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MESSAGE FROM THE CHAIR
Now that the Accreditation review of the Undergraduate Medical Education (UME) program of the Medical school has been completed, I would like to take this opportunity to thank all of you for your help these past several months in revising and renewing our methods and programs for teaching the medical students at your institutions, and at the University.  A special thanks to George Christakis, Director of UME, and Shibu Thomas, Co-ordinator of UME, for their major efforts in preparing us for the review.  We will know more about the review itself later this fall, but the early indicators suggest that the Faculty of Medicine has done well overall.
 
We now need to turn our attention to our Post Graduate Medical Education (PGME) programs, as these will be reviewed by the Royal College in the spring of 2013.  As many of you know, the Accreditation cycle for PGME occurs on a 6 year cycle.  Our last review was in 2007, and at that time all Divisions and Programs in the Department of Surgery received full accreditation.  Of course, I would be delighted if we accomplish this again in 2013.  The PGME office at the University has recently completed a series of internal reviews, and in some cases, re-reviews of all of our Divisions and Programs.  In general, we are in good shape heading into the Accreditation process. However, all Divisions and Programs can continue to improve on some aspects of training, evaluations, and communications.  Some of these issues include completion of ITERs, RES (Rotation Evaluation Scores), and TES (Teaching Effectiveness Scores) and being fully compliant with the CanMEDS competencies.   
 
Ron Levine, Director of PGME, David Latter, Vice-Chair Education, and I plan to meet before the summer with all Chairs and Program Directors to review in detail the recommendations from the Internal Reviews.  We will be pleased to work with all of you to ensure that we are in good standing with the Royal College well in advance of the Accreditation process.  I thank all of you in advance for your assistance with the residency programs in the Department of Surgery.  Over the next several months, we will be providing all of you with further information regarding PGME Accreditation.


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

UPCOMING EVENTS

Trauma Rounds (University Rounds)
 
June 1, 2012
7:30 a.m. – 8:30 a.m.
 
Karim Brohi, FRCS, FRCA 
 
Professor of Trauma Sciences
Centre for Neuroscience and Trauma
Barts and The London School of Medicine and Dentistry
The Royal London Hospital
 
“Developing, Implementing and Running the London Trauma System”
 
The Allan Waters Family Auditorium
Li Ka Shing Knowledge Institute
St. Michael’s Hospital
209 Victoria Street
 
 
7th annual Lindsay Thomson Symposium in Pediatric Plastic Surgery on June 12, 2012, and the Hospital for Sick Children. Professor Yu Ray Chen from Taipei, Taiwan is this year’s Vale Visiting Professor.  Please register with Dyanne Bechard at dyanne.bechard@sickkids.ca.
 
  
 


RECENT DEPARTMENTAL EVENTS
 
Gallie Day was held on Friday, May 4th, 2012 at MaRS followed by a dinner and awards presentation at the Royal York Hotel Imperial Room.  Dr. Philippe Menasche, Unite de Chirurgie Cardiaque Hopital Europeen Georges Pompidou, Paris, France was the Gordon Murray Lecturer.  His talk was entitled “Stem cells for the treatment of heart failure: What is still missing for a prime time use?”  

The photos below represent the Gordon Murrary Lecturer (top left); Strategic Plan Steering Committee Members (top right); and the Executive Committee Members (bottom).
 
 


Bethune Round Table on International Surgery, May 25-27, 2012
The University of Toronto, Department of Surgery hosted the 12th annual Bethune Round Table on International Surgery from May 25 to 27, 2012.  Twelve sponsored surgeons from low income countries and twelve North America surgeons or trainees presented a diverse set of papers on surgery for human development.  Canadian Royal College President Dr. Louis Francescutti opened the meeting with an inspiring keynote calling on surgeons to work at preventing the injuries many of us treat.  The inaugural Ab Guha Memorial Lectureship was given by Michael Haglund of Duke University Neurosurgery on his experience building a training partnership in Uganda.  Dr. Ronald Lett of the Canadian Network for International surgery detailed the training of over 20,000 African doctors that his organization has accomplished over the past 17 years.  University of Toronto residents led a clinical case discussion panel focusing on how resource constraints affect care.  Jan Andresyk of Holland Bloorview and University of Toronto presented his Grand Challenges funded low cost knee joint for above knee amputees. Over 100 delegates including surgeons, students, and residents from across the country and around the world shared their thoughts on bringing surgical care to the 3 billion people who currently lack it.  Look for abstracts from the meeting in an upcoming issue of the Canadian Journal of Surgery.  And, plan to join the 13th annual Bethune Round Table hosted by the University of British Columbia Branch of International Surgery, in Vancouver, May 10-12, 2013.
 
NEWSWORTHY ITEMS
Gallie Day Award Winners
Tovee Postgraduate Prize, Peter Ferguson
Tovee Undergraduate Prize, Georges Azzie
SSC Distinguished Education Award, Helen MacRae
B. Langer Surgeon-Scientist Award, Mojgan Hodaie
George-Armstrong Peters Prize, Teodor Grantcharov
Charles Tator Award, Albert Yee and Cari Whyne
Lister Prize, Ren-Ke Li
D.R. Wilson Award, Marilyn Heng
Zane Cohen Clinical Fellowship Achievement Award, Benedict Rogers and Boris Krischek
Shafie Fazel Award, Kristen Davidge
McMurrich Award, David Shih and Shabana Ali (1st); Julia Izrailit, Wenxi Gao and Elaine Mau (2nd); Anna Bendzsak, Crystal Ruff, Kathryn Ottolino-Perry and Alenoush Vartanian (3rd)
Gallie Bateman Prize, Jonathan Yeung (1st); Lakhbir Sandhu and Francis Zih (2nd); Nathan Perlis (3rd)
 
2012 Promotions, Department of Surgery, University of Toronto

Lecturer to Assistant
Todd Penner (General Surgery,UHN)
 
Assistant to Associate
Carol-Anne moulton (General Surgery, UHN)
Homer Tien (General Surgery, SHSC)
Jack Barkin (Urology, HRRH)
Jeff Fialkov (Plastic and Reconstructive Surgery, SHSC)
Katalin Szaszi (Scientist, SMH)
Natalie Coburn (General Surgery, SHSC)
 
Associate to Full
Cari Whyne  (Scientist, SHSC)
Helen MacRae (General Surgery, MSH)
Sandro Rizoli (General Surgery, SHSC)
 
D. AnastakisAppointment of Vice Dean of Continuing Education and Professional Development (CEPD)
I am pleased to inform you that Professor Dimitri Anastakis has been appointed Vice Dean of CEPD for a five year term commencing July 1, 2012.  Dimitri is a Professor in the Department of Surgery and holds a cross appointment in the Lawrence S. Bloomberg Faculty of Nursing.  He has recently served as the Chair of the Division of Plastic & Reconstructive Surgery (PRS) from 2006-2011.  Since May 2010 he has held the position of Executive Director of SIM-one, the interprofessional healthcare simulation network that links simulation facilities, resources and services across the Province of Ontario. Dimitri served as Acting and then Interim Vice Dean of CEPD this past year.  He is an outstanding teacher and highly regarded mentor in undergraduate and graduate surgical education and has won numerous awards for teaching and research, including the Wightman-Berris Academy Award for Individual Teaching Excellence from the Department of Surgery.  He graduated from medical school at the University of Toronto where he also completed his residency in PRS.  He was an R. Samuel McLaughlin Fellow studying surgery of the brachial plexus and peripheral nerves at Universite de Longeraie, Lausanne, Switzerland.  Following his fellowship, Dimitri joined the University of Toronto’s Faculty of Medicine in the Department of Surgery.  He also has graduate degrees in Health Professions Education, from the University of Illinois at Chicago, and in Healthcare Management from Harvard University.
 
Appointment of Chair, Department of Otolaryngology – Head and Neck Surgery
Dr. Ian Witterick has been appointed as Chair of the Department of Otolaryngology in the Faculty of Medicine, University of Toronto for a five year term commencing July 1, 2012.  Dr. Witterick is currently Professor and Vice-Chair in the Department of Otolaryngology – Head & Neck Surgery at the University of Toronto and serves as the Department’s Director of Postgraduate Education and Continuing Education.  Dr. Witterick graduated from medical school at the University of Western Ontario.  He completed his residency training program at the University of Toronto followed by fellowships in Head and Neck Oncology and Rhinology, and an MSc in Clinical Epidemiology.  
 
Appointment of Chair, Department of Radiation Oncology
Dr. Fei-Fei Liu has been appointed as Chair of the Department of Radiation Oncology for a five year term commencing July 1, 2012.  Dr. Liu is a Professor in the Department of Radiation Oncology, with cross-appointments in the Departments of Medical Biophysics and Otolaryngology – Head & Neck Surgery.  She is the Dr. Mariano Elia Chair in Head & Neck Oncology.  Her research focused on developing novel cancer therapeutics and cancer biomarkers which can guide clinical management. Dr Liu graduated from medical school at the University of Toronto, where she subsequently trained and obtained her Fellowships in both Internal Medicine, and Radiation Oncology.
 
Appointment of Chief of Surgery, Toronto East General Hospital
Dr. Carmine Simone has been appointed as Chief of Surgery at Toronto East General Hospital replacing Dr. Laura Tate who has completed her term.  He is a thoracic surgeon and is the Medical Director of Inpatient Surgery, Medical Director of the ICU and Head, Division of Critical Care.  He has courtesy privileges at Sunnybrook Health Sciences Centre and Royal Victoria Hospital in Barrie, Ontario.  He went to medical school at McMaster University in Hamilton and graduated in 1998.  He completed his thoracic surgery and adult critical care training at the Toronto General Hospital, University of Toronto in 2004.  His clinical areas of interest are lung and esophageal cancer, mediastinal tumours and metastatic cancers to the chest.  He is a Lecturer at the University of Toronto, Division of Thoracic Surgery.  He is involved in various hospital, LHIN and provincial committees on critical care and surgical standards.  He participates in the Time to Treat Program which has successfully reduced the wait times for patients with lung cancer by 71%. 
 
Groundbreaking Research Identifies Compound that Reduces Surgical Scars
Dr. Ben Alman and his team of researchers has recently identified a compound that has efficacy in reducing the degree of surgical scarring.  Borne out of research Ben was conducting on aggressive fibromatosis, this discovery holds great promise for all patients undergoing surgery.  A full account on Ben’s discovery was featured on May 7th in The Globe and Mail and was entitled, “Surgeon’s work on rare tumour leads to groundbreaking finding with potential to reduce scarring by half”.  (http://www.theglobeandmail.com/life/health/new-health/health-news/canadian-discovers-method-to-radically-minimize-scars/article2424537/).
 
Internal Research Competition in General Surgery at Sunnybrook
Every year, the impact factors of all publications from the Trauma and Surgical Oncology programs at Sunnybrook are added and then divided by the number of members in those two programs.  It appears that once again, the Trauma program members have soundly beaten the Surgical Oncologists, in no small part due to the number of outstanding publications by Homer Tien and Sandro Rizoli. As is the custom in this friendly competition, the Surgical Oncologists have admitted defeat, and paid the bill for dinner.  Regardless of which program wins this competition, the annual rate of publications is increasing for both Trauma and Surgical Oncology at Sunnybrook.
 
Annual Report, 2010-2011 is now available on-line at http://surgery.utoronto.ca/Page4.aspx.  If you should have any questions or concerns, please contact Stephanie at s.neilson@utoronto.ca
 
Faculty of Medicine Grant Writing Workshop: Thursday, June 21, 2012
The Faculty of Medicine will be hosting their annual Grant Writing Workshop on Thursday, June 21, 2012, from 1 to 4:30pm.  This year, we will have a special focus on grant writing for CIHRand NSERC opportunities, with a presentation on grant development, and panel discussions in basic and clinical science areas, population health, health services and knowledge translation! 
RSVP to: http://www.medresearch.utoronto.ca/GWW_registration.html, indicating your preference for attending a break-out session in:Basic Sciences (including Genetics, Genomics, Proteomics and Cell Biology/Animal Models; Clinical Sciences (including Translational Studies and Clinical Trials) or Population Health (including Health Services and Knowledge Translation). 

 
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:
 
Darlene Fenech:
Darlene is an Assistant Professor of General Surgery, and is a colorectal surgeon at the Odette Cancer Centre at Sunnybrook Health Sciences Centre.  She graduated from medical school at McMaster University, did a General Surgery residency at the University of Calgary, and a fellowship in colorectal surgery at the University of Toronto.  During her fellowship, she completed a Masters of Clinical Epidemiology.  Darlene's main research interests are in locally advanced colorectal cancer, quality improvement and in compliance with perioperative evidence based practices.  
 
Giuseppe Papia:
Giuseppe received his MD at the University of Ottawa and completed his General Surgery training at the University of Toronto.  He completed his Masters of Science from the Institute of Medical Science before returning to complete his fellowship training in the lung transplantation program. Giuseppe then completed two further Royal College fellowships in Critical Care Medicine and Vascular Surgery. He was recruited as an Assistant Professor in Vascular Surgery in 2008. He completed a three month fellowship in Endovascular intervention at the Cleveland Clinic before returning to Sunnybrook Health Science Centre to begin his academic career. Giuseppe's academic interests focus on patient safety and quality improvement. Giuseppe is cross-appointed to the Department of Critical Care Medicine where he is an intensivist in all of Sunnybrook's Critical Care Units.  
 
Gelareh Zadeh:
Gelareh completed her Royal College Fellowship in Neurosurgery and PhD in molecular biology of brain tumor angiogenesis at the University of Toronto in 2006. From 2006-2008, she was awarded a Cancer Care Ontario Fellowship to complete radiobiology training at University College London. During this time she was a consultant neurosurgeon at Queen’s Square, University College London, UK, as a lead neuro-oncology neurosurgeon. In 2008, she returned as a CIHR Clinician-Scientist and neurosurgeon to the Toronto Western Hospital and is Assistant Professor at the University of Toronto. Her clinical and research focus is in neuro-oncology, with specialization in skull base surgery, specifically minimally invasive endoscopic approaches to anterior skull base and sellar/parasellar lesions. 
 
John Theodoropoulos:
John earned his medical degree at Queen's University and completed his residency in Orthopaedic Surgery at McGill University. He completed a Fellowship in Sports Medicine at the University of Illinois Chicago and just recently successfully defended his thesis on cartilage regeneration at the University of Toronto.  John is an active staff member of the Division of Orthopaedic Surgery of the Department of Surgery at Mount Sinai Hospital and Women's College Hospital and Lecturer at the University of Toronto. He has received several teaching awards from the Department of Surgery at McGill University. John was a physician for the men's hockey tournament at the Vancouver 2010 Winter Olympic Games and consults for several professional and amateur teams throughout the city.  
HONOURS AND AWARDS
Greg Borschel was one of 28 winners in the GTA for the Ontario Early Researcher Awards (ERA). Greg is an Associate Scientist, Physiology and Experimental Medicine and Plastic Surgeon at SickKids and Assistant Professor, Departments of Surgery and Biomaterials, and Biomedical Engineering at the University of Toronto. He received the ERA funding in support of his project “Enhancing Recovery Following Nerve Injury” using growth factors and electrical stimulation.
 
Toni Zhong and co-investigators Nancy Baxter, Stefan Hofer, Mitch Brown, Brett Beber and John Semple were successful in the Canadian Breast Cancer Foundation - Ontario Region Research Project Grant Program Fall 2011 competition.  They were awarded $368,449 over 3 years for their study entitled“The use of human acellular dermal matrix in one-stage implant breast reconstruction: A multicenter, randomized, controlled trial”.
 
Anand Ghanekar received a 1 year renewal for his CIHR Phase 1 Clinician-Scientist Award.
 
Ben Alman and Robin McLeod were elected to Fellowship in the Canadian Academy of Health Sciences (CAHS).  Fellows of the Academy are elected on the basis of their demonstrated leadership, creativity, distinctive competencies and commitment to advance academic health sciences. Membership is considered one of the highest honours for members of the Canadian health sciences community.

Charles Tator and Michael Fehlings have been awarded the Reeve-Irvine Research Medal for Spinal Cord Injury Research. The Medal recognizes an individual, or individuals, who have made highly meritorious scientific contributions in the area of spinal cord repair, and whose research has stood the test of time and scrutiny. Founded by Joan Irvine Smith in honour of Christopher Reeve, this is the first time the Medal has been presented to a University of Toronto team.
 
Darlene Fenech is the recipient of the 2011-2012 Peters-Boyd Academy Teaching Award for Teaching in Clerkship.
 
Darius Bagli has been selected as the 2012 American Urological Association (AUA) Foundation Distinguished Mentor. 
 
George Christakis is the recipient of the 2011-2012 Peters-Boyd Academy Teaching Award for Outstanding Contribution by a Member of the Faculty.  
 
HIGH IMPACT PAPERS HOT OFF THE PRESS
Alahmadi H, Lee D, Wilson JR, Hayhurst C, Mete O, Gentili F, Asa SL, Zadeh G:  Clinical features of silent corticotroph adenomas.  Acta Neurochirurgica (Wien), May 24, 2012. [Epub ahead of print]
 
Alkins R, Matouk CC, Cruz JP, Marotta T, Montanera W, Spears J:  Carotid artery angioplasty and stenting patients less than 70 years-of-age.  Canadian Journal of Neurological Sciences, 39(3):338-342, 2012.
 
Boggild M, Tator CH: Concussion knowledge among medical students and neurology/neurosurgery residents.  Canadian Journal of  Neurological Sciences, 39(3):361-368, 2012.
 
Cook DJ, Kan S, Ai J, Kasuya H, Macdonald RL:  Cisternal sustained release dihydropyridines for subarachnoid hemorrhage.  Current Neurovascular Research, 9(2):139-148, 2012.
 
Diamond IR, Pencharz PB, Feldman BM, Ling SC, Moore AM, Wales PW:  Novel lipid-based approaches to pediatric intestinal failure-associated liver disease.  Archives of Pediatric Adolescent Medicine, 166(5):473-478, 2012.
 
Hamani C, Machado DC, Hipolide DC, Dubiela FP, Suchecki D, Macedo CE, Tescarollo F, Martins U, Covolan L, Nobrega JN:  DeepBrainStimulation reverses anhedonic-like behavior in a chroic model of depression: Role of serotonin and brain derived neurotrophic factor.  Biological Psychiatry, 71(1): 30-35, 2012.
 
Hasan D, Hashimoto T, Kung D, Macdonald RL, Winn HR, Heistad D:  Upregulation of cyclooxygenase-2 (COX-2) and microsomal prostaglandin E2 synthase-1 (mPGES-1) in wall of ruptured human cerebral aneurysms: Preliminary results. Stroke, May 15, 2012. [Epub ahead of print]
 
Hatta K, Huang ML, Weisel RD, Li RK:  Culture of rat endometrial telocytes.  Journal of Cellular and Molecular Medicine, May 2, 2012. [Epub ahead of print]
 
Hoang-Kim A, Beaton D, Bhandari M, Kulkarni AV, Schemitsch E:  The need to standardize functional outcome in randomized trials of hip fracture:  A review using the ICF framework.  Journal of Orthopaedic Trauma, April 24, 2012. [Epub ahead of print]
 
Horovitz D, Turker P, Bostrom PJ, Mirtti T, Nurmi M, Kuk C, Kulkarni G, Fleshner NE, Finelli A, Jewett MA, Zlotta AR:  Does patient age affect survival after radical cystectomy?  British Journal of Urology, International, May 2, 2012.  [Epub ahead of print]
 
Ibrahim GM, Fallah A, Albert GW, Withers T, Otsubo H, Ochi A, Akiyama T, Donner EJ, Weiss S, Snead OC, Drake JM, Rutka JT:  Occipital lobe epilepsy in children: Characterization, evaluation and surgical outcomes.  Epilepsy Research, 99:335-345, 2012.
 
Ibrahim GM, Snead CO 3rd, Rutka JT, Lozano AM:  The most cited works in epilepsy: Trends in the “Citation classics”.  Epilepsia, 53(5):765-770, 2012.
 
Jacques F, Kotani Y, Deva DP, Moller T, Oechslin E, Horlick E, Osten M, Crean A, Benson LN, Wintersperge BJ, Caldarone CA:  Left main coronary artery compression long term after repair of conotruncal lesions: The bow string conduit.  Annals of Thoracic Surgery, May 8, 2012. [Epub ahead of print]
 
Kron K, Liu L, Trudel D, Pethe V, Trachtenberg J, Fleshner N, Bapat B, van der Kwast T:  Correlation of ERG Expression and DNA Methylation Biomarkers with Adverse Clinicopathologic Features of Prostate Cancer, Clinical Cancer Research, 18(10):2896-2904, 2012.
 
Macdonald RL: Editorial: Outcome after aneurismal subarachnoid hemorrhage.  Journal of Neurosurgery, April 27, 2012. [Epub ahead of print]
 
Margel D, Fleshner N:  The role of 5-alpha-reductase inhibitors in active surveillance.  Current Opinion in Urology, 22(3):243-246, 2012.
 
Milde T, Hielscher T, Witt H, Kool M, Mack SC, Deubzer HE, Oehme I, Lodrini M, Benner A, Taylor MD, von Deimling A, Kulozik AE, Pfister SM, Witt O, Korshunov A:  Nestin expression identifies ependymoma patients with poor outcome.  Brain Pathology, May 9, 2012. [Epub ahead of print]
 
Oyaizu T, Fung SY, Shiozaki A, Guan Z, Zhang Q, Dos Santos CC, Han B, Mura M, Keshavjee S, Liu M:  Src tyrosine kinase inhibition prevents pulmonary ischemia-reperfusion-induced acute lung injury.  Intensive Care Medicine, 38(5):894-905, 2012. 
 
Sananes R, Manlhiot C, Kelly E, Hornberger LK, Williams WG, Macgregor D, Buncic R, McCrindle BW:  Neurodevelopmental outcomes after open heart operations before 3 months of age.  Annals of Thoracic Surgery, 93(5):1577-83, 2012.
 
Sandhu L, Fox A, Nhan C, Barnett H, McLeod RS, Gallinger S, Moulton CA:  Assessing the management of hepatic colorectal cancer metastases: Is treatment consistent in Ontario?  Hepato-Pancreato-Biliary Association,14:409-13, 2012.
 
Shahzad U, Li G, Zhang Y, Yau TM:  Transmyocardial revascularization induces mesenchymal stem cell engraftment in infarcted hearts.  Annals of Thoracic Surgery, April 25, 2012. [Epub ahead of print]
 
Smith GS, Laxton AW, Tang-Wai DF, McAndrews MP, Diaconescu AO, Workman CI, Lozano AM:  Increased cerebral metabolism after 1 year of deep brain stimulation in Alzheimer Disease.  Archives of Neurology. May 7, 2012. [Epub ahead of print]
 
Stelfox HT, Straus SE, Nathens A, Gruen RL, Hameed SM, Kirkpatrick A:  Trauma center quality improvement programs in the United States, Canada, and Australasia.  Annals of Surgery, May 10, 2012. [Epub ahead of print]
 
Suri M, Dicken B, Nation PN, Wizzard P, Turner JM, Wales PW:  The next step?  Use of tissue fusion technology to perform the serial transverse enteroplasty-proof of principle.  Journal of Pediatric Surgery, 47(5):938-943, 2012.
 
Syed KA, Kuzyk PR, Yoo DJ, Zdero R, Richards RR, Schemitsch EH:  Changes in femoral cortical porosity after reaming and intramedullary canal preparation in a canine model.  Journal of Arthroplasty, April 30, 2012. [Epub ahead of print]
 
Tsang EW, Hamani C, Moro E, Mazzella F, Saha U, Lozano AM, Hodaie M, Chuang R, Steeves T, Lim SY, Neagu B, Chen R:  Subthalamic deep brain stimulation at individualized frequencies for Parkinson disease.  Neurology, May 16, 2012. [Epub ahead of print]
 
Wilson JR, Singh A, Craven C, Verrier MC, Drew B, Ahn H, Ford M, Fehlings MG:   Early versus late surgery for traumatic spinal cord injury: The results of a prospective Canadian cohort study.  Spinal Cord, May 8, 2012. [Epub ahead of print]
 
Zevin B, Aggarwal R, Grantcharov TP:  Volume-outcome association in bariatric surgery: A systematic review.  Annals of Surgery, May 11, 2012. [Epub ahead of print]
 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