After more than a year of intense preparation for the accreditation of our surgical programs by the Royal College of Physicians and Surgeons, I am pleased to report to you that all programs were accredited.  As you may recall, Orthopaedics, Vascular Surgery, Thoracic Surgery and Colorectal Surgery were not reviewed on this occasion.  However, site-reviewers came to examine in detail the following programs:  Surgical Foundations, General Surgery, Neurosurgery, Pediatric General Surgery, Plastic and Reconstructive Surgery, Urology, Cardiac Surgery, and Surgical Oncology.  During the debriefing by Lead Reviewers, I heard many outstanding comments, and highly laudatory praise for the education we provide for our residents, and the training they all receive on their various rotations.  The reports for each program will go back to the Specialty Committees, and then to the Royal College before they are finalized in the fall.  I want to take this opportunity to thank David Latter, Vice Chair Education, and Ron Levine, Director of Postgraduate Education,  for their tremendous and tireless efforts in preparing all of us for this review.  Also, a very special thanks to all the Program Directors who helped make this accreditation so successful.
In addition to this good news, we were also very fortunate to learn the results of this year's deliberations at the Decanal Committee for Promotions.  All of our applicants for promotion were successful.  From Assistant to Associate Professor, congratulations are in order for:  Greg Borschel (PRS, HSC), Clement Hamani (NS, UHN), Allan Okrainec (GS, UHN), Alice Wei (GS, UHN), and Kazuhiro Yasufuku (TS, UHN).  And from Associate Professor to Full Professor, I congratulate Stefan Hofer (PRS, UHN), Marc Jeschke (PRS, SHSC), Cindi Morshead (Anatomy), Robert Nam (Urology, SHSC), and Michael Taylor (NS, HSC).  
From a Departmental perspective, there are few things as important as ensuring that our residency programs receive full accreditation, and continuing to promote our faculty up the academic ladder to higher ranks.  For these positive outcomes, I would like to thank all of you for your continued support of the Department of Surgery.
James T. Rutka, MD, PhD, FRCSC
RS McLaughlin Chair


39th Gallie Day will take place on Friday, May 10, 2013, MaRS Centre, Lower Concourse.  Continental Breakfast and Registration at 7:30 a.m.    
This year’s theme is “Personalized Medicine”, and Dr. John Niederhuber, CEO of Inova Translational Medicine Institute, Falls Church, VA, will be the Gordon Murray Lecturer.   The Gallie Day Reception and Annual Dinner will be held at the Windsor Arms Hotel. 
Department of Surgery Annual Faculty Development Day
Friday, May 24, 2013, The Metropolitan Hotel  –7:30 a.m. – 4:15 p.m. Please contact Nancy Latowsky ( to register for the day.
Annual Assembly of General Surgeons will be held on May 30, 2013 at the Metropolitan Hotel. 
First Annual Sunnybrook Burn Symposium
June 4, 2013 at the Vaughan Estates
Vascular Surgery Research Day
June 21, 2013, Debates Room, Hart House, 8:00 a.m.
SpineFEST will be held on Monday, June 24, 2013.
Update in Minimally Invasive Surgery
November 22-23, 2013
The program is now on line at:


Palmer Lecturer
Dr. Quan-Yang Duh gave this year’s Palmer Lecture at The Hospital for Sick Children on Friday, April 5, 2013.   The title of his talk was “Pheochromocytoma/paraganglioma:  Diagnosis and Management” (Photo, from left to right: L. Rotstein, Q-Y Duh and J. Rutka)

Life in Surgery
Tuesday, April 16, 2013
The Faculty Club, University of Toronto
On Tuesday, April 16, 2013, surgical faculty hosted the spring meeting of the “Life in Surgery” event at the Faculty Club. Medical students had an opportunity to learn from surgeons and their families about various aspects of the professional and personal lives of surgeons.  Special thanks are given to Carol-Anne Moulton and Ron Levine for organizing the event.  

REMINDER - The Department of Surgery office has now moved to the 5th floor of the Stewart Building, 149 College Street. 

Dr. Robert Elgie, January 22, 1929 - April 3, 2013

Dr. Robert Elgie, former Tory cabinet minister, died on April 3, 2013.  He was 84 years old.  Dr. Elgie was both a lawyer and a neurosurgeon, served as an MPP from 1977 to 1985 and was chair of the Ontario Press Council from 2006 to his death Wednesday.  He had a distinguished career as a neurosurgeon, a lawyer, public servant, politician and educator. He received the Order of Canada in 2003.
Continuing Appointment Reviews (CARS)
The following Continuing Appointment Reviews (CARs) took place this month under the leadership of Ori Rotstein, Associate Chair, Department of Surgery. 
Tom Willett  
Tom is an Associate Scientist at the Samuel Lunenfeld Research Institute at Mount Sinai Hospital and Assistant Professor in the Division of Orthopaedics in the Department of Surgery, University of Toronto.  He joined the Department in January 2010.  Tom received a BSc and Master’s in Mechanical Engineering at Queen’s University, Kingston and then went on to receive his PhD in Biomedical Engineering at Dalhousie University in Halifax.   He presently holds 3 CIHR grants and specializes in musculoskeletal tissue mechanics and orthopaedic biomechanics. (Photo, from left to right: M. Grynpas, T. Willett, J. Wunder, D. Backstein)
Diane Nam  
Diane joined the Division of Orthopaedics at Sunnybrook Health Sciences Centre in January 2009.  She has a Bachelor of Music Performance degree; a BSc in Toxicology; MSc in Pharmacology; and her MD all from the University of Toronto.  Her Clinical Fellowship was done at Sunnybrook Health Sciences Centre followed by her Research Fellowship at The Hospital for Sick Children in Developmental and Cell Biology.  Diane’s research focuses on impaired facture healing, immune mediation of bone healing, and bone histomorphometry. (Photo, from left to right: A. Nathens, D. Nam, M. Anderson, B. Alman, H. Kreder)
Association for Surgical Education
Professor Dimitri Anastakis, Vice Dean of Continuing Education and Professional Development, completed his term as President of the Association for Surgical Education.  His Presidential Address was entitled "The Anatomy of Reputation" and will be published in the American Journal of Surgery.

2013 American College of Surgeons,  Surgeons as Educators Course, September 7 – 13, 2013
This six-day intensive course is designed to provide surgeons with the knowledge and skills to enhance their abilities as teachers and administrators of surgical education programs. 
Full-time faculty members who are interested in acquiring or honing skills in curriculum development, teaching, performance and program evaluation, and program administration, as well as faculty who have direct teaching responsibilities for medical students or residents. 
 If you have any questions, please contact Ms. Krashina Hudson at (312) 202-5335 or
In the News!
Julian Spears appeared on Global TV, Thursday, April 11, 2013, to discuss the use of advanced neurointerventional radiology techniques in treating patients with arterio-venous fistulae.  To see the entire story, please go to:
Rajiv Singal (Urology) has won Prostate Cancer Canada's Mark Dailey Local Hero Award. He is the head of the Urology Division at Toronto East General Hospital and is involved in clinical research studies.
Michael Fehlings (Neurosurgery) has received the 2012 Jonas Salk Award for Scientific Achievements. Given by the March of Dimes Canada, this award honours a scientist whose work improves quality of life for people with disabilities or prevents, alleviates or eliminates a physical disability.  Michael has also received a Queen Elizabeth II Diamond Jubilee Medal for his scientific and medical contributions to society.  In this photo, Michael and Darcy Fehlings are greeted by the Prime Minister, The Honourable Stephen Harper.

Mohammed Shamji (Neurosurgery) received the best paper award from the Lumbar Spine Research Society  for his research on "Treatment of Gait and Sensory Changes in Experimental Disc Herniation Radiculopathy By Local and Sustained Anticytokine Delivery” .
Greg Borschel (Plastic and Reconstructive Surgery) received a CIHR NSERC grant for work in his lab entitled “Enhancement of nerve regeneration with controlled release of neurotrophic factors.”  ($540K over 3 years)
James Drake (Neurosurgery) received a CIHR CHRP grant for his project on bone HIFU.   ($450k over 3 years)
Brian Ostrow (Office of International Surgery) was awarded the 2013 Best Research from a Developing Country Award from the Journal of Wound Care on behalf of the Guyana Diabetes and Footcare Project which has been working in Guyana, South America since 2008 and has reduced by 50% the number of diabetes-related major amputations at the national referral hospital.
Hugh Scully (Cardiac Surgery) was awarded the Queen's Diamond Jubilee Commemorative Medal for outstanding contributions to health and health care.   
Jim Rutka (Neurosurgery) and Marc Jeschke (Plastic and Reconstructive Surgery) have been elected as Fellows of the American Surgical Association.

Nikki Woods (Research in Education) has received an Education Development Fund Award to work on her project entitled “From passive to active: Using peer assessment to improve vicarious learning of surgical skills”. 
Paul Greig (General Surgery) is the recipient of a 2013 Award for Excellence in Postgraduate Medical Education.
Carol-Anne Moulton (General Surgery) is the recipient of the 2013 PAIRO Excellence in Clinical Teaching Award.
Peter Stotland (General Surgery) has been awarded the Integrated Medical Education Award.  This new award acknowledges the significant contribution of an increasing number of community-based teachers. 
Acuna SA, Angarita FA, McCready DR, Escallon J.  Quality indicators for sentinel lymph node biopsy: Is there room for improvement?  Can J Surg: 2013 Apr; 56(2):82-88.
Al Edwan G, Fleshner N.  5-Alpha Reductase Inhibitors in Patients on Active Surveillance: Do the Benefits Outweigh the Risk?  Curr Urol Rep: 2013 Apr 12. [Epub ahead of print]

Billia F, Hauck L, Grothe D, Konecny F, Rao V, Kim RH, Mak TW.  Parkinson-susceptibility gene DJ-1/PARK7 protects the murine heart from oxidative damage in vivo.  PNAS: 2013 Feb. 27. [Epub ahead of print] 
Brooks NC, Marshall AH, Qa’aty N, Hiyama Y, Boehning D, Jeschke MG. XBP-1s is Linked to Suppressed Gluconeogenesis in the Ebb Phase of Burn Injury. Mol Med: 2013 Mar 15.  [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 Apr; 41(4):1009-1016.
Clouatre E, Pinto R, Banfield J, Jeschke MG.  Incidence of hot tap water scalds after the introduction of regulations in Ontario.  J Burn Care Res: 2013 Mar; 34(2):243-248.
Cusimano MD, Cho N, Amin K, Shirazi M, McFaull SR, Do MT, Wong MC, Russell K.  Mechanisms of team-sport-related brain injuries in children 5 to 19 years old: opportunities for prevention.  PLoS One: 2013; 8(3):e58868.
Cusimano MD, Di Ieva A, Lee J, Anderson J.  Canula-assisted endoscopy in bi-portal transphenoidal cranial base surgery: technical note.  Acta Neurochir (Wien). 2013 Mar 15.
de Perrot M, Eaton D, Bedard PL, Jewett M.  Anterior transpericardial approach for postchemotherapy residual midvisceral mediastinal mass in metastatic germ cell tumors.  J Thorac Cardiovasc Surg: 2013 Apr; 145(4):1136-1138.
Di Ieva A, Bruner E, Davidson J, Pisano P, Haider T, Stone SS, Cusimano MD, Tschabitscher M, Grizzi F.  Cranial sutures: a multidisciplinary review.  Childs Nerv Syst: 2013 Mar 8.
Di Ieva A, Schmitz EM, Cusimano MD.  Analysis of Intracranial Pressure: Past, Present, and Future.  Neuroscientist: 2013 Feb 6.
Hanna WC, Yasufuku K.  Bronchoscopic staging of lung cancer.  Ther Adv Respir Dis: 2013 Apr; 7(2):111-118.
Hsiao M, Sathya C, Nathens AB, de Mestral C, Hill AD, Langer JC.  Is activity restriction appropriate for patients with hereditary spherocytosis? A population-based analysis.  Ann Hematol: 2013 Apr; 92(4):523-525.
Ibrahim GM, Fallah A, Macdonald RL.  Clinical, laboratory, and radiographic predictors of the occurrence of seizures following aneurysmal subarachnoid hemorrhage.  J Neurosurg: 2013 Apr 12. [Epub ahead of print]
Jeschke MG, Gauglitz GG, Finnerty CC, Kraft R, Mlcak RP, Herndon DN.
Survivors Versus Nonsurvivors Postburn: Differences in Inflammatory and Hypermetabolic Trajectories.  Ann Surg: 2013 Apr 10. [Epub ahead of print]
Kalia SK, Lozano AM.  Parkinson disease: Neurostimulation in PD-benefit of early surgery revealed.  Nat Rev Neurol: 2013 Apr 16. [Epub ahead of print]
Klotz L.  Re: editorial comment on focal therapy for localised unifocal and multifocal prostate cancer: a prospective development study (lancet oncol 2012; 13: 622-632).  J Urol: 2013 Apr; 189(4):1601-1602.
Lista F, Tutino R, Khan A, Ahmad J.  Subglandular Breast Augmentation with Textured, Anatomic, Cohesive Silicone Implants: A Review of 440 Consecutive Patients.  Plast Reconstr Surg: 2013 Apr 11. [Epub ahead of print]
Nadler A, Cukier M, Rowsell C, Kamali S, Feinberg Y, Singh S, Law CH.
Ki-67 is a reliable pathological grading marker for neuroendocrine tumors.
Virchows Arch: 2013 Apr 16. [Epub ahead of print]
Petrosoniak A, Engels PT, Hamilton P, Tien HC.  Detection of significant bowel and mesenteric injuries in blunt abdominal trauma with 64-slice computed tomography.  J Trauma Acute Care Surg: 2013 Apr; 74(4):1081-1086.
Roche-Nagle G, Bachynski K, Nathens AB, Angoulvant D, Rubin BB.
Regionalization of services improves access to emergency vascular surgical care.  Vascular: 2013 Apr; 21(2):69-74.
Sabri M, Ai J, Lass E, D'abbondanza J, Macdonald RL.  Genetic elimination of eNOS reduces secondary complications of experimental subarachnoid hemorrhage.  J Cereb Blood Flow Metab: 2013 Apr 3. [Epub ahead of print]
Toren P, Margel D, Kulkarni G, Finelli A, Zlotta A, Fleshner N.  Effect of dutasteride on clinical progression of benign prostatic hyperplasia in asymptomatic men with enlarged prostate: a post hoc analysis of the REDUCE study.  BMJ: 2013 Apr 15; 346.
Wong KW, Forrest CR, Goodacre TE, Klassen AF.  Measuring outcomes in craniofacial and pediatric plastic surgery.  Clin Plast Surg: 2013 Apr; 40(2):305-312.
Yugeta A, Hutchison WD, Hamani C, Saha U, Lozano AM, Hodaie M, Moro E, Chen R.  Modulation of Beta oscillations in the subthalamic nucleus with prosaccades and antisaccades in Parkinson's disease.  J Neurosci: 2013 Apr 17; 33(16):6895-6904.
Zhong T, Pusic AL.  Future of outcomes research in plastic surgery.  Clin Plast Surg: 2013 Apr; 40(2):351-357.
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For further information on divisional events, please go to the Surgery Bulletin Board