Department of Surgery

Transcription

D E PA R T M E N T O F S U R G E R Y
ANNUAL REPORT 2013
CONTENTS
2 Message from the Department Head
5 Undergraduate Surgical Education Program Update
6 Surgical Foundations Residency Program Update
7 General Surgery Residency Program Update
8 Orthopaedic Surgery Residency Program Update
9 Welcome to Two New Staff Members
10 Understanding Brain Functions and Dysfunction Using Electrophysiology
11 Improving Cancer Outcomes Through Collaborative Research Between
Surgery and Oncology
12 In Memoriam– Dr. Michael Simurda
13 ASES European Exchange Fellowship Recipient – Dr. Ryan Bicknell
14 Human Mobility Research Centre Update
15 The Advent of Competency-Based Arthroscopic Curriculum
17 Transcatheter Aortic Valve Implantation (TAVI)
18 Resident Profile – Dr. Rosie Sendher
19 Resident Profile – Dr. Blair MacDonald
20 Charles Sorbie Faculty Research Day
21 The 31st Annual William Ersil Resident Research Day
22 Dr. Andrew Bruce and Margaret Bruce Endowment for Visiting Scholars
in Surgical Innovation – Dr. Hans Ringertz, Visiting Scholar
22 Welcome to New PGY 1 Residents in Orthopaedic Surgery
and General Surgery
23 John Provan Outstanding Canadian Surgical Educator Award 2013
24 Grants 2012-13
26 Publications 2012-13
28 By the Numbers
w e lco m e
M E S S A G E F R O M T H E D E PA R T M E N T H E A D
As a small academic Health Sciences Center in a lower
density population region in Ontario of approximately
600,000 people, we are faced with considerable
economic challenges, particularly as we are nestled
quite closely to two large metropolitan centers. These
large centers are perhaps too big to fail and as a small
center, there is always the concern that we at Queen’s
may not be big enough to survive.
e live in an economic environment that demands
that hospitals, universities, and physicians work
efficiently and cost-effectively. There is almost a
Pavlovian response by those responsible for policy
and funding decision making that in order to achieve
economies of scale, bigger must be better.
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Ever since the time of Adam Smith who described
almost 250 years ago in his book The Wealth of Nations
people have been enamored with the concept of the
invisible hand and economies of scale hoping to optimize
profits and to minimize costs, the simple concept being
that the factors that cause the average cost of producing
something fall as your output increases. It may cost
$3,000 to produce 100 copies of a magazine but only
$4,000 to produce 1000 copies. Economies of scale
have driven corporate philosophy and government
policy during the 20th century and into the 21st century.
As a result, industries have merged to form large
conglomerates. In government, particularly for the
delivery of healthcare, there has been the formation
of large health districts or regions and hospital
amalgamation and mergers. The intent has been to
take advantage of economies of scale and reduce cost
and provide better healthcare delivery for patients.
There is a flipside to the equation – the so-called
diseconomies of scale. The larger an organization
becomes, the more complex it has to be to manage
and run an organization of increasing size and scale.
This complexity incurs costs and eventually the costs
may outweigh savings gained from greater scale,
therefore bigger may not always be better. It’s finding
that sweet spot.
2 D E PA R T M E N T O F S U R G E R Y A n n u A l R e p o R t 2 0 1 3
But we are reminded that we may not be big, but we
are fast. We can adapt, innovate, and compete. This
is an advantage. Indeed, as many economists have
pointed out, many conglomerates formed in the 90s
and the early part of this century are now being
disassembled and sold off as smaller units that are
more valuable and more productive. Smaller units can
be more easily governed. There is more transparency
in how the organization functions and greater efficiency
through improved communication with less duplication
of service and more cohesion. Decision-makers are not
isolated from the decisions that they make. They live
with the consequences of either good or bad decisions.
As a result, decisions can be made in a more timely
fashion, more efficiently, and more effectively.
That Queen’s is smaller is an advantage. We take
advantage of closeness and proximity. The medical
school, its Learning Center, its teaching, its research
and clinical activities are closely linked on the campus.
Not only do we work closely, we are integrated with
each other in the organization as teachers in the
university and in the hospital. Administratively we
work with the Southeastern Ontario Medical
Organization (SEAMO). This organization helps to
administer person power requirements for both the
University to meet its academic needs and the clinical
needs of our teaching hospitals. Department Heads
hold joint appointments in both the University and
in the hospitals. Policymakers and decision-makers
live with the results of their decisions. Closeness and
proximity breeds a cooperative and collaborative
environment. This environment is necessary and essential
for the translation of information to improve clinical
and academic outcomes in both education and research.
We have seen this happening every day for years in our
Human Mobility Research Center where orthopaedic
surgeons work closely in the same workspace as
biomechanical engineers, tissue scientists, molecular
biologists, rehabilitation specialists, chemical engineers,
computer scientists and epidemiologists. The result is
one of the leading biomechanical research centers in
North America and beyond. With the addition of two
clinician scientist neurosurgeons, under the leadership
of Dr. Chris Wallace, the Neurosciences Research
Center at Queen’s University is poised to take the next
steps that will bear fruit by taking this exceptional
Neurosciences Research Center and leading it to
international prominence. Already we have seen the
fruits of their labor as they have been able to secure or
$2 million in CFI funding in the last year. In 2014, a
joint venture between the Department of Surgery and
the Department of Medicine to establish a health
outcomes research Center has been undertaken. This
group of collaborators will work hand-in-hand to help
evaluate population health issues in medicine and
surgery utilizing ICES and other large databases.
The atmosphere of cooperation and innovation has
been inspired by our surgeons who endowed over
$2.5 million to establish Chairs in research in the
Department of Surgery at Queen’s. This is a phenomenal
contribution and recognizes the special nature and
commitment that surgeons have here at Queen’s. The
monies from these endowments will help fund two
endowed Chairs which will be used to support research
within the department.
This past year, through the generous donation of the
A Britten Smith Foundation, a Chair in Surgery was
established. The Head of Surgery will hold the Chair,
and the purpose of this Chair will be to provide
academic support and improve research in the
Department of Surgery. Through the Foundation’s
generosity, our Department now has a solid base of
financial resources on which to build an already
extremely successful research foundation. It is our goal
in the next three years to double our productivity of
papers, publications and grants. This increase will be
on top of the threefold increase we have had in grants,
publications, and presentations over the last three
years. It is our desire at Queen’s, despite our relatively
small size, to provide excellence in clinical care,
excellence in educating our undergraduate and
postgraduate learners, and excellence in research.
I am pleased with our progress so far and excited about
our future endeavors. Each year our students highly
rate their surgical rotations which are in high demand.
Resident satisfaction is high, and their research
participation has increased threefold over the last
several years.
We’ve had excellent additions to our staff as we recruit
the best and brightest to Queen’s to work in this truly
unique environment. We are looking forward to
recruiting more surgeons in the near future as we look
to build on our success.
Congratulations to two of our surgeons who have been
recognized internationally and nationally as excellent
in their field. Ryan Bicknell in Orthopaedics was
elected by the Shoulder and Elbow Society of North
America to be their European Travelling Fellow.
And Paul Belliveau was recognized for his expertise,
leadership, and for his outstanding contributions to
Canadian undergraduate medical education by winning
the Canadian Undergraduate Surgical Education
Committee Provan award.
So despite being small, we progress, we move quickly,
efficiently and effectively while creating an environment
of excellence that attracts talented young people who
want to learn. Queen’s consistently is the most soughtafter seat by medical school applicants across the
country. We continue to do better and we look for new
ways to grow our research and improve our education.
It has been my pleasure over the past five years to be
Head of Surgery at Queen’s University. I am proud to
work with such a dedicated and talented group of
surgeons, students, and colleagues. The future is bright
and the opportunities are endless.
john RudAn
D E PA R T M E N T O F S U R G E R Y A n n u A l R e p o R t 2 0 1 3 3
RepoRt
U N D E R G R A D U AT E S U R G I C A L E D U C AT I O N P R O G R A M U P D AT E
pRe-cleRkship
ith the evolution of our MD Program curriculum in the first two years
towards a more competency-based education, our surgeons have
needed to be involved in a variety of innovative learning methods. Our
members have learned the instructional methods of Team Based Learning,
Facilitated Group Learning, Self-Directed Study-Learning and more. It is
important for students, even at the pre-clerkship level, to come into contact
with surgeons as they are at a stage of exploration of their future career.
Clinical Skills courses are an integral part of our program, where students
learn to appreciate the doctor-patient relationship and develop their
interviewing and physical examination skills. Further involvement of our
surgical faculty comes at the time of the introduction/transition into Clerkship.
With the help of the simulation lab personnel and other faculty, we expose
the keen students to a variety of situations and procedures they will no doubt
come across in their surgical and non-surgical rotations/blocks.
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cleRkship
ur Surgical Clerkship Program
continues to support local and
distant learning sites. As Clerkship
Director, I welcome the incoming
class of students for their six-week
experience and explain the nature
and expectations of the rotation.
We advise them of the importance
of obtaining written evaluations
from both faculty supervisors and
residents. This is an essential component of the narrative feedback
on their performance. I then meet
individually with each student to
review their progress at the midpoint of the rotation and direct
them to concentrate on certain
aspects where there is room for
improvement. I encourage them
by highlighting their strong points
according to the evaluations
submitted. We monitor their study
plan to make sure their learning is
in keeping with the objectives of
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the surgery course. I suggest certain
domains to concentrate their review
in preparing for the exam (the NBME
written MCQ after completing both
this course and the Peri-Op Block.)
The Curriculum Committee and the
Clerkship Program Director have
recently introduced an expectation
from the students to demonstrate
an experience where their advocacy
competency was expressed. This will
be discussed with the student during
the mid/end rotation meetings. The
scholar competency will also be
assessed with the report the student
presents to the Course Director
focusing on one aspect of the
management of a clinical encounter
with a review of basic literature.
The goal is to demonstrate the
integration of the learning from
the encounter in their overall
problem-solving ability.
This fall the CUSEC 2013 Symposium
held in Ottawa, and strongly supported
by the Surgical Chairs across Canada,
was devoted to the Science of
Learning. There were workshops
on wellness for students and faculty,
as well as fascinating discussions
about the role of electronic learning
methods and the impact of social
media on the student experience.
I believe our students will have the
benefit of additional exposure to
complex situations during three new
segments of clerkship, namely CC1,
CC2 and CC3.
I would welcome any comments you
may have on the surgical exposure
our students are offered, as we always
strive to improve the program.
RepoRt
S U R G I C A L F O U N D AT I O N S R E S I D E N C Y P R O G R A M U P D AT E
he Surgical Foundations Program
continues to provide the General
Surgery, Urology, and Orthopaedic,
PGY 1s and 2s with an integrated
curriculum and training in multiple
surgical specialties.
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The Royal College is planning on
translating the innovative Queen’s
Surgical Boot Camp and Nightmares
Course to all other programs in the
country. The combined approach
of surgical simulation and problembased learning in these two sessions
helps new residents feel prepared
for their residency.
In addition, the Surgical Foundations
Academic Curriculum has expanded
to include resident taught didactic
sessions on all Royal College Surgical
Foundations Learning Objectives.
Each Resident is expected to research
and present on a topic included in
the objectives, with the support of
a Staff Facilitator. The reference
material and presentations are being
collated to create a learning library
specific to Surgical Foundations
for future generations of Surgical
Residents.
Our plan is to continue the good
work we are doing and prepare to
expand to incorporate Obstetrics and
Gynecology, as they will be officially
part of the Surgical Foundation
Program in July of 2015.
RepoRt
G E N E R A L S U R G E R Y R E S I D E N C Y P R O G R A M U P D AT E
his past year has been one of
ongoing challenges in the
Queen’s General Surgery Residency
Program. The program is striving
to remain a strong, competitive
program that allows our trainees
to enter practice or fellowship
programs as confident, competent
surgeons.
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Significant effort was put into
improving resident research within
the Division over the past year.
Thanks to the hard work of the
divisional members, led by Resident
Research Coordinator Dr. Nanji,
many new projects were initiated.
Five of these projects were presented
at the annual William Ersil Resident
Research Day. We hope to build on
this success with every resident
participating in this important
component of residency training.
We are moving forward with
our other post-accreditation
recommendations. The institution
of new and improved forms of
curriculum delivery and evaluation
need to be meshed with the Royal
College rolling out its Competency
by Design initiative and CanMeds
2017. Work hour restrictions are
being looked at carefully with a
focus on resident well being as
opposed to further decrease in
shift length.
RepoRt
O R T H O PA E D I C S U R G E R Y R E S I D E N C Y P R O G R A M U P D AT E
to allow residents a dedicated halfday for research without clinical
responsibilities, in order to
participate in multi-disciplinary
research teams at the Human
Mobility Research Centre. This
protected time has resulted in
increased resident research
productivity as evidenced by the
23 resident projects that have been
presented at the Queen’s William
Ersil Resident Research Day in
Surgery over the past two years.
The quality of resident projects
has been very high with 18 projects
presented at national or international
conferences over the same period.
During 2013, ten resident projects
were published in peer reviewed
journals.
he academic program has had
continued success over the past
year with an increased number of
surgical simulation sessions in the
curriculum to allow residents to
practice specific surgical skills in a
low stress, risk-free environment
while affording them the opportunity
to gain familiarity with techniques
before they perform them on
patients in the OR. In addition,
the residents participated in two
cadaveric workshops focusing
on arthroscopy and trauma
reconstruction which allowed
them to further develop acquisition
of new skills and knowledge.
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Research continues to be a strong
component of the Orthopaedic
Residency Program at Queens. In
large part this is due to the decision
As a small program, the interaction
between the staff and the residents
is what makes this orthopaedic
residency program special. Queen’s
orthopaedic residents spend a
significant amount of time with
each and every staff person over
the five years of surgical training.
Dr. Daniel Hesse, a PGY 5 resident
recently reviewed his surgical case
log which has over 1050 cases as
primary surgeon. He stated that
“the close interaction between staff
and resident creates a relationship
that allows for the development of
graduated responsibility and
feedback that is specifically tailored
to your needs as you become more
senior. This guidance provides
the foundation for your surgical
and clinical skills to mature at a
remarkable pace to become a
fundamentally sound surgeon.”
D R. D. J. C O O K J O I N S D I V I S I O N O F N E U R O S U R G E R Y
he Department of Surgery extends
a warm welcome to Dr. D.J. Cook,
who joined the Division of
Neurosurgery as an Assistant
Professor in May 2013. He received
his undergraduate degree from the
University of Guelph and his MD
from the University of Toronto. He
undertook residency training in
neurosurgery at the University of
Toronto. During his residency he
took time away from neurosurgery
to complete basic science research
in stroke neuroprotection towards
his PhD. Following this he undertook
a fellowship in Cerebrovascular and
Skull Base Surgery with Dr. Gary
Steinberg at Stanford University.
Dr. Cook’s scientific reputation in
translational stroke research has
grown at a rapid pace. He has
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published his research in prestigious
journals such as Nature, Science
Translational Medicine and Stroke.
He has received multiple awards for
research from a number of national
and international societies including
the Congress of Neurological
Surgeons, the American Association
of Neurological Surgeons, and the
Canadian Stroke Network. His
clinical interests include cerebral
revascularization, minimally
invasive approaches for skull base
lesions and aneurysms and the
treatment of arteriovenous
malformations. Dr. Cook will have
a double life while on staff at
Kingston General Hospital. Supported
by a Clinician Scientist Award from
SEAMO, half of his time will be
devoted to stroke research in the
Centre for Neuroscience Studies
at Queen’s University. D.J. lives in
Harrowsmith with his wife, Rebecca,
and their 3 children, where they
have established a family farming
operation, Otter Creek Farm,
focused on producing organic beef,
chicken and seasonal vegetables.
D R. S C O T T M C C L U R E J O I N S D I V I S I O N O F C A R D I A C S U R G E R Y
he Department of Surgery would
like to welcome Dr. Scott McClure
to its Division of Cardiac Surgery.
Dr. McClure comes to us after
completing his residency at the
University of Western Ontario.
After this he completed fellowships
with Dr. Lawrence Cohn (Harvard
University) in Advanced Cardiac
Valve Surgery, and also with
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Dr. Joseph Bavaria (University
of Pennsylvania) in Advanced
Thoracic Aortic Surgery. He also
holds a Master of Science in Clinical
Epidemiology, from Harvard.
With the addition of Dr. McClure,
the Division rounds out its ability
to provide comprehensive cardiac
surgical care for even the most
complex cases.
c R e At i o n o f t w o n e w c h A i R s i n d e p A R t m e n t o f s u R g e R y
We are excited to announce the creation of two new Chairs in the Department of Surgery, made possible by an
exceptional donation from a private donor in the amount of $4.5 million, as well as a $2 million donation from
the surgeons with the Department; both donations to be directed to further support the research initiatives of
the Department of Surgery.
U N D E R S TA N D I N G B R A I N F U N C T I O N A N D D Y S F U N C T I O N
U S I N G E L E C T R O P H Y S I O LO G Y
ueen’s Medical School graduate,
Dr. Ron Levy, joined the
Department of Surgery and the
Centre for Neuroscience Studies
as an Assistant Professor last July
from Toronto Western Hospital,
where he was a Clinical Fellow
in Stereotactic and Functional
Neurosurgery. A neurosurgeon
with a PhD in neuroscience,
Dr. Levy was recently awarded a
$320,000 grant from the Canada
Foundation for Innovation (CFI)
pending additional funding from
the Ministry of Research and
Innovation (MRI), which will
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enable him to research the use of
therapeutic neuromodulation to
treat various neurological diseases.
Two of these illnesses, Parkinson’s
disease and epilepsy, are very
debilitating to a person’s quality
of life. He will study the changes
that occur in the brain during
disease using electrophysiological
techniques. In the brain,
electrophysiology is defined
as the study of the electrical
properties of neurons and how
they communicate using action
potentials. This is important
because normal communication
between neurons can break down
and cause neurological illness.
Neuromodulation therapy is
defined as a technique to enhance
or suppress brain activity by use
of electrical, magnetic, chemical,
or light energy. Dr. Levy will apply
therapeutic neuromodulation in
order to stabilize or reverse brain
activity and improve the symptoms
of disease. This research program
will lead to improved treatment of
patients with Parkinson’s disease
and epilepsy with neuromodulation
therapies.
I M P R O V I N G C A N C E R O U T C O M E S T H R O U G H C O L L A B O R AT I V E
R E S E A R C H B E T W E E N S U R G E R Y A N D O N CO LO G Y
r. Sulaiman Nanji joined the
Department of Surgery in 2010
as a surgeon-scientist after earning
an MD and PhD, and fellowship
training in hepatobiliary and
transplant surgery. His research
interests in oncology complement
his clinical practice in the surgical
treatment of advanced hepatobiliary
and pancreatic malignancies.
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He has established a basic science
laboratory that conducts translational
research in the epigenetics of
human liver cancer. The goal is to
understand the correlation between
genetic changes and their clinical
impact in order to develop a clinical
tool to risk stratify tumours to better
treat patients with liver cancer.
He has also developed a strong
collaboration with Dr. Chris Booth,
clinician-scientist and Associate
Professor in the Department of
Oncology. Together they conduct
population-based cancer outcomes
research to study the role of surgery
and chemotherapy in improving
clinical outcomes. They have developed databases for patients with
liver metastases that are among the
largest in the world. These data
sets incorporate surgical treatment
information, chemotherapy and
radiation therapy records from all
provincial cancer centres, allowing
for population-level studies in cancer
outcomes. Other specific aims are
to evaluate the effectiveness of new
therapies in the general population,
assess adherence to treatment
guidelines, and explore issues of
access to, and quality of, cancer care
in Ontario.
I N M E M O R I A M – D R. M I C H A E L S I M U R D A
rofessor Michael Simurda,
founder and former Division
Chair of Orthopaedics at Queen’s
University, Hotel Dieu and
Kingston General Hospitals,
peacefully passed away at home
on November 19th, 2013 at the age of 85.
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In 1934, Mike and his mother arrived in Canada from
Czechoslovakia to rejoin his father who had immigrated
to Canada in 1930 to shape a new life for his young
family. The family settled in Bradford, Ontario and
established a vegetable farm in the newly opened
Holland Marsh. His early farm-life experience would
help shape his personal and professional values; in
later years Mike would mischievously evaluate his
many loyal disciples based on the core attributes of
‘onion pickers’.
Mike attended medical school at the University of
Toronto, graduating in 1953. There he was awarded
the Gold Key and nominated into the Alpha Omega
Alpha Honor Medical Society. Continuing in Toronto,
he completed orthopaedic training in the Gallie
course of surgery. He was subsequently awarded a
McLaughlin Fellowship under the auspices of Queen’s
University for further specialized training at King’s
College Hospital in London, England. Upon starting his
practice at Queen’s University in Kingston, he opened
a public clinic, which provided free orthopaedic
consultation and surgery.
Mike had a vision for the future of orthopaedic surgery.
In 1965, he applied to the Royal College of Physicians
and Surgeons of Canada and was granted approval to
establish a postgraduate orthopaedic training program
at Queen’s. Mike, along with Charles Sorbie—the first
Division Chair, John Hazlett, Derek Cooke, Tony
Ashworth and Don Taylor (one of their first graduates) formed the nucleus for the first generation of
orthopaedic faculty at Queen’s. Quietly, Mike supported
the careers of these colleagues, and those that followed.
Over the years, many individuals have been able to
complete their orthopaedic residency training at Queen’s.
Many of our graduates play key roles on Queen’s faculty,
and the faculties of prestigious orthopaedic programs
across Canada and in the United States. By the early ‘90s
we started a Clinical Fellowship Program. Initially, our
Fellows were our own former residents, but in recent
years we have also attracted many Canadian and international fellows who are now orthopaedic leaders in
Canada, Australia, the Middle East, and South East Asia.
Mike was admired and respected by his residents.
Above all he was a ‘cutter’s cutter’, renowned for his
outstanding surgical skills and judgment. He could
guide any resident through even the most complex
reconstruction—and each of us lost many nickels to
him. But whenever we had a tough challenge to tackle,
we’d turn to Mike for help. He got tremendous
pleasure from following the careers and staying in
touch with those he inspired and mentored over
the span of his long career.
Mike dedicated himself to teaching, clinical research
and surgery. He published and presented numerous
academic papers. Widely recognized for his wisdom
and leadership, he served as President of both the
Ontario and Canadian Orthopaedic Associations.
He was a member of the Dewar Orthopaedic Society,
the Little Orthopaedic Club in the United States, and
the American Academy of Orthopaedic Surgeons.
In 1973, he, along with a small group of associates,
purchased the Montreal Canadiens Major Junior A
franchise and brought Major Junior A hockey to
Kingston as the Kingston Canadians. He was a member
of the Cataraqui Golf and Country club for 50 years
and he treasured his fairway buddies immensely.
Although he rarely used a pager, the KGH switchboard operators could track him down to any hole on
the course! His wife Binka, who made a welcoming
home for orthopaedic residents, enabled his life of
hard work. Orthopaedic residents have cherished her
warm heart, welcoming home, and delicious cabbage
rolls for decades. He was a devoted father and grandfather; generous with advice and support that has
served each of them so well.
Eventually, well into his seventies, he retired from
Queen’s University as Professor Emeritus. Age and
arthritis forced him to choose an easier life-style – he
enjoyed cottage life, reading and bridge. To those who
loved him and knew him best, he was a gentle giant
with a heart of gold.
T H E A S E S E U R O P E A N E XC H A N G E F E L LO W S H I P R E C I P I E N T
– D R. R YA N B I C K N E L L
t is with great pleasure that we announce that Dr. Ryan Bicknell has been awarded
the 2013 ASES (American Shoulder and Elbow Surgeons) European Exchange
Fellowship. This fellowship was established in 1993 as an exchange between the
American Shoulder and Elbow Surgeons (ASES) and the European Society for Surgery
of the Shoulder and Elbow (SECEC). The fellowship is awarded every two years to two
ASES members/orthopaedic surgeons from the United States or Canada, who are in
the first seven years of practice with a special interest and experience in shoulder
and elbow research and patient care. These fellows travel for four weeks throughout
Europe to visit eight prominent shoulder and elbow centres and attend the annual
SECEC closed meeting and in corresponding years, two European fellows are selected
to visit North American centres. Fellowship recipients become corresponding
members of SECEC, are also eligible for an ASES Research Grant and receive an
expense-paid trip to the ASES Closed Meeting the following year to present their
travel experiences.
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left-to-right: Dr. Bob Tashjian, Dr. Alex Castagna,
Dr. Raphael Garofalo, Dr. Ryan Bicknell
HUMAN MOBILIT Y RESEARCH CENTRE
i n t e g R At e d R e s e A R c h t e A m s
rojects at the Human Mobility Research Centre (HMRC) are
undertaken in Integrated Research Teams (IRTs). Senior basic
and clinical scientists mentor trainees in a structure that emphasises
clinical needs identification and research question development
while providing skills in conducting and managing interdisciplinary
research.
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Dr. Bicknell is the clinical lead of IRTs studying: Shoulder
Reconstruction using Biomechanical Assessment and Optimized
Image Guidance.
The long term objective of the work is to develop methods for
shoulder reconstruction that are optimized for a specific patient.
The team has designed and built a unique mechanical shoulder
simulator and a surgical planning tool with an automatic optimization of the placement of the Reverse Shoulder Arthroplasty
implant. In addition, the group has developed novel computer
models to predict how the shoulder replacement will behave for
a given patient’s musculature and anatomy.
hmRc humAn motion peRfoRmAnce lAb
ast year we reported on the Grand Opening of the HMRC Motion Performance Lab.
Since it’s opening, more than 400 subjects have participated in a variety of research
project, 9 of which focus on clinical research.
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One such study is being conducted by Allison Tucker, Elizabeth Hassan, Dan Borschneck
and Kevin Deluzio and is looking at Performance Outcomes Post-ACL Reconstruction in a
Pediatric Population.
The objective of this study is to examine if there are significant differences in knee
strength and function, dynamic stability and reoperation rate in a skeletally immature
pediatric cohort who receive conventional ACL repair compared to those who receive
an ACL repair with the tightrope fixation technique.
T H E A D V E N T O F C O M P E T E N C Y - B A S E D A R T H R O S C O P I C C U R R I C U LU M
he Division of Orthopaedic Surgery purchased the
insightArthroVR®, a virtual arthroscopic simulator for the
training of orthopaedic residents in both competency and
proficiency in complex arthroscopic tasks. This simulator
provides a series of training modules of increasing
difficulty so the trainee can learn the necessary psychomotor
skills for arthroscopy. A number of residents have raved
about the realistic depiction of an intra-operative scenario
using the simulator and the fact that the system allows for
additional arthroscopy time which may be limited in operating room. Although it is currently used as an elective tool,
the Orthopaedic Sports Medicine Team has immediate
plans for incorporating this tool as a mandatory part of all
junior resident training. The team is currently in the midst
of developing an arthroscopic competency-based curriculum which would require that all residents acquire baseline
arthroscopic skills prior to entering the operating room.
This surgical simulation tool has provided the residents
with the means of acquiring difficult hands-on skill where
visibility is limited.
T
In addition, the arthroscopic simulator has proven to be
an invaluable research tool. A research team lead by PGY2
resident Dr. Dan Banaszek has completed a pilot validation
study for its use along with a global rating scale for the
evaluation of resident performance of arthroscopic tasks.
The team is in the process of performing a randomized
controlled trial of surgical novices, i.e. medical students,
comparing their arthroscopic skills using the simulator to
traditional bench-top sawbone simulated arthroscopy. Both
modalities of surgical simulation training will play a major
role in the competency-based arthroscopic training curriculum.
Dr. Darrin Payne – TAVI Procedure
T R A N S C AT H E T E R A O R T I C
VA LV E I M P L A N TAT I O N
n January 2013 Kingston General Hospital and Queen’s University began
a new transcatheter aortic valve implantation (TAVI) program. TAVI is a
minimally invasive procedure for patients with severe, symptomatic aortic
stenosis who have been deemed very high risk for conventional aortic
valve replacement surgery. It involves introducing a prosthetic aortic valve
in retrograde fashion through the aorta and implanting it in the patient’s
aortic annulus, thus avoiding the morbidity of a median sternotomy and
cardiopulmonary bypass. Typically the valve is introduced through the
femoral artery, but if the femoral arteries are unsuitable it can also be delivered via the subclavian artery or through direct aortic access using a minithoracotomy incision. When performed via the femoral artery the procedure
can be accomplished either entirely percutaneously or via a small 4-5 cm
groin incision. The native aortic valve is not surgically removed, but is
rather pushed out into the sinotubular junction with the expansion of the
new valve. The procedure is analogous to percutaneous coronary stenting,
however instead of stenting the coronary artery we are stenting open the
stenotic aortic valve with a bioprosthesis. The transcatheter valve is mounted
on a self-expanding nitinol frame and compressed onto an 18 French
catheter for delivery. TAVI is performed in our hybrid operating room which
has the full capabilities of both an OR as well as a cardiac catheterization
lab. Dr. Darrin Payne from cardiac surgery and Dr. Paul Malik from interventional cardiology, in conjunction with a newly comprised “Heart Team”
consisting of a full complement of both operating room and interventional
cardiology staff performed the first case January 29th 2013. The team has
since successfully performed 13 cases. This new and innovative procedure
has brought the Divisions of Cardiac Surgery and Cardiology even closer
as they now scrub in together and work side-by-side to treat patients with
severe aortic stenosis. Most importantly, TAVI has allowed us to offer treatment to some of our sickest and most frail cardiac patients who otherwise
would have no efficacious treatment options available.
I
Resident pRofile
D R. R O S I E S E N D H E R
role model for future female orthopaedic surgeons, Dr. Rosie Sendher could
never have predicted the path that would eventually lead her to where she is
today, a practicing hand surgeon at Precision Orthopaedics in Salinas, California.
Having every intention of becoming a family medicine physician, Rosie completed
her undergraduate medical schooling at the University of British Columbia and
was later accepted into their family medicine residency program. However, two
months into the program, her passion for orthopaedics revealed itself and Rosie
realized she wanted to pursue it as her lifework.
A
Her path into orthopaedics took her first to the completion of a Masters in
Healthcare and Epidemiology degree, while still in her family medicine program.
The next step took a real leap of faith. Moving across the country and leaving
her family behind in B.C., Rosie accepted the position of Hospitalist at Kingston
General Hospital, before then being accepted as a second year resident in the
Orthopaedic Surgery Residency Program at Queen’s University. An elective at
Stanford University led to an offer for a Fellowship in Hand and Upper Extremity.
Following this Fellowship, she returned to Queen’s and completed a rewarding
Fellowship in Trauma Surgery under the supervision of Dr. Jeff Yach.
Rosie credits her success along the way to the outstanding support she has received
from all the orthopaedic surgeons she has worked with, and emphasizes how
important it is to have good female role models who showed her that orthopaedics
is not necessarily about brute force; that instead, devices and special techniques
can be employed to elicit the same results. Today, in her practice, Rosie is able
to offer this same hands-on training to the medical students and residents who
train with her. Her tremendous talent and passion for her work, coupled with
the unconventional path she has followed in pursuit of her chosen career, afford
her the unique opportunity to show others how anything is possible when you
believe you can accomplish whatever you set out to do.
Resident pRofile
D R. B L A I R M A C D O N A L D
hile Blair MacDonald’s path to
his current position as Chief
Resident of the Queen’s General
Surgery Program is in many ways
conventional, it all began in a blue
collar family in one of the coldest,
darkest, and most remote places in
Canada: The Yukon Territory. His
father’s work as a miner led them
to move early on to Yarmouth,
Nova Scotia, where Blair grew up.
Of the formative locations in his
life, though, Deschappelles, Haiti,
looms large, because that is where
his love of serving others was born.
Blair spent a summer in Haiti when
he was fifteen years old working
with his missionary aunt. The pragmatic, hands-on nature of the
work, which garnered immediate
results, both good and bad, struck
a chord with the pubescent Doctor,
and sowed the seeds that would
drive the rest of his education and
professional development.
W
After graduating from Houghton
College and attending Dalhousie
University for medicine, Blair
cemented his aspirations for general
surgery. He is currently pursuing a
unique dual program which combines General Surgery and Critical
Care. Blair has found the program
extremely rewarding, noting how
satisfying it is to care for those with
critical illness. While his operations
begin in the OR, or “sometimes even
the ICU, when the patients are too
ill to be transported to the OR,”
Blair’s treatment continues beyond
the last suture, diligently managing
the post-operative care of these
complex patients.
While Blair’s primary passion is his
holistic surgery practice, he has discovered a secondary passion during
his time as a resident: teaching. He
was awarded the CAGS “Excellence in
Teaching” award for Queen’s General
Surgery at the Canadian Surgical
Forum. Queen’s Surgery has fostered
his love of surgery and provided
strong, individualized teaching which
has enabled Blair to be an excellent
surgeon while learning to teach and
mentor fellow residents. Not only
is Blair an accomplished surgical
resident, he is also a committed
father and husband, whose first child
was born only four weeks before he
started his residency. While homelife balance can be a struggle, Blair
gives all of the credit to his “lovely,
talented, and brilliant wife”, who is,
as he proudly notes, “an amazing
mother.”
Blair hopes to spend his postresidency career pursuing a practice
that combines his passions: surgery,
critical care, and humanitarian
efforts. While he has no concrete
post-residency plans, he does anticipate returning to Haiti to participate
in humanitarian work there, stating:
“Humanitarian work is my greatest
passion, and I can imagine no greater
privilege than returning to the
country which has and continues
to be a great source of inspiration.”
“The purpose of human life is to serve and to
show compassion and the will to help others”
–Albert Schweitzer
C H A R L E S S O R B I E FA C U LT Y R E S E A R C H D AY
n Friday April 12th, 2013, the Department of Surgery held its third
annual Charles Sorbie Faculty Research Day, an all-day event attended
by faculty, residents and fellows which provides participants the opportunity
to enhance surgical research by familiarizing themselves with the research
activities of others within the Department. It also provides research
mentorship for our surgical residents.
O
The guest speaker of this year’s event was Dr. Chris Booth, Cancer Care
Ontario Chair in Health Services Research, Division of Medical Oncology,
at the Cancer Centre of Southeastern Ontario. He presented his talk
on “Do cancer treatments actually work in the real world? Insights from
a program in population-based outcomes research.”
This annual event is made possible by the generous donation from
Dr. Janet Sorbie in loving memory of her husband Dr. Charles Sorbie
who was a very distinguished member of our Department as well as
Head of the Department for ten years.
Our next Charles Sorbie Faculty Research Day will take place
April 11, 2014
T H E 3 1 S T A N N U A L W I L L I A M E R S I L R E S I D E N T R E S E A R C H D AY
he Department of Surgery at Queen’s University held its 31st Annual
William Ersil Resident Research Day on Monday November 19, 2012.
This annual event is designed specifically to enable residents from the
Department of Surgery to present ongoing clinical and basic science
research performed during the year under the supervision of attending
staff. It was established in honour of Dr. William Ersil who received his
medical degree from Queen’s in 1979 and entered the Orthopaedic Surgery
Program at Queen’s. Sadly, he developed a malignant disease and died
during his second year of residency training. He had an inquisitive mind,
and he believed in the value of research.
T
This Annual Research Day, which is held in conjunction with the Office
of Continuing Medical Education, has become one of the most important
events in the Department of Surgery, when all surgical residents and
attending staff gather for the opportunity to familiarize themselves with
the surgical research activities within the Department. It also provides a
forum for surgeons from both within and outside the Queen’s community
to renew or establish professional and personal liaisons.
Congratulations to the following
award winners!
dAnny ARoRA
The William Ersil Award for
Best Orthopaedic Surgery Paper
steve mAnn
Best Clinical Paper
michel tAyloR
Best Poster
dAniel bAnAszek
Best Basic Science Paper
DR. ANDREW BRUCE AND MARGARET BRUCE ENDOWMENT
F O R V I S I T I N G S C H O L A R S I N S U R G I C A L I N N O VAT I O N
– D R . H A N S R I N G E R T Z, V I S I T I N G S C H O L A R
hanks to the generous donation of Dr. Andrew Bruce and Margaret Bruce, the Departments of Surgery and
Urology were proud to host their inaugural Visiting Scholars in Surgical Innovation event in October 2012 –
a special presentation by Dr. Hans Ringertz, MD, PhD, entitled “What does it take to win a Nobel Prize! MRI and
More Recent Nobel Prizes in Physiology and Medicine” The event was very well attended; with many standing
to listen to Dr. Ringertz speak. Dr. Ringertz was the Chair of the Nobel Assembly at the Karolinska Institute in
Stockholm 2003, as well as Professor and Chairman of the Department of Radiology. He now serves as visiting
professor in the Department of Radiology at the Lucile Packard Children’s Hospital, Stanford University Hospital.
We were also very honoured to have Dr. Bruce attend, where he was able to meet this year’s visiting scholar.
The Dr. Andrew and Margaret Bruce endowment will continue to support the hosting of prominent scholars at
Queen’s University with the goal that the visiting scholar will bring special expertise in the area of surgical
scholarship, will introduce new research and ideas, will teach new methodologies to Queen’s medical scientists
and clinicians, and provide new concepts to our students.
T
W E LCO M E TO O U R N E W P G Y 1 R E S I D E N T S
We would like to extend a warm welcome to our new general and
orthopaedic surgical residents who commenced their programs
July 1, 2013
geneRAl suRgeRy
ninA he, University of British Columbia
gARy ko, Queen’s University
meRcedes pilkington, Queen’s University
igAl RAizmAn, Queen’s University
o R t h o pA e d i c s u R g e R y
dAvid AlcoloumbRe, McGill University
David Alcoloumbre, Andrew Marsh,
Faizal Kassam, Mercedes Pilkington, Gary Ko
fAizAl kAssAm, Queen’s University
AndRew mARsh, Dalhousie University
l A s t n o v e m b e R i n o t tA w A, d u R i n g t h e b i A n n u A l c u s e c s y m p o s i u m,
d R. p A u l b e l l i v e A u, c o l o R e c tA l s u R g e o n At Q u e e n ’ s w A s p R e s e n t e d t h e
2 0 1 3 J O H N P R O VA N O U T S TA N D I N G C A N A D I A N S U R G I C A L
E D U C AT O R AWA R D
Dr. Paul Belliveau (left)
his award is sponsored by the Canadian Association of Surgical Chairs (CASC).
The award was first presented in 1993. The award is a wonderful large Inuit soap
stone carving which will remain in the custody of the winner’s Department of Surgery
for a period of 2 years. It is presented at the meeting of the Canadian Undergraduate
Surgical Education Committee, which this year was devoted to the Science of Learning.
Dr. Belliveau will have his name permanently affixed to the award. A smaller award
sculpture of the same theme remains with him and is suitably engraved.
T
Dr. John Provan, a Vascular Surgeon from University of Toronto has been known for his
extraordinary impact on medical students, by demonstrating enthusiasm for surgical
learning through innovation and leadership.
The Award is designed to recognize outstanding contribution to undergraduate surgical
education in Canada. The achievements must have occurred in Canadian undergraduate
surgical education. Nominations may be made by any Canadian involved in undergraduate surgical education (e.g. teacher, trainee). Each nomination must have at least one
seconder who is an eligible nominator. Nominations were received from the Surgical
Department Heads across Canada and included reasons for nomination. Dr. Belliveau
was very pleased, but humbled by this prestigious honour.
GRANTS 2012-2013
Principal Investigator: Abolmaesumi, Purang, Electrical and Computer Engineering, UBC
Co-Investigators: david pichora; Parvin Mousavi; David Wilson
Sponsor: Natural Sciences and Engineering Research
Council of Canada (NSERC)
Total Awarded: 418,700
Project Title: Real Time Guidance Surgical Navigation
System for Scaphoid Fracture Fixation
Principal Investigator: borschneck, daniel p, Surgery
Co-Investigators: Ryan bicknell; Aaron campbell;
davide bardana; lindsay davidson; mark harrison;
david pichora; john Rudan; gavin wood; jeff yach;
david yen
Sponsor: Depuy (Canada) Ltd.
Total Awarded: $649,880
Project Title: Orthopaedic Research – Human Mobility
Research Centre
Principal Investigator: davidson, lindsay, Surgery
Co-Investigators: Michelle Gibson; Sheila Pinchin; Richard Van Wylick
Sponsor: SEAMO – Educational Innovation and Research Fund
Project Title: Case-based teaching in the Undergraduate
MD program: an analysis of levels of learning and
development of targeted faculty development process.
Principal Investigator: Aiken, Alice, B, Rehabilitation
Therapy, School of
Co-Investigators: mark harrison, john Rudan
Sponsor: Queen’s Health Sciences
Project Title: Obesity and Knee Replacement Surgery
Co-Investigators: davide bardana
Project Title: Virtual Reality Versus Benchtop Simulation in the Acquisition of Arthroscopic Skill
Principal Investigator: davidson, lindsay, Surgery
Co-Investigators: Renee Fitzpatrick; Sheila Pinchin
Sponsor: Queen’s Centre for Teaching and Learning
Project Title: Virtual video modules for distributed
teaching of psychiatry
Principal Investigator: Amsden, Brian, G, Chemical
Engineering
Co-Investigators: Stephen Waldman; Andrew Winterborn;
davide bardana
Sponsor: CIHR – New Operating Grant
Project Title: Biomimetic Scaffold for Ligament Regeneration
Principal Investigator: bardana davide, Surgery
Co-Investigators: Joan Stevenson
Sponsor: Department of Surgery
Project Title: Implementation of objective biomechanical
and psychological measures for return to military activity
following primary ACL reconstruction
Principal Investigator: bardana davide, Surgery
Sponsor: Research Initiation Grant
Project Title: Anterior Crucite Ligament Project
Principal Investigator: bicknell, Ryan, Surgery
Sponsor: Research Initiation Grant
Project Title: Reverse Shoulder Arthroplasty
Project Title: Development of Cadaveric Shoulder
Kinematic Simulator
Sponsor: Zimmer Inc.
Project Title: Multicenter Trial of the Sidus? Stem-Free Shoulder Arthroplasty System
Co-Investigators: Paul Fenton
Sponsor: Physicians’ Services Inc. Foundation (PSIF)
Project Title: Treatment of Adhesive Capsulitis: A
Randomized Placebo-Controlled Trial Comparing
Arthrographic Joint Distention with Steroid and Local
Anesthetic Versus Arthrographic Joint Distention with
Local Anesthetic Alone
Principal Investigator: Booth, Christopher M, Oncology
Co-Investigators: sulaiman nanji, Surgery
Sponsor: Queen’s University
Project Title: CRC Mets Project – Oncology
Sponsor: Stryker Canada
Project Title: Queen’s University Orthopaedic Resident
Research Projects
Project Title: Gait Analysis in the Pediatric Population
Co-Investigators: Ryan bicknell; Aaron campbell;
davide bardana; lindsay davidson; mark harrison;
david pichora; john Rudan; gavin wood; jeff yach;
david yen
Sponsor: Depuy (Canada) Ltd.
Project Title: Educational Grant in Excellence in
Orthopaedic Surgery
Principal Investigator: Brander, Rosemary, School of
Rehabilitation Therapy
Co-Investigators: Margo Paterson, Richard Reznick
Sponsor: Ontario Ministry of Health and Long-Term Care
Project Title: Canadian Interprofessional Health Leadership
Collaborative Project (CIHLC)
Principal Investigator: campbell, Aaron R, Surgery
Project Title: The establishment of an infrastructure for
anterior cruciate ligament reconstruction investigations
Principal Investigator: cook, douglas, james, Surgery
Sponsor: SEAMO – Clinician Scientist Development
Program
Project Title: Translational Stroke Research Program
Sponsor: Canada Foundation for Innovation
Principal Investigator: Fichtinger, Gabor, School of
Computing
Co-Investigators: Richard Reznick; daniel borschneck;
Melanie Jaeger; Robert McGraw
Sponsor: CIHR – Collaborative Health Research Projects
(CHRP)
Project Title: Perk Tutor: Ultrasound-guided Needle
Placement Training Platform
Principal Investigator: Flynn, Lauren, Chemical Engineering
Co-Investigators: Donald Maurice, Brian Amsden, Andrew g hamilton
Sponsor: Heart & Stroke Foundation
Project Title: Co-delivery of adipose-derived stem cells and SDF-1/HGF-1 in ligand grafted, in situ setting gels for the treatment of peripherial arterial disease
Principal Investigator: Flynn, Lauren, Chemical Engineering
Co-Investigators: Brian Amsden, Stephen Waldman, john frederick watkins
Sponsor: Canadian Institutes of Health Research (CIHR)
Project Title: Engineering adipogenesis for soft tissue
regeneration
Principal Investigator: Hanna, Timothy, Cancer Care and
Epidemiology
Co-Investigators: Tara Baetz; Christopher Booth; Craig Earle; Elizabeth Ann Eisenhauer; doug mckay;
Yingwei Paul Peng; Victor A Tron
Sponsor: Ontario Institute for Cancer Research
Project Title: A Population-Based Study of Adjuvant HighDose Interferon Use for High-Risk Melanoma in Ontario:
Toxicity
Principal Investigator: Henry, Richard A, Anesthesiology
Co-Investigators: gavin wood, John Hope
Sponsor: Southeastern Ontario Academic Medical
Organization (SEAMO) AHSC-AFP Innovation Fund
Project Title: Prospective randomized controlled trial
comparing conservative therapies for the alleviation of
knee pain in knee osteoarthritis
Principal Investigator: Jaeger, Melanie T, Anaesthesiology
Co-Investigators: Parvin Mousavi; Gabor Fichtinger; Tamas Ungi; daniel borschneck
Project Title: Real-time needle and ultrasound tracking
system for invasive procedure skill acquisition: a pilot study
Principal Investigator: lau, Rick, Surgery
Co-Investigators: jeff yach
Project Title: Topical application of tranexamic acid and postoperative blood loss in femoral neck fractures a randomized control trial
Principal Investigator: nanji, sulaiman, Surgery
Co-Investigator: Harriet Feilotter; Shyam Ramchandani
Sponsor: Canadian Association of General Surgeons
Project Title: Identifying molecular markers for
prognostication and treatment in patients with
hepatocellular carcinoma
Principal Investigator: levy, Ron, Surgery
Co-Investigators: david yen; Randy Ellis; Ronald pokrupa
Sponsor: SEAMO – Clinician Scientist Development Program
Project Title: Intra-operative reduction and alignment of cervical spine injuries using a novel dynamic halo ring
adapter
Co-Investigator: Harriet Feilotter; Shyam Ramchandani
Sponsor: AHSC AFP Innovation Fund
Project Title: Molecular profiling to improve outcomes in patients with hepatocellular carcinoma
Sponsor: Canada Foundation for Innovation (CFI)
Project Title: Models of movement disorders:
Electrophysiology and neuromodulation therapies
Sponsor: Department of Surgery, Queen’s University
Project Title: Assessment of cognitive dysfunction in a
non-human primate model of Parkinson’s disease using
CANTAB technology
Co-Investigators: Giovanna Pari; Stephen H Scott
Sponsor: Southeastern Ontario Academic Medical
Organization (SEAMO)
Project Title: Precise evaluation of motor and non-motor
dysfunction in Parkinson’s disease and Parkinsonian model
using KINARM
Sponsor: Department of Surgery, Queen’s University
Project Title: Department of Surgery – Start Up Research
Monies
Sponsor: Parkinson Society Canada
Project Title: Role of abnormal neuronal synchronization in the pathophysiology of Parkinson’s disease
Principal Investigator: Muscedere, John, Department of Medicine
Co-Investigators: david pichora; Denise Stockley; Karen Yeates; Timothy J Bryant, Ana Johnson
Sponsor: Networks of Centres of Excellence
Total Awarded: 23,888,157
Project Title: Technology Evaluation in the Elderly Network
(TECH VALUE NET)
Co-Investigator: Christopher Booth
Sponsor: Queen’s University, Health Sciences
Project Title: CRC Mets Project – Surgery
Principal Investigator: pichora, david, Surgery
Co-Investigators: john Rudan; Randy Ellis; Ryan bicknell
Sponsor: AHSC AFP Innovation Fund
Project Title: Advanced 3D Imaging and Planning of
Surgical Shoulder Repair and Reconstruction
Principal Investigator: Saha, Tarit, Anaesthesiology
Co-Investigators: Brian Milne; Elizabeth VanDenKerkhof;
Andrew hamilton; darrin payne; dimitri petsikas
Sponsor: SEAMO AHSC-AFP Innovation Fund
Project Title: Does the speed of sternal retraction during
cardiac surgery affect postoperative pain outcomes: A
randomized controlled trial
Principal Investigator: Waldman, Stephen, Daniel,
Mechanical and Materials Engineering
Co-Investigators: James Stewart; Stephen Pang; Manuela Kunz; Andrew Winterborn; davide bardana
Sponsor: CIHR – Collaborative Health Research Projects
(CHRP)
Project Title: Patient-specific cartilage implants:
development and surgical implantation
Principal Investigator: Waldman, Stephen, Daniel, Mechanical and Materials Engineering
Co-Investigators: James Stewart; Andrew Winterborn;
Stephen Pang; Manuela Kunz; davide bardana
Sponsor: NSERC – Collaborative Health Research Projects
Project Title: Patient-specific cartilage implants:
development and surgical implantation
Co-Investigators: Sean W Cleary; Harriet Feilotter; Michael Korenberg; Shyam Ramchandani
Sponsor: SEAMO Research (CTAQ) Endowment Fund
Project Title: Molecular profiling to improve outcomes in hepatocellular carcinoma
Co-Investigator: diederick jalink
Sponsor: Donations from Queen’s Faculty/Departments
Project Title: Improving outcomes in patients with
hepatobiliary malignancies
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PD, McGilvray I, Moulton CA, Wei A,
Gallinger S, Cleary SP, Liver resection after
chemotherapy and tumour downsizing in patients with initially unresectable
colorectal cancer liver metastases, 8-2013,
HPB, Vol. e-pub, e-pub
Diaconescu ED, Almosnino S, Tripp D,
bardana dd, Stevenson JM, Robustness of Pain Catastrophizing Scores during
Isokinetic Testing of Anterior Cruciate
Ligament Deficient Patients, 5-2012,
Medicine and Science in Sports and
Exercise, Vol. 44:5, Supplement
Ellis AK, Saha T, Arellano R, Zajac A, payne
dm, Successful Management of ColdInduced Urticaria During Hypothermic
Circulatory Arrest, 11-2013, Ann Thoracic
Surgery, Vol. 96, 1860-62
Giles AE, Corneman NA, Bhachu S, Rudan
jf, Ellis RE, Grant H, Wood GC, Shared
morphology of slipped capital femoral
epiphysis and femoroacetabular
impingement in early-onset arthritis, 11-2013, Orthopedics, Vol. 36(11):e1365-70
Haslam S, yen d, Dvirnik N, Engen D,
Cefazolin Use in Patients who Report a
Non-IgE Mediated Penicillin Allergy: A
Retrospective Look at Adverse Reactions in Arthroplasty, 6-2012, The Iowa
Orthopaedic Journal, Vol. 32, 100-103
Hefny MS, Dickinson AW, Giles AE, wood
gc, Ellis RE, The aspherical human hip:
implication for early osteoarthritis, 12-2013, Studies in health technology and informatics, Vol. 184, 195-201
Heyland DK, Dhaliwal R, Cahill NE, Carli F,
Flum D, Ko C, Kozar R, drover jw, McClave
SA, Driving Perioperative Nutrition Quality
Improvement Processes Forward, 9-2013,
JPEN, Vol. 37, 83S-98S
Kandel R, N. Coakley, J. Werier, j. engel, S.
Verma, CCO guideline #11-10 Appropriate
Surgical Margins and Proper Handling of
Soft Tissue Sarcoma of the Extremities, 9-2012 (e-pub), CCO website
Kis, saunders f, ten Hove, Tator, etc., A
Method of Evaluating Helmet rotational
Acceleration Protection using the Kingston
Impact Simulator, 11-2013, Clinical Journal
of Sport Medicine, Vol. 23(6):470-477
Kunz M, Devlin S, Hurtig M, Waldman S,
Rudan j, bardana d, Stewart J, Image
guided techniques improve short-term
outcome of autologous osteocondral
cartilage repair surgeries – An animal
model, 4-2013, Cartilage, Vol 4(2):153-164
Kunz M, Ma B, Rudan jf, Ellis RE, pichora
dR, Image-guided distal radius osteotomy
using patient-specific instrument guides, 8-2013, The Journal of hand surgery, Vol. 38(8):1618-24
Kunz M, Rudan jf, wood g, Ellis RE, Hip resurfacing with individualized drill
templates-comparison between
anterolateral and posterior approach, 10-2012, Current Orthopaedic Practice, Vol. 23(5):473-475
Kunz M, Waldman SD, Rudan jf, bardana
dd, Stewart AJ, Computer-assisted mosaic
arthroplasty using patient-specific
instrument guides, 5-2012, Knee Surgery,
Sports Traumatology, Arthroscopy: official
journal of the ESSKA, Vol. 20(5):857-61
Ma B, Kunz M, Gammon B, Ellis RE, pichora
dR, A laboratory comparison of computer
navigation and individualized guides for
distal radius osteotomy, 12-2013,
International journal of computer assisted
radiology and surgery, Vol. 1
Mahaffey R, Wang L, hamilton A, Phelan R,
Arellano R., A Retrospective Analysis of
Blood Loss With Combined Topical and
Intravenous Tranexamic Acid After
Coronary Artery Bypass Graft Surgery, 2-2013, Journal of Cardiothoracic and
Vascular Anesthesia, Vol. 27, 18-22
Mahaffey R, Wang L, hamilton A, Phelan R,
Arellano R., A retrospective analysis of
blood loss with combined topical and
intravenous tranexamic acid after coronary
artery bypass graft surgery, 2-2013, J
Cardiothorac Vasc Anesth, Vol. 27(2):18-22
McClave SA, Kozar R, Martindale RG,
Heyland DK, Braga M, Carli F, drover jw,
Flum D, Gramlich L, Herndon DN, Ko C,
Kudsk KA, Lawson CM, Miller KR, Taylor B,
Wishchmeyer PE, Summary Points and
Recommedations from the North American
Surgical Nutrition Summit. Journal of
Parenteral and Enteral Nutrition, 9-2013,
JPEN, Vol. 37, 99S-105S
mcclure Rs, Athanasopoulos LV, McGurk S,
Davidson MJ, Couper GS, Cohn LH, One
thousand minimally invasive mitral valve
operations: early outcomes, late outcomes,
and echocardiographic follow-up, 5-2013,
The Journal of thoracic and cardiovascular
surgery, Vol. 145(5):1199-206
McGuire A, Hoopman W, petsikas d, Reid
k., Outcomes: Wedge Resection Versus
Lobectomy for Non-Small Cell Lung Cancer
at the Cancer Centre of Southeastern
Ontario, 1998-2009, 12-2013, Can J
Surgery, Vol. 56(6):E165-170
mckay dR, Costs of regional and general
anesthesia: what the plastic surgeon needs
to know, 10-2013, Clinics in plastic surgery,
Vol. 40(4):529-35
mckay dR, Peters DA, Compensating a
Plastic Surgeon: What is the best way to
reward quality while optimizing efficiency?,
12-2012, Canadian Journal of Plastic
Surgery, Vol. 20(4):71-5
mckay dR, Peters DA,The Practical Benefits
of Planning. Can Journal of Plastic Surgery,
7-2012, Canadian Journal of Plastic
mckay dR, Peters DA, You want me to
write a business plan? Capital budgeting
fundamentals for the plastic surgeon, 7-2013, Canadian Journal of Plastic
mckay dR, Peters DA, Cost: It’s all in the
eyes of the beholder, 12-2013, Canadian
Journal of Plastic Surgery, Vol. 21(4):251-252
Melanie T, Theman Kirstin, mercer dale,
Hopman Wilma, Hookey Lawrence, Patient
perceptions of Natural Orifice Translumenal
Surgery, 1-2012, Minimally Invasive
Surgery, Vol. 2012, 1-7
Sandhu G, Garcha I, Sleeth J, Yeates K,
walker gR, AIDER: A model for social
accountability in medical education and
practice, 8-2013, Medical Teacher, Vol. 35,
no.8, e1403-1408
Turner A, Yu C, Bianco J, watkins f, Flynn L,
The Performance of Decellularized Adipose
Tissue Microcarriers as an Inductive
Substrate for Human Adipose-Derived
Stem Cells, 3-2012 (e-pub), Biomaterials
Mukerji N, cook dj, Steinberg GK,
Temporary Clipping for Unruptured
Aneurysms, 8-2013, World neurosurgery,
2013 Aug 4. Pii: S1878(13)00908-X
Sandhu G, walker gR, Rich J, Role
Modeling - Not to be mistaken for
teaching, 10-2012 (e-pub), MedEd Publish
Ungi T, Abolmaesumi P, Jalal R, Welch M,
Ayukawa I, Nagpal S, Lasso A, Jaeger M,
borschneck dp, Fichtinger G, Mousavi P,
Spinal needle navigation by tracked
ultrasound snapshots, 10-2012, IEEE
Transactions on Bio-medical Engineering,
Vol. 59(10):2766-72
Mukerji N, cook dj, Steinberg GK,
Temporary Artery Occlusion in Ruptured
Aneurysms, 8-2013, World neurosurgery,
2013 Aug 3. Pii: S1878-8750(13)00909-1
nanji s, Cleary S, Ryan P, Guindi M,
Selvarajah S, Grieg P, McGilvary I, Taylor B,
Wei A, Moulton CA, Gallinger S, Up-front
hepatic resection for metastatic colorectal
cancer results in favorable long-term
survival, 1-2013, Annals of surgical
oncology, Vol. 20(1):295-304
nanji s, Cleary S, Ryan P, Guindi M,
Selvarajah S, Grieg P, McGilvary I, Taylor B,
Wei A, Moulton CA, Gallinger S, Up-front
hepatic resection for metastatic colorectal
cancer results in favorable long-term
survival, 6-2012, HPB, Vol. 14(S15):57
nanji s, Li G, Mackillop W, Booth C,
Surgical resection of colorectal liver
metastases in routine clinical practice: a
population-based outcomes study, 6-2012,
HPB, Vol. 14(S2):414
Peters DA, mckay dR, Starting out or
winding down: How to value a Practice, 9-2012, Canadian Journal of Plastic
Peters DA, mckay dR., Are you Holt
Renfrew or Wal-Mart? Applied Economics
in Pricing Plastic Surgery, 5-2012, Canadian
Peters DA, mckay dR, To CORP or not to
CORP: strategic tax considerations for
Investing, 5-2013, Canadian Journal of
Plastic Surgery, Vol. 21(1):62-3
Peters DA,Vale AZ, mckay dR, Where do I
put my Money? Mutual Funds versus
Exchange Traded Funds, 9-2013, Canadian
Rasquinha BJ, Sayani J, Rudan jf, wood
gcA, Ellis RE, Articular surface remodeling
of the hip after periacetabular osteotomy,
3-2012, International Journal of Computer
Assisted Radiology and Surgery, Vol. 2(7):241-248
Sagar SP, pm brown, dt zelt, W Pickett, JE Tranmer, Validation of the walking
impairment questionnaire for classification
of walking performance in patients with
peripheral arterial disease, 3-2012, Int Journal of Vascular Medicine, Vol. 2012(2012):190641
Sandhu G, walker gR, Rich J, New ways of talking about the C-word: Psst... it’s still
CanMEDS, 9-2013, MedEdWorld
Simpson AL, Ma B, Vasarhelyi EM,
borschneck dp, Ellis RE, and Stewart AJ,,
Computation and visualization of uncertainty
in surgical navigation, 7-2013, IJMRCAS
Smith EJ, Al-Sanawi HA, Gammon B, St
John PJ, pichora dR, Ellis RE, Volume
slicing of cone-beam computed
tomography images for navigation of
percutaneous scaphoid fixation, 7-2012,
International Journal of Computer Assisted
Radiology and Surgery, Vol. 7(3):433-444
Smith EJ, Al-Sanawi H, Gammon B, pichora
dR, Ellis RE, Volume rendering of threedimensional fluoroscopic images for
percutaneous scaphoid fixation: an in vitro study, 4-2013, Proceedings of the
Institution of Mechanical Engineers. Part H, Journal of engineering in medicine,
Vol. 227(4):384-92
Smith EJ, Anstey J, Kunz M, Rasquinha B,
Rudan j, St. John PJ, wood g, and Ellis RE,
Investigating the contribution of soft
tissues to impingements at the hip joint: A preliminary study, 6-2012, J Bone Joint
Surg Br., Vol. 94-B (SUPPL XLIV):73
Smith EJ, Allan G, Gammon B, Sellens RW,
Ellis RE, pichora dR, Investigating the
performance of a wrist stabilization device
for image-guided percutaneous scaphoid
fixation, 4-2013, International journal of
computer assisted radiology and surgery,
Vol. 1
Smith EJ, Ellis RE, pichora dR, Computerassisted percutaneous scaphoid fixation:
concepts and evolution 11-2013, Journal of wrist surgery, Vol. 2(4):299-305
Thines L, Dehdashti AR, da Costa L,
Tymianski M, ter Brugge KG, Willinsky RA,
Schwartz M, wallace mc, Challenges in the
management of ruptured and unruptured
brainstem arteriovenous malformations:
outcome after conservative, singlemodality, or multimodality treatments,
1-2012, Neurosurgery, Vol. 70(1):155-61;
discussion 161
Ungi T, King F, Kempston M, Keri Z, Lasso A, Mousavi P, Rudan j, borschneck dp,
Fichtinger G, Spinal Curvature
Measurement by Tracked Ultrasound
Snapshots, 11-2013, Ultrasound in
medicine & biology, Vol. 13, 1055-7
Vallabhajosyula P, mcclure Rs, Hanson CW
3rd, Woo YJ, Dissected axillary artery
cannulation in redo-total arch replacement
surgery, 6-2013, The Journal of thoracic and
cardiovascular surgery, Vol. 145(6):e57-9
Witiw CD, Abou-Hamden A, Kulkarni AV,
Silvaggio JA, Schneider C, wallace mc,
Cerebral Cavernous Malformations and
Pregnancy: Hemorrhage Risk and Influence
on Obstetrical Management, 6-2012,
Neurosurgery, 2012 Sep;71(3):626-30
wood gA, Henry R, Cahill CM, Hroch J,
Wilson R, Cupido T, VanDenKerkhof E,
Myofascial Pain in Patients Waitlisted for
Total Knee Arthroplasty, 9-2012, Pain
Research and Management, Vol. 17(5):
321-7
wood gA, Rudan jf, Rasquinha B and Ellis RE, Acetabular orientation in adults
with developmental dysplasia of the hip, 4-2012, J Bone Joint Surg Br., Vol. 94B(SUPPL XXXI):61
wood gA, Rasquinha B, Sayani J, Rudan j,
Ellis R, Articular Surface Remodeling of the
Hip After Periacetabular Osteotomy, 3-2012, International Journal of Computer
Assisted Radiology and Surgery, Vol.
7(2):241-8
Zakani S, Venne G, Smith EJ, bicknell R,
Ellis RE, Analyzing shoulder translation
with navigation technology, 11-2012,
International Journal of Computer Assisted
Radiology and Surgery, Vol. 7(6):853-60
zelt dt, brown pm, Analysis of 15 Years of
Wait Time 1 and 2 data in Vascular Surgery
at Kingston General Hospital, 10-2012,
Canadian Journal of Surgery, Vol. 55, 351
Tokmaji G, mcclure Rs, Kaneko T, Aranki
SF, Management Strategies in Cardiac
Surgery for Postoperative Atrial Fibrillation:
Contemporary Prophylaxis and Futuristic
Anticoagulant Possibilities, 12-2013,
Cardiology research and practice, Vol. 2013,
637482
BY THE NUMBERS
AcAdemic yeAR 2012/13
Undergraduate Medical Students Undergraduate Visiting Elective Students Undergraduate Australian Exchange Students 102
17
4
Postgraduate Orthopaedic Surgery Residents 18
Postgraduate General Surgery Residents Postgraduate Fellows 7
Active Clinical Faculty 38
Adjunct Faculty 34
Administrative Staff 28 D E PA R T M E N T O F S U R G E R Y A n n u A l R e p o R t 2 0 1 3
20
5
For more information about our department and staff, please visit our website at: http://surgery.queensu.ca
photos: Kari Hurst, Jeanine MacRow, Matthew Manor
project coordination: Mara Kottis
Kingston General Hospital, Victory 3-350
76 Stuart Street
Kingston, on
k7l 2v7
T 613.533.2660
F 613.544.9174
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