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On the Front Lines of Mental Health

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On the Front Lines of Mental Health WINTER 2014 UNIVERSITY OF TORONTO MEDICAL ALUMNI ASSOCIATION MAGAZINE MAAMATTERS ON THE FRONT LINES OF MENTAL HEALTH ConvoCation 2014 • FivE DECaDES DiFFEREnt? TO COME DEAN’S MESSAGE Dr. CaTharine WhiTesiDe (1975) A farewell message The Medical Alumni Association (MAA) to provide opportunities to help build at the University of Toronto is one of our and sustain this valued relationship. most important organizations for the When students and trainees enter our ongoing and future success of our medical MD and postgraduate programs, we school. As I complete my tenure as the welcome them into the U of T medical Dean of Medicine and look back over my school family and make a tremendous years closely associated with the MAA, I am effort enabling them to fulfill their HY P very proud of the dedication and accom- potential. Once they graduate they should RA G plishments of our alumni and the MAA feel part of our extended family that now Board. Last year the Faculty established reaches into every aspect of the Canadian PHOTO L E three alumni awards, including the Alumni health system and beyond. We must NN O D Volunteer Award, the Lifetime Achievement provide support for their continuing Award and the Rising Star Award. The professional development, access to rapidly HY: MAC HY: P MAA also recognizes alumni contributions expanding knowledge and its application, RA G through awards and scholarships. and we must welcome their engagement It is so important that we recognize in the mentoring and teaching of our PHOTO alumni who have made an impact through students and trainees. More progress is their leadership, discoveries and commit- needed to achieve even closer and mean- ment to improving health in Canada ingful relationships with our alumni, and across the globe. But it is equally and I know the MAA and incoming “It is our alumni necessary that we value the contribution Dean, Trevor Young, will continue to of every graduate of our medical school. champion these efforts. who fulfill our social It is our alumni who fulfill our social It has been a great privilege to serve as responsibility, leading health care transfor- the fifteenth Dean of Medicine at the responsibility, mation throughout our province and University of Toronto. Thanks to all who leading health care nation. In fact, the world looks to our have supported me on this remarkable medical school as an exemplar of health journey and, in particular, the leadership of transformation professions education because of the the MAA—whom I count among my most impact of our alumni. valued friends and colleagues. May I extend throughout our The MAA enables continued contact my sincere best wishes for every success to with and support for our medical alumni, Trevor Young, who becomes the sixteenth province and nation.” and a key strategic goal for our Faculty is Dean of Medicine on January 1, 2015. MAA Matters is published by the Cover photo: Matthew Plexman For more information, The MAA respects your privacy. Medical Alumni Association in Design and Art Director: please contact: We do not rent, trade or sell our co-operation with the University Luisa De Vito Ruth Gillings, mailing list. If you do not wish to of Toronto’s Faculty of Medicine. room 3249, receive MAA Matters, please Editor: Fiona Irvine-Goulet ON THE COVER: Medical Sciences Building, contact us. Contributors: Dr. Suan-Seh Foo, Colonel Rakesh Jetly (1991) is 1 King’s College Circle Ruth Gillings, Dr. Peter Kopplin, the senior psychiatrist and mental Toronto M5s 1a8 Canadian Publications Mail Product Julie Lafford, Matthew Plexman, health clinical advisor to the Tel.: (416) 978-0991 CUSTOMER # 7022738 Medical Alumni Association Andrea Santos, Morgan Tilley, Canadian Forces Surgeon-General. E-mail: [email protected] Contract # 41679520 Dr. Catharine Whiteside Website: http://maautoronto.ca 2 University of Toronto • Winter 2014 know everything that quickly. Staying up to date is a huge challenge; just being able to access a vast amount of information in a timely manner is tough. Leonard: The amount of information that we had to learn when we graduated was probably about one-hundredth of what comes out today. And there was no access to it anyway. You had only hard journals and you would go to rounds. In a sense it was easier then because you had the mistaken impression that you could know it all. Ahmed: To be learning the science of how to learn and re-learn is important today too—for example, now that social media is part of the equation, we have to know how to use it to learn. Knowledge translation and dissemination can be overwhelming in one sense, and in another, learning how to distill that knowledge to make sense out of it is incredibly important too. You can’t forget the human element. You can spend hours online but at the end Five decades different? of the day having a good mentor or having someone instruct you and explain to you a cardiologist from the Class of 6T4 and an er resident leaves more of an impression. from 1T4 chat about changes in med school and beyond Leonard: It was William Osler who said, “A good doctor treats the disease, but a great doctor treats the patient who has the disease.” Leonard Schwartz (1964) is everything together. Some were my high a leading cardiologist at the school buddies. At St. Mike’s Hospital at a On the med school experience: DR. University Health Net- vascular clinic in front of the class I was Ahmed: In Ontario, just to get in to med work, Toronto General Hospital and a asked to describe the great vessels of the school is a huge process. The year I professor of medicine at U of T. Dr. Ahmed neck, which I know of course because that’s applied, about one in nine who applied got Taher (2014) is a resident in emergency my field, but not then. But I got it totally in; and for a lot of people it’s not their first medicine who was a paramedic before he mixed up and embarrassed myself. The thing try but second, third or fourth. So for entered med school. With a 50-year that bothered me the most was that after- many of us who get in, you’re in awe the difference in graduation years between wards the guys teased me with, “Way to go first couple of years, but going through them, we invited both docs to chat about Schwartzy!” and the like. It was not an med school here at U of T was a great their experiences in their beloved profession. image I wanted to create even though it experience for me. I had the privilege of Below are some edited highlights from their was all in fun of course, but I felt it was time working with different faculty members wide-ranging discussion. to move on. I moved to the United States, and sitting on different boards and to Philadelphia General (PGH). I felt I committees, and one commonality is that On the challenges upon graduating med school: needed confidence and PGH was a great students are at the centre of the experience. Leonard: The fact that I decided to leave place for that. I found my footing and Leonard: To get into med school in the the city after graduation was my biggest gained a new perspective. 60s there was no standardized test like the challenge. I was born and raised in Toronto Ahmed: My biggest challenge—and I think MCAT or any interviews; there were only and I always wanted to be a doctor. I had an that of my colleagues in 2014—is that you Grade 13 exams and I went straight into epiphany in second or third year meds about think at first that you know what you need to pre-meds from there. In my med my future. I was with my guys, a close clinic know in terms of medical knowledge, but school experience we did have clinical group of about six of us and we did then gradually realize that you can’t possibly groups so we got to know the clinicians Medical Alumni Association 3 fairly well, and some I still know. Griff Leonard (laughing): Although those rules technology to augment your own clinical Pearson and Mary Ann Hooey, to name did impact me as a staff person! I’m not decision-making, but not relying on it just a couple, were great role models. doing this now but as recently as five years completely. I think one thing that we have Ahmed: I think one universal point ago I was doing a staff rotation in cardiology lost a bit, that you had more than we did, between our two generations is that the and there were no residents there, because Leonard, is the clinical exam, including the clinician-student relationship is timeless— they were all either off-call or not around nuances of the patient’s body; people are you can study the science of medicine as because they had been on the previous more quick now to respond to numbers much as you want, but for the art of night! But overall, it’s much better for from a machine. medicine you need someone to show you. patients and doctors too. Leonard: I don’t see people making a diagnosis any more. They may give a On work/life balance: On the changes wrought by technology: dialogue of what’s happening, but give me Leonard: There was much less consideration Leonard: Everything we did 50 years ago a differential diagnosis, give me a plan.
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