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MESSAGE FROM THE CHAIR
The PGME Review Team for the upcoming Accreditation of the University of Toronto residency programs (April 7 – 12, 2013) has beenmadeknown and includes Dr.’s Kamal Rungta (Royal College Chair), Psychiatry, University of British Columbia; Tom Laughlin (CFPC Postgraduate Reviewer), Family Medicine, Dalhousie University; Anurag Saxena, Anatomical Pathology, University of Saskatchewan; Joanne Todesco, Anesthesiology, University of Calgary; and Samantha M.A. Kelleher (Deputy Registrar, College of Physicians and Surgeons of British Columbia).

The PGME Review Schedule has been distributed to all Surgical Programs undergoing review, and these include:  General Surgery, Cardiac Surgery, Plastic Surgery, Urology, Neurosurgery, Pediatric Surgery, Neurosurgery, and General Surgical Oncology.  For anyone wishing to see the entire Review Schedule at a glance, it can be found at:

http://www.pgme.utoronto.ca/sites/default/files/public/EdResearch/Accreditation/MASTER_SCHEDULE_UofT2013.pdf

As this will be one of my final communications with you prior to the Review, I thought it would be important to list a few more of the new “B standards” with which all programs must be familiar and to which all must adhere:
 
  1. Residents must have adequate space to carry out their daily work.
  2. Residents must have access to the technical resources necessary to carry out their patient care duties in the setting in which they are working.
  3. The design of the academic program must take into consideration best practices for teaching and learning to fulfill the CanMEDS competencies and achieve the objectives of training.
  4. The program must be able to demonstrate that it provides opportunities for all residents to learn the principles and practice of quality assurance.
  5. The program must be able to demonstrate that residents can analyse and reflect upon adverse events and plan strategies to prevent recurrence.   
 
Finally, for all faculty in the Department of Surgery, and especially those who will be involved in the Royal College Review, I would strongly recommend you familiarize yourselves once again with the CanMEDS competencies.  These were formally adopted by the Royal College in 1996, and provide an educational framework identifying 7 roles that lead to optimal health care outcomes:  Medical expert (central role), communicator, collaborator, manager, health advocate, scholar and professional.  A quick review of the CanMEDS competencies can be found at the following Royal College website:
 
http://www.royalcollege.ca/portal/page/portal/rc/resources/aboutcanmeds


Sincerely,


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

UPCOMING EVENTS

Department of Surgery University Rounds
Friday, March 1, 2013
7:30 am – 8:30 am

Harland Smith Lecture 

 


David H. Adams, MD
Marie-Josée and Henry R. Kravis Professor and Chairman
Department of Cardiothoracic Surgery
The Mount Sinai Medical Center
1190 Fifth Avenue
New York, NY 
 
“Mitral Valve Pathoanatomy:  The Key to Valve Reconstruction”
 
Hollywood Theatre, First Floor, Elm Wing, Hospital for Sick Children
 
Division of Vascular Surgery – University of Toronto Distinguished Visiting Professor
Matthew Eagleton, MD
Associate Professor of Surgery, Cleveland Clinic Foundation
‘Palliative Care of Aortic Disease”
Monday, March 4, 2013, 4:15-5 p.m.
TGH, Bayer Conference Rm., 12th Floor Eaton, Room 315
 
University Rounds, John Palmer Lecture
April 5, 2013
Hollywood Theatre, Hospital for Sick Children
Dr. Quan-Yang Duh
University of California, San Francisco
“Pheochromocytoma/paraganglioma: Diagnosis and management”
 
Gallie Day 2013 will take place on Friday, May 10, 2013  
 
1st Annual Sunnybrook Burn Symposium, June 4, 2013, 7:30 a.m. – 2:00 p.m. Vaughan Estates, 2075 Bayview Avenue.  No fee.  For further information, please call Karen Smith, RN, Patient Care Manager, Ross Tilley Burn Centre.  416-480-6100 X1002

RECENT EVENTS 
 
Kergin Lecture 2013
Dr. Gerald Imber gave this year’s Kergin Lecture at Women’s College Hospital on Friday, February 1, 2013, and provided a riveting account of the life and times of the father of modern day surgery, Dr. William Stewart Halsted.  The lecture was based on his book entitled “Genius on the Edge:  The bizarre double life of Dr. William Stewart Halsted”.  A book signing followed Dr. Imber’s lecture.  Photo from left to right:  J. Rutka, G. Imber and J. Semple




Breakfast with the Chair
For several months, we have been hosting a special "Breakfast with the Chair" seminar for first year medical students to provide additional exposure to them regarding career paths in surgery.  Shown here in this photo are first year students with Drs. Rutka, Christakis and Kodama.  


 
NEWSWORTHY ITEMS
Worth Repeating 
With respect to Resident Duty Hours, a reminder that Surgery Residents must be relieved of clinical duties by noon the day following in-house call.  

In Memoriam
David MacIntosh passed away on January 12th, 2013.  Dr. MacIntosh was a member of our faculty for many years, and a pioneer in the diagnosis and treatment of ACL injuries in the 1950s.   He began working at a clinic in Hart House for injured athletes which is now the MacIntosh Sports Medicine Clinic in the Faculty of Kinesiology and Physical Education on campus.  Dr. MacIntosh was born in 1914 in Nova Scotia, trained in Halifax and Toronto, and served in the Navy in world war two. He retired from practice in 1984.
 
Zane Cohen Clinical Fellowship Achievement Award
The deadline for receipt of each Division’s nomination is March 31, 2013.

Dr. Hugh G. Thomson Humanitarian Award
This award is intended for residents in the Division of Plastic and Reconstructive Surgery to honour former Sick Kids Surgeon, Hugh Thomson.  Letters of nomination may be sent to:
 
Christopher R. Forrest, MD, Chief, Division of Plastic and Reconstructive Surgery, Hospital for Sick Children, Suite 5430, 555 University Avenue
Toronto, Ontario, Canada, M5G 1X8, email: christopher.forrest@sickkids.ca
 
S. Fazel Outstanding Resident Surgeon and Investigator Award
In anticipation of this year's award, each Division within the Department of Surgery is being asked to submit the name of one potential candidate prior to the deadline of March 31st, 2013. Nominations should be received in writing, and must be accompanied by a letter of support from the resident's Program Director, outlining how the nominee meets the pre-requisite criteria.  Please forward all nominations and address all queries to Ms. Erin Lunney at the Hospital for Sick Children (erin.lunney@sickkids.ca).
 
University of Toronto Department of Surgery, Low Income Country Surgical Scholarships (LINCSS), A.K. Prakash Foundation Fellowship
This fellowship will provide up to $70K for one year to link surgeons in low-income countries with educational opportunities provided by the Department of Surgery.  The term of the fellowship can be 3 – 12 months.  Preference is given to applications supporting vulnerable populations including children, women, and the poor.  Please send a letter of application (three page maximum) with a budget and justification (one page) and letters of support from Division heads to:maricar.aruta@sickkids.ca, subject line: LINCS Scholarships.
 
Postdoctoral Fellow in Cardiovascular Biology - UHN
The Cardiovascular Research Group at the Toronto General Research Institute has funding for 3 years for a Postdoctoral Fellow. The successful candidate will focus on the new solutions to clinical cardiovascular diseases at the molecular, cellular and organ levels. Studies will be performed with specimens obtained from patients on the Cardiovascular Service and additional investigations will be performed on genetics, cell cultures and animal models. The results will be translated to improve outcomes for patients with cardiovascular diseases. Expertise in molecular, cell culture and animal models is preferred. An understanding of cardiovascular disease would be helpful, but is not essential. Interested candidates should send their research interest statement and CV to:
Dr. Ren-Ke Li, MD, PhD, Toronto General Research Institute, MaRS Centre, TMDT 3-701, 101 College Street, Toronto, ON M5G 1L7, Email to: renkeli@uhnres.utoronto.ca
 
Accreditation of the Surgical Skills Centre (SSC)
Accreditation of the SSC by the American College of Surgeons Program for Accreditation of Education Institutes as a level I Comprehensive Education Institute has been received for a term of 3 years.  Congratulations to Lisa Satterthwaite, Oleg Safir and the SSC team on this remarkable accomplishment!  
 
Toronto Surgery Soccer Team
The Department of Surgery Soccer Team placed 5th out of 10 teams in their league for the fall season.  The team is comprised of residents and faculty.  Best of luck in the indoor winter season!







New Appointment to the Department of Surgery
 
I am pleased to announce the appointment of the following new faculty member in the Department of Surgery.
 

Dr. Victor Yang has joined the Department of Surgery in the Division of Neurosurgery at Sunnybrook Health Sciences Centre.  Dr. Yang completed the MD-PhD (Medical Biophysics) program at the University of Toronto in 2006, for which he was recognized by a Governor General’s Gold Medal award for highest academic standing at the University in Sciences and Engineering. He then completed his residency training in Neurosurgery in Toronto while continuing his engineering focus at Ryerson University where he managed a very productive laboratory focusing on endovascular Doppler ultrasound, optical coherence tomography and medical devices design. He is the recipient of numerous grants from agencies including the Canadian Institutes of Health Research (CIHR), Early Researcher Award (ERA), Canada Foundation for Innovation, and Natural Sciences and Engineering Research Council of Canada (NSERC) for his research work.  Dr. Yang holds an appointment as an Associate Professor in the Department of Electrical and Computer Engineering at the University of Toronto.   


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

Simon Kitto   
Simon joined the Department of Surgery, University of Toronto in 2010 as an Assistant Professor.  He is a Scientist at the Li Ka Shing Institute at St. Michael’s Hospital and Wilson Centre for Research in Education; and Director of Research – Continuing Education and Professional Development.  Simon graduated in 2006 with a Doctor of Philosophy (Sociology) from the School of Humanities, Communications and Social Sciences, Faculty of Arts, Monash University.  Dr. Kitto is involved with continuing education; sits on several committees; is a journal reviewer; and has several grants and peer reviewed publications to his credit.  Photo from left to right:  D. Anastakis, C. Ringsted, S. Strauss, S. Kitto
 

HONOURS AND AWARDS
Shaf Keshavjee (Thoracic Surgery) was awarded the Queen’s Diamond Jubilee Medal by the Government of Ontario for recognition of his research in and contributions to lung transplantation and thoracic surgery.
 
Marie Turner, Paul Pencharz, Paul Wales (General Surgery) received a 4 year CIHR Operating Grant in the amount of $548,527 for their work on “Short bowel syndrome and glucagon-life peptide-2 therapy: actions and mechanisms studied in neonatal piglets”. 
 
Marcus Burnstein (General Surgery) is the 2011-2012 recipient of the Colin Woolf Award for Excellence in Teaching from CEPD. This award recognizes and promotes the importance of innovative programs and exceptional teachers in continuing education for health professionals.  Congratulations Marcus!

HIGH IMPACT PAPERS HOT OFF THE PRESS
Abolghasemian M, Sternheim A, Shakib A, Safir OA, Backstein D.  Is arthroplasty immediately after an infected case a risk factor for infection?  Clin Orthop Relat Res. 2013 Feb 7. [Epub ahead of print]
 
Acuna SA, Angarita FA, McCready DR, Escallon J.  Quality indicators for sentinel lymph node biopsy:  Is there room for improvement?  Can J Surg. 2013 Feb 1;56(1):033011-33011. doi: 10.1503/cjs.033011.
 
Alshafai N, Cusimano MD, Falenchuk O.  Global differences in the present and future management of cerebral aneurysms.  World Neurosurg. 2013 Jan 28. doi:pii: S1878-8750(13)00191-5. 10.1016/j.wneu.2013.01.092. [Epub ahead of print]
 
Burns KE, Rizvi L, Tan W, Marshall JC, Pope K.  Participation of ICUs in critical care pandemic research:  A province wide, cross-sectional survey.  Crit Care Med. 2013 Feb 4. [Epub ahead of print]
 
Carty MJ, Zuker R, Cavadas P, Pribaz JJ, Talbot SG, Pomahac B.  The case for lower extremity allotransplantation:  Lower extremity transplantation.  Plast Reconstr Surg. 2013 Feb 14. [Epub ahead of print]
 
Cusimano MD, Holmes SA, Sawicki C, Topolovec-Vranic J.  Assessing aggression following traumatic brain injury:  A systematic review of validated aggression scales.  J Head Trauma Rehabil. 2013 Feb 12. [Epub ahead of print]
 
Di Ieva A, Schmitz EM, Cusimano MD.  Analysis of intracranial pressure:  Past, present, and future.  Neuroscientist. 2013 Feb 6. [Epub ahead of print]
 
Dorafshar AH, Borsuk DE, Bojovic B, Brown EN, Manktelow RT, Zuker RM, Rodriguez ED, Redett RJ.  Surface anatomy of the middle division of the facial nerve:  Zuker’s point.  Plast Reconstr Surg. 2013 Feb;131(2):253-257.
 
Fallah A, Guyatt GH, Snead OC 3rd, Ebrahim S, Ibrahim GM, Mansouri A, Reddy D, Walter SD, Kulkarni AV, Bhandari M, Banfield L, Bhatnagar N, Liang S, Teutonico F, Liao J, Rutka JT.  Predictors of seizure outcomes in children with tuberous sclerosis complex and intractable epilepsy undergoing respective epilepsy surgery: an individual participant data meta-analysis.  PLoS One. 2013;8(2):e53565. doi: 10.1371/journal.pone.0053565. Epub 2013 Feb 6.
 
Fallah A, Ibrahim G, Rutka JT.  Hemispherectomy: When half is better than the whole: Question.  Journal of Clinical Neuroscience.  Online 8 Feb 2013.  Doi:10.1016/j.jocn.2012.10.003
 
Fukuda H, Munoz D, Macdonald RL.  Spontaneous thalamic hemorrhage from a lateral posterior choroidal artery aneurysm:  Case report.  World Neurosurg. 2013 Feb 5. doi:pii: S1878-8750(13)00271-4. 10.1016/j.wneu.2013.02.006. [Epub ahead of print]
 
Hewson SM, Fehlings LN, Messih M, Fehlings MG.  The challenges of translating stem cells for spinal cord injury and related disorders: what are the barriers and opportunities?  Expert Rev Neurother. 2013 Feb;13(2):143-150.
 
Jacques F, Grosse-Wortmann L, Hickey EJ, Chitayat D, Van Arsdell GS, Bradley TJ.  Unexpected contained rupture of a ductus arteriosus aneurysm found at surgical repair in an infant with loeys-dietz syndrome.  Ann Thorac Surg. 2013 Feb;95(2):710-711.
 
Kanaroglou N, Wehbi E, Alotay A, Bagli DJ, Koyle MA, Lorenzo AJ, Farhat W.  Is there a role for prophylactic antibiotics after stented hypospadias repair?  J Urol. 2013 Feb 14. doi:pii: S0022-5347(13)00284-X. 10.1016/j.juro.2013.02.015. [Epub ahead of print]
 
Klotz L.  Active surveillance, quality of life, and cancer-related anxiety.  Eur Urol. 2013 Jan 30. doi:pii: S0302-2838(13)00092-4. 10.1016/j.eururo.2013.01.023. [Epub ahead of print]
 
Kotani Y, Chetan D, Ono N, Mertens LL, Caldarone CA, Van Arsdell GS, Honjo O.  Late functional outcomes after repair of tetralogy of Fallot with atrioventricular septal defect:  A double case-match control study.  J Thorac Cardiovasc Surg. 2013 Feb 15. doi:pii: S0022-5223(13)00031-7. 10.1016/j.jtcvs.2013.01.007. [Epub ahead of print]
 
Langer JC.  50 years ago in the Journal of Pediatrics: rectal biopsy as an aid in the diagnosis of diseases of infants and children.  J Pediatr. 2013 Feb;162(2):301.
 
Lok CE, Sontrop JM, Tomlinson G, Rajan D, Cattral M, Oreopoulos G, Harris J, Moist L.  Cumulative patency of contemporary fistulas versus grafts (2000-2010).  Clin J Am Soc Nephrol. 2013 Feb 7. [Epub ahead of print]
 
Lorenzo AJ, Braga LH.  Use of cranberry products does not appear to be associated with a significant reduction in incidence of recurrent urinary tract infections.  Evid Based Med. 2013 Feb 16. [Epub ahead of print]
 
Lozano AM, Lipsman N.  Probing and regulating dysfunctional circuits using deep brain stimulation.  Neuron. 2013 Feb 6;77(3):406-424.
 
Marshall AH, Brooks NC, Hiyama Y, Qa'aty N, Al-Mousawi A, Finnerty CC, Jeschke MG.  Hepatic apoptosis postburn is mediated by C-jun N-terminal kinase.  Shock. 2013 Feb;39(2):183-188.
 
Meiers P, Cil T, Guller U, Zuber M.  Sentinel lymph node biopsy in early-stage breast cancer patients: improved survival through better staging?  Langenbecks Arch Surg. 2012 Dec 11. [Epub ahead of print]
 
Moist LM, Lee TC, Lok CE, Al-Jaishi A, Xi W, Campbell V, Graham J, Wilson B, Vachharajani TJ.  Education in vascular access.  Semin Dial. 2013 Feb 25. doi: 10.1111/sdi.12055. [Epub ahead of print]
 
Nassiri F, Cusimano M, Zuccato JA, Mohammed S, Rotondo F, Horvath E, Syro LV, Kovacs K, Lloyd RV.  Pituitary stem cells: candidates and implications.  Pituitary. 2013 Feb 20. [Epub ahead of print]
 
Noria SF, Grantcharov T.  Biological effects of bariatric surgery on obesity-related comorbidities.  Can J Surg. 2013 Feb;56(1):47-57.
 
Payne CE, Hofer SO, Zhong T, Griffin AC, Ferguson PC, Wunder JS.  Functional outcome following upper limb soft tissue sarcoma resection with flap reconstruction.  J Plast Reconstr Aesthet Surg. 2013 Feb 21. doi:pii: S1748-6815(13)00060-0. 10.1016/j.bjps.2013.01.034. [Epub ahead of print]
 
Rughani AI, Lozano AM.  Surgical treatment of myoclonus dystonia syndrome.  Mov Disord. 2013 Feb 7. doi: 10.1002/mds.25326. [Epub ahead of print]
 
Terakawa Y, Agnihotri s, Golbourn B, Nadi M, Sabha N, Smith CA, Croul SE, Rutka JT.  The role of drebrin in glioma migration and invasion.  Experimental Cell Research, 319(4):517-528, 2013
 
Willett TL, Sutty S, Gaspar A, Avery N, Grynpas M.  In vitro non-enzymatic ribation reduces post-yield strain accommodation in cortical bone.  Bone. 2013 Feb;52(2):611-622.
 
Witiw CD, Ibrahim GM, Fallah A, Macdonald RL.  Early predictors of prolonged stay in a Critical Care Unit following aneurysmal subarachnoid hemorrhage.  Neurocrit Care. 2013 Jan 31. [Epub ahead of print]
 
Wong KR, Phillips JH, Steinbacher DM.  Bilateral bookend pericranial flaps.  Plast Reconstr Surg. 2013 Feb;131(2):295e-6e. doi: 10.1097/PRS.0b013e318278d815. 
 
  
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