  J Neurosurg. 2015 Nov 13:1-7.
 
Stenhouse G, Kaiser S, Kelley SP, Stimec J.  Ischiofemoral Impingement in Children: Imaging With Clinical Correlation.  AJR Am J Roentgenol. 2015 Nov 20:1-5.
 
Tetreault L, Nouri A, Kopjar B, Côté P, Fehlings MG.  The Minimum Clinically Important Difference of the Modified Japanese Orthopaedic Association Scale in Patients with Degenerative Cervical Myelopathy.  Spine (Phila Pa 1976). 2015 Nov;40(21):1653-9.
 
Thibault I, Campbell M, Tseng CL, Atenafu EG, Letourneau D, Yu E, Cho BC, Lee YK, Fehlings MG, Sahgal A. Salvage Stereotactic Body Radiotherapy (SBRT) Following In-Field Failure of Initial SBRT for Spinal Metastases. Int J Radiat Oncol Biol Phys. 2015 Oct 1;93(2):353-60.

van Waes JA, van Klei WA, Wijeysundera DN, van Wolfswinkel L, Lindsay TF, Beattie WS.  Association between Intraoperative Hypotension and Myocardial Injury after Vascular Surgery.  Anesthesiology. 2015 Nov 5.
 
Waldrop R, Cheng J, Devin C, McGirt M, Fehlings M, Berven S. The Burden of Spinal Disorders in the Elderly. Neurosurgery. 2015 Oct;77 Suppl 4:S46-50
 
Wallis CJ, Mahar A, Cheung P, Herschorn S, Klotz LH, Al-Matar A, Kulkarni GS, Lee Y, Kodama RT, Narod SA, Nam RK.  New Rates of Interventions to Manage Complications of Modern Prostate Cancer Treatment in Older Men.  Eur Urol. 2015 Nov 10.
 
Weidman DR, Pole JD, Bouffet E, Taylor MD, Bartels U. Dose-level response rates of mtor inhibition in tuberous sclerosis complex (TSC) related subependymal giant cell astrocytoma (SEGA). Pediatr Blood Cancer. 2015 Oct;62(10):1754-60.
 
Wilder TJ, Ziemer G, Hickey EJ, Gruber PJ, Karamlou T, Kirshbom PM, Blackstone EH, DeCampli WM, Williams WG, McCrindle BW.  Surgical management of competing pulmonary blood flow affects survival before Fontan/Kreutzer completion in patients with tricuspid atresia type I.  J Thorac Cardiovasc Surg. 2015 Nov;150(5):1222-1230.e7.
 
Zani A, Zani-Ruttenstock E, Peyvandi F, Lee C, Li B, Pierro A.  A spectrum of intestinal injury models in neonatal mice.  Pediatr Surg Int. 2015 Nov 9.
 
Zweifel C, Sacho RH, Tymianski R, Radovanovic I, Tymianski M. Safety, efficacy, and cost of surgery for patients with unruptured aneurysms deemed unsuitable for endovascular therapy. Acta Neurochir (Wien). 2015 Oct 24.
 

 

Have a new high impact paper in press or published?  Let us know at s.neilson@utoronto.ca

For further information on divisional events, please go to the Surgery Bulletin Board http://surgery.utoronto.ca/news/bulletin-board.htm