Message from the Division Director
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Dear Colleagues,
I must start by acknowledging and condemning the terrible anti-Asian racist incidents that have occurred recently, and by recognizing that these are not isolated incidents. Our division denounces anti-Asian racism in all of its forms, stands in solidarity with the Asian community, and is committed to ongoing work to combat racism and discrimination.
The COVID-19 third wave is upon us, and we should be prepared for another busy period on our COVID units. But I am optimistic that subsequent widespread vaccination and warmer weather will herald a return to more normal times. So let’s use everything we’ve learned over the past year to provide excellent care to our patients, get through this together, and look forward to better days ahead.
Sincerely,
Moira
Dr. Moira Kapral, Director, Division of General Internal Medicine, University of Toronto
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GIM Division Head and Department of Medicine Lead for Virtual Strategy, Women's College Hospital
Dr. Ed Etchells will be joining Women's College Hospital to assume the role of Division Head for the Division of General Internal Medicine and the Department of Medicine Lead for Virtual Strategy, effective July 1st, 2021. He will be moving from Sunnybrook Health Sciences Centre where he is the Medical Director of Information Services and a highly-regarded GIM staff physician. Read more...
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2021 PARO Excellence in Clinical Teaching Award
Dr. Umberin Najeeb has been awarded a prestigious 2021 Professional Association of Residents of Ontario (PARO) Excellence in Clinical Teaching Award. Congratulations!
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2019-20 MD Program Teaching Excellence Awards
This award recognizes faculty, residents, graduate student teachers and clinicians in the MD Program who have attained teaching evaluation scores in the top 10% in one or more of the teaching activities to which they have contributed.
Congratulations to this year's recipients from GIM: Drs. Nadine Abdullah, Peter Cram, Ed Etchells, Zac Feilchenfeld, Ariel Lefkowitz, Ophyr Mourad, Reena Pattani, Matthew Robinson, Rebecca Stovel, Kevin Venus, and Natalie Wong.
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Healthy Debate Relaunching
Healthy Debate has relaunched on its 10 year anniversary. Under the direction of Dr. Seema Marwaha, with strategic input from other division members - including Drs. Irfan Dhalla and Amol Verma – the changes go beyond cosmetic. We aim to be a trusted source of information for the public, a platform for experts and stakeholders to write about Canadian health care and a vehicle to teach advocacy and communication to health professionals. If you have a story idea, please email us. We can provide the support to help you write it or chase the story on our own. We will also continue our elective program where residents spend a month with us and write at least two pieces. Many residents have already published some great pieces.
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We Are All Perfectly Fine by Dr. Jillian Horton
Dr. Jillian Horton, University of Toronto GIM graduate (2004) and now faculty member at the University of Manitoba, has just released her memoir, We Are All Perfectly Fine. It's a gripping and beautifully-written book, and her experiences as a hospitalist general internist, educator, academic, and human being will resonate with many of us. Highly recommended reading.
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COVID-19 Vaccination Outreach
Dr. Lisa Richardson, U of T strategic lead in Indigenous health, has been heavily involved in initiatives to offer COVID-19 vaccination to Indigenous groups in both urban and remote areas of the province, including outreach to residents of Sandy Lake FN in conjunction with Ornge air ambulance service and a U of T Medicine team of faculty and residents.
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CSIM Research/QI Summit
Dr. Lauren Lapointe-Shaw gave a presentation at the Canadian Society of Internal Medicine Research/QI Summit showcasing COVID Research. Learning objectives were to provide high-level overview of the latest in GIM COVID research in Canada and highlight two exciting interventional trials in COVID research with GIM leadership. Read more...
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Making History: Leading the Way
For the first time in the history of the Department of Medicine, all six of the 2022-2023 Chief Medical Residents will be women: Dr. Celine Allen, Dr. Emily Bartsch, Dr. Emily Hughes, Dr. Danielle Meschino, Dr. Nikita-Kiran Singh and Dr. Grace Wang. Read more...
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It's a Baby Girl!
Dr. Greg Gaisano and Dr. Barbara Doumouras welcomed Madeline Penelope Gaisano to the world on February 16, 2021. Greg and Barbara met during their PGY3 year of core internal medicine training at UofT. Greg is currently a general internist at Credit Valley Hospital and Barbara is completing her advanced heart failure / transplant and ECHO fellowship at TGH.
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It's a Baby Boy!
Dr. Paul Bunce, Dr. Yas Moayedi, and big brother Shaya welcomed the newest addition to their family - Dara Moayedi Bunce - born on Friday March 5th 2021. Baby and Mom are doing well. Dara has been super excited to meet his older brother, Shaya, who hasn’t quite figured out what all of the fuss is about.
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Grants
Drs. Lauren Lapointe-Shaw (NPA), Laura Desveaux and Noah Ivers (Co-PAs) have been awarded a CIHR project grant of $520,199 over 3 years for Walk-in Physician Care: an Integrated Knowledge Translation Project to Inform Quality Improvement
Drs. Murray Krahn and Girish Kulkarni have been awarded a CIHR project grant of $680,085 over 3 years for New Drug and Technology Assessment in Bladder Cancer: Creation of a Novel Canadian Policy Model for Bladder Cancer.
Drs. Robert Fowler and Srinivas Murthy have been awarded a CIHR project grant of $455,175 over 3 years for The Canadian Severe Acute Respiratory Infection, Prospective, Perpetual Observational Study: Informing Clinical Care and the Public Health Response
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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.
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University of Toronto GIM Citywide Rounds
The next GIM Citywide Rounds will be held on Friday, April 30th at 12-1 PM via Zoom.
Dr. Steven Glazer will provide an overview of the management of obesity and Dr. Eric Kaplovitch will provide an update on the practical management of thromboembolic disease.
If you would like to attend but have not received the calendar invitation with Zoom details, please email tina.teng@uhn.ca.
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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
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Seeking Participants for Psychology Research - U of T
The Relocation Study Team in the Relationship and Well-Being Lab at the University of Toronto is conducting research on couples who are relocating for one partner's school or work within the year to better understand how couples navigate the often challenging process and what can be done to better smooth this process. Click HERE to read more about the study and for information on eligibility, ethics approval, and contact.
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Job Postings
Lecturer / Assistant Professor - Academic General Internist
The Department of Medicine, Temerty Faculty of Medicine at the University of Toronto and the Divisions of General Internal Medicine and Geriatrics of the University Health Network (UHN) and Sinai Health System (SHS) are seeking to recruit 2 academic general internists to be based at UHN – Toronto General Hospital. This position will have a 75%/25% or 90%/10% clinical component with the remainder of time devoted to teaching, quality improvement, and scholarship. Full details are available HERE. Applications will be accepted until April 15, 2021 or until the position is filled.
Locum General Internist - Nova Scotia Health Authority
The Department of Medicine, Dalhousie University/Nova Scotia Health Authority seeks applications for a Locum General Internist (one year term with option to renew) with the Division of General Internal Medicine at the QEII Health Sciences Centre in Halifax, Nova Scotia. These are combined Hospital/University positions. Full details are available HERE. Closing date for applications is March 26, 2021.
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Journal Articles
Divisional members have published the following journal articles since the last issue of the GIM newsletter:
- Surgical Outcomes among Focused versus Diversified Cataract Surgeons.
Campbell RJ, El-Defrawy SR, Gill SS, Whitehead M, Campbell ELP, Hooper PL, Bell CM, Ten Hove MW.
Ophthalmology. 2021 Feb 23:S0161-6420(21)00064-6. doi: 10.1016/j.ophtha.2021.01.016. Online ahead of print.
PMID: 33637327
- The Contribution of Patient, Primary Care Physician, and Primary Care Clinic Factors to Good Bone Health Care.
Roblin DW, Cram P, Lou Y, Edmonds SW, Hall SF, Jones MP, Saag KG, Wright NC, Cromwell LF, Robinson BE, Wolinsky FD; PAADRN Investigators.
Perm J. 2021 Jan;25:1-3. doi: 10.7812/TPP/20.095.
PMID: 33635767
- Observational study of agreement between attending and trainee physicians on the surprise question: "Would you be surprised if this patient died in the next 12 months?".
Yarnell CJ, Jewell LM, Astell A, Pinto R, Devine LA, Detsky ME, Downar J, Ilan R, Rawal S, Wong N, You JJ, Fowler RA.
PLoS One. 2021 Feb 25;16(2):e0247571. doi: 10.1371/journal.pone.0247571. eCollection 2021.
PMID: 33630939
- Evaluation of the Braden scale in predicting surgical outcomes in older patients undergoing major head and neck surgery.
Grewal R, Sklar MC, de Almeida JR, Xu W, Su J, Thomas CM, Alibhai SMH, Goldstein DP.
Laryngoscope Investig Otolaryngol. 2020 Dec 9;6(1):103-108. doi: 10.1002/lio2.491. eCollection 2021 Feb.
PMID: 33614937
- A Value-Based Comparison of the Management of Ambulatory Respiratory Diseases in Walk-in Clinics, Primary Care Practices, and Emergency Departments: Protocol for a Multicenter Prospective Cohort Study.
Berthelot S, Breton M, Guertin JR, Archambault PM, Berger Pelletier E, Blouin D, Borgundvaag B, Duhoux A, Harvey Labbé L, Laberge M, Lachapelle P, Lapointe-Shaw L, Layani G, Lefebvre G, Mallet M, Matthews D, McBrien K, McLeod S, Mercier E, Messier A, Moore L, Morris J, Morris K, Ovens H, Pageau P, Paquette JS, Perry J, Schull M, Simon M, Simonyan D, Stelfox HT, Talbot D, Vaillancourt S.
JMIR Res Protoc. 2021 Feb 22;10(2):e25619. doi: 10.2196/25619.
PMID: 33616548
- Evaluating the Impact of a Critical Time Intervention Adaptation on Health Care Utilization among Homeless Adults with Mental Health Needs in a Large Urban Center: Évaluer l'effet d'une Adaptation De l'intervention En Temps Critique Sur l'utilisation des Soins De Santé Chez Des Adultes Itinérants Ayant Des Besoins De Santé Mentale Dans Un Grand Centre Urbain.
Reid N, Mason J, Kurdyak P, Nisenbaum R, de Oliveira C, Hwang S, Stergiopoulos V.
Can J Psychiatry. 2021 Feb 22:706743721996114. doi: 10.1177/0706743721996114. Online ahead of print.
PMID: 33611924
- Virtual care use before and during the COVID-19 pandemic: a repeated cross-sectional study.
Bhatia RS, Chu C, Pang A, Tadrous M, Stamenova V, Cram P.
CMAJ Open. 2021 Feb 17;9(1):E107-E114. doi: 10.9778/cmajo.20200311. Print 2021 Jan-Mar.
PMID: 33597307
- Prevalence of Prenatal Opioid Exposure in Ontario, Canada, 2014-2019.
Camden A, Ray JG, To T, Gomes T, Bai L, Guttmann A.
JAMA Netw Open. 2021 Feb 1;4(2):e2037388. doi: 10.1001/jamanetworkopen.2020.37388.
PMID: 33595660
- The effect of a Housing First intervention on primary care retention among homeless individuals with mental illness.
Whisler A, Dosani N, To MJ, O'Brien K, Young S, Hwang SW.
PLoS One. 2021 Feb 11;16(2):e0246859. doi: 10.1371/journal.pone.0246859. eCollection 2021.
PMID: 33571302
- Examining Trends of Cigarette Smoking Amongst Syrian Refugees During Their First Two Years in Canada.
Oda A, Beukeboom C, Bridekirk J, Bayoumi A, Hynie M; SyRIA.lth team.
J Immigr Minor Health. 2021 Feb 11. doi: 10.1007/s10903-021-01153-3. Online ahead of print.
PMID: 33570700
- Characteristics and outcomes of hospital admissions for COVID-19 and influenza in the Toronto area.
Verma AA, Hora T, Jung HY, Fralick M, Malecki SL, Lapointe-Shaw L, Weinerman A, Tang T, Kwan JL, Liu JJ, Rawal S, Chan TCY, Cheung AM, Rosella LC, Ghassemi M, Herridge M, Mamdani M, Razak F.
CMAJ. 2021 Feb 10:cmaj.202795. doi: 10.1503/cmaj.202795. Online ahead of print.
PMID: 33568436
- Identifying Risk Factors for Diabetic Ketoacidosis Associated with SGLT2 Inhibitors: a Nationwide Cohort Study in the USA.
Fralick M, Redelmeier DA, Patorno E, Franklin JM, Razak F, Gomes T, Schneeweiss S.
J Gen Intern Med. 2021 Feb 9. doi: 10.1007/s11606-020-06561-z. Online ahead of print.
PMID: 33564942
- Providing Medical Information to Older Adults in a Web-Based Environment: Systematic Review.
McLean B, Hossain N, Donison V, Gray M, Durbano S, Haase K, Alibhai SMH, Puts M.
JMIR Aging. 2021 Feb 9;4(1):e24092. doi: 10.2196/24092.
PMID: 33560228
- Impact of direct-acting antiviral regimens on mortality and morbidity outcomes in patients with chronic hepatitis c: Systematic review and meta-analysis.
Sahakyan Y, Lee-Kim V, Bremner KE, Bielecki JM, Krahn MD.
J Viral Hepat. 2021 Feb 8. doi: 10.1111/jvh.13482. Online ahead of print.
PMID: 33556225
- Association of Preexisting Disability With Severe Maternal Morbidity or Mortality in Ontario, Canada.
Brown HK, Ray JG, Chen S, Guttmann A, Havercamp SM, Parish S, Vigod SN, Tarasoff LA, Lunsky Y.
JAMA Netw Open. 2021 Feb 1;4(2):e2034993. doi: 10.1001/jamanetworkopen.2020.34993.
PMID: 33555330
- The Toxic Effects of an Incomplete Medication History: A Teachable Moment.
Belzile MN, Battu K, Wu PE.
JAMA Intern Med. 2021 Feb 8. doi: 10.1001/jamainternmed.2020.8863. Online ahead of print.
PMID: 33555286
- Palliative Care in Toronto During the COVID-19 Pandemic.
Wentlandt K, Cook R, Morgan M, Nowell A, Kaya E, Zimmermann C.
J Pain Symptom Manage. 2021 Feb 5:S0885-3924(21)00158-5. doi: 10.1016/j.jpainsymman.2021.01.137. Online ahead of print.
PMID: 33549737
- A Patient with X-Linked Agammaglobulinemia and COVID-19 Infection Treated with Remdesivir and Convalescent Plasma.
Iaboni A, Wong N, Betschel SD.
J Clin Immunol. 2021 Feb 6:1-3. doi: 10.1007/s10875-021-00983-y. Online ahead of print.
PMID: 33547548
- Quantitative Assessment of Viral Dispersion Associated with Respiratory Support Devices in a Simulated Critical Care Environment.
Avari H, Hiebert RJ, Ryzynski AA, Levy A, Nardi J, Kanji-Jaffer H, Kiiza P, Pinto R, Plenderleith SW, Fowler RA, Mbareche H, Mubareka S.
Am J Respir Crit Care Med. 2021 Feb 3. doi: 10.1164/rccm.202008-3070OC. Online ahead of print.
PMID: 33534659
- Intersection of Race and Gender in Surgical Training.
Sharma M, Rawal S.
JAMA Surg. 2021 Feb 3. doi: 10.1001/jamasurg.2020.6926. Online ahead of print.
PMID: 33533910
- Assumptions About Competency-Based Medical Education and the State of the Underlying Evidence: A Critical Narrative Review.
Brydges R, Boyd VA, Tavares W, Ginsburg S, Kuper A, Anderson M, Stroud L.
Acad Med. 2021 Feb 1;96(2):296-306. doi: 10.1097/ACM.0000000000003781.
PMID: 33031117
- Pregnancy and COVID-19: pharmacologic considerations.
D'Souza R, Ashraf R, Rowe H, Zipursky J, Clarfield L, Maxwell C, Arzola C, Lapinsky S, Paquette K, Murthy S, Cheng MP, Malhamé I.
Ultrasound Obstet Gynecol. 2021 Feb;57(2):195-203. doi: 10.1002/uog.23116.
PMID: 32959455
- Vertebral Fractures: Which Radiological Criteria Are Better Associated With the Clinical Course of Osteoporosis?
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. 2021 Feb;72(1):150-158. doi: 10.1177/0846537120943529. Epub 2020 Aug 5.
PMID: 32755312
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Trainee Publications
- The Toxic Effects of an Incomplete Medication History: A Teachable Moment.
Belzile MN, Battu K, Wu PE.
JAMA Intern Med. 2021 Feb 8. doi: 10.1001/jamainternmed.2020.8863. Online ahead of print.
PMID: 33555286
- Blastomycosis with rapid-onset acute respiratory distress syndrome in an urban setting.
Agarwal A, Losie JA, Kain D, Kaul R.
BMJ Case Reports. 2021;14:e239498.
- Prophylaxis for covid-19: living systematic review and network meta-analysis
Bartoszko JJ, Siemieniuk RAC, Kum E, Qasim A, Zeraatkar D, Ge L, Han MA, Sadeghirad B, Agarwal A, Agoritsas T, Chu DK, Couban R, Darzi AJ, Devji T, Ghadimi M, Honarmand K, Izcovich A, Khamis A, Lamontagne F, Loeb M, Marcucci M, McLeod SL, Motaghi S, Murthy S, Mustafa RA, Neary JD, Pardo-Hernandez H, Rada G, Rochwerg B, Switzer C, Tendal B, Thabane L, Vandvik PO, Vernooij RWM, Viteri-Garcia A, Wang Y, Yao L, Ye Z, Guyatt GH, Brignardello-Petersen R.
medRxiv. 2021 Feb 26. doi: 10.1101/2021.02.24.21250469
- Granulomatosis with polyangiitis presenting as pancreatic disease.
Tao JJ, Agarwal A, Cuperfain AB, Pagnoux C.
BMJ Case Reports. 2021;14:e241033.
- Treatment effects in randomised trials using routinely collected data for outcome assessment versus traditional trials: meta-research study.
McCord KA, Ewald H, Agarwal A, Glinz D, Aghlmandi S, Ioannidis JPA, Hemkens LG.
BMJ. 2021;372:n450.
- In my Indian grandfather, I came to understand the unique heartache of a gap unbridged.
Arjun V.K. Sharma
Globe and Mail
- Risk of dispersion or aerosol generation and infection transmission with nasopharyngeal and oropharyngeal swabs for detection of COVID-19: a systematic review
Agarwal A, Fernando SM, Honarmand K, Bakaa L, Brar S, Granton D, Chaudhuri D, Chetan D, Hu M, Basmaji J, Muttalib F, Rochwerg B, Adhikari NKJ, Lamontagne F, Murthy S, Gomersall CD, Mubareka S, Diaz J, Burns KEA, Couban R, Vandvik PO.
BMJ Open. 2021;11:e040616.
doi: 10.1136/bmjopen-2020-040616
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For future newsletters, please email information on your contributions to tina.teng@uhn.ca.
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