Annual Report - Department of Medicine
Transcription
Annual Report - Department of Medicine
UBC DEPARTMENT OF MEDICINE 2004 ANNUAL REPORT TABLE OF CONTENTS INTRODUCTION.………………………………………………………………………………3 MISSION STATEMENT.……………………………………………………………………….7 ORGANIZATION CHART.…………………………………………………………………….9 UBC DEPARTMENT OF MEDICINE COMMITTEES..…………………………………..11 Department Heads, Associate Heads, UBC Division Heads, Educational Program Directors & Associate Directors.…………………………………………13 Committee for Appointments, Reappointments, Promotion and Tenure.………………………. 15 Teaching Effectiveness Office.…………………………………………………………………..19 DIVISION REPORTS.…………………………………………………………………………21 Allergy & Immunology.………………………………………………………………………… 23 Cardiology.……………………………………………………………………………………….27 Critical Care Medicine.…………………………………………………………………………..35 Dermatology.…………………………………………………………………………………….39 Endocrinology.………………………………………………………………………………….. 43 Gastroenterology.…………………………………………………………………………….…. 47 General Internal Medicine.………………………………………………………………………51 Geriatric Medicine.………………………………………………………………………………55 Hematology.…………………………………………………………………………………….. 59 Infectious Diseases.………………………………………………………………………………63 Medical Oncology.……………………………………………………………………………… 69 Nephrology.…………………………………….……………………………………………..…75 Neurology.……………………………………….……………………………………………....79 Physical Medicine & Rehabilitation.…………………………………………………………….95 Respiratory Medicine.……………………………………………………………………………99 Rheumatology.…………………………………………………………………………………. 103 EDUCATIONAL PROGRAMS.…………………………………………………………….. 109 Clinical Investigator Program.…………………………………………………………………. 111 Continuing Medical Education Program..……………….…………………………..………… 115 Graduate Studies Program in Experimental Medicine….………………………………………117 HIV/AIDS Research Program..…………………………………………………………………121 Postgraduate Education Program.………………………………………………………………127 Undergraduate Education Program.…………………………………………………………….129 PUBLICATIONS….………………………………………………………………………….. 131 GRANTS AND RESEARCH AWARDS.………………………………………………..….. 185 UBC Department of Medicine Page 1 Annual Report 2004 INTRODUCTION Graydon S. Meneilly, MD, FRCPC Eric W. Hamber Professor & Head UBC Department of Medicine I am pleased to provide this overview for the 2004 annual report on behalf of the UBC Department of Medicine. This report is also available on the internet at www.medicine.ubc.ca. Overview The UBC Department of Medicine provides research, teaching and clinical services related to the nature, cause and prevention of adult diseases. We are the largest Department in the Faculty of Medicine and we consist of sixteen divisions: Allergy and Immunology, Cardiology, Critical Care, Dermatology, Endocrinology, Gastroenterology, Geriatric Medicine, Internal Medicine, Hematology, Infectious Diseases, Medical Oncology, Nephrology, Neurology, Physical Medicine and Rehabilitation, Respiratory Medicine and Rheumatology. People As you read through this document you encounter the many different aspects of our Department and the things we have achieved over the past year. I would like to take this opportunity to highlight some of the wonderful accomplishments of our members. Recruitment and retention are a large part of our business. We have appointed 3 Professors, 4 Associate Professors, 8 Assistant Professors, 1 Clinical Associate Professor, 10 Clinical Assistant Professors, 21 Clinical Instructors and 4 Associate Members. We have promoted 12 Faculty members effective July 1, 2004. Our faculty received 16 CIHR Scholarship/Scientist awards, 27 Michael Smith Scholarships/Scientist awards, 6 CRC Scientist awards and 16 Scholarship/Scientist awards from other peer reviewed agencies. UBC Department of Medicine Page 3 Annual Report 2004 I am particularly pleased to announce the appointment of Dr. Paul Man as Associate Head of Medicine at UBC and Chair, Department of Medicine, Providence Health Care in March 2004. Paul is already taking a major leadership role in the activities of the Department. In addition, the following Division Heads and Program Directors have also been appointed: Paul Keown, Head, UBC Division of Nephrology, March 1, 2004; Chris Buller, Head, UBC Division of Cardiology, January 1, 2004; Mark FitzGerald, Head, VGH Division of Respiratory Medicine, July 1, 2004; Larry Dian, Acting Head, Division of Geriatric Medicine, July 1, 2004; Joseph Connors, Acting Head, Division of Medical Oncology (while Susan O'Reilly is on sabbatical); Adeera Levin and Anita Palepu, Directors, Clinical Investigator Program, July 1, 2004; Vince Duronio, Director, Experimental Medicine Program, July 1, 2004; Doris Doudet, Associate Head, Research, Vancouver Acute, July 1, 2004; John Mancini, Director, CME Program, March 1, 2004; Mark Roberts, Director, Postgraduate Education Program, October 1, 2004; Roger Wong, Associate Director, Postgraduate Education Program, October 1, 2004; Barry Kassen, Associate Director, Postgraduate Education Program, October 1, 2004; Rose Hatala, Associate Director, Postgraduate Education Program, October 1, 2004; Janet KushnerKow, Director, Expansion & New Programs, Undergraduate Education Program, July 1, 2004. Awards The Department extends its warmest congratulations to these outstanding individuals who received the following Departmental awards. The Fay R. Dirks Awards for Excellence in Teaching were awarded to Drs. Hartmut Henning (Cardiology) and John Kelsall (Rheumatology). The Martin M. Hoffman Awards for Excellence in Research were awarded to Drs. Gary Quamme (Nephrology) and Stephen van Eeden (Respiratory). The Donald M. Whitelaw Awards for Outstanding Grand Rounds were given to Drs. Philip Teal (Neurology) and John Webb (Cardiology). The Master Teacher Awards were given to Drs. Gillian Gibson (Neurology) and Clifford Chan-Yan (Nephrology). In addition, members of the department were recognized by the faculty and other bodies for their excellence in teaching and research. Dr. Peter Pare (Respiratory) was awarded the UBC Izaak Walton Killam Research Prize in the Senior Science category. Dr. Yu Tian Wang (Neurology) was awarded the UBC Izaak Walton Killam Research Prize in the Junior Science category. Dr. Jerilynn Prior (Endocrinology) was awarded the UBC Medical Alumni Association Honorary Alumni Award. Dr. Theo van Rijn (Physical Medicine & Rehabilitation) was awarded the First Annual Theo van Rijn Award for Outstanding Contribution to the UBC Physical Medicine & Rehabilitation Residency Program. Dr. Peter Tsang (Hematology) was awarded the PAR-BC Award for Excellence in Clinical Teaching. Dr. John Schrader (Hematology) was awarded the CSCI Distinguished Scientist Award. Dr. Tony Chow (Infectious Diseases) was awarded the Janssen Ortho-Canadian Infectious Disease Society Distinguished Service Award. Dr. Richard Arseneau (General Internal Medicine) was awarded the Leadership Award in the BC 2004 Innovations Awards in Educational Technology. Dr. Barry Kassen (General Internal Medicine) was awarded the Osler Award for Excellence in GIM. Dr. Eric Yoshida (Gastroenterology) was awarded the Astra Zeneca Canada Teaching Award in Gastroenterology. Dr. Alastair McLeod (Dermatology) was awarded the Canadian Dermatology Association Award of Merit. Dr. Richard Crawford (Dermatology) was awarded the Canadian Dermatology Association Residents and Fellows Section Teaching UBC Department of Medicine Page 4 Annual Report 2004 Award. Dr. Alastair Carruthers (Dermatology) was elected Vice-President of the American Society for Dermatologic Surgery. Dr. Hugh Chaun (Gastroenterology) became Governor of the American College of Gastroenterology representing the region of the Western Provinces. Dr. Diane Lacaille (Rheumatology) was elected to the Young Investigator Subcommittee of the American College of Rheumatology (ACR) Committee on Research. One of the Department's most important strategic initiatives is the creation of the Academic Enhancement Endowment Fund and the Academic Enhancement Fund competition process. These awards are provided in an effort to ensure greater protected research time for individuals undertaking meritorious research. This fund has taken on greater importance as the endowment has grown and as the awards have increased. The recipients of the Academic Enhancement Endowment Fund awards in 2004 were Drs. Jolanda Cibere (Rheumatology), Vinay Dhingra (Critical Care), Kevin McElwee (Dermatology), Kerry Savage (Medical Oncology), and Jennifer Wilson (Respiratory). Recipients are termed Departmental Scholars. Research Once again the department was extremely successful in attracting research support. The department received $21,563,014 in peer reviewed grants and $19,150,111 in non-peer reviewed grants. In order to move forward the Department has implemented a strategic planning process in Research and has appointed a new Associate Head Research at VGH and UBC, Dr. Doris Doudet. The culmination of these plans within the next academic year will give the Department a framework for success. Summary In closing I would like to take this opportunity to once again acknowledge the contributions of all Faculty and Staff and to thank them for their hard work, outstanding achievements and dedication to the success of the Department of Medicine. Sincerely, Graydon S. Meneilly, MD, FRCPC Eric W. Hamber Professor & Head UBC Department of Medicine UBC Department of Medicine Page 5 Annual Report 2004 MISSION STATEMENT We, the members of the Department of Medicine of the University of British Columbia, will work with all our partners to provide the highest possible standard of excellence in patient care, teaching and research. We will pursue this mission while emphasizing open communication and ethical behavior, and while recognizing that it is a privilege to provide responsible and innovative stewardship of human, financial and all other resources. We will always: 1. 2. 3. 4. 5. respect the dignity, individuality and needs of our patients, strive to discover new knowledge that will advance state-of-the- art care, ensure effective and innovative teaching of our students, optimize our organization to promote both professional and personal fulfillment, value the efforts and achievements of teams and individuals who work to face the challenges of modern medicine. These activities will ensure the respect of our peer organizations and recognition as a world-class Department of Medicine. UBC Department of Medicine Page 7 Annual Report 2004 ORGANIZATION CHART Dean UBC Faculty of Medicine Head UBC Department of Medicine Associate Heads, UBC Dept. of Medicine Heads, Hosp. Dept. of Medicine Heads & Directors of Divisions & Programs of UBC Department of Medicine Heads & Directors of Divisions & Programs of the Hospital Departments of Medicine Members, Divisions & Programs of the Hospital Departments of Medicine UBC Department of Medicine Page 9 Annual Report 2004 UBC DEPARTMENT OF MEDICINE COMMITTEES UBC Department of Medicine Page 11 Annual Report 2004 DEPARTMENT HEADS, ASSOCIATE HEADS, UBC DIVISION HEADS, EDUCATIONAL PROGRAM DIRECTORS & ASSOCIATE DIRECTORS DEPARTMENT HEADS Graydon S. Meneilly, MD, FRCPC Eric W. Hamber Professor & Head Department of Medicine UBC & Vancouver Acute S. F. Paul Man, MD, FRCPC Chair, Department of Medicine, Providence Health Care UBC ASSOCIATE HEADS Dr. Harvey Lui, Associate Head of Medicine, Vancouver Acute Dr. S. F. Paul Man, Associate Head of Medicine, Providence Health Care, (March 1, 2004 -) Dr. Doris Doudet, Associate Head Research, Vancouver Acute (July 1, 2004 -) Dr. Peter Paré, Associate Head Research, Providence Health Care UBC DIVISION HEADS Allergy & Immunology Cardiology Critical Care Medicine Dermatology Endocrinology & Metabolism Gastroenterology General Internal Medicine Geriatric Medicine Dr. Robert Schellenberg Dr. Chris Buller Dr. John Fenwick Dr. Harvey Lui Dr. David Thompson Dr. Urs Steinbrecher Dr. Iain Mackie, (Acting) Dr. Graydon Meneilly, (Jan-June 30, 2004) Dr. Larry Dian, (Acting) (July 1, 2004 - ) Hematology/Bone Marrow Transplantation Dr. Michael Barnett Infectious Diseases Dr. Neil Reiner Medical Oncology Dr. Susan O'Reilly, (on sabbatical) Dr. Joseph Connors, (Acting), (July 1, 2004 - ) Nephrology Dr. Eugene C. Cameron, (Jan-Feb 28, 2004) Dr. Paul Keown, (March 1, 2004 - ) Neurology Dr. Howard Feldman Physical Medicine & Rehabilitation Dr. Theo Van Rijn Respiratory Medicine Dr. John Fleetham Rheumatology Dr. John Esdaile UBC Department of Medicine Page 13 Annual Report 2004 EDUCATIONAL PROGRAM DIRECTORS & ASSOCIATE DIRECTORS Clinical Investigator Program Directors Dr. Anita Palepu, (July 1, 2004 - ) Dr. Adeera Levin, (July 1, 2004 - ) Continuing Medical Education Director Dr. Graydon S. Meneilly, (Interim) (Jan-Feb 28, 2004) Dr. G. B. John Mancini, (March 1, 2004 - ) Graduate Studies Program in Experimental Medicine Director Dr. Norman Wong, (Jan-June 30, 2004) Dr. Vince Duronio, (July 1, 2004 - ) HIV/AIDS Research Program Director Dr. Julio Montaner Postgraduate Education Program Director Dr. Iain Mackie, (Jan - Sept 30, 2004) Dr. J. Mark Roberts, (Oct 1, 2004 - ) Associate Directors Dr. Roger Wong, (Oct 1, 2004 - ) Dr. Rose Hatala, (Oct 1, 2004 - ) Dr. Barry Kassen, (Oct 1, 2004 - ) Undergraduate Education Program Director Dr. Grant Stiver Associate Directors UBC Department of Medicine Dr. Jim Dunne, 3rd year, St Paul's Dr. Jim Busser, 3rd year, VGH Dr. Reva Adler, 4th year Dr. Janet Kushner-Kow, Expansion & New Programs, (July 1, 2004 - ) Page 14 Annual Report 2004 COMMITTEE FOR APPOINTMENTS, REAPPOINTMENTS, PROMOTION AND TENURE Chair: Co-Chair: Administrative Secretary: Dr. G. S. Meneilly, Professor Dr. H. Lui, Professor Ellen Wong (Jan to Feb/04), Jeannie Stacey (Mar to Dec/04) January 2004 to December 2004: Dr. K. Gelmon, Clinical Professor, Medical Oncology Dr. B. Koehler, Clinical Professor, Rheumatology Dr. N. Murray, Clinical Professor, Medical Oncology Dr. D. Ricci, Clinical Professor, Cardiology Dr. D. Doudet, Professor, Neurology Dr. J. Esdaile, Professor, Rheumatology Dr. K. Humphries, Professor, Hematology Dr. H. Lui, Professor, Dermatology January 2004 to June 2004: Dr. R. Levy, Associate Professor, Respiratory Medicine Dr. YT Wang, Professor, Neurology Dr. V. Bernstein, Clinical Professor, Cardiology Dr. L. Lawson, Clinical Professor, Respiratory Medicine July 2004 to December 2004: Dr. N. Buskard, Clinical Professor, Hematology Dr. J. Cairns, Professor, Cardiology Dr. P Hoskins, Clinical Professor, Medical Oncology Dr. J. Mancini, Professor, Cardiology Dr. P. Keown, Professor, Nephrology This dedicated group of committed Departmental members is charged with facilitating the career advancement of our members while upholding consistent and rigorous standards as set out by UBC. As usual, this Committee invested a great deal of thoughtful energy to support the additions and promotions listed below. We are very proud of the following: NEW APPOINTMENTS Anderson, Helen, Medical Oncology, Clinical Assistant Professor Baillie, Hector, General Internal Medicine, Clinical Assistant Professor Barton, Jason, Neurology, Professor Bergman, Jamess, Dermatology, Clinical Assistant Professor Bouttell, Elaine, Medical Oncology, Clinical Instructor Briemberg, Hannah, Neurology, Clinical Assistant Professor Broady, Raewyn, Hematology, Clinical Instructor Buller, Christopher, Cardiology, Professor UBC Department of Medicine Page 15 Annual Report 2004 Chapman, Kristine, Neurology, Clinical Instructor Chatur, Nazira, Gastroenterology, Clinical Instructor Cibere, Jolanda, Rheumatology, Assistant Professor Cook, Victoria, Respiratory Medicine, Assistant Professor Deutscher, Timothy, General Internal Medicine, Clinical Instructor Eng, Janice, Physical Medicine & Rehabilitation, Associate Member Fung, Michelle, Endocrinology & Metabolism, Clinical Instructor Gill, Karamjit, Medical Oncology, Clinical Assistant Professor Gill, Sharlene, Medical Oncology, Assistant Professor Haber, Richard, Dermatology, Clinical Associate Professor Hallam, Bradley, Neurology, Clinical Instructor Hsiung, Ging-Yuek (Robin), Neurology, Assistant Professor Kenyon, Michael, General Internal Medicine, Clinical Instructor Kopec, Jacek, Rheumatology, Associate Member Lai, Kevin, General Internal Medicine, Clinical Instructor Laskin, Janessa, Medical Oncology, Clinical Assistant Professor Lee, Philip, Geriatric Medicine, Clinical Instructor Leger, Chantal, Hematology, Clinical Instructor Leitch, Heather, Hematology, Clinical Assistant Professor Li, David, Neurology, Associate Member Man, SF Paul, Respiratory Medicine, Professor McElwee, Kevin, Dermatology, Assistant Professor McKeown, Martin, Neurology, Associate Professor O’Connor, Russell, Physical Medicine and Rehabilitation, Clinical Instructor Phillips, Elizabeth, Infectious Diseases, Associate Professor Ramji, Alnoor, Gastroenterology, Clinical Instructor Richmond, Allistair, General Internal Medicine, Clinical Assistant Professor Rossi, Sikina, Dermatology, Clinical Instructor Savage, Kerry, Medical Oncology, Assistant Professor Saw, Jacqueline, Cardiology, Clinical Assistant Professor Sin, Donald, Respiratory Medicine, Associate Professor Skinnider, Doug, No Division, Clinical Instructor Smythe, Penelope, Neurology, Clinical Instructor Son, Wai Kon, General Internal Medicine, Clinical Instructor Souliere, Sheila, Medical Oncology, Clinical Instructor Tebbutt, Scott, Respiratory Medicine, Clinical Assistant Professor Telford, Jennifer, Gastroenterology, Clinical Assistant Professor Towle, Angela, No Division, Assistant Professor Tremlett, Helen, Neurology, Assistant Professor Walker, Shannon, No Division, Clinical Instructor Williams, Dorothy, No Division, Clinical Instructor Winkler, Lawrence, General Internal Medicine, Clinical Instructor Wong, Graham, Cardiology, Clinical Assistant Professor Wood, Evan, Infectious Diseases, Clinical Assistant Professor Yassi, Annalee, Physical Medicine and Rehabilitation, Associate Member UBC Department of Medicine Page 16 Annual Report 2004 PROMOTIONS Professor: Chalmers, Andrew, Rheumatology Associate Professor: Sahl, Baljinder, Gastroenterology Tyndall, Mark, Infectious Diseases Clinical Associate Professor: Gray, James, Gastroenterology Kunimoto, Brian, Dermatology Shojania, Kamran, Rheumatology Clinical Assistant Professor: Jastrzebski, Jacek, Nephrology Kiaii, Mercedeh, Nephrology Li, Charles, Hematology Rabinowitz, Alan, Cardiology Singh, Rajinder, Nephrology Traboulsee, Anthony, Neurology UBC Department of Medicine Page 17 Annual Report 2004 TEACHING EFFECTIVENESS OFFICE Dr. James Busser Chair; Member, UBC Division of General Internal Medicine Mrs. Jennifer Golinski Administrator; Undergraduate Education, UBC Department of Medicine Reports to: Committee for Appointments, Reappointments, Promotions and Tenure Functions: 1. Provides Faculty member with "Guidelines" for producing necessary back-up documentation to Teaching Dossier. 2. Meets with Faculty member to discuss necessary back-up documentation and process involved in review for promotion/tenure/reappointment. 3. Liaises with various program offices: Undergraduate, Postgraduate, Continuing Medical Education, Graduate Studies to obtain information regarding teaching effectiveness of candidate. Where necessary, requests additional peer review of teaching. 4. Reviews teaching dossier, back-up documentation, peer review and prepares draft report for Committee for Appointments, Reappointments, Promotions and Tenure. 5. Forwards draft report to Faculty member to ensure that important information has not been omitted. 6. Finalizes report and forwards to Committee for Appointments, Reappointments, Promotions and Tenure. In the year 2003, the Teaching Effectiveness Committee prepared 19 letters on behalf of GFT and Clinical Faculty. Subsequent promotions for these faculty have included: (1) Associate Professor (6) Clinical Assistant Professor (3) Clinical Associate Professor In the year 2004 we met with another 18 faculty, and have prepared 18 letters to support their review and/or consideration of promotion. UBC Department of Medicine Page 19 Annual Report 2004 DIVISION REPORTS UBC Department of Medicine Page 21 Annual Report 2004 ALLERGY & IMMUNOLOGY Dr. R. Robert Schellenberg Professor & Head Faculty Members Professor & Head Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Instructor Associate Member Schellenberg, Dr. Robert Mandl, Dr. Michael Stark, Dr. Donald Wong, Dr. HC George Kanani, Dr. Amin Stephenson, Dr. Mary SPH SPH SPH VA Vancouver Divisional Overview Our small division is involved in providing clinical teaching in allergy and immunology at all levels. This includes major initiatives in patient education, CME programs for physicians, and elective rotations for residents and medical students. Despite not offering a training program at UBC, members are involved nationally in the nucleus committee of the Royal College as well as the examination committee for our subspecialty. Members are actively involved with lay organizations in medical advisory positions as well as in educational initiatives. Teaching All members of the Division are actively involved in teaching students, residents, community physicians and lay persons. Dr. Schellenberg provides a lecture to Medicine I students on the basic mechanisms of allergic inflammation as well as for the Pathology 521 course. All members actively participate in casebased subspecialty teaching seminars for Med III / IV students. All members provide individual office-based teaching of students who have chosen an elective rotation in the subspecialty. In addition, each member teaches in the Clinical Skills block for Med I students and conducts Bedside teaching sessions with Med II students. The month-long elective rotation for residents in Internal Medicine and its subspecialties has become increasingly popular in the recent year. Major initiatives have been undertaken in community medical education to physicians, other health care professionals and to the lay public. UBC Department of Medicine Page 23 Annual Report 2004 CME programs organized by Dr. George Wong through the auspices of the UBC Community Programs are given in various communities in British Columbia and the Northwest Territories. These have received excellent evaluations and are highly appreciated by physicians in outlying areas. Each member contributes to these programs. Dr. Michael Mandl has continued to expand his asthma education program initiated through the Health Transition Fund to raise awareness and specific information in management of asthma in communities in BC. Five geographical sites have been targeted for evaluation of the effectiveness of this intensive education program to the public. Dr. George Wong has developed specific expertise in evaluation of complementary and alternative medicine practices and has presented a number of interesting papers on these aspects at meetings in the USA and Canada. Dr. Mandl and Dr. Schellenberg have been involved in video conference initiatives to provide information to the lay public in various communities in BC and provide a forum to answer questions from those participating at other sites. Research The members at St. Paul’s hospital have a major interest in management of primary immune deficiency and have initiated a number of research projects as well as interactions with the lay organization. Dr. Amin Kanani is the principal investigator on a new grant-in-aid (coinvestigators Dr. Stark and Dr. Schellenberg) from Bayer Inc. study evaluating the quality of life and health outcome parameters of patients with primary immunodeficiency using two different dosing regimens of IVIG to determine optimal dosing requirements. Dr. Stark is the principal investigator in a study evaluating a new IV immunoglobulin product. Dr. Wong is conducting studies assessing the use and potential harmful effects of herbal and Chinese medicines. Dr. Schellenberg is continuing studies of the mechanisms of excessive airway narrowing in asthma with emphasis on the role of degradative enzyme effects on extracellular matrix components in the airway wall using laser capture microdissection and molecular biologic techniques. Clinical Services All members are actively involved in providing clinical consultative services in Allergy and Immunology to the community. Dr. Mandl has outreach clinics in Dease Lake, Stewart, Hazelton, Bella Bella, Campbell River, Parksville and Bamfield. Dr. Stark provides outreach clinics in Prince George and Sechelt. He has been active with the hospitals in establishing protocols for the management of latex allergy in hospitals. Dr. Wong has had a specific interest in complimentary medicine practices and the potential harmful effects of specific treatments. UBC Department of Medicine Page 24 Annual Report 2004 National and International Initiatives Drs. Stark and Schellenberg co-chaired the local arrangements committee for the highly successful World Allergy Congress (International Congress of Allergy and Clinical Immunology) in Vancouver in September 2003. All members were involved in this large undertaking. Dr. Schellenberg was a member of the International Program Planning Committee for this meeting. Dr. Schellenberg completed his 2-year term as president of the Canadian Society of Allergy and Clinical Immunology in Oct. ’04 and remains on its Board of Directors. He is also the deputy chair of the Royal College Examination Committee for this subspecialty and is the program director for the annual scientific meeting of the Canadian Society of Allergy and Clinical Immunology. In addition, he is a member of the Medical Advisory Committee of the Canadian Immune Deficiency Patient Organization. Dr. Stark chairs the Nucleus Committee for Clinical Immunology and Allergy of the Royal College of Physicians and Surgeons of Canada. Dr. Stark and Dr. Schellenberg are members of the Board of Directors for the Canadian Foundation for Allergy and Clinical Immunology, a charitable organization of which Dr. Stark was the founder. All members are actively involved in local, national and international committees dealing with their areas of interest. UBC Department of Medicine Page 25 Annual Report 2004 CARDIOLOGY Dr. Christopher E. Buller Clinical Professor & Head Faculty Members Clinical Professor & Head Professor Professor Professor Professor Assistant Professor Clinical Professor Clinical Professor Clinical Professor Clinical Professor Clinical Professor Clinical Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor UBC Department of Medicine Buller, Dr. Christopher Rabkin, Dr. Simon Mancini, Dr. G B John Kerr, Dr. Charles Cairns, Dr. John Humphries, Dr. Karin Bernstein, Dr. Victoria Dodek, Dr. Arthur Hamburger, Dr. Jaap Huckell, Dr. Victor Penn, Dr. Ian Ricci, Dr. Donald Carere, Dr. Ronald Fung, Dr. Anthony Gin, Dr. Kenneth Ignaszewski, Dr. Andrew Kiess, Dr. Marla Macdonald, Dr. Ian Thompson, Dr. Christopher Webb, Dr. John Yeung-Lai-Wah, Dr. John Aymong, Dr. Eve Chan, Dr. Sammy Heilbron, Dr. Brett Isserow, Dr. Saul Jue, Dr. John Lee, Dr. Pui Kee Rabinowitz, Dr. Alan Saw, Dr. Jacqueline Straatman, Dr. Lynn Wong, Dr. Graham Munt, Dr. Bradley Page 27 SPH/VA VA VA SPH VA SPH VA SPH VA/SPH VA VA VA SPH VA VA SPH SPH SPH SPH SPH SPH SPH SPH SPH VA VA VA SPH VA SPH VA SPH Annual Report 2004 Clinical Instructor Adjunct Professor Professor (Emeritus) *Associate Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Tung, Dr. Kei Kwong (Stanley) Lear, Dr. Scott Mizgala, Dr. Henry Henning, Dr. Hartmut Boone, Dr. John Kavanagh-Gray, Dr. Doris Peretz, Dr. Dwight Shaw, Dr. Melville Walters, Dr. Max SPH SPH Vancouver VA SPH West Vancouver Vancouver *Appointed to Honorary Staff at VHHSC July 1st Divisional Overview The Division of Cardiology consists of 32 active faculty including 28 clinical faculty and 7 fulltime faculty distributed over two large tertiary programs at St. Paul’s Hospital and Vancouver Acute (including UBC site). Beginning January 1st 2004, Dr. Christopher Buller was appointed Sauder Family Heart & Stroke Foundation Chair in Cardiology and Head, UBC Division of Cardiology, as well as Head, Divisions of Cardiology at both St. Paul’s and Vancouver Acute. Dr. Donald Ricci was appointed Associate Division Head, Vancouver Acute. The UBC Division of Cardiology provides a complete range of tertiary and quaternary cardiology sub-specialty services and programs, including ambulatory and impatient consultative cardiology, cardiac intensive care, electrodiagnostics, cardiac ultrasound, interventional cardiology, electrophysiology, nuclear cardiology, adult congenital heart disease, atherosclerosis risk reduction and cardiac rehabilitation. Teaching Undergraduate: Cardiovascular clinical assessment constitutes a core skill set for general physicians and many specialists and thus undergraduate teaching of the cardiovascular history and physical examination constitutes a substantial teaching load. The Division of Cardiology provided 90 hours of structured bedside teaching, and an additional 33.5 hours in seminars, lectures and casebased learning sessions during 2004. Reflecting the make-up of our Division, the substantial majority of this teaching was provided by our clinical faculty. Beginning in 2003, Dr. Saul Isserow has developed and implemented standardized instruction in the method of clinical examination for the undergraduate curriculum. To further advance undergraduate clinical skills teaching, the Division supports creating Directors of Undergraduate Education within Divisions or groups of Divisions carrying large undergraduate teaching loads. These positions would be responsible not only for optimizing the clinical content of the curriculum, but also for improving teaching effectiveness and consistency through application of objective metrics. UBC Department of Medicine Page 28 Annual Report 2004 Postgraduate: The UBC Postgraduate Program in Cardiology (Ken Gin, Director) continues to expand with 4 Ministry funded residents and 7 externally funded residents. In 2004, the Division itself funded one additional resident using internal resources, and negotiated the creation of another 3-year position through partnership with the Healthy Heart Society. In all, our program enjoys 12 core residents in cardiology distributed over the three-year Royal College program Academic aspects of the program continue to strengthen with an extensive weekly curriculum of structured bedside teaching, internal and guest faculty lectures, resident-led presentations, and journal club reviews of contemporary literature comprising 6-10 hours of structured teaching weekly. A highly rated course in cardiac epidemiology was created and presented by division member Karin Humphries. Research mentoring has been enhanced by the appointment of two hospital-based Postgraduate Research Directors, John Jue and Sammy Chan. All UBC candidates who took the Royal College examinations in Cardiology were successful. Moreover, all of our core program graduates from 2003 have secured positions for advanced subspecialty training. A scheduled Royal College review of the program will occur in 2005. 9 subspecialty trainees are also enrolled in a variety of sub-specialty programs including Interventional Cardiology, Electrophysiology, Echocardiography, Heart Function/Transplant. Continuing Medical Education Internal Rounds Across sites, the Division of Cardiology presents a rich curriculum of regular lectures and rounds. Cardiology Grand Rounds is presented weekly at each hospital. In addition, a variety of city-wide and hospital-based rounds are held regularly as follows: • • • • • • • • Interventional Cardiology (weekly, city-wide) Combined Cardiology/Cardiac Surgery (weekly, both sites) M&M (weekly at SPH, monthly at VH) Echocardiography (weekly, VGH) Resident Noon rounds (weekly, SPH) Research Rounds (bi-weekly, SPH) Journal Club (monthly, city-wide) UBC City-Wide Rounds (bi-monthly) Distinguished Speakers in Cardiovascular Medicine This year saw the initiation of a new monthly series of guest lectures entitled Distinguished Speakers in Cardiovascular Medicine. Hosted jointly with the UBC Division of Cardiac Surgery, this program is directed by Drs. Ken Gin and Andrew Ignaszewski and brings prominent experts to Vancouver for 1-2 days of academic activity and interaction including research seminars, UBC Department of Medicine Page 29 Annual Report 2004 resident teaching, and the Distinguished Speaker Lecture itself. A broad range of academic and regional community cardiovascular specialists attend this special lecture. It affords a unique opportunity for basic scientists, clinical and academic physicians, cardiac surgeons, and faculty from pharmacy and other allied health disciplines to meet and interact. The inaugural lecture in this series was presented by Dr. Peter Liu of the University of Toronto entitled “How Much Molecular Genetics Do Clinical Cardiologists Require?” The series is supported by unrestricted educational grants from industry, but control of the agenda and speaker selection rests entirely with the Division. Course & Convention Leadership The 14th Annual Whistler Course (January 2004) Christopher Buller, Course Director This 3-day course aimed at General Cardiologists from BC and Ontario was co-hosted in 2004 by the Division of Cardiology at St. Michael’s Hospital, University of Toronto and held at Chateau Whistler . The 5th Annual Innovations in Interventional Cardiology Course (December 2004) Ronald Carere, Course Director This 3-day course for Interventional Cardiologists attracts attendees from across Canada. It emphasizes technology uptake and utilization and the underlying health care policy decisions. Annual Practical Cardiology Course Vancouver (September 2004) Vicki Bernstein, Course Director This one-day course serves as a Cardiology update for family physicians and general internists and has been chaired by Dr. Bernstein for more than a decade and showcases our diverse Divisional faculty. Always well subscribed (with attendance at around 120 per session) it consistently receives outstanding reviews. In 2005 Dr. Bernstein will pass the reigns of Course Director to Dr. Brett Heilbron. Trans-Catheter Therapeutics Convention, Washington DC (September 2004) Jaap Hamburger, Vancouver broadcast coordinator The excellence and diversity of our city-wide UBC Interventional Cardiology program resulted in a second invitation to broadcast live interventional procedures to this preeminent international course. Six cases were presented by our group over a four hour broadcast window. CME Committee The Division created a formal CME committee in 2004 chaired by Dr. Rabkin, and including Drs. Heilbron, Isserow, Ignaszewski, Huckell and Mancini. This committee is charged with developing an annual provincial conference for community internists and cardiologists, as well as coordinating other CME activities. UBC Department of Medicine Page 30 Annual Report 2004 Research Dr. Eve Aymong continues to focus on understanding the pathophysiology of cardiogenic shock with a competitive pilot grant investigating a variety of biomarkers as part of the multicenter SHOCK-2 clinical trial. Other areas of interest include clinical outcomes of patients undergoing cardiac catheterization and angioplasty. In addition, she has collaborated with both Vancouver and New York based investigators on several grants in patients with cardiac disease that are currently under review by CIHR and the NIH. Dr. Christopher Buller is active in clinical trials and outcomes research. His interest in occluded coronary arteries and the ‘open artery hypothesis’ has led to his inclusion on the Executive Steering Committee, Operations Committee and Publications Committee of the NIH/NHLBI funded Open Artery Trial, an international multi-center clinical trial initiated in 1998 and scheduled for completion in 2007. Dr. Buller directs all aspects of the trial related to PCI (the experimental strategy), is Co-Director of the Core Angiographic Laboratory, and is Coprincipal Investigator of the NIH/NHLBI funded angiographic substudy TOSCA-2. Dr. Buller will also be the Canadian Principal Investigator for the NIH/NHLBI funded FREEDOM trial, a 120 centre international trial comparing drug eluting stent to coronary bypass surgery in patients with diabetes and multi-vessel coronary heart disease. Dr. Sammy Chan is active in clinical trials and mechanistic research. His area of interest is preventive cardiology and endothelial function. He has recently collaborated in the Canadian wide MARGAUX study. He was awarded a 2 year grant in aid from the Heart & Stroke Foundation of BC and Yukon for a proposal involving aging, endothelial progenitor cells and endothelial function. Dr. Jaap Hamburger is centrally involved in translational research addressing myocardial repair by autologues bone marrow stem cells in both small (mouse) and large (pig) animal models. This project operates in collaboration with the Terry Fox laboratory (BC Cancer Agency), the Jack Bell Laboratory and ICapture. Dr. Hamburger has also organized existing cardiovascular clinical research facilities and expertise into a pilot network termed CardiABC intended to support and facilitate locally developed clinical trials. Local network participants include an Angiographic Core Laboratory (Dr. John Mancini), Nuclear Cardiology Core Laboratory (Dr. Anthony Fung), ECG Core Laboratory (Dr. Marla Kiess), Cardiovascular Pathology Core Laboratory (Dr. B. McManus). In 2004, CardiABC successfully conducted its first multi center trial, the CRAFT on behalf of Kerberos, a California based device company. The study was performed in hospitals in Vancouver, Toronto and Montreal. Dr. Karin Humphries' areas of interest include sex differences in CVD presentation, treatment and outcomes; Health Services research focused on secondary prevention; population-based rates of treatment, including PCI, CABG, and pharmacological therapy; and atrial fibrillation. Dr. Humphries has led B.C.’s team of contributors to the Canadian Cardiovascular Outcomes Research Team (CCORT) project. A growing area of interest for Karin is investigator-driven randomized controlled trials. With her advanced theoretical and extensive practical knowledge, she supports and informs many such initiatives within the Division. As Principal Investigator, Dr. Humphries presently holds a New Investigator Award from the Michael Smith Foundation. UBC Department of Medicine Page 31 Annual Report 2004 Dr. Charles Kerr is a clinical electrophysiologist and carries out an active research program in cardiac arrhythmia management. His main area of interest has been atrial fibrillation (AF). He has directed the Canadian Registry of Atrial Fibrillation since 1990. CARAF I has followed 1100 patients from their initial diagnosis of AF over 10 years, providing insight into progression of disease and clinical and laboratory outcomes. CARAF II has followed a more recent cohort to more carefully evaluate medical therapy provided by community physicians. He is also involved in drug trials of new antiarrhythmic and antithrombotic agents, as well as research trials of pacemakers and defibrillators. Dr. John Mancini has been active in clinical trials through his Cardiovascular Imaging Research Core Laboratory which provides measurements of endothelial dysfunction (brachial artery ultrasound), carotid ultrasound, quantitative coronary intravascular ultrasound and quantitative coronary angiography. In addition, Dr. Mancini has expanded his research interests to include both clinical and molecular projects attempting to unravel the interplay between pulmonary diseases and cardiovascular events. Clinical projects assessing the impact of Chronic Positive Airway Pressure on carotid atherosclerosis and endothelial dysfunction in patients with Obstructive Sleep Apnea are underway. Cellular and molecular projects assessing the effects of statins and angiotensin receptor blockers on animal models and in-vitro cellular models of lung injury are also underway. Dr. Jaqueline Saw arrived as a recruit from the Cleveland Clinic in 2004. She has research interests in several areas of cardiovascular medicine. Aspirin and clopidogrel resistance is being evaluated in a substudy of BRIEF-PCI (a locally developed multicenter RCT) and in ELAPSE, a dedicated study of clopidogrel resistance developing during long-term administration and due to start enrollment in 2005. Dr. Saw is also involved in outcome studies evaluating both comorbidities and therapies in patients undergoing percutaneous peripheral arterial and carotid revascularization procedures. Dr. John Webb is director of interventional cardiology research at St. Paul's Hospital. Myocardial infarction and cardiogenic shock have been an interest with a number of publications in these fields. Last year saw two multicenter studies completed as overall principle investigator. A major focus has been the development, animal and initial human trials of a number of interventional devices. Landmarks this year include the development of a transarterial aortic valve implantation procedure, the first successful percutaneous aortic valve implantations in North America and the first ever percutaneous mitral annuloplasty procedures. A number of additional valvular procedures are under development. Dr. Graham C. Wong is active in clinical trials of acute coronary care with a particular focus on optimizing epicardial reperfusion. He is also interested in population-based outcomes following mechanical and pharmacological reperfusion for ST elevation myocardial infarction. Dr. Wong is currently the principal investigator for the inflammatory markers substudy of the BRIEF PCI study comparing an abbreviated versus a standard infusion of eptifibatide following percutaneous coronary intervention. Ongoing research projects include a comparison of outcomes for octogenarians undergoing fibrinolytic therapy and primary angioplasty for ST elevation MI. Dr. Wong is also the senior investigator on a submitted grant proposal in collaboration with the Department of Emergency Medicine that is investigating the predictors of delayed door to balloon time for primary angioplasty. UBC Department of Medicine Page 32 Annual Report 2004 Dr. John Yeung has a major research interest in the mechanisms of clinical arrhythmias and in developing the techniques for both mapping and ablating complex myocardial arrhythmic circuits. Currently he is evaluating modulation of vagus nerve inputs to the left atrium in patients who undergo linear pulmonary vein ablation for atrial fibrillation. Other interests include the role of implantable cardioverter defibrillator (ICD) devices and biventricular pacing (cardiac resynchronization). Clinical Sub-Programs • • • • • • • • • Healthy Heart Program (risk reduction and rehabilitation) o Andrew Ignaszewski** Saul Isserow* Cardiac Electrodiagnostics o Marla Kiess** John Jue* Acute Coronary Care o Alan Rabinowitz** Graham Wong* Interventional Cardiology & Cardiac Catheterization o John Webb** Donald Ricci* Cardiac Ultrasound o Christopher Thompson** John Jue* Heart Function and Cardiac Transplantation o Andrew Ignaszewski** Adult Congenital Heart Disease o Marla Kiess** Arrhythmia Management o Charles Kerr** Consultative Cardiology (inpatient and outpatient) ** SPH Director *VGH Director Administration Substantial program budgets and operational complexity have led to the development of the Heart Centre program at St. Paul’s (Ronald Carere, Medical Director) and the Cardiac Sciences program at Vancouver Hospital (Donald Ricci, Medical Director). These hospital-based programmatic structures are superimposed upon traditional academic Divisional/Departmental structures. The resulting matrix relies upon close collaboration between divisional and program leaders who report through independent lines. In 2004, Vancouver Coastal Health Authority identified Cardiovascular Sciences as a program warranting regional coordination through the One Acute Network initiative. A search process led to the selection of one of our Division members (Dr. Ronald Carere) to lead this important work. Region-wide planning subcommittees have been created in most sub-program areas and are chaired by members of the Division from both SPH and VH sites. UBC Department of Medicine Page 33 Annual Report 2004 Future Directions Optimal distribution of specialized Cardiology sub-programs across our two sites remains an important but difficult ongoing discussion within the Division. Centralization of certain subprograms at one site has advantages with regard to critical mass, efficiency, and academic interaction. Conversely, rapid progress in clinical science and practice has moved certain subspecialties from the realm of esoteric to that of mainstream tertiary service. As examples, the capacity for on-site programs in Electrophysiology and advanced heart failure (Heart Function) have been identified as critical needs for VH by the VH-based Division. Addressing those needs not only requires significant new capital, operational and human resources, but also coordination and planning in partnership with existing programs at the alternate site. The proposal for a new Legacy hospital at False Creek site has opened discussion regarding the feasibility and desirability of combining VH-based and SPH-based cardiac programs to create a single, city-wide institute-like program. While the facility opportunities created by such a venture are enormous, so too are the challenges. The progress of clinical science and technology in cardiology continues to accelerate and is creating both opportunites and strains. Examples of key trends in our specialty include: • • • • • • • explosive growth in evidence-based demand for expensive technologies, including implantable defibrillators, cardiac re-synchronization therapy, drug-eluting coronary stents, and ventricular assist devices advances in percutaneous cardiac procedures including ASD/PFO closure devices, valve replacement and repair, complex multi-vessel PCI extension of interventional cardiology into non-cardiac vascular territories, including carotid, renal and peripheral vascular disease an epidemic of heart failure as new therapies extend survival in all common types of heart disease upstream improved survival of children with complex congenital heart disease requiring rapid expansion of capacity for their long-term care as adults adoption of clinical nurse practitioners to improve efficiency and quality, and to extend existing physician manpower within both inpatient and outpatient settings an imminent revolution in non-invasive anatomic and functional cardiac imaging (cardiac CT angiography, cardiac MRI) Special Honours and Awards Dr. Hartmut Henning: The Fay R. Kirks Award for Excellence in Teaching Dr. John Webb: The Donald M. Whitelaw Award for Outstanding Grand Rounds Presentation Dr. Ian Penn: Funding for STAAR study (UBC Office of the Vice President Research: $3,600 UBC Department of Medicine Page 34 Annual Report 2004 CRITICAL CARE MEDICINE Dr. John Fenwick Clinical Assistant Professor & Head Faculty Members Clinical Assistant Professor & Head Professor Professor Associate Professor Assistant Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Visiting Scientist Fenwick, Dr. John Russell, Dr. James Walley, Dr. Keith Dodek, Dr. Peter Dorscheid, Dr. Delbert Tsang, Dr. John Chittock, Dr. Dean Dhingra, Dr. Vinay Forrest, Dr. David Grant, Dr. Gregory Keenan, Dr. Sean Ronco, Dr. Juan Craig, Dr. Katherine Wattanathum, Dr. Anan VA SPH SPH SPH SPH VGH VA VA VA SPH SPH VA VA SPH Divisional Overview The UBC Division of Critical Care Medicine is multidisciplinary in structure, with 13 faculty members, all qualified critical care specialists from Medicine, Surgery and Anaesthesia backgrounds participating in patient care at St. Paul’s, Royal Columbian and Vancouver Hospital. The two-year Critical Care Medicine subspecialty training program is fully accredited and accepts two trainees per year. The Research Program in Critical Care Medicine is comprehensive, spanning from molecular and cellular biology through large animal models to clinical research in critically ill adults. The basic science research program is based in the Cardiopulmonary Laboratories at St. Paul’s Hospital and the Jack Bell Research Institute at Vancouver Hospital. The clinical research program is focused in the intensive care units of St. Paul’s and Vancouver Hospital. Teaching The University of British Columbia Adult Critical Care Medicine Training Program, under the direction of Dr. Juan Ronco, continued at the British Columbia Children’s, St. Paul’s and UBC Department of Medicine Page 35 Annual Report 2004 Vancouver Hospitals. In 2004 there were 5 trainees in the Adult Critical Care Medicine Fellowship Training Program. Trainees entering the program in 2004 will be the first to receive subspecialty certification through examination by the Royal College of Physicians and Surgeons of Canada. Under the Direction of Dr. Juan Ronco, the Division hosted the 4th annual National Acute Critical Events Simulation (ACES) Program. The ACES Program is offered to all firstyear residents entering Canadian Critical Care Medicine Training. The ICU rotations for specialty residents from Medicine, Anaesthesia and Surgery continued to be highly rated at both St. Paul’s and Vancouver Hospital. Under the direction of Dr.Vinay Dhingra participation in the SCCM Critical Care Support Course was expanded to include core residents from all Departments. Research The Research Program in Critical Care Medicine is comprehensive, spanning from molecular and cellular biology through large animal models to clinical research in critically ill adults. The basic science research program is based in the Cardiopulmonary Laboratories at St. Paul’s Hospital and the Jack Bell Research Institute at Vancouver Hospital. The clinical research program is focused in the intensive care units of St. Paul’s and Vancouver Hospitals. The basic science research program continues to investigate corticosteroid and ischemia/reperfusion induced airway epithelial cell apoptosis (Dr. Dorscheid), endothelins and the mechanism of hypoxemia in acute pulmonary embolism (Dr.Tsang), the molecular and cellular biology of leukocyte induced myocardial dysfunction in septic shock (Dr. Walley) and immunomodulation in the treatment of sepsis and acute lung injury (Drs. Russell and Walley). The clinical research program remains strong at St. Paul’s and Vancouver Hospital with studies on the role of genotype on phenotype in sepsis and systemic inflammatory states (Drs. Walley and Russell), genetics of ARDS (Dr. Russell), mechanisms of exercise-induced hypoxemia (Drs. Russell and Walley), glucose control and outcomes in the critically ill (Drs. Dhingra, Chittock, Ronco, Dodek and Fenwick), clinical studies of therapeutic interventions for viral infections (Dr. Grant), recognition, quantification and treatment of delirium in the ICU (Dr. Chittock), the role of organizational factors in outcomes of critical care (Drs. Dodek and Keenan), treatment of catheter related bloodstream infections (Drs. Ronco and Dhingra), role of non-invasive ventilation in critical illness (Dr. Keenan), effect of sedation and agitation on duration of mechanical ventilation (Dr. Chittock), adrenal function in sepsis (Drs. Fenwick, Chittock and Ronco), communication and decision making in end of life care (Dr. Dodek), post cardiac arrest decision making (Dr. Forrest), ventilator associated pneumonia (Dr. Dodek), fluid resuscitation in septic shock (Dr. Dhingra), vasopressin in septic shock (Drs. Russell, Walley, Chittock and Ronco) and blood transfusion and cerebral oxygenation in head injury (Drs. Chittock and Fenwick). Clinical Services The ICUs at St. Paul’s and Vancouver Hospital continued to experience an increase in occupancy and workload with over 1700 admissions at the two sites. The ICU at St. Paul’s Hospital added 4 new beds for a total of 15 and the ICU at VGH added 3 new beds for a total of UBC Department of Medicine Page 36 Annual Report 2004 27. Division members from St. Paul’s and VGH participated in the development of a regional integrated critical care service delivery model. Collaborative strategies to improve funding for critical care services at both sites continue to be developed. Future Directions In 2005, under the direction of Dr. Dean Chittock, the Division will hold the second annual Canadian Critical Care Conference at Whistler, BC. Under the direction of Dr. Vinay Dhingra, the Division will continue to expand the implementation of the SCCM Fundamentals in Critical Care Medicine Support Course as part of the core residency training program. It is anticipated that the SCCM course will, in the future, become a successful CME activity within the Department of Medicine, attracting critical care providers from around the province. Drs. Ronco and Dingra, in collaboration with the Center for Excellence in Surgical Education and Innovation, continue to develop simulator models for the teaching of technical and patient management skills to critical care trainees. The Division continues to develop a strategy to strengthen its University Multidisciplinary Program and has begun to explore the possibility of Departmental status within the Faculty of Medicine. Special Honours and Awards Dr. Dean Chittock organized and served as a session moderator at the Canadian Critical Care Conference, Whistler, BC. Dr. Vinay Dhingra received a Department of Medicine Departmental Scholar Award and was an invited speaker at the Canadian Critical Care Conference, Whistler, BC. Dr. Peter Dodek was an invited speaker at the Toronto Critical Care Medicine Symposium, Toronto, Ontario, the Canadian Critical Care Conference, Whistler, BC, the Centre Hospitalier Universitaire Lapeyronie, the Centre Hospitalier Universitaire St. Eloi, Montpellier, France, the Fondation Hospital St. Joseph and Hospital Henri Mondor, Paris, France and the Centre Hospitalier Universitaire Caremeau, Nimes, France. Dr. Del Dorscheid was an invited speaker and Chair of the VanSeaPort Respiratory Research Conference, Crystal Mountain, Washington and an invited speaker at the Canadian Critical Care Conference, Whistler, BC. Dr. Sean Keenan was an invited speaker at the Advances in Respiratory and Critical Care Medicine Conference, Whistler, BC and the American College of Chest Physicians Annual Meeting, Seattle, Washington. Dr. Juan Ronco was an invited speaker at the Canadian Critical Care Conference, Whistler, BC, the Advances in Respiratory and Critical Care Medicine Conference, Whistler, BC, and the Toronto Critical Care Medicine Symposium, Toronto, Ontario. Dr. Jim Russell was an invited speaker at the Australia and New Zealand Intensive Care Society Annual Meeting, Melbourne, Australia, the Society of Critical Care Medicine Annual Congress, Orlando, Florida, the Toronto Critical Care Medicine Symposium, Toronto, Ontario, and UBC Department of Medicine Page 37 Annual Report 2004 Scientific Advisor and Convenor, Rocky Mountain Critical Care Conference, Lake Louise, Alberta. Dr. John Tsang was an invited speaker for the Department of Medicine, University of Washington, Seattle, Washington. Dr. Keith Walley was an invited speaker at the Society of Critical Care Medicine Annual Congress, Orlando, Florida, the American Burn Association Annual Meeting, Vancouver, BC and the Rocky Mountain/American College of Internal Medicine Meeting, Banff, Alberta. UBC Department of Medicine Page 38 Annual Report 2004 DERMATOLOGY Dr. Harvey Lui Professor & Head Faculty Members Professor & Head Professor Professor Professor Associate Professor Associate Professor Associate Professor Assistant Professor Assistant Professor Clinical Professor Clinical Professor Clinical Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Associate Member UBC Department of Medicine Lui, Dr. Harvey Ho, Dr. Vincent McLean, Dr. David Rivers, Dr. Jason Dutz, Dr. Jan Kitson, Dr. C. Li, Dr. Gang McElwee, Dr. Kevin Zhou, Dr. Youwen Carruthers, Dr. Alastair Shapiro, Dr. Jerry Warshawski, Dr. Laurence Conklin, Dr. Robert Haber, Dr. Richard Kunimoto, Dr. Brian Ongley, Dr. Roberta Schlappner, Dr. Otto Bergman, Dr. James Gregory, Dr. Brian Kenny, Dr. Patrick Morton, Dr. Charles Prihoda, Dr. Marie Thomas, Dr. D. Richard Tuyp, Dr. Evert Zloty, Dr. David Amiss, Dr. John Au, Dr. Sheila Davis, Dr. Anne Hong, Dr. Chih-ho Rossi, Dr. Sikina Shokravi, Dr. Mohammad Ball, Dr. Nigel Page 39 VA VA VA VA VA VA VA VA VA VA VA VA VA Victoria VA VA SPH Vancouver VA Royal Jubilee VA VA VA VA VA Victoria VA VA SPH Victoria North Vancouver VA Annual Report 2004 Associate Member Associate Member Associate Member Associate Member Associate Member Adjunct Professor Clinical Professor (Emeritus) Clinical Professor (Emeritus) Crawford, Dr. Richard Gallagher, Dr. Richard Martinka, Dr. Magdalena Prendiville, Dr. Juliette Zeng, Dr. Haishan Thewalt, Dr. Jenifer Maddin, Dr. Stuart McLeod, Dr. W. SPH Vancouver VA C&W Health Centre BCCA Burnaby VA VA In 2004 the Division of Dermatology formally recruited new faculty members within the Island and Northern Medical Programs, and launched the first of a series of “pilot” clerkships for undergraduate medical students in Victoria. This initiative represents the first concrete step towards expanding our Division in concert with the overall medical school expansion. Another major milestone for the Division was that 2004 marked the first year that all of our research laboratories achieved funding support from the Canadian Institutes of Health Research. The other overarching divisional initiative in 2004 was the formal discussion within the Faculty of Medicine surrounding the creation of the UBC Department of Dermatology and Skin Science. This has been a longstanding goal of the Division of Dermatology and was supported this year by the Department of Medicine. Early in 2004 the Dean of Medicine agreed to receive a proposal for creating a new department from the current division, and in the fall of 2004, the Faculty Executive Committee agreed to pursue this in greater detail. Among other things, departmental status will facilitate greater academic opportunities for Dermatology and Skin Science, enhance fundraising efforts, assist with faculty and trainee recruitment, and provide recognition of the unique scope and accomplishments of our academic unit. Teaching Undergraduate: Dr. Jerry Shapiro, Director. Over the last year Dr. Shapiro has attended innumerable committee meetings and worked tirelessly on the medical school expansion project. Over the next several years, we will eventually need to find clerkship experiences for twice the current number of medical students. “Pilot” rotations are being tested in advance of the full roll out of Dermatology Clerkships in the expanded medical school by the fall of 2006. Following the initial successful pilots in Victoria in 2004, additional pilot programs will be set up in Prince George and the Fraser Valley in 2005. Postgraduate: Directors: Dr. Jason Rivers (January-September), Dr. Larry Warshawski (September- ). Dr. Jason Rivers completed his term as Postgraduate Program Director in 2004 and has been succeeded by Dr. Larry Warshawski. During Dr. Rivers’ overall term, the training program earned full Royal College accreditation status and graduated the first dermatology residents in our joint training program with the University of Manitoba. Other milestones included an overhaul of the core resident rotations to better reflect the changing face of dermatologic practice. We are grateful to Dr. Rivers for his dedication to training our next generation of dermatologists in his leadership role. Dr. Larry Warshawski has initiated work on expanding the number of training slots in dermatology, both through CARMS and re-entry pathways. UBC Department of Medicine Page 40 Annual Report 2004 All three of our graduates in 2004, Dr. Michelle Withers, Dr. Hana Alkhayat, and Dr. Rochelle VanDeVelde, were successful with their Royal College examinations in Dermatology. Dr. Alkhayat has stayed on as a Clinical Research Fellow in Photomedicine and Lasers at UBC. Advanced clinical fellows in hair, micrographic surgery, dermatopathology, and photomedicine rounded out our clinical trainees in Dermatology. These fellowships combine clinical training with research and the fellows hail from New York, Korea, Toronto, and Saudi Arabia. Experimental Medicine: The Division continues to attract a very healthy number of graduate students, particularly in the Skin Cancer Biology Laboratory under Dr. Gang Li. Graduate students interact with the clinical program in a number of ways including the Annual UBC Dermatology Research Day and the MEDI 535 Journal Club course that is run in conjunction with the residency program under the direction of Dr. Jan Dutz. Continuing Medical Education: CME courses offerings for 2004 included: Spring Dermatology Update for Family Physicians (March 5-6, 2004) Course Director: Dr. Brian Kunimoto Dermatology Update 2004 (November 14-16, 2004) Course Director: Dr. Stuart Maddin Living Well with Diabetes (November 20-21, 2004) Course Co-Director: Dr. Brian Kunimoto Research All of our dermatology and skin research laboratories achieved national level (e.g. CIHR, NCIC) peer-reviewed funding in 2004. UBC Dermatology Research Day (March 13, 2004) was well attended by scientists, clinicians, clinical and graduate student trainees, as well as nurses and ancillary staff. Dr. Kevin McElwee joined the Division of Dermatology as an Assistant Professor. He will work with Dr. Jerry Shapiro in the UBC Hair Treatment and Research Program, and has expertise in autoimmune follicular disorders and hair biology. Dr. McElwee’s recruitment to UBC helps to solidify UBC’s reputation as the most comprehensive academic hair biology and treatment centre in North America. Dr. McElwee’s recruitment was supported in part through the generosity of the VGH & UBC Hospital Foundation as well as patient donations to the hair program. In the fall of 2004, several Division of Dermatology members helped to convene and lead two CIHR-sponsored workshops in Vancouver and Toronto on future Canadian directions in skin research. The “CIHR Skin Health Research Priority Workshop” brought together, for the first time in Canada, scientists, clinicians, patients, industry, and government to brainstorm ideas on how to best advance the skin research agenda. Recommendations from the workshop included the establishment of a patient advocacy alliance, defining four key areas of research, and building capacity through training and research networks. Dr. Dutz and Lui served as the cochairs of the workshop. UBC Department of Medicine Page 41 Annual Report 2004 Clinical Services A generous donation from the Hamzavi Foundation to the Division of Dermatology in 2004 will be used to establish a vitiligo treatment facility at the Skin Care Centre. Planning also got underway for new clinic facilities at VGH for the Wound Healing Clinic in the new Academic Ambulatory Care Centre. The overall clinical program at VGH will remain at the Skin Care Centre. Dermatology services as a whole continue to be in high demand, particularly for skin cancer screening and treatment. Special Honours and Awards Dr. Kevin McElwee, Appointment as Assistant Professor and Departmental Scholar Award, Department of Medicine Dr. W. Alastair McLeod, Award of Merit, Canadian Dermatology Association Dr. Richard Crawford, Promotion to Clinical Professor and Teaching Award, Residents & Fellows Section, Canadian Dermatology Association Dr. Richard Haber, Appointment as Clinical Associate Professor Dr. Sikina Rossi, Appointment as Clinical Instructor Dr. Nhiem Nguyen, Practitioner of the Year, BC Dermatology Society Dr. Youwen Zhou, Departmental Scholar Award, Department of Medicine Dr. Alastair Carruthers: Elected as Vice-President, American Society for Dermatologic Surgery Dr. Harvey Lui, President-Elect, Canadian Dermatology Association Dr. Hana Alkhayat, Resident Teaching Award, Residents & Fellows Section, Canadian Dermatology Association Ms. Alison Karst, Trainees awards from the Michael Smith Foundation for Health Research and the Natural Sciences and Engineering Research Council (supervisor Dr. Gang Li) UBC Department of Medicine Page 42 Annual Report 2004 ENDOCRINOLOGY Dr. David Thompson Clinical Assistant Professor & Head Faculty Members Clinical Assistant Professor & Head Professor Clinical Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Associate Member Associate Member Associate Member Associate Member Adjunct Professor Professor (Emeritus) Associate Professor (Emeritus) Thompson, Dr. David Prior, Dr. Jerilynn Wilkins, Dr. Graeme Tildesley, Dr. Hugh Bebb, Dr. Richard Dahl, Dr. Marshall Elliott, Dr. Thomas Kendler, Dr. David Kreisman, Dr. Stuart Wallace, Dr. Clarissa Gill, Dr. Sabrina Johnson, Dr. Michelle Kong, Dr. Jason Mase, Dr. Robert Sirrs, Dr. Sandra Bondy, Dr. Greg Kitson, Dr. Hilary Rothstein, Dr. Ralph Stewart, Dr. Laura Finegood, Dr. Diane Dawson, Dr. Keith Cairns, Dr. Alexander VA VA VA SPH SPH VA VA VA SPH VA SPH SPH VA SPH VA SPH C&W Health Centre C&W Health Centre Burnaby Vancouver VA Divisional Overview The UBC Division of Endocrinology continued to expand with the addition of one new faculty member in 2004. The clinical activity in both outpatient and inpatient settings is growing to meet increased demand. Most faculty members are involved in clinical research and participate in fundraising activities to help support the many activities of the division. Division members also serve on a large number of local, provincial, national and international committees for clinical and research activities. UBC Department of Medicine Page 43 Annual Report 2004 Teaching The division remained very active in teaching at both an undergraduate and postgraduate level. Undergraduate: Medical students are able to choose a selective in endocrinology where they get exposure to endocrine ambulatory clinics including general endocrinology offices and the diabetes centre. Several faculty members (Drs. Sirrs, Gill, Fung, Prior, Bondy) and the endocrine fellows served as tutors in the endocrinology and metabolism problem based learning sessions. Endocrinologists are heavily involved in both the endocrinology and musculoskeletal blocks, providing lectures and case materials as well as serving as PBL tutors. With the expansion of the medical school, it is anticipated that the division will have to double its capacity to provide endocrinology selectives to medical students, as well as provide teaching to students at sites where there are no endocrinologists. Postgraduate: The UBC division provided endocrinology electives to 36 rotating residents from internal medicine in the 2004 / 5 academic year. Electives were also provided to residents from other programs (e.g. genetics, dermatology, family practice) and to residents from out of province. The evaluations of the endocrinology rotation by internal medicine residents have improved markedly. Endocrinology rotations at VH are the highest rated among UBC rotations with a service requirement, and rotations at SPH are now rated 6 overall. The strengths of the rotations include their emphasis on a mix of both ambulatory and inpatient responsibilities and a structured academic half day component to provide appropriate teaching. The division had two subspecialty residents in the second year of their program in 2004 / 5. The current level of funded subspecialty training positions in adult endocrinology is 0.5 positions/year. With the projected increase of postgraduate training positions to accommodate the medical school expansion, it is anticipated that the division will have funding for 1 adult subspecialty resident per year in 2006 with an increase to 2 training positions per year after that. Community The division participates in a number of continuing medical education activities. Some, such as the Diabetes Directors Symposium and the BC Endocrine Days, have been running for a number of years. In addition, division members give many invited lectures to community physicians. Research The islet cell program was very active during the past year and is now among the leading programs in the world in this area. Research is being carried out at both basic and clinical levels, involving collaborations with other active centres. Many division members are participating in a number of multi-centre trials involving various aspects of diabetes, lipid and cardiovascular outcomes. Dr. Kreisman is involved in an NIH trial in the management of cystic fibrosis and diabetes. UBC Department of Medicine Page 44 Annual Report 2004 The Women’s Health research program, led by Drs. Prior and Gill, continues to expand and the related Osteoporosis research continues at a very active level. Dr. Sirrs remains heavily involved in Adult Metabolic Diseases clinical research. Both divisions have established fundraising programs to provide support for research and educational activities. Clinical Services The demand for both outpatient and inpatient services continues to grow at both sites. We are developing new multidisciplinary clinics, especially in collaboration with nephrology, bone marrow and solid organ transplantation. Improved management of inpatient diabetes is being recognized throughout the hospital as important in improving quality of care and this will require the division to develop new strategies to accomplish this important goal. Awards Dr. Keith Dawson: Canadian Diabetes Association Outstanding Dedication Award 2004 Dr. G.E. Wilkins: Career Award for Teaching Excellence from UBC Future Directions In addition to expanding the above activities, there appear to be several areas that the division will focus on over the next year. Detailed planning will be required to ensure adequate undergraduate training in endocrinology as the medical school expands both in number of students and the sites where they are being trained. Optimal inpatient diabetes care throughout the hospital will place an increased demand on the resources of both the division and the diabetes centre staffs. There is considerable interest in developing a regional approach to diabetes care that will result in patients receiving the care that they need in the most appropriate setting. It is increasingly recognized that certain groups, such as the elderly, require diabetes care that is tailored to their special needs. Proper design and implementation of such a program will require a great deal of work and resources. The St. Paul’s division plans to establish a multidisciplinary approach for the assessment and treatment of osteoporosis. UBC Department of Medicine Page 45 Annual Report 2004 GASTROENTEROLOGY Dr. Urs Steinbrecher Professor & Head Faculty Members Professor & Head Professor Associate Professor Associate Professor Assistant Professor Clinical Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Associate Member Associate Member Visiting Professor Clinical Professor (Emeritus) Clinical Professor (Emeritus) Associate Professor (Emeritus) Associate Professor (Emeritus) Clinical Associate Professor (Emeritus) Steinbrecher, Dr. Urs Freeman, Dr. Hugh Salh, Dr. Baljinder Singh Yoshida, Dr. Eric Tai, Dr. Isabella Halparin, Dr. Lawrence Byrne, Dr. Michael Gray, Dr. James Kwan, Dr. Peter Weiss, Dr. Alan Amar, Dr. Jack Enns, Dr. Robert Erb, Dr. Siegfried Telford, Dr. Jennifer Whittaker, Dr. J. Chatur, Dr. Nazira Fishman, Dr. Martin Lam, Dr. Eric Ramji, Dr. Alnoor Gill, Dr. Sharlene McManus, Dr. Bruce Gomez-Munoz, Dr. Antonio Chaun, Dr. Hugh Stordy, Dr. Stanford Anderson, Dr. Frank MacDonald, Dr. Walter Carr, Dr. Donald VA VA VA VA VA SPH VA VA VA VA SPH SPH VA Vancouver SPH VA Richmond SPH SPH BCCA SPH VA SPH SPH VA VA VA Divisional Overview The UBC Division of Gastroenterology consists of 5 UBC full-time faculty members, 14 clinical faculty members, 2 associate members, 5 emeritus professors, and one visiting professor. These UBC Department of Medicine Page 47 Annual Report 2004 staff are based at St. Paul’s Hospital, Vancouver General Hospital, UBC Hospital, Vancouver Cancer Centre, B.C. Transplant Society, and Richmond General Hospital. There are active gastroenterology inpatient/consult services at Vancouver General Hospital and St. Paul’s Hospital as well as a liver transplant unit at Vancouver General Hospital and B.C. Transplant Society. The ambulatory care facilities include a hospital-based clinic at Vancouver General Hospital, as well as hospital-based or adjacent offices at St. Paul’s, UBC Hospital, and Richmond. The GI subspecialty training program currently has 5 trainees. The basic research focus of the division is on molecular and biochemical abnormalities, underlying GI cancer, and inflammatory bowel disease. The division is also engaged in an active and multifaceted clinical research and clinical trials program. As a result of recruitment initiatives over the past year, we have attracted three new academic clinicians to the division's faculty (Drs. Chatur, Ramji, and Telford). Dr. Chatur’s role will be in undergraduate and postgraduate medical education. Dr. Ramji will focus on clinical research in hepatology. Dr. Telford will focus on therapeutic endoscopy and clinical research in luminal gastroenterology. Teaching Undergraduate: The GI Division plays a key role in the enhancement and ongoing improvement of the GI block in phase II of the undergraduate curriculum. In addition to updates and revisions to the cases, lectures, and labs, priorities for 2005 are to plan for the expansion of the medical school class size over the next 4 years, to increase the quality, quantity, and accessibility of exhibits associated with the block cases, and to renew online resources for the block. Dr. Nazira Chatur was appointed Undergraduate Program Director for GI. Postgraduate: Dr. Peter Kwan is Director of the GI training program and Dr. Chatur is coDirector. The division is proud of the excellent trainees currently enrolled in the program (Drs. Stacy Shapira and Jaber Al-Ali for 2003-5, and Dr. Henry Chung, Dr. Jin-Kee Ho and Dr. Nasser Al-Masri for 2004-2006). Experimental Medicine: Dr. Bill Salh coordinates the GI components of the Experimental Medicine Program. There are currently 4 graduate students from the GI Division registered in Experimental Medicine. In addition, one international PhD student, two summer students, and two post-doctoral fellows are supervised by GI division members. Continuing Medical Education: In 2004, the UBC GI Division organized several accredited CME courses, including the eighth Annual Digestive Disease Week Review Course for subspecialists, and an Update in Gastroenterology course. The St. Paul’s Division of Gastroenterology organized several additional CME courses for specialists. All were wellattended and highly-rated events. Research Division members generated more than 50 publications in peer-reviewed journals in 2004, and associate members added an additional 15 papers. Several division members including Drs. Salh, Steinbrecher, and Tai conduct active basic research programs supported by national and regional granting agencies (CIHR, HSFC, CCFC, and Canadian Society for Intestinal Research). The Division is expanding clinical research and clinical trials activities, and is involved in more UBC Department of Medicine Page 48 Annual Report 2004 than 30 trials in a variety of clinical areas including viral hepatitis, liver transplantation, inflammatory bowel disease, esophageal reflux disease, peptic ulcer disease, and functional bowel disorders. Drs. Anderson, Enns, Yoshida, Gray, Kwan, and Whittaker have been particularly active in clinical trials. As a result of recruitment initiatives over the past year, we have attracted three new clinician-investigators to the division's faculty (Drs. Chatur, Ramji, and Telford) who will build on existing clinical research strengths in the division. Administration and Future Directions A search will be conducted in 2005 for a new UBC Division Head in Gastroenterology. Special Honours and Awards Several division members serve on or chair committees of professional organizations, editorial boards of medical and scientific publications, and on grant review committees of major peerreviewed granting agencies. Of note, Dr. Hugh Chaun was elected Secretary-General, Bockus International Society of Gastroenterology and is Chair, Press and Congress News Committee, 2005 World Congress of Gastroenterology Canadian Organizing Committee, Governor of the American College of Gastroenterology representing the region of the Western Provinces, and Chair, Governing Board, Canadian Digestive Health Foundation. Dr. Rob Enns is Chair, Endoscopy Committee, Canadian Association of Gastroenterology, Member of the 2005 World Congress of Gastroenterology Scientific and Clinical Planning Committees, and a member of the Canadian Digestive Disease Health Foundation Committee. Dr. James Gray is President, B.C. Society of Gastroenterology. Dr. Eric Yoshida is Chair, Membership Committee, Canadian Association for the Study of the Liver and Head, B.C. Hepatitis Program. Dr. Urs Steinbrecher serves on the CIHR Metabolism Grant Panel, is Chair, Heart and Stroke Foundation of B.C. and Yukon Research Committee, and Chair, AHFMR Clinical Investigator Review Committee. UBC Department of Medicine Page 49 Annual Report 2004 GENERAL INTERNAL MEDICINE Dr. Iain Mackie Clinical Professor & Acting Head Faculty Members Clinical Professor & Acting Head Professor Professor Associate Professor Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor UBC Department of Medicine Mackie, Dr. Iain Page, Dr. Gordon Wright, Dr. James (Jim) Palepu, Dr. Anita Studney, Dr. Donald Hatala, Dr Rose Kassen, Dr. Barry Kennedy, Dr. James Onrot, Dr. John (Jake) Arseneau, Dr. Richard Ayotte, Dr. Brian Baillie, Dr. Hector Busser, Dr. James Dunne, Dr. James Magee, Dr. Laura Ong-Lam, Dr. May Perry, Dr. Thomas Richmond, Dr. Allister Wakefield, Dr. Robert Auersperg, Dr. Edward Broder, Dr. Sarah Caswell, Dr. Sherri Chan, Dr. Alex Chong Hen Cunningham, Dr. Kenneth Deutscher, Dr. Timothy Duke, Dr. Stephen Ervin, Dr. Francis (Frank) Hawley, Dr. Philippa Holmes, Dr. Cheryl Kenyon, Dr. Michael Khan, Dr. Nadia Kincade, Dr. David Page 51 VA VA VA SPH VA SPH VA SPH SPH SPH Sushwap Lake Nanaimo VA VA Women's Health Centre SPH VA Chilliwack VA Pitt Meadows Penticton VA VA SPH Nanaimo Victoria Maple Ridge VA Kelowna Nanaimo SPH Kamloops Annual Report 2004 Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Associate Member Associate Member Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Clinical Associate Professor (Emeritus) Lai, Dr. Kevin McKay, Dr. Rhonda Purkiss, Dr. Susan Roberts, Dr. James Son, Dr. Wai Kon Sunderwood, Dr. Jennifer Winkler, Dr. Lawrence Wong, Dr. Steven Birmingham, Dr. Carl Laird Zaidel, Dr. Patrick Schulzer, Dr. Michael Johnson, Dr. Archibald McDonnell, Dr. C. Edward Paige, Dr. Bruce Rennie, Dr. Charles Nanaimo SPH C&W Health Centre VA Chilliwack VA Nanaimo VA SPH Burnaby VA SPH VA VA The Division of General Internal Medicine forms an integral part of the UBC Department of Medicine, with faculty active in a variety of generalist and subspecialty areas. The main foci of the Division include teaching, research and administration. In 2004 the Division benefited from the recruitment of Dr. Irene Ma, who has subspecialty training in both general medicine and nephrology. Dr. Ma will have a major research commitment. Her area of research interest is ethnicity and its impact on disease. Members of the Division were granted major research awards in 2004. Dr. Anita Palepu was awarded a CIHR research grant for work on the development of a quality of life instrument for homeless persons and street youth, as well as a major Michael Smith Foundation Award as a senior scholar in population urban health. Dr. Laura Magee continues to hold a Michael Smith Foundation Scholar Award until 2008. Dr. Magee holds numerous Michael Smith, CIHR and other grants related primarily to her research expertise in hypertension in pregnancy. Dr. Nadia Khan also won a CIHR award for her work on ethnicity and cardiovascular disease. Dr. Don Studney continues his research in diabetic neuropathy with major industry grants. Drs. Rose Hatala, Barry Kassen, Mark Roberts and Iain Mackie were granted funds from the Royal College of Physicians and Surgeons to compare a brief, observed clinical examination (mini-CEX) with outcomes on the Royal College internal medicine examination. As a result of this work, a new series of observed mini-CEX examinations will be implemented as an evaluation tool within the core Internal Medicine residency training programme. Dr. Iain Mackie served as a member of the Drug Safety Monitoring Board for Tibotec Corporation for a new protease inhibitor for use in HIV positive patients. Drs. Khan and Palepu, between them, had 17 publications and 2 book chapters in 2004. Dr. Palepu published her work in major HIV/AIDS journals. Dr. Khan and colleagues published new guidelines for hypertension on behalf of the Canadian Cardiovascular Society in the Canadian Journal of Cardiology. These guidelines will have significant impact on the care of patients with hypertension in Canada. Dr. Laura Magee published 14 journal articles and presented 12 abstracts on topics related to medical problems of pregnancy. Dr. Rose Hatala had 2 articles on evidence-based medicine published in 2004 in the Canadian Medical Association UBC Department of Medicine Page 52 Annual Report 2004 Journal. Dr. Pippa Hawley published a major survey on physicians’ attitudes and knowledge of cancer pain management in the journal Pain Research and Management. She has been instrumental in the development of a palliative care training programme at UBC. Division members continue to play a major role in the administration of the Department of Medicine and its programmes. Dr. Mark Roberts was appointed Programme Director for the Internal Medicine Residency Training Programme, replacing Dr. Iain Mackie who stepped down after seven years. Drs. Barry Kassen (community programme development) and Dr. Rose Hatala (evaluations) were appointed as Associate Directors of the training programme. Dr. Anita Palepu was appointed as co-chair of the Clinical Investigator Programme for the Department of Medicine. Dr. Iain Mackie was appointed as Director of the Assessment of Competence Programme for the Department of Medicine. This new programme evaluates the clinical competence of international medical graduates. Dr. Barry Kassen was appointed to the Faculty of Medicine’s Faculty Development Committee. Dr. Barry Kassen continues as Chair of the Internal Medicine Oral Examination Board at the Royal College of Physicians and Surgeons. Drs. Hatala, Mackie, Roberts and Dr. Jake Onrot continue as members of the Oral Examination Board of the Royal College of Physicians and Surgeons. Dr. Kassen sits on the Board of the Canadian Society of Internal Medicine. Dr. Nadia Khan is a member of the organizing committee for the Rocky Mountain Internal Medicine Conference. Dr. Palepu is a member of the organizing committee for the 3rd International Conference on Urban Health, and was the co-chair of the Epidemiology section of the Canadian Association of HIV Research. At the annual meeting of the Canadian Society of Internal Medicine, Dr. Palepu was honoured with the “Young Investigator Award” for her work on HIV infection and injection drug users. Dr. Rose Hatala won the Dr. Shelly Naiman Award for Clinical Teacher of the Year at St. Paul’s Hospital. On a lighter note, Dr. Tom Perry celebrated a “prime-number” birthday and celebrated this midlife crisis by canoeing down the Turnagain River in northern BC. Both he, Dr. Bob Rangno and Dr. Jim Wright continue to play major roles in the Therapeutics Initiative and the Cochrane Collaborative. Overall this has been a year of ongoing successes for the Division of General Internal Medicine. Division members continue to demonstrate excellence in research, teaching and administration, winning major local and national awards for their excellence in teaching and research. UBC Department of Medicine Page 53 Annual Report 2004 GERIATRIC MEDICINE Dr. Graydon S. Meneilly Professor & Head (January-June 30, 2004) Dr. Larry Dian Clinical Associate Professor & Acting Head (July 1, 2004 - ) Faculty Members Professor & Head, Dept. of Medicine Clinical Associate Professor & Acting Head Professor Assistant Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor UBC Department of Medicine Meneilly, Dr. Graydon Dian, Dr. Larry VA VA Beattie, Dr. B Madden, Dr. Kenneth Adler, Dr. Reva Martini, Dr. Janet Chung, Dr. Maria Hill, Dr. Amanda O'Connor, Dr. Peter Rauscher, Dr. Christopher Wong, Dr. Roger Barnett, Dr. Kim Bater, Dr. Marilyn Bell, Dr. Kathryn Cook, Dr. Wendy King, Dr. Kim Kushner-Kow, Dr. Janet Lee, Dr. Philip Malone, Dr. Marilyn Menezes, Dr. Janice Ranchod, Dr. Hetesh Williams, Dr. Dorothy VA VA VA SPH SPH VA RCH VA VA SPH Royal Jubilee VA SPH Nanaimo Mount St. Joseph SPH VA SPH Mount St. Joseph Victoria Page 55 Annual Report 2004 Divisional Overview The Division of Geriatric Medicine currently has 15 faculty at PHC and VA and 4 faculty in distributed sites. It delivers a wide range of clinical services spanning all sites of Providence Health Care and VA, including active geriatric consultation services, in-patient acute care for elders (ACE), geriatric activation and assessment beds, geriatric day hospitals and multiple outpatient clinics. Clinical services are provided in the community through outreach and through one faculty member who works primarily with community provider teams. Research by division members is in health service provision, diabetes, medical education, dementia, osteoporosis, falls prevention and cardiovascular disease. Teaching Undergraduate: Dr. Reva Adler coordinates Phase V for the Undergraduate Education Committee of the Department of Medicine and will coordinate this phase for the medical school expansion. Dr. Janet Kushner-Kow is the Undergraduate representative for the UBC Division of Geriatric Medicine and she is the chair for the dementia week block in Brain and Behaviour in PBL. Currently the division also organizes and teaches two sessions in Clinical Skills on assessment of confusion and function. Dr. Kushner-Kow is also the director for expansion for the Department of Medicine Undergraduate Program and is on the Undergraduate Education Committee. Dr. Kushner-Kow and Dr. Hetesh Ranchod are participating in teaching International Medical Graduates at Mount St. Joseph Hospital. Postgraduate: Dr. Janet Kushner-Kow is the new Program Director of the Geriatric Medicine Training Program. We presently have two trainees, one gulf state resident finishing his third year in geriatrics before returning to Saudi Arabia and one other resident. We have a new resident starting in July 2005. The internal review of the program will be conducted in Spring 2005. In addition, Division members teach Internal Medicine residents and fellows the principles of the care of the frail elderly by working on Clinical Teaching Units and teaching noon rounds and academic half days. Dr. Roger Wong has been appointed the Associate Program Director, Postgraduate Medical Education. Continuing Medical Education: In 2004 the Division members were active participants in numerous CME events which included programs in osteoporosis, falls and fractures, dementia, diabetes and other topics. Dr. Janet Kushner-Kow organizes weekly division rounds which has local and international speakers. She is active in evaluating an interprofessional module series which teaches geriatrics to trainee and practicing health care professionals interested in the Care of the Elderly. This series has been used in Vancouver, the Fraser Health Region and three rural sites. The Division hosted a conference on Osteoporosis and Renal Disease that focused on the management and fracture risks in patients with end stage renal disease. Research Dr. Meneilly is a member of the board of the CIHR Institute for Aging and is also a member of the Steering Committee for the Canadian Longitudinal Study on Aging and he conducts several UBC Department of Medicine Page 56 Annual Report 2004 research projects on diabetes in the elderly. Dr. Larry Dian is the Principal Investigator of a study of the prevalence of osteoporosis in nursing home patients. Dr. Roger Wong continues to conduct research in medical education. He is currently investigating the role of electronic academic detailing in teaching medical concepts to physicians. He is also involved in clinical outcomes research on the measurement and determinants of physical function in acutely ill seniors in ACE units. Dr. Janet Kushner-Kow is conducting research on optimal interactive multimedia education strategies for distance learning in the new distributed medical school curriculum. Dr. Beattie is involved in multiple research projects related to dementia, serves on the Clinical Research Ethical Board (CREB) committee, chairs the Research Policy Committee for the Alzheimer Society of Canada. She has been a member of a Michael Smith Foundation for Health Research Initiative to set up an Aging Network. Dr. Reva Adler has represented Canada at a number of international conferences on genocide in the past two years. She holds a grant from the Vancouver Foundation to research access to health services for older immigrants to Canada. Dr. Marilyn Malone is involved in collaboration with colleagues at SFU and UBC in developing a falls prevention program. Dr. Ken Madden has implemented his research program in cardiovascular physiology and pathophysiology in aging. He has two projects currently ongoing. The first study is an examination of the effects of hyperinsulinemic euglycemic clamps on cardiovascular and cerebrovascular control mechanisms (arterial baroreceptors, autonomic nervous system and cerebral autoregulation) that maintain blood flow to the brain during upright tilt. His second study is examination of the effects of a central alpha agonist (clonidine) on carotid sinus hypersensitivity in older adults that present to the emergency department with frequent falls. Dr. Janet Martini and her colleagues in Providence Health Care are developing a research focus in performance review and continuous quality improvement with ongoing evaluation of service delivery. Dr. Wendy Cook is working on an ongoing cohort study based in Toronto with nephrologist Dr. Vanita Jassal on the prevalence and incidence of falls in elderly dialysis patients. She is a co-investigator in a randomized study of exercise for fall prevention in elderly emergency department fallers. She has submitted a paper on the prevalence of falls. Dr. Philip Lee is doing research on behavioral neurology and dementia. He was recently awarded a CIHR Fellowship. Dr. Hill is collaborating with Dr. Thornton from Simon Fraser University and Dr. Shapiro from the Division of Nephrology, looking at cognition in predialysis patients. Clinical Services At both Providence Health Care and Vancouver Hospital clinical activities continue to increase. At the Vancouver Hospital the volume of in-patient consults has also increased. We have established a SAFE Geriatric assessment unit with a focus on regional and provincial needs which operates at the UBC hospital site. The Division is actively involved in patient assessment and management at the VGH STAT Centre and will participate in planning future communitybased GEM services in Vancouver Community Health Services. Dr. Amanda Hill with Dr. Mark Roberts is developing a Congestive Heart Failure protocol. Dr. Chris Rauscher through self study and through his extensive involvement in planning and implementation of quality improvement initiatives related to chronic disease management and health system re-design is now a recognized expert in these areas. He was co-chair of the BC Congestive Heart Failure Collaborative and he is the physician lead for chronic disease management for Vancouver Coastal Health. He has been extensively involved in population health planning with the Ministry of Health Services and he is chairing working groups on Dementia and on the Frail Elderly. He is a member of the MOH/BCMA Guidelines and Protocols Committee and has UBC Department of Medicine Page 57 Annual Report 2004 developed a number of guidelines for physicians related to chronic diseases. He has presented on his work in numerous local workshops and conferences. Dr. Philip Lee is attending physician for Geriatric Medicine and the CTU at SPH and an attending physician at the Alzheimer’s and related disorders clinic at UBC Hospital. Administration Dr. Larry Dian is Acting Head, UBC Division of Geriatric Medicine and Head, VGH Division Geriatric Medicine. Dr. B. Lynn Beattie is Acting Head, Division of Geriatric Medicine at Providence Health. Dr. Janice Menezes is the Physician Operations Leader at St. Paul’s. Dr. Meneilly is the Chairman of the UBC and VGH Department of Medicine. Dr. Reva Adler is the Medical Director of the VGH STAT Centre. Dr. Amanda Hill continues in her role as Medical Director, Community and Specialty Medicine. Dr. Roger Wong is the Medical Director, Geriatric Consultation Program and Medical Manager, ACE unit at VGH and the Associate Program Director, Postgraduate Medical Education, UBC Department of Medicine. Special Honours and Awards Dr. Reva Adler is doing Fulbright scholarship sponsored research in Rwanda on prevention of massacres. Dr. Roger Wong was awarded an interdisciplinary research grant and the “In it for Life” research grant by the Vancouver Coastal Health Research Institute. He was also appointed the Associate Program Director, Postgraduate Medical Education, UBC Department of Medicine. Dr. Wendy Cook has been a volunteer physician at the Manang Aid Post for the Himalayan Rescue Association, Nepal from September to December 2004. UBC Department of Medicine Page 58 Annual Report 2004 HEMATOLOGY Dr. Michael Barnett Clinical Professor & Head Faculty Members Clinical Professor & Head Professor Professor Professor Associate Professor Clinical Professor Clinical Professor Clinical Professor Clinical Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Associate Member Associate Member Associate Member UBC Department of Medicine Barnett, Dr. Michael Eaves, Dr. Allen Humphries, Dr. Richard Keith Schrader, Dr. John Smith, Dr. Clayton Ballem, Dr. Penny Buskard, Dr. Noel Hogge, Dr. Donna Lansdorp, Dr. Peter Benny, Dr. Barrett Nantel, Dr. Stephen Nevill, Dr. Thomas Shepherd, Dr. John Sutherland, Dr. Heather Vickars, Dr. Linda Forrest, Dr. Donna Leitch, Dr. Heather Li, Dr. Charles Toze, Dr. Cynthia Broady, Dr. Raewyn Galbraith, Dr. Paul Lavoie, Dr. Julye Leger, Dr. Chantal Petraszko, Dr. Tanya Song, Dr. Kevin Sreenivasan, Dr. Gayatri Tsang, Dr. Peter Coupland, Dr. Robert Eaves, Dr. Connie Horsman, Dr. Douglas Page 59 VA/BCCA BCCA BCCA UBC VA/BCCA C&W Health Centre VA VA/BCCA BCCA VA VA/BCCA VA/BCCA VA/BCCA VA/BCCA SPH VA/BCCA SPH SPH VA/BCCA VA SPH VA/BCCA SPH VA VA/BCCA VA VA VA BCCA BCCA Annual Report 2004 Divisional Overview The UBC Division of Hematology includes 27 staff and 3 associate staff members based at the Vancouver General Hospital (VGH), the Vancouver Cancer Centre (VCC) and the Terry Fox Laboratory (TFL) of the British Columbia Cancer Agency, St. Paul’s Hospital (SPH), BC Women’s & Children’s Hospital and UBC. In 2004, laboratory research programs at TFL and UBC brought in peer-reviewed operating support of $2.9 million and CFI equipment funds of $2.1 million and clinical research at VGH and SPH brought in $240,000. There was a total of 45 peer-reviewed publications. Training and patient care remained at the forefront of clinical activities. Trainees in the Division as a whole included 4 Hematology fellows, 5 Leukemia/BMT fellows, 19 laboratory post-doctoral fellows and 6 graduate students. Teaching Undergraduate: This was the 6th year of the Blood & Lymphatics Block in the Problem Based Learning course. Postgraduate: A total of 32 Residents in the Internal Medicine Program took hematology-based electives during the past year. These were one or two month blocks spent on the Hematology Consultation Service at VGH or SPH. Subspecialty Training: Four General Hematology fellows were based at VGH. Rotations included the General Hematology Consultation Service, Leukemia/BMT Service, Blood Transfusion Service, Cell Separator Unit, Out-patient Clinics and Hematopathology. Rotations were also taken at SPH, VCC, BC Women’s and Children’s Hospital. These positions were filled by Dr. Ahmad Al Saeed, Dr. Lynda Foltz, Dr. Yulia Lin and Dr. Carolyn Owen. Leukemia/Bone Marrow Transplantation Fellowship: The Leukemia/BMT Program had five positions available for clinical training in the management of patients with leukemia and those undergoing hematopoietic stem cell transplantation. These positions were filled by Dr. Yasser Abou Mourad, Dr. Birgit Christ, Dr. Richard Doocey, Dr. Genevieve Gallagher and Dr. Sharif Khan. Postdoctoral Training: Division Members conducting bench research at the TFL and UBC trained 19 postdoctoral fellows, of whom 7 were PhD’s and 12 were MD’s. Experimental Medicine: In the TFL, the Experimental Medicine Program accommodated 9 graduate students, one of whom held a MSFHR studentship. Continuing Medical Education: Division Members attended numerous national and international meetings both as attendees and speakers. Research Clinical research continued to be focused on hematological malignancies at VGH/VCC and thrombosis at SPH. As well as in-house studies, significant contributions were made to national and international trials. Laboratory research based at the TFL involved the regulation of normal UBC Department of Medicine Page 60 Annual Report 2004 and malignant hematopoietic cell growth and differentiation with special emphasis on the myeloid leukemias, Hox genes and telomeres. The molecular characterization of regulatory pathways was the focus at UBC. Clinical Services The clinical services at VGH/VCC and SPH continued to cope with a high workload in terms of both inpatient and outpatient activities. At SPH, Dr. Heather Leitch was appointed as a staff hematologist and Dr. Leslie Zypchen provided locum coverage for a maternity leave. Administration Dr. Linda Vickars (Head of Hematology at SPH), Dr. Stephen Nantel (Director of the Clinical Practice Unit for Hematology/BMT at VGH), Dr. Barrett Benny (Director of the Cell Separator Unit at VGH), Dr. Peter Tsang (Director of the Hematology Training Program) and Dr. Charles Li (Coordinator of Undergraduate Teaching) continued in leadership positions. Future Directions The main research goals will be to enhance activity at the laboratory/clinical interface in hematological malignancy and to expand efforts in thrombosis. In addition, new initiatives, e.g., HIV-related lymphoma and collaborations, e.g., with the Centre for Blood Research at UBC will be pursued. In regard to clinical services, a priority will be to achieve a full complement of appropriately funded staff. Special Honours and Awards Dr. Donna Hogge – Served on the scientific review panel for the Leukemia Research Fund of Canada Dr. Keith Humphries – 20 Year Service Award, Terry Fox Laboratory, BC Cancer Agency Dr. John Schrader – Distinguished Scientists Distinction, awarded by the Canadian Society for Clinical Investigation Dr. Clayton Smith – Named to “Celebrating Scholarships”, Academic Excellence at UBC Dr. Peter Tsang – Professional Association of Residents – British Columbia Award for Excellence in Clinical Teaching Dr. Linda Vickars – President, North Pacific Society of Internal Medicine UBC Department of Medicine Page 61 Annual Report 2004 INFECTIOUS DISEASES Dr. Neil E Reiner, Professor & Head Dr. H Grant Stiver, Professor & Assistant Head Faculty Members Professor & Head Professor & Assistant Head Professor Professor Professor Professor Associate Professor Associate Professor Associate Professor Assistant Professor *Assistant Professor Assistant Professor Assistant Professor Assistant Professor Clinical Professor Clinical Professor Clinical Professor Clinical Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Associate Member Associate Member Associate Member Associate Member Associate Member Associate Member Associate Member Adjunct Professor Visiting Scientist UBC Department of Medicine Reiner, Dr. Neil Stiver, Dr. H. Bowie, Dr. William Brunham, Dr. Robert Chow, Dr. Anthony Montaner, Dr. Julio Av-Gay, Dr. Yossef Phillips, Dr. Elizabeth Tyndall, Dr. Mark Cherkasov, Dr. Artem de Haan, Dr. Marie Grigg, Dr. Michael Hmama, Dr. Zakaria Steiner, Dr. Theodore Burdge, Dr. David Chan, Dr. Robert Phillips, Dr. Peter Rekart, Dr. Michael Harrigan, Dr. Paul Montessori, Dr. Valentina Press, Dr. Natasha Wood, Dr. Evan Reynolds, Dr. Robert Isaac-Renton, Dr. Judith Jewesson, Dr. Peter Marra, Dr. Fawziah McMaster, Dr. Robert Money, Dr. Deborah O'Shaughnessy, Dr. Michael Patrick, Dr. David Sanghera, Dr. Jasbinder Lopez, Dr. Martin Page 63 VA VA VA UBC/BCCDC VA SPH VA SPH SPH VA VA VA VA VA C&W Health Centre SPH SPH BCCDC SPH SPH SPH SPH VA BCCDC VA BCCDC C&W Health Centre C&W Health Centre SPH BCCDC Vancouver VA Annual Report 2004 Visiting Scientist Visiting Scientist Papavinasasundaram, Mr. Kadambavanasundaram Shamir-Elron, Dr. Yael VA VA *Inactive Member Divisional Overview Growth and achievements in the Division of Infectious Diseases in the past year can be attributed to a highly industrious faculty which now includes 16 MD’s and 5 PhD’s who are located at Vancouver General, St. Paul’s and BC Children’s and Women’s Hospitals as well as at the BCCDC. Among the faculty are nationally and internationally recognized investigators with expertise and interests in areas including microbial pathogenesis, host defense, microbial genomics, HIV, clinical epidemiology, sexually transmitted diseases, respiratory, urinary tract, fungal infections, and vaccine studies. The Division was pleased to welcome Dr. Elizabeth Phillips who was recruited from the University of Toronto/Sunnybrook Hospital to an Associate Professor position based at SPH. As Head of Clinical Pharmacology within the BC Centre for Excellence in HIV/AIDS, she is responsible for Clinical Pharmacology and Toxicology. Robert Chan, a longstanding faculty member, returned to private practice in downtown Vancouver after an extended period working in Hong Kong. An External Review of the Division acknowledged significant developments and accomplishments that have taken place over the past ten years, particularly in research. The Review recommendations recognized and provided support for the challenges which lie ahead, including faculty recruitment, salary support, and replacement of research space. Teaching Teaching continues to be a major strength of the Division of Infectious Diseases. Members of the Division make substantial contributions to the education of undergraduate and postgraduate students, residents and fellows from the Faculty of Medicine. In addition, as many as 15 visiting undergraduate and postgraduate medical students and residents representing most Canadian medical programs received elective training in Infectious Diseases at Vancouver General Hospital and St. Paul’s Hospital this year. Undergraduate: The Division’s significant commitment to undergraduate teaching includes the highly regarded Host Defense Infection Block in the Problem Based Learning course. Clinical Clerkship Half Days and inpatient rotations are also highly regarded by students. Dr. Grant Stiver continues his significant contribution to the Program as Director of Undergraduate Education for the Faculty of Medicine. Postgraduate: Among the strengths of the Residency Training Program are the leadership of Dr. Valentina Montessori, Program Director, (shared with Dr. Grant Stiver during Dr. Montessori’s maternity leave this year), and the outstanding caliber of the Infectious Diseases Subspecialty trainees. The two year Royal College Subspecialty Training Program provides high UBC Department of Medicine Page 64 Annual Report 2004 quality clinical and research training in order to equip fellows for an academic career in infectious diseases. Dr. Richard Lester won the Best Poster Prize at Residents Research Day (Staphylococcal heat shock protein 60 – responses in innate immune cells). Since completing his training he has begun a position in Kenya, in a University of Manitoba sponsored HIV Research Program. Senior ID Fellow, Dr. Mark Hull was joined in the Program by Drs. Ghassan Wali, and Abeer Alshukairi in July. Dr. Julie Stone, an OB/GYN specialist, began a year of Infectious Diseases training under the joint supervision of Drs. Valentina Montessori and Deborah Money. Training at the residency level included inpatient and outpatient rotations at St Paul’s Hospital and Vancouver General Hospital for 49 residents from Medicine, Dermatology, Neurology, Medical Microbiology, Anaesthesia and Pharmacy. Graduate Students: Through Experimental Medicine as well as the Departments of Laboratory Medicine and Microbiology and Immunology, Infectious Diseases Faculty supervised 20 graduate students and 10 post doctoral research fellows at Vancouver General Hospital, BCCDC and St Paul’s Hospital. As well, Kenna Sleigh, an RN who has been active in clinical research with Grant Stiver for many years, received her PhD. UBC MD/PhD Program: Dr Anthony Chow is a Director of the UBC MD/PhD Program jointly administered by the Faculty of Medicine and the Faculty of Graduate Studies. This integrated combined degree program prepares the students to pursue a research-intensive track of residency and postdoctoral training in a specialty or discipline of their choice, ultimately leading to an independent clinician-investigator career. The program enrolled 13 trainees this past year, engaged in a wide range of research including: cancer, cardiovascular disease, lipid metabolism, infectious disease pathogenesis, gene mutations and chromosomal abnormalities, host defense mechanisms, and social factors that determine access to health care. MD/PhD students have won prestigious awards such as the BC Cancer Research Centre Lloyd Skarsgard Research Excellence Prize, Canadian Society for Clinical Investigation’s Young Investigator Award, Western Society for Clinical Research Student Medical Research Forum Best Oral Presentation Award. TRID Program: Dr. Anthony Chow is also Director of the CIHR-UBC Strategic Training Program for Translational Research in Infectious Diseases (TRID). Specific aims of this Program are: 1) To promote and strengthen the national capacity for translational research in infectious diseases through an integrative training program encompassing all 4 pillars of health research as defined by CIHR and MSFHR; 2) To raise the national standards in the training of health researchers, and 3) To cultivate and facilitate transdisciplinary and translational research in infectious diseases. Trainees include undergraduate co-op and summer research students, MD/PhD students, PhD students, and postdoctoral research fellows. In 2004 the Program administered 34 TRID studentships or fellowships involving 25 TRID faculty members. TRID trainees published 3 and submitted 7 papers, and presented 33 conference presentations. TRID held two thematic research symposia “Deciphering Global Host-Microbe Interactions”, and “Application of Basic and Clinical Research to Epidemiological Problems”. For details of TRIDsupported students, their research supervisors, and research projects http://cmdr.ubc.ca/trainingprogram. Continuing Medical Education: Dr. Joshua Fierer, Professor of Medicine and Chief, Division of Infectious Diseases, University of California at San Diego, was a Visiting Professor sponsored UBC Department of Medicine Page 65 Annual Report 2004 by the UBC TRID Program and the Division. He presented his research on Coccidiomycosis at a special seminar, and also met with faculty, students and fellows. A special presentation on Prevention of fungal infections post-BMT was given by another invited guest, Dr Kieren Marr, from the University of Washington, and Program in Infectious Diseases, Fred Hutchinson Cancer Research Center. The weekly Academic Rounds Plenary Presentations included visiting speakers Drs. George Zhanel and Daryl Hoban, Medical Microbiologists from the University of Manitoba. Research As noted in the External Review of the Division, “The Division has a strong record of achievement in research. The recruitment of five basic scientists to the Division makes this one of the strongest ID divisions in the country.” The total amount of research grant funding awarded to division faculty at all sites in Vancouver for the year was in the range of $5.5 M. Immunity and Infection Research: The Division maintains an active basic research program in molecular microbial pathogenesis and host defense. Pathogens under study included M. tuberculosis, Leishmania, Toxoplasma, E. coli, Staphylococci, Streptococci and Chlamydia. In addition to addressing mechanisms of pathogenesis, ongoing research is concerned with both innate and acquired immune responses to infection including vaccine development. The Division’s research program has an important bioinformatics focus with additional state-of-the art expertise in molecular modeling and computer-aided drug design. HIV/AIDS Research Program: The AIDS Research Program, which involves seven faculty members at the St. Paul’s site, continues to study the role of antiretroviral therapy for the treatment of HIV infection. The main areas of research encompass epidemiology, clinical management and basic sciences. The epidemiology group has been actively developing and maintaining long-term analyses of drug treatment programs in Vancouver including harm reduction strategies. The group has been investigating the natural history of injection drug use including: study of HIV and Hepatitis C and other hazards related to injection drug use, scientific evaluation of North America’s first supervised injection site, examination of illicit opiate addiction, treatment and policy in Canada. The clinical science research focuses on issues important to the medical management of patients with HIV including multidrug-resistant virus, pharmacokinetics of antiretrovirals, and adherence to antiretroviral therapy regimens, drug toxicities, viral co-infections and primary care initiatives. The basic science program has a major focus on HIV resistance to antiretroviral therapy and mechanisms of toxicity. Other research within the Program includes pathophysiology and management of hypersensitivity reactions and adverse drug reactions associated with antiretroviral drugs; genetic screening and diagnostic testing for hypersensitivity reactions associated with antiretroviral therapy; mitochondrial toxicity of antiretrovirals, hepatitis C therapy in HIV/HCV co-infected patients; liver disease associated with HIV/HCV co-infected patients; and observational studies of HIV-related immune reconstitution syndromes. Epidemiological Research: Dr. Bill Bowie is a co-investigator, along with Dr. Jerry Spiegel, for a CIDA operating grant of $5M for 7 years which is entitled Sustainably managing environmental health risks. He is also a co-applicant for a CIHR funded initiative – The spread UBC Department of Medicine Page 66 Annual Report 2004 and evolution of SARS corona viruses through contact networks: prediction, recognition and control. Clinical Research: Dr. Grant Stiver continues his timely research in respiratory tract infections, particularly influenza and FluInsure vaccine efficacy. Other current trials include assessment of a new antibiotic Telavacin against MRSA skin and soft tissue infections and Gram positive nosocomial pneumonia, as well as further studies on oral gel formulations to treat C. difficile colitis. Clinical Services The Division maintains two highly active and intense consultation services, one located at SPH and one at VGH. In addition, an AIDS inpatient service based at SPH is also staffed by ID physicians. The consultation services see the usual full range of general ID cases. At the same time, there is a particular wealth of clinical material related to reconstructive orthopedics including spine, neurosurgery, bone marrow and solid organ transplant, tuberculosis, infections related to IVDU and infections in other marginalized populations. Future Directions - Development of recruitment plans is recognized as being critical, especially as the medical school expansion begins to increase the teaching component of activities. - Development of a definite relocation plan for the VGH Division including research laboratory space. Special Honours and Awards Dr. Robert Brunham – Thomas Parran Award from The American Sexually Transmitted Diseases Association, and was a member of the National Advisory Committee for the Toronto Conference on Global Infectious Diseases Dr. Anthony Chow – Canadian Infectious Disease Society Janssen-Ortho Distinguished Service Award Dr. Julio Montaner – Distinguished Service Award, Department of Medicine, St. Paul’s Hospital Dr. Mark Tyndall – Promoted to Clinical Associate Professor UBC Department of Medicine Page 67 Annual Report 2004 MEDICAL ONCOLOGY Dr. Susan E. O'Reilly Clinical Professor & Head (on sabbatical) Dr. Joseph M. Connors Clinical Professor & Acting Head (June 2004 – February 2005) Faculty Members Clinical Professor & Head Clinical Professor & Acting Head Assistant Professor Assistant Professor Assistant Professor Assistant Professor Clinical Professor Clinical Professor Clinical Professor Clinical Professor Clinical Professor Clinical Professor Clinical Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor UBC Department of Medicine O'Reilly, Dr. Susan Connors, Dr. Joseph Chi, Dr. Kim Chia, Dr. Stephen Gill, Dr. Sharlene Savage, Dr. Kerry Gelmon, Dr. Karen Hoskins, Dr. Paul MacLean, Dr. Grant Murray, Dr. Robert Nevin Shah, Dr. Amil Swenerton, Dr. Kenneth Weinerman, Dr. Brian Coppin, Dr. Christopher Klasa, Dr. Richard Klimo, Dr. Paul Ragaz, Dr. Joseph Wilson, Dr. Kenneth Allan, Dr. Sharon Anderson, Dr. Helen Bernstein, Dr. Vanessa Bryce, Dr. Cicely Gill, Dr. Karamjit Page 69 BCCA/Vancouver BCCA/Vancouver BCCA/Vancouver BCCA/Vancouver VA VA BCCA/Vancouver BCCA/Vancouver BCCA/Victoria BCCA/Vancouver BCCA/Vancouver BCCA/Vancouver BCCA/Victoria BCCA/Fraser Valley BCCA/Vancouver Lion’s Gate Hospital BCCA BCCA/Victoria BCCA/Victoria Victoria BCCA/Victoria BCCA/Vancouver Surrey Annual Report 2004 Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Honorary Professor Associate Member Associate Member Clinical Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Khoo, Dr. Kong Knowling, Dr. Margaret (Meg) Laskin, Dr. Janessa Lee, Dr. Ursula MacPherson, Dr. Nicol Melosky, Dr. Barbara Noble, Dr. R. Norris, Dr. Brian Sawhney, Dr. Ravinder Sehn, Dr. Laurie Shenkier, Dr. Tamara Stuart, Dr. David Taylor, Dr. Marianne Bouttell, Dr. Elaine Ellard, Dr. Susan Fenton, Dr. David Fitzgerald, Dr Catherine Lee, Dr. Christopher MacNeil, Dr. Mary Martin, Dr. Lee Ann Martins, Dr. Heidi Souliere, Dr. Sheila Sutherland, Dr. Judith Bruchovsky, Dr. Nicholas Brigden, Dr. Malcolm Ling, Dr. Victor Goldie, Dr. James Klaassen, Dr. David Plenderleith, Dr. Ian Silver, Dr. Hulbert BCCA/Kelowna BCCA/Fraser Valley BCCA BCCA/Fraser Valley BCCA/Victoria BCCA/Vancouver RCH BCCA/Fraser Valley BCCA/Fraser Valley BCCA/Vancouver BCCA/Vancouver Burnaby BCCA/Victoria Kelowna VA BCCA/Kelowna BCCA/Victoria BCCA/Fraser Valley BCCA/Victoria BCCA/Fraser Valley BCCA/Victoria Victoria BCCA/Kelowna BCCA/Emeritus Victoria BCCRC BCCA/Emeritus BCCA/Emeritus BCCA/Emeritus BCCA/Emeritus Divisional Overview The Division of Medical Oncology, UBC, comprises the Medical Oncology and scientific staff at the Vancouver Center, Fraser Valley Center, Surrey, Vancouver Island Center, Victoria and the Center for the Southern Interior, Kelowna, as well as community oncologists in Burnaby, North Vancouver, Nanaimo and the Royal Columbian Hospital, New Westminster. In addition to the clinical division, there is a laboratory section (Advanced Therapeutics), which is located in the British Columbia Cancer Research Center. It comprises four senior scientists and six clinical investigators who have appointments at the Vancouver Cancer Center, Department of Medical Oncology. Medical Oncology clinical services are organized as a Provincial Systemic Therapy Program reaching across the Province of British Columbia including the four cancer centers and outreach programs in more than ten additional community hospitals in smaller urban centers. Undergraduate and postgraduate teaching occurs primarily at the Vancouver Cancer Center with UBC Department of Medicine Page 70 Annual Report 2004 additional elective opportunities available at all four cancer centers including Victoria, Fraser Valley and Kelowna. UBC clinical faculty at all centers participate in undergraduate teaching modules. The next five years will pose some exciting challenges and opportunities. More medical oncologists and hematologists specializing in neoplastic diseases will be needed to address the rising incidence of cancer, related to the aging population and, even more importantly, the increasingly complex treatment programs incorporating new targeted small molecules and immunotherapeutic agents. Adding to the challenges of increased incidence and treatment complexity is the very high cost of new therapeutic agents. For example, the current standard of practice for metastatic colorectal cancer treatment has changed from simply administered single agent chemotherapy to complex multi-agent programs costing more than 100 times as much in just the last five years. Expanded opportunities for clinical and translational research is readily available based on the rapid emergence of new knowledge in cancer biology especially insights derived from genomic and gene expression studies. The new $100,000,000 B.C. Cancer Research Center building opened in early 2005. This stateof-the-art research facility houses a wide range of laboratory research programs including molecular oncology, the Terry Fox Laboratory focusing on hematologic cellular biology and leukemias and core programs in genomic analysis, gene expression profiling, novel imaging and tumor modeling and population based epidemiology and biostatics. The BC Cancer Agency Genome Sciences Centre has moved into a large laboratory facility nearby but continues to forge collaborative projects with several tumor groups within Medical Oncology including breast cancer, gastrointestinal cancer and lymphoproliferative neoplasms. Teaching The Medical Oncology Undergraduate Training Committee, chaired by Dr. Amil Shah is active in providing and planning teaching modules and clinical bedside teaching in Internal Medicine. An elective in Medical Oncology is available to UBC and visiting medical students. The Postgraduate Training Committee, chaired by Dr. Tamara Shenkier, offers popular twomonth electives in Medical Oncology to internal medicine residents from UBC and other universities. Approximately 10-16 residents per year from these and other specialty disciplines spend elective periods at the Vancouver Cancer Center. Opportunities are available for electives at all of our regional cancer centers and some financial support for travel and accommodation is available for residents choosing one of these options. The Postgraduate Training Committee also plans and supervises the two-year subspecialtytraining program in Medical Oncology. This program is based at the Vancouver Cancer Center with elective opportunities at all other centers and in community oncology practice. The sixmonth elective period may also be applied to laboratory or clinical research. One or two month electives at centers elsewhere in Canada or in other countries may also be considered. This program, now one of the largest two such programs in Canada, has expanded to enroll four first year and four second year residents and is fully approved by the Royal College of Physicians and Surgeons of Canada and has consistently received excellent reviews. Additional training positions for overseas residents result in eight or nine trainees participating in this two-year UBC Department of Medicine Page 71 Annual Report 2004 program at any one time. Currently, residents participate in academic oncology training with excellent exposure to clinical practice, ambulatory care and clinical trials. Residents are expected to conduct clinical research and have a number of publications and presentations to their credit. At least half of our residents from each year recently have competed successfully for post-residency academic subspecialty fellowships that have launched them on promising academic careers. Opportunities to pursue laboratory research projects are available. Continuing Medical Education: All medical staff are active in continuing medical education courses organized by the British Columbia Cancer Agency, other provincial, national and international bodies. Several of our faculty members have emerged as international leaders in their field and are actively sought out to provide leadership within the major international societies including the American Society of Clinical Oncology, the American Society of Hematology and the American Association for Cancer Research in addition to their contributions to the National Cancer Institute of Canada and its Clinical Trials Group. Research Members of the Division are involved in a wide variety of phase I, II, III and IV clinical trials. These include the development of new anti-cancer drugs, the evaluation of new doses schedules and combinations of drugs in the phase II setting and the participation in multi-institutional phase III studies and post marketing phase IV trials evaluating effective new treatments on specific categories of malignancy. Our phase I investigational new drug program has grown rapidly as a reflection of the energy and enthusiasm of the scientists and physicians in the Advanced Therapeutics section of Medical Oncology and in response to the increasing availability of new agents for testing in North America. Our Advanced Therapeutics Section is able to evaluate new biological response modifiers, gene therapy and pharmaceutical agents through all stages from in-vitro testing in the laboratory to evaluation in human volunteers. The Vancouver Cancer Center has the only Clean Room in an academic center in Canada that is equipped and licensed for the packaging and formulation of pharmaceutical agents in small quantities for clinical testing. At the pre-clinical level, studies are being carried out in evaluating anti-angiogenesis agents, gene modifiers, enzyme inhibitors, experimental drug modulators, pre-clinical drug toxicities and molecularly targeted agents such as the new tyrosine kinase inhibitors, immunotherapeutic agents targeted against breast cancer, colorectal cancer, lung cancer and lymphomas. Currently, the BCCA manages its own grants and these are not listed in this report. Clinical Services The four B.C. Cancer Centers now provide medical oncology consultations for 7,000 new patients annually with more than 50,000 ambulatory care visits to these centers. The Provincial Systemic Therapy Program, headed by Dr. Susan O’Reilly manages the $80,000,000 oncology drug budget, which supports the care of more than 24,000 patients annually, both within BCCA centers and in community hospitals. Opportunities for health services research projects are UBC Department of Medicine Page 72 Annual Report 2004 available and linkages with the Provincial Tumour Registry and Vital Statistics are readily available. We are uniquely positioned to further develop province-wide population-based research in health outcomes for cancer patients and regularly take advantage of this special opportunity. Future Directions The major academic goal of the Division is to continue to build an outstanding translational research unit that combines the excellent basic science research at the British Columbia Research Center, the input from the Genome Science Centre, the resources of our academic medical oncologists and the participation of our large patient population. British Columbia has consistently shown the best cancer survival statistics in Canada and we are in a unique position to carry out province-wide treatment programs in both clinical and translational research. We are continuously expanding our research agenda in these areas and in those of health outcomes and economic analyses. UBC Department of Medicine Page 73 Annual Report 2004 NEPHROLOGY Dr. Paul A. Keown Professor & Head Faculty Members Professor & Head Professor Professor Assistant Professor Clinical Professor Clinical Professor Clinical Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Clinical Instructor Clinical Instructor Professor (Emeritus) Professor (Emeritus) Professor (Emeritus) Clinical Professor (Emeritus) Keown, Dr. Paul Quamme, Dr. Gary Wong, Dr. Norman Gill, Dr. John Chan-Yan, Dr. Clifford Levin, Dr. Adeera Werb, Dr. Ronald Chan, Dr. Victor Landsberg, Dr. David Shapiro, Dr. Jean Taylor, Dr. Paul Yeung, Dr. Choi Kit Chiu, Dr. Anthony De Luca, Dr. Linda Duncan, Dr. John Jastrzebski, Dr. Jacek Kiaii, Dr. Mercedeh Singh, Dr. Rajinder Copland, Dr. Michael Jamal, Dr. Abeed Jung, Dr. Beverly Cameron, Dr. Eugene Price, Dr. John Sutton, Dr. Roger Rae, Dr. Angus VA VA VA SPH SPH SPH SPH RCH SPH VA SPH VA SPH SPH VA VA SPH VA VA SPH SPH VA VA VA SPH Divisional Overview The Division of Nephrology includes 21 members based at three principal sites: St. Paul’s Hospital, Vancouver General Hospital, and the UBC Campus, who provide provincial leadership in research, education, and clinical care within the field of renal medicine. The Division has a strong clinical base and provides integrated and decentralized nephrology care throughout UBC Department of Medicine Page 75 Annual Report 2004 Vancouver Coastal Health including Richmond, North Vancouver and coastal areas. The Division has an important role in the UBC undergraduate medical curriculum, and has one of the largest nephrology postgraduate training programs in Canada. Research activities range from genetic and molecular sciences to innovative trials in renal disease and transplantation, with novel measures of health status and economic outcomes. Members of the Division assume leadership roles in the advancement of nephrology at provincial, national and international levels through their positions in the BC Provincial Renal Agency, BC Transplant Society, the Kidney Foundation of Canada, the Canadian and International Societies of Nephrology, the International Transplantation Society, and US National Kidney Foundation. Teaching Undergraduate: Division of Nephrology members have contributed significantly in developing and implementing the medical school’s distributed curriculum in 2004/5. From first year to fourth year clinical exams, they have been involved in all areas of undergraduate education. In the first phase (P2P1), Dr. Suneet Singh and Dr. Mike Copland give physiology lectures laying the groundwork for the curriculum blocks to follow. In the second phase (P2P2), Dr. Suneet Singh is the key person in the development and delivery of five week FERGU block. She is the week 4 chair and week 5 co-chair. She works with Dr. Colin White (block chair) in the design and coordination of the block. Teachers in the block include Dr. Mike Copland, Dr. Mercedeh Kiaii, Dr. Adeera Levin, Dr. Clifford Chan-Yan and Dr. Abeed Jamal. The Nephrology subspecialty residents are also involved in the clinical case sessions. In the clinical years, members of the Division contribute to the academic half days, bedside teaching and oral examinations for the medical students. Dr. Ron Werb, Dr. Anthony Chiu, Dr. John Duncan, Dr. Abeed Jamal, Dr. Paul Taylor, Dr. Mercedeh Kiaii, Dr. Beverly Jung and Dr. Suneet Singh are prominent clinicians in these areas. Dr. Singh was a member of the Medical School Admissions Committee in 2004. Dr. Abeed Jamal participated in the newly formed 4th Year Curriculum Committee. Dr. Singh and Dr. Levin coordinate medical student rotations through Nephrology at the VGH and SPH sites respectively, with Dr. Jamal being the students’ contact, along with administration staff at both sites, for electives and selectives. These rotations receive excellent evaluations and many students return as residents. Postgraduate: After several years successfully crafting an outstanding training program, Dr. A. Levin handed the reins over to Dr. J. Duncan who took over the role of Director of the Postgraduate Training Program in Nephrology in July 2004. The Division is proud of the excellent trainees currently enrolled in the first year (four) and the second year (one) of core nephrology training and one in the UBC American Society of Transplantation Renal Transplant Fellowship Program. We look forward to welcoming three more outstanding trainees to our program in 2005. There are also three trainees continuing post-fellowship research training at UBC, Harvard and Oxford Universities. Residents and fellows remain active in clinical research with submission and presentation of abstracts at meetings of the American Society of Nephrology, the Canadian Society of UBC Department of Medicine Page 76 Annual Report 2004 Nephrology, the American Society of Transplant Physicians, the Canadian Transplant Society, and the UBC Resident Research Day. Current fellows continuing training hold funding from the Clinician Investigator Program of the University of British Columbia (Debbie Rosenbaum, and Nadia Zalunardo), the Kidney Foundation of Canada (Jennifer Macrae) and competitive applications have been submitted for continued funding from the Michael Smith Foundation, the Kidney Foundation of Canada, and the KRESCENT program. Experimental Medicine: Dr. Norman Wong stepped down in June 2004 after serving 10 years as the Director of the Experimental Medicine Program. His successor is Dr. Vincent Duronio (see separate report). This Program had 117 trainees including those supervised by Dr. Paul A. Keown. Continuing Medical Education: The annual BC Nephrology Day was held in October 2004. This was a highly successful multidisciplinary meeting attracting over 300 participants from all renal care dialysis centers in British Columbia. Members of the Division participated in Continuing Medical Education activities at the local, provincial, national and international levels. Drs. Duncan, Copland, Landsberg and Gill were involved in a number of CME activities for both general practioners, internists and subspecialists within and outside the Vancouver area. In addition, CME activities organized for patients and caregivers, by both the Kidney Foundation and other groups, highlighted divisional members in culturally sensitive environments. Included in CME activities are those activities created by and for the division: divisional rounds have been re-organized to ensure twice-monthly scheduling of visiting and divisional speakers. All divisional members participate in Fellow’s rounds for the division, and have been asked to speak at various subspecialty rounds (Internal Medicine, Cardiology). Drs. A. Levin and P. Keown maintained active speaking schedules in national and international meetings, presenting both reviews of key topics and original research. Research Clinical Research: The clinical research in the Division of Nephrology emphasized outcomes research and clinical trials. The Division was actively involved in both industry-sponsored and peer-reviewed research in the areas of chronic kidney disease, dialysis and transplantation. Division members held grants from the Kidney Foundation grants, BC Research, BC Transplant Foundation, Michael Smith Foundation for Health Research, and other operating grants. The scope of clinical research included patient care prior to dialysis, cardiovascular disease in patients with kidney disease - determinants of outcomes and severity, vascular access monitoring and tracking programs, the relationship of monitoring systems to patient outcomes, mineral metabolism and patient outcomes, the evaluation of new medications on patient parameters, the evaluation of new immunosuppressive medications on transplant outcome, gender studies in renal disease, and ethics studies related to genetic identification of polycystic renal disease. UBC Department of Medicine Page 77 Annual Report 2004 Basic Research: The laboratory of Dr. N. Wong studies the role of vasoactive peptide in regulating the expression of vasopressin V2 receptor expression in the inner medullary collecting duct of the kidney. Dr. G. Quamme’s laboratory continues research on the magnesium response element that controls magnesium transport. Dr. P. Keown’s research projects funded by the Michael Smith Foundation for Health Research and Genome Canada include the genetic control of immune response in transplantation and arthritis, analysis of immune response gene polymorphisms, genomic and proteomic analysis in organ transplantation, and immunopharmacokinetics and dynamics. Administration Dr. Eugene C. Cameron stepped down in 2004 after serving 10 years as Head of the Division of Nephrology. His successor is Dr. Paul A. Keown. Dr. Keown is Professor of Medicine, Director of Immunology, and Director, VCH Regional Renal Program, Departments of Medicine, Pathology and Laboratory Medicine. Dr. Keown graduated in Medicine from the University of Manchester, and pursued postgraduate training in England, France, and Canada. He holds research Doctorates in both Medicine and in Science from the University of Manchester, and an MBA from Simon Fraser University in British Columbia. Dr. Keown's research focuses particularly on the immune response in transplantation and autoimmune disease, and ranges from molecular genetics to healthcare economics. Future Directions The Division will continue to build on its strengths to ensure the highest quality of academic and clinical activity for the University, the health system, and the community. It is anticipated that the Division will take a major role in Renal & Fluid and Electrolyte teaching in the expanded Medical School, continue leadership in nephrology postgraduate education, pursue integration of laboratory and clinical research in nephrology, and introduce innovative initiatives in the delivery of care to patients with renal disease. Special Honors and Awards Dr. Gary Quamme The Martin M. Hoffman Award for Excellence in Research in 2004, Department of Medicine, UBC Dr. Clifford Chan-Yan The Master Teacher Award for 2004, Department of Medicine, UBC Dr. Paul A. Keown Bringing Clinical Renown to VA Award Dr. Paul A. Keown 2004 Genome Canada Award Dr. John Gill Michael Smith Clinical Investigator Award UBC Department of Medicine Page 78 Annual Report 2004 NEUROLOGY Dr. Howard Feldman Professor & Head Faculty Members Professor & Head Professor Professor Professor Professor Professor Professor Professor Associate Professor Associate Professor Assistant Professor Assistant Professor Assistant Professor Assistant Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor UBC Department of Medicine Feldman, Dr. Howard Barton, Dr. Jason Doudet, Dr. Doris Oger, Dr. Joel Pelech, Dr. Steven Stoessl, Dr. A Tsui, Dr. Joseph Wang, Dr. Yu Tian Kastrukoff, Dr. Lorne McKeown, Dr. Martin Hsiung, Dr. Robin Lee, Dr. Chong Spacey, Dr. Sian Tremlett, Dr. Helen Hooge, Dr. John Javidan, Dr. Manouchehr Jones, Dr. Michael Krieger, Dr. Charles Robinson, Dr. Gordon Beckman, Dr. Jeff Briemberg, Dr. Hannah Clarke, Dr. Stephen Foti, Dr. Dean Gibson, Dr. Gillian Johnston, Dr. Dean Keyes, Dr. Robert Martzke, Dr. Jeffrey Mezei, Dr. Michelle Prout, Dr. Alister Teal, Dr. Phillip Thiessen, Dr. Brian Traboulsee, Dr. Anthony Page 79 VA VA VA VA VA VA VA VA VA VA SPH VA VA VA SPH VA VA VA VA VA VA SPH VA VA SPH SPH VA VA SPH VA VA VA Annual Report 2004 Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Associate Member Associate Member Associate Member Associate Member Associate Member Associate Member Associate Member Associate Member Associate Member Associate Member Associate Member Adjunct Professor Adjunct Professor Adjunct Professor Visiting Assistant Professor Professor (Emeritus) Professor (Emeritus) Professor (Emeritus) Professor (Emeritus) Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Clinical Associate Professor (Emeritus) Clinical Associate Professor (Emeritus) Chapman, Dr. Kristine Costantino, Dr. Anthony Devonshire, Dr. Virginia Hallam, Dr. Bradley Murphy, Dr. Colleen Smyth, Dr. Penelope Tai, Dr. Charles Tessler, Dr. Barry Varelas, Dr. Michael Woolfenden, Dr. Andrew Anderson, Dr. Duncan Forwell, Dr. Susan Graeb, Dr. Douglas Hurwitz, Dr. Trevor Leavitt, Dr. Blair Li, Dr. David Moore, Dr. Wayne Raymond, Dr. Lynn Sadovnick, Dr. Adele Stowe, Dr. Robert Wilkinson, Dr. Rosemary Bub, Dr. Daniel Ruth, Dr. Thomas Sossi, Dr. Vesna Al-Araji, Dr. Adnan Calne, Dr. Donald Eisen, Dr. Andrew Kim, Dr. Seung Pate, Dr. Brian Sweeney, Dr. Vincent Anzarut, Dr. Andre Bratty, Dr. Paul Hashimoto, Dr. Stanley Jones, Dr. David Wong, Dr. Milton SPH VA VA VA VA VA SPH RCH VA VA VA VA VA VA VA VA VA UBC VA VA VA U Victoria VA VA VA VA VA VA VA SPH VA VA VA SPH Divisional Overview The Division of Neurology is the largest division within the Department of Medicine. It has its major teaching, research and clinical activities at Vancouver General Hospital, UBC Hospital and St. Paul’s Hospital. There are 40 Neurology faculty members whose primary appointment is in the Division, with another 11 appointed as associate members, 2 as adjunct professors and 10 as emeritae. The Division is nationally and internationally recognized for its clinical and research programs in neurodegenerative, demyelinative, neuromuscular and cerebrovascular diseases. It has been consistently very productive in obtaining peer reviewed grant funding, and makes important UBC Department of Medicine Page 80 Annual Report 2004 contributions to both basic neuroscience and clinical neurological literature. This past year divisional members published more than 115 papers in peer-reviewed journals. The Division provides neurological care province wide including tertiary and quaternary care for a variety of neurological disorders. The division has clinical outreach to many communities around the province. Faculty are actively involved in teaching and supervising all levels of students and trainees from undergraduate to post doctoral fellows. Amongst the highlights for the Division in the past year has been the recruitment and arrival of a number of full-time faculty who will be adding their clinical, teaching and research expertise to the division. Dr. Jason Barton was recruited from Harvard to UBC in September 2004 to take up a position as Tier II Canada Research Chair and Michael Smith Scholar, as well as Section head of the division of Neuro-ophthalmology. His research activities will center on cognitive neuroscience with collaborations within the Brain Research Center and with a number of divisions and departments across the university. Dr. Robin Hsiung, has been recruited to the Division to work at the interface of neurogenetics and neurodegenerative diseases particularly the dementias. He has completed a Michael Smith post-doctoral fellowship prior to taking up this junior faculty appointment in the Division. He will be contributing clinically within the SPH division and will be attending at the UBCH Alzheimer Clinic. Dr. Hannah Briemberg was recruited from Harvard to UBC to take up a clinical faculty appointment in the Neuromuscular Disease Unit. She completed her clinical fellowship training in neuromuscular diseases at the Brigham Hospital where she had been appointed as junior faculty member. She will add expertise within neuromuscular diseases and will be developing a research program in muscle diseases. The Division was deeply moved by the passing of Dr. Donald Paty at the end of 2004. Dr. Paty had been Division Head from 1980-1996. He was an outstanding clinician scientist, educator and administrator who created the academic tradition of the division both by his own example and by his leadership. An Endowment Fund in his name is in place within the Division to honour his accomplishments. It will provide funding to aspiring academic neurologists in the early years of their career with the goal of building the academic mission of the Division. Teaching Undergraduate: Division members continue to be involved as PBL facilitators and teachers in the Brain and Behaviour block during 2nd year, providing lectures and bedside sessions in clinical skills. As in previous years student evaluations for the clinical skills sessions give neuroscience tutors outstanding reviews. The Division is particularly grateful to the community neurologists who have faithfully supported this teaching activity. Seminars and bedside sessions are provided in 3rd year and a 4th year clerkship is available as an elective/selective. The clerkship is based on an inpatient and outpatient experience allowing students to take advantage of all of the resources within the Division. As well as UBC students the clerkship attracts students from other medical schools in Canada and other countries. Divisional members are an integral part of Phase VI providing curricula designed to encourage critical evidence-based management of clinical problems. UBC Department of Medicine Page 81 Annual Report 2004 Postgraduate: The Post Graduate Residency Training in Neurology is fully accredited with the Royal College of Physicians and Surgeons. It currently has 16 residents at various levels of training from PGY1 to PGY5. In the first two years of the program, the residents rotate through various subspecialties in Internal Medicine, ICU, Emergency, as well as doing their first Neurology rotations. The PGY3-5 years are core Neurology training years. Residents do their inpatient training at Vancouver General Hospital and St. Paul's Hospital. Many outpatient subspecialty clinics are done at UBC Hospital. During their training the residents in Neurology are actively involved in various research projects. In 2004 there were 6 resident poster presentations at various international meetings and 4 papers published in peer-reviewed journals. Dr. Brian Buck, the chief resident in Neurology was awarded a Resident Scholarship Award for the American Academy of Neurology Annual Meeting in 2004. A number of residents also presented at the BC Neuroscience Day held in March 2004. Dr. Colleen Murphy undertook a new teaching initiative within the Division in 2004, developing a 32-hour course, which she presented to the residents from September 2003 to February 2004, on Neuroanatomy and its applications within Neurology. This course was extremely highly rated by the residents. Fellowship Training and Awards: The Division of Neurology appointed the following individuals to fellowship and post-doctoral fellowship training in 2004: Multiple Sclerosis Program: Dr. Helen Tremlett (post doctoral fellow of the MS Society), Dr. Penny Smyth and Dr. Cavit Boz (clinical fellow). Alzheimer’s Disease and Related Disorders: Dr Claudia Jacova (CIHR and Michael Smith Training Award) post-doctoral fellowship. Parkinson’s Disease and Movement Disorders (Pacific Parkinson’s Research Center): Dr. John Adams, Dr. Andre Troiano and Dr. Wing Lok Au (clinical fellows). Basic Neuroscience Research: Dr. Nadege Chery, Dr. Tara Gaertner and Dr. Changiz Taghibiglou (postdoctoral fellows). Neuropsychology: Dr. Jane Kucera was appointed clinical fellow in Neuropsychology under the supervision of Dr. Jeff Martzke. Vancouver General Hospital Neurology Service (Clinical Teaching Unit) The in-patient service at VGH consists of a 14 bed unit located on T5-B of the Pattison Pavilion. This unit is the only dedicated in-patient Neurology clinical teaching unit (CTU) in the province and has within its mandate the provision of tertiary care for complex neurological disorders. The inpatient program features a specialized epilepsy monitoring unit (2 beds), a stroke service (6 beds) and an allotted 6 beds for general neurology. Life and Limb policies are in place for accepting acute stroke patients, as well as neuromuscular disorders requiring plasmapheresis. Over the last year substantial improvements to stroke care have been made within VGH. A very large percentage of all stroke patients presenting or referred to VGH are now admitted to the UBC Department of Medicine Page 82 Annual Report 2004 Neurology service for acute management during the first 5-7 days of their post stroke care. From there the stroke pathway includes transfer to the UBCH Subacute Stroke Unit before moving on to appropriate rehabilitation facilities or home. This has resulted in an increase in the number of stroke patients cared for on neurology with a reduction in patients requiring a prolonged stay on the unit. The VGH and UBCH neurologists provide important consultation services within Vancouver Acute. Neurological diagnostic services at VGH include electroencephalography (EEG), intraooperative monitoring (IOM) and electromyography (EMG) are based at VGH. Ambulatory services provided include subspecialty clinics for Movement Disorders, Multiple Sclerosis, Alzheimer’s Disease and dementias, Stroke, Neuromuscular Disease, Amyotrophic Lateral Sclerosis Epilepsy and Neuro-oncology. These clinics integrate with a strong research environment for each of these programs, which in turn forms the core of the academic mission of the Division. The clinics also provide important post-graduate educational activities for trainees within the Division. There are subspecialist clinical neurologists within the division dedicated to care of patients with headache (Dr. Gordon Robinson), pregnancy complications (Dr. Robert Keyes) and HIV (SPH). St. Paul's Hospital Division of Neurology The St. Paul’s Hospital Division of Neurology is an important part of the clinical and teaching program of the UBC Division of Neurology. Dr. Robert Keyes is the division head of SPH. This division provides tertiary referral care for the Providence Health Care network as well as to the province more widely. The SPH division participates in an important and extensive outreach program to communities in northern BC and the Yukon territory. It is additionally involved in providing inpatient consultation services to the Mount St. Joseph’s Hospital site and Women’s Hospital. The division has opened an outpatient neurology clinic at the Mount St. Joseph’s Hospital Site to meet the needs of the patient population it serves. At SPH there is a Rapid Access Neurology Clinic where patients requiring urgent but not emergent care are seen and provide clinical service especially to the patient population arising from the downtown core. The members of the Division of Neurology at SPH includes a wide cross section of subspecialty interests including clinical neurophysiology, neuromuscular disease, multiple sclerosis, neurological diseases in pregnancy, cerebrovascular disease and neurological diseases in HIV and AIDS. A close link between the Division of Neurology at SPH and the Department of Pediatrics and the Department of Obstetrics continues by virtue of the subspecialty interests of Dr. Keyes. The appointment of Dr. Robin Hsiung has added expertise in neurogenetics especially in neurodegenerative disease. Dr. Hsiung will conduct lab research in collaboration with the I-Capture Center at SPH. Research Alzheimer’s Disease and Related Dementias Clinical Activities: The UBCH Alzheimer Clinic evaluated about 1000 patients in 2004 making it one of the largest clinics of its kind in Canada. It is the main tertiary care referral center in BC UBC Department of Medicine Page 83 Annual Report 2004 for dementia assessment. New referrals include a range of multidisciplinary assessments including Genetics, Social Work, Neuropsychology, Geriatric Psychiatry and Neurological/Medical. The UBC Alzheimer’s Clinical Trials Program has been active in applications for peer-reviewed grants in 2004. Success in CIHR funding for projects on Frontotemporal Dementia (3 years) and Primary Prevention of dementia (1 year) has just been announced. The research unit will also participate in an NIH project developing biomarkers for AD and related dementias (ADNI). This 50 million dollar initiative is one of the largest grants ever provided through NIH and continues a line of collaborative research with the US Alzheimer research community reflecting the international recognition of the unit. Divisional faculty participating include: Dr. Howard Feldman (Director), Dr. Dean Foti, Dr. Jeff Beckman, and Dr. Robin Hsiung. The research group includes: Dr. Lynn Beattie, Dr. Philip Lee, Dr. Kiran Rabheru, Dr. Brad Hallam, Dr. Ian Mackenzie, Dr. Claudia Jacova (post-doctoral fellow), Ms. Sandra Tam (data management core), Jacob Grand (graduate student) and Dr. Alan Donald (statistician), and a dedicated group of research assistants and research coordinators. The ACCORD study, a longitudinal multicenter cohort study of subjects referred with cognitive symptoms received funding to complete final visit data on all subjects. This national study has been led by the coordinating center at UBC. Dr. Howard Feldman is the National Principal Investigator for this study. Peer reviewed research funding from CIHR/Alzheimer Society of Canada has been ongoing for a longitudinal study of novel MRI techniques in mild cognitive impairment (2002-4). Clinical trials have continued to focus in the past year on studies of mild cognitive impairment as a precursor state to AD, with completion of a series of large clinical trials investigating the potential for delay of time to the diagnosis of AD. A core group of very experienced nurse coordinators and research assistants are critical to the success of the clinical trials program. Teaching and Education: The Clinic has been very active in providing teaching to trainees of multiple disciplines at many levels. A formal one-day preceptorship training program for family physicians and specialists is in place. Clinic members participated extensively in CME activities, and on expert national international working groups and advisory committees. The Clinic is very active in public education. Stroke and Cerebrovascular Program The VGH serves as the tertiary referral centre for stroke and cerebrovascular diseases in B.C. To support this clinical role the VGH Stroke Program maintains a dedicated on-call system with the commitment of six neurologists. A “Stroke Hot Line” pager system is available 24/7 to triage patients from around the lower mainland and southern British Columbia. The VGH Stroke Team consists of stroke neurologists, diagnostic and interventional neuroradiologists, neurointerventional/neurovascular neurosurgeons, and vascular surgeons. The program provides state-of-the-art care to cerebrovascular patients. Neuroradiology provides superb diagnostic and interventional services. In cooperation with the BC Bedline the program has successfully UBC Department of Medicine Page 84 Annual Report 2004 developed an acute stroke referral system for the provision of thrombolytic and interventional stroke care. The VGH Stroke Unit provides intensive care nursing for the treatment of acute stroke patients who are critically ill or who have received interventional therapies. Organized delivery of stroke care at the VGH and the development of a regional stroke care strategy will permit patients to flow from the Acute Stroke Unit to the Subacute Stroke Unit to Rehab and reintegration into the community. Efforts are now underway to develop a British Columbia Stroke Strategy in collaboration with the Heart and Stroke Foundation. The Stroke Prevention Clinic is busy two days a week and provides same day clinical and diagnostic services to patients. This clinic provides a critical resource for patients at risk of stroke and to emergency departments and physicians. Prompt and expert care reduces the need for hospitalization through the rapid evaluation of patients. The VGH Stroke Program has had an extremely busy year in educational activities. Vancouver served as the host city for the 5th World Stroke Congress which attracted 2500 international delegates. The 8th International Thrombolysis and Acute Stroke Meeting was held at Whistler as a satellite meeting to the World Stroke Congress. Both meetings were widely acknowledged the most successful held to date. The Annual Western Canada Stroke Conference was again highly successful in its mission to provide stroke education to neurologists from B.C. and western Canada. Weekly stroke rounds are held to provide education to residents and medical students. Residents and students spend time in the Stroke Prevention Clinic evaluating and making decisions on urgent cases. The Stroke neurologists continue to give Grand Rounds, medical rounds and talks at CME events to educate physicians around the province. Public forums have been held by the Heart and Stroke Foundation with the participation of stroke neurologists and others. On an international level, members of the Stroke Program delivered posters and platform presentations at the American Stroke Association meeting, the Canadian Congress of Neurological Sciences, the American Academy of Neurology, and the European Stroke Conference. Multiple Sclerosis The 2004 census of Clinic activity included 4517 active charts with 3239 patient visits during the year and with 285 new patients confirmed to have Multiple Sclerosis. There were several new faculty appointed to the Division with special expertise in MS. Dr. Penelope Smyth completed her fellowship and was recruited to the division as clinical faculty to assist in building the clinic core while Dr. Helen Tremlett (Ph.D PharmD) was appointed to the division as Assistant Professor with a 5 year grant support from the Multiple Sclerosis Society of Canada. Dr. Tremlett will be focusing her research on the side-effects of the immune modulatory drugs and, in collaboration with Dr. V. Devonshire, has initiated a research program on the natural history of multiple sclerosis using the COSTAR database created by Drs. Paty and Studney. These appointments bring the Clinic to a faculty of 7 consultant neurologists (Drs. V. Devonshire, S. Hashimoto, J. Hooge, L. Kastrukoff, J. Oger, P. Smyth and (A) T. Traboulsee. There is an active recruitment process underway to fill an Endowed Chair in MS-MRI as well as to replace Dr. Don Paty in providing academic leadership to the program. UBC Department of Medicine Page 85 Annual Report 2004 Dr. Adnan Al-Araji completed his MS clinic fellowship (Dupré Fellowship from the International Federation of Multiple Sclerosis London UK) and has taken up an appointment as a Consultant Neurologist at the University Hospital of North Staffordshire in Stoke on Trent (UK). The Clinic continues to maintain important interdepartmental collaborations to provide best care to affected patients. In particular the close collaboration of Dr. A. Jiwa (psychiatric care), Dr. S. Elliot (sexual medicine care), Drs. J. Barton and D. Anderson (for neuroophthalmologic care) and neuro-urology. The clinic has provided outreach to 3 satellite clinics in Victoria (800 patients registered), Kelowna (600 patients), and Prince George (250 patients), as well as providing outreach through clinic activities in Comox. Each clinic is organized in the local hospital under the umbrella of the local health board around a full time coordinating nurse. The UBC consultants and local neurologists work together in providing the highest quality MS care within a multidisciplinary setting that includes critical contributions from Physiotherapy, Occupational Therapy and Social work. The genetic counseling team provides an important resource to patients with their activities that are centered at the UBC MS clinic office. In collaboration with Pharmacare and with educational funding from the pharmaceutical industry it has been possible to continue the valuable “MS Special Therapy” program to help educate patients in the choice and management of adverse effects of Disease Modifying Therapies (DMT). We are now following over 1500 treated patients. Under the leadership of Sandra Burnham (PT) the Clinic has produced an educational videotape for “newly diagnosed patients” which has already received international recognition. The MS clinical trial group: Through this research program of the Clinic MS clinic patients can participate in innovative clinical trials that have resulted in major advances in therapy. In 2004 clinical trials included a study of high dose interferon versus copaxone®. studies of new oral immunosuppressors and modulators and vaccines to induce tolerance to myelin proteins. Rehabilitation Programs: Our rehabilitation team has been very active in setting-up the website of the International Consortium of MS Centers (T. Jiwa), as well as representing us on the Editorial Board of the Journal of MS Care (S. Forwell). S. Forwell is now doing her PhD in OT at UCSF (J.O. member of Committee) after focusing on MS fatigue (paper submitted). S. Burnham (PT) has presented at the Consortium of MS Centers meeting. Sandy Burnham has received the Silver Quill Award of the PT Association of Canada. Drs. Oger and Tremlett are recipients of a research grant from the MS Society of Canada. This grant will permit Dr. Tremlett to work on the World database on MS at the Sylvia Lowry Centre in Munich (Germany) where she will collaborate in 2005. Neuro-immunology Laboratories: The lab has added new assays on antibodies to interferons fulfilling a need identified by the Canadian Network of MS clinics to have this testing available for clinical use in Canada. Genetics of MS: Dr. Sadovnick, a Michael Smith Distinguished Scholar, has received a 3 million dollar grant from the MS Foundation of Canada to pursue further studies on the genetic UBC Department of Medicine Page 86 Annual Report 2004 susceptibility to MS. She has also initiated a North American pregnancy registry under the auspices of the Consortium. MS/MRI: The MS/MRI Research Group, directed by Drs. Li and Traboulsee, continues to provide internationally recognized high quality MRI analyses for multicentre research as well as developing a 4-terabyte database for future natural history studies. Innovative analytic techniques have been developed that allow semi-automated lesion load and brain volumetric measures.. In collaboration with the Consortium of MS Centres, Drs. Li and Traboulsee have developed international guidelines for clinical MR imaging in the diagnosis and management of Multiple Sclerosis. The MS/MRI Research Group has fostered translational research in MS by supporting basic physics research (Alex MacKay) and pathological correlation studies (Drs. Moore and Dorovini-Zis). Neurogenetics The initiatives in Neurogenetics have brought together a group of researchers including Dr. Sian Spacey, Dr. Michelle Mezei, Dr. Blair Leavitt, Dr. Robin Hsiung, Dr. Dessa Sadovnick, Dr. Lynn Raymond and a group of genetic counselors. At the UBCH the Neurogenetics clinic is a referral center for British Columbia providing over 300 outpatient visits in 2004. The patients seen have a wide range of inherited peripheral and central CNS disorders. The most common include the ataxias, channelopathies, hereditary spastic paraparesis, the phakomatoses, myotonic dystrophy, CMT, ALS, and mitochondrial disease. Many of these patients are participants in genetic research run through the UBC Neurogenetics Unit and have donated DNA to the clinic DNA bank. As well there are Neurogenetic arms of the Alzheimer and MS Clinics which provide genetic counseling to patients and families with these disorders. The research focus of the program overall spans both translational and basic science research. Dr. Blair Leavitt has been involved in ongoing clinical research on the hereditary movement disorders, specifically the various forms of ataxias, hyperkinetic syndromes, and chorea-form disorders, as well as being involved in post-mortem studies of HD, SCA and FTD. His lab has directed attention at identifying novel forms of CAG repeat disorders and he has been involved in ongoing clinical trials looking for novel Biomarkers or testing new therapeutic agents. Dr. Spacey’s primary clinical interests are the hereditary CNS disorders, in particular the ataxias and the channelopathies. Dr. Spacey runs a translational research program through the Neurogenetics clinic. The clinic is the point of contact between the patients and her basic science activity. The main focus of Dr. Spacey’s research is the molecular genetics of the channelopathies and ataxia. Dr. Spacey was recently awarded an operating grant from the CIHR to investigate the genetics and pathogenic mechanism of the paroxysmal dyskinesias. Additionally she holds operating grants from the National Ataxia Foundation (USA) and the Vancouver Costal Health Authority for investigation into the pathogenesis of the hereditary ataxias. Dr. Mezei’s primary interest is in the hereditary neuromuscular diseases with a special interest in mitochondrial disease and ALS. She is currently involved in a number of research projects UBC Department of Medicine Page 87 Annual Report 2004 ranging from Predictive Testing in SOD-1 familial ALS, to Comparison of brain MR spectoscopy with measurement of brain myelin content in individuals with cognitive deficits related to phenylketonuria. Neuromuscular Diseases Program The Neuromuscular Diseases Unit at VGH has a variety of specialized programs which attract patients from around the province for their care. 1. Peripheral Neuropathy Program – Drs. Chapman and Gibson continue to be active in the development of the Peripheral Neuropathy Clinic. They have several ongoing diabetic neuropathy and CIDP trials. The recruitment of Dr. Hannah Briemberg has added her expertise in nerve and muscle biopsy to the program. 2. Myasthenia Gravis Program – This program includes the MG Clinic at VGH which has expanded with the involvement of Drs. Oger, Gibson, Mezei, Chapman and Briemberg. Its current projects include a formal review of the clinical course of antibody negative myasthenia gravis and an epidemiological study of the incidence and course of myasthenia gravis in the Asian BC population. 3. Muscle Diseases Program – Dr. Briemberg additionally brings a new expertise to muscle diseases. Clinical muscle pathology Rounds are scheduled monthly and the NDU at VGH has strengthened its association with the pediatric neuromuscular program with Dr. Briemberg attending the weekly pediatric neuromuscular clinic at BCCH. 4. ALS Program – Drs. Gibson and Eisen have continued their successful activities in fundraising in support of the merged VGH-GF Strong ALS Clinic. These efforts have added to those of UBC, the Vancouver Hospital Foundation and the ALS Society of BC. The new Vancouver Coastal ALS Centre will open at the G.F. Strong site in March 2005. This clinic will stand as a legacy to the many contributions that Dr. Andrew Eisen made in the diagnosis and treatment of ALS patients throughout his career. Dr. Eisen formally retired as the Director of the ALS Clinic in December 2004 with Dr. Charles Krieger assuming the role of Interim Director. In addition to his active involvement in the ALS Clinic, Dr. Charles Krieger continues with his research in the murine mouse model of ALS and examining the role of protein kinases in the disease. The Neuromuscular Diseases Unit and the UBC Division of Neurology will welcome Dr. Neil Cashman as the new Director of the Vancouver Coastal ALS Centre in July 2005. Dr. Michelle Mezei has been active in her role as the Director of Residency Training in the Neuromuscular Program and electromyography. In addition to supervising weekly Neurophysiology Rounds, she is actively involved in the monthly Muscle Pathology Rounds and Clinical Neuromuscular Rounds. Dr. Mezei is further developing her focus in the metabolic myopathies and genetic neuromuscular diseases, attending clinics in the Adult Metabolic Diseases Unit and the Adult Neurogenetics Clinic at UBC. UBC Department of Medicine Page 88 Annual Report 2004 Neuro-Oncology Program The Neuro-Oncology program is a multidisciplinary program involving members of the Divisions of Neurology, Radiation Oncology, Neurosurgery and Medical Oncology. Its goal is to provide comprehensive care for patients with CNS malignancies and establish both clinical and translational research programs in Neuro-Oncology. In the realm of patient care, the program has continued to supply patients with advanced surgical and radiotherapeutic management of brain tumors including a well-established linear accelerator based stereotactic radiation program. Molecular diagnostic technology has advanced our understanding of oligodendrogliomas and improved our management and chemotherapeutic strategies for these tumors. Over the 2004 year, grant supported research into ILK inhibition in gliomas has completed with publication of results in peer-reviewed literature. Research into molecular genetic changes in oligodendroglioma and other gliomas is ongoing with grant support from the Brain Tumour Foundation of Canada. New clinical research trials include a phase II trial of a novel tyrosine kinase inhibitor GW572016 for relapsed glioblastoma multiforme. A phase 1 trial using the oncolytic virus Reolysin in glioblastoma multiforme may open in 2005. Neuro-Ophthalmology The UBC Neuro-ophthalmology Division provides neuro-ophthalmic clinical, teaching, and research services at St. Paul’s Hospital Eye Clinic, Vancouver Hospital Eye Care Centre, UBC Hospital MS Clinic, and consulting services at VH, SPH, GF Strong and BC Children’s Hospital and outreach programs. There are 10 neuro-ophthalmology clinics per week. Medical students, ophthalmology and neurology residents and fellows rotate through the neuro-ophthalmology service and we supply approximately 60 hours of clinical teaching per week. During the year 2,150 patients were seen at SPH site, 640 at UBC site, 1,400 at Eye Care Centre site. The neuro-ophthalmology members have all been involved with presentations both locally and nationally. The neuro-ophthalmology clinics continue to attract consultations from all over the province and provide an excellent database for ongoing research studies, as well as for teaching purposes. The program had 2 international clinical fellows and provided a remarkable teaching dossier of 1536 hours of instruction of fellows, 588 hours for residents and 688 for medical students. Pacific Parkinson’s Research Centre Teaching The Movement Disorders Clinic provides ambulatory teaching to medical students and to residents in neurology, geriatrics, psychiatry and family medicine. UBC Department of Medicine Page 89 Annual Report 2004 Faculty members of the Pacific Parkinson’s Research Centre participate in the Brain & Behaviour course and provide training to trainees at the MSc. and PhD. levels in the Experimental Medicine and Graduate Neuroscience programs. Dr. McKeown took over as codirector of the Motor Systems module of the Systems Neuroscience (Neuroscience 501) core course in the Graduate Neuroscience program. Faculty members within the Centre serve as mentors in the CIHR-funded Neuroscience Training Initiative. One of the first group of training award recipients has joined our program as a PhD student this past year. Research During the past year, successful CIHR grant applications included The Natural History of Sporadic and Inherited Parkinson’s (Stoessl/Lee et al.), Neural Mechanisms Underlying Response Changes to Levodopa in PD (Lee/Phillips et al.), and Development of Radiotracers based on Oligonucleotide Labeling (Ruth et al.). Additionally, both Drs. Sossi and Ruth obtained NSERC funding, for Quantitative High Resolution PET Imaging and Gas Targetry, respectively. The Centre was awarded one of only a few National Parkinson Foundation Center of Excellence awards. This award provides support for clinical services and outreach, as well as a research award to Dr. McKeown for Spatial & Temporal Aspects of Compensatory Mechanisms in PD. Finally, Dr. McKeown is co-PI on a successful CFI application for development of a Biomedical Signal and Image Computing Laboratory. One of the major collaborations of our Centre is with the neurogenetics program at the Mayo Clinic, Jacksonville. During the past year, this collaboration resulted in identification of a novel gene mutation underlying dominantly inherited Parkinson’s. The paper describing this mutation appeared in Neuron. Imaging studies helped identify preclinical disease in some members of the pedigrees that were studied. The backbone of the Centre’s research program continues to be the close partnership with the UBC-TRIUMF PET program. During the past year, development work and preliminary experiments were conducted on the new small animal PET tomograph, as well as the highresolution, high sensitivity human research tomograph. Dr. Doudet has continued work on understanding the mechanisms underlying benefit from retinal pigmented epithelial cell implants and electroconvulsive therapy in PD. In addition to our basic and imaging research program, a number of clinical trials continued. Clinical The Movement Disorders Clinic provided more than 3,500 outpatient visits in 2004. The majority of these are for patients with Parkinson’s disease or focal dystonia. This reflects on the increasing emphasis on outpatient care with the extremely restricted access to in patient beds. The program is heavily supported by nurse coordinators, who provide education and counseling to patients, families and other health care professionals. UBC Department of Medicine Page 90 Annual Report 2004 Epilepsy The comprehensive Epilepsy Program was established almost 20 years ago by Dr. Sherrill Purves and Dr. Barry Woodhurst, with assistance from hospital administration, and with funding from the B.C. Government to recognize the uniqueness of this program. Dr. Michael Jones is currently the program director. This multidisciplinary program is the only one in the province that evaluates patients for surgical epilepsy management. The Epilepsy Program team includes Dr. W. Barry Woodhurst (Neurosurgery), Dr. David Katz (Neuropsychologist), and Dr. Mano Javidan (Epilepsy Neurologist). The program benefits from an excellent nurse clinician in Janice Henrikson, plus the unique expertise and support of the EEG technology service. There is capable administrative support from Jean A’Bear. Epilepsy Education is a very important and active part of the program. Both Dr. Jones and Javidan provide CME around the province and country. Dr. Woodhurst is currently doing a large in-depth analysis of program’s surgical results. Over the past year a new state of the art digital telemetry system has been implemented. The program also assists patients with “fits, faints, and funny turns”, and specifically the topic of non-epileptic seizures, a spectrum of problems that are costly and labour intensive to reconcile diagnostically. In its clinical research the program participates in multicenter drug trials of emerging therapeutics for epilepsy. SPH Research A number of clinical research projects are ongoing at SPH including neuroprotective studies in cerebrovascular disease, and carnitine use in HIV and AIDS related peripheral neuropathy. Basic Neurosciences The lab of Dr. Yu Tian Wang has continued to receive international accolades with outstanding academic productivity. Dr. Wang’s research focuses on understanding the molecular mechanisms responsible for regulating the function and intracellular trafficking of neurotransmitter receptors critical for brain functions such as learning, memory and cognition. He is investigating the manner by which these mechanisms may be altered in central nervous disease processes. His goal is to be able to treat central nervous disorders such as stroke, epilepsy and drug addiction by designing new therapeutics which specifically target these receptors and their pathways. Amongst his current lab projects is a study of the molecular mechanisms mediating neuronal death following stroke. A major research focus of this project is to develop new therapeutic agents that will interfere with cell-death inducing glutamate receptor signaling pathways by disrupting interactions of the glutamate receptors, particularly the NMDA subtype (NMDAR), with scaffolding and signaling proteins. His lab has been a strong training environment with 3 post doctoral fellows appointed in 2004. UBC Department of Medicine Page 91 Annual Report 2004 Appointments and Promotions Dr. Anthony Traboulsee was promoted from the rank Clinical Instructor to Clinical Assistant Professor with effect from July 1, 2004. Dr. Jason Barton was appointed to the rank of Associate Professor with effect from September 1, 2004. Dr. Hannah Briemberg was appointed to the rank of Clinical Assistant Professor with effect from October 1, 2004. Dr. Robin Hsiung was appointed to the rank of Assistant Professor with effect from September 1, 2004. Dr. Helen Tremlett was appointed to the rank of Assistant Professor with effect from October 1, 2004. Dr. Bradley Hallam was appointed to the rank of Clinical Instructor with effect from July 1, 2004. Dr. Penelope Smyth was appointed to the rank of Clinical Instructor with effect from September 1, 2004. Special Honours and Awards Dr. Doris Doudet served as External Reviewer, National Institute of Health (NIH) - Center for Scientific Research as well as serving as an External Reviewer, CIHR, BSB in October 2004. Dr. Philip Teal was awarded the Donald M. Whitelaw Award for Outstanding Grand Rounds Presentation in the UBC Department of Medicine in 2004. Dr. Gillian Gibson was awarded the Master Teacher Award in the UBC Department of Medicine for 2004. Dr. Lynn Raymond was promoted to the rank of Full Professor and was awarded the Killam Research Prize, Senior Science Category in the amount of $5000 in 2004. Dr. Charles Krieger won the Vancouver Hospital and Health Science Centre and University of British Columbia Scholarship Award in 2004. Dr. Gordon Robinson was the chair and convener at the 2004 Annual Forefronts in Neurology meeting for the neurologists of BC. Dr. Howard Feldman convened a national conference on regulatory guidelines for the development of antidementia drugs in Canada. This conference received peer reviewed funds from Canadian Institutes of Health Research (CIHR) Institute on Aging. He was invited to deliver plenary lectures at the 9th International Conference on Alzheimer’s Disease and Related UBC Department of Medicine Page 92 Annual Report 2004 Disorders as well as the 7th International Springfield Montreal Conference on Therapy in Alzheimer’s Disease. Dr. Helen Tremlett was awarded a travel grant for young investigators (Euro400) by the ECTRIMS Scientific Committee to attend the annual conference in Vienna 2004. Dr. Y.T. Wang was awarded the J.A.F. Stevenson Professor of the Canadian Physiological Society and the UBC Killam Research Prize in 2004. Dr. Donald W. Paty was awarded the Meritorious Service Decorations (civil division) by the Governor General of Canada in 2004. Dr. Colleen Murphy became a diplomate of the American Board of Psychiatry and Neurology. Dr. Mano Javidan holds the positions of Examiner, Canadian Society of Clinical Neurophysiology-EEG and Evoked Potentials, Secretary Treasure Canadian Society of Clinical Neurophysiology, Member of Executive Board, Canadian Congress of Neurological Sciences, Member, Liaison Committee, Canadian Congress of Neurological Sciences and Vice Chair, Diagnostic Accreditation Program (Neurodiagnostics), British Columbia, 2004. Dr. Martin McKeown was awarded a large peer reviewed grant from the Canadian Foundation of Innovation New Opportunities Fund and the BCKDF with contributions, cash and in kind, from the Department of Electrical and Computer Engineering, the Brain Research Center (Faculty of Medicine/UBC Hospital), ICICS, and equipment vendors. This funding will be used to equip the Biomedical Signal and Image Computing Lab (BiSICL). He was also awarded the Vancouver Coastal Health Research Institute Interdisciplinary Award for a project on the novel assessments of motor performance in patient populations. UBC Department of Medicine Page 93 Annual Report 2004 PHYSICAL MEDICINE & REHABILITATION Dr. Theo van Rijn Clinical Assistant Professor & Head Faculty Members Clinical Assistant Professor & Head Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Clinical Instructor Honorary Professor Associate Member Associate Member Associate Member Professor (Emeritus) Clinical Professor (Emeritus) Clinical Associate Professor (Emeritus) UBC Department of Medicine van Rijn, Dr. Theo Anton, Dr. Hubert Hahn, Dr. George Schamberger, Dr. Wolfgang Travlos, Dr. Andrew Dhawan, Dr. Pankaj Hirsch, Dr. Gabriel Jung, Dr. Susan Mortifee, Dr. Peter Townson, Dr. Andrea Vondette, Dr. Michael Weeks, Dr. Claire Adrian, Dr Mark Crossman, Dr. Mark Dawson, Dr. Andrew Hughes, Dr. Barbara Koo, Dr. David Lau, Dr. Herman O'Connor, Dr. Russell Reebye, Dr. Nittin Underwood, Dr. Heather Weiss, Dr. Elliott Willms, Dr. Rhonda Yao, Dr. Jennifer Kaplan, Dr. Paul Eng, Dr. Janice Miller, Mr. William Yassi, Dr. Annalee Murray, Dr. Duncan Robinson, Dr. Cecil Pinkerton, Dr. Alexander Page 95 VA VA VA Burnaby VA VA VA VA VA VA VA VA VA Vancouver VA VA VA SPH VA VA VA SPH VA VA USA Vancouver VA Vancouver Annual Report 2004 Divisional Overview The UBC Division of Physical Medicine & Rehabilitation currently has twenty-four active faculty members who are involved with patient care, teaching and research. Our members consult and provide rehabilitation services to persons ranging from the very young to the very old. We manage inpatient and outpatient programs for persons who have suffered spinal cord injury, acquired brain injury, neuromuscular abnormalities and cardio/pulmonary dysfunction. Inpatient services are provided at several sites, including Vancouver Acute/GF Strong Rehab Center, St. Paul’s Hospital, Holy Family Hospital, Eagle Ridge Hospital, Sunny Hill Health Center, as well as consultation services to the Vancouver teaching hospitals, BC Children’s Hospital, Royal Columbian Hospital and Burnaby General Hospital. Our staff is actively involved in teaching of residents and undergraduate students, as well as undergraduate students in related disciplines. Research activity deals with disease specific issues related to our patient population, as well as disability issues for the population at large. Undergraduate Dr. David Koo has continued to serve as the Undergraduate Coordinator. Nine members of our Division participated in the Undergraduate curriculum including half-day lectures on disability, impairment and handicap, problem-based learning, MSK clinical skills sessions, mentorship and specialty-specific discussions on impairment and disability. Our Division continues to be actively involved in teaching elective medical students who have an interest in our specialty. Postgraduate There were seven residents in the program at the end of 2004. All residents from PGY2 onwards now have a formal half day of research experience throughout their academic years. Resident teaching is done at the bedside and in ambulatory clinics. Formalized seminars are undertaken during weekly Academic Half Days. Residents continue to participate in a scheduled monthly Journal Club supervised by members of the Division, in order to learn critical assessment of journal articles. Four of our Physiatry residents were active at the Annual Department of Medicine Research Day. Dr. Andrei Krassioukov won an award for ‘Best Resident Presentation – PGY3/4.’ Our residents also participated in the Canadian Association of Physical Medicine & Rehabilitation Annual Meeting on a yearly basis. Continuing Medical Education Dr. Theo van Rijn served as a coordinator for CPD activities for the Division in the academic year. Our Division continues to enjoy a vibrant CPD schedule attended by Division and nonDivision members who have an interest in topics presented. The CPD Committee meets biannually to review upcoming CPD activities and to formulate ways to enrich ongoing education of our membership. The CPD committee continues to encourage members to develop innovative teaching methods, as well as utilizing panel discussions and experts from other sub-specialties for broader educational experience. UBC Department of Medicine Page 96 Annual Report 2004 Research Dr. Hugh Anton served as the Research Coordinator and Chair of the UBC/PM&R Divisional Research Committee and helped organize monthly Committee meetings for the Division. Collectively the Division has embarked on several projects that share common interest to our members. Caroline Abramson and Catherine Tadey served as Research Coordinators for Divisional Research and Research activities during the year. Dr. Drew Dawson was the principal investigator of 1 research project dealing with cardiovascular fitness following stroke and co-investigator of 2 research projects at GF. Dr. David Koo was principal investigator of one study involving spinal epidural abscess. Dr. Andrew Travlos was principal investigator of two studies: one dealing with spasticity and another with care issues regarding ALS patients. Dr. Andrea Townson was co-investigator of 2 research projects dealing with issues regarding spinal cord dysfunction. Dr. Andrei Krassioukov, PGY4, was the primary investigator of six research projects dealing with neurological dysfunction following brain and/or spinal cord injury, as well as coinvestigator in one other spinal cord related project. Clinical Services Many members of our Division continue to provide consultation services to Vancouver Acute, St. Paul’s Hospital, as well as other hospitals in the Fraser Health Authority. Dr. Elliot Weiss is the leader for rehabilitation of Providence Health Care. Dr. Travlos and team members continue to provide clinical services and direction to the rehabilitation programs for persons suffering from ALS. While Drs. Rhonda Willms and Heather Underwood took maternity leave absences this year, they have actively supported and will continue to participate in services for persons requiring orthotics and/or prosthetics. Dr. George Hahn continues to provide consultation services for the BC Children’s Hospital, Vancouver Acute, and Sunnyhill Health Center. Administration Dr. Andrew Travlos served as a Chair of Specialty Committee in Physical Medicine & Rehabilitation of the Royal College of Physicians and Surgeons of Canada. Dr. Pankaj Dhawan served as examiner for the Specialty of PM&R at the Royal College. Dr. Gabriel Hirsch served as Chair of the Section of PM&R for the BC Medical Association. Dr. Theo van Rijn served as the Medical Director of GF Strong Rehab Center, as well as Head, Division of PM&R. UBC Department of Medicine Page 97 Annual Report 2004 Drs. Andrea Townson, Andrew Travlos, and Rida Baruni served as medical managers assisting in program related issues at G.F. Strong Rehabilitation Center. Special Honours and Awards Drs. Theo van Rijn and Pankaj Dhawan were invited speakers at the Annual Canadian Association of PM&R Conference in Prince Edward Island in June 2004. Drs. Janice Eng, Bill Miller and Annalee Yassi were appointed Associate Members of the Division Physical Medicine & Rehabilitation. Drs. Eng and Miller, both faculty of the School of Rehabilitation Sciences, are actively involved with mentoring and collaborating in research with many of our members. Dr. Annalee Yassi, has a specialty in Community & Occupational Medicine. She will be teaching our residents and joining us in some collaborative research projects in years to come. Future Directions Following a successful retreat in December 2004, the Division will be undertaking a new initiative in Undergraduate Education. Selected second year medical students will be given the opportunity to answer physical exam skills by participating in a collaborative staff/resident teaching project undertaken by Division members in a pilot project. The Division also is undertaking a longer term initiative to foster a post-graduate education/teaching initiative which will be part of a larger national endeavor to promote academic excellence in our specialty. UBC Department of Medicine Page 98 Annual Report 2004 RESPIRATORY MEDICINE Dr. John Fleetham Professor & Head Faculty Members Professor & Head Professor Professor Professor Professor Professor Professor Professor Professor Associate Professor Associate Professor Associate Professor Associate Professor Associate Professor Associate Professor Associate Professor Assistant Professor Assistant Professor Assistant Professor Clinical Professor Clinical Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Honorary Professor Honorary Professor Associate Member Associate Member Associate Member Associate Member UBC Department of Medicine Fleetham, Dr John Bai, Dr. Tony Duronio, Dr. Vincent Fitzgerald, Dr. J. Mark Lam, Dr. Stephen Man, Dr. Paul S F Ostrow, Dr. David Pare, Dr. Peter Road, Dr. Jeremy Khalil, Dr. Nasreen Levy, Dr. Robert Ryan, Dr. Francis (Frank) Sin, Dr. Donald Van Eeden, Dr. Stephan Ward, Dr. Helen Wilcox, Dr. Pearce Ayas, Dr. Najib Cook, Dr. Victoria Sandford, Dr. Andrew Champion, Dr. Paul Lawson, Dr. Lindsay Elwood, Dr. Richard Nakielna, Dr. Barbara Edina Fera, Dr. Tharwat Turner, Dr. Mark Wilson, Dr. Jennifer Lertzman, Dr. Morley Tan-Hogg, Dr. Wan Brauer, Dr. Michael Lowe, Dr. Alan Muller, Dr. Nestor Roberts, Dr. Clive Page 99 VA SPH VA VA VA SPH VA SPH VA BCCDC SPH VA SPH SPH VA SPH VA VA SPH VA SPH BCCDC SPH VA VA VA VA SPH Vancouver Vancouver VA Vancouver Annual Report 2004 Visiting Scientist Professor (Emeritus) Professor (Emeritus) Professor (Emeritus) Clinical Professor (Emeritus) De Jong, Dr. Pieter Arie (Pim) Abboud, Dr. Raja Bates, Dr. David Yeung, Dr. Moira Allen, Dr. Edward VA VA Divisional Overview The UBC Respiratory Division consists of 31 faculty members who are located at Vancouver Acute (Vancouver General Hospital, UBC Hospital), Providence Health Care (St. Paul’s Hospital, Mt. St. Joseph Hospital) Vancouver Cancer Centre, BC Centre for Disease Control and BC Transplant Society. There are active respiratory medicine in-patient and ambulatory care programs at Vancouver General Hospital and St. Paul’s Hospital. The two year subspecialty respiratory medicine training program accepts one provincially funded trainee per year. Respiratory Medicine is considered a centre of research excellence at both Providence Health Care and Vancouver Acute. Respiratory Medicine is a major component in the iCapture Centre primarily based at St. Paul’s Hospital. Respiratory Medicine is the primary component of the Lung and Critical Care Research Program at Vancouver Coastal Health Institute. The UBC Respiratory Division is developing a strategic plan for clinical care, research and teaching of Respiratory Medicine within the Vancouver Coastal Health Authority, which incorporates an academic funding contract for all divisional members. Dr. Paul Man was appointed Head of Medicine, Providence Health Care March 1st 2004, and is also a member of the UBC Respiratory Division. Dr. Victoria Cook joined the UBC Respiratory Division July 1st 2004 and performs research and clinical work with the Division of TB Control, BC Centre for Disease Control and is also based at VGH. Teaching Undergraduate: The UBC Respiratory Division continues to have a major responsibility for the five week pulmonary block in the undergraduate curriculum. Dr. F. Ryan continues as chair of the pulmonary block. Division members participate in undergraduate teaching either as tutors or clinical skills instructors. Postgraduate: The UBC Respiratory Medicine Training Program, directed by Dr. P. Wilcox, continues to attract a large number of highly qualified applicants from across Canada. The program has full approval from the Royal College. This two year clinical program is based at both Vancouver General Hospital and St. Paul's Hospital. There are elective opportunities at community based centres throughout BC and the program offers an optional third year of research training. Our current trainees are Dr. M. Al Ajmi (Kuwait), Dr. T. Shaipanich (Thailand), Dr. J. Swiston (Vancouver), Dr. M. Molavi (Omaha, NE). The UBC Respiratory Division proposes to expand the number of trainees from one to two per year and to offer a three year combined fellowship program in Respiratory Medicine/ICU. Experimental Medicine: The UBC Respiratory Division continues to make significant contributions to the Departmental Experimental Medicine program with MSc. and PhD students being trained in both the Jack Bell Research Laboratory at Vancouver General Hospital and the iCapture Centre at St. Paul's Hospital. UBC Department of Medicine Page 100 Annual Report 2004 Continuing Medical Education: Dr. Mark FitzGerald is primarily responsible for continuing medical education within the UBC Respiratory Division and organizes a three day annual international CME course on critical care and respiratory medicine in spring at Whistler. A weekly research seminar series for the UBC respiratory community is held between SeptemberMay. Division members are very active in CME in a large variety of provincial, national and international forums. Research Respiratory Medicine is considered a centre of research excellence at both Providence Health Care and Vancouver Acute. Respiratory Medicine is a major component in the iCapture Centre primarily based at St. Paul’s Hospital. Respiratory Medicine is the primary component of the Lung and Critical Care Research Program at Vancouver Coastal Health Institute (VCHI). The iCapture Centre was created with CFI funds to examine how abnormal genes change the structure and function of cells, tissues and organs to cause lung disease. The major respiratory medicine research interests at the VCHI Lung and Critical Care Research Program are respiratory sleep and neuromuscular disease, environmental and occupational lung disease and emphysema. The prevention and early diagnosis of lung cancer is the primary research focus at the Vancouver Cancer Centre and research into tuberculosis and mycobacterial disease is the major interest at the BC Centre for Disease Control. Research in lung transplantation takes place at both Vancouver Acute and the BC Transplant Society. Clinical Services Active respiratory medicine in-patient and ambulatory care programs continue at both Vancouver General Hospital and St. Paul's Hospital. Ambulatory care space has been developed within St. Paul’s Hospital for the members of the St. Paul’s Hospital Respiratory Division. Administration Dr. John Fleetham is the Head of the UBC Respiratory Division. Dr. Robert Levy is Head of the Providence Health Care Respiratory Division. Dr. Mark FitzGerald took over leadership of the Vancouver Acute Respiratory Division effective July 1, 2004. Bernice Robillard continues to work to support the administrative activities of the UBC Respiratory Division with major responsibilities for the postgraduate program. An external review of the UBC Respiratory Division was performed in November by Dr. Denis O’Donnell and Dr. Paul Keown. Future Directions The UBC Respiratory Division proposes to develop a strategic plan for clinical care, research and teaching of Respiratory Medicine within the Vancouver Coastal Health Authority, which incorporates an academic funding contract for all divisional members. Special Honours And Awards Dr. Najib Ayas was the recipient of a Michael Smith Health Research Foundation Scholar award. Dr. Victoria Cook was awarded a VCHRI In-It-For-Life Mentored Clinician Scientist award. Dr. UBC Department of Medicine Page 101 Annual Report 2004 Mark FitzGerald was awarded a Michael Smith Health Research Foundation Distinguished Scholar Award. Dr. John Fleetham headed a group of UBC Respiratory Medicine members and was awarded a Michael Smith Health Research Foundation Research Unit award for Respiratory Sleep Disorders. Dr. Peter Pare was awarded the 2004 UBC Killam Research Prize. Dr. Jennifer Wilson was the recipient of a Department of Medicine Academic Enhancement Fund award. Dr. Stephan van Eeden was awarded the Martin M. Hoffman Award for Excellence in Research. UBC Department of Medicine Page 102 Annual Report 2004 RHEUMATOLOGY Dr. John M. Esdaile Professor & Head Faculty Members Professor & Head Professor Assistant Professor Assistant Professor Clinical Professor Clinical Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Associate Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Assistant Professor Clinical Instructor Clinical Instructor Clinical Instructor Honorary Professor Visiting Professor Associate Member Professor (Emeritus) Clinical Professor (Emeritus) Clinical Professor (Emeritus) Esdaile, Dr. John Chalmers, Dr. Andrew Cibere, Dr. Jolanda Lacaille, Dr. Diane Blocka, Dr. Kenneth Koehler, Dr. Barry Huang, Dr. Simon Patterson, Dr. A. Caroline Reid, Dr. Graham Shojania, Dr. Kamran Wade, Dr. John Ensworth, Dr. Stephanie Kelsall, Dr. John Klinkhoff, Dr. Alice Shuckett, Dr. Rhonda Fenton, Dr. Stanley Gillies, Dr. Jean Watterson, Dr. John Stein, Dr. Howard Pouchot, Dr. Jacques Kopec, Dr. Jacek Ford, Dr. Denys Robinson, Dr. Harold Tsang, Dr. Ian VA VA VA VA VA Richmond General SPH VA VA VA VA VA SPH VA SPH RCH SPH VA Divisional Overview The UBC Division of Rheumatology has 18 active faculty members, one associate member, 3 emeritus members, and one honorary member. Rheumatology consultation services are offered at Vancouver Acute, St. Paul’s Hospital, BC Women’s Hospital & Health Centre, and G.F. Strong Rehabilitation Centre. Ambulatory care services are available at the Mary Pack Arthritis Centre, St. Paul’s Hospital, BC Women’s Hospital & Health Centre, and in private practices throughout UBC Department of Medicine Page 103 Annual Report 2004 Vancouver. The Arthritis Society (BC & Yukon Division) provides excellent patient education and resources available through the Learning Centre based at the Mary Pack Arthritis Centre. Many divisional faculty are members of the Arthritis Research Centre of Canada (ARC), a multidisciplinary clinical research and clinical trials facility affiliated with both the University of British Columbia and the Vancouver Coastal Health Research Institute. ARC is based at the Mary Pack Arthritis Centre. It includes faculty from Rheumatology, Orthopaedics, Epidemiology & Health Care, Pharmaceutical Sciences and the School of Rehabilitation Sciences. ARC focuses on "Practical Research for Everyday Living" for people with arthritis. The two-year Postgraduate Training Program in Rheumatology continues to be the secondlargest clinical rheumatology training centre in Canada. The program accepts one Ministryfunded trainee every year and two trainees funded by The Arthritis Society of Canada as well as one to two internationally-funded trainees. Active in-patient, ambulatory care and research training is done at Vancouver Acute, St. Paul’s Hospital, G.F. Strong, BC Women’s Hospital & Health Centre, the Arthritis Research Centre of Canada, and in private practices throughout the Lower Mainland and elsewhere in the province. In recognition of his many contributions, Dr. Ian Tsang was honoured with an appointment as a Clinical Professor Emeritus at the University of British Columbia. Dr. Andrew Chalmers was promoted to full Professor of Medicine (see “Distinctions and Awards” for further details). Dr. Jolanda Cibere was newly appointed in 2004 as an Assistant Professor of Medicine upon completing her PhD in Health Care & Epidemiology on the topic of the effectiveness of glucosamine sulfate in osteoarthritis of the knee. She has also joined the active staff at Vancouver Acute. As well, Dr. Kam Shojania was promoted to Clinical Associate Professor. Dr. Jacques Pouchot, a Visiting Professor to the Division from August 2003 to August 2004, completed his sabbatical and returned to Paris. His interaction with the Division members and the mentorship he provided to the trainees will be greatly missed. Teaching Dr. Simon Huang continues to direct undergraduate rheumatology program with several members of faculty teaching in the Musculoskeletal Block each year. In 2004, the Vancouver Acute training program adopted the Patient Partners Program, an arthritis consumer-led seminar designed to teach medical students and residents the basics of musculoskeletal examination early in their rotation. Dr. Kenneth Blocka has led this program for several years and has been using it with great success in the St. Paul’s Hospital training program. The Vancouver Acute group found it similarly beneficial and has noted improved musculoskeletal examination skills in residents rotating through the service. Dr. John Esdaile continues as the Program Director for the Postgraduate Training Program and the hospital programs continue to be led by Drs. Kenneth Blocka and John Esdaile at SPH and VHHSC, respectively. This year, Dr. John Watterson took on the role of hospital program director at G.F. Strong. We would like to thank Dr. Graham Reid for many years of dedicated service in this capacity. He continues to be a valued teacher in many other areas of the postgraduate program. UBC Department of Medicine Page 104 Annual Report 2004 The postgraduate program is currently comprised of three first-year residents, two second-year residents, and two doctoral candidates. We expect three new residents to commence in July 2005. The clinical trainees continue to be involved in outreach clinics in Trail, Cranbrook, Fort St. John and other rural communities throughout B.C. Both UBC and The Arthritis Society (BC & Yukon Division) provided support for travel and accommodation for these outreach clinics. The residents also participate in mandatory rotations at Vancouver Acute, St. Paul’s Hospital, G.F. Strong, BC Children’s Hospital, Allan McGavin Sports Medicine Centre, and in numerous drug/disease monitoring clinics and community rheumatology practices throughout their training. For the fourth year, a basic skills course for rheumatology fellows was given in the first week of July to provide detailed instruction on the clinical examination of the musculoskeletal exam, as well as the essentials of emergency arthritis care. The course was organized by Dr. Kam Shojania and involved the majority of the divisional faculty. Dr. Janet Pope from the University of Western Ontario visited in May 2004 to perform mock oral examinations for the clinical fellows. This two-day event, which included a physical examination seminar, mock oral examinations, noon rounds and academic half-day teaching, was extremely helpful and much appreciated. Dr. Howard Stein acted as the Co-Examiner. Dr. Raheem Kherani, a second-year rheumatology clinical fellow, developed a website for the rheumatology program to facilitate teaching and communication between trainees. This has received high praise both from the other trainees and from the Postgraduate Medical Education Office. Similar designs are being considered for other programs. The trainees and the faculty have now completed the development of new comprehensive learning objectives for all the rotations. Dr. Howard Stein continues to volunteer his time teaching the clinical fellows every week at the weekly Academic Half-Day. The clinical fellows have also benefited from weekly guest speakers from many other divisions at their Academic Half-Day. As well, both the Division and the postgraduate program have benefited from a number of visiting professors including Drs. Nancy Lane (University of California, San Francisco), Walter Maksymowych (University of Alberta), Hyon Choi (Harvard University), Art Lipman (University of Utah), Janet Pope (University of Western Ontario), Sasha Bernatsky (McGill University), Eric Sasso (formerly University of Washington), and Rick Adachi (McMaster University). Research Members of the Division continue to be active in the Arthritis Research Centre of Canada (ARC). ARC includes faculty from the Division of Rheumatology, the Department of Orthopedics, the Department of Epidemiology and Health Care, the Department of Pharmaceutical Sciences and the School of Rehabilitation Sciences, as well as from the Centre for Health Evaluation and Outcome Studies at St. Paul’s Hospital and the Centre for Clinical Epidemiology and Evaluation at Vancouver Acute. Current research includes a large team grant involving researchers from across Canada evaluating the development and treatment of early osteoarthritis. UBC Department of Medicine Page 105 Annual Report 2004 Dr. John Esdaile, Dr. Jolanda Cibere and others received a grant from the Canadian Institutes of Health Research to study prevention of knee injuries in young soccer players. Dr. Esdaile and others also received funding from the Lupus Research Institute to develop a virtual network between lupus researchers around North America. The Canadian Foundation for Innovation funded a $5.2 million infrastructure grant to build the Centre for Hip Health at the Vancouver Acute site (PI: Dr. Thomas Oxland), and all the members of the Arthritis Research Centre of Canada were participants. A secondary hospital competition later in the year was also successful bringing the total award to $10.8 million. Dr. Jolanda Cibere received funding from The Arthritis Society of Canada to continue her study of MRI and value of biomarkers in assessing progress in knee osteoarthritis. She, Dr. Ian Tsang and Dr. John Esdaile received funding from the Lotte & John Hecht Foundation to study the effect of the Chinese herb, Tripterygium wilfordii, in rheumatoid arthritis in collaboration with researchers at the Guangdong University of Traditional Chinese Medicine in Guangzhou, China. Finally, Dr. Cibere was awarded a Clinician Scientist Phase II Award from the Canadian Institutes for Health Research as well as a Department Scholar Award from the UBC Department of Medicine. Dr. Jacek Kopec, a clinical epidemiologist and Associate Member of the Division of Rheumatology, received funding from the Canadian Institutes of Health Research to study physical activity and joint health using an adaptive web-based tool that he has developed. He also received funding from the Workers’ Compensation Board to measure quality of life in patients suffering from back pain. Dr. Antonio Avina-Zubieta, a rheumatologist from Mexico, began doctoral studies in the Department of Experimental Medicine and will be working closely with Dr. Diane Lacaille. This year, the Canadian Arthritis Network went through the grueling process of applying for renewal of funding from the Networks of Centres of Excellence. Dr. John Esdaile formed part of a small team that was responsible for this application, which was successfully renewed for a second seven-year term. Drs. Maziar Badii, Ken Blocka, Andrew Chalmers, Jan Dutz, John Kelsall, Alice Klinkhoff, Graham Reid, and Kam Shojania continue to study novel modalities for persons with arthritis in BC. There are over 50 new biologic therapies that are currently either in the development or testing phase and our clinical trials group is participating in the testing of several of these for use in rheumatoid arthritis and other inflammatory conditions such as psoriatic arthritis, ankylosing spondylitis and systemic lupus erythematosus. They are also involved in trials of treatments for osteoarthritis and chronic pain. Clinical Services The Mary Pack Arthritis Centre (operated by Vancouver Coastal Health) is the largest centre for ambulatory care in the province headed up by Dr. Alice Klinkhoff. Many faculty members from both Vancouver Acute and St. Paul’s Hospital participate in the programs offered here. Extensive drug monitoring and disease monitoring clinics have been established, several of UBC Department of Medicine Page 106 Annual Report 2004 which have developed international reputations. Dr. Andrew Chalmers is the Director of the world’s largest Cyclosporine Monitoring Program and Dr. Alice Klinkhoff is pursuing innovative methods of treatment in the Gold Clinic. Dr. Stephanie Ensworth is the Director of the Provincial Lupus Program, one of 9 such programs across Canada participating in coordinated lupus research. In addition, arthritis-specific treatment services offered in physiotherapy, occupational therapy, social work, patient education and vocational counseling are valuable resources for the members of the Division and their patients. This program also coordinates the travels of divisional faculty to 28 rural locations throughout the province to provide consultation and treatment services. Several ambulatory care clinics are also offered at St. Paul’s Hospital for scleroderma (run by Dr. James Dunne) and low back pain (run by Dr. Jean Gillies) as well as a rapid-access program (run by Dr. John Kelsall). Dr. Stephanie Ensworth runs the Reproductive Rheumatology Clinic (one of only two such clinics in Canada) and the Rheumatic Diseases in Pregnancy Program at BC Women’s Hospital & Health Centre. The Arthritis Unit at G.F. Strong Rehabilitation Hospital offers post-operative and rehabilitative services to rheumatology patients along with specialized physiotherapy, occupational therapy and vocational counseling. In-patient services are offered at Vancouver Acute, St. Paul’s Hospital, and BC Women’s Hospital & Health Centre. Administration Dr. John Esdaile is Head of the UBC Division of Rheumatology, the Vancouver Acute Division of Rheumatology, and the UBC Postgraduate Training Program in Adult Rheumatology. Dr. Ken Blocka is the Head of the St. Paul’s Hospital Division of Rheumatology and also oversees the hospital training program there. Dr. John Watterson oversees the hospital training program at G.F. Strong Hospital. Dr. Alice Klinkhoff is Director of the Mary Pack Arthritis Centre. Dr. John Esdaile is also the Scientific Director of the Arthritis Research Centre of Canada. Future Directions In 2005, the Division will continue to pursue excellence in research, teaching and clinical care. A rapid-access clinic for rheumatoid arthritis patients is under consideration. We expect the Mary Pack Chair in Rheumatology Research (endowed by The Arthritis Society, BC & Yukon Division) to be filled this year. In addition to an academic appointment in the UBC Division of Rheumatology, the Chair will also be appointed to the Vancouver Acute and the Arthritis Research Centre of Canada. The Arthritis Research Centre of Canada is looking forward to breaking ground for the new Centre for Hip Health in the summer of 2005. Distinctions and Awards Dr. Maziar Badii completed his Masters of Health Sciences degree in the Department of Health Care and Epidemiology in November 2004. He will be appointed as Clinical Assistant Professor in the Division of Rheumatology in the coming year. He will continue his research on low back pain. UBC Department of Medicine Page 107 Annual Report 2004 In recognition of his many contributions to both the UBC Division of Rheumatology as Past Head and the UBC Medical School as Past Associate Dean of Undergraduate Medicine, Dr. Andrew Chalmers was promoted to full Professor of Medicine. Dr. Chalmers was key in the development of the new Undergraduate Medicine curriculum for the UBC Medical School and has played a major role in the continued excellence of the UBC Rheumatology Training Program. Dr. Jolanda Cibere was awarded the Vancouver Coastal Health Research Institute’s Prize for Graduating Doctoral Students for her work on the efficacy of glucosamine sulfate. Dr. Cibere was also honored with a Young Innovator Award from the Networks of Centres of Excellence. She was one of only three young Canadian scientists to receive this award and was presented with this award in Ottawa in early December. Dr. John Esdaile is chairing the American College of Rheumatology’s Committee on Practice Guidelines. Dr. Diane Lacaille was one of three to be appointed to the new Young Investigators Subcommittee of the American College of Rheumatology. This committee will function as a liaison between young research scientists and the larger American College of Rheumatology Committee on Research identifying their research needs. UBC Department of Medicine Page 108 Annual Report 2004 EDUCATIONAL PROGRAMS UBC Department of Medicine Page 109 Annual Report 2004 CLINICAL INVESTIGATOR PROGRAM Dr. Adeera Levin Clinical Professor & Co-Director Dr. Anita Palepu Associate Professor & Co-Director The Clinical Investigator Program (CIP) program is an integral component of the Department of Medicine. Its main goals are to integrate promising medical students, residents and fellows into an academic environment that sustains and nurtures academic interests. This year, Drs. Palepu and Levin, were selected as co-directors of this program, after Dr. Peter Pare stepped down from the position. The CIP program is a resource which permits divisions within the DOM to leverage funding opportunities in order to support the academic endeavors of those divisions. The Faculty Clinical Investigator Program is a 2-year program, which has the potential to fund at least 4 individuals each year. Current CIP young investigators enrolled in the DOM CIP program from 2004 include: Dr. Warren Davidson (2nd year), Respirology, Dr. Nadia Zalunardo (1st year) Nephrology, and Dr. Debbie Rosenbaum (1st year) Nephrology. Accomplishments of those individuals are listed in the appendix below. Given the importance of the CIP program to the growth and sustainability of research programs, the co-directors have been more formally integrated into key activities of the DOM. This has included presentations to the DOM business meetings at both PHC and VGH sites, and ongoing interaction with Division Heads at the UBC DOM Division Heads meeting held monthly. There is currently a dedicated office administrative assistant, who works in conjunction with the other staff in the DOM administrative offices at both sites, to facilitate communication and serve as a resource for the enrollees. The CIP directors are currently surveying program and department heads to estimate the number of research fellows who are currently in the Faculty of Medicine. The intent is to learn of existing educational curricula and develop an abbreviated curriculum that would be useful to junior clinician researchers in training. UBC Department of Medicine Page 111 Annual Report 2004 APPENDIX Dr. Warren Davidson (Year 2) Division of Respirology Supervisor: Dr. Tony Bai Abstracts A Comparison of the Leicester Cough Questionnaire with the St. George’s Respiratory Questionnaire in the Evaluation of Treatment Response in Patients with Chronic Cough. ATS Meeting, May 2005. Publications Davidson W. Helical Computed Tomography has a Role in the Screening of Lung Cancer: The Con Argument. Canadian Respiratory Journal 2004; 11(3): 217-218. Davidson W, Bai T. Asthma: Clearing the Way. The Canadian Journal of Diagnosis November 2003. Presentations Davidson W, Patel M. Helical CT for Lung Cancer Screening - PRO/CON Debate. Canadian Thoracic Society - American College of Chest Physicians, Orlando. October 26, 2003. Davidson W. A Comparison of the Leicester Cough Questionnaire with the St. George’s Respiratory Questionnaire in the Evaluation of Treatment Response in Patients with Chronic Cough. 12th Canadian Resident Fellow Competition in Respiratory Research. Montreal. November 29, 2004. Degree Programs currently enrolled Master of Health Science Degree Department of Health Care & Epidemiology, UBC Dr. Nadia Zalunardo (Year 1) Division of Nephrology Supervisor: Dr. Adeera Levin Abstracts Harris M, Zalunardo N, Yip B, Werb R, Valyi M, Hogg R, Montaner J. Nephrotoxicity of tenofovir DF. Canadian Journal of Infectious Diseases 2003; 14 (suppl. A): 31A. Harris M, Zalunardo N, Bonner S, Werb R, Valyi M, Montaner JSG. Use of estimated glomerular filtration rate to predict renal toxicity in patients receiving tenofovir DF. 11th Conference on Retroviruses and Opportunistic Infections, San Francisco, CA, USA, February 811, 2004. Abstract 750. UBC Department of Medicine Page 112 Annual Report 2004 Publications Zalunardo N, Tuttle KR. Atherosclerotic renal artery stenosis: current status and future directions. Current Opinion in Nephrology and Hypertension. 2004; 13:613-21. Zalunardo N, Lemaire M, Davids MR, Halperin ML. Acidosis in a patient with cholera: A need to redefine concepts. Quarterly Journal of Medicine 2004; 97:681-96. Degree Programs currently enrolled Masters in Science, Epidemiology Harvard School of Public Health Expected completion June 2006 Grants applied for 2005-6 Kidney Foundation Fellowship Grant Michael Smith Fellowship Grant KRESCENT Program Fellowship Grant Dr. Debbie Rosenbaum (Year 1) Division of Nephrology Supervisor: Drs. Adeera Levin and Paul Keown Abstracts Rosenbaum D, Kiaii M, Djurdjev O, Dorscheid D, Grant G, Levin A. Intensive care unit referral patterns to nephrology. Abstract accepted for presentation at the CRRT conference March 2005 Publications Halperin M, Rosenbaum D, Kamel KS. Approach to the patient with metabolic acidosis: Emphasis on the ECF volume and the venous PCO2. Book chapter in press. CIP Research Project A strategy for reducing erythropoetin therapy in patients with erythropoetin resistance. Study timeline: To commence in May/June. Grants Applied for 2005-6 Kidney Foundation Fellowship Currently on maternity leave UBC Department of Medicine Page 113 Annual Report 2004 CONTINUING MEDICAL EDUCATION PROGRAM Dr. G.B. John Mancini Professor & Director New Initiatives/Developments In 2004 Dr. G.B. John Mancini accepted the position of Director of the Program. The Department was involved in several initiatives through the year. In February we co-sponsored, with the Cardiovascular Society of Arizona, the “Southwestern Cardiology Symposium” held in Phoenix. This was an excellent event and involved the participation of both Canadian and American speakers. Our “Medicine in the 21st Century” Conference was held June 10th – 12th at the Sutton Place Hotel. Twenty-one UBC Faculty participated in the course which was presented to 105 attendees primarily from Canada and the United States. As in past years, we were pleased with the attendance and quality of the course. The speakers were evaluated highly as was the course content. It is our hope and intention to continue to offer this course on an annual basis and to maintain the high quality as well as to continue increasing attendance. This annual event was followed this year by a post-CME event in the form of an Alaskan Cruise on June 13 – 20. The faculty consisted of Drs. Jerry Tenenbaum, Lucretia van den Berg, Najib Ayas and Hector Baillie. The program and speakers were also highly evaluated by the attendees. We are currently in the process of coordinating our 2005 program which is scheduled to be held June 2 – 4, 2005 at the Fairmont Hotel Vancouver. In December 2004 we were involved with the Canadian Vascular Biology Working Group and coordinated a meeting held in Whistler December 9 – 12. This meeting involved 20 participants and the proceedings will again be published in the Canadian Journal of Cardiology. In 2004 we began meeting with CME Divisional Program Directors/Division heads to begin to work on development of further divisional events. We are also looking at development of a Saturday morning series directed towards Family Practitioners and General Internists in the community. We would like to take this opportunity to thank the Faculty Members who have contributed to the conferences in the past years and continue to work with the Department to help ensure excellent ongoing CME programs. UBC Department of Medicine Page 115 Annual Report 2004 GRADUATE STUDIES PROGRAM IN EXPERIMENTAL MEDICINE Dr. Vincent Duronio Professor & Director Divisional Overview Experimental Medicine is the UBC graduate studies program, within the Department of Medicine, which was developed to train individuals seeking a career in biomedical research. Students are enrolled in both MSc and PhD degree programs. Subspecialties within the Experimental Medicine Program include Cancer Biology, Cardiology, Dermatology, Gastroenterology, Haematology/Oncology, Immunology, Infectious Diseases, Molecular Biology, Nephrology, Neurology, Pediatrics, Physiotherapy and Respiratory Medicine. A substantial number of students in the program are under the supervision of faculty members outside of the department. In 2004, 30 new students were admitted to the program. At the end of 2004, there were 117 students registered in the program, 53 for MSc degrees and 64 for PhD degrees. During 2004, a total of sixteen students graduated, seven at the May 2004 Convocation and nine at the November 2004 Convocation. Student names and thesis titles are listed below (research supervisor in parenthesis): PhD Graduates 1. Svetlana Dmitrienko, Gene Polymorphisms in Renal Transplantation, (Dr. Paul Keown) 2. Ryan Hung, The Regulation of Apoptosis by Toxic Shock Syndrome Toxin-1 and Associated Mutants, (Dr. Anthony Chow) 3. Xiaomei Li, Selective Inhibition of Signal Transduction Pathways in Human CD4+ T Lymphocyte, (Dr. Paul Keown) 4. Muhammad Marwali, Role of Lipid Rafts in the Regulation of LFA-1, (Dr. Fumio Takei) 5. Christopher Miller, The Antibacterial Role of Exogenous Nitrous Oxide Gas, (Dr. Jeremy Road) 6. Kenna Sleigh, Relations between Illness Perceptions, Coping, Social Support, and Outcomes in the Chronic Fatigue Syndrome, (Dr. Grant Stiver) UBC Department of Medicine Page 117 Annual Report 2004 MSc Graduates 1. Kadria Alasaly, The Maternal Predisposition to the Syndrome of Pre-eclampsia, (Dr. Keith Walley and Dr. Peter von Dadelszen) 2. Mei Yieng Chin, Molecular Functions of the Tumour Suppressor p33ING2, (Dr. Gang Li) 3. Clare Gardiner, The Role of STAT-3 in Androgen-Dependent Prostate Cancer, (Dr. Michael Cox) 4. Anne-Lise Hestvik, Modulation of Host Protein Phosphorylation Upon Mycobacterial Infection, (Dr. Yossef Av-Gay) 5. Mohammed Khan, Mechanisms of Enteroaggregative Escherichia Coli flagellin-induced IL-8 secretion from epithelial cells, (Dr. Theodore Steiner) 6. Maryam Moussavi, Insight into the mechanisms by which apigenin, curcumin and sulfasalazine induce apoptosis in colon cancer cells, (Dr. Bill Salh) 7. Kuldip Ken Parhar, Interleukin 1B signaling in Intestinal Epithelial Cells, (Dr. Bill Salh) 8. Amanda Rooyakkers, Absence of complement receptor 3 results in reduced binding and ingestion of mycobacterium tuberculosis but has no significant effect on the induction of reactive oxygen and nitrogen intermediates or on the survival of the bacteria in resident and interferon-gamma activated macrophages, (Dr. Richard Stokes) 9. Jennifer Slivinskas, Cost-effectiveness of Screening for Lung Cancer in A High Risk Cohort Using Automated Sputum Cytometry, (Dr. Stephen Lam) 10. Troy Sutton, Interventions for Prevention of Respiratory Syncytial Bronchiolitis and Sequelae in Guinea Pigs, (Dr. Richard Hegele) In 2004, 86 Experimental Medicine students received a total of $1,792,816 in funding, an average of $20,847 per student. Research Supervisors provided $956,700 in Graduate Research Assistantships. Other funding sources included CIHR ($299,700), the Michael Smith Foundation ($162,800), NSERC ($72,300), the Heart and Stroke Foundation ($41,000), and the UBC Graduate Entrance Scholarship ($12,296). There are 111 faculty members currently registered as Research Supervisors in the program. Faculty members from other departments also participate as course lecturers, thesis committee members, in research seminars and as examiners for internal examinations and theses defenses. In the academic year 2004, the Experimental Medicine Program offered nine graduate courses. These included: MEDI 501 (Molecular & Cellular Biology), MEDI 502 (Methodology), MEDI 530 (Gastroenterology) MEDI 535 (Journal Club), MEDI 548 (Directed Studies in Experimental UBC Department of Medicine Page 118 Annual Report 2004 Medicine), MEDI 560 (Pulmonary Pathophysiology), MEDI 570 (Cardiology), MEDI 580 (Infectious Diseases) and MEDI 590 (Molecular Medicine). The overall administration of the program is under the guidance of the Experimental Medicine Committee. The committee is composed of representatives from each subspecialty and one student representative. This committee meets four times per year to discuss policy and procedures. Current members of the committee are: Dr. Anthony Chow (Infectious Diseases), Dr. Vincent Duronio (Respiratory Medicine and Director), Dr. R. Keith Humphries (Haematology/Oncology), Dr. Gang Li (Dermatology), Dr. Steve Pelech (Molecular Medicine), Dr. Bill Salh (Gastroenterology), Dr. Andrew Sandford (Respiratory Medicine, iCapture Centre), Dr. Yu Tian Wang (Neurology, Brain Research Centre), Ms. Alison Wallace (Student Representative), Dr. Keith Walley (Critical Care), and Dr. Graydon Meneilly (ex-officio). The Experimental Medicine Program’s daily administration is through the director and one secretary. The Experimental Medicine Program continues to sponsor an annual Student Research Day. The 2004 event was held on November 12, at the Holiday Inn on Broadway. 16 students gave oral presentations and 60 students participated in poster presentations. A total of $900 in cash prizes was presented this year. The prizes this year went to: Michael Rauh (MD/PhD, Supervisor: Dr. Gerry Krystal) - $300 Best Overall Presentation Zabrina Brumme (PhD, Supervisor: Dr. Richard Harrigan) - $100 Best Oral Presentation Poh Tan (PhD, Supervisor: Dr. Kelly McNagny) - $100 Best Oral Presentation Sima Allahverdian (PhD, Supervisor: Dr. Delbert Dorscheid) - $100 Best Poster Presentation Kyle Niessen (PhD, Supervisor: Dr. Aly Karsan) - $100 Best Poster Presentation Benjamin Patchell (PhD, Supervisor: Dr. Delbert Dorscheid) - $100 Best Poster Presentation Gina Rossi (PhD, Supervisor: Dr. Michael Cox) - $100 Best Poster Presentation Financial support for Student Research Day was provided by GlaxoSmithKline Inc., Merck Frosst Canada Inc., the Vancouver Hospital and Health Sciences Centre, Altana Pharma Inc., the Canadian Society of Biochemistry, Molecular and Cellular Biology, AstraZeneca Canada Inc., Hoffman La-Roche, and Janssen-Ortho Inc. The Experimental Medicine Program continued to offer travel grants to students who had already used the travel grant provided by the Faculty of Graduate Studies. The Experimental Medicine Office is located in Room S125, Koerner Pavilion, 2211 Wesbrook Mall, UBC Campus. The office telephone number is 604-822-7215, the fax number is 604-8227897 and e-mail address is [email protected]. UBC Department of Medicine Page 119 Annual Report 2004 HIV/AIDS RESEARCH PROGRAM Dr. Julio Montaner Professor & Director Overview The AIDS Research Program continues to refine the role of antiretroviral therapy for the treatment of HIV infection. The main areas of research continue to be epidemiology, basic science and clinical science. In the following report we summarize the program's activities and areas of concern for the year 2004. Epidemiological Research The epidemiology group has again been very productive and continues to benefit from long-term analyses emerging from the VanGuard Project, the VIDUS and CEDAR cohorts under the leadership of Drs. Lampinen, Wood and Spittal, respectively. The Drug Treatment Program, under the leadership of Dr. Robert Hogg, has emerged as a key contributor to our understanding of the dynamics of the HIV epidemic as well as the effect of treatment. Several key papers, some of them in highly respected international journals, were published demonstrating the efficacy of antiretroviral therapy in terms of decreasing morbidity, mortality, and improving the quality of life in HIV-infected individuals. Members of our team have received funding from the Michael Smith Health Research Foundation and the Canadian Institutes of Health Research for doctoral and post-doctoral training. These include Paula Braitstein, Tom Lampinen, Cari Miller, Magda Piacenza, Amy Weber, Melanie Rusch and Laura Kuyper. Grant funding has also been obtained by members of our group from the Michael Smith Health Research Foundation, Canadian Institutes of Health Research, the Ontario HIV Treatment Network, and a number of pharmaceutical companies. Basic Science The research laboratory based at the B.C. Centre for Excellence in HIV/AIDS has established itself not only as a leading force in Canada, but also as a centre with considerable international influence. During the year, the laboratory provided clinical services to the province of B.C. in the areas of HIV drug resistance testing and pharmacokinetic measurement. The clinical implications and predictors of HIV drug resistance continue to be investigated, both at the B.C. Centre for Excellence and as part of international collaborations. The research laboratory continues to develop new tools with clinical applications that may be employed in the near future. These include tools for monitoring the side-effects and degree of adherence to UBC Department of Medicine Page 121 Annual Report 2004 medications, as well as tracking variations in the HIV and human genomes which are associated with response to HIV therapy, and virus pathogenicity. In addition to providing HIV drug resistance testing as a clinical service to most of Canada and investigator driven trials, the research lab has also received peer-reviewed funding for several studies from the Canadian Institutes of Health Research, Michael Smith Health Research Foundation, and the Ontario HIV Treatment Network. Finally, the novel testing applications in the laboratory have lead to the Research Lab being used to provide testing support for three Phase III clinical trials from a major pharmaceutical company. In 2004, members of the lab published more than a dozen important research papers in peerreviewed journals including The Journal of Infectious Disease and AIDS. Clinical Science Members of the clinical science group are actively researching a range of issues essential to the medical management of patients with HIV. Among the areas of focus are treatment of patients with multidrug-resistant virus, pharmacokinetics of antiretrovirals, optimizing adherence to antiretroviral therapy regimens, recognition and management of drug toxicities, management of viral co-infections, and primary care initiatives. Therapeutic strategies continue to evolve for patients who have experienced treatment failure on a number of previous antiretroviral regimens. During 2004, a number of new agents with promise for the treatment of multidrug-resistant HIV became available. These include enfuvirtide (the first approved HIV fusion inhibitor, administered by subcutaneous injection) and the investigational agents TMC125 and tipranavir. Enfuvirtide in particular has enabled the design of effective salvage regimens which are more streamlined than the previous multiple drug salvage regimens. The clinical group is evaluating novel mechanisms to optimize enfuvirtide administration with the aim of maximizing patient acceptance and tolerance of this very useful agent. Other strategies for optimizing salvage therapy, including simplifying complex salvage regimens, are also being explored. A number of studies being done by the clinical group in association with the B.C. Centre for Excellence laboratory have focused on plasma concentrations of antiretroviral drugs, which are increasingly being recognized as a critical factor in their effectiveness and toxicity. Complex pharmacokinetic interactions between protease inhibitors, non-nucleoside reverse transcriptase inhibitors, and other co-administered drugs can have clinically relevant effects on plasma drug levels in HIV patients and are being studied by our group as well as others worldwide. For example, intensive studies are underway at our centre examining pharmacokinetic interactions between the investigational agents TMC125 and tipranavir, and other drugs with which they are likely to be combined in salvage therapy regimens. In addition, drug level measurements performed by our clinical and laboratory groups have identified that plasma levels are often low for atazanavir, a new protease inhibitor that was approved for clinical use in 2004. Ongoing studies are evaluating strategies for manipulating regimens to improve atazanavir levels and thus optimize its effectiveness. The group’s capacity to conduct meaningful research into the pharmacology and toxicology of antiretroviral drugs was greatly enhanced in September 2004 with the addition of Dr. Elizabeth Phillips to the clinical research team. UBC Department of Medicine Page 122 Annual Report 2004 The issues surrounding adherence to antiretroviral drug regimens are a topic of active study by two clinical psychologists on the team. A number of studies have been completed while others are underway to systematically evaluate the factors associated with adherence, and to develop effective intervention techniques with the goal of optimizing patients’ ability to take their antiretrovirals. Adverse effects of antiretroviral therapy continue to be a key focus of the clinical research team’s efforts. Metabolic disorders such as dyslipidemia and mitochondrial toxicity of various antiretroviral regimens are being intensively evaluated in two international, randomized clinical trials spearheaded by the B.C. clinical research team, the SPRINT study (completed in 2004) and the NRTI-sparing study (which is ongoing). Collaborative efforts with the Healthy Heart Program are evaluating risk factors for cardiovascular disease in patients taking antiretrovirals and developing novel strategies for preventing these complications of HIV therapy. Previous work by our group which established an association between kidney toxicity and tenofovir, now a widely-used antiretroviral agent, has been expanded with the identification of reduced glomerular filtration rate (a measure of kidney function) as a factor which can be used to identify patients at risk for this complication. As one strategy for reducing duration of exposure to antiretrovirals and thereby deferring cumulative toxicities, as well as decreasing associated health care costs, supervised treatment interruptions continue to be evaluated in terms of their effects on short- and long-term outcomes. The clinical research team’s findings in all of these areas were presented at major national and international conferences during 2004. Co-infection with hepatitis B and C continues to have a major effect on the HIV-infected clinic population. Ongoing research in this area is examining the effect of tenofovir on hepatitis B viral load in individuals with HIV/hepatitis B co-infection, and mitochondrial toxicity in the liver caused by HIV and hepatitis C treatment. In addition, a study is planned which will examine the issue of suboptimal adherence to anti-hepatitis C treatment in HIV-positive patients. In 2004, the John Ruedy Immunodeficiency Clinic (IDC) entered its second year as a primary and specialty clinic for HIV infected patients. The clinical team includes individuals with expertise in all areas of HIV care with specific emphasis on primary care, infectious diseases, lipid disorders, anal dysplasia, neurology, dermatology, counseling and psychology, nephrology, and clinical trial operations. In the IDC, a large number of HIV-positive patients are monitored regularly. The clinic operates 5 days a week with after-hours on call coverage. A comprehensive team of family physicians, nurses, social workers, nutritionist, pharmacist, and a substance use counselor is available to all patients. A large database has been generated with information on primary care initiatives, allowing a comprehensive assessment of the patient’s health status as well as immunizations, comorbidities, medications, substance use, and other factors of interest. The clinic, in partnership with the Vancouver Coastal Health Authority and the UBC skill enhancement program for Family Physicians, offers a 3-month post-graduate program for family doctors. The aim of the program is to enhance skills in the care and treatment of patients with HIV/AIDS. An Antiretroviral Outreach Program (ARV-ORO) was also established to help inform, support and evaluate activities in Vancouver's Downtown Eastside. UBC Department of Medicine Page 123 Annual Report 2004 Current Areas of Active Clinical Research • • • • • • • • • First-line antiretroviral therapy Salvage therapy for patients with previous treatment failure and multiple drug-resistant HIV Strategies for optimizing the use of investigational and newly available antiretroviral agents Complications of antiretroviral therapy, including lipodystrophy, dyslipidemias, cardiovascular disease, mitochondrial toxicity, peripheral neuropathy, hepatotoxicity, nephrotoxicity, osteopenia/osteoporosis Effect of treatment interruptions on long-term outcomes of HIV disease Assessing and optimizing adherence to antiretroviral regimens and hepatitis C therapy Pharmacokinetics of antiretroviral drugs, achieving optimal therapeutic drug levels, and drug interactions Treatment and complications of hepatitis B and C co-infections Prevention and treatment of opportunistic infections UBC Department of Medicine Page 124 Annual Report 2004 Students/Residents/Postdoctoral Research Fellows: Student Name Program Type Supervisor Dates Braitstein, Paula PhD, UBC 1999-2005 R. Hogg Craib, Kevin PhD, UBC 1997-2004 M. Schechter Cuscheri, A. PhD, UBC 2002-Present M. Tyndall, R. Hogg Rusch, Melanie PhD, UBC 2002-Present M. Tyndall Miller, Cari PhD, UBC 2001-Present J Frankish et al. Brumme, Zabrina (Experimental Medicine) PhD, MSHRF, CIHR 2001-Present R Harrigan, R. Hogg, J. Montaner Lampinen, Tom Post-Doc 2002-Present R. Hogg Edwards, J. Environmental Health 2002-2004 Dr. Heacock, E Wood, MW Tyndall Kulkarni, S. Infectious Diseases Resident 2003-2004 V. Montessori O’Connell, Jacqueline Medical Student 2003-2004 E. Wood Christie, Timothy MSc 2003-Present R. Hogg, J. Montaner Ramirez Moreno, Saby Postdoctoral Research FellowHealth Professional 2004-Present J. Montaner Kretz, Patricia CIHR Translational Research in Infectious Diseases 2004 R. Hogg, E. Wood Lloyd-Smith, Elisa Epidemiology 2004 E. Wood, M. Tyndall Collins, C. CIHR Translational Research in Infectious Diseases 2004 E. Wood Kuyper, Laura Medical Student 2004 E. Wood, R. Hogg, J. Montaner Buchcar, Anna Postdoctoral Research FellowHealth Professional 2004 J. Montaner Lester, Richard Postdoctoral Research FellowHealth Professional 2004 J. Montaner Kristen Chen Samir Malhotra Ryan Cooper Osama Al Enezi Jenny Su Mark Hull Eliana Castillo Residency 2004 J. Montaner UBC Department of Medicine Page 125 Annual Report 2004 Erin Pepper David Shu Al Abdali Elena Koundour Gurpreet Hans Abeer Al Shukairy Florian Muller Ibrahim Momenkhan Ghassan Wali Ana Luiza Julie Stone Melody Monro Michael Buyliss Harinder Dhaliwal Gil Kimel Roberta Halpenny Dr. Mike Burns Dr. Daphne Hart Dr. Susan Ackland Dr. Dave Forrest Dr. Nikki Shaw Dr. Danielle Rouleau Dr. Tracey Morris Dr. Claudia Vanzulli Preceptorship UBC Department of Medicine 2004 Page 126 J. Montaner S. Guillemi Annual Report 2004 POSTGRADUATE EDUCATION PROGRAM Dr. Iain Mackie Clinical Professor & Director (1997 - October 2004) Dr. James Mark Roberts Clinical Instructor & Director (October 2004 - present) New Initiatives/Developments 2004 proved to be an exciting year for the Internal Medical Residency Training Program. In March 2004 the Chief Residents coordinated the “Resident Whistler Conference” over a two day period. It is through the hard work and diligence of Chief Residents Carolyn Taylor, David Wood, Monica Beaulieu and Andrew Robinson that this event was, for the second year, very successful and well-attended. In March 2004 the Chief Residents organized and hosted the Canadian Chief Medical Resident Conference held at the Sutton Place Hotel in Vancouver. Over 35 Chief Residents from across the country attended this 3-day event. In April 2004 Vancouver was the host city for the Joint Canadian Internal Medicine Program Directors (CAIMPD) & Canadian Internal Medicine Program Administrators (CAIMPA) Meeting. Hazel Wilcox chaired the CAIMPA meeting. In May 2004 we held the 20th Annual Resident Research Day where, once again, the calibre of research presentations was superb. We welcomed adjudicators Dr. Kathryn Myers, Program Director at Queen’s University; Dr. Frank Ervin, a community respirologist in Maple Ridge and Dr. John Conly, Head of Medicine at the University of Calgary. Dr. Anita Palepu did an excellent job as moderator for this event. With respect to our resident numbers we received 3 additional PGY-1 positions from the MOH bringing our currently MOH funding PGY-1 positions to 21. In 2004 several of our first year residents transferred into other programs/disciplines leaving the Program with a shortage in UBC Department of Medicine Page 127 Annual Report 2004 second year residents for the 2004/2005 academic year. We will receive 2 additional positions for the 2005/2006 year and 1 PGY-2 position. In September the program welcomed Sue Wong to the Postgraduate Administrative Team. Sue is located in the Department of Medicine offices at St. Paul’s Hospital and liaises with the Vancouver Hospital site. In October 2004, Dr. Iain Mackie, Program Director for 7 years stepped down and the position was restructured with the appointment of four New Program Directors. Dr. Mark Roberts, Program Director, Dr. Roger Wong, Associate Program Director responsible for Curriculum Development, Dr. Rose Hatala, Associate Program Director responsible for Evaluations & Remediation, & Dr. Barry Kassen, Associate Program Director responsible for Community and expansion into the distributed sites. In November we received 296 Canadian PGY-1 applications for the upcoming academic year. The interview process was reviewed and restructured and 130 interviews will be held on 3 different days in January rather than on each day throughout the month as in previous years. Interviews will involve tours by our PGY-1 resident, question & answer session with the Program Directors and Administrator and lunch to be followed by the actual interview. This will allow for all applicants to get a better overview of our program as well as interact with many of the Program Directors. This new process would not be possible without recruitment of many faculty not directly associated with the Program as well as several senior residents. We would like to take this opportunity to thank the faculty and residents who have given their time to help with this process. Challenges for the upcoming 2005 year will involve an Internal Review to be held in September 2005. Implementation of the Mini Clinical Examinations (Mini-CEX) during each resident rotation. We also are looking forward to further development of the distributed sites during expansion of the medical school. We look towards building a strong postgraduate team during the next academic year with the aim to continue to develop and strengthen this program. UBC Department of Medicine Page 128 Annual Report 2004 UNDERGRADUATE EDUCATION PROGRAM Dr. H. Grant Stiver Professor & Director In the 2003-04 semester, the Undergraduate Program continues to be actively involved in the bedside training of Second Year medical students prior to entering the Clinical Clerkship. In the Third Year Clerkship, the National Board of Medical Examiners (NBME) Shelf Examination in Medicine continues to be the written examination administered to Third Year clerks at the end of their eight-week Clinical Teaching Unit (CTU) rotation in Internal Medicine. We are also in the process of preparing pilot clerkship rotations in support of the Medical School Expansion and researching ways in which academic materials can be delivered to distributed sites. Second Year Bedside Clinical Skills: In the 2003-04 academic year, the Second year bedside teaching sessions were again well received by both faculty and students. These sessions continue to be one of the highest rated courses in the undergraduate curriculum. We have continued with these sessions this current academic year where students are assigned a patient and perform a complete and focused history and physical examination, reviewed at the bedside by a clinician preceptor who also critiques the student’s write-up of the case. The duration of the course this academic year remains the same as last, January to May, 2005. Third Year Clerkship: Evaluation of Academic Half-Day sessions: In September 2004, our Program will use the WebEval on-line evaluation system for the evaluation of our academic half-day sessions and Neurology Bedside Teaching sessions. This system sends electronic evaluation forms to students to obtain feedback on their academic sessions. These reports will be made available to faculty at the end of each academic year. Written Examination at the End of the Third year Clerkship in Medicine: The National Board of Medical Examiners Shelf Examination in Medicine continues to be administered to all clinical clerks at the end of the 8-week Medicine clerkship. Advantages are the consistent quality of the clinical case scenarios requiring not only a knowledge base but also some clinical problem solving skills, as well as the opportunity to compare the performances of our students with students at a similar stage of training across North America and assess deficiencies and strengths of our curriculum. Our students are at or above the mean for North American 8-week clerkships on the NBME exams. The performance of UBC first-time examinees of the NBME shelf examination in Medicine (all clerkship rotations) during the 2003-04 academic year resulted in a mean subject exam test score of 74.4 which is a bit higher than the mean for North UBC Department of Medicine Page 129 Annual Report 2004 American medical schools who have an 8 week clerkship (73.9). The performance of students beginning the clerkship at the end of Third Year generally increased compared with the performance of the students beginning in September, reflecting the increased clinical experience acquired throughout the year. Medical School Expansion: In July 2004, the Undergraduate Program welcomed Dr. Janet Kushner Kow as the Associate Director of Expansion and New Programs in the UBC Department of Medicine. Dr. Kushner Kow is involved in planning pilot clerkship rotations in Medicine in support of the Medical School Expansion. The Medical School Expansion Office will run an integrated pilot clerkship rotation in Chilliwack, involving six Third Year UBC medical students, from September 2004 to August 2005. Dr. Kushner Kow and members of the Undergraduate Education Committee are also actively involved in researching ways in which academic materials can be delivered to distributed sites. UBC Department of Medicine Page 130 Annual Report 2004 PUBLICATIONS UBC Department of Medicine Page 131 Annual Report 2004 ALLERGY/IMMUNOLOGY Kanani, Dr. Amin S Bowen T, Cicardi M, Farkas H, Bork K, Kreuz W, Zingale L, Varga L, Martinez-Saguer I, Aygören-Pürsün E, Binkley K, Zuraw B, Davis A, Hebert J, Ritchie B, Burnham J, Castaldo A, Menendez A, Nagy I, Harmat G, Bucher C, Lacuesta G, Issekutz A, Warrington R, Yang W, Dean J, Kanani A, Stark D, McCusker C, Wagner E, Rivard G-E, Leith E, Tsai E, MacSween M, Lyanga J, Serushago B, Leznoff A, Waserman S, de Serres J. Canadian 2003 International Consensus Algorithm for the Diagnosis, Therapy, and Management of Hereditary Angioedema. Journal of Allergy and Clinical Immunology 2004; 114, 3:638-644. Schellenberg, Dr. Robert R Robinson PJ, Schellenberg RR, Wakai Y, Road J, Pare P. Canine Trachealis Muscle Shortening And Cartilage Mechanics. J Appl Physiol. Mar;96(3):1063-8. 2004. Wong, Dr. HC George Wong HCG. Potential adverse and allergic reactions to patent medicines containing prescription drugs. Allergy Clin Immunol Int: J World Allergy Org, 2003; 15(3): 114-118. Wong HCG. Mercury and Chinese herbal medicine. BC Med J 2004; 46(9):442. CARDIOLOGY Aymong, Dr. Eve D Dangas G, Mehran R, Kobayashi Y, Lansky AJ, Mintz GS, Aymong E, Fahy M, Stone GW, Leon MB. Short and long-term results after multivessel stenting in diabetics patients. JACC. 2004 Apr 21;43(8):1348-54. Pellizzon GG, Grines CL, Cox DA, Stuckey T, Tcheng JE, Garcia E, Guagliumi G, Turco M, Lansky AJ, Griffin JJ, Cohen DJ, Aymong E, Mehran R, O'Neill WW, Stone GW. Importance of mitral regurgitation in patients undergoing percutaneous coronary intervention for acute myocardial infarction: the Controlled Abciximab and Device Investigation to Lower Late Angioplasty Complications (CADILLAC) trial. JACC. 2004 Apr 21;43(8):1368-74. Halkin A, Grines CL, Cox DA, Garcia E, Mehran R, Tcheng JE, Griffin JJ, Guagliumi G, Brodie B, Turco M, Rutherford B, Aymong ED, Lansky AJ, Stone GW. Impact of intravenous ß-blockade prior to primary angioplasty on survival in patients undergoing mechanical reperfusion therapy for acute myocardial infarction. JACC. 2004 May 19;43(10):1780-7. Costantini CO, Stone GW, Mahran R, Aymong E, Grines CL, Cox DA, Stuckey T, Turco M, Gersh BJ, Tcheng JE, Garcia E, Griffin JJ, Guagliumi G, Leon MB, Lansky AJ. Frequency, correlates, and clinical implications of myocardial perfusion after primary angioplasty and stenting, with and without glycoprotein IIb/IIIa inhibition, in acute myocardial infarction. JACC. 2004 Jul 21;44(2)305-12. Nikolsky E, Mehran R, Turcot D, Aymong ED, Mintz GS, Lasic Z, Lansky AJ, Tsounias E, Moses JW, Stone GW, Leon MB, Dangas G. Impact of chronic kidney disease on prognosis of patients with diabetes mellitus treated with percutaneous coronary intervention. American Journal of Cardiology. 2004 Aug 1;94(3):300-5. McLaughlin MG, Stone GW, Aymong E, Gardner G, Mehran R, Lansky AJ, Grines CL, Tcheng JE, Cox DA, Stuckey T, Garcia E, Guagliumi G, Turco M, Josephson ME, Zimetbaum P. Controlled Abciximab and Device Investigation to Lower Late Angioplasty Complications trial. Prognostic utility of comparative methods for assessment ST-segment resolution after primary angioplasty for acute myocardial infarction: the Controlled Abciximab and Device UBC Department of Medicine Page 133 Annual Report 2004 Investigation to Lower Late Angioplasty Complications (CADILLAC) trial. JACC. 2004 Sept 15;44(6):1215-23. Nikolsky E, Mehran R, Halkin A, Aymong ED, Mintz GS, Lasic Z, Megoita M, Fahy M, Krieger S, Moussa I, Moses JW, Stone GW, Leon MB, Pocock SJ, Dangas G. Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous coronary procedures: a meta-analysis. Journal of the American College of Cardiology. 2004 Sept 15;44(6):1200-9. Dangas G, Aymong ED, Mehran R, Tcheng J, Grines CL, Cox DA, Garcia E, Griffin JJ, Guagliumi G, Stuckey T, Lansky AJ, and Stone GW. Predictors of and outcomes of early thrombosis following balloon angioplasty versus primary stenting in acute myocardial infarction and usefulness of abciximab (the CADILLAC trial). American Journal of Cardiology. 2004 Oct 15;94(8):983-8. Mehran R, Aymong ED, Nikolsky E, Lasic Z, Iakovou I, Fahy M, Mintz GS, Lansky AJ, Moses JW, Stone GW, Leon MB, Dangas G. A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention. Journal of the American College of Cardiology. 2004 Oct 6;44(7):1393-1399. Nikolsky E, Mehran R, Aymong ED, Mintz GS, Lansky AJ, Lasic Z, Negoita M, Fahy M, Pocock SJ, Na Y, Krieger S, Moses JW, Stone GW, Leon MB, Dangas G. Impact of anemia on outcomes of patients undergoing percutaneous coronary interventions. American Journal of Cardiology. 2004 Oct 15;94(8):1023-7. Prasad A, Stone GW, Aymong E, Zimetbaum PJ, McLaughlin M, Mehran R, Garcia E, Tcheng JE, Cox DA, Grines CL, Gersh BL. Impact of ST-Segment resolution following primary angioplasty on outcomes after myocardial infarction in the elderly: An analysis from the CADILLAC trial. American Heart Journal 2004;147(4):669-75. Halkin A, Aymong ED, Cox DA, Mehran R, Lansky AJ, Fahy M, Weisz G, Garcia E, Tcheng JE, Grines CL, Stone GW. Relation between late patency of the infarct-related artery, left ventricular function, and clinical outcomes after primary percutaneous intervention for acute myocardial infarction (CADILLAC trial). Am J Cardiol. 2004;93(3):349-53. Nikolsky E, Mehran R, Mintz GS, Dangas GD, Lansky AJ, Aymong ED, Negoita M, Fahy M, Moussa I, Roubin GS, Moses JW, Stone GW, Leon MB. Impact of symptomatic peripheral arterial disease on one-year mortality in patients undergoing percutaneous coronary interventions. Journal of Endovascular Therapies 2004;11:60-70. Nikolsky E, Aymong E, Halkin A, Grines CL, Cox DA, Garcia E, Mehran R, Tcheng JE, Griffin JJ, Guagliumi G, Stuckey T, Turco M, Cohen DA, Negoita M, Lansky AJ, Stone GW. Impact of Anemia in Patients with Acute Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention: Analysis from the CADILLAC Trial. Journal of the American College of Cardiology. 2004 Aug 4;44(3):547-53. Buller, Dr. Christopher E Buller CE, Nogareda JG, Ramanathan K, Ricci DR, Djurdjev O, Tinckam KJ, Penn IM, Fox RS, Stevens LA, Duncan JA, Levin A. The profile of cardiac patients with renal artery stenosis. J Am Coll Cardiol. 2004;43:1606-13. Segev A, Kassam S, Buller CE, Lau HK, Sparkes JD, Connelly PW, Seidelin PH, Natarajan MK, Cohen EA, Strauss BH. Pre-procedural plasma levels of C-reactive protein and interleukin-6 do not predict late coronary angiographic restenosis after elective stenting. Eur Heart J. 2004;25:102935. Webb JG, Pate GE, Humphries KH, Buller CE, Shalansky S, Al Shamari A, Sutander A, Williams T, Fox RS, Levin A. A randomized controlled trial of intravenous N-acetylcysteine for the prevention of contrast-induced nephropathy after cardiac catheterization: Lack of effect. Am Heart J. 2004;148:422-9. UBC Department of Medicine Page 134 Annual Report 2004 Pate GE, Lowe R, Kuchela A, Buller CE, Vaderah S, Carere RG, Ricci DR, Hamburger JN, Webb JG. Procedural efficacy and complications of X-Sizer thrombectomy in de novo and stented lesions. Catheter Cardiovasc Interv. 2004;63:177-82; discussion 183. Armstrong PW, Bogaty P, Buller CE, Dorian P, O'Neill BJ. The 2004 ACC/AHA Guidelines: a perspective and adaptation for Canada by the Canadian Cardiovascular Society Working Group. Can J Cardiol. 2004;20:1075-9. Bogaty P, Buller CE, Dorian P, O'Neill B J, Armstrong PW. Applying the new STEMI guidelines: 1. Reperfusion in acute ST-segment elevation myocardial infarction. CMAJ. 2004;171:1039-41. Dorian P, Bogaty P, Buller CE, O'Neill B J, Armstrong PW. Applying the new STEMI guidelines: 2. Disturbances of cardiac rhythm after ST-segment elevation myocardial infarction. CMAJ. 2004;171:1042-4. Spargias K, Alexopoulos E, Kyrzopoulos S, Iacovis P, Greenwood DC, Manginas A, Voudris V, Pavlides G, Buller CE, Kremastinos D, Cokkinos DV. Ascorbic acid prevents contrast-mediated nephropathy in patients with renal dysfunction undergoing coronary angiography or intervention. Circulation. 2004;110:2837-42. Madan M, Labinaz M, Cohen EA, Buller CE, Cantor WJ, Seidelin P, Ducas J, Carere RG, Natarajan MK, Pieper KS, Hafley GE, O'Shea JC, Kitt MM, Califf RM, Tcheng JE. A comparison of clinical outcomes between Canadian and American patients after non-urgent coronary stenting. Can J Cardiol 2004 Nov;20(13):p1343-9. Cairns, Dr. John A Cairns JA. The Canadian Clinical Research Initiative: transforming Canadian clinical research capacity. Clin Invest Med 2004; 25(6): 292-95. 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UBC Department of Medicine Page 139 Annual Report 2004 Thompson, Dr. Christopher R Christenson J, Innes G, McKnight D, Boychuk B, Grafstein E, Thompson CR, Rosenberg F, Anis AH, Gin K, Tilley J, Wong H, Singer J. Safety and efficiency of emergency department assessment of chest discomfort. CMAJ 2004;170:p1803-1807. Kinnaird TD, Uzun O, Munt BI, Thompson CR, Yeung-Lai-Wah JA. Transesophageal echocardiography to guide pulmonary vein mapping and ablation for atrial fibrillation. J Am Soc Echocardiogr. 2004;17(7):769-74. Pate G, Webb J, Chugh S, Thompson C, Munt B, Carere R, Moss R. Percutaneous closure of a complex mitral paravalvular leak using transesophageal echocardiographic guidance. Can J Cardiol 2004;20:452-5. Thompson CR, Humphries KH, Gao M, Galbraith D, Norris C, Carere RG, Knudtson ML, Ghali WA. Revascularization use and survival outcomes after cardiac catheterization in British Columbia and Alberta. Can J Cardiol 2004. Vol. 20 No. 14 Dec. p 1417-23. Tung, Dr. Kei Kwong (Stanley) Yeung-Lai-Wah JA, Qi A, McNeill E, Abel JG, Tung S, Humphries KH, Kerr CR. New-onset Sustained Ventricular Tachycardia and Fibrillation Early After Cardiac Operations. Annals of Thoracic Surgery 2004;77:2083-8. Webb, Dr. John G Pate G, Carere R, Webb J. Damage to a covered stent by a thrombectomy device. Catheter Cardiovasc Interv. 2004 Jan;61(1):107-110. Pate G, Webb J, Chugh S, Thompson C, Munt B, Carere R, Moss R. Percutaneous closure of a complex perivalvular leak using transesophageal echocardiographic guidance. Can J Cardiol 2004; 20:452-5. Pate G, Lowe R, Kuchela A, Buller CE, Vaderah S, Carere RG, Ricci DR, Hamburger JN, Webb JG. Procedural efficacy and complications of X-Sizer thrombectomy in de novo and stented lesions. Cathet Cardiovasc Interv 2004; 63: 177-82; discussion 183. Webb J, Munt B, Makkar R, Naqvi T, Dang N. A percutaneous stent-mounted valve for treatment of aortic or pulmonary valve disease. Cathet Cardiovasc Intervent; 2004: 63: 89-93. Serruys PW, Degertekin M, Tanabe Kengo, Russell ME, Guiagliumi G, Webb J, Hamburger J, Rutsch W, Kaiser C, Whitbourn R, Camenzind E, Meredith I, Reeves F, Nienaber C, Benit E, Disco C, Koglin J, Columbo A. Vascular responses at proximal and distal edges of paclitaxel-eluting stents: serial intravasuclar untlrasound analysis from the TAXUS II trial. Circulation 2004; 109: 627-633. McClure S, Webb J. Drug-eluting stents and saphenous vein graft intervention. J Invasive Cardiol 2004; 16: 234-5. Cotter G, Webb J, et al. Cardiac power is the strongest hemodynamic predictor of mortality in cardiogenic shock: a report from the SHOCK Trial Registry. J Am Coll Cardiol 2004; 44: 340-8. Webb JG, Pate G, Humphries KA, Buller CE, Al Shamari A, Sutander A, Shalansky S, Williams T, Rebecca S, Fox RS, Levin A. 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Echocardiographic (cardiac ultrasound) techniques for minimally invasive cardiac procedures. Proceedings from the materials and processes for medical devices conference. ASM International 2004. Yeung-Lai-Wah, Dr. John A Kinnaird TD, Uzun O, Munt BI, Thompson CR, Yeung-Lai-Wah JA. Transesophageal echocardiography to guide pulmonary vein mapping and ablation for atrial fibrillation. J Am Soc Echocardiogr. 2004;17(7):769-74. Yeung-Lai-Wah JA, Qi A, McNeill E, Abel JG, Tung S, Humphries KH, Kerr CR. New-onset Sustained Ventricular Tachycardia and Fibrillation Early After Cardiac Operations. Annals of Thoracic Surgery 2004;77:2083-8. CRITICAL CARE Dodek, Dr. Peter M Keenan SP, Dodek P, Chan K, Simon M, Hogg RS, Anis AH, Spinelli JJ, Tilley J, Norena M, Wong H. ICU survivors have fewer hospital readmissions and readmission days than other hospitalized patients in British Columbia. Critical Care Medicine 32: 391-398, 2004. 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DNR directives are established early in mechanically ventilated intensive care unit patients. Canadian Journal of Anesthesia. 51: 1034-1041, 2004. UBC Department of Medicine Page 141 Annual Report 2004 Dorscheid, Dr. Delbert R Davani EY, Dorscheid DR, Lee CH, Van Breemen C, Walley KR. Novel regulatory mechanism of cardiomyocyte contractility involving ICAM-1 and the cytoskeleton. Am J Physiol Heart Circ Physiol. 2004 Apr 15. [Epub ahead of print] Undevia NS, Dorscheid DR, Marroquin BA, Gugliotta WL, Tse R, White SR. Smad and p38-MAPK Signaling Mediates Apoptotic Effects of Transforming Growth Factor-{beta}1 (TGF-{beta}1) in Human Airway Epithelial Cells. Am J Physiol Lung Cell Mol Physiol. 2004 May 7. [Epub ahead of print] Keenan, Dr. Sean P Keenan SP, Chan K, Simon M, Levy AR, Hogg R, Spinelli J, Craib K, Dodek P. ICU Survivors have fewer hospital readmissions and readmission days than other hospitalized patients. Crit Care Med 2004: 32:391-398. Sinuff T, Keenan SP. 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Miller C, Wood E, Spittal P, Li K, Frankish J, Braitstein P, Montaner JSG, Schechter MT. The future face of co-infection: Prevalence and incidence of HIV and hepatitis C co-infection among young injection drug users. JAIDS 2004;1;36(2):743-749. Alexander CS, Montaner JSG, Asselin JJ, Ting L, McNabb K, Harris M, Guillemi S, Harrigan PR. Simplification of therapeutic drug monitoring for twice-daily regimens of lopinavir/ritonavir for HIV infection. Ther Drug Monit 2004;26(5):516-523. Braitstein P, Palepu A, Dieterich D, Benhamou Y, Montaner JSG. Special considerations in the initiation and management of antiretroviral therapy in individuals coinfected with HIV and hepatitis C. AIDS 2004;18(17):2221-2234. Harrigan PR, Brumme ZL, Dong WWY, Yip B, Wynhoven B, Hoffman NG, Swanstrom R, Jensen MA, Mullins JI, Hogg RS, Montaner JSG. Clinical and immunological impact of HIV envelope V3 sequence variation after starting initial triple antiretroviral therapy. AIDS 2004; 18(4):F1-9. Kerr T, Palepu A, Barnes G, Walsh J, Hogg R, Montaner J, Tyndall M, Wood E. Psychosocial determinants of adherence to highly active antiretroviral therapy among injection drug users in Vancouver. Antiviral Therapy 2004; 9:407-414. King MS, Bernstein BM, Walmsley SL, Sherer R, Feinberg J, Sanne I, Cernohous P, Montaner JSG, Brun SC, Sun E. Baseline HIV-1 RNA Level and CD4 Cell Count Predict Time to Loss of Virologic Response to Nelfinavir, but Not Lopinavir/Ritonavir, in Antiretroviral Therapy–Naive Patients. J Infect Dis 2004;190:280-284. UBC Department of Medicine Page 160 Annual Report 2004 Kuyper LM, Hogg RS, Montaner JSG, Schechter MT, Wood E. The cost of inaction on HIV transmission among injection drug users and the potential for effective interventions. J Urban Health 2004;81(4):655-660. Kuyper L, Wood E, Montaner JSG, Yip B, O‚Connell J, O‚Shaughnessy MV, Hogg RS. 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Dave SS, Wright G, Tan B, Rosenwald A, Gascoyne RD, Chan WC, Fisher RI, Braziel RM, Rimsza LM, Grogan TM, Miller TP, Leblanc M, Greiner TC, Weisenburger DD, Lynch JC, Vose J, Armitage JO, Smeland EB, Kvaloy S, Holte H, Delabie J, Connors JM, Lansdorp PM, Ouyang Q, Lister TA, Davies AJ, Norton AJ, Muller-Hermelink HK, Ott G, Campo E, Montserrat E, Wilson WH, Jaffe ES, Simon R, Yang L, Powell J, Zhao H, Goldschmidt N, Chiorazzi M, Staudt LM. Prediction of survival in follicular lymphoma based on molecular features of tumor-infiltrating immune cells. N Engl J Med 2004;351:2159-2169. Iqbal J, Sanger WG, Horsman DE, Rosenwald A, Pickering DL, Dave B, Dave S, Xiao L, Cao K, Zhu Q, Sherman S, Hans CP, Weisenburger DD, Greiner TC, Gascoyne RD, Ott G, Muller-Hermelink HK, Delabie J, Braziel RM, Jaffe ES, Campo E, Lynch JC, Connors JM, Vose JM, Armitage JO, Grogan TM, Staudt LM, Chan WC. BCL2 translocation defines a unique tumor subset within the germinal center B-cell-like diffuse large B-cell lymphoma. Am J Pathol 2004;165:159-166. Gill, Dr. Sharlene Sinicrope FA, Gill S. Role of Cyclooxygenase-2 in Colorectal Cancer, Cancer and Metastasis Reviews, 2004 Jan; 23:63-75 Gill S, Goldberg RM. First-line Treatment Strategies to Improve Survival in patients with Advanced Colorectal Cancer, Drugs, 2004;64(1):27-44. Gill S, Loprinzi C, Sargent D, Haller D, Benedetti J, Shepherd L, LaBianca R, Francini G and Goldberg RM. A Pooled Analysis of 5-FU Based Adjuvant Therapy for Stage II and III Colon Cancer: Who Benefits and by How Much? Journal of Clinical Oncology, 2004 May; 22:1797-1806. [Accompanied by Editorial, Epub ahead of print] Goldberg RM, Gill S. Recent phase III trials of fluorouracil, irinotecan, and oxaliplatin as chemotherapy for metastatic colorectal cancer. Cancer Chemother Pharmacol. 2004;54 Suppl 1:S57-64. Hoskins, Dr. Paul J Law JKY, Ho JK, Hoskins PJ, Erb SR, Steinbrecher UP, Yoshida EM. Fatal reactivation of hepatitis B post-chemotherapy for lymphoma in a hepatitis B surface antigen negative. Hepatitis B core antibody positive patient: implications for future prophylaxis recommendations. (Accepted by Leukemia and Lymphoma 2004). Melosky, Dr. Barbara L Cottrell W, Graham W, Growe G, Jordan J, Levin A, Lordan T, Martino F, Martin J, Melosky B, Meuser J, Moore-Orr R, Nguyen A, Ramen-Wilms L, Stewart J, Strobart K, Rosser W, Wazny L. "Guidelines for the Management of Anemia". Anemia Review Panel, 1st Edition, 2004. UBC Department of Medicine Page 166 Annual Report 2004 Murray, Dr. Robert Nevin C Laskin J, Erridge S, Coldman A, D’yachkova J, Speers C, Westeel V, Hislop G, Olivotto I, Murray N. Population-based outcomes for small cell lung cancer: impact of standard management policies in British Columbia. Lung Cancer 43: 7-14, 2004. Murray N, Salgia R, Fossella F. Targeted molecules in small cell lung cancer. Semin Oncol 31(suppl 1):106-111, 2004. Murray N. Meeting Report: 10th World Conference of Lung Cancer August 10-14, 2003, Vancouver Canada. Lung Cancer 44, 133-138, 2004. Savage, Dr. Kerry J Savage KJ, Chhanabhi M, Gascoyne RG, Connors JC. Characterization of peripheral T-cell Lymphomas in single North American institution by the WHO classification. Annals of Oncology. 2004;15:1467-1475. Shenkier, Dr. Tamara N Shenkier TN, Levine M, Olivotto I. Treatment of Locally Advanced Breast Cancer, Reply to Letter to the Editor. Canadian Medical Association Journal, August 2004; 171: 221-222; 10.1503/cmaj.1040848. Shenkier TN, Weir L, Levine M, Olivotto I, Whelan T, Reyno L for the steering Committee on clinical Practice Guidelines for the Care and Treatment of Breast Cancer. Clinical practice guidelines for the care and treatment of breast cancer: 15. Treatment for women with stage III or locally advanced breast cancer. CMAJ 2004; 170(6):983-94. Lester R, Li C, Galbraith P, Vickers L, Leitch H, Phillips P, Shenkier T, Gascoyne R. Improved outcome of human immunodeficiency virus-associated plasmablastic lymphoma of the oral cavity in the era of highly active antiretroviral therapy: A report of two cases. Leuk Lymphoma 2004: 45(9):1881-5. Swenerton, Dr. Kenneth D Dark GG, Calvert AH, Grimshaw R, Poole C, Swenerton K, Kaye S, Coleman R, Jayson G, Le T, Ellard S, Trudeau M, Vasey P, Hamilton M, Cameron T, Barrett E, Walsh W, McIntosh L and Eisenhauer E. Randomised trial of two intravenous schedules of the liposomal topoisomerase I inhibitor, OSI-211, in women with relapsed epithelial ovarian cancer (accepted by J Clin Oncol). Le LH, Swenerton KD, Elit L, Provencher DM, Stuart GCE, Le T, Lee U, Rogers A, Pond GR, Hu H and Oza AM. Phase II multicentre open-label study of carboplatin and pegylated liposomal doxorubicin in uterine and cervical malignancies (accepted by Int J Gyn Cancer). NEPHROLOGY Duncan, Dr. John A Buller CE, Nogareda JG, Ramanthan K, Ricci DR, Djurdjev O, Tinckam KJ, Penn IM, Fox RS, Stevens LA, Duncan JA, Levin A. Renal Artery Stenosis in a Cardiac Population at Risk. Journal of the American College of Cardiology, 43(9):1606-13, 2004. Gill, Dr. John S M. Tonelli, B. Hemmelgarn, B. Manns, G. Pylypchuk, C. Bohm, K. Yeates, S. Gourishankar, J.S. Gill. Death and Renal Transplantation Among Aboriginal People Undergoing Dialysis. CMAJ. 2004 Sep 14;171(6):577-82. Gill JS, Tonelli M, Mix C and Pereira BJG. Why do preemptive transplant recipients have an allograft survival advantage? Transplantation. 2004 78(6):873-879. UBC Department of Medicine Page 167 Annual Report 2004 Gill JS. Challenges from bias when estimating change of renal allograft funciton, authors reply. Kidney International 2004 66:463-4. Gill JS, Tonelli M, Mix C, Johnson N and Pereira BJG. The Effect Of Maintenance Immunosuppression On Kidney Allograft Function. 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Roger S, McMahon L, Clarkson A, Disny A, Harris D, Hawley C, Healy H, Kerr P, Kelvin L, Parnham A, Pascoe R, Voss D, Walker R & Levin A. "Effects of Early and Late Intervention with Epoetin Alpha on Left Ventricular Mass Among Patients with Chronic Kidney Disease (stage 3 or 4): Results of a Randomized Clinical Trial" JASN. Jan 2004; 15(1):148-56. Stevens L, Djurdjev O, Cardew S, Cameron EC, Levin A. "Calcium, Phosphate and Parathyroid Hormone Levels in Combination and as a Function of Dialysis Duration Predict Mortality: Evidence for the Complexity of the Association Between Mineral Metabolism and Outcomes". JASN. Mar 2004; 15(3), 770-779. Buller C, Nogareda JG, Ramanathan K, Ricci DR, Djurdjev O, Tinckam K, Penn IM, Fox RS, Stevens L, Duncan J & Levin A. "The Profile of Cardiac Patients with Renal Artery Stenosis". JACC. May 5 2004. 43(9):1606-13. McMahon LP, Roger SD & Levin A. 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Respiratory Health Survey of Respiratory Therapists. Chest 2004; 126:1048-53. Wilson, Dr. Jennifer M Wilson JM. Why am I coughing up blood? The Canadian Journal of CME 16(4) March 2004 114-119. RHEUMATOLOGY Chalmers, Dr. Andrew Backman CL, Kennedy SM, Chalmers A, Singer J. Participation in paid and unpaid work by adults with rheumatoid arthritis. J Rheumatol. 2004;31:47-56. UBC Department of Medicine Page 181 Annual Report 2004 Cibere J, Bellamy N, Thorne A, McGorm K, Esdaile JM, Chalmers A, Hunag S, Peloso P, Shojania K, Singer J, Wong H, Kopec J. Reliability of the Knee Examination in Osteoarthritis: Effect of Standardization. Arthritis Rheum 2004;50(2):458-68. Lacaille D, Sheps S, Spinelli JJ, Chalmers A, Esdaile JM. Identification of modifiable work-related factors that influence the risk of work disability in rheumatoid arthritis. Arthritis Rheum 2004;51:843-52. Marra CA, Esdaile JM, Guh D, Kopec JA, Brazier JE, Koehler BE, Chalmers A, Anis AH. A comparison of four indirect methods of assessing utility values in rheumatoid arthritis. Med Care 2004;42:1125-31. Cibere, Dr. Jolanda Prlic HM, Lehman AJ, Cibere J, Esdaile JM. Identification and evaluation of an ayurvedic medicine approach to the treatment of inflammatory arthritis. Clin Exp Rheumatol 2004; 21:747-52. Cibere J, Bellamy N, Thorne A, McGorm K, Esdaile JM, Chalmers A, Huang S, Peloso P, Shojania K, Singer J, Wong H, Kopec J. Reliability of the Knee Examination in Osteoarthritis: Effect of Standardization. Arthritis Rheum 2004; 50:458-68. Cibere J, Kopec JA, Thorne A, Singer J, Canvin J, Robinson DB, Pope J, Hong P, Grant E, Esdaile JM. Randomized double-blind placebo-controlled glucosamine discontinuation trial in knee osteoarthritis. Arthritis Care Res 2004;51:738-45. Ensworth, Dr. Stephanie G Miettunen PM, Ortiz-Alvarez O, Petty RE, Cimaz R, Malleson PN, Cabral DA, Ensworth S, Tucker LB. Gender and ethnic origin have no effect on long-term outcome of childhood onset systemic lupus erythematosus. J. Rheumatol 2004;31:1650-4. Stephenson MD, Ballem PJ, Tsang P, Purkiss S, Ensworth S, Houlihan E, Ensom MH. Treatment of antiphospholipid antibody syndrome (APS) in pregnancy: A randomized pilot trial comparing low molecular weight heparin to unfractionated heparin. J Obstet Gynaecol Can 2004; 26:729-34. Esdaile, Dr. John M Prlic H, Lehman A, Cibere J, Sodhi V, Varma S, Sukamaran T, Esdaile JM. Identification and evaluation of an Ayurvedic medicine approach to the treatment of inflammatory arthritis. Rheumatol 2004;21:747-752. Kopec JA, Sayre EC, Esdaile JM. Predictors of back pain in a general population cohort. Spine 2004;29:70-7. Cibere J, Bellamy N, Thorne A, McGorm K, Esdaile JM, Chalmers, A, Huang S, Peloso P, Shojania K, Singer J, Wong H, Kopec J. Reliability of the knee examination in osteoarthritis: Effect of standardization. Arthritis Rheum 2004;50:458-468. Cibere J, Kopec JA, Thorne A, Singer J, Kopec J, Canvin J, Robinson DB, Pope J, Hong P, Grant E, Esdaile JM. Randomized double-blind placebo-controlled glucosamine discontinuation trial in knee osteoarthritis. Arthritis Rheum 2004;51:738-45. Lacaille D, Sheps S, Spinelli JJ, Chalmers A, Esdaile JM. Identification of modifiable work-related factors that influence the risk of work disability in rheumatoid arthritis. Arthritis Rheum 2004;51:843-52. Clarke AE, Penrod J, St. Pierre Y, Petri MA, Manzi S, Isenberg DA, Gordon C, Senecal JL, Fortin PR, Sutcliffe N, Goulet JR, Choquette D, Grodzicky T, Esdaile JM. The systemic lupus erythematosus Tri-Nation Study: Absence of a link between health resource use and health outcome. Rheumatology 2004;43:1016-24. UBC Department of Medicine Page 182 Annual Report 2004 Marra CA, Esdaile JM, Guh D, Kopec JA, Brazier JE, Koehler BE, Chalmers A, Anis AH. A comparison of four indirect methods of assessing utility values in rheumatoid arthritis. Med Care 2004;42:1125-31. Marra CA, Lynd LD, Esdaile JM, Kopec J, Anis AH. The impact of low family income on self-reported health outcomes in patients with rheumatoid arthritis within a publicly funded health-care environment. Rheumatology 2004;43:1390-7. Gillies, Dr. Jean H Bent H, Goligher EC, Kopec J, Gillies JH. Computer-administered BATH ankylosing spondylitis and Quebec Scale outcome measures for low back pain: Agreement with traditional paper formats. J Rheumatol 2004;31:1435. Goligher EC, Ratzlaff CR, Gillies JH. External rotation of hip during stance phase of gait: Grading system validation and reliability study. J Rheumatol 2004;31:1434. Goligher EC, Ratzlaff CR, Wong AD, Gillies JH. An association between gait and passive range of motion of hip internal rotation: Implications for early diagnosis of hip osteoarthritis. J Rheumatol 2004;31:1434. Klinkhoff, Dr. Alice V Gladman DD, Cook RJ, Schentag C, Feletar M, Inman R, Hitchon C, Karsh J, Klinkhoff AV, Maksymowych WP, Mosher DP, Nair B, Stone MA. The clinical assessment of patients with psoriatic arthritis: Results of a reliability study of the spondyloarthritis research consortium of Canada. J Rheumatol 2004;31:1126-31. Klinkhoff A. Biological agents for rheumatoid arthritis: Targeting both physical function and structural damage. Drugs 2004;64:1267-83. Koehler, Dr. Barry Marra CA, Esdaile JM, Guh D, Kopec JA, Brazier JE, Koehler BE, Chalmers A, Anis AH. A comparison of four indirect methods of assessing utility values in rheumatoid arthritis. Med Care 2004;42:1125-31. Lacaille, Dr. Diane Lacaille D, Sheps S, Spinelli JJ, Chalmers A, Esdaile JM. Identification of modifiable work-related factors that influence the risk of work disability in rheumatoid arthritis. Arthritis Rheum 2004;51:843-52. Gignac MAM, Badley EM, Lacaille D, Cott CC, Adam P, Aslam AH. Managing arthritis and employment: Making arthritis-related work changes as a means of adaptation. Arthritis Rheum 2004;51:909-16. Shojania, Dr. Kamran Cibere J, Bellamy N, Thorne A, McGorm K, Esdaile JM, Chalmers A, Huang S, Peloso P, Shojania K, Singer J, Wong H, Kopec J. Reliability of the knee examination in osteoarthritis: Effect of standardization. Arthritis Rheum 2004;50(2):458-68. Wade, Dr. John P Neustadt D, Wade J, Gimbel J, Bell M, Caldwell J. Clinical effects of intra-articular high molecular weight hyaluronan (Orthovisc) in osteoarthritis of the knee. Arthritis Rheum 2004; 50:S144. UBC Department of Medicine Page 183 Annual Report 2004 GRANTS AND RESEARCH AWARDS UBC Department of Medicine Page 185 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Division Researcher Type SPONSOR 04/05 Allergy/Immunology Stark Clinical Trial Aventis Behring Canada Inc. $ Allergy/Immunology Allergy/Immunology Allergy/Immunology Stark Wong Wong Clinical Trial Grant Grant $ $ $ Cardiology Aymong Grant Cardiology Aymong Clinical Trial Bayer Inc. VCHRI: Interdisciplinary Grant VCHRI: VGH & UBC Hospital Fdn In it for Life (Operating) MSFHR: Institutional Infrastructure Support Program INS002031 The Medicines Company $ Cardiology Bernstein Clinical Trial Sanofi-Synthelabo Canada Inc. $ Cardiology Bernstein Clinical Trial Pfizer Canada Inc. $ Cardiology Bernstein Grant Cardiology Cardiology Bernstein Bernstein Clinical Trial Clinical Trial Various pharmaceutical $ companies CIHR: Health Research Institutes $ Vasogen Inc. $ Cardiology Bernstein Clinical Trial Vasogen Inc. $ Cardiology Bernstein Clinical Trial $ Cardiology Cardiology Cardiology Bernstein Bernstein Bernstein Clinical Trial Clinical Trial Clinical Trial Hamilton Health Sciences Corporation MRC: Clinical Trials National Institutes of Health Eli Lilly Canada Inc. $ $ $ Cardiology Bernstein Clinical Trial Pfizer Canada Inc. $ Cardiology Cardiology Cardiology Bernstein Bernstein Bernstein Grant Clinical Trial Clinical Trial VCHRI: Interdisciplinary Grant Knoll Pharmaceuticals Merck Frosst Canada Inc. $ $ $ Cardiology Buller Clinical Trial Canadian Vigour Centre $ UBC Department of Medicine $ Page 187 TITLE 7,813.00 A phase 2/3 open-label, prospective, randomized, actively-controlled, multicentre study of the pharmacokinetics, efficacy, safety and tolerability of immune globulin subcutaneous (human), CE1200 in subjects with primary immune deficiency 5,172.00 IVIG-C %10 Rapid Infusion Trial in Primary Immune Deficient Patients 9,550.00 Measurement Properties of a Novel Walk Test in a Frail Elderly Population 35,376.00 Functional Performance in the Frail Elderly Population 2,700.00 Prognosis of patients with prior coronary artery bypass grafting including saphenous vein grafts who present for cardiac catheterization 7,699.00 The ACUITY Trial: A randomized comparison of Angiomas(bivalirudin)versus Lovenox/Clexane(enoxaparin) in patients undergoing early invasive management for acute coronary syndromes without ST-segment elevation 2,118.00 AMADEUS 64720: Multicenter Randomized Open-Label Assessor-Blind NonInferiority Study Comparing the Efficacy & Safety of Once-Weekly Subcutaneous Idraparinux (SanOrg34006) with Adjusted-Dose Oral Vitamin-K Antagonists in the Prevention of… 1,309.00 A2581087 (ACTFAST): Achieve Cholesterol Targets Fast with Atorvastatin Stratified Titration. Multicentre 12 Wk Treatment Single Step Titration OpenLabel Study Assessing the % of Dyslipidemic High-Risk Patients Achieving Low Density Lipo... 71,911.00 Cardiology Research 1,000.00 AF-CHF: Atrial Fibrillation and congestive Heart Failure 3,780.00 Protocol 0202 (ACCLAIM): Multicenter Randomized Double-Blind Parallel Group Placebo-Controlled Study to Assess the Effects of Immune Modulation Therapy (IMT) on Mortality and Morbidity in Patients with Chronic Heart Failure 12,820.00 Protocol 0101: Multicenter Randomized Double-Blind Parallel Group Placebo Controlled Study of Efficacy & Safety of Immune Modulation Therapy in Improving Walking Distance in Patients with Intermittent Claudication Secondary to PAD 11,154.00 ONTARGET: Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial 9,466.00 Heart Outcomes Prevention Trial (HOPE) 39,877.00 STICH: Surgical Treatment for Ischemic Heart Failure 30,991.00 Ruth Study, Raloxifene Hydrochloride or placebo in postmenopausal women at risk for major cardiovascular events 35,593.00 IMAGINE - Ischemia Management with Accupril post bypass graft via inhibition of converting enzyme (IMAGINE): An evaluation of the effect of 12 to approximately 24 months treatment with Quinapril 40 mg QD post CABG surgery Ismetic events 60,000.00 Magnesium use in the prevention of atrial arrhythmias after cardiac surgery 10,159.00 PEACE - Prevention of Events with Angiotensin Converting Enzyme Inhibition 9,600.00 804-00: Randomized Double-Blind Placebo-Controlled Multicentre Study to Evaluate Efficacy Safety & Tolerability of Ezetimibe 10mg or Placebo Coadministered with Existing Atorvastatin 10mg or 20mg in Attaining LDL Cholesterol Target Levels… 3,900.00 Protocol CVC1002: The WEST Study: Which Early ST Elevation Myocardial Infarction Therapy Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Cardiology Buller Clinical Trial Takeda Global Research and Development $ Cardiology Buller Clinical Trial Arginox Pharmaceuticals, Inc. $ Cardiology Cardiology Buller Buller Clinical Trial Clinical Trial evYsio Medical Devices ULC $ Canadian Heart Research Centre $ Cardiology Buller Clinical Trial NIH (US): Research Grant $ Cardiology Buller Clinical Trial Organon Canada Ltd. $ Cardiology Buller Clinical Trial Heart and Stroke Foundation of Ontario $ Cardiology Buller Clinical Trial $ Cardiology Carere Agreement National Heart, Lung and Blood Institute MRC: Clinical Trials Cardiology Carere Grant Cardiology Cardiology Chan Chan Grant Clinical Trial Cardiology Fung Grant Cardiology Fung Clinical Trial Vancouver Coastal Health Authority Genentech Canada Inc. Cardiology Fung Clinical Trial Canadian Heart Research Centre $ Cardiology Fung Clinical Trial Sanofi-Synthelabo Canada Inc. $ Cardiology Fung Clinical Trial Aventis Pharma Inc. $ Cardiology Fung Clinical Trial Velocimed, Inc. $ Cardiology Fung Clinical Trial Amersham Life Sciences Inc. $ UBC Department of Medicine St Lukes-Roosevelt Institute For Health Sciences H&SFBC: Research PPD Development $ $ $ $ $ $ Page 188 12,577.00 01-01-TL-OPI-516 - PERISCOPE: Double-Blind Randomized ComparatorControlled Study in Subjects With Type 2 Diabetes Mellitus Comparing the Effects of Pioglitazone HCL vs Glimepiride on the Rate of Progression of Coronary Atherosclerotic Disease 13,801.00 ARG-101-061503 SHOCK 2: Randomized Double-Blind Placebo-Controlled Dose-Ranging Study of Nitric Oxide Synthase Inhibition with Ng Monomethyl-LArginine (L-NMMA) in Pts with Cardiogenic Shock Complicating Acute Myocardial Infarction… 1,500.00 Evaluation of a Novel Guidewire Exchange Catheter 1,500.00 PO2855 (SPIRE): Safety Pharmacokinetics and Pharmacodynamics of Integrilin in Patients with Acute Coronary Syndromes and Renal Insufficiency 5,051.00 Total Occlusion Study of Canada-2 (TOSCA-2) An Angiographic Substudy of the Occluded Artery Trial (OAT) 3,150.00 Protocol ASPIRE Pilot: Randomized Blinded Pilot Trial of Fondaparinux Sodium (Arixtra) vs Unfractioned Heparin in Addition to Standard Therapy in a Broad Range of Patients Undergoing Percutaneous Coronary Intervention 43,200.00 The STREAM Study: Stent Restenosis and Metabolism: An Open-Label Randomized Trial of Subcutaneous Insulin vs Control in Patients with Type II Diabetes Undergoing Percutaneous Coronary Intervention with Stent 3,002.00 OAT: Occluded Artery Trial - Total Occlusion Study of Canada 2 (TOSCA 2) Substudy 3,383.00 Clinical outcomes utilizing revascularization and aggressive drug evaluation (COURAGE) Trial 34,050.00 Open Artery Trial (OAT II) 60,000.00 Aging, cardiac risk factors, endothelial function and endothelial progenitor cells 64,584.00 A phase II randomized, double-blind, placebo-controlled, multi-center brachial artery ultrasound study of ETC-588 in patients with stable atherosclerosis 233,897.00 Interventional cardiology research -clinical research coordinators positions 1,110.00 A Phase II, Randomized, Open-Label, Multicenter, International, Angiographic Trial of the Efficacy of TNK-tPA Compared with Accelerated Activase Alteplase rt-PA in Acute Myocardial Infarction (TIMI 10B) 1,445.00 Protocol CHRC 248: Canadian Registry of Acute Coronary Syndrome Patients: ACS Registry 2 6,700.00 Protocol EFC 3197 (OASIS 5): International Randomized Double-Blind Study Evaluating the Efficacy & Safety of Fondaparinux vs Enoxaparin in the Acute Treatment of Unstable Angina/Non ST-Segment Elevation MI Acute Coronary Syndromes 150,000.00 XRP4563/4001 STEEPLE: International Phase 2/3 Stratified Randomized OpenLabel Parallel-Group Clinical Trial to Evaluate the Safety and Efficacy of a Single Intravenous Bolus of Enoxaparin vs Intravenous Unfractionated Heparin in Patient... 27,812.00 Protocol 0231-001 (The Proximal Trial) Proximal Protection During Saphenous Vein Graft Intervention Using the Proxis Embolic Protection System: A Randomized Prospective Multicentre Clinical Trial 6,686.00 VIS-P4-007: 2 Stage, Prospective Randomized Double-Blind Study of the Effects of an Isosmolar Contrast Medium Visipaque 320 (iodixanol) vs Optiray 320 (ioversol) on Serum Creatinine Concentrations in Subjects with Elevated Serum Creatin... Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Cardiology Gin Clinical Trial Sanofi-Synthelabo Canada Inc. $ Cardiology Gin Clinical Trial AstraZeneca Canada Inc $ Cardiology Gin Clinical Trial Procter & Gamble, Canada $ Cardiology Gin Clinical Trial Atherogenics, Inc. $ Cardiology Hamburger Clinical Trial Atherogenics, Inc. $ Cardiology Hamburger Clinical Trial Boston Scientific Corporation $ Cardiology Hamburger Clinical Trial Kerberos Proximal Solutions, Inc $ Cardiology Humphries Grant $ Cardiology Humphries Grant $ 80,000.00 Secondary prevention - the gap between evidence and practice Cardiology Cardiology Humphries Humphries Grant Grant Cardiology Humphries Grant Cardiology Humphries Grant Cardiology Ignaszewski Clinical Trial CIHR: Operating Grant MOP 57884 MSFHR: Career Investigator Program C1-SCH-67(01-2) H&SFBC: Research MSFHR: Institutional Infrastructure Support Program INS002031 NCE/Stem Cell Network: Research NCE/Stem Cell Network: Research Student Award Novartis Pharmaceuticals Canada Inc 10,181.00 Protocol EFC4912 (ACTIVE): Atrial Fibrillation Clopidogrel Trial with Irbesartan for Prevention of Vascular Events 1,203.00 Protocol DISCOVERY: Direct Statin Comparison of LDL-C Values: An Evaluation of Rosuvastatin Therapy 46,350.00 PREMIER Study: Multicentre Randomized Double-Blind Parallel-Group PlaceboControlled Study of a 200 mg Oral Dose of PG-116800 Given Twice Daily for 90 Days to Patients Following Acute Myocardial Infarction with Post-Treatment Follow-up 8,739.00 AGI-1067-042 ARISE: Multicenter Double-Blind Randomized Placebo-Controlled Trial to Study the Reduction of Vascular Inflammation & Coronary Atherosclerosis with AGI-1067 a V-Protectant Reduces Cardiovascular Events in Patients with Coronary… 29,638.00 Safety and efficacy of AGI-1067 as an agent to prevent post angioplasty restenosis and coronary atherosclerosis progression (CART II) 30,174.00 TAXUS II: Randomized, Double-Blind, Controlled Study of the Safety and Performance of the NIRx Paclitaxel-Coated Conformer Coronary Stent 29,502.00 Multicenter Prospective Non-Randomized Study to Evaluate Safety & Performance of the Rinspiraton Catheter in Conjunction with an Approved Distal Protection Filter in Patients Undergoing Primary PCI for the Treatment of AMI 25,356.00 Secondary prevention - the gap between evidence and practice Cardiology Ignaszewski Clinical Trial Amgen, Inc. $ Cardiology Ignaszewski Clinical Trial Parke-Davis Pharmaceuticals $ Cardiology Jue Clinical Trial Pfizer Canada Inc. $ Cardiology Cardiology Cardiology Jue Jue Jue Contract Clinical Trial Clinical Trial Various Sources $ Canadian Heart Research Centre $ Aventis Pharmaceuticals Inc. $ Cardiology Jue Grant Canadian Institutes of Health Research UBC Department of Medicine $ $ 190,859.00 Magnesium for the prevention of atrial arrhythmias after cardiac surgery 3,600.00 BC cardiovascular outcomes research team $ 396,846.00 HOXB4 target-genes specifying hematopoietic stem cell self-renewal $ 20,000.00 Characterization of the role of MEIS1 in hematopoiesis $ 1,500.00 A Six-month, Multicenter, Randomized, Open-label Study of the Safety, Tolerability and Efficacy of Two Neoral(R) Doses in addition to Certican (TM) and Steroids in de novo Heart Transplant Recipients 7,550.00 A double-blind, randomized, placebo-controlled, multicentre study to assess the impact of subcutaneous (SC) Darbepoetin Alfa treatment on exercise tolerance in subjects with symptomatic congestive heart failure (CHF) and anemia 94,146.00 The effect of LDL-cholesterol lowering beyond currently recommended minimum targets on coronary heart disease (CHD) recurrence in patients with pre-existing CHD 1,934.00 A2581087 (ACTFAST): Achieve Cholesterol Targets Fast with Atorvastatin Stratified Titration. Multicentre 12 Wk Treatment Single Step Titration OpenLabel Study Assessing the % of Dyslipidemic High-Risk Patients Achieving Low Density Lipo... 26,045.00 Echo Research Account 375.00 Protocol CHRC 011: Interact 1 Year Follow-Up Study 26,210.00 The Synergy Trial: A Prospective, Randomized, Open-Label, Multicentre Study in Patients Presenting with Acute Coronary Syndromes (ACS) 15,779.00 Protocol DC-452-003: ASTRONOMER - The Effect of Cholesterol Lowering on Progression of Aortic Stenosis in Patients with Mild to Moderate Aortic Stenosis $ Page 189 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Cardiology Cardiology Jue Kerr Clinical Trial Clinical Trial Guidant Corporation Various US Companies $ $ Cardiology Cardiology Kerr Kerr Clinical Trial Grant Guidant Corporation Montreal Heart Institute $ $ Cardiology Kerr Clinical Trial Procter & Gamble, Canada $ Cardiology Cardiology Cardiology Kiess Mancini Mancini Grant Grant Contract $ $ $ Cardiology Mancini Grant Cardiology Penn Grant Cardiology Rabkin Clinical Trial Cardiology Ricci Clinical Trial King Pharma Various Sources Canadian Vigour Centre, University of Alberta VCHRI: Scholar Award (Fellow: Lacaille, Diane) MSFHR: Institutional Infrastructure Support Program INS002031 Various Pharmaceutical Companies Eli Lilly Canada Inc. Cardiology Straatman Clinical Trial Novartis Pharmaceuticals Canada Inc $ Cardiology Thompson Clinical Trial Novo-Nordisk $ Cardiology Cardiology Cardiology Cardiology Cardiology Thompson Tung Tung Webb Webb Grant Clinical Trial Clinical Trial Grant Clinical Trial $ $ $ $ $ Cardiology Webb Clinical Trial CIHR: Health Research Institutes Medtronic (USA) St. Jude Medical Inc. Various Sources Hoffmann-La Roche Ltd (Canada) Sanofi-Synthelabo Recherche Cardiology Webb Clinical Trial PercuSurge Inc. $ Cardiology Webb Clinical Trial Sanofi-Synthelabo Canada Inc. $ Cardiology Webb Clinical Trial Boston Scientific Corporation $ Cardiology Webb Clinical Trial Boston Scientific Corporation $ UBC Department of Medicine $ $ $ $ $ Page 190 1,600.00 CAFÉ: Canadian Atrial Fibrillation Evaluation Study 137.00 SHOCK - Should we emergently revascularize occluded coronaries for cardiogenis shock: an international randomized trial of emergently PTCA/CABG 800.00 Insignia I ULTRA SR Pacemaker Trial 1,200.00 Atrial Fibrillation and Congestive Heart Failure (AF-CHF) - A multicentre study evaluating the value of a therapeutic strategy to restore and maintain sinus rhythm in patients with atrial fibrillation and congestive heart failure versus… 5,456.00 A multi-centre, six-month, double-blind, placebo-controlled, parallel-group design clinical study to assess the efficacy and safety of a daily oral dose of 125mg of Azimilide Dihydrochloride for the prophylactic treatment of atrial fibrillation… 4,218.00 (VISION 304) Vasodilator Induced Stress in Concordance with Adenosine 397,816.00 Carotid studies 26,000.00 The WEST Study: Which Early ST Evaluation Myocardial Infarction Therapy? 10,000.00 Preventing work loss from inflammatory arthritis: program development and pilot testing 3,600.00 Study to assess associated risk factors for premature atherosclerosis and coronary artery disease in people of South Asian descent (STAAR) 280.00 Clinical Trials 38,388.00 Protocol H7T-MC-TAAH (JUMBO-TIMI 26): Double-Blind, Randomized, Multicenter, Dose-Ranging Trial of CS-747 Compared with Clopidogrel in Subjects Undergoing Percutaneous Coronary Intervention - Joint Utilization of Medications to Block Plate... 8,499.00 A 12-month, multicentre, randomized, adaptive design, open-label study to evaluate the benefit of C-2 hour monitoring of Neoral(R) on safety and efficacy outcomes in de novo cardiac transplant recipients receiving basilixmab induction 3,979.00 A randomized, parallel-group, open-label, multinational trial comparing the safety and efficacy of insulin aspart (NovoRapid) versus human insulin (Actrapid) used in a multiple injection regimen, in the treatment of pregnant women with… 58,513.00 To reduce IDDM in type 1 diabetes in the genetically at risk TRIGR 2,300.00 SAVE PACe - Search AV Extension for Promoting Atrioventricular Conduction 3,668.00 Sensitivity and Specificity of Morphology Discrimination: A Prospective Study 6,300.00 various sources 51,325.00 WEST: Which Early ST Elevation Myocardial Infarction Therapy? 11,000.00 An international randomized double-blind study evaluating the efficacy and safety of Fondapainux versus Enoxaparin in the acute treatment of unstable angina/non ST-segment elevation MI acure coronary syndromes (OASIS - 5) 61,988.00 Enhanced myocardial efficacy and recovery by aspiration of liberalized debris (EMERALD) P02-0040 6,000.00 An international, randomized study evaluating the efficacy and safety of fondaparinux sodium versus control therapy and glucose insulin-potassium infusion versus control in a broad range of patients with ST segment elevation acute myocardial… 19,226.00 SYMBIOT III: A prospective randomized trial evaluating the Symbiot III covered stent system in saphenous vein grafts 4,268.00 TAXUS II: A double-blind, controlled, study of the safety and performance of the NIRx(TM) Paclitaxel-coated conformer coronary stent Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Cardiology Cardiology Webb Webb Clinical Trial Clinical Trial Cardiva Medical, Inc Arginox Pharmaceuticals, Inc. $ $ Cardiology Webb Clinical Trial VELOCIMED, INC $ Cardiology Cardiology Cardiology Cardiology Cardiology Webb Webb Webb Webb Webb Clinical Trial Clinical Trial Clinical Trial Grant Clinical Trial Kerberos Proximal Solutions, Inc. Kerberos Proximal Solutions, Inc. Edwards Lifesciences Cardiva Medical, Inc. Edwards Lifesciences $ $ $ $ $ Cardiology Webb Clinical Trial Cardiology Yeung Clinical Trial Medtronic (USA) $ Critical Care Chittock Grant VHHSC: VGH/UBC Fdn Special Opportunities Research Fund $ Critical Care Chittock Clinical Trial CIHR $ Critical Care Chittock Clinical Trial $ Critical Care Chittock Clinical Trial CIHR: Randomized Controlled Trials (Clinical Trials) Society of Critical Care Medicine Critical Care Critical Care Dhingra Dhingra Grant Clinical Trial Critical Care Dodek Grant Critical Care Dodek Grant Critical Care Dorscheid Grant Critical Care Critical Care Dorscheid Dorscheid Grant Grant Critical Care Dorscheid Grant Critical Care Fenwick Critical Care Fenwick UBC Department of Medicine $ $ UBC Department of Medicine Canadian Intensive Care Fdn & University of Ottawa HC/CIHR: Research Project $ $ $ Clinical Trial CIHR: Operating Grant MOP62778 MSFHR: Career Investigator Program C1-SCH-31 (01-2) BC Lung: Project Grant MSFHR: Matching Establishment Grant CI-SCH-31(01-2) MSFHR: Career Investigator Program C1-SCH-31(01-2) (Fellow: Dorscheid, Delbert) Eli Lilly Canada Inc. Clinical Trial Chiron Corporation $ $ 2,968.00 Clinical study of the VasoStasis Vascular Closure System (VCS) 24,543.00 SHOCK-2 Trial-A randomised, double-blind, placebo-controlled, dose-ranging study of Nitrous Oxide Synthase inhibition with Ng-Monomethyl_L-Arginine (LNMMA) in patients with cardiogenic shock complicating acute myocardial infarction… 20,921.00 Proximal Protection during Saphenous Vein Graft Intervention using the Proxis TM Embolic Protection System: A Randomized, Prospective, Multicenter, Clinical Trial (PROXIMAL) 10,523.00 RINSE: RINspiration of Saphenous vein graft Emboli trial 28,146.00 Canadian EMI Registry 4,022.00 Coronary Artery Bypass & Ischemic Mitral Regurgitation (Edwards Mitral Valve) 53,186.00 Clinical Study of the VasoStasis Vascular Closure System II 1,706.00 Edwards LifeScience Percutaneous Mitral Annulopasty Repair System: A Phase I Feasibility, Non-Randomized, Multi-Center, Prospective, Consecutive Registry. A Percutaneous Interventional Treatment of Mitral Regurgitation 3,563.00 EVEREST II: A Study of the Evalve Cardiovascular Valve Repair System (CVRS) Endovascular Valve Edge-to-Edge 28,187.00 Medtronic EMPIRIC Study - Evaluation of EMPIRIC Programming to Improve Patient Management 34,345.00 The Vancouver Interaction and Calmness Scale in Mechanically Ventilated Patients: A Prospective Randomized Controlled Trial of the Effect of Measuring Sedation and Agitation on the Duration of Mechanical Ventilation 17,200.00 (VAP) A Randomized Trial of Empiric Broad Spectrum Antibiotics and Invasive Diagnostic Techniques in the Setting of Ventilator Associated Pneumonia 1,400.00 VASST: Randomized Controlled Trial of Vasopressin vs. Norepinephrine in Septic Shock 2,150.00 VICS: Effect of Measuring Sedation and Agitation on Duration of Mechanical Ventilation 15,000.00 Survival using glucose algorithm regulation (SUGAR) trial 5,000.00 (FINESS) Fluids in Early Severe Sepsis Retrospective Review $ 2,150.00 Improving the quality and end of life care in Canada: Understanding the perspectives of seriously ill patients and their caregivers 50,758.00 Geographic variation in outcomes of critical care in BC: The role of ICU organizational factors 37,500.00 Airway epithelial injury as a result of corticosteroid-induced apoptosis $ $ 27,000.00 Airway epithelial damage, viral infection and excessvie apoptosis 22,000.00 Airway epithelial injury as a result of corticosteroid-induced apoptosis $ 80,000.00 Airway epithelial injury as a result of corticosteroid-induced apoptosis $ 30,223.00 Protocol F1K-MC-EVBR: Randomized Double-Blind Placebo-Controlled Trial of Prophylactic Heparin in Patients with Severe Sepsis & Higher Disease Severity Who Are Undergoing Treatment with Drotrecogin Alfa (Activated) 13,383.00 Protocol TFP008: Phase 3 Multicenter Randomized Placebo-Controlled DoubleBlind Three-Arm Study to Evaluate the Safety & Efficacy of Tifacogin (recombinant tissue factor pathway inhibitor) Administration in Subjects with Severe Community... Page 191 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Critical Care Fenwick Clinical Trial Altana Pharma, Inc. $ Critical Care Fenwick Clinical Trial Eli Lilly Canada Inc. $ Critical Care Fenwick Clinical Trial GlaxoSmithKline Inc. $ Critical Care Fenwick Clinical Trial Novo-Nordisk $ Critical Care Fenwick Clinical Trial Novo-Nordisk $ Critical Care Henderson Grant $ Critical Care Ronco Clinical Trial VCHRI: Mentored Clinical Scientist MRC: Clinical Trials Critical Care Critical Care Ronco Ronco Clinical Trial Grant Critical Care Ronco Clinical Trial Critical Care Ronco Grant VGH/UBC Foundation Special Opportunities Research Fund $ Critical Care Russell Grant $ Critical Care Critical Care Russell Russell Contract Clinical Trial MSFHR: Junior Graduate Studentship Award ST-JGS 222(03-1) CLIN (Fellow: Sutherland, Ainsley) MRC: Clinical Trials Eli Lilly and Company, US Critical Care Russell Grant Critical Care Critical Care Tsang Walley Grant Grant Critical Care Walley Grant Critical Care Walley Grant Critical Care Walley Grant UBC Department of Medicine $ Fujisawa Canada Inc. $ Cdn Diabetes Assoc.: Charles H. $ Best Fund/Grant-in-Aid Mallinckrodt Medical, Inc. $ $ $ MSFHR: Postdoctoral Trainee Fellowship (Fellow: Manocha, Sanjay) BC Lung: Project Grant MSFHR: Junior Graduate Studentship Award (Fellow: Shaw, David) Heart & Stroke Fdn of BC MSFHR: Distinguished Scholar Award CI-DSH-73(02-1) Heart & Stroke Fdn Cda: Research Fellowship - Bateman, Ryon $ 9,287.00 BY2001-M1-007 (VALID Study): Venticute (rSP-C Surfactant) in Patients with Pneumonia or Aspiration of Gastric Contents Leading to Intubation Mechanical Ventilation and Severe Oxygenation Impairment 14,369.00 Protocol F1K-MC-EVCL: Efficacy and Safety of Drotrecogin Alfa (Activated) in Adult Patients with Early Stage Severe Sepsis 2,500.00 EMD20001: Prospective Randomized Double-Blind Placebo-Controlled Dose Ranging Multicenter Study of the Safety and Efficacy of Three Days Continuous Intravenous Infusion of GR270733 in the Treatment of Suspected or Confirmed Gram-Negative Ss 8,012.00 F7CBI-1600: Randomized Double-Blind Placebo-Controlled Multicenter Dose Escalation Study to Evaluate the Safety and Preliminary Efficacy of Recombinant Factor VIIa (novoSevenNiaStase) in Subjects with Brain Contusions 8,157.00 F7CBI-1587: Multicenter Observational Study to Evaluate the Incidence and Magnitude of Hemorrhagic Progression of Cerebral Contusions and the Identification of Important Safety Issues Following Traumatic Brain Injury 50,000.00 Salary: Survival using glucose algorithm regulation (SUGAR) trial 8,000.00 LOVS: A randomized trial of a Lung Open Ventilation Strategy in Acute Lung Injury (MRC #78042) 11,000.00 MYC-001: Canadian ICU Infection Survey 67,500.00 Survival using glucose algorithm regulation (SUGAR) trial 4,500.00 Puritan Bennett Model 840 Ventilator System with Proportional Assist Ventilation field Evaluation Protocol 27,010.00 Treatment of Catheter Related Bloodstream Infection Caused by Coagulase Negative Staphylococcus; Removal of Catheter Followed by Two Days Compared with Seven Days of Vancomycin 2,292.00 Genetic Determinants of the Host Response to Infection in Critically III Adults with Systemic Inflammatory Response Syndrome 10,500.00 A randomized trial of a lung open ventilation strategy in acute lung injury 33,445.00 Efficacy and safety of Drotrecogin Alfa (activated) in adult patients with early stage severe sepsis 39,000.00 Clinical Outcomes of Acute Lung Injury: Role of Cytokine Gene Polymorphisms as Predictors $ $ 30,000.00 Endothelins and the mechanism of hypoxemia in acute pulmonary embolism 625.00 Clinical outcomes of cardiac surgery are influenced by genetics of inflammatory mediators $ 190,000.00 Genetic determinants of cognitive dysfunction following cardiopulmonary bypass surgery 120,000.00 Translating mechanistic understanding of the systemic inflammatory response syndrome (SIRS) to clinical practice via genomics 38,000.00 Mechanism of myocardial dysfunction in sepsis $ $ Page 192 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Critical Care Walley Grant Critical Care Walley Grant Critical Care Walley Grant Critical Care Walley Contract Critical Care Critical Care Walley Walley Grant Grant Dermatology Dutz Grant Dermatology Dutz Grant Dermatology Dutz Grant Dermatology Dutz Grant Dermatology Dermatology Dutz Dutz Grant Grant Dermatology Ho Dermatology MSFHR:Establishment Grant C1DSH-73(02-1) MSFHR: Postdoctoral Trainee Fellowship ST-PDF 147(03-1)BM (Fellow: Bateman, Ryon) CIHR: Operating Grant MOP53051 Sirius Genomics Inc. $ $ $ $ Clinical Trial H&SFBC: Research CIHR: Operating Grant MOP 57774 National Alopecia Areata Fdn (US) CIHR: Operating Grant MOP 67186 CIHR: Operating Grant MOP69004 CIHR/Strategic: Request for Applications NSM-66117 in collaboration with: Institute of Musculoskeletal Health and Arthritis (CIHR) JDFI: Research 5-2004-223 BCRICWH: Investigatorship Award Abbott Laboratories $ Ho Clinical Trial Centocor Inc. $ Dermatology Ho Clinical Trial Novartis Pharmaceuticals Canada Inc $ Dermatology Ho Clinical Trial Novartis Pharmaceuticals Canada Inc $ Dermatology Ho Clinical Trial Fujisawa Canada Inc. $ Dermatology Ho Clinical Trial Fujisawa Canada Inc. $ Dermatology Ho Clinical Trial Abbott Laboratories, Limited (Canada) $ UBC Department of Medicine $ $ $ $ 37,500.00 Translating mechanistic understanding of the systemic inflammatory response syndrome (SIRS) to clinical practice via genomics 7,125.00 Mechanism of myocardial dysfunction in sepsis 109,661.00 Myocardial Dysfunction Induced by ICAM-1 binding 91,520.00 CRA: Association of the influence of inflammatory mediator polymorphisms with outcomes in systemic inflammatory response syndrome (SIRS) and multiple organ system failure (MOSF) 83,000.00 Mechanism of Myocardial Dysfunction during Sepsis 80,952.00 Influence of polymorphisms in coagulation pathway in inflammatory mediator genes on phenotype post-cardiopulmonary bypass surgery 40,896.00 Screening for cytoxic T lymphocyte epitopes in alopecia areata 114,332.00 Modifying islet antigen presentation to treat diabetes $ 63,979.00 Chemo-immunotherapy and CTL priming to treat malignant melanoma $ 59,956.00 RFA: New Discoveries - High Risk Grant: Tolerance induction by skin immunization $ $ 58,848.00 Treating diabetes using the skin to induce tolerance 80,682.00 BCRICWH: Investigatorship Award - Jan Dutz Page 193 8,467.00 Protocol M02-529: Phase II Multicenter Extension Study of the Safety & Efficacy of Adalimumab (D2E7) in Subjects with Moderate to Severe Chronic Plaque Psoriasis 130,193.00 C0168T44: Phase III Multicenter Randomized Double-Blind Placebo-Controlled Trial Evaluating the Efficacy and Safety 3,000.00 CASM981C2442: 12 Week Multicenter Study Consisting of a 6 Week DoubleBlind Randomized Vehicle Controlled Parallel Group Phase Followed by a 6 Week Open Label Phase to Assess the Safety & Efficacy of Elidel Cream 1% in Mild to Moderate .... 1,690.00 Extension 1 to ASM981 C201: A Safety Extension Study of Patients Treated in a 12 Week Randomized Double-Blind Placebo-Controlled Multicenter ParallelGroup Dose-Finding Core Study to Determine the Dose-Response Safety & Tolerability of 3 .. 5,600.00 FG-506-06-33: Long-Term Non-Comparative Study to Evaluate the Safety and Efficacy of Tacrolimus Ointment in Pediatric Patients 28,250.00 FG-506-06-32: Randomized Multicentre Double-Blind Pharmacokinetic Study of Tacrolimus Ointment (0.03%) in Pediatric Patients (aged 3 months to 24 months) with Atopic Dermatitis Following First and Repeated Once Daily or Twice Daily ..... 4,388.00 Protocol M03-658: Multicenter Open-Label Continuation Study in Moderate to Severe Chronic Plaque Psoriasis Subjects Who Completed a Preceding Psoriasis Clinical Study with Adalimumab Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Dermatology Ho Clinical Trial Fujisawa Healthcare Inc. $ Dermatology Ho Clinical Trial Novartis Pharmaceuticals Canada Inc $ Dermatology Ho Clinical Trial Abbott Laboratories, Limited (Canada) $ Dermatology Li Grant NCIC: Research Grant 01424 $ Dermatology Li Grant $ Dermatology Li Grant MSFHR: Doctoral Trainee Research Award STPHD63020 (Fellow: Eric Campos) NCIC: Research Grant 014029 Dermatology Li Grant Dermatology Li Grant Dermatology Li Grant Dermatology Lui Dermatology $ 129,912.00 Enhancement of melanoma chemosensitivity by adenoviral delivery of PUMA and Apaf-1 9,375.00 Mechanisms of the novel tumour suppressor p331NG1 in UV-induced apoptosis of melanoma cells 2,292.00 Enhancement of melanoma chemosensitivity by adenoviral delivery of PUMA $ 88,539.00 Role of p33ing1 in repair of uv-damaged dna Clinical Trial CIHR: Operating Grant DOP 62280 MSFHR: Junior Graduate Studentship Award ST-JGS 31(03-1)BM NCIC/CCS: Research Scientist 012443 Biogen Idec, Inc. $ Lui Clinical Trial Fujisawa Canada Inc. $ Dermatology Lui Clinical Trial QLT PhotoTherapeutics Inc. $ Dermatology McElwee Grant $ Dermatology Prendiville Clinical Trial Dean of Medicine: Spring Start Up Funds Novartis Pharmaceuticals Canada Inc 22,297.00 Protocol C-733: An Open-Label Multicentre Study to Evaluate the Safety & Tolerability of Repeat Courses of Intramuscular Administration of Alefacept (LFA3/IgG1 Fusion Protein) in Patients with Chronic Plaque Psoriasis 67,792.00 Protocol FG 03-0-171: Phase 3 Long-Term Open-Label study to Evaluate the Safety of Once Daily 0.3% Tacrolimus Gel in the Treatment of Psoriasis 10,095.00 Protocol VFI MBCC 02: A Randomized, Placebo-Controlled, Masked, Multicentre, Phase III Study of Photodynamic Therapy with Verteporfin for Injection (VFI) for the Treatment of Multiple Basal Cell Carcinoma 60,000.00 Mechanisms of hair disease Dermatology Rivers Clinical Trial Novartis Pharmaceuticals Canada Inc $ Dermatology Shapiro Clinical Trial Isotechnika, Inc. $ Dermatology Shapiro Clinical Trial Leo Laboratories Canada Ltd $ Dermatology Shapiro Clinical Trial QLT PhotoTherapeutics Inc. $ Dermatology Dermatology Zhou Zhou Grant Grant VCHRI: Scholar Award $ Cdn Dermatology Fdn: Research $ UBC Department of Medicine $ 44,793.00 Protocol FG 03-0-166: Phase 3 Randomized Double-Blind Study Comparing Twice Daily Tacrolimus Cream 0.03% vs Cream Vehicle in the Treatment of Mild to Moderate Atopic Dermatitis in Pediatric Subjects 33,579.00 CASM981C2315: 26-week Randomized Multicenter Parallel-Group Double-Blind Vehicle-Controlled Study to Evaluate the Incidence of Atopic Dermatitis Flares When ASM981 (pimecrolimus) Cream 1% is Used at the First Signs and/or Symptoms of Atopic… 791.00 Protocol M02-528: Phase 2 Multicentre Study of the Safety and Efficacy of Adalimumab (D2E7) in Subjects with Moderate to Severe Chronic Plaque Psoriasis 123,264.00 Functional role of p33ING1 phosphorylation in cellular stress response to DNA damage 2,500.00 Functional role of p33ING1 phosphorylation in cellular stress response to DNA damage $ $ Page 194 4,000.00 A 5-year, multicenter, open-label, parallel group, randomized study to demonstrate the short and long-term safety of Elidel (pimecrolimus, ASM981) cream 1% in the treatment of mild to moderate atopic dermatitis in infant (3-<12 mths of age) 39,615.00 CASM981M2301: 6 Week Randomized Multicenter Double-Blind PlaceboControlled Parallel Group Study to Investigate the Efficacy & Safety of Elidel Cream 1% in Patients With Mild to Moderate Chronic Hand Dermatitis Followed by a 6 Week Open ... 16,080.00 ISA04-03: Phase III Randomized Multicentre Double-Blind Placebo-Controlled Study of ISA247 in Plaque Psoriasis Patients 41,270.00 Protocol MBL 0401 INT: Calcipotriol Plus Betamethasone Dipropionate Gel in Scalp Psoriasis 75,441.00 Protocol T0074 AGA 002: Phase II Treatment Optimization Study of Photodynamic Therapy for Androgenetic Alopecia with Topical QLT0074 30,000.00 Molecular Pathogenesis of Sezary Syndrome - Gene Signatures of Sezary Cells 50,000.00 Endothelin-3 in malignant melanoma Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Clinical Trial Grant National Rosacea Society: Research Grant Hoechst-Roussel Pharmaceuticals, US Eli Lilly Canada Inc. $ Elliott Elliott Clinical Trial Grant National Institutes of Health VCHRI: Interdisciplinary Grant $ $ Endocrinology Elliott Clinical Trial Boehringer Ingelheim (Canada) Ltd. $ Endocrinology Elliott Clinical Trial Bristol-Myers Squibb Company (Cda) $ Endocrinology Elliott Clinical Trial Novartis Pharmaceuticals Canada Inc $ Endocrinology Kreisman Agreement Endocrinology Prior Grant NIH (US): Research Grant 5R01- $ DK058356-03, PO Q643711310 in collaboration with: University of Minnesota CIHR/Rx&D: Research Program $ Endocrinology Endocrinology Prior Prior Grant Grant Vancouver Foundation VCHRI: Interdisciplinary Grant $ $ Endocrinology Endocrinology Prior Prior Grant Grant $ $ Endocrinology Prior Grant Endocrinology Sadar Grant Endocrinology Sadar Grant Endocrinology Endocrinology Gastroenterology Sadar Sadar Anderson Grant Grant Clinical Trial Various Sources Donations for Health Science Research MSFHR: Institutional Infrastructure Support Program INS002031 CIHR: Doctoral Research Awards JMO 58977 In collaboration with: Canadian Prostate Cancer Research Initiative (Fellow: Quayle, Steven) MSFHR: Doctoral Trainee Research Award 75(02-1)BM (Fellow: Quayle, Steven) Health Canada Health Canada Elan Pharmaceuticals Inc. Dermatology Zhou Grant Endocrinology Dawson Clinical Trial Endocrinology Elliott Endocrinology Endocrinology UBC Department of Medicine $ $ 47,953.00 Molecular Disease Markers 1,370.00 HOPE Study: Heart Outcomes Prevention Evaluation 10,000.00 Protocol H80-MC-GWAP: Safety & Efficacy of Exenatide in Patients with Type 2 Diabetes Using Thiazolidinediones or Thiazolidinediones and Metformin 221,754.00 Action to control Cardiovascular Risks in Diabetes (ACCORD) Trial 9,945.00 Post-operative Glycemic Control in Surgical Patients (POGS) - A Feasibility Study to Determine the Frequency of Hypoglycemia when Principles of Intensive Insulin Therapy are Applied to Post-Operative Surgical Patients 23,777.00 502.397 (AMADEO): Prospective Randomized Double-Blind Double-Dummy Forced-Titration Multicentre Parallel-Group 1 Yr Treatment Trial to Compare Micardis (telmisartan) 80mg vs Cozaar (Losartan) 100mg in Hypertensive Type 2 Diabetic Patients with.. 8,453.00 CV131169: Irbesartan vs Placebo in Combination with Standard Cardiovascular Protection ACE-1 Therapy with Ramipril for the Treatment of Albuminuria in Hypertensive Subjects at Elevated Cardiovascular Risk 27,369.00 NAVIGATOR: Multinational Randomized Double-Blind Placebo-Controlled Forced-Titration 2x2 Factorial Design Study of the Efficacy & Safety of Long Term Administration of Nateglinide & Valsartan in the Prevention of Diabetes & Cardiovascular.. 519.00 Diabetes Therapy to Improve BMI and Pulmonary Function in CF Subjects with Abnormal Glucose Tolerance 38,800.00 (CAMOS) Canadian multicentre osteoporosis study - a cross sectional and prospective observational study of bone density, bone strength and fracture risk 13,564.00 Young women and osteoporosis: building our knowledge and resources 8,574.00 Community Pharmacists' Knowledge about Progesterone: Knowledge Translation within the Vancouver Coastal Health Authority 5,877.00 Centre for Menstrual Cycle and Ovulation Research (CEMCOR) 3,687.00 Exercise, Reproduction and Health Research Fund $ 3,600.00 Validation of perimenopause experiences project (PEP) tool using interpersonal comparisons $ 1,000.00 Identification of new targets for the treatment of androgen-independent prostate cancer $ 2,500.00 Identification of new targets for the treatment of androgen-independent prostate cancer $ $ $ 100,000.00 Androgen independence 103,000.00 Potential new therapy for androgen independent 11,322.00 Protocol ELN100226-CD351: Phase III Multicenter Open-Label Long-Term Study of the Safety Tolerability & Efficacy of Intravenous Antegren (Natalizumab) in Crohn's Disease Subjects who have Previously Participated in Studies CD251 Page 195 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 CD301 CD303 Gastroenterology Anderson Clinical Trial Bristol-Myers Squibb Pharmaceutical Group (Cda) $ Gastroenterology Anderson Clinical Trial Bristol-Myers Squibb Company (Cda) $ Gastroenterology Anderson Clinical Trial Schering Canada Inc. $ Gastroenterology Anderson Clinical Trial Centocor Inc. $ Gastroenterology Anderson Clinical Trial Bristol-Myers Squibb Pharmaceutical Group (Cda) $ Gastroenterology Anderson Clinical Trial Protein Design Labs, Inc. $ Gastroenterology Anderson Clinical Trial Protein Design Labs, Inc. $ Gastroenterology Anderson Clinical Trial Bristol-Myers Squibb Company (Cda) $ Gastroenterology Anderson Clinical Trial Tillotts Pharma AG $ Gastroenterology Enns Clinical Trial Abbott Laboratories $ Gastroenterology Enns Clinical Trial Abbott Laboratories $ Gastroenterology Enns Clinical Trial AstraZeneca Canada Inc $ Gastroenterology Enns Clinical Trial AstraZeneca Canada Inc $ Gastroenterology Enns Grant Elan Pharmaceuticals Inc. $ Gastroenterology Enns Grant Parexel International Corporation $ UBC Department of Medicine Page 196 11,300.00 Protocol AI463-026: A Phase 3 Study of the Comparison of Entecavir to Lamivudine in Chronic Hepatitis B Subjects with Incomplete Response to Current Lamivudine Therapy 10,000.00 A1463-022: Phase III study of the safety and antiviral activity of entecavir vs lamivudine in adults with chronic hepatitis B infection who are positive for hepatitis B E antigen 47,907.00 Protocol No. P02370: PEG-Intron Plus Rebetol for the Treatment of Subjects with Chronic Hepatitis C who Failed to Respond to Previous Combination Therapy (Any alpha Interferon Treatment in Combination with Ribavirin) 11,141.00 Protocol C0168T37 (ACT 1): Randomized Placebo-Controlled Double-Blind Trial to Evaluate the Safety and Efficacy of Infliximab in Patients with Active Ulcerative Colitis 11,440.00 Protocol AI463-901: A Preliminary Assessment of Safety and Antiviral Activity of Open-Label Entecavir Plus Lamivudine Therapy in Subjects with Chronic Hepatitis B Who Have Viremia on Monotherapy in Other Entecavir Trials 70,631.00 Protocol DAC-1008: Phase II Randomized Double-Blind Placebo-Controlled Multicenter Dose-Ranging Study of Intravenous Daclizumab in Patients with Moderate to Severe Ulcerative Colitis 3,944.00 ZAF-707: Phase II, Double-Blind, Placebo-Controlled Study to Determine the Safety and Efficacy of a Humanized Anti-Interferon-y Monoclonal Antibody (HuZAF) Administered to Patients with Moderate to Severe Crohn's Disease 161.00 Protocol AI463049: Long-term Assessment of Treatment Outcomes with Entecavir & Lamivudine for Chronic Hepatitis B Infection in Patients Who Have Enrolled in Phase III Entecavir Trials 2,578.00 Protocol TP0308: EPIC-2 Phase III Randomized Placebo-Controlled DoubleBlind Parallel Group Multicentre Study to Assess the Efficacy & Safety of Omega-3 Free Fatty Acids (Epanova) for the Maintenance of Symptomatic Remission in Subjects 4,660.00 (M04-690) A multi-Centre, Open-label Study of the Human Anti-TNF Monoclonal Adalimumab in Subjects with Crohn's Disease 131,956.00 A multi-center, randomised, double-blind, placebo-controlled study of the Human Anti-TNF Monoclonal Antibody Adalimumab for the Induction of clinical remission in subjects with Crohn's disease. Clinical Study Protocol M02-403 11,432.00 A 4-week,randomised,double-blind,multicentre,dose-finding phase IIb study with AZD0865 25,50,75mg and esomeprazole 20mg,given orally once daily for the treatment of GERD without erosive esophagitis according to the LA classification in adults… 9,370.00 A randomized, double-blind, multicentre dose-finding, phase IIb study for up to 8 weeks' treatment with AZD0865 25, 50, 75mg and esomeprazole 40mg, given orally once daily for the healing of erosive esophagitis in adult subjects with GERD… 295,945.00 A Phase III Multicenter, Open-Label, Long-Term Study of the Safety, Tolerability, and Efficacy of Intravenous Antegren (natalizumab) in Crohn's Disease Subjects Who Have Previously Participated in Studies CD251, CD301,CD303, CD306 (Substudy) 18,245.00 A Study of the Efficacy and Safety of Teduglutide in Subjects with Parenteral Nutrition Dependent Short Bowel Syndrome (CI 0600-004) Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Gastroenterology Enns Clinical Trial Otsuka America Pharmaceutical Inc. $ Gastroenterology Enns Clinical Trial Tillotts Pharma AG $ Gastroenterology Enns Clinical Trial Altana Pharma, Inc. $ Gastroenterology Enns Clinical Trial Altana Pharma, Inc. $ Gastroenterology Enns Clinical Trial NDO Surgical, Inc $ Gastroenterology Enns Clinical Trial Celltech Research Ltd. $ Gastroenterology Enns Clinical Trial Abbott Laboratories $ Gastroenterology Enns Clinical Trial Abbott Laboratories $ Gastroenterology Gray Clinical Trial AstraZeneca Canada Inc $ Gastroenterology Gray Clinical Trial AstraZeneca Canada Inc $ Gastroenterology Gray Clinical Trial Novartis Pharmaceuticals Canada Inc $ Gastroenterology Gray Clinical Trial Novartis Pharmaceuticals Canada Inc $ Gastroenterology Gray Clinical Trial Novartis Pharmaceuticals Canada Inc $ Gastroenterology Gray Clinical Trial Janssen-Ortho Inc. $ UBC Department of Medicine Page 197 17,820.00 A prospective, randomized, double-blinded placebo (sham)-controlled study to evaluate the safety and effectiveness of the Adacolumn Apheresis system for the treatment of moderate to severe ulcerative colitis (512-04-205) 16,123.00 A phase III randomized, placebo-controlled, double-blind, parallel group, multicentre study to assess the efficacy and safety of Omega-3 free fatty acids (Epanova(TM)) for the maintenance of symptomatic remission in subjects with Crohn's Disease 7,350.00 (M04-691) A Multi-Centre, Randomized, Double-Blind, Placebo-Controlled Study of the Human Anti-TNF Monoclonal Antibody Adalimumab for the Induction of Clinical Remission in Subjects with Moderate to Severe Crohn's Disease Who Have Lost Response… 3,745.00 Healing of patients suffering from gastroesophageal reflux esophagitis grade A-D according to Los Angeles classification after treatment with pantoprazolemagnesium dihydrate 80mg od in comparison to pantoprazole-sodium sesquihydrate 40mg 39,167.00 Study of the NDO endoscopic plication system for the treatment of symptomatic gastroesophageal reflux disease 7,284.00 A phase III multi-national, multi-centre, double-blind, placebo-controlled, parallelgroup, 26-week study to assess the maintenance of clinical response to humanised anti-TNF PEG conjugate, CDP870 400mg sc, (dosed 4-weekly from weeks 8 to 24) 34,761.00 A multi-center, randomised, double-blind, placebo-controlled study of the Human Anti-TNF Monoclonal Antibody Adalimumab for the Maintenance of clinical remission in subjects with Crohn's disease. Clinical Study Protocol M02-0433 239,301.00 A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study of the Human Anti-TNF Monoclonal Antibody Adalimumab for the Induction and Maintenance of Clinical Remission in subjects with Crohn's Disease 12,655.00 D9770C00012: Randomized Double-Blind Multicentre Dose-Finding Phase IIb Study for up to 8 Weeks Treatment with AZD0865 25,50,75mg and Esomeprazole 40mg Given Orally Once Daily for the Healing of Erosive Esophagitis in Adult Subjects with... 10,124.00 D9770C00011: 4 Week Randomized Double-Blind Multicentre Dose-Finding Phase IIb Study With AZD0865 25, 50, 75mg & Esomeprazole 20mg Given Orally Once Daily for the Treatment of GERD Without Erosive Esophagitis According to the LA Classification… 3,000.00 CHTF919G2203: 6 Week Randomized Double-Blind Double-Dummy PlaceboControlled Multicenter Study to Assess the Effect of Tegaserod 2mg tid and 6mg tid on Dyspeptic Symptoms in Diabetic Patients With Symptoms of Diabetic Gastropathy 3,175.00 CHTF919A2417: 4 Week Multicenter Double-Blind Placebo-Controlled Randomized Parallel-Group Clinical Study to Evaluate the Efficacy of Tegaserod in Relieving the Symptoms of Female Patients with IBS Excluding Those With Predominant Diarrhea... 3,750.00 CHTF919E2309: Randomized Double-Blind Placebo-Controlled Multicenter Evaluation of the Efficacy and Safety of Tegaserod (6mg bid) Administered Orally for 12 Weeks in Male Patients With Chronic Constipation 6,875.00 RAB-GRD-3001: Randomized Controlled Parallel-Group Open-Label Study to Evaluate Different Dosing Regimens of Rabeprazole in Controlling Nocturnal Heartburn Symptoms in Patients with Gastroesophageal Reflux Disease Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Gastroenterology Kwan Clinical Trial Idenix Pharmaceuticals, Inc. $ Gastroenterology Kwan Clinical Trial Idenix Pharmaceuticals, Inc. $ Gastroenterology Gastroenterology Gastroenterology Lam Steinbrecher Steinbrecher Clinical Trial Grant Grant $ $ $ Gastroenterology Steinbrecher Grant Gastroenterology Gastroenterology Steinbrecher Tai Grant Grant Gastroenterology Gastroenterology Tai Tai Grant Grant Broncus Technologies, Inc. CIHR: Operating Grant Geraldine Dow Ferry Endowment Fund Canadian Liver Fdn : Summer Studentship Program Fellow: Parhar, Kuljit Donation CAG/CIHR: New Operating Grant in Gastroenterology Various Sources CSIR: Research Grant $ $ Gastroenterology Yoshida Clinical Trial Micrologix Biotech Inc $ Gastroenterology Yoshida Clinical Trial Hoffmann-La Roche $ Gastroenterology Yoshida Clinical Trial Gilead Sciences $ Gastroenterology Yoshida Clinical Trial Human Genome Sciences, Inc. $ Gastroenterology Yoshida Clinical Trial Ortho Biotech $ Gastroenterology Yoshida Clinical Trial Hoffmann-La Roche Ltd (Canada) $ General Internal Med. Birmingham Grant $ General Internal Med. Hatala Grant General Internal Med. Magee Grant General Internal Med. Magee Grant General Internal Med. Magee Grant General Internal Med. Palepu Grant MSFHR: Institutional Infrastructure Support Program INS002031 RCPSC: Medical Education Research Grant MSFHR: Scholar Award CI-SCH57(02-1) MSFHR: Matching Establishment Grant C1-SCH-57(02-1) MSFHR: Matching Establishment Grant C1-SCH-57(02-1) MSFHR: Senior Scholar Award CI-SSH-083(03-1)POPN UBC Department of Medicine $ $ $ $ 4,214.00 NV-02B-010: Phase IIb Extension Study of LdT (Telbivudine) Lamivudine or LdT plus Lamivudine in Subjects with Chronic Hepatitis B Who Have Completed Study NV-02B-003 1,957.00 Protocol NV-02B-007: Randomized Double-Blind Trial of LdT (Telbivudine) vs Lamivudine in Adults with Compensated Chronic Hepatitis B 7,504.00 Feasibility Study of the Broncus Alair System for the treatment of asthma 98,276.00 Pathogenesis of atherosclerosis 75,000.00 Endowment for inflammatory bowel disease research and education 4,000.00 Modulation of survival pathways in Kupffer cells by oxidized LDL 500.00 Clinical Research in Chronic Liver Diseases 40,000.00 Genome-wide analysis revels a novel gene involved in chemotherapy resistance in colorectal cancers 37,688.00 Laboratory start-up fund 25,000.00 Dissecting chemotherapy resistance in colorectal cancer using a genome-wide approach 15,000.00 HCV-04-001: Phase II Randomized Dose-Ranging Open-Label Multicentre Study to Evaluate the Safety and Efficacy of Celgosivir for 12 Weeks in Patients with Chronic Hepatitis C Infection 1,300.00 An extension Protocol to Evaluate the Long-term Effects of Treatment with Peginterferon Alpha-2a (PEG-IFN) or Roferon A for Patients with Chronic Hepatitis C in Original Studies NV15495, NV15496 and NV 15497 3,309.00 Protocol GS-01-550: Phase 3b Open-Label Program of Adefovir Dipivoxil in the Treatment of Patients with Lamivudine-Resistant Chronic Hepatitis B Who Have Limited Treatment Options 65,088.00 ALFR-HC-03CA: Double Injection Dose-Ranging Study to Evaluate the Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of Albuferon (Recombinant Human Albumin-Interferon alfa fusion protein) in Interferon Alfa Naive Subjects with Chronic… 8,250.00 HEPC-AN-2: Prospective Study to Evaluate the Hemoglobin Levels of Hepatitis C Virus Infected Patients Receiving Treatment with Combination Ribavirin/Interferon or Ribavirin/Pegylated Interferon 8,900.00 BV16209 A Multicenter Open Label Expanded Access Program of Pegintereron alfa-2a (ro 25-8310) Monotherapy and Combination Therapy with Ribavirin (Ro20-9963) in Patients with Chronic Hepatitis C 3,600.00 Prevalence and Mortality from eating disorders $ 21,350.00 Evaluation of a modified mini-clinical evaluation exercise as a high stakes assessment of clinical competence 80,000.00 CHIPS (control of hypertension in pregnancy study): a pilot trial $ 25,000.00 CHIPS (control of hypertension in pregnancy study): a pilot trial $ 37,500.00 CHIPS (control of hypertension in pregnancy study): a pilot trial $ 66,250.00 Health research of vulnerable urban populations Page 198 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 General Internal Med. Palepu Grant General Internal Med. Palepu Grant General Internal Med. Palepu Grant General Internal Med. Studney Clinical Trial General Internal Med. Studney General Internal Med. General Internal Med. $ 24,000.00 Social determinants and HIV: a community-based intervention in injection drug users (IDUs) $ 61,635.00 Development of a Quality of Life Instrument for Homeless Persons and Street Youth 1,000.00 Social Determinants and HIV: an evaluation of a community-based intervention in injection drug users (research allowance) Clinical Trial CIHR: New Investigator Award (CIHR Scholarship) # HNI-50103 CIHR: Operating Grant HPI66923 CIHR: New Investigator Award (CIHR Scholarship) # HNI-50103 Sanofi-Synthelabo Canada Inc. CHARISMA Aventis Pharma Inc $ Van Eeden Van Eeden Grant Grant H&SFBC: Research BC Lung: Project Grant 869231 $ $ General Internal Med. Magee Grant $ Geriatric Medicine Adler Grant Geriatric Medicine Geriatric Medicine Adler Beattie Grant Grant Geriatric Medicine Beattie Agreement Geriatric Medicine Meneilly Grant Hematology Hogge Grant Hematology Hogge Clinical Trial Sunnybrook Health Science Centre BCMSF: Research Grant BCM03-0128 Various Sources MSFHR Health Research Network Proposal Development Award IN-NTC-008-045 CIHR: Operating Grant MOP57686 in collaboration with University Health Network Cdn Diabetes Assoc.: Charles H. Best Fund/Grant-in-Aid CIHR: Operating Grant IC1 70245 Janssen-Ortho Inc. Hematology Hogge Clinical Trial Antigenics, Inc. $ Hematology Humphries Grant $ Hematology Humphries Grant Hematology Humphries Grant Hematology Lansdorp Grant Hematology Lansdorp Grant MSFHR: Postdoctoral Trainee Fellowship STPDF 163021 (Fellow: Hirose, Koichi) NCE/Stem Cell Network: Research NCE/Stem Cell Network: Research Student Award Argiropoulos, Bob CFI Infrastructure Operating Fund 3857 CFI Infrastructure Operating Fund 3857 UBC Department of Medicine $ $ $ 3,670.00 Protocol EFC4505: CHARISMA - Clopidogrel for High Atherothrombotic Risk and Ischemic Stabilization, Management and Avoidance 1,000.00 HOE 901/3502: Open-Label, Multicentre, Randomized Study to Assess an Early Insulization Strategy with Insulin Glargine vs a Standard Oral Strategy in the Management of Type 2 Diabetes 60,000.00 Air pollution induced atherogenesis 10,000.00 Development of an in vitro method for the controlled delivery of one or more particles to a single human lung cell: measurement of cytokine expression at the per cell per particle level 12,100.00 Control of hypertension in pregnancy - pilot study $ $ 47,755.00 Access to health services: The experience of newer, older immigrants to Greater Vancouver 25,000.00 Research support: Addressing the root causes of genocide 24,600.00 BC's aging network research program (BCANRP) $ 14,400.00 Canadian Alzheimer's disease quality of life study $ 74,737.00 Diabetes in the Elderly $ 45,836.00 Optimization of the use of diptheria toxin-growth factor fusion proteins for treatment of acute leukemia 2,088.00 Protocol R115777-INT-21: Open-Label Phase 2 Study of the Farnesyl Transferase Inhibitor Zarnestra (R115777) as Postconsolidation Therapy for Acute Myeloid Leukemia (AML) in Subjects 60 Years and Older 3,864.00 C-300-01 CML: Phase II Study of AG-858 Plus Gleevec in Patients with Chronic Myelogenous Leukemia (CML) in Chronic Phase who are Cytogenetically Positive After Treatment with Gleevec 11,000.00 Molecular mechanisms linking Hox transcription factors to leukemia $ $ $ 396,846.00 HOXB4 target-genes specifying hematopoietic stem cell self-renewal 20,000.00 Characterization of the role of MEIS1 in hematopoiesis $ 5,000.00 CFI Infrastructure Operating Funds - Stem Cell Centre - Operations $ 67,000.00 CFI Infrastructure Operating Funds - Stem Cell Centre - Operations Page 199 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Hematology Lansdorp Grant Hematology Lansdorp Grant Hematology Lansdorp Grant Hematology Lansdorp Grant Hematology Lavoie Grant Hematology Nevill Grant Hematology Schrader Grant Hematology Schrader Grant Hematology Schrader Grant Hematology Shepherd Clinical Trial Hematology Smith Clinical Trial AnorMed Inc. $ Hematology Smith Grant $ Hematology Song Grant Canada Research Chair: Tier II (CIHR) 950-01-2053 National Cancer Institute of Canada Hematology Vickars Clinical Trial Bristol-Myers Squibb, US (Princeton) $ Hematology Vickars Grant Heart and Stroke Foundation of B.C. & Yukon $ Hematology Vickars Clinical Trial Bayer Inc. $ Hematology Vickars Grant Aventis Pharmaceuticals Inc. $ UBC Department of Medicine CIHR: Operating Grant MOP 38075 CIHR: Canadian Graduate Scholarships - Doctoral Award CGD 65038 (Fellow: Cheung, Iris) MSFHR: Doctoral Trainee Research Award STPHD067021 (Fellow: Cheung, Iris) NCE/Stem Cell Network: Research Student Award (Fellow: Greenwood, Matthew) MSFHR: Institutional Infrastructure Support Program INS002031 National Cancer Institute of Canada Canada Research Chair Tier I (CIHR) CIHR: Operating Grant MOP14348 NCE/Protein Engineering: Research Novartis Pharmaceuticals Canada Inc $ 113,500.00 Replicative Shortening of Telomeres in Human Cells $ 5,000.00 Molecular mechanism of genome stability and telomere shortening in dog-1 mutants $ 2,000.00 Molecular mechanisms of genomic instability and telomere shortening in Dog-1 mutants $ 20,000.00 The effect of artificial Telomere Elongation using lentiviral based transduction of hTERT in Human hematopoietic stem cells $ 2,250.00 Risks and outcomes of invasive Aspergillus infections in allogenic stem cell transplant recipients and high risk hematological malignancies $ $ 15,612.00 Phase III Study of Concurrent Tretionoin and Chemotherapy With/Without Arsenic Trioxide (As203) (NSC#706363) as Initial Consolidation Therapy Followed by Maintenance Therapy with Intermittent Tretinoin vs Intermittent Tretinoin and Mercaptopu.. 200,000.00 Canada Research Chair - John Schrader $ 135,280.00 Molecular characterization of the M-Ras pathway $ 40,000.00 Pence P3 Deg4 - Titratable reversible protein silncing (TRPS) technology via cellular missorting 2,406.00 A phase III study of ST1571-106 versus Interferon-a (IFN-A) combined with Cytarabine (Ara-C0 in patients with newly diagnosed previously untreated Philadelphia chromosome positive (Ph+) chronic myelogenous leukemia in chronic phase (CML-CP) 7,700.00 AMD3100-C201: Treatment with AMD3100 in Non-Hodgkin's Lymphoma and Multiple Myeloma Patients to Increase the Number of Peripheral Blood Stem Cells When Given a Mobilizing Regimen of G-CSF 100,000.00 Canada Research Chair in cell therapies for Dr. Clayton Smith $ $ Page 200 9,000.00 Randomized Phase III Study of Thalidomide and Prednisone as Maintenance Therapy Following Autologous Stem Cell Transplant in Patients with Multiple Myeloma 1,500.00 Protocol CV185-010: A Phase 2 Randomized, Double-blinded (BMS-562247 and enoxaparin), Active-Controlled (Enoxaparin and Warfarin), Parallel-arm, DoseResponse Study of the Oral Factor Xa Inhibitor BMS-562247 In Subjects Undergoing Elective Total 1,256.00 REVERSE (REcurrent VEnous thrombolembolism Risk Stratification Evaluation) A study to develop a clinical prediction rule to predict low recurrence risk in patients with idiopathic venous thromboembolism 95,077.00 Oral direct factor Xa inhibitor BAY 59-7939 in the prevention of VTE in patients undergoing total knee replacement.ODIXa-knee-a randomised, controlled, double-blind, double-dummy phase IIb dose-ranging trial 4,000.00 Exclaim study - A double blind, placebo controlled, parallel, multi center study on extended VTE Prophylaxis in acutely ill medical patients with prolonged immobilization Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Hematology Vickars Clinical Trial Aventis Pharmaceuticals Inc. $ Hematology Vickars Grant Canadian Apheresis Group $ Hematology Vickars Clinical Trial Sanofi-Synthelabo Canada Inc. $ Hematology Vickars Clinical Trial Boehringer Ingelheim (Canada) Ltd. $ Hematology Vickars Clinical Trial Organon Inc $ Infectious Diseases Av-Gay Grant $ Infectious Diseases Av-Gay Grant CIHR: New Investigator Award JBH - 47862 (CIHR Scholarship) BC Lung/CIHR Investigator Infectious Diseases Infectious Diseases Av-Gay Av-Gay Grant Grant Various Sources MND Diagnostics Ltd $ $ Infectious Diseases Infectious Diseases Av-Gay Av-Gay Grant Grant $ $ Infectious Diseases Av-Gay Grant Infectious Diseases Infectious Diseases Av-Gay Av-Gay Grant Grant Infectious Diseases Av-Gay Contract BC Lung: Project Grant NCE/Canadian Bacterial: Research CIHR: Operating Grant MOP 68857 VGH & UBC Hospital Fdn NCE/Canadian Bacterial: Research Phase III Nanobac Pharmaceuticals Inc $ Infectious Diseases Infectious Diseases Av-Gay Brunham Grant Grant TB Vets; VH Foundation Aventis Pasteur $ $ Infectious Diseases Infectious Diseases Brunham Brunham Grant Grant Aventis Pasteur NIH/U. Washington $ $ Infectious Diseases Infectious Diseases Brunham Brunham Grant Grant CIHR TIGR/NIH $ $ Infectious Diseases Cherkasov Grant $ Infectious Diseases Infectious Diseases Cherkasov Cherkasov Grant Grant Infectious Diseases Chow Grant Dean of Medicine - Faculty Start Up funds VHHSC: Scholar Award MSFHR: Junior Graduate Studentship Award (Hsing, Michael) NCE/Canadian Bacterial: UBC Department of Medicine $ $ $ $ 8,346.00 An open-label, parallel-group, multi-center study to evaluate the efficacy and safety of enoxaparin versus unfractionated heparin in the prevention of venous thromboembolism in patients following acute ischemic stroke 600.00 A comparison of solvent detergent vs cryosupernatant plasma in TTP and viral surveillance in apheresis 69,003.00 The Van Gogh-DVT trial, a multicenter, international, randomized, open-label, assessor-blind, non-inferiority study comparing the efficacy and safety of once weekly subcutaneous SanOrg34006 with the combination of(LMW) Heparin and vitamin K and… 1,500.00 A Phase III Randomized, Parallel-Group, Double-Blind, Active Controlled Study to Investigate the Efficacy and Safety of Two Different Dose Regimens (75mg Day 1 Followed by 150mg Day 2 - Completion, and 110mg Day 1 Followed by 220mg Day 2… 5,089.00 The VanGogh extension trial, a multicenter, international, randomized, doubleblind study comparing the efficacy and safety of once-weekly subcutaneous SanOrg34006 with placebo in the long-term prevention of symptomatic venous thromboembolism 25,000.00 Molecular Analysis of Mycobacterium Tuberculosis Cell Signaling Elements (Salary) 25,000.00 Molecular Analysis of Mycobacterium Tuberculosis Cell Signaling Elements (Salary). 1,000.00 Role of Cholesterol in Tuberculosis Infection 16,103.00 Cloning and examination of Rhinovirus and SARS 3C protease as a diagnostic tool for viral infections 30,000.00 Mycothiol dependent isoniazid resistance in Mycobacterium tuberculosis 33,302.00 Agilent 2100 Bioanalyzer (Equipment) 47,549.00 Molecular analysis of Mycobacterium tuberculosis protein kinases and phosphatases 61,294.00 TB Research - Various Sources 90,500.00 Phase III: Mycobacterium tuberculosis protein kinases and phosphatases as novel drug targets 162,108.00 Biochemical characterization of calcified particles originated from human and bovine area 8,706.00 TB research support 100,000.00 Investigate protective efficacy & immunogenicity in mice of Serovar D Pal antigen - Chlamydia trachomatis vaccine 37,500.00 DNA vaccine for Chlamydia trachomatis 98,000.00 Chlamydia and gonococcal infection: Immunobiology in the female reproductive tract 121,470.00 Immunology of Chlamydia trachomatis infection 135,000.00 Comparative genomics of the Chlamydiaceae family of obligate intracellular parasites 9,700.00 In Silico Discovery of Novel Antibiotic Candidates $ $ 30,000.00 Bioinformatics study of microbial pathogens 1,458.00 Modelling and simulating intra-cellular signalling systems in response to pathogen invasions by semantic networks $ 41,653.00 Multi-task gel documentation system (Equipment) Page 201 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Infectious Diseases Chow Grant Infectious Diseases Infectious Diseases Chow Chow Grant Grant Infectious Diseases Chow Grant Infectious Diseases Chow Grant Infectious Diseases Chow Grant Infectious Diseases Chow Grant Infectious Diseases Infectious Diseases Infectious Diseases Infectious Diseases Chow Chow Chow Chow Grant Grant Grant Grant Infectious Diseases Chow Grant Infectious Diseases Chow Grant Infectious Diseases Chow Grant Infectious Diseases Grigg Grant Infectious Diseases Grigg Grant Infectious Diseases Infectious Diseases Grigg Grigg Grant Grant Infectious Diseases Grigg Grant Infectious Diseases Infectious Diseases Grigg Harrigan Grant Grant Infectious Diseases Harrigan Grant UBC Department of Medicine Research NCE/Canadian Bacterial Research CIHR: Operating Grant MT-7630 CIHR/Strategic Training: Strategic Training Program Grant STI-63299 in collaboration with: Institute of Infection and Immunity (CIHR) VCHRI MRC: MD/PhD Studentship: Lee, Jimmy MRC: MD/PhD Studentship: Rauh, Michael MRC: MD/PhD Studentship: Yong, Paul CIHR: MD/PhD: Coburn, Bryan CIHR: MD/PhD: Brunham, Liam CIHR: MD/PhD: Tan, Clara MSFHR: Senior Graduate Studentship Award: Kalyan, Shirin CIHR: MD/PhD Program Studentship: Heine, Heather CIHR: MD/PhD Program Studentship: Joe, Aaron MRC: MD/PhD Studentship: Sheldon, Claire CIHR: Operating Grant MOP64388 in collaboration with: Institute of Infection and Immunity (CIHR) CIHR: New Investigator Award (CIHR Scholarship) MSH-69170 (Fellow: Grigg, Michael, Infectious Diseases - Med, Van Coastal Health Research Inst.) VHHSC: Scholar Award MSFHR: Career Investigator Program C1-SCH-26(01-2) CIHR: Proof of Principle PPP67408 CFI: New Opportunities 9147 MSFHR: Doctoral Trainee Research Award (STPHD 60021) - Brumme, Zabrina CIHR: Doctoral Research Awards (CGD-65030) - Brumme, Zabrina $ $ $ $ $ 98,020.00 Phase III: D4: Diagnosis of Intracellular Pathogens in Community-Acquired Pneumonia HSP60 Gene Sequences 98,278.00 Pathogenesis of Staphylococcal Toxic Shock Syndrome 310,500.00 UBC Training program for translational research in infectious diseases 10,000.00 Pilot Project: Heat shock protein 60 in staphylococcal pathogenesis: a new paradigm 1,000.00 Phagosome biogenesis $ 1,000.00 Cytokine-mediated signal transduction in leukemia $ 1,000.00 Chromosomal abnormalities in reproduction failure and development $ $ $ $ 1,000.00 1,000.00 1,000.00 2,291.00 $ 1,000.00 Myocardial regeneration with hematopoietic stem cells $ 1,000.00 Molecular determinants of stem cell trafficking $ 1,000.00 Neuronal pH: Regulation in health and disease The pathogenic of salmonella infection Identification and validation of genes modulating LDL cholesterol in humans The regulation of transcription factors by integrin linked kinase in cancer cells Role of yo T cells and HMG-1 in staphylococcal toxic shock syndrome $ 92,816.00 Toxoplasma Surface Antigens and Immunity $ 43,875.00 Toxoplasma Surface Antigens and Immunity $ $ 30,000.00 Molecular Basis of Toxoplasma Pathogenesis 36,500.00 Molecular basis of Toxoplasma Pathogenesis $ 87,487.00 Role of T regs in Toxoplasma pathogenesis. Co applicant M. Levings $ $ $ Page 202 260,000.00 Laboratory of Molecular Imaging and Parasite Pharmacogenomics 2,000.00 Factors impeding the success of HIV antiretroviral therapy today: genetic variation, viral evolution and drug resistance, and cellular reservoirs of HIV 5,000.00 An investigation into challenges faced in antiretroviral (anti-HIV) therapy today: human and viral genetic variation, HIV antiviral resistance and the existence of viral reservoirs Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Infectious Diseases Hmama Grant MSFHR: Matching Establishment $ Grant CI-SCH-26(01-2) Infectious Diseases Hmama Grant BC Lung: Project Grant $ Infectious Diseases Hmama Grant $ Infectious Diseases Hmama Grant CIHR: Postdoctoral Fellowship MFE-70513 (Fellow: Deghmane, Ala-Eddine) MSFHR: Career Investigator Program C1-SCH-26(01-2) Infectious Diseases Hmama Grant Infectious Diseases Hmama Grant Infectious Diseases Infectious Diseases Hmama Montaner Grant Clinical Trial Infectious Diseases Montaner Clinical Trial Infectious Diseases Montaner Infectious Diseases $ CIHR: New Investigator Award (CIHR Scholarship) CIHR: Operating Grant MOP 67232 TB Vets; VH Foundation CIHR/Rx&D: Research Program - Clinical Trials DCT-48206 Hoffmann-La Roche Ltd (Canada) $ $ Grant Ontario HIV Treatment Network $ Montaner Clinical Trial Hoffmann-La Roche Ltd (Canada) $ Infectious Diseases Montaner Clinical Trial Bristol-Myers Squibb Company (Cda) $ Infectious Diseases Montaner Clinical Trial Janssen-Ortho Inc. $ Infectious Diseases Montaner Grant Abbott Laboratories, Limited (Canada) $ Infectious Diseases Montaner Clinical Trial Serono Inc. $ Infectious Diseases Montaner Grant $ Infectious Diseases Infectious Diseases Montaner Montessori Clinical Trial Clinical Trial Boehringer Ingelheim (Canada) Ltd. Tibotec Pharmaceuticals Ltd Pfizer Canada Inc. Infectious Diseases Nandan Grant Infectious Diseases Phillips Grant UBC Department of Medicine CIHR: Operating Grant MOP 38005 Canadian Dermatology Association $ $ 14,583.00 Molecular study of interaction between Mycobacterium tuberculosis and the macrophage endosomal compartment: an approach to identify mycobacterial virulence factors 30,000.00 Alteration of the macrophagic endosomal compartment by Mycobacteria. Role of the surface glycolipid lipoarabinomannan and the mycobacterial urease 35,000.00 Identification and characterization of a mycobacterial secreted protein that interact with the actin binding protein coronin-1/TACO in human macrophages 45,000.00 Molecular study of interaction between Mycobacterium tuberculosis and the macrophage endosomal compartment: an approach to identify mycobacterial virulence factors. 58,500.00 Cell signaling regulating mycobacterial-macrophage interactions $ 87,168.00 Identification of mycobacterial factors that inhibit phagosome maturation in human macrophages 70,000.00 TB research support 2,274.00 An Open Label, Randomized Study to Evaluate the Antiretroviral Effect, Tolerability, Safety and Pharmacokinetics of Squinavir SGC/Ritonavir QD vs. Indinavir/Norvir BID in HIV Infected Patients 375.00 An extension protocol to evaluate the long-term effects of treatment with Peginterferon Alfa-2a (PEG-IFN) or Interferon (IFN) based therapies for patients with chronic hepatitis C (Protocol NV15908B) 450.00 Non-invasive assessment of atherosclerosis and its determinants in HIV-infected people 3,240.00 A phase III open-label, randomized, active-controlled study assessing the efficacy and safety of T-20/Ro 29/9800 (HIV-1 fusion inhibitor) in combination with an optimized background regimen, versus optimized background regimen alone, in patients… 3,300.00 A study to compare long-term safety and tolerability of Stavudine (d4T) extended release (ER) versus conventional (immediate release, IR) formulations, each in combination with Lamivudine (3TC) and Efavirenz (EFV) in subjects who have… 4,145.00 A Phase II Randomized, Controlled, Partially Blinded, 48-Week Trial to Investigate Dose-Response of TMC114/RTV in 3-Class-Experienced, Multi PIExperienced HIV-1 Infected Subjects (TMC114-C213) 5,000.00 A randomized controlled trial of once-daily tenofovir, 3TC and lopinavir/r versus remaining on the same regimen in HIV-infected patients virologically suppressed on their first PI-containing HAART regimen 18,784.00 A phase III, multi-center, randomized, double-blind, placebo-controlled, parallel group study of the safety and efficacy of serostim (mammalian cell-derived recombinant human growth hormone, r-hGH) in the treatment and maintenance of Human Immuno… 75,000.00 Ritonavir-boosted Tipranavir and Lopinavir: A Preliminary Pharmacokinetic Evaluation 78,625.00 Protocols TMC125-C203 and TMC125-C209 43,938.00 Alanine Aminotransferase Elevations and Ishak-Knodell Scores in HIV/Hep C Co-Infected Patients 82,162.00 Molecular Mechanism of Leishmania Pathogenesis $ 20,000.00 Abacavir hypersensitivity reaction: Investigations of immunopathogenesis $ $ $ Page 203 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Infectious Diseases Reiner Grant Infectious Diseases Reiner Grant Infectious Diseases Reiner Grant Infectious Diseases Reiner Grant Infectious Diseases Reiner Grant Infectious Diseases Infectious Diseases Infectious Diseases Rekart Steiner Steiner Grant Grant Grant Infectious Diseases Steiner Grant Infectious Diseases Steiner Grant Infectious Diseases Infectious Diseases Infectious Diseases Infectious Diseases Infectious Diseases Tyndall Tyndall Tyndall Tyndall Wood Grant Grant Grant Grant Grant Infectious Diseases Wood Grant Medical Oncology Chi Agreement Medical Oncology Chi Grant VPR Research Development Fund UBC/PWIAS: Exploratory Workshop Grants CIHR: Proof of Principle PPP67408 CIHR: Operating Grant MOP8633 MSFHR Fdn 57(02-1)BM: Doctoral Trainee Research Award - Lee, Jimmy CIDA VHHSC Scholar Award CIHR: New Investigator Award MSH 69156 CFI: Infrastructure Operating Fund 4453 CIHR: Operating Grant MOP64355 in collaboration with: Institute of Infection and Immunity (CIHR) BC Centre for Excellence in HIV CIHR VCHA VCHA NIH (US): Research Grant (2R01-DA011591-04A1) CIHR: Operating Grant (HHP67262) US Army DAMD17-02-0226, PC011011 In collaboration with OncoGenex Ontario Clinical Oncology Group Nephrology Chiu Clinical Trial AstraZeneca Canada Inc $ Nephrology Duncan Clinical Trial AstraZeneca Canada Inc $ Nephrology Duncan Clinical Trial Ortho Biotech $ Nephrology Nephrology Duncan Jastrzebski Clinical Trial Clinical Trial Merck & Co., Inc. Hoffmann-La Roche Ltd (Canada) $ $ UBC Department of Medicine $ $ 7,500.00 Research support for workshop entitled Network science, implications for biology and medicine 16,500.00 Network Science: Implications for Biology and Medicine $ 100,000.00 Identification of therapeutic leads for hospital acquired infections $ 123,147.00 Monocyte Cell Regulation $ 2,000.00 Role of distinct P13-kinase isoforms in regulating phagocytosis and phagosome maturation $ $ $ 855,988.00 STI/HIV/AIDS prevention and care in southern Vietnam 50,000.00 Mechanisms of Innate Immune Signalling by Enteroaggregative E. coli Flagellin 43,875.00 Mechanisms of Innate Immune Signalling by Enteroaggregative E. coli Flagellin $ $ 835.00 CFI Infrastructure Operating Fund 96,648.00 Mechanisms of innate immune signaling by enteroaggregative Escherichia coli flagellin $ $ $ $ $ 125,157.00 45,030.00 200,000.00 490,000.00 566,301.00 $ 158,355.00 The Vancouver injection drug user's study: A programme of study of HIV and Hepatitis C and other harms related to injection drug use 377,720.00 A Phase 1/11 study of combination neoadjuvant hormone therapy and weekly OGX-011 (Clusterin Antisense Oligonucleotide) prior to radical prostatectomy in patients with prostate cancer 32,000.00 EPO-CAN-29 Randomized Trial of Epoetin Alfa in Men with Hormone Refractory Prostate Cancer and Anemia 41,341.00 A double-blind, randomised, dose-ranging, multi-centre, phase IIIb study to evaluate the efficacy and safety of high doses of candesartan cilexetil (Atacand) on the reduction of proteinuria in the treatment of subjects with hypertension and... 8,720.00 4522IL/0096 (AURORA): Study to Evaluate the Use of Rosuvastatin in Subjects On Regular Haemodialysis: An Assessment of Survival & Cardiovascular Events: Double-Blind Randomized Multicentre Phase IIIb Parallel-Group Study to Compare the .... 55,523.00 Protocol EPO-IMU-401: An Active Safety Surveillance Plan to Prospectively Monitor the Incidence of Pure Red Cell Aplasia (PRCA) in Patients Receiving Epoetin-Alfa Therapy 37,839.00 SHARP: Study of Heart and Renal Protection 16,088.00 BA17283: Randomized Controlled Open-Label Multicentre Parallel-Group Study to Demonstrate the Efficacy & Safety of RO-0503821 when Administered Intravenously for the Maintenance Treatment of Anemia in Patients with Chronic Kidney Disease... $ $ Page 204 Salary support for Dr. Mark Tyndall Role of injection drug use and hepatitis C infection on tolerability of HAART Community health and safety evaluation project Scientific evaluation of the supervised injection site (SESIS) Evaluating the natural history of injection drug use Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Nephrology Jastrzebski Clinical Trial Hoffmann-La Roche Ltd (Canada) $ Nephrology Jung Clinical Trial AstraZeneca UK Limited $ Nephrology Landsberg Grant $ Nephrology Landsberg Grant $ 44,400.00 The humoral immune response in kidney allograft rejection Nephrology Levin Grant $ 55,000.00 The value of cardiac specific troponin in predicting cardiac outcomes in an asymptomatic chronic kidney disease population Nephrology Levin Grant $ 7,500.00 The value of cardiac specific troponin in predicting cardiac outcomes in an asymptomatic chronic kidney disease population Nephrology Levin Clinical Trial MSFHR: Institutional Infrastructure Support Program INS002031 Kidney Foundation: Biomedical Scholarship CIHR: Postdoctoral Fellowship MFE-63502 in collaboration with: Institute of Circulatory & Respiratory Health (CIHR) (Fellow: Khan, Nadia) MSFHR:Postdoctoral Trainee Fellowship STPDF240021 (Fellow: Khan, Nadia) Janssen-Ortho Inc. 4,200.00 BA16736B: An Open-Label Randomized Multicentre Parallel-Group Study to Demonstrate Correction of Anemia Using Intravenous Injections of RO0503821 in Patients with Chronic Kidney Disease who are on Dialysis 22,477.00 A study to evaluate the use of rosuvastatin in subjects on regular hemodialysis: An assessment of survival and cardiovascular events (AURORA)(4522IL-0096); a double-blind, randomised, multicentre, phaseIIIb, parallel-group study to compare the… 3,600.00 Living anonymous donation clinical pilot study $ Nephrology Nephrology Levin Levin Grant Grant Various Sources Kidney Foundation of Canada $ $ Nephrology Levin Clinical Trial Hoffmann-La Roche $ Nephrology Levin Clinical Trial Merck Frosst Canada Inc. $ Nephrology Nephrology Levin Levin Clinical Trial Clinical Trial University of Oxford Johnson & Johnson $ $ Nephrology Quamme Grant $ Nephrology Quamme Grant Nephrology Wong Grant Nephrology Yeung Clinical Trial CIHR: Operating Grant # MOP53288 Kidney Fdn: Biomedical Research Grant Canadian Apoptosis Research Foundation (NEW) Medtronic (USA) Neurology Barton Grant Neurology Barton Grant Neurology Barton Grant Neurology Barton Grant UBC Department of Medicine CFI: Canada Research Chairs Infrastructure Fund 202111 MSFHR: Senior Scholar Award CI-SSH-035(03-1) CLIN Canada Research Chair Tier II (CIHR) 950-202111 NIMH Grant 76,790.00 IICT: A study of the interaction of Vascular Reactivity and Program Hemoglobin in End Stage Diabetic Dialysis Patients 88,651.00 NERC 12,500.00 Care prior to dialysis: A multicentre prospective cohort study in renal insufficiency to assess the impact of elements of care on patient outcomes (CREDA) 4,200.00 An Open Label, Randomized, Multicentre, Parallel Group Study To Demonstrate Correction Of Anemia Using Subcutaneous Injections Of RO0503821 In Patients With Chronic Kidney Disease Who Are Not On Dialysis 240,000.00 A Randomized Control Trial Comparing Combined Cardiology, Kidney and Diabetic Care Clinic CCKDC to Current Therapy Received In Multiple Clinics: Improving Care and Resource Utilization 1,320,107.00 Study of Heart and Renal Protection (SHARP) 104,235.00 An Active Safety Surveillance Plan to Prospectively Monitor the Incidence of Pure Red Cell Aplasia (PRCA) in Patients Receiving Epoetin Alfa Therapy 166,250.00 Studies of Renal Magnesium Transport $ 50,000.00 Characterization of MagT, a Novel Family of Renal Magnesium Transporters $ 25,000.00 Accelerated neuronal aging caused by transient exposure to toxin. $ $ $ $ $ Page 205 28,187.00 Medtronic EMPIRIC Study - Evaluation of EMPIRIC Programming to Improve Patient Management 239,956.00 The UBC neuropsychology laboratory for investigation of human visual processing and ocular motor control 8,750.00 Neuropsychology of vision and eye movements 58,333.00 Canada Research Chair for Dr. Jason Barton in Neuropsychology of vision and eye movements 330,000.00 National Institute of Mental Health, 1R01 MH069898: "Perceptual encoding and imagery in prosopagnosia" Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Neurology Neurology Calne Calne Grant Grant Various sources 16-017292-7 MRC: Operating Grant $ $ 267,520.00 Movement Disorder Clinic 58,324.00 Studies on the natural history and etiology of sporadic Parkinson's disease Neurology Neurology Calne Chapman Grant Clinical Trial MRC: Group Grant MGC 36035 $ Wyeth-Ayerst Canada Inc $ 24,358.00 DDMP Core A: Biomedical Mathematical Core 86,681.00 Protocol 0912A2-212-NA: Multicenter Randomized Double-Blind PlaceboControlled Study of 3 Fixed Doses of EAA-090 in Adult Outpatients with Neuropathic Pain Associated with Diabetic Neuropathy Neurology Devonshire Grant 37,052.00 MS COSTAR Data Entry for the Genetic Susceptibility to MS Study Neurology Doudet Contract Donations for Health Science Research Schering Ag $ Neurology Doudet Grant Titan Pharmaceuticals Inc. $ Neurology Doudet Grant MRC: Group Grant MOP-14535 $ Neurology Doudet Grant Titan Pharmaceuticals Inc. $ Neurology Doudet Agreement Titan Pharmaceuticals Inc. $ Neurology Doudet Grant $ Neurology Eisen Clinical Trial Neurology Eisen Clinical Trial MSFHR: Senior Graduate Studentship Award ST-SGS 128(03-1)BM (Fellow: Strome, Elissa) Various Pharmaceutical Companies LTS 3069, EFC 2491(in collab. with Sanofi Canada Inc. & Quintiles Canada Inc.) Aventis Pharma Inc. RP54274/CA1.401 Neurology Eisen Grant Feldman Grant Neurology Feldman Grant Neurology Feldman Grant Neurology Feldman Clinical Trial Pfizer Canada Inc. A2581078 $ Neurology Feldman Contract Pfizer Canada Inc. $ Neurology Feldman Grant $ Neurology Feldman Clinical Trial MSFHR: Postdoctoral Trainee Fellowship, 117(02-01) BM (Fellow: Hsiung, Ging-Yuek) Janssen-Ortho Inc. UBC Department of Medicine $ Donations for Health Science Research CIHR: Institute of Aging (Pilot Project Grant) Various Pharmaceutical Companies Various Pharmaceutical Companies 108,905.00 Evaluation of three preparations of Spheramine in a rodent model of Parkinson's Disease 75,720.00 In vivo PET study of the effects of striatal implantation of Retinal Pigment Epithelial Cells in a primate model of Parkinson's Disease 52,258.00 DDMP Project 10: In vivo study of the effects of manipulations on the dopaminergic synapse by PET 41,927.00 Stereological assessment of the survival of human retinal pigmented epithelial cells implanted in a rodent model of Parkinson's disease 18,183.00 Effects of striatal implantation of RPE cells in a rodent model of Parkinson's Disease 2,292.00 The effects of electroconvulsive therapy in an animal model of Parkinson's disease: mechanisms of a potential adjunct treatment $ 22,800.00 Clinical Trials $ 64,524.00 A Canadian Multicentre Phase IV Comparative Study of the Effect of Riluzole 50 mg Bid on the Survival of ALS Subjects Compared to Historical Controls - the CARE STUDY 50.00 General Neurology Research $ $ $ $ $ Page 206 50,000.00 Preventing Alzheimer disease and other dementias: The development of a statistical framework for the design of randomized controlled trials 195,000.00 ACCORD II - A longer term Assessment of cognitive Impairment and Dementia Syndromes with an Evaluation of Treatment Effectiveness 76,400.00 ACCORD II - Transfer Master Account - A longer term Assessment of cognitive Impairment and Dementia Syndromes with an Evaluation of Treatment Effectiveness 52,357.00 A2581078 The LEADe Study: 80-week Randomized Multicenter Parallel-Group Double-Blind Study of the Efficacy & Safety of Atorvastatin 80mg + Acetylcholinesterase Inhibitor vs an Acetylcholinesterase Inhibitor Alone in the Treatment of Mild … 15,332.00 Economic Modelling Agreement: To develop a Canadian Economic Model assessing the impact of AD Treatment - Accord Database 9,750.00 Susceptibility genes and environment risk factors for Alzheimer's disease 585.00 Multi-National Follow-Up Audit of Admission to Supported Accommodation for Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Patients Who Participated in Clinical Trials of Galantamine Neurology Feldman Clinical Trial University of California, San Diego $ Neurology Feldman Clinical Trial Janssen-Ortho Inc. $ Neurology Feldman Clinical Trial Sanofi-Synthelabo Canada Inc. $ Neurology Feldman Clinical Trial Sanofi-Synthelabo Canada Inc. $ Neurology Gibson Clinical Trial Eli Lilly Canada Inc. $ Neurology Gibson Clinical Trial Eli Lilly Canada Inc. $ Neurology Gibson Clinical Trial Bayer Corp $ Neurology Hashimoto Clinical Trial Biogen Idec, Inc. $ Neurology Johnston Clinical Trial Sanofi-Synthelabo Canada Inc. $ Neurology Jones Clinical Trial Pfizer Canada Inc. $ Neurology Jones Clinical Trial Pfizer Canada Inc. $ Neurology Jones Clinical Trial UCB Pharma $ Neurology Jones Clinical Trial Pfizer Canada Inc. $ Neurology Jones Clinical Trial UCB Pharma $ Neurology Kastrukoff Contract Chemokine Therapeutics Corp $ Neurology Kastrukoff Grant $ Neurology Kim Grant Neurology Krieger Clinical Trial Donations for Health Science Research Canadian Myelin Research Initiative Novartis Pharmaceuticals Canada Inc UBC Department of Medicine 13,369.00 A randomized double blind, placebo controlled trial to evaluate the safety & efficacy of vitamin E and Donepezil HC1 (Aricept) to delay clinical progression from mild cognitive impairment (MCI) to Alzheimer's disease 4,485.00 AGAL-COG-3002: Phase 3b - An Analysis of Mortality in Subjects Who Participated in Three Studies of Galantamine in Mild Cognitive Impairment 6,000.00 LTS5283: Long-Term Safety Extension of Phase II Study EFC5286 of SR57667B in Patients with Mild-to-Moderate Alzheimer's Disease 135,901.00 Protocol EFC 5286: Phase II Multicentre Multinational Randomized Double-Blind Placebo-Controlled Efficacy, Safety and Tolerability Study of SR57667B in Patients with Mild to Moderate Alzheimer's Disease 22,608.00 Protocol B7A-MC-MBCW: LY333531 Treatment for Symptomatic Peripheral Neuropathy in Patients with Diabetes 13,494.00 Protocol B7A-MC-MBBR: LY333531 Treatment of Peripheral Neuropathy in Patients with Diabetes: A Phase 3 Pivotal Clinical Trial 13,292.00 Protocol 100538: Multicentre Randomized Double-Blind Placebo-Controlled Study to Evaluate the Efficacy and Safety of IGIV-Chromatography (IGIV-C) 10% Treatment in Subjects with Chronic Inflammatory Demyelinating Polyneuropathy 8,090.00 C-850 CHAMPIONS: Controlled High Risk AVONEX Multiple Sclerosis Prevention Study in Ongoing Neurological Surveillance 6,972.00 Clopidogrel for high atherothrombotic risk and ischemic stabilization, management and avoidance (CHARISMA) 2,178.00 Protocol 1008-114-141: Pregabalin Open-Label Add-On Trial: An Open-Label Multicentre Follow-On Study to Determine Long-Term Safety and Efficacy in Patients with Partial Seizures 6,825.00 Protocol 1008-164: Pregabalin BID Open-Label, Add-On Trial: A Follow-On Study To Determine Long-Term Safety and Efficacy in Patients with Partial Seizures 9,807.00 N01057: double-blind, multicenter, randomized, placebo-controlled study to evaluate the efficacy & safety of adjunctive treatment with 3000 mg/day (pediatric target dose of 60mg/kg/day) oral levetiracetam (LEV) (166, 250,and 500 mg tablets) 6,630.00 Protocol 1008-112-141: Pregabalin BID Add-On Trial: A Randomized, DoubleBlind, Parallel-Group, Placebo and Lamotrigine-Controlled, Multicenter Study in Patients with Partial Seizures 1,081.00 N167: Open-Label, Multicenter, Follow-up Study to Evaluate the Safety and Efficacy of Levetiracetam (LEV) (oral tablets of 166, 250 or 500 mg bid) at Individualized Doses Up To a Maximum or 4000 mg/day (or 80 mg/kg/day for Children & Adolescents… 7,554.00 Determination of Peripheral Blood Mobilization of Committed Progenitors or Colony Forming Cells Following Administration of Compounds in Female Balb/c Mice 200.00 Virology Research $ 25,762.00 Immortalized human neural stem cells genetically modified for brain repair $ 62,349.00 Protocol CTCH346A 2211: A Randomized, Double-Blind, Placebo-Controlled, Stratified Parallel-Group, Multicentre, Dose-Ranging Study Evaluating Four Oral Doses of TCH346 (1.0, 2.5, 7.5 and 15 mg) Administered Once Daily in Patients Page 207 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 with ALS Neurology Lee Grant Neurology Lee Grant Neurology Lee Clinical Trial Neurology Lee Grant Neurology Neurology Li Li Contract Grant Neurology Martzke Grant Neurology McKeown Grant Neurology McKeown Agreement Neurology Oger Clinical Trial Neurology Oger Agreement Berlex Canada Inc $ Neurology Oger Clinical Trial Biogen, Inc C-1801 $ Neurology Oger Grant $ Neurology Oger Clinical Trial MSSC: Career Development Award (Fellow: Tremlett, Helen) Biogen Inc. $ Neurology Oger Clinical Trial Berlex Canada Inc $ Neurology Oger Grant MSFHR: Postdoctoral Trainee Fellowship ST-PDF 262(03-1) CLIN (Fellow: Tremlett, Helen) $ Neurology Oger Clinical Trial Neurocrine Biosciences Ltd. NBI- $ 5788-0201 UBC Department of Medicine Pacific Parkinson's Research Institute CIHR: Operating Grant MOP 69382 Eisai Co. Ltd. In collaboration with: Pharmaceutical Research Associates, Inc. MSFHR: Senior Scholar Award CI-SSH-038(03-1)BIOM Various Sources Donations for Health Science Research CIHR: Operating Grant MOP62966 Whitaker Fdn: Biomedical Engineering Research Grant RG04-0004 in collaboration with: University of North Carolina at Chapel Hill Duke University National Parkinson Foundation, US Novartis Pharmaceuticals Canada Inc. $ 60,000.00 Mechanisms of levodopa-induced dyskinesia: Role of dopaminergic denervation $ 58,229.00 Neural mechanisms underlying response changes to levidopa in Parkinson's disease 25,449.00 E2020-E044-316: 24 Week Multicentre Randomized Double-Blind PlaceboControlled Study of the Efficacy tolerability & Safety of Donepezil (ARicept) in Parkinson's Disease Patients with Dementia 75,000.00 Studies on rational treatment of Parkinson's disease $ $ $ $ $ $ $ $ Page 208 598,871.00 MS/MRI operating funds - admin office 2,358.00 Health Science Research Donations 9,912.00 Neurobehavioral outcome following implantation of bilateral subthalmic nucleus stimulators in Parkinson's Disease 65,406.00 Information as a measure of motor function after stroke: Effect of dynamic visual perturbations 57,271.00 Designation as a National Parkinson Foundation, Centre of Excellence 144,460.00 Protocol CFTY720D2201: Double-Blind Randomized Placebo-Controlled Parallel-Group Multicenter Study Evaluating Safety Tolerability & Effect on MRI Lesion Parameters of FTY720 vs Placebo in Patients with Relapsing Multiple Sclerosis 55,000.00 Interferon-beta influence on MxA Protein Levels in Multiple Sclerosis Patients with Seroconverted Neutralizing Antibody Status 54,785.00 C-1801: A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multicentre Study to Determine the Safety and Efficacy of Natalizumab in Subjects with Relapsing-Remitting Multiple Sclerosis 50,000.00 The impact of beta-interferon therapy on multiple sclerosis: effectiveness and toxicity 47,209.00 Protocol C-862: Multicentre Prospective and Retrospective Long-Term Observational Study of Avonex and Rebif to Determine the Efficacy Tolerability and Safety in Subjects with Relapsing Multiple Sclerosis 32,266.00 306440 BEYOND Study: International Randomized Multicenter Phase 3b Study in Patients with Relapsing-Remitting Multiple Sclerosis Comparing Over a Treatment Period of 104 Weeks: Double-Blinded Safety Tolerability and Efficacy of Betaseron/B 29,667.00 Aminotransferase abnormalities and Multiple Sclerosis 24,530.00 Protocol NBI-5788-0201: Randomized Double-Blind Placebo-Controlled Study to Evaluate the Safety, Tolerability and Efficacy of NBI-5788 in Patients with Relapsing-Remitting Multiple Sclerosis Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Neurology Oger Clinical Trial Biogen Inc C-867 $ Neurology Oger Clinical Trial Aventis Pharma Inc. HMR 1726/2002 $ Neurology Oger Clinical Trial Berlex Canada Inc. 304747 $ Neurology Neurology Oger Oger Grant Clinical Trial Donation Teva Neuroscience, GP $ $ Neurology Oger Grant $ Neurology Pelech Grant Neurology Neurology Ruth Ruth Grant Grant Neurology Ruth Grant Neurology Ruth Grant Neurology Ruth Grant Donations for Health Science Research MRC: Operating Grant MOP 38062 MRC: Group Grant MGC 36035 CIHR: Operating Grant MOP 67007 CFI: Infrastructure Operating Fund 5034 MRC: Multi-User Maintenance Grant MRC: Group Grant MT - 14535 Neurology Ruth Grant Neurology Spacey Grant Neurology Neurology Spacey Spacey Grant Grant Neurology Stoessl Grant Neurology Stoessl Agreement Neurology Stoessl Clinical Trial CFI: Infrastructure Operating Fund 5034 MSFHR: Institutional Infrastructure Support Program National Ataxia Foundation VCHRI: Mentored Clinical Scientist Canada Research Chair Tier I (CIHR) US National Parkinson Fdn: Research Sanofi-Synthelabo Canada Inc Neurology Neurology Stoessl Stoessl Grant Clinical Trial CIHR MGP 15126 Amgen, Inc 20020168-901 $ $ Neurology Stoessl Grant Parkinson Society Canada $ UBC Department of Medicine 12,768.00 Protocol C-867: Multicentre Open-Label Immunogenicity and Safety Study of a Serum-Free Pre-Formulated Solution of Avonex (Interferon beta 1a) Administered Intramuscularly to Patients with Relapsing/Remitting Multiple Sclerosis 27,658.00 Protocol HMR 1726D/2002: Extension of Protocol HRM 1726D/2002, A Phase II Study of the Safety & Efficacy of Teriflunomide (HMR 1726) in Multiple Sclerosis with Relapses 7,640.00 304747: Double-Blind Placebo-Controlled Randomized Parallel Group Multicenter Phase 3 Study to Evaluate the Safety Tolerability and Efficacy of 8 MIU Interferon Beta-1b (Betaseron) in Patients with a First Demyelinating Event Suggestive of MS 6,398.00 Neuro-Immunology Research 2,807.00 GA-O&I/001: Pharmacogenomics of Glatiramer Acetate: Study of the Genetic Basis of Responsiveness to Glatiramer Acetate in Multiple Sclerosis Patients 2,760.00 Myasthenia Gravis Research $ 107,531.00 Protein kinase pathways in seastar oocyte cell cycle control $ $ 258,184.00 DDMP Core B: Positron Emission Tomography 76,314.00 Development of radiotracers based on oligonculeotides labelling $ $ $ 46,360.00 CFI Infrastructure Operating Funds - Functional Imaging in Basic Biomedical Research Operations 14,340.00 MRC: Multi-User Maintenance Grant MR-11806 $ 12,915.00 DDMP Project 10: In vivo study of the effects of manipulations on the depaminergic synapse by PET 5,000.00 CFI Infrastructure Operating Funds - Functional Imaging in Basic Biomedical Research - Centre Share 50,000.00 In it for Life: Mentored Clinician Scientist Salary - Paroxysmal neurological disease: the role of the human P/Q type calcium channel 34,710.00 The role of the human P/Q-type calcium channel in the pathogenesis of ataxia 10,000.00 Research: Paroxysmal neurological disease: The role of the human P/Q type calcium channel 200,000.00 Canada Research Chair - A. Jon Stoessl $ 138,375.00 National Parkinson Foundation, Centre of Excellence $ 135,750.00 Protocol ACT5288: Phase II Randomized Multicentre Multinational Double-Blind Placebo-Controlled Study of the Effect of SR57667B on Dopaminergic NigroStriatal Function Assessed by 18F-Dopa PET Imaging in Outpatients with Early Pakinson's Disease 127,761.00 Studies on fluctuations in response to dopaminergic therapy 90,000.00 GDNF 20020168: PET Scanning in Association with a Multicentre Randomized Double-Blind Placebo-Controlled Parallel-Group Trial of Liatermin (rmetHuGDNF) Administered by Bilateral Intraputaminal (Ipu) Infusion of Subjects with Idiopathic… 45,000.00 Neuroimaging investigation of early markers for nigrostrialal cell damage in patients with a high genetic risk of developing Parkinson's disease $ $ $ $ Page 209 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Neurology Stoessl Clinical Trial Boehringer Ingelheim (Canada) Ltd $ Neurology Neurology Stoessl Stoessl Grant Clinical Trial $ $ Neurology Stoessl Clinical Trial MRC: Group Grant MT-14751 Smithkline Beecham Pharmaceuticals (Canada) 101468/170 Kyowa Pharmaceutical, Inc in collaboration with: Lineberry Research Associates Neurology Stoessl Clinical Trial Kyowa Pharmaceutical, Inc 6002- $ US-005 in collaboration with: Lineberry Research Associates Neurology Neurology Neurology Stoessl Stoessl Teal Grant Grant Clinical Trial CIHR MGP 15126 CIHR MOP-15127 Boehringer Ingelheim (Canada) Ltd. $ $ $ Neurology Teal Clinical Trial AstraZeneca Canada Inc $ Neurology Teal Clinical Trial Aventis Pharma Inc. $ Neurology Teal Clinical Trial Sanofi-Synthelabo Canada Inc. $ Neurology Teal Clinical Trial ONO Pharma USA, Inc $ Neurology Teal Clinical Trial Bayer Inc. $ Neurology Teal Clinical Trial $ Neurology Teal Clinical Trial Wake Forest University - School of Medicine Eli Lilly Canada Inc. $ Neurology Traboulsee Clinical Trial Teva Neuroscience, GP 9014 $ Neurology Neurology Tremlett Tsui Grant Clinical Trial MSSC: Research Grant Elan Pharmaceuticals Inc. AN072-401CD $ $ UBC Department of Medicine $ Page 210 31,923.00 SCEPTRE - 1198.100: Fourteen Week Placebo-Controlled Dose-Response Efficacy & Safety Study of NS 2330 in Early Parkinson's Disease Patients (Study for Proof of Concept in Early Parkinson's Disease of a Triple Reuptake Inhibitor) 28,383.00 DDMP Project 11: Pharmacological studies in experimental models of dyskinesia 25,698.00 A non-interventional follow-up study to observe the long term outcome of Parkinson's Disease in patients who completed study SK & F 101468/056 or study SK&F 101468/125 (STUDY 101468/170) 16,537.00 6002-US-018: A 12 Week, Double-Blind, Placebo-Controlled, Randomized, Multicenter Study of the Efficacy or 40mg/day KW-6002 as Treatment for Parkinsons's Disease in Patients with Motor Response Complications on Levodopa/Carbidopa Therapy 13,169.00 6002-US-005: A 12 Week, Double-Blind, Placebo-Controlled, Randomized, Multicenter Study of the Efficacy or 40mg/day KW-6002 as Treatment for Parkinsons's Disease in Patients with Motor Response Complications on Levodopa/Carbidopa Therapy 323,354.00 Degenerative Disorders of the Motor Pathways 58,324.00 The natural history of sporadic and inherited Parkinson's disease 11,635.00 9.159 PROFESS: Prevention Regimen for Effectively Avoiding Second Strokes: A Double-Blind Active and Placebo Controlled Study of Aggrenox vs Clopidogrel and Aspirin with and without Micardis 64,000.00 Protocol SA-NXY-0007: Double-Blind Randomized Placebo-Controlled ParallelGroup Multicenter Phase IIb/III Study to Assess the Efficacy & Safety of Intravenous NXY-059 in Acute Ischemic Stroke 7,800.00 IRP4563H/4001 - PREVAIL: An Open Label Randomized Parallel-Group Multicenter Study to Evaluate the Efficacy & Safety of Enoxaparin vs Unfractionated Heparin in the Prevention of Venous Thromboembolism in Patients Following Acute Ischemic .. 26,057.00 Protocol EFC4505: (CHARISMA) Clopidogrel for High Atherothrombotic Risk and Ischemic Stabilization, Management and Avoidance 51,535.00 2506/INT0104: Randomized, Double-Blind, Placebo-Controlled, Multi-Centre Study of the Effects of ONO-2506 IV Infusion on the Amelioration of Neurological Damage and Improvement of Stroke Assessment Scale Scores in Patients with Acute Ischemic Stroke 170,799.00 RECT: A randomized, double-blind, placebo-controlled trial to evaluate the efficacy, safety, tolerability, and pharmacokinetic/pharmacodynamic effects of a targeted exposure of intravenous repinotan in patients with acute ischemic stroke 5,000.00 Vitamin Intervention for Stroke Prevention 19,749.00 Protocol C0116T41 AbESTT-II: Abciximab (ReoPro) in Acute Ischemic Stroke: A Phase III Multinational Multicentre Randomized Double-Blind Placebo-Controlled Trial 46,591.00 Protocol GA 9014: Multicentered Randomized Double-Blind Placebo-Controlled Parallel Study Assessing the Add-On Effect of Minocycline in RelapsingRemitting Multiple Sclerosis (RR-MS) Subjects Treated with Glatiramer Acetate (GA) 32,160.00 The Impact of Beta-interferon Therapy on MS: Effectiveness and Toxicity 11,688.00 An Open Label Safety and Immunogenecity Study of MYOBLOC (NEUROBLOC; BOTULINIM TOXIN TYPE B) Injectable Solution in Patients with Cervical Dystonia. Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 3,600.00 Occupational Risk Factors in Parkinson's Disease $ 2,124.00 191622-064-01: An Observational Study of the Prevalence of Migraine and Other Primary Headache Disorders and Headache Attributed to Craniocervical Dystonia in a Population of Subjects with Cervical Dystonia 600.00 AMPAR trafficking in models of cerebral ischemia Tsui Grant Neurology Tsui Clinical Trial Neurology Wang Grant Neurology Wong Clinical Trial CIHR: Doctoral Research Awards $ DD5 61947 In Collaboration With: Institute of Circulatory & Respiratory Health (CIHR) Fellow: Liu, Yitao ONO Pharma USA, Inc $ Neurology Woolfenden Clinical Trial Novo-Nordisk $ Neurology Physical Medicine & Rehabilitation Woolfenden Dhawan Clinical Trial Clinical Trial National Institutes of Health Allergan Inc $ $ Physical Medicine & Rehabilitation Respiratory Van Rijn Grant Abboud Grant Respiratory Abboud Agreement Vancouver Coastal Health $ Authority Donations for Health Science $ Research Workers' Compensation Board of $ British Columbia Respiratory Ayas Grant Respiratory Ayas Grant Respiratory Ayas Clinical Trial Respironics Inc $ Respiratory Ayas Grant $ Respiratory Respiratory Ayas Ayas Grant Grant $ $ 21,750.00 The societal consequences of sleep apnea 33,750.00 The public health impact of obstructive sleep apnea hypopnea Respiratory Ayas Grant $ 25,000.00 Investigation of the diagnosis and treatment of sleep disordered breathing Respiratory Respiratory Ayas Bai Grant Grant $ $ 25,000.00 Investigation of the diagnosis and treatment of sleep disordered breathing 81,302.00 Modulation of airway function by neurotrophic cytokines Respiratory Bai Grant MSFHR: Institutional Infrastructure Support Program INS002031 BCLA MSFHR: Scholar Award CI-SCH060(03-1) HSR CIHR: New Investigator Award (CIHR Scholarship) JBH-56261 BC Lung/CIHR Investigator CIHR: Operating Grant MOP42537 UBC Killam Fellowship 18,464.00 Evaluation of Electronically Recorded Occupational Peak Flow Monitoring and Weekly Occupational Change in Spirometry as Substitutes for Inhalation Challenge Testing in Red Cedar Asthma 50,000.00 The Impact of CPAP Therapy for Obstructive Sleep Apnea Hypopnea on Cardiovascular Risk Factors: A Randomised Crossover Trial 37,500.00 MSFHR/WCB Scholar Award: The public health impact of obstructive sleep apnea hypopnea. A focus on work productivity, occupational injuries and motor vehicle crashes 12,632.00 IICT: REMStar Auto with C-Flex: In Laboratory Performance vs Conventionally Titrated CPAP Therapy: Performances and Preferences 3,600.00 The public health and safety impacts of obstructive sleep apnea UBC Department of Medicine MSFHR: Institutional Infrastructure Support Program INS002031 Allergan Inc. $ Neurology VCHRI: VGH & UBC Hospital $ Fdn In it for Life (Operating) MSFHR: Establishment Grant CI- $ SCH-060(03-1) HSR $ Page 211 13,801.00 A randomized, double-blind, placebo-controlled, parallel group, multi-center study of the effects of ONO-2505 intravenous on the improvement of strokes and improvement in the stroke assessment scales scores in patients with acute ishcemic s 35,979.00 Protocol F7ICH-1371: Randomized Double-Blind Placebo-Controlled Multicentre Parallel Groups Study to Evaluate the Efficacy and Safety of Activated Recombinant Factor VII (Niastas/NovoSeven) in Acute Intracerebral Haemorrhage 28,119.00 Warfarin Aspirin symptomatic intractranial disease (WASID) study 2,537.00 Protocol 191622-056: Multicenter Open-Label Study of the Safety of Repeated Doses of Botox (Botulinum Toxin Type A) Purified Neurotoxin Complex for the Treatment of Focal Upper Limb Poststroke Spasticity 104,101.00 Salary: Research Nurse 70.00 Donations 3,000.00 UBC Killam Memorial Faculty Research Fellowship Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Respiratory Bai Clinical Trial Intermune Pharmaceuticals, Inc. $ Respiratory Bai Clinical Trial Intermune Pharmaceuticals, Inc. $ Respiratory Cook Grant $ Respiratory Respiratory Duronio Duronio Grant Grant Respiratory Duronio Grant Respiratory Duronio Grant Vancouver Coastal Health Research Institute CIHR Operating Grant MSFHR: Postdoctoral Trainee Fellowship ST-PDF 164()3-1)BM (Fellow: Germain, Marc) MSFHR: Senior Graduate Studentship Award ST-SGS 125(03-1)BM: (Fellow: Scott, Alexander) MSFHR: Senior Scholar Award 70(CI-2001) Respiratory Fitzgerald Grant Respiratory Fitzgerald Clinical Trial Respiratory Fitzgerald Contract Respiratory Fitzgerald Clinical Trial Respiratory Respiratory Fitzgerald Fitzgerald Grant Grant Respiratory Fitzgerald Contract Respiratory Respiratory Fitzgerald Fitzgerald Grant Agreement Respiratory Fitzgerald Contract Respiratory Fitzgerald Clinical Trial Respiratory Fitzgerald Clinical Trial UBC Department of Medicine Healthshares Holdings, Inc. in collaboration with: Vancouver Coastal Health Authority Merck Frosst Canada & Co. Centers for Disease Control and Prevention 200-2001-00094, Task #1 Novartis Pharmaceuticals Canada Inc. BC Lung/CIHR Investigator CIHR/BC Lung Assn.: Investigator JBC-56221 Centers for Disease Control and Prevention 200-200100094/0013, Modification #3 GlaxoSmithKline CIHR: Randomized Controlled Trials (Clinical Trials) in collaboration with: Ottawa Health Research Institute Centers for Disease Control & Prevention 200-2001-00094, Task Order 0009 GlaxoSmithkline Inc Boehringer Ingelheim (Canada) Ltd. 205.259 $ $ $ 4,760.00 An open-label study of the safety of subcutaneous recombinant interferon gamma-1b (IFN-y1b) in patients with idiopathic pulmonary fibrosis. GIPF-006 4,692.00 An open-label study of the safety and efficacy of subcutaneous recombinant interferon gamma-1b (IFN-y1b) in patients with idiopathic pulmonary fibrosis 40,000.00 Implementation & Evaluation of Strategies to Control 119,354.00 Cytokine regulated signalling pathways in inflammatory cells 29,250.00 Analysis of nuclear and cytoplasmic Mcl-1 protein complexes 2,500.00 The roles of apoptosis and IGF-1 in tendinoisis of the rotator cuff $ 100,000.00 Key Signalling Pathways Controlling Survival and Death of Hemopoietic Cells $ 121,975.00 Initiative for the Study and Implementation of Systems (ISIS) $ $ $ $ $ $ $ $ 8,900.00 005-00 Double-Blind Randomized Placebo-Controlled Multicentre Parallel-Group Dose-Ranging Study of L-000883191 in Patients with COPD 67,219.00 CDC Tuberculosis Epidemiology Study Group 50,119.00 Protocol CQAB149A2208: Randomized Double-Blind Placebo-Controlled 4 Period Incomplete Block Cross-Over Multicenter Multiple Dose (7 days) DoseRanging Study Followed by a Single Day's Treatment with Formoterol 12ug bid to Assess the Efficacy… 42,000.00 Bringing evidence to the patient 40,950.00 Bringing evidence to the patient 34,611.00 Task 13: Factors associated with acceptance of adherence to toxicity from treatment for Latent Tuberculosis Infection (TLTBI) and pilot study of TLBI effectiveness 30,000.00 Risk factors for LOS and re admission for COPD exacerbations 27,350.00 Optimal Therapy of COPD to Prevent Exacerbations and Improve Quality of Life: A Randomized Double-Blind Placebo-Controlled Trial $ 13,441.00 Enhanced surveillance to identify missed opportunities for TB prevention in foreign-born populations in the United States and Canada $ 12,500.00 Can Advair and Flovent Reduce Systemic Inflammation Related to COPD? A Multicentre Randomized Controlled Trial 12,161.00 SAFE: Spiriva Assessment of FEV1. The Effect of Inhaled Tiotopium Bromide (18 mcg Once Daily) on the Change in FEV1 and Symptoms During Long-Term Treatment in Patients with COPD. A I yr Parallel Group Double-Blind Randomized Placebo Controlled Study $ Page 212 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Respiratory Fitzgerald Clinical Trial GlaxoSmithkline SAM40056 $ Respiratory Fitzgerald Clinical Trial Altana Pharma, Inc. $ Respiratory Fitzgerald Clinical Trial Merck Frosst Canada & Co. $ Respiratory Fitzgerald Clinical Trial GlaxoSmithkline Inc. $ Respiratory Fitzgerald Grant $ Respiratory Fitzgerald Clinical Trial Vancouver Coastal Health Authority AstraZeneca Canada Inc D5890L00004 Respiratory Fitzgerald Grant Respiratory Fleetham Grant Respiratory Fleetham Grant Respiratory Fleetham Grant Respiratory Respiratory Fleetham Khalil Respiratory Respiratory $ Clinical Trial Contract MSFHR: Scholar Award CI-DSH059(03-1) CLIN MSFHR: Research Unit Infrastructure Support Program Vancouver Coastal Health Authority Various Pharmaceutical Companies Various Sources iCell Therapeutics Inc $ $ Khalil Khalil Grant Grant Various Sources VHHSC Scientist Award $ $ Respiratory Respiratory Respiratory Respiratory Lam Lam Lam Lam Clinical Trial Clinical Trial Clinical Trial Clinical Trial NCI - USA NIH - USA NIH - USA Genome Canada $ $ $ $ Respiratory Lam Clinical Trial NCI - USA $ Respiratory Respiratory Lam Lam Clinical Trial Clinical Trial NCI - USA BC Lung Association $ $ Respiratory Lam Clinical Trial Genome Canada $ Respiratory Respiratory Respiratory Lam Lam Levy Clinical Trial Clinical Trial Clinical Trial Vancouver Hospital Foundation NIH - USA Encysive, L.P. in collaboration with: Research Point $ $ $ UBC Department of Medicine $ $ 11,550.00 Protocol SAM40056: Randomized Double-Blind Double-Dummy Parallel Group Study of a Standard Dosing Regimen with Salmeterol/Fluticasone Combination 50/250ug bid (via the Diskhaler inhaler) vs a Symptom-Driven Variable Dosing Regimen with F…. 7,075.00 Protocol BY9020/M1-134 STAR: Comparison of Ciclesonide (640 ug/day) and Fluticasone Propionate (750 ug/day) in moderate to Severe Asthma Patients Well Controlled Under High Doses of inhaled Corticosteroids 8,900.00 005-00:Double-Blind Randomized Placebo-Controlled Multicenter Parallel-Group Dose-Ranging Study of L-000883191 in Patients with COPD 5,125.00 Protocol SAS40068: PACE-IMT 24 Week Multicentre Randomized Double-Blind Parallel Group Trial to Compare the Efficacy & Tolerability of Salmeterol/Fluticasone Propionate Diskus Combination (Advair) 50/100 mcg bid with Fluticasone Propionate 1,980.00 Salary: Clinical Trials Research Coordinator 1,500.00 Comparison of Symbicort Single Inhaler Therapy (Symbicort 200 Turbuhaler 1 Inhalation bid plus as needed) and Conventional Best Practice for the Treatment of Persistent Asthma in Adolescents and Adults: 26 Week Randomized Ope... 39,038.00 Bringing evidence to the patient 139,000.00 Respiratory Sleep Disorders Research Unit $ 65,000.00 Sleep Disorders Program Fellowship $ 9,500.00 Respiratory Division Education Fund Page 213 2,000.00 UBC Vancouver Hospital Respiratory Faculty Development Fund 10,000.00 CRA: Transforming growth factor beta 1 regulation of vascular smooth muscle proliferation and fibrosis 9,304.00 Transforming growth factor beta regulation of pulmonary fibrosis 60,000.00 Transforming Growth Factor Beta Regulation of Pulmonary Fibrosis and Airway Remodeling 1,366,127.00 A Phase II Trial of ACAPHA in Former Smokers with IEN 592,524.00 Chemoprevention of Lung Cancer 54,824.00 EDRN: Novel Reagents and New Biomarkers in Lung Cancer 4,200,000.00 Cancer Genomics: A multi-disciplinary approach to the large scale, highthroughput identification of genes involved in early stage cancers 30,909.00 Phase I Study of the Safety and Potential Efficacy of MyoInositol as a Lung Cancer Chemopreventive Agent 11,917.00 UTSW SPORE in Lung Cancer 25,000.00 Novel Xenograft Models of Early Stage Human Lung Cancer and Preneoplastic Lesions 2,250,000.00 Application of Pharmacogenomics for the Rational Chemotherapy of Lung Cancer 50,000.00 Detection of Early Lung Cancer by Serum Protein Expression Profiling 397,497.00 Optical Systems for In Vivo Molecular Imaging of Cancer 33,792.00 Protocol FPH03 STRIDE III: Long-Term Open-label Study to Evaluate the Safety of Sitaxsentan Sodium Treatment in Patients with Pulmonary Arterial Hypertension Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 25,000.00 Early detection of bronchiolitis obliterans following lung transplantation with high resolution CT scan imaging $ 17,812.00 Protocol FPH06: Double-Blind Safety and Efficacy Study of Sitaxsentan Sodium Treatment in Patients With Pulmonary Arterial Hypertension Who Have Failed Bosentan Therapy 2,314.00 An 18-week randomized, double-blind, placebo-controlled, multicenter study designed to compare treatment with Ariflo (cilomilast) to that with placebo for changes in ventilatory mechanics and function (both at rest and during exercise) as well 9,666.00 A double-blind, randomized, placebo-controlled, multicenter study to assess the efficacy, safety and tolerability of bosentan in patients with idiopathic pulmonary fibrosis 218,352.00 Relationship between cardiovascular risks and systemic inflammation in chronic obstructive pulmonary disease 2,813.00 A1481142: Multicentre Multinational Long-Term Extension Study to Assess the Safety & Tolerance of Subject Optimised Treatment Regimens of Oral Sildenafil for Pulmonary Arterial Hypertension in Subjects Who Have Completed Study A1481140 8,500.00 An int'l multicentre double blind randomized parallel placebo controlled comparison of the safety and efficacy of chronic subcutaneous UT-15 plus conventional therapy to conv. therapy in patients with pulmonary hypertension: A 12-week study 673,725.00 Inflammatory Gene Hapiotypes and Susceptibility to Cardiac, Vascular and Pulmonary Disease 273,507.00 IMPACT: Integrated and mentored pulmonary and cardiovascular training Levy Grant Respiratory Levy Clinical Trial Respiratory Levy Clinical Trial GlaxoSmithKline Inc. $ Respiratory Levy Clinical Trial Actelion Pharmaceuticals Canada Inc $ Respiratory Man Grant $ Respiratory Ostrow Clinical Trial CIHR: Operating Grant MOP 62865 Pfizer Canada Inc. $ Respiratory Ostrow Clinical Trial United Therapeutics Corporation $ Respiratory Pare Grant Respiratory Pare Grant Respiratory Pare Grant CIHR: Operating Grant GEI$ 53960 CIHR/Strategic Training: $ Strategic Training Program Grant STR-63308 in collaboration with: Heart & Stroke Foundation of Canada, Institute of Circulatory & Respiratory Health (CIHR) MSFHR: Distinguished Scholar $ Award 60(CI-2001): Respiratory Pare Agreement Respiratory Pare Grant Respiratory Pare Grant Respiratory Pare Grant Respiratory Pare Grant Respiratory Pare Grant UBC Department of Medicine BC Lung Assn.: Dr. Stefan Grzybowski Fellowship (Fellow: De Jong, Pim) Encysive, L.P. in collaboration with: Research Point $ Respiratory Ontario Genomics Institute in collaboration with: Genome British Columbia MR : Operating Grant MOP 37924 American Thoracic Society, Inc Parker B. Francis Fellowship in Pulmonary Research (Fellow: Mahmudi-Azer, Salahaddin) Heart/Stroke Fdn Cda/CIHR: Strategic Training Initiatives PG03-0191 BC Lung: Investigator in collaboration with: St. Paul's Hospital (Fellow: Sin, Don) 120,000.00 Molecular and Genetic Mechanisms of Obstructive Lung Disease $ 95,041.00 Mapping and isolation of genes influencing severity of disease in cystic fibrosis $ 67,766.00 Human airway smooth muscle function and bronchial hyperresponsiveness $ 64,360.00 Molecular mechanisms and genetic determinants of mediator mobilization and release from neutrophil azurophilic granules as it relates to COPD 52,000.00 Mediator mobilization and release from neutrophil azurophillic granules in association with Asthma and COPD $ $ 36,968.00 IMPACT: Integrated and mentored pulmonary and cardiovascular training $ 32,500.00 BC Lung Association/St. Paul's Hospital Investigator Award Page 214 Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Respiratory Pare Grant Clinical Trial MSFHR: Postdoctoral Trainee Fellowship STPDF 167021 (Fellow: Mahmudi-Azer, Salahadding) CIHR/PMRF: Fellowship Awards MFE-63469 Fellow: Camp, Patricia MSFHR: Doctoral Trainee Research Award # 54(02-1)BM: Despina FRANGOLIAS (Res/Travel) MSFHR: Doctoral Trainee Research Award, STPHD 129021 (Fellow: Wallace, Alison) Altana Pharma, Inc Respiratory Pare Grant Respiratory Pare Grant Respiratory Pare Grant Respiratory Road $ Respiratory Road Clinical Trial Glaxo Smithkline $ Respiratory Road Clinical Trial Boehringer Ingelheim (Canada) Ltd $ Respiratory Road Clinical Trial AstraZeneca Canada Inc $ Respiratory Road Clinical Trial Altana Pharma, Inc $ Respiratory Road Clinical Trial $ Respiratory Ryan Agreement ONO Pharma USA, Inc CTAONO-6126-POI011 in collaboration with: PharmaNet, LLC Various Pharmaceutical Companies Respiratory Sandford Grant Respiratory Sandford Grant Respiratory Sandford Grant Respiratory Respiratory Sandford Sin Grant Grant UBC Department of Medicine Canada Research Chair: Tier II (CIHR) 950-01-2053 MSFHR: Scholar Award C1SCH-26(02-01) CIHR: Operating Grant MOP62849 CCFF: Research Canada Research Chair Tier II (CIHR) 950-202044 $ 11,000.00 Mediator mobilization and release from neutrophil azurophillic granules in association with Asthma and COPD $ 5,000.00 Gender differences in chronic obstructive pulmonary disease $ 2,500.00 Contribution of Genes other than CFTR Gene to Disease Severity in Cystic Fibrosis $ 2,500.00 Role of alveolar macrophage proteinase genetic polymorphisms in the development of emphysema $ $ $ $ $ $ Page 215 99,993.00 Protocol BY217/M2-118: Effect of 500 ug Roflumilast on Exercise Tolerance and Respiratory Reserve in Patients With Chronic Obstructive Pulmonary Disease. A 12 Weeks Double-Blind Study with Roflumilast Once Daily vs Placebo 46,693.00 Protocol 207499/180: 18 week Randomized Double-Blind Placebo-Controlled Multicenter Study Designed to Compare Treatment with Ariflo (Cilomilast) to That With Placebo For Changes in Ventilatory Mechanics & Function (both at rest and during…. 9,730.00 Protocol 205.252: Randomized Double-Blind Double-Dummy Placebo and Active-Controlled Parallel Group Efficacy & Safety Comparison of 12 Week Treatment of 2 Doses (5ug(w actuations of 2.5ug) and 10ug (2 actuations of 5ug) of Tiotropium… 7,160.00 Protocol DC-039-0003: A Study in Canadian COPD Patients to Evaluate the Nature Treatment & Impact of COPD Exacerbation in Patients Who are Likely to Benefit From Treatment With Symbicort (budesonide/formoterol) Turbuhaler. An Open-Label… 4,670.00 BY217/M2-121: HERO Study: 24 Week Double Blind Randomized Study to Investigate the Effect of 500 ug Roflumilast Tablets Once Daily vs Placebo on Parameters Indicative of Hyperinlation in Patients with Chronic Obstructive Pulmonary Disease 29,019.00 Four-week Double-blind Placebo-controlled Exploratory Evaluation of the Safety and Efficacy of ONO-6126 in Patients with Chronic Obstructive Pulmonary Disease (COPD) 28,125.00 Randomized Study to Compare Polysomnography with Overnight Home Oximetry and Auto-CPAP for Diagnosis and Nasal CPAP Titration in Patients with a High Probability of Obstructive Sleep Apnea 100,000.00 Canada Research Chair - Dr. Andrew Sandford 15,000.00 Genetic modifiers of pulmonary disease severity in cystic fibrosis 105,244.00 The role of macrophage protease polymorphisms in the development of emphysema 90,000.00 Genetic Modifiers of Pulmonary Disease Severity in Cystic Fibrosis 75,000.00 Canada Research Chair in Chronic Obstructive Pulmonary Disease for Dr. Don Sin Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Respiratory Sin Grant Respiratory Sin Grant Respiratory Sin Grant Respiratory Sin Grant CIHR: New Investigator Award (CIHR Scholarship) MSH-46814 CFI: Canada Research Chairs Infrastructure Fund CIHR: Randomized Controlled Trials (Clinical Trials) MCT 52684 CIHR Respiratory Sin Clinical Trial GlaxoSmithKline Inc. $ Respiratory Tebbutt Grant $ Respiratory Respiratory Ward Ward Grant Grant Respiratory Wilcox Clinical Trial BC Lung: Project Grant 7568GR0001 BC Lung/CIHR Investigator CIHR/BC Lung Assn. Investigator 40941 Intermune Pharmaceuticals, Inc. Respiratory Wilcox Clinical Trial Boehringer Ingelheim Pharmaceuticals Inc. $ Respiratory Wilcox Clinical Trial Boehringer Ingelheim Pharmaceuticals Inc. $ Rheumatology Anis CAN $ Rheumatology Anis CAN $ Rheumatology Badii WCB $ Rheumatology Blocka Clinical Trial Hoffmann-La Roche $ Rheumatology Chalmers Clinical Trial Alexion $ Rheumatology Chalmers Clinical Trial Bristol-Meyers Squibb $ Rheumatology Rheumatology Cibere Cibere Grant Grant $ $ Rheumatology Cibere Grant Rheumatology Cibere Grant TAS CIHR: Clinician Scientist MC269188 CIHR: Clinician Scientist MC269188 CIHR UBC Department of Medicine $ $ $ $ 14,625.00 The Impact of Integrated Care on the Process of Care and Health Outcomes of Patients with COPD 295,766.00 The effects of systematic inflammation in chronic obstructive pulmonary disease (COPD) 174,443.00 Effects of Nocturnal Noninvasive Mechanical Ventilation on the Health Status of COPD Patients 220,000.00 Interdisciplinary capacity enhancement: Briding excellence in respiratory disease and gender studies (ICEBERGS) 423,347.00 IICT: Can Advair and Flovent reduce systemic inflammation related to COPD? A multi-center randomized controlled Trial 17,000.00 $ $ 42,000.00 Occupational health risks in the Health Care industry 40,950.00 Occupational health risks in the Health Care industry $ 13,213.00 A randomized, double-blind, placebo-controlled, phase 3 study of the safety and efficacy of Interferon Gamma-1b in patients with idiopathic pulmonary fibrosis. (The INSPIRE Trial: INternational study of Survival outcomes in IPF with InteRfEron) 2,427.00 Spriva Assessment of FEV1 (SAFE) The effect of inhaled tiotropium bromide (18mcg once daily) on the change in FEV1 during long-term treatment in patients with COPD. A one-year parallel group, double-blind, randomised, placebocontrolled study 27,488.00 A Randomized, Double-Blind, Placebo-Controlled study to investigate the Efficacy and Safety of 24 weeks of oral treatment with BIIL 284 in Adult (75mg,150mg) and Pediatric (75mg) Cystic Fibrosis Patients 9,030.00 Sensitivity to change and responsiveness of different indirect utility measures: the Health Utilities Index, the SF36, the EuroQoL, and a disease-specific measure, the RA QoL questionnaire, in pts with RA 15,687.00 The effect of user fees on prescription drug utilization: Analysis of a longitudinal cohort of patients with rheumatoid arthritis 88,003.00 Prospective randomised double-blind controlled trial of selective nerve root blockade in patients with acute or subacute sciatica 9,402.00 A Randomized, Placebo-controlled, Double-Blind, Multicentre Study to Evaluate the Safety and Efficacy of Rituximab in Combination with Methotrexate in Patients with Active Rheumatoid Arthritis who have had an Inadequate Response to anti-TNFα Therapies 8,747.00 Extension Study of h5G1.1-mAb in Rheumatoid Arthritis Patients Receiving Methotrexate or Leflunomide Who Participated In Study C01-004 30,000.00 A Phase III, Multi-Centre, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Tolerability of BMS-188667 Administered Intravenously to Subjects with Active Rheumatoid Arthritis With or Without Medical Co-Morbidities Receiving Disease Modifying Anti-rheumatic Drugs (DMARDs) and/or Biologics Approved for RA 80,000.00 Development of a model for the MRI Progression of Knee Osteoarthritis 43,875.00 Development of a Model for the MRI Progression of Knee Osteoarthritis $ $ Page 216 40,000.00 Research allowance: Development of a Model for the MRI Progression of Knee Osteoarthritis 25,000.00 Clinician Scientist Phase I (renewal) Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Rheumatology Rheumatology Cibere Cibere Grant Grant Rheumatology Cibere Grant Rheumatology Rheumatology Esdaile Esdaile Grant Grant CIHR UBC - Departmental Scholar Award CIHR: Clinician Scientist Award MC1-35439 Arthritis Society - BC & Yukon CIHR, CAN Rheumatology Esdaile Grant CIHR: Operating Grant $ 53,500.00 Double-blind placebo-controlled glucosamine sulfate withdrawal study in osteoarthritis 11,251.00 Salary for Allen Lehman 275,000.00 New Emerging Team (NET) - Tooling up for early osteoarthritis: Measuring what matters 75,830.00 Development of a model for the diagnosis of early knee osteoarthritis Rheumatology Esdaile Grant $ 150,000.00 Tooling Up for OA: Measuring What Matters Rheumatology Rheumatology Esdaile Esdaile Grant Grant CIHR/Strategic: Request for Applications (Full) NCE/CAN: Research CIHR: Operating Grant $ $ Rheumatology Garbuz TAS $ Rheumatology Greidanus BCMSF, VCHA $ Rheumatology Kelsall Clinical Trial Aventis $ Rheumatology Kelsall Clinical Trial Abbott $ Rheumatology Klinkhoff Clinical Trial Abbott $ Rheumatology Klinkhoff Clinical Trial Hoffmann-La Roche $ Rheumatology Klinkhoff Clinical Trial Hoffmann-La Roche $ Rheumatology Klinkhoff Clinical Trial Abbott $ Rheumatology Rheumatology Kopec Kopec CIHR CIHR $ $ Rheumatology Rheumatology Rheumatology Kopec Kopec Kopec CIHR TAS WCB $ $ $ Rheumatology Rheumatology Kopec Lacaille MSFHR - Senior Scholar Award TAS $ $ Rheumatology Rheumatology Rheumatology Lacaille Lacaille Lacaille TAS NCE/CAN: Research UBC - Departmental Scholar $ $ $ 150,000.00 Tooling Up for OA: Measuring What Matters 74,374.00 A randomized controlled trial of a prevention strategy for severe injury in youth soccer 53,474.00 A randomized controlled trial of long vs short wait for primary total hip and knee arthroplasty 29,000.00 A randomized controlled trial of outpatient physiotherapy (OP) versus a selfadministered Home Exercise Program (HEP) following discharge home from total hip arthroplasty - A feasibility study 5,538.00 A Randomized, Placebo-Controlled, Double-Blind, Multi-Centre, Parallel Group, Dose-Finding Study to Assess the Safety and Efficacy of Multiple Doses of HMR 3480 in Subjects with Rheumatoid Arthritis on a Stable Dose of Methotrexate: Safety follow up 36,000.00 A Multicenter Study of the Safety and Efficacy of Human anti-TNF Monoclonal Antibody Adalimumab in Patients with Active Rheumatoid Arthritis 13,500.00 Continuation study of D2E7 in RA multi-centre continuation of the human antiTNF antibody D2E7 administered as a subcutaneous injection in patients with rheumatoid arthritis 44,668.00 A Randomized, Multifactorial, Double-Blind, Parallel-Group, Dose-Ranging Study of the Efficacy and Safety of Rituximab in Combination with Methotrexate in Patients with Active Rheumatoid Arthritis 28,500.00 An open label study of the efficacy and safety of re-treatments with rituximab in patients with active rheumatoid arthritis 40,000.00 A Phase III Multicentre Study of the Safety and Efficacy of Human Anti-TNF Monoclonal Antibody Adalimumab (D2E7) in Moderate to Severely Active Psoriatic Arthritis Subjects with Inadequate Response to Disease Modifying AntiRheumatic Drug Therapy 2,949.00 Physical activity and osteoarthritis: A case-control study 147,147.00 OA Population-clinical simulation model of osteoarthritis: development and applications (COAST) 64,799.00 Physical activity and joint health: An Internet-based cohort study 26,125.00 Measuring treatment preference in patients with OA of the hip & knee 19,997.00 Measuring health outcomes: An empirical comparison of adaptive and standard questionnaires 100,000.00 Senior Scholar Award 20,903.00 Preventing work loss from inflammatory arthritis: Program development and pilot testing 28,442.00 National Work Loss Program 44,250.00 Assessing the quality of care for rheumatoid arthritis (RA) at a population level 19,200.00 Departmental Scholar Award UBC Department of Medicine Salary Award Salary Award $ $ $ $ $ Page 217 25,000.00 Clinician Scientist Phase II 15,000.00 Departmental Scholar Award Annual Report 2004 UBC DEPARTMENT OF MEDICINE AWARDS BY DIVISION FOR 2004-2005 Rheumatology Lacaille Salary Award Rheumatology Lacaille Salary Award Rheumatology Rheumatology Rheumatology Lehman Lehman Shojania Salary Award Salary Award Salary Award Award TAS, CIHR - New Investigator Award VHHSC - Research Scholar Award CIHR - Fellow Award MSFHR - Fellow Award TAS $ 50,000.00 New Investigator Award $ 10,000.00 Research Scholar Award $ $ $ 20,000.00 Fellow Award 2,667.00 Fellow Award 3,750.00 Clinician Teacher Award $ 40,713,125.00 UBC Department of Medicine Page 218 Annual Report 2004