Competency by Design
By now, most of you have become quite familiar with the terms Competency Based Medical Education (CBME) and Competency by Design (CBD).  CBD is the new educational paradigm that is being spearheaded by the Royal College of Physicians and Surgeons.  Over the next 5 years, all surgical training programs across the country will be required to demonstrate proficiency in competency-based residency training.
We are very fortunate in the Department of Surgery at the University of Toronto that the Division of Orthopedics took the lead in CBME several years ago when it established its Royal College approved Competency Based Curriculum (CBC).  The CBC was a bold experiment in resident education that met with considerable acclaim worldwide.  Special recognition of this achievement must be given to Richard Reznick, Ben Alman, Bill Kramer, Markku Nousiainen, and Peter Ferguson who conceived the notion of the CBC, and who implemented it successfully together with the entire Division of Orthopaedics.  The Orthopaedics CBC emphasizes outcomes-based learning and consistent, in-depth skill evaluations.  In the upcoming CBD programs, resident evaluation will now be assessed by Entrustable Professional Activities or “EPA’s”.  These are tasks in the clinical setting that a supervisor can delegate to a resident who has demonstrated sufficient competence. 
The roll-out of CBD by the Royal College will occur step wise across different specialties.  For example, Otolaryngology and Medical Oncology began their implementation and field-testing in July 2016.  In our Department, several Program Directors have now begun to develop competency-based assessment tools aided in part by the Specialty Committees of the Royal College, and also the Postgraduate Medical Education (PGME) office at the University of Toronto.  One of the desired goals of the competency-based assessments is to identify residents who may be experiencing training difficulties at an earlier stage such that a carefully planned remediation program may be put in place for progression to the next level.
This year, the Surgical Foundations program for PGY1’s led by Ron Levine, Director of PGME in the Department of Surgery, is working towards the establishment of EPAs for residents across all specialties.  In the next academic year, the Division of Urology will be implementing its CBD program year with PGME and the Royal College.  We are indeed fortunate that the PGME office and staff already have considerable experience with the Division of Orthopaedics CBC, and are primed to assist all programs launch CBD with such tools as a resident assessment App which is currently under development.
The overarching intent of CBD is to shift learning into a more patient-centered domain where education is targeted towards modules of care that are repeated as required until competency is reached, and then surpassed.  In CBD, the role of the surgeon will go far beyond the traditional medical expert role, and lead to enhanced skills in communication, advocacy, leadership, and management. A comprehensive and learner-centered educational program will surely allow us to enhance the caliber of graduated residents who are able to provide high-quality patient care.
Are all the details worked out yet for CBD and its implementation across all surgical specialties?  The short answer is, no.  However, the Royal College will share best practices in CBD as it evolves with all groups leading to an iterative process that will continue to evolve and improve over time.  In advance of the adaptation of CBD programs in surgery, I would like to thank all Chairs, Program Directors, Faculty, and of course, residents, for your open-mindedness in making this one of the greatest opportunities in medical education to change residency training for some time.

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


Department of Surgery University Rounds
Kergin Lecture
**This Lecture Will Not Be Webcast**
Friday, February 3, 2017
Title of Talk:  Cognitive Dissonance and Evidence-based Medicine
Speaker:  David Naylor, Professor of Medicine
Gallie Day 2017
Friday, April 28, 2017
“Transplantation/Regenerative Medicine”
Gordon Murray Lecturer:  Dr. Allan D. Kirk, David C. Sabiston, Jr Professor and Chairman, Department of Surgery, Duke Univerity School of Medicine

Department of Surgery Rounds
Ben Alman Research Rounds
Drs. Gordon Keller and Saeid Amini-Nik were the speakers at the Ben Alman Research Rounds on Friday, January 6, 2017 at the Toronto Western Hospital, BMO Education and Conference Centre, Krembil Discovery Tower.  The titles of the talks were “Modeling human development and disease with pluripotent stem cells”; and “Building blocks and bioactive signals in skin healing and regeneration”.   From left to right: S. Amini-Nik, M. Fehlings, B. Alman, G. Keller, J. Rutka


Media Highlights

Walid Farhat (Urology)

Neil Fleshner (Urology)


Chris Forrest (Plastic and Reconstructive Surgery)

Ed Hickey (Cardiac Surgery)

Shaf Keshavjee (Urology)

New Appointments in the Department of Surgery, University of Toronto

Amit Atrey has been appointed as an Assistant Professor and Surgeon-Investigator in the Division of Orthopaedic Surgery at St. Michael’s Hospital in the Department of Surgery.  Amit completed his undergraduate degree in the United Kingdom and his medical degree at Guy’s and St. Thomas’ Hospitals, London, U.K.  He then did his orthopaedic residency in the UK. He completed a trauma fellowship in Hamburg, Germany; a Lower limb arthroplasty and trauma fellowship at St. Michael’s Hospital, Toronto; and a Clinical Fellowship in DePuy arthroplasty and soft tissue hip and knee at Warwick Hospital in the U.K. 

Nir Lipsman has been appointed as an Assistant Professor and Surgeon-Investigator in the Division of Neurosurgery at Sunnybrook Health Sciences Centre in the Department of Surgery.  Nir completed his undergraduate degree in psychology at the University of Toronto and his medical degree at Queen’s University.  He then did his neurosurgery residency at the University of Toronto.  He completed a clinical fellowship in stereotactic and functional neurosurgery at University Health Network.  Nir has an interest in the clinical and ethical implications of neuromodulation, and has been involved in the development of international guidelines for the use of surgery in psychiatric disease.  His research focuses on the development of novel neuromodulation strategies, which targets sites within the central nervous system using electrical stimulation or drugs, for neurologic and psychiatric conditions that are difficult to treat.

Paul Karanicolas (General Surgery) has been awarded the ACS Traveling Fellowship to Germany.   

Lorraine Tremblay (General Surgery) has been appointed as President, Trauma Association of Canada for 2018-20.  Her appointment as president is a recognition of her contributions to trauma care in Canada over the course of her career.

Appointees to the Order of Canada
The Order of Canada is the highest honour that can be bestowed upon citizens of Canada, and are given to individuals who have demonstrated superior talent and involvement in fields such as the arts, science, politics, law, and medicine.  We are indeed fortunate that 2 individuals in our Department were awarded the Order of Canada as announced by the Governor General, the Honorable David Johnston on January 1st 2017.  Please help me congratulate the following surgeons:

Charles Tator (Neurosurgery) is Professor of Neurosurgery, and former Chair of the Division of Neurosurgery.  Charles has active research interests in spinal cord injury, and head injury/concussion.  Charles was previously appointed as a Member of the Order of Canada.   He has now been promoted through the Order to be an Officer of the Order of Canada.  

Michael Tymianski (Neurosurgery) is Professor of Neurosurgery, and Head of the Division of Neurosurgery at Toronto Western Hospital.  Michael specializes in cerebrovascular neurosurgery, and has research interests developing novel compounds to treat human stroke.  He has established a company which is testing a novel compound in clinical trials in stroke.  He is appointed as a Member of the Order of Canada.



UofT Vascular ‏@UofTVascular  
Dr Lindsay presents @PMunkCardiacCtr @UofTSurgery arch endograft experience at #LINC2017 in Leipzig
UofT Dept of Surgery ‏@UofTSurgery  
@UofTSurgery dr. Neil Fleshner
UofT Dept of Surgery ‏@UofTSurgery  
@UofTSurgery Dr. Walid Farhat
UofT Dept of Surgery ‏@UofTSurgery  
@uoftsurgery @SKeshavjee
Bell Let's Talk ‏@BeII_LetsTaIk Jan 25
For every retweet this tweet gets 5¢ will be donated towards mental health initiatives. Lets see how much we can raise! #BellLetsTalk
Demitre Serletis ‏@epilepsydoc Jan 18
The Surgeon who Operated on Himself
UofT Vascular ‏@UofTVascular Jan 23
Powerhouse @UofTSurgery discusses "Research Beyond The Cutting Edge" at Research Strategic Planning Retreat

Alotaibi NM, Elkarim GA, Samuel N, Ayling OG, Guha D, Fallah A, Aldakkan A, Jaja BN, de Oliveira Manoel AL, Ibrahim GM, Macdonald RL.  Effects of decompressive craniectomy on functional outcomes and death in poor-grade aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis.  J Neurosurg. 2017 Jan 6:1-11.

Andrade-Barazarte H, Jägersberg M, Belkhair S, Tymianski R, Turel MK, Schaller K, Hernesniemi JA, Tymianski M, Radovanovic I.  "The Extended Lateral Supraorbital Approach and Extradural Anterior Clinoidectomy through a Fronto-pterio-orbital Window: Technical Note and Pilot Surgical Series".  World Neurosurg. 2016 Dec 29.

Badhiwala JH, Nassiri F, Witiw CD, Mansouri A, Almenawer SA, Fehlings MG.  Does Transection of the C2 Nerve Roots During C1 Lateral Mass Screw Placement for Atlantoaxial Fixation Result in a Superior Outcome? A Systematic Review of the Literature and Meta-analysis.  Spine (Phila Pa 1976). 2017 Jan 16.

Boet S, Sharma B, Pigford AA, Hladkowicz E, Rittenhouse N, Grantcharov T.  Debriefing decreases mental workload in surgical crisis: A randomized controlled trial.  Surgery. 2017 Jan 16.

Buompadre MC, Andres K, Slater LA, Mohseni-Bod H, Guerguerian AM, Branson H, Laughlin S, Armstrong D, Moharir M, deVeber G, Humpl T, Honjo O, Keshavjee S, Ichord R, Pereira V, Dlamini N.  Thrombectomy for Acute Stroke in Childhood: A Case Report, Literature Review, and Recommendations.  Pediatr Neurol. 2017 Jan;66:21-27.

Coluccia D, Weeks A, Fandino J, Schneider C, Smith C, Rutka JT.  Molecular Biology of human Brain Tumors.  In: The Molecular Basis of Human Cancer, 2nd Edition; William B. Coleman & Gregory J. Tsongalis (Editors).  Chap 35; pp 657-694, 2017. 

Coroneos CJ, Roth-Albin K, Rai AS, Rai AS, Voineskos SH, Brouwers MC, Avram R, Heller B.  Barriers, beliefs and practice patterns for breast cancer reconstruction: A provincial survey.  Breast. 2016 Dec 27;32:60-65.

Di Michele J, Rotondo F, Kovacs K, Syro LV, Yousef GM, Cusimano MD, Di Ieva A.  Vasculogenic Mimicry in Clinically Non-functioning Pituitary Adenomas: a Histologic Study.  Pathol Oncol Res. 2017 Jan 13.

Du GQ, Shao ZB, Wu J, Yin WJ, Li SH, Wu J, Weisel RD, Tian JW, Li RK.  Targeted myocardial delivery of GDF11 gene rejuvenates the aged mouse heart and enhances myocardial regeneration after ischemia-reperfusion injury.  Basic Res Cardiol. 2017 Jan;112(1):7.

Faluyi OO, Eng L, Qiu X, Che J, Zhang Q, Cheng D, Ying N, Tse A, Kuang Q, Dodbiba L, Renouf DJ, Marsh S, Savas S, Mackay HJ, Knox JJ, Darling GE, Wong RK, Xu W, Azad AK, Liu G.  Validation of microRNA pathway polymorphisms in esophageal adenocarcinoma survival.  Cancer Med. 2017 Jan 11.

Forgione N, Chamankhah M, Fehlings MG.  A Mouse Model of Bilateral Cervical Contusion-Compression Spinal Cord Injury.  J Neurotrauma. 2017 Jan 18.

Franklin-White S, Elterman DS.  Reoperation for Urinary Incontinence: A Nationwide Cohort Study, 1998-2007.  Urology. 2016 Dec 21.

Fraser M, Sabelnykova VY, Yamaguchi TN, Heisler LE, Livingstone J, Huang V, Shiah YJ, Yousif F, Lin X, Masella AP, Fox NS, Xie M, Prokopec SD, Berlin A, Lalonde E, Ahmed M, Trudel D, Luo X, Beck TA, Meng A, Zhang J, D'Costa A, Denroche RE, Kong H, Espiritu SM, Chua ML, Wong A, Chong T, Sam M, Johns J, Timms L, Buchner NB, Orain M, Picard V, Hovington H, Murison A, Kron K, Harding NJ, P'ng C, Houlahan KE, Chu KC, Lo B, Nguyen F, Li CH, Sun RX, de Borja R, Cooper CI, Hopkins JF, Govind SK, Fung C, Waggott D, Green J, Haider S, Chan-Seng-Yue MA, Jung E, Wang Z, Bergeron A, Pra AD, Lacombe L, Collins CC, Sahinalp C, Lupien M, Fleshner NE, He HH, Fradet Y, Tetu B, van der Kwast T, McPherson JD, Bristow RG, Boutros PC.  Genomic hallmarks of localized, non-indolent prostate cancer.  Nature. 2017 Jan 19;541(7637):359-364.

Gervais MK, Maki E, Schiller DE, Crystal P, McCready DR.  Preoperative MRI of the breast and ipsilateral breast tumor recurrence: Long-term follow up.  J Surg Oncol. 2017 Jan 20.

Hänggi D, Etminan N, Aldrich F, Steiger HJ, Mayer SA, Diringer MN, Hoh BL, Mocco J, Faleck HJ, Macdonald RL; NEWTON Investigators.  Randomized, Open-Label, Phase 1/2a Study to Determine the Maximum Tolerated Dose of Intraventricular Sustained Release Nimodipine for Subarachnoid Hemorrhage (NEWTON [Nimodipine Microparticles to Enhance Recovery While Reducing Toxicity After Subarachnoid Hemorrhage]).  Stroke. 2017 Jan;48(1):145-151.

Iakovlev V, Koch A, Petersen K, Morrison J, Grischkan D, Oprea V, Bendavid R. A Pathology of Mesh and Time Dysejaculation, Sexual Pain, and Orchialgia Resulting From Polypropylene Mesh Erosion Into the Spermatic Cord.  Annals of Surgery.  2016.

Ilie G, Cusimano MD, Li W.  Prosodic processing post traumatic brain injury - a systematic review.  Syst Rev. 2017 Jan 4;6(1):1.

Kagedan DJ, Goyert N, Li Q, Paszat L, Kiss A, Earle CC, Karanicolas PJ, Wei AC, Mittmann N, Coburn NG.  The Impact of Increasing Hospital Volume on 90-Day Postoperative Outcomes Following Pancreaticoduodenectomy.  J Gastrointest Surg. 2017 Jan 5.

Kazazian K, Go C, Wu H, Brashavitskaya O, Xu R, Dennis JW, Gingras A-C, Swallow CJ.  Plk4 Promotes Cancer Invasion and Metastasis through Arp2/3 Complex Regulation of the Actin Cytoskeleton.  Cancer Res. 2017 Jan;  77:434-447.

Khare SR, Aprikian A, Black P, Blais N, Booth C, Brimo F, Chin J, Chung P, Drachenberg D, Eapen L, Fairey A, Fleshner N, Fradet Y, Gotto G, Izawa J, Jewett M, Kulkarni G, Lacombe L, Moore R, Morash C, North S, Rendon R, Saad F, Shayegan B, Siemens R, So A, Sridhar SS, Traboulsi SL, Kassouf W.  Quality indicators in the management of bladder cancer: A modified Delphi study.  Urol Oncol. 2017 Jan 3.

Khoushhal Z , Hussain MA, Greco E, Mamdani M, Verma S, Rotstein O, Tricco AC, Al-Omran M.  Prevalence and Causes of Attrition Among Surgical Residents.  A Systematic Review and Meta-analysis.  JAMA Surg. Published online December 14, 2016.  doi:10.1001/jamasurg.2016.4086
Kruisselbrink R, Arzola C, Jackson T, Okrainec A, Chan V, Perlas A.  Ultrasound assessment of gastric volume in severely obese individuals: a validation study.  Br J Anaesth. 2017 Jan;118(1):77-82.

Law N, Benifla M, Rutka J, Smith ML.  Verbal memory after temporal lobe epilepsy surgery in children: Do only mesial structures matter?  Epilepsia. 2016 Dec 24.

Lemke M, Law CH, Li J, Dixon E, Tun Abraham M, Hernandez Alejandro R, Bennett S, Martel G, Karanicolas PJ; HPB CONCEPT Team.  Three-point transfusion risk score in hepatectomy.  Br J Surg. 2017 Jan 12.

Lipsman N, Khan O, Kulkarni AV.  'The Actualized Neurosurgeon': A proposed model of surgical resident development.  World Neurosurg. 2016 Dec 21.

Lisk K, Agur AM, Woods NN.  Examining the effect of self-explanation on cognitive integration of basic and clinical sciences in novices.  Adv Health Sci Educ Theory Pract. 2016 Dec 24.

Lochab J, Carrothers A, Wong E, McLachlin S, Aldebeyan W, Jenkinson R, Whyne C, Nousiainen MT.  Do Transcortical Screws in a Locking Plate Construct Improve the Stiffness in the Fixation of Vancouver B1 Periprosthetic Femur Fractures? A Biomechanical Analysis of 2 Different Plating Constructs.  J Orthop Trauma. 2017 Jan;31(1):15-20.

MacParland SA, Tsoi KM, Ouyang B, Ma XZ, Manuel J, Fawaz A, Ostrowski MA, Alman BA, Zilman A, Chan WC, McGilvray ID.  Phenotype Determines Nanoparticle Uptake by Human Macrophages from Liver and Blood.  ACS Nano. 2017 Jan 17.

Mason SA, Nathens AB, Byrne JP, Fowler R, Gonzalez A, Karanicolas PJ, Moineddin R, Jeschke MG.  The accuracy of burn diagnosis codes in health administrative data: A validation study.  Burns. 2017 Jan 6.

Mehrkens A, Matta A, Karim MZ, Kim S, Fehlings MG, Schaeren S, Erwin WM.  Notochordal cell-derived conditioned medium (NCCM) protects human nucleus pulposus cells from stress-induced apoptosis.  Spine J. 2017 Jan 9.

Moore L, Evans D, Hameed SM, Yanchar NL, Stelfox HT, Simons R, Kortbeek J, Bourgeois G, Clément J, Lauzier F, Nathens A, Turgeon AF.  Mortality in Canadian Trauma Systems: A Multicenter Cohort Study.  Ann Surg. 2017 Jan;265(1):212-217.

Nasir BS, Yasufuku K, Liberman M.  When Should Negative Endobronchial Ultrasonography Findings be Confirmed by a More Invasive Procedure?  Ann Surg Oncol. 2017 Jan 10.

Nayan M, Hamilton RJ.  Reply from Authors re: Peter Albers. Surveillance of Patients with Clinical Stage I Testis Cancer is Safe and Will Remain Unchanged. Eur Urol 2017;71:130-131.  Eur Urol. 2017 Jan;71(1):131-132.

Nayan M, Punjani N, Juurlink DN, Finelli A, Austin PC, Kulkarni GS, Uleryk E, Hamilton RJ.  Statin use and kidney cancer survival outcomes: A systematic review and meta-analysis.  Cancer Treat Rev. 2017 Jan;52:105-116.

O'Neill AC, Haykal S, Bagher S, Zhong T, Hofer SO.  Erratum to "Predictors and consequences of intraoperative microvascular problems in autologous breast reconstruction" J Plast Reconstr Aesthet Surg 69 (2016), 1349-1355.

Oh J, Pagé GM, Zhong T, McCluskey S, Srinivas C, O'Neill AC, Kahn J, Katz J, Hofer SO, Clarke H.  Chronic Postsurgical Pain Outcomes in Breast Reconstruction Patients Receiving Perioperative Transversus Abdominis Plane Catheters at the Donor Site: A Prospective Cohort Follow-Up Study.  Pain Pract. 2016 Dec 20.

Pajtler KW, Mack SC, Ramaswamy V, Smith CA, Witt H, Smith A, Hansford JR, von Hoff K, Wright KD, Hwang E, Frappaz D, Kanemura Y, Massimino M, Faure-Conter C, Modena P, Tabori U, Warren KE, Holland EC, Ichimura K, Giangaspero F, Castel D, von Deimling A, Kool M, Dirks PB, Grundy RG, Foreman NK, Gajjar A, Korshunov A, Finlay J, Gilbertson RJ, Ellison DW, Aldape KD, Merchant TE, Bouffet E, Pfister SM, Taylor MD.  The current consensus on the clinical management of intracranial ependymoma and its distinct molecular variants.  Acta Neuropathol. 2017 Jan;133(1):5-12.

Perlis N, Finelli A.  Editorial Comment.  J Urol. 2017 Jan 4.

Podolsky DJ, Fisher DM, Wong KW, Looi T, Drake JM, Forrest CR.  Evaluation and Implementation of a High-Fidelity Cleft Palate Simulator.  Plast Reconstr Surg. 2017 Jan;139(1):85e-96e.

Rawal S, Alcaide-Leon P, Macdonald RL, Rinkel GJ, Victor JC, Krings T, Kapral MK, Laupacis A.  Meta-analysis of timing of endovascular aneurysm treatment in subarachnoid haemorrhage: inconsistent results of early treatment within 1 day.  J Neurol Neurosurg Psychiatry. 2017 Jan 18.

Reznikov R, Hamani C.  Posttraumatic Stress Disorder: Perspectives for the Use of Deep Brain Stimulation.  Neuromodulation. 2017 Jan;20(1):7-14.

Roberts SL, Burnham RS, Agur AM, Loh EY.  A Cadaveric Study Evaluating the Feasibility of an Ultrasound-Guided Diagnostic Block and Radiofrequency Ablation Technique for Sacroiliac Joint Pain.  Reg Anesth Pain Med. 2017 Jan/Feb;42(1):69-74.

Rogers AD.  Letter to the Editor: Does the Use of Incisional Negative Pressure Wound Therapy Prevent Mastectomy Flap Necrosis in Immediate Expander-Based Breast Reconstruction?  Plast Reconstr Surg. 2017 Jan 11.

Rotondo F, Qaddoura A, Syro LV, Karamchandani J, Munoz DG, Arroyave MJ, Ospina WP, Cusimano MD, Kovacs K.  Immunoglobulin G4 (IgG4)-Related Hypophysitis.  Endocr Pathol. 2017 Jan 13.

Russell K, Ellis MJ, Bauman S, Tator CH.  Legislation for Youth Sport Concussion in Canada: Review, Conceptual Framework, and Recommendations.  Can J Neurol Sci. 2017 Jan 10:1-10.

Sainsbury DC, George A, Forrest CR, Phillips JH.  Bilateral Malar Reconstruction Using Patient-Specific Polyether Ether Ketone Implants in Treacher-Collins Syndrome Patients With Absent Zygomas.  J Craniofac Surg. 2016 Dec 30.

Sakuma S, Halliday WC, Nomura R, Baba S, Sato YU, Okanari K, Nakajima m, Widjaja E, Boelman C, Ochi A, Snead OC 3rd, Rutka JT, Drake J, Miller S, Otsubo H.  Increased subcortical oligodendroglia-like cells in pharmacoresistant focal epilepsy in children correlate with extensive epileptogenic zones.  Epilepsia.  2016 Dec; 57(12):2031-2038.

Sapisochin G, Goldaracena N, Grant DR.  Pushing the Limits of Live Donor Liver Transplantation: Is the Western World Ready for Dual Grafts?  Ann Surg. 2017 Jan 4.

Sarzetto F, Gupta S, Alotaibi NM, Howard P, da Costa L, Heyn C, Maralani PJ, Guha D, Swartz R, Boyle K, Yang VX.  Outcome Evaluation of Acute Ischemic Stroke Patients Treated with Endovascular Thrombectomy: a Single-Institution Experience in the Era of Randomized Controlled Trials.  World Neurosurg. 2016 Dec 22.

Sheth U, Wasserstein D, Jenkinson R, Moineddin R, Kreder H, Jaglal SB.  The epidemiology and trends in management of acute Achilles tendon ruptures in Ontario, Canada: a population-based study of 27 607 patients.  Bone Joint J. 2017 Jan;99-B(1):78-86.

Singal RK, Singal D, Bednarczyk J, Lamarche Y, Singh G, Rao V, Kanji HD, Arora RC, Manji RA, Fan E, Nagpal AD.  Current and Future Status of Extracorporeal Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest.  Can J Cardiol. 2017 Jan;33(1):51-60.

Thibault I, Whyne CM, Zhou S, Campbell M, Atenafu EG, Myrehaug S, Soliman H, Lee YK, Ebrahimi H, Yee AJ, Sahgal A.  Volume of Lytic Vertebral Body Metastatic Disease Quantified Using Computed Tomography-Based Image Segmentation Predicts Fracture Risk After Spine Stereotactic Body Radiation Therapy.  Int J Radiat Oncol Biol Phys. 2017 Jan 1;97(1):75-81.

Ulndreaj A, Tzekou A, Mothe AJ, Siddiqui AM, Dragas R, Tator CH, Torlakovic EE, Fehlings MG.  Characterization of the Antibody Response After Cervical Spinal Cord Injury.  J Neurotrauma. 2016 Dec 21.

van Diepen S, Fuster V, Verma S, Hamza TH, Siami FS, Goodman SG, Farkouh ME.  Dual Antiplatelet Therapy Versus Aspirin Monotherapy in Diabetics With Multivessel Disease Undergoing CABG: FREEDOM Insights.  J Am Coll Cardiol. 2017 Jan 17;69(2):119-127.

Venkatraghavan L, Bharadwaj S, Au K, Bernstein M, Manninen P.  Erratum to: Same-day discharge after craniotomy for supratentorial tumour surgery: a retrospective observational single-centre study.  Can J Anaesth. 2017 Jan 4.

Weisel RD.  New format for the Journal.  J Thorac Cardiovasc Surg. 2017 Jan;153(1):1.

Wilder TJ, McCrindle BW, Hickey EJ, Ziemer G, Tchervenkov CI, Jacobs ML, Gruber PJ, Blackstone EH, Williams WG, DeCampli WM, Caldarone CA, Pizarro C; Congenital Heart Surgeons' Society.  Is a hybrid strategy a lower-risk alternative to stage 1 Norwood operation?  J Thorac Cardiovasc Surg. 2017 Jan;153(1):163-172.e6.

Wong J, Slomovic A, Ibrahim G, Radovanovic I, Tymianski M.  Microsurgery for ARUBA Trial (A Randomized Trial of Unruptured Brain Arteriovenous Malformation)-Eligible Unruptured Brain Arteriovenous Malformations.  Stroke. 2017 Jan;48(1):136-144.

Wong Riff KW, Tsangaris E, Goodacre T, Forrest CR, Pusic AL, Cano SJ, Klassen AF.  International multiphase mixed methods study protocol to develop a cross-cultural patient-reported outcome instrument for children and young adults with cleft lip and/or palate (CLEFT-Q).  BMJ Open. 2017 Jan 11;7(1):e015467.

Wong R, Turlova E, Feng ZP, Rutka JT, Sun HS.  Activation of TRPM7 by naltriben enhances migration and invasion of glioblastoma cells.  Oncotarget. 2017 Jan 4.

Have a new high impact paper in press or published?  Let us know at

This email was sent to <<Email Address>>
why did I get this?    unsubscribe from this list    update subscription preferences
University of Toronto - Department of Surgery · 149 College Street · Toronto, Ontario M5T 1P5 · Canada