Message from the Division Director
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Dear Colleagues,
After a hiatus during the last COVID wave, our continuing education series, GIM Citywide Rounds, will resume on March 25 with an update on heart failure management. We are also launching a visiting professor series in conjunction with the Society of Hospital Medicine and with Dr. Christine Soong as our local lead. Dr. Brian Wolfe from the University of Colorado will join us as a virtual visiting professor on May 27th, and his lecture, "Building a Nurse Practitioner/Physician Assistant Hospital Medicine Program", will likely be of interest to sites that are seeking to create and support resident-independent units. We will be organizing small-group and individual virtual meetings with Dr. Wolfe on May 27th; please email tina.teng@uhn.ca if you would like to participate in one of these.
Sincerely,
Moira
Dr. Moira Kapral
Director, Division of General Internal Medicine, University of Toronto
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Robert Maudsley Fellowship for Studies in Medical Education
Brandon Tang, GIM PGY4, has received the 2022 Robert Maudsley Fellowship for Studies in Medical Education from the Royal College of Physicians and Surgeons of Canada. The program helps specialists acquire knowledge and skills in the field of medical education in order to develop educational programs, evaluation methods and medical education research that apply to any phase of the continuum of medical education. Read more...
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PARO Excellence in Clinical Teaching Award
Dr. Vincent Chien has received a 2022 Excellence in Clinical Teaching Award from the Professional Association of Residents of Ontario.
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PARO Lois H. Ross Resident Advocacy Award for a Non-Clinician
Hayley Spence, Program Coordinator of the General Internal Medicine Residency Program at the University of Toronto, received the 2022 Lois H. Ross Resident Advocacy Award for a Non-Clinician from the Professional Association of Residents of Ontario.
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Excellence in Resource Stewardship Teaching Award
Dr. Adina Weinerman has received one of the inaugural Excellence in Resource Stewardship Teaching Awards from the Faculty of Medicine at the University of Toronto.
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Excellence in Resource Stewardship Teaching Award
Dr. William (Billy) Silverstein, GIM PGY5, has received one of the inaugural Excellence in Resource Stewardship Teaching Awards from the Faculty of Medicine at the University of Toronto.
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CIHR Grant Funding
Dr. Angela Cheung was awarded funding from the Canadian Institutes of Health Research’s Emerging COVID-19 Research Gaps and Priorities program to continue the next iteration of the Canadian COVID-19 Prospective Cohort Study (CANCOV), a team approach to provide systematic and in-depth evaluation of longer-term outcomes in Canadians with COVID-19. The next phase of this project will inform how longer-term disability relates to symptoms after COVID-19, highlight potentially modifiable outcomes for vulnerable Canadians, and help service providers and policy makers to plan better for health system usage.
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Call for Abstracts - U of T GIM Research Day
The 2022 GIM Research Day will be held virtually on Friday, June 24, 2022 from 12:00 to 1:30pm. We are delighted that the keynote speaker will be Dr. Vinny Arora (@FutureDocs) from the University of Chicago; details to follow. Please mark your calendars!
All trainees are invited to attend. Abstract submissions are encouraged (please see Abstract Submission Guidelines) with a submission deadline of March 31, 2022.
Abstract Form
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Perioperative Atrial Fibrillation Survey
You are invited to participate in a survey related to perioperative atrial fibrillation (AF). Perioperative AF is the most common arrhythmia encountered after noncardiac surgery and is frequently associated with adverse patient outcomes. Both rate and rhythm control strategies are commonly used to treat uncontrolled AF after surgery, and the optimal management strategy for uncontrolled AF is unclear.
This survey is intended to capture physician attitudes towards the management of uncontrolled AF after noncardiac surgery and establish the feasibility for a randomized controlled trial addressing this important clinical problem.
The study takes an average of 5-10 minutes for completion. No identifying information will be collected as part of the study. To proceed with the survey, please click HERE.
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University of Toronto GIM Citywide Rounds
Date: Friday, March 25, 2022
Time: 12-1 PM
Speaker: Dr. Michael McDonald, Medical Director of the Ted Rogers Centre of Excellence in Heart Function
Title: Putting It All Together: Practical Application of Heart Failure Guidelines
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.
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Visiting Professor (ViP) Speaker Series
We are pleased to announce the launch of a new Visiting Professor (ViP) Speaker Series in association with the Society of Hospital Medicine. The ViP program involves faculty speaker exchanges between participating academic institutions. The program’s aim is to promote cross-institution collaboration and provide opportunities for faculty to disseminate and demonstrate impact of their scholarly activities.
Our first ViP guest speaker is Dr. Brian Wolfe from the University of Colorado. Dr. Wolfe will be presenting at the University of Toronto GIM Citywide Rounds on Friday May 27, 12-1pm. His lecture is entitled, "Building a Nurse Practitioner/Physician Assistant Hospital Medicine Program".
If you would like to attend but have not received a calendar invitation with the Zoom link, please email tina.teng@uhn.ca.
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GIM Research-in-Progress Seminar
Dates: March 29, 2022
Time: 12-1 PM
This is a free, accredited educational activity, where two trainees (Dr. Emily Hughes, Dr. Brandon Tang) in GIM will present an ongoing project and receive feedback from a panel of early career and senior researchers.
Click here to register
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Acute Care Update - Virtual Program 2022
Dates: 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.
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2022 SGIM Annual Meeting
Dates: April 6-9, 2022
Location: Walt Disney World Swan and Dolphin in Orlando, FL
This year's meeting theme is Dimensions of a Generalist Career: Discovery, Equity, and Impact.
Preliminary Session Guide
Register Now (Early registration rate ends March 1)
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Toronto Neurology Update
Date: October 15, 2022
Mark your calendar for the Toronto Neurology Update! This one-day hybrid conference will help you improve your skills and knowledge in evaluating patients with common neurological presentations. Stay tuned for more details!
Visit the Program Website
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Journal Articles
Divisional members published the following journal articles in January 2022:
- Perceptions of patients and nurses regarding the use of wearables in inpatient settings: a mixed methods study.
Patel V, Moosa S, Sundaram S, Langer L, MacMillan TE, Cavalcanti R, Cram P, Gunaratne K, Bayley M, Wu R.
Inform Health Soc Care. 2022 Feb 27:1-9. doi: 10.1080/17538157.2022.2042304.
PMID: 35220867
- Implementing machine learning in medicine.
Verma AA, Murray J, Greiner R, Cohen JP, Shojania KG, Ghassemi M, Straus SE, Pou-Prom C, Mamdani M.
CMAJ. 2021 Aug 30;193(34):E1351-E1357. doi: 10.1503/cmaj.202434. Epub 2021 Aug 29.
PMID: 35213323
- The Development of Geriatric Assessment and Intervention Guidelines for an Online Geriatric Assessment Tool: A Canadian Modified Delphi Panel Study.
Puts M, Papadopoulos E, Brennenstuhl S, Durbano S, Hossain N, Santos B, Cleverley K, Alibhai SMH.
Curr Oncol. 2022 Feb 4;29(2):853-868. doi: 10.3390/curroncol29020073.
PMID: 35200572
- Response: Sodium-Glucose Cotransporter-2 Inhibitors Increase Risk of Diabetic Ketoacidosis in Adults With Type 2 Diabetes: A Systematic Review and Meta-Analysis.
Colacci M, Fralick M.
Can J Diabetes. 2021 Oct 22:S1499-2671(21)00416-0. doi: 10.1016/j.jcjd.2021.10.003.
PMID: 35181220
- Percutaneous Drainage for Aortic Graft Infection Post-aneurysm Repair: A Viable Option?
Kennedy SA, Kennedy MK, Lindsay TF, Byrne J, Jaberi A, Gold WL, Tan K, Mafeld S.
Vasc Endovascular Surg. 2022 Feb 18:15385744221075136. doi: 10.1177/15385744221075136.
PMID: 35180037
- Cohort study of team-based care among marginalized people who use drugs in Ottawa.
Kendall CE, Boucher LM, Donelle J, Martin A, Marshall Z, Boyd R, Oickle P, Diliso N, Pineau D, Renaud B, LeBlanc S, Tyndall M, Bayoumi AM.
Can Fam Physician. 2022 Feb;68(2):117-127. doi: 10.46747/cfp.6802117.
PMID: 35177504
- Assessing the Accuracy of International Classification of Diseases (ICD) Coding for Delirium.
Chuen VL, Chan ACH, Ma J, Alibhai SMH, Chau V.
J Appl Gerontol. 2022 Feb 17:7334648211067526. doi: 10.1177/07334648211067526.
PMID: 35176883
- Building Complex Care Capacity in Primary Care: An Educational Evaluation of Project ECHO Ontario Integrated Mental and Physical Health.
Sheehan KA, Pereira C, Brierley N, Alloo J, Bonta M, Sockalingam S.
J Acad Consult Liaison Psychiatry. 2022 Feb 14:S2667-2960(22)00015-5. doi: 10.1016/j.jaclp.2022.02.002.
PMID: 35176518
- Outcomes for upper gastrointestinal bleeding during the first wave of the COVID-19 pandemic in the Toronto area.
Khan R, Saha S, Gimpaya N, Bansal R, Scaffidi MA, Razak F, Verma AA, Grover SC.
J Gastroenterol Hepatol. 2022 Feb 16. doi: 10.1111/jgh.15804.
PMID: 35174540
- Gastric acid suppressants and cognitive decline in people with or without cognitive impairment.
Wu CY, Xiong LY, Ouk M, Rabin JS, Herrmann N, Lanctôt KL, Kapral MK, Law M, Cogo-Moreira H, Edwards JD, Swardfager W.
Alzheimers Dement (N Y). 2022 Feb 10;8(1):e12243. doi: 10.1002/trc2.12243. eCollection 2022.
PMID: 35169610
- Clinical characteristics, risk factors and outcomes in patients with severe COVID-19 registered in the International Severe Acute Respiratory and Emerging Infection Consortium WHO clinical characterisation protocol: a prospective, multinational, multicentre, observational study.
Reyes LF, Murthy S, Garcia-Gallo E, Irvine M, Merson L, Martin-Loeches I, Rello J, Taccone FS, Fowler RA, Docherty AB, Kartsonaki C, Aragao I, Barrett PW, Beane A, Burrell A, Cheng MP, Christian MD, Cidade JP, Citarella BW, Donnelly CA, Fernandes SM, French C, Haniffa R, Harrison EM, Ho AYW, Joseph M, Khan I, Kho ME, Kildal AB, Kutsogiannis D, Lamontagne F, Lee TC, Bassi GL, Lopez Revilla JW, Marquis C, Millar J, Neto R, Nichol A, Parke R, Pereira R, Poli S, Povoa P, Ramanathan K, Rewa O, Riera J, Shrapnel S, Silva MJ, Udy A, Uyeki T, Webb SA, Wils EJ, Rojek A, Olliaro PL.
ERJ Open Res. 2022 Feb 14;8(1):00552-2021. doi: 10.1183/23120541.00552-2021. eCollection 2022 Jan.
PMID: 35169585
- Healthcare System Costs Associated with Surgery and Medical Therapy for Children with Drug-Resistant Epilepsy in Ontario.
Widjaja E, Demoe L, Yossofzai O, Guttmann A, Tomlinson G, Rutka J, Snead OC, Sander BH.
Neurology. 2022 Feb 15:10.1212/WNL.0000000000200026. doi: 10.1212/WNL.0000000000200026.
PMID: 35169008
- Personal, professional, and psychological impact of the COVID-19 pandemic on hospital workers: A cross-sectional survey.
Honarmand K, Yarnell CJ, Young-Ritchie C, Maunder R, Priestap F, Abdalla M, Ball IM, Basmaji J, Bell CM, Jeffs L, Shah S, Chen J, LeBlanc D, Kayitesi J, Eta-Ndu C, Mehta S.
PLoS One. 2022 Feb 15;17(2):e0263438. doi: 10.1371/journal.pone.0263438. eCollection 2022.
PMID: 35167590
- Considering Value in Prescribing and Deprescribing for Older Adults.
Levinson W.
JAMA Netw Open. 2022 Feb 1;5(2):e2148606. doi: 10.1001/jamanetworkopen.2021.48606.
PMID: 35166789
- Queen Anne sign.
Kobylianskii J, Gold WL.
CMAJ. 2022 Feb 14;194(6):E219. doi: 10.1503/cmaj.211051.
PMID: 35165135
- Realizing the Dream: The Future of Primary Care Research.
Bierman AS, Tong ST, McNellis RJ.
Ann Fam Med. 2022 Feb 14:2788. doi: 10.1370/afm.2788. Online ahead of print.
PMID: 35165086
- Outpatient visit trends for internal medicine ambulatory care sensitive conditions after the COVID-19 pandemic: a time-series analysis.
Pendrith C, Nayyar D, Chu C, O'Brien T, Lyons OD, Agarwal P, Martin D, Bhatia RS, Mukerji G.
BMC Health Serv Res. 2022 Feb 14;22(1):198. doi: 10.1186/s12913-022-07566-6.
PMID: 35164751
- Economic Evaluation of a Geriatric Oncology Clinic.
Alibhai SMH, Alam Z, Saluja R, Malik U, Warde P, Jin R, Berger A, Romanovsky L, Chan KKW.
Cancers (Basel). 2022 Feb 3;14(3):789. doi: 10.3390/cancers14030789.
PMID: 35159056
- Lateralized Subthalamic Stimulation for Axial Dysfunction in Parkinson's Disease: A Randomized Trial.
Lizárraga KJ, Gnanamanogaran B, Al-Ozzi TM, Cohn M, Tomlinson G, Boutet A, Elias GJB, Germann J, Soh D, Kalia SK, Hodaie M, Munhoz RP, Marras C, Hutchison WD, Lozano AM, Lang AE, Fasano A.
Mov Disord. 2022 Feb 13. doi: 10.1002/mds.28953.
PMID: 35156734
- Flu Vaccine and Mortality in Hypertension: A Nationwide Cohort Study.
Modin D, Claggett B, Jørgensen ME, Køber L, Benfield T, Schou M, Jensen JS, Solomon SD, Trebbien R, Fralick M, Vardeny O, Pfeffer MA, Torp-Pedersen C, Gislason G, Biering-Sørensen T.
J Am Heart Assoc. 2022 Feb 8:e021715. doi: 10.1161/JAHA.121.021715.
PMID: 35132866
- A 53-year-old woman with a suspected drug overdose.
Kobylianskii J, Austin E, Kumachev A, Wu PE.
CMAJ. 2022 Feb 7;194(5):E163-E166. doi: 10.1503/cmaj.211620.
PMID: 35131754
- Drug Overdoses During the COVID-19 Pandemic Among Recently Homeless Individuals.
Liu M, Richard L, Campitelli MA, Nisenbaum R, Dosani N, Dhalla IA, Wadhera RK, Shariff SZ, Hwang SW.
Addiction. 2022 Feb 7. doi: 10.1111/add.15823.
PMID: 35129239
- Characterizing safer supply prescribing of immediate release hydromorphone for individuals with opioid use disorder across Ontario, Canada.
Young S, Kolla G, McCormack D, Campbell T, Leece P, Strike C, Srivastava A, Antoniou T, Bayoumi AM, Gomes T.
Int J Drug Policy. 2022 Feb 3;102:103601. doi: 10.1016/j.drugpo.2022.103601.
PMID: 35124413
- Developing the Breast Utility Instrument, a preference-based instrument to measure health-related quality of life in women with breast cancer: Confirmatory factor analysis of the EORTC QLQ-C30 and BR45 to establish dimensions.
Tsui TCO, Trudeau M, Mitsakakis N, Torres S, Bremner KE, Kim D, Davis AM, Krahn MD.
PLoS One. 2022 Feb 4;17(2):e0262635. doi: 10.1371/journal.pone.0262635. eCollection 2022.
PMID: 35120148
- Incident Cancer Detection During the COVID-19 Pandemic.
Eskander A, Li Q, Yu J, Hallet J, Coburn NG, Dare A, Chan KKW, Singh S, Parmar A, Earle CC, Lapointe-Shaw L, Krzyzanowska MK, Hanna TP, Finelli A, Louie AV, Look Hong N, Irish JC, Witterick IJ, Mahar A, Noel CW, Urbach DR, McIsaac DI, Enepekides D, Sutradhar R.
J Natl Compr Canc Netw. 2022 Feb 1:1-9. doi: 10.6004/jnccn.2021.7114.
PMID: 35104788
- Surgical Outcomes in Canada and the United States: An Analysis of the ACS-NSQIP Clinical Registry.
Cram P, Cohen ME, Ko C, Landon BE, Hall B, Jackson TD.
World J Surg. 2022 Jan 31. doi: 10.1007/s00268-022-06444-w.
PMID: 35102437
- Outcomes in patients with and without disability admitted to hospital with COVID-19: a retrospective cohort study.
Brown HK, Saha S, Chan TCY, Cheung AM, Fralick M, Ghassemi M, Herridge M, Kwan J, Rawal S, Rosella L, Tang T, Weinerman A, Lunsky Y, Razak F, Verma AA.
CMAJ. 2022 Jan 31;194(4):E112-E121. doi: 10.1503/cmaj.211277.
PMID: 35101870
- Time Costs and Out-of-Pocket Costs in Patients With Chronic Hepatitis C in a Publicly Funded Health System.
Wong WWL, Wong J, Bremner KE, Saeed Y, Mason K, Phoon A, Feng Z, Feld JJ, Mitsakakis N, Powis J, Krahn M.
Value Health. 2022 Feb;25(2):247-256. doi: 10.1016/j.jval.2021.08.006. Epub 2021 Sep 22.
PMID: 35094798
- A Novel Collaborative Care Program to Augment Nursing Home Care During and After the COVID-19 Pandemic.
Wong BM, Rotteau L, Feldman S, Lamb M, Liang K, Moser A, Mukerji G, Pariser P, Pus L, Razak F, Shojania KG, Verma A.
J Am Med Dir Assoc. 2022 Feb;23(2):304-307.e3. doi: 10.1016/j.jamda.2021.11.018. Epub 2021 Nov 24.
PMID: 34922907
- Prevalence of SARS-CoV-2 infection among people experiencing homelessness in Toronto during the first wave of the COVID-19 pandemic.
Luong L, Beder M, Nisenbaum R, Orkin A, Wong J, Damba C, Emond R, Lena S, Wright V, Loutfy M, Bruce-Barrett C, Cheung W, Cheung YK, Williams V, Vanmeurs M, Boozary A, Manning H, Hester J, Hwang SW.
Can J Public Health. 2022 Feb;113(1):117-125. doi: 10.17269/s41997-021-00591-8. Epub 2021 Dec 17.
PMID: 34919211
- Association of Surgeon-Patient Sex Concordance With Postoperative Outcomes.
Wallis CJD, Jerath A, Coburn N, Klaassen Z, Luckenbaugh AN, Magee DE, Hird AE, Armstrong K, Ravi B, Esnaola NF, Guzman JCA, Bass B, Detsky AS, Satkunasivam R.
JAMA Surg. 2022 Feb 1;157(2):146-156. doi: 10.1001/jamasurg.2021.6339.
PMID: 34878511
- Change in Pre-Pregnancy Body Mass Index in Relation to the COVID-19 Pandemic.
Butler EA, Cohen E, Berger H, Ray JG.
J Obstet Gynaecol Can. 2022 Feb;44(2):131-132. doi: 10.1016/j.jogc.2021.09.014. Epub 2021 Nov 5.
PMID: 34750062
- 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. 2022 Feb;44(2):193-195. doi: 10.1016/j.jogc.2021.09.015. Epub 2021 Oct 12.
PMID: 34648956
- Machine learning approaches to investigate Clostridioides difficile infection and outcomes: A systematic review.
Chen Y, Xi M, Johnson A, Tomlinson G, Campigotto A, Chen L, Sung L.
Int J Med Inform. 2022 Apr;160:104706. doi: 10.1016/j.ijmedinf.2022.104706. Epub 2022 Jan 31.
PMID: 35131699
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Publications and Other Contributions by Trainees
Please email tina.teng@uhn.ca if you have items for inclusion in future newsletters
- A systematic review of evidence-based practices for clinical education and health care delivery in the clinical teaching unit
Tang B, Sandarage R, Chai J, Dawson KA, Dutkiewicz KR, Saad S, Kitchin V, Hatala R, McCormick I, Kassen B.
CMAJ. 2022 Feb 14;194(6):E186-94.
- Queen Anne sign.
Kobylianskii J, Gold WL.
CMAJ. 2022 Feb 14;194(6):E219. doi: 10.1503/cmaj.211051.
PMID: 35165135
- Outpatient visit trends for internal medicine ambulatory care sensitive conditions after the COVID-19 pandemic: a time-series analysis.
Pendrith C, Nayyar D, Chu C, O'Brien T, Lyons OD, Agarwal P, Martin D, Bhatia RS, Mukerji G.
BMC Health Serv Res. 2022 Feb 14;22(1):198. doi: 10.1186/s12913-022-07566-6.
PMID: 35164751
- A 53-year-old woman with a suspected drug overdose.
Kobylianskii J, Austin E, Kumachev A, Wu PE.
CMAJ. 2022 Feb 7;194(5):E163-E166. doi: 10.1503/cmaj.211620.
PMID: 35131754
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