Annual Report 2012-2014 by McMaster University Department of Surgery

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MESSAGE FROM THE PRESIDENT AND VICE-CHANCELLOR Message from the President and Vice-Chancellor I wish to extend my sincere congratulations to the Department of Surgery on a period of outstanding growth and achievement in education, patient care and research. The Department has played an integral role in the success of our medical school for many years, and the highcalibre research carried out by its faculty members during 2012-2014 deserves much praise. The important research contributions made by members of the Department have directly supported McMaster University’s high research rankings and prominence on the world stage. McMaster is one of only four Canadian universities ranked among the top 100 in the world by the Academic Ranking of World Universities and the Times Higher Education World University Rankings. In addition, researchers in the Faculty of Health Sciences and its academic hospitals oversee $241 million in research funding a year. That has placed McMaster consistently among the top three universities in Canada for biomedical and health care research every year for the last decade. As examples of this excellence, in this report you’ll note that MacOrtho scientists are changing the way orthopaedic research is conducted worldwide by leading the largest trials in the world in the field of orthopaedic surgery. In addition, the Centre for Surgical Invention and Inno-

vation has taken its first Image Guided Automated Robot (IGAR) from concept to human clinical trials in just four years. In keeping with the focus on community engagement of my letter, Forward with Integrity, the Department’s One Day Matters program matches first year medical students to both academic and community surgeons across Canada, which widens their experience and establishes valuable connections. As you continue your excellent work, I have no doubt that I will hear much more about your accomplishments in 2015 and beyond.

Patrick Deane, PhD President and Vice-Chancellor McMaster University

MESSAGE FROM THE DEAN AND VICE PRESIDENT The past two years have seen many wonderful achievements by the Department of Surgery and I congratulate its faculty and staff for their significant contributions.

the department’s existence. It was an honour for me to open that incredible evening and to thank the room of surgeons for their important work. All of these successes and the many others highlighted in this report are a testament to the legacy of the department’s first chair, Dr. Barb Mueller, who passed away earlier this year. His dedication to excellence in patient care, knowledge and education laid the foundation for today’s accomplishments and helped set the standards of modern surgery.

The department continues to be a leader in academic surgery, nationally and internationally. This is evidenced by research discoveries that have garnered widespread media attention, and key educational successes. To note a few: 

The largest multinational study of its kind found that hospital fracture clinics can serve as effective screening centres for detecting cases of domestic violence.

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The Cardiac Surgery Training Program has become the busiest in Ontario, performing over 1,600 openheart cases annually, and thus providing abundant learning opportunities for residents to acquire and sharpen technical surgical skills, as well as research opportunities.

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The Department now has a stronger global focus with its International Surgery Desk (ISD). This has made important progress in developing sustainable partnerships; education in international surgery; service to those in need in low and middle income countries; and knowledge research and dissemination.

I would like to thank Dr. Susan Reid, an alumna of our Michael G. DeGroote School of Medicine, for her leadership of the Department and its 11 divisions. I wish you continued success over the coming years as you train the next generation of leading surgeons, surgical educators and researchers, and as your research continues to make impressive improvements in the lives of many.

Dr. John G. Kelton Dean and Vice-President Faculty of Health Sciences Dean of the Michael G. DeGroote School of Medicine

The department’s leadership was evident when the ISD hosted the 14th Bethune Round Table (BRT) conference in June of 2014, in partnership with the Canadian Network for International Surgery. It was widely hailed as the most successful BRT held to date, having attracted the highest number of attendees in the history of the conference. There were 150 participants from 17 countries representing 49 organizations including universities, professional societies and non-governmental organizations. I was very pleased to see so many McMaster faculty members, residents, students and alumni participate as presenters, moderators and conference attendees. Another special event hosted by the department was the first-ever Surgery Reunion Gala Alumni weekend, which brought together alumni and current faculty members from across North America in October of 2013. It featured a lecture session, a demonstration of the new Surgical Skills Laboratory, and was capped off by a gala that was truly a celebration to remember of over 40 years of

MESSAGE FROM THE CHAIR This Status Report from the Department of Surgery of the Michael G. DeGroote School of Medicine at McMaster University follows a long history of touchstone publications from us. In researching the history of our Department, which began in the year of our country’s centennial, 1967, we have discovered that our first Department Chairman, Dr. Barber C. Mueller, kept very accurate records of the Department’s fledgling activities.

cal education, are nominated for induction into the society. The inaugural recipient of the honour this year was Dr. Ned Gagic. Dr. Gagic was one of the very early international residents who came to Hamilton to train under Dr. Mueller’s newly formed Department. As you will see from our report, we have grown to 11 surgical training programs and several fellowships, all tremendously successful. We continue to support the undergraduate medical school with surgeons involved at all levels of teaching, from tutoring, to clerkship and electives. We have surgeons in leadership positions in the Michael G. Degroote School of Medicine, and in the Royal College of Canada.

As Winston Churchill has said, ““The farther backward you can look, the farther forward you are likely to see.” ― Winston Churchill It is important to know the history that precedes us, which surprisingly can illuminate the path forward, and often reassures us that we are on the right track. When Dr. Mueller began the Department of Surgery he appointed four assistant professors; Dr. Geoffrey Evans (Vascular) Dr. James Mackenzie (General Surgery), Dr. Barry Sachs (Pediatric Surgery) and Dr. Gordon Martyn (Urology). That first year, the annual report was 19 typewritten pages, submitted to the president of the University. The main objectives of the Department were medical student and resident education, research and clinical excellence.

The international focus of the Department has grown, with our International Surgery Desk headed by Dr Brian Cameron with a multitude of activities, including hosting the renowned Bethune Round Table Conference for International Surgery this past June, receiving the highest number of attendees in the history of the Conference. Dr. Mueller was an accomplished researcher, and in the first year of the Department, he and founding dean Dr. John Evans each had three first author publications in the Lancet, Blood, the American Journal of Surgery and the Medical Times. Between 2012 to 2014, our Department holds almost seven million dollars in research funding with an ever increasing publication rate. In addition our institutes hold over 17.5 million dollars supporting innovation and invention in the surgical frontiers. Our Director of Institutes Dr. Mehran Anvari’s work on robotics, telesurgery, and now image guided robotic surgery is truly cutting edge.

Members of the Department were involved in curriculum development for the medical school, including designing the first clerkship. The Hamilton Civics, the Hamilton General Hospital and the Henderson (now Juravinski) Hospital, operated a junior rotating internship that ran with little input from the University. There was also a Royal College authorized two-year residency on the teaching unit of ward 34 at the Hamilton General Hospital. Within a year, there were 14 surgical residents on the roster with a distinctively international background, as Dr. Mueller believed the University should serve not only Canadian learners, but be part of a more global community of learning and scholarship.

Dr. Mueller spent many hours working with community surgeons and hospital leaders, both within Hamilton and in surrounding communities developing plans for the provision of excellent patient care, and supporting the continuing education of established surgeons. I believe we have been true to his vision, supporting the provision of excellence in the care of surgical patients. All divisions are now working very hard partnering with our hospital leaders and the Local Integrated Health Network to ensure our programs are adapting to regional needs. In fact, we are providing leadership in several areas for the province, including our Bariatric Surgery program, and our Thoracic Surgery program. This is in addition to supporting our Hamilton campus of the medical school, as it has expanded to the school’s campuses in Niagara and Kitchener-Waterloo.

In 1969 Dr. Ted Thomas was recruited to the Department who became the longest serving program director in General Surgery in the history of the Department, and serving 19 years, I imagine he likely holds a Canadian record. Dr. Thomas’s legacy lives on in the Department of Surgery, with the EJ Thomas Fund, developed to support the education and research mandate of the Department, to which many members have generously donated. This year, the Division of General Surgery has also created the EJ Thomas Society to which faculty members, who have demonstrated a lifetime commitment to surgi-

Over the last two years, since I was appointed as the sixth chair of the Department of Surgery, we have seen continued growth and change. We have redeveloped our executive team, and are delighted to have Dr. Mo Bhandari serve as our associate chair of research, Dr. Steve Kelly as the associate chair of education, Ms Cathy Turner as the director of administration, and Ms. Marcy Willis the manager of finance. We have had several new division heads, program directors, and other leaders in the department. You will find their reports within. It has been exciting to welcome several new surgeons to our faculty and to see several more gain academic promotions. We have continued to develop new programs, and build existing ones. Dr. Nalin Amin has successfully created the Annual Day in Surgery for Primary Care Providers, and Innovation Nation chaired by Dr. Anvari will showcase new and exciting developments. Our Surgeon Scientist program continues to excel under the direction of Dr. Sheila Singh. Our surgeons have been recognized for their incredible contributions, including Dr. Bhandari receiving the Order of Ontario this year. Overall, I have been honoured to serve as Chair, and daily I am inspired by our faculty members, their intelligence, caring and skill. We are immensely grateful to all those who have supported the department with endowments, scholarships and donations; their generosity has been the wind beneath our wings. All our faculty members and staff are proud to be members of the McMaster University Michael G. Degroote School of Medicine and the opportunities provided to us as we strive to fulfill our vision of becoming world leaders in the provision of evidenced based patient care, research and education. Dr. Mueller, who avidly supported the department and the university during his retirement, died in February this year at the age of 97. I know he would have been proud of our contributions and our vision. Please enjoy our report.

Susan E. Reid, BA MD FRCPS(C) Chair & Professor Department of Surgery Faculty of Health Sciences McMaster University John A. Bauer Chair in Surgery

Faculty members in the Department of Surgery were awarded $4.8M in 60 research grants as Primary Investigators in 2012-2013 and $3.1M in agency grants for 2014 thus far. Of the 60 grants received in 2012-2013, we would like to call attention to the following high impact projects: Dr. Rich Whitlock: Left Atrial Appendage Occlusion Study (LAAOSIII) Vanguard, CIHR Operating Grant, Apr 2013-Sept 2015 Dr. Peter Lovrics: The evaluation of a LHIN4 practice guideline and needs assessment for a patient information strategy for completion axillary dissection in breast cancer surgery, HAHSO Innovation, Mar 2013- Feb 2015 Dr. Koroush Sabri: Pediatric Eye Disease Video Interpretation and Diagnosis (PED-VID) Study, PSI Health Research Grant, March 2013-May 2014 Dr. Michelle Ghert: Prophylactic antibiotic regimens in tumor surgery (PARITY). A randomized Multi-center clinical trial, CCSRI Feb 2013-Jan 2015 Dr. Mohit Bhandari: Hip Fracture Evaluation with Alternatives of Total Hip Arthroplasty versus Hemi-Arthroplasty (HEALTH): A Multi-Centre Randomized Trial Comparing Total Hip Arthroplasty and Hemi Arthroplasty on Revision Surgery & Quality of life in patients with Displaced Femoral Neck Fracture, CIHR Operating Grant, Apr 2013-Mar 2017 Dr. Mohit Bhandari: Fluid Lavage of Open Wounds (FLOW): A Multi-Center, Blinded, Factorial Trial Comparing Alternative Irrigating Solutions and Pressures in Patients with Open Fractures, USDoD Oct 2012-Sept 2016. Dr. Christian Finley: Evaluation of a patient-focused, nurse navigated esophageal cancer disease management pathway program, May 2013-Apr 2015 Dr. Yaron Shargall: Extended out-of-hospital low-molecular-weight heparin prophylaxis against Deep Venous Thrombosis and Pulmonary Embolus in patients undergoing major lung resection: A pilot study to evaluate the incidence of DVT and PE after major lung resections, HSF Aril 2013-Apr 2015 Dr. Luis Braga: ALPHA: Antibiotic prophyLaxis versus Placebo in infants diagnosed with Hydronephrosis Antenatally: A prospective, randomized controlled trial, PSI Health Research Oct 2013-Sept 2014 Our annual McMaster Surgical Associates grants competition was held in January 2013, with 20 research projects funded in the categories of education research, basic science, clinical science and innovation, with $380 000 in funding awarded. All grants had a start date of July 2013.

We continued our upward trend in publication numbers, with 153 publications, with 34% having resident authors; a new record. To date this year we are on track to exceed the total number from 2012-2013. Highlighted below are those publications from 2012-2013 with impact factors greater than 10: Ainsworth CD, Salehian O, Nair V, Whitlock RP. A bloody mass: Rare cardiac tumor as a cause of symptomatic ventricular arrhythmias. Circulation. 2012 Oct 9;126(15):1923-31. IF=14.739 Deb S, Cohen EA, Singh SK, Une D, Laupacis A, Fremes SE, RAPS Investigators. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: Results from RAPS (Radial Artery Patency Study). Journal of American College of Cardiology. July 2012;60(1):28 -35. IF=14.156 Lamy A, Devereaux PJ, Prabhakaran D, Taggart DP, Hu S, Paolasso E, Straka Z, Piegas LS, Akar AR, Jain AR, Noiseux N, Padmanabhan C, Bahamondes JC, Novick RJ, Vaijyanath P, Reddy SK, Tao L, Olavegogeascoechea PA, Airan B, Sulling TA, Whitlock RP, Ou Y, Pogue J, Chrolavicius S, Yusuf S; CORONARY Investigators. Effects of off-pump and on-pump coronary bypass grafting at 1 year.N Engl J Med. 2013 Mar 28;368(13):1179-88. IF=53.298 Whitlock RP, Eikelboom JW. Prevention of thromboembolic events after bioprosthetic aortic valve replacement: What is the optimal antithrombotic strategy? J Am Coll Cardiol. 2012 Sep 11;60 (11):978-80. IF=14.156 Heo J, Reid T, Ruo L, Breitbach CJ, Rose S, Bloomston M, Cho M, Lim HY, Chung HC, Kim CW, Burke J, Lencioni R, Hickman T, Moon A, Lee YS, Kim MK, Daneshmand M, Dubois K, Longpre L, Ngo M, Rooney C, Bell JC, Rhee BG, Patt R, Hwang TH, Kirn DH. Randomised dose â&#x20AC;&#x201C;finding clinical trial of oncolytic immunotherapeutic vaccinia JX-594 in liver cancer. Nat Med. 2013 Mar;19(3):329-36. IF=22.864 Hill MD, Martin RH, Mikulis D, Wong JH, Silver FL, Terbrugge KG, Milot G, Clark WM, Macdonald RL, Kelly ME, Boulton M, Fleetwood I, McDougall C, Gunnarsson T, Chow M, Lum C, Dodd R, Poublanc J, Krings T, Demchuk AM, Goyal M, Anderson R, Bishop J, Garman D, Tymianski M; ENACT trial investigators. Safety and efficacy of NA-1 in patients with iatrogenic stroke after endovascular aneurysm repair (ENACT): A phase 2, randomized, double-blind, placebocontrolled study.Lancet Neurol. 2012 Nov;11(11):942-50. IF=23.462 Nolte SM, Venugopal C, McFarlane N, Morozova O, Hallett RM, O'Farrell E, Manoranjan B, Murty NK, Klurfan P, Kachur E, Provias JP, Farrokhyar F, Hassell JA, Marra M, Singh SK. A cancer stem cell model for studying brain metastases from primary lung cancer. J Natl Cancer Inst. 2013 Apr 17;105(8):551-562. IF=13.757 Balogh ZJ, Reumann MK, Gruen RL, Mayer-Kuckuk P, Schuetz MA, Harris IA, Gabbe BJ, Bhandari M. Advances and future direction for management of trauma patients with musculoskeletal injuries. Lancet. 2012 Sep 22;380(9847):1109-19. IF=38.278 PRAISE Investigators, Sprague S, Bhandari M, Della Rocca GJ, Goslings JC, Poolman RW, Madden K, Simunovic N, Dosanjh S, Schemitsch EH. Prevalence of abuse and intimate partner violence surgical evaluation (PRAISE) in orthopaedic fracture clinics: a multinational prevalence study. 15

Dr. Susan Reid appointed Academic Chair for the Department of Surgery, July 2012. Dr. Mohit Bhandari has been appointed as Associate Chair, Research, Department of Surgery effective January 1, 2013. Dr. Stephen Kelly has been appointed as Associate Chair, Education, Department of Surgery effective December 1, 2012. Dr. Mehran Anvari accepted the Innovator of Distinction Certificate. Dr. Michael Greenspan (Division of Urology) was recently awarded the 2013 John C. Sibley Award Dr. Luis Braga has been appointed Director of the McMaster Pediatric Surgery Research Collaborative, effective July 1, 2013 Dr. Mohit Bhandari received Ontarioâ&#x20AC;&#x2122;s highest honour, the Order of Ontario, on Thursday January 23rd 2014. Dr. Dan Poenaru was recently named the 2014 Teasdale-Corti Humanitarian Award recipient by the Royal College of Physicians and Surgeons of Canada. Dr. Mehran Anvari reappointed as Chair in Minimally Invasive Surgery and Surgical Innovation (effective July 1st 2014) Dr. Michelle Ghert has been named one of the top Clinical Orthopaedics and Related Research (CORR) Reviewers for 2013. Dr. Anthony Adili accepted the 2013 Italian Heritage Award of Distinction. Dr. Michelle Ghert was selected for the prestigious ABC (American-British-Canadian Travelling Fellowship. The tour took place in the United Kingdom and South Africa in April and May 2013. Dr. Ghert is the first female Canadian ABC Fellow to be selected for the tour, which began in 1948. Dr. Mohit Bhandari has been inducted into the Canadian Academy of Health Sciences. Dr. Desmond Kwok received the 2013 Medical Staff Association Award for Distinguished Long Service. Dr. Mohit Bhandari has been selected for the 2014 Distinguished Alumni Award for the Sciences. The Department of Surgery, under the leadership of Dr. Susan Reid, hosted the first ever Department of Surgery Reunion Gala Alumni event. 16

 Several students in the MD Program, Masters of Global Health and Masters of Health Sciences Education programs completed practicums and research projects in international surgery supervised through the ISD. Lectures on Global Surgery were given to the MSc Global Health students and residents in Family Medicine.  After review of applications by a selection committee, the annual ISD Scholarship ($2000) was awarded to Dr. Jorge Zequeira, fellow in pediatric surgery. He accompanied Dr. Bailey on a 2 week teaching and clinical visit to Guyana in May 2014. Dr. Vasudha Gupta, resident in Ophthalmology, was granted $1000 to support her clinical elective in Bolivia with Dr. John Harvey.  Recent McMaster general surgery graduates had opportunities to serve internationally. Dr. Jola Omole had a Paul Farmer Global Surgery fellowship to spend the year teaching and working in Rwanda. Dr. Jessica Westerholm is now working at a Mission Hospital in Nepal sponsored through Samaritan’s Purse, and she was visited by McMaster medical student Cecily Bos on a surgical elective.  The Surgical Outcomes Research Centre (SOURCE) organised a 3-day workshop in April in Saudi Arabia on Evidence Based Surgery (EBS) principles. The workshop was led by Dr. Achilleas Thoma, Director of SOURCE and co-tutored by Dr. Forough Farrokhyar, Dr. Charles Goldsmith and Dr. Luis Braga.

The International Surgery Desk pursues activities in development, education, service, and knowledge primarily with collaborations in low- and middle-income countries.

Through the support of the Chair of Surgery Dr. Susan Reid, the ISD has an operating budget and a Director’s stipend. Administrative support including publication of a thrice-yearly newsletter is ably provided by Kathy Wilson and Julia Smerilli. Julia Pemberton is the ISD Research Coordinator. David Kanters assisted by student Rima Nakrani edited the newsletter and website. http://fhs.mcmaster.ca/surgery/ISD.html

With CNIS, McMaster recently hosted the successful 14th Bethune Round Table conference in June 2014. The support of the Anesthesia and Obstetrics/Gynecology Departments in addition to the Department of Surgery and McMaster Surgical Associates provides an opportunity to strengthen inter-departmental collaborations in international projects especially in Uganda. Ongoing resident exchanges and faculty development will continue in Guyana and Uganda, seeking financial support from NGO and research funding organizations.

 A number of Department members and residents volunteered their time to participate in overseas medical missions, including Dr. Kevin Cheung (plastic surgery resident) who did an elective in Cambodia with Operation Rainbow Canada.  Some of the other medical mission NGO charities supported by Department members include Guyana Help the Kids and the St. Joseph’s International Outreach Program.

 The McMaster Global Health Office published a Compendium of the University’s international activities, which included over 30 international projects involving the Department of Surgery.  The McMaster ISD is a member of the Canadian Network for International Surgery and the Canadian Coalition for Global Health Research. It is represented on the international surgery committees of the Canadian Association for General Surgeons (CAGS) and the Canadian Association of Paediatric Surgeons (CAPS).  GUYANA The McMaster – Guyana partnership involves others in the Divisions of Pediatric Surgery (Dr. Karen Bailey), Thoracic Surgery (Dr. Colin Schieman and Dr. John Miller), General Surgery (Dr. Peter Willard in Welland), and the Departments of Pathology, Pediatrics and Anesthesia. Two Guyanese surgical registrars completed 4-6 month clinical fellowships at McMaster: Dr. Ravi Motilall and Dr. Cheetanand Mahadeo. Their fellowships were supported by the Department through the ISD.  UGANDA In October, a McMaster/Hamilton Health Sciences Orthopedic Surgery team led by Dr. Brad Petrisor visited Mulago Hospital in Kampala with members of CNIS and the Uganda Sustainable Trauma Orthopaedic Program (USTOP) from UBC. Other local team members included Dr. Desmond Kwok, Franca Mossuto RN, Elizabeth Stec RN.

 World-leading faculty in the Department are involved in international collaborative research projects.  McMaster was represented at the May Bethune Round Table on International Surgery conference in Vancouver by Julia Pemberton PhD (c) (McMaster Pediatric Surgery Research Collaborative) who presented her study “Quantification of Global Burden of Pediatric Surgical Disease Using Disability Weights: Implications for Priority Setting.

In June 2014 the McMaster Department of Surgery co-sponsored the 14th international Bethune Round Table (BRT) conference with the Canadian Network of International Surgery. It was the most successful BRT ever, attracting 150 participants from 17 countries representing 49 organizations including universities, professional societies and non-governmental organizations. Perhaps the best descriptions of the purpose and outcomes of Bethune Round Table were offered by a previous BRT travel scholarship recipient:

The conference was sponsored by a McMaster Surgical Associates education grant, contributions from the Departments of Surgery, Anesthesia and Obstetrics & Gynecology, the McMaster Faculty of Health Sciences and the St. Joseph’s International Outreach Program. In addition the conference received substantial external and national funding support including from the Royal College of Physicians and Surgeons of Canada. McMaster faculty and residents on the Planning Committee (in addition to those already mentioned) included Dr. Matthew Choi, Dr. Kathryn Howe, Dr. Robert Hutchison, Dr. John Miller, Dr. Rubini Pathy, and Dr. Tal Shichor. The high quality of the presentations, the rich discussion and networking opportunities, and the friendships nurtured will support the ongoing collaborations of Canadian surgeons, anesthetists and obstetricians with colleagues working to improve surgical care in low-resource settings.

Many McMaster faculty members, residents, students and alumni participated as presenters, moderators and conference attendees. There were 48 peer-reviewed podium and poster presentations selected from 107 abstracts submitted, and half of the presenters were sponsored from low and middle -income countries. The conference theme “Improving Global Outcomes Through Safer Surgery” was addressed by 5 keynote speakers including McMaster alumni Dr. James Orbinski OC, and Dr. Jean Chamberlain Froese CM. Dr. Vic Neufeld and Dr. Dan Poenaru contributed to a discussion on building capacity for research in global surgery. Post-conference courses were fully subscribed, including the CNIS Trauma Team Training Instructor Course coordinated by Dr. Karen Bailey, Regional Blocks for Trauma course coordinated by Dr. Anne Wong, and a Getting Started in Health Research course coordinated by Julia Pemberton PhD(c). Department Chair Dr. Susan Reid and Dean & Vice-President (Health Sciences) Dr. John Kelton opened the meeting chaired by Dr. Brian Cameron. Dr. Brad Petrisor and Dr. Mohit Bhandari led a discussion on challenges providing high-quality orthopedic implants to low-resource settings. McMaster was represented by two podium presentations: the burden of congenital anomalies in Kenya (Julia Pemberton PhD(c) ), and a scoping review of pediatric surgery outcomes in low-resource settings (Dr. Michael Livingston CIP) and by five posters: burn care in Nepal (Cecily Bos MD2015), objectives for international surgery electives (Dr. Jessica Westerholm FRCSC2011), Dr. Lucille Teasdale-Corti’s legacy (Dr. Alison Culp MD2014), publications from the Bethune Round Table (Elizabeth Lymburner MSc Global Health 2013), and user fees and surgical services in Tanzania (Dr. Gregg Knapp MD2012).

(including surgical research and evaluation) as well as Faculty development and promotion and tenure (the Department Educational Coordinator DEC role). The Associate Chair of Education also oversees the Surgeon Scientist Program and the International Surgery Desk under the excellent leadership of Dr Sheila Singh (SSP) and Dr Brian Cameron (ISD). Please read their respective reports to truly appreciate the breadth and depth of scientific inquiry and international outreach in which the Department of Surgery is involved. In the recent McMaster University International Compendium 2013 the Department of Surgery had 22 overseas projects/collaborations listed.

Promotion and Tenure (Department Educational Coordinator) There have been a number of changes to the Promotion and Tenure process over the last few years but the key component for full time faculty continues to be successful promotion from assistant to associate professor. The Departmental Teaching Evaluation Report put forward in each faculty promotion dossier contains summary tables of evaluations on a seven point scale (compared with the Divisional median), the overall effectiveness of the teacher being mandated by the Senate as the first question asked. Faculty peer assessment is now a requirement for successful promotion at all levels and includes evaluations by multiple faculty, on multiple occasions and in multiple settings. More attention is now also being focused on the pathway for promotion from Associate to full Professor to ensure all the excellent teaching and research being performed by the associate professors in the Department of Surgery who have achieved CAWAR (tenure) is recognized and rewarded by University promotion. In the Department of Surgery from 2012 to 2014 there were 17 faculty promoted to associate professor, five faculty promoted to associate clinical professor, two faculty achieved CAWAR, three faculty were promoted to full professor, one faculty promoted to clinical professor and one to professor (part time).

Teaching Undergraduate Preclerkship and Surgical/Orthopedic Clerkship Programs: The Department of Surgery faculty continue to provide outstanding teaching for the preclerkship and the Surgical and Orthopedic clerkships. For 2012-13 the Department of Surgery faculty provided over 10,000 hours of preclerkship teaching in Medical Foundations 1-5 and nearly 20,000 hours of teaching for the Surgical and Orthopedic clerkship programs. These two programs continue to go from strength to strength with a major change for the Surgical Clerkship being the expansion of the Wednesday morning large group teaching sessions, with the addition of small group discussions in the afternoon facilitated by surgical staff and chief residents.

These allow all surgical clerks (irrespective of the hospital where they are working) to access the same topics, fulfilling one of the fundamental tenets of clerkship medical education at a number of different teaching sites/campuses.

their continuing support. In 2013 the McMaster University John C Sibley Award was presented to Dr. Michael Greenspan (Urology) for his long history of contributions to medical education. The award is presented annually to a part-time faculty member in the Faculty of Health Sciences who has made outstanding contributions to the education of health professionals. Each year the graduating Class of the Michael G DeGroote School of Medicine, McMaster University presents an award to the outstanding faculty preceptor in the Surgery and Orthopedic clerkships. The award is voted on by the students and recent winners of the surgical clerkship award include Dr. Amin (General Surgery) and Dr. Davies (Urology), and winners of the orthopedic clerkship award include Dr. V Avram and Dr. Moro.

Postgraduate Surgical Training Programs The Department of Surgery has nine PGY 1 entry level Royal College Residency Training Programs (Cardiac Surgery, General Surgery, Neurosurgery, Ophthalmology, Orthopedics, Otolaryngology/Head and Neck, Plastics, Urology and Vascular), two PGY 6 entry level Royal College Residency training programs (Pediatric General Surgery and Thoracic surgery) and the Trauma fellowship program. The Surgical Foundations Program provides basic (foundational) training to all PGY 1 and 2s in the Department of Surgery with the Surgical Research Methodology program being a highlight of the Wednesday morning sessions. Both Pediatric General Surgery (as a new program) and Thoracic surgery (as a mandated review) have undergone Royal College external reviews in the last 12 months and both have been given full approval. This is a major achievement for both programs and their Program Directors Dr. Helene Flageole (Ped General Surgery) and Dr. Colin Schieman (Thoracics). The present focus for all the PGY 1 entry level Program Directors has been the internal reviews of their programs, performed by the McMaster University PGME, in preparation for the Royal College External Review in April 2015. These have gone well and have positioned the programs to excel at the Royal College Review. In 2012-13 the Department of Surgery Faculty provided over 25,000 hours of formal postgraduate surgical teaching (lectures, small group sessions, technical sessions etc.) as well as countless hours of informal (“on the fly”) clinical teaching. New Program Directors appointed in 2012, 2013 and 2014 include Dr. Ed Kachur (Neurosurgery), Dr. Michael Marcaccio (General Surgery) and Dr. John Lee (Cardiac Surgery). In 2012 the Department of Surgery Residency Program expanded to the Niagara Regional Campus with a General Surgery resident starting a five year training program exclusively at the Regional Campus. This formalizes a long standing arrangement with the hospitals in the Niagara Region which has seen many surgical residents spend part of their training there and is a natural progression following the establishment of the Niagara Undergraduate MD Program.

The success of the Department of Surgery in its educational mandate is the result of the dedication and hard work of the Program Directors and Program Assistants, the Clerkship Directors and Assistants, the CTU Directors (both UG and PG), the faculty and division heads as well as the department’s administrative support team. Overseeing this all is the Chair, Dr. Susan Reid whose experience in, and passion for Surgical Education has few parallels in Canada. With this level of commitment and support, the McMaster University Department of Surgery is well positioned to realize its vision as the world leader in the provision of evidence-based surgical education, research and patient care.

Awards In 2013 with the generous permission of the donors there was a change to the awarding of the Margaret and Charles Juravinski Fellowship. Previously the Fellowship was award to one individual to allow them to pursue further training either academically or clinically and bring that skill set back to McMaster for the benefit of the local population. In 2013 the award was divided amongst four Department of Surgery postgraduate trainees who were part of the Surgeon Scientist Program. The 2013 Margaret and Charles Juravinski Fellowship Recipients were Dr. Natasha Cohen (PGY3 Otolaryngology, Head and Neck Surgery), Dr. Chris Coroneos (PGY3 Plastic Surgery), Dr. Moin Kahn (PGY3 Orthopedic Surgery) and Dr. Mohammad Qadura (PGY2 Vascular Surgery). The Department of Surgery is very grateful to Margaret and Charles Juravinski for

The educational programs that are offered to undergraduate students and residents, the research collaboration and grants received, the inter-professional and interdisciplinary collaboration, the strategic planning and clinical expertise, has all made for such an impressive and exciting learning curve for me. I have appreciated being involved in strategic planning discussions and retreats held by each Division and by Programs. To see how the Department can encourage the forward motion goals of each is exciting. I am honored to be a part of this vigorous Department and the inspiring leadership of our Division Heads and Program Directors and their teams. In my first years with the Department of Surgery, itâ&#x20AC;&#x2122;s safe to say that one of our key initiatives has been Faculty Recruitment; having brought seven new recruits into the Department, and with selection committeeâ&#x20AC;&#x2122;s still working toward others for 2014. Further team enhancements include PhD researchers, a PhD Nurse Practitioner and several other collaborations with other Departments. Growth is fairly certain within the Department. As effective communication is essential to supporting such a far reaching, multi-sited, multi-disciplinary team, it will be important to bring the administrative team together geographically and in close proximity to Dr. Susan Reid, Chair of the Department and Administrative Assistant Brenda Paine. To that end, movement of the Department Administrative team to the Juravinski Hospital site, B3, has been phasing in and is expected to be completed in the near future. This team includes Anne Lancaster, Office Manager and her Human Resources Assistant, Laurie Dennison; Marcy Willis, Finance Manager and her Finance Assistants, Ann Kolkin and Tanya Nesvit, and my Administrative Assistant, and Department Safety Coordinator, who is also part of the move project planning team, Terrie Harvie. In support of that imperative, effective communication, the Administrative team, working closely with Kathy Wilson Department Education Coordinator, and Catherine Gill Pottruff Department Research Coordinator, continues to meet regularly throughout the year to discuss ongoing issues and to determine and plan project work such as redevelopment of a new shared drive, file conversion projects, and the AFP academic merit process, to name a few. For 2014 additional key initiatives for the Department will be a Clinical Practice Plan review and enhancing the profile of the Department through Fundraising and sharing our stories. As the University embarks on MOSAIC, an enterprise wide resource system, Marcy Willis assigned Susan Graci to become content expert. Sue was only too happy to immerse herself into the new Peoplesoft system, and quickly demonstrated her expertise, now accepting a growth position to work within the Central Finance team for a year. We wish Sue all the best in her role. In addition to congratulating Sue Graci on her growth position, we recently congratulated Catherine Gill Pottruff on a growth opportunity of her own. Catherine Gill Pottruff is the Department Research Coordinator. Her expertise will be missed as she moves to the Health Research Services Office to undertake the role of Senior Grant Reviewer.

As a lifelong learner myself, I am excited for the development opportunities that have broadened paths of experience for our valued team members. As one of the noteworthy events the Department has hosted this year, I am happy to have had the great pleasure of being part of the planning and execution of the first ever Department Reunion Gala event that brought alumni and current faculty members from across Canada and the US together for an evening of celebration and recognition of Surgical Practice. Dean Kelton opened the evening with a heartfelt thank you for the work the surgeons do. Dr. Adrian Park travelled from the U.S. to offer the keynote address. Having graduated from the Michael G. Degroote School of Medicine, his talk was motivational and his presence appreciated. Thanks to the planning expertise of Julia Smerilli, Department Communications Coordinator, the event was a great success and enjoyed by all. The Department continues to work closely with our hospital partners and in particular with our Chiefs of Surgery, Dr. Kesh Reddy and Dr. Helene Flageole and most recently, new Surgeon in Chief, Dr. Michael Stacey at Hamilton Health Sciences and Dr. Anthony Adili and Dr. Varun Chaudhary, at St. Josephâ&#x20AC;&#x2122;s Healthcare Hamilton. Together, the Academic Departments and the Hospitals of Hamilton bring excellent care to our patients, while training exemplary future surgeons.

, with world class researchers and quality education in research methodology for our learners and trainees at all levels. This has been a time of change in the Department’s research strategy, creating new focus on evidence-based surgery and refining our support for our researchers, improving our communication and raising our standard of excellence in research. With strategic recruitment of surgeon-scientists and surgeons with a strong interest in clinical research, our research has expanded into basic fields and large active clinical trials. Publications and grants overall have steadily increased over the last 3 years and many of our Divisions have been active in clinical research. Beyond simply numbers, the quality of publications has improved with surgeons publishing in the highest impact journals (NEJM, JAMA, and LANCET) and receiving peer-reviewed funding from agencies such as the CIHR, NIH and the US Departments of Defense. Our publication counts continue to improve, both in quantity but more so in quality. Over the last few years, Department of Surgery researchers have initiated and are leading large multinational clinical trials, bringing our researchers to the attention of the world, providing benefit for patients and opening many opportunities for collaboration at the highest levels. Our basic scientists are trailblazing new pathways towards understanding the mechanisms of disease. Research into quality improvement and standardization is improving care both in our Local Health Integrated Network (LHIN) as well as nationwide, and a cadre of researchers looking at surgical education are changing the way we teach our learners. We have also focused on developing talent. The Surgeon Scientist and Surgical Research Methodology Programs have fueled an ever-increasing focus on research providing our residents with the tools necessary to be highly successful. By a renewed focus on the rich history of McMaster University’s legacy in evidencebased medicine, we are moving our surgeons to a collective action because ‘saying isn’t doing, doing is doing!’

The Surgical Outcomes Research Centre (SOURCE, McMaster University) Evidence-based Surgery (EBS) Working group continues to develop its “Users’ Guides to the Surgical Literature” article series that is being published in the Canadian Journal of Surgery (CJS). Each article is prefaced with a surgical scenario, and the series is intended to educate surgeons and residents regarding how to find, assess and incorporate evidence from the surgical literature. Currently 14 articles in this series have been published in CJS and 1 has been submitted for publication (visit www.cma.ca/cjs to obtain a free article copy). Article recently e-published for CJS: Coroneos C, Voineskos S, Cornacchi S, Goldsmith C, Ignacy T, Thoma A. Users’ guide to the surgical literature: how to evaluate clinical practice guidelines. EBS Workshops for McMaster FacultyHamilton, ON, Canada SOURCE has also developed an interactive EBS Workshop based on the article series. The workshop consists of small group tutorials led by trained surgeon tutors addressing the various topics covered in the EBS articles (tutors: Dr. Achilles Thoma, Dr. Luis Braga, Dr. Michelle Ghert and Dr. Forough Farrokhyar). The most recent workshop was in February 2013 addressing the topic of surveys in surgery. This half-day workshop is accredited by The Royal College of Physicians and Surgeons of Canada and was attended by over 20 surgeon faculty. 2nd Annual EBS Workshop for Surgeons- King Faisal Specialists Hospital & Research Center, Jeddah, Saudi Arabia SOURCE was invited for the second time to organize a 3day workshop (April 15-17, 2013) on Evidence Based Surgery (EBS) principles, attracting over 50 surgeons and research students from across Middle East. This second annual unique event was conducted in collaboration with King Faisal Specialist Hospital and Research Centre (KFSH&RC) in Jeddah, Saudi Arabia. The workshop was led by Dr. Achilleas Thoma, Director of SOURCE and co-tutored by Dr. Forough Farrokhyar, Dr. Charles Goldsmith and Dr. Luis Braga. The topics for the three-day workshop included Randomized Controlled trials, Power & Sample Size, Systematic review & meta-analysis, diagnosis, surveys & case-series. The three days were divided into morning and afternoon sessions where the tutors facilitated small groups encouraging an interactive, problem based learning format. For more information about SOURCE and the EBS workshops, visit their website: www.fhs.mcmaster.ca/source/ or email Manraj Kaur at kaurmn@mcmaster.ca.

Dr. Brian Cameron, was awarded funding from McMaster Surgical Associates for the International Surgery Desk to host the 2014 Bethune Round Table conference on international surgery at McMaster. The conference will be held June 2014.

The MPSRC conducts clinical research that incorporates several research paradigms, including mixed methods, quantitative, and qualitative methodologies. In order for the MPSRC to succeed in achieving excellence in clinical research, we work with a wide variety of health care professionals and participants including patients and their families, pediatricians, child life workers, nursing staff, research methodologists, biostatisticians, family physicians, and the community.

Dr. Dan Poenaru presented the DAPS study at the Global Health Metrics and Evaluation (GHME) conference, and the associated conference publication appeared in the prestigious medical journal, The Lancet. Dr. Helene Flageole has conducted research on the postoperative management of gastroesophageal reflux after esophageal atresia-tracheoesophageal fistula repair. A survey conducted by Dr. Flageole and Dr. Anna Shawyer was presented at the Canadian Association of Pediatric Surgeons’ Annual Meeting, and Dr. Flageole is conducting a systematic review on this area of research.

In the 2012-2013 academic year, the MPSRC researchers collectively published 20 articles in peer-reviewed journals and gave 36 presentations at scientific conferences. Preliminary results of the ALPHA trial were presented at the Canadian Urological Association, the American Urological Association, and published in The Journal of Pediatrics. The trial was expanded to include the Hospital for Sick Children. The DAPS study was presented at the Global Health Metrics and Evaluation (GHME) conference, and the associated conference publication appeared in the prestigious medical journal, The Lancet.

Dr. Karen Bailey continues her research on ACT NOW, a qualitative study focused on understanding decision making, attitudes, and knowledge acquisition among patients and caregivers attending the Growing Healthy Weight Management Program at McMaster. Dr. Bailey received support for her work from the MCH Children’s Metabolism Obesity Research and Education program.

The MPSRC was awarded 8 different peer-reviewed grants totaling $284,230. This has enabled the collaborative’ s groundbreaking research to continue into the 2013-2014 academic year. New projects include an RCT studying the effectiveness of a bladder training video on urotherapy patients, hosting international conferences on hypospadias and international surgery, and a study on video interpretation and diagnosis of pediatric eye disease.

Dr. Kourosh Sabri continued his work on the SCREENROP Study, a CIHR–funded study headed by McMaster University in partnership with the Canadian Neonatal Network that involves all 30 Neonatal Intensive Care Units in Canada. Dr. Sabri was also awarded funding from the Physicians’ Services Incorporated to begin a study on video interpretation and diagnosis of pediatric eye disease.

In pediatric urology, The ALPHA trial received funding from McMaster Surgical Associates, and the Physicians’ Services Incorporated (PSI) Foundation. Preliminary results from this trial were presented at the Canadian Urological Association, the American Urological Association, and published in The Journal of Pediatrics. The ALPHA Trial has expanded to include the Hospital for Sick Children in Toronto, Ontario. Dr. Braga was awarded the CIHR Planning Grant to host an international conference on hypospadias research. The Urotherapy trial was conducted with the support of the HHS Health Professional Investigator Operating grant. The MPSRC was well represented at the Canadian Urological Association 2013 Annual Meeting, giving 12 presentations during the conference.

MacOrtho is a world leader in clinical research in the field of orthopaedic surgery. Under the leadership of Dr. Mohit Bhandari, MacOrtho research is at the forefront of a paradigm shift in how orthopaedic research is being conducted worldwide. Ten years ago, orthopaedic surgery trials were typically single-centre initiatives which included too few patients to yield definitive answers on clinically important questions. In the past ten years, Dr. Bhandari and the MacOrtho team have helped to change how research is being conducted by leading the largest trials in the world in the field of orthopaedic surgery, thereby setting the benchmark for all future clinical research. Clinician Scientists within MacOrtho have thrived under Dr. Bhandariâ&#x20AC;&#x2122;s mentorship and promotion, making MacOrtho a leading academic institution for research in the field of orthopaedic surgery.

The Centre for Evidence-Based Orthopaedics (CEO) was established in 2012 by Dr. Bhandari. The vision is simple: CEO will improve patient care by producing high-quality clinical research that will answer clinically relevant questions. Since its establishment, CEO has already gained recognition as a leading research centre for evidence-based orthopaedics. CEO will continue to strive to improve the lives of persons with orthopaedic injuries, conditions, and disorders around the world by identifying and disseminating novel therapies through the conduct of high quality, collaborative research initiatives. (http:// fhs.mcmaster.ca/macortho-ceo/) CEO is organized into a number of research units, each representing a unique focus within orthopaedic surgical research: 1) trauma and injury, 2) degenerative joint disease, 3) musculoskeletal tumor surgery, 4) sports medicine, and 5) disorders of the spine . The rationale for these research foci is driven by a number of factors including: 1) the debilitating results of an orthopaedic sports injury; 2) the increasing global burden of orthopaedic trauma injuries worldwide due to the prevalence of road traffic injuries; 3) the crisis of intentional injuries in women from domestic violence; and 4) the epidemic of fragility fractures in the elderly. These debilitating injuries affect people of all ages, from children to the elderly. All of these research units are operationalized primarily by the conduct of multi-national definitive randomized controlled trials and large observational cohort studies.

 CMAS is a state of the art multidisciplinary technological and research centre designed to support research and development and to advance the scope of training of specialized techniques of minimal access surgery, robotic surgery and surgical innovations.

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CMAS runs approximately 25 courses per year to train surgeons, fellows, residents and allied health professionals in the latest techniques and technology in minimal access surgery and provides mentorships to support surgeons in adapting new techniques. 

Devoted to skills training and educational development, the Centre supports the development of telehealth through mission critical telehealth applications.

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Laparoscopic Bariatric Surgery for Treatment of Complicated Type 2 Diabetes in Obese Patients: A Prospective Randomized Controlled Pilot Study.  A Pilot Study of Bupivicaine Infusion in Abdominal Surgery.  A Phase III prospective randomized trial comparing laparoscopic-assisted resection versus open resection for rectal cancer. Comparing results of open vs. laparoscopic..  A pilot study of per oral endoscopic myotomy (POEM) in achalasia.

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The new method of surgery being piloted at St. Joseph’s Hospital for achalasia, involves cutting one layer of muscle in the LES instead of three, which is the current standard of care.. The Short-Term complications of laparoscopic bariatric surgery - a retrospective study at a single institution. Observes complications of laparoscopic surgery. A Phase III Randomized Trial of Lobectomy Versus Sublobar Resection for Small Peripheral Non-Small Cell Lung Cancer. Long-term follow-up of local colorectal cancer recurrence, laparoscopic vs. open approach. Compares cancer reoccurrence between laparoscopic and open long term. Short and long term outcomes after Laparoscopic Modified Heller Myotomy in patients with Achalasia. Examining outcomes for the standard method of resolving achalasia. Hiatal Hernia repair: Comparision between primary diaphragm repair and tension free repair with mesh. Comparing methods of hernia repair. A prospective randomized study comparing Laparoscopic Sleeve Gastrectomy and Laparoscopic Roux-en-Y Gastric Bypass and their effect on Gastro-Esophageal reflux disease using esophageal 24 hours pH monitoring. Comparing GERD symptoms between patients with RYGB and Sleeve surgeries. Revisional bariatric surgery. Comparing weight regain after initial bariatric surgery and revisions. Impact of the Body Mass Index (BMI) on postoperative ouctomes in rectal surgery patients. Comparing the BMI of patients and post op outcomes including weight regain, complications and length of stay. Open vs. Laparoscopic Hartmann procedure for acute diverticulitis: a single center retrospective review.

Operating Room: St. Joseph’s Hospital, Hamilton: minimal access surgery being performed

CMAS Skills Lab: Training facility for the latest MIS techniques and technology

The McMaster University, Hand, Arm, Nerve (MacHANd) group promotes excellence in education, research, and clinical care for hand and upper extremity disorders and conditions and is co-directed by Drs. Carolyn Levis (Plastic Surgery) and Joy MacDermid (Rehabilitation Sciences). In 2012-2013, experts in neurology, hand therapy, plastic surgery, and sports medicine delivered informative presentations at the three MacHANd Grand Rounds on: 1) dystonias 2) common soft tissue conditions of the hand 3) sports injuries in the hand.

MacTRAUMA Research provides a collaborative forum for faculty and learners interested in trauma research to pursue their research activities. The group is comprised of members from the Hamilton Health Sciences’ Trauma Program and the Department of Surgery, McMaster University with representation from the divisions of General, Orthopedic, Plastic and Pediatric Surgery. MacTRAUMA provides research mentorship for undergraduate and graduate students, trauma fellows and residents, and promotes research partnerships with other clinical areas involved in trauma care. The Trauma Program maintains the Hamilton Health Sciences’ Trauma Registry, a data base that collects information on all adult and pediatric trauma patients. MacTRAUMA oversees the use of the registry for health services research and quality improvement projects. MacTRAUMA Research projects presented at the Trauma Association of Canada (TAC) Annual Conference 2014:

The Fifth Annual MacHANd Day of Evaluation and Management of Disorders of the Upper Extremity was held at the Royal Botanical Gardens in Burlington and was another successful event that disseminated the current best evidence on the hand and upper extremity to physicians, occupational therapists, physiotherapists, other allied health professionals, and residents. Ongoing MacHANd research projects included prospective cohort studies on carpal tunnel syndrome, Dupuytren’s disease, shoulder disorders, and carpometacarpal joint osteoarthritis, as well as a randomized clinical trial on rotator cuff repair.

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Results of a multifaceted quality improvement strategy to optimize monitoring and management of delirium at a Level I trauma centre

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Developing a novel tool for assessing performance of trauma trainees: Assessing reliability Assessing the knowledge, practices and comfort levels of occupational therapists, physiotherapists and nurses in managing patients with traumatic pelvic injuries Clarifying the role of follow-up imaging in blunt splenic injury: Experience from a level 1 Canadian trauma centre

In four years CSii has taken the IGAR device from concept to human clinical trials. The first application of IGARBreast is a MRI-guided vacuum assisted biopsy of small lesions in the breast, identified by MRI screening. Preliminary reports from the trial have surpassed expectations in terms of the quality of the tissue samples extracted in the biopsy and the reports of negligible levels of pain or discomfort experienced by the patients involved in the procedures

The Centre for Surgical Invention and Innovation (CSii) is a NCE Centre of Excellence in Commercialization and Research (CECR), committed to enhancing the quality and access to healthcare for all Canadians through the development and commercialization of innovative medical robotic technologies and novel techniques. This includes the development of new image guided robotic devices and minimally invasive technologies and techniques, it combines Canadaâ&#x20AC;&#x2122;s leadership in space robotics and minimally invasive surgery, to help develop and commercialize innovations designed to dramatically improve patient outcomes by enabling more targeted, less invasive procedures.

The Bariatric registry project consists of two components: a centralized referral system and the registry database for collection and analysis of outcomes. The Bariatric Referral System was developed by CSii at the request of the MOHLTC to provide a more single streamlined portal for patients accessing bariatric care in Ontario. Launched in 2010, the referral system, which is fax and internet-based was developed in partnership with the Ontario Bariatric Network (OBN) and Population Health Research Institute (PHRI) to process bariatric surgical referrals from physicians and nurse practitioners across Ontario.

CSii is one of three Centres of Excellence located at McMaster University and is the only NCE Centre of Excellence in Canada devoted to surgical innovation. â&#x20AC;&#x153;CSii is committed to the development of unique, highly differentiated robotic systems that turn input from imaging systems into precise diagnosis or treatment plans and to the development of tele-surgery capabilities to better leverage non-local surgeon expertise to the local/ rural communities or more remote areas."

Dr. Mehran Anvari, Scientific Director and CEO of CSii has recently been appointed as an ICES adjunct scientist and the Centre is currently making plans to pursue a partnership with ICES for CSii clinical validation projects which include the Bariatric Registry. CSii is in the initial stages of creating a partnership and linkage of data between the Bariatric Registry and the data holdings at the Institute for Clinical Evaluative Sciences (ICES) to mutually benefit from a shared and combined accumulation of information on bariatric patients in Ontario. Expanded data sets will enhance the depth and breadth of information available on the clinical utilization of services by morbidly obese patients in Ontario, allowing for research and analysis into topics such as health economics and the cost of obesity related comorbidities and socioeconomic factors effecting treatment and outcomes. Such analysis will provide a more complete picture of the health impact of obesity, and the outcomes of treatment currently provided to further develop and explore best practices for bariatric care in Ontario.

Dr. Mehran Anvari CEO & Scientific Director CSii Presently, CSii has focused on two primary research areas: the development of medical robotic technologies and techniques, and clinical validation and safe deployment of new technologies, including the implementation of innovative patient processing (the Bariatric Registry) and outcome evaluations for the Ministries of Health.

The first CSii Image Guided Automated Robot (IGAR) was created in collaboration with MDA (Canadarm and Dextre). Building on Canadian expertise in space technology, minimal access surgery and telesurgery, IGAR is designed with features for biopsy, ablation, tele-operation, and seed placement/insertion using real time coordinates obtained from a variety of imaging modalities, including MRI.

The linkage of information between the Bariatric Registry and the data sets at ICES will provide a foundation for a more comprehensive assessment of obesity, bariatric treatment, health care resource utilization and cost, from which numerous possible research pursuits can arise. It is hoped that this appointment will also create a closer collaboration between McMaster University and ICES, involving CSii and the Registry in this partnership, essentially creating an ICES hub at McMaster. The registry includes both surgical and medical patients and is currently in its 4th year with over 11,000 patients included in the database and over 31,000 patients referred through the bariatric referral system. The registry is supported by funding from the Ministry of Health and Long Term Care. The registry data will ultimately lead to the development of specific Ontario guidelines and recommendations for optimal bariatric clinical care, while ensuring consistent cost-effective delivery of quality of care to all residents of Ontario.

CSii is collaborating with ValenTx In.c to test the safety and effectiveness of a revolutionary new therapy for the treatement of obesity and obesity-related metabolic disorders such as type2 diabetes and hypertension. The implantable endoscopic gastric bypass device is designed to mimic the therapeutic mechanisms of the roux-en-y gastric bypass procedure, with a non-surgical, endoluminal bypass device. The device is implanted using endoscopy and is composed of a cuff, anchors, and a long detachable sleeve. The system provides a less invasive alternative to gastric bypass surgery and should promote significant weight loss while reducing the negative impact of co-morbidities by providing restrictive and malabsorptive elements. CSii is the first North American site chosen for this industry sponsored clinical trial which is approved by SJHH REB and Health Canada ITA and scheduled to begin enrolling patients in summer 2014.

The Registry was designed to track the clinical course and outcome of each patient referred to and treated by the newly established Bariatric Centres of Excellence across Ontario. This comprehensive database collects information on patient demographics, clinical outcomes and socioeconomic data and is used by the Ministry to ensure safe and effective delivery of Bariatric Surgical services, but also to plan for the expansion and redistribution of these services

CSii collaborates with many other investigators on a multitude of projects, assisting with sub-studies of the Bariatric Registry, and collaborating on surgical trials. These include comparisons of bariatric surgery procedures, outcome comparisons of different groups (by age, comorbidity), economic analyses, and trials investigating many different correlations. These include, but are not limited to: investigating bypass revisions for marginal ulcers, rectal cancer outcomes related to obesity, gastroesophageal reflux disease symptoms in sleeve gastrectomy and roux-en-y bypass patients, and the effect of bariatric surgery on hepatic and visceral fat.

CSii continues to manage this Referral System across 9 Bariatric Centres across Ontario with discussion and interest to expand to other provinces. CSii is currently in collaboration with the OBN and PHRI regarding enhancements to the Referral Portal/System and are excited to announce the development of an online web-based referral portal, which will now include both surgical and medical bariatric program referrals. Completion of this new online web-based referral portal is slated for July 2014. The Patient Database is an observational, multi-centre, database registry designed to collect standardized information on patients undergoing bariatric treatment at across Ontario. Deidentified data is collected by chart review and patient completed questionnaires on patient characteristics, medical status, surgical procedures, non-surgical treatments, outcomes, and economic factors which will ultimately lead to the development of specific Canadian guidelines and recommendations for optimal bariatric clinical care. The database assists in the identification of health service practices that require optimization and improvement to develop strategies to address them. The information will be used to enhance current practices and guidelines to improve bariatric patient care and outcomes in Ontario.

Photos Above: IGAR â&#x20AC;&#x201C; Bone LASER Drilling System Spinal Procedures: vertebroplasty, pedicle screw, MIS spinal surgery

Future applications include: surgical applications for the neurosurgical, spine, joint, lung, liver, kidneys

Developed by surgeons (Drs. Deepak Dath, Edward Matsumoto and David Szalay, Department of Surgery), in collaboration with the Program for Faculty Development/PFD (Dr. Anne Wong, Assistant Dean, PFD/Department of Anesthesia and Ms. Annette Sciarra, Program Administrator, PFD), the goal of this interactive series of workshops is to address an important, but often overlooked, function of all academic surgeons: how learners are taught in the operating room. The first of three sessions involves an introduction to the many challenges inherent in intra-operative teaching, as well as an examination of some of the teaching techniques, styles and behaviours currently employed by area surgeons. The second session involves further reflection and group discussion around participantsâ&#x20AC;&#x2122; individual experiences and practices with respect to teaching in the OR. The third and final workshop is focused on principles of intra-operative teaching as they relate to existing theoretical frameworks. The STEP Program enjoyed resounding success in its initial debut in 2009-10 and will be offered once again in 2013-14 (at the McMaster Innovation Park on October 30, 2013 and January 29 and March 26, 2014). For those who are participating in the workshops for the second time, additional breakout groups may also be arranged to minimize duplication of material and allow for discussion of new topics. Attendance by faculty at distributed campuses and community-based surgeons is welcomed. The sessions are offered free of charge for faculty from the Departments of Surgery, Medicine, Pediatrics and Obstetrics/Gynecology.

C.J. Foote (PGY3, Orthopaedic Surgery) Two-Year Thesis-Based Master’s in HRM at McMaster

Under the leadership of its Director, Dr. Sheila Singh, the Department of Surgery’s Surgeon Scientist Program (SSP) facilitates access to high quality graduate research training for surgical residents and serves to encourage the pursuit of careers in academic surgery. It does this in conjunction with McMaster University’s existing Clinician Investigator Program (CIP), a Royal College accredited research training program, which offers tuition support and a travel allowance through Postgraduate Medical Education, alignment with research supervisors and other research trainees, Royal College accreditation, additional funding opportunities and the means to seek both internal and external funding, and an academic program relevant to all trainees.

Research Project:: International Orthopaedic Multicenter Study Fracture Study (INORMUS) Research Supervisor:: Dr. M. Bhandari Daniel Hoppe (PGY3, Orthopaedic Surgery) Master’s of Education, Health Professionals Specialization, at OISE/University of Toronto. Research Project:: The use of web-based technology as an adjunct to the development of surgical skills and transmission of knowledge.

The SSP makes use of the already substantial infrastructure available to learners at McMaster in the areas of basic sciences, a world-renowned clinical epidemiology/health research methodology program, medical education and biotechnology/ innovation and works to connect research trainees to a wide range of research supervisors who have elected to participate in the program. The selection of SSP residents is completed via a competition for available MOH-funded (first year) spots held in the fall of each year, with a selection committee appointed to identify the successful candidates.

Research Supervisors: Dr. Adam Dubrowski and Dr. Oleg Safir Deven Reddy (PGY4, Neurosurgery) Two-Year Thesis-Based Master’s in HRM at McMaster, Clinical Epidemiology specialization Research Project:: Will include a systematic review of balloon angioplasty for cerebral vasospasm in aneurysmal subarachnoid hemorrhage.

During the period of SSP research training - typically consisting of 24 consecutive months of research - trainees do not have regular clinical responsibilities and are mostly free from the duties of the clinical stream of residency. However, students do maintain some clinical activities through occasional call coverage, attendance at clinical rounds and teaching sessions, and even specialty clinics which provide exposure in the area of the trainee’s research.

Research Supervisor: Dr. Forough Farrokhyar Sophocles Voineskos (PGY3, Plastic Surgery) Two-Year Thesis-Based Master’s in HRM at McMaster Research Project:: Quality of randomized trials in plastic surgery: A systematic review” with the ultimate goals being to create and validate a methodological reporting checklist specific to Plastic Surgery, as well as the creation of an Evidence-Based Plastic Surgery resource.

Dr. Singh meets with all interested candidates, provides ongoing service as an advisor/mentor and liaison with the CIP, assists trainees in pursuing both internal and external funding sources, in addition to providing an annual series of SSP lectures conducted by faculty surgeon scientists. Future plans include holding a yearly Retreat for all SSP participants.

Research Supervisors: Dr. M Bhandari/ Dr. A. Thoma

Kevin Chan (PGY3 Orthopaedic Surgery): HRM Program at McMaster with second year of training completed non-consecutively, i.e. as part of a fellowship at UWO.

Research Supervisor(s): Dr. Jeffrey Weitz (Executive Director, Thrombosis and Atherosclerosis Research Institute/TaARI), Dr. Richard Whitlock, Dr. John Brash (Biotechnology and Biomaterials specialist).

Raman Mundi (PGY 2 Orthopaedic Surgery): Two-Year Thesis-Based Master’s in HRM at McMaster. Research Project(s): Centred on disorders of the upper extrem- Research Project:: Will be focused on evaluating the internaity. tional burden and management of orthopaedic fractures (would function as project manager of the INORMUS Global Study). Research Supervisor(s): Drs. Joy MacDermid, George Athwal (UWO), Olufemi Ayeni. Research Supervisor: Dr. Mohit Bhandari Natasha Cohen (PGY 3 Otolaryngology, Head & Neck Surgery): Two-Year Thesis-Based Master’s in HRM at McMaster. Research Project:: The role of NSAIDS in the post-operative period for pediatric tonsillectomy. Research Supervisor: Dr. Lehana Thabane. Christopher Coroneos (PGY3 Plastic Surgery): Two-Year Thesis-Based Master’s in HRM at McMaster. Research Project:: Clinical practice guidelines for obstetric brachial plexus injury. Research Supervisor: Dr. Melissa Brouwers.

Mike Livingston (Western University, General Surgery resident): enrolled in Health Research Methodology and the Clinical Investigator Program at McMaster. research activities include a prospective cohort study of a surgical treatment for ingrown toenails in children and adolescents, a multicentre retrospective study of predictors of length of stay in hospital among children and adolescents with empyema, and a randomized controlled trial (RCT) of glycerin suppositories in preterm infants. Research Supervisors: Dr. Peter Rosenbaum, Dr. Mark Walton, and Dr. Sarah Jones.

Harman Chaudhry (PGY2 Orthopaedic Surgery): Two Year Thesis-Based Master’s in HRM at McMaster. Research Project:: Focused on a large-scale, global prospective study involving hip fracture patients (will serve as project manager). Research supervisor: Dr. Mohit Bhandari Nathan Evaniew (PGY3 Orthopaedic Surgery): Two Year Thesis-Based Master’s in HRM at McMaster. Research Project:: Will work as part of the PARITY Study Group, executing the pilot RCT and refining the methodology for the definitive trial. Research Supervisor: Dr. Michelle Ghert Iqbal Jaffer (PGY 2 Cardiac Surgery): Basic Science Program at McMaster. Research Project: Focused on the development of novel methods to prevent clotting on mechanical heart valves.

In the past there has been considerable discussion across Canada around the significant decrease in applicants for surgery residency positions. While a multitude of factors influence career choices, it is generally believed that the decision-making process begins in earnest during the first year of medical school . The One Day Matters program was launched nationally in 2009 by Dr. Susan Reid and, by popular demand, repeated every year since then. The program matched first year medical students to both academic and community surgeons over the course of a one month period across Canada and included an orientation package, a scrub session, and a day in the Operating Room with their matched surgeon. The program has matched first year medical students in general surgery and the following subspecialties including paediatric surgery, vascular surgery, thoracic surgery, orthopaedic surgery, neurosurgery, cardiac surgery, otolaryngology and ophthalmology. A review of the program indicates that the opportunity to spend one day in the OR, especially during the same month as their peers, has not only increased the impact on each student at each site but also increased the discussion of experiences among the students at the national level. Feedback has been very positive from both surgeons and medical students and it is anticipated that applications for surgery residency positions in two to three years time will support early indications of the programâ&#x20AC;&#x2122;s success.

Residents from the following residency programs attend Surgical Foundations one morning a week for academic-halfday. This for the first two years of residency:

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General Surgery Neurosurgery Orthopedic Surgery Otolaryngology Plastic Surgery Urology Vascular Surgery Cardiac Surgery

Ob/Gyn R1s attend Surgical Foundations academic-half-day as guests, as do NOSM Gen Surg and Ortho R1s and 2s. Ophthalmology R1s, Paed Neuro R3s and Trauma Fellows participate in the research curriculum (SRM) of Surgical Foundations.

The academic-half-day occurs from 9am to 12 noon on Wednesday mornings. Sessions mainly all take place in the same lecture theater (4E20) at the McMaster University Medical Centre (MUMC), however various venues are used. Residents receive an e-mail the Thursday before detailing the sessions to take place the following week and the venue thereof. There are either two 1.5-hour sessions or one 3-hour session each morning. Lectures and sessions are delivered by faculty of the Department of Surgery, other faculty at McMaster University, invited lecturers, fellows (surgical & other), senior residents and the PGY2 residents themselves (Resident-Led Series).

Chairholder:

productive project. Our University has rallied other Centers to participate in ongoing research in this area. Ultimately, the goal would be to have a fully objective method to evaluate and predict amputation healing levels.

Dr. Jacques Tittley: Associate Professor, Department of Surgery, Faculty of Health Sciences Established in 2005 via a generous gift from the WB Family Foundation, the goal of the Beamish Family Chair in Peripheral Vascular Surgery is to contribute to the body of scholarship in vascular surgery.

The Chair has encouraged and supported a number of allied health professional individuals in a number of smaller projects. The Beamish Family Foundation Chair in Vascular Surgery continues to be highly successful at McMaster University. The resources provided by this endowment are essential in permitting our Vascular Surgery Division to maintain its leadership position in many clinical areas. Thank you to the Beamish Family for their ongoing support and to Mr. David Stockall, as their representative.

The chair was established with a $1 million donation by the WB Foundation, which is a foundation set up by Bob and Marilyn Beamish and their children, and representatives of Woodbridge Corporation. The Foundation supports health care and medical research initiatives. The donation for the endowed chair is being matched by McMaster University. In addition, the WB Foundation is giving $40,000 a year for travel scholarships for vascular surgeons, through the Hamilton Health Sciences Foundation. Dr. John Harlock, member of our Clinical Faculty, benefitted from the Chair funds during his vascular training, attending Stanford University part of our exchange program at the Fellowship level. The Division of Vascular Surgery has had multiple areas of investigation and interest. All these have been supported with in part or in total, by funds from the Chair. We have completed a series of investigations and papers looking at predetermining amputation levels with transcutaneous oximetry and carbon dioxide measurements. This has been quite an interesting and

Chairholder:

The Chair has facilitated in the development of an academic program in urology and aided the academic and clinical development of this program and facility to hold the program, the McMaster Institute of Urology. The Chairholder also facilitate in the development of a national profile for the Division of Urology and allows the Chairholder to participate in national and international committees.

Dr. Paul Whelan: Professor Emerite, Department of Surgery, Faculty of Health Science Currently Vacant Established in 2004 via a generous gift from Mr. David Braley and Mrs. Nancy Gordon, the goal of the David Braley and Nancy Gordon Chair in Urology is to contribute significantly to the body of scholarship in urology; to establish a world class Centre of Excellence with exemplifies the central values of McMaster University; to develop implement and evaluate curricular innovations in undergraduate (MD), postgraduate and Continuing Education; and to undertake quality research in Urology.

The McMaster Institute of Urology continues to be a highly successful quaterninary care urology clinic, located at St. Josephâ&#x20AC;&#x2122;s Healthcare. The patient volume continues to grow

Professor:

Dr. Yaron Shargall: Associate Professor, Department of Surgery, Faculty of Health Sciences

Dr. Susan Reid: Professor & Chair, Department of Surgery, Faculty of Health Sciences

Established in 2004 via a generous gift from Mr. Charles and Mrs. Margaret Juravinski (via the St.Joseph’s Healthcare Foundation), the goal of the Juravinski Thoracic Surgery Professorship is to contribute significantly to the body of scholarship in the field of thoracic surgery and to be involved in clinical work that informs the research agenda.

Established via a generous gift from the estate of Bertha T. Bauer, in honour of her brother John A. Bauer, a Hamilton physician.

Admissions and surgical volumes continue to grow. The development of the “Urgent malignant/non-malignant guidelines for thoracic surgery in LHIN 4 as well as the continuous activity and meetings of the HNHB thoracic surgery steering group resulted in better knowledge transfer across the LHIN, better awareness of the thoracic surgery services at SJHH and more and better organized referral process.

Also, to develop academic programs in surgery and work with other relevant academic departments, hospitals and facilities responsible for the provision of surgical services to ensure that the latest developments in the field are subjected to critical evaluation and that the highest levels of clinical practice are introduced to the community.

The focus is to take a leadership role and contribute to the body of scholarship in the are of surgery.

Currently our division is one of the largest of its kind in Canada, amongst the 3 highest volumes programs in regards to major Thoracic Oncology surgical resections in Canada, with complications and mortality rates within and even below the accepted range across North America. Under Dr. Shargall’s lead over the last year the division of Thoracic Surgery became engaged with two additional projects: 1. The Integrated Comprehensive Care (ICC) program 2. The Esophageal Diagnostic Assessment Program (EDAP).

Chairholder: Dr. Yaron Shargall: Associate Professor, Department of Surgery, Faculty of Health Sciences.

The division has expanded its research profile and productivity over the last 18 months. Overall, over the last 2 years thoracic surgery was awarded more than $650,000 in research grants. Dr. Shargall is involed with all the research projects in the division (23 different projects currently) and serve as the principle investigator on numerous projects, as well as site principle investigator for a national study and one North American study.

Established in 2004, via a generous gift from Mortgage Intelligence/GMAC, the focus of the Chair is intended to significantly contribute to the body of the scholarship in the area of Thoracic Surgery through clinical work, teaching and research at McMaster University and St. Joseph’s Healthcare. Specifically, the Chair is intended to address scientific uncertainty, scientific advancement and to be an integral part of the institutional vision towards establishing and maintaining a world class centre of excellence in thoracic surgery which exemplifies the central values of the University and the Hospital. The Chair has participated in the development, implementation and evaluation of curricular innovations in Undergraduate, Postgraduate, and continuing health education.

Dr. Shargall will continue to focus on delivering high quality care for our patients, building an academically strong foundation in research and education and leading the way in innovative care and best outcomes for patients at need for Thoracic Surgery care in the region.

Chairholder: Dr. Mehran Anvari: Professor, Department of Surgery, Faculty of Health Sciences. Established in 2008 via a generous gift from Johnson & Johnson Medical Products, the goal of the Chair in Minimally Invasive Surgery and Surgical Innovation is to focus research in new minimally invasive techniques and technology to improve quality and access to patient, address scientific uncertainty, address scientific advancement and include the caliber of scientific content displayed with other research projects ongoing at the university and hospital. Over the last 6 years as Chair holder, Dr. Mehran Anvari has been successful in securing $14.8M to establish the Centre for Surgical Invention and Innovation with the purpose of accelerating research and development/commercialization of medical technologies, particularly surgical robotics. This has led to the invention of an automated MRI breast biopsy system which is currently in Phase II clinical trials and has attained Health Canada approval. Dr. Anvari has also been successful in securing over $450M for the first Provincial Bariatric Network and $2.7M in funding from the MOHLTC for the creation of the first Provincial Bariatric Registry

for residents to acquire technical surgical “cutting” skills as well as operating in a supportive environment with opportunities for research. I would like to welcome Dr. John Lee who recently joined the division as the residency program director. He brings a wealth of knowledge and experience both clinically and in resident education. The program is comprised of three International Medical Graduate (IMG) trainees and two Canadian trainees. During their academic enrichment year a number of our past and present residents have pursued the Masters degree in the Health Research Epidemiology program offered by McMaster University’s Department of Clinical Epidemiology and Biostatistics, including two present third-year residents. Undergraduate teaching is also well supported by division members. Division members fulfill roles as clinical skills supervisors and faculty advisors. They also participate in McMaster medical school OSCE Examinations and other examinations such as Medical Council of Canada Examinations.

The Cardiac Surgery Division is actively involved in clinical research. The residents’ enrichment years provides trainees with the opportunity to partake in many different research projects. Members of the division are actively involved in major multicentre randomized clinical trials as primary or coinvestigators in a variety of trials including Dr. Lamy’s Coronary Trial comparing off-pump versus on-pump CABG surgery and Dr. Whitlock’s SIRS study (Systemic Inflammatory Response Syndrome) that will have enrolled over 7000 patients. In addition, cardiac surgeons collaborate in multi-centre studies based at other centres. One such study is the EXCEL Study to evaluate the role of stenting versus surgery for left main disease, for which Dr. Cybulsky is the surgical lead. Dr. Semelhago is the site lead for a multi-centre study, the ATACAS study, examining the benefit of tranexamic acid in decreasing perio-operative bleeding in cardiac surgery, to name a few.

Dr. Andre Lamy’s current study is the largest of its kind. He commenced this study tocompare off-pump and on-pump CABG (Coronary-Artery Bypass Grafting) along with coinvestigators, Dr. Salim Yusuf and Dr. David Taggart, entitled, “CORONARY (CABG OFF OR ON-PUMP REVASCULARIZATION STUDY)”. It has yielded publications in the New England Journal of Medicine and invitation to present at the American College of Cardiology.

The Cardiac program has recently acquired the ability to implant an Impella Ventricular Assist Device to bridge patients for transfer to other centres, where long-term assist device support and transplantation can be offered. This device was successfully used in 2012 to save a young man presenting in extremis from heart failure, who is now awaiting transplantation at home in Hamilton while supported with an implanted assist device.

Clinically, the Hamilton Health Sciences Laser lead extraction program, which our division participates in with cardiology arrhythmia service, has launched. Our new recruit Dr. Dominic Parry is trained in laser lead extraction procedure and is the surgeon involved in these cases.

We will continue to provide excellence in the areas of education, research and patient care. The cardiac surgical program has become the busiest in Ontario, performing over 1600 open-heart cases annually. It maintains clinical excellence and is innovative, with the ability to treat patients with a wide spectrum of cardiac surgical conditions.

at the undergraduate, postgraduate and faculty levels. As one of the largest residency programs within the Department of Surgery, the division facilitates the education of 41 residents. The Residency Program, led by Dr. Michael Marcaccio - Program Director, is highly regarded and consistently produces graduates that provide high quality community surgical care throughout the country, as well as graduates that go onto sub-specialization and academic careers. Division members are active in undergraduate education through the Degroote School of Medicine, as tutors, elective supervisors, research supervisors as well as providing faculty support to the Undergraduate Surgery Interest Group and participation in the One Day Matters initiative. The Centre for Minimal Access Surgery (CMAS) program has been an international leader in the training and mentoring of surgeons in minimal access surgery (MIS), and also provides this expertise to McMaster residents and fellows. The Surgical Outcomes Research Centre (SOURCE) also provides surgeons in the region with educational opportunities through workshops and key publications on Surgical Research.

The Division of General Surgery is actively involved in research. Majority of the research is based within the Division, but there is also great collaboration with our partners at McMaster, both in Clinical Epidemiology and Basic Sciences. CMAS has been a world leader in MIS research, including tele surgery and is currently actively involved in Robotics development, led by Dr. Mehran Anvari. The division is an international leader in outcomes research and knowledge translation, with particular strengths in colorectal and breast oncology research. There are also active projects on novel surgical technologies and randomized trials. Research is crucial to the education of our residents. Our annual resident research day highlights the innovative work of our residents with their faculty supervisors. Residents are required to complete two research projects during their residency. We have been very successful in partnering with both basic scientists and epidemiologist/statisticians at McMaster University. Also of special note is the work led by Dr. Marko Simunovic. He is an internationally renowned leader in Knowledge Translation/Quality Improvement research.

There are many achievements over the past year within our division. July 2012 saw the inauguration of the Residencyâ&#x20AC;&#x2122;s first Community General Surgery Residency position based in St. Catharines. Division members hold key appointments within the Department with a member serving as the Chair of the Department of Surgery and another member serving as Associate Chair of Education for the Department of Surgery.

The division also supports the key role of the Director of the Surgical Foundations program, mandatory for all residents in all surgical training programs as well as Dr. Anvariâ&#x20AC;&#x2122;s roles as the Chair in Minimally Invasive Surgery and Surgical Innovation (created in 2004).

The Division looks toward the future and the questions facing all surgeons. How can we improve the processes of care? How will teaching students and residents evolve as technological changes accelerate? Where will the next area of cutting edge research be? We plan to embrace these challenges and look forward to the success of our division and Department of Surgery. The Division has a successful past that we are very proud of. A large part of this includes the highly collegial relationships amongst Division members. Members work well together in all aspects, partnering to provide clinical service, education and research. We will continue to host our annual Division social events, such as the Divisional Dinner, the AK Mighton Golf Tournament and divisional retreats.

including medical students, residents and clinical fellows. The benefits of academic and clinical training are brought to patient care and to professional colleagues in a spirit of caring, learning and advancement of our profession. Our residency program under the direction of Dr. Edward Kachur (Program Director) offers a considerable amount of flexibility for the fulfillment of self-directed learning and individual research interest.

The residents are strongly encouraged to apply for the epidemiology program leading to a Master’s at the end of completion of coursework and thesis. Any interest in research is also highly encouraged, be it clinical or basic science. Dr. Edward Kachur, Dr. Almunder Algird (new recruit) Dr. Aleksa Cenic and Dr. Kesava Reddy continue to be leading investigators in the clinical investigation of the pathophysiology of spinal cord and traumatic brain injury and repair at the Hamilton General Hospital. Their research focuses on the natural history of spinal cord injury, spine degeneration and brain trauma with co-investigations on novel therapeutics and surgical techniques in attempts to create better patient outcomes. Dr. Paula Klurfan and Dr. Thorsteinn Gunnarsson are our leading investigators in interventional neurosurgery. Their research continues to evaluate endovascular coil-types on the efficacy of surgical intervention and on the quality of life of their patients. Dr. Sheila Singh is our division’s leading researcher on neural stem cell and cancer biology. Dr. Singh continues to be active in the basic science of neuro-oncology, pediatric neurosurgery and functional genomics/proteomics of brain cancer stem cells. Dr. Shucui Jiang is our leading basic scientist researching the neuroprotective and neurorestorative effects of guanosine and novel herbal therapeutics, respectively. Dr. Jiang also leads basic science research into CDNF and Parkinson’s Disease and the effects of curcumin on Alzheimer Disease.

Dr. John Wells accepted MSA President’s Award for Distinguished Service on June 8th at the Medical Staff Association’s Annual Dinner and Awards event. Dr. John Wells’ retirement was effective July 2013. Dr. Wells plans to continue to assist in Cardiac Surgery at the Hamilton General Hospital site. Our division continues to succeed in the area of research and clinical trials, as there have been numerous presentations, published abstracts and publication successes over the course of this academic year.

Our future goals include the provision of state of the art neurosurgical care to patients from our referral area along with expanding the research program and producing competent, capable and compassionate neurosurgical trainees at the end of their training. We have come far in trying to achieve the goals, but have a lot further to travel. We anticipate this to be an exciting journey with rewards of achievement tempered with compassion and humility.

We are fortunate to take care of a broad range of pediatric surgical conditions and we collaborate closely with McMaster University to innovate in the area of evidence-based medicine. Our division continues to be recognized as a leader in pediatric laparoscopic surgery and our program in congenital chest wall surgery is one of the largest in Canada. The Division of Pediatric Surgery continues to be involved in both the undergraduate and postgraduate programs of the Faculty of Health Sciences. We provide educational support to the Michael G. DeGroote School of Medicine, the School of Nursing and we participate in several CME events each year. Our Royal College Pediatric Surgery Fellowship Training program continues to grow and currently we have two fellows in training and an additional research fellow has started in July, 2013. We are currently training our first clinical scholar in the division of pediatric surgery: Dr Anna Shawyer is a newly graduated pediatric surgeon who is completing a Masters degree in Health Research Methodology.

The majority of research in the Division of Pediatric Surgery is conducted within the McMaster Pediatric Surgery Research Collaborative (MPSRC). The MPSRC research model has been very successful and has been awarded over 1.2 million dollars in research funding since its inception in 2008. The MPSRC has expanded to include members from Urology and Ophthalmology. Our goal has always been to conduct high quality research that is focused on improving children’s health. The Division of Pediatric Surgery is now involved in multicentre randomized controlled trials and has helped develop research partnerships with other pediatric academic health science centres across the country

Dr. Helene Flageole was the recipient of the Best Teacher Award (non -general surgery staff) for 2012-13. Dr. Fitzgerald is now the President Elect of the Canadian Association of Paediatric Surgeons. The Division members continue to play significant roles in both the university and hospital administrative structures. Dr. Walton is currently the Assistant Dean, Postgraduate Medical Education in the Faculty of Health Sciences and Vice Chair of the Pediatric Surgery Examination Board of the Royal College of Physicians and Surgeons of Canada. Dr. Cameron is the Director of the International Surgery Desk in the Department of Surgery. Dr. Bailey is the Director of the Trauma Program at the McMaster Children’s Hospital.

Dr. Flageole is the Chief of Surgery for the McMaster Children’s Hospital and is the Program Director of the Pediatric Surgery Fellowship Program Dr. Fitzgerald is the President of the McMaster Children’s Hospital

The Division of Pediatric Surgery continues to provide surgical care at McMaster Childrenâ&#x20AC;&#x2122;s Hospital and the Trillium Health Partners (Credit Valley Hospital). The Division will likely expand the clinical services at the Credit Valley Hospital to meet the increasing demands of an expanding population in that region. This expansion will continue to enhance our training of surgery resident and fellows. As our specialty becomes increasingly sub-specialized, our group is developing areas of special interests to ensure that we are able to provide the best possible quality of care to the children of our region. These areas of special interest include not only clinical care, but also resident education and clinical research.

(CaRMS) and we look forward to interviewing candidates for the upcoming academic year. Our 16 residents and one microsurgery hand fellow continue to contribute to clinical care, research and education. Diligent attention to the program has paid off and resulted in full approval at an interim internal review. Our strong academic program with weekly teaching rounds, monthly journal clubs and comprehensive didactic programs stimulate learning for the residents, students and staff. Collaboration has proven a great way to offer our learners additional educational opportunities and this was the case recently as our staff contributed to the biannual MacHAND CME program with orthopaedics, physical medicine and rehabilitation and the members of rehabilitation sciences faculty. The Division of Plastic Surgery would like to thank Dr. Alan Campbell-Moscrop for his years of contribution to our community and our program. His thoughtful, kind and gentle nature added a unique dimension to our service and we wish him well in all endeavours that retirement has to offer. We are fortunate to have recruited Dr. Lisa Dickson to join the St. Joseph’s Healthcare team. Dr. Dickson’s training, including residency and a microsurgery fellowship at McMaster University as well as a hand fellowship in Melbourne, Australia, will strengthen our microsurgical head and neck reconstructions and hand surgery team. Dr Levis has been selected to lead the Royal College examination in 2014 with Dr. Strumas, our Program Director, continuing to contribute to the Royal College as an examiner. Dr. Thoma continues his leadership role in evidence based plastic surgery, both nationally and internationally, through educational courses. I am excited that we coordinated a national consensus meeting on the care of obstetrical brachial plexus injuries in May 2013 and are working towards the development of national guidelines. I am pleased to offer congratulations to Dr. Choi upon completion of his Masters in Public Health, taken at Harvard University. I am settling in as Head of the Division after outstanding leadership from Dr. Thoma, who now assumes the role of Research Director for the Division of Plastic Surgery.

Our annual resident research day profiled the excellent work being done by our residents and was adjudicated by our guest Dr. Patricial Bortolucci from Montreal. Although all work was strong, Dr. Alexandra Nelson won for her presentation on “A Sub Analysis of Pediatric Outpatient Burn Care”, Dr. Hana Farhang had the best basic science presentation with “Evaluation of Ki-67 as a Histological Index of Burn Damage in a Swine Model” and Dr. Sophocles Voineskos won in the category of best clinical epidemiology presentation for his work “Plastic Surgical Randomized Controlled Trials: Challenges and Opportunities for Evidence Based Plastic Surgery, A Systematic Review”.

The Division has made a commitment to strengthen our leadership role in evidence based plastic surgery, led by Dr Thomaâ&#x20AC;&#x2122;s work evaluating breast reduction surgery but with content expertise in breast reconstruction, hand surgery and peripheral nerve reconstruction. We will apply this rigorous methodology to the majority of surgical problems in plastic surgery. Our two Surgical Scientist research residents, Drs. Sophocles Voineskos and Chris Coroneos, have made great contributions during their residency and we will follow their academic careers closely.

Although we cover the full spectrum of plastic surgery, our breast reconstructive program offering both immediate and delayed autogenous microsurgical and implant based reconstruction is world class. Working with Otolaryngology, we contribute our microsurgical expertise to the head and neck oncologic reconstructions. Our maxillofacial trauma patients and pediatric craniofacial deformity patients get comprehensive care in our adult and pediatric hospitals. Our pediatric plastic surgeons have leadership roles in the cleft lip and palate program, cranial vault reconstruction, congenital ear, hand and brachial plexus reconstruction.

Our division will recruit to maintain our international leadership role in evidence-based plastic surgery, a high quality residency program, and continue to provide excellent surgical care to our community. Unfortunately, resource limitations continue to result in prolonged waitlists despite innovative delivery models provided in Hamilton.

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To become a highly recognized regional centre for thoracic surgery related diseases and to provide timely and accessible care for the entire population of our region (LHIN 4 and beyond). To lead the way, provincially and nationally, in state-of-the-art cancer care for patients with thoracic malignancies. To establish clear guidelines for all hospitals in our region for the management of patients with thoracic surgery related medical and surgical conditions. To become a highly productive academic division, engaged with local, national and international clinical research studies, and acknowledged nationally by its research productivity. To become an attractive leading educational program, attracting the best and brightest to pursue rotations, residency and fellowships in our division.

Over the last 3 years, the division has undergone major restructuring in order to achieve those goals. With the recent recruitment of Dr. Wael Hanna, we are now 4 full time thoracic surgeons based at St. Joseph’s Healthcare Hamilton (SJHH), Charlton site. At the same time, I would like to take this opportunity to thank Dr. Ted Young and Dr. John Miller for their long-time contribution to the division. Our division has made a very significant progress in all 3 areas: Clinical, Education and Research and the following is a brief summary of some of its activity.

We have fully established our position as a regional Thoracic Surgery Centre by substantially expanding our clinical volumes to perform more than 400 major lung resections and 50 esophageal resections yearly. This has placed us as one of the three busiest thoracic surgery centres in Canada. We have also introduced state of the art technology to our hospital and our region. Our Thoracic Surgery Robotics Program, launched in May of 2014, is one of only two programs in Canada, and is projected to perform the highest volume of procedures within the next several years. We have also launched the Advanced Thoracic Endosonography Center (A•TEC) where we perform complex endoscopic airway and esophageal procedures. We have developed a tight, collaborative and sustainable relationship with all major hospitals in our region and deepened our relationship with the Firestone Institute of Respiratory Health and the Division of Respirology at McMaster University. We are currently leading combined multidisciplinary outreach clinics at St. Catharines General and Brantford General Hospitals, hosted together by surgeons, respirologists and oncologists, a unique approach which is rarely practiced (if at all) in Canada. Our ongoing unique collaboration with our peers at the University of Toronto’s Division of Thoracic Surgery has proven very fruitful. It has already resulted in multiple collaborative research projects, exchange of several IMG clinical fellows, combined journal clubs, research meetings and many other collaborations.

Under the leadership of our residency program director Dr. Colin Schieman, our educational and training program has substantially improved and expanded. Our residency program has recently received full approval by the Royal College of Physicians and Surgeons of Canada, for the first time since its inception. Our program has expanded over the last several years to include a variety of high levels IMG’s from various countries around the globe, including Belgium, England, Israel, Brazil, Saudi Arabia and Guyana. We also expanded our thoracic surgery sub-specialty residency which now includes two RCPSC high levels trainees. Our Thoracic Surgery residency curriculum has been fully revised by Dr. Schieman to embrace all recent CanMEDS competencies and is now the most up-to-date of its kind. Dr. Schieman is our representative at the Royal College Specialty Committee and is leading several national collaborations in Surgical Education ofThoracic Surgery trainees in Canada. Additionally, all our residents and fellows are actively involved with clinical research projects which have already yielded numerous podium presentations (see research section) and publications. Perhaps the best testament to the quality of our educational program is the fact that one of our IMG clinical fellows, Dr. Yury Peysakovich, had recently had the distinct honor of obtaining the highest score in the world on the international American Board of Thoracic Surgery In-Training Exams.

Under the leadership of our research director, Dr. Christian Finley, the research portfolio of our division has distinctly improved and our division is quickly developing a high quality profile of clinical research. Within less than 4 years, we have obtained more than 1.1 million dollars on non-industrial grants. As individuals, and as a division, we were the recipients of several prestigious grants from, among others, the Canadian Partnership Against Cancer, Heart and Stroke Foundation, HAHSO AFP-AHSC, Ontario Thoracic Society and the Lung Association. Our works have been presented on national and international forums such as the Canadian Association of Thoracic Surgeons , the American Association of Thoracic Surgeons, Society of Thoracic Surgery, Ontario Thoracic Oncology Conference and the European Association of Thoracic Surgeons. We are currently funding two research assistants and are involved with more than 20 ongoing studies. Dr. Finley has been the leading force behind the new establishment of a national Canadian Thoracic Surgery database, and is currently holding the position of vice chair research, Canadian Association of Thoracic Surgeons (CATS).

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Development of the Largest Lung Diagnostic Assessment Program (LDAP), operated between 3 sites ( SJHH, St. Catharines General and Brantford General Hospitals), seeing more than 1,350 new referrals yearly Creation of LHIN 4 guidelines for Thoracic Surgery emergencies, and formation of LHIN wide executive task force to implement those guidelines across the region (2012) Creating and developing the only Esophageal Diagnostic Assessment Program (EDAP) in Ontario. This unique program was recently awarded the Cancer Quality Council of Ontario (Cancer care Ontario) Award, December 2013 Creation of a unique “Celebration of Life” event, where lung cancer survivors are meeting yearly to share their journey and celebrate their life. This event is one of its kind in Canada, attracting hundreds of patients, family members and thoracic/ respirology oncology healthcare professionals, and was celebrated for 3 consecutive years so far. Drs Shargall and Peisakovich have received the “Best Educator of the year, Division of Thoracic Surgery, McMaster University” award for staff faculty and resident/fellow, perspectively, 2013 On May 2014, the division has started a new robotic surgery program (based at SJHH), led by Dr. Wael Hanna

The Division has grown to now have fifteen residents and two clinical fellows. As well as thirteen full time research staff and two part time staff. It continues to receive high picks in the CaRMS match and all the residents have passed their Royal College Examinations in Urology on their first try. They have been successful in securing positions in urology to date although this is seen as a significant challenge in the near future. The Division of Urology went through an Internal review of the program this year and received full approval with no major concerns indentified. The reviewers were very pleased with the involvement of the faculty in teaching and the number of organized teaching sessions. An increasingly important feature of this urology residency program has been the inclusion of the Milton and Burlington rotations at the PGY 3 & PGY 4 level. These rotations have become an integral part of our Division and have provided excellent experience in the community in urology. This year the residents have had a chance to train with the Greenlight simulator and the robotics simulator to enhance their skill development for leading edge technology. The Division of Urology has suspended its Laparoscopic Fellowship program down for one year because of a large number of chief residents next year. Faculty will be re-evaluating this program and its value to current graduates now that laparoscopic surgery is taught in most programs. The only other fellowship program is in renal transplantation which really acts to augment our clinic service. The Division has changed its involvement in the undergraduate program led by Dr. DeMaria and who now acts a Surgical Clerkship Director. Lectures used to be given in the hospital and now given on Wednesday to a larger group. Individuals from the department will be rotating through this role. The Division of Urology held its first Resident Research Day on October 4, 2013. Previously, this had been held in conjunction with University of Western Ontario. The Division of Urology also participated in the McMaster University Electives Fair for students determining their path at McMaster and was also included in the One Day Matters program. Dr Matsumoto participates in the STEPS program and individuals from the department will be taking this program.

The Division has had another successful year in research and in data collected by The Department of Surgery has had the second highest rate of publications over the past three years of any division. In particular, Dr. Braga has continued to develop his reputation as one of the leading figures in evidence based medicine in pediatric urology. He has had extensive publications this year as well as national and international presentations including the American Urologic Association and the Canadian Urologic Association meetings. Dr. Pinthus and his lab continues excellent basic science research and this year the lab moved from the Juravinski Cancer Centre to St. Josephâ&#x20AC;&#x2122;s Hospital and he will be working close with Dr. Richard Austin who he has collaborated with in the past. Dr. Pinthus continues to be recognized as leading figure in prostate cancer research and received an award as best poster in his moderated poster session at the American Urological Association Meeting this year.

Dr. Matsumoto continues to be recognized as one of the leading figures in medical education in Canada and had a new grant “ Development and validation of robotic assistant laparoscopic radical prostectomy competency assessment tool” funded by Surgical Associates. This grant resulted in a podium paper at the American Urological Association Meeting in 2013 which was very well received. It has also been accepted in the Canadian Urological Association meeting. Dr. Kapoor continues to publish extensively in the area of laparoscopic surgery of the kidney and use of agents for the treatment of metastatic kidney cancer and is involved in large number of medical trials involving these agents. Other members of the Division of Urology has also been successful in their research efforts and the residents have participated extensively in research activity. Dr. Rami Elias (PGY 3) in particular won second place Department of Surgery Research Day in November 2012 with an excellent paper related to his research in surgical education under Dr. Matsumoto. Dr. Michael Greenspan was recognized recently as the John C. Sibley Award winner for leading teacher of the part time faculty at McMaster University. An Upcoming event will recognize Dr Greenspan’s contributions. Dr .Kapoor visited China, Norman Bethune Society where he performed live surgery teaching a large number of Chinese surgeons how to perform laparoscopic partial nephrectomy. Dr. Bobby Shayegan has been named Head of Surgical Oncology at St. Joseph’s Hospital also Deputy Chief of Surgery. Dr. Shayegan has also spearheaded the development of the Di Vinci Robot system along with Dr Matsumoto performed over 100 cases. This has had significant impact on surgical outcomes and now that patients are discharged from hospital the next morning in 80% of cases.

The patient has done extremely well and the challenge is to continue to fund this area. The urologists participated in “It’s a man thing” at the Burlington Golf and Country Club to raise community awareness about this issue and to raise necessary funds.

from a conventional “open” surgical discipline to a specialty that provides a multifaceted approach to the management of vascular disease. The Division of Vascular Surgery at McMaster University has been at the forefront of this practice change in both adopting, and leading the transition to provide comprehensive surgical, endovascular and medical treatment for our patients. The transition has extended beyond patient care to the establishment of a formally recognized regional program, with expanding educational and research activity, and key roles in the development and implementation of provincial and national vascular surgery initiatives. Our division is committed to the development and delivery of quality contemporary care and will continue to respond to the changing needs of our patients and health-care system. This divisional commitment and adaptability is reflected in our clinical, educational, research and administrative activities over the past year. Under the direction of Dr. Theodore Rapanos, our residency program provides extensive hands-on experience to our vascular surgery trainees accelerating their development into accomplished and independent surgeons. In addition, our division trains “off-service” residents in diverse specialties such as Cardiac Surgery, General Surgery, Orthopaedic Surgery, Plastic Surgery and Urology. Division members tailor the rotations of these trainees to meet their specific educational needs to complement their core specialty experiences. Our faculty and residents welcome medical students of all levels of experience who wish to learn by actively participating in the management of our patients.

Our division members have had a number of clinical research projects and subsequent peer reviewed presentations and publications in top journals on diverse topics including, but not limited to, radiation safety in the endovascular era, best current evidence for endovascular aneurysm repair, management of infected stents, vascular reconstruction and resections in oncology, and post-operative care pathways and algorithms. In collaboration with our colleagues in vascular medicine and cardiology at the David Braley Cardiac, Vascular, and Stroke Research Centre we have participated and published on randomized controlled trials looking at peri-operative cardiac events, and have ongoing involvement in multi-centre studies looking at novel pharmacologic agents in the management of vascular disease. This collaborative activity is expected to strengthen and grow with our newest recruit (Dr. John Harlock) pursuing his masters degree in the highly regarded Health Research Methodology (HRM) program at McMaster University. Educational research presentations and or publications have looked at various facets of intra-operative teaching and an early experience with an international vascular surgery trainee exchange program.

Dr. Jacques Tittley – President of Canadian Society for Vascular Surgery. Renewal of Beamish Chair

Dr. David Szalay â&#x20AC;&#x201C; completed term as past chair of section of vascular surgery Ontario Medical Association, named to vascular surgery specialty committee Royal College and Clinical Lead LHIN 4 Vascular Surgery Dr. Theodore Rapanos â&#x20AC;&#x201C; ongoing as Program Director and Treasurer of Hamilton Academy of Medicine Dr. John Harlock â&#x20AC;&#x201C; joined staff with joint appointment to Hamilton and Niagara. Started studies in Health Research Methodology program. Dr. Vikram Iyer- Director of endovascular skills training and Surgeon Lead for vascular community outreach.

The Division of Vascular Surgery is committed to ongoing advancement in all aspects of its mandate. From a clinical perspective we are leading an initiative to fund, secure and develop a hybrid operating room and endovascular suite to allow us to provide con-

temporary care and maintain our leadership role in this area. We will continue our work at a regional and provincial level to advocate for re-organization and efficiencies to ensure best possible resource allocation to meet the growing needs of our patient population. On the education front further efforts are being made to ensure that our new direct -entry training program attracts the strongest candidates and trains the best future vascular specialists. These efforts include an increased involvement and presence at an undergraduate level to introduce students to the discipline and curriculum development and improvement for our post-graduate trainees. With divisional and chair support we are strengthening our research infrastructure and improving productivity by funding clinical research projects, presentations at academic conferences and protecting time for our faculty with demonstrated commitment to research. Through these strategies the division will continue to evolve and progress to meet the needs and challenges of an ever-changing discipline.

We have a strong commitment to education with a primary focus on undergraduate and postgraduate surgical training. Our residency program, under the direction of Dr. Nina Ahuja, continues to produce excellent graduates. Some have gone into practice and others have entered fellowships. We have two fellows in Oculoplastic surgery, supervised by Dr. Yasser Khan. Our fellows, Drs. Tiiu Hess and Li Wei Heng, will complete their fellowships in June. The Stringer Day in Ophthalmology, an annual event, was held in Niagara-on- the-Lake on May 24, 2014 and was a huge success. The caliber of presentations was superb. Weekly rounds, academic half days and monthly journal clubs are the backbone of our educational framework. Our recent internal review went well and no major issues were identified. We have a strong interest in ophthalmology amongst undergraduate learners and our elective program is very well subscribed. We also participate in the One Day Matters initiative and Clinical SkillsOphthalmoscope sessions, organized by the Undergrad MD program.

We continue to accentuate research in our division. We have perceived this to be a weakness in the past and are working to increase our productively in this area. Residents are required to complete one major research project throughout the course of their residency. Under the direction of Dr. P. Harvey, research coordinator, monthly research rounds encourage and provide ongoing research opportunity and support to our trainees.

We would like to congratulate Dr. Varun Chaudhary who has recently been appointed Chief of Ophthalmology for the hospital programs. We wish to thank Drs. Martin, Mann and Harvey, the outgoing chiefs. Dr. Jeffrey Sher our longtime cornea surgeon and director of our external disease program died at a young age. His enthusiasm and love of teaching will be sorely missed. We welcome Dr. Mark Fava who will direct our cornea and external disease program. Dr. Fava is Harvard trained and will be an asset to our program.

Dr. Kourosh Sabri yielded three podium presentations,one at the Canadian Retina Society and Canadian Orthoptic Society meeting and the other at the Canadian Pediatric Ophthalmology Society.

The Division of Ophthalmology will continue our strong commitment to education, patient care and surgical training. We will focus on increasing our research productivity while continuing to provide research opportunity and support to our current and future trainees.

Dr. Amodeo Rodriguez and Dr. Varun Chaudhary were recently promoted to Associate Professor. Dr. Amodeo Rodriguez received approval for his request for supervisory committee privileges in the Medical Sciences Graduate Program. The 2014 Resident Awards: Cataract Surgical Teacher of the Year – Dr. Nina Ahuja Non Cataract Surgical Teacher of the year – Dr. John Harvey Clinical teacher of the year – Dr. Gloria Isaza Resident Appreciation Award – Dr. Anne Beattie

Our strategy is simple — to be responsible to our patients by providing exemplary patient care, using best evidence to guide our decisions, and leading innovation in education and research. Our vision is to achieve excellence in evidence based clinical care, education and research. Our purpose is to empower the surgeons of tomorrow with the capacity for exemplary evidence based clinical care, critical thinking, creativity, professionalism and passion for lifelong learning.

The McMaster Orthopaedic Residency program, under the direction of Dr. Brad Petrisor & Dr. Michelle Ghert, is the first resident program to test the feasibility of CASPer (computer-based assessment of interpersonal skills and decision-making) in the CaRMS pre-interview process. CASPer has proven to be more reliable, require less applicant time, and predict with much more validity the subsequent performance. The adoption of CASPer ensures that the Division of Orthopaedic Surgery continues to recruit the best and the most promising students to our Division. Filled CaRMS positions: 2013-2014 6 new PGY1’s started July 1st 2013 3 SSP/CIP residents for 2013 2014-2015 4 IMG 2 CMG The McMaster Orthopaedic surgery residency program utilizes the Objective Structural Clinical Examination (OSCE) examination tool to assess the clinical competencies of our candidates. Each academic year two junior and two senior OSCEs are scheduled. Other educational resident training includes:

 7 Anatomy Labs  2 Sawbone Session/Labs  2 Journal Clubs  Undergraduate activities Had 60+ visiting undergraduate electives from July – December 2012. These undergraduates came from all over Canada, England, Australia, Poland, Europe and the United States of America. Fellowships The Division of Orthopaedic Surgery aims to attract top clinical and research-minded orthopaedic surgery fellows and provide them with the skills and knowledge required to function as excellent orthopaedic surgeons and researchers. The 2013-2014 academic year supported the following fellowships : 1 - Foot and Ankle 2 – Trauma 2 – Sports Med 2 – Upper Extremity 1 – Arthroplasty

The 2014-2015 academic year will support the following fellowships: 3 – Upper Extremity 2 – Trauma 1 – Sports Medicine 1 – Arthroplasty 1 – Spine

Dr. Bill Ristevski 2013 Dr. Nigel Colterjohn Resident Teaching Award: Voted by the Michael G. DeGroote School of Medicine Class of 2013 Dr. Michelle Ghert 2013 ABC (American-British-Canadian) Travelling Fellowship: First female Canadian ABC Travelling Fellow Dr. Desmond Kwok 2013 Medical Staff Association President’s Award for Distinguished Long Service: Exceptional teaching to residents in the Orthopaedics and Neurosurgery programs

The Centre for Evidence-Based Orthopaedics (CEO) was established in 2012 by Dr. Bhandari. CEO aims to improve patient care by producing high-quality clinical research that will answer clinically relevant questions. Since its establishment, CEO has already gained recognition as a leading research centre for evidence-based orthopaedics. CEO strives to continue improving the lives of persons with orthopaedic injuries, conditions, and disorders around the world by identifying and disseminating novel therapies through the conduct of high quality, collaborative research initiatives. The CEO research centre focuses on five major themes that contribute to the increasing global burden of orthopaedic trauma injuries worldwide: Research Units:  Trauma and Injury  Degenerative Joint Disease  Musculoskeletal Tumour Surgery  Sports Medicine  Disorders of the Spine

Dr. Jaydeep Moro 2013 Orthopaedic Surgery Preceptor Award: Voted by the Michael G. DeGroote School of Medicine Class of 2012 Dr. Dale Williams 2012 Dr. Nigel Colterjohn Resident Teaching Award: Voted by the Michael G. DeGroote School Medicine Class of 2012 Dr. Olufemi Ayeni 2012 Canadian Orthopaedic Research Legacy (CORL) grant for the Femoroacetabular Impingement RandomiSed controlled Trial (FIRST) Dr. Anthony Adili 2013 Italian Heritage Award of Distinction: Recognizing the positive impact that Dr. Adili has made in the Hamilton community 2012 Faculty Recognition Award: Recognizing excellence in educating, mentorship, research and professional endeavors. Dr. Victoria Avram and Dr. Jaydeep Moro 2012 Orthopaedic Surgery Teaching Award: Voted by the Michael G. DeGroote School of Medicine Class of 2012

Write-up on the intimate partner violence research led by Dr. Mohit Bhandari in The Globe and Mail Dr. Michelle Ghert’s PARITY trial featured on CBC News

Dr. Mohit Bhandari: 2014 McMaster Distinguished Alumni Award: Recognizing McMaster University graduates who have attained a high level of distinction and achievement. Order of Ontario: Recognizing individual excellence and achievements benefitting the people of Ontario or anywhere in the world. Dr. Mohit Bhandari has been inducted into the Canadian Academy of Health Sciences. 2013 Canadian Orthopaedic Foundation Research Award: Awarded by the Canadian Orthopaedic Research Legacy. 2012 Canadian Orthopaedic Association Award of Merit: Outstanding contribution to the art and science of orthopaedics. Dr. Matthew Denkers 2014 Stephen Abrahamson Award for outstanding innovation at the 2014 Innovations in Medical Education Conference in Los Angeles Dr. Devin Peterson 2013 Faculty Recognition Award: Recognizing excellence in educating, mentorship, research and professional endeavors

These conditions, which critically impact quality of life, are primarily investigated and treated by the physicians of the Otolaryngology-Head and Neck Division, in collaboration with Neurosurgery, and Plastic Surgery. In the last five years we have welcomed three Fellowshiptrained sub-specialists, Dr.Jason Archibald in Otology-Neurotology, Dr. Jonathan MacLean in Pediatric Otolaryngology, and Dr. Michael Gupta in Head and Neck Oncology. These recruits, along with the other seven Division members, mean that those sub-specialities as well as rhinology, skull base surgery, facial plastics, and general ENT are fully represented. We expect to recruit a Fellowship-trained Laryngologist to round out the clinical expertise available.

The Otolaryngology-Head and Neck Surgery Residency Program, which is direct-entry and five years long, commenced in 2005. It continues under the able leadership of Dr. Diane Reid as Program Director. We presently admit two trainees per year through the CaRMS match, and have been fortunate in attracting good trainees. The last RCPSC review conferred “full accreditation” status on the Program, which was described as “very good”. Of the seven residents who have graduated thus far, two have gone on to complete sub-speciality Fellowship programs. This year the state-of-the-art temporal bone dissection laboratory opened under the supervision of Dr. Jason Archibald. Divisional educational activities include weekly City-wide Grand Rounds, a weekly academic half day, regular Journal Club meetings open to community physicians, monthly radiology rounds, clinical skills and anatomy teaching sessions, and an annual Residents’ Research Day. Staff members present in local CME events. Undergraduate education is emphasized to the extent possible in the curriculum with large and small group sessions, horizontal and block electives, and occasional mentorship of students engaged in thesis-type studies. We anticipate that the pending laryngology recruit will have expertise in medical education, as Otolaryngology resident education is a fertile field for simulator training and methodology.

Our research has been predominantly clinical and health policy, with recent evaluative systematic reviews or retrospective studies on topics such as: the incidence of recurrent laryngeal nerve palsy after PDA surgery; a meta-analysis and systematic review of studies addressing pain control post-tonsillectome; a comparison of the effectiveness of endoscopic vs. microscopic techniques in cholesteatoma middle ear surgery; and molecular testing of cytologically indeterminate lesions of the thyroid. Prospective studies are also done. Two book chapters were authored or co-authored on head and neck reconstruction in the past year. Ongoing research includes innovations on local pedicle flaps, quality of life after head and neck cancer treatment, and improved methods to test for HPV on FNAB samples.

Dr. Doron Sommer continues as an examiner for the Royal College of Physicians and Surgeons. Drs. Michael Gupta and Stuart Archibald are members of the Cancer Care Ontario Head and Neck Disease Site Group. Our two senior residetns stood first and third respectively in the Canadian National in-training Examination last year; Dr. Strychowsky was awarded the third prize from the American Society of Pediatric Otolaryngology in the basic science category; Dr. Natasha Cohen is the first otolaryngology resident in the Clinical Investigator Program.

The increasing clinical load requires clinic space expansion and additional equipment. We anticipate establishing a Global Health Initiative for faculty and resident participation in the coming year, emphasizing teaching and training roles and exchange visits.

Together with Dr. Edward Dore, PGY4 Plastic surgery residents complete a two-month rotation and PGY2 Otolaryngology residents complete a one-month rotation. During their time within our division they complete extensive training in accordance with the Royal College objectives and requirements for the respective surgical specialty. Both surgical specialties focus on maxillofacial trauma exposure. Dr. Edward Dore also participates as a clinical supervisor for fellowships in Maxillofacial surgery.

Dr. Barrie Harnett: Member of Cleft Lip and Palate Team Osseointegration Study Club member Hamilton Dental Study Club Special Interests: Orthognathic Surgery and Treatment of Congenital and Developmental Jaw Deformities. Dr. Edward Dore Peri-operative Committee HHS Medical Advisory Committee â&#x20AC;&#x201C; St. Josephâ&#x20AC;&#x2122;s Health Care Heads of Surgical Services Committee HHS Heads of Surgical Services Committee SJH

Dr. Edward Dore received the Distinguished Long Service Award Medical Staff Association HHS

Randomized Trial Investigating the Safety of Morphine and Ibuprofen in Young Children after Tonsillectomy for Obstructive Sleep Apnea

Best Clinical Science Presentation Dr. Alexandra Nelson (PGY-5) A Sub Analysis of Pediatric Outpatient Burn Care Best Basic Science Presentation Dr. Hana Farhang (PGY-4) Evaluation of Ki-67 as a Histological Index of Burn Damage in a Swine Model

1st: Dr. Kuan Ng (Neurology CF) Apixaban vs. Aspirin for Stroke Prevention in Patients With Atrial Fibrillation > 75 Years Old: An Analysis from the AVERROES Trial

Best Clinical Epidemiology Presentation Dr. Sophocles Voineskos (PGY-3) Plastic Surgical Randomized Controlled Trials: Challenges and Opportunities for Evidence Based Plastic Surgery, A Systematic Review

2nd: Dr. Saleh Almenawer (NS PGY-6) Chronic Subdural Hematoma Management: A Systematic Review and Meta-analysis of 34829 Patients 3rd:

Drs. Robyn Whitney and Oksana Shlapak (Paeds Neurology) Validation of a Screening Migraine Questionnaire in the Pediatric Population: A Pilot Study

1st: Dr. Piotr Zareba (PGY-5) Incidence and Clinical Implications of Thromboembolic Events in Patients with Urothelial Carcinoma Undergoing CisplatinBased Neoadjuvant Chemotherapy

Rookie Award: Mr. Adrian Budhram (MD2014) Post-Anoxic Myoclonus: 50 Years Later, What More Do We Know?

2nd: Dr. Christopher Morris (PGY-3) Towards Development and Validation of an Intraoperative Objective Assessment Tool for Trainee Evaluation of Robotassisted Laparoscopic Radical Prostatectomy: Results of a Delphi Study to Create an Inventory of Procedural Steps

Best Overall Presentation: Dr. Joel Cooper (Western)

3rd: Dr. Soojin Kim (PGY-2) Prospective Analysis on the Diagnostic Performance of Measurements of the Normally Descended Gonad in Predicting Monorchidism in Boys with Unilateral Non-palpable Testis

Best McMaster Presentation: Mr. Fadi Elias (MD)

Canadian Vascular Surgery Residentsâ&#x20AC;&#x2122; Perceptions Regarding Future Job Opportunities

Clinical Outcomes Post Endovascular Treatment of Infrapopliteal Arterial Occlusive Disease: Meta Analysis and Systematic Review Best Western Presentation: Dr. Kevin Lee

1st: Dr. Tim Rice (PGY-4) A Randomized, Double-Blind, Placebo-Controlled Pilot Trial on the Efficacy of Early Enoxaparin: The Optimal Timing of Thromboprophylaxis in Traumatic Intracranial Haemorrhage Study

Graft Specific Conformity and Aortoiliac Tortuosity in Endovascular Abdominal Aortic Aneurysm Repair

2nd: Dr. Paige Churchill (PGY-4) A Nurse-Guided Rapid Assessment Program and Its Effect on Wait Times for Colorectal Cancer Surgery 3rd: Dr. Kathryn Howe (PGY-3) Transforming Growth Factor-Beta Ameliorates Intestinal Epithelial Barrier Dysfunction in a Cell Culture Model of HypoxiaReoxygenation

1st Dr. Julie Strychowsky (PGY-5) Unilateral Vocal Cord Paralysis after Congenital Cardiothoracic Surgery: A Systematic Review and Meta-Analysis 2nd :

Dr. Jay Ramakrishna (PGY-3)

On Friday October 25, 2013 the Surgery Reunion Gala weekend kicked off with a wine and cheese event at the Hamilton Convention Centre by Carmenâ&#x20AC;&#x2122;s. The attendees enjoyed the occasion, while reminiscing about their residency program, experiences as a faculty member and overall experiences within the Department of Surgery. On the morning of Saturday October 26th the Surgery Reunion Gala CME Lecture Series took place at McMaster University. A special thank you to the lecturers: Drs. Brian Cameron, Sheila Singh, Mark Walton, Bruce Wainman and Dave Musson. Each lecture brought a wealth of knowledge and great information on Surgical training here at McMaster University. On the evening of Saturday October 26th, the reunion gala dinner took place at the Hamilton Convention Centre by Carmenâ&#x20AC;&#x2122;s. The final event of the weekend truly marked a celebration of over 40 years of the department of surgery. Dr. John Kelton attended the event to say a few words about the University and the Department of Surgery. Dr. Adrian Park attended the event as the guest speaker for the evening. Surrounded by past colleagues, friends and classmates, the Department of Surgery celebrated over 40 years of the department and we hope to celebrate over 40 more! Thank you for all those who attended the Surgery Reunion Gala. The celebration of over 40 years of Surgery gave us all a time to reminisce about our time training or as faculty members here at McMaster. A special thank you to those who have contributed to the Surgical Education Fund. This fund will ensure our trainees receive ongoing support for the resources related to Surgical Skills Education. It will ensure our students will benefit from the best teachers and tools in the Department of Surgery. If you would like to make a special contribution to the Surgical Education Fund, please visit: www.givetomcmaster.ca Please reference the Surgical Education Fund #A3745A when making your gift.

Vascular Surgery

Pediatric Surgery

Otolaryngology/ Head & Neck

Orthopaedics

General Surgery

Dr. Adrian Park

Dr. John Kelton

It may be of interest to reflect on the exciting and busy events occurring in the alumni environment over the last few years. The 40th Anniversary of the Department which occurred during the last two years culminated in an exciting celebration organized by Dr. Susan Reid and her committee last October. At the Friday evening cocktail, there was a gathering of alumni, young and old for a delightful wine and canapé treat. Posters outlining activities and persons in the various Surgical Divisions as well as a gallery of the past and present Chairs of Surgery were on display. This was followed by an innovative lecture session at the MDCL on Saturday morning as well as a demonstration of the Surgical Skills Laboratory. The anniversary was culminated by an impressive gala, enticing conversation with old acquaintances, alumni and their spouses, reveling in the excellent dinner and enjoying talks by Doctors Susan Reid, Adrian Park and Dean John Kelton. It was truly an anniversary to be remembered. With regret, I wish to remember some of the alumni who could not attend, whom we lost during the past year, including Doctors Paul Lapp, Barb Mueller, Alan Ryley, George Mbolekwa, Stan Schatz and Bill Viviani. We were very sorry to see them go and express our condolences to the families. I am most familiar with the activities of older alumni of my era, but can comment on some of the wondrous accomplishments of some of the younger alumni. During my time as Chair of Surgery, I only met one female Chair of Surgery in all North America during the various meetings I attended. Dr. Susan Reid is the first lady at any Canadian University to attain the Chair of a University Department of Surgery. Dr. Mohit Bhandari, Head of the Division of Orthopedic Surgery has continued to gain international recognition due to his research activities and also clinical trial expertise. He has recently become a member of the Order of Ontario, a formidable achievement for an Ontario surgeon. Doctors Mehran Anvari [Centre for Minimal Access Surgery] Sheila Singh [Surgeon Scientist Program] and Mohit Bhandari, have brought substantial research money and prestige into the Department of Surgery. Administrative achievements have also been earned by Doctors Peter Fitzgerald [President of the Children's Hospital] and Mark Walton [Assistant Dean, Postgraduate Medical Education] and Ved Tandan [President of the Ontaria Medical Association]. Some of the retired and semiretired alumni have also been busy. Both Dr. Frank Baille and I were honoured to have been invited by Dr. Susan Reid to the organizational committee to help prepare for the 40th anniversary festivities. Some of the semi-retired older alumni unwilling to tear themselves away from the surgical suites now keep busy by assisting at surgery. Dr. Robert Hollenberg has switched career from Pediatric Neurosurgery to Palliative Care. I myself completed 15 years of research, during retirement, on a potassium channel blocker which improves reduced sensorimotor function due to spinal cord injury and multiple sclerosis. It was approved by the FDA and is now available worldwide. Dr. Frank Baillie, the quintessential member of countless committees and master administrator, Past Director of

the McMaster Surgery Postgraduate Surgery Program, Past Chief of Surgery at Hamilton Health Sciences and Past President of the HHS Medical Staff Association and other endeavors has finally relinquished a few positions but remains on the Executive Committee of the Hamilton Medical Legal Society. Dr. Bill Orovan, Past Chair of Surgery has evolved into the Associate Dean, Clinical Services of the Faculty of Health Science, McMaster University. I would encourage retirees to remain active in the various University and local facets open to them. The annual staff dinners at St. Joseph's Hospital and the Hamilton Health Sciences are free for retired staff members. The McMaster University Retirees Association also gives an annual luncheon at Convocation Hall, free to retired geographic full-time faculty members. The Hamilton Academy of Medicine hosts a meeting and dinner for members and spouses. It is an excellent meeting to attend. At the last meeting, an entire table was reserved for retired surgeons and their spouses. Also at that meeting, Dr. Stuart Martin was awarded a 25 year membership pin. Fifty year membership awards were received by Doctors Earl Isbister, Gabriel Jeremias, Zenon Kiss and Walter M. Podedworny. OMA Life Membership awards were presented to Doctors Frank Baillie and Walter Kobetz. Dr. Mark Walton received the OMA Advocate for Students & Residents Award. There is also a retired old doctors eating out (RODEO) luncheon arranged by Dr. Dan Kraftcheck through the Hamilton Academy of Medicine at various top-notch restaurants, where all retired physicians can meet and socialize, usually on a monthly basis. It has been very well attended. I encourage all retired surgeons to continue whenever possible to attend specialty and grand surgical rounds since a lot of the younger surgeons and older surgeons do not know one another. This is the place to meet. Dr. Barb Mueller attended surgical rounds into his 80s. His advice, experience and teaching abilities were much appreciated by the residents and staff. Moreover, it is good to keep up to date with the latest developments especially for maintenance of competence. Surgeons are excellent teachers in the McMaster problem-based small group sessions and also in the teaching of anatomy and other courses. They are very much sought by the Faculty to be involved with students in a number of ways. As opposed to the “good old days” when we used to teach an average of 100 hours per year for nothing, now there are standard fees for most teaching sessions. The specialty Annual Research Days are very exciting to go to and especially to keep up to date with the latest advances and thoughts in various surgical precepts. There is no doubt that when you attend, your presence will be gratefully noted. Robert Hansebout MD MSc CSPQ FRCSC FAANS FACS

Department of Surgery Reunion Gala Planning Committee after a successful evening: From left to right: Maryann Vasic, Executive Director of the Hamilton Academy of Medicine; Julia Smerilli, Special Events and Communication Coordinator; Dr. Robert Hansebout, Professor Emeritus, Past Chair; Dr. Susan Reid, Current Chair of the Department of Surgery; Dr. Frank Baillie, Associate Chair of Administration; & Cathy Turner, Director of Administration.

Professor and Chair Reid, Susan

General Surgery

Associate Professor and Associate Chair, Education Kelly, Stephen

General Surgery

Professor and Associate Chair, Research Bhandari, Mohit Orthopaedic Surgery

Professor Emeritus Hansebout, Robert Harvey, John Martin, Robert Whelan, Paul

Neurosurgery Ophthalmology Orthopaedic Surgery Urology

Geographic Full-Time Professor Anvari, Mehran Bain, James Cameron, Brian Dath, Deepak DeMaria, Jorge Fitzgerald, Peter Flageole, Helene Kapoor, Anil Lamy, Andre Marcaccio, Michael Miller, John Stacey, Michael Orovan, William Walton, Mark

General Surgery Plastic Surgery Pediatric Surgery Urology Urology Pediatric Surgery Pediatric Surgery Urology Cardiac Surgery General Surgery Thoracic Surgery Vascular Surgery Urology Pediatric Surgery

Associate Professor Adili, Anthony Amin, Nalin Archibald, Jason Archibald, Stuart Avram, Ronen Avram,. Victoria Ayeni, Femi Baillie, Frank Braga, Luis Burrow, Sarah Cadeddu , Margherita Chaudhary, Varun Chu, Victor Cybulsky, Irene

Orthopaedic Surgery General Surgery Otolaryngology & Head & Neck Otolaryngology & Head & Neck Plastic Surgery Orthopaedic Surgery Orthopaedic Surgery General Surgery Pediatric Urology Pediatric Orthopaedics General Surgery Ophthalmology Cardiac Surgery Cardiac Surgery

Ghert, Michelle Gunnarsson, Thorsteinn Harvey, Patricia Hodgson, Nicole Isaza, Gloria Jiang, Shucui Kachur, Edward Kahnamoui, Kamyar Klurfan, Paula Korman, Bruce Lee, John Levis, Carolyn Lovrics, Peter Matsumoto, Edward Peterson, Devin Petrisor, Brad Piercey, Kevin Pinthus, Jehonathan Rodriguez, Amadeo Ruo, Leyo Sabri, Kourosh Semelhago, Lloyd Shargall, Yaron Shayegan, Bobby Simunovic, Marko Singh, Sheila Sne, Niv Stephen, Wesley Strumas, Nick Szalay, David Tandan, Ved Tittley, Jacques Whitlock, Richard

Orthopaedic Surgery Neurosurgery Ophthalmology General Surgery Ophthalmology Neurosurgery Neurosurgery General Surgery Neurosurgery Otolaryngology & Head & Neck Cardiac Surgery Pediatric Surgery General Surgery Urology Pediatric Orthopaedics Orthopaedic Surgery Urology Urology Ophthalmology General Surgery Ophthalmology Cardiovascular Thoracic Surgery Urology General Surgery Neurosurgery General Surgery General Surgery Plastic Surgery Vascular Surgery General Surgery Vascular Surgery Cardiac Surgery

Assistant Professor Ajani, Olufemi Bailey, Karen Cenic, Aleksa Choi, Matthew Cooper, Jim Davies, Timothy Deheshi, Benjamin Denkers, Matthew Dickson, Lisa Duivenvoorden, Helga Dyub, Adel Engels, Paul Eskicioglu, Cagla Finley, Christian Forbes, Shawn

Pediatric Neurosurgery Pediatric Surgery Neurosurgery Plastic Surgery Plastic Surgery Urology Orthopaedic Surgery Orthopaedic Surgery Plastic Surgery Research Cardiology Trauma General Surgery Critical Care General Surgery Thoracic Surgery General Surgery

Gmora, Scott Gupta, Michael Hanna, Wael Harlock, John Hong, Dennis Iyer, Vikram MacLean, Jonathan Parry, Dominic Rapanos, Ted Ristevski, Bill Schieman, Colin Serrano, Pablo Sogbesan, Enitan Yang, Ilun Williams, Dale Winter, A. Leo

Minimally Invasive GI & Bariatric Otolaryngology & Head & Neck Thoracic Surgery Vascular Surgery General Surgery Vascular Surgery Otolaryngology & Head & Neck Cardiac Surgery Vascular Surgery Orthopaedic Surgery Thoracic Surgery General Surgery Ophthalmology General Surgery Orthopaedic Surgery Urology

Part-time Clinical Professor Bednar, Drew Sommer, Doron Keshavjee, Shafique Mah, Jung Reddy, Kesava Thoma, Achilles Young, JEM

Orthopaedic Surgery Otolaryngology & Head & Neck General Surgery/ Cardiovascular/Thoracic Orthopaedic Surgery Neurosurgery Plastic Surgery General Surgery/ Otolaryngology/ Thoracic Surgery

Associate Clinical Professor Ahuja, Nina Csordas, James Dal Cin, Arianna Drew, Brian Dunlop, Brett Foster, Stephen Gagic, Nenad Gregor, Paul Harnett, Barry Hollenberg, Robert Josefchak, Robert Kessaram, Robert Lachowski, Richard Murty, Naresh Ogilvie, Rick Philippon, Marc Prodger, Dwight Ram Mohan, Surianarayanan

Ophthalmology Ophthalmology Plastic Surgery Orthopaedic Surgery Orthopaedic Surgery General Surgery General Surgery General Surgery Oral & Maxillofacial Surgery Pediatric Neurosurgery Orthopaedic Surgery General Surgery Orthopaedic Surgery Neurosurgery Orthopaedic Surgery Orthopaedic Surgery General Surgery General Surgery/ Vascular Surgery

Assistant Clinical Professor

Kobetz, Lawrence Kobylecky, Anna Korkis, Joseph

Baeta, Basil Baker, Darrel Ballagh, Robert

Lamont, Robert Lemckert, Ronald

Beattie, Anne Beiko, George Bindlish, Rajiv Blewett, Christopher Bowser, Daniel Brien, Heather Caetano, Helen Campbell-Moscrop, Allan Carleson, Lloyd Cranford, Jeffrey Dale, Norman Davis, Ian Devilliers, Rocco Dore, Edward Dunin-Bell Eino, Dalia Fava, Mark Fischer, Marc Anthony Gafoor, Mohamed Gehman, Kenneth Greenspan, Michael Guirguis, Emad Harpur, George Harris, William Hasanee, Khalid Heddle, Stewart Heller, Barbara Hertiz, Dianne Hillson, Tim Holler, Theresa Huq, Nasimul Hynes, Nicolas Jackson, Bernard Jeney, Elizabeth Khan, Yasser

General Surgery General Surgery Otolaryngology & Head & Neck Ophthalmology Ophthalmology Ophthalmology General Surgery General Surgery General Surgery Otolaryngology & Head & Neck Plastic Surgery

Macmillan, James Mann, Keith Mapeso, Gabriel Martin, David Martin, James Martin, Stuart Menkarios, Gamal Missiuna, Paul Moro, Jaydeep Mosakoski, Joan

Plastic Surgery General Surgery Orthopaedic Surgery Urology Neurosurgery Oral & Maxillofacial Surgery General Surgery Ophthalmology Ophthalmology Urology

Nandagopal, Narayanan Nasser, Hamid Nijhawan, Navdeep Patterson, Robert Petrelli, Tina Porte, Arthur Pugh, David Punthakee, Dinshaw Rajaratnam, Krishan Reed, John Richie, Steven Rifkind, Aaron Robert, Paul Robichaud, Jeff

General Surgery/ Cardiovascular/ Thoracic Surgery General Surgery/ Thoracic Surgery Urology General Surgery General Surgery General Surgery Ophthalmology Plastic Surgery General Surgery Urology Ophthalmology Otolaryngology & Head & Neck Plastic Surgery Plastic Surgery Otolaryngology & Head & Neck Otolaryngology & Head & Neck Ophthalmology

Sadler, John Saunders, Louis Sawula, Donald Song, Tom Telang, Harshad Wiesenthal, Alain Williard, Peter Zalzal, Paul

Ophthalmology General Surgery Otolaryngology & Head & Neck General Surgery Otolaryngology & Head & Neck General Surgery Ophthalmology General Surgery Orthopaedic Surgery Ophthalmology Plastic Surgery Otolaryngology & Head & Neck Orthopaedic Surgery Orthopaedic Surgery General Surgery/ Cardiovascular/ Thoracic Surgery Plastic Surgery General Surgery/ Thoracic Surgery Ophthalmology Plastic Surgery Nurse Practitioner, Pediatric Neurosurgery Orthopaedic Surgery Orthopaedic Surgery Orthopaedic Surgery Orthopaedic Surgery General Surgery Orthopaedic Surgery Ophthalmology Orthopaedic Surgery Otolaryngology & Head & Neck Orthopaedic Surgery Orthopaedic Surgery General Surgery Urology General Surgery Otolaryngology & Head & Neck General Surgery Orthopaedic Surgery

Adjunct Abdel-Malik, Rafik Ramzy Adam, Robert Akkor, Sueda Al-Harbi, Khalid Eid Abdullah Alexander, Pradeep John Arshinoff, Steve Atlas, Jason Todd Bindlish, Vinita Bischoff, Markus Brown, Ian Bui, Luke Calotti, Faidi Casselman, Ronald Chahal, Vickramjit Chan, Edward Chan, Toby Chaterjee, Suman Chiasson, Paul Flamand, Francois Flores, Luis Gamble, Patrick Geddes, Christopher Geddes, Scott Gharsaa, Osama Gowing, Robert Green, Lawrence Grosso, Paul Haddad, Dimitri Hamour, Faisal Hanrahan, Renee Hassard, Frank Hupel, Thomas Husien, Mohamed Irshad, Kashif Jamal, Munir Jansz, Godfrey Kalchman, Marc Khan, Iqbal Khetani, Justin Klinghoffer, Zachary Kolyn, Donna Kwan, Kevin Kwok, Desmond Le Roux, Bartholomeus

Leclerc, Yves General Surgery Ophthalmology Ophthalmology General Surgery Orthopaedic Surgery Ophthalmology Otolaryngology & Head & Neck Otolaryngology & Head & Neck Orthopaedic Surgery Urology General Surgery Ophthalmology Urology Plastic Surgery General Surgery Ophthalmology Urology Thoracic Surgery General Surgery Orthopaedic Surgery Orthopaedic Surgery Orthopaedic Surgery General Surgery Orthopaedic Surgery General Surgery/ Vascular Surgery General Surgery Orthopaedic Surgery Orthopaedic Surgery General Surgery General Surgery Ophthalmology Orthopaedic Surgery General Surgery General Surgery/ Thoracic Surgery Urology Urology Orthopaedic Surgery General Surgery Otolaryngology & Head & Neck Urology General Surgery Urology Orthopaedic Surgery Orthopaedic Surgery

Liaconis, Harry Lisi, Michael Love, William Lu, Christopher Makar, Hossam Manjoo, Ajay Masnyk, Robert Mathew, Paul McCall, John McKenzie, Scott Minet, Wyatt Moammer, Gemah Morris, Thomas Muir, Craig Oâ&#x20AC;&#x2122;Sullivan, John Ostrowski, John Pawliwec, Walter Phillips, Stephanie Poenaru, Dan Rabinovich, Alexander Rittenhouse, Bryan Robert, Christopher Rogers, James Sayal, Manoj Sharda, Rajeshvar Sharkey, Paul Sheikh, Amber Shenker, Robert Shortt, Rodger Sing, Roland Singh, Ravinder Snider, Matthew Song, John Sower, Richard Stevens, David Stevenson, Peter Teoh, Kevin Venkateswaran, Vikram Voice, Sandra Westerholm, Jessica Woolfrey, Michael Young, Peter de Kleer, Nancy

Cardiovascular / Thoracic Surgery General Surgery General Surgery Urology Orthopaedic Surgery General Surgery Orthopaedic Surgery Orthopaedic Surgery Orthopaedic Surgery Orthopaedic Surgery Orthopaedic Surgery Otolaryngology & Head & Neck Orthopaedic Surgery Urology General Surgery Orthopaedic Surgery Orthopaedic Surgery General Surgery General Surgery General Surgery/ Pediatric Surgery Orthopaedic Surgery Orthopaedic Surgery Orthopaedic Surgery General Surgery General Surgery Ophthalmology General Surgery Ophthalmology Plastic Surgery Plastic Surgery Urology General Surgery Orthopaedic Surgery Orthopaedic Surgery Urology Orthopaedic Surgery Orthopaedic Surgery General Surgery/ Cardiovascular/ Thoracic Surgery Orthopaedic Surgery Plastic Surgery General Surgery Orthopaedic Surgery Plastic Surgery Plastic Surgery

Professor (Part-Time) Farrokhyar, Forough

Director SRM

Assistant Professor (Part-Time) Butuner, Zuhal Sonnadara, Ranil

Ophthalmology Research, Skills Acquisition & Medical Education

Cardiac Surgery Ainsworth CD, Salehian O, Nair V, Whitlock RP. A bloody mass: Rare cardiac tumor as a cause of symptomatic ventricular arrhythmias. Circulation. 2012 Oct 9;126 (15):1923-31. IF=14.739 Arsenault KA, Paikin JS, Hirsh J, Dale B, Whitlock RP, Teoh K, Young E, Ginsberg JS, Weitz JI, Eikelboom JW. Subtle differences in commercial heparins can have serious consequences for cardiopulmonary bypass patients: A randomized controlled trial. J Thorac Cardiovasc Surg. 2012 Oct;144(4):944-950.e3. IF=3.406 Bagai A, Cantor WJ, Tan M, Tong W, Lamy A, Fitchett D, Cohen EA, Mehta SR, Borgundvaag B, Ducas J, Heffernan M, Džavík V, Morrison L, Schwartz B, Lazzam C, Langer A, Goodman SG. Clinical outcomes and cost implications of routine early PCI after fibrinolysis: One year follow-up of the Trail of Routine Angioplasty and Stenting after Fibrinolysis to Enhance Reperfusion in Acute Myocardial Infarction (TRANSFER-AMI) study. Am Heart J. 2013 Apr;165(4):630-637.e2. IF=4.651 Dale B, Eikelboom JW, Wietz JI, Young E, Paikin JS, Coppens M, Whitlock RP, Connolly SJ, Ginsberg JS, Hirsh J. Dabigatran attenuates thrombin generation to a lesser extent than warfarin: could this explain their differential effects on intracranial hemorrhage and myocardial infarction? J Thromb Thrombolysis 2013 Feb;35(2):295301IF=1.476 Deb S, Cohen EA, Singh SK, Une D, Laupacis A, Fremes SE, RAPS Investigators. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: Results from RAPS (Radial Artery Patency Study). Journal of American College of Cardiology. July 2012;60 (1):28-35. IF=14.156 Lamy A, Devereaux PJ, Prabhakaran D, Taggart DP, Hu S, Paolasso E, Straka Z, Piegas LS, Akar AR, Jain AR, Noiseux N, Padmanabhan C, Bahamondes JC, Novick RJ, Vaijyanath P, Reddy SK, Tao L, Olavegogeascoechea PA, Airan B, Sulling TA, Whitlock RP, Ou Y, Pogue J, Chrolavicius S, Yusuf S; CORONARY Investigators. Effects of off-pump and on-pump coronary bypass grafting at 1 year. N Engl J Med. 2013 Mar 28;368(13):1179-88. IF=53.298 Siddiqui NF, Coca SG, Devereaux PJ, Jain AK, Li L, Luo J, Parikh CR, Paterson M, Philbrook HT, Wald R, Walsh M, Whitlock R, Garg AX. Secular trends in acute dialysis

after elective major surgery – 1995-2009. CMAJ. 2012 Aug 7;184(11):1237-45. IF=9.015 Une D, Deb S, Chikazawa G, Kommaraju K, Tsuneyoshi H, Karkhanis R, Singh S, Vincent J, Tsubota H, Sever J, Moussa F, Cohen G, Christakis GT, Fremes SE. Cut-off values for transit time flowmetry: Are the revision criteria appropriate? J Card Surg. 2013 Jan;28(1):3-7. IF=0.865 Whitlock RP, Eikelboom JW. Prevention of thromboembolic events after bioprosthetic aortic valve replacement: What is the optimal antithrombotic strategy? J Am Coll Cardiol. 2012 Sep 11;60(11):978-80. IF=14.156 Bainey KR, Natarajan MK, Mercuri M, Lai T, Teoh K, Chu V, Whitlock RP, Velianou JL. Treatment assignment of high-risk symptomatic severe aortic stenosis patients referred for transcatheter aortic valve implantation. Am J Cardiol. 2013 Jul 1;112(1):100-3. IF=3.368 *Botto F et al. (Named co-authors: Bhandari M, Lamy A, Reddy D, Szalay D, Tittley J, Whitlock R, Debeer J, Pinthus J, Simunovic M, Winemaker M, Adili A, Lovrics P, Orovan W) Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Writing Group, on behalf of The Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Investigators; Myocardial injury after noncardiac surgery: A large, international prospective cohort study establishing diagnostic criteria, characteristics, predictors and 30-day outcomes. Anesthesiology. 2014 Mar;120(3):564-78. IF=5.163 Garg AX, Vincent J, Cuerden M, Parikh C, Devereaux PJ, Teoh K, Yusuf S, Hildebrand A, Lamy A, Zuo Y, Sessler DI, Shah P, Abbasi SH, Quantz M, Yared JP, Noiseux N, Tagarakis G, Rochon A, Pogue J, Walsh M, Chan MT, Lamontagne F, Salehiomran A, Whitlock R; SIRS Investigators. Steroids in cardiac Surgery (SIRS) trial: Acute kidney substudy protocol of an international randomized controlled trial. BMJ Open. 2014 Mar 5;4(3):e004842. IF=1.583 Holmes DR Jr, Lakkireddy DR, Whitlock RP, Waksman R, Mack MJ. Left Atrial Appendage Occlusion: Opportunities and challenges. J Am Coll Cardiol. 2014 Feb 4;63 (4):291-8. IF=14.086 Juvet T, Al-Khalifa A, Singh SK. Survival following traumatic ventricular rupture and prolonged ambulance transport in a patient with previous coronary artery bypass surgery. J Card Surg. 2013 Nov;28(6):684-6. IF=1.351 Murphy GS, Whitlock RP, Gutsche JT, Augoustides JG.

Steriods for adult cardiac surgery with cardiopulmonary bypass: Update on dose and key randomized trials. J Cardiothorac Vasc Anesth. 2013 Oct;27(5):1053-9. IF=1.448

Laut J, Patterson EJ. Omentectomy added to Roux-en-Y gastric bypass surgery: A randomized controlled trial. Surg Obes Relat Dis. 2013 Mar-Apr;9(2):269-75. IF=3.929.

*Whitlock RP, Hanif H, Danter M. Nonpharmacologic approachs to stroke prevention in atrial fibrillation. Can J Cardiol. 2013 Jul;29(7 Suppl):S79-86. IF=3.122

*Elnahas A, Graybiel K, Farrokhyar F, Gmora S, Anvari M, Hong D. Revisional surgery after failed laparoscopic adjustable gastric banding: A systematic review. Surg Endosc. 2013 Mar;27(3):740-5 IF=4.013

Whitlock R, Healey J, Vincent J, Brady K, Teoh K, Royse A, Shah P, Guo Y, Alings M, Folkeringa RJ, Paparella D, Colli A, Meyer SR, Legare JF, Lamontagne F, Reents W, Böning A, Connolly S. Rationale and design of the Left Atrial Appendage Occulsion Study (LAAOS) III. Ann Cardiothorac Surg. 2014 Jan;3(1):45-54. IF=n/a Whitlock R, Mathew J, Eikelboom J, Al-Saleh AM, Yuan F, Teoh K. Processed residual pump blood in cardiac surgery: The Processed Residual Pump Blood in Cardiac Surgery Trial. Transfusion. 2013 Jul;53(7):1487-92. IF=3.217 Whitlock RP, Vincent J, Blackall MH, Hirsh J, Fremes S, Novick R, Devereaux PJ, Teoh K, Lamy A, Connolly SJ, Yusuf S, Carrier M, Healey JS. Left Atrial Appendage Occlusion Study II (LAAOSII). Can J Cardiol. 2013 Nov;29(11):1443-7. IF=3.122Hassard, Frank General Surgery *Al-Heeti KN, Nassar AK, Decorby K, Winch J, Reid S. the effect of general surgery clerkship rotation on the attitude of medical students towards general surgery as a future career. J Surg Educ. 2012 Jul;69(4):544-9. IF=1.376 *Almenawer S, Bogza I, Yarascavitch B, Sne N, Farrokhyar F, Murty N, Reddy K. The value of scheduled repeat cranial computed tomography following mild head injury: Single-centre series and meta-analysis. Neurosurgery. 2013 Jan;72(1):56-64. IF=2.785 *Aminazadeh N, Farrokhyar F, Naeeni A, Naeeni M, Reid S, Kashfi A, Kahnamoui K. Is Canadian surgical residency training stressful? Can J Surg. 2012 Aug;55(4):S145-51. IF=1.054 Baxter NN, Sutradhar R, Delguidice ME, Forbes S, Paszat LF, Wilton AS, Urbach D, Rabeneck L. A population-based study of rates of childbirth in recuurence-free female yound adult survivors of non-gynecologic malignancies. BMC Cancer. 2013 Jan 23;13:30. IF=3.011 Dath D, Hoogenes J, Matsumoto ED, Szalay DA. Exploring how surgeon teachers motivate residents in the operating room. Am J Surg. 2013 Feb;205(2):151-5. IF=2.776

Eskicioglu C, Gagliardi AR, Fenech DS, Forbes SS, McKenzie M, McLeod RS, Nathens AB. Surgical site infection prevention: A survey to identify the gap between evidence and practice in University of Toronto. Can J Surg. 2012 Aug;55(4):233-8. IF=1.054 Forbes SS, McLean RF. Review Article: The anesthesiologist’s role in the prevention of surgical site infections. Can J Anaesth. 2013 Feb;60(2):176-183. IF=2.346 Gallinger S, Biagi JJ, Fletcher GG, Nhan C, Ruo L, McLeod RS. Liver resection for colorectal cancer metastases. Curr Oncol. 2013 Jun;20(3):e255-65. IF=1.625 Heo J, Reid T, Ruo L, Breitbach CJ, Rose S, Bloomston M, Cho M, Lim HY, Chung HC, Kim CW, Burke J, Lencioni R, Hickman T, Moon A, Lee YS, Kim MK, Daneshmand M, Dubois K, Longpre L, Ngo M, Rooney C, Bell JC, Rhee BG, Patt R, Hwang TH, Kirn DH. Randomised dose –finding clinical trial of oncolytic immunotherapeutic vaccinia JX-594 in liver cancer. Nat Med. 2013 Mar;19 (3):329-36. IF=22.864 *Kittmer T, Hoogenes J, Pemberton J, Cameron BH. Exploring the hidden curriculum: A qualitative analysis of clerks’ reflections on professionalism in surgical clerkship. Am J Surg. 2013 Apr;205(4):426-33. IF=2.776 *Lovrics PJ, Gordon M, Cornacchi SD, Farrokhyar F, Ramsaroop A, Hodgson N, Quan ML, Wright F, Porter G. Practice patterns and perceptions of margin status for breast conserving surgery for breast carcinoma: National Survey of Canadian General Surgeons. Breast. 2012 Dec;21(6):730-4. IF=2.491 Kim SHH, Cornacchi SD, Heller B, Farrokhyar F, Babra M, Lovrics PJ. An evaluation of intra-operative digital specimen mammography versus conventional specimen radiography for the excision of nonpalpable breast lesions. Am J Surg. 2013 Jun;205(6):703-10 IF=2.776 *Kittmer T, Hoogenes J, Pemberton J, Cameron BH. Exploring the hidden curriculum: A qualitative analysis of clerks’ reflections on professionalism in surgical clerkship. Am J Surg. 2013 Apr;205(4):426-33IF=2.776

Dillard TH, Purnell JQ, Smith MD, Raum W, Hong D,

*Maruscak AA, VanderBeek L, Ott MC, Kelly S, Forbes TL. Implications of current resident work-hour guidelines on the future practice of surgery in Canada. J Surg Educ. 2012 Jul;69(4):487-92. IF=1.376 Mazzetti IA, Marcaccio MJ, Boutross-Tadross O, Salehian O, Demers C. The ace of spades: Reverse takotsubo cardiomyopathy in the context on angiographic embolization of recurrent metastatic serotonin-positive neuroendocrine tumour of the pancreas. Case Rep Med. 2013;2013:793193. If=n/a (OA) O'Brien MA, Charles C, Whelan TJ, Ellis PM, Gafni A, Lovrics P. Womenâ&#x20AC;&#x2122;s perceptions of their involvement in treatment decision making for early stage breast cancer. Support Care Cancer. 2013 Jun;21(6):1717-23. If=2.597 Payrastre J, Upadhye S, Worster A, Lin D, Kahnamoui K, Patterson H, Sanaee L, Clayden R. The SCRAP Rule: The derivation and internal validation of a clinical decision rule for computed tomography of the chest in blunt thoracic trauma. CJEM. 2012 Nov;14(6):344-53. IF-1.184 *Qadura M, Pervaiz F, Harlock JA, Al-Azzoni A, Farrokhyar F, Kahnamoui K, Szalay DA, Rapanos T. Mortality and revintervention following elective abdominal aortic aneurysm repair. J Vasc Surg. 2013 Jun;57(6):16761683.e1. IF=3.153 Radhi J, Ara S, Ruo L. Hepatic Metastasis of composite adenocarcinoma and neuroendocrine carcinoma. J Gastrointest Cancer. 2011 Apr 26. [Epub ahead of print] IF=n/a Reedijk M, Hodgson N, Gohla G, Boylan C, Goldsmith CH, Foster G, Cornacchi SD, McCready D, Lovrics PJ. A prospective study of tumour and technical factors associates with positive margins in breast-conservation therapy for nonpalpable malignancy. Am J Surg. 2012 Sep;204 (3):263-8. IF=2.776 Sutradhar R, Forbes S, Urbach DR, Paszat L, Rabeneck L, Baxter NN. Multistate models for comparing trends in hospitalizations among young adult survivors of colorectal cancer and matched controls. BMC Health Serv Res. 2012 Oct 9;12:353. IF=1.660 Zurita Mv LC, Tabari M, Hong D. Laparoscopic conversion of laparoscopic Roux-en-Y gastric bypass to laparoscopic sleeve gastrectomy for intractable dumping syndrome and excessive weight loss. Surg Obes Relat Dis. 2013 Mar-Apr;9(2):e34-7. IF=3.929 *Agzarian J, Miller JD, Kosa SD, Malthaner R, Tan L; Canadian Volume Reduction Surgery Study Group. Long Term survival analysis of the Canadian Lung Volume Reduction Surgery Trial. Ann Thorac Surg. 2013 Oct;96

(4):1217-22. IF=3.454 An R, Khadar GW, Wilk EI, Emigh B, Haugen HK, Wohl GR, Dunlop B, Anvari M, Hayward JE, Fang Q. Ultrafast laser ablation and machining large-size structures on porcine bone. J Biomed Opt. 2013 Jul 1;18(7):70504. IF=2.881 *Botto F et al. (Named co-authors: Bhandari M, Lamy A, Reddy D, Szalay D, Tittley J, Whitlock R, Debeer J, Pinthus J, Simunovic M, Winemaker M, Adili A, Lovrics P, Orovan W) Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Writing Group, on behalf of The Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Investigators; Myocardial injury after noncardiac surgery: A large, international prospective cohort study establishing diagnostic criteria, characteristics, predictors and 30-day outcomes. Anesthesiology. 2014 Mar;120(3):564-78. IF=5.163 Davies DA, Hamilton J, Dettmer E, Birken C, Jeffery A, Hagen J, Anvari M, Langer JC. Adolescent bariatric surgery: The Canadian perspective. Semin Pediatr Surg. 2014 Feb;23(1):31-6. IF=2.395 Elnahas AI, Jackson TD, Hong D. Management of failed laparoscopic Roux-en-Y gastric bypass. Bariatr Surg Pract Patient Care. 2014 Mar 1;9(1):36-40. IF= n/a *Engels PT, Passos E, Beckett AN, Doyle JD, Tien HC. IV access in bleeding trauma patients: A performance review. Injury. 2014 Jan;45(1):77-82. IF=2.174 Farquharson MJ, Al-Ebraheem A, Cornacchi S, Gohla G, Lovrics P. The use of x-ray interaction data to differentiate malignant from benign breast tissue at surgical margins and biopsy analysis. X-ray Spectrometry 2013; Sept, 42 (5):349-58. IF=1.445 *Francescutti V, Coates A, Thabane L, Goldsmith CH, Levine MN, Simunovic M. Patterns of use and outcomes for radiation therapy in the Quality Initiative in Rectal Cancer (QIRC) trial. Can J Surg. 2013 Dec;56(6):E148-53. IF=1.631 (work done and presented as a resident) *Hsieh T, Zurita L, Grover H, Bennett A, Farrokhyar F, Gmora S, Anvari M, Hong D. 10-Year Outcomes of the vertical transected gastric bypass for obesity: A systematic review. Obes Surg. 2014 Mar 24(3):456-61, IF=3.102 Ma GW, Pooni A, Forbes SS, Eskicioglu C, Pearsall E, Brenneman FD, McLeod RS. Quality of inguinal hernia operative reports: Room for improvement. Can J Surg. 2013 Dec;56(6):393-7. IF=1.361 Mersov A, Mersov G, Al-Ebraheem A, Cornacchi S, Gohla G, Lovrics P, Farquharson MJ. The differentiation

of malignant and benign human breast tissue at surgical margins and biopsy using x-ray interaction data and Bayesian classification. Radiation Physics and Chemistry 2014; Feb, 95:210-13. IF=1.375 O'Brien MA, Ellis PM, Whelan TJ, Charles C, Gafni A, Lovrics P, Mukherjee SD, Hodgson N. Physicianrelated facilitators and barriers to patient involvement in treatment decision making in early stage breast cancer: Perspectives of physicians and patients. Health Expect. 2013 Dec;16(4):373-84. IF=2.11 *Passos E, Dingley B, Smith A, Engels PT, BallCG, Faidi S, Nathens A, Tien H for the Canadian Trauma Trials Collaborative. Tourniquet use for peripheral vascular injuries in the civilian setting. Injury. 2014 Mar;45(3):573-7. IF=2.174 Simunovic M, Baxter NN, Sutradhar R, Liu N, Cadeddu M, Urbach D. Uptake and patient outcomes of laparoscopic colon and rectal cancer surgery in a publically funded system and following financial incentives. Ann Surg Oncol. 2013 Nov;20(12):3740-6. IF=4.120 Simunovic M, Coates A, Smith A, Thabane L, Goldsmith CH, Levine MN. Uptake of an innovation in surgery: Observations from the cluster-randomized Quality Initiative in Rectal Cancer trial. Can J Surg. 2013 Dec;56 (6):415-21. IF=1.631 Simunovic M, Stephen W, Kelly S, Forbes S, Cadeddu M, Thabane L, Grubac V, Lovrics P, Denardi F, Prodger D, Tsai S, Coates A. Quality improvement in colorectal cancer in Local Health Integration Network 4 (LHIN 4) Project (QICC-L4): Integrated knowledge translation in a large geographic area. Ann Surg Oncol. 2013 Dec;20(13):4067-72. IF=6.329 Wiljer D, Walton T, Gilbert J, Boucher A, Ellis PM, Schiff S, Sellick SM, Simunovic M, Kennedy E, Urowitz S. Understanding the needs of colorectal cancer patients during the pre-diagnosis phase. J Cancer Educ. 2013 Sep;28 (3):402-7. IF=0.880 Wu RC, Maxwell I, Yang I, Jarmuske MB, Boushey RP. Autologous fat grafting as a novel approach to parastomal soft-tissue volume deficiencies. Plast Reconstr Surg Glob Open 2014;2:e123. IF=n/a Neurosurgery *Almenawer S, Bogza I, Yarascavitch B, Sne N, Farrokhyar F, Murty N, Reddy K. The value of scheduled repeat cranial computed tomography following mild head injury: Single-centre series and meta-analysis. Neurosurgery. 2013 Jan;72(1):56-64. IF=2.785

*Almenawer SA, Crevier L, Murty N, Kassam A, Reddy K. Minimal access to deep intracranial lesions using a serial dilatation technique: Case-series and review of brain tubular retractor systems. Neurosurg Rev. 2013 Apr;36 (2):321-30. IF=2.036 Badhiwala J, Baronia B. Intracranial germinoma with leptomeningeal seeding along both trigeminal nerves. Can J Neurol Sci. 2013 May;40(3):420-2. IF=0.968 (no hc/pdfnot free) Connell BJ, Di Iorio P, Sayeed I, Ballerini P, Saleh MC, Giuliani P, Saleh TM, Rathbone MP, Su C, Jiang S. Guanosine protects against reperfusion injury in rat brains after ischemic stroke. J Neurosci Res. 2013 Feb;91(2):26272. IF=2.738 *Fallah A, Guyatt GH, Snead OC 3rd, Ebrahim S, Ibrahim GM, Mansouri A, Reddy D, Walter SD, Kulkarni AV, Bhandari M, Banfield L, Bhatnagar N, Liang S, Teutonico F, Liao J, Rutka JT. Predictors of seizure outcomes in children with tuberous sclerosis complex and intractable epilepsy undergoing respective epilepsy surgery: An individual participant data meta-analysis. PLoS One. 2013;8 (2):e53565. IF=4.092 *Farrokhyar F, Reddy D, Poolman RW, Bhandari M. Why perform a priori sample size calculation? Can J Surg. 2013 Jun;56(3):207-13. If=1.054 Hill MD, Martin RH, Mikulis D, Wong JH, Silver FL, Terbrugge KG, Milot G, Clark WM, Macdonald RL, Kelly ME, Boulton M, Fleetwood I, McDougall C, Gunnarsson T, Chow M, Lum C, Dodd R, Poublanc J, Krings T, Demchuk AM, Goyal M, Anderson R, Bishop J, Garman D, Tymianski M; ENACT trial investigators. Safety and efficacy of NA-1 in patients with iatrogenic stroke after endovascular aneurysm repair (ENACT): A phase 2, randomized, double-blind, placebo-controlled study.Lancet Neurol. 2012 Nov;11(11):942-50. IF=23.462 Nolte SM, Venugopal C, McFarlane N, Morozova O, Hallett RM, O'Farrell E, Manoranjan B, Murty NK, Klurfan P, Kachur E, Provias JP, Farrokhyar F, Hassell JA, Marra M, Singh SK. A cancer stem cell model for studying brain metastases from primary lung cancer. J Natl Cancer Inst. 2013 Apr 17;105(8):551-562. IF=13.757 *Su C, Zhang D, Truong J, Jiang C, Lee S, Jarouche M, Hennell JR, Rathbone MP, Sucher NJ, Jiang S. Effects of a novel herbal formulation JSK on acute spinal cord injury in rats .Restor Neurol Neurosci. 2013: 31(5):597. IF=2.510 Venugopal C, McFarlane NM, Nolte S, Manoranjan B,

Singh SK. Processing of primary brain tumour tissue for stem cell assays and flow sorting. J Vis Exp. 2012 Sep 25; (67). IF=n/a. Venugopal C, Wang XS, Manoranjan B, McFarlane N, Nolte S, Li M, Murty N, Siu KW, Singh SK. GBM secretome induces transient transformation of human neural precursor cells. J Neurooncol. 2012 Sep;109(3):457-66. IF=3.214 *Yarascavitch BA, Chuback JE, Almenawer SA, Reddy K, Bhandari M. Levels of Evidence in the Neurosurgical Literature: More Tribulations than Trials Neurosurgery. 2012 Dec;71(6):1131-8 IF=2.785 Zarkoob H, Taube JH, Singh SK, Mani SA, Kohandel M. Investigating the link between molecular subtypes of glioblastoma, epithelia-mesencymal transition and the CD133 cell surface protein. PLoS One. 2013 May 29;8(5):e64169. IF=4.092 *Almenawer SA, Farrokhyar F, Hong C, Alhazzani W, Manoranjan B, Yarascavitch B, Arjmand P, Baronia B, Reddy K, Murty N, Singh S. Chronic subdural hematoma management: A systematic review and meta-analysis of 34829 patients. Ann Surg. 2014 Mar;259(3):449-57. IF=6.329 *Botto F et al. (Named co-authors: Bhandari M, Lamy A, Reddy D, Szalay D, Tittley J, Whitlock R, Debeer J, Pinthus J, Simunovic M, Winemaker M, Adili A, Lovrics P, Orovan W) Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Writing Group, on behalf of The Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Investigators; Myocardial injury after noncardiac surgery: A large, international prospective cohort study establishing diagnostic criteria, characteristics, predictors and 30-day outcomes. Anesthesiology. 2014 Mar;120(3):564-78. IF=5.163 Greenspoon JN, Sharieff W, Hirte H, Overholt A, Devillers R, Gunnarsson T, Whitton A. Fractionated sterotactic radiosurgery with concurrent temozolomide chemotherapy for locally recurrent glioblastoma multiforme: A prospective cohort study. Onco Targets Ther. 2014 Mar 24;7:485-90. IF=2.073 *Hong CJ, Almenawer SA, Lach B, Stein N, Baronia B, Singh SK. Conflicting diagnosis of dermal sinus tract and tethered cord. Can J Neurol Sci. 2013 Nov;40(6):88991.IF=1.332 *Jaja BN, Saposnik G, Nisenbaum R, Schweizer TA, Reddy D, Thorpe KE, Macdonald RL. Effect of socioeconomic status on inpatient mortality and use of postacute care after subarachnoid hemorrhage. Stroke. 2013 Oct;44 (10):2842-7. IF=6.158

Kadhim-Saleh A, Maganti H, Ghert M, Singh S, Farrokhyar F. Is low level laser therapy in relieving neck pain effective? Systematic review and meta-analysis. Rheumatol Int. 2013 Oct;33(10):2493-501 IF=1.885 Manoranjan B, Venugopal C, McFarlane N, Doble BW, Dunn SE, Scheinemann K, Singh SK. Medulloblastoma stem cells: Modeling tumour heterogeneity. Cancer Lett. 2013 Sep 10;338(1):23-31. IF=4.238 Manoranjan B, Wang X, Hallett RM, Venugopal C, Mack SC, McFarlane N, Nolte SM, Scheinemann K, Gunnarsson T, Hassell JA, Taylor MD, Lee C, Triscott J, Foster CM, Dunham C, Hawkins C, Dunn SE, Singh SK. FoxG1 interacts with Bmi1 to regulate self-renewal and tumorigenicty of medulloblastoma stem cells. Stem Cells. 2013 Jul;31(7):1266-77. IF=7.781 Triscott J, Lee C, Foster C, Manoranjan B, Pambid MR, Berns R, Fotovati A, Venugopal C, O'Halloran K, Narendran A, Hawkins C, Ramaswamy V, Bouffet E, Taylor MD, Singhal A, Hukin J, Rassekh R, Yip S, Northcott P, Singh SK, Dunham C, Dunn SE. Personalizing the treatment of pediatric medulloblastoma: Polo-like Kinase 1 as a molecular target in high-risk children. Cancer Res. 2013 Nov 15;73(22):6734-44. IF=8.650 Wang P, Su C, LI R, Wang H, Ren Y Sun H, Yang J, Sun J, Shi J, Tian J, Jiang S. Mechanisms and effects of curcumin on spatial learning and memory improvement in APPswe/PS1dE9 mice. J Neurosci Res 2014 Feb;92 (2):218-31. IF=2.974 Ophthalmology *Gupta V, Whelan KF, Schneider L, Farrokhyar F, Shivananda S, Lee S, Sabri K. National variation in retinopathy of prematurity screening criteria in Canada: Existent guidelines and actual practice patterns. Can J Ophthalmol. 2012 Dec;47(6):473-8. IF=1.471. Isaza G, Arora S, Bal M, Chaudhary V. Incidence of retinopathy of prematurity and risk factors amoung premature infants at a neonatal intensive care unit in Canada. J Pediatr Ophthalmol Strabismus. 2013 Jan-Feb;50(1):27-32. IF=0.626 Kassam F, Amin S, Sogbesan E, Damji KF. The use of teleglaucoma at the University of Alberta. J telemed Telecare. 2012 Oct ;18(7):367-73. IF=1.207. Mikhail M, Verran R, Farrokhyar F, Sabri K. Choice of conjunctival incisions for horizontal rectus muscle surgery -A survey of American Association for Peidatrip Ophthal-

mology and Strabismus members. J AAPOS. 2013 Apr;17(2):184-7. IF=1.028 *Teichman JC, Wu AY, El-Shinnawy I, Harvey JT. A case of orbital involvement in IgG4-related disease. Orbit. 2012 Oct;31(5):327-9.IF=n/a Kassam F, Sogbesan E, Boucher S, Rudnisky CJ, Prince W, Leinweber G, Pilipchuk T, Kogan S, Edwards MC, Dorey MW, Damji KF. Collaborative care and teleglaucoma: a novel approach to delivering glaucoma services in Northern Alberta, Canada. Clin Exp Optom 2013 Nov;96 (6):577-80. IF= 0.916 Lines MA, Jobling R, Brady L, Marshall CR, Scherer SW, Rodriguez A, Lee L, Lange AE, Mestre TA, Wanders RJ, Ferdinanduss S, Tarnopolsky MA, Canadian Pediatric Genetic Disorders Sequencing Consortium (FORGE Canada). Peroxisomal D-bifunctional protein deficiency: Three adults diagnosed by whole-exome sequencing. Neurology 2014 Mar 18;82(11):963-8. IF=8.249 Orthopaedics *Abouali J, Farrokhyar F, Peterson D, Ogilvie R, Ayeni O. Throboprophylaxis in routine arthroscopy of knee. Indian J Orthop. 2013 Mar;47(2):168-73.IF=0.503 *Alradwan H, Philippon MJ, Farrokhyar F, Chu R, Whelan D, Bhandari M, Ayeni OR. Return to preinjury activity levels after surgical management of femoroacetablular impingment in athletes. Arthroscopy. 2012 Oct;28 (10):1567-76. IF= 3.024. *Ayeni OR, Chan K, Al-Asiri J, Chien T, Sprague S, Liew S, Bhandari M. Sources and quality of literature addressing femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc. 2013 Feb;21(2):415-9. IF=2.209 *Ayeni OR, Evaniew N, Ogilvie R, Peterson DC, Denkers MR, Bhandari M. Evidence-based practice to improve outcomes of anterior cruciate ligament reconstruction. Clin Sports Med. 2013 Jan;32(1):71-80. IF=1.554 *Ayeni O, Peterson D, Chan K, Javidan A, Gandhi R. Suture repair versus arrow repair for symptomatic meniscus tears of the knee: A systematic review. J Knee Surg. 2012 Nov;25(5):397-402. IF=n/a Ayeni OR, Wong I, Chien T, Musahl V, Kelly BT, Bhandari M. Surgical indication for arthroscopic management of femoroacetabular impingement. Arthroscopy. 2012 Aug;28(8):1170-9. IF=3.317

Balogh ZJ, Reumann MK, Gruen RL, Mayer-Kuckuk P, Schuetz MA, Harris IA, Gabbe BJ, Bhandari M. Advances and future direction for management of trauma patients with musculoskeletal injuries. Lancet. 2012 Sep 22;380(9847):1109-19. IF=38.278 Bhandari M, Chiavaras MM, Parasu N, Choudur H, Ayeni O, Chakravertty R, Bains S, Hak A, Sprague S, Petrisor B. Radiographic union score for hip substantially improves agreement between surgeons and radiologists. BMC Musculoskelet Disord. 2013 Feb 25;14:70. IF=1.577 Bhandari M, Fong K, Sprague S, Williams D, Petrisor B. Variability in the definition and perceived causes of delayed unions and nonunions: A cross-sectional, multinational survey of orthopaedic surgeons. J Bone Joint Surg Am. 2012 Aug 1;94(15):e1091-6. IF=3.272 Bhandari M, Smith J, Miller LE, Block JE. Clinical and economic burden of revision knee arthroplasty. Clin Med Insights Arthritis Musculoskelet Disord. 2012;5:89-94. IF=n/a (OA) Bhandari M, Tornetta P 3rd, Rampersad SA, Sprague S, Heels-Ansdell D, Sanders DW, Schemitsch EH, Swiontkowski M, Walter S. (Sample) Size Matters! An examination of sample size from the SPRINT Trial. J Orthop Trauma. 2013 Apr;27(4):183-8. IF=1.792 Bhatti P, Schemitsch E, Bhandari M. Managing data in surgical trials: A guide to modern-day management systems. J Bone Joint Surg Am. 2012 Jul 18;94 Suppl 1:45-8. IF=3.272 Busse JW, Bhandari M, Ferreira-Gonzรกlez I, Montori VM, Guyatt GH. Use and interpretation of composite end points in orthopaedic trials. J Bone Joint Surg Am, 2012 Jul 18;94(Suppl 1(E)):65-69. IF=3.272 *Chaudhry H, Devereaux PJ, Bhandari M. Cognitive dysfunction in hip fracture patients. Orthop Clin North Am. 2013 Apr;44(2):153-62. IF=1.623 *Chuback JE, Varley TL, Yarascavitch BA, Eaves F 3rd, Thoma A, Bhandari M. The level of evidence presented a plastic surgery meetings: What do we have to learn? Plast Reconstr Surg. 2013 Apr;131(4):776-83 IF=3.382 *Clarkson PW, Sandford K, Phillips AE, Pazionis TJ, Griffin A, Wunder JS, Ferguson PC, Masri BA, Goetz T. Functional results following vascularised vs nonvascularized bone grafts for wrist arthrodesis following excision of giant cell tumours. J Hand Surg Am. 2013 May;38(5):935940 IF=1.354

Della Rocca GJ, Sprague S, Dosanjh S, Schemitsch EH, Bhandari M. Orthopaedic surgeons; knowledge and misconceptions in the identification of intimate partner violence against women. Clin Orthop Relat Res. 2013 Apr;471(4):1074-80. IF=2.533 de Moraes VY, Godin K, Dos Santos JB, Faloppa F, Bhandari M, Belloti JC. Influence of compensation status on time off work after carpal tunnel release and rotator cuff surgery: A meta-analysis. Patient Saf Surg. 2013 Jan 2;7(1):1. IF=n/a de Moraes VY, Godin K, Tamaoki MJ, Faloppa F, Bhandari M, Belloti JC. Workersâ&#x20AC;&#x2122; compensation status: Does it affect orthopaedic surgery outcomes? A metaanalysis. PLoS One. 2012;7(12):e50251. IF=4.092 Dowrick A, Bhandari M. Ethical issues in the design of randomized trials: To sham or not to sham. J Bone Joint Surg Am, 2012 Jul 18;94(Suppl 1(E)):7-10. IF=3.272. *Evaniew N, Tan V, Parasu N, Jurriaans E, Finlay K, Deheshi B, Ghert M. Use of a calcium sulfate-calcium phosphate synthetic bone graft composite in the surgical management of primary bone tumours. Orthopedics. 2013 Feb;36(2):e216-22 IF=0.903 *Fallah A, Guyatt GH, Snead OC 3rd, Ebrahim S, Ibrahim GM, Mansouri A, Reddy D, Walter SD, Kulkarni AV, Bhandari M, Banfield L, Bhatnagar N, Liang S, Teutonico F, Liao J, Rutka JT. Predictors of seizure outcomes in children with tuberous sclerosis complex and intractable epilepsy undergoing respective epilepsy surgery: An individual participant data meta-analysis. PLoS One. 2013;8 (2):e53565. IF=4.092 *Farrokhyar F, Reddy D, Poolman RW, Bhandari M. Why perform a priori sample size calculation? Can J Surg. 2013 Jun;56(3):207-13. If=1.054 *Fong K, Truong V, Foote CJ, Petrisor B, Williams D, Ristevski B, Sprague S, Bhandari M. Predictors of nonunion and reoperation in patients with fractures of the tibia: An observational study. BMC Musculoskelet Disord. 2013 Mar 22;14:103. IF=1.577 *Foote CJ, Maizlin ZV, Shrouder J, Grant MM, Bedi A, Ayeni OR. The association between avulsion of the reflected head of the rectus femoris and labral tears: A retrospective study. J Pediatr Orthop. 2013 Apr;33(3):227-31. IF=1.156 *Ghert M, Deheshi B, Holt G, Randall RL, Ferguson P, Wunder J, Turcotte R, Werier J, Clarkson P, Damron T, Benevenia J, Anderson M, Gebhardt M, Isler M, Mottard S, Healey J, Evaniew N, Racano A, Sprague S, Swinton M, Bryant D, Thabane L, Guyatt G, Bhandari M; The PARI-

TY Investigators. Prophylactic antibiotic regimens in tumour surgery (PARITY): Protocol for a multicentre randomised controlled trial. BMJ Open. 2012 Nov 28;2(6). IF=n/a Ghert M, Petrisor B. Subgroup analyses: Should we believe them? J Bone Joint Surg Am. 2012 Jul 18;94 Suppl 1:61-4. IF=3.272 Hebert-Davies J, Laflamme GY, Rouleau D; HEALTH and FAITH investigators. Bias towards dementia: Are hip fracture trials excluding too many patients? A systematic review. Injury. 2012 Dec;43(12):1978-84. IF=1.975. *Hetaimish BM, Khan M, Crouch S, Simunovic N, Bedi A, Mohtadi N, Bhandari M, Ayeni OR. Consistency of reported outcomes after arthroscopic management of femoroacetabular impingement. Arthroscopy. 2013 Apr;29 (4):780-7. IF=3.024 Hoang-Kim A, Beaton D, Bhandari M, Kulkarni AV, Schemitsch E. The need to standardize functional outcome in randomized trials of hip fracture: A review using the ICF framework. J Orthop Trauma. 2013 Jan;27(1):e1e8. IF=1.792 Jones KB, Ferguson PC, Lam B, Biau DJ, Hopyan S, Deheshi B, Griffin AM, White LM, Wunder JS. Effects of neoadjuvant chemotherapy on image-directed planning of surgical resection for distal femoral osteosarcoma. J Bone Joint Surg Am. 2012 Aug 1;94(15):1399-405 IF=3.272 *Khan M, Adamich J, Simunovic N, Philippon MJ, Bhandari M, Ayeni OR. Surgical management of internal snapping hip syndrome: A systematic review evaluating open and arthroscopic approaches. Arthroscopy. 2013 May;29(5):942-8. IF=3.024 Klein G, Hussain N, Sprague S, Mehlman CT, Dogbey G, Bhandari M. Characteristics of highly successful orthopedic surgeons: A survey of orthopedic chairs and editors. Can J Surg. 2013 Jun;56(3):192-8. IF=1.054 Li C, Hirsh J, Sloane D, Liang Y, Bai J, Paikin J, Johnston MA, de Beer J, Eikelboom JW. Aspirin response variability after major orthopedic surgery. Thromb Res. 2012;130 (2):216-20. IF=3.133 Linda DD, Harish S, Alowami S, Denardi F, Deheshi BM. Radiology-Pathology Conference: Cutaneous angiosarcoma of the leg. Clin Imaging. 2013 May-Jun;37(3):6027. IF=0.746 Mak IW, Turcotte RE, Ghert M. Transcriptomic and proteomic analysis in bone tumour cells: Deciphering parathyroid hormone-related ptotein (PTHrP) regulation of the

cell cycle and apoptosis. J Bone Miner Res. 2012 Sep;27 (9):1976-91. IF= 7.059 Mak IW, Turcotte RE, Ghert M. Parathyroid hormonerelated protein (PTHrP) modulates adhesion, migration and invasion in bone tumour cells Bone. 2013 Jul;55 (1):198-207. IF=4.023 *Mastracci TM, Bhandari M, Mundi R, Rizoli SB, Nascimento BA, Schreiber M; Evidence-Based Reviews in Surgery Group. Operative blood loss, blood transfusion and 30-day mortality in older patients after major noncardiac surgery. Can J Surg. 2012 Dec;55(6):426-8. IF=1.054 Namdari S, Rabinovich R, Scolaro J, Baldwin K, Bhandari M, Mehta S. Absorbable and non-absorbable cement augmentation in fixation of intertrochateric femur fractures: Systematic review of the literature. Arch Orthop Trauma Surg. 2013 Apr;133(4):487-94. IF=1.369 Okike K, Kocher MS, Nwachukwu BU, Mehlman CT, Heckman JD, Bhandari M. The fate of manuscripts rejected by the Journal of Bone and Joint Surgery (American Volume). J Bone Joint Surg Am. 2012 Sep 5;94(17):e13019. IF=3.272 Okike K, Liu B, Lin YB, Torpey JL, Kocher MS, Mehlman CT, Bhandari M, Biermann JS. The orthopaedic gender gap: Trends in authorship and editorial board representation over the past 4 decades. Am J Orthop (Belle Mead NJ). 2012 Jul;41(7):304-10. IF=n/a O'Sullivan B, Griffin AM, Dickie CI, Sharpe MB, Chung PW, Catton CN, Ferguson PC, Wunder JS, Deheshi BM, White LM, Kandel RA, Jaffray DA, Bell RS. Phase 2 study of preoperative image-guided intensity-modulated radiation therapy to reduce wound and combined modality morbidities in lower extremity soft tissue sarcoma. Cancer. 2013 May 15;119(10):1878-84. IF=4.771 Panesar SS, Simunovic N, Bhandari M. When should we operate on elderly patients with a hip fracture? It’s about time! Surgeon. 2012 Aug;10(4):185-8. IF=1.406 Paul JE, Nantha-Aree M, Buckley N, Cheng J, Thabane L, Tidy A, Debeer J, Winemaker M, Wismer D, Punthakee D, Avram V. Gabapentin does not improve multimodal analgesia outcomes for total knee arthroplasty: A randomized controlled trial. Can J Anaesth. 2013 May;60 (5):423-431. IF=2.346 *Pazionis TJ, Alradwan H, Deheshi BM, Turcotte R, Farrokyhar F, Ghert M. A Systematic Review and MetaAnalysis of En-Bloc vs Intralesional Resection for Giant Cell Tumor of Bone of the Distal Radius. Open Orthop J.

2013 Apr 28;7:103-8. IF=N/a Petruccelli D, Rahman WA, de Beer J, Winemaker M. Clinical Outcomes of Primary Total Joint Arthroplasty Among Nonagenarian Patients. J Arthroplasty. 2012 Oct;27(9):1599-603. IF=2.207 Power PF, Mak IW, Singh S, Popovic S, Gladdy R, Ghert M. ETV5 as a regulator of matrix metalloproteinase 2 in human chpndrosarcoma. J Orthop Res. 2013 Mar;31 (3):493-501. IF=2.811 Pritchard JM, Papaioannou A, Tomowich C, Giangregorio, LM, Atkinson SA, Beattie KA, Adachi JD, DeBeer J, Winemaker M, Avram V, Schwarcz Hp. Bone mineralization is elevated and less heterogeneous in adult with type 2 diabetes and osteoarthritis compared to controls with osteoarthritis alone. Bone May 2013; 54(1): 76-82. IF=4.023 *Racano A, Pazionis T, Farrokhyar F, Deheshi B, Ghert M. High infection rate outcomes in long-bone tumour surgery with edoprosthetic reconstruction in adults: A systematic review. Clin Orthop Relat Res. 2013 Jun;471 (6):2017-27. IF=2.617 Ristevski B, Hall JA, Pearce D, Potter J, Farrugia M, McKee MD. The radiographic quantification of scapular malalignment after malunion of displaced clavicular shaft fractures. J Shoulder Elbow Surg. 2013 Feb;22(2):240-6. IF=2.747 Samuelsson K, Desai N, McNair E, van Eck CF, Petzold M, Fu FH, Bhandari M, Karlsson J. Level of evidence in anterior cruciate ligament reconstruction research: A systematic review. Am J Sports Med. 2013 Apr;41(4):924-34. IF=3.792 Schemitsch EH, Bhandari M, Guyatt G, Sanders DW, Swiontkowski M, Tornetta P, Walter SD, Zdero R, Goslings JC, Teague D, Jeray K, McKee MD; Study to Prospectively Evaluate Reamed Intramedullary Nails in Patients with Tibial Fractures (SPRINT) Investigators. Prognostic factors for predicting outcomes after intramedullary nailing of the tibia. J Bone Joint Surg Am. 2012 Oct 3;94 (19):1786-93. IF=3.272 Schulz AP, Jönsson A, Kasch R, Jettoo P, Bhandari M. Sources of information influencing decision-making in orthopaedic surgery – An internationall online survey of 1147 orthopaedic surgeons. BMC Musculoskelet Disord. 2013 Mar 14;14:96. IF=1.577 Sheffler LC, Yoo B, Bhandari M, Ferguson T. Observational studies in orthopaedic surgery: The STROBE state-

ment as a tool for transparent reporting. J Bone Joint Surg Am. 2013 Feb 6;95(3):e141-12 IF=3.272 Singh S, Singh M, Mak I, Ghert M. Expressional Analysis of GFP-Tagged Cells in an In Vivo Mouse Model of Giant Cell Tumor of Bone. Open Orthop J. 2013 May 3;7:109-13. IF=n/a Singh S, Singh M, Mak IW, Turcotte R, Ghert M. Investigation of FGFR2-IIIC signaling via FGF-2 Ligand for advancing GCT stromal cell differentiation. PLoS One. 2012;7(10):e46769. IF=4.092 Slobogean GP, Sprague S, Bhandari M. The tactics of large randomized trials J Bone Joint Surg Am, 2012 Jul 18;94(Suppl 1(E)):19-23. IF=3.272 Smith HN, Bhandari M, Mahomed NN, Jan M, Gandhi R. Comparison of arthroplasty trial publications after registration in ClinicalTrials.gov J Arthroplasty 2012 Aug;27 (7):1283-8. IF=2.207 Sohani Z, Shannon H, Busse JW, Tikacz D, Sancheti P, Shende M, Bhandari M. Feasibility of screening for intimate partner violence at orthopaedic trauma hospitals in India. J Interpers Violence. 2013 May;28(7):1455-75. IF=n/a Sprague S, Kaloty R, Madden K, Dosanjh S, Mathews DJ, Bhandari M. Perceptions of intimate partner violence: A cross sectional survey of surgical residents and medical students. J Inj Violence Res. 2013 Jan 1;5(1):1-10. IF=n/a Sprague S, Madden K, Dosanjh S, Godin K, Goslings JC, Schemitsch EH, Bhandari M. Intimate partner violence and musculoskeletal injury: Bridging the knowledge gap in orthopaedic fracture clinics. BMC Musculoskelet Disord. 2013 Jan 15;14(1):23. IF=1.577 Sprague S, Madden K, Simunovic N, Godin K, Pham NK, Bhandari M, Goslings JC. Barriers to screening for intimate partner violence. Women Health. 2012 Aug;52 (6):587-605. IF=n/a Sprague S, Swinton M, Madden K, Swaleh R, Goslings JC, Petrisor B, Bhandari M. Barriers to and facilitators for screening women for intimate partner violence in surgical fracture clinics: A qualitative descriptive approach. BMC Musculoskelet Disord. 2013 Apr 5;14(1):122. BMC Musculoskelet Disord. 2013 Apr 5;14:122. IF=1.577 Tornetta P, Pascual M, Godin K. Sprague S, Bhandari M. Participating in multicentre randomized controlled trials: Whatâ&#x20AC;&#x2122;s the relative value? J Bone Joint Surg Am, 2012 Jul 18;94(Suppl 1(E)):107-111. IF=3.272

Van Oldenrijk J, Schafroth MU, Rijk E, Runne WC, Verheyen CC, van Egmond C, Bhandari M, Poolman RW. Learning curve analysis of the Colum Femoris preserving total hip surgical technique. Hip Int. 2013 Apr 24;2 (23):154-61. IF=0.763 (no pdf/hc-lib doesnâ&#x20AC;&#x2122;t carry) van Oldenrijk J, van Berkel Y, Kerkhoffs GM, Bhandari M, Poolman RW. Do authors report surgical expertise in open spine surgery related randomized controlled trials? A systematic review on quality of reporting. Spine (Phila Pa 1976). 2013 May 1;38(10):857-64. IF=2.078 Vannabouathong C, Saccone M, Sprague S, Schemitsch EH, Bhandari M. Adjudicating outcomes: Fundamentals. J Bone Joint Surg Am. 2012 Jul 18;94 Suppl 1:70-4. IF=3.272 Wei DH, Poolman RW, Bhandari M, Wolfe VM, Rosenwasser MP. External fixation vs internal fixation for unstable distal radius fracture: A systematic review and meta -analysis of comparative clinical trials. J Orthop Trauma 2012 Jul;26(7):386-94.IF=1.792 Williams D, Petruccelli D, Paul J, Piccirillo L, Winemaker M, de Beer J. Continuous infusion of bupivacaine following total knee arthroplasty: A randomized controlled trial pilot study. J Arthroplasty. 2013 Mar;28(3):47984.IF=2.384 Winemaker M, Rahman WA, Petruccelli D, de Beer J. Preoperative knee stiffness and total knee arthroplasty outcomes. J Arthroplasty. 2012 Sep;27(8):1437-41. IF=2.207 *Wood TJ, Quinn KM, Farrokhyar F, Deheshi B, Corbett T, Ghert MA. Local control of extra-abdominal desmoids tumors: Systematic Review and meta-analysis. Rare Tumors. 2013 Feb 11;5(1):e2. IF=n/a *Yarascavitch BA, Chuback JE, Almenawer SA, Reddy K, Bhandari M. Levels of Evidence in the Neurosurgical Literature: More Tribulations than Trials. Neurosurgery. 2012 Dec;71(6):1131-8. IF=2.785 *Yeung M, Bhandari M. Uneven Global distribution of randomized trials in hip fracture surgery. Acta Orthop. 2012 Aug;83(4):328-33. IF=2.168 Zelle BA, Bhandari M, Sanchez AI, Probst C, Pape HC. Loss of follow-up in orthopaedic trauma: Is 80% still acceptable? J Orthop Trauma. 2013 Mar;27(3):177-81. IF=2.135 An R, Khadar GW, Wilk EI, Emigh B, Haugen HK, Wohl GR, Dunlop B, Anvari M, Hayward JE, Fang Q. Ultrafast laser ablation and machining large-size structures on porcine bone. J Biomed Opt. 2013 Jul 1;18(7):70504. IF=2.881

Andernord D, Karlsson J, Musahl V, Bhandari M, Fu FH, Samuelsson K. Timing of surgery of the anterior cruciate ligament. Arthroscopy. 2013 Nov;29(11):1863-71. IF=3.103 Avram V, Petruccelli D, Winemaker M, de Beer J. Total joint arthroplasty readmission rates and reasons for 30day hospital readmission. J Arthroplasty. 2014 Mar;29 (3):465-8. IF=2.110 Ayeni OR, Naudie D, Crouch S, Adili A, Pindiprolu B, Chien T, Beaulé PE, Bhandari M. Surgical indication for treatment for femoroacetabular impingement with surgical hip dislocation. Knee Surg Sports Traumatol Arthrosc. 2013 Jul;21(7):1676-83. IF=2.209 Bakhtyar N, Wong N, Kapoor A, Cutz JC, Hill B, Ghert M, Tang D. Clear cell renal cell carcinoma induces fibroblast-mediated production of stromal periostin. Eur J Cancer. 2013 Nov;49(16):3537-46 IF=5.061 Bednar DA. Teriparatide treatment of a glucocorticoidassociated resorbing non-union of a Type III odontoid process fracture – A case report. J Spinal Disord Tech 2013 Dec;26(8):E319-22. IF=n/a *Bessissow A, Chaudhry H, Bhandari M, Devereaux P. Accelerated vs standard care in hip fracture patients: Does speed save lives? J Comp Eff Res. 2014 Mar;3(2):115-8. IF=n/a Bhandari M, Chiavaras M, Ayeni O, Chakraverrty R, Parasu N, Choudur H, Bains S, Sprague S, Petrisor B. Assessment of Radiographic fracture healing in patients with operatively treated femoral neck fractures. J Orthop Trauma. 2013 Sep;27(9):e213-9. IF=2.135 Bhandari M, Wasserman SM, Yurgin N, Petrisor B, Sprague S, Dent RE. Development and preliminary validation of a function index for trauma (FIX-IT). Can J Surg. 2013 Oct;56(5):E114-20. IF=1.631 *Botto F et al. (Named co-authors: Bhandari M, Lamy A, Reddy D, Szalay D, Tittley J, Whitlock R, Debeer J, Pinthus J, Simunovic M, Winemaker M, Adili A, Lovrics P, Orovan W) Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Writing Group, on behalf of The Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Investigators; Myocardial injury after noncardiac surgery: A large, international prospective cohort study establishing diagnostic criteria, characteristics, predictors and 30-day outcomes. Anesthesiology. 2014 Mar;120(3):564-78. IF=5.163 *Chan K, Farrokhyar F, Burrow S, Kowalczuk M, Bhandari M, Ayeni OR. Complications following hip

arthroscopy: A retrospective review of the McMaster experience (2009-2012). Can J Surg. 2013 Dec;56(6):422-6. IF=1.631 *Chaudhry H, Ayeni OR. The etiology of femoroacetabular impingment: What we know and what we don’t. Sports Health. 2014 Mar;6(2):157-61. IF=n/a *Chaudhry H, Madden K, Bhandari M. Cochrane in CORR®: Joint lavage for osteoarthritis of the knee. Clin Orthop Relat Res. 2014 Jan;472(1):22-7. IF=2.787 Chiavaras MM, Bains S, Choudur H, Parasu N, Jacobson J, Ayeni O, Petrisor B, Chakravertty R, Sprague S, Bhandari M. The radiographic union score for hip (RUSH): The use of a checklist to evaluate hip fracture healing improves agreement between radiologists and orthopaedic surgeons. Skeletal Radiol. 2013 Aug;42 (8):1079-88. IF=1.541 Cole PA, Mehrle RK, Bhandari M, Zlowodzki M. The Pilon Map: Fracture lines and comminution zones in OTA/AO Type 43C3 Pilon Fractures. J Orthop Trauma. 2013 Jul;27(7):e152-6. IF=2.135 Cupido C, Peterson D, Sutherland MS, Ayeni O, Stratford PW. Tracking patient outcomes after anterior cruciate ligament reconstruction. Physiother Can. 2014 Jan;66 (2):199-205. IF=0.518 *Evaniew N, Holt G, Kreuger S, Farrokhyar F, Petrisor B, Dore K, Bhandari M, Ghert M. The Orthopaedic InTraining Examination: Perspectives of Program Directors and Residents from the United States and Canada. J Surg Educ. 2013 July- August;70(4):528-536. IF=1.376 *Evaniew N, Madden K, Bhandari M. Cochrane in CORR®: Arthroplasty vs fusion in single-level cervical degenerative disc disease. Clin Orthop Relat Res. 2014 Mar;472(3):802-8. IF=2.787 *Evaniew N, Nuttall J, Farrokhyar F, Bhandari M, Ghert M. What are the levels of evidence on which we base decisions for surgical management of lower extremity bone tumours? Clin Orthop Relat Res. 2014 Jan;472(1):815 IF=2.787 Gradl G, Neuhaus V, Fuchsberger T, Guitton TG, Prommersberger KJ, Ring D; Science of Variation Group. (Petrisor-Collaborator) Radiographic diagnosis of scapholunate dissociation among intra-articular fractures of the distal radius: Interobserver reliability. J Hand Surg Am. 2013 Sep;38(9):1685-90. IF=1.572 Hip Fracture Accelerated Surgical Treatment and Care Track (HIP ATTACK) Investigators, Buse GL, Bhandari M, Sancheti P, Rocha S, Winemaker M, Adili A, de

Beer J, Tiboni M, Neary JD, Dunlop V, Gauthier L, Patel A, Robinson A, Rodseth RN, Kolesar R, Farrell J, Crowther M, Tandon V, Magloire P, Dokainish H, Joseph P, Tomlinson CW, Salehian O, Hastings D, Hunt DL, Van Spall H, Cosman TL, Simpson DL, Cowan D, Guyatt G, Alvarado K, Evans WK, Mizera R, Eikelboom J, Cook D, Loeb M, Johnstone J, Kearon C, Sessler DI, Vanhelder T, Rao-Melacini P, Worster A, Patil A, McLean R, Macdonald AM, Badzioch R, Devereaux PJ. Accelerated care vs standard care among patients with hip fracture: The HIP ATTACK pilot trial. CMAJ. 2014 Jan 7;186(1):E52-60. IF=6.465

IF=3.234. Mak IW, Evaniew N, Ghert M. Lost in translation: Animal models and clinical trials in cancer treatment. Am J Transl Res. 2014 Jan 15;6(2):114-8. IF=n/a Mak IW, Turcotte RE, Ghert M. Parathyroid hormonerelated protein (PTHrP) modulates adhesion, migration and invasion in bone tumour cells Bone. 2013 Jul;55 (1):198-207. IF=4.023

*Hoppe DJ, de Sa D, Simunovic N, Bhandari M, Safran MR, Larson CM, Ayeni OR. The learning curve for hip arthroscopy: A systematic review. Arthroscopy. 2014 Mar;30(3):389-397. IF=3.103

Muir JM, Ye C, Bhandari M, Adachi JD, Thabane L. The effect of regular physical activity on bone mineral density in post-menopausal women aged 75 and over: A retrospective ananlysis from the Canadian multicentre osteoporosis study. BMC Musculoskelet Disord. 2013 Aug 23;14 (1):253 IF=1.875

*Mundi R, Madden K, Bhandari M. Cochrane in CORRÂŽ: Surgical interventions for treating acute Achilles tendon ruptures. Clin Orthop Relat Res. 2014 Jun;472 (6):1703-8. . IF=2.787

*Khan H, Hussain N, Bhandari M. The influence of large clinical trials in orthopaedic trauma: Do they change practice? J Orthop Trauma. 2013 Dec;27(12):e268-74. IF=2.135

Mundi S, Pindiprolu B, Simunovic N, Bhandari M. Similar mortality rates in hip fracture patients over the past 31 years. Acta Orthop. 2014 Feb;85(1):54-9. IF=2.736

*Khan M, Rothrauff BB, Merali F, Musahl V, Peterson D, Ayeni OR. Management of the contaminated anterior cruciate ligament graft. Arthroscopy. 2014 Feb;30(2):23644. IF=3.103 *Kowalczuk M, Bhandari M, Farrokhyar F, Wong I, Chahal M, Neely S, Gandhi R, Ayeni OR. Complications following hip arthroscopy: A systematic review and metaanalysis. Knee Surg Sports Traumatol Arthrosc. 2013 Jul;21(7):1669-75. IF=2.209

PRAISE Investigators, Sprague S, Bhandari M, Della Rocca GJ, Goslings JC, Poolman RW, Madden K, Simunovic N, Dosanjh S, Schemitsch EH. Prevalence of abuse and intimate partner violence surgical evaluation (PRAISE) in orthopaedic fracture clinics: a multinational prevalence study. Lancet. 2013 Sep 7;382(9895):866-76. IF=39.060 *Qutob M, Winemaker M, Petruccelli D, de Beer J. Staged bilateral total knee arthroplasty: Does history dictate the future? J Arthroplasty. 2013 Aug;28(7):1148-51. IF=2.384

Li CS, Karlsson J, Winemaker M, Sancheti P, Bhandari M. Orthopedic surgeons feel that there is a treatment gap in management of early OA: International survey. Knee Surg Sports Traumatol Arthrosc. 2014 Feb;22(2):363-78. IF=2.209

Rubio-Avila J, Madden K, Simunovic N, Bhandari M. Tip to apex distance in femoral intertrochanteric fractures: A systematic review. J Orthop Sci. 2013 Jul;18(4):592-8. IF=0.843.

Li CS, Seeger T, Auhuber TC, Bhandari M. Costeffectiveness and economic impact of the KineSPringÂŽ knee implant system in the treatment for knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2013 Nov;21 (11):2629-37. IF=2.209

Sprague S, Goslings JC, Hogentoren C, de Milliano S, Simunovic N, Madden K, Bhandari M. Prevalence of intimate partner violence across medical and surgical health care settings: A systematic review. Violence Against Women. 2014 Jan;20(1):118-36. IF=n/a

Lyon T, Scheele W, Bhandari M, Koval KJ, Sanchez EG, Christensen J, Valentin A, Huard F. Efficacy and safety of recombinant human bone morphogenetic proten-2/ calcium phosphate matrix for closed tibial diaphyseal fracture: A double-blind, randomized, controlled phase-II/III trial. J Bone Joint Surg Am. 2013 Dec 4;95(23):2088-96.

Sprague S, Goslings JC, Petrisor BA, Avram V, Ayeni OR, Schemitsch EH, Poolman RW, Madden K, Godin K, Dosanjh S, Bhandari M; (for the P.O.S.I.T.I.V.E. Investigators). Patient Options of screening for intimate partner violence in a fracture clinic setting: POSITIVE: A multicentre study. J Bone Joint Surg Am. 2013 Jul 3;95(13):e911

-10. IF=3.234 Walenkamp MM, Roes KC, Bhandari M, Goslings JC, Schep NW. Multiple testing in orthopedic literature: A common problem? BMC Res Notes. 2013 Sep 21;6 (1):374. IF=n/a Walter SD, Ismaila AS, Cook DJ, Bhandari M, Tikkinen KA, Guyatt GH. Clinical experience may affect clinician compliance with assigned treatment in randomized trials. J Clin Epidemiol. 2013 Jul;66(7):768-74. IF=4.271 Zielinski SM, Bouwmans CA, Heetveld MJ, Bhandari M, Patka P, Van Lieshout EM; FAITH trial investigators. The societal costs of femoral neck fracture patient treated with internal fixation. Osteoporos Int. 2014 Mar;25(3):875-85. 4.039 Zielinski SM, Keijsers NL, Praet SF, Heetveld MJ, Bhandari M, Wilssens JP, Patka P, Van Lieshout EM; FAITH Trial Investigators. Femoral neck shortening after internal fixation of femoral neck fracture. Orthopedics. 2013 Jul 1;36(7):e849-58. IF=1.054 Otolaryngology *Banglawala SM, Gill M, Sommer DD, Psaltis A, Schlosser R, Gupta M. Is nasal packing necessary after septoplasty? A meta-analysis. Int Forum Allergy Rhinol. 2013 May;3 (5):418-24. IF=n/a (no hc/pdf yet-HSLib does not have) Chia J, Archibald J, Murray C. Surface anatomy of the nose for the dermatologist. J Cutan Med Surg. 2013 MarApr;17(2):143-6. IF=0.783 *Cheung K, Voineskos SH, Avram R, Sommer DD. A systemic review of the endoscopic management of orbital floor fractures. JAMA Facial Plast Surg. 2013 Mar 1;15 (2):126-30. IF=1.646 *Khetani JD, Madadi P, Sommer DD, Reddy D, Sistonen J, Ross CJ, Carleton BC, Hayden MR, Koren G. Apnea and oxygen desaturations in children treated with opioids after adenotonsillectomy for obstructive sleep apnea syndrome: A prospective pilot study. Paediatr Drugs. 2012 Dec 1;14(6):411-5. IF=1.786 *Rukholm G, Farrokhyar F, Reid D. Vocal cord paralysis post patent ductus arteriosus ligation surgery: Risks and co-morbidities. Int J Pediatr Otorhinolaryngol. 2012 Nov;76(11):1637-41. doi: 10.1016/j.ijporl.2012.07.036. Epub 2012 Sep 5. IF=1.167 *Strychowsky JE, Nayan S, Farrokhyar F, Maclean J. YouTube: A good source of information on pediatric tonsillectomy? Int J Pediatr Otorhinolaryngol. 2013 Jun;77 (6):972-5. IF=1.671

*Banglawala SM, Gill MS, Dhillion N, Khan JS, Gupta MK, Psaltis A, Schlosser R, Sommer DD. Nasal Packing after septoplasty: Cardiopulmonary Impact. JAMA Otolaryngol Head Neck Surg. 2014 Mar 1;140(3):253-8. IF=1.625 Bonaparte JP, Corsten MJ, Odell M, Gupta M, Allen M, Tse D. Management of the radial forearm free flap donar site using a topically applied tissue expansion device. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Jul;116 (1):28-34. IF=1.457 *Choi DL, Strychowsky JE, Chen V, Gupta MK. A painless right supraclavicular mass. JAMA Otolaryngol Head Neck Surg. 2013 Oct;139(10):1069-70. IF=n/a *Nayan S, Gupta MK, Strychowsky JE, Sommer DD. Smoking cessation interventions and cessation rates in the oncology population: An updated systematic review and meta-analysis. Otolaryngol Head Neck Surg. 2013 Aug;149(2):200-11. IF=1.718 Sajic D, Archibald J, Murray C. Surface anatomy of the ear. J Cutan Med Surg. 2014 Mar 1;18(2):137-40. IF=0.783. *Strychowsky JE, Moitri M, Gupta MK, Sommer DD. Incisionless otoplasty: A retrospective review andoutcomes analysis. Int J Pediatr Otorhinolaryngol. 2013 Jul;77 (7):1123-7. IF=1.671 Pediatric Surgery Bailey K, Pemberton J, Frankfurter C. Understanding academic cliniciansâ&#x20AC;&#x2122; varying attitudes toward the treatment of childhood obesity in Canada: A descriptive qualitative approach. J Pediatr Surg. 2013 May;48(5):1012-9. IF=1.450 *Kittmer T, Hoogenes J, Pemberton J, Cameron BH. Exploring the hidden curriculum: A qualitative analysis of clerksâ&#x20AC;&#x2122; reflections on professionalism in surgical clerkship. Am J Surg. 2013 Apr;205(4):426-33. IF=2.776 Pemberton J, Frankfurter C, Bailey K, Jones L, Walton JM. Gastrostomy matters-The impact of pediatric surgery on caregiver quality of life. J Pediatr Surg. 2013 May;48 (5):963-70. IF=1.450 Pemberton J, Rambaran M, Cameron BH. Evaluating the long-term impact of the Trauma Team Training course in Guyana: An explanatory mixed-methods approach. Am J Surg. 2013 Feb;205(2):119-24. IF=2.776

Wong C, Mak M, Shivananda S, Yang J, Shah PS, Seidlitz W, Pemberton J, Fitzgerald PG, Cameron BH; Canadian Neonatal Network. Outcomes of neonatal patent ductus arteriosus ligation in Canadian neonatal units with and without pediatric cardiac surgery programs. J Pediatr Surg. 2013 May;48(5):909-14. IF=1.450

constr Aesthet Surg. 2012 Jul;65(7):864-8. =1.660

Shawyer AC, Bailey KA, Cameron BH. The use of Alloderm for a giant omphalocele with a ruptured sac and inadequate skin coverage. J Ped Surg Case Reports 2013 Sept; 1(9):267-9. IF=n/a

James MH, Tisdale BE, Davies TO, McCammon KA. The urachal flap: A previously unreported tissue flap in vesicovaginal fistula repair. Female Pelvic Med Reconstr Surg. 2013 May-Jun;19(3):148-51. IF=n/a

Plastics *Ayeni O, Ayeni O, Carey W, Muhn C. Combined advancement and single-lobed nasolabial transposition flaps for a nasal sidewall defect. Dermatol Surg. 2012 Aug;38 (8):1386-9. IF=1.798 *Ayeni O, Dickson L, Ignacy TA, Thoma A. A systematic review of power and sample size reporting in Randomized controlled trials within Plastic Surgery. Plast Reconstr Surg. 2012 Jul;130(1):78e-86e. IF=3.382

de Almeida JR, Witterick IJ, Gullane PJ, Gentili F, Lohfeld L, Ringash J, Thoma A, Vescan AD. Physical morbidity by surgical approach and tumour location in skull base surgery. Head Neck. 2013 Apr;35(4):493-9. IF=2.403

*McKee DE, Lalonde DH, Thoma A, Glennie DL, Hayward JE. Optimal time delay between epinephrine injection and incision to minimize bleeding. Plast Reconstr Surg. 2013 Apr;131(4):811-4 IF=3.382 Nagpal P, Plant P, Correa J, Bain A, Takeda M, Kawabe H, Rotin D, Bain J, Batt J. The Ubiquitin Ligase NEDD4 --1 Participates in Denervation-Induced skeletal muscle atrophy in mice. PLoS One. 2012;7(10):e46427. Epub 2012 Oct 26. IF=4.027

Bain JR, Dematteo C, Gjertsen D, Packham T, Galea V, Harper JA. Limb length differences after obstetrical brachial plexus injury: A growing concern. Plast Reconstr Surg. 2012 Oct;130(4):559e-72e. IF=3.382

*Yarascavitch BA, Chuback JE, Almenawer SA, Reddy K, Bhandari M. Levels of Evidence in the Neurosurgical Literature: More Tribulations than Trials. Neurosurgery. 2012 Dec;71(6):1131-8 IF=2.785

Byun S, Mukovozov I, Farrokhyar F, Thoma A. Complications of browlift techniques: A systematic review. Aesthet Surg J. 2013 Feb 1;33(2):189-200. IF=1.469

Batt JA, Bain JR. Tibial nerve transaction â&#x20AC;&#x201C; A standardized model for denervation-induces skeletal muscle atrophy. J Vis Exp. 2013 Nov 3;(81):e50657. IF=n/a

*Chan K, Ayeni O, McKnight L, Ignacy TA, Farrokhyar F, Thoma A. Pyrocarbon vs silicone proximal interphalangeal joint arthroplasty: A systematic review. Plast Reconstr Surg. 2013 Jan;131(1):114-24. IF=3.382.

de Almeida JR, Witterick IJ, Gullane PJ, Gentili F, Lohfeld L, Ringash J, Thoma A, Vescan AD. Quality of life instruments for skull base pathology: Systematic review and methodologic appraisal. Head Neck. 2013 Sep;35(9):122131. IF=2.833

*Cheung K, Voineskos SH, Avram R, Sommer DD. A systemic review of the endoscopic management of orbital floor fractures. JAMA Facial Plast Surg. 2013 Mar 1;15 (2):126-30. IF=1.646

Dickson LM, Tham SK. Osteotomy for sigmoid notch obliquity and ulnar positive variance.J Wrist Surg 2014 Feb;3(1):50-4. IF= n/a

Choi M, Li Y, Shapiro SA, Havlik RJ, Flores RL. A 10year review of frontal sinus fractures: Clinical outcomes of conservative management of posterior table fractures. Plast Reconstr Surg. 2012 Aug;130(2):399-406. IF=3.382.

*Farhangkhoee H, Li EY, Thoma A. Local anesthetics for skin grafting and local flaps. Clin Plast Surg. 2013 Oct;40 (4):537-49. IF=1.223

*Chuback JE, Varley TL, Yarascavitch BA, Eaves F 3rd, Thoma A, Bhandari M. The level of evidence presented a plastic surgery meetings: What do we have to learn? Plast Reconstr Surg. 2013 Apr;131(4):776-83 IF=3.382

Samargandi OA, Makhdom AM, Kaur M, Awan BA, Thoma A. Level of evidence of plastic surgery clinical research in Saudi Arabia. Saudi Med J. 2013 Nov;34 (11):1197-8. IF=0.619

*Collins J, Cheung K, Farrokhyar F, Strumas N. Pharyngeal flap vs sphincter pharyngoplasty for the treatment of velopharyngeal insufficiency: A meta analysis. J Plast Re-

Thoma A, Ignacy TA, Duku EK, Patterson RS, Cin AD, Levis CM, Goldsmith CH. Randomized controlled trial comparing health-related quality of life in patients under-

going vertical scare vs inverted T-shaped reduction mammoplasty. Plast Reconstr Surg. 2013 Jul;132(1):48e-60e. IF=3.535 Tsoi B, Ziolkowski NI, Thoma A, Campbell K, O'Reilly D, Goeree R. Safety of tissue expander/implant vs autologous abdominal tissue breast reconstruction in postmastectomy breast cancer patients: A systematic review and meta-analysis. Plast Reconstr Surg. 2014 Feb;133(2):23449. IF=3.535 *Vartija L, Cheung K, Kaur M, Coroneos C, Thoma A. Ulnar hammer Syndrome: A systemic review of the literature. Plast Reconstr Surg. 2013 Nov;132(5):1181-91. IF=3.535 *Wang TS, Cheung K, Farrokhyar F, Roman SA, Sosa JA. A Meta-analysis of the effect of prophylactic central compartment neck dissection on locoregional recurrence rates in patients with papillary thyroid cancer. Ann Surg Oncol. 2013 Oct;20(11):3477-83. If=4.120 *White CP, Farhang Khoee H, Kattan AE, Farrokhyar F, Hynes NM. Breast reduction scars: A prospective survey of patient preferences. Aesthet Surg J. 2013 Aug 1;33 (6):817-21. IF=1.564. *White CP, Lecours C, Bortoluzzi P, Caouette-Laberge L, Ying Y. International Plastic Surgery Missions: A framework fopr resident education using the CanMEDS Competencies. Ann Plast Surg. 2012 Dec 13. Ann Plast Surg. 2013 Oct;71(4):324-7. IF=1.318 Willand MP, Holmes M, Bain JR, Fahnestock M, de Bruin H. Electrical muscle stimulation following immediate nerve repair reduces muscle atrophy without affecting reinnervation. Muscle Nerve. 2013 Aug;48(2):219-25. IF=2.367 *Ziolkowski NI, Voineskos SH, Ignacy TA, Thoma A. Systematic review of economic evaluations in plastic surgery. Plast Reconstr Surg. 2013 Jul;132(1):191-203. IF=3.382 Thoracic Surgery Schieman C, Wigle DA, Deschamps C, Nichols FC 3rd, Cassivi SD, Shen KR, Allen MS. Salvage resections for recurrent or persistent cancer of the proximal esophagus after chemoradiotherapy. Ann Thorac Surg 2013 Feb;95 (2):459-63. IF=3.741 Schieman C, Wigle, DA, Deschamps C, Nichols FC III, Cassivi SD, Shen KR, Allen MS. Patterns of Operative

Mortality Following Esophagectomy. Dis Esophag. 2012 Sep-Oct;25(7):645-51. IF=1.814 *Agzarian J, Miller JD, Kosa SD, Malthaner R, Tan L; Canadian Volume Reduction Surgery Study Group. Long Term survival analysis of the Canadian Lung Volume Reduction Surgery Trial. Ann Thorac Surg. 2013 Oct;96 (4):1217-22. IF=3.454 Grondin SC, Schieman C, Kelly E, Darling G, Maziak D, Mackay MP, Gelfand G. A look at the thoracic surgery workforce in Canada: how demographics and scope of practice may impact future workforce needs. Can J Surg 2013 Aug;56(4):E75-81. IF=1.631 Hanna WC, Keshavjee S. How to follow up patients after curative resection of lung cancer. Semin Thorac Cardiovasc Surg. 2013 Autumn;25(3):213-7. IF=n/a Hanna WC, Ko MA, Blitz M, Shargall Y, Compeau CG. Thoracoscopic Nuss procedure for young adults with pectus excavatum: Excellent midterm results and patient satisfaction. Ann Thorac Surg. 2013 Sep;96(3):1033-6. IF=3.454 Kolb M, Shargall Y. Lung surgery in interstitial lung disease â&#x20AC;&#x201C; A safe and useful procedure? J Thorac Dis. 2013 Aug;5(4):375-7. IF=n/a Urology *Abdulla A, Daya D, Pinthus J, Davies T. Buried penis: An unrecognized risk factor in the development of invasive penile cancer. Can Urol Assoc J. 2012 Oct;6(5):E199202. IF=n/a *Allard CB, Alamri A, Dason S, Farrokhyar F, Matsumoto ED, Kapoor A. The method of bladder cuff excision during laparoscopic radiacl nephroureterectomy does not affect oncologic outcomes in upper tract urothelial carcinoma. World J Urol. 2013 Feb;31(1):175-81. IF=2.411 *Allard CB, Shuster A, Pinthus JH, Farrokhyar F, Raees A, Patlas M, Matsumoto ED, Whelan JP. Obesometric factors associated with increased skin-to-stone distances in renal stone patients. Can J Urol. 2012 Dec;19(6):65549. IF=0.641 Braga LH, Mijovic H, Farrokhyar F, Pemberton J, Demaria J, Lorenzo AJ. Antibiotic prophylaxis for urinary tract infections in antenatal hydronephrosis. Pediatrics. 2013 Jan;131(1):e251-61. IF=5.437 *Dason S, Allard C, Sheridan-Jonah A, Gill J, Jamshaid H, Aziz T, Kajal B, Kapoor A. Management of renal collecting duct carcinoma: A systematic review and the McMas-

ter experience. Curr Oncol. 2013 Jun;20(3):e223-32. IF=2.473 Dath D, Hoogenes J, Matsumoto ED, Szalay DA. Exploring how surgeon teachers motivate residents in the operating room. Am J Surg. 2013 Feb;205(2):151-5. IF=2.776 Duivenvoorden WC, Beatty LK, Lhotak S, Hill B, Mak I, Paulin G, Gallino D, Popovic S, Austin RC, Pinthus JH. Underexpression of tumour supporessor LKB1 in clear cell renal cell carcinoma is common and confers growth advantage in vitro and in vivo. Br J Cancer. 2013 Feb 5;108(2):327-33. IF=5.042 El Dib R, Touma NJ, Kapoor A. Cryoablation vs radiofrequency ablation for the treatment of renal cell carcinoma: A meta-analysis of case series studies. BJU Int. BJU Int. 2012 Aug;110(4):510-6. IF=2.844 Figueroa V, Pippi Salle JL, Braga LH, Romao R, Koyle MA, Bägli DJ, Lorenzo AJ. Comparative analysis of detorsion alone vs detorsion and tunical albuginea decompression (fasciotomy) with tunica vaginalis flap coverage in the surgical management of prolonged testicular ischemia. J Urol. 2012 Oct;188(4 Suppl):1417-23. IF=3.746 Kapoor A. Benign prostatic hyperplasia (BPH) management in the primary care setting. Can J Urol. 2012 Oct;19 Suppl 1:10-7. IF=n/a Kapoor A, Touma NJ, Dib RE. Review of the efficacy and safety of cryoablation for the treatment of small renal masses. Can Urol Assoc J. 2013 Jan;7(1):E38-44. IF=n/a *Klinghoffer Z, Tarride JE, Novara G, Ficarra V, Kapoor A, Shayegan B, Braga LH. Cost-utility analysis of radical nephrectomy vs partial nephrectomy in the management of small renal masses: Adjusting for the burden of ensuing chronic kidney disease. Can Urol Assoc J. 2013 Mar;7(34):108-13. IF=n/a *Lehmann KJ, Kovac JR, Xu J, Fischer MA. Isodicentric Yq mosaicism presenting and infertility and maturation arrest without altered SRY and AZF regions. J Assist Reprod Genet. 2012 Sep;29(9):939-42. IF=1.844 Lorenzo AJ, Braga LH, Zlateska B, Leslie B, Farhat WA, Bägli DJ, Pippi Salle JL. Analysis of decisional conflict among parents who consent to hypospadias repair: Single institution prospective study of 100 couples. J Urol. 2012 Aug;188(2):571-5. IF=3.746 Metcalfe M, Kassouf W, Rendon R, Bell D, Izawa J, Chin J, Kapoor A, Matsumoto E, Lattouf JB, Saad F, Lacombe L, Fradet Y, Fairey A, Jacobson NE, Drachenberg D, Cagiannos I, So A, Black P. Regional

differences in practice patterns and associated outcomes for upper tract urothelial carcinoma in Canada. Can Urol Assoc J. 2012 Dec;6(6):455-62. IF=n/a *Michael A, Sheridan-Jonah A, Kovac JR, Allard CB, Matsumoto ED. A novel endoscopic treatment for ureteric remnant hemorrhage post laparoscopic radical nephrectomy. Scand J Urol Jun 2013;47(3): 244-247. IF=1.007 Pinthus JH, Farrokhyar F, Hassouna MM, Woods E, Whelan K, Shayegan B, Orovan WL. Single-session primary high-intensity focused ultrasonography treatment for localized prostate cancer: Biochemical outcomes using third generation-based technology. BJU Int. 2012 Oct;110 (8):1142-8.IF=2.866 Rehsia S, Shayegan B. PSA implications and medical management of prostate cancer for the primary care physician. Can J Urol. 2012 Oct;19 Suppl 1:28-35. IF=0.641 Romao RL, Farhat WA, Pippi Salle JL, Braga LH, Figueroa V, Bägli DJ, Koyle MA, Lorenzo AJ. Early postoperative ultrasound after open pyeloplasty in children with prenatal hydronephrosis helps identify low risk of recurrent obstruction. J Urol. 2012 Dec;188(6):2347-53. IF=3.746 Touma NJ, Matsumoto ED, Kapoor A. Laparoscopic partial nephrectomy: The McMaster University experience. Can Urol Assoc J. 2012 Aug;6(4):233-6. Bakhtyar N, Wong N, Kapoor A, Cutz JC, Hill B, Ghert M, Tang D. Clear cell renal cell carcinoma induces fibroblast-mediated production of stromal periostin. Eur J Cancer. 2013 Nov;49(16):3537-46. IF=5.061 Bhan SN, Pautler SE, Shayegan B, Voss MD, Goeree RA, You JJ. Active Surveillance, radiofrequency ablation or cryoablation for the nonsurgical management of a small renal mass: A cost –utility analysis. Ann Surg Oncol. 2013 Oct;20(11):3675-84. IF=4.166 *Botto F et al. (Named co-authors: Bhandari M, Lamy A, Reddy D, Szalay D, Tittley J, Whitlock R, Debeer J, Pinthus J, Simunovic M, Winemaker M, Adili A, Lovrics P, Orovan W) Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Writing Group, on behalf of The Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Investigators; Myocardial injury after noncardiac surgery: A large, international prospective cohort study establishing diagnostic criteria, characteristics, predictors and 30-day outcomes. Anesthesiology. 2014 Mar;120(3):564-78. IF=5.163 Bowen JM, Whelan JP, Hopkins RB, Burke N, Woods EA, McIsaac GP, O'Reilly DJ, Xie F, Sehatzadeh S, Levin

L, Mathew SP, Patterson LL, Goeree R, Tarride JE. Photoselective vaporization for the treatment of benign prostatic hyperplasia. Ont Health Technol Assess Ser. 2013 Aug 1;13(2):1-34. IF=n/a *Demaria J, Abdulla A, Pemberton J, Raees A, Braga LH. Are physicians performing neonatal circumcisions well-trained? Can Urol Assoc J. 2013 Jul;7(7-8):260-4. IF=1.657 Duivenvoorden WC, Paschos A, Hopmans SN, Austin RC, Pinthus JH. Endoplasmic reticulum protein ERp46 in renal cell carcinoma. PLoS One. 2014 Mar 3;9 (3):e90389. IF=3.730 El Dib R, Nascimento Junior P, Kapoor A. An alternative approach to deal with the absence of clinical trials: A proportional meta-analysis of case series studies. Acta Cir Bras. 2013 Dec;28(12):870-6. IF=0.626 Fairey AS, Jacobsen NE, Estey E, Tanguay S, Rendon R, Bell D, Izawa J, Chin J, Kapoor A, Matsumoto E, Black P, So A, Lattouf JB, Saad F, Drachenberg D, Cagiannos I, Lacombe L, Fradet Y, Kassouf W. Comorbidity status does not independently predict survival outcomes after radial nephroureterectomy for upper tract urothelial carcinoma. Eur Urol. 2013 Sep;64(3):518-9. IF=10.476 Fairey AS, Kassouf W, Estey E, Tanguay S, Rendon R, Bell D, Izawa J, Chin J, Kapoor A, Matsumoto E, Black P, So A, Lattouf JB, Saad F, Drachenberg D, Cagiannos I, Lacombe L, Fradet Y, Jacobsen NE. Comparison of oncological outcomes for open and laparoscopic radical nephroureterectomy: Results from the Canadian Upper Tract Collaboration. BJU Int. 2013 Oct;112(6):791-7. IF=3.046 Gabriel K, Ingram A, Austin R, Kapoor A, Tang D, Majeed F, Qureshi T, Al-Nedawi K. Regulation of the tumor suppressor PTEN through exosomes: A diagnostic potential for prostate cancer. PLoS One. 2013 Jul 25;8 (7):e70047. IF=3.730 *Kapoor A, Allard CB, Black P, Kassouf W, Morash C, Rendon R. Canadian guidelines for postoperative surveillance of upper urinary tract urothelial carcinoma. Can Urol Assoc J. 2013 Sep;7(9-10):306-11. IF=1.657 Kleinmann N, Duivenvoorden WC, Hopmans SN, Beatty LK, Qiao S, Gallino D, Lhotak S, Daya D, Paschos A, Austin RC, Pinthus JH. Underactivation of the adiponectin-adiponectin receptor 1 axis in clear cell renal cell carcinoma: Implications for progression. Clin Exp Metastasis. 2014 Feb;31(2):169-83. IF=3.460

Kwong J, Lorenzo AJ, Demaria J, Braga LH. Bilateral epipdidymitis in a child with undiagnosed posterior urethral valves. Urology. 2013 Jul;82(1):225-7. IF=2.428 Lorenzo AJ, Braga LH. Use of cranberry products does not appear to be associated with a significant reduction in incidence of recurrent urinary tract infections. Evid Based Med. 2013 Oct;18(5):181-2. If=N/a Nguyen T, Braga LH, Hoogenes J, Matsumoto ED. Commercial video laparoscopic trainers vs less expensive, simple laparoscopic trainers: A systemic review and metaanalysis. J Urol. 2013 Sep;190(3):894-9. IF=3.746 North S, Basappa N, Bjarnason G, Blais N, Canil C, Heng D, Knox J, Reaume N, Ruether D, SouliĂ¨res D, Zalewski P, Black P, Breau RH, Jewett M, Kapoor A, Lattouf JB, Moore R, Rendon R, Todd G, Pituskin E, Gedye C, Wood L. Management of advanced kidney cancer: Canadian Kidney Cancer Forum 2013 Consensus Update: Canadian Kidney Cancer Forum 2013. Can Urol Assoc J. 2013 Jul-Aug;7(7-8):238-43. IF=1.657 Paschos A, Pandya R, Duivenvoorden WC, Pinthus JH. Oxidative stress in prostate cancer: Changing research concepts towards a novel paradigm for prevention and therapeutics. Prostate Cancer Prostatic Dis. 2013 Sep;16 (3):217-25. IF=2.421 Reaume MN, Graham GE, Tomiak E, Kamel-Reid S, Jewett MA, Bjarnason GA, Blais N, Care M, Drachenberg D, Gedye C, Grant R, Heng DY, Kapoor A, Kollmannsberger C, Lattouf JB, Maher ER, Pause A, Ruether D, Soulieres D, Tanguay S, Turcotte S, Violette PD, Wood L, Basiuk J, Pautler SE; Kidney Cancer Research Network of Canada. Canadian guideline on genetic screening for hereditary renal cell cancers. Can Urol Assoc J. 2013 SepOct;7(9-10):319-23. IF=1.657 Rompre MP, Nadeau G, Moore K, Ajiaouj Y, Braga L, Bolduc S. Learning curve for TIP urethroplasty: A singlesurgeon experience. Can Urol Asso J 2013 Nov;7(1112):E789-94. IF=1.657 Saad F, Hotte S, Catton C, Drachenberg D, Finelli A, Fleshner N, Gleave M, Kapoor A, Kassouf W, Loblaw A, North S, Usmani N, Chi KN. CUA-CUOG guidelines for the management of castration-resistant prostate cancer (CRPC): 2013 Update. Can Urol Assoc J. 2013 Jul-Aug;7 (7-8):231-7. IF=1.657 Whelan JP, Bowen JM, Burke N, Woods EA, McIssac GP, Hopkins RB, O'Reilly DJ, Xie F, Sehatzadeh S, Levin L, Mathew SP, Patterson LL, Goeree R, Tarride JE. A prospective trial of GreenLight PVP (HPS120) vs transurethral resection of the prostate in the treatment of lower urinary tract symptoms in Ontario Canada. Can Urol

Assoc J. 2013 Sep;7(9-10):335-41. IF=1.657 Williams AK, Kassouf W, Chin J, Rendon R, Jacobsen N, Fairey A, Kapoor A, Black P, Lacombe L, Tanguay S, So A, Lattouf JB, Bell D, Fradet Y, Saad F, Matsumoto E, Drachenberg D, Cagiannos I, Izawa JI. Multifocality rather than tumor location is a prognostic factor in upper tract urothelial carcinoma. Urol Oncol. 2013 Oct; 31(7):1161-5. IF=3.647 Wood L, Bjarnason GA, Black PC, Cagiannos I, Heng DY, Kapoor A, Kollmannsberger CK, Mohammadzadeh F, Moore RB, Rendon RA, Soulieres D, Tanguay S, Venner P, Jewett M, Finelli A. Using the Delphi technique to improve clinical outcomes throught the development of quality indicators in renal cell carcinoma. J Oncol Pract. 2013 Sep;9(5):e262-7. IF=n/a *Wright I, Cole E, Farrokhyar F, Pemberton J, Lorenzo AJ, Braga LH. The effect of pre-operative hormonal stimulation on post-operative complication rates after proximal hypospadias repair: A systematic review. J Urol. 2013 Aug;190(2):652-60. IF=3.746 *Wu C, Kapoor A. Dutasteride for the treatment of benign prostatic hyperplasia. Expert Opin Pharmacother. 2013 Jul;14(10):1399-408. IF=2.860 Yafi FA, Tanguay S, Rendon R, Jacobsen N, Fairey A, Izawa J, Kapoor A, Black P, Lacombe L, Chin J, So A, Lattouf JB, Bell D, Fradet Y, Saad F, Matsumoto E, Drachenberg D, Cagiannos I, Kassouf W. Adjuvant chemotherapy for upper-tract urothelial carcinoma treated with nephrourterectomy: Assessment of adequate renall function and influence on outcome. Urol Oncol. 2014 Jan;32 (1):31.e17-24. IF=3.647 Vascular Dath D, Hoogenes J, Matsumoto ED, Szalay DA. Exploring how surgeon teachers motivate residents in the operating room. Am J Surg. 2013 Feb;205(2):151-5. IF=2.776 *Qadura M, Pervaiz F, Harlock JA, Al-Azzoni A, Farrokhyar F, Kahnamoui K, Szalay DA, Rapanos T. Mortality and revintervention following elective abdominal aortic aneurysm repair. J Vasc Surg. 2013 Jun;57(6):16761683.e1. IF=3.153 *Botto F et al. (Named co-authors: Bhandari M, Lamy A, Reddy D, Szalay D, Tittley J, Whitlock R, Debeer J, Pinthus J, Simunovic M, Winemaker M, Adili A, Lovrics P, Orovan W) Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Writing Group, on behalf of The Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Investigators; Myo-

cardial injury after noncardiac surgery: A large, international prospective cohort study establishing diagnostic criteria, characteristics, predictors and 30-day outcomes. Anesthesiology. 2014 Mar;120(3):564-78. IF=5.163 *Harlock JA, Qadura M, Lee G, Szalay DA. Infected Aortic stent graft with Propionibacterium acnes. Vasc Endovascular Surg. 2013 Jul;47(5):394-6. IF=0.987 *Vucemilo I, Harlock JA, Qadura M, Guirgis M, Gowing RN, Tittley JG. Hybrid repair of symptomatic aberrant right subclavian artery and Kommerellâ&#x20AC;&#x2122;s Diverticulum. Ann Vasc Surg. 2014 Feb;28(2):411-20. IF=0.985 *Zayed MA, McDonald J, Tittley JG. Hypothenar hammer syndrome from ice hockey stick-handling. Ann Vasc Surg. 2013 Nov;27(8):1183.e5-10. IF=0.985. Other Sameem M, Au M, Wood T, Farrokhyar F, Mahoney J. A systematic review of complication and recurrence rates of musculocutaneous, fasciocutaneous and perforator-based flaps for treatment of pressure sores. Plast Reconstr Surg. 2012 Jul;130(1):67e-77e. IF=3.382 Indes JE, Pfaff MJ, Farrokhyar F, Brown H, Hashim P, Cheung K, Sosa JA. Clinical outcomes of 5358 patients undergoing direct open bypass or endovascular treatment fo raortoiliac occlusive disease: A systematic review and meta-analysis. J Endovasc Ther. 2013 Aug;20(4):443-55. IF=2.699 Khanna V, Harris A, Farrokhyar F, Choudur HN, Wong IH. Hip Arthroscopy: Prevalence of intra-articular pathologic findings after traumatic injury of the hip. Arthroscopy. 2014 Mar;30(3):299-304. IF=3.103 Sonnadara RR, Garbedian S, Safir O, Mui C, Mironova P, Nousiainen M, Ferguson P, Alman B, Kraemer W, Reznick R. Toronto Orthopaedic Boot Camp III: Examining the efficacy of student-regulated learning during an intensive, laboratory based surgical skills course. Surgery. 2013 Jul;154(1):29-33. IF=3.373. Sonnadara R, McQueen S, Mironova P, Safir O, Nousiainen M, Ferguson P, Alman B, Kraemer W, Reznick R. Reflections of current methods for evaluating skills during joint replacement surgery: A scoping review. Bone Joint J. 2013 Nov 1;95-B(11):1445-9. IF=n/a Sonnadara RR, Mui C, McQueen S, Mironova P, Nousiainen M, Safir O, Kraemer W, Ferguson P, Alman B, Reznick R. Reflection on competency-based education and training for surgical residents. J Surg Educ. 2014 JanFeb;71(1):151-8. IF=1.634

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