Department of Surgery Annual Report July 1, 2010 – June 30, 2011 R.S. Mclaughlin Professor And Chair Dr. J.T. Rutka (April 1, 2011) Dr. D.A. Latter (Interim Chair July 1, 2010 to March 31, 2011) Associate Chair And Vice-Chairs Dr. B.R. Taylor Associate Chair/James Wallace McCutcheon Chair in Surgery Dr. D.A. Latter Vice-Chair, Education Dr. R.R. Richards Vice-Chair, Clinical Dr. B. Alman Vice-Chair, Research/A.J. Latner Professor and Chair of Orthopaedics Dr. A. Kapus Associate Chair, Research Surgeons In Chief Dr. J.G. Wright The Hospital for Sick Children/Robert B. Salter Chair in Surgical Research Dr. J.S. Wunder Mount Sinai Hospital/Rubinoff-Gross Chair in Orthopaedics Dr. L.C. Smith St. Joseph’s Health Centre Dr. O.D. Rotstein St. Michael’s Hospital Dr. R.R. Richards Sunnybrook Health Sciences Centre Dr. L. Tate The Toronto East General Hospital Dr. B.R. Taylor University Health Network/James Wallace McCutcheon Chair in Surgery Dr. J.L. Semple Women’s College Hospital university Division Chairs Dr. C. Morshead Anatomy Dr. C. Caldarone Cardiac Surgery Dr. A. Smith General Surgery/Bernard and Ryna Langer Chair Dr. A. Lozano Leslie Dan Professor and Chair of Neurosurgery Dr. B. Alman A.J. Latner Professor and Chair of Orthopaedics Dr. D. Anastakis Plastic Surgery Dr. T. Waddell F.G. Pearson/R.J. Ginsberg Chair in Thoracic Surgery Dr. S. Herschorn Martin Barkin Chair in Urological Research Dr. T. Lindsay Vascular Surgery Department of Surgery 2010-2011 Annual Report | 1 Table of Contents Chair’s Report 4 Research 6 Postgraduate Education 8 Undergraduate Education 10 Continuing Education and Professional Development 11 Anatomy 12 Division Of Cardiac Surgery 13 Division Of General Surgery 15 Division Of Neurosurgery 18 Division Of Orthopaedics 22 Division Of Plastic And Reconstructive Surgery 24 Division Of Thoracic Surgery 29 Surgical Alumni Association 36 Office of International Surgery 37 The Hospital For Sick Children 38 Division Of Cardiac Surgery 41 Division Of General Surgery 45 Division Of Neurosurgery 49 Division Of Orthopaedics 56 Division Of Plastic And Reconstructive Surgery 63 Division Of Urology 68 Mount Sinai Hospital 74 Division Of General Surgery 75 Division Of Orthopaedics 79 Division Of Plastic And Reconstructive Surgery 85 Division Of Urology 85 St Joseph’s Health Centre 89 Division Of General Surgery 90 Division Of Orthopaedics 90 Division Of Plastic Surgery And Reconstructive Surgery 90 Division Of Thoracic Surgery 91 Division Of Urology 91 Department of Surgery 2010-2011 Annual Report | 2 St Michael’s Hospital 92 Division Of Cardiac Surgery 93 Division Of General Surgery 95 Division Of Neurosurgery 106 Division Of Orthopaedics 110 Division Of Plastic And Reconstructive Surgery 118 Division Of Urology 119 Division Of Vascular Surgery 121 Sunnybrook Health Sciences Centre 122 Division Of Cardiac And Vascular Surgery 124 Division Of General Surgery 126 Division Of Neurosurgery 134 Division Of Orthopaedics 135 Division Of Plastic And Reconstructive Surgery 145 Division Of Urology 149 Toronto East General Hospital 153 Division Of General Surgery 155 Division Of Orthopaedics 155 Division Of Plastic And Reconstructive Surgery 156 Division Of Urology 156 University Health Network 157 Division Of Cardiac Surgery 162 Division Of General Surgery 167 Division Of Neurosurgery 180 Division Of Orthopaedics 202 Division Of Plastic And Reconstructive Surgery 208 Division Of Thoracic Surgery 211 Division Of Urology 218 Division Of Vascular Surgery 225 Women’s College Hospital 227 Division Of General Surgery 228 Division Of Orthopaedics 228 Division Of Plastic And Reconstructive Surgery 229 Division Of Urology 230 Division Of Anatomy 232 Research In Education 235 Cross Appointments 236 Department of Surgery 2010-2011 Annual Report | 3 Chair’s Report James T. Rutka On April 1, 2011, I was extremely honoured to be The Reports on Education in the Department of Surgery installed as the RS McLaughlin Professor and Chair of from David Latter and Ron Levine are found in the next the Department of Surgery at the University of Toronto. sections for your information, but I do wish to draw We are truly indebted to David Latter who served attention to our current emphasis on Undergraduate admirably as Interim Chair over the past year. Not only Medical Education (UME). After having served capably did David conduct the full range of activities of the in the position of Director of UME for 7 years, David Chair, but he also added significantly to the well-being Backstein has decided to step down, and pursue his of the Department by ensuring that we move towards new position as Head of the Division of Orthopaedics the web-based CV program, by establishing a system by at Mt Sinai Hospital. In his place, I am delighted which faculty in community affiliated hospitals could to report to you that following a department-wide attain appointments in the Department of Surgery, by search, George Christakis has been appointed as the obtaining the equipment required for teleconferencing new Director of UME. The Department is committing from the Banting Institute across all fully affiliated additional resources to UME to continue to improve the and community affiliated sites, and by reviewing all curriculum for medical students at the University of practice plans in the Department to ensure that they Toronto. Mr. Shibu Thomas has been hired as the new conform to University standards. Thankfully, David has UME co-ordinator in the Department who has replaced agreed to stay on as the Vice Chair of Education in the Carmela Calorendi who served in this role for almost 22 Department of Surgery. years. One of my first tasks was to re-structure the Executive At the Post-graduate level, there have been some new Committee with the Department. I am pleased to appointments of Program Directors. Andrew Pierre has report to you that Ori Rotstein, Surgeon-in-Chief at St become the new Program Director of Thoracic Surgery Michael’s Hospital, has agreed to serve as Associate having taken over from Gail Darling who served for Chair; Ben Alman, Chair of Orthopaedics, has agreed the past 12 years in this capacity; George Oreopoulis to remain as Vice-Chair of Research; Robin Richards, has now become the new Program Director of Vascular Surgeon-in-Chief at Sunnybrook will remain as Vice- Surgery having taken over from Tom Lindsay who Chair of Education; Robin McLeod has been recruited to served the past 8 years; and Abhaya Kulkarni has lead a Best Practices portfolio as Vice Chair of Quality; become the new Program Director in Neurosurgery, and Avery Nathens has been placed in the position having taken over from Chris Wallace who has served of Chair, Departmental Appointments Committee. over the past 12 years. As we gear up for the Royal With David Latter as Vice Chair of Education, this is College Review of our Residency Programs in 2013, a formidable team of executive members, and I truly all of the surgical subspecialty programs underwent look forward to forging new pathways with them in the formal internal reviews this past year. At the time of leadership of the Department of Surgery. I also want to the writing of this report, all programs were considered take this opportunity to thank Bryce Taylor who served to be in good shape heading into 2013. However, a over the past decade as Associate Chair and Chair of the problem which has reared its head is the scarcity of Continuing Appointment Review Committee. positions for subspecialty surgeons in the Province of Ontario and across Canada. The Department of There have been some other important administrative Surgery will be working hard to correct this problem changes in the Department. After serving indefatigably as we move into our Strategic Planning process for as Chair of the Promotions Committee for 10 years, 2012. Finally, mention must be made of the innovative Robin Richards has stepped down from this position. Competency Based Curriculum (CBC) in Orthopaedics In his place, I am pleased to inform you that Sender which is in its 2nd year of activity. From all accounts, Herschorn, Chair of Urology, has agreed to take the CBC in Orthopaedics has been extremely successful, over this important position. In the Surgical Skills and will serve as a new paradigm for surgical education Centre (SSC) at Mt Sinai Hospital, Helen MacRae has in the future. just stepped down as Director after serving in this capacity for the past 7 years. Following an extensive The Surgical Spotlight is our vehicle for timely search process, I am delighted to announce that Oleg communications with our faculty and alumni Safir from the Division of Orthopaedics will assume around the world. We are truly fortunate that Martin the position as Director of the SSC. One of our big McKneally has devoted himself to making the Spotlight challenges, and opportunities with the SSC will be as informative and newsworthy as possible. I know I to determine its relationship with several innovative look forward to seeing each and every issue with its skills and simulation centres that have been created at myriad of surgical interest stories. In addition, we have neighbouring affiliated hospitals such as the Li Ka Shing added new electronic communications this year for our Institute at St Michael’s Hospital, and the Hospital for faculty and alumni with the production of our monthly Sick Children. newsletter, Excelsior and priority news vehicle, e-Clips. Watch for these in upcoming months and issues. Department of Surgery 2010-2011 Annual Report | 4 This year