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Annual Report JULY 1, 2012 – JUNE 30, 2013

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Annual Report JULY 1, 2012 – JUNE 30, 2013 Department of Surgery Annual Report JULY 1, 2012 – JUNE 30, 2013 Department of Surgery Annual Report JULY 1, 2012 – JUNE 30, 2013 R.S. Mclaughlin Professor And Chair Dr. J.T. Rutka Associate Chair And Vice-Chairs Dr. O. Rotstein Associate Chair Dr. D.A. Latter Vice-Chair, Education Dr. R.R. Richards Vice-Chair, Clinical Dr. B. Alman Vice-Chair, Research/A.J. Latner Professor and Chair of Orthopaedics Dr. R. McLeod Vice-Chair, Quality Dr. A. Kapus Associate Chair, Research Surgeons In Chief Dr. J.G. Wright The Hospital for Sick Children/Robert B. Salter Chair in Surgical Research Dr. J.S. Wunder Mount Sinai Hospital/Rubinoff-Gross Chair in Orthopaedics Dr. C. Compeau St. Joseph’s Health Centre Dr. O.D. Rotstein St. Michael’s Hospital Dr. A. Nathens Sunnybrook Health Sciences Centre Dr. G. Simone The Toronto East General Hospital Dr. S. Keshavjee University Health Network/James Wallace McCutcheon Chair in Surgery Dr. J.L. Semple Women’s College Hospital University Division Chairs Dr. C. Morshead Anatomy Dr. C. Caldarone Cardiac Surgery Dr. A. Smith General Surgery/Bernard and Ryna Langer Chair Dr. A. Lozano Leslie Dan Professor and Chair of Neurosurgery Dr. B. Alman A.J. Latner Professor and Chair of Orthopaedics Dr. C. Forrest Plastic Surgery (Interim Chair) Dr. T. Waddell F.G. Pearson/R.J. Ginsberg Chair in Thoracic Surgery Dr. N. Fleshner Martin Barkin Chair in Urological Research Dr. T. Lindsay Vascular Surgery Table of Contents 39th Gallie Day 3 St Michael’s Hospital 89 Chair’s Report 7 Division of Cardiac Surgery 90 Research Report 9 Division of General Surgery 94 Division of Neurosurgery 104 Postgraduate Education 11 Division of Orthopaedics 110 Undergraduate Education 12 Division of Plastic and Reconstructive Surgery 119 Continuing Professional Development 13 Division of Urology 120 Surgical Alumni Association 14 Division of Vascular Surgery 121 Office of International Surgery 15 Sunnybrook Health Sciences Centre 123 Division of Anatomy 16 Division of Cardiac and Vascular Surgery 124 Division of Cardiac Surgery 17 Division of General Surgery 126 Division of Neurosurgery 135 Division of General Surgery 19 Division of Orthopaedics 136 Division of Neurosurgery 20 Division of Plastic and Reconstructive Surgery 147 Division of Orthopaedic Surgery 22 Division of Urology 150 Division of Plastic & Reconstructive Surgery 24 Toronto East General Hospital 155 Division of Thoracic Surgery 28 Division of General Surgery 156 Division of Urology 29 Division of Orthopaedics 157 Division of Vascular Surgery 30 Division of Plastic and Reconstructive Surgery 157 The Hospital for Sick Children 32 Division of Urology 158 Division of Cardiac Surgery 36 University Health Network 159 Division of General Surgery 40 Division of Cardiac Surgery 163 Division of Neurosurgery 44 Division of General Surgery 169 Division of Orthopaedics 55 Division of Neurosurgery 182 Division of Plastic and Reconstructive Surgery 62 Division Of Orthopaedics 197 Division of Urology 66 Division of Plastic and Reconstructive Surgery 202 Mount Sinai Hospital 70 Division of Thoracic Surgery 206 Division of General Surgery 70 Division of Urology 213 Division of Orthopaedics 75 Division of Vascular Surgery 220 Division of Plastic and Reconstructive Surgery 81 Women’s College Hospital 223 Division of Urology 81 Division of General Surgery 224 St Joseph’s Health Centre 85 Division of Orthopaedics 225 Division of General Surgery 85 Division of Plastic & Reconstructive Surgery 228 Division of Orthopaedics 86 Division of Urology 231 Division of Plastic and Reconstructive Surgery 86 Division of Anatomy 232 Division of Thoracic Surgery 87 Research in Education 235 Division of Urology 88 Cross Appointments 240 UNIVERSITY OF TORONTO | Department of Surgery 2012-2013 Annual Report 2 th 39 Gallie Day May 10, 2013 Gallie-Bateman and McMurrich Research Presentations Cindi Morshead: Session Chair Stephen Mack: Effective epigenetic therapy for Marvin Hsiao: The numbers, rates, mechanisms CIMP+ve Posterior Fossa Ependymomas and potential access to trauma care for road traffic injury deaths in India - A nationally representative mortality survey of 1 1 million homes Gurpreet Baht: Rejuvenating bone through Siba Haykal: Advances in tracheal tissue- Mehroz Ehsan: Adiponectin limits microparticle- modulation of β-catenin engineering: Evaluation of the structural integrity, induced endothelial dysfunction: A novel immunogenicity and recellularization of long- vasculoprotective mechanism segment circumferential decellularized tracheal allografts for airway transplantation Symposium: “Making It Personal: Individualized Care in Surgery” Benjamin A Alman: Session Chair Donald Redelmeier: Personalized Decision Michael Szego: Ethical Issues Associated with Making Whole Genome Sequencing in the Paediatric Context Steven Gallinger: A Personalized Dent in the Philippe Bedard: Molecular Profiling of Armor of Pancreatic Cancer Advanced Solid Tumours UNIVERSITY OF TORONTO | Department of Surgery 2012-2013 Annual Report 3 Gordon Murray Lecture Poster Presentations John E Niederhuber: The Importance of the Tumor Microenvironment in Cancer Progression Gallie-Bateman and McMurrich Research Presentations Bheeshma Ravi: Total joint arthroplasty appears Tyler P Kirwan: Rapamycin treatment Nir Lipsman: Magnetic resonance guided cardioprotective in patients with moderate-severe attenuates bladder hypertrophy during long-term focused ultrasound (MRGFUS) for thalamotomy in osteoarthritis: A propensity-score matched outlet obstruction in vivo: Tissue, matrix, and treatment-refractory essential tremor landmark analysis mechanistic insights Jason S Rockel: Hedgehog regulation is required Jennica Platt: Geographic variation in rates of James T Rutka: Closing remarks for interzone cell differentiation and β-catenin- immediate and delayed breast reconstruction in mediated synovial joint morphogenesis Ontario and the influence of plastic UNIVERSITY OF TORONTO | Department of Surgery 2012-2013 Annual Report 4 Dinner & Awards Ceremony Darrell Ogilvie Harris: “Howling Wolves” Mari and Jim Rutka: Ukranian Pysanka Loise Tremblay: “The Gardian” Bronze sculpture Bronze sculpture UNIVERSITY OF TORONTO | Department of Surgery 2012-2013 Annual Report 5 Gallie Day Dinner & Awards UNIVERSITY OF TORONTO | Department of Surgery 2012-2013 Annual Report 6 Chair’s Report Dr James T Rutka, MD, PhD, FRCSC As a matter of timing, we have been quite engaged in resident duty hours. The most important determination the accreditation of learners and programs in our envi- from this task force is that procedural disciplines differ in ronment. Of course, last year, we were focused on the their requirements for training, and the one-size does not undergraduate medical education and the accreditation fit all mandate is required. of the medical school; this year, it was the postgraduate This past year, we had numerous new expenses in the programs. All of our programs that were reviewed passed Department of Surgery, and these related to support of the accreditation, and these included surgical foundations, critical care medicine program, the faculty wellness cen- general surgery, neurosurgery, paediatric general sur- tre, Department of Surgery prep camp, surgeon-scientist gery, plastic and reconstructive surgery, urology, cardiac training program, and our moving expenses. We will have surgery, and surgical oncology. Interestingly, colorectal to pay some attention to these new expenses in our budget surgery and thoracic surgery were not reviewed as they for this year. Thankfully, we have had a very healthy carry were part of a pilot program of the Royal College in forward over the years, and we hope that this will sustain which on-site visits would not be required of all programs. us as we move forward into the future. Orthopaedics had recently undergone a review for its com- petency based curriculum program, and vascular surgery We have decided to harmonize the departmental salaries had recently transitioned to a 6 year program hence they based on role. Consistent support will be provided to were not reviewed. surgeon-scientists, surgeon investigators, and surgeon teachers. In addition, we have provided stipends to all of I wish to thank sincerely Drs. Ron Levine and David our scientists in the Department of Surgery. Latter Director of PGME and Viee Chair of Education for their tremendous efforts in achieving our fully accredited I was delighted to appoint Shaf Keshavjee to the position status. In addition, all Program Directors deserve men- of Vice Chair of Innovation. Chris Compeau became Sur- tion and credit here – Andrew Pierre, Thoracic Surgery; geon-in-Chief at St. Joseph’s Hospital, and Carmen Sim- Ted Gerstle, Paediatric General Surgery; Peter Ferguson, one Surgeon-in-Chief at Toronto East General Hospital. Orthopaedics; Mitch Brown, Plastic and Reconstructive I provide special thanks to Sid Radomski who served as Surgery; Helen McCrae, Colorectal Surgery; Gideon special advisor to the Chair from 2007-2012, and to Bob Cohen, Cardiac Surgery; George Oreopoulos, Vascular Mustard who led the Surgical Foundations didactic course Surgery; Abhaya Kulkarni, Neurosurgery; Frances Wright, over the past 12 years. He will be replaced by Dr. Maurice Surgical Oncology, Najma Ahmed, General Surgery; Rob Blitz. Joanna Giddens was appointed as our Strategic Plan Stewart, Urology. and Implementation Co-ordinator. While we received full accreditation for all programs, John Theodoropoulos, Thomas Willett, Abdollah Behzadi and while there were numerous strengths
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