We have now heard formally from Dean Whiteside's office that the Undergraduate Medicine (MD) Program received full accreditation for the next 8 years.  This is a substantial achievement given that there were 128 standards that needed to be evaluated, and with which the Faculty of Medicine as a whole needed to be in compliance.  In the end, a couple of areas that require our attention include:  1)  Adherence to the daytime duty hours policy for clerks; and 2) Direct observation of clerks performing history and physicals.  I am pleased to inform you that these are already being addressed towards a satisfactory resolution.  I want to give a special thanks once again to George Christakis, Director of Undergraduate Medical Education (UME), and ShibuThomas, co-ordinator of UME in the Department of Surgery for their herculean efforts this past year in preparing us for the accreditation process.  
We now move from the accreditation process for UME, to that of Post-graduate Medical Education (PGME) which will take place the week of April 7th, 2013.  As most of you know, the Royal College of Physicians and Surgeons performs an on site accreditation review of all residency programs in good standing every 6 years.  Our last review was in 2007 at which time all surgical programs passed.  Naturally, I would be delighted if we achieved the same result in 2013. We have already received some good news in that Orthopaedics and Vascular Surgery will not be reviewed next April — Orthopaedics because it has already undergone several recent reviews of its competency based curriculum (CBC) program; and Vascular Surgery because it has recently converted to a PGY1-entry program.  Interestingly, the Royal College will be piloting a new initiative at the University of Toronto next April whereby some programs will not be site-surveyed, but will rather receive accreditation based on the strengths of their Program Survey Questionnaire (PSQ) results and other data.  We will not know which programs in Surgery these may be until very close to the time of accreditation, so our strong advice to all programs is to prepare themselves as usual and with the expectation they will be reviewed.  
As there are some new standards for accreditation of the PGME programs this year, over the ensuing months, we will be sending you "the top tips" for preparing for PGME accreditation.  As all our PGME programs in the Department of Surgery have undergone successful Internal Reviews over the past 2 years, and as David Latter, Vice Chair of Education, and Ron Levine, Director PGME, have met with each program director on several occasions, I am quite confident we are in good shape heading into this next accreditation cycle.  

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


Department of Surgery University Rounds

Friday, November 2, 2012
7:30 a.m. - 8:30 a.m.

2012 Lister Prize Awardee 
Ren-Ke Li MD, PhD
Professor, Department of Surgery, University of Toronto
“Cardiac Rejuvenation”
2012 George Armstrong-Peters Prize Awardee 
Teodor Grantcharov MD
Associate Professor, Department of Surgery, University of Toronto
“Enhancing surgical performance and outcomes using simulation”
Li Ka Shing Knowledge Institute
St. Michael’s Hospital
209 Victoria Street

Update in Minimally Invasive Surgery
November 16-17, 2012
Metropolitan Hotel, Toronto

University of Toronto Spine Program Visiting Professorship
Friday, November 16, 2012, 7:30-8:30 a.m., Main Auditorium, TWH 2W-401
Dr. Charles Fisher, Vancouver
“The Changing Face of Spine Oncology: Contemporary Management and an Innovative Research Model”

Hockey Hall of Fame Holiday Party 
The Department of Surgery Family Holiday Party will be held on Thursday, December 13th at 6:30 p.m., Hockey Hall of Fame, 30 Yonge Street.  Please mark your calendars  


Chris Caldarone, Thor Sundt, and Jim Rutka
Bigelow Lecture (University Rounds) were held on Friday, October 5th, 2012 at Sunnybrook Health Sciences Centre.  Dr. Thoralf Sundt, III, Chief of Cardiac Surgery, Harvard Medical School spoke on "Teaching Surgical Safety". 
Michael Cusimano Uses 3D Pituitary Endoscope – First in Canada
Michael,Cusimano and his operating room team were featured on the front page of the Toronto Star this month on the use of 3D endoscopes for pituitary surgery.  Congratulations to Michael for bringing such positive attention to St Michael's Hospital and the University of Toronto for the advanced work that is being done with pituitary surgery.
Appointment of Christopher Compeau, Chief of Surgery, St. Joseph’s Health Centre
St. Joseph’s Health Centre is pleased to announce the appointment of Dr. Christopher Compeau as the new Chief of the Department of Surgery, St. Joseph’s Health Centre, effective September 1, 2012.  Dr. Compeau has been a member of the Department of Surgery since 1996.  His recent leadership roles include serving as Head of General Surgery for the past 2 years, and Head of Thoracic Surgery for the past 5 years.  Dr. Compeau graduated from medical school at the University of Toronto where he completed his residency.  He has received a number of prestigious awards and honours for excellence in both research and teaching.  This appointment follows the successful completion of a 10 year term by Lloyd Smith whom we thank for all of his many contributions to the Department of Surgery.
Recent Addition to the Van Rensburg Family (Plastic and Reconstructive Surgery)
Congratulations to Joan Lipa and Adriaan Van Rensburg with the recent addition of Renée Anne who was born October 10th weighing 6 pounds, 6 ounces.  
ARTIC Grant Awarded to Best Practices in General Surgery Group
The Best Practices in General Surgery Group led by Robin McLeod received an ARTIC grant from the Council of Academic Hospitals of Ontario (CAHO) to implement the Enhanced Recovery after Surgery (ERAS) guidelines. This grant is valued at over 1 million dollars over two years and will be used to implement the ERAS guidelines at eight of the hospitals within the University of Toronto system, as well as other academic hospitals across the province.  Congratulations to Robin McLeod and colleagues for this tremendous achievement! 
New Appointments to the Department of Surgery
I am pleased to announce the appointments of the following new faculty members in the Department of Surgery!
Dr. Sandra de Montbrun has joined the Division of General Surgery at St. Michael’s Hospital with a clinical interest in colorectal oncology, and has been appointed to the University of Toronto as an Assistant Professor and Surgeon Scientist.  Sandra obtained her Honours Bachelor of Science degree from the University of Waterloo followed by her MD at the University of Toronto.  She completed her residency in General Surgery at Dalhousie University in Halifax.  Following this, she returned to Toronto to complete a clinical fellowship in colorectal surgery and an MSc from the Ontario Institute for Studies in Education at the University of Toronto.  Her research interests and academic focus lie in the assessment of technical competence and the evaluation of advanced technical skills.  Dr. de Montbrun has been working with both the American Society of Colon and Rectal Surgeons and the American Board of Colon and Rectal Surgery to develop an objective structured assessment of technical skill for colorectal graduates. 

Dr. Jensen Tan has joined the Division of General Surgery at the Humber River Regional Hospital.  Jensen received his MD at the University of Toronto where he also completed his General Surgery residency.  During his residency, he completed a Masters degree as part of the Surgeon Scientist program in clinical epidemiology.  After completion of his training, Dr. Tan did a locum rotations at Markham Stouffville Hospital, Sunnybrook Health Science Centre and then completed a fellowship in Minimally Invasive Surgery.  In addition to a focus on minimally invasive surgery, he has an interest in colorectal and breast oncology.  Dr. Tan will be involved in the residency training, MIS fellowship and Surgical Oncology fellowship programs.  
Michael Fehlings (Neurosurgery) has been elected as Chairperson of AO Spine North America for a 3 year term commencing August 1, 2013.
Shaf Keshavjee (Thoracic Surgery) has been appointed as Vice Chair of Surgical Innovation in the Department of Surgery.  In this new position, Shaf will serve on the Executive Committee, and promote surgical innovation across all our fully affiliated and community affiliated hospitals.  
Fuad Moussa (Cardiac Surgery) received his Masters Degree in Medical Education from the University of Dundee.  Dr. Moussa pursued this degree while in clinical practice and while submitting numerous funding proposals to investigate techniques in teaching cardiac surgery to residents and medical students.

Jim Rutka (Neurosurgery) served as President of the American Academy of Neurological Surgery at its annual meeting October 17-21, Chatham Bars Inn, Chatham MA.  His Presidential Address was entitled:  William S Keith and the Founder Effect.
Gelareh Zadeh (Neurosurgery) was successful at getting one of the only three Terry Fox New Investigator awards given out this year across North America for her research work on human brain tumours.
Brunt KR, Zhang Y, Mihic A, Li M, Li SH, Xue P, Zhang W, Basmaji S, Tsang K, Weisel RD, Yau TM, Li RK.  Role of WNT/β-Catenin Signaling in Rejuvenating Myogenic Differentiation of Aged Mesenchymal Stem Cells from Cardiac Patients.  Am J Pathol. Sep 29, 2012. pii: S0002-9440(12)00663-3. doi: 10.1016/j.ajpath.2012.08.021. [Epublished ahead of print]
Carr L, Corcos J.  Stress urinary incontinence: A case-based discussion.  Can Urol Assoc J.  6(5 Suppl 2):S125-S126, 2012. doi: 10.5489/cuaj.12234.
Carr L, Corcos J.  The many facets of stress urinary incontinence.  Can Urol Assoc J. 6(5 Suppl 2):S113, 2012. doi: 10.5489/cuaj.12233.
Cruz JP, O'Kelly C, Kelly M, Wong JH, Alshaya W, Martin A, Spears J, Marotta TR.  Pipeline Embolization Device in Aneurysmal Subarachnoid Hemorrhage.  AJNR Am J Neuroradiol. Oct 11, 2012. [Epub ahead of print]
Daddi N, Nakajima T, Tagawa T, Yasufuku K.  Transcervical resection of an ectopic mediastinal parathyroid adenoma.  Ann Thorac Surg. 94(5):1740, 2012.
Davies JC, Fattah A, Ravichandiran M, Agur AM.  Clinically relevant landmarks of the frontotemporal branch of the facial nerve: A three-dimensional study.  Clin Anat.  25(7):858-865, 2012.
Dibajnia P, Morshead CM.  Role of neural precursor cells in promoting repair following stroke.  Acta Pharmacol Sin. Oct 15, 2012. doi: 10.1038/aps.2012.107. [Epublished ahead of print]
Fierstra J, Winter JD, Machina M, Lukovic J, Duffin J, Kassner A, Fisher JA.  Non-invasive accurate measurement of arterial PCO(2) in a pediatric animal model.  J Clin Monit Comput. Oct 26, 2012. [Epublished ahead of print]
Figueroa V, Pippi Salle JL, Braga LH, Romao R, Koyle MA, Bägli DJ, Lorenzo AJ.  Comparative analysis of detorsion alone versus detorsion and tunica albuginea decompression (fasciotomy) with tunica vaginalis flap coverage in the surgical management of prolonged testicular ischemia.  J Urol. 188(4 Suppl):1417-1423, 2012.
Gandhi R, Takahashi M, Rizek R, Dessouki O, Mahomed NN.  Obesity-related Adipokines and Shoulder Osteoarthritis.  J Rheumatol. 39(10):2046-2048, 2012.
Hawryluk GW, Ruff CA, Fehlings MG.  Development and maturation of the spinal cord: implications of molecular and genetic defects.  Handb Clin Neurol. 109:3-30, 2012.
Herschorn S.  Stress urinary incontinence in women and lower urinary tract symptoms in men: What are the remaining questions?  Can Urol Assoc J. 6(5 Suppl 2):S148, 2012. doi: 10.5489/cuaj.12230.
Ho ES, Curtis CG, Clarke HM.  The brachial plexus outcome measure: development, internal consistency, and construct validity.  J Hand Ther. 25(4):406-417, 2012.
Ko MA, Zehong G, Virtanen C, Guindi M, Waddell TK, Keshavjee S, Darling GE.  MicroRNA Expression Profiling of Esophageal Cancer Before and After Induction Chemoradiotherapy.  Ann Thorac Surg. 94(4):1094-1103, 2012.
Langer JC.  Laparoscopic and transanal pull-through for Hirschsprung disease.  Semin Pediatr Surg. 21(4):283-290, 2012.
Mansouri A, Fallah A, Cusimano MD, Das S.  Vasospasm post pituitary surgery: systematic review and 3 case presentations.  Can J Neurol Sci. 39(6):767-773, 2012.
Nakajima T, Anayama T, Koike T, Shingyoji M, Castle L, Kimura H, Yoshino I, Yasufuku K.  Endobronchial Ultrasound Doppler Image Features Correlate with mRNA Expression of hif1-α and vegf-c in Patients with Non-Small-Cell Lung Cancer.  J Thorac Oncol. 7(11):1661-1667, 2012.
Rogers BA, Garbedian S, Kuchinad RA, Backstein D, Safir O, Gross AE.  Total hip arthroplasty for adult hip dysplasia.  J Bone Joint Surg Am. 94(19):1809-1821, 2012.
Romao RL, Farhat WA, Pippi Salle JL, Braga LH, Figueroa V, Bägli DJ, Koyle MA, Lorenzo AJ.  Early Postoperative Ultrasound After Open Pyeloplasty in Children with Prenatal Hydronephrosis Helps Identify Low Risk of Recurrent Obstruction.  J Urol. Oct 19, 2012. pii: S0022-5347(12)04493-X. doi: 10.1016/j.juro.2012.08.036. [Epublished ahead of print]
Romão RL, Pippi Salle JL, Shuman C, Weksberg R, Figueroa V, Weber B, Bägli DJ, Farhat WA, Grant R, Gerstle JT, Lorenzo AJ.  Nephron sparing surgery for unilateral wilms tumor in children with predisposing syndromes: single center experience over 10 years.  J Urol. 188(4 Suppl):1493-1499, 2012.
Schemitsch EH, Bhandari M, Guyatt G, Sanders DW, Swiontkowski M, Tornetta P, Walter SD, Zdero R, Goslings JC, Teague D, Jeray K, McKee MD; Study to Prospectively Evaluate Reamed Intramedullary Nails in Patients with Tibial Fractures (SPRINT) Investigators.  Prognostic factors for predicting outcomes after intramedullary nailing of the tibia.  J Bone Joint Surg Am. 3;94(19):1786-1793, 2012.
Sinno H, Thibaudeau S, Izadpanah A, Tahiri Y, Christodoulou G, Zuker R, Lin SJ.  Utility outcome scores for unilateral facial paralysis.  Ann Plast Surg. 69(4):435-438, 2012.
Sternheim A, Lochab J, Drexler M, Kuzyk P, Safir O, Gross A, Backstein D.  The benefit of revision knee arthroplasty for component malrotation after primary total knee replacement.  Int Orthop. Oct 16, 2012. [Epublished ahead of print]
Wigfield CH, Cypel M, Yeung J, Waddell T, Alex C, Johnson C, Keshavjee S, Love RB.  Successful emergent lung transplantation after remote ex vivo perfusion optimization and transportation of donor lungs.  Am J Transplant. 12(10):2838-2844, 2012.
Wong SS, Roche-Nagle G, Oreopoulos G.  Acute thrombosis of an abdominal aortic aneurysm presenting as cauda equina syndrome.  J Vasc Surg. Oct 11, 2012. pii: S0741-5214(12)01533-9. doi: 10.1016/j.jvs.2012.06.092. [Epublished ahead of print]
Zevin B, Levy JS, Satava RM, Grantcharov TP, A Consensus-Based Framework for Design, Validation, and Implementation of Simulation-Based Training Curricula in Surgery.  Journal of the American College of Surgeons, 215(4): 580-586.e3, 2012.
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