Message from the Division Director
Thanks to everyone for their incredible work over the past year and throughout the pandemic. I wish you and yours all the best for the holidays, and look forward to working with you in 2021.
With all best wishes,
Moira
Dr. Moira Kapral, Director, Division of General Internal Medicine, University of Toronto
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PSI Graham Farquharson Fellowship
Fahad Razak has been awarded the Graham Farquharson Knowledge Translation Fellowship from Physicians' Services Incorporated. This fellowship is awarded to a new investigator who has demonstrated ability to successfully complete high impact knowledge translation research.
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Chang Professorship In Ambulatory GIM Education
Tom MacMillan has been appointed to the inaugural G. Raymond Chang Professorship in Ambulatory General Internal Medicine (GIM) Education, a UHN/UofT endowed position. In this role, Tom will enhance the clinical and educational programs in ambulatory care in the G. Raymond Chang Complex Medicine Teaching Clinic at Toronto Western Hospital.
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UHN Local Impact Award
David Frost has been awarded a 2020 UHN Local Impact Award. These awards recognize extraordinary service across care, research, and education at UHN while advancing the strategic priorities of the institution. David was nominated by over 30 physician colleagues, nurse managers, residents, and allied health staff for “his tireless work in helping prepare GIM (and UHN/TWH) for the COVID pandemic.
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South Asian Task Force
Seema Marwaha, Amol Verma, Anju Anand, and resident Vivek Govaradhanam are on the steering committee of the South Asian COVID Task Force. They helped start this grassroots organization that is building community networks in the South Asian Community, advocating for testing and vaccine distribution on the ground and creating culturally relevant public health content. The SACTF has – in just a month - launched a website, social media channels, done multiple media appearances, created dissemination networks and worked with local health authorities to increase testing capacity in Peel. More to come from this group!
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It's a GIRL!
Ariel, Sarah and big brother Etai are overjoyed to welcome their daughter, Roey Belle Friedlander Lefkowitz (in Hebrew, Roey Cochava Beila), into the community, born on November 28.
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John You
Dr. John You joins Credit Valley Hospital, Trillium Health Partners, as a professor and clinician teacher. He is a hospital-based general internist who received his MD (Toronto) in 2000 and MSc in Clinical Epidemiology (Toronto) in 2005. From 2007 to 2019, he was a full-time faculty member at McMaster University. During his latter years at McMaster, his main clinical and scholarly interest was to improve the quality of serious illness communication with hospitalized patients and their families.
He now embarks on a new and exciting phase of his career that will allow him to spend more time with patients and families at the bedside. Interests and activities will include learning new skills in point-of-care ultrasound, improving inter-professional teamwork in the hospital, teaching within the Mississauga Academy of Medicine, ongoing service to the Canadian Society of Internal Medicine as an Associate Editor for the Canadian Journal of General Internal Medicine, playing rhythm guitar in a rock and roll band with his friends, and spending more time with his family before he becomes an empty nester (yikes).
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Meetings and Other Announcements
University of Toronto GIM Citywide Rounds
The next GIM Citywide Rounds will be held on Friday, January 29 from 12-1 PM via Zoom.
Dr. Robert Fowler will provide an update on medical therapy for COVID-19 and Dr. Ed Margolin will present neuro-ophthalmic cases of relevance to internist
If you would like to attend but have not received the calendar invitation with Zoom details, please email joe.graves@uhn.ca.
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Acute Care Update: Registration Open
St. Joseph's Health Centre is pleased to announce the return of Acute Care Update 2020. The in-person annual conference has been cancelled. The 2020/21 version of Acute Care Update will be presented as four virtual programs hosted on ZOOM.
The 2020 Acute Care Update will be free of charge. To receive the ZOOM videoconference link, users must register for the program in advance. For more information and to registration see here.
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Job Postings
Lecturer or Assistant/Associate/Full Professor - Academic General Internist Palliative Care
The Departments of Medicine and St. Michaels's Hospital and University of Toronto are seeking a general internist with specialization in palliative care. This position will support the large inpatient and outpatient demands of the palliative care service in addition to participating fully in the educations programs in General Internal Medicine/Palliative Medicine at St. Michael's Hospital and the University of Toronto. The Candidate will have an academic position description of Clinical Teacher. The successful candidate must be eligible for a Full-time Clinical Academic appointment at the rank of Lecture or Assistant, Associate, or Full Professor at the University of Toronto. The expected start date of the position is July 1, 2021, or sooner if possible. Read more...........
Lecturer or Assistant/Associate/Full Professor - Academic General Internist
The Departments of Medicine at St. Michaels's Hospital and University of Toronto are seeking to qualified full-time academic general internist. This position will support the large in-patient and out-patient demands, in addition to participating fully in the education programs in General Internal Medicine at St. Michael's Hospital and the University of Toronto. The candidate will have an academic position description of Clinician Teacher or Clinical in Quality and Innovation (CQI). The successful candidate must be eligible for a Full-time Clinical Academic appointment at the rank of Lecture or Assistant, Associate, or Full Professor at the University of Toronto. The expected start date of position is July 1, 2021, or sooner. Read more.......
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Journal Articles
Divisional members have published the following journal articles since the last issue of the GIM newsletter:
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1. Management of isolated distal deep-vein thrombosis with direct oral anticoagulants in the RIETE registry.
Galanaud JP, Trujillo-Santos J, Bikdeli B, Di Micco P, Bortoluzzi C, Bertoletti L, Pedrajas JM, Ballaz A, Alfonso J, Monreal M; RIETE Investigators.
J Thromb Thrombolysis. 2020 Nov 28. doi: 10.1007/s11239-020-02347-6. Online ahead of print. PMID: 33247808
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2. Sex-specific temporal trends in ambulatory heart failure incidence, mortality and hospitalisation in Ontario, Canada from 1994 to 2013: a population-based cohort study.
Sun LY, Mielniczuk LM, Liu PP, Beanlands RS, Chih S, Davies R, Coutinho T, Lee DS, Austin PC, Bader Eddeen A, Tu JV.
BMJ Open. 2020 Nov 26;10(11):e044126. doi: 10.1136/bmjopen-2020-044126. PMID: 33243819
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3. Changes in Suicide Reporting Quality and Deaths in Ontario Following Publication of National Media Guidelines.
Sinyor M, Kiss A, Williams M, Zaheer R, Pirkis J, Heisel MJ, Schaffer A, Redelmeier DA, Cheung AH, Niederkrotenthaler T.
Crisis. 2020 Nov 26:1-8. doi: 10.1027/0227-5910/a000737. Online ahead of print. PMID: 33241743
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4. Examining Hospital Variation on Multiple Indicators of Stroke Quality of Care.
Austin PC, Fang J, Yu B, Kapral MK.
Circ Cardiovasc Qual Outcomes. 2020 Nov 26:CIRCOUTCOMES120006968. doi: 10.1161/CIRCOUTCOMES.120.006968. Online ahead of print.
PMID: 33238729
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5. Clinical trials in critical care: can a Bayesian approach enhance clinical and scientific decision making?
Yarnell CJ, Abrams D, Baldwin MR, Brodie D, Fan E, Ferguson ND, Hua M, Madahar P, McAuley DF, Munshi L, Perkins GD, Rubenfeld G, Slutsky AS, Wunsch H, Fowler RA, Tomlinson G, Beitler JR, Goligher EC.
Lancet Respir Med. 2020 Nov 20:S2213-2600(20)30471-9. doi: 10.1016/S2213-2600(20)30471-9. Online ahead of print.
PMID: 33227237 Review. |
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6. Depression and Diabetes Mellitus Multimorbidity Is Associated With Loss of Independence and Dementia Poststroke.
Ouk M, Wu CY, Colby-Milley J, Fang J, Zhou L, Shah BR, Herrmann N, Lanctôt KL, Linkewich E, Law M, Swartz RH, Kapral MK, Black SE, MacIntosh BJ, Edwards JD, Swardfager W.
Stroke. 2020 Dec;51(12):3531-3540. doi: 10.1161/STROKEAHA.120.031068. Epub 2020 Oct 14.
PMID: 33226916
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7. Association Between ABO and Rh Blood Groups and SARS-CoV-2 Infection or Severe COVID-19 Illness : A Population-Based Cohort Study.
Ray JG, Schull MJ, Vermeulen MJ, Park AL.
Ann Intern Med. 2020 Nov 24. doi: 10.7326/M20-4511. Online ahead of print. PMID: 33226859
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8. Peri-complication Diagnosis of HCV Among Immigrants.
Lapointe-Shaw L, Feld J.
Liver Int. 2020 Nov 22. doi: 10.1111/liv.14737. Online ahead of print.
PMID: 3322240
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9. Patterns and effects of social integration on housing stability, mental health and substance use outcomes among participants in a randomized controlled Housing First trial.
Kirst M, Friesdorf R, Ta M, Amiri A, Hwang SW, Stergiopoulos V, O'Campo P.
Soc Sci Med. 2020 Oct 31:113481. doi: 10.1016/j.socscimed.2020.113481. Online ahead of print.
PMID: 33218893
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10. Temporal and age-specific trends in acute stroke incidence: A 15-year population-based study of administrative data in Ontario, Canada.
Joundi RA, Smith EE, Yu AYX, Rashid M, Fang J, Kapral MK.
Can J Neurol Sci. 2020 Nov 20:1-14. doi: 10.1017/cjn.2020.257. Online ahead of print.
PMID: 33213535 No abstract available.
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11. In the Absence of Proof.
Kushwaha S, Bogoch II, Mak S, Rogalla P, Detsky AS.
N Engl J Med. 2020 Nov 5;383(19):1878-1884. doi: 10.1056/NEJMcps2002083.
PMID: 33211934 No abstract available. |
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12. The Attitudes of Canadian Ophthalmology Residents and Pre-Clerkship Medical Students at an Ontario Medical School Towards Homeless Individuals: A Cross-Sectional Study.
Sayal AP, Popovic MM, Mustafa M, Hwang SW, Lichter M.
Ophthalmic Epidemiol. 2020 Nov 18:1-7. doi: 10.1080/09286586.2020.1846759.
Online ahead of print. PMID: 33208013
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13. Impact of policy changes on the provision of naloxone by pharmacies in Ontario, Canada: A population-based time series analysis.
Antoniou T, Martins D, Campbell T, Tadrous M, Munro C, Leece P, Mamdani M, Juurlink DN, Gomes T.
Addiction. 2020 Nov 18. doi: 10.1111/add.15324. Online ahead of print.
PMID: 33207025
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14. Machine learning vs. conventional statistical models for predicting heart failure readmission and mortality.
Shin S, Austin PC, Ross HJ, Abdel-Qadir H, Freitas C, Tomlinson G, Chicco D, Mahendiran M, Lawler PR, Billia F, Gramolini A, Epelman S, Wang B, Lee DS.
ESC Heart Fail. 2020 Nov 17. doi: 10.1002/ehf2.13073.
Online ahead of print. PMID: 33205591
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15. 'There was no preamble': Comparing the Transition from Hospital to Home in Different Care Settings.
Saragosa M, Jeffs L, Hahn-Goldberg S, Abrams H, Soong C, Hart M, Shea B, Okrainec K.
Can J Aging. 2020 Nov 16:1-11. doi: 10.1017/S0714980820000380. Online ahead of print. PMID: 33190652
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16. Development and utility assessment of a machine learning bloodstream infection classifier in pediatric patients receiving cancer treatments.
Sung L, Corbin C, Steinberg E, Vettese E, Campigotto A, Lecce L, Tomlinson GA, Shah N.
BMC Cancer. 2020 Nov 13;20(1):1103. doi: 10.1186/s12885-020-07618-2.
PMID: 33187484 Free PMC article.
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17. Transcranial Magnetic Stimulation for the Treatment of Concussion: A Systematic Review.
Mollica A, Safavifar F, Fralick M, Giacobbe P, Lipsman N, Burke MJ.
Neuromodulation. 2020 Nov 12. doi: 10.1111/ner.13319. Online ahead of print. PMID: 33184973 Review.
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18. Prone positioning for patients with hypoxic respiratory failure related to COVID-19.
Venus K, Munshi L, Fralick M.
CMAJ. 2020 Nov 23;192(47):E1532-E1537. doi: 10.1503/cmaj.201201. Epub 2020 Nov 11.
PMID: 33177104 Review. No abstract available.
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19. GRADE approach to drawing conclusions from a network meta-analysis using a minimally contextualised framework.
Brignardello-Petersen R, Florez ID, Izcovich A, Santesso N, Hazlewood G, Alhazanni W, Yepes-Nuñez JJ, Tomlinson G, Schünemann HJ, Guyatt GH; GRADE working group.
BMJ. 2020 Nov 11;371:m3900. doi: 10.1136/bmj.m3900.
PMID: 33177059 No abstract available.
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20. The impact of a Housing First intervention and health-related risk factors on incarceration among people with experiences of homelessness and mental illness in Canada.
Luong L, Lachaud J, Kouyoumdjian FG, Hwang SW, Mejia-Lancheros C.
Can J Public Health. 2020 Nov 10. doi: 10.17269/s41997-020-00433-z. Online ahead of print.PMID: 33170496
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21. Canadian federal-provincial/territorial funding of universal health care: fraught history, uncertain future.
Naylor CD, Boozary A, Adams O.
CMAJ. 2020 Nov 9;192(45):E1408-E1412. doi: 10.1503/cmaj.200143.
PMID: 33168764 Free PMC article. No abstract available.
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22. Increasing Wait-Time Mortality for Severe Aortic Stenosis: A Population-Level Study of the Transition in Practice From Surgical Aortic Valve Replacement to Transcatheter Aortic Valve Replacement.
Albassam O, Henning KA, Qiu F, Cram P, Sheth TN, Ko DT, Woodward G, Austin PC, Wijeysundera HC.
Circ Cardiovasc Interv. 2020 Nov;13(11):e009297. doi: 10.1161/CIRCINTERVENTIONS.120.009297. Epub 2020 Nov 10. PMID: 33167700 |
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23. The Associations Between Direct and Delayed Critical Care Unit Admission with Mortality and Readmissions Among Patients with Heart Failure.
Raslan IR, Ross HJ, Fowler RA, Scales DC, Stelfox HT, Mak S, Tu JV, Farkouh ME, Stukel TA, Wang X, van Diepen S, Wunsch H, Austin PC, Lee DS.
Am Heart J. 2020 Nov 6:S0002-8703(20)30369-0. doi: 10.1016/j.ahj.2020.11.002. Online ahead of print.
PMID: 33166518
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24. Assessing the quality of clinical and administrative data extracted from hospitals: the General Medicine Inpatient Initiative (GEMINI) experience.
Verma AA, Pasricha SV, Jung HY, Kushnir V, Mak DYF, Koppula R, Guo Y, Kwan JL, Lapointe-Shaw L, Rawal S, Tang T, Weinerman A, Razak F.
J Am Med Inform Assoc. 2020 Nov 4:ocaa225. doi: 10.1093/jamia/ocaa225. Online ahead of print. PMID: 33164061
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25. A randomized controlled trial of an exercise maintenance intervention in men and women post-cardiac rehabilitation (ECO-PCR).
Reid RD, Wooding EA, Blanchard CM, Moghei M, Harris J, Proulx GA, Prince SA, Mullen KA, Ghisi GM, Krahn M, Chessex C, Pipe AL, Mark AE, Grace SL.
Can J Cardiol. 2020 Nov 5:S0828-282X(20)31070-9. doi: 10.1016/j.cjca.2020.10.015. Online ahead of print. PMID: 33161148
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26. Predicting emergency department volumes: A multicenter prospective study.
Fralick M, Murray J, Mamdani M.
Am J Emerg Med. 2020 Oct 27:S0735-6757(20)30943-8. doi: 10.1016/j.ajem.2020.10.047. Online ahead of print PMID: 33153835 No abstract available.
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27. The association between Twitter content and suicide.
Sinyor M, Williams M, Zaheer R, Loureiro R, Pirkis J, Heisel MJ, Schaffer A, Redelmeier DA, Cheung AH, Niederkrotenthaler T.
Aust N Z J Psychiatry. 2020 Nov 6:4867420969805. doi: 10.1177/0004867420969805. Online ahead of print.
PMID: 33153274 |
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28. How discourses of gender equity during COVID-19 become exclusionary: Lessons from parenthood.
Lorello GR, Kuper A, Soklaridis S, Schrewe B.
J Eval Clin Pract. 2020 Nov 4. doi: 10.1111/jep.13509. Online ahead of print.
PMID: 33150668 No abstract available.
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29. Vulnerability of the medical product supply chain: the wake-up call of COVID-19.
Miller FA, Young SB, Dobrow M, Shojania KG.
BMJ Qual Saf. 2020 Nov 2:bmjqs-2020-012133. doi: 10.1136/bmjqs-2020-012133. Online ahead of print.
PMID: 33139342 Review. No abstract available.
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30. Dismantling the master's house: new ways of knowing for equity and social justice in health professions education.
Paton M, Naidu T, Wyatt TR, Oni O, Lorello GR, Najeeb U, Feilchenfeld Z, Waterman SJ, Whitehead CR, Kuper A.
Adv Health Sci Educ Theory Pract. 2020 Dec;25(5):1107-1126. doi: 10.1007/s10459-020-10006-x. Epub 2020 Nov 2.
PMID: 33136279 Free PMC article.
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31. Epidemiology and 3-year outcomes of combined oral contraceptive-associated distal deep vein thrombosis.
Galanaud JP, Sevestre MA, Pernod G, Genty C, Richaud C, Rolland C, Weber L, Kahn SR, Quéré I, Bosson JL; OPTIMEV‐SFMV Investigators.
Res Pract Thromb Haemost. 2020 Sep 15;4(7):1216-1223. doi: 10.1002/rth2.12409.
eCollection 2020 Oct. PMID: 33134787 Free PMC article.
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32. Utilisation and outcomes of allogeneic hematopoietic cell transplantation in Ontario, Canada, and New York State, USA: a population-based retrospective cohort study.
Hershenfeld SA, Matelski J, Ling V, Paterson M, Cheung M, Cram P.
BMJ Open. 2020 Oct 31;10(10):e039293. doi: 10.1136/bmjCropen-2020-039293.
PMID: |
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Trainee Publications
1. Visual Analogue Scale has higher assay sensitivity than WOMAC pain in detecting between-group differences in treatment effects: A meta-epidemiological study.
da Costa BR, Saadat P, Basciani RM, Agarwal A, Johnston BC, Juni P.
Osteoarthritis Cartilage. 2020 Nov 30 [Epub ahead of print].
2. A single-center retrospective study on the initiation of peritoneal dialysis in patients with cardiorenal syndrome and subsequent hospitalizations.
Agarwal A*, Auguste BL*, Ibrahim AZ, Girsberger MY, Abreu Z, McQuillan RF, Bargman JM (*shared first authorship). Can J Kidney Health Dis. 2020 Dec 8;7 [Epub ahead of print].
3. Drug treatments for covid-19: living systematic review and network meta-analysis [second update].
Siemieniuk RAC, Bartoszko JJ, Ge L, Zeraatkar D, Izcovich A, Kum E, Pardo-Hernandez H, Rochwerg B, Lamontagne F, Han MA, Liu Q, Agarwal A, Agoritsas T, Chu DK, Couban R, Darzi A, Devji T, Fang B, Fang C, Flottorp SA, Foroutan F, Ghadimi M, Heels-Ansdell D, Honarmand K, Hou L, Hou X, Ibrahim Q, Khamis A, Lam B, Loeb M, Marcucci M, McLeod SL, Motaghi S, Murthy S, Mustafa RA, Neary JD, Qasim A, Rada G, Riaz IB, Sadeghirad B, Sekercioglu N, Sheng L, Sreekanta A, Switzer C, Tendal B, Thabane L, Tomlinson G, Turner T, Vandvik PO, Vernooij RWM, Viteri-Garcia A, Wang Y, Yao L, Ye Z, Guyatt GH, Brignardello-Petersen R.
BMJ. 2020 Dec 17;370:m2980. doi: 10.1136/bmj.m2980.
4. Mortality at For-Profit Versus Not-For-Profit Hemodialysis Centers: A Systematic Review and Meta-analysis.
Dickman S, Mirza R, Kandi M, Incze MA, Dodbiba L, Yameen R, Agarwal A, Zhang Y, Kamran R, Couban R, Guyatt G, Hanna S.
Int J Health Serv. 2020 Dec 15:20731420980682.
doi: 10.1177/0020731420980682. Online ahead of print. PMID: 33323016
5. Utilisation and outcomes of allogeneic hematopoietic cell transplantation in Ontario, Canada, and New York State, USA: a population-based retrospective cohort study.
Hershenfeld SA, Matelski J, Ling V, Paterson M, Cheung M, Cram P.
BMJ Open. 2020 Oct 31;10(10):e039293. doi: 10.1136/bmjCropen-2020-039293.
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For future newsletters, please email information on your contributions to joe.graves@uhn.ca.
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