Message from the Division Director
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Dear Colleagues,
Things remain busy for our division, with preparations for a second wave of COVID-19, pilot testing of GIM redesign elements, learning how to provide quality virtual care and trainee education during a pandemic, and (for many) managing childcare and back-to-school arrangements. In the midst of all of this, let’s take a moment to celebrate the many achievements of our divisional members. And I look forward to a time when we can once again all meet in person.
Sincerely,
Moira
Dr. Moira Kapral
Director, Division of General Internal Medicine, University of Toronto
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Dr. Kevin Venus
Kevin Venus has been appointed as a Clinician Teacher and Lecturer based at Toronto Western Hospital. His academic interests include understanding critical events in residents’ training, reflective practice, and diagnostic reasoning. Clinically, he is excited about all things related to GIM and perioperative medicine. Outside of GIM he enjoys playing hockey, spending time at the cottage and "fumbling around on the six-string."
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Wightman-Berris Academy Award
Vince Chien has received a Postgraduate Teaching Excellence Award from the Wightman-Berris Academy. Congratulations!
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Peters-Boyd Academy Award
Zac Feilchenfeld has received a Clerkship Faculty Teaching Award from the Peters-Boyd Academy. Congratulations!
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Wightman-Berris Academy Award
Bohdan Laluck has received an Undergraduate Teaching Excellence Award from the Wightman-Berris Academy. Congratulations!
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Wightman-Berris Academy Award
Ariel Lefkowitz has received an Undergraduate Teaching Excellence Award from the Wightman-Berris Academy. Congratulations!
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Wightman-Berris Academy Award
Kevin Venus has received an Undergraduate Teaching Excellence Award from the Wightman-Berris Academy. Congratulations!
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GIM Division Director, SHSC
Lynfa Stroud will assume the role of director of the division of GIM at Sunnybrook Health Sciences Centre in October 2020. Lynfa is an accomplished clinician-educator who brings a wealth of experience from her leadership roles in postgraduate and undergraduate medical education.
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It's a BOY!
Rebecca Stovel and her husband Craig are excited to announce the birth of their beautiful son, Alfie, on September 5th. Both mom and baby are doing well. Big sister, Alia, is enjoying her new brother. Congratulations!
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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. Please consider a generous (and tax-deductible) donation to this fund. All funds raised will go directly to our division.
Click HERE to donate.
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Trainee Awards
Peters-Boyd Academy Resident/Fellow Teaching Award: Dr. Alex Cressman
Peters-Boyd Academy Resident/Fellow Teaching Award: Dr. Tyler Raycroft
Peters-Boyd Academy Resident/Fellow Teaching Award: Dr. Leora Branfield Day
Wightman-Berris Academy Undergraduate Teaching Award: Dr. Leora Branfield Day
Wightman-Berris Academy Undergraduate Teaching Award: Dr. Keith Gunaratne
H. Patrick Higgins Memorial Scholarship Award of Merit: Dr. Catherine Leurer: An unusual case of platypnea-orthodeoxia syndrome
William P. Jones III Memorial Scholarship Award: Dr. Khuloud Aldhaheri: The association of fentanyl use with hepatitis C infection in a cohort of people who inject drugs
Best Research Section Award: Dr. Khuloud Aldhaheri: The association of fentanyl use with hepatitis C infection in a cohort of people who inject drugs
Best QI/Education Section Award: Dr. Monica Eileen Maher: The Virtual Neurological Exam: Instructional videos and guidance for the COVID-19 era
Best Clinical Vignette Section Award: Dr. Catherine Leurer: An unusual case of platypnea-orthodeoxia syndrome
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CTU Roles and Responsibilities Documents
Divisional members have worked with the core internal medicine postgraduate training program to update documents outlining the roles and responsibilities of attending physicians and junior and senior residents on the clinical teaching units.
Full documents available here.
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PACER-HCP
Healthcare providers can participate in the Pandemic Acceptance and Commitment to Empowerment Response Intervention for Healthcare Providers (PACER-HCP). Details available here. |
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Rounds/Meetings
GIM Citywide Rounds
GIM Citywide Rounds are geared to faculty and PGY4s and 5s and are held on the last Friday of most months from 12-1 PM via Zoom. If you would like to join but have not received a calendar invitation, please email joe.graves@uhn.ca. Upcoming rounds include Sept. 25 when Dr. Amy Yu will provide an update on stroke management, and Oct. 30th when Dr. Sam Young will provide an overview of suboxone management and Dr. Tara O'Brien will provide guidance on how to run a virtual clinic.
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MTL SONO Virtual Ultrasound Conference
MTL-SONO was launched last year by McGill University medical students and offered introductory Canadian Point-of-care Ultrasound Society-certified POCUS training to students and residents. Adapting to the COVID-19 pandemic, this year the weekend will be online with two full days of live lectures from top POCUS educators like Dr. Mike Stone in Portland, Oregon Dr. Marco Garrone in Turin, Italy and Dr. Vicki Noble in Cleveland, Ohio.
Visit mtl-sono.com for more details.
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Journal Articles
Divisional members have published the following journal articles since the last issue of the GIM newsletter:
1. Atopic Dermatitis and Bone Health: A Systematic Review. [pubmed.ncbi.nlm.nih.gov]
Mukovozov IM, Morra DE, Giustini D, Tadrous M, Cheung AM, Drucker AM.
J Eur Acad Dermatol Venereol. 2020 Aug 27. doi: 10.1111/jdv.16895. Online ahead of print.
PMID: 32853421 Review
2. Risk of amputation with canagliflozin across categories of age and cardiovascular risk in three US nationwide databases: cohort study. [pubmed.ncbi.nlm.nih.gov]
Fralick M, Kim SC, Schneeweiss S, Everett BM, Glynn RJ, Patorno E.
BMJ. 2020 Aug 25;370:m2812. doi: 10.1136/bmj.m2812.
PMID: 328434763.
3. Estimating the Use of Potentially Inappropriate Medications Among Older Adults in the United States. [pubmed.ncbi.nlm.nih.gov]
Fralick M, Bartsch E, Ritchie CS, Sacks CA.
J Am Geriatr Soc. 2020 Aug 25. doi: 10.1111/jgs.16779. Online ahead of print.
PMID: 328413664.
4. Cost-Effectiveness of Housing First With Assertive Community Treatment: Results From the Canadian At Home/Chez Soi Trial. [pubmed.ncbi.nlm.nih.gov]
Latimer EA, Rabouin D, Cao Z, Ly A, Powell G, Aubry T, Distasio J, Hwang SW, Somers JM, Bayoumi AM, Mitton C, Moodie EEM, Goering PN; At Home/Chez Soi Investigators.
Psychiatr Serv. 2020 Aug 25:appips202000029. doi: 10.1176/appi.ps.202000029. Online ahead of print.
PMID: 328386795.
5. Exploring Fear of Falling and Exercise Self-Efficacy in Older Women With Vertebral Fractures. [pubmed.ncbi.nlm.nih.gov]
Ponzano M, Gibbs JC, Adachi JD, Ashe MC, Cheung AM, Hill KD, Kendler D, Khan AA, McArthur C, Papaioannou A, Thabane L, Wark JD, Giangregorio LM.
J Aging Phys Act. 2020 Aug 19:1-6. doi: 10.1123/japa.2019-0485. Online ahead of print.
PMID: 328201386.
6. Modelling resource requirements and physician staffing to provide virtual urgent medical care for residents of long-term care homes: a cross-sectional study. [pubmed.ncbi.nlm.nih.gov]
Razak F, Shin S, Pogacar F, Jung HY, Pus L, Moser A, Lapointe-Shaw L, Tang T, Kwan JL, Weinerman A, Rawal S, Kushnir V, Mak D, Martin D, Shojania KG, Bhatia S, Agarwal P, Mukerji G, Fralick M, Kapral MK, Morgan M, Wong B, Chan TCY, Verma AA.
CMAJ Open. 2020 Aug 20;8(3):E514-E521. doi: 10.9778/cmajo.20200098. Print 2020 Jul-Sep.
PMID: 328199647.
7. Understanding resource utilization and mortality in COPD to support policy making: A microsimulation study. [pubmed.ncbi.nlm.nih.gov]
Bond EG, Abrahamyan L, Khan MKA, Gershon A, Krahn M, Li P, Mian R, Mitsakakis N, Sadatsafavi M, To T, Pechlivanoglou P; Canadian Respiratory Research Network.
PLoS One. 2020 Aug 20;15(8):e0236559. doi: 10.1371/journal.pone.0236559. eCollection 2020.
PMID: 32817636 Free PMC article.
8. Severe Maternal Morbidity and Infant Mortality in Canada. [pubmed.ncbi.nlm.nih.gov]
Aoyama K, Park AL, Davidson AJF, Ray JG.
Pediatrics. 2020 Aug 18:e20193870. doi: 10.1542/peds.2019-3870. Online ahead of print.
PMID: 328173969.
9. Anti-Thrombotic Therapy to Ameliorate Complications of COVID-19 (ATTACC): Study design and methodology for an international, adaptive Bayesian randomized controlled trial. [pubmed.ncbi.nlm.nih.gov]
Houston BL, Lawler PR, Goligher EC, Farkouh ME, Bradbury C, Carrier M, Dzavik V, Fergusson DA, Fowler RA, Galanaud JP, Gross PL, McDonald EG, Husain M, Kahn SR, Kumar A, Marshall J, Murthy S, Slutsky AS, Turgeon AF, Berry SM, Rosenson RS, Escobedo J, Nicolau JC, Bond L, Kirwan BA, de Brouwer S, Zarychanski R.
Clin Trials. 2020 Aug 20:1740774520943846. doi: 10.1177/1740774520943846. Online ahead of print.
PMID: 32815416
10. Effects of quality-based procedure hospital funding reform in Ontario, Canada: An interrupted time series study. [pubmed.ncbi.nlm.nih.gov]
Li AH, Palmer KS, Taljaard M, Paterson JM, Brown A, Huang A, Marani H, Lapointe-Shaw L, Pincus D, Wettstein MS, Kulkarni GS, Wasserstein D, Ivers N.
PLoS One. 2020 Aug 19;15(8):e0236480. doi: 10.1371/journal.pone.0236480. eCollection 2020.
PMID: 32813687 Free PMC article.
11. Estimating chronic hepatitis C prevalence in British Columbia and Ontario, Canada using population-based cohort studies. [pubmed.ncbi.nlm.nih.gov]
Hamadeh A, Haines A, Feng Z, Thein HH, Janjua NZ, Krahn M, Wong WWL.
J Viral Hepat. 2020 Aug 18. doi: 10.1111/jvh.13373. Online ahead of print.
PMID: 3281088612.
12. It Was a Dark and Stormy Night. [pubmed.ncbi.nlm.nih.gov]
Detsky AS.
J Gen Intern Med. 2020 Aug 17. doi: 10.1007/s11606-020-06116-2. Online ahead of print.
PMID: 32808211 No abstract available.
13. Surgical Comanagement for Hip Fracture: Time for a Randomized Trial. [pubmed.ncbi.nlm.nih.gov]
Vincent C, Cram P.
J Hosp Med. 2020 Aug;15(8):510-511. doi: 10.12788/jhm.3415.
PMID: 32804616 No abstract available.
14. Relationships between memory decline and the use of metformin or DPP4 inhibitors in people with type 2 diabetes with normal cognition or Alzheimer's disease, and the role APOE carrier status. [pubmed.ncbi.nlm.nih.gov]
Wu CY, Ouk M, Wong YY, Anita NZ, Edwards JD, Yang P, Shah BR, Herrmann N, Lanctôt KL, Kapral MK, MacIntosh BJ, Rabin JS, Black SE, Swardfager W.
Alzheimers Dement. 2020 Aug 16. doi: 10.1002/alz.12161. Online ahead of print.
PMID: 3280386515.
15. Understanding when real world data can be used to replicate a clinical trial: A cross-sectional study of medications approved in 2011. [pubmed.ncbi.nlm.nih.gov]
Fralick M, Bartsch E, Darrow JJ, Kesselheim AS.
Pharmacoepidemiol Drug Saf. 2020 Aug 14. doi: 10.1002/pds.5086. Online ahead of print.
PMID: 3279829916.
16. Application of continuous quality improvement to medical education. [pubmed.ncbi.nlm.nih.gov]
Wong BM, Headrick LA.
Med Educ. 2020 Aug 13. doi: 10.1111/medu.14351. Online ahead of print.
PMID: 3279093017.
17. COVID-19 in Canada: Experience and Response. [pubmed.ncbi.nlm.nih.gov]
Detsky AS, Bogoch II.
JAMA. 2020 Aug 10. doi: 10.1001/jama.2020.14033. Online ahead of print.
PMID: 32790824 No abstract available.
18. Beyond right or wrong: More effective feedback for formative multiple-choice tests. [pubmed.ncbi.nlm.nih.gov]
Ryan A, Judd T, Swanson D, Larsen DP, Elliott S, Tzanetos K, Kulasegaram K.
Perspect Med Educ. 2020 Aug 12. doi: 10.1007/s40037-020-00606-z. Online ahead of print.
PMID: 3278966419.
19. Determining Associations and Estimating Effects with Regression Models in Clinical Anesthesia. [pubmed.ncbi.nlm.nih.gov]
Aoyama K, Pinto R, Ray JG, Hill A, Scales DC, Fowler RA.
Anesthesiology. 2020 Sep;133(3):500-509. doi: 10.1097/ALN.0000000000003425.
PMID: 3278855720.
20. Mobility and Mortality During the COVID-19 Pandemic. [pubmed.ncbi.nlm.nih.gov]
Zipursky JS, Redelmeier DA.
J Gen Intern Med. 2020 Aug 10:1-2. doi: 10.1007/s11606-020-05943-7. Online ahead of print.
PMID: 32779139 Free PMC article. No abstract available.
21. A Care Escalation Framework to Address Lapses in Donning and Doffing of Personal Protective Equipment During the COVID-19 Pandemic. [pubmed.ncbi.nlm.nih.gov]
Goulding AM, Wu PE, Gold WL.
Am J Infect Control. 2020 Aug 6:S0196-6553(20)30766-5. doi: 10.1016/j.ajic.2020.07.040. Online ahead of print.
PMID: 32771497 Free PMC article. No abstract available.
22. Cost of contact: redesigning healthcare in the age of COVID. [pubmed.ncbi.nlm.nih.gov]
Bhatia RS, Shojania KG, Levinson W.
BMJ Qual Saf. 2020 Aug 6:bmjqs-2020-011624. doi: 10.1136/bmjqs-2020-011624. Online ahead of print.
PMID: 32763977 Review. No abstract available.
23. International population-based health surveys linked to outcome data: A new resource for public health and epidemiology. [pubmed.ncbi.nlm.nih.gov]
Fisher S, Bennett C, Hennessy D, Robertson T, Leyland A, Taljaard M, Sanmartin C, Jha P, Frank J, Tu JV, Rosella LC, Wang J, Tait C, Manuel DG.
Health Rep. 2020 Jul 29;31(7):12-23. doi: 10.25318/82-003-x202000700002-eng.
PMID: 3276158024.
24. Sodium-Glucose Cotransporter 2 Inhibitors and the Risk of Below-Knee Amputation: A Multicenter Observational Study. [pubmed.ncbi.nlm.nih.gov]
Yu OHY, Dell'Aniello S, Shah BR, Brunetti VC, Daigle JM, Fralick M, Douros A, Hu N, Alessi-Severini S, Fisher A, Bugden SC, Ronksley PE, Filion KB, Ernst P, Lix LM; Canadian Network for Observational Drug Effect Studies (CNODES) Investigators*.
Diabetes Care. 2020 Aug 5:dc200267. doi: 10.2337/dc20-0267. Online ahead of print.
PMID: 3275936025.
25. Curricular needs for training telemedicine physicians: A scoping review. [pubmed.ncbi.nlm.nih.gov]
Stovel RG, Gabarin N, Cavalcanti RB, Abrams H.
Med Teach. 2020 Aug 5:1-9. doi: 10.1080/0142159X.2020.1799959. Online ahead of print.
PMID: 3275767526.
26. Vertebral Fractures: Which Radiological Criteria Are Better Associated With the Clinical Course of Osteoporosis? [pubmed.ncbi.nlm.nih.gov]
Lentle BC, Berger C, Brown JP, Probyn L, Langsetmo L, Hammond I, Hu J, Leslie WD, Prior JC, Hanley DA, Adachi JD, Josse RG, Cheung AM, Kaiser SM, Towheed T, Kovacs CS, Wong AKO, Goltzman D.
Can Assoc Radiol J. 2020 Aug 5:846537120943529. doi: 10.1177/0846537120943529. Online ahead of print.
PMID: 3275531227.
27. Sex- and age-specific differences in COVID-19 testing, cases and outcomes: a population-wide study in Ontario, Canada. [pubmed.ncbi.nlm.nih.gov]
Stall NM, Wu W, Lapointe-Shaw L, Fisman DN, Giannakeas V, Hillmer MP, Rochon PA.
J Am Geriatr Soc. 2020 Jul 24. doi: 10.1111/jgs.16761. Online ahead of print.
PMID: 32743827 No abstract available.
28. Receipt of routine preventive care among infant daughters and sons of immigrant mothers in Ontario, Canada: a retrospective cohort study. [pubmed.ncbi.nlm.nih.gov]
Pulver A, Guttmann A, Ray JG, O'Campo PJ, Urquia ML.
BMJ Open. 2020 Jul 31;10(7):e036127. doi: 10.1136/bmjopen-2019-036127.
PMID: 32737090 Free PMC article.
29. How Canada can better embed randomized trials into clinical care. [pubmed.ncbi.nlm.nih.gov]
Murthy S, Fowler RA, Laupacis A.
CMAJ. 2020 Aug 10;192(32):E928-E929. doi: 10.1503/cmaj.201764. Epub 2020 Jul 30.
PMID: 32732228 No abstract available.
30. Current Evidence for Minimally Invasive Surgery During the COVID-19 Pandemic and Risk Mitigation Strategies: A Narrative Review. [pubmed.ncbi.nlm.nih.gov]
Chadi SA, Guidolin K, Caycedo-Marulanda A, Sharkawy A, Spinelli A, Quereshy FA, Okrainec A.
Ann Surg. 2020 Aug;272(2):e118-e124. doi: 10.1097/SLA.0000000000004010.
PMID: 32675513 Review.
31. Prone positioning in non-intubated patients with COVID-19: raising the bar. [pubmed.ncbi.nlm.nih.gov]
Munshi L, Fralick M, Fan E.
Lancet Respir Med. 2020 Aug;8(8):744-745. doi: 10.1016/S2213-2600(20)30269-1. Epub 2020 Jun 19.
PMID: 32569584 Free PMC article. No abstract available.
32. Reviewer Blinding in Peer Review: Perspectives From Reviewers at Three Stages of Their Careers. [pubmed.ncbi.nlm.nih.gov]
Gupta V, Coburn NG, Detsky AS.
Ann Surg. 2020 Jul;272(1):42-43. doi: 10.1097/SLA.0000000000003959.
PMID: 32482980 No abstract available.
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Trainee Publications
1. Reduced rate of hospital presentations for heart failure during the Covid-19 pandemic in Toronto, Canada.
Frankfurter C, Buchan TA, Kobulnik J, Lee DS, Luk A, McDonald M, Ross HJ, Alba AC.
Can J Cardiol. Jul 2020. doi.org/10.1016/j.cjca.2020.07.006
2. Web exclusive – Annals graphic medicine: More than MD.
Zhu A, Agarwal A.
3. American Society of Hematology 2020 guidelines for treating newly diagnosed acute myeloid leukemia in older adults. Blood Adv. 2020
Sekeres MA, Guyatt G, Abel G, Alibhai S, Altman JK, Buckstein R, Choe H, Desai P, Erba H, Hourigan CS, LeBlanc TW, Litzow M, MacEachern J, Michaelis LC, Mukherjee S, O'Dwyer K, Rosko A, Stone R, Agarwal A, Colunga-Lozano LE, Chang Y, Hao Q, Brignardello-Petersen R.
4. Management of acute, non-low back, musculoskeletal pain: a systematic review and network meta-analysis of randomized trials.
Busse JW, Sadeghirad B, Oparin Y, Chen E, Goshua A, May C, Hong PJ, Agarwal A, Chang Y, Emary P, Ross SA, Florez ID, Noor ST, Yao W, Ali SY, Lok A, Craigie S, Couban R, Morgan RL, Culig K, Brar S, Akbari-Kelachayeh K, Sivananthan L, Zihayat B, Das A, Pozdnyakov A, Shergill Y, Guyatt GH.
5. Potential impact of missing outcome data on treatment effects in systematic reviews: imputation study.
Kahale LA, Khamis AM, Diab B, Chang Y, Lopes LC, Agarwal A, Li L, Mustafa RA, Koujanian S, Waziry R, Busse JW, Dakik A, Schunemann HJ, Hooft L, Scholten RJPM, Guyatt GH, Akl EA.
6. A living WHO guideline on drugs for covid-19
Lamontagne F, Agoritsas T, Macdonald H, Leo YS, Diaz J, Agarwal A, Appiah JA, Arabi Y, Blumberg L, Calfee CS, Cao B, Cecconi M, Cooke G, Dunning J, Geduld H, Gee P, Manai H, Hui DS, Kanda S, Kawano-Dourado L, Kim YJ, Kissoon N, Kwizera A, Laake JH, Machado FR, Qadir N, Sarin R, Shen Y, Zeng L, Brignardello-Petersen R, Lytvyn L, Siemieniuk R, Zeraatkar D, Bartoszko J, Ge L, Maguire B, Rochwerg B, Guyatt GH, Vandvik PO.
7. Approaches of integrating the development of guidelines and quality indicators: a systematic review.
Langendam MW, Piggott T, Nothacker M, Agarwal A, Armstrong D, Baldeh T, Braithwaite J, Castro Martins C, Darzi A, Etxeandia I, Florez I, Hoving J, Karam SG, Kötter T, Meerpohl JJ, Mustafa RA, Muti-Schünemann GEU, van der Wees PJ, Follmann M, Schünemann HJ.
8. Remdesivir for severe covid-19: a clinical practice guideline
Rochwerg B, Agarwal A, Zeng L, et al. BMJ 2020;370:m2924 http://dx.doi.org/10.1136/bmj.m2924
9. A Care Escalation Framework to Address Lapses in Donning and Doffing of Personal Protective Equipment During the COVID-19 Pandemic. [pubmed.ncbi.nlm.nih.gov]
Goulding AM, Wu PE, Gold WL.
Am J Infect Control. 2020 Aug 6:S0196-6553(20)30766-5. doi: 10.1016/j.ajic.2020.07.040. Online ahead of print.
PMID: 32771497 Free PMC article. No abstract available.
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For future newsletters, please email information on your contributions to joe.graves@uhn.ca.
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