UBC Department of Medicine UBC Department Department of Medicine 2010 Annual Report 2010 Annual Report 60th Anniversary Special Edition University of British Columbia, Vancouver, Canada C O N T E N T S Message from the President and Vice-Chancellor 3 Message from the Dean, Faculty of Medicine 4 Message from the Chair, Department of Medicine 5 Heads & Directors 8 Departmental Strategic Directions 2010 9 2009 Progress Statements 13 Leadership History of the UBC Department of Medicine 17 A Historical Journey - celebrating 60 years 22 Administration 76 Research 79 Committees 80 Division Reports AIDS 84 University of British Columbia Allergy & Immunology 94 Department of Medicine Cardiology 97 2010 Annual Report Critical Care Medicine 112 Endocrinology 118 Gastroenterology 121 Graydon S. Meneilly General Internal Medicine & Community Internal Medicine 126 Professor and Eric W. Hamber Chair Geriatric Medicine 134 Head, UBC Department of Medicine Hematology 137 Head, Department of Medicine, Infectious Diseases 140 Vancouver Hospital Medical Oncology 142 Nephrology 144 Contributors Neurology 150 Division Heads and Administrators Physical Medicine & Rehabilitation 164 Program Directors and Managers Respiratory Medicine 167 Staff & Faculty Rheumatology 170 Linda Rasmussen Members at Large 176 Director of Administration Department of Medicine Education Programs Clinical Investigator Program 177 Experimental Medicine Graduate Program 178 Editor Postgraduate Education Program 183 Donna Combs UBC Internal Medicine Advocacy 185 Department of Medicine International Health Project 187 Undergraduate Education Program 189 Designer Discipline Site Specific Leaders (DSSL) 191 Sabina Fitzsimmons Anthony Lam Canada Research Chairs, Endowed Chairs & Professorships 196 Department of Medicine Research Funding 207 Publications 207 Cover photo Affiliated Institutes 208 Photospin Mentoring Program 209 Honours & Awards 210 Staff & Divison Head Photography 2010 Vancouver Winter Olympics 211 Janis Franklin Facts and Figures 219 Andy Fang Photos St. Paul’s Hospital photo archives UBC Faculty of Medicine Printer RR Donnelly 2 UBC DEPARTMENT OF MEDICINE - ANNUAL REPORT 2010 MESSAGE FROM THE PRESIDENT AND VICE-CHANCELLOR he establishment of the Department of Medicine in 1950 was Ta particularly significant occurrence in the history of UBC, one that not only exemplified the university’s aspiration to be- come a comprehensive medical-doctoral institution, but also its overall commitment to serving fundamental human needs both within and beyond provincial borders. Not surprisingly, the fol- lowing 60 years of the department’s growth and evolution were marked by countless examples of achievement, but none of greater overarching importance than the time-intensive acquisi- tion of a critical mass of extraordinary human talent, by far the most precious asset within any leading academic entity. Today, the entire university community takes great pride in knowing that the calibre of human talent that resides in the UBC Depart- ment of Medicine is as fine as exists anywhere in the world, and it is this which is at the heart of the department’s exemplary and noble service to three generations of Canadians. While the 60th anniversary year was clearly worthy of acknowl- edgement, those on the front lines of medical training, research and clinical practise are keenly aware that we cannot afford to look backward too long. Indeed, the sustainability of quality health care amidst a burgeoning and aging population is at the top of our national worry list, hence no output of academia is more widely understood, or more relevant to the rank and file of citizenry. In this light, perhaps the most gratifying aspect of this momentous juncture is not so much what has been achieved in the past, but what we are positioned to contribute in the future. With an enviable stock of extraordinarily accomplished faculty, students and alumni, and 60 years of cumulative experience upon which to draw, UBC has much to offer in not only facing, but leading the response to fundamental human needs that have not changed since 1950, save for nearing an unprecedent- ed level of acuteness. At the same time, it seems clear that our future success in train- ing medical practitioners and conducting leading edge research depends not solely upon those inside these walls, but also upon a much wider range of participants: political leaders, public administrators, the private sector, social agencies, non-profit organizations, donors, and indeed, the leadership team of this university. Our graduates must also be encouraged to contribute to the task before us, not only as practising physicians, but also by continuing research in their areas of interest, and by assisting in training ever increasing numbers of future students. In the meantime, let us pause and proudly reflect upon six de- Stephen J. Toope cades of achievement and service, but only momentarily, for the President and Vice-Chancellor challenges that lay ahead are even greater than those behind. The University of British Columbia UBC DEPARTMENT OF MEDICINE - ANNUAL REPORT 2010 3 MESSAGE FROM THE DEAN MESSAGE FROM THE CHAIR Gavin C.E. Stuart, MD, FRCSC Vice Provost Health, UBC Dean, Faculty of Medicine would like to congratulate the Department of Medicine on com- I pleting its 60th year educating students, pursuing research and • The awarding of “Junior Doctor of the Year” to Evan Wood, caring for patients. a Clinical Associate Professor, by the BMJ Group, publisher of the BMJ (British Medical Journal). Dr. Wood, Co-Director Under the leadership of Dr. Graydon Meneilly, the Department of the Urban Health Research Initiative at the BC Centre for has made tremendous strides in its development, distinguishing Excellence in HIV/AIDS and former Chief Resident of the De- itself across a broad swath of the health care spectrum. With partment’s Internal Medicine Residency Program, has made over 550 faculty members in 17 divisions, the Department has his mark by evaluating supervised injection facilities and grown to meet the needs of Faculty of Medicine’s growing and influencing major revisions to HIV treatment guidelines. increasingly distributed enrolment. At the same time, it still man- aged to successfully compete for $42 million in peer-reviewed Such recognition, however, is secondary to our ultimate measure funding. of success – a healthier population. On that score, the Depart- ment’s contributions are unmistakable. Even while educating and It’s not hard to find examples of the Department’s research researching, its faculty members care for patients with a variety accomplishments in 2010, and impossible to mention them all of conditions, including brain diseases, arthritis and AIDS, and in here. Among the few that immediately spring to mind: so doing, demonstrate the Faculty of Medicine’s crucial role in im- proving the efficiency and sustainability of BC’s health care system. • The department’s participation in the Alzheimer’s Dis- ease Neuroimaging Initiative, led by Assistant Professor The six decades of teaching, research and service rendered by and Vancouver Coastal Health neurologist Robin Hsiung. the Department have helped make the Faculty of Medicine what This ground-breaking study, funded by the U.S. National it is today. I am confident, based on what I’ve seen in 2010 alone, Institutes of Health, is recruiting hundreds of volunteers that the Department’s contributions will only keep growing, and to define the subtle changes that take place in the brains I eagerly anticipate their impact on our students, on the medical of older people before overt symptoms of the condition literature and the health of our population. appears. Sincerely, • The department’s ranking as No. 3 in the world by Science- Watch.com for research into chronic obstructive pulmonary disease, just behind Imperial College London and Harvard University. That ranking is due in part to the prolific work of two members of the Department, Professors Don Sin and Gavin C.E. Stuart, MD, FRCSC Graydon S. Meneilly, MD, FRCPC, FACP Peter Pare. Vice Provost Health, UBC Professor & Eric W. Hamber Chair Dean, Faculty of Medicine Department of Medicine 4 UBC DEPARTMENT OF MEDICINE - ANNUAL REPORT 2010 MESSAGE FROM THE DEAN MESSAGE FROM THE CHAIR t is my pleasure to present this special edition annual report, I commemorating the 60th anniversary of the Department of Medicine at the University of British Columbia. The Department was founded in 1950 by Dr. Robert Kerr, the first Professor and Head of the UBC Department of Medicine. A major event in the Department’s history was the establishment of the Eric W. Hamber Chair. Created in 1966 by Mrs. Eric W. Hamber as a me- morial to her husband, the Honourable Eric W. Hamber, former lieutenant-governor of BC and UBC chancellor, the Chair is the first perpetually endowed and fully supported professorship or chair at UBC. It is a fitting memorial to the late Mr. Hamber, who gave the strongest support as Chancellor of the University to the founding of the UBC Faculty of Medicine. Dr. Robert Kerr was the first holder of the University’s first fully endowed chair. Today the Department houses 513 clinical faculty and 116 academic faculty members distributed among several teaching hospitals and University sites throughout the Province, 17 divisions, and 365 postgraduate trainees and fellows in Core Internal Medicine and in the medical specialties and subspecialties. Members of the Department supervise over 175 graduate students through the Experimental Medicine Program. The Department remains the largest in the Faculty of Medicine and the largest single department at the University of British Columbia. This report highlights some of the outstanding work and achievements of our department members over the past year, and also takes a look back at the history of the Department and its divisions. We hope you will find it to be interesting and useful. I would like to take this opportunity to thank Dr. Paul Man, Asso- ciate Head, UBC Department of Medicine and Chair, Department of Medicine at Providence Health Care, and Dr. Michael Barnett, Associate Head, UBC and VGH Department of Medicine, for all of their contributions.