Department of Paediatrics CHAIR/CHIEF’S REPORT
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ANNUAL REPORT 2015-16 Department of Paediatrics CHAIR/CHIEF’S REPORT 3. clinical care is enriched by the patient safety and quality strategies; choosing wisely initiatives; greater accountability and more. And now some direct thanks: • to the members of the Paediatrics Executive for their unwavering support and effort: Rayfel Schneider (education), Meredith Irwin (research), Jeremy Friedman (clinical), Marilyn Monk (hospital operations) and Ben Vozzolo (departmental operations); • to the division chiefs and their training program directors for keeping us heading forward; the end of June 2016, my ten year term as Chair At of the Department of Paediatrics at the University • to the Dean, Vice-Deans, Associate Deans of the TABLE OF of Toronto and Paediatrician-in-Chief at SickKids came Medical School, so ably led by Dean Trevor Young; to an end, ten years being the rule at these two great SickKids Senior Executive team, led first Mary Jo institutions. And completely appropriately too, since all Haddad and now Mike Apkon. CONTENTS institutions need periods of renewal and reflection in order to steam ahead. I have no doubt that Ronald Cohn who In the past 10 years we recruited over 100 new faculty, has assumed these roles is an outstanding choice and promoted to Full or Associate Professor 154 members 3 CHAIR/CHIEF’S REPORT 146 INFECTIOUS DISEASES will move the department ever forwards. of the faculty. I believe our commitment to excellence has served us very well indeed and will continue to do so. CARDIOLOGY NEONATOLOGY 12 158 I would personally wish to thank all members of the department, whether at SickKids or in other UofT-affiliated It has been a joy and a privilege to have been in these 30 CLINICAL GENETICS & METABOLICS 168 NEPHROLOGY institutions, for their enormous contributions. It is because roles the past 10 years. There are no doubt bumps 48 CLINICAL PHARMACOLOGY 176 NEUROLOGY of all of you that our department ranks among the best in in the road ahead, especially with faculty and research the world. funding. Nonetheless the department is well positioned 54 DEVELOPMENTAL PAEDIATRICS 198 PAEDIATRIC MEDICINE to meet these challenges. There are some very simple metrics that I have kept 62 PAEDIATRIC EMERGENCY MEDICINE 224 RESPIRATORY MEDICINE repeating; let me summarize them briefly here: …the torch; be yours to hold it high! John McCrae; In Flanders Field 76 ENDOCRINOLOGY 248 RHEUMATOLOGY 1. our education programs have never been in such good shape: thanks to the leaders of all the components of 88 GASTROENTEROLOGY, 264 GRAND ROUNDS this portfolio; HEPATOLOGY & NUTRITION Denis Daneman MBBCh FRCPC DSc(Med) 269 MEDICAL EDUCATION TRAINING 2. our research funding has never been at the current level: we continue to recruit scientists and investigators 108 HAEMATOLOGY/ONCOLOGY EDUCATION ORGANIZATION 270 who are leaders in their areas; and 138 IMMUNOLOGY/ALLERGY 296 ‘CHOOSING WISELY’ INITIATIVE DEPARTMENT OF PAEDIATRICS ANNUAL REPORT 2015-16 | SICKKIDS 3 A NEW ERA…DR. RONALD COHN APPOINTED CHIEF OF PAEDIATRICS “I am excited to have Dr. Cohn join the SickKids executive Dr. Cohn has combined his clinical and research team as Chief of Paediatrics. I am certain that he will interests working to develop programs and influence AT THE HOSPITAL FOR SICK CHILDREN be an exceptional leader within the hospital and across policies that will bring the power of genomics to the university’s paediatric community,” says Dr. Michael individualized approaches to care. In July of 2013, Apkon, SickKids President and CEO. “His excellent under his leadership, the Centre for Genetic Medicine clinical, scientific and people leadership skills and launched the first paediatric focused Genome clinic at strong commitment to innovation will continue to inspire SickKids, which is devoted to discovering new diagnostic our Department of Paediatrics in world-class care and and treatment options for paediatric disease. Dr. Cohn is integration with our research enterprise, resulting in also an accomplished scientist, focusing on the genetics greater health outcomes for our children and families.” of muscular dystrophies. Most recently, his laboratory has started to investigate the application of a new genome “I am excited to have Dr. Cohn join the SickKids executive team as Chief of Paediatrics. I am certain that he will be an exceptional leader within the hospital and across the university’s paediatric community,” says Dr. Michael Apkon, SickKids President and CEO. editing technology, CRISPR/Cas9 that holds the promise the Director of the worlds’ first multidisciplinary centre of correcting genetic abnormalities that lead to disease. for Hypotonia. Dr. Cohn has received numerous awards including the David M. Kamsler Award for outstanding “Dr. Cohn has helped establish Toronto as a centre in compassionate and expert care of paediatric patients, the emerging field of Genetic Medicine since joining 2004; the First Annual Harvard-Partners Center for the University of Toronto and SickKids in 2012. He is Genetics and Genomics Award in Medical, 2006; a talented physician and a sterling researcher. We look and, the NIH Young Innovator Award, 2008. forward to the energy and vision he’ll bring to supporting children’s health in his new roles,” says Professor Trevor Dr. Michael Apkon Young, U of T’s Dean of the Faculty of Medicine and President and CEO, Vice Provost, Relations with Health-Care Institutions. The Hospital for Sick Children Dr. Cohn holds a medical degree from the University Trevor Young, MD, PhD, FRCPC, FCAHS ollowing an extensive international search, Dr. Cohn is an outstanding clinician, scientist, and of Essen, Germany, and did his postdoctoral fellowship Dean, Faculty of Medicine and Vice Provost, FThe Hospital for Sick Children (SickKids) Board educator recruited to SickKids in 2012 to be the at the Howard Hughes Medical Institute. Before joining Relations with Health- Care Institutions, of Trustees and The University of Toronto’s Governing Chief of the Division of Clinical and Metabolic Genetics, SickKids he was at the McKusick-Nathans Institute of University of Toronto Council are pleased to announce the appointment of Co-Director of the Centre for Genetic Medicine and Genetic Medicine at Johns Hopkins where he became Dr. Ronald Cohn to the position of Chief of Paediatrics, Senior Scientist. He also became the Inaugural Women’s SickKids and Chair of Paediatrics at The University Auxiliary Chair in Clinical and Metabolic Genetics in of Toronto. Dr. Cohn will assume his responsibilities April of 2013, and is an Associate Professor in the on July 1, 2016 following Dr. Denis Daneman’s Departments of Paediatrics and Molecular Genetics completion of his ten-year term. at the University of Toronto (U of T). 4 SICKKIDS | DEPARTMENT OF PAEDIATRICS ANNUAL REPORT 2015-16 DEPARTMENT OF PAEDIATRICS ANNUAL REPORT 2015-16 | SICKKIDS 5 DIVISION OF ADOLESCENT MEDICINE he Division of Adolescent Medicine at The Hospital The Young Families’ Program continues to offer Tfor Sick Children is an interprofessional group interprofessional education and experience to trainees committed to promoting and providing excellence in from a variety of disciplines including medicine, nursing, adolescent health care, and collaborating with local, social work and psychiatry with a particular focus on national and international communities in the areas social paediatrics to its clinical, research and educational of patient care, training, education and research. programs. Research and Quality Improvement projects Some of the exciting events of the year included: include work in the areas of maternal and child outcomes, a Strategic Planning process; our work with CAPHC infant mental health, developmental screening and on transition guidelines; and the explosive growth evidence-based health services for adolescent parents. of the Transgender Youth Clinic. The program continues its progress towards the Transgender Program is growing quickly, with 20 referrals a month. The team is doing extensive education in outlying areas so that adolescents can get this expert care in their own communities. development of evidence based adolescent parenting navigator in the sickle cell program, transfer clinics in interventions, with a particular emphasis on maternal aftercare oncology and transition education events in and infant mental health. Outreach to Community neurosurgery outreach program. We continue to serve as networks and affiliations remain an active focus. consultants/experts at the local hospital community level and nationally, with our work with the Epilepsy Transition The Substance Abuse Program provides a continuum Working group and efforts to develop clinical practice of care from outpatient to day treatment, incorporating guidelines for transitions with the Canadian Association best practices in clinical care, while providing learning of Paediatric Health Centres, respectively. We published for a variety of health professional trainees. The program research in the area of youth-focused interventions for also provides outreach to schools, group homes and youth-serving agencies across the GTA. The program has introduced enhanced services for parents and is PILOT STUDY: BENEFITS OF A TRANSFER ADOLESCENT also one of the lead agencies involved in a pilot project CLINIC IN ADOLESCENT AND YOUNG aimed at enhancing program evaluation of youth addiction ADULT KIDNEY TRANSPLANT PATIENTS. programs in Ontario. The program is also launching The purpose of this study was to investigate whether MEDICINE