December 2013
Volume 3, Issue 4
| http://surgery.utoronto.ca |
December 2013
Volume 3, Issue 4
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MESSAGE FROM THE CHAIR
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 When it comes to organizing surgical meetings and events these days, it is fair to say that we live in an increasingly complex environment. For example, gone are the days when we could ask any one of our industry partners to support hospital rounds or conferences by providing food and/or refreshments. No longer is it appropriate for us to attend a dinner event that is labeled as an educational event that is wholly industry-sponsored. Thankfully, the Faculty of Medicine has recently completed a policy which can guide us for best practices between Faculty, its academic units and members, and industry. This policy was approved by Faculty Council on February 11, 2013. Some of the standards worth sharing with you in the Department of Surgery at this time include the following: 1) While industry representatives should not ordinarily take part in patient care, the demonstration by industry representatives of the technical use of equipment, including implantable devices is acceptable; 2) Gifts (including food and entertainment) must not be accepted from industry; 3) If funding from industry is solicited for an educational event, the funding must be in the form of an unrestricted grant in which the donor has no influence over the program content or choice of speakers; 4) All speakers at educational events must fully disclose any potential Conflict of Interest with industry; 5) Any commercial displays at a Continuing Education (CE) event should be in a separate room from educational activities; 6) Faculty members may receive compensation for provision of special expertise in consultation with industry, but this compensation should be commensurate with the work done; 7) Faculty members should not participate in Speakers’ Bureaus; and 8) Each clinical (MD) full-time faculty member will annually file a confidential disclosure form with the Department Chair for all sums in excess of $5,000 annually received from a single source (with some exceptions). Monitoring of conflicts of interest for faculty in the Department of Surgery lies within the Department. To achieve this end, we will be expecting all full-time clinical faculty to complete an annual disclosure form for submission to the Department. I will then report declarations annually to the Dean. While some of these processes may seem onerous, I assure you that tremendous effort and care went into creating this policy with input from the Department of Surgery. For those of you interested in reading the entire policy, it can be found at: Click here.Sincerely, James T. Rutka, MD, PhD, FRCSC RS McLaughlin Chair |
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UPCOMING EVENTS Department of Surgery University Rounds |
11th Biennial Canadian Orthopaedic Foot and Ankle Symposium April 11-12, 2014
Eaton Chelsea, Toronto
Toronto, Ontario, Canada For more information: http://www.cepd.utoronto.ca/footankle/ Phone: 416.978.2719/1.888.512.8173 Email: info-SUR1405@cepdtoronto.ca Competency Based Training Program Workshop April 25, 2014 MaRS Discovery District Toronto, Ontario, Canada For more information: http://www.competency-based-training.com/ Phone: 416.978.2719/1.888.512.8173 Email: info-SUR1406@cepdtoronto.ca 1st Annual Canadian Burn Symposium May 26-27, 2014 Toronto Westin Harbour Castle Toronto, Ontario, Canada For more information click here. Phone: 416.978.2719/1.888.512.8173 Email: info-SUR1401@cepdtoronto.ca RECENT EVENTS
 Clinical Epidemiology University Rounds were held on Friday, December 6, 2013 at The Hospital for Sick Children. Dr. Caprice Greenberg, Director, Wisconsin Surgical Outcomes Research Program spoke on “Coaching for Surgical Performance Improvement”. Photo left to right: C. Greenberg and D. Urbach.
 The Division of Neurosurgery at The Hospital for Sick Children celebrated 80 years of pediatric neurosurgery with a reunion of past Fellows on Friday, December 6, 2013.
 The 12 Annual Charles Tator-Barbara Turnbull Lecture took place on Friday, November 29, 2013 at the Toronto Reference Library. Photo from left to right: M. Fehlings, C. Tator, J. Rutka, A. Yee.
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NEWSWORTHY ITEMS
In Memoriam
 Dr. Ross Fleming (Neurosurgery), passed away on December 1, 2013. Dr. Fleming graduated from medical school at the University of Toronto in 1947 and completed his neurosurgical residency in Toronto in 1956. During his residency, he completed additional training in neuroanatomy and neurosurgery in Oxford, England and Ann Arbor, Michigan. Ross joined the neurosurgical staff at Toronto Western Hospital that year, and he assumed the role of Division Head of Neurosurgery there from 1965 until 1984. Dr. Fleming received awards for exceptional and distinguished service from the AANS and CNS, and in 1990 the Neurosurgical Intensive Care Unit at the Toronto Hospital was renamed the Fleming Neurosurgical Intensive Care Unit in his honor. He was also a dedicated teacher and mentor, who stressed the importance of surgeons being involved in undergraduate teaching. He served as Associate Dean of Faculty of Medicine at the University of Toronto. His contributions to neurosurgical education were recognized in 1992 by the creation of the Ross Fleming Surgical Educator Award, presented annually for excellence in undergraduate or postgraduate teaching at the University of Toronto.Bryce Taylor Gives Raimondi Lecture at the AANS/CNS Section on Pediatric Neurological Surgery Meeting  held in Toronto. He spoke on “Medical Leadership: Ten Things I’ve Learned” on December 4 at the Westin Harbour Castle. Following the lecture, Bryce took part in a book signing event in the exhibit hall to great acclaim. Appointment of Head, Division of General Surgery, NYGH Nancy Down has been appointed as the Head of the Division of General Surgery, North York General Hospital as of December 1, 2013 following in the steps of Donna McRitchie. Nancy has been an active member of the Division since 1994. She is the Physician Lead of the Breast Integrated Care Collaborative and has been the Deputy Chief of Surgery since 2003. New Appointment to the Department of Surgery Please help me welcome the following new appointee to the Department of Surgery!  Dr. Jory Simpson has joined the Division of General Surgery at St. Michael’s Hospital as Assistant Medical Director of the CIBC Breast and Lecturer at the University of Toronto. Dr. Simpson obtained his undergraduate degree in Psychology from McGill University and then completed medical school at the University of British Columbia in 2006. He subsequently completed his General Surgery residency training at the University of Toronto and then a Fellowship in Breast Surgical Oncology funded by the Canadian Breast Cancer Foundation. His academic and research interests are in improving breast cancer outcomes in disenfranchised populations and he is completing his Masters degree at the Ontario Institute for Studies in Education with a focus on Adult Education and Community Development. His clinical practice is focused on providing care to patients with both benign and malignant breast diseases. Education Development Fund – Call for Applications 2014 The Council of Education Deans is pleased to announce that applications for this year’s Education Development Fund (EDF) are now being accepted. This year’s application deadline is: March 14th, 2014, 12:00pm (NOON). Funded by the Education Vice-Deans, the Education Development Fund is intended to support new and innovative projects that align with our Faculty’s strategic directions in education around the core values of innovation, integration and impact in education. Late applications will not be accepted. More information about the competition and application process can be found online at http://www.facmed.utoronto.ca/about/governance/council/edf.htm Hockey Night at UofT  On December 14th, 2013, residents, fellows and faculty in the Department of Surgery laced up and took to the ice at Varsity Arena for another hockey tournament. On this occasion, a team fielded by General Surgery defeated Orthopaedics, 6-2; and Urology came out on top in a match against a collection of players in Plastic and Reconstructive Surgery, and Neurosurgery, 5-3. The accompanying photos demonstrate the new Department of Surgery Hockey Sweaters that will be used in all future hockey matches. The next tournament is scheduled for February 2014. Details to follow. HONOURS AND AWARDS
James Drake, Mojgan Hodaie (Neurosurgery)and partners at the Hospital for Sick Children and Thunder Bay Regional Research Institute received a three year, $1.5 million Brain Canada/Garfield Weston Foundation MIRI grant.
Mojgan Hodaie (Neurosurgery) has been appointed as an affiliate scientist with the Techna Institute at University Health Network. Mojgan Hodaie (Neurosurgery) has been selected as Chair of the scientific program for the Interim meeting of the World Society of Stereotactic and Functional Neurosurgery (WSSFN), Mumbai, India 2015. Andres Lozano, Mojgan Hodaie, Robert Chen and Ping Zhuang (Neurosurgery) received a three year CIHR grant for their work entitled “Role of the basal ganglia in inhibiting and promoting voluntary movements”. Andres Lozano (Neurosurgery) received the 2013 Margolese National Prize in Brain Disorders from the University of British Columbia. Robin McLeod (General Surgery) has received a 2013 Council Award from the College of Physicians and Surgeons of Ontario. Emil Schemitsch (Orthopaedics) has been elected President of the Canadian Arthoplasty Society for a 2 year term. Victor Yang (Neurosurgery) was awarded a 3 year NSERC grant as Co-Investigator for their work entitled “Controlling femtosecond laser processing: smart fibers, catheters, and lab-on-fiber concepts”. HIGH IMPACT PAPERS HOT OFF THE PRESS
Altoijry A, Al-Omran M, Lindsay TF, Johnston KW, Melo M, Mamdani M. Validity of vascular trauma codes at major trauma centres. Can J Surg. 2013 Dec;56(6):405-8.Amini-Nik S, Jeschke MG. What's New in Shock? December 2013. Shock. 2013 Dec;40(6):441-3. doi: 10.1097/SHK.0000000000000079. No abstract available. Bartels RH, Fehlings MG, Abumi K. Cervical spondylotic myelopathy: an update : Editorial. Eur Spine J. 2013 Nov 22. De Maio P, White LM, Bleakney R, Menezes RJ, Theodoropoulos J. Diagnostic Accuracy of an iPhone DICOM Viewer for the Interpretation of Magnetic Resonance Imaging of the Knee. Clin J Sport Med. 2013 Nov 26. [Epub ahead of print] Dold AP, Murnaghan L, Xing J, Abdallah FW, Brull R, Whelan DB. Preoperative Femoral Nerve Block in Hip Arthroscopic Surgery: A Retrospective Review of 108 Consecutive Cases. Am J Sports Med. 2013 Nov 27. [Epub ahead of print] Escott BG, Ravi B, Weathermon AC, Acharya J, Gordon CL, Babyn PS, Kelley SP, Narayanan UG. EOS Low-Dose Radiography: A Reliable and Accurate Upright Assessment of Lower-Limb Lengths.J Bone Joint Surg Am. 2013 Dec 4;95(23):e1831-7. doi: 10.2106/JBJS.L.00989. Fiaschetti G, Abela L, Nonoguchi N, Dubuc AM, Remke M, Boro A, Grunder E, Siler U, Ohgaki H, Taylor MD, Baumgartner M, Shalaby T, Grotzer MA. Epigenetic silencing of miRNA-9 is associated with HES1 oncogenic activity and poor prognosis of medulloblastoma. Br J Cancer. 2013 Dec 17. doi: 10.1038/bjc.2013.764. [Epub ahead of print] Figley SA, Khosravi R, Legasto JM, Tseng YF, Fehlings M. Characterization of Vascular Disruption and Blood-Spinal Cord Barrier Permeability Following Traumatic Spinal Cord Injury. J Neurotrauma. 2013 Nov 17. Gandhi R, Perruccio AV, Rizek R, Dessouki O, Evans HM, Mahomed NN. Obesity-Related Adipokines Predict Patient-Reported Shoulder Pain. Obes Facts. 2013 Dec 6;6(6):536-541. [Epub ahead of print] Goyal M, Tymianski M. Bottlenecks in Acute Stroke Care and Research: Solutions and Innovations. Stroke. 2013 Dec 17. [Epub ahead of print] Hung Y, Vetivelu A, Hird M, Yan M, Tam F, Graham SJ, Cusimano M, Schweizer TA. Using fMRI virtual-reality technology to predict driving ability after brain damage: A preliminary report. Neurosci Lett. 2013 Nov 6. Kilday JP, Bartels U, Huang A, Barron M, Shago M, Mistry M, Zhukova N, Laperriere N, Dirks P, Hawkins C, Bouffet E, Tabori U. Favorable survival and metabolic outcome for children with diencephalic syndrome using a radiation-sparing approach. J Neurooncol. 2013 Nov 12. Kleinman CL, Gerges N, Papillon-Cavanagh S, Sin-Chan P, Pramatarova A, Quang DA, Adoue V, Busche S, Caron M, Djambazian H, Bemmo A, Fontebasso AM, Spence T, Schwartzentruber J, Albrecht S, Hauser P, Garami M, Klekner A, Bognar L, Montes JL, Staffa A, Montpetit A, Berube P, Zakrzewska M, Zakrzewski K, Liberski PP, Dong Z, Siegel PM, Duchaine T, Perotti C, Fleming A, Faury D, Remke M, Gallo M, Dirks P, Taylor MD, Sladek R, Pastinen T, Chan JA, Huang A, Majewski J, Jabado N. Fusion of TTYH1 with the C19MC microRNA cluster drives expression of a brain-specific DNMT3B isoform in the embryonal brain tumor ETMR. Nat Genet. 2013 Dec 8. doi: 10.1038/ng.2849. [Epub ahead of print] Klironomos G, Bernstein M. Salvage stereotactic radiosurgery for brain metastases. Expert Rev Neurother. 2013 Nov;13(11):1285-95. Kopp MA, Druschel C, Meisel C, Liebscher T, Prilipp E, Watzlawick R, Cinelli P, Niedeggen A, Schaser KD, Wanner GA, Curt A, Lindemann G, Nugaeva N, Fehlings MG, Vajkoczy P, Cabraja M, Dengler J, Ertel W, Ekkernkamp A, Martus P, Volk HD, Unterwalder N, Kölsch U, Brommer B, Hellmann RC, Ossami Saidi RR, Laginha I, Prüss H, Failli V, Dirnagl U, Schwab JM. The SCIentinel study - prospective multicenter study to define the spinal cord injury-induced immune depression syndrome (SCI-IDS) - study protocol and interim feasibility data. BMC Neurol. 2013 Nov 9;13(1):168. Lipsman N, Woodside DB, Giacobbe P, Lozano AM. Neurosurgical treatment of anorexia nervosa: review of the literature from leucotomy to deep brain stimulation. Eur Eat Disord Rev. 2013 Nov;21(6):428-35. Luong ML, Chaparro C, Stephenson A, Rotstein C, Singer LG, Waters V, Azad S, Keshavjee S, Tullis E, Husain S. Pretransplant Aspergillus Colonization of Cystic Fibrosis Patients and the Incidence of Post-Lung Transplant Invasive Aspergillosis. Transplantation. 2013 Dec 3. [Epub ahead of print] Macdonald RL. Editorial: Haptoglobin genotype. J Neurosurg. 2013 Nov 29. [Epub ahead of print] No abstract available. Mahmud MS, May GR, Kamal MM, Khwaja AS, Sun C, Vitkin A, Yang VX. Imaging pancreatobiliary ductal system with optical coherence tomography: A review. World J Gastrointest Endosc. 2013 Nov 16;5(11):540-550. Miquel M, Spampinato U, Latxague C, Aviles-Olmos I, Bader B, Bertram K, Bhatia K, Burbaud P, Burghaus L, Cho JW, Cuny E, Danek A, Foltynie T, Garcia Ruiz PJ, Giménez-Roldán S, Guehl D, Guridi J, Hariz M, Jarman P, Kefalopoulou ZM, Limousin P, Lipsman N, Lozano AM, Moro E, Ngy D, Rodriguez-Oroz MC, Shang H, Shin H, Walker RH, Yokochi F, Zrinzo L, Tison F. Short and long term outcome of bilateral pallidal stimulation in chorea-acanthocytosis. PLoS One. 2013 Nov 5;8(11):e79241. Mothe AJ, Tator CH. Review of transplantation of neural stem/progenitor cells for spinal cord injury. Int J Dev Neurosci. 2013 Nov;31(7):701-13. Muñoz DM, Tung T, Agnihotri S, Singh S, Guha A, Zadeh G, Hawkins C. Loss of p53 cooperates with K-ras activation to induce glioma formation in a region-independent manner. Glia. 2013 Nov;61(11):1862-72. Pelz D, Khezri N, Mainprize T, Phan N, Keith J, Bilbao J, Aviv RI, Tsao M, Symons SP. Multifocal Cerebellar Liponeurocytoma. Can J Neurol Sci. 2013 Nov 1;40(6):870-872. Perruccio AV, Mahomed NN, Chandran V, Gandhi R. Plasma Adipokine Levels and Their Association with Overall Burden of Painful Joints among Individuals with Hip and Knee Osteoarthritis. J Rheumatol. 2013 Dec 15. [Epub ahead of print] Piscione PJ, Bouffet E, Mabbott DJ, Shams I, Kulkarni AV. Physical functioning in pediatric survivors of childhood posterior fossa brain tumors. Neuro Oncol. 2013 Dec 4. [Epub ahead of print] Plow EB, Fehlings MG. Hypoxic locomotor rehabilitation for incomplete spinal cord injury: Not an oxymoron. Neurology. 2013 Nov 27. [Epub ahead of print] Radulovic M, Yoon H, Larson N, Wu J, Linbo R, Burda JE, Diamandis EP, Blaber SI, Blaber M, Fehlings MG, Scarisbrick IA. Kallikrein cascades in traumatic spinal cord injury: in vitro evidence for roles in axonopathy and neuron degeneration. J Neuropathol Exp Neurol. 2013 Nov;72(11):1072-89. Rampersaud YR, Lewis SJ, Davey JR, Gandhi R, Mahomed N. Comparative Outcomes and Cost-Utility following Surgical Treatment of Focal Lumbar Spinal Stenosis Compared with Osteoarthritis of the Hip or Knee: Part 1. Long-Term Change in Health-Related Quality of Life. Spine J. 2013 Dec 7. pii: S1529-9430(13)01972-4. doi: 10.1016/j.spinee.2013.12.010. [Epub ahead of print] Remke M, Ramaswamy V, Taylor MD. Medulloblastoma molecular dissection: the way toward targeted therapy. Curr Opin Oncol. 2013 Nov;25(6):674-81. Romao RL, Weber B, Gerstle JT, Grant R, Pippi Salle JL, Bägli DJ, Figueroa VH, Braga LH, Farhat WA, Koyle MA, Lorenzo AJ. Comparison between laparoscopic and open radical nephrectomy for the treatment of primary renal tumors in children: Single-center experience over a 5-year period. J Pediatr Urol. 2013 Nov 23. pii: S1477-5131(13)00315-X. doi: 10.1016/j.jpurol.2013.11.002. [Epub ahead of print] Satkunendrarajah K, Fehlings MG. Do omega-3 polyunsaturated fatty acids ameliorate spinal cord injury?: Commentary on: Lim et al., Improved outcome after spinal cord compression injury in mice treated with docosahexaeonic acid. Exp. Neurol. Jan; 239:13-27. Exp Neurol. 2013 Nov;249:104-10. Spicer E, Thomas GR, Rumble EJ. Comment on "comparison of The major intraoperative and Postoperative complications Between unilateral and Sequential bilateral total knee Arthroplasty in a high-volume Community hospital"; The Authors Respond. Can J Surg. 2013 Dec;56(6):E173. No abstract available. Sun C, Standish B, Vuong B, Wen XY, Yang V. Digital image correlation-based optical coherence elastography. J Biomed Opt. 2013 Dec 1;18(12):121515. doi: 10.1117/1.JBO.18.12.121515. Vaccaro AR, Oner C, Kepler CK, Dvorak M, Schnake K, Bellabarba C, Reinhold M, Aarabi B, Kandziora F, Chapman J, Shanmuganathan R, Fehlings M, Vialle L; AOSpine Spinal Cord Injury & Trauma Knowledge Forum. AOSpine Thoracolumbar Spine Injury Classification System: Fracture Description, Neurological Status, and Key Modifiers. Spine (Phila Pa 1976). 2013 Nov 1;38(23):2028-37. Wan H, Alharbi BM, Macdonald RL. Mechanisms, treatment and prevention of cellular injury and death from delayed events after aneurysmal subarachnoid hemorrhage. Expert Opin Pharmacother. 2013 Nov 27. [Epub ahead of print] Yanagawa B, Algarni KD, Singh SK, Deb S, Vincent J, Elituv R, Desai ND, Rajamani K, McManus BM, Liu PP, Cohen EA, Radhakrishnan S, Dubbin JD, Schwartz L, Fremes SE. Clinical, biochemical, and genetic predictors of coronary artery bypass graft failure. J Thorac Cardiovasc Surg. 2013 Dec 8. pii: S0022-5223(13)01232-4. doi: 10.1016/j.jtcvs.2013.10.011. [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  |
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