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Message from the Division Director
Dear Colleagues,

Some divisional updates:
  1. We will hold a shortened virtual GIM Research Day on May 28 from 12-1:30. Trainees are invited to submit abstracts for presentation (details below). All are welcome. Note that this will take the place of our usual citywide rounds slot, and the topics previously scheduled for this date will be rescheduled. Thanks to Drs. Fahad Razak and Lauren Lapointe-Shaw for leading this event.
  2. The core internal medicine PGY3s will complete their Royal College written examinations in March and their oral examinations in May. These exams are essential to credentialing and are extremely valuable for driving learning in clinical and physical examination skills. In order to provide time for exam preparation, the core program has determined that PGY3s will have a half-day off each week prior to the written examination. Supervising faculty are also encouraged to allow PGY3s to leave early (ideally at 4 PM) to allow for study time in the evenings.
  3. The GIM and other subspecialty PGY5s will also write their Royal College examinations in March. Many of these trainees have been redeployed to support GIM services throughout the second wave of covid-19, and we are grateful for their contributions. This has been a difficult year for everyone in medicine, and I know we will do all we can to support our trainees, especially around the times of examinations.
Sincerely,
Moira
Dr. Moira Kapral, Director, Division of General Internal Medicine, University of Toronto
Announcements

Fellow of the Infectious Diseases Society of America

Dr. Wayne Gold has been recognized as a Fellow of the Infectious Diseases Society of America (IDSA). "Fellowship in the IDSA is the highest honor in the field of infectious diseases. It is given to those who have achieved professional excellence and provided significant service to the profession."



 

The Medical Post's 2021 Power List

The Medical Post has released its 2021 Power List of 30 physicians from across Canada who are perceived as the nation's "physician power brokers". It includes University of Toronto GIM members Drs. Irfan Dhalla, David Juurlink, Andreas Laupacis and David Naylor, as well as cross-appointed members Drs. Isaac Bogoch and Samir Sinha. 

Chief of Medicine, University of Texas, Galveston

Dr. Peter Cram has accepted a position as Chief of Medicine at the University of Texas, Galveston, effective March 2021. Peter has served as Director of the Division of GIM and Geriatrics at the University Health Network/Sinai Health System for the past seven years, in which capacity he recruited many of our current faculty and led important initiatives including the development of a GIM/Oncology service, a nocturnist program, and an expanded ambulatory medicine program. We will miss his leadership and collegiality, and wish him the best in this next stage of his career. Dr. Robert Wu will serve as Interim Division Director at UHN/SHS and Dr. Jessica Liu will replace Rob as Toronto General Hospital Site Director.

Fellow in Compassion and Artificial Intelligence

Dr. Amol Verma has been selected as an inaugural AMS Healthcare Fellow in Compassion and Artificial Intelligence. His research will focus on evaluating AI prediction tools for enhancing compassionate care in hospital. Read More...

Department of Medicine Education Executive Committee

Dr. Rebecca Stovel has been selected as a Clinician Teacher representative on the Department of Medicine Education Executive Committee. 




 

Department of Medicine Clinician-Scientist Merit Awards

Clinician-Scientists are invited to submit applications for salary support through the Department of Medicine Merit Awards. The deadline for applications has been extended to March 31, 2021. Full details are available here.

Meetings 

University of Toronto GIM Citywide Rounds

The next GIM Citywide Rounds will be held on Friday, February 26th at 12-1 PM via Zoom.

Dr. Shoba Sujana Kumar will provide an update on oral hypoglycemic agents for the management of diabetes mellitus.
 
If you would like to attend but have not received the calendar invitation with Zoom details, please email tina.teng@uhn.ca.

SGIM Annual Meeting 

When: April 20-23, 2021
Where: Virtual 
Registration is now open

This year’s theme, Transforming Values into Action, highlights the strengths, values, and impact of leadership within General Internal Medicine. Program information is available HERE.

U of T GIM Research Day 

This year's GIM Research Day will be held virtually on Friday, May 28th from 12pm to 1:30pm.

Please join us to enjoy short trainee presentations, and a keynote speech by Dr. Leora Horwitz.

Abstract Submission Deadline: March 19, 2021
Abstract Submission Guidelines
Abstract Submission Form

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.
Job Postings

Dr Herbert Ho Ping Kong Chair in Ambulatory GIM

The Division of GIM and The HoPingKong Centre UHN, and the Temerty Faculty of Medicine UofT, are currently accepting applications for the inaugural Dr Herbert Ho Ping Kong Chair in Ambulatory GIM.

The successful applicant will be expected to integrate, build, and strengthen the educational program within ambulatory care at Toronto Western Hospital. The role will involve active leadership, both in designing clinical learning experiences, and in supporting fellows and early career clinicians, promoting high-quality educational scholarship and skill development in ambulatory practice. 

Additional information may be found HERE
Journal Articles

Divisional members have published the following journal articles since the last issue of the GIM newsletter:
  1. Factors Associated with Readmission Among General Internal Medicine Patients Experiencing Homelessness.
    Wang A, Pridham KF, Nisenbaum R, Pedersen C, Brown R, Hwang SW.
    J Gen Intern Med. 2021 Jan 29. doi: 10.1007/s11606-020-06483-w. Online ahead of print.
    PMID: 33515192
  2. Impact of Rejection of Low-Quality Wound Swabs on Antimicrobial Prescribing: A Controlled Before-After Study.
    Marchand-Senécal X, Brasg IA, Kozak R, Elligsen M, Vermeiren C, Corbeil AJ, Barker KR, Katz K, Powis JE, Gold WL, Leis JA.
    Open Forum Infect Dis. 2020 Dec 13;8(1):ofaa609. doi: 10.1093/ofid/ofaa609. eCollection 2021 Jan.
    PMID: 33511234 
  3. Multiphasic Prehabilitation Across the Cancer Continuum: A Narrative Review and Conceptual Framework.
    Santa Mina D, van Rooijen SJ, Minnella EM, Alibhai SMH, Brahmbhatt P, Dalton SO, Gillis C, Grocott MPW, Howell D, Randall IM, Sabiston CM, Silver JK, Slooter G, West M, Jack S, Carli F.
    Front Oncol. 2021 Jan 11;10:598425. doi: 10.3389/fonc.2020.598425. eCollection 2020.
    PMID: 33505914 
  4. Understanding Patient Personality in Medical Care: Five-Factor Model.
    Redelmeier DA, Najeeb U, Etchells EE.
    J Gen Intern Med. 2021 Jan 27:1-4. doi: 10.1007/s11606-021-06598-8. Online ahead of print.
    PMID: 33506393 
  5. Accidental injury, self-injury and assault among children of women with schizophrenia: a population-based cohort study.
    Taylor CL, Brown HK, Saunders NR, Barker LC, Chen S, Cohen E, Dennis CL, Ray JG, Vigod SN.
    Acta Psychiatr Scand. 2021 Jan 27. doi: 10.1111/acps.13281. Online ahead of print.
    PMID: 33502768
  6. Overall and Gender-specific Associations between Dimensions of Adverse Childhood Experiences and Mental Health Outcomes among Homeless Adults: Associations Générales et Sexospécifiques Entre les Dimensions des Expériences Défavorables de L'enfance et les Résultats de Santé Mentale Chez les Adultes Sans Abri.
    Liu M, Mejia-Lancheros C, Lachaud J, Latimer E, Aubry T, Somers J, Distasio J, Stergiopoulos V, Hwang SW.
    Can J Psychiatry. 2021 Jan 27:706743721989158. doi: 10.1177/0706743721989158. Online ahead of print.
    PMID: 33502253
  7. Stroke in Women.
    Kapral MK, Bushnell C.
    Stroke. 2021 Jan;52(2):726-728. doi: 10.1161/STROKEAHA.120.033233. Epub 2021 Jan 25.
    PMID: 33493064
  8. Stroke Incidence by Sex Across the Lifespan.
    Vyas MV, Silver FL, Austin PC, Yu AYX, Pequeno P, Fang J, Laupacis A, Kapral MK.
    Stroke. 2021 Jan;52(2):447-451. doi: 10.1161/STROKEAHA.120.032898. Epub 2021 Jan 25.
    PMID: 33493057
  9. The discovery of insulin in Toronto: beginning a 100 year journey of research and clinical achievement.
    Fralick M, Zinman B.
    Diabetologia. 2021 Jan 25. doi: 10.1007/s00125-020-05371-6. Online ahead of print.
    PMID: 33492422 Review.
  10. Conceptual Approach to Body Fluids and Edema, Education Determines Clinical Outcomes in Nephrotic Syndrome Management.
    Shafiee MA, Shaker P, Goli A, Sharma V, Shahideh Y, Maryniak K, Broumand B.
    Iran J Kidney Dis. 2021 Jan;1(1):69-72.
    PMID: 33492308
  11. BMI and risk of gestational diabetes among women of South Asian and Chinese ethnicity: a population-based study.
    Read SH, Rosella LC, Berger H, Feig DS, Fleming K, Ray JG, Shah BR, Lipscombe LL.
    Diabetologia. 2021 Jan 24. doi: 10.1007/s00125-020-05356-5. Online ahead of print.
    PMID: 33486538
  12. Self-perceived acute psychological stress and risk of mortality, recurrence, and disability after stroke: Mashhad Stroke Incidence Study.
    Mokhber N, Andalibi MSS, Morovatdar N, Thrift AG, Kapral MK, Stranges S, Saber H, Farzadfard MT, Amin Amiri, Akbarzadeh F, Ghanei N, Khorram B, Azarpazhooh MR.
    Stress Health. 2021 Jan 22. doi: 10.1002/smi.3031. Online ahead of print.
    PMID: 33481317
  13. Immigration Status, Ethnicity, and Long-term Outcomes following Ischemic Stroke.
    Vyas MV, Austin PC, Fang J, Laupacis A, Silver FL, Kapral MK.
    Neurology. 2021 Jan 20:10.1212/WNL.0000000000011451. doi: 10.1212/WNL.0000000000011451. Online ahead of print.
    PMID: 33472924
  14. Paediatric relapsed acute leukaemia: curative intent chemotherapy improves quality of life.
    Salaverria C, Plenert E, Vasquez R, Fuentes-Alabi S, Tomlinson GA, Sung L.
    BMJ Support Palliat Care. 2021 Jan 17:bmjspcare-2020-002722. doi: 10.1136/bmjspcare-2020-002722. Online ahead of print.
    PMID: 33455915
  15. Harnessing choice architecture to improve medical care.
    Redelmeier DA, Kao MM.
    BMJ Qual Saf. 2021 Jan 15:bmjqs-2020-012598. doi: 10.1136/bmjqs-2020-012598. Online ahead of print.
    PMID: 33452140 No abstract available.
  16. Health care for homeless people.
    Liu M, Hwang SW.
    Nat Rev Dis Primers. 2021 Jan 14;7(1):5. doi: 10.1038/s41572-020-00241-2.
    PMID: 33446661 No abstract available.
  17. AN INTELLIGENT DIAGNOSIS: SMART SYNDROME.
    Day LB, Rajendram P, Kalia LV, Gold WL.
    Am J Med. 2021 Jan 11:S0002-9343(21)00022-X. doi: 10.1016/j.amjmed.2020.11.034. Online ahead of print.
    PMID: 33444593 No abstract available.
  18. Effect of Lowering Tidal Volume on Mortality in ARDS Varies with Respiratory System Elastance.
    Goligher EC, Costa ELV, Yarnell CJ, Brochard LJ, Stewart TE, Tomlinson G, Brower RG, Slutsky AS, Amato MPB.
    Am J Respir Crit Care Med. 2021 Jan 13. doi: 10.1164/rccm.202009-3536OC. Online ahead of print.
    PMID: 33439781
  19. A prospective observational study of the incidence, natural history, and risk factors for intravenous immunoglobulin-mediated hemolysis.
    Pendergrast J, Armali C, Callum J, Cserti-Gazdewich C, Jiwajee A, Lieberman L, Lau W, Lin Y, Parmar N, Pavenski K, Riden LS, Shehata N, Willie-Ramharack K, Tomlinson G, Tong TN, Binnington B, Branch DR; QUEST Research Program.
    Transfusion. 2021 Jan 12. doi: 10.1111/trf.16232. Online ahead of print.
    PMID: 33433931
  20. Longitudinal Assessment of Frailty and Quality of Life in Patients Undergoing Head and Neck Surgery.
    Thomas CM, Sklar MC, Su J, Xu W, De Almeida JR, Alibhai SMH, Goldstein DP.
    Laryngoscope. 2021 Jan 11. doi: 10.1002/lary.29375. Online ahead of print.
    PMID: 33427307
  21. Over half of seniors who start oral bisphosphonate therapy are exposed for 3 or more years: novel rolling window approach and patterns of use.
    Hayes KN, He N, Brown KA, Cheung AM, Juurlink DN, Cadarette SM.
    Osteoporos Int. 2021 Jan 7. doi: 10.1007/s00198-020-05794-2. Online ahead of print.
    PMID: 33415374
  22. Perspectives of family physicians towards access to lung cancer screening for individuals living with low income - a qualitative study.
    Sayani A, Vahabi M, O'Brien MA, Liu G, Hwang SW, Selby P, Nicholson E, Lofters A.
    BMC Fam Pract. 2021 Jan 7;22(1):10. doi: 10.1186/s12875-020-01354-z.
    PMID: 33413135 
  23. Remdesivir for patients with COVID-19.
    Wu PE, Morris AM.
    CMAJ. 2021 Jan 6:cmaj.202505. doi: 10.1503/cmaj.202505. Online ahead of print.
    PMID: 33408097 No abstract available.
  24. Twenty articles that critical care clinicians should read about COVID-19.
    Tsang JLY, Binnie A, Fowler RA.
    Intensive Care Med. 2021 Jan 3:1-5. doi: 10.1007/s00134-020-06329-3. Online ahead of print.
    PMID: 33392643.
  25. Gender Effects in Assessment of Clinical Teaching: Does Concordance Matter?
    Stroud L, Freeman R, Kulasegaram K, Cil TD, Ginsburg S.
    J Grad Med Educ. 2020 Dec;12(6):710-716. doi: 10.4300/JGME-D-20-00145.1. Epub 2020 Dec 2.
    PMID: 33391595
  26. Expansion of transcatheter aortic valve replacement in the United States.
    Mentias A, Sarrazin MV, Desai M, Kapadia S, Cram P, Girotra S.
    Am Heart J. 2020 Dec 31;234:23-30. doi: 10.1016/j.ahj.2020.12.018. Online ahead of print.
    PMID: 33388288
  27. Diagnosis-wide analysis of COVID-19 complications: an exposure-crossover study.
    Murk W, Gierada M, Fralick M, Weckstein A, Klesh R, Rassen JA.
    CMAJ. 2021 Jan 4;193(1):E10-E18. doi: 10.1503/cmaj.201686. Epub 2020 Dec 7.
    PMID: 33293424 
  28. Association of Improved Periconception Hemoglobin A1c With Pregnancy Outcomes in Women With Diabetes.
    Davidson AJF, Park AL, Berger H, Aoyama K, Harel Z, Cohen E, Cook JL, Ray JG.
    JAMA Netw Open. 2020 Dec 1;3(12):e2030207. doi: 10.1001/jamanetworkopen.2020.30207.
    PMID: 33355674
  29. Risks of Serious Injury with Testosterone Treatment.
    Yarnell CJ, Thiruchelvam D, Redelmeier DA.
    Am J Med. 2021 Jan;134(1):84-94.e6. doi: 10.1016/j.amjmed.2020.07.037. Epub 2020 Sep 12.
    PMID: 32926849
  30. Harnessing the Power of Residents as Change Agents in Quality Improvement.
    Lam PW, Wong BM.
    Acad Med. 2021 Jan 1;96(1):21-23. doi: 10.1097/ACM.0000000000003727.
    PMID: 32909996
  31. Second International Guidelines for the Diagnosis and Management of Hereditary Hemorrhagic Telangiectasia.
    Faughnan ME, Mager JJ, Hetts SW, Palda VA, Lang-Robertson K, Buscarini E, Deslandres E, Kasthuri RS, Lausman A, Poetker D, Ratjen F, Chesnutt MS, Clancy M, Whitehead KJ, Al-Samkari H, Chakinala M, Conrad M, Cortes D, Crocione C, Darling J, de Gussem E, Derksen C, Dupuis-Girod S, Foy P, Geisthoff U, Gossage JR, Hammill A, Heimdal K, Henderson K, Iyer VN, Kjeldsen AD, Komiyama M, Korenblatt K, McDonald J, McMahon J, McWilliams J, Meek ME, Mei-Zahav M, Olitsky S, Palmer S, Pantalone R, Piccirillo JF, Plahn B, Porteous MEM, Post MC, Radovanovic I, Rochon PJ, Rodriguez-Lopez J, Sabba C, Serra M, Shovlin C, Sprecher D, White AJ, Winship I, Zarrabeitia R.
    Ann Intern Med. 2020 Dec 15;173(12):989-1001. doi: 10.7326/M20-1443. Epub 2020 Sep 8.
    PMID: 32894695
  32. Pregnancy, breastfeeding and the SARS-CoV-2 vaccine: an ethics-based framework for shared decision-making.
    Zipursky JS, Greenberg RA, Maxwell C, Bogler T.
    CMAJ. 2021 Jan 27:cmaj.202833. doi: 10.1503/cmaj.202833. 
    PMID: 33504561 

Trainee Publications

  1. Zollinger-Ellison Syndrome.
    Agarwal A, Moayyedi P, Bartnik W.
    McMaster Textbook of Internal Medicine. Kraków: Medycyna Praktyczna.
  2. Clinical management of COVID-19: living guidance, 25 January 2021
    World Health Organization (including: Adhikari NKJ, Agarwal A).
    WHO/2019-nCoV/clinical/2021.1
  3. AN INTELLIGENT DIAGNOSIS: SMART SYNDROME.
    Day LB, Rajendram P, Kalia LV, Gold WL.
    Am J Med. 2021 Jan 11:S0002-9343(21)00022-X. doi: 10.1016/j.amjmed.2020.11.034. Online ahead of print.

     

For future newsletters, please email information on your contributions to tina.teng@uhn.ca.


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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