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Message from the Division Director
Dear Colleagues,

As we head into the holiday block, thank you as always for your hard work and dedication to patient care and to all of your academic activities. Please see below for November's divisional awards, events, and other updates.

Sincerely,
Moira

Dr. Moira Kapral
Director, Division of General Internal Medicine, University of Toronto
Awards 
 

Peter Webster Award for Excellence in Teaching and Patient Care 

Dr. Edward Etchells has received the 2021 Peter Webster Award for Excellence in Teaching and Patient Care from the Department of Medicine at Sunnybrook Health Sciences Centre.

Sinai Health Distinguished Educator Award

Dr. Yayi Huang has been received the 2021 Distinguished Educator Award from Sinai Health System. 

Jack Tu Senior Investigator Award   

Dr. Ayelet Kuper has received the 2021 Jack Tu Senior Investigator Award from the Department of Medicine at Sunnybrook Health Sciences Centre.

Kevin R. Imrie Leadership Award

Dr. Lynfa Stroud has received the 2021 Kevin R. Imrie Leadership Award from the Department of Medicine at Sunnybrook Health Sciences Centre.

Continuing Education Teaching Award  

Dr. Adina Weinerman has received the 2021 Continuing Education Teaching Award from the Department of Medicine at Sunnybrook Health Sciences Centre.

Senior Faculty Award for Quality Improvement 

Dr. Brian Wong has received the 2021 Senior Faculty Award for Quality Improvement from the Department of Medicine at Sunnybrook Health Sciences Centre.
New Full-Time Faculty
 

Dr. Michael Randazzo 

Dr. Michael Randazzo joins the Division of GIM as its first Clinician Teacher recruited to do 90% clinical work (previously known as the "clinician-clinician" stream). Mike completed a BSc at McMaster University, an MD at the St. James School of Medicine in St. Vincent & the Grenadines, postgraduate internal medicine training at Wayne State University, and a Hospital Medicine Fellowship at the University Health Network, where he subsequently worked as a clinical associate and was twice awarded the GIM Citizenship Award. His work will involve attending and teaching on the GIM hospitalist and other services at the Toronto General Hospital. Congratulations and welcome! 
Announcements
 

Core Internal Medicine Program Site Director at Toronto Western Hospital

Dr. Lindsay Melvin has been appointed as the next Core Internal Medicine Program Site Director at Toronto Western Hospital, effective January 1, 2022. Many thanks to Dr. Rodrigo Cavalcanti, who has been ably serving as interim site director.

Dr. Jillian Horton interviews Dr. Robert Sargeant

Dr. Rob Sargeant shares his words of wisdom on all things medical in this moving and entertaining interview by Dr. Jillian Horton, U of T GIM graduate and award-winning medical educator, writer, musician and podcaster. If you have not yet done so, you may donate to the Dr. Rob Sargeant Fund for General Internal Medicine at St. Michael's Hospital here. 

It's a girl!

Dr. Aly Lakhani and his wife Kelly have welcomed a beautiful baby girl named Zahra Henrietta Lakhani into the world. Congratulations!

Dying in Canada is costing a fortune?

Dr. Kieran Quinn's recent work with the C.D. Howe Institute, Expensive Endings: Reining In the High Cost of End-of-Life Care in Canada, was featured in Andre Picard's article Dying in Canada is costing a fortune – and worse, it’s not how we want to go in The Globe and Mail. 

Job Postings

Lecturer / Assistant Professor - Academic General Internist

The Divisions of GIM and Geriatrics at the University Health Network and Sinai Health System are seeking to recruit 4 Clinician-Teachers (CT) to be based at UHN - Toronto Western Hospital (TWH) and Toronto General Hospital (TGH).  Detailed job postings are available on U of T and CSIM career sites.  Applications will be accepted until December 13, 2021 or until the positions are filled.

Assistant / Associate / Full Professor - Academic General Internist

The Division of GIM at Sunnybrook Health Sciences Centre is currently inviting applications for the position of a Clinician in Quality and Innovation (CQI) or a Clinician-Teacher (CT) to join the division in July 2022. Please see description HERE.

The Division is also inviting applications for the position of a Clinician-Scientist (CS) and a Clinician-Investigator (CI) to join the Division in July 2022. Please see description HERE. 

Applications will be received until Dec 31, 2021.  

Meetings 

McGill University General Internal Medicine Symposium on Perioperative Medicine

Date: Thursday, November 25, 2021
Time: 4:30-6:30 PM

REGISTER in advance for this meeting.  After registering, you will receive a confirmation email containing information about joining the meeting. 

Program Overview

University of Toronto GIM Citywide Rounds 

Date: Friday, November 26, 2021
Time: 1-2 PM

Dr. Steven Glazer - Update on Management of Obesity
Dr. Esther Bui - Epilepsy Care Through the Lens of Sex/Gender

These rounds are accredited by the Royal College of Physicians and Surgeons of Canada. If you would like to attend but have not received a calendar invitation with the Zoom link, please email tina.teng@uhn.ca
Journal Articles

Divisional members published the following journal articles in October 2021:
  1. Incident Reporting Systems: What Will It Take to Make Them Less Frustrating and Achieve Anything Useful?
    Shojania KG.
    Jt Comm J Qual Patient Saf. 2021 Oct 12:S1553-7250(21)00265-8. doi: 10.1016/j.jcjq.2021.10.001. Online ahead of print.
    PMID: 34716115 No abstract available.
     
  2. A Modified Delphi Process to Prioritize Experiences and Guidance Related to ICU Restricted Visitation Policies During the Coronavirus Disease 2019 Pandemic.
    Fiest KM, Krewulak KD, Makuk K, Jaworska N, Hernández L, Bagshaw SM, Burns KE, Cook DJ, Doig CJ, Fox-Robichaud A, Fowler RA, Kho ME, Parhar KKS, Rewa OG, Rochwerg B, Sept BG, Soo A, Spence S, West A, Stelfox HT, Parsons Leigh J.
    Crit Care Explor. 2021 Oct 25;3(10):e0562. doi: 10.1097/CCE.0000000000000562. eCollection 2021 Oct.
    PMID: 34712955
     
  3. Trends in Hospitalizations for Serious Infections Among People With Opioid Use Disorder in Ontario, Canada.
    Gomes T, Kitchen SA, Tailor L, Men S, Murray R, Bayoumi AM, Campbell T, Young S, Kolla G.
    J Addict Med. 2021 Oct 28. doi: 10.1097/ADM.0000000000000928. Online ahead of print.
    PMID: 34711742
     
  4. Hour-Specific Total Serum Bilirubin Percentiles for Infants Born at 29-35 Weeks' Gestation.
    Jegathesan T, Ray JG, Bhutani VK, Keown-Stoneman CDG, Campbell DM, Shah V, Berger H, Hayeems RZ, Sgro M; NeoHBC.
    Neonatology. 2021 Oct 28:1-10. doi: 10.1159/000519496. Online ahead of print.
    PMID: 34710869
     
  5. Dressing the Part: Gender Differences in Residents' Experiences of Feedback in Internal Medicine.
    Billick M, Rassos J, Ginsburg S.
    Acad Med. 2021 Oct 26. doi: 10.1097/ACM.0000000000004487. Online ahead of print.
    PMID: 34709203
     
  6. Implementation Strategies to Improve Engagement With a Multi-Institutional Patient Portal: Multimethod Study.
    Fujioka JK, Bickford J, Gritke J, Stamenova V, Jamieson T, Bhatia RS, Desveaux L.
    J Med Internet Res. 2021 Oct 28;23(10):e28924. doi: 10.2196/28924.
    PMID: 34709195  
     
  7. Qualitative Evaluation of a Novel Educational Tool to Communicate Individualized Hip Fracture Prognostic Information to Patients and Surrogates: My Hip Fracture (My-HF).
    Vincent C, Wegier P, Chien V, Kurahashi AM, Ginsburg S, Molla Ghanbari H, Wolfstadt JI, Cram P.
    Geriatr Orthop Surg Rehabil. 2021 Oct 23;12:21514593211050513. doi: 10.1177/21514593211050513. eCollection 2021.
    PMID: 34707914
     
  8. Metronidazole-induced neurotoxicity.
    Quickfall D, Daneman N, Dmytriw AA, Juurlink DN.
    CMAJ. 2021 Oct 25;193(42):E1630. doi: 10.1503/cmaj.201671.
    PMID: 34697097  
     
  9. Assessment of Stimulant Use and Cardiovascular Event Risks Among Older Adults.
    Tadrous M, Shakeri A, Chu C, Watt J, Mamdani MM, Juurlink DN, Gomes T.
    JAMA Netw Open. 2021 Oct 1;4(10):e2130795. doi: 10.1001/jamanetworkopen.2021.30795.
    PMID: 34694389
     
  10. Association of Cardiology Billing Amounts With Health Care Utilization and Clinical Outcomes in Patients With Atrial Fibrillation.
    Bhatia RS, Chu C, Kaoutskaia A, Ko DT, Shojania KG, Dorian P, Yu B, Shurrab M, Fang J, Ross H, Austin PC, Bouck Z, Goodman SG, Crystal E.
    J Am Heart Assoc. 2021 Oct 20:e020708. doi: 10.1161/JAHA.120.020708. Online ahead of print.
    PMID: 34668397
     
  11. The consequences of neglecting to collect multisectoral data to monitor the COVID-19 pandemic.
    Verma AA, Slutsky AS, Razak F.
    CMAJ. 2021 Oct 18;193(41):E1600. doi: 10.1503/cmaj.80136.
    PMID: 34663605
     
  12. Association between time to therapeutic INR and length of stay following mechanical heart valve surgery.
    Godoy LC, Tomlinson G, Abumuamar AM, Farkouh ME, Rudolph M, Billia F, Cohn I, Marcus G, Kim RH, Rao V, Lawler PR.
    J Card Surg. 2021 Oct 18. doi: 10.1111/jocs.16083. Online ahead of print.
    PMID: 34662458
     
  13. Closing the Osteoporosis Care Gap: A Teachable Moment.
    Silverstein WK, Zipursky JS, Shadowitz S.
    JAMA Intern Med. 2021 Oct 18. doi: 10.1001/jamainternmed.2021.5972. Online ahead of print.
    PMID: 34661618
     
  14. One-Year Readmission Following Undifferentiated Acute Hypercapnic Respiratory Failure.
    Cavalot G, Dounaevskaia V, Vieira F, Piraino T, Coudroy R, Smith O, Hall DA, Burns KEA, Brochard L.
    COPD. 2021 Oct 18:1-10. doi: 10.1080/15412555.2021.1990240. Online ahead of print.
    PMID: 34657539
     
  15. Are quality improvement plans perceived to improve the quality of primary care in Ontario? Qualitative study.
    Tran K, Webster F, Ivers NM, Laupacis A, Dhalla IA.
    Can Fam Physician. 2021 Oct;67(10):759-766. doi: 10.46747/cfp.6710759.
    PMID: 34649902
     
  16. Effectiveness of therapeutic heparin versus prophylactic heparin on death, mechanical ventilation, or intensive care unit admission in moderately ill patients with covid-19 admitted to hospital: RAPID randomised clinical trial.
    Sholzberg M, Tang GH, Rahhal H, AlHamzah M, Kreuziger LB, Áinle FN, Alomran F, Alayed K, Alsheef M, AlSumait F, Pompilio CE, Sperlich C, Tangri S, Tang T, Jaksa P, Suryanarayan D, Almarshoodi M, Castellucci LA, James PD, Lillicrap D, Carrier M, Beckett A, Colovos C, Jayakar J, Arsenault MP, Wu C, Doyon K, Andreou ER, Dounaevskaia V, Tseng EK, Lim G, Fralick M, Middeldorp S, Lee AYY, Zuo F, da Costa BR, Thorpe KE, Negri EM, Cushman M, Jüni P; RAPID trial investigators.
    BMJ. 2021 Oct 14;375:n2400. doi: 10.1136/bmj.n2400.
    PMID: 34649864
     
  17. Preeclampsia-like syndrome in a pregnant patient with Coronavirus Disease 2019 (COVID-19).
    Naeh A, Berezowsky A, Yudin MH, Dhalla IA, Berger H.
    J Obstet Gynaecol Can. 2021 Oct 11:S1701-2163(21)00752-0. doi: 10.1016/j.jogc.2021.09.015. Online ahead of print.
    PMID: 34648956
     
  18. Women in Medicine: The Limits of Individualism in Academic Medicine.
    Sharma M, Rawal S.
    Acad Med. 2021 Oct 12. doi: 10.1097/ACM.0000000000004458. Online ahead of print.
    PMID: 34647925
     
  19. Homebound status among older adult home care recipients in Ontario, Canada.
    Lapointe-Shaw L, Jones A, Ivers NM, Rahim A, Babe G, Stall NM, Sinha SK, Costa AP.
    J Am Geriatr Soc. 2021 Oct 13. doi: 10.1111/jgs.17501. Online ahead of print.
    PMID: 34642950
     
  20. Prognostic Factors Associated With Development of Venous Thromboembolism in Critically Ill Patients-A Systematic Review and Meta-Analysis.
    Tran A, Fernando SM, Rochwerg B, Cook DJ, Crowther MA, Fowler RA, Alhazzani W, Siegal DM, Castellucci LA, Zarychanski R, English SW, Kyeremanteng K, Carrier M.
    Crit Care Med. 2021 Oct 12. doi: 10.1097/CCM.0000000000005382. Online ahead of print.
    PMID: 34636806
     
  21. UpToDate versus DynaMed: a cross-sectional study comparing the speed and accuracy of two point-of-care information tools.
    Bradley-Ridout G, Nekolaichuk E, Jamieson T, Jones C, Morson N, Chuang R, Springall E.
    J Med Libr Assoc. 2021 Jul 1;109(3):382-387. doi: 10.5195/jmla.2021.1176.
    PMID: 34629966
     
  22. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges.
    Schiff G, Shojania KG.
    BMJ Qual Saf. 2021 Oct 8:bmjqs-2021-014163. doi: 10.1136/bmjqs-2021-014163. Online ahead of print.
    PMID: 34625484
     
  23. Development and internal validation of a model predicting severe maternal morbidity using pre-conception and early pregnancy variables: a population-based study in Ontario, Canada.
    Dayan N, Shapiro GD, Luo J, Guan J, Fell DB, Laskin CA, Basso O, Park AL, Ray JG.
    BMC Pregnancy Childbirth. 2021 Oct 6;21(1):679. doi: 10.1186/s12884-021-04132-6.
    PMID: 34615477
     
  24. Tweeting Into the Void: Effective Use of Social Media for Healthcare Professionals.
    Horwitz LI, Detsky AS.
    J Hosp Med. 2021 Oct;16(10):628-630. doi: 10.12788/jhm.3684.
    PMID: 34613899
     
  25. Effectiveness and safety of the direct oral anticoagulants in non-triple positive antiphospholipid syndrome without prior arterial thromboembolism.
    Kwan V, Kaplovitch E, Selby R, Abdulrehman J.
    J Thromb Thrombolysis. 2021 Oct 6. doi: 10.1007/s11239-021-02578-1. Online ahead of print.
    PMID: 34613576
     
  26. Theory in quality improvement and patient safety education: A scoping review.
    Goldman J, Smeraglio A, Lo L, Kuper A, Wong BM.
    Perspect Med Educ. 2021 Oct 5. doi: 10.1007/s40037-021-00686-5. Online ahead of print.
    PMID: 34609733 Review.
     
  27. Hyperferritinemia.
    Kumachev A, Frost DW.
    CMAJ. 2021 Oct 4;193(39):E1534. doi: 10.1503/cmaj.210359.
    PMID: 34607847 
     
  28. Adverse childhood experiences and related outcomes among adults experiencing homelessness: a systematic review and meta-analysis.
    Liu M, Luong L, Lachaud J, Edalati H, Reeves A, Hwang SW.
    Lancet Public Health. 2021 Sep 29:S2468-2667(21)00189-4. doi: 10.1016/S2468-2667(21)00189-4. Online ahead of print.
    PMID: 34599894
     
  29. COVID-19 vaccination amongst persons experiencing homelessness: practices and learnings from UK, Canada and the US.
    Paudyal V, Racine M, Hwang SW.
    Public Health. 2021 Oct;199:e2-e3. doi: 10.1016/j.puhe.2021.08.015. Epub 2021 Sep 1.
    PMID: 34548161
     
  30. Federated learning for predicting clinical outcomes in patients with COVID-19.
    Dayan I, Roth HR, Zhong A, Harouni A, Gentili A, Abidin AZ, Liu A, Costa AB, Wood BJ, Tsai CS, Wang CH, Hsu CN, Lee CK, Ruan P, Xu D, Wu D, Huang E, Kitamura FC, Lacey G, de Antônio Corradi GC, Nino G, Shin HH, Obinata H, Ren H, Crane JC, Tetreault J, Guan J, Garrett JW, Kaggie JD, Park JG, Dreyer K, Juluru K, Kersten K, Rockenbach MABC, Linguraru MG, Haider MA, AbdelMaseeh M, Rieke N, Damasceno PF, E Silva PMC, Wang P, Xu S, Kawano S, Sriswasdi S, Park SY, Grist TM, Buch V, Jantarabenjakul W, Wang W, Tak WY, Li X, Lin X, Kwon YJ, Quraini A, Feng A, Priest AN, Turkbey B, Glicksberg B, Bizzo B, Kim BS, Tor-Díez C, Lee CC, Hsu CJ, Lin C, Lai CL, Hess CP, Compas C, Bhatia D, Oermann EK, Leibovitz E, Sasaki H, Mori H, Yang I, Sohn JH, Murthy KNK, Fu LC, de Mendonça MRF, Fralick M, Kang MK, Adil M, Gangai N, Vateekul P, Elnajjar P, Hickman S, Majumdar S, McLeod SL, Reed S, Gräf S, Harmon S, Kodama T, Puthanakit T, Mazzulli T, de Lavor VL, Rakvongthai Y, Lee YR, Wen Y, Gilbert FJ, Flores MG, Li Q.
    Nat Med. 2021 Oct;27(10):1735-1743. doi: 10.1038/s41591-021-01506-3. Epub 2021 Sep 15.
    PMID: 34526699
     
  31. Choice of time-scale in time-to-event analysis: evaluating age-dependent associations.
    Vyas MV, Fang J, Kapral MK, Austin PC.
    Ann Epidemiol. 2021 Oct;62:69-76. doi: 10.1016/j.annepidem.2021.06.006. Epub 2021 Jun 23.
    PMID: 34174410
     
  32. Comparative effectiveness and safety of sodium-glucose cotransporter-2 inhibitors versus metformin in patients with type 2 diabetes: An observational study using data from routine care.
    Fralick M, Schneeweiss S, Redelmeier DA, Razak F, Gomes T, Patorno E.
    Diabetes Obes Metab. 2021 Oct;23(10):2320-2328. doi: 10.1111/dom.14474. Epub 2021 Jul 13.
    PMID: 34169619
     
  33. Using machine learning to predict severe hypoglycaemia in hospital.
    Fralick M, Dai D, Pou-Prom C, Verma AA, Mamdani M.
    Diabetes Obes Metab. 2021 Oct;23(10):2311-2319. doi: 10.1111/dom.14472. Epub 2021 Jul 8.
    PMID: 34142418
     
  34. Trends in Postpartum Opioid Prescribing: A Time Series Analysis.
    Zipursky JS, Pang A, Paterson JM, Austin PC, Mamdani M, Gomes T, Ray JG, Juurlink DN.
    Clin Pharmacol Ther. 2021 Oct;110(4):1004-1010. doi: 10.1002/cpt.2307. Epub 2021 Jun 20.
    PMID: 34032277
     
  35. No one left behind: a case for more inclusivity in authorship for quality improvement and implementation research.
    Myers JS, Lane-Fall M, Soong C.
    BMJ Qual Saf. 2021 Oct;30(10):779-781. doi: 10.1136/bmjqs-2021-013067. Epub 2021 May 20.
    PMID: 34016688
     
  36. Health of people experiencing co-occurring homelessness, imprisonment, substance use, sex work and/or severe mental illness in high-income countries: a systematic review and meta-analysis.
    Tweed EJ, Thomson RM, Lewer D, Sumpter C, Kirolos A, Southworth PM, Purba AK, Aldridge RW, Hayward A, Story A, Hwang SW, Katikireddi SV.
    J Epidemiol Community Health. 2021 Oct;75(10):1010-1018. doi: 10.1136/jech-2020-215975. Epub 2021 Apr 23.
    PMID: 33893182
     
  37. Lessons for hospital care from the first wave of COVID-19 in Ontario, Canada.
    Verma AA, Razak F.
    Hosp Pract (1995). 2021 Oct;49(4):229-231. doi: 10.1080/21548331.2021.1915657. Epub 2021 Apr 19.
    PMID: 33832401
Publications and Other Contributions by Trainees

Please email tina.teng@uhn.ca if you have items for inclusion in future newsletters
 
  1. Dressing the Part: Gender Differences in Residents' Experiences of Feedback in Internal Medicine.
    Billick M, Rassos J, Ginsburg S.
    Acad Med. 2021 Oct 26. doi: 10.1097/ACM.0000000000004487. Online ahead of print.
    PMID: 34709203
     
  2. Metronidazole-induced neurotoxicity.
    Quickfall D, Daneman N, Dmytriw AA, Juurlink DN.
    CMAJ. 2021 Oct 25;193(42):E1630. doi: 10.1503/cmaj.201671.
    PMID: 34697097 
     
  3. Closing the Osteoporosis Care Gap: A Teachable Moment.
    Silverstein WK, Zipursky JS, Shadowitz S.
    JAMA Intern Med. 2021 Oct 18. doi: 10.1001/jamainternmed.2021.5972. Online ahead of print.
    PMID: 34661618
     
  4. Hyperferritinemia.
    Kumachev A, Frost DW.
    CMAJ. 2021 Oct 4;193(39):E1534. doi: 10.1503/cmaj.210359.
    PMID: 34607847 
     
  5. A physician to his mom: 'The stress of life under the virus fell disproportionately onto you'
    Arjun V.K. Sharma
    MacLean's, November 4, 2021


Copyright © 2021, 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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