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MESSAGE FROM THE CHAIR

This month we learned of the excellent results from the 2015 Canadian Resident Matching Service (CaRMS) for postgraduate medical education (PGME) at the University of Toronto.  I am very pleased to report to you that all positions in the surgical programs were filled in the first iteration.  The PGY1 resident entry positions were comprised of 34 Canadian Medical Graduate (CMG) positions, and 5 International Medical Graduate (IMG) positions for a total of 39 new residents across our 7 Divisions.  In speaking with the majority of Chairs and Program Directors across these Divisions, I learned that most programs matched their top candidates from across Canada.  Most of our programs have kept new entry PGY1 residency slots at an equilibrilium over the past several years.  The one exception has been Orthopaedics in which fewer residents have been selected in recent years, in part in response to the workforce challenges that have been identified with graduating residents in this specialty.  We are learning that it is very unlikely that residency programs will be expanding over the next few years; rather, if anything, the government may be contracting the number of residency positions at the University of Toronto.  Of course, we will be watching these trends closely.  I think we can be very satisfied and proud that the surgical programs at the University of Toronto are so highly sought after amongst medical students.  For this, we must thank our many program assistants, residency selection committees, and other faculty and staff who have made our very successful match results possible.  Congratulations and special thanks must also be given to our Program Directors, and their tireless efforts in promulgating the benefits of the residency programs in Toronto, and they include:  Najma Ahmed, General Surgery; Gideon Cohen, Cardiac Surgery; Abhaya Kulkarni, Neurosurgery; Markku Nousiainen, Orthopaedics; Mitch Brown, Plastic and Reconstructive Surgery; Rob Stewart, Urology; and George Oreopoulos, Vascular Surgery.  In these times of considerable change in surgical education, I am delighted that our residency programs will be maintained at their high levels of performance through the recruitment of the best and brightest students from medical schools.  Congratulations once again to all!
 

Sincerely,  


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

UPCOMING EVENTS

Department of Surgery University Rounds
Palmer Lecture
Friday, April 10, 2015 Dr. Timothy M. Pawlik Professor of Surgery and Oncology John Hopkins Hospital
Auditorium, Mt. Sinai Hospital
“Perioperative Blood Management:  Understanding Variation and Minimizing Overutilization”
 
Department of Surgery Hockey Tournament
Sunday, April 12, 2015, 1:00 – 3:00 p.m., Varsity Arena
If you would like to play, please contact Stephanie at s.neilson@utoronto.ca
 
55th Annual Update in General Surgery
April 23-25, 2015
Hilton Toronto Downtown Hotel
www.cpd.utoronto.ca/generalsurgery/
 
Gallie Day
Friday, May 8, 2015
MaRS Complex (101 College Street), Dr. Clifford Ko, Professor, Department of Surgery will be the Gordon Murray Lecturer.
 
2nd Annual Canadian Burn Symposium
May 25-26, 2015
Toronto Westin Harbour Castle Hotel
Guest Speaker: Dr. Steven Wolf, UT Southwestern, Dallas, Texas
www.cpd.utoronto.ca/cdnburnsymposium/
 
 


UPCOMING EVENTS

SpineFEST 2015
Monday, June 8, 2015, 7 a.m. – 4 p.m.
MaRS Auditorium
Professor Wilco Peul, Invited Keynote Speaker
“Societal Impact & Added Value of spine surgery.
 
Toronto Thoracic Surgery Refresher Course
June 19-20, 2015
Sheraton Centre Toronto Hotel
www.torontothoracicrefresher.ca/

RECENT EVENTS  

U. of T. Vascular Surgery Strategic Planning Retreat
Saturday, February 28, 2015, Hart House

NEWSWORTHY ITEMS

U of T first in Canada, 16th in academic world rankings!
http://news.utoronto.ca/new-ranking-places-u-t-first-canada-16th-world?utm_source=Bulletin&utm_medium=Email&utm_content=Lead
 
Bernie Langer, (Surgical Alumnus) was featured in the faculty of medicine alumni news.
http://livinghistory.med.utoronto.ca/people/dr-bernard-langer
 
Michael Dan (Surgical Alumnus) has been appointed to the Order of Ontario!
Michael is a former neurosurgeon and one of the province's most generous philanthropists, supporting hospitals, local charities, First Nations health and human rights initiatives. Michael (left) is shown here with his father, another well known UofT supporter and philanthropist, Leslie Dan, also a member of the Order of Ontario. 
 



Dr. George Oreopoulos (Vascular Surgery) has been appointed as the new Director of Postgraduate Education in Surgery for University Health Network.  
 
Continuing Appointment Review (CAR)
The following Continuing Appointment Review (CAR) took place in February under the leadership of Ori Rotstein, Associate Chair, Department of Surgery.  
 
Christine Novak is an Associate Professor with the Division of Plastic & Reconstructive Surgery, Department of Surgery, University of Toronto; a Scientist at the Toronto Rehabilitation Institute and a Research Associate at the University Health Network in the Hand Program (Toronto Western Hospital) and the Wharton Head & Neck Centre.  She has a Bachelor of Science (Honours Kinesiology) from the University of Waterloo.  She has a Bachelor of Science in Physical Therapy and a Master of Science degree from the University of Toronto.  In 2010, she completed her PhD at the Institute of Medical Science at the University of Toronto.  Her research focus is in the area of clinical outcomes and assessment of patients with musculoskeletal disorders, particularly nerve injury, nerve compression, cold sensitivity and factors related to upper extremity disability.  Left to right:  S. Hofer, C. Forrest, C. Novak, S. McCabe, G. Fernie
 
 
RECENT TWEETS
Mar 16
Paul Kalanithi, a neurosurgery resident at Stanford, succumbs from lung cancer. Read his parting words at: ‪http://www.washingtonpost.com/news/inspired-life/wp/2015/03/12/before-i-go-a-stanford-neurosurgeons-parting-wisdom-about-life-and-time/?tid=sm_fb …

 
HONOURS AND AWARDS
 
Michael Cusimano (Neurosurgery) is the recipient of the Jameel Ali Continuing Education Award. The award this year recognizes exceptional contributions to education beyond the walls of St. Michael’s Hospital.  Dr. Cusimano’s outreach in head injury prevention is broadly recognized by the lay press and has had considerable impact on the community.
 
Karen Davis (Scientist) is a co-investigator on a two-year grant from the MSH-UHN AHSC AFP Innovation Fund for the project entitled “Ketamine infusion for refractory neuropathic pain - prediction and  correlation of clinical outcomes with functional magnetic resonance  imaging.” 
 
John Honey (Urology) has been selected as this year's winner of the James Waddell Mentoring Award. This award recognizes excellent mentoring of junior Faculty in the Division of Urology at St. Michael's.
 
Michael McKee (Orthopaedics) has been selected as the winner of the William Horsey Postgraduate Education Award.  This award recognizes excellent TES scores and commitment of time and effort to residents in surgery.  This is the second time Michael has won this award over the past 10 years. 

Agostino Pierro (General Surgery) has been selected to receive this year’s ICCO (Italian Chamber of Commerce of Ontario) Arts, Science and Culture Award.  This award honours individuals who have made a significant contribution to the cultural and intellectual life of Canada through their ground breaking and innovative work in the field of Arts, Culture and/or Academia.
 
 
HIGH IMPACT PAPERS HOT OFF THE PRESS

Amenabar T, Rahman WA, Hetaimish BM, Kuzyk PR, Safir OA, Gross AE.  Promising Mid-term Results With a Cup-cage Construct for Large Acetabular Defects and Pelvic Discontinuity.  Clin Orthop Relat Res. 2015 Feb 25.
 
Angarita FA, Chesney T, Elser C, Mulligan AM, McCready DR, Escallon J.  Treatment patterns of elderly breast cancer patients at two Canadian cancer centres.  Eur J Surg Oncol. 2015 Feb 7.
 
Aquino CC, Lozano AM, Lang AE.  Deep brain stimulation for Parkinson disease in elderly individuals.  JAMA Neurol. 2015 Mar 1;72(3):367.
 
Chen DQ, Strauss I, Hayes DJ, Davis KD, Hodaie M.  Age-Related Changes in Diffusion Tensor Imaging Metrics of Fornix Subregions in Healthy Humans.  Stereotact Funct Neurosurg. 2015 Mar 18;93(3):151-159.
 
Deb S, Souza DS, Fremes SE.  Composite vein grafting: Is it a "Y's" decision?  J Thorac Cardiovasc Surg. 2015 Feb;149(2):494-5.
 
DeSouza DD, Davis KD, Hodaie M.  Reversal of Insular and Microstructural Nerve Abnormalities Following Effective Surgical Treatment for Trigeminal Neuralgia.
Pain. 2015 Mar 9.
 
Diaz RJ, Golbourn B, Faria C, Picard D, Shih D, Raynaud D, Leadly M, MacKenzie D, Bryant M, Bebenek M, Smith CA, Taylor MD, Huang A, Rutka JT.  Mechanism of action and therapeutic efficacy of Aurora kinase B inhibition in MYC overexpressing medulloblastoma.  Oncotarget. 2015 Feb 20;6(5):3359-74.
 
Dos Santos J, Varghese A, Farhat W.  Urotherapy for tear production with painless urination.  Urology. 2015 Mar;85(3):667-70.
 
Etminan N, Macdonald RL.  Computational Fluid Dynamics and Intracranial Aneurysms - Higher Mathematics Meets Complex Biology.  World Neurosurg. 2015 Feb 27. .
 
Fathalla H, Cusimano M, Di Ieva A, Karamchandani J, Fung R, Kovacs K.  Osteomalacia Inducing Tumors of the Brain; a case report, review and a hypothesis.  World Neurosurg. 2015 Mar 3.
 
Fox IK, Davidge KM, Novak CB, Hoben G, Kahn LC, Juknis N, Ruvinskaya R, Mackinnon SE.  Use of peripheral nerve transfers in tetraplegia: evaluation of feasibility and morbidity.  Hand (N Y). 2015 Mar;10(1):60-7.
 
Gagliardi AR, Nathens AB.  Exploring the characteristics of high-performing hospitals that influence trauma triage and transfer.  J Trauma Acute Care Surg. 2015 Feb;78(2):300-5.
 
Grosman-Rimon L, Jacobs I, Tumiati LC, McDonald MA, Bar-Ziv SP, Fuks A, Kawajiri H, Lazarte J, Ghashghai A, Shogilev DJ, Cherney DZ, Rao V.  Longitudinal assessment of inflammation in recipients of continuous-flow left ventricular assist devices.  Can J Cardiol. 2015 Mar;31(3):348-56.
 
Haller C, Honjo O, Bradley T, Dragulescu A, Van Arsdell GS.  Atresia of the ascending aorta in hypoplastic left heart syndrome.  Circulation. 2015 Mar 10;131(10):925-6.
 
Haykal S, Arad E, Bagher S, Lai C, Hohman M, Hadlock T, Zuker RM, Borschel GH.  The Role of Botulinum Toxin A in the Establishment of Symmetry in Pediatric Paralysis of the Lower Lip.  JAMA Facial Plast Surg. 2015 Mar 5.
 
Herschorn S.  Highlights of the University of Toronto urology update 2014.  Can Urol Assoc J. 2015 Jan-Feb;9(1-2Suppl):S3-9.
 
Herschorn S.  New developments in urology: urology update 2014.  Can Urol Assoc J. 2015 Jan-Feb;9(1-2Suppl):S1-2.
 
Jang R, Darling G, Wong RK.  Multimodality Approaches for the Curative Treatment of Esophageal Cancer.  J Natl Compr Canc Netw. 2015 Feb;13(2):229-238.
 
Jerath A, Beattie SW, Chandy T, Karski J, Djaiani G, Rao V, Yau T, Wasowicz M; Perioperative Anesthesia Clinical Trials Group.  Volatile-Based Short-Term Sedation in Cardiac Surgical Patients: A Prospective Randomized Controlled Trial.  Crit Care Med. 2015 Mar 9.
 
Khambati A, Wehbi E, Farhat WA.  Laparo-endoscopic single site surgery in pediatrics: Feasibility and surgical outcomes from a preliminary prospective Canadian experience.  Can Urol Assoc J. 2015 Jan-Feb;9(1-2):48-52.
 
Khella HW, Scorilas A, Mozes R, Mirham L, Lianidou E, Krylov SN, Lee JY, Ordon M, Stewart R, Jewett MA, Yousef GM.  Low Expression of miR-126 Is a Prognostic Marker for Metastatic Clear Cell Renal Cell Carcinoma.  Am J Pathol. 2015 Mar;185(3):693-703.
 
Kidane B, Plourde M, Chadi SA, Iansavitchene A, Meade MO, Parry NG, Forbes TL.  The effect of loss to follow-up on treatment of blunt traumatic thoracic aortic injury.  J Vasc Surg. 2015 Mar 10.
 
Klotz L.  Defining 'progression' and triggers for curative intervention during active surveillance.  Curr Opin Urol. 2015 Feb 24.
 
Ko M, Dos Santos PR, Machuca TN, Marseu K, Waddell TK, Keshavjee S, Cypel M.  Use of single-cannula venous-venous extracorporeal life support in the management of life-threatening airway obstruction.  Ann Thorac Surg. 2015 Mar;99(3):e63-5.
 
Korus LJ, Cypel T, Zhong T, Wu AW.  Patient-reported outcome measures in reconstructive breast surgery: is there a role for generic measures?  Plast Reconstr Surg. 2015 Mar;135(3):479e-90e.
 
Lantz AG, Honey RJ.  Lumbar plexopathy as a complication of percutaneous nephrolithotomy in a horseshoe kidney.  Can Urol Assoc J. 2015 Jan-Feb;9(1-2):e78-80.
 
Logan AG, Diaconita V, Ing DJ, Oreopoulos GD, Floras JS, Rajan DK.  Acute renal failure after renal denervation.  J Vasc Interv Radiol. 2015 Mar;26(3):450-1.
 
Mansouri A, Chan V, Njaramba V, Cadotte DW, Albright AL, Bernstein M.  Sources of delayed provision of neurosurgical care in a rural Kenyan setting.  Surg Neurol Int. 2015 Feb 25;6:32.
 
Mistry M, Zhukova N, Merico D, Rakopoulos P, Krishnatry R, Shago M, Stavropoulos J, Alon N, Pole JD, Ray PN, Navickiene V, Mangerel J, Remke M, Buczkowicz P, Ramaswamy V, Guerreiro Stucklin A, Li M, Young EJ, Zhang C, Castelo-Branco P, Bakry D, Laughlin S, Shlien A, Chan J, Ligon KL, Rutka JT, Dirks PB, Taylor MD, Greenberg M, Malkin D, Huang A, Bouffet E, Hawkins CE, Tabori U.  J Clin Oncol. 2015 Mar 20;33(9):1015-22.
 
Novak CB, Williams MM, Conaty K.  Evaluation of the Patient-Specific Functional Scale in hand fractures and dislocations.  Hand (N Y). 2015 Mar;10(1):85-7.
 
Parisi A, Nguyen NT, Reim D, Zhang S, Jiang ZW, Brower ST, Azagra JS, Facy O, Alimoglu O, Jackson PG, Tsujimoto H, Kurokawa Y, Zang L, Coburn NG, Yu PW, Zhang B, Feng Q, Coratti A, Annecchiarico M, Novotny A, Goergen M, Lequeu JB, Eren T, Leblebici M, Al-Refaie W, Takiguchi S, Junjun MA, Zhao YL, Liu T, Desiderio J.  Current status of minimally invasive surgery for gastric cancer: A literature review to highlight studies limits.  Int J Surg. 2015 Mar 7.
 
Platt J, Baxter NN, McLaughlin J, Semple JL.  Does breast reconstruction after mastectomy for breast cancer affect overall survival? Long-term follow-up of a retrospective population-based cohort.  Plast Reconstr Surg. 2015 Mar;135(3):468e-76e.
 
Sav A, Rotondo F, Syro LV, Di Ieva A, Cusimano MD, Kovacs K.  Invasive, Atypical and Aggressive Pituitary Adenomas and Carcinomas.  Endocrinol Metab Clin North Am. 2015 Mar;44(1):99-104.
 
Schneider C, Ramaswamy V, Kulkarni AV, Rutka JT, Remke M, Tabori U, Hawkins C, Bouffet E, Taylor MD.  Clinical implications of medulloblastoma subgroups: incidence of CSF diversion surgery.  J Neurosurg Pediatr. 2015 Mar;15(3):236-42.
 
Tetreault L, Singh A, Fawcett M, Nater A, Fehlings MG.  An Assessment of the Key Predictors of Perioperative Complications in Patients with Cervical Spondylotic Myelopathy Undergoing Surgical Treatment: Results from a Survey of 916 AOSpine International Members.  World Neurosurg. 2015 Feb 11.
 
Tourmousoglou C, Rao V, Lalos S, Dougenis D.  What is the best approach in a patient with a failed aortic bioprosthetic valve: transcatheter aortic valve replacement or redo aortic valve replacement?  Interact Cardiovasc Thorac Surg. 2015 Mar 8.
 
Tse LW, Lindsay TF, Roche-Nagle G, Oreopoulos GD, Ouzounian M, Tan KT.  Radiofrequency in situ fenestration for aortic arch vessels during thoracic endovascular repair.  J Endovasc Ther. 2015 Feb;22(1):116-21.
 
Tso MK, Macdonald RL.  Neuro-ophthalmic Assessment in Unruptured Intracranial Aneurysms.  World Neurosurg. 2015 Mar 6.
 
Wallis CJ, Cheung P, Herschorn S, Saskin R, Su J, Klotz LH, Kulkarni GS, Lee Y, Kodama RT, Narod SA, Nam RK.  Complications following surgery with or without radiotherapy or radiotherapy alone for prostate cancer.  Br J Cancer. 2015 Mar 17;112:977-82.
 
Wallis CJ, Herschorn S, Saskin R, Su J, Klotz LH, Chang M, Kulkarni GS, Lee Y, Kodama RT, Narod SA, Nam RK.  Complications After Radical Prostatectomy or Radiotherapy for Prostate Cancer: Results of a Population-based, Propensity Score-matched Analysis.  Urology. 2015 Mar;85(3):621-8.
 
Wang X, Dubuc AM, Ramaswamy V, Mack S, Gendoo DM, Remke M, Wu X, Garzia L, Luu B, Cavalli F, Peacock J, López B, Skowron P, Zagzag D, Lyden D, Hoffman C, Cho YJ, Eberhart C, MacDonald T, Li XN, Van Meter T, Northcott PA, Haibe-Kains B, Hawkins C, Rutka JT, Bouffet E, Pfister SM, Korshunov A, Taylor MD.  Medulloblastoma subgroups remain stable across primary and metastatic compartments.  Acta Neuropathol. 2015 Mar;129(3):449-57.
 
Wong CS, Fehlings MG, Sahgal A.  Pathobiology of radiation myelopathy and strategies to mitigate injury.  Spinal Cord. 2015 Mar 24.  
 
Wong LM, Ferrara S, Alibhai SM, Evans A, Van der Kwast T, Trottier G, Timilshina N, Toi A, Kulkarni G, Hamilton R, Zlotta A, Fleshner N, Finelli A.  Diagnostic prostate biopsy performed in a non-academic center increases the risk of re-classification at confirmatory biopsy for men considering active surveillance for prostate cancer.  Prostate Cancer Prostatic Dis. 2015 Mar;18(1):69-74.
 
Yla-Kotola T, Goldstein DP, Hofer SO, Patel SN, Brown DH, Irish JC, Gullane PJ, Gilbert R.  Facial Nerve Reconstruction and Facial Disfigurement after Radical Parotidectomy.  J Reconstr Microsurg. 2015 Mar 13. 
 
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