DEPARTMENT OF MEDICINE ANNUAL REPORT July 1, 2012 – June 30, 2013 Sunnybrook DEPARTMENT OF MEDICINE DEPARTMENT OF MEDICINE ANNUAL REPORT July 1, 2012 – June 30, 2013 Table of Contents MESSAGE FROM THE PHYSICIAN-IN-CHIEF 3 APPENDIXES 37 EXECUTIVE SUMMARY 4 APPENDIX I: LIST OF FACULTY 38 ABOUT US: 4 APPENDIX II: SUMMARY ACTIVITY REPORTS 40 MEMBERS OF THE EXECUTIVE COMMITTEE 6 OVERALL DEPARTMENTAL SUMMARY 41 COMMITTEE REPORTS 7 DIVISION OF CARDIOLOGY 42 DIVISION OF DERMATOLOGY 55 FACULTY 9 DIVISION OF ENDOCRINOLOGY FULL-TIME FACULTY BY DIVISION 9 AND METABOLISM 58 FULL-TIME FACULTY BY UNIVERSITY RANK 10 DIVISION OF GASTROENTEROLOGY 62 FULL-TIME FACULTY BY JOB DESCRIPTION 10 DIVISION OF GENERAL INTERNAL MEDICINE 66 NEW APPOINTMENTS 11 DIVISION OF GERIATRIC MEDICINE 77 PROMOTIONS 11 DIVISION OF INFECTIOUS DISEASES 79 2013 DEPARTMENT OF MEDICINE AWARD RECIPIENTS 12 DIVISION OF MEDICAL ONCOLOGY AND EXTERNAL LEADERSHIP POSITIONS 12 HEMATOLOGY 88 FACULTY WELL-BEING COMMITTEE 13 DIVISION OF NEPHROLOGY 110 STRATEGIC PLAN 14 DIVISION OF NEUROLOGY 116 SHORT-TERM GOALS 2013-2014 15 DIVISION OF PHYSIATRY, PHYSICAL MEDICINE AND REHABILITATION 131 DIVISION REPORTS 16 DIVISION OF RESPIROLOGY 132 CARDIOLOGY 17 DIVISION OF RHEUMATOLOGY 136 CLINICAL PHARMACOLOGY & TOXICOLOGY 19 MISSION, VISION & VALUES STATEMENTS 139 DERMATOLOGY 20 MISSION 139 ENDOCRINOLOGY 21 VISION 139 GASTROENTEROLOGY 23 VALUES 139 GENERAL INTERNAL MEDICINE 25 ORGANIZATION CHART 139 GERIATRIC MEDICINE 26 INFECTIOUS DISEASES 28 MEDICAL ONCOLOGY & CLINICAL HEMATOLOGY 29 NEPHROLOGY 30 NEUROLOGY 31 OBSTETRICAL MEDICINE 32 REHABILITATION MEDICINE 33 RESPIROLOGY 35 RHEUMATOLOGY 36 2 MESSAGE FROM THE PHYSICIAN-IN-CHIEF I am pleased to share this annual report for the 2012-13 academic year with you. I am very proud of what our Department has accomplished in this time. We continue to grow in size and impact. Clinically, we continue with our efforts to intensify our focus on tertiary/quaternary acute care while working with our partners to provide integrated patient-focused primary/secondary care to our community. Our researchers continue to be highly productive with over $70 Million in peer-reviewed funding and 750 peer-reviewed publications in this past year. Education within the Department has never been stronger, not only in the provision of high quality education across the continuum, but also as leaders in Medical Education research and scholarship at a national and international level. Our faculty continue to be recognized through local, national, and international awards, a testament to the great impact of their work. We are now heading into my fifth year as Physician-in-Chief. When I took on this role, we developed a strategic plan that has been my blueprint as we plan to shape the future of the Department. This Dr. Kevin Imrie plan, entitled ‘Sharpening our Focus’ , was guided by three core principles: • That we would strategically focus our efforts • That we would align our efforts with the Hospital, Research Institute, and the University of Toronto • That we would maximize our impact through partnerships with our Academic Health Sciences and community partners. These principles guided the development of our long-term priorities and short-term goals. When we published the plan, I committed to updating you on our progress. As I reflect upon the work we have done together since that time, I am proud of what we have accomplished and very optimistic about our future. I am extremely grateful to our outstanding faculty and staff for all of their hard work and dedication in clinical care, research and education and to the Division Heads for their leadership and council. Finally, I want to thank Denise Campbell for her work in preparing this report. Thank you. Kevin Kevin Imrie MD FRCPC Physician-in-Chief, Department of Medicine, Sunnybrook Health Sciences Centre Vice-Chair Education, Department of Medicine, University of Toronto 3 EXECUTIVE SUMMARY About us: The Department of Medicine is Sunnybrook’s largest Department such as Clinical Pharmacology and Obstetrical Medicine. Our with 107 full time and 199 part-time physician members. We are members work in all eight of Sunnybrook’s Programs, including organized into 15 Divisions, including uniquely specialized services playing an important role in the new St. John’s Rehab program. 4 Clinical Care: Clinically, our divisions operate 176 inpatient beds Academic Medicine and Medical Education. We are pleased to as well as numerous specialized outpatient clinics. These include have been joined this year by two education faculty, Umberin unique services such as the Thromboembolism, ALS, and HIV Najeeb, a Clinician Educator in General Internal Medicine with a clinics as well as an increasing focus on acute outpatient services focus on the Education of Health Professionals educated abroad such as our Rapid Referral, TIA (Transient Ischemic Attack), as well as Shirley Chow, a Clinician Teacher in the Division of RADAR (Rapid Diabetes Assessment and Referral), TRAPP Rheumatology. (Treatment of Respiratory and Pleural Problems) and EPIC (Effusion Research: This has been a very productive year for our Procedure Interprofessional Clinic) clinics. researchers. They now hold over $70 million in peer-reviewed grant funding, authored 749 peer-reviewed publications, as well as delivered over 1000 presentations locally, nationally and internationally. We continue to be guided by our cross-cutting focus on Health Services Research, Quality and Patient Safety as well as Educational Research. This productivity is possible only as a result of the very generous investment of our Department members in their colleagues through our practice plan. We continue to focus our clinical priorities for the Department in two areas, Integration with primary care and other community providers as well as ambulatory alternatives to admission for provision of acute care. This year, our integration initiatives have focused on the North East Toronto HEALTHLINK and have taken the form of increasing coordination of care for patients who are frequent users of the health system as well as improving communication with primary care physicians upon admission and discharge from hospital. Sunnybrook’s leadership in Health Information Technology, including eDischarge has been critical to our success to date. This year we continued to augment our capacity to provide acute Sustainability and Accountability: We are pleased this year care in the outpatient setting. Our General Internal Medicine Rapid to have met our target of 90% hand hygiene compliance. We Referral Clinic (RRC) continues to expand its capability, seeing continue to work on improving our communication including the its 3,000th patient this year. The RRC was joined this year by an policy of highlighting the accomplishments of our researchers and invigorated TIA clinic. We anticipate the new Cardiology Rapid educators through a campaign of posters and videos accessible on Assessment Clinic to open this fall. Our plans are to expand these line. Finally, the Sunnybrook Department of Medicine Partnership services as well as include urgent ambulatory clincs in Respiratory continued to refine its operations and we continue to develop disease, Cancer and Gastroenterology among others. policies and improve our human resource management functions. In 2014, we will be refreshing our global budgeting process. Education: Our educational programs continue to thrive. Our residency programs underwent a successful accreditation visit The Future: Fall 2014 will be the end of my fifth year as Physician- from the Royal College of Physicians and Surgeons of Canada this in-Chief. I look forward to the 5-year external review the Department April. Our teachers are highly recognized, with a record number will undergo this year. The advice we receive will help us further being ranked among the top 10% of teachers in the University focus our efforts. Next year will see continued preparation for and a number winning external awards. We also continue to the establishment of our Ambulatory Care Dialysis satellite as grow as a center of Education Research and Scholarship. Our well as the building of a rehabilitation medicine program that will educators have been awarded high profile peer reviewed grants bring together our rehab efforts across the three campuses of as well as been published in top tier education journals such as Sunnybrook. I look forward to the challenge. 5 Back Row L-R: Drs. Khalil Sivjee, Johane Allard, James Perry, Kevin Imrie, Maureen Trudeau, Eric Cohen, Rajin Mehta Front Row L-R: Drs. Greg Choy, Neil Shear, David Berbrayer, Richard Jay, Steve Shadowitz Absent: Drs. Michelle Hladunewich David Juurlink, Julia Lowe, Christopher Morgan, Brad Strauss MEMBERS OF THE EXECUTIVE COMMITTEE Chair Dr. Andrew Simor – Infectious Diseases Dr. Kevin Imrie – Physician-in Chief Dr. Maureen Trudeau – Medical Oncology/Haematology Dr. Michelle Hladunewich – Nephrology and Obstetrical Medicine Division Heads Dr. David Berbrayer – Physical Medicine and Rehabilitation Dr. Bradley Strauss – Cardiology Dr. Khalil Sivjee – Respirology Dr. David Juurlink – Clinical Pharmacology & Toxicology Dr. Greg Choy (Interim) – Rheumatology Dr. Neil Shear – Dermatology Committee Chairs Dr. Julia Lowe – Endocrinology Dr. Johane Allard – Gastroenterology Education – Dr. Richard Jay Dr. Steve Shadowitz – Deputy Physician-in-Chief & Finance – Dr. Chris. Morgan Division Head General Internal Medicine Research – Dr. Rob. Fowler Dr. Rajin Mehta – Geriatric Medicine Faculty