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Message from the Division Director
Dear Friends,

This year has brought many challenges, but also the true pleasure of collaborating and interacting with colleagues who are smart, caring, and talented in so many ways. So to you, my work family: I have nothing but admiration for your contributions over the past year, and I can’t think of a better group of people with whom to make it through the next wave of the pandemic. I wish you and yours all the best for the holidays, and I look forward to working together in 2022.

Sincerely,
Moira

Dr. Moira Kapral
Director, Division of General Internal Medicine, University of Toronto
New Faculty - Dr. Kayla Wolofsky 
 

Dr. Kayla Wolofsky has been appointed as an Assistant Professor and Clinician Teacher at the University of Toronto in the division of Palliative Care, with a cross-appointment to GIM at Toronto General Hospital (TGH).  Kayla holds an MSc from the University of Toronto and an MD from the University of Queensland in Australia. She completed postgraduate internal medicine training at Emory University, and a Palliative Care Fellowship from Harvard University, with training at Brigham and Women's Hospital and Massachusetts General Hospital. She is both ABIM and FRCPC certified. She has worked clinically in Ethiopia, Uganda, Peru and for Indian Health Services in Arizona. Kayla serves as the Education Site Lead for the Palliative Care Department at TGH, and her academic work will focus on education in palliative care, GIM, and global health.  
Announcements
 

Health Heroes 2021 | Best Health Canada

Dr. Angela Cheung - For helping COVID long haulers

Dr. Angela Cheung was profiled in Best Health Magazine's list of 2021 health heroes, for her CANCOV study focusing on the long-term sequelae of COVID-19.  Read More...

Vice Chair of the Digital Research Alliance of Canada

Dr. Amol Verma has been appointed as one of the two Vice Chairs of the Researcher Council of the Digital Research Alliance of Canada.  Read more...

Job Postings

Assistant / Associate / Full Professor - Academic General Internist

The Division of General Internal Medicine 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.  

Assistant / Associate Professor - Academic General Internist

The Division of General Internal Medicine at Women’s College Hospital  is seeking to recruit an Academic General Internist with a position description of Clinician Teacher (CT).  Please see description HERE. 

Applications will be received until Jan 17, 2022.  

Assistant Professor - Academic General Internist

The Division of General Internal Medicine at Sinai Health System and University Health Network are seeking to recruit an academic General Internist to join the Divisions of General Internal Medicine and Geriatrics with a position description of Clinician Scientist (CS), to be based at Mount Sinai Hospital. Please see description HERE. 

Applications will be received until Jan 23, 2022.  

Meetings 

Acute Care Update - Virtual Program 2022

Dates: January 13, March 31, and June 2, 2022
Time: 6:30 - 8 PM

Program Overview

The 2021/22 Acute Care Update will be offered free of charge. To receive the ZOOM videoconference link, users must register for the program in advance. Acute Care Update is open to all acute care providers including Hospitalists, Internists, Family Physicians, Emergency Physicians. Specialists, Nurse Practitioners, Physician Assistants, Pharmacists, Nurses, Fellows, and Medical Residents.

University of Toronto GIM Citywide Holiday Rounds 

Date: Friday, January 28, 2022
Time: 1-2 PM

12:00-12:30  Dr. Jon Mong – Alcohol Use Disorders
12:30-13:00  Dr. Duminda Wijeysundera – Perioperative Medicine

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. Previous rounds are recorded and available on U of T GIM Website.
Journal Articles

Divisional members published the following journal articles in November 2021:
  1. Differences in Myocardial Infarction and Stroke Knowledge and Awareness Among US- and Foreign-Born Individuals: Potential Causes and Implications.
    Aboueisha A, Cram P.
    J Am Heart Assoc. 2021 Nov 30:e024078. doi: 10.1161/JAHA.121.024078. .
    PMID: 34845912 
     
  2. Functional Movement Screen task scores and joint range-of-motion: a construct validity study.
    Hincapié CA, Tomlinson GA, Hapuarachchi M, Stankovic T, Hirsch S, Carnegie D, Richards D, Frost D, Beach TAC.
    Int J Sports Med. 2021 Nov 29. doi: 10.1055/a-1708-9735. 
    PMID: 34844265
     
  3. Establishing Healthcare Worker Performance and Safety in Providing Critical Care for Patients in a Simulated Ebola Treatment Unit: Non-Randomized Pilot Study.
    Kiiza P, Mullin SI, Teo K, Goodman L, Perez A, Pinto R, Thompson K, Piquette D, Hall T, Bah EI, Christian M, Hajek JJ, Kao R, Lamontagne F, Marshall JC, Mishra S, Murthy S, Vanderschuren A, Fowler RA, Adhikari NKJ.
    Viruses. 2021 Nov 2;13(11):2205. doi: 10.3390/v13112205.
    PMID: 34835011
     
  4. Noninvasive respiratory support following extubation in critically ill adults: a systematic review and network meta-analysis.
    Fernando SM, Tran A, Sadeghirad B, Burns KEA, Fan E, Brodie D, Munshi L, Goligher EC, Cook DJ, Fowler RA, Herridge MS, Cardinal P, Jaber S, Møller MH, Thille AW, Ferguson ND, Slutsky AS, Brochard LJ, Seely AJE, Rochwerg B.
    Intensive Care Med. 2021 Nov 25. doi: 10.1007/s00134-021-06581-1. 
    PMID: 34825256
     
  5. Evaluating optimal treatment durations for bloodstream infections - Methodologic perspectives on the choice of outcomes, and sample sizes for non-inferiority design and margins.
    Sadana D, Fowler RA.
    Clin Microbiol Infect. 2021 Nov 22:S1198-743X(21)00667-4. doi: 10.1016/j.cmi.2021.11.020. 
    PMID: 34823011
     
  6. The role of hospital characteristics in patient safety: a protocol for a national cohort study.
    Sauro KM, Baker GR, Tomlinson G, Parshuram C.
    CMAJ Open. 2021 Nov 23;9(4):E1041-E1047. doi: 10.9778/cmajo.20200266. 
    PMID: 34815259
     
  7. National consensus quality indicators to assess quality of care for active surveillance in low-risk prostate cancer: An evidence-informed modified Delphi survey of Canadian urologists/radiation oncologists.
    Timilshina N, Finelli A, Tomlinson G, Gagliardi A, Sander B, Alibhai SMH.
    Can Urol Assoc J. 2021 Nov 18. doi: 10.5489/cuaj.7466. 
    PMID: 34812725
     
  8. Neutralization of SARS-CoV-2 Variants in Transplant Recipients After Two and Three Doses of mRNA-1273 Vaccine : Secondary Analysis of a Randomized Trial.
    Kumar D, Ferreira VH, Hall VG, Hu Q, Samson R, Ku T, Ierullo M, Majchrzak-Kita B, Tomlinson G, Gingras AC, Humar A.
    Ann Intern Med. 2021 Nov 23. doi: 10.7326/M21-3480. 
    PMID: 34807716  
     
  9. Disability and self-care living strategies among adults living with HIV during the COVID-19 pandemic.
    O'Brien KK, Bayoumi AM, Chan Carusone S, Davis AM, Aubry R, Avery L, Solomon P, Erlandson KM, Bergin C, Harding R, Brown DA, Vera JH, Hanna SE.
    AIDS Res Ther. 2021 Nov 19;18(1):87. doi: 10.1186/s12981-021-00413-4.
    PMID: 34798881
     
  10. Principles and Practice of Gossiping About Colleagues in Medicine.
    Redelmeier DA, Etchells EE, Najeeb U.
    J Hosp Med. 2021 Dec;16(12):763-766. doi: 10.12788/jhm.3702.
    PMID: 34798004
     
  11. Caesarean birth in women with infertility: population-based cohort study.
    Richmond E, Ray JG, Pudwell J, Djerboua M, Gaudet L, Walker M, Smith G, Velez MP.
    BJOG. 2021 Nov 19. doi: 10.1111/1471-0528.17019. 
    PMID: 34797929
     
  12. Modelling COVID-19 transmission in a hemodialysis centre using simulation generated contacts matrices.
    Tofighi M, Asgary A, Merchant AA, Shafiee MA, Najafabadi MM, Nadri N, Aarabi M, Heffernan J, Wu J.
    PLoS One. 2021 Nov 19;16(11):e0259970. doi: 10.1371/journal.pone.0259970. eCollection 2021.
    PMID: 34797862
     
  13. Telephone, video, equity and access in virtual care.
    Thomas-Jacques T, Jamieson T, Shaw J.
    NPJ Digit Med. 2021 Nov 18;4(1):159. doi: 10.1038/s41746-021-00528-y.
    PMID: 34795356
     
  14. Prolonged ketosis and glycosuria secondary to SGLT2 inhibitor therapy.
    Bobrowski D, Kumar R, Wu PE, Lapointe-Shaw L.
    Clin Case Rep. 2021 Nov 9;9(11):e05057. doi: 10.1002/ccr3.5057.
    PMID: 34786197
     
  15. Analyzing supply and demand on a general internal medicine ward: a cross-sectional study.
    Fralick M, Kaw N, Wang M, Mamdani M, Mourad O.
    CMAJ Open. 2021 Nov 16;9(4):E1021-E1025. doi: 10.9778/cmajo.20200252. 
    PMID: 34785532
     
  16. Proceedings of the 2021 Santa Fe Bone Symposium: Advances in the Management of Osteoporosis and Metabolic Bone Diseases.
    Lewiecki EM, Anderson PA, Bilezikian JP, Binkley N, Cheung AM, Imel EA, Krueger D, McClung MR, Miller PD, Rothman MS.
    J Clin Densitom. 2021 Oct 9:S1094-6950(21)00080-9. doi: 10.1016/j.jocd.2021.10.001.
    PMID: 34785102
     
  17. Introduction to a series of Pro/Con papers in Clinical Toxicology.
    Dear JW, Dargan PI, Juurlink DN, Thanacoody RHK, Wood DM.
    Br J Clin Pharmacol. 2021 Nov 16. doi: 10.1111/bcp.15128. 
    PMID: 34784060
     
  18. Preferences regarding emerging HIV prevention technologies among Toronto men who have sex with men: a discrete choice experiment.
    Tan DHS, Rana J, Tengra Z, Hart TA, Wilton J, Bayoumi AM.
    Sci Rep. 2021 Nov 15;11(1):22252. doi: 10.1038/s41598-021-01634-3.
    PMID: 34782691
     
  19. Circumcision and Risk of HIV among Males from Ontario, Canada. Reply.
    Nayan M, Hamilton RJ, Juurlink DN, Austin PC, Jarvi KA.
    J Urol. 2021 Nov 15:101097JU0000000000002338. doi: 10.1097/JU.0000000000002338. 
    PMID: 34779238
     
  20. Gestational weight gain in twin gestations and pregnancy outcomes: a systematic review and meta-analysis.
    Lipworth H, Barrett J, Murphy KE, Redelmeier D, Melamed N.
    BJOG. 2021 Nov 14. doi: 10.1111/1471-0528.17011. 
    PMID: 34775675
     
  21. Patterns of pre-operative opioid use affect the risk for complications after total joint replacement.
    Ravi B, Pincus D, Croxford R, Leroux T, Paterson J, Hawker G, Redelmeier DA.
    Sci Rep. 2021 Nov 11;11(1):22124. doi: 10.1038/s41598-021-01179-5.
    PMID: 34764305
     
  22. Multidimensional impact of the geriatric assessment in the cancer care of older adults.
    Subbiah IM, Tejero I, Alibhai SMH.
    Cancer. 2021 Nov 11. doi: 10.1002/cncr.34009.
    PMID: 34762733
     
  23. New Opioid Use and Risk of Emergency Department Visits Related to Motor Vehicle Collisions in Ontario, Canada.
    Guan Q, McCormack D, Juurlink DN, Bronskill SE, Wunsch H, Gomes T.
    JAMA Netw Open. 2021 Nov 1;4(11):e2134248. doi: 10.1001/jamanetworkopen.2021.34248.
    PMID: 34762109
     
  24. Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping.
    Styra R, Hawryluck L, Mc Geer A, Dimas M, Sheen J, Giacobbe P, Dattani N, Lorello G, Rac VE, Francis T, Wu PE, Luk WS, Ng E, Nadarajah J, Wingrove K, Gold WL.
    PLoS One. 2021 Nov 10;16(11):e0258893. doi: 10.1371/journal.pone.0258893. 
    PMID: 34758047
     
  25. The Landscape of COVID-19 Research in the United States: a Cross-sectional Study of Randomized Trials Registered on ClinicalTrials.Gov.
    Sacks CA, North CM, Wolf M, Dougan M, Campbell KR, Moggridge J, Fralick M.
    J Gen Intern Med. 2021 Nov 9:1-8. doi: 10.1007/s11606-021-07167-9. 
    PMID: 34755268
     
  26. SARS-CoV-2 vaccination should be required to practise medicine in Canada.
    McRae AD, Laupacis A.
    CMAJ. 2021 Nov 29;193(47):E1816-E1817. doi: 10.1503/cmaj.211839. 
    PMID: 34753806
     
  27. Change in Pre-Pregnancy Body Mass Index in Relation to COVID-19 Pandemic.
    Butler EA, Cohen E, Berger H, Ray JG.
    J Obstet Gynaecol Can. 2021 Nov 5:S1701-2163(21)00750-7. doi: 10.1016/j.jogc.2021.09.014. 
    PMID: 34750062
     
  28. The Relationship Between Preoperative Physical Activity With American Society of Anesthesiologists Score and Postoperative Length of Stay in Patients Undergoing Radical Prostatectomy.
    Papadopoulos E, Brahmbhatt P, Alibhai SMH, Tomlinson GA, Matthew AG, Nesbitt M, Jones JM, Randall I, Sellers D, Finelli A, Fleshner N, Santa Mina D.
    J Phys Act Health. 2021 Nov 5:1-8. doi: 10.1123/jpah.2021-0314.
    PMID: 34740993
     
  29. Anticoagulation therapy in COVID-19 patients with chronic kidney disease.
    Shafiee MA, Hosseini SF, Mortazavi M, Emami A, Mojtahed Zadeh M, Moradi S, Shaker P.
    J Res Med Sci. 2021 Aug 30;26:63. doi: 10.4103/jrms.JRMS_875_20. 
    PMID: 34729071
     
  30. Importance of accounting for loss to follow-up when comparing mortality between immigrants and long-term residents: a population-based retrospective cohort.
    Vyas MV, Fang J, Austin PC, Laupacis A, Cheung MC, Silver FL, Kapral MK.
    BMJ Open. 2021 Nov 2;11(11):e046377. doi: 10.1136/bmjopen-2020-046377.
    PMID: 34728439
     
  31. Immigration Status and Sex Differences in Primary Cardiovascular Disease Prevention: A Retrospective Study of 5 Million Adults.
    Vyas MV, Yu AYX, Chu A, Yu B, Rijal H, Fang J, Austin PC, Kapral MK.
    J Am Heart Assoc. 2021 Nov 16;10(22):e022635. doi: 10.1161/JAHA.121.022635. 
    PMID: 34726069
     
  32. Ketamine for the treatment of acute pain.
    Silverstein WK, Juurlink DN, Zipursky JS.
    CMAJ. 2021 Nov 1;193(43):E1663. doi: 10.1503/cmaj.210878.
    PMID: 34725114
     
  33. Emergency Department Visits, Care, and Outcome After Stroke and Myocardial Infarction During the COVID-19 Pandemic Phases.
    Yu AYX, Lee DS, Vyas MV, Porter J, Rashid M, Fang J, Austin PC, Hill MD, Kapral MK.
    CJC Open. 2021 Oct;3(10):1230-1237. doi: 10.1016/j.cjco.2021.06.002. 
    PMID: 34723166
     
  34. 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
     
  35. 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
     
  36. 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 Nov;6(11):e836-e847. doi: 10.1016/S2468-2667(21)00189-4. 
    PMID: 34599894
     
  37. Patient and public preferences for being recontacted with updated genomic results: a mixed methods study.
    Mighton C, Clausen M, Sebastian A, Muir SM, Shickh S, Baxter NN, Scheer A, Glogowski E, Schrader KA, Thorpe KE, Kim THM, Lerner-Ellis J, Kim RH, Regier DA, Bayoumi AM, Bombard Y.
    Hum Genet. 2021 Dec;140(12):1695-1708. doi: 10.1007/s00439-021-02366-0. 
    PMID: 34537903
     
  38. MUFFIN-PTS trial, Micronized Purified Flavonoid Fraction for the Treatment of Post-Thrombotic Syndrome: protocol of a randomised controlled trial.
    Galanaud JP, Abdulrehman J, Lazo-Langner A, Le Gal G, Shivakumar S, Schulman S, Kahn S.
    BMJ Open. 2021 Sep 13;11(9):e049557. doi: 10.1136/bmjopen-2021-049557.
    PMID: 34518263
     
  39. Association Between Driving in the Summer and COVID-19 Mortality in the Autumn.
    Zipursky JS, Redelmeier DA.
    J Gen Intern Med. 2021 Nov;36(11):3632-3635. doi: 10.1007/s11606-021-07074-z.
    PMID: 34357576
     
  40. Marketing SARS-CoV-2 Vaccines: an Opportunity to Test a Nobel Prize-Winning Theory.
    Verma AA, Quinn KL, Detsky AS.
    J Gen Intern Med. 2021 Nov;36(11):3565-3567. doi: 10.1007/s11606-021-06927-x. 
    PMID: 34037921
     
  41. Reliability of Patient-Report, Physician-Report, and Medical Record Review to Identify Hospital-Acquired Complications: A Prospective Cohort Study.
    Fernando E, Rawal S, Shin S, Bajwa K, Kwan J, Lapointe-Shaw L, Tang T, Weinerman A, Razak F, Verma AA.
    Am J Med Qual. 2021 Sep-Oct 01;36(5):337-344. doi: 10.1097/01.JMQ.0000735460.66073.8f.
    PMID: 34010163
     
  42. Maternal weight gain and pregnancy outcomes in twin gestations.
    Lipworth H, Melamed N, Berger H, Geary M, McDonald SD, Murray-Davis B, Murphy KE, Redelmeier DA, Yoon EW, Barrett JFR, Ram M; Diabetes, Obesity, and Hypertension In Pregnancy Research Network Investigators.
    Am J Obstet Gynecol. 2021 Nov;225(5):532.e1-532.e12. doi: 10.1016/j.ajog.2021.04.260. 
    PMID: 33984302
Publications and Other Contributions by Trainees

Please email tina.teng@uhn.ca if you have items for inclusion in future newsletters
 
  1. Prolonged ketosis and glycosuria secondary to SGLT2 inhibitor therapy.
    Bobrowski D, Kumar R, Wu PE, Lapointe-Shaw L.
    Clin Case Rep. 2021 Nov 9;9(11):e05057. doi: 10.1002/ccr3.5057. eCollection 2021 Nov.
    PMID: 34786197
     
  2. Ketamine for the treatment of acute pain.
    Silverstein WK, Juurlink DN, Zipursky JS.
    CMAJ. 2021 Nov 1;193(43):E1663. doi: 10.1503/cmaj.210878.
    PMID: 34725114
     
  3. Codesigning person-centred quality indicators with diverse communities: A qualitative patient engagement study.
    Manalili K, Siad FM, Antonio M, Lashewicz B, Santana MJ.Health Expect. 2021 Dec 2. doi: 10.1111/hex.13388. Online ahead of print.
    PMID: 34854190 
     
  4. Invisible bleeds: Lived experiences and barriers to care for men with hemophilia.
    Arya S, Siad FM, Wilton P, Page D, Boma-Fischer L, Floros G, Winikoff R, Teitel J, Sholzberg M.J Thromb Haemost. 2021 Oct 24. doi: 10.1111/jth.15570. Online ahead of print.
    PMID: 34689399
     
  5. Harassment in Medicine: Cultural barriers to psychological safety
    Fartoon M. Siad, MD MSc, Doreen M. Rabi, MD MSc
    CJC Open (2021), doi: https://doi.org/10.1016/j.cjco.2021.08.018.


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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