UNIVERSITY OF BRITISH COLUMBIA DEPARTMENT OF MEDICINE Annual Report 2015 | 2016 TABLE OF CONTENTS OVERVIEW OF THE DEPARTMENT OF MEDICINE Heads and Directors...... 2 Committees...... 3 Administration...... 11

RESEARCH Activities...... 12 Research Metrics and Highlights...... 12

EDUCATION UNIVERSITY OF BRITISH COLUMBIA Accomplishments and Highlights...... 13 DEPARTMENT OF MEDICINE Undergraduate Medical Education Program (UGME)...... 13 Annual Report 2015 | 2016 Postgraduate Medical Education Program (PGME)...... 13 Experimental Medicine...... 16 Dr. Graydon S. Meneilly, MD, FRCPC, MACP DIVISION REPORTS Professor and Eric W. Hamber Chair AIDS...... 17 Head, UBC Department of Medicine Allergy and Immunology...... 20 Physician-in-Chief & Head, Cardiology...... 22 Community Internal Medicine...... 25 Department of Medicine Critical Care Medicine...... 27 Vancouver Hospital Endocrinology...... 29 Gastroenterology...... 31 General Internal Medicine...... 33 Contributors Geriatric Medicine...... 35 Division Heads and Administrators Hematology...... 37 Program Directors and Managers Infectious Diseases...... 39 Department of Medicine Administrative Staff Medical Oncology...... 41 Nephrology...... 42 Neurology...... 44 Palliative Care...... 46 Physical Medicine & Rehabilitation...... 48 Respiratory Medicine...... 50 Rheumatology...... 52

Canada Research Chairs...... 54 Professorships...... 55 Endowed Chairs...... 56 Awards and Honours...... 57 1 OVERVIEW Department o ad, f M e ed HEADS AND DIRECTORS , H ic y i ill n e e n e M . Cheung S Department Heads n • Director, Educational Research & o

d • Dr. Graydon S. Meneilly, MD, FRCPC, MACP, Scholarship - Dr. Kevin Eva y a

r

Professor and Eric W. Hamber Chair, Head, G

Department of Medicine, University of British r

UBC Division Heads D Columbia, Physician-in-Chief & Head, Department of Medicine, Vancouver Acute Services • AIDS - Dr. Julio Montaner Regional Department Head, Vancouver Coastal • Allergy & Immunology - Dr. Robert Health and Providence Health Care Schellenberg • Cardiology - Dr. Andrew Krahn • Dr. S. F. Paul Man, MD, FRCPC • Community Internal Medicine - Dr. Barry Chair, Department of Medicine Providence Health Kassen Care • Critical Care Medicine - Dr. Najib Ayas • Endocrinology - Dr. Ehud Ur UBC Associate Heads • Gastroenterology - Dr. Eric Yoshida, Dr. Robert Enns (as of March 1, 2015) • Associate Head of Medicine - Dr. Stephen Nantel, • General Internal Medicine - Dr. Barry Vancouver Acute Kassen, Dr. Anita Palepu (as of September 1, • Associate Head of Medicine - Dr. S. F. Paul Man, 2015) Providence Health Care • Geriatric Medicine - Dr. Janet Kow • Associate Head, Research - Dr. Teresa Tsang, • Hematology - Dr. Stephen Nantel • Associate Head, Education (as of September 1, • Infectious Diseases - Dr. Peter Phillips 2015) - Dr. Andrea Townson • Medical Oncology - Dr. Karen Gelmon • Associate Head, Academic Affairs (as of • Nephrology - Dr. Adeera Levin September 15, 2015) - Dr. Diane Lacaille • Neurology - Dr. Jon Stoessl • Palliative Care - Dr. Pippa Hawley Educational Program Directors • Physical Medicine & Rehabilitation - Dr. Andrea Townson, Dr. Jennifer Yao (as of April • Clinical Investigator Program - Dr. Anita Palepu 1, 2016) • Graduate Studies Program in Experimental • Respiratory Medicine - Dr. J. Mark Medicine - Dr. Vince Duronio FitzGerald, Dr. Jeremy Road (as of December • Postgraduate Education Program - Dr. J. Mark 1, 2016) Roberts • Rheumatology - Dr. Kamran Shojania 2 • Undergraduate Education Program - Dr. Winson

1 COMMITTEES

UBC Undergraduate Education Committee (UEC) Student Representatives 2016 - 2017: Function: VFMP The Internal Medicine Undergraduate Chair: • Miles Marchand (Year 3) Education Committee (UEC) is a standing • Dr. Winson Cheung IMP committee responsible for planning, • Ben Cox (Year 4) implementing, and evaluating the Year 3 Members: SMP Internal Medicine clerkship rotation and Year VFMP • Marc Jutras (Year 3) 4 electives across all four sites: Island Medical • Dr. J Yao NMP Program (IMP), Northern Medical Program • Dr. J Kow • No student rep (NMP), Southern Medical Program (SMP) • Dr. W Cheung and the Vancouver Fraser Medical Program • Dr. H Nagi Administrative Support: (VFMP). • Dr. D Rosenbaum • Kathy Standeven • Dr. D Shu • Paola Martens The Committee is chaired by the • Dr. M Chapman • Sarin Amram Undergraduate Program Director and • Dr. A Townson • Jelena Grabeljsek membership is comprised of Associate IMP • Nancy Blatchford Directors, Discipline Specific Site Leads, • Dr. J Spence • Sherol Cunningham faculty representatives from each distributed NMP • Lynne Fisher site, students from each year at each • Dr. S Olsen • Elana Richard distributed site, and several non-voting SMP • Jennifer Young members including the Head of Medicine • Dr. G McCauley • Denise Marcotte and several representatives from each of the • Dr. C Holmes • Carol Brown distributed sites. • Dr. J Calder • Elaine Potoski • Dr. A Barton • Kyla Shaw The committee meets every 4 to 6 weeks or as • Dr. T Smith • Michelle Carmichael required. • Dr. C Hume • Erin Dueck • Dr. V Chaubey • Dr. D Fort Reports To: • Dr. J Rai Department Head, UBC Department of Medicine; Associate Head, Education, UBC Department of Medicine; the MD Undergraduate Year 3 & 4 Subcommittee; and

the Student Promotion Review Board. 3 UBC Residency Training Committee Department of Medicine Mentoring Program, which operates within and is complementary to the Faculty of Medicine Mentoring Program. The The Internal Medicine Residency Training Committee is responsible for all Committee liaises with the Department Executive Committee and the aspects of the Postgraduate Training Program in internal medicine in the Promotion and Tenure Committee as needed. The Committee members serve Department of Medicine. This responsibility is delegated from the UBC as an advisory group to the Committee chair and assist the chair as requested, Faculty of Medicine through the office of the Postgraduate Dean. Specific in Program development and management. responsibilities include selection, evaluation, and promotion of residents, as well as provision of an educational program that meets the standards of the The chair of the Mentoring Committee works closely with the Department RCPSC or CFPC. Head to ensure that effective mentoring relationships are established and maintained for every new tenure track and grant tenure track department The Committee strives to supervise and provide leadership in all aspects member from the time of their appointment through to their achievement of Post graduate Clinical Education in the specialty of internal medicine of tenure and promotion to associate professor. The Committee ensures within the UBC Faculty of Medicine and its affiliated teaching hospitals. that every mentor-mentee relationship is documented and is functioning The Committee meets monthly or as required. The RTC is chaired by the satisfactorily, and if not, that a new mentor is appointed. Program Director and membership is comprised of faculty members from the divisions, residents from each year of the program, and administrative The Department Mentoring Program was established by Dr. Norman Wong staff. in January 2005. Dr. John Cairns assumed the role of Director in July 2010. The mentoring Committee has worked hard to interpret the findings of the UBC Mentoring Advisory Committee Department Research Task Force, and to implement changes to sustain and strengthen the Mentoring Program. Chair: • Dr. John Cairns The program website has been much improved and made readily accessible. All materials needed to support mentors and mentees are available on the Members: Department website, and documentation is now possible without the creation, • Dr. SF Paul Man storage or transmission of paper documents. • Dr. J Mancini • Dr. A Palepu At the beginning of academic year 2014-15, there were 25 mentor-mentee • Dr. N Reiner pairs in the program, 1 of whom dropped out and 1 resigned the appointment leaving 23 at June 30, 2015. As of the beginning of academic year 2015-16, 2 Administrative Support individuals had achieved promotion and tenure, and 3 more mentor-mentee • Jane Zhang pairs were established for a net of 24 pairs in the program. • Sabina Fitzsimmons Every mentor-mentee relationship has been reviewed and where necessary, Reports to: rejuvenated, sometimes with the appointment of a new mentor. We Department Head endeavour to ensure that a mentor is agreed upon by the date of completion of the recruitment process so that the relationship can begin soon after the Functions: commencement of the appointment. Ongoing, regular review and assessment The Mentoring Advisory Committee has overall responsibility for the of the Program occurs with the intent to implement change as needed. 4 UBC Recruitment and Resources Committee UBC Academic Appointments, Reappointments, Promotions and Tenure Committee Chair: • Dr. Graydon Meneilly Chair: • Dr. Graydon Meneilly Members: • Dr. Diane Lacaille (as of September 2016) • Dr. M Fitzgerald • Dr. A Levin Vice-Chair: • Dr. SF Paul Man • Dr. SF Paul Man • Dr. J Stoessl • Dr. T Tsang Administrative Assistance: • Amy Stanley • Jane Zhang Committee Members (2015): Administrative Support: • Dr. M Barnett • Jane Zhang • Dr. W Bowie • Dr. J Cairns Reports to: • Dr. C Carlsten (as of September 2015) Department Head • Dr. N Cashman • Dr. E Conway The Department of Medicine created a Recruitment and Resources • Dr. M Dahl Committee to oversee future academic faculty recruitments within the • Dr. D DeWitt Department and to ensure that the recruitments follow the Department’s • Dr. L Foltz (as of September 2015) strategic recruitment direction, that appropriate resources are available, • Dr. R Hatala and that recruitments comply with the University’s equity policies. The • Dr. A Hill Committee also reviews the progress of new recruits at 6 months, 1 year, • Dr. D Hogge and 2 years after they have begun their appointments to ensure that • Dr. K Humphries the recruits are on track for future success. This has resulted in a more • Dr. J Kelsall (as of September 2015) efficient academic faculty recruitment process, and allows better strategic • Dr. P Keown planning for recruitments within the Department. A representative from the • Dr. C Kerr Department’s Equity Committee also attends each meeting. • Dr. D Lacaille (non-voting, as of September 2015) • Dr. P Lee • Dr. C Lohrisch • Dr. A Peets (non-voting, as of September 2015) • Dr. K Shojania

4 5 • Dr. S Sirrs This dedicated group of committed Departmental members is • Dr. J Telford (as of September 2015) charged with facilitating the career advancement of our members • Dr. A Townson (non-voting, as of September 2015) while upholding consistent and rigorous standards as set out by • Dr. S van Eeden UBC. As usual, this Committee invested a great deal of thoughtful • Dr. E Yoshida energy to support the additions and promotions listed below. We are very proud of the following: Committee Members (2016): • Dr. W Bowie New Faculty Appointments • Dr. J Cairns • Dr. C Carlsten Start Dates between January 1, 2015 and December 31, 2016 • Dr. N Cashman • Dr. E Conway Clinical Instructor • Dr. D DeWitt • Afra, Kevin - Infectious Diseases • Dr. L Foltz • Ballard, Mark S - Community Internal Medicine • Dr. J Gill (as of September 2016) • Baxter, Simon Daniel - Medical Oncology • Dr. R Hatala • Blair, Heather Jane - Community Internal Medicine • Dr. A Hill • Brar, Harinderpal Singh - Critical Care • Dr. D Hogge • Bunn, Shannon S E - Palliative Care • Dr. K Humphries • Campsall, Paul - Community Internal Medicine • Dr. J Kelsall • Cessford, Tara Anne - Community Internal Medicine • Dr. P Keown • Chan, Nathan - Community Internal Medicine • Dr. C Kerr • Chan, Vicky Wing Kay - Hematology • Dr. D Lacaille (non-voting, as of September 2016) • Choi, Mark - Community Internal Medicine • Dr. P Lee • Chou, Annie - Cardiology • Dr. C Lohrisch • Clarke, Kaethe - Medical Oncology • Dr. K Shannon (as of September 2016) • Colwill, Anne Marie - Rheumatology • Dr. K Shojania • Davidson, Niall - Neurology • Dr. S Sirrs • Davidson, Ross A - Physical Medicine & Rehabilitation • Dr. J Telford • Dehghan, Natasha Shaghayegh - Rheumatology • Dr. A Tinker (as of September 2016) • Dominelli, Giulio S - Respiratory Medicine • Dr. A Townson (non-voting, as of September 2016) • Dommann, Steven Clive - Neurology • Dr. S van Eeden • Drouin, Olivier Joseph - Community Internal Medicine • Dr. E Yoshida • Evaschesen, Chad - Gastroenterology • Foley, Jacqueline - Physical Medicine & Rehabilitation

6 • Goodwin, Jodi Lynn - Respiratory Medicine • Ren, Jia Jia - Endocrinology & Metabolism • Hemmati, Iman - Rheumatology • Roberts, Sarah L - Medical Oncology • Hiltz, Megan - Rheumatology • Rydz, Frederick - Community Internal Medicine • Ho, Catherine P - Physical Medicine & Rehabilitation • Sahiholnasab, Vahid - Community Internal Medicine • Hoffman-Borenko, Cari - Palliative Care • Sajjady, Golmehr - Community Internal Medicine • Hui, Philip Li-Yeung - Respiratory Medicine • Saluja, Jasdeep - Community Internal Medicine • Inman, Alexandra - Endocrinology & Metabolism • Sandhu, Naveen Singh - Community Internal Medicine • Ioannou, Kostas Panagiotis - Cardiology • Sarao, Amar Anant Deep - Critical Care • Jagdis, Amanda CM - Allergy and Immunology • Schwartz, Zachary - General Internal Medicine • Karim, Zamil - Gastroenterology • Scobie, Kathryn - Nephrology • Kaur, Varinder - Medical Oncology • Sehmer, Benjamin - Community Internal Medicine • Kecskes, Agoston - Community Internal Medicine • Shan, Wen Wen - Medical Oncology • Kerr, Jasmine - Community Internal Medicine • Singh, Sundeep - Gastroenterology • Khangura, Harkinder Kaur - Community Internal Medicine • Sloan, Erin - General Internal Medicine • Kim, Hae Rin - Community Internal Medicine • Squires, Jonathan Philip - Neurology • Ko, Jenny Jaeeun - Medical Oncology • Stefanison, Heather - Community Internal Medicine • Kumar, Ritu - Community Internal Medicine • Sun, Muxin - Rheumatology • Leung, Stefanie - Respiratory Medicine • Szeto, Michael - Hematology • Li, Grace - Physical Medicine & Rehabilitation • Telio, David - Medical Oncology • Ling, Peter - Community Internal Medicine • Tran, Karen - General Internal Medicine • Liu, David C.Y. - Critical Care • Vaz, Glenn F - Community Internal Medicine • Longworth, Katherine - Palliative Care • Vergidis, Joanna - Medical Oncology • Luft, LeeAnne - Infectious Diseases • Wadiwalla, Shamim - Allergy and Immunology • MacCallum, Caroline - Community Internal Medicine • Wallace, Kerrett Hugh Washington - Cardiology • Mackie, Gordon - Neurology • Waspe, Kim - Physical Medicine & Rehabilitation • Mangalji, Afzal Lutafali - Palliative Care • Wong, Michelle Mon Yee - Medicine Department • Milne, Kaylee - Medicine Department • Yik, David - Gastroenterology • Morantz, Jesse Benjamin - Community Internal Medicine • Zeng, Yangmin - Nephrology • Morley, Erin E - General Internal Medicine • McDermid, Robert - Critical Care • Nguyen, Thao P Phuong - Medical Oncology • Nussbaumer, Gary Ronald - Nephrology Clinical Assistant Professor • Ohata, Brent - Rheumatology • Adams, Dermot - Neurology • Parfitt, Elizabeth - Community Internal Medicine • Amlani, Salima - Respiratory Medicine • Perlman, Michael - Community Internal Medicine • Anis, Muhammad Kashif - Community Internal Medicine • Pierce, Jacqueline Michelle - Physical Medicine & Rehabilitation • Bak, Adrian William - Gastroenterology • Poonja, Zia - Medical Oncology • Beheshti, Behnam - Community Internal Medicine • Rajala, Jennifer - Cardiology • Brown, Kathryn - Cardiology 6 • Rauw,Jennifer - Medical Oncology • Carruthers, Mollie Nicole - Rheumatology 7 • Chahal, Chamanpreet - Neurology • McKinney, James - Cardiology • Chan, Jonathan - Rheumatology • Metcalf, Corey - Medical Oncology • Chaubey, Vikas - Critical Care • Mullins, Paul - Gastroenterology • Chow, Stephen - Cardiology • Mullins, Paul - Gastroenterology • Cowan, Simone Suzanne - Cardiology • Nazerali-Sunderji, Morgiana Muni - Community • Cruz Pereira, Oscar Octavio - Gastroenterology Internal Medicine • Dallaire, Marie-Pierre - General Internal Medicine • Nazir Maitland, Alasdair - Critical Care • Dance, Derry Lawrence - Physical Medicine & Rehabilitation • Noonan, Krista - Medical Oncology • Dulay, Daisy - Cardiology • Parton, David Edward - Neurology • Feng, Xiaolan - Medical Oncology • Peterson, Erica - Hematology • Fordyce, Christopher - Cardiology • Rai, Jasjeet - Community Internal Medicine • Frykman, Hans - Neurology • Ridley, Julia - Palliative Care • Giustino, Giuseppe - Respiratory Medicine • Rydz, David - Neurology • Grennan, Jonathan Troy - Infectious Diseases • Sanford, David - Hematology • Gusbi, Osama A. - Cardiology • Schachter, Michael - Nephrology • Hawkins, Nathaniel - Cardiology • Scott, James Lachlan - Neurology • Hrebicek, Olinka - Neurology • Sekhon, Mypinder - Critical Care • Hui, Eric - Physical Medicine & Rehabilitation • Shaikh, Mohammed Asif - Medical Oncology • Jen, Rachel - Respiratory Medicine • Shetty, Karan - Cardiology • Kahlon, Sharnjeet - Community Internal Medicine • Shustik, Jesse - Medical Oncology • Kaila, Kendeep Singh - Cardiology • Skanthan, Sithamparanathan - Geriatric Medicine • Kaiway, Sarah L - Neurology • Srikanthan, Amirrtha - Medical Oncology • Kaviani, Mandana - Allergy and Immunology • Staples, John - General Internal Medicine • Keyvani, Leila - Gastroenterology • Stewart, Jacqueline - Rheumatology • Khosla, Amit - Cardiology • Steyn, Jacobus - Medicine Department • Kula, Matthew - Neurology • Stigant, Caroline E - Nephrology • Kumar, Aalok - Medical Oncology • Sulpher, Jeffrey Allen - Medical Oncology • Kyskan, Robert - Respiratory Medicine • Tessaro, James Anthony - General Internal Medicine • Laksman, Zachary - Cardiology • Tynan, Iain - Community Internal Medicine • Lam, Mindy - Gastroenterology • Valerio, Jason - Neurology • Lan, James - Nephrology • Vu, Viet - Physical Medicine & Rehabilitation • le Nobel, John - Physical Medicine & Rehabilitation • Vuurmans, Johannes Lucius Tycho - Cardiology • Lee, Kingsley - Allergy and Immunology • Wadhwa, Deepa - Medical Oncology • Leung, Janice Margaret - Respiratory Medicine • Wik, Lori Mae - Community Internal Medicine • Loomes, Dustin - Gastroenterology • Wile, Daryl Jason - Neurology • MacIsaac, Julia Kirsten - Community Internal Medicine • Wilson, Laura Kathryn - Neurology • Mariano, Caroline - Medical Oncology • Xing, He - Medical Oncology • McArdle, Brian - Community Internal Medicine • Yeung, James - Rheumatology 8 • Young, Aaron Michael - Respiratory Medicine Faculty Promotions

Clinical Associate Professor Effective July 1, 2015 • Barwich, Doris Beria Adeline - Palliative Care • Bergeron, Celine - Respiratory Medicine Clinical Assistant Professor • Dipboye, Larry Keith - Medicine Department • Bogod, Nick - Neurology • Hilliard, Neil K. - Palliative Care • Chan, Theresa - Medical Oncology • Massel, David Richard - Cardiology • Gabana, Cori - General Internal Medicine • McGregor, Douglas - Palliative Care • Hadi, Haidar - Cardiology • Moien Afshari, Farzad - Neurology • Johal, Balvindar - Medical Oncology • Reid, John - Respiratory Medicine • Kenyon, Michael - Community Internal Medicine • Nagi, Harpinder Singh - General Internal Medicine Clinical Professor • Tam, Penny - General Internal Medicine • McDermid, Robert – Critical Care • Weerasinghe, Chandana - General Internal Medicine • Winston, Paul - Physical Medicine & Rehabilitation Assistant Professor • Brunham, Liam - General Internal Medicine Clinical Associate Professor • Hirota, Jeremy - Respiratory Medicine • Abou Mourad, Yasser - Hematology • Kolind, Shannon - Neurology • Bernstein, Vanessa - Medical Oncology • Bressler, Brian - Gastroenterology Assistant Professor, without review • Chapman, Kristine - Neurology • Kalyan, Shirin – Endocrinology • Hull, Mark – AIDS • Johnston, Olwyn - Nephrology Assistant Professor, Partner • Kow, Janet - Geriatrics • Fairbairn, Nadia - AIDS • Lee, Ursula - Medical Oncology • Gerrie, Alina - Hematology • Martin, Lee Ann - Medical Oncology • Joy, Jeffrey - AIDS • Miller, David – Endocrinology & Metabolism • McNeil, Ryan - AIDS • Nair, Parvathy - Cardiology • Robbins, Marjorie - AIDS • Neufeld, Peter - Nephrology • Tanimura, Kanna - AIDS • Ramadan, Khaled - Hematology • Ti, Lianping - AIDS • Virani, Sean - Cardiology • Yao, Jennifer - Physical Medicine & Rehabilitation Professor • Kelleher, Dermot - Gastroenterology Clinical Professor • Townson, Andrea - Physical Medicine & Rehabilitation Professor, Partner • Telford, Jennifer - Gastroenterology • Moore, Malcolm - Medical Oncology • Kelsall, John - Rheumatology 8 9 • Sirrs, Sandra - Endocrinology • Sehn, Laurie - Medical Oncology • Telford, Jennifer - Gastroenterology • Shenkier, Tamara - Medical Oncology • Kelsall, John - Rheumatology Associate Professor Associate Professor • Avina-Zubieta, Juan Antonio – Rheumatology • Boyd, John - Critical Care • Ryerson, Christopher - Respiratory Medicine • Gill, Jagbir - Nephrology Associate Professor, Partner Associate Professor, Partner • Lima, Viviane - AIDS • Cheung, Winson - Medical Oncology Professor Professor • Gill, Sharlene - Medical Oncology • Kerr, Thomas - AIDS • Khan, Nadia - General Internal Medicine Academic Faculty Reappointments • Steiner, Ted - Infectious Diseases Effective July 1, 2015 Effective July 1, 2016 Assistant Professor Clinical Assistant Professor • Cook, Victoria - Respiratory Medicine • Chapman, Michael - Infectious Diseases • Sadatsafavi, Mohsen - Respiratory Medicine • Liao, Joy - Geriatric Medicine • McCormick, Iain - General Internal Medicine Assistant Professor, Partner • Tan, Ann - Medical Oncology • Poon, Art - AIDS • Yu, Jaime - Physical Medicine & Rehabilitation • Renouf, Daniel - Medical Oncology

Clinical Associate Professor Effective July 1, 2016 • Chen, Luke - Hematology • Collins, David - Rheumatology Assistant Professor • Cummins, Nora - Community Internal Medicine • Cresswell, Silke - Neurology • Ellard, Susan - Medical Oncology Division • Pettersen, Jacqueline - Neurology • Grewal, Jasmine - Cardiology Division • Hart, Jason - Medical Oncology Division Assistant Professor, Partner • Maung, Tun Zan - Community Internal Medicine • Barbour, Sean - Nephrology • Taylor, Carolyn - Cardiology • Henderson, William - Critical Care • Taylor, Marianne - Medical Oncology Professor, Partner Clinical Professor • Gelmon, Karen - Medical Oncology • Baillie, Hector - General Internal Medicine 10 ADMINISTRATION

2015 - 2016 Administration Med Video on Demand – managed by MedIT, Dr. Diane Lacaille was recruited to the role of September 2015 is a secure repository for Grand Rounds video Associate Head, Academic Affairs (2015). Dr. Dermot Kelleher named Dean, Faculty of Medicine recordings which allows them to be embedded and is appointed to the Department of Medicine in the and viewed remotely. New Tenure Stream and Partner Faculty Division of Gastroenterology. Dr. Shannon Kolind was appointed to the Women in Medicine Workshop rank of Assistant Professor, Grant Tenure ACCADA Conference Vancouver November 2015 Track in the Division of Neurology. Dr. Kanna The Association of Canadian Clinical Academic “The Sandwich Generation: Medical Women Tanimura, Dr. Marjorie Robbins, and Dr. Jeffrey Department Administrators (ACCADA) conference Caring for Elderly Parents” presented by Dr. Janet Joy were appointed to the rank of Assistant was held October 5-7, 2015 in Vancouver and Kow and Ms. Eve Lyon. Professor (Partner) in the Division of AIDS. organized by the Departments of Medicine, Psychiatry, Dr. Alina Gerrie was appointed to the rank of Surgery, Pediatrics, Anesthesiology, Pharmacology, Annual Faculty & Staff Recognition Awards Assistant Professor (Partner) in the Division of and Therapeutics. ACCADA is dedicated to the June 17, 2015 Hematology. Dr. Malcolm Moore was appointed improvement of the administration of Canadian Hardwick Hall, Medical Student & Alumni Centre to the rank of Professor (Partner) in the Division Medical Schools and their clinical departments through Speaker: Dr. Adam Peets – Curriculum Renewal of Medical Oncology. professional development. June 20, 2016 Dr. Dermot Kelleher was appointed Dean of the Division Reviews Hardwick Hall, Medical Student & Alumni Centre Faculty of Medicine and Professor with Tenure in the Division of Gastroenterology. Neurology – 2015 Speaker: Dr. Vince Duronio – Experimental Respiratory Medicine – 2016 Medicine Program Update Speaker: Leanne Denis – Fundraising in the New Staff in the Main Administration Office Department of Medicine Jeanne Valencia and Adriana Villegas joined FOM Distributed Academic Rounds Initiative the Department of Medicine Education office January 2015 Human Resources as Senior Program Assistants. Blaine Raven The Department joined the initiative. BC Rounds joined the Department of Medicine as an HR New Division Heads and Associate Heads Calendar is managed by UBC CPD. This searchable Assistant. online calendar lists all Grand Rounds sessions across New Division Heads were recruited: multiple departments. Division of General Internal Medicine (Dr. Anita Palepu- 2015), Division of Gastroenterology (Dr. VC Anywhere (WebEx) is managed by MedIT. It is Robert Enns - 2015), Division of Physical Medicine an interactive web conferencing tool which allows and Rehabilitation (Dr. Jennifer Yao - 2015) users to connect to Grand Rounds from their laptop, Division of Respiratory Medicine (Dr. Jeremy Road smartphone or tablet. - 2016). Dr. Andrea Townson was recruited to the role of Associate Head, Education (2015) and

11 RESEARCH ang, A a Ts sso es cia er te T . H r e a D Research d

Highlights of the Year

• 11 Canada Research Chairs and 11 professorships ASSOCIATE HEAD, RESEARCH: • DOM faculty secured $53.1M of research funding • Dr. Teresa Tsang in 2015 and $58.1M in 2016 • DOM faculty published over 1100 papers per year in 2015 and 2016, with over 400 faculty members RESEARCH OFFICE STAFF: actively publishing each year The Department of Medicine is the largest • Dr. J Swift • DOM research is highly impactful: the average department within the Faculty of Medicine, and a Field Weighted Citation Index is 3.01 for papers major research force at UBC, with active projects • Sabina Fitzsimmons published in 2015 and 2016, with an average spanning the breadth of health research across • Ramsha Noor citation count of 15 per paper. Over 30% of all 4 CIHR themes. Research funding secured by DOM’s publications are in the top 10% most cited the department has grown steadily from $41M • Kiely Landrigan worldwide. in 2011 to $58M in 2016. This figure represents • 5th and 6th Annual Department of Medicine almost 20% of research funding in the Faculty of Research Expos hosted in 2015 and 2016 Medicine, and over 10% of UBC’s total research respectively funding. Our members are recognized global • Over 800 active human ethics applications leaders in the fields of AIDS, pulmonary disease and over 50 animal care studies underway in the and COPD, heart and lung health, spinal cord department. injury, multiple sclerosis, asthma, aortic valve implantation, arthritis, and nephrology. Research The Department of Medicine is the proud home of The Department of Medicine Research Office many of UBC’s top researchers, who collaborate was created in 2011 as a direct result of the 2009 extensively with, or work within, over 30 different Research Task Force, and 2010 External Review. hospitals, research centres, and institutions across In both reviews a series of key recommendations BC, including: the BC Centre for Excellence in HIV/ were put forward signifying the need for the AIDS; James Hogg Centre for Cardiovascular and establishment of centralized infrastructure to Pulmonary Research; Arthritis Research Centre; support researchers in the department. The Djavad Mowafaghian Centre for Brain Health; Research Office is comprised of the Associate Centre for Health Evaluation and Outcome Head Research, Teresa Tsang, the Research Sciences; BC Cancer Agency Research Centre; Coordinator, Dr. Jody Swift, and is supported and the International Collaboration on Repair by the standing Research Advisory Committee Discoveries. Department of Medicine research (RAC). The goal of this office is to support and projects involve multiple departments within the advance research scholarship and innovation in the Faculty of Medicine, as well as the UBC Schools of Department of Medicine through implementation Kinesiology and Biomedical Engineering, reflecting of necessary infrastructure to enhance success the highly collaborative and interdisciplinary across the department. nature of the research we do.

12 EDUCATION nson Tow , Ass ea oc dr ia n te

A H . e r a D d Education Overview

New executive team members & changes: ASSOCIATE HEAD, EDUCATION: • Dr. Rich Sztramko left UBC on June 30th 2015. • Dr. Andrea Townson Replaced by Dr. Chanda Weerasinghe as the new Associate Program Director (Resident Wellness and Quality Improvement). leadership roles as the focus shifted to Sub-group POSTGRADUATE EDUCATION: • Dr. Rose Hatala promoted to Director, Clinical committee design re: integration of the specialties Educator Fellowship Program - CHES in September, (Psychiatry, Medicine) within the new 12 week • Dr. M Roberts 2015. Replaced by Dr. Cary Cuncic as the new block and the spinoff of Ambulatory Medicine as • Dr. J Spence Associate Program Director (Evaluation and part of the separate Ambulatory 4 week block. Assessment). • Continued question writing workshops with • Dr. R Sztramko • Dr. Wendy Cook, Associate Director Curriculum left faculty to create in-house multiple choice on leave October 2015, anticipated to return in the questions and designed an objective based • Dr. C Cuncic Fall of 2016. Under the guidance of the Director, other blueprint. NBME successfully replaced effective • Dr. J McKay team members to assist with the new Academic Half August 2015. Achieved the question bank goal of Day design during Dr. Cook’s absence. approximately 300 questions. • Dr. W Cook • Dr. S Arishenkoff Education Accreditation • Education Activity forms completed to contribute • Dr. D Shanks Undergraduate Education Program towards curriculum mapping. Teaching Tracking & Payment Project: Internal Medicine Ambulatory Electives • Participation as a pilot department in the design UNDERGRADUATE EDUCATION: • Continued growth of clinic placements at Surrey and implementation of the new Teaching Tracking Memorial Hospital under the direction of the Site Lead & Payment Project involving representation of • Dr. W Cheung Dr. Yazdan Mirzanejad. several offices from within the Department of • Dr. J Yao • Overall increased capacity to 15 students per 2 week Medicine including Human Resources, Finance, elective with the recognition of Medical Oncology Administration and Education. • Dr. J Kow and 2 Cardiology outpatient electives as meeting the • Contributed as member on the Business Working mandatory Ambulatory learning requirements. Team and Design Task Force for rollout in April • Worked with Neurology to increase their presence in 2016. our curriculum by formally inviting them to participate as ambulatory preceptors while also helping to Postgraduate Education Program increase capacity and satisfy the division’s desire to start preparing for a greater presence in renewed Accreditation (Onsite follow-up visit October curriculum. 2015) • Successfully addressed the concerns raised in Curriculum renewal the 2013 RCPSC Accreditation Report for the • Members of the Department of Medicine continued core internal medicine program achieving full to contribute to this process by participating in accreditation with follow-up at the next regular working groups (Chairs and Members) and other survey date.

13 Competency Based Education individuals each year. In 2015-16 there were 8 young • Served as faculty-level resource for a number of other •Attended a special session in June 2015 of the Canadian investigators enrolled in the Faculty CIP program from the Departments (Psychiatry and Pathology) keen to learn Association of Internal Medicine Program Directors Department of Medicine. from our SPROT experience (CAIMPD) focusing on milestones and evaluation/ Scholarship Promotion assessment of the milestones. The 3 second-year fellows who completed the program • Unconscious bias workshop development and facilitator in 2015 were: Madeline Sharp (Neurology), James Lan training for Department of Medicine Equity Committee Curriculum Updates (Nephrology), and Freda Omaswa (Infectious Disease • One-on-one meetings with faculty and trainees to • Launched the first two week boot camp for incoming - deceased). The 5 first-year fellows were: Brandon discuss scholarship in medical education and facilitate PGY1’s in July, 2015. Resident evaluations were very Bernard (Medical Oncology), Martin Smoragiewicz connections with appropriate individuals to help projects positive. Will offer again in 2016 with minor changes (Medical Oncology), Christopher Fordyce (Cardiology), get going planned with respect to topic content and scheduling. Linda Sun (Hematology) and Rachel Jen (Respirology). • Meetings with partners such as CHES, Faculty • Introduced a PGY2 formative OSCE in December based Development on the positive ratings received from the PGY1 Bootcamp Given the importance of the CIP program to the growth • Regular meetings with DOM Education Scholar to experience with plans to offer annually. and sustainability of research programs, the director discuss ways to promote educational scholarship (at an • Switched to the New England Journal of Medicine is integrated into key activities of the Department of individual and Departmental level) Knowledge Plus Resource for the PGY1’s and any Medicine. This includes presentations to the Department resident not currently subscribed with MKSAP with plans of Medicine business meetings at both PHC and VGH Global Health Program to use the progress testing feature for PGY1’s and as a sites, and ongoing interaction with Division Heads at the resource for our mentoring program. UBC Department of Medicine Division Heads meeting The International elective program has been in place for held monthly and at the quarterly Subspecialty Program 8 years and 62 residents have participated to date as CaRMS Directors meetings. She has also presented to the core well as 29 faculty visits. There are a number of different • Successfully matched all PGY entry positions in internal medicine residents early in their academic year elements to this program that have developed since we Vancouver and Victoria for Canadian and International to increase awareness of opportunities to pursue a initiated it in 2007 graduates. research career through the CIP. The CIP director also provides advice and support to CIP trainees as they 1. Clinical electives International Health Project negotiate their first faculty position and provide referee We completed our five year commitment to Donald • Nine residents completed rotations in Uganda in 2015. letters for external funding. Fraser Hospital and, since 2013, we have been working at the Gulu Regional hospital allied with the Gulu University Events Office of Education Medical School in post conflict northern Uganda. We • Resident Research Day, Annual Winter Retreat, Annual • Faculty Recognition/Support/Development are members of a coalition of universities working in Resident BBQ • Prepared second annual “Honour Roll for Clinical this area - the University of Manchester and MacMaster Teaching Excellence Award” to recognize the top ten University through the Uganda-UK alliance and have Clinical Investigator Program percent of Undergraduate and Postgraduate teachers for committed to supporting this program for five years. outpatient and inpatient learning experiences. Our work in Gulu is supporting the clinical care that The Clinical Investigator Program (CIP) program is an • Successful completion of six SPROT reviews. is provided in the regional hospital that is very under integral component of the Department of Medicine. Its resourced in terms of staff and goods. This provides the main goals are to integrate promising medical students, Accreditation residents a chance to understand the impact of poverty residents and fellows into an academic environment that • As a member of the Faculty’s Postgraduate Medical on health and well being and learn about diseases that sustains and nurtures academic interests. Dr. Palepu, in Education Internal Review Committee, contributed to the are uncommon in Canada. The residents and faculty are her role as director of this program, has been advocating conduct, evaluation and follow-up of internal and external very involved in bedside teaching of 3rd and 5th year for young investigator participation and interest in accreditation reviews of each of the Faculty’s residency medical students from the Gulu Univerity Medical school. research activities. The CIP program is a resource, which programs There are also Medical officers on the ward who have permits divisions within the Department of Medicine to little organised teaching and they also benefit from the leverage funding opportunities in order to support the Exploring Synergies within the Education input from the UBC staff. Feedback from residents and academic endeavors of those divisions. Administration Structure Internally & Externally faculty who have worked in Gulu has been overall quite • On-site visits to each of the distributed campuses to positive although clearly it is a challenging environment The Faculty Clinical Investigator Program is a 2-year follow-up on issues/opportunities identified during visit to work in. program, which has the potential to fund at least 7 in previous year

14 We have done a review of the feedback received from and training medical students on the ward and classroom We have no shortage of plans and goals for the future residents regarding the experience of overseas work in lectures this benefits medical and clinical officer students” development of the program and remain inspired by the this program and applied a CanMeds framework to that. • “Canadian doctors are social and practice team work responses of the residents to this program Every competency in CanMeds is impacted but the two which is fundamental in medical practice and training that appear the most in the reports are medical expert future doctors” Highlights and advocate. The element that is not captured in this • “In presence of Canadian doctors, patients on ward framework is the excitement and passion they feel for the improve quickly, because follow up is adequate plus • Effective October 2015, Dr. Andrea Townson accepted work that they do. When the project started one of the consistent reviews” the role as Associate Head Education with Dr. Adam goals was to reignite the compassion and dedication that Should we come back? Peets stepping down to take on his appointment as the trainees had as medical students and that studies • “Yes of course, the benefits are overwhelming” Assistant Dean, Clinical Education, MD Undergraduate suggest gets lost through residency. The quotes and Program. feedback suggest that this project does achieve that goal New initiatives in the Internal Medicine Residents global health program: • Undergraduate Ambulatory Clinic capacity increased Quotes from residents with the addition of new outpatient clinics, increased • “Overall an extremely valuable experience, one of the 2. Research placements within Neurology electives and site most enriching of my medical career to date.” We have developed an active collaboration with Dr. Rich expansion in Surrey. • “This rotation was the best month that I have had Lester who is working in East Africa and is prepared to during my entire residency.” partner with our program to offer research electives • Participated in Teaching Tracking & Payment pilot with • “Probably one of the most valuable rotations I have had. and support to residents who want to do global health launch in April 2016. The learning opportunities were endless. I loved being research. Dr. Lester has strong research partnerships in able to teach the medical students as well as learn so Nanyuki in Kenya and some in Gulu. We are hoping to • IM Core Resident program launched the inaugural PGY1 much from them.” create an East Africa Clinical and Research Collaborative two week Bootcamp in July 2015. The rotation was rated among the third best rotations in which can be built upon to leverage resources and funding the residency program in 2015 with an overall rating of • Successfully addressed the 2013 Postgraduate 4.6 out of 5. 3. Global Health Journal club accreditation concerns achieving full accreditation in This is a resident led learning experience that happens on October 2015. Longterm impact on residents approximately a monthly basis and is part of the Residents We surveyed the alumni form the program as to whether academic half day they were involved in global or northern health or work in marginalised populations. Of 25 responses - 4 4. Clinical Global Health Network have committed a large or full time of their practice Work with the Clinical Global Health Network on to northern or rural practice and 6 to global health. A developing a modular curriculum so that residents can further 7 have committed some part of their practice to complete a modular course in global health. These global or northern health or marginalised populations. matched with the electives would constitute a global and Approximately 27% of 62 residents and 70 % of northern health stream within the residency program respondents are, or were involved, in some way providing without disrupting the residents core curriculum medical services to underserviced populations after completing this elective. This is very consistent with 5. Continued Active Participation in the Clinical Global the literature. The residents did not change direction Health Network because of this experience but felt supported in their Engage programs within the post graduate and passion for global health work and developed mentorship undergraduate clinical programs to establish guidelines for relationships with faculty through this experience. electives and global health training at UBC Responses of our partners in Gulu. The medical students were surveyed as to how they experienced the UBC staff 6. Plan to bring trainees from Uganda to Canada presence in Gulu. for an elective experience – sourcing funds, coordinating and support. Quotes from medical students in Gulu, April 2015. • “Canadian doctors are good and very lively in teaching

14 15 uronio, Pr D ogr ce am in V D . i r re D c t o Experimental Medicine r PROGRAM DIRECTOR, EXPERIMENTAL MEDICINE: • Dr. Vince Duronio

EXPERIMENTAL MEDICINE PROGRAM STAFF: • Virginia Grosman Highlights of the Year PROGRAM MEMBERS: • Dr. S Aparicio • Dr. M Kobor • Dr. J Roskams The Experimental Medicine Student Research Days for 2015 and 2016 were • Dr. Y Av-Gay • Dr. T Kollmann • Dr. F Rossi outstanding. • Dr. P Black • Dr. A Krahn • Dr. S Sanatani • Dr. M Brauer • Dr. A Krassioukov • Dr. A Sandford Research • Dr. S Bryan • Dr. R M Krausz • Dr. C Seow • Dr. B Carleton • Dr. G Krystal • Dr. C Shaw Experimental Medicine held a student research day on November 27th, 2015 in the • Dr. C Carlsten • Dr. D Lacaille • Dr. D Sin Child and Family Research Institute Chieng Family Auditorium. Fourteen graduate • Dr. N Cashman • Dr. S Lam • Dr. E Skarsgard students gave a 10-minute oral presentation; 25 students participated in the poster • Dr. A Cherkasov • Dr. A Levin • Dr. T Snutch presentation session. Dr. Brendan Byrne delivered a keynote address and talked • Dr. E Conway • Dr. M Levings • Dr. P Sorensen about healthcare in Canada. • Dr. P Dodek • Dr. L Li • Dr. T Steiner • Dr. D Doudet • Dr. C J Lim • Dr. S Stockler-Ipsiroglu Program Education • Dr. J Dutz • Dr. V Ling • Dr. J Stoessl • Dr. C Eaves • Dr. H Lui • Dr. L Stothers Experimental Medicine had 101 MSc students and 161 PhD students in 2015-2016. • Dr J Eng • Dr. T Liu-Ambrose • Dr. S Tebbutt Sixteen MSc students and 33 PhD students graduated that year. • Dr. J Esdaile • Dr. L Masse • Dr. A Traboulsee • Dr. M Fitzgerald • Dr. D Matsell • Dr. H Tremlett Program Awards • Dr. JA Fleetham • Dr. H McKay • Dr. S Turvey • Dr. G Francis • Dr. K McNagny • Dr. M Underhill Six students were offered Constance Livingstone-Friedman and Sydney Friedman • Dr. A Ghahary • Dr. K Miran-Khan • Dr. B Vallance Foundation Scholarship in Health Sciences. Sixteen studentswere recommended to • Dr. C Gregory-Evans • Dr. J Montaner • Dr. S van Eeden G+PS in the Spring Awards Competition. Five students received four-year doctoral • Dr. P R Harrigan • Dr. S Pelech • Dr. K Walley fellowship. • Dr. P Janssen • Dr. S Rabkin • Dr. Y T Wang • Dr. X Jiang • Dr. C Rankin • Dr. D Warburton The majority of GSI funding goes to 30 PhD students who did not receive any major • Dr. A Karsan • Dr. N Reiner • Dr. G Warnock award that pays their tuition. Sixty-six students were awarded GSI publication • Dr. P Keown • Dr. J Road • Dr H Zeng award because they published a first or second author paper. • Dr. N Kissoon • Dr. W Robinson • Dr. Y Zhou Future Directions

The Experimental Medicine Program aims to keep guiding students to design and conduct experiments and solve problems in their particular fields.

16 DIVISION REPORTS ontaner, Div M is io io l n Ju H . e r a D d

AIDS

DIVISION HEAD: Divisional Overview • Dr. Julio Montaner In 2015/2016, the Division added five new DIVISION STAFF: full members with expertise in laboratory, • Kelly Hsu phylogenetics, urban health, and addictions. We Coastal Health Research Institute, Centre for also welcomed four new associate members Clinical Epidemiology and Evaluation DIVISION MEMBERS: extending contributions to the Division from • BC-CfE Preceptorship Program-training for • Dr. P Harrigan Infectious Diseases and external institutions of physicians, family practice residents and nurse • Dr. E Wood SFU and UCSD relating to women’s health, global practitioners through the St. Paul’s Hospital Specialty Clinic and Primary Care Clinic • Dr. T Kerr health, and addictions. The Division of AIDS is grateful for the administrative support provided • Public Health and Preventive Medicine Residency • Dr. D Moore by Kelly Hsu and her team at the AIDS Research Program Seminar Series and Elective Rotations in • Dr. K Shannon Program, St. Paul’s Hospital and the BC Centre for HIV • Dr. V Lima Excellence in HIV/AIDS. • Key contributors to the World Health Organization • Dr. M Milloy HIV Resistance Network, helping countries such • Dr. J Joy Education as Argentina, Chile, Colombia, China, Swaziland, • Dr. M Robbins Botswana, etc. develop the expertise (using our • Dr. R McNeil Undergraduate software and methods) to monitor their own HIV • Dr. L Ti • Flexible and Enhanced Learning/Foundations of epidemics • Dr. N Fairbairn Scholarship • Dr. M Hull • HIV Epidemiology and Prevention Elective Research • Dr. S Nolan • Public Health HIV • Our research in HIV and HCV virology are directly • Dr. P Phillips • Addiction Medicine • Sexual Health influencing healthcare policy. We demonstrated • Dr. V Montessori • Laboratory Medicine Elective that the initial rise in HCV prevalence in “baby • Dr. Natasha • Clinical and Population Health Research Elective boomers” occurred significantly earlier than • Dr. M Murray • Translational Bioinformatics Elective previously appreciated, implicating iatrogenic • Dr. R Lester causes for the early rise of HCV in North America. • Dr. N Pick Graduate • Our work on tracking the spread of HIV infection • Dr. R Barrios • Analytic Methods in Epidemiology Research using phylogenetics has led to a novel public health • Dr. S Guillemi Elective intervention in BC, enabling the targeting of pre- • Dr. M Harris • Introduction to the Determinants of Health exposure prophylaxis for HIV to the populations • Dr. M Brockman most at risk. • We continue to pioneer novel strategies to • Dr. Z Brumme Postgraduate • Our division currently supervises five access hard-to-reach populations, including the • Dr. R Hogg postdoctoral fellows in HIV, infectious diseases, Directly Observed Therapy (DOT) program in the • Dr. A Kaida epidemiology, laboratory, and addictions Downtown East Side (DTES), as well as studies • Dr. S Goldenberg • Research Methodology and Project involving drug users and sex workers. • Dr. D Werb Development Workshop Series. Vancouver • We continue to pioneer novel strategies to

17 decrease drug-related harm and evaluating Insite in - monitoring resistance to Direct Acting Antivirals • Dr. Montaner met with senior officials at the Vancouver’s DTES. (DAA) for the treatment of Hepatitis C. The DAA Vatican to discuss Treatment as Prevention®.He • The CANOC Collaborative, funded by CIHR, test is now being recommended in Canadian HIV met Pope Francis to share news and information of conducts ongoing large and detailed analyses of treatment guidelines. the strategy’s impact on curbing rates of HIV cases HIV treatment outcomes and assesses variations • Several knowledge translation activities (media within British Columbia. in patterns of access to treatment, patient interviews, reports, recommendations) resulting in • As Local Co-Chair, Dr. Montaner and the UBC management and treatment outcomes across significant policy change including: 1) abolishment Division of AIDS, hosted the 8th International Canada. of requirement for physicians to hold methadone AIDS Society Conference on HIV Pathogenesis, • In collaboration with the BC-CfE Education and exemption to prescribe buprenorphine/naloxone Treatment & Prevention in Vancouver from July Training Program, we continue to provide health for opioid use disorder; 2) availability of over 19-22. care professionals with training, education and the counter naloxone as an antidote for opioid • Treatment as Prevention® becomes the knowledge essential to improving the quality of overdose. cornerstone of the UNAIDS ambitious global goal HIV and addiction treatment and care across the • Addictions Medicine Clinic operating at St. Paul’s for HIV treatment aimed to end the AIDS Pandemic province and beyond. Hospital and Vancouver Coastal Health (Wood, by 2030, known as the 90-90-90 target. • Our Research Laboratory Program (RLP) develops Fairbairn, Nolan) • Dr. Montaner inducted into the Canadian Medical technologies and systems contribute to improving • Continuing medical education training at the Hall of Fame and invested as an Officer of the Order HIV research and advances our understanding HIV Speciality and Primary Care Clinic at St. Paul’s of Canada. of how the HIV virus operates, observing how it Hospital (Montaner, Hull, Moore) • Dr. Shannon received $2.25M from NIH for spreads and how the human body responds. RLP competitive renewal of AESHA cohort (2015-2020) also provides clinical services to the province of Highlights on evaluation of C-36 and another $2.5M CIHR BC and to most of Canada in the areas of HIV Foundation Grant for evaluation of sexual health drug resistance testing and pharmacokinetic 2015 outcomes & interventions among women living measurement. • Justin Trudeau visited with us early in his with and affected by HIV. • In April 2016, the Lancet HIV, a prestigious campaign to discuss our work locally, nationally, • Dr. Shannon published lead first author paper international scientific journal, published an article and globally. in Lancet series on Sex Work and HIV, that describing a phylogenetic monitoring system for • Dr. Lima published a study in the Lancet HIV demonstrated decriminalization of sex work HIV, innovated by the BC-CfE in collaboration with finding AIDS cases and AIDS-related deaths could avert 36-42% of HIV infections, and was Vancouver Coastal Health. decreased significantly in British Columbia since highlighted by Amnesty International and other • The Momentum Men’s Health Study is producing the 1990s, with the introduction of HAART and global HIV policy guidelines (UNAIDS, WHO). important information to guide HIV programming Treatment as Prevention®. for Men who have Sex with Men (MSM) in BC. In • Dr. Milloy received $1M gift from National Green 2016, the study published important data on HIV BioMed to support ongoing research into medical community viral load among MSM and risk factors application of cannabinoids. for unsuppressed viremia awareness of and uptake of pre- and post-exposure prophylaxis. We also presented significant findings on incidence and risk factors for HIV, HCV and other STIs.

Patient Care

• Two (2) new personalized medicine tests were deployed in Canada: - monitoring drug levels in patients taking HIV medication GSHI Hosted High-Level Research Roundtable on Women and Criminalization of HIV with the Canadian HIV/AIDS Legal Network and Positive Women Network (October 23, 2015) 18 2016 Lancet Infect Dis 2016;16: 698-702 (see Research • The Canadian Research Initiative on Substance • Dr. Montaner was presented with the Barer-Flood section). Misuse, led by Dr. Wood, released a report Prize which recognizes a senior researcher in the • Dr. Lima was promoted to Associate Professor. recommending novel strategies to improve access field of health services and policy research who has She received a 5-year CIHR Project Scheme grant, to opioid addiction care in Canada. Moving towards had a significant impact on policy research, policy entitled: “The Health and Economic Forecasting improved access for evidence-based care in British and/or care delivery in Canada. This was presented Micro-Simulation Model: A tool to evaluate future Columbia provides recommendations that have the at a meeting of federal, provincial and territorial health policies and programmatic interventions potential to reduce the harms of opioid addiction. health ministers in Vancouver. targeting the aging population living with HIV in • Dr. Montaner and the UBC Division of • UN 90-90-90 Target confirmed at the UN High British Columbia”. She is co-investigator in 11 peer- AIDS hosted the International Treatment as Level Meeting in New York by member countries as reviewed grants from CIHR, NIDA, and Genome Prevention Workshop in Durban, South Africa, the roadmap for the End of AIDS as a Pandemic by Canada. with internationally renowned speakers from 2030. • Dr. Milloy presented on Treatment as Prevention® organizations including the US Centers for • Dr. Montaner was invited to meet in Ottawa with in BC among people who use drugs as a part of the Disease Control and Prevention, the World Health representatives from Health Canada and Global United Nations General Assembly Special Sessions Organization, UNAIDS, the Clinton Health Access Affairs Canada to discuss Treatment as Prevention® on the World Drug Problem. He was the recipient Initiative and PEPFAR. Federal Health Minister Jane as a global strategy. of a New Investigator Award from the Canadian Philpott gave opening remarks. • National Institute on Drug Abuse (NIDA)—an Institutes of Health Research and a Scholar Award • Our members presented their findings at the AIDS agency of the National Institutes of Health (NIH)— from the Michael Smith Foundation for Health 2016 Conference in Durban, South Africa— which provided a two-year, $200,000 grant for a joint Research. attracted 18,000 delegates from 183 countries. response to the HIV epidemic affecting a rural • The Division received $5M funding from the BC • Dr. Kerr continues research on effective community in the state of Indiana. The Indiana Ministry of Health to conduct HCV research and harm reduction approaches, presenting and in University (IU) School of Medicine and the BC- contracted to conduct evidence review and provide consultation at the Ministry level in the area of CfE joined forces to leverage successes achieved recommendations for viral hepatitis testing in the addiction care and developing provincial opioid in British Columbia by applying the effective HIV British Columbia. guidelines in response to the opioid crisis in Treatment as Prevention® model to a rural setting in • Dr. Montaner travelled to Ottawa to meet with Vancouver’s DTES, which peaked in late 2016 with the United States. Federal Health Minister Jane Philpott to develop more than 900 fatalities. • The government of Canada, through CIHR, and support an implementation plan for the 90-90- • Dr. Wood is Director of the Canada Addiction announced an investment of $4.4 million to support 90 Target in Canada. Medicine Research Fellowship mentoring physician, four large regional teams comprised of researchers, graduate students and trainees in addiction service providers, and decision makers to tackle research. He leads the continued development and prescription drug abuse. Dr. Wood serves as the successful growth of the UBC Addiction Medicine Principal Investigator of the research node based in elective at St. Paul’s Hospital. He is PI on a $5.7M BC. CIHR/NIH grant of the BC Node of the Canadian • A study done in partnership with the US CDC Research Initiative on Substance Misuse (CRISM). was published in The Lancet Infectious Diseases. • Dr. Shannon invited as expert consultant to draft This landmark study describes the first-time the the Vancouver Coastal Health first ever Women’s peak growth of the hepatitis C epidemic among Health and Safety Position Paper and sits on BC “baby boomers” was identified to have occurred in Reference Group for Renewed Provincial Women’s 1950, 15 years earlier than previous estimates. This Health Strategy. finding linked the hepatitis C epidemic to medical procedures and the utilization of reusable syringes (The spread of hepatitis C virus genotype 1a in North America: a retrospective phylogenetic study. Justin Trudeau visited with us early in his campaign to discuss our work locally, nationally, and globally. 18 19 b hellen erg, D Sc iv rt is e io b n o R H . e r a D d Allergy and Immunology

DIVISION HEAD: Divisional Overview • Dr. Robert Schellenberg The success of our relatively new training program has led to growth in our Division. New graduates have a keen interest in the academic mission; wishing to teach and partake DIVISION MEMBERS: in joint learning activities. One advantage is • Dr. D Stark that individual allergists in the community can link into our weekly web-based academic • Dr. H Wong half-day and contribute to issues raised in The Allergy Update CME for physicians and • Dr. A Kanani the presentations by fellows and staff. This health care providers had a very successful • Dr. M Kaviani program is jointly run with the Pediatric Division program in its second year with an excellent of Allergy and Immunology and associated enrollment and evaluation by attendees. Dr. • Dr. K Lee programs at Dalhousie, Western and Manitoba Amin Kanani initiated and organized this • Dr. C Lee Universities. Dr. Donald Stark, our program program with help from a number of our director, has worked diligently in this endeavor members and pediatric colleagues. Dr. Kanani • Dr. A Jagdis and we also wish to acknowledge the superb is training patients with severe hereditary • Dr. S Kim administrative support of Nicole Nielsen, whose angioedema to self-administer C1 inhibitor assistance has been invaluable. protein intravenously on a prophylactic basis. • Dr. R Schellenberg This condition is often poorly managed in • Dr. J Yeung To provide excellence in outpatient clinical emergency departments and efforts are being teaching, we have been fortunate to have undertaken to enhance physician knowledge • Dr. J Bergman community members devote their time and but also patient independence. expertise. In addition to those in the greater Vancouver area, members in Victoria now offer Together with the Antibiotic Stewardship rotations for our fellows. In Kelowna, Dr. Hian Committee at St. Paul’s Hospital, we have Reeves provides elective rotations for residents initiated guidelines for surgical antibiotic use in Internal Medicine. All have received excellent that have been accepted and applied. Over evaluations by trainees. the last year we have expanded activities to evaluate Penicillin allergy in hospitalized These initiatives have led to an increased individuals with this label. This has been highly number of superb applicants to our training successful with more than 200 patients being program. Expansion of our numbers in BC will tested and challenged with Penicillin, leading to clearly benefit patients’ access to the removal of the Penicillin Allergy label from allergy and immunology assessment. hospital, Pharmanet and GP records.

20 Education Dr. George Wong continues his specific expertise in With the successful launch of a training program, evaluation of complementary and alternative medicine developed by Dr. Donald Stark and Dr. Edmond Chan, A significant increase in Internal Medicine residents practices and has presented on potential adverse effects of and with the support of all members of both the adult seeking electives in our specialty has been encouraging. these preparations at international meetings. and pediatric Divisions, we continue to innovate and In addition, Dermatology residents have routinely done optimize our training modalities. Initially sharing electives in our Division. The evaluations of this elective Dr. Amin Kanani has ongoing research in assessment academic half-day activities with the University of rotation by residents and students have been very good. of the natural history and quality of life assessments of Manitoba pediatric and adult divisions via Skype, patients with hereditary angioedema before and after we have expanded video-conferencing interaction A new CME program for physicians organized by Dr. home infusion training. He is also involved in industry- to include allergy programs at Dalhousie Universitvy Amin Kanani, the Update in Allergy Conference, was sponsored clinical trials assessing omalizumab therapy and Western University using GoToMeeting. This for the second year, very well attended and evaluated. optimization and quality of life in patients with chronic has been ideal in capturing faculty expertise at the In addition, members of the St. Paul’s staff presented at spontaneous urticaria, and evaluating a novel oral various sites, having invited speakers from different the St. Paul’s General Practitioner Update Course and prophylaxis therapy for hereditary angioedema. disciplines and having trainees present relevant topics have been involved with the St. Paul’s Internal Medicine for input by other trainees and faculty. This has also Update Course. Clinical Services allowed valued input from community allergists and immunologists who attend. Research All members are actively involved in providing clinical consultative services in Allergy and Immunology to the We plan to continue our initiatives in primary and The members at St. Paul’s Hospital have a major interest community. Dr. Donald Stark provides outreach clinics in secondary immune deficiency that entail home in management of Primary Immune Deficiency (DIP) Prince George and Sechelt. He has been active in initiating therapy and establishment of a transition clinic from and have initiated a number of research projects as well subcutaneous immunoglobulin treatment for patients in pediatric to adult patients. Additional work with the as interactions with the lay organizations, Canadian northern BC communities. Provincial Blood Coordinating Office should improve Immune Deficiency Patient Organization and the care of immune deficient patients throughout British Jeffrey Modell Foundation. A new provincial initiative to Dr. Amin Kanani established a clinic in Surrey and Dr. Columbia and establish a data base for outcome improve care for patients witH PID has been undertaken Shamim Wadiwalla is now established full-time at this site research. with the Provincial Blood Coordinating Office. This with support from Surrey Memorial Hospital. Other new involves assessment of provincial data, dissemination graduates have joined this facility and they have expressed Working with the Provincial Blood Coordinating Office, of algorithms for diagnosis and management, with the wishes to join the Division with an active teaching role. Dr. we are establishing protocols and oversight for the aim to have an integrated data base of PID patients Kanani has also established a program training patients appropriate management of both Immune Deficiency to evaluate appropriate diagnosis, management and with Hereditary Angioedema to self-infuse C1 inhibitor at and Hereditary Angioedema patients within BC which health outcome parameters. Divisional members on home. should be of benefit to patients and care-givers. this committee include Drs. Kingsley Lee, Peter Lee, Hien Reeves, Seung Kim, Donald Stark and Robert Dr. George Wong has had a specific interest in We plan to continue initiatives with the Antibiotic Schellenberg. complimentary medicine practices and the potential Stewardship Program, hopefully duplicating the harmful effects of specific treatments. success of St. Paul’s Hospital at other major hospitals We continue to expand the subcutaneous in BC. Obtaining resources for an Adverse Drug immunoglobulin home-infusion program which Awards and Distinctions Reaction Clinic and Food Allergy Clinic remain a provides convenience for patients as well as decreases priority as the needs clearly exist. Further recruitment hospital day care requirements. Additional measures In 2015, Dr. Donald Stark received the Canadian Society of of a full-time academic Allergist/Immunologist have been undertaken to provide this for secondary Allergy and Clinical Immunology (CSACI) Distinguished remains a priority. immune deficiency. Dr. Robert Schellenberg has been Member Award, recognizing his major commitment to involved with the Division of Hematology and Bone the national society, which included his establishment of a Marrow Transplant Program in establishing this for their charitable organization that provides competitive research patients. funding for members (Canadian Allergy, Asthma and Immunology Foundation). 21 w Krahn, Div re isi nd on A H r. e D a Cardiology d

DIVISION HEAD: • Dr. Andrew D. Krahn DIVISION MEMBERS: • Dr. A Aminbakhsh • Dr. N Hawkins • Dr. T Lyall • Dr. J G Andrade • Dr. B Heilbron • Dr. I Penn • Dr. T Ashton • Dr. H Henning • Dr. S Pimstone Divisional Overview • Dr. S Au • Dr. R Hiralal • Dr. K Pistawka • Dr. E Aymong • Dr. R Hooper • Dr. A Rabinowitz The Division office remains strong with an excellent team supporting • Dr. M Bennett • Dr. V Huckell • Dr. S Rabkin the academic mission, integrated with the clinical services and • Dr. V Bernstein • Dr. K Humphries • Dr. J Rajala teams. Division and academic reports, along with CAPP performance • Dr. A Ignaszewski • Dr. K Ramanathan • Dr. K Bhagirath reviews are routinely completed. • Dr. H Bhugra • Dr. K Ioannou • Dr. D Ricci • Dr. M Blackwell • Dr. S Isserow • Dr. S Robinson • Dr. R Boone • Dr. J Jue • Dr. J Saw Individual accomplishments include: • Dr. K Brown • Dr. K Kaila • Dr. T Sedlak • Dr. Ken Gin: Regional Cardiac Program Medical Director 2015 • Dr. • Dr. N Brunner • Dr. S Singh • Dr. K Shetty Haidar Hadi: Innovator of the Year, Prince George Citizen Healthier • Dr. J Cairns • Dr. C Kerr • Dr. G Simkus You Award 2015: for the Development of Northern RACE (Rapid • Dr. R Carere • Dr. M Kiess • Dr. R Sochowski Access to Clinical Expertise) Line • Dr. S Chakrabarti • Dr. A Krahn • Dr. L Sterns • Dr. John Webb: Wallace Wilson Leadership Award 2015, UBC • Dr. A Chan • Dr. Z Laksman • Dr. L Straatman Medical Alumni Association • Dr. S Chan • Dr. A Lalani • Dr. E Swiggum • Dr. Victor Huckell: Canadian Medical Association Honorary • Dr. C Lane • Dr. P Tan • Dr. A Chou Membership for Humanitarian Services 2015 • Dr. R Chow • Dr. S Lear • Dr. J Tang • Dr. John Jue: CSE Annual Achievement Award 2015, Canadian • Dr. S Chow • Dr. R Leather • Dr. C Taylor • Dr. S Cowan • Dr. P Lee • Dr. C Thompson Society of Echocardiography • Dr. M Davis • Dr. J Leipsic • Dr. M Toma • Dr. Victor Huckell: Canadian Cardiovascular Society Academy • Dr. M Deyell • Dr. J Lemaitre • Dr. M Tsang Visionary Award 2015 • Dr. D Dulay • Dr. M Mann • Dr. T Tsang • Dr. Karin Humphries: Elected Fellow of the American Health • Dr. N Elmayergi • Dr. J Mancini • Dr. W Tsui Associate (FAHA) conferred by the Quality of Care and Outcomes • Dr. C Fordyce • Dr. D Manyari • Dr. S Tung Council (March 2016) • Dr. A Friesen • Dr. D Massel • Dr. S Virani • Dr. Annie Chou: The 2016 Vancouver Board of Trade Wendy • Dr. A Fung • Dr. J Mayo • Dr. J Vuurmans McDonald Woman of Promise Award, presented by Global BC’s • Dr. J McKinney • Dr. J Vyselaar • Dr. K Gin News Director Jill Krop • Dr. J Grewal • Dr. R Moss • Dr. K Wallace • Dr. Jasmine Grewal: Appointed to CCC Scientific Program • Dr. O Gusbi • Dr. B Munt • Dr. J Webb • Dr. H Hadi • Dr. P Nair • Dr. G Wong Committee – Congenital Track Chair, 2016 • Dr. F Halperin • Dr. P Novak • Dr. D Wood • Dr. Andrew Krahn: Annual Meeting Chair, Canadian Cardiovascular • Dr. J Hamburger • Dr. K Ong • Dr. J Yeung Congress • Dr. Ken Gin: Canadian Journal of Cardiology Committee Chair

22 • Dr. Andrew Krahn: Vice President, Canadian for Best Clinical Teacher, UBC DoM 2015 Cardiovascular Society • Dr. Victor Huckell: 2015 UBC DoM Honour • Dr. Sean Virani and Ron Carere: Co-Chairs, Specialty Roll for Clinical Teaching Excellence $4.72 Services Committee • Dr. Victor Huckell: Vancouver Coastal Health Authority million in • Dr. Andrew Krahn: Bringing Clinical Renown to Bobby Miller Award for Excellence in Teaching 2015 research Vancouver Hospital Award 2016, Vancouver Coastal • Dr. Marc Deyell: 2016 UBC DoM Honour Health Authority Roll for Clinical Teaching Excellence Award funding • Dr. Christopher Fordyce: 2016 UBC DoM Honour Education Roll for Clinical Teaching Excellence Award • Dr. Ken Gin: 2016 UBC DoM Honour Roll The education committee oversees undergraduate, for Clinical Teaching Excellence Award postgraduate, and continuing medical education, with • Dr. Victor Huckell: 2016 UBC DoM Honour support individuals guiding each of these portfolios. Roll for Clinical Teaching Excellence Award The flagship educational program is the residency • Dr. Saul Isserow: 2016 UBC DoM Honour training program lead by Dr. Parvathy Nair, with 17 Roll for Clinical Teaching Excellence Award residents in a 3 year program. The program saw the • Dr. Parvathy Nair: 2016 UBC DoM Honour training completion of Drs. Sina Alipour, Andrea Lee, Roll for Clinical Teaching Excellence Award Dana Lee, Siu Him Chan, Michael Luong, and Abdullah • Dr. Jonathon Tang: 2016 UBC DoM Honour Alenezi, who all subsequently completed their Royal Roll for Clinical Teaching Excellence Award College certification in Cardiology. Four of these • Dr. Elizabeth Swiggum: 2016 UBC DoM Honour fellows went on to do further training in subspecialty Roll for Clinical Teaching Excellence Award fellowships. • Dr. Graham Wong: 2016 UBC DoM Honour Roll for Clinical Teaching Excellence Award The Division embarked on a central fellowship support program coordinated through the Education Research Committee, which is supporting both funding and program development. striving to be Royal College Research continues to grow dramatically, with summaries and Areas of Focused Competence (AFC) compliant if the highlights brought to attention in our quarterly newsletter. central University develops a decanal unit. A publication and citation review demonstrates 275 peer reviewed publications from 109 registered and funded Individual accomplishments include: projects totalling 4.72 million dollars in operating funds. • Dr. Ken Gin: Clinical Faculty Award for Career Sixteen division members receive CAPP salary stipends to Recruited two Excellence in Clinical Teaching 2015, UBC FoM protect time in order to promote research, largely targeting new externally • Dr. Ken Gin: Master Teacher Award (VGH) 2015, UBC early career recruits to support the goal or increased research funded scholars DoM: capacity. • Dr. Saul Isserow: Best Clinical Mentor Award 2015, UBC Cardiology Postgraduate Program Individual accomplishments include: • Dr. Jonathon Leipsic: Donald M. Whitelaw Award 2015 • Dr. Zachary Laksman: 2015 Charles Kerr Scholarship in for Outstanding Grand Rounds (SPH), UBC DoM Heart Rhythm Management, St. Paul’s Hospital Foundation & • Dr. Tara Sedlak: Donald M. Whitelaw Award 2015 for UBC Outstanding Grand Rounds (VGH), IBC DoM • Dr. Marc Deyell: CCS Atrial Fibrilation Research Award 2015, • Dr. Graham Wong: Shelley Naiman award Canadian Cardiovascular Society 23 • Dr. Nathaniel Hawkins: 2016 Charles Kerr • Expansion of the Valve Clinic into percutaneous Scholarship in Heart Rhythm Management, St. Paul’s mitral and tricuspid arena with multiple first in man 12 Hospital Foundation and UBC procedures Division • Dr. John Webb: Ethica Award 2016, European • Active participation in the redevelopment planning members Associations of Percutaneous Coronary Interventions process recognized with (EAPCI), EuroPCR teaching • Dr. John Webb: R.T. Hall Prize 2016, Cardiac Society Highlights of the Year Record of Australia and NZ awards • The Division has grown with very strong clinical and number of Patient Care academic recruitment supported by the Cardiology publications - Academic Practice Plan (CAPP). Six (6) new Full Vancouver General Hospital members joined the Division, two of whom have 275! • Finished fundraising and began planning a state of external salary support (Kerr scholars in Heart Rhythm the art electrophysiology lab to take the place of an and Genetics), as well as eleven (11) new associate antiquated part time converted facility members, local and from across British Columbia • Completed fundraising of $2.5 million to develop a • The Division underwent a successful strategic cardiac diagnostic center, and expand heart function, planning exercise including a mini retreat, a full report cardiac oncology, and atrial fibrillation clinics and a road map with five priority areas of focus • Finished $2.5 million fundraising to support IMIT / unfolding subsequently research infrastructure • The Division has a diverse portfolio of clinically • Continued recruitment in the 3M TAVI trial which focused research, including structural heart (flagship), promises to revolutionize the way patients are treated imaging, electrophysiology, cardiogenetics, heart peri-procedurally (next day discharge) failure, cardio oncology and women’s heart health • Continued work on customized software solutions • The Division’s structure includes Education, to improve care of heart function, and atrial fibrillation Research, Finance and Executive committees which patients provide guidance and engagement for Division • Continued international leadership in coronary members and the Division as a group, further dissection and women’s heart health promoting inter-site collaboration. Forty percent of • Establishment of a Canadian registry Divisions actively provide care at both St. Paul’s and ge raises nearly allen $60 ch 00 • Internationally recognized expertise in left atrial VGH. ss fo ne r fit in appendage occlusion and the role of advanced y ne • The structural heart team continued global g r lo -c io it imaging. leadership in defining both novel techniques and d y r s a c C h clinical trials in defining the degree to which catheter o C o B l St. Paul’s Hospital based therapies will supplant surgical strategies. U • Recruitment of a hypertrophic cardiomyopathy This includes translational and patient engagement (HCM) expert and opening of the HCM Clinic elements which have been implemented into routine • Expansion of the cardiac sarcoid clinic care in BC. Recent recruits have received multiple local • Localization of a full genetic counselling team at SPH grants including pilot funds from CAPP to support and to support multiple clinics promote their research. • eCPR program

23 24 assen, D ry K ivis ar ion B H r. e a D d Community Internal Medicine

DIVISION HEAD: • Dr. Barry Kassen DIVISION MEMBERS: • Dr. H Baillie • Dr. S Jaffer • Dr. R Shaw • Dr. N Frolova • Dr. S Prasad • Dr. R Lowry • Dr. S Kahlon • Dr. P Sherk • Dr. S Galindo • Dr. C Reid • Dr. N Cummis • Dr. A Kang • Dr. C Simpson • Dr. D George • Dr. F Rydz • Dr. L Farrell • Dr. G Karr • Dr. T Sindhar • Dr. S Ghosh • Dr. A Saadeddin • Dr. S Gill • Dr. M Kenyon • Dr. A Singh • Dr. N Golishevski • Dr. V Sahiholnasab • Dr. A Markanday • Dr. J Kerrie • Dr. J Spence • Dr. L Gutierrez • Dr. S Sajjadi • Dr. T Maung • Dr. M Keshmiri • Dr. S Sutcliffe • Dr. M Ho • Dr. G Sajjady • Dr. C Morris • Dr. E Lai • Dr. A Tothill • Dr. R Holde • Dr. J Saluja • Dr. S Sullivan • Dr. A Lakhan • Dr. I Tynan • Dr. K Humphreys • Dr. N Sandhu • Dr. S Taylor • Dr. M Lang • Dr. A Varadarasa • Dr. D Jaworsky • Dr. HSarkaria • Dr. A Abdalla • Dr. M Lapin • Dr. S Wadge • Dr. R Kahlon • Dr. E Sawatsky • Dr. M Ali • Dr. J Maclsaac • Dr. S Walker • Dr. A Kecskes • Dr. B Sehmer • Dr. M Anis • Dr. D MacRitchie • Dr. A Walzak • Dr. J Kerr • Dr. D Siew • Dr. Y Arikan • Dr. N Mahmoudi • Dr. L Wik • Dr. H Khangura • Dr. D Skinnider • Dr. E Auersperg • Dr. C Mahony • Dr. D Williams • Dr. H Kim • Dr. N Sood • Dr. K Bashir • Dr. C Main • Dr. L Winkler • Dr. D Kincade • Dr. S Sriram • Dr. B Beheshti • Dr. P Malpass • Dr. E Wojtowska • Dr. R Kumar • Dr. H Stefanison • Dr. M Bernard • Dr. S Matossian • Dr. S Wong • Dr. K Lai • Dr. A Stewart • Dr. S Broder • Dr. B McArdle • Dr. T Yang • Dr. S Lakhi • Dr. J Sunderwood • Dr. D Burke • Dr. K McDermid • Dr. S Youakim • Dr. M Lee • Dr. S Svarta • Dr. P Camateros • Dr. D McDonald • Dr. Z Yu • Dr. J Lim • Dr. D Teichrob • Dr. B Chai • Dr. S Mckee • Dr. M Ballard • Dr. P Ling • Dr. T Thomas • Dr. D Chandler • Dr. S Min • Dr. N Baradaran • Dr. C Little • Dr. Z Trutsov • Dr. P Chang • Dr. D Myers • Dr. H Blair • Dr. C MacCallum • Dr. B Tuvel • Dr. J Dunne • Dr. David Naude • Dr. E Blake • Dr. F Mansour • Dr. M Vaid • Dr. C Dyck • Dr. M Nazerali- • Dr. P Campsall • Dr. K McLeod • Dr. G Vaz • Dr. A Elekiaby Sunderji • Dr. S Caswell • Dr. J Morantz • Dr. V Veleva • Dr. F Evrin • Dr. D Negash • Dr. T Cessford • Dr. W Newsome • Dr. J Wallach • Dr. R Foster • Dr. R O’Dwyer • Dr. N Chan • Dr. L Nguyen • Dr. N Widmer • Dr. C Gabana • Dr. J Pewarchuk • Dr. M Choi • Dr. D Ortved • Dr. R Wong • Dr. A Hamour • Dr. W Pewarchuk • Dr. O Drouin • Dr. E Parfitt • Dr. A Wormsbecker • Dr. C Hennessy • Dr. B Phillips • Dr. E Fam • Dr. Ml Perlman • Dr. Y You • Dr. A Hoffman • Dr. J Rai • Dr. M Fazil • Dr. S Perlman • Dr. S Zavareh • Dr. L Hollands • Dr. J Rudnik • Dr. S Fzlagic • Dr. V Petrovic • Dr. B Hughes • Dr. S Segal • Dr. L Fong • Dr. G Polley

25 Divisional Overview We have Division members who are in Patient Care provincial leadership (Dr. Shaw) President The Division of Community Internal Medicine of Community and Rural Internal Medicine The Division of Community Internal is a large diffuse and distributed group (CRIM) as well as Dr. Jennifer Grace who Medicine is large, diffuse and distributed that participates in health care delivery is Interim Executive Medical Director for and participates in health care delivery throughout the province of British Columbia Vancouver Island Health Authority (VIHA). throughout the province of British Columbia and in education of the future doctors of Dr. Hector Baillie is participating in a and in education of the future doctors of British Columbia. Community and Rural provincial program with the BC College of British Columbia. Internal Medicine (CRIM) has been an Physicians and Surgeons in the capacity of essential part of the growth of Internal assessment for Internal Medicine specialists The clinical interests of the group vary. The Medicine in British Columbia as it has in BC. We have members who are active site Community General Internist may provide promoted a special fee structure for Internists leaders for their Internal Medicine groups critical care and specialized care in specific in the province. As most members are various parts of the province. Dr. Jim Spence domains (i.e., HIV, Sports Medicine etc.) almost entirely dependent on fee for service, is the lead in Victoria, Dr. Jennifer Grace - in Palliative Care and consultation care to this alone has increased the interest and Campbell River, Dr. Niels Schwarz - Nanaimo, hospitalized and ambulatory patient. The promoted the discipline of Internal Medicine. Dr. Callum Reid - Salmon Arm, Dr. Chad Dyck roles encompassed by Division members - Penticton, Dr. Ed Auersperg - Maple Ridge, are often dictated by their communities and CRIM has already achieved much since Dr. Y.D. Yu - Richmond, Dr. Kevin MaCleod - the distance from other specialties. Some its inception spearheaded by Dr. Michael Lionsgate, Dr. Bruce Hillier – Comox. Internists provide oncologic care; perform O’Brien in 2005. Dr. Danny Meyers further endoscopies and bronchoscopies and are increased CRIM’s annual fee allocation after Education active in ECHO cardiographic assessment of the last Master Agreement by applying for patients. recruitment and retention as well as disparity The University of British Columbia training funding. Dr. Jenn Grace worked tirelessly to program has both four and five year Future Directions enforce the integrity of complex fee code component, with the five year program billing, and compiled the master list of eligible designated as sub speciality in General The recognition that community and general internists in the province. Since 2016, Internal Medicine. Both of these streams academic based physicians are not separate CRIM also added a team of executive officers, have a large emphasis in training in the entities is a goal for the future. To that end who have also contributed greatly to its community with a significant of the program support for community – based research and decision making and functioning: Drs. Matt dedicated to this training. The programs are shared research (community and academic Bernard, Mitch Lee, Kevin McLeod, Anita led by Dr. Jane Mackay (four year program) sites) is something we should work toward. Palepu, and Jane Wu. Dr. Stephane Voyer (five year program) both The ultimate goal would be to have a single of these physicians have or had a presence in Division of General Internal Medicine. Dr. Mike Kenyon has a leadership role the community in the Internal Medicine care internationally as governor for the delivery. American college of physicians (ACP).

26 yas, D ib A ivis aj ion N H r. e D a Critical Care Medicine d

DIVISION HEAD: Divisional Overview

• Dr. Najib Ayas The UBC Division of Critical Care Medicine is multi-disciplinary in nature. Our members DIVISION MEMBERS: are qualified critical care specialists with • Dr. P Dodek • Dr. G McCormack Medicine, Surgery, and Anaesthesia and • Dr. S Mountain Emergency Medicine backgrounds. They • Dr. J Russell participate in patient care at St. Paul’s • Dr. K Walley • Dr. S Reynolds Hospital, Mount Saint Joseph’s Hospital, Division members from St. Paul’s, Vancouver • Dr. J Ronco • Dr. K Craig Royal Columbian Hospital, Richmond General and Richmond Hospitals participate, • Dr. J Tsang • Dr. C Fava General Hospital, Kelowna General Hospital, under the direction of Dr. Demetrios Sirounis, • Dr. C Yelle Vancouver General Hospital, Victoria General as members of the VCH Regional Critical • Dr. N Ayas Hospital, Lions Gate Hospital, and Surrey Care Council and continue to develop • Dr. D Dorscheid • Dr. T Fera Memorial Hospital. and implement strategies to improve the • Dr. D Chittock • Dr. G Finlayson delivery of critical care services within the • Dr. V Dhingra • Dr. Foster Critical Care Medicine Members continue to region. The goal of the Regional Critical • Dr. D Griesdale make contributions in education, knowledge, Care Council is to improve access, patient • Dr. S Keenan research, and clinical care. Our goal is to flow and sustainability through appropriate • Dr. A Peets • Dr. M Hameed improve our clinical care, increase research design and efficiencies and to implement best • Dr. J Boyd • Dr. G Isac output, and improve our educational efforts practices to improve health outcomes, and • Dr. J Fenwick • Dr. G Martin (including undergraduate, post-graduate, monitor performance in the ICU using the ICU database. • Dr. G Grant • Dr. D Sirounis and CME). Clinical, research, educational, and administrative collaborations among the • Dr. W Henderson • Dr. D Sweet hospital sites have increased over the past Dr. George Isac continued as Medical Director • Dr. C Holmes • Dr. A Webb few years and are expected to continue. We of the ICU at Vancouver General Hospital. • Dr. Z Iqbal will continue to examine and adopt innovative Dr. Demetrios Sirounis continues to oversee the clinical operations at Providence Health • Dr. R MacRedmond clinical approaches and technologies to improve the care of critically ill patients Care (both at St. Paul’s Hospital and Mt. St. (e.g., echocardiography, ultrasound, Joseph’s Hospital). Dr. Robert McDermid computer support/monitoring, checklists, is the Head of the ICU at Surrey Memorial novel methods of cardiac/pulmonary Hospital. Dr. Greg Martinka continued as the support). We will explore ways to obtain and Head of the ICU at Richmond Hospital, and support excellent clinical and basic science Dr. Ryan Foster continued as the Medical researchers to expand our research capacity Director of Critical Care for Kelowna General and collaborations. Hospital and the Interior Health Authority.

27 Southern Medical Program students learn Education Research about critical care at Kelowna General Hospital’s intensive care unit. Photo credit: The University of British Columbia Adult Critical The Critical Care Research Program is Warren Brock Care Medicine Training Program continued under the comprehensive, spanning from genetic and direction of Dr. Gordon Finlayson who was appointed molecular biology studies, to education, clinical Director in 2012. trials, and quality improvement. The basic science research program is based primarily in the UBC The two-year Critical Care Medicine subspecialty- James Hogg iCAPTURE Centre for Cardiovascular training program accepts up to 4 new trainees per and Pulmonary Research at St. Paul’s Hospital. The year and is fully accredited by the Royal College of Critical Care Medicine clinical research program Physicians and Surgeons of Canada. It is structured is focused primarily in the intensive care units of to provide trainees with both outstanding clinical and St. Paul’s Hospital, Royal Columbian Hospital, and research environments in which to learn. Vancouver General Hospital. Active research is ongoing in the fields of sepsis genetics, biomarkers During their Fellowship, trainees primarily rotate of infection, inflammatory markers and cytokines, Vanco uve through three tertiary care hospitals (St. Paul’s ARDS, alternative ventilation technologies, r G en Hospital, Vancouver General Hospital, and Royal immune signaling and sepsis induced cardiac e ra l Columbian Hospital), and are exposed to a broad dysfunction, and diaphragm weakness/pacing. H o range of patients with critical illnesses. This includes The areas of ongoing active clinical research s p i exposure to: patients with HIV, patients who are includes epidemiology and outcomes in traumatic t a post-organ transplantation, patients with multiple illness (including TBI),sepsis, patient safety, and l traumas (including head injury), patients requiring quality improvement. extracorporeal membrane oxygenation (ECMO), and post-cardiac surgery patients. n Hospital ital bia osp The ICU residency training program includes residents um H ol l’s l C au from Medicine, Anaesthesia, Surgery, Emergency a P y . o t Medicine, Family Practice, and Neurology. It is a R S comprehensive program with weekly simulator sessions and video-on-demand lectures. All three sites provide trainees with critical training and vital exposure to patients, during their Fellowship.

28 Ur, Divisio ud n Eh H r. ea d D Endocrinology and Metabolism

DIVISION HEAD: • Dr. Ehud Ur

DIVISION STAFF: • Aleta Allen Divisional Overview POSTGRADUATE EDUCATION: • Dr. Jason Kong The UBC Division of Endocrinology continues under the leadership of Professor and Head, Dr. Ehud Ur. DIVISION MEMBERS: Research • Dr. E Ur Academic medicine has become a viable Research activity in the UBC Division of • Dr. B Paty career trajectory for graduates of the UBC Endocrinology and Metabolism spans a wide • Dr. D Thompson Endocrinology Fellowship Program, and the range of areas including diabetes (including • Dr. J Kong Division has the expertise and capacity to diabetes delivery education research and • Dr. J Prior develop a national reputation for producing telehealth), osteoporosis, inflammation and • Dr. K Dawson high-quality academic clinicians. With the metabolic dysfunction, lipid metabolism • Dr. M Dahl increase of people living with diabetes and and atherosclerosis, pituitary and thyroid • Dr. M Almehthel other endocrine disorders, continued growth diseases and women’s health – all of which • Dr. S Sirrs of the Division and in the specialty will make have produced a number of peer reviewed • Dr. S Kalyan a significant impact. publications in high impact journals. • Dr. T Elliott • Dr. T Tang Education Our Division members have given • Dr. M Johnson presentations as invited speakers and • Dr. S Gill The Division of Endocrinology residency attended local, national and international • Dr. S Kriesman training program taught more subspecialty conferences. • Dr. G Bondy residents than ever before with two or • Dr. D Kendler three provincially funded positions and one Highlights • Dr. A White or two clinical research fellows annually. • Dr. J MacKenzie-Feder Endocrinology training sites expanded • Dr. Shirin Kalyan was successfully recruited • Dr. M Pawlowska to Royal Columbian Hospital and Surrey as an Assistant Professor, without review in • Dr. R Bebb Memorial Hospital. The Program was 2015. As an outstanding basic and clinical • Dr. G Francis successfully reviewed and accredited in 2013. scientist, with a background in endocrinology, Taking over from Dr. Breay Paty, Dr. Jason women’s health, immunology and molecular Kong is the new Program Director for the genetics, she strengthens the Division’s Division. academic and research mission.

29 • Dr. Tricia Tang was awarded a CIHR Grant to study a novel model for South Asian Diabetes Treatment in Primary Health Care. • Dr. Jason Kong was appointed Program Director in December ard 201 Aw 6 the Division of Endocrinology. rd Recipien g wa t M in A ar h 18 sh ac 0 a e 2 l D T Patient Care M a G h A l

Division members participate in patient care throughout the Vancouver Lower Mainland including Vancouver General Hospital, St. Paul’s Hospital, Royal Columbian Hospital, Richmond Hospital, Victoria General Hospital and Surrey Memorial Hospital.

Specialty Clinics within the Division include:

St. Paul’s Hospital: • Thyroid Clinic IHR G ved C rant cie • Pituitary Clinic Re g n • Reproductive Clinic a T • Prevention (Lipid) Clinic r. D Division members Vancouver General Hospital: invited to • Adult Metabolic Diseases Clinic • Islet Cell Transplant Clinic local, national and international Future Directions conferences In line with our academic mission, we expect to recruit new members to increase the presence of the Division of Endocrinology within the UBC Department of Medicine.

30 Enns, Div ob isio r. R n D H ea d Gastroenterology DIVISION HEAD: • Dr. Rob Enns

DIVISION MEMBERS: Divisional Overview • Dr. H Chung • Dr. G Rosenfeld • Dr. D Krygier • Dr. J Whittaker The UBC Division of Gastroenterology consists • Dr. T Picton • Dr. K Yik of the faculty of the two main teaching hospitals, • Dr. J Shah • Dr. I Zandieh Vancouver Acute (Vancouver General Hospital • Gastroenterology Fellowship Training • Dr. K Singham • Dr. B Bressler and UBC Hospital), and St. Paul’s Hospital Program • Dr. V Wong • Dr. N Chatur (Providence Healthcare). The Division also has • IBD Fellowship Training Program Director • Dr. J Amar • Dr. M Fishman faculty members at the distributed sites including • Transplant Hepatology Fellowship Training • Dr. K Atkinson • Dr. P Kwan Richmond General Hospital, Royal Columbian Program • Dr. A Bak • Dr. E Lam Hospital, Lions Gate Hospital and Surrey • Advanced Therapeutic Endoscopy Fellowship • Dr. A Buckley • Dr. A Ramji Memorial Hospital in the Lower Mainland; the Training Program • Dr. J Cheung • Dr. R Singh Victoria and Vancouver Island Hospitals, Royal • Colon Cancer Screening Program • Dr. O Cruz Pereira • Dr. M Byrne Inland Hospital (Kamloops), Kelowna General • Train the Trainer • Dr. F Donnellan • Dr. R Enns Hospital and the University Hospital of the North • Skills Enhancement in Endoscopy (SEE) • Dr. S Erb • Dr. J Gray in Prince George. • Continuing medical education events and • Dr. J K. Ho • Dr. L Halparin conferences including monthly journal clubs, • Dr. S Holland • Dr. J Telford The faculty consists of both Geographic Full Time GI Forum, Liver Forum, IBD Mentoring, CSP • Dr. L Keyvani • Dr. A Weiss Faculty (GFT) and Clinical Faculty Association Education Day and Gastroenterology Advances • Dr. H H. Ko • Dr. H Freeman members. There are also associate members • Dr. K Koziol • Dr. D Kelleher who are located at distributed sites as well as Research associate members who are members of other • Dr. M Lam • Dr. B Salh Divisions and share areas of academic interest in The faculty of the Division of Gastroenterology • Dr. C Lin • Dr. U Steinbrecher common with the Division of Gastroenterology. are very involved in both clinical and basic • Dr. D Loomes • Dr. I Tai science research. Drs. Bill Salh and Isabella Tai • Dr. V Marquez • Dr. P Winwood Education are actively involved in basic science research Azalgara • Dr. E Yoshida programs supported by national and provincial • Dr. P Mullins • Dr. H Chaun The faculty of the UBC Division of granting agencies including CIHR, HSFC, • Dr. R Pai • Dr. L Halparin Gastroenterology are involved in several specific CCFC, and the Canadian Society for Intestinal • Dr. D Pearson and specialized clinical academic programs. Research (CSIR). • Dr. R Penner These include: • Dr. R Perini • Undergraduate medical education of 3rd and Dean Dermot Kelleher is involved in • Dr. D Petrunia 4th year medical students translational research and is presently working • Dr. C K. Render • Postgraduate medical education of medical and on a ‘bench to bedside’ model with Dr. Fergal surgical residents Donnellan and Dr. Rob Enns.

31 Clinical research is strong within the Division Dr. Fergal Donnellan’s research interest is partnership of the BC Centre for Disease Control of Gastroenterology and is expanding. The capsule endoscopy, EUS and quality control. Dr. and the UBC Division of Gastroenterology, is specific areas of clinical research include: Michael Byrne is developing Artificial Intelligence actively involved in clinical services related to viral inflammatory bowel disease, therapeutic applications for GI endoscopy. hepatitis, liver disease and hepatocellular cancer. It endoscopy, liver disease, viral and non- is located within the Division of Gastroenterology’s viral hepatitis, hepatocellular cancer, liver Patient Care block in the Diamond Health Care Centre of transplantation as well as solid organ the Vancouver Hospital. The St. Pauls’ Hospital transplantation and donation. Full clinical in-patient and out-patient services group, Pacific Gastroenterology Associates, also are provided at the teaching hospitals as well offers specialized out-patient care in luminal Dr. Rob Enns is the Director of the as the distributed hospital sites. In particular, gastroenterology, with a special interest in Gastrointestinal Research Institute located the main teaching hospitals, Vancouver General inflammatory bowel disease, and viral hepatitis. at the Pacific Gastroenterology Associates Hospital (VGH) and St. Paul’s Hospital (SPH) are office site. Dr. Enns is actively involved provincial quaternary hospitals and are the main In terms of long-term nutritional support and in investigator initiated clinical research destinations for patient transfers from community care, the province’s Home Enteral and Parenteral and has developed outstanding clinical hospitals throughout BC and the Yukon Territories Programs are based at SPH under the leadership of research expertise in capsule endoscopy and via BC Patient Transfer Network and the “Life, Dr. J. Scott Whittaker, Program Medical Director. therapeutic endoscopy and is well published Limb or Transplant” policy. Around 80 liver in these areas. As well, Dr. Enns is a co-author transplants were performed in 2016. Provincial /Regional leadership for the Colon on the National Consensus Guidelines for Cancer Screen Program is provided by Dr. Jennifer capsule endoscopy. Specialized therapeutic endoscopy consisting Telford and Dr. Rob Enns. of ERCP, both diagnostic and therapeutic, is Dr. Eric Lam and Dr. Fergal Donnellan are offered as a clinical service at the VGH, SPH Provincial quality assessment of endoscopic skills actively engaged in clinical research in the and Royal Columbian Hospital sites in the lower (DOPS) is lead at each hospital under the direction field of endoscopic ultrasound while at the mainland and at the Victoria Hospital Corporation of Dr. Rob Enns, Dr. Michael Byrne, same time developing areas of advanced institutions. Barrett’s esophagus management Dr. Fergal Donnellan and Dr. Carla Nash. endoscopic directives such as endoscopic provincially is performed at the BC Cancer Agency submucosal dissection techniques. Dr. Brian by Dr. Alan Weiss and at SPH and VGH by Dr. Rob Bressler has established a clinical research Enns and Dr. Fergal Donnellan, respectively. program in inflammatory bowel disease and is presently developing an IBD Research The specialized modalities of endoscopic network and center. Working with Dr. Greg ultrasound and capsule endoscopy are available Rosenfeld, Dr. Yvette Leung has an interest at St. Paul’s Hospital and Vancouver General in IBD as it particularly relates to pregnancy Hospital. Endoscopic ultrasound is also available and these clinics have been developed in a at the BC Cancer Agency Vancouver Clinic multidisciplinary fashion. Dr. Jennifer Telford and is performed by UBC faculty with cross- is conducting multiple research studies for appointments. The Division is involved Dr. Hugh the Colon Screening Program. in clinical activity with British Columbia Chaun awarded Dr. Eric Yoshida Transplant and the British Columbia Cancer In addition to the BC Hepatitis Program, the Agency (PHSA). In addition, ESD programs the CAG 2016 awarded the Order of Division of Gastroenterology at Vancouver are being initiated at both VGH and SPH General Hospital has created a separate under the direction of Dr. Fergal Donnellan Distinguished British Columbia Luminal Gastroenterology Clinical Trials Unit and Dr. Eric Lam respectively. under the leadership of Dr. Bill Salh. The BC Hepatitis Program, which is a Service Award

32 alepu, Div ta P isi ni on A H r. e D a General Internal Medicine d

DIVISION HEAD: • Dr. Anita Palepu

DIVISION STAFF: Education • Betty Cristofoli Medical Education Dr. Rose Hatala is part of an international Clinical and Population Health Research DIVISION MEMBERS: collaboration developing on-line adaptive tutoring Dr. Nadia Khan holds three active CIHR funded • Dr. S Arishenkoff • Dr. H Nagi systems for undergraduate and postgraduate operating grants as PI in the area of ethnicity, • Dr. R Arseneau • Dr. T Nasmith medical education. Focusing currently on teaching hypertension, cardiovascular diseases and has • Dr. A Nijjar electrocardiogram (ECG) interpretation, the produced eight refereed publications. Dr. Anita Palepu • Dr. L Brunham investigators are demonstrating that it is possible is the Vancouver-site PI for a CIHR Project Scheme • Dr. J Busser • Dr. J Onrot to create a systematic large collection of medical grant entitled MedSafer: Reducing post-discharge • Dr. A Chan • Dr. A Palepu images that fully represents the spectrum in adverse drug events amongst the elderly: a multi- the Electronic Health Record. Using advanced • Dr. W Chan • Dr. S Pimstone centre electronic deprescribing intervention. She has • Dr. J Potts statistical and cognitive models, they are creating six refereed publications. Dr. John Staples was awarded • Dr. C Cuncic a more efficient and authentic learning algorithm a 3-year CIHR Project Grant as PI entitled: Syncope • Dr. M Dallaire • Dr. S Purkiss that better matches with an individual’s learning and the subsequent risk of motor vehicle crash: A • Dr. S Das • Dr. A Rahmani curve. Perhaps most importantly, they are population-based analysis. He has three refereed developing an instructional framework that can publications in the area of traumatic brain injury. • Dr. K Eva • Dr. M Roberts • Dr. D Rosenbaum generalize to visual learning in other domains. • Dr. R Hatala Basic Science Research • Dr. B Kassen • Dr. Z Schwartz All of our faculty are actively involved in teaching Dr. Liam Brunham joined the UBC Division of General • Dr. N Khan • Dr. E Sloan in both the inpatient setting when on the Clinical Internal Medicine in 2015 and is a rising star. He was • Dr. D Sohi Teaching Unit or in the Rapid Access Specialist awarded the Heart and Stroke Foundation National • Dr. G Kimel Clinic. This is integral to any care we provide and New Investigator Award and successfully secured • Dr. L Kuyper • Dr. J Staples multiple members have been recognized for their competitive funding from the Canadian Foundation • Dr. I McCormick • Dr. P Tam substantial contributions to medical education of Innovation and the Stem Cell Network of Canada • Dr. J McKay • Dr. J Tessaro through teaching awards. to support his lab and work in genomics, lipids, • Dr. K Tran pharmacogenomics and premature coronary disease. • Dr. I Mackie Research He produced seven refereed publications. • Dr. B Mangat • Dr. S Voyer • Dr. E Morley • Dr. P Weerasinghe Educational Research Patient Care Both Dr. Kevin Eva and Dr. Rose Hatala have been highly productive in the area of assessment, The Division of General Internal Medicine at St. Paul’s simulation, feedback. They both hold peer- Hospital (SPH) consults on the majority of patients reviewed funding and have published over 20 who require Internal Medicine assessment in the refereed manuscripts. Emergency Department and admission to hospital.

33 We have a busy acute medicine Clinical Teaching Thrombosis (ambulatory) Terrace, BC and Dr. James Tessaro goes to Yellowknife Unit service with five inpatient teams. We have an Dr. Anna Rahmani sees patients for GIM and Thrombosis to provide Internal Medicine services. Emergency Department Triage and Consultation team in the SPH Rapid Access Specialist Clinic. She has expertise that assess patients and is responsible for Medical with the DOACs, bridging anticoagulation for procedures, Bridge Clinic (Refugee Health) Consults from other services (mostly Surgery and DVT and PE management. Dr. Stephane Voyer and Dr. Trudy Naismith are Psychiatry). We also have a Parallel Internal Medicine providing a weekly clinic for this patient population Service to decant sub-acute patients from the CTU to Eating Disorders (inpatient and ambulatory) who frequently have undiagnosed and unmanaged improve flow and maintain team sizes of ~18 for patient We have three faculty who have expertise in managing medical conditions. safety and trainee learning. The Division has been the medical complications of the Eating Disorder patients, actively involved in the Medical Operational Excellence which is a tertiary program housed in Mental Health Urban Clinic Outreach Transformation (MOET) to improve our processes at PHC. It is a provincial resource. These patients are Drs. Cary Cuncic, Penny Tam, Harp Nagi and of care and prototype best practices for handover, very complicated medically and challenging to manage, Peter Weerasinghe participate in weekly Internal discharge planning, team care and our admission particularly their re-feeding and electrolyte and volume Medicine clinics at the Ravensong Community Health processes. The CTU is the cornerstone of the hospital’s management. Centre providing consultative and directive care to teaching program that supports and enables other patients with complex medical problems. Dr. Debbie subspecialty and surgical programs to thrive. Obstetrical Internal Medicine (inpatient and ambulatory) Rosenbaum has regular clinics at the Portland Hotel Drs. Jayson Potts, Wee-Shian Chan, and Sue Purkiss work and the Pennsylvania Hotel with family physician Perioperative Medicine (inpatient and ambulatory) at BC Women’s Hospital and Dr. Potts also does CTU at Dr. Christie Sutherland. These clinics have been a We have four physcians primarily sited at Vancouver SPH as well an OB Internal Medicine clinic at the SPH Rapid success in terms of providing access to specialist care General Hospital (VGH) who run an active consultation Access Specialist Clinic. to patients who are hard to reach and also provides and follow-up service for patients on Orthopedics, important learning experiences for the GIM fellows Hepatobiliary and General Surgery. We also have an Chronic and Complex Disease Clinic (ambulatory) interested in serving this population. active ambulatory GIM program at the Rapid Access BCWH – Drs. Ric Arseneau, Jane McKay and a few others Specialist Clinic at both VGH and SPH that serves participate in this multidisciplinary clinic, which has Future Directions to provide CTU patient follow-up after discharge, become a highly successful program under Dr. Arseneau’s ED referrals and urgent referrals from primary care. leadership. • Expanding our ambulatory and outreach activities These are teaching clinics with medical students and residents with a focus on education and learning in the Palliative Care (inpatient and ambulatory) • Development of a Point of Care Ultrasound ambulatory setting, which is a very different experience Dr. Gil Kimel attends on the Palliative Care ward at SPH and Curriculum from inpatient acute medicine. In addition, Division has been successful in building a healthy relationship with members actively participate in the GIM RACE (Rapid the St. Paul’s Hospital CTU. He is the Physician Program • Expanding Perioperative Medicine service Access to Consultative Expertise) line. Director of Palliative Care at Providence Health Care. • Increasing educational research pilots Hypertension (ambulatory) Rural and Remote Outreach We have four faculty at SPH who are Hypertension There are four faculty who regularly do outreach • Increasing research capacity specialists. We have clinics for resistant hypertension to underserved communities in northern BC and in at SPH to optimize blood pressure measurement and Yellowknife, NWT: Drs. Stephane Voyer, Marie Pierre • Increase the number of GIM management for patients whose blood pressure has Dallaire, and James Tessaro. Dr. MP Dallaire has worked subspecialty trainees (R4-5) been challenging to treat. Poorly controlled hypertension closely with Dr. John Pawlovich (Family Medicine) and to meet the needs of the is associated with substantial morbidity (renal, cardiac, Dr. Terri Aldred to build relationships with the many First province stroke), acute care use with ED visits and hospital Nations communities. She and others are using telehealth admission for hypertensive emergency and urgency, to communicate and follow-up with patients and staff and premature mortality. We employ motivational in these places. We have a recent GIM graduate, Dr. interviewing techniques to improve adherence to Denise Jaworsky, who was recently hired in Terrace (Mills medications and focus on lifestyle interventions in Memorial Hospital) who will continue to collaborate with addition to pharmacologic treatments. the group through outreach and provide longitudinal care to these patients. Dr. Dave Sohi regularly does outreach to

34 Kow, Divis et ion an H J e r. a D d

Geriatric Medicine

DIVISION HEAD: • Dr. Janet Kow Divisional Overview

DIVISION STAFF: The Division of Geriatric Medicine has grown • Becky Nagra significantly since its inception in the 1980s under the leadership of Dr. B. Lynn Beattie. the Department of Family practice are collaborating to enhance Geriatrics Teaching in the undergraduate DIVISION MEMBERS: The Division currently provides a wide range of clinical Curriculum. All Division members teach in various • Dr. L Beattie • Dr. J Budlovsky services as well as teaching across all sites, including components of case-based learning and clinical • Dr. G Meneilly • Dr. J Chase Vancouver/Richmond, Providence, the Fraser region, skills, as well as on the clinical teaching services Vancouver Island, and the Interior Health Authorities. in geriatrics and internal medicine. A number • Dr. L Dian • Dr. P Chin These include very active multi-disciplinary as well of popular Fourth Year electives are offered at • Dr. R Wong • Dr. M Fok as physician-only inpatient geriatric consultation numerous sites in the Vancouver Fraser program. • Dr. K Madden • Dr. L Jain services, in-patient acute care for elders, geriatric • Dr. A Hill • Dr. K Kjorven ambulatory care and multiple outpatient clinics. A Postgraduate • Dr. J Kow • Dr. L Lai number of Geriatricians attend on CTUs in Vancouver, The UBC Geriatric Medicine Fellowship under • Dr. M Chung • Dr. A Li Providence, and the Fraser Health Authorities the leadership of Program Director, Dr. Lawrence bringing their knowledge of care of the elderly to • Dr. P Lee • Dr. W Lin Lo, continues to be one of the largest and most trainees during their Internal Medicine rotations, successful Geriatric Medicine training programs in • Dr. I Alimoradi • Dr. L Lo and enhancing recruitment opportunities for future the country. The resident numbers have tripled over • Dr. K Bell • Dr. M Malone Geriatric Medicine fellows. Geriatricians also provide the last 10 years, including a number of Gulf State • Dr. S Comeau • Dr. D Mangat outreach to communities in the interior and northern trainees. • Dr. W Cook • Dr. J Menezes regions of British Columbia, and provision of Telehealth • Dr. A Forbes • Dr. M Mian through VIHA and NHA. The Division’s major areas Dr. Janet Kow completed her term as Chair of the of research emphasis are in health services research, • Dr. J Liao • Dr. N Parmar Royal College Geriatric Medicine Examination diabetes, dementia, osteoporosis, falls prevention and Committee. Dr. Roger Wong continues as Executive • Dr. H Ranchod • Dr. D Maher cardiovascular disease. Associate Dean Education, UBC Faculty of Medicine • Dr. M O’Connor • Dr. M Spencer and is very active on the national stage with • Dr. C Petrossian • Dr. Ni Stewart Education Postgraduate Education with the Royal College of • Dr. C Rauscher • Dr. P Thornton Physicians and Surgeons. Dr. Wong is spearheading • Dr. S Skanthan • Dr. N Varshney Undergraduate the introduction of Competency by Design and is a • Dr. H Syed • Dr. D Villanyi Dr. Janet Kow finished her term as assessment national leader on advancing Quality Improvement in Residency training. He also has deep and active • Dr. K Balogh • Dr. M Wan director of the Undergraduate Education Committee overseeing the Third Year Internal Medicine Clerkship connections throughout Asia. • Dr. K Barnett • Dr. D Williams and instituted the incorporation of Work Based • Dr. M Bater Assessment. Dr. Naaz Parmar is Week Chair for the Dr. Wendy Cook is Associate Program Director Dementia CBL week in Year Two and organizer for - Curriculum for the UBC Postgraduate Internal the geriatrics component of the clinical skills course Medicine Program and was instrumental in in Year Two. She is the Geriatrics Theme Lead for instituting the 1st year Boot Camp Course. She is Curriculum Renewal. The Divisions of Geriatric very active in developing Competence by Design in Medicine and the Division of Community Geriatrics in the Internal Medicine Program. Dr. Martha Spencer

35 received the St. Paul’s Excellence in Teaching Award. He has served on numerous panels, including the Institute hospitals and in the Community including Residential Drs. Anson Li, Amanda Hill, and Jocelyn Chase have all Advisory Board of the CIHR Institute of Aging. Care. Geriatric services are vital to hospitals working been awarded the UBC Medicine Teaching Honour Roll. Dr. Ken Madden is currently principal investigator for closely with Internal Medicine services to offer Division members generally have among the highest 6 years of continuous funding from the CIHR (valued at multidimensional inpatient and urgent care. teaching ratings at UBC Medicine. Geriatric Medicine approximately half a million dollars), and is co-investigator Preceptors are a consistent year-round part of the CTU on two other CIHR operating grants (value of $450,000) Multiple Division members participate in outreach teaching rotations at SPH, VGH and RCH. Dr. Amanda Hill and a CIHR team grant (value of $2 million dollars). He throughout the province including Haida Gwaii, Terrace, runs the Internal Medicine Residency International Health has demonstrated an increasing international profile. Fort St John, and Prince Rupert. These innovative Project. This partnership allows residents and attending He is the Editor-in-chief of the Canadian Journal of outreach trips pair Geriatric Medicine and Geriatric staff to experience a very different practice of medicine Geriatrics (the only Canadian geriatric medicine/geriatric Psychiatry clinicians, including Senior residents, and social advocacy by working at hospitals in Uganda. psychiatry journal), and since taking over the journal to Northern Communities allowing a holistic and All Division members continue to be actively involved in he was successful in having it indexed in PubMed and comprehensive service to complex older adults who the teaching of Internal Medicine Residents and Fellows switched it to an open access mode. He is the chair of cannot otherwise travel for health care. in the principles of the care of the frail elderly, including the North American Regional Council of the International the Clinical Teaching Units and Noon Rounds for medical Association of Gerontology, and has been invited to speak Telehealth from Vancouver to smaller communities in residents in Vancouver, Richmond, Fraser Health, and by several international organizations (Oslo University the Vancouver Island and Northern Health Authorities Vancouver Island Health Authorities. Residents have Hospital, Yale Program on Aging). He has presented his has also been successful and run throughout the year rated teaching in Geriatric Medicine among the highest of research at a number of gerontological and diabetes but particularly in the winter when travel is challenging. the divisions in the Department of Medicine. The Division meetings, and was asked to judge abstracts and chair Division members work in a number of specialized clinics also provides rotations for Family Practice Care of the sessions at the Canadian Cardiovascular Congress. He is offering services beyond general Geriatric Medicine Elderly physicians, Physical Medicine and Rehabilitation, a reviewer for numerous scientific journals, including the including the only Multidisciplinary Continence Clinic Psychiatry residents and Nurse Practitioners. Journal of Applied Physiology, and was a member of a in BC, the Alzheimer’s and Related Dementias Clinic, CIHR peer review committee, and the CIHR Age-Plus Prize Falls and Osteoporosis Clinics. In addition, partnerships Continuing Medical Education committee. He provides mentorship in research to fellows, with other Departments to offer appropriate Geriatric The Division delivers a highly successful annual CPD residents and postgraduate MSc and PhD candidates. evaluations for Frail Perioperative, Cardiac and other program entitled “Geriatrics Intensive Course”. It is a patients have been developed throughout 4-day course on Geriatrics for Family Physicians and Dr. Larry Dian is co-investigator at the ProHealth Clinical Nurse Practitioners. It is fully subscribed yearly and has Research Center and is interested in osteoporosis and Future Directions some of the highest ratings of all UBC CPD offerings. The falls in the frail elderly. He is a member of the Scientific plenaries are being distributed online. The course will be Advisory Council for Osteoporosis Canada. The Division will continue to spearhead clinical services offered in a modified form in Kelowna in 2018. Dr. Janet to the rapidly growing BC Senior population. Education Kow is on the CPD committee for the Canadian Geriatrics Despite the clinical faculty being a small Division, the for undergraduate, postgraduate and Primary Care Society. Dr. Janice Menezes coordinates the UBC Geriatric research activities are numerous and highly regarded. Practitioners will develop an encompassing network of Medicine Grand Rounds, which are telecast weekly Many research endeavours are trainee projects and have clinicians with Geriatric interest and expertise throughout throughout British Columbia and are now popularly been presented at conferences internationally. British Columbia. Research on Healthy Aging, Prevention watched asynchronously online, the first UBC Division and Health Services to older adults will explode in the to do so. Several members of the Division continue to be Patient Care next decade. active in CME including national and provincial initiatives in the areas of dementia, osteoporosis, and cardiovascular Division members are highly active in all parts of British 15 fitness as well as care of the hospitalized elderly. Columbia and, despite the Division’s small size, have Researchers, contact with numerous teams and patients in all BC Research Health Authorities, bringing Geriatric expertise to 9.2 citations per the frailest patients in British Columbia. The primary publication Dr. Graydon Meneilly continues his research program in teaching sites in Vancouver, Victoria, White Rock and 82 Publications diabetes and carbohydrate metabolism in older adults. He New Westminster participate in in-patient, consultative is a member of the Canadian Academy of Health Sciences services, outreach and multi-disciplinary clinics looking 757 Citations and the Canadian Association of Professors of Medicine. after thousands of patients annually in all the teaching

36 ntel n Na , Div he isi p on te H S e r. a D d Hematology

DIVISION HEAD: • Dr. Stephen H. Nantel

DIVISION MEMBERS: • Dr. E Conway • Dr. D Hogge • Dr. Y Abou Mourad • Dr. M Barnett • Dr. K Humphries • Dr. D Forrest • Dr. A Jones • Dr. C Boldt Divisional Overview • Dr. A Lee • Dr. P Yenson In 2015 and 2016, the UBC Division of Education • Dr. J Schrader • Dr. P Tsang • Dr. D Sanford Hematology included 39 staff and 6 • Dr. R Broady associate staff members based at the Rotations were taken at Vancouver General • Dr. C Ross • Dr. L Zypchen Vancouver General Hospital (VGH), St. Hospital, St. Paul’s Hospital, BC Children’s’ • Dr. H Sutherland • Dr. M Power Paul’s Hospital (SPH), Royal Columbian Hospital, BC Women’s Hospital & Health • Dr. G Sreenivasan • Dr. E Peterson Hospital (RCH), the Terry Fox Laboratory Centre, BC Cancer Agency and various • Dr. K Song • Dr. S Narayanan (TFL) at the British Columbia Cancer hospital locations in BC, including Vancouver, • Dr. K Ramadan • Dr. A Gerrie Research Centre (BCCRC) of the Surrey, Kelowna, and Victoria. The rotations • Dr. T Petraszko • Dr. H Ezzat BC Cancer Agency (BCCA) and the offer residents, fellows, including international trainees, training in hematology, stem cell • Dr. C Li • Dr. M Constantine University of British Columbia (UBC). • Dr. L Chen transplantation, thrombosis, and laboratory • Dr. L Foltz research. • Dr. S Jackson • Dr. K Ambler Laboratory research programs at TFL, • Dr. P Lansdrop UBC and Vancouver Coastal Health • Dr. C Leger Research • Dr. A Karsan Research Institute (VCHRI) achieved • Dr. J Shepherd peer-reviewed operating support and • Dr. X Jiang • Dr. P Ballem clinical research at VGH and SPH Hematology Research Program (HRP) • Dr. T Nevill • Dr. K Chipperfield brought in a total of $7 million. There comprised 23 researchers and studied • Dr. C Toze • Dr. C Eaves were a total of 79 peer-reviewed malignant blood diseases as such acute and • Dr. S Nantel • Dr. D Horsman publications and consistently publishing chronic leukemia and multiple myeloma • Dr. H Leitch • Dr. R Coupland in high-impact journals. Patient care and research in stem cell transplantation. A and training remained at the forefront of number of clinical trials (in-house, national clinical activities. Trainees in the Division and international clinical trials) had matured as a whole included 15 Hematology with publications in academic journals, residents, 23 Leukemia/BMT fellows (in including The Lancet, and were presented at overlapping academic years). major international conferences, such as ASH.

37 In 2015, a new multi-institutional study of • Dr. Steve Nantel: Master Teacher Award, minimal residual disease (MRD) in acute myeloid Department of Medicine, VGH, 2016 leukemia (AML) patients was developed by • Dr. CJ Eaves: Dr. Chew Wei MBBS [HK] Dr. David Sanford, to help physicians design FRCOG [ENG] Memorial Prize in Cancer a treatment plan with or without stem cell Research, 2016 transplant in order to prevent relapse and • Dr. Alina Gerrie: Nominated for New Principal increase the chance of cure. Investigator’s Meeting, Canadian Institute of Health Research Institutes of Cancer Research Patient Care and Genetics, 2016 • Dr. Alina Gerrie: Honour Roll for Clinical In 2015-2016, the Division of Hematology saw Teaching Excellence, Department of Medicine, approximately 3,600 new patients and continued UBC, 2016 to be responsible for all of British Columbia’s adult stem cell transplants, care provided each One of a kind year includes: survivorship program

• All of province’s adult stem cell transplants launched in 2015 with over 550 new referrals to the L/BMT Program • Leukemia/Bone Marrow Transplant Program of 79 peer reviewed BC performed about 250 autologues/allogeneic stem cell transplants and saw approximately 100 papers published new cases • Thrombosis Program saw approximately 1,500 new patients in the clinical at VCH Received ~ $7 million grant Highlights awards in 2015-2016 • In April 2015, the Survivorship Program officially launched, this is a long-term follow-up clinic and is the only one of its kind in Canada. • Dr. David Sanford joined the Division in September 2015. Awards & Recognitions: • Dr. Ed Conway: CSL Behring Research Chair in Endothelial Cell Biology, 2009-2017 • Dr. Ed Conway: Tier 1 Canada Research Chair in Endothelial Cell Biology, 2016-2023 38 hillips, Div r P isi te on Pe H . e r a D d Infectious Diseases DIVISION HEAD: Divisional Overview • Dr. Peter Phillips Infectious Diseases’ active faculty increased DIVISION STAFF: in size in 2015/2016 to include sixteen • Lainie Burgess clinicians, clinical scientists, full time research • Kirstie Lang faculty, another twenty-four associate for fellows, weekly Tropical Medicine • Melanie Parris members, and four emeritus faculty. Activities teaching rounds, and three times weekly • Joan Pablico have been focused at the three teaching Combined Structured Teaching (CST) didactic • Sara Doherty hospitals; Vancouver General (VGH), St. presentations provided by the faculty for • Marilyn Robertson Paul’s (SPH), and BC Children’s & Women’s residents and students. There are currently Hospitals, (BCCWH) and at the BC Centre for five Infectious Diseases fellows in the training DIVISION MEMBERS: Disease Control (BCCDC). program. • Dr. Y Av-Gay • Dr. W Bowie • Dr. H Bach Education Graduate Students • Dr. R Brunham • Dr. M Chapman Masters and PhD science students are • Dr. R Chan • Dr. G Deans Undergraduate affiliated with healthcare and epidemiology, • Dr. A Chow • Dr. W Ghesquiere Dr. Mary Kestler, as the Undergraduate laboratory medicine, microbiology and • Dr. Q Dinh • Dr. J Grant Education Supervisor for the Division of immunology and medical genetics. • Dr. J Hajek • Dr. T Grennan Infectious Diseases has been involved with ongoing curriculum Courses • Dr. Z Hmama • Dr. M Hull changes which have been well received. Several Division members participate in the • Dr. M Kestler • Dr. T Lau Tropical and Geographic Medicine Intensive • Dr. R Lester • Dr. K Laupland Postgraduate Short Course, which is convened annually by • Dr. V Montessori • Dr. V Leung • Dr. L Luft The Residency Training Program Director, the School of Population and Public Health, • Dr. M Murray Dr. Natasha Press, along with Medical UBC. • Dr. P Phillips • Dr. S Malhotra • Dr. A Markanday Education Coordinator, Kirstie Lang, have • Dr. N Pick supervised inpatient and outpatient training • Dr. R McMaster Research • Dr. N Press of 93 trainees from various UBC medical and • Dr. Y Mirzanejad • Dr. N Reiner surgical programs, in addition to 42 trainees • Dr. D Money Research programs are diverse and broad • Dr. R Reynolds from other Canadian medical schools doing based including microbial pathogenesis, • Dr. D Patrick • Dr. T Steiner elective rotations. host defense and AIDS as well a wide range • Dr. L Peters • Dr. H Stiver of epidemiological research focused on • Dr. M Rekart • Dr. A Wright In addition to weekly journal club and also sexually transmitted and emerging infectious • Dr. K Afra • Dr. S Reynolds weekly Clinical Case Conference (accessible diseases. Clinical and translational research • Dr. Y Arikan • Dr. J Vortel by video conferencing throughout the includes antimicrobial stewardship and links province) the other educational activities to emerging resistant organisms as well as include once weekly Academic Half-Day influenza and Clostridium difficile.

39 Global health research includes the use of mobile Highlights Future Plans devices to support medical practice. For example, specific studies involve the use of SMS texting to Awards • A clinical service for inpatient penicillin allergy improve outcomes in the management of HIV/AIDS. • Dr. Victor Leung: Incubator Award, AMMI assessment, testing, and de-labelling has been The efficacy of SMS texting is also being studied in Canada (Association of Medical Microbiology established at St. Paul’s Hospital the context of pre-exposure prophylaxis and latent and Infectious Disease Canada) • Expansion of rapid access to Tropical Diseases tuberculosis infection. • Dr. Valentina Montessori: St. Paul’s Master clinical services is underway at Vancouver General Teacher Award Hospital Patient Care • Dr. Melanie Murray: Honour Roll for Clinical Teaching Excellence Award postgraduate The Division maintains very active inpatient inpatient/outpatient consultation services at Vancouver General and • Dr. Melanie Murray: HIVMA Medical Student St. Paul’s Hospitals. Transplant Infectious Diseases Award (supervisor) berc has been initiated as a third parallel clinical service • Dr. Tim Lau: Specialties in Pharmacy Practice um tu ulosi eri s at Vancouver General Hospital in 2016. The first Award ct ba and second services at VGH are involved in the • Dr. Peter Phillips: UBC Critical Care ACCOLADE co y management of a wide range of infectious diseases Award for contribution to learning and education M problems involving medical and surgical patients including neurosurgery, reconstructive, trauma and Recruitment spine orthopedics. • Dr. Allison Mah

At St. Paul’s Hospital, the three clinical services include general infectious diseases, the Urban mphocyte Health Acute Care Unit (HIV/AIDS, and infectious a ly n diseases among patients with active addiction o n) e issues) and the outpatient parenteral antibiotic re g therapy (OPAT) clinic. The differing patient ( 1 V populations between Vancouver General Hospital I and St. Paul’s Hospital provides a broad experience H for trainees. Finally, the antibiotic stewardship programs at both St. Paul’s Hospital and Vancouver Division Research encompasses General Hospital include team members from ID, a wide variety of topics including Medical Microbiology and Pharmacy providing but not limited to HIV/AIDS and evidence-based and cost-effective use of Host Defence and Pathogenesis, antimicrobial drugs for inpatients at both sites. respetively, shown above.

40 mon, D Gel ivi en sio ar n K H . e r a D d Medical Oncology

DIVISION HEAD: • Dr. Karen Gelmon Divisional Overview DIVISION MEMBERS: • Dr. H Anderson • Dr. P Hoskins The Division of Medical Oncology, within the Department of Medicine, has members from • Dr. V Bernstein • Dr. H Kennecke six BC Cancer Agency Cancer Centres as well as other teaching hospitals. At this time there • Dr. C Blanke • Dr. R J Klasa are 98 members either with an academic appointment or with an appointment pending. The • Dr. N Bruchovsky • Dr. M Knowling majority of these are within the cancer centers. With an academic focus medical oncologists within the cancer centers have UBC academic appointments. • Dr. T Chan • Dr. C Kollmannsberger • Dr. J Laskin • Dr. W Cheung Faculty • Dr. L Lê • Dr. K Chi • Dr. S Chia • Dr. C Lee A full list of the faculty, which includes details of their rank, is available upon request. • Dr. J Connors • Dr. H Lim Although most of the members are clinical faculty there are also grant tenure members: • Dr. M Coppes • Dr. Maclean Drs. George Browman, Kim Chi, Stephen Chia, Sharlene Gill and Kerry Savage, and partner appointments, more recently, of Drs. Winson Cheung, Karen Gelmon, Hagen Kennecke, • Dr. C Coppin • Dr. B Melosky • Dr. N Murray Daniel Renouf, Gillian Mitchell and David Scot. Since early 2013 there have been a number • Dr. S Ellard of members retire or move including Drs. Winston Bishop, Max Coppes, David Fenton, Tina • Dr. C Fitzgerald • Dr. G Pansegrau Hsu, Richard Klasa, Grant MacLean, Heidi Martins, Jorg Michels, Kevin Murphy, Susan • Dr. P Galbraith • Dr. D Renouf O’Reilly, David Saltman, Sheila Souliere, Judith Sutherland, Brian Weinerman and Kenneth • Dr. K Gelmon • Dr. K Savage Wilson.There was also the death of Professor Emeritus, Dr. Nicholas Bruchovsky in 2015. • Dr. A Gerrie • Dr. L Sehn • Dr. S Gill • Dr. A Shah Education • Dr. T Shenkier • Dr. K Gill In terms of education, our group participates actively in education at all levels of the Medical • Dr. S Smiljanic • Dr. C Ho Faculty. The teaching commitment from the centres is outstanding with a large number of faculty participating and receiving excellent evaluations.

Our Medical Oncology Residency program, which is run by Dr. Howard Lim, has a continued excellent rating with a high interest from residents nationally. A major activity of our group is the development of evidence-based guidelines for care across British Columbia, nationally and internationally.We continue to encourage excellence in teaching, translational and clinical research and patent care as activities in our Division.

41 vin, D ra Le ivis ee ion d H . A e r a D d Nephrology Divisional Overview DIVISION HEAD: • Dr. Adeera Levin Our two downtown sites are St. Paul’s Hospital (SPH) and Vancouver General Hospital (VGH), while the Royal Columbian Hospital (RCH), Surrey Memorial DIVISION MEMBERS: (SMH), and Abbotsford (AH) in the Fraser Health • Dr. A Jamal • Dr. S Singh Authority, as well as Interior Health, Northern • Dr. B Jung • Dr. B Cameron Health and Vancouver Island Health Authorities all • Dr. D Landsberg • Dr. R Werb participate in divisional activities. This distributed the Regional Renal Programs, the Kidney Foundation of • Dr. D Prchal • Dr. A Rae model of education, clinical care and research within Canada, the Canadian Society of Nephrology, the Canadian • Dr. G Nussbaumer • Dr. C Yan British Columbia is unique and offers ever increasing Society of Transplantation, The Transplantation Society potential for sustainability and dissemination. and International Society of Nephrology. Administrative • Dr. J Gill • Dr. B Forzley Together the faculty provides provincial leadership in support for the program is managed by Ms. Pam Sewell • Dr. J Gill • Dr. C Zhang research, education, and clinical care within the field (Admin and CME) and Ms. Tammie Davis (Postgraduate • Dr. L Luca • Dr. J Conley of renal medicine. Education for numerous fellowships and scholarships). • Dr. M Kiaii • Dr. A Singh Strong Partnerships with the BC Provincial Renal Agency • Dr. M Beaulieu • Dr. K Horgan The 22 members of the downtown campuses of has permitted leveraging of resources to support province • Dr. M Farah • Dr. G Da Roza the Division have a strong clinical base and provide wide education and research activities to various degrees. • Dr. A Levin • Dr. D Schwartz integrated and decentralized nephrology care throughout Vancouver Coastal Health, including Highlights of the Year • Dr. C Yeung • Dr. M Bevilacqua Richmond, North Vancouver and coastal areas, and • Dr. J Duncan • Dr. M Brown as far north as the Yukon Territory, with a strong • We were awarded the honour of co-ordinating a $40 • Dr. J Jastrzebski • Dr. G Carpenito working collaboration with Fraser Health, VIHA, IHA Million grant from the CIHR SPOR initiative for Chronic • Dr. J Lan • Dr. C Jones and NHA. Fraser Health has established strong links diseases : CAN SOLVE CKD: Dr. Adeera Levin (Division • Dr. M Copland • Dr. S Lam with the Internal Medicine program and Division of Head) is the named PI on this grant, which involves many • Dr. N Zalunardo • Dr. K Scobie Nephrology programs so that exposure to clinicians UBC Division members and forges national partnerships and teachers are available. All HA offer extended • Dr. O Johnston • Dr. R Starko with patients, indigenous peoples and researchers opportunities for clinical exposure for our Nephrology • Dr. John Gill was awarded a CIHR Foundation Grant for • Dr. B Strijack • Dr. P Neufeld fellows and medical students. work on Transplant and Health Policy ($1.6m/7 years) • Dr. P Keown • Dr. S Torng • Dr. Sean Barbour was awarded Michael Smith • Dr. R Shapiro • Dr. E Welsh We have an expanding international and post Scholar Award for integrated program of work in • Dr. S Barbour • Dr. Y Zeng doctoral fellowship in home based therapies, Glomerulonephritis transplantation, dialysis and health administration • Dr. Jag Gill was appointed Head Quality and Metrics, BC since 2011. Research activities encompass both Transplant laboratory and clinical sciences, with a strong focus • Dr. David Landsberg appointed Chair of Canadian Blood on epidemiology and clinical trials, and population Services National Living Donor Program health and outcomes/economic investigations in • Dr. Nadia Zalunardo , Dr. Sean Barbour, and Dr. Gerald both kidney disease and transplantation. Members DaRoza were awarded UBC Excellence in Teaching awards of the Division assume leadership roles in the • Marcia Bell UBC Nephrology Fund established at UBC to advancement of nephrology at provincial, national support work of the Division of Nephrology in improving and international levels through their positions in the care of patients across British Columbia through the BC Provincial Renal Agency, BC Transplant, education and research

42 • Dr. Adeera Levin awarded Order of Canada for work in Education oversight of renal and other solid organ transplant services academic and patient centered kidney disease initiatives and the retrieval of cadaveric organs and tissues. Within nationally and internationally The UBC Division of Nephrology is a key component of the tertiary this framework, renal care delivery is based on established • Dr. Adeera Levin awarded Aubrey Tingle Award for education program for medicine and related health sciences for the principles of integrated chronic disease management Excellence in Research in BC University of British Columbia. Through its active undergraduate, through a combination of institutional, community and graduate, post-graduate and continuing medical education home-based programs. Research programs, the Division is responsible for the training of medical students, interns, residents, sub-specialty residents in nephrology The tertiary care teaching hospitals, the Vancouver The Division has a strong and internationally-recognized (SSRNs), rotating trainees in general medicine, anesthesia and General Hospital (VGH), St. Paul’s Hospital (SPH translational research program in both renal disease other relevant disciplines, graduate and doctoral students, and Providence Healthcare) and BC Children’s Hospital and transplantation. Members of the Division were clinical and research fellows. These programs attract trainees from (BCCH), collaborate to provide ambulatory chronic renal successfully awarded and held over $3 million in across Canada, from Australia, Europe, Asia and the Middle East. disease care, in-patient management, plasma exchange research support in 2015-2016, including grants from The primary sites for undergraduate and graduate training are at (SPH), hospital dialysis and renal transplantation, and Genome Canada, Networks of Centres of Excellence, VGH SPH/Providence Healthcare and Fraser Health Authority, with home-hemo and peritoneal dialysis for adult and pediatric the CIHR, the Kidney Foundation of Canada, and other elective opportunities available in other jurisdictions. patients with renal disease throughout the Vancouver peer-review agencies, as well as unrestricted industry Coastal Health and other geographical jurisdictions. The supported grants, and conventional industry supported Funding for the educational programs of the Division is provided home hemodialysis program, headed by Dr. Michael trials. by UBC, and in collaboration with the BCPRA. Education in Copland, is now one of the largest of its kind in North pharmacy and allied health disciplines occurs in the same sites America. Novel approaches to education and delivery of Members of the Division generated more than 77 under the auspices of UBC and related professional bodies. In newer modalities is a focus for the division province wide. scientific articles in 2015-2016, notably some in high to 2015-2016, Divisional program directors included Dr. Suneet Within the province of BC, 3,500 persons receive dialysis, very high impact journals. Key areas of focus are: health Singh (Undergraduate Programs), Dr. Peter Neufeld (Postgraduate 2000 persons have received a transplant and over 13,000 outcomes research, epidemiology, biomarker prediction Programs), Dr. Adeera Levin (Continuing Medical Education), Dr. persons have chronic kidney disease and are followed by of clinical events in CKD and transplant populations; Jacek Jastrzebski (Advanced Nephrology Training Program) and nephrologists. resource utilization, and knowledge translation activities. Dr. Olwyn Johnston (Transplant Fellowship Program). Dr. Gerald Dr. Sean Barbour and Dr. Jag Gill are funded by the Da Roza has responsibility for educational programs in Internal Future Plans Michael Smith Foundation; Dr. John Gill has Foundation medicine and Nephrology in FHA. Extended training in Provincial Grant funding from CIHR. Home Therapies programs has been offered, under the direction The Division of Nephrology will continue to grow its of Dr. Michael Copland and Dr. Paul Taylor (provincial directors of education, research and administrative activities, so that The UBC Division of Nephrology Research programs Home Hemodialysis and Peritoneal Dialysis respectively). Trainees the province has a robust infrastructure to support these integrate members from the VGH and SPH and from the United Kingdom, Australia and New Zealand were enrolled activities. Ongoing training of fellows in specific content Providence Health sites as well as our associate sites in the program. areas (dialysis, transplant, palliative care) and partnerships around the province, to ensure full participation and with BCPRA and BCT will permit expanded opportunities collaboration. The Division’s clinical research activities Patient Care for advanced training to develop the depth and breadth also include collaborations with research staff at the of the Division. Formalized succession planning for major BC Provincial Renal agency and the iCapture Centre at The renal services provided by the Division of Nephrology operate education and administrative roles, as well as formalizing St. Paul’s Hospital, as well as research groups outside within a broad provincial and regional context with established the research structure will enhance the functioning of of BC, including the Alberta Kidney Disease Network, clinical guidelines, provincial contracts, information systems, central the division. We are developing sustainable advanced CORR, Canadian Transplant Clinical Trials Group, administration and co-ordination for education and other projects. education training positions, investing heavily in ‘human and Australian Clinical Trials Group, amongst others. This affords the Division an opportunity to be both a key contributor resources’ for the future. Working with all the facilities Divisional resources for research leverage existing to and a beneficiary of provincial policies, projects and experiences. around the province, the UBC Division of Nephrology will infrastructures, and situated at different physical British Columbia is widely recognized to be at the forefront of renal continue to provide excellent teaching, care and research, locations. Staff includes a Research Manager, Ms. care delivery, with active programs for the early detection of renal in a collaborative manner. Katy Vela, and a number of highly-qualified Research disease in the population, multidisciplinary coordination of care, Coordinators. The statistical support team includes delivery of dialysis therapy in the community or at home, and novel We will continue to advocate for excellent patient care, dedicated staff time from BCPRA, under the leadership approaches to renal transplant donation. The BC Provincial Renal education for physicians and allied health professionals, of Ms. Ogjnenka Djurdjev, and includes Lee Er, Agency (BCPRA) coordinates the development and integration of and the development of interdisciplinary teams of care Alexandra Romann, Gabriella Espina and a group of data renal services, funding, establishment of standards and guidelines, providers, well trained, to ensure the best outcomes for analysts. and works in collaboration with each of the health authorities patients. to ensure equal access to care for all patients living with kidney disease. The BC Transplant Society coordinates the funding and 43 toessl, Divis S ion on H J e r. a D d Neurology Divisional Overview DIVISION HEAD: • Dr. Jon Stoessl The Division of Neurology is large and spans many activities in clinical, research and educational DIVISION MEMBERS: spheres. In 2015 and 2016, research funding for • Dr. J Barton • Dr. S Hayden the Division was over $20M. In addition, there • MS/NMO Clinic physician/trainee shadowing • Dr. O Benavente • Dr. C Hrazdil were five Canada Research Chairs (four Tier 1, one providing an opportunity for trainees to follow • Dr. N Cashman • Dr. K Jack Tier 2). Division members generated nearly 180 experienced physicians in the clinic and • Dr. S Cresswell • Dr. M Javidan publications in 2015 and more than 200 in 2016. experience a clinic day • Dr. D Doudet • Dr. D Johnston Special recognition of Division members includes • Monthly physician/fellow journal club and case • Dr. T Field • Dr. S Kaiway the selection in 2016 of Dr. Judy Illes as President studies • Dr. R Hsiung • Dr. R Keyes of the International Neuroethics Society and the • Annual UBC MS/NMO Preceptorships • Dr. J Illes • Dr. C Krieger award of a Michael Smith Foundation Scholarship highlighting emerging basis science and clinical breakthroughs in MS and NMO • Dr. L Kastrukoff • Dr. M Kula to Dr. Haakon Nygaard. Division members are • Dr. S Kolind • Dr. G Mackie active in education at undergraduate, graduate and post-graduate levels. We would like to particularly Through the UBC Connect Education Program, • Dr. M Mckeown • Dr. S Mann recognize the enormous contributions of Drs. trainee involvement in organizing, developing • Dr. H Nygaard • Dr. M Mezei. Esma Dilli, Sharan Mann and Laura Wilson to the and participating in events continue to improve • Dr. S Pelech • Dr. F Moien- undergraduate curriculum in Neurology. Drs. Kristine and increase, thereby facilitating information • Dr. J Pettersen Afshari Chapman, Doris Doudet and Robin Hsiung served on exchange and collaboration. • Dr. J Stoessl • Dr. C Murphy the UBC Clinical Research Ethics Board. The Division • Dr. T Traboulsee • Dr. A Prout continues to grow. In the 2015-2016 academic year, Research • Dr. H Tremlett • Dr. G Robinson we welcomed one new academic and two new • Dr. Yu Wang • Dr. A Sayao clinical faculty members. The Donald Paty lecture Research activities are primarily through the off-site services where the Division members are • Dr. J Beckman • Dr. S Spacey was delivered by Dr. Michael Aminoff (University involved in those activities. • Dr. N Bogod • Dr. J Squires of California, San Francisco) and the Naveen • Dr. Dean Johnston continues to build the • Dr. H Briemberg • Dr. C Tai Deshpande Memorial Lecture was delivered by Dr. Neurologic Complications of Endocarditis • Dr. D Cameron • Dr. J Tan Anthony Lang. database via an ongoing resident research project, • Dr. R Carruthers • Dr. P Teal currently at 1335 cases. • Dr. K Chapman • Dr. B Thiessen Education • Dr. Dean Johnston is piloting a Teleneurology • Dr. V Devonshire • Dr. J Valerio outreach program in partnership with First Education continues to be a key focus of the Division • Dr. E Dilli • Dr. M Varelas Nations Health Authority with our UBC Connect Program having grown to • Dr. S Dommann • Dr. G Walker • Dr. Steven Pelech published five articles include the following sessions and opportunities: • Dr. D Foti • Dr. L Wilson in peer-reviewed journals and two book • Dr. H Frykman • Dr. A Woolfenden • Ongoing weekly Tuesday morning “bench to bedside” sessions for trainees, researchers, chapters, expanded the open-access SigNET • Dr. G Gibson • Dr. S Yip clinicians, fellows and residents to share ongoing Knowledgebank to over 3 million webpages and research and clinical topics co-produced, with Kinexus, the world’s highest

44 density antibody microarray for biomarker discovery. • EEG Clinic at MSJ Hospital • Expansion of Outreach Services to Terrace (Dr. Sara • Dr. Yu Tian Wang gave ten presentations, as an • Stroke Prevention Clinic, SPH Simpson) invited speaker across Canada and internationally. • HIV Outpatient Clinic, SPH • Strengthening of Neurology services at MSJ Hospital, In addition he published seven high profile articles • Outreach Clinics in Terrace, Squamish, Whitehorse, EEG and Consultaion Service resulting from highly successful national and Prince Rupert, and Gibsons international collaborations and a patent was filed, Imaging and followed up with further clinical investigations for In addition, our MS and NMO clinic supports 7000 active • Successful CFI for replacement of 3T research MRI at treatment of acne and stroke. patients, representing 80% of the BC MS and NMO DMCBH (Lead PI A Mackay) population. Four neurologists are supported by three • First team in the world to show that the brains of nurses, part time OT, PT, SW, and 2-3 clinical fellows per MS Clinic healthy siblings of patients with MS are different to the year. The average wait time for new appointment is 2-4 Since the UBC Hospital MS Clinic’s opening in 1980, brains of matched unrelated healthy controls. (Lead PI A weeks. the research goal has been to find the cause and cure Rauscher) of multiple sclerosis (MS). • Developed a method for improved MS lesion detection MS and NMO Clinic provides patients with a multi- at no additional scan time. (Lead PI A Rauscher) disciplinary approach to clinical care where they are able • Demonstrated in a cohort of MS patients that MRI The UBC Hospital MS Clinic is led by a world to come in and meet not only with their neurologists blood flow measurements in white matter are strongly renowned MS clinical research team. The clinic but also ophthalmologists, psychiatry and rehabilitation influenced by the angle between white matter fibers and is globally reputed for its emphasis on treatment, specialists. Approximately 300 patients are involved in education, and translational research. The MS phase II or phase III clinical trials. This provides access to the main magnetic field (Lead PI A Rauscher) clinical research team is comprised of specialists in new therapies which have not yet made it to the market. • In an MRI-pathology correlation study explored how pharmaceutical and interventional therapies, imaging The clinical trial team has a staff of 15. quantitative susceptibility mapping can be used as a and genetics. It is a world leader for innovative marker for tissue damage and repair in MS (Lead PI A research using MRI to study and evaluate MS The DMCBH infusion room provides care for clinical trial Rauscher) treatments as well as genetic epidemiology. Cutting and clinic patients, diverting patients from emergency edge research and the incorporation of clinical practice departments for acute relapse care. MS/MRI to study findings have really truly brought MS research • Contributed a chapter in a new book on machine from “bench to bedside”. Highlights learning in medical imaging, by invitation of the editors

New grants • Characterization of cross-cultural terms for Genetics - CIHR Catalyst Grant in Ethics to Dr. Elaine Hyshka neurodevelopmental disorders • Publication in Neuron of the first gene with (Mentee, University of Alberta): Navigating the Ethics • Advancement of ethics and civic engagement in clinical pathogenic mutations for multiple sclerosis. Identified of Syringe Exchange in a Large Acute Care Hospital. trials for CCSVI and other novel neurotechnologies mutation provides the tools for the development of Ranked #1 in competition. • Identification of trends in media coverage of the re- physiologically-relevant cellular and animal models of - Stem Cell Network Policy Impact Grant, Stem emergence of psychiatric neurosurgery multiple sclerosis Cell Trials for Cerebral Palsy: Expectations, Values, • Published 7 (Dr. YT Wang) and 7 (Dr. S Pelech) articles Priorities and Definitions of Risks and Benefits in high profile publications Epidemiology • Research attracted international doctoral and • In 2016, Dr. Helen Tremlett was PI or co-PI on 12 Patient Care post-doctoral trainees from France, Germany, Cuba, China competitive grants, representing a total value of and Canada $6.1 million. Of which $1.6 million in new monies The following clinics and services have been • Secured ~$450,000.00 of external funding (Dr. YT was received in 2016 alone for operating grants and etablished to provide our patients with the best Wang) $100,000 as a salary award possible care: • Wide-ranging basic science research for numerous • Active Consultation Service neurological disorders, including stroke, dementia, autism • Rapid Access Neurology Clinic SPH spectrum disorders and Alzheimer’s disease • Rapid Access Neurology Clinic MSJ Hospital • Patents filed based on work published in 2015-2016 (Dr. • EMG In and Outpatient Clinic at SPH YT Wang) • EEG and Evoked Potentials Clinic SPH 45 Hawley, Div pa isi ip on . P H r e D a Palliative Care d DIVISION HEAD: • Dr. Pippa Hawley Divisional Overview

DIVISION STAFF: The Division of Palliative Care is an • Kathryn Inman interdepartmental division. Reporting has been working with other theme primarily to the Department of Medicine, leaders in our “cluster”, which also POSTGRADUATE EDUCATION: the Division also has strong relationships comprises: • Dr. Charlie Chen with the Departments of Family Practice • Addictions and Pediatrics. • Global Health DIVISION MEMBERS: • Indigenous Health • Dr. P Hawley • Dr. C Borenko • Dr. A Mangalji The Division consolidated its provincial • Geriatrics • Dr. P Boston • Dr. R Liebscher • Dr. K McAleer leadership role in 2016 through our • Health Advocacy • Dr. E Drysdale • Dr. M Karim • Dr. J McGhie partnership with the BC Centre for • Social Determinants of Health • Dr. R Gallagher • Dr. A Lakha • Dr. C Metcalf Palliative Care (C4PC), and we have had • Public Health • Dr. P Louie • Dr. E Lee • Dr. S Minhas a number of achievements though this • Dr. H Siden • Dr. L MacDonald • Dr. J Pearce collaboration. The Division and the C4PC Dr. Hawley has been representing • Dr. P Munk • Dr. V Masuda • Dr. B Rance are working together to achieve the goals Pain Medicine in the curriculum • Dr. R Love • Dr. S Nayar • Dr. T Sakaluk set out for the Division four years ago in and is also the representative • Dr. J Stoessl • Dr. J Ridley • Dr. S Saran the Strategic Plan. from the Themes on the Years 1-2 • Dr. R Moore • Dr. J Slater • Dr. I See Committee. The national Educating • Dr. D Barwich • Dr. B Spring • Dr. F Soeyonggo Dr. Charlie Chen continues as Year of Future Physicians in Palliative • Dr. M Chung • Dr. P Squire • Dr. D Williscroft Added Competence fellowship program • Dr. G Downing • Dr. L Straatman • Dr. W Yeomans and End of Life Care (EFPPEC) director and is also the director of the competencies form the basis of • Dr. G Fyles • Dr. J Walker • Dr. M Yeung new two-year subspecialty Royal College • Dr. P Hawley • Dr. G Kimel • Dr. C Aparicio the UBC Palliative Care Curricular fellowship program which will take its • Dr. N Macpherson • Dr. C Baldwin • Dr. B Eddy Milestones. All competencies (and first resident next year. • Dr. D McGregor • Dr. D Braithwaite • Dr. J Jayaraman more) will be covered by the end of • Dr. A Alexiadis • Dr. P Brar • Dr. J O’Brien 4 years. • Dr. A Cass • Dr. S Bunn • Dr. E Beddard-Huber Education • Dr. C Chen • Dr. S Burgess • Dr. G Ladd The Palliative Care objectives are • Dr. M Cottle • Dr. L Cline • Dr. G Eirew Undergraduate being met by a mixture of lectures, • Dr. P Edmunds • Dr. A Collins The medical school curriculum redesign large group interprofessional • Dr. B Fehlau • Dr. E Dubland is proceeding, with the new cohort sessions, small group teaching, • Dr. A Hansson • Dr. S Germain of students now in second year. The independent learning assignments, • Dr. N Hilliard • Dr. S Vickers Palliative Care theme has been able to clinical palliative care rotations, and • Dr. D Hsu • Dr. A Mabie be integrated very strongly into the new novel learning opportunities such • Dr. C Jones • Dr. L Macdonald case-based curriculum from week 7: as the FLEX Legacy Project and an • Dr. A Joshi • Dr. N MacGowan the 4th case-week. Dr. Pippa Hawley essay-writing competition. Two of

46 the top three essays in the Canadian Society of has presented this at a national conference. Summer management are no longer alternative options, Palliative Care Physicians annual student essay Student projects on methadone for analgesia in the but are now widely accepted as being firmly competition came from UBC, including that of the BCCA’s PSMPC clinics over the last 16 years has embedded together. Division members are winner. been completed with assistance from an internal promoting this model to ensure timely referral medicine resident, a YAC resident and two summer and to change the negative perception of Postgraduate Palliative Care Residency Program students and is in the final stages of preparation Palliative Care as being only for the dying. The Year of Added Competence (YAC) has been for submission to an international Palliative Care the only Canadian Palliative Care specialty training journal. Dr. Pippa Hawley is collaborating with A number of Division members have strong links program since its inception in 2001 (2002 at student Phoebe Cheng in a study of the safety and with developing countries, including Guatemala, UBC). It is the only program which has been efficacy of cutting fentanyl patches for fine-tuning India, Nepal, Ghana and Nigeria, and the Division conjointly accredited by both the Royal College of of doses in cancer pain relief. is supporting Dr. Guyatri Palat to come to BC Physicians and Surgeons (RCPSC) and the College from Hyderabad in March of 2017, supported of Family Physicians Canada (CFPC). Sadly, this Dr. Charlie Chen, along with Dr. Jocelyn Chase of by the Hsu-Hsieh Foundation. Dr. Palat is an cooperative relationship between the colleges has geriatrics, supervised two family practice residents internationally renowned pediatric Palliative Care been curtailed. Their leadership has directed that and one internal medicine resident in completing physician who has made an enormous difference the conjoint program be discontinued. Separate a research project surveying UBC postgraduate to Palliative Care provision in India, for children programs from each college have now been set up residents on their awareness, attitudes, and and adults and we are looking forward to seeing with the first residents to commence their training perceptions of palliative care and Physician Assisted her here. in July 2017. The CFPC Year of Added Competence Death. Their research was recently published in the (YAC) continues to be a 1-year program designed Canadian Journal of Medical Education. Dr. Chen Highlights of the Year to provide family physicians with the added skills is also co-supervising a Royal College emergency to integrate palliative care into their practice at medicine resident in his research project surveying • On December 14th, 2015 the Division held a a secondary level. The RCPSC program will be a Emergency Medicine Program Directors on half-day CME event at the BC Cancer Research 2-year subspeciality program designed to provide palliative care competencies for their programs. centre’s lecture theatre entitled “End of Life Care the skills necessary to practice as a full-time in the Age of Medical Assistance in Dying”. palliative care specialist, and though the trainees Patient Care Presentations included an interprofessional panel will work closely together for their first year with discussion on MAiD in practice in PCUs and the YACs, their second year will focus on palliative Dr. Pippa Hawley designed a new visual model to Hospices; 21st Century Pain Management- a new care in non-cancer conditions, ambulatory care illustrate the new concept of palliative care, which paradigm, and Assessment and Management of and electives. includes survivorship and supportive care. This Suffering in ALS. “Bow Tie model” emphasizes the importance of Both programs will have a practice eligible route, referral early in the course of illness, and has been • In 2016, we moved the event to a new location. although the Founder route to Certification has presented at national and international conferences. Participants included Family Practice Residents now been closed by the CFPC. Future Certificants This model is changing the way palliative care from the distributed medical programs and many for the CCFP Certificate of Added Competence will is perceived by the public and by our medical rural family doctors. These physicians work either have to complete a YAC or qualify for the colleagues, and has been adopted by the Canadian in settings with the least access to specialist practice-eligible route, the details of which have Partnership Against Cancer, and the Canadian palliative care in the province and were therefore not been announced. Hospice Palliative Care Association. She was the again a chief target for the Division for this keynote speaker at the 2016 Australia and New education. Research Zealand Society of Palliative Medicine’s annual meeting in Perth, giving presentations on the Bowtie Dr. Pippa Hawley is carrying out a number of Model, Medicinal Cannabis and Methadone for research projects through the BC Cancer Agency Analgesia. The model has been cited in multiple and is including students wherever possible. Dr. publications and, with Dr. Hawley’s support, has Amrish Joshi successfully completed his master’s been presented by a number of other presenters thesis on attitudes toward medicinal cannabis, and in multiple countries. Palliative care and disease 47 Physical Medicine and Rehabilitation

fer Yao, Div nni isio Je n DIVISION HEAD: . H r e D a • Dr. Jennifer Yao d

DIVISION MEMBERS: Divisional Overview • Dr. A Krassioukov • Dr. R Willms This past year, the Division of Physical • Dr. K Martin-Ginnis • Dr. P Winston Medicine and Rehabilitation has undergone a • Dr. S Zaki • Dr. H Anton transition in leadership, with Dr. Jennifer Yao • Dr. A Travlos • Dr. L Caillier taking on the role as Division head in April • Dr. A Townson • Dr. J Calder 2016 from Dr. Andrea Townson. The Division • Dr. L Gross • Dr. J Le Nobel continues to grow with the addition of 8 new • Dr. D DeForge • Dr. S McCann members in 2016. The division now has 62 • Dr. J Yao • Dr. P Raghavan members, most of whom are clinical faculty • Dr. M Adrian • Dr. S Vallentyne from around the province. • Dr. D Dance • Dr. A Bohorquez Maria Canvin, Division administrator, has • Dr. J Filbey • Dr. P Chapman also transitioned to being an officially • Dr. T Deutscher • Dr. H Finlayson UBC employee. She continues to deliver • Dr. B Hallam • Dr. S Helper high quality support for Dr. Yao and experiencing record numbers of applicants • Dr. G Hirsch • Dr. J Pierce the division faculty and residents. The to its residency program, which reflects • Dr. E Hui • Dr. P Winston Division has worked diligently to promote positively on the involvement of physiatrists • Dr. D Koo • Dr. T Yipp ongoing research activities, foster research in the UBC undergraduate curriculum. • Dr. L MacKean • Dr. J Eng collaborations with the school of rehab The discipline of PM&R will be starting • Dr. P Mills • Dr. J Guzman sciences and other academic centres, as well the transition to Competency by Design as promote participation in undergraduate • Dr. V Nguyen • Dr. W Miller workshops at the Royal College in the next medical teaching. two years. • Dr. R O’Connor • Dr. J Purtzki • Dr. A Phillips • Dr. R Reebye Education Dr. Yao, as the chair of the Specialty • Dr. N Silverberg • Dr. R Sachdeva Committee for PM&R at the Royal College, • Dr. G Simonett • Dr. M Walter The postgraduate training program currently will keep the faculty well informed of the • Dr. M Sudol • Dr. C Weeks has 12 residents, under the direction of Dr. implementation process. The Division has just • Dr. H Underwood • Dr. G Hahn Dan DeForge. He will be stepping down in started a 2-week ambulatory student elective • Dr. M Vondette • Dr. D Murray September for Dr. Eric Hui to take on the as part of the UBC undergraduate curriculum. • Dr. V Vu Program Director role. The program is well There has also been increasing numbers run and fully accredited by the Royal College. of medical students requesting electives It will be undergoing a scheduled internal and shadowing opportunities with Division review in 2017. The PM&R program has been members.

48 Research Patient Care Highlights of the Year

The Division faculty produced 38 publications The PM&R Division continues to provide • The UBC Undergraduate Medical students in 2015 and 46 publications in 2016. Areas of excellent patient care to the residents of British have formed a “Special Interest Group in particular research strength are in spinal cord Columbia. The faculty has persisted with out- Physical Medicine and Rehabilitation” in injury, concussion management, and stroke reach clinics on a regular basis to underserved 2015. PM&R faculty and residents were rehabilitation. Over a third of faculty publications areas, such as Prince George and Whitehorse. asked to speak to students about the spe- are in collaboration with international colleagues, Specialty services in patient management are cialty and the publications from faculty members are receiving greater focus, particularly with the • A supportive, respectful and collegial en- increasingly in journals with higher impact factor. development of the Spasticity Symposium and vironment was identified by Division faculty the Autonomic Symposium headed by Drs. members as a primary strength of the Divi- Dr. Andrei Krassioukov has headed the Division Rajiv Reebye and Andrei Krassioukov, respec- sion of PM&R at the 2016 annual retreat Research Advisory Committee for ten years. He tively. • Successfully hosted the Canadian Associa- has dedicated much time and effort into fostering tion of Physical Medicine and Rehabilitation further research from Division faculty and There are still areas that have urgent need Annual Scientific Meeting in Vancouver in residents. Much of the improvement in Division for physiatry services, namely in the interior May 2015 research productivity and quality is thanks to his and the north. The Division has been working • Dr. David Koo has become Chair of the leadership and expertise. with faculty members to increase incentives Specialty Examination Committee for PM&R and opportunities for residents to do electives at the Royal College in 2016 in these areas, in the hopes of assisting with • Dr. Rajiv Reebye organized the Inaugural recruitment. State of the Art Neuropathic Pain Sympo- sium in April 2016 • Successful Rehab Research Day on May 4, 2016 • Both PGY-5 physiatry residents success- Publications: Dr. Jennifer Yao fully passed their Royal College Specialty awarded Meridith Examinations in PM&R, and the postgrad- 38 in 2015 uate program successfully matched both Marks Award for PGY-1 positions in 2016 after first iteration of the CaRMS match 46 in 2016 Over 1/3 of Excellence in • Launch of the Division of PM&R Quarterly publications are Education Newsletter in June 2016 international collaborations

49 d, y Roa Divis em ion er H J e r. a D d Respiratory Medicine

DIVISION HEAD: Divisional Overview • Dr. Jeremy Road The UBC Respiratory Division is primarily DIVISION STAFF: located at the major teaching hospitals • Shelley • Iraj Poureslami • Zornitsa Kaneva affiliated with the UBC Faculty of Medicine. Abercromby • Freda Tom • Kevin Soon- Activities are focused at Vancouver General • Gagandeep Kaur • Agnes Yuen Keen Lau Basi • Jessica Pui Yeu • Nakta Jahromi Hospital (VGH), St. Paul’s Hospital (SPH) and • Nurit Fox Shum • Marion P Santos UBC Hospital (UBCH). In addition, reflecting • Giselle Gerdak • Bernardo • Susana Chow the distributed medical school there are • Linda Hui Urbanetto Peres • Jessica Chu a now a significant number of community • Joyce Kum • Rachel Wu • Michelle Ross respirologists distributed through the province, • Kelly Anne • Payman • Alejandra affiliated formally as either full or associate Gagan Basi provides excellent administrative Labrecque Hojabrpour Sumano members of the Division. Dr. Mark Fitzgerald support for the Division, as well as the routine • Mami Okada • Ryan Huff (2015) and Dr. Jeremy Road (2016) were day to day activities of the Division, she also the Heads of the UBC Respiratory Division provides administrative support for the Post DIVISION MEMBERS: as well as the VGH Respiratory Division. Dr. Graduate training program. There have also • Dr. I Ahmed • Dr. J Hirota • Dr. J Reid Don Sin is the Head of Providence Health been significant additional administrative • Dr. S Amlani • Dr. R Jen • Dr. J Road duties, related to the evolving Institute for • Dr. T Bai • Dr. N Khalil • Dr. J Rolf Care (PHC) Respiratory Division, which Heart + Lung Health and Ale Sumano based • Dr. E Beaudoin • Dr. R Kyskan • Dr. F Ryan includes SPH. The UBC Respiratory Division • Dr. C Bergeron • Dr. S Lam • Dr. C Ryerson participated in a multi-site lung and heart at VGH provides additional support for the • Dr. C Carlsten • Dr. E Lawson • Dr. B Sanders health framework focusing on education, Institute as well as administrative support for • Dr. P Hui • Dr. M Lertzman • Dr. A Sandford clinical care and research across multiple sites. VGH related clinical and research activities. • Dr. M Idrees • Dr. J Leung • Dr. T Shaipanich A major celebration of this convergence is Kamila Kalsi provides administrative support • Dr. S Janda • Dr. R Levy • Dr. D Sin now the highly successful Institute for Heart for SPH divisional activities. • Dr. R Chung • Dr. J MacCarthy • Dr. J Swiston + Lung Health FEST which occurs, annually in • Dr. R David • Dr. S Malhotra • Dr. W Tan-Hogg the spring. This research focused meeting, is Education Cohen • Dr. P Man • Dr. S Tebbutt preceded by a one day, high profile scientific • Dr. V Cook • Dr. G McCauley • Dr. M Turner meeting focusing on lung and heart health and Undergraduate • Dr. D Daley • Dr. A • Dr. S Van Eeden air quality. Dr. Jeremy Road (VGH) and Dr. Chris Ryerson • Dr. G Dominelli McNamara • Dr. L Van (SPH) coordinate undergraduate elective • Dr. V Duronio • Dr. C Miller Tongeren Recognition of the Institute’s activities was programs for medical students. In this regard, • Dr. R Elwood • Dr. E Nakielna • Dr. S Webstera further confirmed with recognition of lung the increased size of the medical school has • Dr. T Fera • Dr. S Olsen • Dr. P Wilcox and heart being one of three priority areas in presented new opportunities and challenges. • Dr. M Fitzgerald • Dr. D Ostrow • Dr. J Wilson the faculty of medicine strategic directions Dr. Richard Cohen has responsibility for the • Dr. J Fleetham • Dr. P Pare • Dr. A Young document. This in turn has identified heart and PBL pulmonary block and brings specialty • Dr. G Giustino • Dr. B Quon lung related research as a priority related area expertise in education to this role as well as with UBC’s current major capital campaign. his specialty training in Respiratory Medicine.

50 Post-graduate again was a very successful meeting, co-sponsored focus relates to the interaction of HIV infection and Dr. Victoria Cook leads the Post Graduate with the BC Lung Association and held on the day the lung with a particular focus on the development Fellowship Program; review of the fellowship following the FEST. It is now co-presented with the of COPD. program. She has been ably assisted in this UBC Cardiology Division with a combined heart and regard by Ms. Gagan Basi who in addition to her lung focus. This meeting has expanded significantly Basic research also occurs at The Lung Centre Fellowship activities also provides administrative in parallel with the ongoing evolution of the at VGH with strong leadership from Drs. Vince support for the UBC Respiratory Division. The Institute for Heart and Lung Health. Duronio, Nasreen Khalil and Chris Carlsten but Program has 9 clinical fellows currently in the its major emphasis continues to be clinical and program. Many Divisional members are primary or Research epidemiological research focusing on sleep co-supervisors of Master’s, PhD and post-doctoral disordered breathing (Drs. Najib Ayas, John students, in a wide range of trainee programs, The UBC Division has an international reputation Fleetham, and Frank Ryan), interstitial lung disease across many different disciplines. for excellence in research, which spans the 4 CIHR (both clinical and basic-Dr. Nasreen Khalil), airways Pillars, from state of the art basic research through diseases (Drs. Jeremy Road, and Mark FitzGerald), Experimental Medicine to population health. A conservative estimate occupational lung diseases (Dr. Chris Carlsten) and Dr. Vince Duronio is the Director of the of dollars generated for lung related research tuberculosis (Drs. Mark FitzGerald, Jay Johnston, Experimental Program, as well as a Divisional within the Division for 2015/16 is $5.75 million for Richard Elwood and Victoria Cook). There is a major member. In total there are 20 post-doctoral fellows, principle investigators in competitive grant funding. collaborative link between VGH based investigators 14 PhD students, 10 Master’s students affiliated Major peer reviewed publications totaled over 255 (Drs. John Yee, John Mayo, Stephen Lam, and Eve- with the Respiratory Division. papers for 2015/16. Lea Beaudoin) and the BC Cancer Agency focusing on better understanding of the pathogenesis, Continuing Professional Development The UBC James Hogg (iCAPTURE) Research Center prevention and management of lung cancer. Health Divisional members contribute extensively on (JHRC) recently renamed as the Centre for Heart outcomes research continues to develop across both a Provincial, National and International level to Lung Innovation at SPH continues to provide strong SPH and VGH with Dr. Mark FitzGerald collaborating professional development. The scope of these leadership in basic and translational research with a number of health outcomes researchers most contributions is too abundant to list in this brief with a particular focus on airways biology and notably Drs. Carlo Marra and Larry Lynd. report but reflects the major productivity of the COPD in particular. There is also excellent clinical Division in terms of research activity as outlined research in cystic fibrosis lead by Dr. Brad Quon, Dr. Mohsen Sadatsafavi further strengthens health below. It also reflects the major contributions and a rapidly developing basic and clinical research outcome research and is a PhD scientist at VGH and members have continued to make in terms of program in interstitial lung disease lead by Dr. Chris the Centre for Clinical Epidemiology and Evaluation. national and international guideline development Ryerson. Both of these investigators hold MSFHR He has an interest in respiratory health outcomes in many therapeutic areas. For instance, Dr. Mark scholarship awards. Divisional members based at with a special emphasis on health economics. FitzGerald is the chair of the Global Initiative HLI include Drs. Scott Tebutt, Andrew Sandford and Drs. Jay Johnson and Victoria Cook continue the for Asthma (GINA) Executive and a former Denise Daley, who are focused on understanding long tradition of TB related research based at the chair and current member of its GINA Science genetic determinants of lung disease; Drs. Don BCCDC. Dr. Jordan Guenette was recruited to Committee. GINA is preeminent in setting Sin, Wan Tan and Stephan van Eeden, who study St. Paul’s Hospital with a primary appointment international evidence based guidelines for the the burden of chronic airway diseases in Canada in the Department of Physical Therapy. He is an management of asthma. Dr. Don Sin is a member and evaluate heart and lung interactions and the associate member of the UBC Respiratory Division. of the international GOLD (Global initiative for effects of cigarette smoke and air pollution on In addition Dr. Neil Eves from the UBC Okanagan Chronic Obstructive Lung Disease) Scientific the lungs; and Drs. Paul Man and Peter Paré are campus likewise has an associate membership in the Committee, which sets international guidelines for senior clinician scientists, who provide mentorship Division. Both Drs. Guenette and Eves bring strong the management of chronic obstructive pulmonary and leadership for the entire group of pulmonary expertise in assessing the cardiopulmonary response disease (COPD). The major Divisional CPD activity research investigators at HLI and throughout the to exercise as well as the interaction of heart and is the UBC Respiratory Medicine Update, which UBC system. An emerging new area of research lung in health and disease.

51 ojania, Div Sh isi m on a H K e r. a Rheumatology D d

Divisional Overview DIVISION HEAD: • Dr. Kam Shojania Dr. Kam Shojania continues as Head and Postgraduate Program Director for UBC DIVISION MEMBERS: Rheumatology since 2008. At the end of 2016 • Dr. J Reynolds • Dr. J Esdaile he is stepping down as Program Director, due • Dr. S Seigel • Dr. D Lacaille to his new role as Medical Director of the • Dr. J Stewart • Dr. A Zubieta Mary Pack Arthritis Centre. A Postgraduate • Dr. J Cibere • Dr. J Watterson Committee is searching for his successor as • Dr. J Yeung Institutes of Health Research, the Arthritis • Dr. K Blocka program director. Society of Canada, Canadian Initiative for • Dr. J Kelsall • Dr. N Amiri • Dr. B Appleton Outcomes in Rheumatology, The Arthritis • Dr. G Reid Dr. Kam Shojania is Head of both the St Paul’s Society of Canada, Lupus Canada, as well as • Dr. A Colwill • Dr. K Shojania Hospital (SPH) Division and of the Vancouver Arthritis Research Canada Outcomes Grants • Dr. N Dehghan • Dr. D Collins General Hospital (VGH) Division. Dr. Raheem and Alberta Innovates Health Solutions. • Dr. S Ensworth • Dr. J Gillies Kherani oversees the hospital training program • Dr. A Godin • Dr. S Huang at G.F. Strong Hospital. Dr. John Esdaile Education • Dr. S Jamal • Dr. I Hemmati continues as the Scientific Director of Arthritis • Dr. M Hiltz Research Canada. Tracey Ernst continues as • Dr. R Kherani Dr. Kam Shojania continues as Program Postgraduate Program Coordinator, as well as • Dr. A Klinkhoff • Dr. K Northcott Director for the Postgraduate Training Division Coordinator for UBC, St. Paul’s, and • Dr. R Offer • Dr. B Ohata Program. The two-year Rheumatology VGH Divisions of Rheumatology. • Dr. R Shuckett • Dr. M Sun Subspecialty Program is fully accredited by • Dr. J Wade • Dr. M Teo the Royal College of Physicians & Surgeons • Dr. M Badii • Dr. M Uh Research of Canada, and continues to be the second- • Dr. M Carruthers • Dr. M Baker largest clinical rheumatology training centre In 2015 & 2016, UBC rheumatologists • Dr. J Chan • Dr. A Marotta in Canada. In 2015 and 2016 we welcomed • Dr. J Tenenbaum published 89 peer-reviewed papers. In six Ministry of Health-funded residents and • Dr. C Flanagan addition to independent research, members of • Dr. J Kur • Dr. A Chalmers two internationally-funded residents into • Dr. B Koehler the Division continue to be active in Arthritis our program. We are proud that many of • Dr. A Kydd Research Canada (ARC), internationally- • Dr. D McLeod • Dr. C Patterson our division members are actively engaged recognized as a leading arthritis research in high-quality teaching, in ambulatory care group with a strong multi-disciplinary research and research, at Vancouver Acute, St. Paul’s team. ARC scientists have had tremendous Hospital, G.F. Strong Rehabilitation Centre, success in obtaining external grant funding to Arthritis Research Canada, and in community support the many research projects that are practices throughout the Lower Mainland. highly relevant to Canadians with arthritis. We also provide high-demand elective and Current research is funded by the Canadian mandatory rotations in Rheumatology to

52 residents in Internal Medicine and other specialties services for biologic medications, and an inpatient from UBC and from other universities. In 2015 and service in the G.F. Strong Rehabilitation centre. In 2016, approximately 155 residents from Internal 2016, Dr. Kam Shojania was selected as the new $2,544,264 Medicine, Family Practice, Neurology, Dermatology, Medical Director of the Mary Pack Arthritis Program. Ophthalmology, Physical Medicine and in research Rehabilitation, and Maternal-Fetal Medicine spent The Mary Pack program coordinates the travel of elective rotations in one of our three teaching sites, twelve Division faculty to 25 remote locations in funding over St. Paul’s, Vancouver General, Royal Columbian British Columbia, for the Rheumatology Travelling 2015 and 2016 Hospitals, as well as private practices in Metro Consultation Service. This program’s goal is to provide Vancouver. education, consultation and treatment services to communities which do not have a rheumatologist The Division offered our weeklong “Basic Skills accessible within two hours driving time, as well as Course for New Rheumatology Fellows” for our to numerous isolated First Nations communities. 15th & 16th consecutive years, and attendance Telehealth initiatives to small communities have been of rheumatology trainees from programs across implement and continue to grow. The Mary Pack Canada broke all previous attendance records. program also provides physiotherapy, occupational This course continues to be the only course of its therapy, and access to social workers and vocational extent in Canada, and provides new rheumatology counseling, as well as a full spectrum of educational residents with a solid background in the basic skills workshops for patients. Funding of physician services required in the academic and clinical practice of for the Mary Pack Program is through the Ministry of rheumatology. Health APP program.

Dr. Rhonda Shuckett remains in charge of the Highlights of the Year Rheumatology Undergraduate Committee and co- chairs the musculoskeletal undergraduate block. She • 48 Division Faculty (including Associate & Adjunct designed the excellent week-long Rheumatology Members, & three Emeritus) Problem-Based Learning for UBC’s second year • A total of eight residents underwent the Medical and Dental program, and gives about eight Rheumatology subspecialty training program in 2015 lectures to the full class of students. Her week is one & 2016 and most are or will be practicing in British of the highest rated weeks in Medicine Year Two. Columbia A number of our faculty provide clinic and teaching • A record-breaking 31 residents attended the 16th time for approximately 22 medical student rotations Annual Basic Skills Course for new Rheumatology over 2015 & 2016. trainees from across Canada Most comprehensive Patient Care provincial rheumatology The Mary Pack Arthritis Program is a provincial program administered through the Vancouver traveling rural clinics in Coastal Health Authority. Services and programs Canada include advanced therapeutic clinics, quaternary rheumatic disease clinics, a young adult transition program, a rapid access clinic for diagnosis and initial treatment of rheumatoid arthritis, infusion

53 Chairs and Professorships

CANADA RESEARCH CHAIRS: Canada Research Chairs • Dr. N Cashman • Dr. E Conway • Dr. Neil Cashman -Canada Research • Dr. Don Sin - Canada Research Chair • Dr. J Illes Chair in Neurodegeneration and in Chronic Obstructive Pulmonary • Dr. D Sin Protein Misfolding. Dr. Cashman’s Disease (COPD). Dr. Sin is developing • Dr. J Stoessl program researches protein a simple blood test that can be used • Dr. E Wood misfolding diseases such as in a doctor’s office to predict which • Dr. H Tremlett amyotrophic lateral sclerosis (ALS), COPD patients will have a “lung • Dr. K Shannon Alzheimer’s and Parkinson’s diseases, • Dr. Daley attack” and which patients will not. He and prion (infectious protein) diseases. is also working to develop a simple blood test DISTINGUISHED SCHOLARS: to diagnose lung attacks in their earliest stages. • Dr. Edward Conway - Canada • Dr. Z Laksman These blood tests will help doctors to treat and Research Chair in Endothelial Cell • Dr. N Hawkins prevent full blown lung attacks from taking place Biology. Dr. Conway’s program so patients can be treated at home and reduce aims to understand how specific PROFESSORSHIPS: the number of patients having to seek emergency proteins expressed by the vascular • Dr. J Webb care at hospitals. • Dr. K Humphries endothelium and perivascular cells, contribute to disorders of • Dr. P Teal • Dr. Jon Stoessl - Canada Research hemostasis-thrombosis, metabolism, and • Dr. H Nygaard Chair in Parkinson’s disease. Dr. innate immunity. By utilizing cell and animal • Dr. S Appel-Cresswell Stoessl’s research uses positron • Dr. R Harrigan models, in conjunction with human genetic emission tomography (PET) to study • Dr. S van Eeden studies, Dr. Conway’s highly collaborative people at high risk of Parkinson’s program promises to deliver better therapies disease. He studies preclinical ENDOWED CHAIRS: and strategies for a range of diseases. • Dr. C Carlsten changes in the brains of people with genetically determined susceptibility to future • Dr. D Lacaille • Dr. Judy Illes - Canada Research neurodegeneration and uses PET to determine the • Dr. G Meneilly Chair in Neuroethics. Dr. Illes’ benefits of exercise in Parkinson’s disease. • Dr. J Barton research is focused on ethical, • Dr. A Krahn social, and policy challenges • Dr. Y Wang • Dr. Evan Wood - Canada Research at the intersection biomedical • Dr. A Traboulsee Chair in Inner City Medicine. ethics and neuroscience. She • Dr. M McKeown Dr. Wood’s research uses unique has made fundamental, cross- • Dr. K Madden approaches to address substantial culturally relevant contributions in • Dr. J Montaner health and community concerns in low- neuroethics that span neurodevelopment and • Dr. A Krassioukov income neighbourhoods where poverty, neurodegenerative disease, mental health and mental illness and drug addiction converge addiction, brain and spinal cord injury, and the for the betterment of society. commercialization of health care.

54 • Dr. Helen Tremlett - Canada Research • Dr. Nathaniel Hawkins (Named January • Dr. Stephan van Eeden - Chair in Neuroepidemiology and 12, 2016) - UBC Dr. Charles Kerr Glaxosmithkline Professorship in Multiple Sclerosis. Dr. Tremlett’s Distinguished Scholar in Heart Rhythm Chronic Obstructive Pulmonary research leads a pan-Canadian study Management. Dr. Hawkins’ research Disorder. Dr. van Eeden’s research into Multiple Sclerosis to improve the touches on numerous stages of care program focuses on the mechanisms health, treatment options and outcomes for heart device patients, such as the of lung inflammation, particularly, for people with the degenerative brain and development of registries and data systems lung inflammation caused by infection, spinal-cord disease. to more effectively identify patients who could benefit cigarette smoking and air pollution. Dr. van Eeden’s from heart devices. Dr. Hawkins is also investigating research covers a broad range of clinical conditions • Dr. Kate Shannon - Canada Research outcomes for heart device patients, which could lead such as pneumonia, chronic bronchitis, emphysema Chair in Global Sexual Health and HIV/ to fewer complications and higher survival rates. and acute respiratory distress syndrome. AIDS. Dr. Shannon’s research focuses on evaluating and addressing sexual health Professorships • Dr. John Webb - McLeod Family and HIV inequities and social justice Professorship in Valvular Heart among marginalized women and gender • Dr. Silke Appel-Cresswell - Pacific Disease. Dr. Webb performed the and sexual minority populations. Parkinson’s Research Institute first successful transfemoral and Professorship in Parkinson’s Research transapical transcatheter aortic valve • Dr. Denise Daley - Canada Research Chair Endowment. Dr. Appel-Cresswell’s implantations (TAVI) in the world. in Genetic Epidemiology of Common research focuses on the role of the Dr. Webb also completed the first ever Complex Diseases. Dr. Daley’s research microbiome in Parkinson’s disease and transcatheter mitral valve-in-valve replacement studies the genetic susceptibility to other brain disorders, care delivery in and the first successful TMVR (transcatheter mitral asthma and other allergic conditions Parkinson’s as well as coping strategies, resilience valve replacement) and many other firsts. and the complex epigenetic mechanisms and neuropsychiatric features of Parkinson’s. She that may be involved. Dr. Daley is working has established iCAPTURE PD, a large registry for • Dr. Karin Humphries - UBC Heart to determine what contribution gender, genes, and Parkinson’s and related disorders which serves as a and Stroke Foundation Professorship environment make to the development of asthma resource to understand clinical patterns and clinic- in Women’s Cardiovascular Health. and how the epigenome responds to environmental genetic correlations. Dr. Humphries’ research focus is on exposures such as tobacco smoke. sex and gender differences in the • Dr. Richard Harrigan - Glen-Hillson diagnosis, treatment, and outcomes in Distinguished Scholars Professor in Clinical HIV Virology. Dr. subjects with coronary artery disease. Dr. Harrigan’s research has contributed to the Humphries is currently conducting a $1.6 million • Dr. Zachary Laksman (Named July understanding of antiviral drug efficacy CIHR-funded trial investigating the impact of using 1, 2015) - UBC Dr. Charles Kerr and resistance, as well as the human and sex-specific cut-points for hs-cTn in the assessment Distinguished Scholar in Cardiovascular viral parameters that influence HIV disease of ischemic chest pain. The trial will be conducted Genetics. Dr. Laksman is conducting progression. His laboratory has developed and in 26 centres in 8 provinces. research on the genetic basis for diseases distributed software for improved automated analysis of the heart muscle, heart rhythm, and of HIV drug resistance (“ReCall”), which is now being • Dr. Philip Teal - Sauder Family Heart sudden cardiac death with an interest in atrial used worldwide. Dr. Harrigan’s research in these and Stroke Foundation of BC and fibrillation. An element of Dr. Laksman’s work also areas has played a key role in enabling the significant Yukon Professorship in Clinical Stroke involves using a stem cell model and growing heart improvements in quality and duration of life afforded Research. Dr. Teal’s clinical focus cells in a dish. In doing so, Dr. Laksman can model an patients by HAART (Highly Active Antiretroviral includes stroke prevention, acute individual patient’s specific disease, apply medicines Therapy). stroke management, neuroprotection to it, and study the cause of the disease and the effect strategies, and the planning, organization, of treatment. and management of clinical trials. Dr. Teal will help translate findings from basic research into new therapeutic applications in the clinical setting. 55 • Dr. Haakon B. Nygaard - Charles • Dr. Jason Barton - Marianne Koerner Chair in treatments for Parkinson’s disease, as well as E. Fipke Professorship in Alzheimer’s Brain Diseases and Canada Research Chair in examining the mechanisms of disease complications Research. Dr. Nygaard leads a Human Vision and Eye Movement. Dr. Barton and examining compensatory mechanisms in project to sequence the genomes studies high-level visual processing and the Parkinson’s disease as they may provide novel of centenarians in search for a cognitive control of eye movements. His targets for intervention. genetic cause of dementia-free aging. research increases the understanding of the Dr. Nygaard hopes to bridge the gap functional and anatomical basis of perceptual • Dr. Kenneth Madden (Named July 1, between basic science and clinical neurology dysfunction in neurological disorders and the impact of 2015) - Allan M. McGavin Chair in to facilitate novel therapeutic development in visual rehabilitation. Geriatrics Research. Dr. Madden’s Alzheimer’s disease. research is to improve preventive health • Dr. Andrew Krahn - Sauder Family Heart interventions in older adults. His research Endowed Chairs and Stroke Foundation Chair in Cardiology is looking to discover new ways to and the Paul Brunes UBC Professorship in prevent falls due to fainting, and to improve • Dr. Christopher Carlsten - Heart Rhythm Disorders. An internationally overall cardiovascular health in older adults through AstraZeneca Chair in Occupational recognized expert in the management of exercise. His laboratory uses innovative translational and Environmental Lung Disease cardiac arrhythmias, Dr. Krahn’s research techniques designed to shorten the time lag between and Canada Research Chair in includes investigating the genetic causes bench research and “real world” applications. Occupational and Environmental Lung of arrhythmias, causes of loss of consciousness, and Disease. Dr. Carlsten’s research aims to implantable arrhythmia device monitoring • Dr. Julio Montaner - UBC and St. Paul’s understand the effects of inhaled pollutants Hospital Foundation Chair in AIDS on the lungs in order to better prevent and treat • Dr. Yu Tian Wang - Heart and Stroke Research. Dr. Montaner is a UBC-Killam lung disease. Foundation Chair in Stroke Research. Dr. Professor of Medicine, the Director of Wang’s research focuses on understanding the BC Centre for Excellence in HIV/ • Dr. Diane Lacaille - Mary Pack Chair the molecular mechanisms responsible for AIDS, and the UNAIDS Special Advisor in Arthritis Research. Dr. Lacaille’s regulating the function and intracellular on HIV Therapeutics (2014-2017). Dr. research has focused on studying the trafficking of neurotransmitter receptors critical Montaner played a key role in the development impact of arthritis on employment, for brain functions, such as learning, memory and and implementation of Highly Active Antiretroviral preventing work disability, evaluating cognition, and investigating the manner by which these Therapy (HAART) as the modern standard of care the quality and outcome of care for mechanisms may be altered in central nervous disease for HIV disease. He then pioneered Treatment as people with rheumatoid arthritis, and processes. Prevention (TasP) using HAART to simultaneously conducting pharmacoepidemiology studies using stop progression to AIDS and death, and HIV administrative health databases to evaluate the • Dr. Anthony Traboulsee - the Multiple transmission. Based on his TasP strategy, he long term impact of medications.. Sclerosis Society of Canada Research proposed the 90-90-90 Target that has now been Chair. Dr. Traboulsee’s research focuses formally adopted by the UN to accelerate the global • Dr. Graydon S. Meneilly - Eric W. on clinical trial design, the development of control of HIV/AIDS. Hamber Chair in Medicine. As Head practice guidelines for the use of MRI in the of the Department of Medicine, management of MS, establishing advanced MRI • Dr. Andrei Krassioukov - Chair in Spinal Dr. Meneilly provided strength imaging outcomes in Multiple Sclerosis, and the treatment Cord Rehabilitation Research. Dr. in leadership in an ever changing of Neuromyelitis Optica. Krassioukov’s research is devoted to environment and demonstrated an helping people with spinal cord injuries ability to be innovative, provided strategic • Dr. Martin McKeown - Pacific Parkinson’s maintain their cardiovascular health. direction and encouraged and built collaborative Research Institute UBC Chair in Parkinson’s His focus is on a condition commonly relationships contributed to the success of the Research. Dr. McKeown’s research known as autonomic dysreflexia, a condition Department of Medicine. investigates ways which assist people with familiar to the majority of individuals with spinal cord Parkinson’s disease and related disorders. injuries as well as their caregivers. His research looks at novel interventions and 55 56 Awards and Honours

STAFF RECOGNITION AWARDS RECIPIENTS: • Jody Swift • Heidi Chan Annual Staff Recognition Awards • Jane Zhang Master Teacher Award: CUPE 2950 • Kathy Standeven • 2015 – Tara Sedlak (SPH) • 2016 Heidi Chan - Hematology • 2015 – Ken Gin (VGH) FACULTY RECOGNITION AWARDS RECIPIENTS: • 2016 – Kevin Song (SPH) • Dr. R Strzamko Early Career Excellence • 2016 – Steve Nantel (VGH) • Dr. P Weerasinghe • 2015 Jody Swift - DoM Admin • Dr. R Harrigan • 2016 Jane Zhang - DoM Admin • Dr. C Carlsten Faculty of Medicine Clinical Faculty • Dr. J Leipsic M&P Awards and Distinguished Achievment • Dr. T Sedlak • Dr. K Gin • 2016 Kathy Standeven - DoM Admin Awards • Dr. M Spencer • Dr. A Townson Annual Faculty Recognition Awards • 2015 Clinical Faculty Award for Career • Dr. T Kerr Excellence in Clinical Teaching – Dr. Kenneth Gin • Dr. A Traboulsee The Fay R. Dirks Award for Excellence in • 2015 Clinical Faculty Award for Excellence in • Dr. M Kula Teaching: Clinical Teaching – Dr. Stephen Sullivan • Dr. K Song • 2015 – Richard Strzamko (SPH) • 2015 Killam Teaching Prize – Dr. Rose Hatala • Dr. S Nantel • 2015 – Peter Weerasinghe (VGH) • 2015 Killam Research Prize – Dr. Don Sin • 2016 – Martha Spencer (SPH) • 2016 Clinical Faculty Award for Excellence in FACULTY OF MEDICINE CLINICAL • 2016 – Andrea Townson (VGH) Clinical Teaching – Dr. Graeme McCauley FACULTY AWARDS AND DISTINGUISHED ACHIEVEMENT AWARDS RECIPIENTS: • Dr. K Gin The Martin M. Hoffman Award for Excellence Other External Awards • Dr. K Sullivan in Research: • Dr. R Hatala • 2015 – Richard Harrigan (SPH) • 2015 Order of Canada – Dr. Adeera Levin • Dr. D Sin • 2015 – Chris Carlsten (VGH) (Medicine – Nephrology) • Dr. G McCauley • 2016 – Thomas Kerr (SPH) • 2015 - 2016 Dr. Graydon Meneilly and Dr. Anita • 2016 – Anthony Traboulsee (VGH) Palepu named New Master of the American OTHER AWARDS RECIPIENTS: College of Physicians (Medicine - Geriatrics and • Dr. A Levin The Donald M. Whitelaw Award for General Internal Medicine, respectively) • Dr. E Yoshida Outstanding Grand Rounds Presentation: • 2016 Order of BC – Dr. Eric Yoshida (Medicine – • Dr. K Eva • 2015 – Jonathan Leipsic (SPH) Gastroenterology) • 2015 – Tara Sedlak (VGH) • 2016 AFMC President’s Award for Exemplary • 2016 – Matt Kula (SPH) National Leadership in Academic Medicine – Dr. • 2016 – Kevin Song (VGH) Kevin Eva (Medicine – General Internal Medicine)

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