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Message from the Division Director

Dear Colleagues,

I’d like to invite you to attend our upcoming citywide GIM events for the first half of 2020. These are a great opportunity to learn new information of relevance to our practice and to see friends and colleagues from across the city. On Feb. 6 Rob Sargeant will provide an update on wound care and Graham Slaughter will lead a discussion on GIM billing practices. For faculty, we are offering a procedures course on March 31. On April 30 we will hold GIM Research Day, which will include trainee presentations and short snapper presentations by faculty on their most interesting research projects; Dr. Matthew Press from the University of Pennsylvania will be the keynote speaker.

In the coming weeks, please watch for a faculty survey seeking your input on GIM continuing education events for the 2020/21 academic year.  We are also seeking a faculty lead for GIM continuing education. This position comes with a small stipend and involves planning events of relevance to the U of T GIM community. Please let me know if you are interested in this position.


Sincerely,
Dr. Moira Kapral
Director, Division of GIM, University of Toronto

Awards and Announcements

Chief, Integrated Community Program, SHSC


Dr. Steven Shadowitz has been appointed Chief of Sunnybrook's Integrated Community Program, effective February 1, 2020. This program involves integration of services to improve transitions in care and to ensure consistency in quality and access to services across the system of care. 
 

MD Program Teaching Excellence Awards 


The following faculty have received 2018/19 Teaching Excellence Awards from the University of Toronto MD program, in recognition of obtaining teaching evaluation scores in the top 10%:

Tarek Abdelhalim, Anthony Campbell, Rodrigo Cavalcanti,Caroline Chessex, Irfan Dhalla, Edward Etchells, Zachary Feilchenfeld, Shital Gandhi, Yayi Huang, Ayelet Kuper, Yuna Lee, Ariel Lefkowitz, Anant Murthy, Reena Pattani, Rupal Shah, Gillian Spiegle, Rebecca Stovel, Katina Tzanetos, Farzana Vira and Brian Wong. Congratulations!

 

It's a GIRL! 


Dr. Graham Slaughter and wife Andrea are delighted to welcome baby Nora, born November 27, 2019 and weighing 8 lb 3 oz. Congratulations!

It's a GIRL! 


Tina Teng, husband Jason, and big brother Owen are excited to welcome baby Charlotte Liu, born on the 2nd of January, 2020. Congratulations! Tina will be on maternity leave until January 2021, and during this time Ms. Joe Graves will be the interim administrative assistant for the University of Toronto Division of General Internal Medicine.  

Meetings/Events

GIM Continuing Education Event

Event Date: February 6, 2020, 4-6 PM
Location: Women's College Hospital, Pink Cube
Topics and Speakers:

  • Wound Care – Dr. Robert Sargeant
  • GIM Billing Practices – Dr. Graham Slaughter
Please RSVP by January 31, 2020.
Zoom videoconferencing will be available.

2020 McMaster Internal Medicine Review Course

Event Date: March 25 - 27, 2020
Location: Hamilton Convention Centre

Brochure:


 

GIM Research Day

Event Date: April 30, 2020, 12-4:30 PM
Location: Hart House, University of Toronto

This year's GIM Research Day will include lunch, faculty short snapper presentations, trainee presentations and posters, and a keynote talk by Dr. Matthew Press from the University of Pennsylvania. Please mark your calendars.

Abstract submission deadline: February 21, 2020


Abstract Submission Form
Abstract Submission Guidelines

 

Society of General Internal Medicine Annual Meeting

Event Date: May 6-9, 2020
Location: Birmingham, AL, USA



 

Journal Articles

Divisional members have published the following journal articles since the last issue of the GIM Update.
1. Minding the gap: severe anion gap metabolic acidosis induced by chronic acetaminophen use.
Frankfurter C, Venus K, Frost D
Can J Gen Int Med Nov 2019. 14(4), e43-e49. doi.org/10.22374/cjgim.v14i4.339. 


2. Determinants of Direct Discharge Home From Critical Care Units: A Population-Based Cohort Analysis.
Martin CM, Lam M, Allen B, Richard L, Lau V, Ball IM, Wunsch H, Fowler RA, Scales DC.
Crit Care Med. 2019 Dec 23. doi: 10.1097/CCM.0000000000004178.
PMID: 31876534


3. An Approach to Explore for a Sweet-spot in Randomized Trials.
Redelmeier DA, Tibshirani RJ.
J Clin Epidemiol. 2019 Dec 21. pii: S0895-4356(19)30438-X. doi:
10.1016/j.jclinepi.2019.12.012.
PMID: 31874202

  
4. Cost-Efficient Medical Education: An Innovative Approach to Creating Educational Products.
Kaplovitch E, Otremba M, Morgan M, Devine LA.
J Grad Med Educ. 2019 Dec;11(6):713-716. doi: 10.4300/JGME-D-19-00155.1.
PMID: 31871575
 

5. Medication non-adherence: an overlooked target for quality improvement interventions.
Franklin BD, Abel G, Shojania KG.
BMJ Qual Saf. 2019 Dec 20. pii: bmjqs-2019-009984. doi: 10.1136/bmjqs-2019-009984. 
PMID: 31862775 

    
6. Evaluating the Effects of a Rent Subsidy and Mentoring Intervention for Youth Transitioning Out of Homelessness: Protocol for a Mixed Methods, Community-Based Pilot Randomized Controlled Trial.
Thulien NS, Kozloff N, McCay E, Nisenbaum R, Wang A, Hwang SW.
JMIR Res Protoc. 2019 Dec 20;8(12):e15557. doi: 10.2196/15557.
PMID: 31859688 

 
7. A new record linkage for assessing infant mortality rates in Ontario, Canada.
Fell DB, Park AL, Sprague AE, Islam N, Ray JG.
Can J Public Health. 2019 Dec 19. doi: 10.17269/s41997-019-00265-6.  
PMID: 31858437 [PubMed - as supplied by publisher]

  
8. Understanding the Implications of a Shifting Opioid Landscape in Ontario.
Gomes T, Juurlink DN.
Healthc Q. 2019 Oct;22(3):6-11. doi: 10.12927/hcq.2019.26025.
PMID: 31845850 


9. The risk of death within 5 years of first hospital admission in older adults.
Quinn KL, Stall NM, Yao Z, Stukel TA, Cram P, Detsky AS, Bell CM.
CMAJ. 2019 Dec 16;191(50):E1369-E1377. doi: 10.1503/cmaj.190770.
PMID: 31844021


10. Education as a low-value improvement intervention: often necessary but rarely sufficient.
Soong C, Shojania KG.
BMJ Qual Saf. 2019 Dec 16. pii: bmjqs-2019-010411. doi: 10.1136/bmjqs-2019-010411. No abstract available.
PMID: 31843878 

    
11. Barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review.
Leece P, Khorasheh T, Corace K, Strike C, Bayoumi AM, Taha S, Marks E, Pach B, Ahamad K, Grennell E, Holowaty M, Manson H, Straus SE.
BMJ Open. 2019 Dec 15;9(12):e032285. doi: 10.1136/bmjopen-2019-032285.
PMID: 31843837 


12. DIVERT-Collaboration Action Research and Evaluation (CARE) Trial Protocol: a multiprovincial pragmatic cluster randomised trial of cardiorespiratory management in home care.
Costa AP, Schumacher C, Jones A, Dash D, Campbell G, Junek M, Agarwal G, Bell CM, Boscart V, Bronskill SE, Feeny D, Hébert PC, Heckman GA, Hirdes JP, Lee L, McKelvie RS, Mitchell L, Sinha SK, Davis J, Priddle T, Rose J, Gillan R, Mills D, Haughton D.
BMJ Open. 2019 Dec 15;9(12):e030301. doi: 10.1136/bmjopen-2019-030301.
PMID: 31843821

 
13. Surgical duration is associated with an increased risk of periprosthetic infection following total knee arthroplasty: A population-based retrospective cohort study.
Ravi B, Jenkinson R, O'Heireamhoin S, Austin PC, Aktar S, Leroux TS, Paterson M, Redelmeier DA.
EClinicalMedicine. 2019 Oct 23;16:74-80. doi: 10.1016/j.eclinm.2019.09.015. eCollection 2019 Nov.
PMID: 31832622 [PubMed] Free PMC Article


14. From hermeneutics to heteroglossia: 'The Patient's View' revisited.
Chin-Yee B, Diaz P, Bryden P, Soklaridis S, Kuper A.
Med Humanit. 2019 Dec 12. pii: medhum-2019-011724. doi: 10.1136/medhum-2019-011724.
PMID: 3183159


15. Effectiveness of the Genomics ADvISER decision aid for the selection of secondary findings from genomic sequencing: a randomized clinical trial.
Bombard Y, Clausen M, Shickh S, Mighton C, Casalino S, Kim THM, Muir SM, Carlsson L, Baxter N, Scheer A, Elser C, Eisen A, Panchal S, Graham T, Aronson M, Piccinin C, Mancuso T, Semotiuk K, Evans M, Carroll JC, Offit K, Robson M, Hamilton JG, Glogowski E, Schrader K, Kim RH, Lerner-Ellis J, Thorpe KE, Laupacis A; Incidental Genomics Study Team.
Genet Med. 2019 Dec 11. doi: 10.1038/s41436-019-0702-z. 
PMID: 31822848 
 

16. CMAJ priorities for 2020.
Laupacis A.
CMAJ. 2019 Dec 9;191(49):E1344. doi: 10.1503/cmaj.191561. No abstract available.
PMID: 31818926 

     
17. Association of Patient, Prescriber, and Region With the Initiation of First Prescription of Biologic Disease-Modifying Antirheumatic Drug Among Older Patients With Rheumatoid Arthritis and Identical Health Insurance Coverage.
Tatangelo M, Tomlinson G, Paterson JM, Ahluwalia V, Kopp A, Gomes T, Bansback N, Bombardier C.
JAMA Netw Open. 2019 Dec 2;2(12):e1917053. doi: 10.1001/jamanetworkopen.2019.17053.
PMID: 31808927 

 
18. Cochrane Sustainable Healthcare: evidence for action on too much medicine.
Johansson M, Bero L, Bonfill X, Bruschettini M, Garner S, Glenton C, Harris R, Jørgensen KJ, Levinson W, Lotfi T, Montori V, Meng DM, Schünemann H, Vaz Carneiro A, Woloshin S, Moynihan R.
 Cochrane Database Syst Rev. 2019 Dec 6;12:ED000143. doi: 10.1002/14651858.ED000143. No abstract available.
PMID: 31808554

 
19. Comprehensive Drug-Class Review Framework for improved evidence-based drug policy and formulary modernization.
Tadrous M, Knowles S, Ruddock B, Oh P, Mamdani MM, Juurlink DN, Gomes T.
Int J Technol Assess Health Care. 2019 Dec 3:1-8. doi: 10.1017/S0266462319000746.
PMID: 31796132 

    
20. Longitudinal Associations between Perceived Quality of Living Spaces and Health-Related Quality of Life among Homeless and Vulnerably Housed Individuals Living in Three Canadian Cities.
Magee C, Norena M, Hubley AM, Palepu A, Hwang SW, Nisenbaum R, Karim ME, Gadermann A.
Int J Environ Res Public Health. 2019 Nov 29;16(23). pii: E4808. doi: 10.3390/ijerph16234808.
PMID: 31795464

     
21. Local Failure in High-grade Prostate Cancer: An Elusive but Important Outcome and Target for Clinical Trials.
Alibhai SMH, Warde P.
Eur Urol. 2019 Nov 28. pii: S0302-2838(19)30876-0. doi: 10.1016/j.eururo.2019.11.013. [Epub ahead of print] No abstract available.
PMID: 31787428 
 

22. The association between trunk muscle endurance, balance and falls self-efficacy in women with osteoporotic vertebral fractures: an exploratory analysis from a pilot randomized controlled trial.
McArthur C, Gibbs JC, Ashe MC, Cheung AM, Hill KD, Kendler DL, Khan A, Prasad S, Thabane L, Wark JD, Giangregorio LM.
Disabil Rehabil. 2019 Dec 1:1-7. doi: 10.1080/09638288.2019.1696418. PMID: 31786954 [PubMed - as supplied by publisher]

     
23. New Insights into the Epidemiology of Prostate Cancer in Ontario.
Abrahamyan L, Huszti E, Bremner KE, Pechlivanoglou P, Mitsakakis N, Krahn M.
Cancer Invest. 2019;37(10):513-523. doi: 10.1080/07357907.2019.1682154. Epub 2019 Nov 4.
PMID: 31617759 

Publications and Other Contributions by Internal Medicine Residents

Dr. Arnav Agarwal has been selected as a recipient of a 2020 Canadian Society of Internal Medicine Education and Research Fund for a scholarly project with the General Internal Medicine Inpatient Initiative (GEMINI) under the supervision of Dr. Amol Verma. Congratulations!

Internal medicine residents have published the following journal articles since the last issue of the GIM Update:

1. Minding the gap: severe anion gap metabolic acidosis induced by chronic acetaminophen use.  
Frankfurter C, Venus K, Frost D
Can J Gen Int Med Nov 2019. 14(4), e43-e49. doi.org/10.22374/cjgim.v14i4.339. 


2. Treatments for preventing recurrence of infection with Pseudomonas aeruginosa in people with cystic fibrosis 
Palser S, Smith S, Nash EF, Agarwal A, Smyth AR
Cochrane Database Syst Rev. 2019 Dec 17;12:CD012300. doi: 10.1002/14651858.CD012300.pub2.


3. From hermeneutics to heteroglossia: 'The Patient's View' revisited.
Chin-Yee B, Diaz P, Bryden P, Soklaridis S, Kuper A.
Med Humanit. 2019 Dec 12. pii: medhum-2019-011724. doi: 10.1136/medhum-2019-011724.
PMID: 3183159


Trainees: please email joe.graves@uhn.ca if you have items for inclusion in this section.


Copyright © 2019, Department of Medicine, University of Toronto, All rights reserved.

To submit items for inclusion in this bulletin, or to subscribe, please email Dr. Moira Kapral at Moira.Kapral@uhn.ca







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Division of GIM, U of T · 200 Elizabeth Street · Eaton North, 14th Floor, Rm 216a · Toronto, On 2C4 · Canada

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