Message from the Division Director
|
|
|
|
Dear Colleagues,
Some updates:
- Virtual citywide GIM rounds were launched earlier this month, with an excellent overview of COVID-19 management. July’s rounds will be an interactive webinar on how to teach virtually (details below). Please stay tuned for ongoing rounds scheduling. And if you are interested in the position of Lead for GIM Continuing Education to help in the development of these rounds and other activities, please let me know.
- Events in recent days have highlighted the prevalence of anti-Black, anti-Indigenous, and other forms of racism in our society. I encourage our division to recognize both the personal and public health impact of racial injustice and inequality, to work together and with other organizations to oppose and dismantle structural racism, and to take concrete steps to strengthen diversity and inclusion within our own division. This year’s GIM citywide rounds will include sessions dedicated to anti-racist practice and allyship training.
- PARO has approved implementation of the GIM redesign for July 2021. Some hospitals will be pilot testing elements of the redesign during the coming academic year. Many thanks to the redesign committee led by Ophyr Mourad and to the internal medicine residency training program for their tremendous work on this initiative.
- Thanks to each and every one of you (faculty, residents, administrators) who has worked so hard all year, and especially during the pandemic, to ensure that we have maintained outstanding patient care, education and scholarly work. Many congratulations to all our graduating residents and to our award recipients (more award announcements to follow in the July newsletter). Sincere thanks to our outgoing chief medical residents. And happy Pride month!
With all best wishes,
Moira
Dr. Moira Kapral
Director, Division of General Internal Medicine, University of Toronto
|
|
Awards
Note: Academy and hospital awards will be announced in next month's newsletter.
|
|
Academy of Master Clinicians, Department of Medicine
Ophyr Mourad has been inducted into the Academy of Master Clinicians in the Department of Medicine, University of Toronto. The Academy honours clinicians who are recognized by colleagues and the medical community for setting an example in high quality patient care, diagnostic acumen, and ability to confront challenging cases, while demonstrating humility, respect and civility for patients and colleagues.
|
|
|
William Goldie Award in Teaching
David Frost is the recipient of the 2020 William Goldie Prize and Travel Award in Teaching from the Department of Medicine, University of Toronto.
|
|
|
Mak Award for Research in GIM
Joel Ray is the recipient of the 2020 Mak Award in Research from the Division of GIM, University of Toronto.
|
|
|
Inaugural Award for Mentorship in GIM
Tara O'Brien is the recipient of the inaugural Mentorship Award from the citywide Division of GIM, University of Toronto. This award requires nomination by trainees.
|
|
|
|
Dr. Herbert HoPingKong Award for Teaching in GIM
Mohammad Shafiee has received the 2020 Dr. Herbert HoPingKong Award for Teaching in GIM at the University of Toronto. This award requires nomination by trainees.
|
|
|
|
Dr. Jerry Zownir Early Career Teaching Award in GIM
Tarek Abdelhalim has received the 2020 Dr. Jerry Zownir Early Career Teaching Award in GIM at the University of Toronto. This award requires nomination by trainees.
|
|
|
|
Schulich School of Medicine and Dentistry Alumni of Distinction Award
Andreas Laupacis has received the Alumni of Distinction Professional Achievement Award from the Schulich School of Medicine and Dentistry in recognition of his work to advance evidence-based, informed decision making in healthcare.
|
|
|
|
GIM Subspecialty PGY5s Graduate!
Congratulations to Alison Lai, Wasim Mansoor, Jon Mong and Kulraj Singh, the graduating class of 2020 for the GIM subspecialty program at the University of Toronto, seen below at their physically distanced graduation ceremony. We wish you all the best as you embark on your careers in GIM. Congratulations!
|
|
|
Core Internal Medicine PGY4s Graduate!
Congratulations to Evan Ailon, Jin Choi, Jenna Gim, Mohamad Habbal, Tyler Hynes, Sabah Khan, Karen Lien, Patrick Lindsay, Cam Tu Janet Nguyen, Hamzah Quereshi, Sagar Rohailla, Faranak Sharifi Ghorveh, Anil Sharma, Brooke Tang and Lex Wei, the graduating class of 2020 for the Core Internal Medicine PGY4 program at the University of Toronto.
At the end of June, the Core Internal Medicine PGY4 cohort completed their training and began the next phase of their careers – independent practice! This group has had a final training year like no other in recent memory. The COVID-19 pandemic put all our residents through a series of rapid adaptations of their training to support the burgeoning demand on the health care system. The PGY4s were redeployed in the final three blocks of the year to the TAHSN community sites to support GIM and critical care there, as admissions rapidly increased. All of them took on their new responsibilities eagerly and brought their skills to the places they were needed most. Continue reading full graduation message from program director Jeannette Goguen and faculty lead Ken Locke.
|
|
Grants
Fahad Razak, Amol Verma and Angela Cheung are co-PIs (with many GIM co-investigators) on a $2M operating grant from the Canadian Institutes for Health Research for their project entitled, "The COVID-19 Hospital Analytics Laboratory: Improving the Clinical, Organizational, and System Response to COVID-19".
Angela Cheung is co-PI with Margaret Herridge on an operating grant from the Toronto COVID 19 Action Fund for her project entitled, "The Ontario COVID-19 Prospective Cohort Study".
Ahmed Bayoumi is PI on an operating grant from the Toronto COVID 19 Action Fund for his project entitled, "The effects of the COVID-19 pandemic response for people who are marginalized".
Lauren Lapointe-Shaw is PI on an operating grant from the University of Toronto Department of Medicine for her project entitled, "People-Powered Public Health Data: Using Symptoms to Monitor COVID-19 across Canada".
Michael Fralick and Kieran Quinn are co-PIs on an operating grant from the University of Toronto Department of Medicine for their project entitled, "COVID-ACE: A multicentre pragmatic observational cohort study".
Michael Fralick, Fahad Razak and Amol Verma are co-PIs on an operating grant from the St. Michael's Hospital Services Association Innovation Fund for their project entitled, "Prone positioning for patients on general internal medicine wards with COVID-19: A multicentre pragmatic randomized trial [COVID-PRONE]"
|
|
GIM Citywide Rounds
Interested in learning how to use Zoom to provide interactive virtual teaching? Join us for our next GIM Citywide Rounds for a webinar led by Dr. Heather MacNeill from the Office of Continuing Professional Development. See flyer here.
Date: Tues. July 28, 2020
Time: 12 - 1 PM via Zoom (link sent via Outlook invitation)
|
|
|
Donate to Support UofT GIM
In November 2019 we launched a fundraising campaign to support a fellowship in GIM research, with research broadly defined to include clinical, health services, education, and quality improvement research. Thanks to those who have contributed so far, we have raised $12,000 towards our $80,000 target. Please consider a generous (and tax-deductible) donation to this fund. All funds raised will go directly to our division.
Click HERE to donate.
|
|
|
|
Dr. William (Billy) Silverstein, incoming Chief Resident for 2020-2021 at Sunnybrook HSC, is the recipient of a prestigious JAMA Internal Medicine Teachable Moments Editorial Fellowship for his tenure as CMR starting in July. The selection committee received a huge number of outstanding applications, and Billy was selected as one of only three recipients across all of North America. Congratulations, Billy!
|
|
|
Journal Articles
Divisional members have published the following journal articles since the last issue of the GIM Update.
1. Current Evidence for Minimally Invasive Surgery during the COVID-19 Pandemic and Risk Mitigation Strategies: A narrative review Sami A. Chadi , Keegan Guidolin, Antonio Caycedo-Marulanda, Abdu Sharkawy, Fayez A. Quereshy, Allan Okrainec
2. Response by Yu et al to Letter Regarding Article, "Deriving a Passive Surveillance Stroke Severity Indicator From Routinely Collected Administrative Data: The PaSSV Indicator".
Yu AYX, Hill MD, Kapral MK.
Circ Cardiovasc Qual Outcomes. 2020 May 29:CIRCOUTCOMES120006707. doi: 10.1161/CIRCOUTCOMES.120.006707. [Epub ahead of print] No abstract available. PMID: 32466727 [PubMed - as supplied by publisher]
3. Utility and perceived value of a provincial digital diagnostic imaging repository: a multi-methods study.
Wickerson L, Fujioka JK, Kishimoto V, Jamieson T, Fine B, Bhatia S, Desveaux L.
JMIR Form Res. 2020 Apr 8. doi: 10.2196/17220. [Epub ahead of print]
PMID: 32459644 [PubMed - as supplied by publisher]
4. Effect of Academic Detailing on Promoting Appropriate Prescribing of Antipsychotic Medication in Nursing Homes: A Cluster Randomized Clinical Trial.
Tadrous M, Fung K, Desveaux L, Gomes T, Taljaard M, Grimshaw JM, Bell CM, Ivers NM.
JAMA Netw Open. 2020 May 1;3(5):e205724. doi: 10.1001/jamanetworkopen.2020.5724.
PMID: 32453383 [PubMed - in process]
5. Bilateral Necrotizing Scleritis: A Deeper Look at a Vision-Threatening Illness.
Arya S, Mahendira D, Pattani R.
J Clin Rheumatol. 2020 Jun;26(4):e75-e76. doi: 10.1097/RHU.0000000000000858. No abstract available.
PMID: 32453295 [PubMed - in process]
6. CORR Insights®: Projections of Primary TKA and THA in Germany From 2016 Through 2040.
Cram P.
Clin Orthop Relat Res. 2020 May 20. doi: 10.1097/CORR.0000000000001258. [Epub ahead of print] PMID: 32452933 [PubMed - as supplied by publisher]
7. Less is more, now more than ever.
Soong C, Born KB, Levinson W.
BMJ Qual Saf. 2020 May 22. pii: bmjqs-2020-011444. doi: 10.1136/bmjqs-2020-011444. [Epub ahead of print] Review. PMID: 32444426 [PubMed - as supplied by publisher]
8. COVID-SAFER: Deprescribing Guidance for Hydroxychloroquine Drug Interactions in Older Adults.
Ross SB, Wilson MG, Papillon-Ferland L, Elsayed S, Wu PE, Battu K, Porter S, Rashidi B, Tamblyn R, Pilote L, Downar J, Bonnici A, Huang A, Lee TC, McDonald EG.
J Am Geriatr Soc. 2020 May 22. doi: 10.1111/jgs.16623. [Epub ahead of print] PMID: 32441771 [PubMed - as supplied by publisher]
9. Depression-level symptoms among Syrian refugees: findings from a Canadian longitudinal study.
Ahmad F, Othman N, Hynie M, Bayoumi AM, Oda A, McKenzie K.
J Ment Health. 2020 May 21:1-9. doi: 10.1080/09638237.2020.1765998. [Epub ahead of print] PMID: 32438842 [PubMed - as supplied by publisher]
10. Surgeon clinical practice variation and patient preferences during the informed consent discussion: a mixed-methods analysis in lumbar spine surgery.
Zahrai A, Bhanot K, Mei XY, Crawford E, Tan Z, Yee A, Palda V.
Can J Surg. 2020 May 21;63(3):E284-E291. doi: 10.1503/cjs.005619.
PMID: 32437095 [PubMed - in process]
11. Current Evidence for Minimally Invasive Surgery During the COVID-19 Pandemic and Risk Mitigation Strategies: A Narrative Review.
Chadi SA, Guidolin K, Caycedo-Marulanda A, Sharkawy A, Spinelli A, Quereshy FA, Okrainec A.
Ann Surg. 2020 May 20. doi: 10.1097/SLA.0000000000004010. [Epub ahead of print] PMID: 32433285 [PubMed - as supplied by publisher]
12. Return to work for healthcare workers with confirmed COVID-19 infection.
Zhang JC, Findlater A, Cram P, Adisesh A.
Occup Med (Lond). 2020 May 20. pii: kqaa092. doi: 10.1093/occmed/kqaa092. [Epub ahead of print] No abstract available.PMID: 32432325 [PubMed - as supplied by publisher]
13. Risk of severe maternal morbidity or death in relation to elevated hemoglobin A1c preconception, and in early pregnancy: A population-based cohort study.
Davidson AJF, Park AL, Berger H, Aoyama K, Harel Z, Cook JL, Ray JG.
PLoS Med. 2020 May 19;17(5):e1003104. doi: 10.1371/journal.pmed.1003104. eCollection 2020 May. PMID: 32427997 [PubMed - in process]
14. Continuing care and COVID-19: a Canadian tragedy that must not be allowed to happen again.
Holroyd-Leduc JM, Laupacis A.
CMAJ. 2020 May 14. pii: cmaj.201017. doi: 10.1503/cmaj.201017. [Epub ahead of print] No abstract available.
PMID: 32409521 [PubMed - as supplied by publisher]
15 .Health-Related Quality of Life Changes Associated With Hearing Loss.
Dixon PR, Feeny D, Tomlinson G, Cushing S, Chen JM, Krahn MD.
JAMA Otolaryngol Head Neck Surg. 2020 May 14. doi: 10.1001/jamaoto.2020.0674. [Epub ahead of print] PMID: 32407468 [PubMed - as supplied by publisher]
16. Association Between Web-Based Physician Ratings and Physician Disciplinary Convictions: Retrospective Observational Study.
Liu JJ, Goldberg HR, Lentz EJ, Matelski JJ, Alam A, Bell CM.
J Med Internet Res. 2020 May 14;22(5):e16708. doi: 10.2196/16708.
PMID: 32406851 [PubMed - in process]
17. Increased maternal new-onset psychiatric disorders after delivering a child with a major anomaly: a cohort study.
Rotberg B, Horváth-Puhó E, Vigod S, Ray JG, Toft Sørensen H, Cohen E.
Acta Psychiatr Scand. 2020 May 14. doi: 10.1111/acps.13181. [Epub ahead of print] PMID: 32406524 [PubMed - as supplied by publisher]
18. Bacteremia Antibiotic Length Actually Needed for Clinical Effectiveness (BALANCE) randomised clinical trial: study protocol.
Daneman N, Rishu AH, Pinto RL, Arabi YM, Cook DJ, Hall R, McGuinness S, Muscedere J, Parke R, Reynolds S, Rogers B, Shehabi Y, Fowler RA; Canadian Critical Care Trials Group.
BMJ Open. 2020 May 11;10(5):e038300. doi: 10.1136/bmjopen-2020-038300. PMID: 32398341 [PubMed - in process]
19. Development and Validation of a Prognostic Tool for Direct Enteral Tube Insertion After Acute Stroke.
Joundi RA, Saposnik G, Martino R, Fang J, Kapral MK.
Stroke. 2020 Jun;51(6):1720-1726. doi: 10.1161/STROKEAHA.120.028949. Epub 2020 May 13.
PMID: 32397928 [PubMed - in process]
20. Relation between surgeon age and postoperative outcomes: a population-based cohort study.Satkunasivam R, Klaassen Z, Ravi B, Fok KH, Menser T, Kash B, Miles BJ, Bass B, Detsky AS, Wallis CJD.
CMAJ. 2020 Apr 14;192(15):E385-E392. doi: 10.1503/cmaj.190820.
PMID: 32392499 [PubMed - in process]
21. Blunted Glomerular Hyperfiltration in Pregnancy and Risk of Adverse Perinatal Outcomes.
Harel Z, Park AL, Ray JG.
Am J Kidney Dis. 2020 May 5. pii: S0272-6386(20)30581-3. doi: 10.1053/j.ajkd.2020.02.437. [Epub ahead of print] No abstract available.
PMID: 32387024 [PubMed - as supplied by publisher]
22. Cow's Milk Fat Obesity pRevention Trial (CoMFORT): a primary care embedded randomised controlled trial protocol to determine the effect of cow's milk fat on child adiposity.
Vanderhout SM, Aglipay M, Birken C, Li P, O'Connor DL, Thorpe K, Constantin E, Davis MA, Feldman M, Ball GDC, Janus M, Jüni P, Junker A, Laupacis A, L'Abbé M, Manson H, Moretti ME, Persaud N, Omand JA, Relton C, Wong P, Yamashiro H, Tavares E, Weir S, Maguire JL.
BMJ Open. 2020 May 7;10(5):e035241. doi: 10.1136/bmjopen-2019-035241. PMID: 32385063 [PubMed - in process]
23. Sodium-glucose Cotransporter 2 Inhibitors and the Risk for Urosepsis - A Multi-site Prevalent New-user Cohort Study.
Fisher A, Fralick M, Filion KB, Dell'Aniello S, Douros A, Tremblay É, Shah BR, Ronksley PE, Alessi-Severini S, Hu N, Bugden SC, Ernst P, Lix LM; Canadian Network for Observational Drug Effect Studies (CNODES).
Diabetes Obes Metab. 2020 May 8. doi: 10.1111/dom.14082. [Epub ahead of print] PMID: 32383792 [PubMed - as supplied by publisher]
24. Direct and indirect utilities of patients with mild to moderate versus severe carpal tunnel syndrome.
Wang AMQ, Retrouvey H, Krahn M, McCabe SJ, Baltzer HL.
J Hand Surg Eur Vol. 2020 May 7:1753193420922791. doi: 10.1177/1753193420922791. [Epub ahead of print]
PMID: 32380923 [PubMed - as supplied by publisher]
25. The economic burden of inpatient diabetic foot ulcers in Toronto, Canada.
Syed MH, Salata K, Hussain MA, Zamzam A, de Mestral C,
Wheatcroft M, Harlock J, Awartani D, Aljabri B, Verma A, Razak F, Verma S, Al-Omran M.
Vascular. 2020 May 7:1708538120923420. doi: 10.1177/1708538120923420. [Epub ahead of print]
PMID: 32379584 [PubMed - as supplied by publisher]
26. All Hands on Deck: Learning to "Un-specialize" in the COVID-19 Pandemic.
Cram P, Anderson ML, Shaughnessy EE.
J Hosp Med. 2020 May;15(5):314-315. doi: 10.12788/jhm.3426. No abstract available. PMID: 32379040 [PubMed - indexed for MEDLINE]
27. Controversies in Respiratory Protective Equipment Selection and Use During COVID-19.
Zhang JC, Cram P, Adisesh A.
J Hosp Med. 2020 May;15(5):292-294. doi: 10.12788/jhm.3437. No abstract available.
PMID: 32379033 [PubMed - indexed for MEDLINE]
28. What I Learned From SARS in 2003 That Will Help Me Cope With COVID-19 in 2020.
Detsky AS.
J Hosp Med. 2020 May;15(5):279-280. doi: 10.12788/jhm.3418. No abstract available. PMID: 32379028 [PubMed - in process]
29. The Implausibility of Neonatal Opioid Toxicity from Breastfeeding.
Zipursky J, Juurlink DN.
Clin Pharmacol Ther. 2020 May 7. doi: 10.1002/cpt.1882. [Epub ahead of print] Review. PMID: 32378749 [PubMed - as supplied by publisher]
30. Pitfalls from Psychology Science that Worsen with Practice.
Redelmeier DA, Ross LD.
J Gen Intern Med. 2020 May 6. doi: 10.1007/s11606-020-05864-5. [Epub ahead of print] No abstract available. PMID: 32378011 [PubMed - as supplied by publisher]
31. Economic Theory and Medical Assistance in Dying.
Redelmeier DA, Detsky AS.
Appl Health Econ Health Policy. 2020 May 6. doi: 10.1007/s40258-020-00587-4. [Epub ahead of print] No abstract available.
PMID: 32372250 [PubMed - as supplied by publisher]
32. The Relationship Between Suicide-Related Twitter Events and Suicides in Ontario From 2015 to 2016.
Sinyor M, Williams M, Zaheer R, Loureiro R, Pirkis J, Heisel MJ, Schaffer A, Cheung AH, Redelmeier DA, Niederkrotenthaler T.
Crisis. 2020 May 5:1-8. doi: 10.1027/0227-5910/a000684. [Epub ahead of print] PMID: 32366171 [PubMed - as supplied by publisher]
33. Response by Cram et al to Letter Regarding Article, "Utilization of Advanced Cardiovascular Therapies in the United States and Canada: An Observational Study of New York and Ontario Administrative Data".
Cram P, Girotra S, Matelski J, Koh M, Landon B, Han L, Lee DS, Ko DT.
Circ Cardiovasc Qual Outcomes. 2020 May;13(5):e006587. doi: 10.1161/CIRCOUTCOMES.120.006587. Epub 2020 May 5. No abstract available. PMID: 32366114 [PubMed - in process]
34. Coagulopathy associated with COVID-19.
Lee SG, Fralick M, Sholzberg M.
CMAJ. 2020 May 1. pii: cmaj.200685. doi: 10.1503/cmaj.200685. [Epub ahead of print] No abstract available.
PMID: 32357997 [PubMed - as supplied by publisher]
35. Disseminated gonococcal infection: the importance of testing all mucosal sites
Keith Gunaratne MD, Wayne L. Gold MD, Peter E. Wu MD MSc
|
|
Trainee Publications
1. Agarwal A, Basmaji J, Muttalib F, Granton D, Chaudhuri D, Chetan D, Hu M, Fernando SM, Honarmand K, Bakaa L, Brar S, Rochwerg B, Adhikari NK, Lamontagne F, Murthy S, Hui DSC, Gomersall C, Mubareka S, Diaz JV, Burns KEA, Couban R, Quazi I, Guyatt GH, Vandvik PO.
High flow nasal cannula for acute hypoxemic respiratory failure in patients with COVID-19: systematic reviews of effectiveness and risk of aerosolization, dispersion and infection transmission. Can J Anaesth. 2020 [Epub ahead of print].
2. Shokr H, Kansal N, Agarwal A. Canada needs action to ensure everyone can access healthcare. Rabble. 2020.
3. COVIDSurg Collaborative [incl. Agarwal A]. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Lancet. 2020 [Epub ahead of print].
4. COVID-19 highlights an urgent need to expand access to healthcare for all. Goel R, Agarwal A, Scott M. National Newswatch. 2020 June 14.
5. Darzi AJ, Karam SG, Spencer FA, Spyropoulos AC, Mbuagbaw L, Woller SC, Zakai NA, Streiff MB, Gould MK, Cushman M, Charide R, Etxeandia-Ikobaltzeta I, Germini F, Rigoni M, Agarwal A, Morsi RZ, Akl EA, Iorio A, Schünemann HJ. Risk models for VTE and bleeding in medical inpatients: systematic identification and expert assessment. Blood Adv. 2020;4(12):2557-2566.
6. Bilateral Necrotizing Scleritis: A Deeper Look at a Vision-Threatening Illness.
Arya S, Mahendira D, Pattani R.
J Clin Rheumatol. 2020 Jun;26(4):e75-e76. doi: 10.1097/RHU.0000000000000858. No abstract available.
PMID: 32453295 [PubMed - in process]
7. Disseminated gonococcal infection: the importance of testing all mucosal sites
Keith Gunaratne, Wayne L. Gold, Peter E. Wu |
|
|
For future newsletters, please email information on your contributions to joe.graves@uhn.ca.
|
|
|
|
