DEFINING MOTION 2018-2019 ANNUAL REPORT MOTION

\m ¯o -SHn\ A MEANINGFUL OR EXPRESSIVE CHANGE IN THE POSITION OF THE BODY OR A PART OF THE BODY. PAN AM CLINIC FOUNDATION 2018-2019 ANNUAL REPORT

MISSION The Foundation will raise funds to help attract the people and MESSAGE FROM o er the programs to create and maintain a world-class research, THE CHAIR education and health care organization for Manitoba and beyond. Like so many Manitobans, we at the Pan Am Clinic Foundation have tended to shy away from singing our own praises. Call it modesty, or perhaps the all-Canadian politeness our country is famous for, but our VISION team has always been quite happy to do their incredible work while flying somewhat under the radar. But now it’s time for Pan Am to step into the spotlight, and here’s what we want you to know. . . We will support the Pan Am Clinic to deliver We want you to know that Pan Am’s medical team – its surgeons, its world-class treatment to its patients. nursing sta , its physio team and so many more – are the very best in Manitoba. They work tirelessly every day to provide the very best care and outcomes for their patients and they are incredibly good at what they do. We want you to know that the Pan Am Clinic Foundation Research Team inside our David & Ruth Asper Research Centre is a team of brilliant people undertaking a wide variety of studies that will have direct impact PAN AM CLINIC FOUNDATION on improved patient care and outcomes for Manitobans and beyond. BOARD OF DIRECTORS We want you to know that our Foundation sta is second to none and devote themselves to generating critical funds in support of Pan Am’s CHAIR research and clinical care, and to ensuring our donors know how much James Ferguson we value their support. VICE-CHAIR We want you to know that our Board is comprised of some of Winnipeg’s George Vis most successful business and medical professionals, all dedicating their SECRETARY / TREASURER time and passion to making Pan Am Clinic the very best it can be for the Rod Corbett patients it serves. EXECUTIVE DIRECTOR And, because of all of the above, we want you to know that we truly Kevin Hunter believe we deserve your philanthropic support. It’s what has made our critical work possible in the past, and it’s what will make a monumental DIRECTORS di erence in patient care for years to come. Brock Bulbuck Wayne Hildahl JAMES A. FERGUSON, Q.C. Peter MacDonald Chair Lee Meagher Jason Old Gord Pollard Jim Richardson Bob Silver Je Thompson John Wade Dawna Wallace

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MESSAGE FROM MESSAGE FROM THE THE CHIEF RESEARCH EXECUTIVE DIRECTOR

& INNOVATION OFFICER Whenever someone joins a new team there’s always an initial period of discovery and adjustment. My recent arrival This past year continued to be a very productive one at the this past July as the Executive Director for the Pan Am Clinic Pan Am Clinic Foundation, highlighted by the great contributions Foundation was no exception. Here’s what I’ve learned about of our Foundation sta . Pan Am in a very short amount of time. . . During this past year we unfortunately bid farewell to Dr. Je Leiter, Pan Am Clinic is a very special place that works from PhD – longtime Executive Director and Albrechtsen Research a foundation based on innovation, e–ciency, and above Chair with the Foundation – as he moved on to his next career all – patient care. The people here work incredibly hard challenge. Thankfully, our research programs continued to thrive to be their very best each and every day for the patients thanks to our research team under Dr. Sheila McRae (orthopaedic they serve, and they strive to be even better tomorrow. and sports medicine research) and Dr. Mike Ellis (concussion It’s that drive where the Pan Am Clinic Foundation plays research). We were also grateful to Dr. Jarret Woodmass for such a crucial role, as we raise the crucial funds needed assuming the position of Director of Quality Assurance and to further medical research required to achieve better care Outcomes for the Foundation. and better outcomes for all Manitobans. By supporting the With Dr. Leiter’s departure, we are very excited with the Pan Am Clinic Foundation, our donors make this vital work recruitment of Kevin Hunter as the Foundation’s new Executive possible – and we can’t thank you enough. Director. Kevin brings a wealth of marketing and fundraising During the past year, we were honoured to receive experience to the role and we look forward to growing our profile generous support from countless Manitobans through and revenue under his leadership. a variety of successful initiatives. From our Fire & Ice On that note, our fundraising e orts this past year were very Gala Dinner to our Diamond in the Rough Golf Tournament successful with the annual Fire & Ice Gala Dinner setting a new to the many donors who o er their generous philanthropic fundraising record as we honoured Craig Heisinger’s contributions gifts each and every year. to our community. Our Diamond in the Rough Golf Tournament But just as much as this annual report is designed to was also a resounding success, for which we would like to thank celebrate the past, it is also intended to set our path for the Mark Stuart for lending his name and support to the tournament. future as we look to expand our mandate and our fundraising Thank you to both our dinner and golf committees for your time activities in pursuit of healthier lives for the people of and e ort in making these such successful events. Manitoba. With that goal in mind, Manitobans will be hearing Finally, on a sad note, the Pan Am Clinic Foundation lost a a lot from us in the coming months. Pan Am’s expertise lies great friend this year with the passing of Mr. Paul Albrechtsen. in helping our patients live their lives well. We keep you The impact of Paul’s generous support will be felt for generations active. We keep you mobile. We give you the freedom to here at Pan Am and similarly by so many other organizations enjoy your life free of pain and o er you the highest level throughout Manitoba. Our sincere condolences to his family. of patient care so you can live your very best life. Thank you for your ongoing support of the Pan Am Clinic Foundation. That’s what Pan Am is about and why we hope you feel proud to continue to support the Pan Am Clinic Foundation. DR. PETER M DONALD Chief Research & Innovation O cer KEVIN HUNTER Executive Director

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HELPING YOUNG MINDS EXPLORE MCEP PARTNERS AND PARTICIPANTS Bright Futures A FUTURE IN MEDICINE Pan Am Clinic / Pan Am Clinic Foundation Winnipeg School Division / Children of the Earth High School Growing up in Winnipeg’s inner city, Louis Riel School Division / Windsor Park Collegiate Sheri Shorting had high grades and Winnipeg Regional Health Authority / WRHA Aboriginal high aspirations. Health Programs University of Manitoba / Faculty of Health Sciences For a long time, she wanted to be a lawyer. But in biology class, Sheri became fascinated by dissections. She began Health Sciences Centre wondering whether a career in surgery might be the right Red River College choice for her. Grace Hospital Would long years of medical training lead to a job she might Misericordia Health Centre truly love? Through the Medical Careers Exploration Program (MCEP), Sheri had the opportunity to find out. Mount Carmel Clinic MCEP gives Indigenous high school students a taste of St. Boniface Hospital Research the many career options available in health care, as well Victoria Hospital as support and encouragement to pursue their aspirations. Program partners include the Pan Am Clinic Foundation and Women’s Health Clinic Children of the Earth School, where Sheri was a student. By June 2019, Sheri was ready to graduate from Children Cadham Provincial Labs of the Earth School and the Medical Careers Exploration Sheri was selected for the MCEP orientation program Winnipeg Fire / Paramedic Services CONGRATULATIONS Program. Besides her Grade 12 diploma, she’d earned several in Grade 9, and was soon hooked on the idea of a career scholarships, a bursary and the Athlete of the Year award. Main Street Project involving the sciences. “It just clicked with me, and I knew JOHN WADE, C.M. right away that this should be my focus,” she recalls. During the graduation ceremony, stethoscopes were Deer Lodge handed out to the five students who’d completed the WINNIPEG, MANITOBA After her acceptance into MCEP, she spent the next three Concordia Orthopaedic Innovation Centre program. It was Sheri’s favourite moment. years studying courses like Pre-Calculus, Human Anatomy and Medical Terminology while earning credits toward “It reminded me that this is something that can really happen.” We would like to extend our sincere her high school diploma. For every year completed in the And Sheri is continuing to make it happen today. congratulations to Dr. John Wade on his program, she became eligible to receive $1,000 toward appointment as a Member of the Order of her post-secondary education. Last summer she attended the SHAD enrichment program at the University of New Brunswick, along with 80 other Canada, for his contributions to medical Sheri says the best part of MCEP was that it exposed her gifted students from across Canada. education and practice, notably for his to real-life experiences in health care. Through placements at the Pan Am Clinic, Grace Hospital, Health Sciences Centre This fall she entered the University of Manitoba’s Health advocacy for patient safety and quality and Misericordia Health Centre, she learned about the many Careers Access Program, which prepares Indigenous improvement in health care. diŒerent career routes available in medicine, beyond students for entry to the health professions. Her goal is to becoming a doctor or nurse. earn her biology degree and then go on to medical school. We at the Pan Am Clinic Foundation have been “A lot of the staŒ I worked with said they wished they’d had These accomplishments are a great source of pride – not very fortunate to benefit from Dr. Wade’s tireless this kind of opportunity when they were students,” says Sheri. only for Sheri, but also for the grandmother who raised her. community e orts, with him serving as a She remembers her first experience in an operating room, “Everything I do is for my grandmother, really,” Sheri says. Foundation Board Member for the past 14 years. seeing the mysteries of the human anatomy revealed by “She is a residential school survivor and didn’t graduate from the surgeon’s scalpel, right in front of her eyes. In a situation high school. When I graduated, it was like she graduated, too.” It is indeed a mark of distinction to be chosen where other teenagers might feel squeamish, Sheri felt No matter where her medical education takes her, Sheri from the thousands of people nominated from all only amazement. knows she can pursue her goals with confidence, thanks to sectors of society to receive one of our country’s “They told us we should sit down on the floor if we felt like the loving support of her grandmother, and the knowledge highest honours. It is truly well deserved. we might pass out,” she recalls. “But I thought, ‘How could that she is starting out on the right path. anyone pass out? This is so cool!’”

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PATIENT TESTIMONIAL ANTHONY PELUSO, FORMER WINNIPEG JET

SHOULDER SURGERIES KEEP PELUSO IN THE GAME

In professional hockey, few joints are more important – or more prone to injury – than shoulders.

A strong and stable pair of shoulders helps a player move In this latest surgery, Dr. MacDonald performed a the puck down the ice with speed and skill. But these Latarjet procedure to restore stability to the joint and joints are also the main point of impact for body checks, prevent further damage. A hook of bone on the front and the most common site of upper body hockey injuries. of Anthony’s shoulder blade was moved, along with muscle attachments, and then screwed to the shoulder For rugged right-wingers like Anthony Peluso, shoulder socket to create stronger support. problems can bring a sudden end to a season, or even a career. After shoulder surgery, rehabilitation is always a critical part of the healing process. Although Anthony does That’s why Anthony’s first choice for shoulder surgery most of his rehabbing in his home town of Toronto, is the Pan Am Clinic. Over the past six years, the former Dr. MacDonald continues to be involved in his Winnipeg Jet has had three shoulder procedures done post-surgery care. by Pan Am’s Dr. Peter MacDonald. And although he no longer plays in Winnipeg, Anthony continues to seek “That’s one of the great things about Pete,” he says. out “Dr. Pete” whenever he has serious shoulder injuries. “He has so many connections and is held in such high regard, and that has really helped to ensure that I get “At Pan Am, you aren’t just a number,” Anthony says. the best kind of rehab care.” “I know I can call Pete directly and he will have all the time in the world for me. It’s great to have that kind Today Anthony is back on the ice, playing with the of relationship with a surgeon.” Bakersfield Condors organization. Now 30, he is married to wife Courtney and the proud father of Sebastian, Anthony’s first shoulder surgery with Dr. MacDonald was born in 2018. in 2013, the same year he signed with the Jets and scored his first NHL goal. He had a second surgery at Pan Am With this additional responsibility resting on his in 2017, when his season with the Manitoba Moose was shoulders, Anthony has even greater appreciation cut short by nagging pain in his left rotator cu . of the exceptional care he’s received at Pan Am. “I was lucky to be playing in a city that had a place with “Without successful surgeries, I would have been done such a good reputation,” says Anthony. “To get this kind in this game five years ago,” he says. “I’m thankful that “I WAS LUCKY TO BE PLAYING of care, you usually have to go to the States.” I’ve been able to keep chasing this dream.” IN A CITY THAT HAD A PLACE Two years later, while playing with the Calgary Flames, Anthony once again required shoulder surgery – this WITH SUCH A GOOD REPUTATION... time on the right side. As his team discussed where the TO GET THIS KIND OF CARE, surgery should take place, Anthony spoke up to say he wanted it done at Pan Am, where he knew he would YOU USUALLY HAVE TO GO get great care. TO THE STATES.”

10 11 Photo by Jonathan Kozub/Winnipeg Jets PAN AM CLINIC FOUNDATION 2018-2019 ANNUAL REPORT

PATIENT TESTIMONIAL CINDY NEAL

SMOOTHING OUT THE BUMPS ON THE ROAD TO RECOVERY

Cindy Neal’s life is what many of us picture when we imagine the ideal retirement.

She and her husband spend summers in Gimli, and then Wherever she travels, Dr. Marsh will continue to be in head south to Nuevo Vallarta to enjoy warm winters. her corner, making sure there is good coordination of her Almost every day is a golfing day. And when she isn’t treatment. When she returns to Manitoba in the spring, swinging a club, cycling or playing pickle ball, she’s he’ll evaluate her hand for scar tissue, nerve damage taking o on a new adventure. and any future surgery she may require. “Last year, for my 60th birthday, I walked 160 kilometers This isn’t Cindy’s first experience dealing with Dr. Marsh. through the West Highland Way,” Cindy said. “And then After breaking her elbow in 2017, he performed surgery I played a round of golf.” on her rotator cu and later removed a ganglion from her wrist. Both problems are now under control with some But in such an active, vital life, there can be occasional occasional help from cortisone shots. bumps along the adventure trail. Cindy appreciates how the Pan Am doctors have Cindy encountered a severe one last October, when a helped her deal with both the mental and physical biking accident in Mexico left her with damage to her pubic impact of her injuries. She uses words like personal, bone, a broken humerus and a few less teeth. Luckily, Pan kind, compassionate and understanding when she Am’s Dr. Jon Marsh is guiding her treatment as she travels talks about the care she’s received. back and forth between Canada and Mexico. “I call Dr. Marsh and his assistant Brandi ‘the dream It’s been a bumpy road back from those injuries, with team,’” she says. “Brandi’s the one who knows how some unexpected turns along the way. Right after her to line everything up and make it happen, and he’s accident, Cindy had distal humerus surgery in Mexico, the guy who knows how to put people back together followed by extensive physiotherapy. She returned to again. They’re a gift.” Manitoba in the spring and everything seemed to be going well – until the plate slipped out of place because the bone wasn’t healing as expected. “It was just one of those things that can happen, just the luck of the draw,” Cindy says, “And very, very painful.” “I CALL DR. MARSH AND HIS ASSISTANT At Concordia Hospital, Dr. Marsh redid the surgery BRANDI ‘THE DREAM TEAM’... BRANDI’S THE performed in Mexico, this time using bone marrow as a sort of “fertilizer” to coax the bone to mend. He also ONE WHO KNOWS HOW TO LINE EVERYTHING recommended Cindy use an ultrasound device to further UP AND MAKE IT HAPPEN, AND HE’S THE GUY promote bone healing. Within a few weeks of the surgery, Cindy was feeling WHO KNOWS HOW TO PUT PEOPLE BACK much better and looking forward to her return south, TOGETHER AGAIN. THEY’RE A GIFT.” right on schedule in mid-October.

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PATIENT TESTIMONIAL JOHN BEATTIE

NEW PARTS KEEP THIS CAR ENTHUSIAST MOVING

It seems John Beattie has always been in motion, whether golfing, cycling or tooling around town in his beloved 1959 MGA Tourer.

And so, when an old injury made even walking feel Not everything was easy during those first six months. excruciating, John jumped at the chance to have Dr. Barske had had to reattach two ligaments in his a total ankle replacement done by Pan Am Clinic’s foot, which caused additional pain during the healing Dr. Heather Barske. process. John was shocked to learn that both ligaments may have been detached ever since his stumble nearly “I could have hugged her that day,” recalled the 68-year-old. 50 years earlier. “I thought anything had to be an improvement.” Using a knee walker, the wheeled alternative to crutches, The surgery resolved problems that had been dogging also took some getting used to. While it was a godsend John since the age of 18. He remembers going over on for getting around, John had to control his race car his ankle while horsing around in the yard with friends. driver impulses. That stumble triggered a cycle of pain and instability that would become progressively worse throughout his life. But two years later, he’s back to carrying his clubs from tee to tee. He cycles several times a week, works out For many years, the pain didn’t hold John back. Not at his local gym and thinks nothing of the two kilometer long after that early injury, he discovered his passion walk to the grocery store from his place in Mexico. for British cars and started repairing his friends’ vehicles. Later, he opened his popular British Motors “The biggest change is that I can walk in places that Garage in Fort Garry. would have sent a chill up my spine before,” he says. For decades, John fixed MGs, Triumphs and Minis for Just like a reconditioned sports car, John is back on the hundreds of clients in Winnipeg and beyond. He loved road and ready to put many more miles on the odometer. the work, but the long days working on a concrete floor He won’t be slowing down any time soon. were taking a physical toll. While John was keeping those exotic cars moving, his own chassis was starting to slow him down. By 2017, John’s condition was getting much worse. He began experiencing more falls and chronic swelling, and noticed he was turning out his foot to keep himself steady. Just walking through the yard outside his shop had become a challenge. “THE BIGGEST CHANGE IS THAT Knowing it was time for more advanced treatment, I CAN WALK IN PLACES THAT John’s doctor referred him to Dr. Barske, the foot specialist at the Pan Am Clinic. WOULD HAVE SENT A CHILL UP Once the two connected, things started happening MY SPINE BEFORE.” quickly. Within an hour of arriving for his first visit, John had been x-rayed, diagnosed and o ered a new ankle. After the surgery, John was eager to get moving again. Within seven weeks, he was driving south for his usual winter getaway. Five months after the surgery, he was back on the golf course, doing nine holes in a cart.

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DONOR PROFILE FELLOW TESTIMONIAL FELLOW TESTIMONIAL PAUL ALBRECHTSEN SHAHBAZ MALIK DR. FLEUR VERHULST

EDUCATION: THANK YOU, University of London, BSc (Hons); Cardi™ University, MB ChB, LLM; Royal College of Surgeon of England, FRCS (Tr&Orth) ORTHOPAEDIC TRAINING: MR. PAUL Birmingham Orthopaedic Training Programme (BOTP) ALBRECHTSEN I had long decided to do a Fellowship at Pan Am because of its reputation, somewhat prematurely according to my colleagues. I must confess I had not OCT 14, 1930 – JUL 7, 2019 even looked up Winnipeg on the map to see where it was and those who knew about it had only one thing to say about it, its winter. I joined the Fellowship programme in January 2019 soon after my wife Nadia gave birth to our second son Yaccub in December 2018. When I arrived, the temperature had dipped down to -50º C and then I realised what all the fuss was about. Well at least it was dry cold, right! After the bitter cold start, I knew things could only get better. The warm reception from Dr. MacDonald and all the sta made up for this. I had heard good things about the Fellowship, and these were turning out to be true, to much of my relief. The clinical and surgical experience is what I was yearning for and I had a great time learning with Dr. Peter MacDonald, Dr. Jamie Dubberley, Dr. Jarret Woodmass and the colleagues. At the beginning of my placement I attended the Fire & Ice gala dinner held to raise funds for Pan Am Clinic Foundation, and I then realised what a unique place Pan Am was and how Pete had developed it over the years, making it a leading surgical and research centre at national and international levels. I then had the opportunity to attend a Pan Am Fellow’s meeting, a very welcome relief from punishing winter and a chance to defrost in the Arizona sunshine. It was an excellent social and educational event where I had the opportunity to meet previous fellows. After my wife and my two sons Zaccariah and Yaccub joined me in April, Winnipeg Paul Albrechtsen was a true became more of a home. Our family time was spent checking out playgrounds, FELLOWSHIP PROGRAM 2018-2019 : philanthropist and an incredible and regularly visiting Assiniboine Park and local summer events. We were able Orthopaedic Sports Medicine and Upper Extremity Reconstruction community leader. We were deeply to take a road trip to Chicago which was very memorable, and the main highlight EDUCATION: was visiting Churchill to see the home of polar bears that Zaccariah really loved. Radboud University in Nijmegen, The Netherlands saddened with his passing and, like Looking back, Pan Am Fellowship has been the best year of my surgical CURRENT AFFILIATION: so many others who knew him, find training. The Pan Am family from theatre sta to the surgical colleagues Haaglanden Medical Centre in Den Haag (The Hague), The Netherlands it hard to convey just how much as well as Dr. Sheila McRae and the research team have transformed me into a well-rounded individual. My connection here I hope would be lifetime he meant to us. One big, very successful adventure. It was a big step for me and Pan Am is not a big clinic, but it has a big name, and for good reason. and my future surgical practice a better one. my family (husband and 2 boys of two and five years old at the time) It was amazing to be part of the treatment of top level athletes and Mr. Albrechtsen was one of Pan Am SHAHBAZ MALIK to get on a plane and move to Canada for a year. A step into the then go to a Bombers or Jets game to actually see what can be Clinic Foundation’s most generous unknown: we had little idea what to expect. Travelling in Western achieved by those treatments. Other patients, athlete or not, are Canada people did not understand why we would ever want to given just as much thought and care at Pan Am Clinic. It is equally supporters and a close friend of the go to Winnipeg, and we got a bit scared. . . satisfying to see how grateful people are to just be able to care for themselves again for example. organization. We are beyond grateful But arriving in Winnipeg and in Pan Am Clinic those worries were to him and his family for their gone immediately. ‘Friendly Manitoba’ definitely applies to the Not only did I learn a lot from the orthopaedic team at Pan Am, my unwavering support and our people at Pan Am Clinic where I received a very warm welcome. family and I were welcomed into their homes as well. And the help Everybody was interested in the fellow from that very small country and tips for life outside the clinic also helped make this year into condolences go out to all his loved called The Netherlands. one big, very successful, adventure. ones. His life was one of meaning Throughout the year, I learned so much from Dr. Peter MacDonald I’m grateful to the Pan Am Clinic Foundation for making it possible for and he will be deeply missed. and Dr. Jamie Dubberley, who I’ve spent most of my fellowship time me to attend the annual Pan Am Fellows Meeting. Having been there with, but also the other surgeons at Pan Am; I learned something once I know for sure that I will attend again in the future to meet up specific from everyone of them. I had a great amount of surgical with the wonderful orthopaedic sta and learning even more from them. exposure and therefore had an enormous learning experience. FLEUR VERHULST

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ELIMINATING THE GAP

A novel telemedicine program connects youth concussion patients living in rural and remote northern communities to experts at the Pan Am Clinic

After opening its doors at the Bell-MTS Iceplex in 2014, the Pan Am During the pilot project, 20 patients were evaluated through the program. With this growth, the program now provides care to approximately Concussion Program has emerged as a national leader in the care of Of these patients, 80% were managed exclusively through telemedicine 5-10 patients from distant communities per week, all without them children and adolescents with concussion and traumatic brain injuries. and did not have to leave their community to receive specialized having to take the long trip to Winnipeg to receive care. concussion care contributing to an estimated cost avoidance of over Utilizing a team of provincial experts in neurosurgery, neuropsychology, But there is still much work to be done. As outlined in another review exercise science, physiotherapy, neurology, sports medicine and others, $40,000. The results of this study were published in the International article recently published in Frontiers of Neurology-Pediatric Neurology,2 and including consultants that provide care for local professional sport Journal of Circumpolar Health1 and presented at the 8th International there is a persistent need for research examining how concussion teams such as the Winnipeg Jets and Manitoba Moose, the Pan Am Meeting on Indigenous Child Health. telemedicine networks can provide safe, timely, eective, equitable, Concussion Program delivers the highest standard of multi-disciplinary Building on the success of this pilot project, Dr. Ellis and his colleagues ecient, cost-eective, and culturally-appropriate patient-centered care care to hundreds of patients annually. have now travelled to additional northern communities including for pediatric concussion patients living in rural and remote communities The catchment area served by this provincial pediatric concussion Churchill and Cross Lake, Manitoba and Rankin Inlet, Nunavut to deliver throughout Canada. As Ellis says, “The goal isn’t to reduce the gap in program is vast and includes all of Manitoba as well as central Nunavut. concussion education and establish the Pan Am Clinic CONcussion healthcare care access that exists for patients living in rural and remote It is well known that people living in rural and remote communities, in the North EConsultation and Telemedicine (CONNECT) Program. northern communities but to eliminate it. With the relationships we an important proportion of whom are Indigenous, can face significant Partnering with leaders from University of Manitoba Ongomiizwin continue to build, this program has the potential to serve as a model for geographic, socio-economic and cultural barriers to accessing primary Health Services, First Nations Health and Social Secretariat of Manitoba, other concussion clinics and healthcare systems throughout Canada.” and specialized healthcare services. Acknowledging that pediatric First Nations and Inuit Health Branch, Jordan’s Principle, Government concussion patients living in these communities face similar challenges, of Nunavut, Kivalliq Inuit Services, Medical Director of the Pan Am Concussion Program, Dr. Michael Ellis and MBTelehealth, Ellis is began envisioning a plan to address this gap in care. working to ensure that all REFERENCES youth in every community In the fall of 2017, Dr. Ellis, as well as colleagues from Children’s Hospital 1. Ellis MJ, Boles S, Derksen V, Dawyduk B, Amadu A, Stelmack K, Research Institute of Manitoba (Dr. Kelly Russell), Sport Manitoba within Manitoba and the Kivalliq region of Kowalchuk M, Russell K. Evaluation of a pilot pediatric concussion (Rickie Walkden) and Winnipeg Jets True North Youth Foundation telemedicine program for northern communities in Manitoba. Nunavut has access (Craig Heisinger) travelled to the northern city of Thompson, Manitoba International Journal of Circumpolar Health. 2019; 78(1): doi: to the program. to deliver concussion and mental health education to local students, 10.1080/22423982.2019.1573163. parents and teachers as well form a relationship with healthcare providers at Thompson General Hospital to develop a pilot project 2. Ellis MJ, Russell K. The potential of telemedicine to improve pediatric concussion care in rural and remote communities in of Canada’s first pediatric concussion telemedicine program. Canada. Frontiers in Neurology: Pediatric Neurology. 2019: doi. Through this program, pediatric concussion patients who were org/10.3389/fneur.2019.00840 initially seen in Thompson could undergo follow-up evaluation and longitudinal management by Dr. Ellis through in-person videoconferencing provided by MBTelehealth.

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PRIMARY CARE TESTIMONIAL NEW RECRUITS TO OUR DR. AARON DUBYNA BSc MD CCFP ORTHOPAEDIC SURGERY TEAM

PRIMARY CARE SPORT & EXERCISE MEDICINE PROGRAM FROM: Winnipeg, MB DR. JARRET WOODMASS EDUCATION: CCFP– Family Medicine, University of Manitoba Jarret began at Pan Am Clinic in September of 2018. A native of Brandon, Manitoba, Jarret attended medical school at the University of Manitoba, Sport has always been a huge part of my life. Although education has, followed by residency in Orthopaedic Surgery at University of Calgary. due to necessity, been a focus, sport has always been able to put my life He then went on to two fellowship years, one at the Mayo Clinic in Rochester, into balance. From a very young age, up to the completion of this fellowship sport has always played a central role for me. Sport allows me to maintain Minnesota specializing in Orthopaedic Sports Medicine. This was followed fitness, health, and social connections, all of which so frequently get lost by a year in Boston at the Harvard shoulder program with stints in Switzerland today. Therefore, the opportunity to complete this sport and exercise and France as part of the year at Harvard. medicine program fit perfectly with my own interests. Jarret is an established researcher with a large number of publications and This year has been an incredible pleasure. The learning environment presentations so early in his career. Already during his brief time at Pan Am has been exceptional- from academic mentorship, to clinical teaching. Clinic, he has demonstrated not only clinical excellence but he has become The breadth of opportunities within the single site of Pan Am Clinic is a key part of the orthopaedic research program at the Pan Am Clinic Foundation. amazing. The ability to provide comprehensive musculoskeletal care, He also has been recently appointed Director of Quality Assurance and at a single site, provides excellent patient centered care. It also forms an Outcomes through the Foundation. Jarret will also be participating in the excellent environment to learn. Having access to sport medicine physicians, care of the new Winnipeg Ice WHL junior team as well as the Fort Garry Blues. orthopaedic surgeons, pediatricians, casting techs, physiotherapy, radiology, nursing, and pain specialists, all under one roof is a unique and Jarret has a background as a competitive waterskier and enjoys many sports. incredible thing. The program provided the opportunity to learn from each of these groups, creating a wide breadth of experience and teaching. Clinical experience and teaching is one thing, but the real way that Pan Am shines is the people. My preceptors were always willing discuss an interesting case, pass on a tip or discuss something that I was having trouble understanding. The support sta make the day to day routine not only smooth, but enjoyable, with their friendliness, and dedication to teamwork. Finally, during my time at Pan Am, my wife and I welcomed our first child. The support we received, and the flexibility of the clinic, when our baby unexpectedly DR. DEVIN LEMMEX came a month early, made this massive life change so much easier. Devin is our newest orthopaedic recruit starting in July 2019. Devin is a native This program has been an exceptional experience, that I would highly of Ottawa but has lived in many places. He is a graduate of the University of recommend, and I am thrilled to start as a sta at Pan Am this fall. Calgary residency program with fellowship training at Duke University in Durham, AARON DUBYNA North Carolina. While at Duke he was a walk on recruit to the varsity hockey team. He also developed a keen interest in hip arthroscopy, an area which he hopes to specialize in and build on in Winnipeg at the Pan Am Clinic. He then went on to another fellowship in shoulder surgery with the renowned Dr Pascal Boileau in Nice, France. Devin also has published many papers and given many talks. We are excited to have him at Pan Am Clinic where he will be an excellent addition to our program.

20 21 PAN AM CLINIC FOUNDATION 2018-2019 ANNUAL REPORT

DIAMOND IN THE ROUGH

GALA 2019 On Monday, June 17th, the Pan Am Clinic Foundation hosted our 7th annual Diamond In The Rough Golf Fundraising Event and we were fortunate to have Mark Stuart, former Winnipeg Jet, as our PAN AM CLINIC FOUNDATION’S FIRE & ICE celebrity host and Joe Aeillo as emcee. GALA HONOURS CRAIG HEISINGER We want to take this opportunity to send out a huge thanks to our committee members, Jerry Acheson, Barry Bembridge, Keith East, Mike Gilmour, Andrew Parkes, Kelly Pickard, and Je Rabb for taking time out of their busy schedules to plan and help organize the tournament. We could not do this event without them. The Pan Am Clinic Foundation along with the Organizing Committee would like to thank our presenting sponsor, Diamond Athletic Medical Supplies Inc., and all those who participated, o ered sponsorship support and provided fabulous prizes that helped EVENT SPONSORS make Diamond In The Rough a continued success. 50 Below Sports & Entertainment Over 450 supporters of the Pan Am Clinic Foundation were We want to take this opportunity to thank our committee Arthur J. Gallagher Insurance in attendance at the Fort Garry Hotel’s grand ballroom on members, Ida Albo, Marilyn Ferguson, Sherry MacDonald, Birchwood Lexus Wednesday, March 6th, for the 14th annual Fire and Ice Lindsey MacDonald, Lee Meagher, Jordan Skinner, and Boyd Autobody & Glass Gala. This year the Foundation honoured Craig Heisinger Rhiana Kaspick Stranges for all their time and dedication Brean Marketing Inc. with John Sauder as the emcee for the evening. for making the gala a great success. Carbone Coal Fired Pizza Casinos of Winnipeg Scott Oake conducted another legendary “After Hours” A special thank you to our Presenting Sponsor The Asper CIBC style one-on-one interview with Craig Heisinger (Zinger) Foundation and our amazing chair Ida Albo for another Clear Lake Golf Course that had the crowd completely captivated with the very successful evening. The gala raised over $130,000 this year. Dairy Queen – Keewatin candid conversation. The funds will support The Pan Am Clinic Foundation’s Diamond Athletic Medical Supplies Inc. research, education and community outreach programs. Heisinger, along with his Project 11 team, have developed el Jimador Tequila over 500 educational videos as part of a 15-week Elkhorn Resort curriculum to teach students and teachers ways of coping Enns Brothers and dealing with mental health issues. From Project 11’s EPH Apparel humble beginning in 2014, the initiative’s important mental Greg Klassen – National Bank Financial Hill Sokalski Walsh wellness messages are now being shared with more than Labatt Breweries of Canada 30,000 Manitoba students and teachers this year alone. THE PAN AM CLINIC FOUNDATION IS GRATEFUL FOR THE SUPPORT OF OUR SPONSORS: Lululemon Heisinger speaks to students and adults alike sharing Ontime Group Rick Rypien’s story with dozens of audiences every year. The Asper Foundation Maple Leaf Construction Pony Corral Restaurant & Bar Following his presentations, audience members often tell Hartley & Heather Richardson Parrish & Heimbecker Pratts Wholesale Ltd. him they’re worried they’ll say the wrong thing if a friend The Fort Garry Hotel Jim & Leney Richardson RBC Wealth Management – Fradkin opens up to them. He says the only wrong thing you can Land Rover Winnipeg Banville & Jones Wine Co. Wealth Management say is you don’t have the time. Oliver & Gennie Plett Sigurdson Financial Group Inc. Red Wireless “I FELT VERY FORTUNATE DURING MY HOCKEY Royal Sports “All you have to do is listen and be there for them,” he says. Manitoba X-Ray Clinic Simon Imports Winnipeg Blue Bombers TSN 1290 Winnipeg CAREER TO HAVE THE RESOURCES AND EXPERTISE Santa Lucia Pizza “It takes a great amount of courage to talk about your Pavilion Investment House Diamond Athletic Medical PROVIDED BY PAN AM AND DR. PETE MACDONALD. Stella’s Catering feelings and no one is alone. Rick is the one that made Pat & Lee Meagher Supplies Inc. SUPPORTING PAN AM CLINIC AND DR. MACDONALD Terracon Development Ltd. all the di erence for me. He deserves a great legacy Radiology Constants of Shindico THROUGH THIS GOLF TOURNAMENT IS AN HONOUR The Rink and I think he’d be smiling down at this.” Winnipeg Bison Transport FOR ME, AND I APPRECIATE THE OPPORTUNITY.” Twisted Tea Tom Powell Design ADESA Winnipeg – Mark Stuart Wellington College Winnipeg Building & Decorating Winnipeg Ice

22 23 PAN AM CLINIC FOUNDATION 2018-2019 ANNUAL REPORT

PAN AM PEER REVIEWED ARTHROSCOPY PUBLICATIONS 2018-2019 ASSOCIATION OF NORTH AMERICA

Atesok K, MacDonald P, Leiter J, McRae S, Singh M, Stranges G, Old J. Mathieu F, Ellis MJ, Tator CH. Concussion education in Canadian AANA AWARDS The eect of deep shoulder infections on patient outcomes after medical schools: a 5 year follow-up survey. BMC Med Educ. arthroscopic rotator cu repair: a retrospective comparative study. 2018 Dec 20;18(1):316. Muscles Ligaments Tendons J. 2018 Apr 16;7(4):590-597. doi: 10.11138/ AANA 2019: The paper entitled, “Arthroscopic Bankart Repair mltj/2017.7.4.590. eCollection 2017 Oct-Dec. PubMed PMID: 29721461; Matthewson G, Kooner S, Kwapisz A, Leiter J, Old J, MacDonald P. with and without Arthroscopic Infraspinatus Remplissage in PubMed Central PMCID: PMC5908336. The eect of subscapularis repair on dislocation rates in reverse shoulder arthroplasty: a meta-analysis and systematic review. Anterior Shoulder Instability with a Hill-Sachs Defect: Randomized Bell S, Old J, Lewis E, Coghlan J. The medium-term results of J Shoulder Elbow Surg. 2019 May;28(5):989-997. Controlled Trial” was selected to receive the 2019 Richard O’Connor acromioclavicular joint arthroscopy with chondral and meniscal Research Award. Peeler J, Leiter J, MacDonald P. Eect of body weight-supported debridement. J Orthop Surg (Hong Kong), 2019, 27: 2309499018817865. This award is granted to the best overall paper at the Arthroscopy exercise on symptoms of knee osteoarthritis: A follow-up Association of North America annual meeting held in Orlando in May Clark T, McRae S, Leiter J, Zhang Y, Dubberley J, MacDonald P. investigation. Clin J Sport Med. 2018 Oct 1. 2019. This was a multi-centre trial conducted at the Pan Am Clinic and Arthroscopic Versus Open lateral release for the treatment of the Ottawa Hospital between 2012 and 2019 with the following authors: lateral epicondylitis: A prospective randomized controlled trial. Perrin DL, Cordingley DM, Leiter JR, MacDonald PB. Physical fitness Peter MacDonald, Jason Old, Randy Mascarenhas, Sharad Prabhakar, Arthroscopy. 2018 Dec;34(12):3177-3184. of medical residents: Is the health of surgical residents at risk? Can J Surg. 2018 Oct 1;61(5):345-349. Sheila McRae, Jonathan Marsh, Jamie Dubberley, Greg Stranges, Ellis MJ, Bauman S, Cowle S, Fuselli P, Tator CH. Primary care JeŒ Leiter, and Peter Lapner. management of concussion in Canada. Paediatr Child Health. 2019 Russell K, Selci E, Black B, Ellis MJ. Health-related quality of life Within the same time period we also received the Canadian Shoulder Jun;24(3):137-142. doi: 10.1093/pch/pxy171. Epub 2019 Jan 7. following adolescent sports-related concussion or fracture: and Elbow (CSES) Best Paper award for the same research study. a prospective cohort study. J Neurosurg Pediatr. 2019 Jan 15:1-10. The award was received in June 2018 in Victoria. This was the second Ellis MJ, Leddy J, Cordingley D, Willer B. A physiological approach to year this ‘Best Paper’ award was given by CSES and Pan Am research Sarrah M, Coughlin RP, Solow M, Ekhtiari S, Simunovic N, Krych AJ, assessment and rehabilitation of acute concussion in collegiate studies received the award both times. and professional athletes. Front Neurol. 2018 Dec 20;9:1115. doi: MacDonald P, Ayeni O. Anterior cruciate ligament reconstruction 10.3389/fneur.2018.01115. eCollection 2018. with concomitant menical surgery: a systematic review and meta-analysis of outcomes. Knee Surg Sports Trauma Arthoscop Ellis MJ, Leiter J, Cordingley DM, Reimer K, Koenig J, Russell KF. 2019, Feb 4, online p 1-12. Evaluation of a medically supervised concussion protocol for youth hockey in Canada. Can J Neurol Sci. 2018 Jul;45(4):424-431. doi: 10.1017/ Shea JR, Shay BL, Leiter J, Cowley KC. Energy expenditure as a function cjn.2018.30. Epub 2018 Jul 3. of activity level after spinal cord injury: The need for tetraplegia- specific energy balance guidelines. Front Physiol. 2018 Sep 19; 9: 1286. Ellis MJ, McDonald PJ, Olson A, Koenig J, Russell K. Cervical spine dysfunction following pediatric sports-related head trauma. J Head Wasserman A, Matthewson G, MacDonald P. Platelet-Rich Plasma and Trauma Rehabil. 2019 Mar/Apr;34(2):103-110. the Knee-Applications in Orthopedic Surgery. Curr Rev Musculoskelet Med. 2018 Dec;11(4):607-615. Leddy JJ, Haider MN, Ellis MJ, Mannix R, Darling SR, Freitas MS, SuŒoletto HN, Leiter J, Cordingley DM, Willer B. Early subthreshold Zhang Y, McCammon J, Martin RK, Prior HJ, Leiter J, MacDonald PB. aerobic exercise for sport-related concussion: A randomized Epidemiological trends of anterior cruciate ligament reconstruction clinical trial. JAMA Pediatr. 2019 Feb 4. in a Canadian province. Clin J Sport Med. 2018 Oct 10.

Leiter JR, Cordingley DM, MacDonald PB. Development of anaerobic fitness in top-level competitive youth ice hockey players. J Strength Cond Res. 2018 Sep;32(9):2612-2615.

MacDonald P, Kim C, McRae S, Leiter J, Khan R, Whelan D. No clinical dierences between anteromedial portal and transtibial technique for femoral tunnel positioning in anterior cruciate ligament reconstruction: a prospective randomized, controlled trial. Knee Surg Sports Traumatol Arthrosc. 2018 May;26(5):1335-1342.

24 25 PAN AM CLINIC FOUNDATION 2018-2019 ANNUAL REPORT

SUMMARY STATEMENT OF FINANCIAL POSITION

YEARS ENDED MARCH 31

2019 2018 2019 2018 $ $ $ $

REVENUES ASSETS Contributions 974,020 954,720 Cash and equivalents 1,246,002 1,270,591 Contributions – Medical Careers Exploration Program 182,653 156,980 Accounts receivable 54,713 86,395 Fundraising events 337,314 308,942 Prepaid expenses 19,353 22,118 Investments 33,349 27,388 Loan receivable from Pan Am Rehabilitation Services Inc. 87,446 133,974 Management fee – Pan Am Rehabilitation Services Inc. 15,900 23,400 Capital assets 591,018 697,618 Other revenue 62,013 41,965 Long-term investments 646,442 396,188 Centre fees 12,677 15,144 Investment in Pan Am Rehabilitation Services Inc. 269,769 230,287 1,617,926 1,528,539 2,914,743 2,837,171

EXPENSES LIABILITIES AND NET ASSETS Acknowledgements, gifts and donations 56,116 30,977 Accounts payable and accruals 140,429 197,646 Advertising and promotion 1,900 1,411 Net assets 2,774,314 2,639,525 Amortization 112,759 109,052 2,914,743 2,837,171 Bank charges and interest 1,269 2,563 Consulting fees 83,834 103,237 Continuing development 56,584 47,276 Fundraising events 173,077 154,366 Insurance 19,293 20,538 Medical Careers Exploration Program 152,644 128,304 Professional fees 180,315 150,698 Rent 5,740 5,740 Repairs and maintenance 1,472 1,031 Salaries and benefits 617,042 674,874 Supplies and equipment 47,680 58,274 Travel 23,087 29,469 1,532,812 1,517,810

OTHER ITEMS Equity earnings of Pan Am Rehabilitation Services Inc. 39,482 74,787 Unrealized gain on investments 11,825 180 Loss on disposal of capital assets (1,632) - 49,675 74,967

Increase in net assets 134,789 85,696 Net assets at beginning of year 2,639,525 2,553,829 Net assets at end of year 2,774,314 2,639,525

26 27 PAN AM CLINIC FOUNDATION 2018-2019 ANNUAL REPORT

PAN AM CLINIC RESEARCH EDUCATION & COMMUNITY FOUNDATION DONORS GRANTS OUTREACH GRANTS

David & Ruth Asper Purdue Pharma George & Minnie Friesen ALEXANDER GIBSON FUND SKILLS COURSE ConMed Linvatec Canada Siobhan Richardson Foundation Inc LifeMark Health Management Inc $6,000 Shifts in Practice in the Treatment of Anterior • ConMed Linvatec The Paul Albrechtsen Foundation Inc University of Manitoba Dr. Victor de Korompay Cruciate Ligament Injury Among Surgeons in the • RCPSC CPD Activity Grant – Alexander Gibson Fund Canadian Orthopaedic Association The Pollard Family Foundation Harold & Dee Buchwald Paul Desmarais Jr. $4,000 Arthroscopic Skill Acquisition in Medical Oliver & Gennie Plett Mark & Zeta Bernstein RESIDENT RESEARCH DAY Daniel Talman Professionals Charlie & Dayna Spiring Arnold Frieman • Dromore Holding $12,863 EŒects of Rotator CuŒ Repair on Upper Forum Construction Dr. Les Allen James & Leney Richardson Extremity Activity and Sleep • Loadman Award (MB Patient Care Network) William Parrish Gail Asper & Michael Paterson The Great West Life Assurance Company $3,000 Implementation of a Musculoskeletal Ultrasound Dr. Scott Wolfe Moskal Family Hartley & Heather Richardson Course in an Orthopaedic Surgery Residency RESIDENT ACADEMIC SUPPORT Dr. Ryan Amadeo Qualico Developments (Winnipeg) Ltd Neil Almdal • Alexander Gibson Fund – Brian & Ruth Hastings Brian Duncan Bruce MacNeill SECTIONAL DISCRETIONARY FUND The Winnipeg Foundation Bison Transport Centric Health Corporation $7,324 Surgical Treatment of Massive and Irreparable ORTHOPAEDIC SPORTS MEDICINE AND UPPER Institute of Sports Medicine Co-Venture Winnipeg Building and Decorating Ltd. Tribe Medical Group Rotator CuŒ Tears EXTREMITY RECONSTRUCTION FELLOWSHIP Dr. Brian Lukie & Hannia Tarasiuk DJO, LLC Jim Krovats • OMeGA Medical Grants Association Dr. Darin Banmann & David Hill Brock & Sophie Bulbuck RICHARD O’CONNOR RESEARCH AWARD – BEST PAPER • Ossur Canada Inc Rachel Suarez-Banmann Gendis Inc. Arthex Inc. $2,000 Arthroscopic Bankart Repair with and without Dr. Greg & Sandra Storoschuk Arthroscopic Infraspinatus Remplissage in Anterior Price Industries Limited Ken McCrea PRIMARY CARE SPORTS & EXERCISE Dr. Hein & Linda Peters Shoulder Instability with a Hill-Sachs Defect: Frantic Films Gene Dunn MEDICINE PROGRAM Dr. James Langridge & Evelyn Lightly Randomized Controlled Trial James & Marilyn Ferguson Mark Tooley • Institute of Sports Medicine Co-Venture Dr. Peter & Mary Nemeth Rod & Kathy Corbett Melanie Tooley • Ossur Canada Inc Dr. Robert & Anastasia Glacken DEPARTMENT OF SURGERY Smith & Nephew Inc The Family of Don Baizley Dr. Swee Teo & Renee Bertrand-Teo $15,000 The Use of Tranexamic Acid in Irrigation Fluid to Tina Jones T.J. Rice Family Foundation Improve Arthroscopic Visualization in Shoulder MEDICAL CAREERS EXPLORATION PROGRAM Dr. Sylvia Loewen & Kirk Cook Michael Banville Forum Construction Surgery: A Randomized Controlled Trial • Manitoba Education & Training Dr. Shawn & Rebekah Verity Pan Am Clinic Sta Patrick & Evelyn Clift • Anonymous University Medical Group Dr. Warren & Sandy Froese RBC Foundation Anonymous Mildred Lucky Canadian Western Bank ORTHOPAEDIC FELLOWSHIP ANNUAL MEETING Diamond Athletic Medical Supplies HOW TO DONATE Ossur Canada Inc Puchniak Family Fund • Tribe Medical Group Dr. Peter & Sherry MacDonald – The Winnipeg Foundation The services o ered and the innovative approaches Sports Physiotherapy Centre • ConMed Linvatec Canada Ruth M. Asper McLaughlin Family Justin Stewart to healthcare at the Pan Am Clinic have helped to establish our organization as a community and national leader • Ossur Canada Inc The Wawanesa Mutual Insurance Company Gary & Gwen Steiman Edna Mattson in healthcare. Dr. Wayne & Rita Hildahl Ida Albo & Richard Bel The Winnipeg Foundation – Soubry Community Fund Your financial support for education, research and Burns Family Fund Dr. Je Leiter community outreach initiatives will assist in advancing – The Winnipeg Foundation Je & Valarie Thompson Dr. R Cole Beavis the treatment of muscle, bone and joint conditions Pfizer Canada Inc Justin Stewart Ossur Americas Inc and ultimately play a key role in helping people live Genzyme Canada Inc Play 4 Sven Gregg & Mary Hanson healthy, active lives. Birchwood Auto Group Partnership – In Memory of Ben Sveinson University of Manitoba If you would like to make a donation to the Pan Am Clinic Ferring Pharmaceuticals Biovail Pharmaceuticals Canada Foundation, please contact us at 204.232.8271 or visit Henry & Elisabeth Vis www.panamclinic.org/donate

28 29 PAN AM CLINIC FOUNDATION 2018-2019 ANNUAL REPORT

PAN AM CLINIC FOUNDATION STAFF DAVID AND RUTH ASPER RESEARCH CENTRE 75 Poseidon Bay, Winnipeg, MB R3M 3E4 DIRECTORY t: 204.925.7488 f: 204.927.2775 www.panamclinic.org/foundation.asp ORTHOPAEDIC SURGEONS AND AREAS OF SPECIALTY

DR. ALLAN HAMMOND TRAUMA, FOOT AND ANKLE, COMPLEX KNEE LIGAMENT SURGERY

KEVIN HUNTER MARC MORISSETTE DR. MICHAEL ELLIS EXECUTIVE DIRECTOR QUALITY CONTROL ASSISTANT CLINICAL EPIDEMIOLOGY AND DR. HEATHER BARSKE 204.927.2665 204.925.1558 MANAGEMENT OF PEDIATRIC [email protected] [email protected] FOOT AND ANKLE SURGERY SPORTS-RELATED CONCUSSION

DANA PETELESKI KELLY MMULLAN DR. JASON OLD DR. PETER MDONALD EXECUTIVE ASSISTANT DONOR RELATIONS ARTHROSCOPIC SHOULDER 204.925.7488 204.232.8271 SHOULDER, KNEE, SPORTS AND ELBOW SURGERY, SHOULDER [email protected] [email protected] INJURY AND ARTHROSCOPY REPLACEMENT SURGERY

DR. SHEILA MRAE DEAN CORDINGLEY SENIOR RESEARCH ASSOCIATE EXERCISE PHYSIOLOGIST DR. TOD CLARK DR. JONATHAN MARSH 204.925.7469 204.926.5858 HAND, WRIST AND ELBOW AND SHOULDER, ELBOW AND [email protected] [email protected] PERIPHERAL NERVE SURGERY WRIST SURGERY

BRITTANY BRUINOOGE DARREN HART DR. JAMIE DUBBERLEY DR. JARRET WOODMASS RESEARCH ASSISTANT RESEARCH ENGINEER 204.925.1558 204.927.2828 UPPER EXTREMITY TRAUMA, SPORTS INJURIES, ARTHROSCOPY & [email protected] [email protected] RECONSTRUCTION AND ARTHROSCOPY RECONSTRUCTIVE SHOULDER SURGERY

HOLLY BROWN DR. DAN OGBORN, PT PhD RESEARCH ASSISTANT AND DR. GREG STRANGES DR. DEVIN LEMMEX RUNNING & GAIT CENTRE TECHNICIAN RESEARCH ASSOCIATE 204.927.2828 204.925.1558 SPORTS MEDICINE, ARTHROSCOPY, SPORTS MEDICINE, HIP, KNEE [email protected] [email protected] KNEE AND SHOULDER SURGERY & ANKLE ARTHROSCOPY

30 31 PAN AM CLINIC FOUNDATION INC. 75 POSEIDON BAY | WINNIPEG, MB | R3M 3E4 T: 204.925.7488 F: 204.927.2775 WWW.PANAMCLINIC.ORG/FOUNDATION