2016 Department Review

Department Review 2016 | 1

FACULTY OF HEALTH SCIENCES DEPARTMENT REVIEW

DEPARTMENT OF ANESTHESIA MICHAEL G. DEGROOTE SCHOOL OF MEDICINE


Contents

TITLE PAGE.................................................................................................................................................................................... 3

OVERVIEW.................................................................................................................................................................................... 4

THE ORGANIZATION AND PHYSICAL STRUCTURE........................................................................................................................... 9

ORGANIZATION AND MANAGEMENT............................................................................................................................................... 10 PHYSICAL STRUCTURE....................................................................................................................................................................... 13 INTER/INTRA-DEPARTMENT/SCHOOL COMMUNICATION................................................................................................................. 14

THE PEOPLE.................................................................................................................................................................................. 15

FACULTY............................................................................................................................................................................................. 16 Career Guidance/Promotion and Tenure...................................................................................................................................... 18 Awards and Honours......................................................................................................................................................................20 Recruitment/Departures................................................................................................................................................................22 In Memoriam……………………………………………………………………………………………………………………………………………………………………………23

STAFF...................................................................................................................................................................................................24

DEPARTMENT FINANCIAL STRUCTURE……………............................................................................................................................. 28

EDUCATIONAL ACTIVITIES............................................................................................................................................................. 32

RESEARCH ACTIVITIES................................................................................................................................................................... 68

CLINICAL SERVICES AND PROGRAMS............................................................................................................................................ 96

RELATIONSHIPS AND AFFILIATIONS............................................................................................................................................. 104

STRENGTHS AND WEAKNESSES....................................................................................................................................................107

GOALS FOR THE COMING YEARS................................................................................................................................................. 109

APPENDICES AND ADDITIONAL DOCUMENTATION (USB).............................................................................................................. 111

SECTION A: PREVIOUS 5-YEAR REPORT

SECTION B: RESIDENCY PROGRAM REVIEW

SECTION C: CRITICAL CARE MEDICINE (ADULT) RESIDENCY PROGRAM REVIEW

SECTION D: INTERNAL PUBLICATIONS

SECTION E: CURRICULUM VITAE


DEPARTMENT OF ANESTHESIA DEPARTMENT REVIEW 2013-2016

First anesthetic performed at McMaster Medical Centre (Dr. Stringer, October 1972)


Overview

Dr. Norm Buckley

Professor and Chair, Department of Anesthesia

Director, Michael G. DeGroote National

Pain Centre

Scientific Director, Michael G. DeGroote Institute for

Pain Research and Care

Jeopardy clue (February 2016)

It has been a pleasure and a privilege to be Chair of the Department of Anesthesia for the past 12 1/2 years. You will see from the report that there has been considerable activity. While I would be happy to accept credit for this, I am well aware that my primary role as chair has been to give permission to those who have significant contributions to make, and encouragement to people who wish to contribute but are uncertain how they may do that. In addition it has been my great good fortune to be chair at a time when new resources were being found through the Alternate Funding Plan (AFP) and significant philanthropic donations to the university, including the establishment of the Michael G DeGroote Institute for Pain Research and Care, and the National Pain Center. All of these things have put in place a milieu where the department has been able to be productive.

On the other hand we still have a situation locally and nationally where by comparison with other disciplines anesthesia remains on the low-end of academic contributions and performance. The clinical history of anaesthesia is one of recognition and solution of immediate and threatening clinical problems with both technical and logistical solutions. Anesthesia as a discipline has one of the most enviable current levels of safe practice of any discipline. At the same time, the focus by anesthesia practitioners on intraoperative care and operating room service in particular has led to the lack of public recognition of the value and importance of the Anesthesia specialist, and a reduction of the involvement of anaesthesiology in fields where we formerly were leaders, such as Critical Care Medicine and Pain Management, much to the detriment both of those fields and the profession itself.

Recruitment of faculty members with strengths in research and education has allowed the department’s productivity to rise, and recruitment in the future will continue to support that. The department faces challenges in the field of education with changes in the Royal College anaesthesiology residency training program structures, but also opportunities as a leader in the field of pain care at a time in history when the value of knowledge and understanding about pain care is beginning to be recognized. By comparison with 15 years ago, manpower in anaesthesiology nationally and locally is now at the stage where the faculty can recruit according to needs and direction, selecting individuals who will bring added academic strengths and interests into the department.


DEPARTMENT PAST, PRESENT AND FUTURE

PAST “We have seen the enemy and he is us”

When I became chair, the Anesthesia manpower situation locally and nationally was at a nadir, and the recently formed Hamilton Health Sciences department particularly was in the process of weathering one of the worst manpower shortages for anaesthesiology in the history of McMaster University’s Faculty of Health Sciences. The Specialty Review Funding discussion triggered by a similar situation in the University of Toronto affiliated hospitals led to several millions of dollars in funding being allocated to those hospitals and hospitals in London for the support of anesthesia faculty recruitment, with less than 1/10 of that amount of funding allocated to the university affiliated departments in Hamilton which represented similar numbers of faculty. This sad failure of political awareness on my own part and that of the Hamilton hospitals, and the lack of recognition of the value of the anesthesia contribution in Hamilton to the overall provincial anesthesia picture had the impact of weakening the capacity of the departments of Anesthesia affiliated with McMaster University to make significant contributions to academic anesthesia in Canada. Nonetheless clinical imperatives did support recruitment of faculty numbers, and the close relationship between the university affiliated hospitals and the faculty of health sciences meant that academic service was supported- in particular education in the undergraduate and postgraduate spheres.

The negotiation of a province wide alternate funding plan (AFP) agreement supporting recruitment of academic faculty, and the extremely collegial nature of the distribution of that money amongst the McMaster University clinical departments, meant that anesthesia for the first time in its McMaster history had significant funding available to support academic activity whether education or research and to financially reward contributions made by faculty members. More recently, with the reorganization of HHSC clinical services an additional AFP to support paediatric specialization was negotiated permitting this area of specialty to grow.

One of the first non-clinical recruitments made early in my role as chair was a social psychologist, David Musson, recently of the University of Texas at Austin Human Factors laboratory where Dr. Robert Helmreich had established the science of human factors study as it related to safety in aviation and subsequently health care. Dr. Musson joined the department when we had a small amount of simulation resources - one or two Sim Man mannikins with supportive computer software, and a small space allocated to simulation. Supported both by the Department and the FHS Education offices, over the course of eight years he negotiated to greatly expand both the space and the amount of resources dedicated to the organization of simulation with in the FHS education infrastructure. His role was supported by the department of Anesthesia with contributions from the FHS education offices, and considerable investment was made in the physical infrastructure and staff over time. Upon Dr. Musson's departure to assume the role of Undergraduate Dean of Medicine at the Northern Ontario School of Medicine, there was a hiatus before the new director was recruited. Cardiologist Matthew Sibbalt then successfully managed the process of achieving certification under the Royal College of Physicians and Surgeons of Canada for this facility to ensure that it will be able to adequately support the necessary simulation infrastructure for Anesthesia and other undergraduate and postgraduate education going forward. This is of particular importance to Anesthesia in light of the oncoming Competency By Design initiative.

Other developments have included the establishment of the National Pain Center, with an endowment from Michael G DeGroote, dedicated towards the dissemination of best practice information for treatment of chronic pain. This included being assigned the responsibility for the dissemination and updating of the Canadian opioid guideline, a key piece of knowledge in the ongoing national debate around the appropriate use of opioids and addressing the what has become known as the national opioid crisis. In addition, the establishment of the Michael G DeGroote Institute for Pain Research and Care has become a wonderful opportunity for the Department of Anesthesia to participate in the world of pain research going forward with the focus of the Institute on using the model of persistent postsurgical pain as a conceptual model for the study of chronic pain.


PRESENT “You are judged by the company you keep”

We have had success through excellent collaboration. Currently both University affiliated hospital clinical departments, St. Joseph's Health Care Hamilton (SJH) and Hamilton Health Sciences Corporation (HHSC), are well staffed including our own graduates and faculty recruited from elsewhere in Canada and internationally including graduates of our fellowship programs. Clinical reorganization and changes in demand at both sites continue to create opportunities for recruiting new clinical faculty. In particular growth in paediatric services at HHSC has led to the need for additional specialists in paediatric anesthesia, and the newly established chronic pain clinic for paediatrics has opened up an opportunity to recruit not only paediatric anaesthesiologists with interest in chronic pain, but also to develop a transitional pain program to bridge the paediatric chronic pain program with the adult chronic pain program at the DeGroote Pain Clinic. A collaboration of several years duration with the Faculty of Engineering and the Department of Psychology has led to ongoing research in peri‐operative anxiety in pediatrics, working with Dr. Louis Schmidt (Acting Chair, Psychology) and his graduate student Cheryl Chow. This recently led to a CIHR grant worth nearly $200K.

A departmental executive retreat in April 2016 identified the area of education as a strength, an interest of the faculty group and an opportunity, with opportunities of further collaborating with the departments of Clinical Epidemiology and Biostatistics (CEB) as well as the Program for Educational Research and Development (PERD) as areas in which the department could grow its academic initiatives. The department is recognized as being extremely proud of its educational accomplishments both postgraduate and undergraduate, but has failed to capitalize on that with publications to bring its work into the public eye. We are very proud that Dr Phil Chan has led the Department’s successful application for a Pain Medicine residency under the new RCPSC program.

One very successful collaboration during the past 10 years supported by the AFP has been the attachment of a senior member of CEB, Dr. Lehana Thabane, to the department as an associate member. He has made extraordinary contributions to the guidance of research in the department by providing expert advice and collaboration.

A new collaboration with a faculty member from PERD is about to be established after negotiations Dr. Harold Reiter, the director of that program. This promises to provide additional human resources as well as a pedagogical approach which will help in the formal evaluation of our educational programs including the soon to be manifested Competency By Design. This latter program, an initiative of the Royal College of Physicians and Surgeons in Canada (RCPSC), has the potential both to be a great innovation and also a significant threat to the department and our mission. The innovation reflects its focus on clearly defined competencies requiring meticulous evaluation processes; the threat is through its demand for additional resources both in terms of manpower and funding. Creation of new evaluation formats, new processes for evaluation of competency and promotion of residents between levels of competence as well as conflict about the ownership/management of the trainee progress information between the University and the RCPSC have already been identified as issues.

In the field of International Education, while we have not created a body of published work we continue to provide a long‐standing collaboration with Haiti and Uganda, including supporting a faculty member (Stephen Ttendo) at Makerere University in Uganda. We have recently expanded our activity to include a formal collaboration with the University of Georgetown in Guyana to enhance their Anesthesia residency training program. This activity has also led to the appointment of a leader in International Education, Joel Hamstra based at SJH, while Dr Alez Dauphin continues to provide guidance and leadership through his role as a member of the Canadian Anesthesia Society International Educational Foundation (CASIEF). At the instigation of Dr Susan Reid, Chair Department of Surgery, there is also a growing collaboration amongst the departments of Anesthesia, Obstetric and Gynecology and Surgery to create an ‘International Desk’ which will provide administrative support for the international educational programs currently underway.


FUTURE “Succeed by working with successful people”

The department has changed considerably in the last 10 to 15 years. It is more than 50% larger than it was in the year 2000. It has a considerably increased track record in terms of publication, and all residents now carry out at an academic project which in many cases results in a publication including winning national research competitions. Our challenge is to continue to enhance this atmosphere, and collaborate with highly successful researchers, some of whom will certainly be in other departments, to ensure that anaesthesiologists contribute to the direction of research in peri‐operative medicine and care.

After a lengthy visioning and strategic planning program the Department of Clinical Epidemiology and Biostatistics has set out its plan, which includes a focus on ‘Safer Surgery’‐ this represents a tremendous opportunity for the Department of Anesthesia to progress through collaboration with some of the world’s premiere researchers.

The opportunities for the department through participation in the recently funded National Chronic Pain Network research grant under the Strategies in Patient Oriented Research (SPOR) initiative at CIHR are significant. This 5 year, $12.5 Million CDN opportunity, led from McMaster’s Michael G DeGroote Institute for Pain Research and Care, will lead to a national network many of whose members are anesthesiologists, with opportunities for training and mentorship and advancement of Chronic Pain Research.

There has been a growth in graduate student activity within the Department of Anaesthesia through the collaboration with CEB and the recruitment of new faculty such as Jason Busse and Yannick LeManach. Other department members (Anne Wong, James Paul and Norm Buckley) are also participating in graduate supervision. We have our first resident participating in the Clinical Investigator Program. This is the future I believe of the academic growth of the department. However it will require funding sources which are currently not identified in the Department budget. In order to ensure the financial independence of our research endeavours, in addition to pursuing and succeeding in competitive research funding it will also be necessary to pursue endowment funding which can support anesthesia initiated academic activity. This was one of my goals more than 12 years ago and it is a great disappointment that I have not been successful. However I believe that it is crucial that this happen.

Changes in external funding sources present a potential threat to academic activity. There has been a decline in the availability of industry research funding which in the past was a significant source of support for the departmental research endeavor. Similarly, the educational programs in the department particularly at the post graduate level in Anesthesia, Critical Care Medicine (CCM) and soon to be Pain Medicine, require funding greater than that available through the University structure. Both CCM and Anesthesia depend for their livelihood on funding received through training of Gulf States candidates. Loss of this funding either through unavailability of positions, strategic decision‐making or a change in the funding decisions of the Gulf States themselves poses a significant threat to the department.


At the same time, members of the Department of Anaesthesia are in significant leadership roles within the hospitals and academic programs and have the potential to influence decision‐making to ensure that considerations relevant to anesthesia remain on the discussion table. With a fixed budget on the alternate funding plan side, a likely fixed budget on the OHIP clinical revenue side, and a fixed and proportionately declining budget at the university level, financial threats surround the department. Thus at this time it may be necessary to consider a focus on specific goals which can become the Academic Foci for the department. This will require further strategic planning beyond the 2016 April retreat and oversight between the incoming chair and FHS leadership as well as the clinical department leaders.

I am pretty sure that there is no other role I could have had which would have resulted in my being an answer on Jeopardy‐ the question? ‘What is pain, Alex’?

Respectfully submitted,

Norm Buckley Dr. Norm Buckley Professor & Chair Department of Anesthesia Michael DeGroote School of Medicine McMaster University

August 2016

Department Review 2016 | 9 Organization and Physical Structure

DEPARTMENT OF ANESTHESIA

ORGANIZATION AND PHYSICAL STRUCTURE


Organization and Management The Department of Anesthesia at McMaster University is a complex structure—it is made up of many tiers and interconnected programs. The following charts outline the multiple structures that make up the Department of Anesthesia. The chart below identifies the relationships between the multiple areas of the Department, and the following charts expand further on the structure and organization of the committees and administration in the Department.


COMMITTEE STRUCTURE Committees play a valuable role in the Department of Anesthesia—they contribute to the overall organization and structure of the Department, as well as lead the Department in various areas (for example, the Research Interest Group leads the organization of the research aspect of the Department of Anesthesia). The duties of some committees—specifically the Department Executive Committee, the Appointment Promotion and Tenure Committee, and the Research Interest Group—are as follows: Department Executive Committee—Participate in strategic planning, including financial priorities and planning the annual retreat. The Department Executive Committee holds approximately four meetings per year.

Appointment Promotion and Tenure Committee—Participate in an annual review of faculty for promotion and re-appointment. The Appointment Promotion and Tenure Committee holds approximately three meetings per year.

Research Interest Group—Review research proposals and participate in strategic planning. The Research Interest Group holds approximately ten meetings per year.


ADMINISTRATIVE STRUCTURE The Department of Anesthesia maintains an administrative structure focused on supporting the needs of our faculty, our residents, our students, and our research office. The structure includes a team of support staff who are available to assist all of our Directors as needs arise, working in a collaborative manner to deliver timely services and meet the deadlines and priorities of the Department.


Physical Structure

Site Faculty

HAMILTON HEALTH SCIENCES (HHSC) McMaster University Medical Centre

Hamilton General Hospital

Juravinski Hospital

Dr. Norm Buckley, Chair & Professor Dr. Susan O’Leary, Associate Professor & Chief of Anesthesia, HHSC Dr. James Paul, Associate Professor & Associate Chair, Research Dr. Anne Wong, Professor & Associate Chair, Education and DEC Dr. Daniel Cordovani, Program Director, Undergraduate/Clerkship Dr. Tim Karachi, Program Director CCM (Adult) Residency Program Dr. Karen Raymer, Program Director, Anesthesia Residency Program Dr. Bruno Borges, Assistant Professor Dr. Jason Busse, Associate Professor and Researcher, National Pain Centre Dr. Maria Calvo, Assistant Professor Dr. Yannick Le Manach, Assistant Professor Dr. Richard McLean, Associate Professor Dr. Meena Nandagopal, Associate Professor Dr. Manyat Nantha-Aree, Associate Professor Dr. Tal Shichor, Associate Professor Dr. Taras Usichenko, Professor Dr. Robert Whyte, Associate Professor Dr. Carine Wood, Assistant Professor

St. Joseph’s Healthcare Hamilton (SJHH)

Dr. Janet Farrell, Chief, St. Joseph’s Healthcare Hamilton Dr. Mauricio Forero, Associate Professor Dr. Harsha Shanthanna, Assistant Professor Dr. Gregory Peachey, Faculty Lead, Anesthesia Simulation Program


Inter/Intra-Department/School Communication

Meetings Frequency

General Department Meetings AFP General Meeting

1 to 2 per year 1 to 2 per year

Chair/Chief Meetings Department Chair Attends Clinical Department Business Meetings Department Executive Committee Department Research Interest Group Appointment Promotion and Tenure Committee Chair’s Advisory Group (CAG)

10 per year 10 per year 2 to 4 per year 10 per year 2 to 4 per year 1 to 2 per year

Residency Training Committee (Anesthesia) Undergraduate/Clerkship Training Committee Critical Care Medicine Residency Training Committee

Monthly 3-4 per year Monthly

Anesthesia Simulation Group AFP Executive and Finance Committee Department Research Retreat

Quarterly 3 to 4 per year Bi-annually

Other Methods of Communication Frequency

Department Webpage Department Newsletter Email to all Department Members

DEPARTMENT OF ANESTHESIA NEWSLETTER The newsletter began in 2012 as a publication to communicate and highlight department activities and accomplishments. The newsletter has been well-received by faculty, residents, fellows, and alumni. It is published on a biannual basis.

Communication in the department also includes Citywide Rounds, Pain Rounds, other departmental rounds, the department website, and email messages.



THE PEOPLE


Career Guidance/Promotion and Tenure

Dr. Anne Wong Associate Chair, Education

Assistant Dean, Faculty Development

“Dr. Wong continues to make significant contributions to the MSc program in Global Health, providing leadership in the admissions process. She has greatly increased the number of faculty development workshops offered. Dr. Wong’s own work including consideration of cultural influences on teaching and learning has led her to look at differences between generations of learners and faculty. She has had several successful collaborations with our trainees, especially in the area of the value of mentorship and peer support. She has demonstrated significant commitment and initiative in the role of Associate Chair, Education, and I look forward to her continued enhancement of the Departmental productivity in education and educational research.”

— Dr. Norm Buckley, Department Chair

The Associate Chair of Education/Department Education Coordinator (ACE/DEC ) is the delegate of the Chair of Anesthesia in overseeing the department’s academic and educational deliverables. These responsibilities include developing, coordinating and supporting educational and academic activities that promote educational innovation and scholarship in the department. The ACE/DEC is also responsible for faculty affairs in the department, including the orientation of new faculty, career guidance and tenure and promotion. As a member of the Tenure and Promotion Committee, the Department Executive Committee and the Department Educational Coordinators’ Committee, the ACE/DEC is directly accountable to the Chair of Anesthesia. CAREER GUIDANCE/PROMOTION AND TENURE The ACE/DEC meets with all new faculty recruits to orient them to the department and Faculty of Health Sciences, discuss career goals, opportunities, and strategies and inform them of faculty development opportunities within the department, the FHS Program for Faculty Development, related conferences and educational resources and graduate and diploma programs. The Tenure and promotion criteria and process are also discussed. The recruits are asked to attend at least one of the faculty orientation or tenure and promotion workshops offered through the Program for Faculty Development. Further follow-up meetings are arranged as needed.

The Chair of the Department meets with all full time faculty members at least once a year (more frequently if necessary) for their annual career review. The faculty’s academic and scholarly clinical work is assessed for their academic contributions and to ensure that they have the necessary support and opportunities for further career advancement. The faculty also meets with the Associate Chair of Education/Department Education Coordinator (ACE/DEC) if further counselling and resources are needed.

The ACE/DEC and the Tenure and Promotion Coordinator work closely with faculty members to guide and support them during their promotion and tenure application and submission process. The Tenure and Promotion (T&P) Committee meets at least twice a year in order to review the renewal of appointments and eligibility for promotion of faculty. The Committee consists of the Chair of Anesthesia, the Associate Chair of Education/Department Education Coordinator, and three full time and part-time faculty members (with permission from the registrar) at the Associate Professor or Professor level. All full time faculty are reviewed for renewal within 3 years of their initial appointment and promoted to the Associate Professor level within 6 years. The ACE/DEC meets regularly with them for guidance regarding their career development and planning and the tenure and promotion process.


Clinical (part-time) faculty are assessed for their eligibility for promotion based on years of service and they are accordingly notified in writing by the Chair. If they are interested in pursuing promotion, they are sent information on the promotion criteria and process. They are also asked to submit their updated CV to the Tenure and Promotions Committee in order to assess whether they meet the promotion criteria. If the T& P Committee deems that they can proceed, they meet with the ACE/DEC as described above to proceed with the application process. If they are deemed not ready to proceed, they may also meet with the ACE/DEC for further career guidance and planning for the next tenure and promotion review.

Since the last review in 2013, four full time faculty members have been promoted from Assistant to Associate Professor and one Associate Professor to Professor. Five part time (clinical) faculty have been promoted from Assistant Clinical to Associate Clinical Professor.

FACULTY DEVELOPMENT In addition to the faculty development opportunities available through the Program for Faculty Development, one to two faculty development workshops a year have been organized and held for the Department of Anesthesia. These well-attended workshops included sessions on educational leadership, resilience building and providing constructive feedback. Further faculty development will focus on the areas of competence-based medical education, leadership development, and peer mentorship.

Since 2013, one faculty member has completed his MSc. in Health Research Methodology and is currently enrolled in the PhD program with funding. Four faculty members have either completed or in the process of completing their MSc in Health Sciences Education. All of the faculty involved in simulation-based teaching at the postgraduate level have obtained their simulation instructor’s certification. We have also recruited a number of new faculty with strong backgrounds in acute and chronic pain, preoperative outcomes and research methodology. These developments represent a substantial increase in capacity building in education and research over the last three years.

Several faculty members have also been very active in contributing as faculty developers both at the department and at the Program for Faculty Development level. They have provided valuable contributions to workshops in problem-based learning, simulation based education, communication skills and effective team functioning and providing constructive feedback.

FUTURE INITIATIVES Our department has a strong reputation for excellent teaching. Since our last report in 2013, our department has garnered two national anesthesia teaching awards, two anesthesia undergraduate teaching awards and a teaching award for the critical care program. We will be continuing this tradition as well as work to ensure that we also excel in further advancing and disseminating educational scholarship. In particular, the future areas of focus will include:

Our anesthesia residency program will be expected to transition to CBD (Competency By Design) program by July 2017. We will be developing a strategic plan for faculty development that will coordinate with the postgraduate training program work on restructuring to CBD. We will also implement faculty development workshops and resources to ensure faculty are prepared in their roles in this new curricular framework. Other areas of focus for educational development and scholarship will include leadership development and peer coaching and mentorship. Respectfully submitted,

Dr. Anne Wong Associate Chair, Education Assistant Dean, Faculty Development July 6, 2016


Awards and Honours

Faculty Year Award

Dr. Norm Buckley 2014

2016

Excellence in Inter-professional Pain Education, Canadian Pain Society

Humanitarian and Global Service, HHS Medical Staff Association

Dr. Fred Baxter

2015

2016

Clinical Practitioner Award, Canadian Anesthesiologists’ Society (CAS)

Sister Joan O’Sullivan Award, St. Joseph’s Hospital

Dr. Daniel Cordovani

2016

Anesthesia Clerkship Teaching Award, McMaster University MD Program Class of 2016, vote by medical students

Dr. Jonathan Dingle

2014

Anesthesia Clerkship Teaching Award, McMaster University MD Program, Class of 2014, vote by medical students

Dr. Janet Farrell

2016

Mission Legacy Award for individuals who have made an exceptional contribution to the health ministry of the Sisters of St. Joseph of Hamilton, St. Joseph’s Healthcare Hamilton

Dr. Mauricio Forero

2015

2015

Miracle Worker Award, St. Joseph’s Healthcare Hamilton

RMA Award, (Dr. Joyce Magalhaes) USG fascia iliaca block at the level of inguinal ligament. RCT.

Dr. Joel Hamstra

2015

2016

Laurence Chiu Award for Outstanding Collegiality and Professionalism, McMaster University Department of Anesthesia

John Bradley Young Educator Award, Canadian Anesthesiologists’ Society

Dr. Edwin Ho

2016


Dr. Melanie Hollidge

2016

Vince Politi Award for Best Clinical Teacher voted by Anesthesia Residents

Dr. Elizabeth Ling

2014


Dr. Peter Moisiuk

2015


Dr. Susan O’Leary

2016

Accredited CPD Provider Innovation Award, Royal College of Physicians and Surgeons of Canada

Dr. Joseph Park

2014

Miracle Worker Award, St. Joseph’s Healthcare Hamilton

Dr. Steve Puchalski

2014


Dr. Karen Raymer

2015

2016

PARO Residency Program Excellence Award


Dr. Harsha Shanthanna

2014

2015

2013

AbbVie New Investigator Award in Anesthesia, Canadian Anesthesiologists’ Society (CAS)

Canadian Institute of Health Research (CIHR)-RCT Mentoring Award

European Diplomate in Regional Anesthesia and Acute Pain Management (EDRA), European Society of Regional Anesthesia

Dr. Ryan Smith

2014

Vince Politi Award for Best Clinical Teacher voted by Anesthesia Residents, McMaster University

Dr. Anne Wong

2013

2014

Gender and Health Education Grant, Gender and Health Education Initiative, McMaster University

President’s Forward With Integrity Grant, McMaster University


Resident Year Award

Dr. Elaheh Adly

2014

Resident Research Exchange Day Winner (2nd Place)

Dr. Brian Buchanon

2016

2016

CCM Resident of the Year

Resident Research Exchange Day Winner (1st Place)

Dr. John Centofanti

2013


Dr. Meghan Andrews

2014

Hisham Zokari Memorial Award, Anesthesia Residents, McMaster University

Dr. Annemaria De Tina

2015


Dr. Erick Duan

2013 2014

2015

Resident Research Exchange Day Winner (2nd Place) Resident Research Exchange Day Winner (1st Place)


Dr. Andrew Gibson

2015

2015

CCM Resident of the Year

Resident Research Exchange Day Winner (3rd Place) | Shared with Rohin Malhotra

Dr. Suzan Ergun

2016


Dr. Ada Hindle

2013


Dr. Mark Hindle

2015


Dr. Padmali Jayatilaka 2014


Dr. Susan Jo

2014


Dr. Paul Lysecki

2015

2015

Stevens Norvell Award for Top Score in Canada n Canadian Association of General Surgeons Exam

Hamilton Health Sciences’ Medical Staff Association Outstanding Resident Award

Dr. Heung Kan Ma

2016

2015

HHS Medical Staff Outstanding Resident of the Year Award

PAIRO (PARO) Resident Teaching Award for McMaster University

Dr. Brent MacLellan 2016

Dr. Fred Baxter Award for Excellence in Nephrology and Patient Care

Dr. Rohin Malhotra

2015

Resident Research Exchange Day Winner (3rd Place) | Shared with Andrew Gibson

Dr. Ian Mazzetti

2013

William J. Walsh General Internist Award, McMaster University Internal Medicine Training Program

Dr. Simon Oczkowski

2016

McMaster University Department of Medicine Internal Career Award

Dr. Joshua Peachey

2016

Dr. Fred Baxter Award for Excellence in Nephrology and Patient Care

Dr. David Sussman

2016


Dr. Lisa Udovic

2015

2015

Resident Research Exchange Day Winner (3rd Place)

CCF 2015 Research Award – Alan Spencer Award – Best Education Study: scholars and Collaborators on the Frontline: Resident-Led Research in a Prospective, Observational Study in Critically Ill Patients

Staff Year Award

Candice Stroud

2016

Program Administrator Award for Innovation and Excellence


Recruitment/Departures: July 1, 2013 to June 30, 2016 FULL-TIME RECRUITMENTS Dr. Daniel Cordovani, Assistant Professor Dr. Yannick Le Manach, Assistant Professor Dr. Susan O’Leary, Associate Professor Dr. Taras Usichenko, Professor FULL-TIME DEPARTURES Dr. Dave Musson, Associate Professor PART-TIME RECRUITMENTS Dr. Carol Barrese, Assistant Clinical Professor (Adjunct) Dr. Sean Curran, Assistant Clinical Professor Dr. Jason Cyr, Assistant Clinical Professor Dr. Philippe Dass, Assistant Clinical Professor (Adjunct) Dr. Maneesh Deshpande, Assistant Clinical Professor (Adjunct) Dr. Kurt Domuracki, Clinical Scholar (2015-2016) Dr. Ruslan Dorfman, Assistant Clinical Professor (Adjunct) Dr. Véronik Frigon, Clinical Scholar (2013-2014) Dr. Andrei Gagarine, Assistant Clinical Professor Dr. Kara Gibson, Assistant Clinical Professor (Adjunct) Dr. Ada Hindle, Assistant Clinical Professor (Adjunct) Dr. Christopher Hinkewich, Assistant Clinical Professor (Adjunct) Dr. Andrew Heikkila, Assistant Clinical Professor Dr. Edwin Ho, Clinical Scholar (2013-2014) Dr. Susan Jo, Clinical Scholar (2015-2016) Dr. Greg Kostandoff, Clinical Scholar (2013-2014) Dr. Kevin Latchford, Assistant Clinical Professor (Adjunct) Dr. Anton Marinov, Assistant Clinical Professor (Adjunct) Dr. Dave Musson, Associate Professor Dr. Laura Puopolo, Assistant Clinical Professor (Adjunct) Dr. Peter Samuels, Assistant Clinical Professor (Adjunct) Dr. Ryan Smith, Assistant Clinical Professor Dr. James Starodub, Assistant Clinical Professor Dr. Amanda Whippey, Assistant Clinical Professor (2015), Clinical Scholar (2013-2014) Dr. Nayer Youssef, Assistant Clinical Professor PART-TIME DEPARTURES Dr. Roger Bell, Associate Clinical Professor (retired) Dr. Cecilia de Guzman, Assistant Clinical Professor (retired) Dr. Ama de Graft-Johnson, Associate Clinical Professor (retired) Dr. Véronik Frigon, Clinical Scholar (2013-2014) (resigned, moved) Dr. Andrew Heikkila, Assistant Clinical Professor (resigned, moved) Dr. Loretta Olivieri, Assistant Clinical Professor (resigned, moved) Dr. Greg Rhydderch, Assistant Clinical Professor (retired, deceased) Dr. Joseph Woo, Associate Clinical Professor (retired)


In Memoriam Dr. Donald Catton

Dr. Donald Catton, professor and the first chair of anesthesia of the Michael G. DeGroote School of Medicine, died at the Juravinski Hospital in Hamilton on Feb. 9, 2016. He was 85. "Don Catton set a tone of University and community collaboration in the creation of the academic department of anesthesia," said Norm Buckley, chair of the Department of Anesthesia. "He was the only inaugural department chair to be recruited from the clinical milieu in Hamilton, and he worked diligently to engage his clinical colleagues in the academic activities. Dr. Catton also recruited nationally and internationally to create excellent educational and research programs."

Catton was a graduate of the medical school at Western University who spent time as a medical officer for the Royal Canadian Air Force before joining the staff of Hamilton Civic

Hospitals as an anesthetist in 1964. He joined the fledgling medical school as a professor in 1970, was the founding chair of the department for nine years beginning in 1971. "I had no concept of teaching or research. I had to hire people of expertise," he said later of the early days. His brief monograph with Robert Stringer on the history of anesthesia in Hamilton places the arrival of the medical school in local clinical context for the profession. Besides his role at McMaster, he held leadership roles at Hamilton hospitals, the Ontario Medical Association and the Royal College of Physicians and Surgeons. Catton became president of the Council of the College of Physicians and Surgeons of Ontario in 1986. He retired from McMaster in 1988, and he received the Canadian Anesthetists’ Society Medal for meritorious service in 1989.

Dr. Ron Browne

Professor Emeritus Ron Browne passed away peacefully at the Brantford General Hospital on Friday, April 15th, 2016 at the age of 87 years. Born on June 2, 1928, Dr Brown was a Barbadian- Canadian physician, trained at Aberdeen University, the Hull Group of hospitals in Yorkshire, Liverpool University, and the University College Hospital of West Indies, Jamaica before receiving his FFARCS (Eng) and subsequently his LMCC (1966) and FRCPC, Anesthesia (1972) for Canadian practice. He was an active staff member at the Hamilton Civic Hospitals beginning in 1965, serving as Head of service for the General division from 1980-1990. He joined the Geographic Full Time anesthesia faculty soon after the medical school arrived, and served throughout the remainder of his career. This included a period as Acting Chair of the Department of Anesthesia at McMaster University 1984-85. He was appointed Professor in 1986, a notable achievement for a faculty member with a primarily clinical interest, as the idea of a clinician educator had yet to be fully realized within the University as a whole. The

promotion was in recognition of his consistent service in education subsequent to the arrival of the medical school, and his research activities which again were unusual for someone whose practice was primarily clinical. He was particularly interested in risks of exposure to disease for operating room personnel and studied the prevalence of hepatitis B antibody in anesthesiologists and operating room personnel with colleagues Max Chernesky and Peter Rondi, in Canada and the West Indies. In reviewing the letters of support for his promotion to Professor, it is clear that he was universally respected by surgeons, administrators and anesthesia colleagues as a calm, caring and extremely competent individual whose demeanour contributed greatly to ensuring good relations between the newly established University health care community and the existing practitioners, who embraced the academic opportunities afforded by the arrival of the new medical school, and who carried out a long and rewarding career with good grace and enjoyment.

http://fhs.mcmaster.ca/main/medschool.html

http://fhs.mcmaster.ca/main/medschool.html

http://www.hamiltonhealthsciences.ca/body.cfm?ID=229

http://fhs.mcmaster.ca/anesthesia/

http://fhs.mcmaster.ca/anesthesia/

http://fhs.mcmaster.ca/anaesthesia/history/pdf/archive1977.pdf

http://fhs.mcmaster.ca/anaesthesia/history/pdf/archive1977.pdf

https://www.oma.org/

http://www.royalcollege.ca/

http://www.royalcollege.ca/

http://www.cpso.on.ca/about-us/about-council

http://www.cas.ca/


Staff

Name Position FTE Funding Group

Ksenija Kasumovich Department Manager 1.0 MET, T&R TMG

Sally Perry Chair’s Assistant 1.0 MET, T&R Unifor

Linda Agro Tenure and Promotion Coordinator 1.0 MET, T&R Unifor

Candice Stroud Postgrad Program Assistant 1.0 MET, T&R, PG Unifor

Tammy Purchase Postgrad Program Assistant, Pain Medicine Program Assistant

1.0 MET, DeGroote Pain Institute

Unifor

Sarah Richardson Critical Care Medicine (CCM) Program Assistant

0.80 CCM Program Unifor

Michele Drake Undergrad Program Assistant 1.0 MET Unifor

Valerie Cannon Acupuncture Program Assistant 1.0 Acupuncture CME Unifor

Kathy Jones Accounting Assistant 0.60 MET, Research, AFP Unifor

Toni Tidy Research Coordinator 1.0 MET, Research Unifor Diane Buckley Clinical Research Nurse PT Research Non-Union

Anne Clark Clinical Research Nurse PT Research Non-Union

Prathiba Harsha Research Assistant PT Research Non-Union

Kristina Minard Administrative Assistant PT Acupuncture CME Non-Union Administration & Research Staff

Temporary/casual staff and students (seasonal)

PT Research, other Non-Union

TMG: 1 Unifor: 9 Non-Union: 5

CHALLENGES

The Mosaic systems renewal project began in 2013 at the University, which presented the challenge of changing how we work, changing our processes, and enduring staff were trained appropriately.

The Undergraduate Medical Education Program migrated to MedSIS in 2014-2015, with the Postgraduate Medical Education Programs scheduled for MedSIS in late 2016.

The Postgraduate Residency Program in Anesthesia has been preparing for the change to the Competence By Design (CBD) education model of the Royal College of Physicians and Surgeons of Canada (RCPSC). The planning and organization has taken several years, with the first cohort planned for July 2017.

The use of temporary/casual staff for special needs or to fill temporary vacancies due to employee absences or leaves presents continuity and training challenges.


STRENGTHS The Department of Anesthesia has re-aligned support services to better serve the needs of our faculty, our residents, our students, and our research office. The use of summer students based in research has resulted in returning students each year and this has reduced the training time and maximized the use of limited resources. The administration team are high-functioning, collaborative, and dedicated. They share best practices and help colleagues to ensure services to our residents, fellows, faculty, and staff are never compromised. The belief in continuing education is a cornerstone of the Department, and the administration team is encouraged to

devote time to enhance skills, and to take courses that will offer new insights in their roles.

Top Row (L-R): Sally Perry (Chair’s Assistant), Juan Wang (intern), Candice Stroud (PG Program Assistant), Kristina Minard (Administrative Assistant, Acupuncture), Tammy Purchase (PG Program Assistant, Pain Medicine Program Assistant), Toni Tidy (Research Coordinator), Valerie Cannon (Acupuncture Program Assistant), Ksenija Kasumovich (Department Manager) Bottom Row (L-R): Michelle Drake (UG Program Assistant), Linda Agro (Tenure & Promotion Coordinator), Sarah Richardson (CCM Program Assistant), Kathy Jones (Accounting Assistant)

2016 Department of Anesthesia Summer Students (L-R): Zenon Sirko, Elena Kum, Christina Shibish, Rahmat Yousufi


RETIREMENTS Mrs. Bonnie Hugill After 26 years at McMaster University and 24 of those years within the Department of Anesthesia, Mrs. Bonnie Hugill retired from her position as Department Manager on June 30, 2015. Bonnie was the Department Manager for 15 years and had the pleasure of working with Department Chairs Dr. David Morison, Dr. Homer Yang, and Dr. Norm Buckley. Over the years, Bonnie witnessed many changes in the department, but the biggest ones she noted were the introduction of the Alternate Funding Plan (AFP) and the advent of two Associate Chairs—the Associate Chair of Research and the Associate Chair of Education, therefore confirming the strength and vitality of the department. Bonnie’s most memorable accomplishment was finding the space and equipment needed for the Program Director, Dr.

Greg Peachey at the time, to open the first Faculty of Health Sciences’ simulation facility. The Centre for Simulation Based Learning continues to be a robust component of hands-on learning within the Department of Anesthesia to this day. Bonnie’s retirement plans include travel, playing more bridge, ultimately travelling to more bridge tournaments, and spending time with family. She also hopes to volunteer her time within the community. Mrs. Judy Pace After 42 years at McMaster University and thirteen of them within the Department of Anesthesia, Mrs. Judy Pace, Anesthesia Residency Program Assistant, retired in March of 2014. Judy had the pleasure of working with Anesthesia Program Directors Drs. Steve Puchalski, Greg Peachey, Fred Baxter, Lori Olivieri, and Karen Raymer. Early on, Judy was instrumental in overseeing both the Anesthesia Undergraduate and Postgraduate Residency programs until the Postgraduate program grew so extensively that the jobs were divided. Judy was known for taking care of everyone’s needs from Clerks to Residents to Faculty. Not only was Judy a valuable asset to the Department of Anesthesia, but an enjoyable presence in the office as well. Often times there would be residents (former and current) lined up waiting to speak with Judy, whether on a personal or professional level. Judy’s contributions to the Department of Anesthesia certainly have not gone unnoticed.

(L-R): Bonnie Hugill, Judy Pace, Mary Gagahan, and Dr. Norm Buckley



FINANCIAL STRUCTURE


Department Financial Structure—Operating The Department of Anesthesia has an operating budget totalling $642,230 comprised of MET Base Funding $254,409; MD Leadership and Clerkship funding $141,086; MD Expansion funding $134,357; and Postgraduate funding $112,387. Additionally, the T&R Allocation for the department is $421,412. The MET Base Funding supports the core department infrastructure, and the additional funding supports academic stipends, education, research, including a full time researcher.

Funding Source Funding Uses

MET Base Funding: $254,409

ACADEMIC STIPENDS Chair Associate Chair, Education Associate Chair, Research Director, Anesthesia Residency Program Director, Anesthesia Undergraduate Program Director, Critical Care Residency Program (50%) MF 1-5 Tutor stipends SALARIES Non-Clinical Faculty (x1) Department Manager (50%) Chair’s Assistant (50%) Tenure and Promotion Coordinator (50%) Postgraduate Program Assistant (50%) Postgraduate Pain Medicine Program Assistant (40%) Undergraduate Program Assistant (100%) Research Coordinator (80%) Accounting Assistant (25%) OPERATING COSTS ACUDA Membership and conferences Department meetings Meeting support for Chair, Associate Chairs, and Program Directors Administration supplies and equipment Faculty office supplies, start-up equipment Maintenance of offices and equipment

T&R Allowable Recovery: $421,412

MD Expansion Funds: $134,357

MD Leadership & Clerkship Funding: $141,086

Postgraduate Funding: $112,387


In addition to the operating funds, the Department of Anesthesia relies on Research funding, external partnership support, and the Alternate Funding Plan (AFP) to support the Department’s mission and strategic objective.

Funding Source

Funding Uses

Trainee Funds

Anesthesia Residency Program Critical Care Medicine Residency Program Postgrad Program Assistant (50%) CCM Program Assistant (100%) Research start-up funds Annual Research Retreat Resident Research Day Program meetings and events Residents’ conferences, exams, materials Operations supplies and services (phones, paper, printing, computer,

fax, general supplies)

Research Funds

Research personnel salary and benefit costs Research supplies as per study budgets

Pharmaceutical Company Support

Grand Rounds Visiting Speaker Honoraria Anesthesia Journal Club Activities Pain Centre Rounds Resident Research Exchange Day Resident and Staff “Reach for the Top” Annual Competition Ultrasound Workshop

AFP Funding

PEDIATRIC ANESTHESIA On Call stipends for Pediatric Anesthesiologists Pediatric Chronic Pain Anesthesiologist (new 2016-17) HAMILTON ANESTHESIA ASSOCIATES Per Capita payments Academic Credit System payments Biostatistician/Methodologist support Research Assistant/Librarian support Research Stipends (x2) Simulation Lead stipend Academic Initiatives of clinical faculty


Alternate Funding Plan (AFP)

HAMILTON ANESTHESIA ASSOCIATES (HAA) HAMILTON ACADEMIC HEALTH SCIENCES ORGANIZATION (HAHSO) The Department’s AFP Phase I funding, Phase III funding, Specialty Review funding, and Recruitment funding totals $2.28 million. These funds are used to support leadership positions held by part-time faculty; to provide funding to research initiatives; to provide funding of academic initiatives; and to support the time dedicated by all of the Department’s clinical faculty to the academic priorities of the Hamilton Anesthesia Associates (HAA). PRINCIPLES OF FUNDING Graduate Studies tuition support

Masters PhD

Professional Development/Education support One course per person, per year Chief’s support Must include a deliverable

Research support Biostatistician Research Librarian / Analyst / Assistant

Academic Merit System Department Roles Faculty Roles Research / Publications / Presentations Scholarly Activities

Per Capita Payment Annual stipend per FTE status with hospitals for in-OR teaching

The budget is balanced annually with all funds received being paid out to HAA members, in support of the strategic vision of the Executive Committee and as approved by the HAA membership. HAMILTON ACADEMIC PAEDIATRIC ASSOCIATION (HAPA) The HAA pediatric clinical faculty are member of the Physician Group HAPA. The funding for this AFP totals $1.06 million and is used to support clinical stipends for Pediatric On Call Services of the participating physicians.



EDUCATIONAL ACTIVITIES


Anesthesia Undergraduate Clerkship Program The Anesthesia Undergraduate rotation started out as a three-day rotation during which clerks were invited to largely watch the goings on of the operating room. It has evolved into a two-week rotation that includes both didactic teaching and hands-on exposure. The clerks also spend time in the simulation centre at the end of their rotation. Several years ago, the Michael G. DeGroote School of Medicine expanded to the Kitchener-Waterloo and Niagara Regions. We currently have 150 students rotating yearly in Hamilton and 28 in each regional site, to a total of 206 students per year. Each region functions in a semi-autonomous fashion. One of the goals of the clerkship rotation is to ensure that all clerks have an equivalent educational experience, regardless of the location in which they complete their rotation. Administrative support is present in each region, and a physician Regional Education Leader is responsible for the groups of clerks rotating through their respective sites. The general objectives of the rotation are: To acquire an appreciation of the multi-faceted discipline of

Anesthesia To acquire an understanding of the clinical application of

physiology and pharmacology to patients of all ages To acquire the basic practical skills of airway and circulatory

management The two-week rotation is organized as follows: Module 1 First day Morning: Lectures and group learning activities video conferenced

to regional campuses Orientation Roles of an anesthesiologist Preoperative assessment Volume management

Afternoon: Simulation done locally in each campus IV access Airway management

Module 2 Second day Lectures and group learning activities video conferenced to

regional campuses Goals of Anesthesia and Pharmacology Regional Anesthesia Tutorial on anesthetic management of patient with COPD Special patient groups: obstetric and pediatric patient

Dr. Daniel Cordovani Program Director,

Anesthesia Undergraduate Clerkship Program

“In the relatively short time that Dr. Cordovani has been at McMaster University, he has shown great interest in pursuing an academic career. In Dr. Cordovani’s role as Program Director of the Anesthesia Undergraduate Program, he has revised and updated all academic teaching sessions; added online components for the anesthesia clerks; and standardized the delivery of content. He developed the curriculum for the Anesthesia Professional Competencies session, which is an important part of the anesthesia clerkship rotation.”



Module 3 Clinical Exposure 7 regular days in the OR (except in case of holidays) 2 on-call shifts (5:00 p.m. to 11:00 p.m. on weekdays or 7:30 a.m. to 3:00 p.m. on weekends) Module 4 Last day High-fidelity simulation exercise—students from all campuses come to Hamilton to the Centre for Simulation Based

Learning (CSBL) for this session Clerks divided into two groups: half do the exercise in the morning, and half in the afternoon Four clinical scenarios covered per group of perioperative anesthetic management

MCQ End of Rotation Exam Done locally in each campus Second-last day of rotation from 3:00 p.m. to 4:00 p.m. Procomp Session Done locally in each campus Second-last day of rotation from 4:00 pm to 5:50 p.m. Discussion on team communication and patient safety The curriculum is grounded on the principles of Adult Learning Theory. More specifically, the rotation follows the philosophy of experiential learning, i.e., learning by experiencing, reflecting, and doing. Additionally, the goals are directed to a general practitioner to get an appreciation of the multifaceted characteristic of Anesthesia, which includes pieces of knowledge from various disciplines. Considering patients with all sorts of comorbidities may require surgical treatment, natural integration occurs with virtually all specialties. The principles of the challenge point framework are also followed during the Anesthesia rotation. The first two days are dedicated to academic sessions related to core knowledge required prior to clinical exposure. It also includes part-task training in the simulation centre (therefore, excluding stressors and focusing only on the technical skill). Then, the rotation progresses to clinical exposure, but in a highly-supervised fashion as students work one-on-one with a faculty or resident. At the end, the students are exposed to a high-fidelity simulation exercise. Although the challenge point framework typically suggests that gradual progression in difficulty would culminate with a real clinical situation, for anesthesia clerks the simulation is more challenging as they act without clinical supervision and are responsible for the entirety of care of the patient. Only then can they see the outcomes of their actions or inactions. The clerks who rotate through the anesthesia rotation consistently provide positive feedback and rate it among the top rotations of clerkship. The AFMC 2015 Graduation Questionnaire shows that approximately 85% of McMaster students are satisfied with their educational experience in Anesthesia. QUALITY OF ANESTHESIA EDUCATIONAL EXPERIENCE*

Poor Fair Good Very Good Excellent Count

McMaster

2.2

12.9

28.1

29.5

27.3

139

National

5.4

11.6

26

31.6

25.4

2835

*Ratings in percentage (%)


Additionally, the McMaster clerkship end-of-rotation evaluation for Anesthesia contains fourteen questions for the students, comparing the data from 2014-2015 to the data from 2015-2016 (partial), Anesthesia has received improved ratings in all components, except on question 14 (secure place to store belongings). CLERKSHIP QUESTIONAIRE RESULTS (OUT OF 59 RESPONDENTS)

Question Strongly Agree (%)

Agree (%)

Neither Agree/ Disagree (%)

Disagree (%)

Strongly Disagree (%)

1: Received an appropriate orientation

29

58

10

2

2

2: Was made aware of learning objectives

31

62

5

2

0

3: Was provided with appropriate patient/clinical exposure

32

59

7

2

0

4: Residents/Faculty had appropriate expectations

15

29

17

7

2

5: Was appropriately supervised in patient care

29

59

10

2

0

6: Was directly observed doing history and physical exam

15

46

22

17

0

7: Received midpoint feedback on performance

14

57

25

0

4

8: Call duration/frequency with guidelines/ expectations

46

53

2

0

0

9: Personal development was facilitated by role models

27

59

12

2

0

10: Personal development facilitated by learning environment

20

66

12

2

0

11: Adequate space to do my work

17

64

14

3

2

12: Adequate access to information

19

68

12

2

0

13: Adequate lounge or other relaxation space

24

59

10

7

0

14: Secure space to store belongings

15

42

15

20

7

Although not detailed in the table above, full data shows little discrepancy among sites. The report also includes narrative feedback from students. There are 18 pages of comments for 2014-2015 and currently 6 pages of comments for 2015-2016.


Recurrent themes on the comments are: Well-organized rotation Complements on the simulation exercise Quality of experience in the OR variable according to staff with whom the student is working Desire to work more than once with the same faculty Lack of a secure place to store belongings A nice accomplishment this year was that the 2016 Canadian Anesthesiologists’ Society Student Essay Contest Winner was Steven Long, a McMaster student. Additionally, a recent study presented at the 2016 Association of Canadian University Departments of Anesthesia (ACUDA) meeting shows that anesthesiologists in our department contribute significantly to pre-clerkship teaching. Among all academic Anesthesia departments in Canada, on average, the McMaster anesthesiologists are the second-most involved in pre-clerkship teaching. ELECTIVES In addition to the core clerkship rotation, our department also offers elective opportunities for medical students. Block Electives Consist of two-week clinical exposure, offered to medical students from all over the world in their clerkship years. We receive around 60 block elective students per year. Horizontal Electives Offered only to McMaster pre-clerks. It consists of a minimum of 8 hours and a maximum of 16 hours of clinical exposure, divided into any combination of full days (i.e. 8 hours) or half days (i.e. 4 hours) as an opportunity for early exposure to our specialty. We receive around 25 horizontal elective students per year. Respectfully submitted,

Daniel Cordovani Dr. Daniel Cordovani Program Director, Anesthesia Undergraduate Clerkship Program July 25, 2016


Graduate Education Activities

Faculty Role

Dr. Bruno Borges

Supervisor, Obstetric Anesthesia Fellow, Dr. Andrew Kintu (2013) Resident Mentor, Dr. Wooheon Thomas Kim (PGY-3) Supervisor, Clinical Fellow, Dr. Waqar Qureshi (2015-2016)

Dr. Norm Buckley

Co-supervisor for Victoria Borg Debono, PhD Candidate, HRM Graduate Program, McMaster University (2011-present)

Member of Supervisory Committee for Cheryl Chow, PhD Candidate, MiNDS Neurosciences Graduate Program, McMaster University (2013-present)

Member of Supervisory Committee for Tara Packham, PhD Candidate, School of Rehabilitation Science, McMaster University (2013-present)

Member of Supervisory Committee for Tse Leng Choi, MSc, MiNDS Neurosciences Graduate Program, McMaster University (2012-2013)

Supervisor, Clinical Fellow, Dr. Cordovani (2012-2013) Supervisor, Clinical Fellow, Dr. Farooq (2012-2013) Supervisor, Clinical Fellow, Dr. Shrestha (2012-2013) Member of Supervisory Committee for Sohail Mualla, PhD Candidate, HRM Graduate

Program, McMaster University (2013-2015) Supervisor, Clinical Fellow, Dr. Adnan Al Wosaibai (2013-2014) Supervisor, Clinical Fellow, Dr. Philippe Dass (2013-2014) Supervisor, Clinical Fellow, Dr. Rachel Khalil (2014-2015) Co-Supervisor, Clinical Fellow, Dr. Saeda Nair (2014-2015) Supervisor, Clinical Fellow, Dr. Saeda Nair (2015-2016) Member of Supervisory Committee for Robert Ungard, PhD Candidate, Medical

Sciences Graduate Program, McMaster University (2016-present)

Dr. Jason Busse

Member, Supervisory Committee, MSc, J. Riva (2012-2013) Member, Supervisory Committee, PhD, S. Ebrahim (2012-2013) Member, Thesis Committee, PhD, S. Ebrahim (2012-2013) Member, Supervisory Committee, Sohail Mualla (2013-2014) Thesis Supervisor, PhD (2013-2014) Thesis Supervisory Committee, HRM, Paul Alexander (2013-2014) Member, Comprehensive Examination, Rehabilitation Science Graduate Program (2013-

2014) Member, Supervisory Committee, PhD, Y. Chang and N. Sekeroioglu (2014-2015) Member, Thesis Committee, PhD (2014-2015) Supervisor, MSc (2013-2014) Thesis Supervisor, PhD (2013-2014) Member, Supervisory Committee, MSc, Hiten Thakker (2014-present) Thesis Examiner, Internal or External, MSc, Rehabilitation Science Graduate Program

(2014-2015)

Dr. Maria Calvo

Supervisor, Clinical Fellow, Dr. Sharifi (2012-2013) Supervisor, Clinical Fellow, Dr. Zahran (2012-2014)

Dr. Daniel Cordovani

Supervisor, Case report: Continuous spinal anesthesia in a patient with aortic stenosis and difficult airway, Anesthesia residents Joyce Magalhaes and Hilary MacCormick, Department of Anesthesia, McMaster University

Dr. Mauricio Forero

Supervisor, Resident Research Study (Dr. Joyce Magalhaes), “A single shot femoral nerve block ultrasound guided at the level of inguinal crease for hip arthroplasty”, Department of Anesthesia, McMaster University (2012-present)


Dr. Binh Khong

Supervisor, Clinical Fellow, Dr. Alayyaf (2012-2013) Supervisor, Clinical Fellow, Dr. Julie Hui (2013-2014) Supervisor, Clinical Fellow, Dr. Rizq Alamri (2015-2016)

Dr. Yannick Le Manach

Reviewer, Scholarly Paper (2013-2014) Health Research Methodology, Instructor, 721 (2015-2016)

Dr. Richard McLean

Reader, Scholarly Paper, Master of Health Management Program

Dr. Julian Mulcaster

Supervisor, Clinical Fellow, Dr. Eshaq Al Shaqaq (2012-2014) Supervisor, Clinical Fellow, Dr. Véronik Frigon (2012-2013) Supervisor, Clinical Fellow, Dr. Manikandan Rajarathinam (2015-2016)

Dr. David Musson

Member, Thesis Committee, PhD, N. Barr, Health Policy PhD Program (2013-2016) Instructor, Health Research Methodology(2013-2014) Lecturer, Health Research Methodology (2013-2014) Facilitator (online), Masters of Science in Health Science Education (2013-2014) Instructor, Masters of Science in Health Science Education (2013-2014) Member, Supervisory Committee, MSc, B. Law, Health Research Methodology (2012-

2013) Thesis Supervisor, MSc, Health Research Methodology (2012-2013) Member, Curriculum Committee, Masters of Science in Health Science Education (2012-

2013)

\Dr. Meena Nandagopal

Supervisor, Clinical Fellow, Dr. Anil Shrestha (2013-2014) Co-Supervisor, Clinical Fellow, Dr. Rachel Khalil (2014-2015) Supervisor, Clinical Fellow, Dr. Elaheh Adly (2015-2016)

Dr. Joseph Park

Supervisor, Clinical Fellow, Dr. Adnan Jalal (2013-2014)

Dr. James Paul

Co-Supervisor, HRM PhD, Dr. Harsha Shanthanna (2016-present) Supervisor, MIGS Fellow Research Elective, Dr. Mary Coll-Black (2016-present) Supervisor, Fellow Research Elective, Dr. Mara Sobel (2016-present) Co-Supervisor, HRM PhD, Britanny Dennis Co-Supervisor, HRM MSc, Britanny Dennis (2013-2014) Co-Supervisor, HRM MSc, Dr. Natasha Cohen (2013-2014) Thesis Examiner, Internal or External, MSc, Health Research Methodology (2013-2014) Supervisor, Anesthesia Resident Research Elective, Dr. John Centofanti (2014) Supervisor, Anesthesia Resident Research Elective, Dr. Mark Hindle (2014) Supervisor, Anesthesia Resident Research Elective, Dr. Jessica Spence (2013-2014) Supervisor, Anesthesia Resident Research Elective, Dr. Joshua Peachey (2013-2014) Co-Supervisor, MSc in Health Research Methodology, Britanny Dennis (2013-2014) Co-Supervisor, MSc in Health Research Methodology, Natasha Cohen (2013-2014) Supervisor, Anesthesia Resident Research Elective, Dr. Sean Middleton (2012-2013)

Dr. Desigen Reddy

Supervisor, Clinical Fellow, Dr. Al Wosaibai (2012-2013) Supervisor, Clinical Fellow, Dr. Shiyama Hassan (2013-2014) Supervisor, Clinical Fellow, Dr. Amanda Whippey (2014-2015) Supervisor, Clinical Fellow, Dr. Marie-Noelle Larochelle-Girard (2015-2016)

Dr. Harsha Shanthanna

Pain Fellowship Teaching (x3) (2013-2016)

Dr. Summer Syed

Supervisor, Clinical Fellow, Simone Schulein (2013-2014)

Dr. Rob Whyte

Member, MD/PhD Committee Member, Selection Committee, Plenary Awards (2012-2013) Course lead in Masters of Science (Health Professions Education) Member, Training Committee, Royal College Certificate Program in Clinical Education


Dr. Anne Wong

Tutor and Facilitator, “Educational Leadership in Health Science Education” HSEDUC 750 Course, Master of Health Sciences Education, McMaster University (2015-present)

Chair of Admissions, MSc in Global Health, McMaster University (2010-2014) Presenter/Facilitator, Advanced topics in resident teaching, Academic core program,

Department of Anesthesia Residency Training Session (2013-present) Mentor to Caitlin Vander Cappelle (anesthesia resident) (2014-present) Research supervisor for Suzan Ergun (anesthesia resident) for Mentorship in

Anesthesia: Surveying the Landscape project—funded by RMA grant ($850), and 2nd prize winner in the McMaster-Western University Resident Research Exchange Day Competition, June 2016 (2013-present)

Research Supervisor for Jessica Spence (anesthesia resident) for project: Anesthesia Residency Peer Support Groups for Building Resilience and Preventing Burnout—funded by the Canadian Physician Health Initiative Grant, June 2013 (2012-present)

Supervisor for Dan Korpal (MSc. Global Health) scholarly paper and research publication (2012-2015)

Co-Supervisor, Clinical Fellow, Saeda Nair (2014-2015)

Dr. Carine Wood

Co-Supervisor, Clinical Fellow, Rachel Khalil (2014-2015)

Dr. Ramesh Zacharias

Supervisor, Clinical Fellow, Abdul Almoushawah (2014-2015)


Dr. Karen Raymer Program Director,

Anesthesia Residency Training Program

“Dr. Raymer has participated throughout her career in novel and groundbreaking educational activities, working with small groups, large groups and in organizational and curriculum development roles with consistently high levels of success. Over the years she has taken on the responsibility of leading the organization of the annual Can-Am anesthesia program, a one-day update held in Niagara Falls in which the University of Western Ontario, State University New York at Buffalo and McMaster University collaborate to present a day-long program for community anesthesiologists. She has undertaken to obtain her Master’s degree in Human Factors focusing on health care related safety.”


Anesthesia Residency Training Program RESIDENT BODY AND RESIDENT MATCHING PROCESS (CaRMS) The Anesthesia Residency Program is a 5-year long program that residents enter directly out of medical school. The McMaster Program accepts 6 CMG candidates and 1 IMG candidate each year. As well, we accept a Pool C candidate every other year. Currently we have forty-one residents in the program. Over the past three years we have developed a more standardized approach to our CaRMS file review and interview processes. Our program continues to fully match the first iteration, matching our available CMG spots typically in the 12-18 rank list rage. RESIDENCY TRAINING COMMITTEE (RTC) The RTC meets approximately 8 times per year. Resident representatives from each PGY year are on the committee. The RTC is a highly functional and collegial committee. Edited minutes are circulated to all faculty as a communication tool. In the past three years, we have updated the terms of reference for all these positions, including ensuring an appropriate term for each role. As such, there has been significant (but staggered) turnover in positions over the past three years. In addition, we have added a formal “Program Ombudsman” position. RESIDENCY PROGRAM MANUAL AND ONLINE GOOGLE CALENDAR Two new resources have been developed to enhance communication within the program. A highly comprehensive Residency Program Manual has been developed within these last five years. It is a central repository for all information related to the program, including al policies and procedures. All residents receive it on a USB key and it is updated yearly; all faculty receive access to the manual online. The second resource is out online Google calendar where all rotation schedules, call schedules, simulation, and academic teaching schedules are created, edited, and stored. It also contains contact information for residents and other important information. This creates a “single source of truth” and is accessible by all residents and faculty. CLINICAL RESOURCES Residents rotate between two hospitals (Hamilton Health Sciences, which has three physical campuses, and St. Joseph’s Hospital) and work under the direct supervision of approximately eighty faculty members.


Residents rotate between two hospitals (Hamilton Health Sciences which has three physical campuses; and St. Joseph’s Hospital) and work under the direct supervision of approximately eighty faculty members. St. Joseph's Healthcare houses the regional renal disease and transplant unit. It also has a major head, neck and thoracic surgical service, a busy intensive care unit, and a high volume obstetrical unit. St. Joseph's has developed into the major centre of expertise in minimal access surgical procedures providing valuable exposure to the practice of anesthesia for minimally-invasive surgery. Residents also gain experience in bariatric anesthesia. There is an active acute pain service. The Hamilton General is the regional centre for cardiovascular, neurosurgery, trauma and burn management. There are also busy general surgery and orthopaedic surgery services. The Hamilton General site also maintains three intensive care units, one of which is focused on management of post-operative cardiac surgery patients. A coronary care unit, managed by the Cardiology service, rounds out the compliment of Critical Care Services. The Juravinski Hospital is an adult general hospital with an emphasis on hepatobiliary and colorectal general surgery, orthopedics, dental, major urology and gynaecological oncology. The city’s largest acute pain service also is found at this site. The McMaster University Medical Centre is the regional Pediatric and Women’s Health Hospital. In addition to general pediatric surgery, the hospital manages pediatric trauma, pediatric sedations, pediatric neurosurgery, and major pediatric orthopedics. Pediatric and neonatal intensive care units are present at McMaster. The McMaster University Medical Centre has a busy high-risk obstetrical unit, as well as Women’s Health surgical services. General adult ambulatory care services are also housed at this site. It also houses a busy chronic pain clinic through which residents rotate. PROGRAM STRUCTURE The program structure is governed by the Royal College Specialty Training Requirements and modified locally. The most recent, July 2014 STR’s, require: Basic Clinical Training (PGY-1) Year 24 months of training in anesthesia One year of training in internal medicine (13 blocks) Up to 12 months during which further anesthesia training, research, or study of basic sciences may be

undertaken Over the past three years, small changes have been made within those constraints, according to resident feedback. For example, a rotation with poor resident feedback was made optional rather than mandatory, and a rotation that received excellent feedback was made mandatory (with an optional second block) PGY-1 Year PGY-1 is a broad-based year of training, including rotations in anesthesia, medicine, emergency medicine, surgery, pediatrics, and obstetrics, as well as elective time. The PGY-1 begins and ends with two blocks of Anesthesia, the latter two involving (buddied) call shifts. PGY-2 Year PGY-2 is spent developing skills and gaining experience in general and regional anesthesia. In addition to general anesthesia, the year involves exposure to introductory pediatric anesthesia at McMaster University Medical Centre (MUMC) and introductory obstetrical anesthesia at St. Joseph’s Healthcare and MUMC.


PGY-3 Year The PGY-3 year consists of 13 blocks of Medicine, which include adult critical care, neonatal ICU, cardiology, respirology, nephrology, and medical subspecialty (or critical care) electives (including hematology, palliative care, nephrology and renal transplant, pediatric ICU, etc.). The program provides a template from which the residents can indicate their preferred rotations. There is also the opportunity to apply for a research block during third year. We are very fortunate to have the full support of the Department of Medicine and Pediatrics and the services of Critical Care in providing an excellent experience for our residents. PGY-4 Year PGY-4 is made up of subspecialty rotations. Residents will do rotations in: cardiac anesthesia (2 blocks), neuroanesthesia (2 blocks), thoracic anesthesia (2 blocks), high risk obstetrics (1 block), pediatric anesthesia (2 blocks), chronic pain (1 block), regional anesthesia (1 block) and community elective (2 blocks). Training opportunities are available at a number of community- based centers in the region and the province. At least one of the two blocks MUST be a true community anesthesia experience. A recent change is that we now allow more latitude to pursue a different type of experience for the second block, such as an elective at another academic site. PGY-5 Year PGY-5 is the final year, in which further experience in clinical anesthesia is gained. During this year, the resident should begin the transition from resident to consultant and prepare for independent practice. Over the past three years, we have added the “Junior Consultant Day” where the PGY5 resident functions entirely independently, “running the list” on his/her own. PGY5’s must complete 5 Junior Consultant days over their final 6 months of training. ACADEMIC CURRICULUM AND PROTECTED ACADEMIC TIME Residents complete a comprehensive academic curriculum, grounded by small-group interactive learning sessions lead by faculty. Over the past three years, content has been rigorously overhauled and mapped to the National Curriculum. Sessions are evaluated by residents and continually modified as necessary according to resident feedback. The academic curriculum includes intensive summer “transition” programming for PGY1, 2 and 3 residents, to focus on the new challenges that residents face as they transition between levels. The transition curriculum is heavily simulation-based. Academic time has been recently restructured as of January 2016. The shift was made to incorporate simulation (see below) into the academic day and minimize interruptions to resident clinical activity. Residents receive a full academic day during PGY 2, 4, and 5 and an academic half day during PGY1 and PGY3. SIMULATION The Anesthesia Training Program at McMaster University has an extensive medical simulation training component for Postgraduate Residency Training. The intent of the simulation experience is to provide training opportunities with deliberate exposure to and teaching of topics that may be difficult to observe or assess in the clinical setting but which are crucial to preparation for independent practice. The goals are to teach and reinforce knowledge, skills and behaviours in a controlled, safe and reproducible environment that will ultimately be translated and applied to clinical practice. The teaching framework is based on Royal College of Physicians and Surgeons of Canada (RCPSC) CanMEDs, Anesthesia Non-Technical Skills (ANTS) and Canadian Patient Safety Institute (CPSI) Patient Safety Competencies. Major elements focus on skills acquisition under the Medical Expert, Communicator, Professional and Manager domains. Aspects of Task Management, Team Working, Situational Awareness,


and Decision Making are concepts and skills that are also key elements of simulation training. Underpinning all aspect of instruction in simulation is the concept of Patient Safety. The majority of simulation training in the program is conducted at the Centre for Simulation Based Learning (CSBL) at MUMC. The Centre has significant staff and equipment resources with part-task trainers and medium to high fidelity simulators. Simulations may utilize standardized patients or may be equipment based with high fidelity patient simulators to set the stage for a realistic experience. In addition to scenarios that focus on a

range of rare but critical events that may be encountered, residents are also

exposed to inter-professional scenarios (with Obstetrical residents) as well as a full day exposure to Pediatric emergencies. Residents participate in Simulation sessions during designated academic days. Sessions are tracked carefully to ensure a complete and equitable exposure to the various scenarios for all residents. Anesthesia residents in our program can expect to complete between 15-20 scenarios by the end of their training which represents a greater exposure to Simulation learning than most Anesthesia programs across the country. RESIDENT TEACHING OPPORTUNITIES During the training program, the resident is expected to participate actively in the teaching of medical and other students, as well as other health care professionals. Residents will begin teaching in the Undergraduate Anesthesia Clerkship Program in the latter part of the PGY1 year and residents receive training in how to teach, as part of their academic curriculum. This latter aspect has been expanded over the past three years. Residents also participate in the teaching of clerks and medical students in the clinical environment. RESIDENT RESEARCH All resident must complete one of the following requirements during their residency training: Quality assurance project (chart review); or Systematic review or meta-analysis; or Clinical trial or questionnaire study

All PGY-1 residents take research methodology course in the fall term in order to give them a framework for formulating a research question, literature reviews, study designs, selecting a study population, choosing outcomes and interpreting results. In addition, our department has a number of resources to assist residents with their research. Toni Tidy, our Department Research Coordinator, assists with grant preparation and submission, CommonCV development and REB submissions. Dr. Lehana Thabane is a PhD biostatistician and research methodologist, and can assist with protocol development and statistical analysis. It is recommended that residents present their project at a Research Interest Group Meeting. The McMaster-Western Annual Research Exchange Day is held in the spring where residents present their research projects in a judged competition. This event is alternately hosted in Hamilton or London. Residents are able to apply for a research elective block in order to facilitate them completing their research requirements. Over the

Dr. Karen Raymer and PG Program Assistants Tammy Purchase and Candice Stroud with the 2015-2016 Anesthesia Residents.


past three years, we have increased the accountability for these electives, with specific objectives and evaluation tools. Our residents have been very successful over the past three years in terms of grants, research (poster) presentations at academic meetings and publications. Please see elsewhere in the Department report for details. In addition, we have one of our residents, Dr. Jess Spence, who is completing the Clinical Investigator Program (CIP) and is completing both her Masters and PhD degrees during her residency. She has been highly productive from a research perspective, having been invited to present her work at National meetings and receiving a very large grant for her most recent proposal GLOBAL PARTNERSHIPS The residency program continues to have a liaison with our colleagues in Uganda and one resident per year is supported to travel to Uganda for a one-block elective. In addition, under the leadership of Dr. Joel Hamstra, the program has recently developed a relationship with the Anesthesia program in Guyana and we have pledged to offer 4 blocks of training for two of their residents per year (8 blocks total). The first resident spent last winter with us, quite successfully. EXAMINATION PREPARATION AND ACADEMIC PERFORMANCE Over the past three years, the program has created and implemented an extensive in-house written exam process to allow residents and the Program to assess their progress on knowledge acquisition. These quizzes are administered three times a year in an online format and are a highly formative experience. In addition, over the past three years, the Program has developed a detailed academic remediation program intended for residents identified by early PGY3 as having knowledge acquisition difficulties. Entitled the “Enhanced Academic Program”, it involves a structured program over 15 months, where the resident tackles a specific domain each month, with a quiz on that material at the end of the month. Review blocks are built in, in order to capitalize on the benefits of spaced repetition. The program is designed to be completed by the time that the PGY4 residents begin their intense studying for the Royal College exam. Although I have only put one resident on this plan, I have two other residents who have requested to follow this plan voluntarily. Over the past three years our program has had 100% success rate at the Royal College Examinations. EVALUATION Over the past three years, we have developed specific “Promotions Portfolios” for each PGY year. The portfolio template outlines the requirements for each year, in each of the CanMeds domains. We have included many of the previous evaluation items (ITERs, program oral exams, simulation, logbook, reflection forms) but also several new elements such as our in-house examinations and our 360 evaluations. These portfolios are reviewed with the residents at their biannual meetings with the program director. For residents whose performance does not meet expectations in any of the CanMeds domains, we have developed a formal “Learning Contract” that allows the deficits to be clearly outlined along with a formal strategy to address the issues and track progress, with an emphasis on specific deliverables and accountability. RESIDENT WELLNESS AND CALL DUTY We continue to focus on Wellness. Efforts to ensure wellness include our mentorship program. Over the past three years, we have formalized our mentorship program which was loose and informal previously. We now ensure that mentors meet with their mentee at least twice per year and that meetings are documented. We ensure optimal matching of mentor/mentee by checking in with residents frequently and offering re-assignments as needed. Residents have three retreats per year, on their academic day. As well, the full academic day includes many half-days that are “open” for self-study or other personal activities. Regarding call, numerous models had been tried over the past decade and we have settled on 24-hour weekday call and 12-hour weekend call. We have instituted a system whereby we track resident call numbers for equity amongst residents (our “Call Tally”).


Quite consistently, residents do a total of 5 calls per month, 3 of those call being weekend 12 hour shifts, and 2 being 24 hour weekday call. This is well below the PARO limits of 8 call/month. The Call Tally document has eased concerns about unfairness in call distribution. We believe that the changes that we have made over the past three years have allowed us to strike a balance between the need for clinical exposure and resident wellness. POST-GRADUATION EMPLOYMENT Our residents pursue a broad range of activities after graduation, both in academic and community environments and are highly successful in finding permanent employment swiftly after graduation (see chart on next page).

ACCREDITATION The residency program underwent a routine internal review in the Spring of 2013 (just prior to the term of this report). Several areas for improvement were identified and a mandated repeat internal review in the spring of 2014 found that all areas had been successfully addressed. Our Royal College (external) review was held in April 2015 and the final report from the Royal College noted many strengths (listed below) and identified no weaknesses. Our next review will be according to the routine cycle (2021). Of note, our Program Assistant, Candice Stroud, recently received the Royal College’s “Program Assistant Award for Excellence and Innovation”. This is a tremendous honour as she was selected amongst nominees from all specialties and all universities across Canada. Her contributions to the program are also recognized below.

Immediately After Graduation Permanent Staff Position

2014 A

Cardiac fellowship Ottawa

Part-time split ICU/Anesthesia position in Brockville & other part-time locums in Quebec

B Cardiac fellowship Toronto HHS C Simulation Ottawa Ottawa- community (Montford) D locums Brampton E clinical scholar HHS then credit valley F Locums Barrie, Ontario as of winter 2016 G locums Cambridge

2015 H direct to Cambridge staff Cambridge I clinical scholar HHS HHS J clinical scholar HHS HHS K Fellowship (regional) Ottawa Sudbury L ICU fellowship (Hamilton) HHS M fellowship OB Harvard HHS N Pain fellowship Hamilton HHS

2016 O Cambridge Cambridge P Regional Fellowship Toronto Fellowship in progress Q Pain Fellowship Toronto Fellowship in progress R OB Fellowship Ottawa Fellowship in progress S Locums T Clinical Scholar HHS HHS for 2017


Highly respected program director who has effectively implemented significant changes to the program over the past year

Highly effective full-time administrative coordinator who is an important resource to residents, faculty, the Residency Program Committee, and the program director.

A highly-functional and responsive Residency Program Committee, with excellent lines of bidirectional communication with teaching faculty and residents.

A very collegial atmosphere between staff and residents, further strengthened by forming a mentorship program.

A recently restructured academic teaching program, which comprises all CanMEDS Roles, is tailored to PGY level of training, responsive to assessments, and integrated with practice exams.

In-training assessment reports which reflect daily face-to-face and written feedback, teaching and simulation session evaluations, practice exam results, some 360 degree assessments comprise well-defined objective assessments for resident promotion.

The program is currently focused on optimizing the Chronic Pain rotation and our new Rotation Director, Sean Curran, is working closely with the Residency Training Committee as well as Chronic Pain faculty at both sites to redesign the program in a way that will optimize the resident learning experience. The major change that we will face will be the institution of the Competency By Design (CBD) curriculum in July 2017. This will require us to identify a CBD lead, as well as a Competence Committee (with Chair). These individuals will oversee the implementation and ongoing process of the CBD cohort which will enter the program next July. For four years, there will be two different streams in the program simultaneously. CONCLUSION The Residency Program has made concrete and important improvements over the past three years and we continue to be responsive to resident learning needs. We have a focus on clinical and academic excellence and resident wellness. Evidence of the strength of our program is in our RC exam pass rate, our graduate’s success in securing fellowships and/ or staff positions, and our recent accreditation results. As Program Director, I have a close relationship with our Department Chair. He is always accessible to me in person or by phone, even when he is out of the country. As a brand new program director, I found him to be very helpful to me in many of the difficult situations that I encountered. No issue is too small for him to lend his ear or experience/expertise. He is always supportive of me and of the primacy of resident education over clinical service. Respectfully submitted,

Dr. Karen Raymer Program Director, Anesthesia Residency Program July 29, 2016


Dr. Philip Chan Program Director,

Pain Medicine Residency Program

“Dr. Chan has become an excellent and productive colleague and leader in the field of pain care”


Pain Medicine Residency Program Pain Medicine was officially recognized by the Royal College of Physicians and Surgeons of Canada as a subspecialty in October 2010. The first Pain Medicine Residency Program in Canada was launched at Western University in 2014; there are now five approved programs throughout Canada. We are excited to announce that In July 2015, the Department of Anesthesia appointed Dr. Philip Chan as Program Director and in the fall hired Tammy Purchase as Program Assistant to create the Pain Medicine Residency Program here at McMaster University. Since November, they have worked diligently and have held extensive meetings with Program Directors, Department Chairs and Program Coordinators from Neurology, Neurosurgery, Palliative Care, Pediatrics, Psychiatry, Physical Medicine and Rehabilitation, Acute Pain (Anesthesia) and Rheumatology in setting up the framework and infrastructure of the new residency program. In short order, they have created the Terms of Reference, rotation schedules, Goals and Objectives, and evaluations, and set up a Residency Program Committee. The Pain Medicine Residency Program Application was submitted to the Royal College in January 2016 and we are currently awaiting official accreditation. The Pain Medicine Residency Program will run concurrently with the existing Chronic Pain Fellowship, the self-funded fellowship offered by the Department of Anesthesia for over a decade; Dr. Harsha Shanthanna will assume the role of program director in July 2016, taking over from Philip Chan. The two programs will run independently and will have different candidate selection criteria and goals and objectives, but will share many clinical, educational, and research resources. The twenty-six block, two-year program will train candidates to become competent specialists in Pain Medicine capable of assuming a leadership role in education, research and clinical practice pertaining to the prevention, diagnosis, treatment and rehabilitation of the spectrum of acute pain, cancer pain and non-cancer pain problems. In many cases the physician practicing in this subspecialty will be the medical director of a multidisciplinary team, and hence must be versed in pain management/relief methods employed by team members who are physician or allied health professionals. Candidates certified by the Royal College in Anesthesiology, Emergency Medicine, Internal Medicine, Neurology, Pediatrics, Physical Medicine & Rehabilitation, Psychiatry, or Rheumatology are eligible for certification in Pain Medicine.


The deadline for application to be part of the inaugural cohort of residents starting July 2017 will be September 30, 2016, with interviews to be held Saturday, October 15, 2016 and the match will be held through the CaRMS process. At the end of the two-year program, candidates will be eligible to sit for the examination in Pain Medicine, and if successful, will be certified by the Royal College in the subspecialty of Pain Medicine. In the meantime, Drs. Jeffrey Ennis (Assistant Clinical Professor, Department of Psychiatry, Department of Rehabilitation Medicine) and Philip Chan (Assistant Clinical Professor, Department of Anesthesia) have launched an interdisciplinary Pain Medicine Journal Club series, a self-accredited group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, which meets quarterly to discuss and analyze recent publications in pain medicine. Papers that will be discussed relate to interesting basic science findings, diagnosis, pharmacological therapies, psychiatric aspects of pain management, interventional therapies, rehabilitation, as well as review of guidelines or position papers put forth by various professional societies. It is open to faculty members and learners from Anesthesia, Physical Medicine and Rehabilitation, Psychiatry, Internal Medicine, and Family Medicine. The first two meetings were held on March 2 and June 1, 2016; presenters have included Drs. Harsha Shanthanna, (Assistant Professor, Department of Anesthesia, McMaster University), Elaheh Adly (Clinical Fellow, Chronic Pain Fellowship, McMaster University), Rizq Al Amri (Clinical Fellow, Chronic Pain Fellowship, McMaster University). Terry Mihowich, (PGY-4 Psychiatry, McMaster University), and Manikandan Rajarathinam (Clinical Fellow, Chronic Pain Fellowship, McMaster University). It is an exciting time for Pain Medicine here at McMaster, with many new initiatives being implemented here in Hamilton. We look forward to starting this incredible new adventure! Respectfully submitted,

Dr. Philip Chan Program Director, Pain Medicine Residency Program June 7, 2016


Simulation The Department of Anesthesia has long recognized the value of medical simulation training as an adjunct to clinical education. Following the introduction of simulation training as a formal component of the Anesthesia Clerkship Program in 2006, simulation-training experiences were rapidly developed and incorporated into the Postgraduate Anesthesia Training curriculum. The simulation component of training allows for unique opportunities for teaching, observation, evaluation and feedback for learners in the context of the Royal College of Physicians and Surgeons of Canada CanMeds framework. The anticipated introduction of the Royal College Competency By Design initiative will create even more opportunities for the application of medical simulation as an educational tool throughout the continuum of professional development from training to transition into practice. Considerable investment has been made by the Faculty of Health Sciences to develop facilities to conduct simulation-training exercises. The Department of Anesthesia has worked in partnership with the staff of the Centre for Simulation Based Learning and continues to commit significant personnel and financial resources on an annual basis to operate the program. Over the past three years the CQI process has resulted in further developments and refinements in the Anesthesia Simulation Training Program. Some of these changes will be described in the sections below. UNDERGRADUATE SIMULATION TRAINING The Anesthesia Clerkship Program continues to utilize simulation training to augment and complement the experiences trainees have during their mandatory 2-week rotation. All 208 students in the McMaster Undergraduate Medicine class at the main and distributive campuses receive simulation training. This includes both part task training for airway and IV access procedures as well as medium fidelity simulation using a full body mannequin in a simulated operating room environment. Dr. Daniel Cordovani is the current Clerkship Coordinator and oversees the program including the course content and the scheduling of faculty and resident instructors for the sessions. Drs. Peachey and Cordovani conduct sessions with the residents during the summer Transitions Program to prepare them for their roles as instructors in the Clerkship simulations. This experience continues to be highly rated by the learners as a valuable and unique part of their medical education. POSTGRADUATE SIMULATION TRAINING Transitions Course The Transitions Course is offered during the July and August months each year and has been designed to provide an introduction and review

Dr. Greg Peachey Faculty Lead,

Anesthesia Simulation Program


of material and topics to help residents’ transition to new roles as they progress to higher levels of training. Specifically, it was designed to help medical students transition to their new roles as Anesthesia Residents, help junior Residents transition to more senior roles and help Residents transition to their off service rotations. In addition to small group didactic sessions, the Transitions Program includes some simulation training components. These include the Orientation to Simulation and Clerkship Teaching as noted above as well as sessions on Basic and Advanced Airway Management, Central Line and Invasive Vascular Procedures, Basic and Advanced Regional Anesthesia Techniques for Neuroaxial Blocks and specific simulation sessions on Emergency Airway Management, Management of Anaphylaxis and Management of the Trauma Patient and ACLS simulations. The Transition Course Simulations have been conducted since 2013. All of the Anesthesia Faculty involved in Resident Simulations have completed formal instructors courses in simulation education. Regular Resident Simulation Sessions The regular simulation sessions are conducted throughout the year and have been rescheduled for Wednesdays for PGY4s and Thursdays for PGY 2s and 5s to coincide with regular academic days for the core program. The adjustment to the schedule has facilitated booking of resident simulations and has reduced the impact on clinical activities. Each year the faculty instructors in the simulation program convene and discuss the curriculum content and refine the list of scenarios offered to ensure coverage of a broad range of topics and minimize duplication. Each simulation has a unique aspect with regard to medical expert content but all scenarios include anesthesia non-technical skills elements. This provides longitudinal exposure and formalized training and feedback for certain CanMeds competencies such as communicator, manager and professionalism roles throughout the training program. Management of Emergencies in Pediatric Anesthesia (MEPA) Originally started as a research project, this component of the simulation-training program has been included as a part of the simulation curriculum for the past 5 years. Dr. Carine Wood is responsible for oversight of this component and coordinates the program with instructors with expertise in pediatric anesthesia. The sessions are run as morning or afternoon time slots involving 2 residents and a number of scenarios are conducted. The program content has been modified to fit the McMaster curriculum to minimize topic duplication and optimize the available time for simulation. Inter-Disciplinary Education (IDE) Over the past three years the Department of Anesthesia in concert with the Department of Obstetrics and Gynecology have added topics and scenarios that offer a joint training experience for residents in both programs. IDE simulations are conducted 4 times per year and involve the PGY4 Anesthesia residents along with Obstetrical residents scheduled through their program. The sessions focus on obstetrical simulations and require that trainees from both disciplines work together to manage the situations presented to them. Both Anesthesia and Obstetrics Faculty participate in the sessions including the debriefing. These sessions have proven to be very useful to allow deliberate observation of trainees managing emergencies in obstetrics that may otherwise be difficult to capture in the day-to-day clinical environment. They have also been useful as instructional tools for leadership, communication and team building exercises. Regional Anesthesia Techniques Each year a series of 6 sessions on regional anesthesia techniques is provided as part of the core program for the PGY2 residents. Drs. Forero and Shanthanna who also serve as the main instructors have developed this program. The series includes didactic presentations by the faculty and residents but also includes the use of part task simulation trainers for ultra sound and needling techniques as well as standardized patients for anatomical land marking. These sessions are coordinated with the Anatomy department and form an important complement to the clinical regional anesthesia rotation.


CANADIAN NATIONAL ANESTHESIOLOGY SIMULATION CURRICULUM (CanNASC) TASK FORCE The CanNASC Task force is a committee of representatives from the Anesthesia Training Programs across the country supported by the Specialty Committee of the Royal College and the Canadian Anesthesiologists’ Society. The task force members are working towards the development and implementation of a standardized set of simulation scenarios that will form the basis of a national simulation program for Anesthesia training. Following expert consultations, discussions and a selection process involving a modified Delphi technique, a preliminary list of 5 scenario topics were identified for development and the initial implementation phase. Topics focus on airway management, complications of anesthesia procedures, adverse drug events and equipment complications in the operating room. Dr. Greg Peachey is currently the McMaster representative on the task force and participated in the process leading to complete development of the first scenario launched nationally. He was also the chair of the Eastern group that developed the preliminary scenarios for another 2 of the final 4 topics. Each scenario has an assessment rubric that has been uniquely developed for the specific topic as well as the elements for the Anesthesia Non-Technical Skills components. The five scenarios that have been developed are being beta tested across the country. A process is in place to provide feedback to the task force for refinement and development of processes and for standardization of the national curriculum. McMaster is one of only 2 university training centres across the country that has been able to run all 5 scenarios. All of the 5 National curriculum topics selected had already been included in the McMaster training curriculum prior to the creation of the task force. The infra structure required to run these sessions had already been in place for a number of years because of the commitment of the Chair and allocation of resources for the simulation training program. As a result, older scenarios in use were replaced with the CanNASC scenarios and incorporated into the existing simulation program. Future refinement of the CanNASC scenarios if necessary will be easily be integrated within the McMaster curriculum as changes are made and approved by the CanNASC Task Force. It is anticipated that successful completion of the CanNASC scenarios will be a requirement to sit the RCPSC written and oral examinations in Anesthesia. This has been supported in principle by the Anesthesia Specialty Committee and ACUDA. The CanNASC scenarios are designed for residents in their senior levels of training. As such the CanNASC scenarios are provided to the PGY4 resident level with additional opportunity to run the scenarios for select PGY5 residents as necessary. Evaluation and assessment scores are kept in the Program for each resident in their personal academic portfolios and scores are also reported in an anonymous fashion to the RCPSC with unique identifier numbers known only to the home program. Faculty development to train instructors in the delivery and assessment procedures required for the CanNASC scenarios has been part of the implementation process. Drs. Peachey, Hamstra, Lajoie, Kostandoff, Korz, Park and Vraets are the instructors currently involved in the CanNASC scenarios and more faculty will be trained in the upcoming year. Sessions are also provided on an annual basis and coordinated by the Faculty Lead in Simulation for instructor/evaluator orientation to ensure that the national standards are maintained. The CanNASC curriculum has been a unique initiative within the RCPSC specialty training programs. A description of the process has been accepted for publication in the Canadian Anesthesiology Society Journal under the title of “Simulation-based Assessment of Anesthesiology Residents' Competence: Development and Implementation of the Canadian National Anesthesiology Simulation Curriculum (CanNASC)”. Dr. Michelle Chiu is the principle author and Dr. Greg Peachey is listed as one of the contributing authors. CENTRE FOR SIMULATION BASED LEARNING (CSBL) The Department of Anesthesia has a long history of a close working relationship with the CSBL. The CSBL staff have provided tremendous support to the Department of Anesthesia in the delivery of the simulation program. After a lengthy period of time, a replacement for Dr. David Musson the former Director of the Centre for Simulation Based Learning was named. Dr. Matthew Sibbald has been appointed and has provided much needed leadership for the CSBL.


Dr. Peachey continues to sit on the CSBL Advisory Board representing the Department of Anesthesia. Over the last year, considerable effort has been made to seek voluntary accreditation status for the CSBL through the RCPSC. An application for accreditation was prepared and submitted in the spring of 2016. Dr. Peachey was a member of the CSBL Accreditation Committee and participated in the mock accreditation survey conducted in May 2016 and the actual onsite survey conducted in July 2016. The comments of the surveyors at the exit meetings were very positive and a favourable decision with regard to accreditation status is expected in the fall. Accreditation of the CSBL is an important achievement since it demonstrates a level of performance in keeping with the high standards expected for RCPSC activities.

PROGRAM FOR FACULTY DEVELOPMENT AND CONTINUING HEALTH SCIENCES EDUCATION

The members of the Department of Anesthesia continue to contribute to aspects of faculty development and lifelong learning through their initiative and expertise in simulation. Dr. Linda Korz has been a strong lead in the development of simulation training programs for practicing clinicians. Through her work in-situ simulations in pediatric anesthesia have been conducted with the hospital staff at MUMC. She is also working with the Program for Continuing Health Sciences Education to provide accredited teaching opportunities in simulation for practicing physicians. While this is still in the early stages of development, it is a beginning of an expanded role for the Department of Anesthesia Simulation Program.

As the Assistant Dean for Faculty Development, Dr. Anne Wong has also been instrumental in expanding faculty development opportunities in simulation education. The expertise from the Department of Anesthesia along with that in the CSBL, the Faculty of Nursing and Medicine have led to the development of workshops for faculty training in simulation education. Following an appropriate needs assessment process a plan for delivering a series of workshops has been developed and is being implemented with a faculty wide introduction to simulation session being completed and a session on scenario writing and feedback techniques being planned for the fall and winter. Again with the expertise in the Department of Anesthesia our participation in these faculty wide initiatives is an important and expanding role.

SUMMARY

I am pleased and gratified to have witnessed the development and evolution of the Simulation Training Program in Anesthesia since its inception 12 years ago to the robust and comprehensive program that exists today. Since my appointment as Faculty Lead in Simulation in 2012, I have been able to work with many dedicated and talented people who make significant contributions to simulation training. The Department of Anesthesia at McMaster University has been able to play a leadership role on a Program, University and National level due to the strong fundamentals that have been put in place through the advocacy of Dr. Norm Buckley and the Education leadership in the Department. The applications for simulation training will continue to be defined and refined with the shifting paradigms of in medical and health sciences education. The Department of Anesthesia is well positioned for a continued leadership role in the future of simulation education.

Respectfully Submitted,

Greg Peachey Dr. Greg Peachey Faculty Lead in Simulation, Department of Anesthesia

July 25, 2016


Critical Care Medicine (Adult) Residency Program

We have an accredited residency program that strives to create an environment that is conducive for the development of critical care specialists who place an emphasis on patient-centred care, clinical expertise, communication and professionalism.

RESIDENTS AND CARMS

The Critical Care Medicine Residency Program is a fully accredited program accepting trainees from various base specialties: Internal Medicine, General Surgery, Anesthesia, Emergency Medicine, and Cardiac Surgery. Trainees from other specialties are also eligible to apply if all requisite rotations are completed. Canadian medical graduates apply through CaRMS with 3-4 applicants accepted per year. The program also accepts approximately 2 international medical graduates per year. These individuals may be eligible to apply directly to the program or the McMaster Office of Postgraduate Medical Education. Our program has also been supportive of individuals that seek additional training in specific areas of expertise in critical care such as neurocritical care, cardiovascular critical care or clinical research in critical care. Currently, we are able to accept 1-2 individuals per year in each of these areas of sub-specialization.

FACULTY

Over the past several years, we have seen several changes to our Program but also many accomplishments. We have continued to maintain a strong, diverse faculty including members from the Departments of Anesthesia, Surgery and Medicine that remain dedicated to teaching and mentoring residents for a career in critical care medicine.

RESIDENCY PROGRAM COMMITTEE (RPC)

Oversight of the program is provided by the RPC. This committee meets at least 4 times per year to discuss and review all issues that may impact residency training and education. This committee is comprised of several faculty members that represent each of the roles within the program. Resident representation is provided by the Chief Resident (appointed position) as well as elected representatives from each year of training as well as from the IMG pool. As many graduates of the program enter clinical practice in community centres, a community intensivist is a member of the RPC. Consequently, our program has been successful in working with our community partners in order to better provide trainees with a community experience. Dr. Paul Hosek, from Grand River Hospital, is currently the community ICU representative helping to achieve this goal.

Dr. Tim Karachi Program Director,

Critical Care (Adult) Residency Program


EDUCATION

We continue to provide a robust academic curriculum to our trainees. Each Tuesday afternoon is a dedicated academic half-day provided by both our faculty as well as lecturers from all departments and divisions of the Faculty of Health Sciences. This educational series serves to cover most topics included in the RCPSC Objectives of Training in the Subspecialty of Adult Critical Care Medicine. In addition, all trainees enrolled in the program must complete the Acute Critical Events Simulation (ACES) course, as well as attend the national conference (CCCF) and Canadian Critical Care Review Course (CCCR). Throughout each academic year, the program provides the trainees with high fidelity simulation sessions to enhance and assess their skill set. The program has enjoyed great success with invited speakers providing Regional Critical Care Rounds and Journal Club on a monthly basis. These events have excellent attendance with lively debates.

CLINICAL EXPERIENCE

All trainees complete their clinical rotations in ICU at the teaching hospitals of McMaster University, Hamilton General Hospital (HGH), Juravinski Hospital (JH) and St. Joseph Healthcare Hamilton (SJHH). The HGH site has 3 intensive care units and 45 level 3 critical care beds providing service for cardiovascular care, neurosurgical and trauma care and burn management. The JH site has 1 intensive care unit with 19 level 3 critical care beds providing service for surgical, medical and radiation oncology, regional orthopedic surgery and the regional GI program. The SJHH site has 1 intensive care unit with 24 level 3 beds. This site is the location of regional dialysis and renal transplant programs, thoracic surgery and respiratory medicine. All sites have rapid response teams as well as busy acute care surgery and medicine services. CCM trainees rotate through each site as well as various other elective rotations within these hospitals as well as our community partners.

STRUCTURE OF THE PROGRAM

Our program is uniquely structured to achieve all the requirements of training. During ICU rotations, the trainees follow a 3-week cycle. This cycle includes 1 week of clinical duty in critical care, followed by a week of on call responsibility. This week has been structured to mimic the typical work week of intensivists in practice throughout much of Canada. Upon completion of this on call week, the trainees complete a week of non-clinical duties whereby most trainees accomplish their studying, teaching of other individuals as well as maintain their competency in their base specialty. Trainees have applauded this structure as a major strength of our program since it prepares individuals very well for entrance into independent practice in the specialty.

RESEARCH OPPORTUNITIES

The program structure is well suited for trainees that are self-directed in their learning as well as those that are motivated to complete scholarly projects during the protected non-clinical time even on their ICU rotations. In addition to the structure, each trainee must complete a mandatory scholarly project during the course of his or her training. This may be original research or a quality assurance project. Research mentors, Dr. Waleed Alhazzani and Dr. Bram Rochwerg, currently oversee the Research-in-Progress meetings on a quarterly basis to monitor their progress and provide guidance on the research process. Our trainees present their projects at a joint McMaster-Western Research Day held each spring.

2015-2016 Critical Care Medicine (Adult) Residents


The Trainees have many opportunities to take part in research under the supervision of several faculty. Our diverse faculty includes several national and international leaders in critical care. Many individuals are not only members of the Canadian Critical Care Trials Group, but have held important leadership roles. Dr. Deborah Cook has recently been named an Officer of the Order of Canada. At McMaster, she holds the Canada Research Chair of Research Transfer in Intensive Care and has been recognized throughout the world for her contributions to research as well as leadership. She and Dr. Maureen Meade co-chair the Academy of Critical Care: Development, Evaluation and Methodology. This ICU special interest group (ACCADEMY) provides support and mentorship for ICU clinicians in research training. Dr. Meade designs and conducts patient-centered research in critical care. Dr. Roman Jaeschke is active in practice guideline development with several international societies as well as being the Editor-in-Chief of the McMaster Textbook of Internal Medicine. Several of our program’s trainees have completed graduate studies under their mentorship and have become leaders in critical care. These individuals as well as many others are available to supervise trainees.

POST-GRADUATE EMPLOYMENT INFORMATION CHART

Immediately After Graduation Permanent Staff Position

2014 A Neurocritical Care Fellowship, HHS Fellowship in progress B Clinician Investigator Program, HHS Clinical Scholar, HHS—CCM and Cardiology

C Clinician Investigator Program, HHS

Assistant Professor, Université de Sherbrook—CCM and Anesthesia

D Clinician Investigator Program, HHS Clinical Scholar, SJHH—CCM

EAssistant Professor, University of Manitoba, Winnipeg Regional Health Authority (Military)—CCM and Internal Medicine

Assistant Professor, University of Manitoba, Winnipeg Regional Health Authority (Military)—CCM and Internal Medicine

F

Staff Physician, Windsor Regional Hospital—CCM andInternal Medicine

Staff Physician, Windsor Regional Hospital—CCM and Internal Medicine

G

Assistant Clinical Professor, HHS—CCM andEmergency Medicine

Assistant Clinical Professor—HHS—CCM and Emergency Medicine

2015 H Saudi Arabia—CCM and Internal Medicine Saudi Arabia—CCM and Internal Medicine

I

Assistant Professor, United Arab Emirates University—CCM

Assistant Professor, United Arab Emirates University—CCM

J Clinical Scholar, HHS—CCM and Internal Medicine Clinical Scholar, HHS—CCM and Internal Medicine

K Locums Staff Physician, Oakville Trafalgar Hospital—Internal Medicine

L Masters Degree in Ethics, University of Toronto Assistant Professor, HHS—CCM M Clinician Investigator Program, HHS Assistant Professor, HHS—CCM

2016 N Saudi Arabia—CCM and General Surgery Saudi Arabia—CCM and General Surgery

O

Clinician Investigator Program, McMaster—HealthResearch Methodology

CIP in progress

P Clinical Scholar, University of Alberta—CCM Clinical Scholar in Progress Q Clinical Scholar, HHS—CCM and Anesthesia Clinical Scholar in Progress

R

Staff Physician, Joseph Brant Hospital—CCM andGeneral Surgery

Staff Physician, Joseph Brant Hospital—CCM and General Surgery

S Clinical Scholar, HHS—CCM and Neurosurgery Clinical Scholar in Progress


CHALLENGES AND CHANGES FOR THE FUTURE The CCM Residency Program strives to improve the program on a continuous basis. Our diverse faculty continues to be one of our greatest strengths. In order to maintain this strength, we plan to enhance faculty development so that we may better achieve our goals in critical care leadership, research, and education. This includes ensuring that our program and faculty are prepared to implement a Competency By Design curriculum in the next 1-2 academic years. This major change will ensure that the program can meet the needs of our trainees with improved focus on outcomes and emphasis on acquiring abilities and skills. Even though Critical Care Medicine is a multidisciplinary specialty with many faculty from other university departments, the Department of Anesthesia has been highly responsive to addressing the needs of our trainees. This is a direct result of the Department Chair, who has been a tremendous resource to our program providing strong support that ensures our program can thrive. Respectfully submitted, Dr. Tim Karachi Program Director, Critical Care Medicine (Adult) Residency Program August 15, 2016


Fellowship Summary

ANESTHESIA/PAIN MANAGEMENT FELLOWS

Objectives Gain competence in the management of chronic pain Gain competence in the management of complex patients Gain an understanding in evidence-based pain medicine

Rotations 2 months of orientation with 1 or 2 consultants 10 months rotated through all the anesthesia pain consultants 2 days per week in Pain Management Centre 3 days per week in the Operating Room

Learning Activities Acupuncture course(s) MRI Anatomy

PEDIATRIC ANESTHESIA FELLOWSHIPS

Objectives Gain experience and expertise with complex Pediatric Anesthesia Gain additional experience and expertise with children and adults Clinical chart review Development of a protocol for care, development, and initiation of a clinical study

CARDIAC ANESTHESIA FELLOWSHIPS

This program has been paused for the time being while evaluating the rotation, and revising the criteria and objectives for future fellows. The faculty and clinicians associated with this fellowship are planning the renewal of the program.

A commitment by HHSC for capital investment towards equipment and technology will offer the opportunity for faculty and clinical leaders to assist in re-establishing an updated Cardiac Anesthesia Fellowship for the Department.

• Clinical Cardiac Anesthesia/Research/Echocardiography• Cardiac Intensive Care• Cardiac Case Conference


Clinician Investigator Program

OVERVIEW OF FACULTY OF HEALTH SCIENCES, CIP PROGRAM

At McMaster University, the Clinician Investigator Program (CIP) provides advice and structured training for future academic clinicians that strive to include research as a key component of their medical careers. The CIP underwent an external review in April 2015 and was granted the designation of fully “Accredited Program” by the Royal College of Physicians and Surgeons of Canada (RCPSC) Accreditation Committee.

DR. JESSICA SPENCE, CIP TRAINEE

Jessica Spence is a former occupational therapist who completed medical school at the University of Manitoba. She is currently completing her residency in Anesthesiology at McMaster University and is enrolled in the Clinician Investigator Program, completing a thesis-based MSc in the Health Research Methodology Program.

Her research interests include functional outcomes of cardiac and non-cardiac surgery and the impact of age on perioperative outcomes.

Dr. Jessica Spence started her CIP in October 2015.

The Department of Anesthesia is pleased to be able to provide support both financially and through the resources of our Education and Research offices.

Research Awards

Dr. Jessica Spence—The effect of peer support groups on resilience in anesthesia residents at McMaster. Canadian Physician Health Institute (CPHI) $6,400 award in 2013.

Dr. Jessica Spence—Functional outcome after cardiac surgery (APPRAIsE) Study from Population Health Research Institute (PHRI) Internal Funding Program $196,219 award in 2016.


Faculty of Health Sciences Teaching Contributions 2012-2013

Department Faculty

BHSc UG/PGBiochem

Graduate PAEP OT PT Nursing Midwifery MD P. Clerk

MD Clerk.

Postgrad MD

Other HS

Total Teaching

FT PT Total # # # Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

Anesthesia 18 127 145 0 0 388 15 0 0 0 0 5274 7061 21,676 1951 36,365

Family Medicine

36 984 1020 716 0 1168 2709 0 0 2903 3398 19,908 41,275 77,279 3569 152,925

Medicine 230 276 506 1405 924 10,214 3634 0 0 963 13 32,731 13,236 20,455 5242 88,817

Obstetrics & Gynecology 31 64 95 80 0 1579 30 0 0 4 5267 3137 13,228 13,435 540 37,300

Oncology 48 31 79 32 0 1338 93 0 0 0 0 3204 601 10,911 1956 18,135

Pediatrics 75 115 190 608 264 3080 1012 144 0 330 27 8472 19,337 27,667 2304 63,245

Psychiatry 62 274 336 5878 0 7218 1384 24 0 156 192 8393 17628 24,943 8288 74,104

Radiology 39 57 96 0 0 257 0 0 0 12 0 2402 82 9516 935 13,004

Surgery 95 198 293 492 155 1850 618 0 0 38 0 10,542 21,252 26,858 2624 64,429

CE&B 34 63 97 1728 0 24,738 22 0 0 0 0 1130 192 1675 554 30,039

Pathology & Molecular Medicine

41 88 129 4281 664 11,463 147 0 16 44 528 5131 64 25,868 2743 50,949

Biochemistry 3 24 27 598 23,002 401 120 0 0 0 0 0 0 0 404 24,525

School of Rehabilitation 29 85 114 68 0 11,882 0 10,570 8867 0 0 25 0 44 1541 32,997

School of Nursing 52 268 320 74 0 4907 0 0 0 38,193 29 381 10 92 1163 44,849

No Academic Appointment 0 0 0 3819 0 8883 2507 17,483 24,240 62,095 42,185 21,528 7623 1504 9157 201,027

TOTAL 793 2654 3447 19,779 25,009 89,166 12,291 28,221 33,123 104,739 51,639 122,258 141,589 261,923 42,971 932,710


2013-2014

Department Faculty

BHSc UG/PGBiochem


MD Clerk.

Postgrad MD

Other HS

Total Teaching


Anesthesia 18 122 140 56 0 310 0 0 0 0 0 5474 8268 18,358 2361 34,827

Family Medicine

36 989 1025 711 0 967 4039 0 0 1904 12,570 24,704 37,321 85,269 4079 171,564

Medicine 236 283 519 1757 1222 8523 1088 0 0 369 0 32,021 12,933 20,078 4176 82,167

Obstetrics & Gynecology 32 68 100 100 0 1264 236 0 0 0 6172 4122 12,678 12,293 655 37,520

Oncology 47 32 79 24 0 1444 30 0 0 0 0 2510 439 9382 1982 15,811

Pediatrics 76 110 186 540 312 2613 1051 0 0 318 42 9629 25,709 34,980 4535 79,729

Psychiatry 67 268 335 4322 0 5354 1083 0 16 203 12 9764 16,102 26,325 8045 71,226

Radiology 43 52 95 0 0 99 0 0 0 12 0 2208 148 10,549 668 13,684

Surgery 100 199 299 240 216 1558 483 0 0 0 0 8946 22,043 29.253 3154 65,893

CE&B 35 61 96 1676 0 19,502 0 0 0 0 0 1086 109 1398 906 24,677


92 43 135 4587 504 7799 330 0 24 76 788 4098 71 30,842 2496 51,615

Biochemistry 23 4 27 559 14,174 730 110 0 0 0 0 16 0 8 402 15,999

School of Rehabilitation 27 79 106 16 0 10,098 57 9629 9629 156 0 247 0 0 785 29,499


No Academic Appointment 0 0 0 4278 0 10,281 2798 25,588 25,588 54,409 53,921 13,067 9581 5270 5622 194,636

TOTAL 882 2561 3443 18,954 16,428 72,145 11,305 18,332 35,257 95,956 73,685 118,025 145,414 284,188 41,166 930,855


2014-2015

Department Faculty

BHSc UG/PGBiochem


MD Clerk.

Postgrad MD

Other HS

Total Teaching


Anesthesia 17 134 151 54 0 428 24 0 0 0 12 5248 6025 17,668 1999 31,458

Family Medicine

37 1039 1076 712 0 2087 3795 0 0 2778 9741 27,816 38,240 83,257 4270 173,146

Medicine 241 284 525 1957 2391 8265 1005 0 200 0 13 31,036 14,996 34,480 3938 98,281

Obstetrics & Gynecology 31 69 100 72 141 1148 502 0 0 0 2239 4893 14,067 14,978 507 38.547

Oncology 47 31 78 88 0 1416 36 0 0 0 0 2523 465 11,459 2129 18,116

Pediatrics 75 121 196 696 829 2873 999 12 0 0 57 10,526 23,796 49,784 6231 95,803

Psychiatry 65 282 347 4378 0 5556 1433 12 0 0 6 12,173 17,546 28,073 6725 76,902

Radiology 42 55 97 16 0 0 0 0 0 0 0 2461 60 12,606 652 15,795

Surgery 96 211 307 318 552 1303 862 0 45 0 0 11,657 21,229 28,073 2472 67,192

CE&B 38 64 102 1188 0 19,463 0 16 150 0 0 1254 104 162 339 22,676


85 49 134 4409 1419 9270 345 0 59 0 801 4402 107 33,118 2674 56,604

Biochemistry 26 4 30 412 17,743 577 120 0 0 0 0 45 0 0 407 19,304

School of Rehabilitation 31 79 110 40 0 12,549 0 16,241 9473 158 0 203 0 40 1290 39,992


No Academic Appointment 0 0 0 3834 2889 6164 4245 26,365 32,369 62,414 32,780 12,683 8457 9273 8322 209,794

TOTAL 878 2707 3585 18,255 25,964 79,227 13,371 42,646 42,296 97,331 45,998 128,130 145,104 323,744 44,271 1,006,336


FHS Education Leadership Roles

Faculty Activities

Dr. Bruno Borges Head of Division, Hamilton Health Sciences, Obstetrical Anesthesia Staff Anesthesiologist, Hamilton Health Sciences Member, McMaster’s International Obstetric Anesthesia Fellowship Committee Member, Anesthesia Simulation Instructor Member, Chair’s Advisory Committee Member, Anesthesia Executive Committee

Dr. Tracey Bruce Clinical Teaching Unit Director (HHS, McMaster Site)Dr. Norm Buckley Chair, Department of Anesthesia

Scientific Director, Michael G. DeGroote Institute for Pain Research and Care Michael G. DeGroote National Pain Centre Planning Committee Member, The Canadian

Interventional Pain Course Inter-professional Education Program in Pain (Pilot), Waterloo Regional Campus,

Michael G. DeGroote School of Medicine, McMaster University, Waterloo RegionalCampus

McMaster Pain Day, Master University Program for Office Based Nerve Block, 1-day workshop developed by Dr. Norm Buckley

for community physicians within to provide minor interventional pain procedures,McMaster University Medical Centre

Member, McMaster University Clinical Faculty Association Member, Michael G. DeGroote National Pain Centre Member, Michael G. DeGroote Institute for Pain Research and Care

Dr. Michelle Cappello Residency Program Academic Curriculum Director

Dr. Phil Chan Program Director, Pain Medicine Residency Program Member, Department of Anesthesia Executive Committee Director, Chronic Pain Clinic, Department of Anesthesia/Chronic Pain Clinic, St. Joseph’s

Healthcare Medical Director, Neuromodulation Program, Hamilton Health Sciences

Dr. Daniel Cordovani Program Director, Anesthesia Undergraduate Clerkship Program Interviewer, Admissions, Undergraduate MD Program Developer, “Team Communication and Patient Safety”, Professional Competencies

Session for the Anesthesia Clerkship Rotation, McMaster University Developer, Letter to Teacher, Standardized Approach to the Anesthesia Clerkship

Rotation Academic Sessions Member, Residency Training Committee, Department of Anesthesia Member, Clerkship Committee, MD Program Member, Department Executive Committee, Department of Anesthesia

Dr. Alezandre Dauphin Director, International Anesthesia Education

Dr. Jonathan Dingle CTU Director, JHCC

Dr. Alejandro Elorriaga Course Director, Contemporary Medical Acupuncture for Health Professionals

Dr. Mauricio Forero Lead, Ultrasound-guided Regional Anesthesia Residency Training Program Ultrasound Regional Anesthesia Curriculum Coordinator and Creator, Residency

Program, Department of Anesthesia, McMaster University Staff Anesthesiologist and Chronic Pain Consultant, Department of Anesthesia, Hamilton

Health Sciences CTU Director, St. Joseph’s Healthcare Hamilton, Pain Residency Program


Dr. Joel Hamstra Invited speaker, OB/GYN grand rounds (Topic: Postpartum hemorrhage) Created patient information videos regarding labour analgesia and caesarean

anesthesia (posted on St. Joseph’s birthing unit website) Anesthesia program liaison between McMaster University and University of Guyana—

assisting with residents coming to Hamilton, helping to coordinate rotations, and assistwith fundraising

Dr. Edwin Ho Member, Simulation Faculty Committee

Dr. Tim Karachi Program Director, Critical Care Medicine (Adult) Residency Program

Dr. Linda Korz Clerkship Site Coordinator (HHS) Organizer, Instructor for Multi-disciplinary Insitu Simulation, HHS Organizer, Instructor for Continuing Medical Education for Fellows of the College of

Family Physicians through participation in Managing Emergencies in PediatricAnesthesia (MEPA) Simulation Course

Organizer, Instructor for Continuing Medical Education for Fellows of the Royal Collegeof Physicians and Surgeons through participation in MEPA Simulation Course

Administrator, MEPA International OrganizationDr. Greg Kostandoff Member, Simulation Based Education Committee, Department of Anesthesia

Member, Curriculum Committee, Anesthesia Residency Training Program Director, Anesthesia Assistants Continuing Education, St. Joseph’s Healthcare Hamilton

Dr. Tania Ligori Clerkship Site Coordinator (SJHH)

Dr. Elizabeth Ling Royal College Examiner

Dr. Peter Moisiuk Royal College Examiner Clinical Teaching Unit Director (SJHH)

Dr. Joseph Park Co-Director, Fellowship Program in Pain Planning Committee Member, The CanadianInterventional Pain Course

Dr. Michael Parrish Royal College Examiner Clerkship Site Coordinator (HHS)

Dr. James Paul Associate Chair, Research

Dr. Gregory Peachey Faculty Lead, Department of Anesthesia Simulation Program Representative, McMaster Simulation Governance Committee Member, McMaster

University Continuing Health Sciences Education BoardDr. Karen Raymer Program Director, Anesthesia Residency Training Program

Chair, Residency Training/Education Committee

Dr. Christopher Ricci President of Medical Staff, Hamilton Health Sciences, 2016-2017 Continuing Medical Education Representative for Association of University Departments

of Anesthesia (ACUDA) Member, Hospital Civility and Mentoring Committee Member, PHP Committee

Dr. Joanna Rieber Royal College Examiner

Dr. Harsha Shanthanna Planning Committee Member, The Canadian Interventional Pain Course

Dr. Alena Skrinskas Member at Large, RTC (Anesthesia) CaRMS Assistant to the program director Assistant to Chris Ricci in organizing the OMA Anesthesia section annual meeting Chair, Admissions Chair, Residency Training Sub-Committee Remediator, Resident Remediation Chair, Residency Training/Education Committee (2012-2014)


Dr. Tomas VanHelder Member, Clerkship, Anesthesia Rotation Training Committee Site Coordinator, Hamilton General and Henderson Hospitals, Clerkship Anesthesia

Rotation Reviewer, McMaster Online Rating of Evidence (MORE database)

Dr. Robert Whyte Assistant Dean of Undergraduate Medical Education, Michael G. DeGroote School ofMedicine

Dr. Anne Wong Associate Chair, Education/Department Education Coordinator Assistant Dean, Program for Faculty Development Faculty of Health Sciences Chair of Admissions Presenter/facilitator, Advanced topics in resident teaching, Academic core program,

Department of Anesthesia Residency Training Session

Dr. Iwona Zieba Clinical Teaching Unit Director (HHS, General site)


Educational Activities External to FHS

Faculty Activities

Dr. Bruno Borges Member, Society for Simulation in Health Care Member, Regional Council of Medicine, State of Sao Paulo, Brazil Member, Society for Obstetrics Anesthesia and Perinatology Member, Canadian Medical Protective Association (CMPA) Member, Brazilian Society of Anesthesiology Member, Conselho Regional de Medicina – Estado de Sao Paulo (Brazil) Regional

Council of Medicine, State of Sao Paulo, Brazil Member, Society for Simulation in Health Care

Dr. Norm Buckley Canadian Pain Society Refresher Course, Toronto (2014) Chronic Pain Management Unit Teaching Engagement, Kitchener Downtown

Community Health Clinic (2014) Founding Course Director, Canadian Interventional Pain Course, CCPS Interventional

Special Interest Group Member, American Society of Anesthesiologists Member, American Society for Regional Anesthesia Member, Academic Pain Director of Canada (APDOC) Member, ACUDA Member, Canadian Pain Society Member, International Association for the Study of Pain Member, International Anesthesia Research Society Member, Ontario Medical Member, Medical Missions International Team, Colombia Nominated Principle Applicant, SPOR Reviewer, Canadian Journal of Anesthesia Reviewer, Pain Research and Management External Reviewer, Department of Anesthesiology & Perioperative Medicine, Queen’s

University External Reviewer, Hospital for Sick Children Pain Program

Dr. Phil Chan Member, Adult Chronic Pain Network Advisory Board, Ministry of Health and LongTerm Care, Ontario

Dr. Daniel Cordovani Presenter, PGY-1 Airway Seminars, Anesthesia Residency Core Academic TeachingProgram, Department of Anesthesia, University of Toronto

Creator, Video Library of intubations with different airway devices, some of whichwere used to create the Awake Bronchoscopic Intubation Virtual Module, Departmentof Anesthesia, University of Toronto

Instructor, Airway Workshop, Toronto Anesthesia Symposium Instructor, Airway Workshop, Canadian Critical Care Forum, Toronto Presenter, “Carbetocin: how much do we know about the SOGC’s recommended

uterotonic in elective caesarean delivery?”, 10th Annual Obstetric AnesthesiaConference and Workshop, Mount Sinai Hospital, Toronto

Member, Society for Airway Management Member, Society for Obstetric Anesthesia and Perinatology Member, Sao Paulo State Anesthesiology Society Member, Brazilian Anesthesiology Society


Dr. Mauricio Forero Instructor, “Ultrasound in Pain Medicine Workshop”, Canadian Interventional PainConference (CIPC), Vancouver

Instructor, “Ultrasound in Pain Medicine Workshop” (Advanced Course), University ofToronto

Presenter, “Post-operative pain management for chronic opioid consumers”, XXIILatino American Regional Anesthesia Annual Meeting, Medellin, Colombia

Member, Organizing Committee, XXV International Pain Meeting, ColombianAssociation of study of pain (ACED/IASP branch Colombia), Bogota, Colombia

Presenter, “Is it possible to prevent chronic post-surgical pain?”, XXII Latino AmericanRegional Anesthesia Annual Meeting, Medellin, Colombia

Instructor, “Ultrasound in Chronic Pain Management”, XXII Latino American RegionalAnesthesia Annual Meeting, Medellin, Colombia

Instructor, “Ultrasound in Pain Management Workshop”, Canadian Anesthesiologists’Society Meeting, St. John’s, Newfoundland

Attendee, World Institute of Pain Annual Meeting, Maastricht, The Netherlands Member, American Society of Regional Anesthesia and Pain Medicine (ASRA) Member, Colombian Society of Critical Care Member, Colombian Society of Anesthesiology

Dr. Andrei Gagarine Associate Member, Canadian Anesthesiologists’ Society Locum Anesthesiologist, Department of Anesthesiology, Credit Valley Hospital,

MississaugaDr. Joel Hamstra Invited speaker, National CME event, Georgetown Guyana (Topic: Optimizing patients

for surgery) (2015) Invited speaker, residency programs in anesthesia, OB/GYN and Surgery at University

of Guyana, Georgetown, Guyana (Topics: Fluid management peri-operatively,perioperative optimization, physiology of pregnancy, labour and delivery, heartdisease in pregnancy, and pain management in labour and delivery) (2015)

External examiner, diploma program in anesthesia, University of Guyana, Georgetown,Guyana

Member, CASIEF (Canadian Anesthesiologists’ Society International EducationFoundation)—working to develop partnership with Georgetown, Guyana, and assistwith anesthesiology residency program development

Dr. Edwin Ho Mayo Clinic Instructor Development, Simulation-Based Education Design andDebriefing Course

Instructor, MEPA (Managing Emergencies in Pediatric Anesthesia) Simulation CourseDr. Cynthia Horner Member, American Society of Anesthesiologists

Member, Ontario Medical Association, Anesthesia Section Member, Society of Cardiovascular Anesthesiologists

Dr. Linda Korz Organizer, Instructor for Continuing Medical Education for Fellows of the College ofFamily Physician through participation in Managing Emergencies in PediatricAnesthesia Simulation Course

Organizer, Instructor for Continuing Medical Education for Fellows of the Royal Collegeof Physicians and Surgeons through participation in Managing Emergencies in PediatricAnesthesia Simulation Course

Dr. Greg Kostandoff Member, Medical Council of Canada (licentiate) Member, American Society of Anesthesiologists (ASA) Member, Fellow Royal College of Physicians and Surgeons of Canada Examiner, Royal College Examination Review Course, Oral Examinations “Marketing

the Mark”, Toronto, OntarioDr. Manyat Nantha-Aree Member, Ontario Medical Association

Member, Royal College of Anesthesiologists of Thailand


Member, American Society of Anesthesiologists (ASA) Member, Society for Obstetric Anesthesia and Perinatology (SOAP) Member, Medical Association of Thailand

Dr. Susan O’Leary President, Canadian Anesthesiologists’ Society (CAS) Involvement in Continuing Professional Development at the CAS

Dr. Joseph Park CPSO Assessor for interventional pain managementDr. James Paul Past Chair and active member, ACUDA Research Committee

Member, Perioperative Anesthesia Clinical Trials Group Member, CAS Research Committee Journal reviewer, Canadian Journal of Anesthesia, Anesthesiology and Pain

Management and CareDr. Gregory Peachey Involvement with the Canadian Anesthesia National Simulation Curriculum Committee

(Eastern Lead)Dr. Harsha Shanthanna European Diplomate in Regional Anesthesia and Acute Pain Management (EDRA)

Speaker and instructor for Cadaver Workshop, Canadian Anesthesiologists’ Society Instructor, Cadaveric Regional Anesthesia Ultrasound Workshop, Cleveland Clinic, USA Course instructor, Ultrasound Workshop Organization, Bethune Round Table Confer. Member, American Society of Anesthesiologists (ASA) International Association for the Study of Pain (IASP) and Member Special Interest

Group—Sympathetic Pain and Neuropathic Pain Member, American Society for Regional Anesthesia (ASRA) Member, World Institute of Pain (WIP) Member, International Spine Intervention Society (ISIS) Canadian Pain Society (CPS), Interventional Pain—Special Group

Dr. Summer Syed Member, Society of Cardiovascular Anesthesia Member, American Society of Anesthesiology Member, Society of Critical Care Medicine Member, International Anesthesia Research Society Presenter, Thirteenth Annual Toronto Perioperative TEE Symposium, Toronto Presenter, EACTA/ISTH meeting, Florence, Italy Presenter, ISTH 2014 SSC Meeting, Milwaukee, USA

Dr. Rob Whyte Project Management Committee Member, Associated Medical Services PhoenixProject: Compassion & Caring in Healthcare

Dr. Anne Wong Faculty tutor and supervisor, Master of Science in Global Health, International GlobalHealth Symposium, Manipal University, Manipal, India

Global Standards: Local and Global Implications. Lecturer for Foundations of GlobalHealth I, Masters of Science in Global Health

Invited lecturer, Comparative and International Education, Ontario Institute for Studiesin Education, University of Toronto

Journal reviewer, Canadian Journal of Anesthesia Journal reviewer, Globalization and Health Journal Journal reviewer, Medical Education Journal reviewer, Teaching and Learning in Medicine Journal reviewer, Journal of International Migration and Integration Journal reviewer, Advances in Health Sciences Education Journal reviewer, Journal of Whole Person Care Member and Chair of Awards, The Federation of Medical Women of Canada Member, Association of Faculties of Medicine of Canada (AFMC) Faculty Development

Committee Member, Canadian Society of Physician Leaders Editorial Board Member, Canadian Journal of Anesthesia



RESEARCH ACTIVITIES


Strategic Research Plan

Our research personnel are listed in the table below. We currently have a full-time research coordinator, two part-time research nurses, one part-time research assistant, two part-time biostatisticians, and a research librarian available to assist with research projects for students, residents, and faculty.

RESEARCH PERSONNEL

Role Person

Department Chair Dr. Norm Buckley

Associate Chair, Research Dr. James Paul

Consultant Research Methodologist/Statistician Dr. Lehana Thabane

Department Research Coordinator Antonella Tidy (McMaster)

Clinical Research Nurse Diane Buckley (JH and SJH)

Clinical Research Nurse Anne Clarke (JH and SJH)

Research Assistant Prathiba Harsha (McMaster)

Anesthesia residents are required to complete a mandatory research project during their 5-year residency. The project can be a retrospective review, a systematic review, a survey or a clinical trial. To prepare for this project the Department is launching a new series of research methodology seminars which will be given by faculty in the department. Once this seminar series is up and running it will be offered to other students and faculty at McMaster University. Our residents have produced some high quality research since this research program was launched and have had their work published, presented as abstracts at international meetings and won top placement at our annual research exchange day with Western University.

The National Pain Centre researchers are housed in our Department Research Office and this has created a nice collaboration between those researchers and our staff and students. Dr. Jason Busse has assisted with mentoring some of the medical students and residents in their research projects and Rachel Couban has provided valuable research librarian support for many projects. Dr. Yannick Le Manach has a formal role with the Population Health Research Institute, and provides them with an anesthesia perspective and serves as a collaborator on many of their perioperative clinical trials.

The Alternative Funding Plan has provided support for our department in terms of supporting all types of research activity, including: research grants, published abstracts and published manuscripts. This support has had a very positive impact on our research activity, both in terms of the number of staff involved and the number of active projects. The department currently has research projects ongoing in almost every aspect of anesthesia, including: education, simulation, cardiac anesthesia, acute pain, chronic pain and perioperative medicine.

Our departments research activity is greater than ever. We apply for grants regularly and have received over 10 grants in the past 2 years. Our publications are similarly up with over 83 publications in the past two years so far. The detailed list of the grants and publications are listed at the end of this report. To promote knowledge translation a new initiative was launched whereby all publications are announced with an email with rich web-page style graphics that includes, the abstract, link to a PDF of the study publication, a picture of the authors, links to the author’s Research Gate profile, a video abstract and a comic with a theme related to the study. The objective of this is to celebrate the research of our students and faculty and ensure that the results are disseminated to all the local anesthesiologists, surgeons and intensivists.


SPECIAL PROGRAMS

Research Retreat The department has an annual retreat in May where all members are invited to see short presentations of the active and completed research projects from the past year. This dinner meeting allows researchers to present their research plans and results and it serves as an overview to the department of what’s happening in research.

Research Interest Group This group includes the active staff researchers in the department, Dr. Thabane (our consultant methodologist / statistician) and any interested residents and fellows. The group meets 3-4 times per year to discuss one or two research proposals. The purpose of these meetings is to provide detailed methodology feedback on the studies to assist in the development of new projects. Dr. Thabane or other invited guests start the meeting with a presentation on a methodology topic.

McMaster University-University of Western Ontario Anesthesia Resident Exchange Day This annual research day is used for anesthesia residents to present their research projects with short presentations and posters. Residents are required to present at this event at least once during their training.

SUMMARY Research continues to be a priority for the Department of Anesthesia and it is supported at every level from undergraduate Health Sciences students, to anesthesia residents, anesthesia fellows and faculty. Our research infrastructure is paying off in terms of increased interest in research and we are continuing to grow our depth in several areas, especially: acute and chronic pain, perioperative medicine, and regional anesthesia.


James Paul Dr. James Paul Associate Chair, Research

July 7, 2016

Dr. James Paul Associate Chair, Research

“Dr. Paul is a respected research educator who has made significant contributions in advancing the educational and research mission of the department and McMaster University.”

Dr. Norm Buckley,Department Chair


The Michael G. DeGroote endowment has provided the opportunity for the Institute for Pain Research and Care (IPRC) to focus on the problem of pain. Encompassing an array of technologies, disciplines, and specialties, the institute will explore the causes of a number of different types of pain, develop new strategies for its prevention, diagnosis, and management, and develop innovative care for patients with a special emphasis on thalamic and persistent post-surgical pain.

The multi-disciplinary researchers of the Michael G. DeGroote Institute for Pain Research and Care are seamlessly integrated with the world-class research already under way in the Faculty of Health Sciences at McMaster, bringing to their work the insights and approaches from a number of different discipline and faculties.

OBJECTIVES

To understand the underlying mechanisms of chronic pain in order to develop prevention, diagnosis, andtreatment strategies, with a special emphasis on thalamic pain

Explore the causes of a number of different types of pain Develop new strategies for its prevention, diagnosis, and management Develop innovative care for patients Pursue a collaborative approach in national and international research in pain Coordinate pain services locally and regionally and build the institute’s partnership with the University-affiliated

hospitals and clinics Create and coordinate an international database and registry for patients suffering with thalamic and central

pain

MISSION

The Mission of the Michael G. DeGroote Institute for Pain Research and Care is to become a cutting-edge institute in the area of chronic pain and a magnet for researchers and trainees in the field.

VISION

Using the concept model of persistent post-surgical pain, bring together behavioural, clinical, and basic scientists to develop a new understanding of chronic pain mechanisms and treatment.

PainHQ

In September 2015, the Michael G. DeGroote Institute for Pain Research and Care officially launched Pain HQ, an online resource for individuals living with neuropathic pain. PainHQ provides access to a range of evidence-based resources, curated by the experts, rated by the public, and supporting over two million Canadians living with neuropathy.

The range of resources provided is, in part, what makes PainHQ unique. Personal stories, e-learning videos, webinars, and expert blogs make up part of the site’s diverse offerings.


The goal is the educate on neuropathic pain and to help make the condition more accessible to the general public. Building on McMaster’s strengths in evidence-based medicine, health education, and e-learning, PainHQ is an innovative and sustainable resource for patient-centred care.

Since its launch, over 19,000 unique users have visited the PainHQ site, resulting in over 51,000 page views. PainHQ has hosted 5 expert webinars (recorded for future viewing). The PainHQ network has grown to over 2,000 individuals (through social media, the website, and the newsletter).

GRADUATE SCHOLARSHIPS

The prestigious Michael G. DeGroote Graduate Studentships in pain research provide MSc and PhD candidates with the opportunity to pursue leading-edge research in pain.

The awards are designed for candidates who have an exemplary academic record and are interested in pain research within the Michael G. DeGroote Institute for Pain Research and Care (IPRC).

These studentships aim to encourage and support pain research training and provide salary support to individuals with an exceptional background and an interest in research relating to pain. Successful candidates of these awards will have the opportunity to work with faculty who are conducting innovative research and are considered among the best in their field.

Graduate Awards—Maximum three awards annually at $20,000 per year Yaping Chang, PhD Candidate (2014-2017) Yasir Rehman, PhD Candidate (2015-2018) Robert Ungard, PhD Candidate (2016-2018)

Pain Fellowships

The prestigious Michael G. DeGroote Fellowship Awards for pain research provide postdoctoral candidates or pain fellows with the opportunity to pursue leading-edge research in pain.

The awards are designed for candidates who have an exemplary academic record and are interested in pain research within the Michael G. DeGroote Institute for Pain Research and Care (IPRC).

These fellowships aim to encourage and support pain research training and provide salary support to individuals with an exceptional background and an interest in a career path related to pain. Successful candidates of these awards will have the opportunity to work with faculty who are conducting innovative research and are considered among the best in their field.

Pain Fellowships/Postdoctoral Awards - Maximum 3 awards annually @ $60K per year Dr. Li Wang (2014-2016) Dr. James Khan (2014-2015) Dr. Yong Fang Zhu (2015-2016) Dr. Yuqing (Madison) Zhang (2016-2018)

Research Seed Grants

The Michael G. DeGroote Institute for Pain Research and Care Seed Grants provide principal investigators with an opportunity to apply for funds to pursue leading-edge research in pain, following the model of using persistent post-surgical pain to understand chronic pain.

The awards are designed for principal investigators pursuing pain research within the Michael G. DeGroote Institute for Pain Research and Care (IPRC).


The Seed Grants are aimed to encourage and support pain research by jump-starting research projects. The objective is that it will lead to and support grant applications for other major external funding competitions. Up to three seed projects are awarded annually valued at $30,000 (one year maximum).

Tibial Shaft Fracture – Effect of cognitive behavioural therapy (CBT) for reducing persistent post-surgicalpain. Principal Investigator: Dr. Jason Busse (2015).

SMArT VIEW – Coming into “SMArT VIEW’: A pilot study to elicit system requirements for the SMArT VIEW post-operative pain self-management intervention. Principal Investigator: Dr. Michael McGillion (2015).

HIP ATTACK – HIP fracture Accelerated surgical TreaTment And Care Pain Sub-study. Principal Investigator: Dr.Harsha Shanthanna (2015).

Gene Expression Changes in Cancer-Induced Bone Pain. Principal Investigator: Dr. Gurmit Singh (2016). Preventing Persistent Post-Surgical Pain After Thorascopic Surgeries: A Randomized Controlled Parallel Group Multi-

Centre Pilot Study Using Ketamine and Memantine. Principal Investigator: Dr. Harsha Shanthanna (2016).

OTHER IPRC PROJECTS

FORESITE-VISION (2017-2019) – Further Observation for chronic pain and poor functional recovery Risk factorExamination at the home and partner SITEs, a study in partnership with the VISION Cardiac Surgery ProspectiveCohort Study. Principal Investigators: Drs. Mike McGillion, Jason Busse

Pain PLUS (2014-2017) – Pain PLUS is a ‘one-stop’ access to current best evidence from research on painmanagement offering a searchable database of the best evidence from care literature; an email altering system; andlinks to selected evidence-based resources.

SPOR Chronic Pain Network (2016-2021) Infrastructure Support Patient Engagement contribution

SPOR – CHRONIC PAIN NETWORK

A nationwide group of pain researchers and clinicians submitted a successful Letter of Intent (LOI) in January 2015 to the CIHR Strategy for Patient Oriented Research (CPOR) competition for the development of a Canadian chronic pain network. In the call for SPOR applications, CIHR now recognized chronic pain as a chronic disease entity.

On behalf of a multi-disciplinary and stakeholder chronic pain team, led by Dr. Norm Buckley, the full Chronic Pain Network application was developed and submitted to the CIHR SPOR chronic disease grant competition in October 2015. In spring 2016, CIHR announced that the Chronic Pain Network project was successful, representing $25 million in funding over five years ($12.5 million from CIHR and the rest from the generosity of matching cash and in-kind donations from various partners and collaborators). The Network will examine chronic pain throughout the lifespan, incorporating the patient and caregiver voice into research priority setting and throughout the network, and will leverage existing resources (e.g. the Quebec Pain Registry) to enable similar infrastructure nationally. Central to the Network will be a clinical research capacity, facilitating the movement of findings into all populations of patients who live with chronic pain (e.g. vulnerable, Aboriginal, children, youth, and older adults).


The CIHR SPOR Chronic Disease Networks were officially announced on March 31 2016 by the Honourable Jane Philpott, Federal Minister of Health. This event was proudly hosted at McMaster University. The objectives of this new initiative, the Strategy for Patient-Oriented Research (SPOR) is to be patient-centred, focusing on improved health outcomes for Canadians.

Our mission with this project is “To innovate and improve the quality and delivery of pain prevention, assessment, management, and research for all Canadians”. This will be achieved through the pursuit of the following research themes: applied and translational pre-clinical research, applied and translational behaviour pain research, clinical trials and observational studies, health services pain research, and the creation and examination of patient registries and databases.

The Network has created a special opportunity for Canadian stakeholders in chronic pain to work together in the coming years.

Left to right: Dr. Norm Buckley, Scientific Director, IPRC; Lynn Cooper, patient representative for the Chronic Pain Network; Alain Beaudet, President of the Canadian Institutes for Health Research; Patrick Deane, President of McMaster University; The Honourable Jane Philpott, Federal Minister of Health; Filomena Tassi; MP for Hamilton West-Ancaster-Dundas; and Dr. John Kelton, Dean and Vice President, Faculty of Health Sciences, McMaster


The Michael G. DeGroote National Pain Centre (NPC) was established in 2010 as the result of a generous gift from Mr. Michael G. DeGroote. The National Pain Centre draws on McMaster University’s expertise in evidence-based medicine to identify, collate, review, revise, update and develop clinical practice guidelines for the treatment of chronic pain, and dissemination of best practice techniques through knowledge translation.

MISSION “To improve the management of chronic pain through the dissemination of best practice information”

GOALS

To become a repository for high quality best practice guidelines in pain management. To disseminate existing best practice guidelines for managing pain. To contribute to the development of new guidelines where knowledge gaps exist. To participate in local, provincial, national and international networks for the translation of best practice

knowledge into practice. To partner as appropriate with government funding agencies, regulatory bodies and pharmaceutical companies

to guide research and development in pain management. To maintain a dedicated website that enables the knowledge translation of best practices for managing chronic

pain.

The National Pain Centre’s website is the main entry point for accessing the Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain, the Opioid Manager™, Deciding to Initiate Opioid Therapy and other tools. Since the launch of the NPC website which coincided with the release of the Guideline, the site has received over 1,200,000 page views.

CANADIAN OPIOID GUIDELINE

The Canadian Guideline for Safe and Effective use of Opioids for Chronic Non-Cancer Pain was developed to promote good medical practice in pain management. The National Pain Centre has assumed responsibility for the process of ongoing knowledge translation with future synthesis related to the Guideline. Our efforts focus on implementing the Guideline into practice and developing strategies to evaluate its impact.

The Michael G. DeGroote National Pain Centre assumed responsibility and copyright for the Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain in 2010 and committed to its update. The national, evidence-based guideline exists to guide primary-care physicians and specialists to safely and effectively use opioids to treat patients with chronic non-cancer pain.

Systematic reviews are underway to provide the information base for the guideline revision. Funding from Health Canada was awarded to Dr. Jason Busse to support this process. The update process involves national collaboration including researchers and clinicians from across the country. The updated guideline is expected to be launched in early 2017.


The guideline is a practical resource to provide Canadian physicians with the best available information, research and consensus of opinion on this topic. It complements other approaches to facilitate legitimate use of opioids while addressing potential abuse. These include public education, improved treatment of both pain and addiction, establishment of prescription databases, tamper-resistant medication preparations and treatment contracts between physicians and patients.

FIRST DO NO HARM: RESPONDING TO CANADA’S PRESCRIPTION DRUG CRISIS

The National Pain Centre’s membership lends their support to the First Do No Harm Strategy: Responding to Canada’s Prescription Drug Crisis. Dr. Norm Buckley co-leads the Canadian Centre on Substance Abuse education group addressing education around pain and addiction, developing competencies for health professionals in pain management, drug prescribing, dependency, addiction and abuse.

In response to the growing substance abuse problem the Canadian Centre on Substance Abuse (CCSA) partnered with the Coalition on Prescription Drug Misuse (Alberta) and the Nova Scotia Department of Health and Wellness to develop a strategy that addresses the harms associated with prescription medications with consideration given to their therapeutic uses. Recommendations were developed around five streams of action: Prevention, Education, Treatment, Monitoring and Surveillance and Enforcement.

PAIN EDUCATION INVENTORY

In partnership with the Canadian Centre on Substance Abuse the NPC completed a scan of continuing education opportunities in pain management. An inventory of pain and addiction education programs was compiled to act as a resource for Canadian health professionals. With this resource, visitors are able to find educational programs available across Canada. The inventory is posted on the National Pain Centre website.

INNOVATIONS AND POLICY SOLUTIONS FOR ADDRESSING PRESCRIPTION DRUG ABUSE

The Michael G. DeGroote National Pain Centre was invited to present its work at a Conference Board of Canada meeting in Ottawa in April 2014. Dr. Norm Buckley accompanied by Drs. Angela Carol and Ramesh Zacharias attended the one-day symposium which brought together experts to discuss the issue of prescription drug abuse as well as policy solutions and innovations to address prescription drug abuse in Canada. A forum for exchange of ideas and international best practice, the symposium aimed to inform sound policy development and medical practice related to prescription opioid analgesics for Canadian key opinion leaders, research and policy-makers.

A PRACTICAL APPROACH TO PRESCRIPTION DRUG MISUSE AND DIVERSION

In 2013, work began locally on developing a sustainable strategy around the use and abuse of opioids in Ontario. Drs. Norm Buckley, Angela Carol and Ramesh Zacharias, held several very successful meetings towards A Practical Approach to Prescription Drug Misuse and Diversion. Stakeholders included patients, pain physicians, law enforcement, addiction experts and the coroner’s office. The goal was to develop a template for addressing this complex problem which can be implemented not only in our local community but across the country.

CANADIAN PAIN CARE FORUM

Building on the strengths of earlier meetings (i.e. Practical Approach to Prescription Drug Misuse and Diversion), the inaugural Canadian Pain Care Forum (CPCF) was held in Hamilton on June 17, 2016. This group has as its goal to engage a wide ranging group of organizations and people to address the problems of pain care in Canada and believes that inadequate understanding of pain as a problem is one of the roots of the current crisis of opioid misuse.


Modelled after the Pain Care Forum in the United States, the Canadian Pain Care Forum (CPCF) brings together academia, regulatory bodies, the coroner’s office and law enforcement, as well as the pharmaceutical industry, patients and their advocates, public health departments, the business community, pain and addiction medicine healthcare providers and government agencies such as the Ministry of Health and Long Term Care in Ontario, Health Canada and the Canadian Centre on Substance Abuse. Providing excellent evidence-based pain care while minimizing the harms arising from use and misuse of potent pharmaceutical agents requires a concerted and societally based approach to improve function and reduce suffering and harm.

The focus of the CPCF is to develop and advocate for the implementation of a National Pain Strategy which will improve current management, education and research of pain for patients across Canada.

INTER-PROFESSIONAL EDUCATION PROGRAM IN PAIN

The lack of pain curriculum in health professional training prompted the National Pain Centre to develop a pilot project – an inter-professional education program focusing on chronic pain. This was a community partnership with the McMaster Waterloo Regional Campus Undergraduate Medical Program and the University of Waterloo Pharmacy Training Program. The pilot was first delivered in 2013 in a team-based learning format, short lectures and group problem-solving. Curriculum topics were drawn from the over-arching concepts of the inter-professional curriculum, undergraduate medical curriculum and pharmacy curriculum developed by the International Association for the Study of Pain (IASP) and included: i) the multi-dimensional nature of pain; ii) pain assessment and measurement, iii) management of pain, and iv) clinical conditions. Clinical cases were developed to provide a context for the student groups to come together to address the problem. The pilot took place at the Waterloo Regional Campus with the medicine and pharmacy students learning together. As a team they reviewed the clinical cases and developed plans for managing, monitoring care, and communicating with the various health-care professionals. As a result of the program’s initial success the University of Waterloo School of Social Work, Wilfrid Laurier University School of Social Work and Conestoga College School of Nursing were invited to participate in the following two years of the program offering.

PRESCRIBING PRACTICES FORUM

On May 15, 2015, The Honourable Rona Ambrose, Federal Minister of Health, attended our Prescribing Practices Forum at McMaster University. This marked an important milestone in the federal government’s efforts to work closely with partners to tackle prescription drug abuse.

The forum, funded by Health Canada and hosted by the Michael G. DeGroote National Pain Centre, brought together regulatory authorities, health professionals, provinces and territories and experts to identify steps to improve prescribing practices, with the ultimate goal of reducing the abuse of prescription drugs.

During her address, the Minister underscored the Government’s commitment to fighting prescription drug abuse with a focus on improving prescriber education and the development of a coordinated national approach for the monitoring and surveillance of prescription drugs.

Left to right: David Sweet, MP for Hamilton West-Dundas-Ancaster-Flamborough; Dr. Trevor Theman, Registrar, College of Physicians and Surgeons of Alberta; The Honourable Rona Ambrose, Federal Minister of Health; Dr. Michael Hamilton, Physician Lead and Medication Safety Specialist, Institute for Safe Medication Practices Canada; Dr. Norm Buckley, Scientific Director, IPRC


The Prescribing Practices forum is one of several ways the Government is supporting initiatives to combat prescription drug abuse and improve the health of Canadians living with substance abuse to include prescription drug abuse.

PAIN MEDICINE RESIDENCY WEBSITE

A new website for Pain Medicine Residency was developed and hosted by the National Pain Centre and launched in 2015. Pain medicine is a new two-year sub-specialty residency initiated by the Royal College of Physicians and Surgeons of Canada (RCPSC). This program will offer unparalleled learning opportunities leading to RCPSC certification in pain medicine. The new web portal is supported by the Earl Russell endowed Chair at Western University.

Eligibility requirements include FRCPC certification (or in a program leading to certification) in the following areas: anesthesiology, emergency medicine, internal medicine, neurology, pediatrics, physical medicine and rehabilitation, psychiatry and rheumatology. Entry from other FRCPC programs such as orthopedics, neurosurgery and palliative care is possible in exceptional cases.

IPRC AND NPC ORGANIZATIONAL STRUCTURE


2015/2016: 6 RESEARCH GRANTS TOTALLING

$1,023,085 $669,278 Buckley, N., Busse, J. and the SPOR Investigators. Chronic Pain Network (SPOR Networks in Chronic

Disease). (CIHR)

$57,543 Buckley, N. Residual Account. (McMaster University)

$156,354 Busse, JW. Health Canada—Drug Strategy Community Initiative Fund. (Health Canada) $1,155 Busse, JW. Benefit Rebate. (McMaster University)

$4,588 Forero, M. RMA 2015: Magalhaes Effectiveness of an ultrasound. (Regional Medical Associates)

$134,167 Shanthanna, H., Thabane, L. CIHR RCT Mentoring: Stipend Portion. (CIHR)

*Preliminary HRS data used for research grants in the 2015/2016 year

2014/2015: 9 Research Grants Totalling

$196,479 $50,000 Buckley, N. CIHR – SPOR Network in Chronic Disease – LOI. (CIHR)

$25,070 Buckley, N. The ENIGMA-II trial. (University Health Network)

$2,580 Buckley, N. Research Support. (McMaster University)

$60,000 Busse, JW. Recovery expectations and symptom exaggeration. (MITACS)

$2,146 Busse, JW. Bioventus “Evaluate Ultrasound in the TRUST”. (BIOVENTUS)

$5,833 Shanthanna, H., Thabane, L. CIHR RCT Mentoring Stipend. (CIHR)

$30,000 Shanthanna, H. Mac IPRC: HIP ATTACK Pain Sub-study. (McMaster University)

$20,000 Shanthanna, H. CAS-CARF: Opioid analgesia in ambulatory surgery. (Canadian Anesthesiologists’ Society)

$850 Wong, A. Ergun – Mentorship in Anesthesia. (Regional Medical Associates)

*



$441,666 $30,000 Buckley, N. Management of chronic neuropathic pain. (Canadian Anesthesiologists’ Society)

$25,000 Buckley, N. Dissemination Events – Drug Misuse Solution. (CIHR)

$10,000 Buckley, N. Inventory of Pain and Addiction Education Programs. (Canadian Centre on Substance Abuse)

$55,000 Busse, JW. CIHR New Investigator Award: TRUST – Chiropractic Research. (CIHR)

$45,000 Busse, JW. Appropriateness of spine-related imaging. (Ontario Chiropractic Association)

$42,200 Busse, JW. An economic evaluation of low-intensity pulsed ultrasound. (CIHR)

$30, 466 Busse, JW. Management of Fibromyalgia: A Systematic Review. (CIHR)

$100,000 Busse, JW. Knowledge Synthesis – Chronic Neuropathic Pain. (CIHR)

$30,000 Busse, JW. Predicting disability benefits claim and compa. (MITACS)

$35,000 Busse, JW. Internally Sponsored Research – Cooper Fellowship S. Ebra. (McMaster University)

$15,000 Busse, JW. Internally Sponsored Research – Cooper Fellowship S. Ebra (McMaster University)

$10,000 Whyte, R. Internally Sponsored Research: Gender: S. MacIsaac & MB (McMaster University)

$14,000 Wong, A. Internally Sponsored Research – GHEI: Gender and Leadership. (McMaster University)


$140,000 $75,000 Buckley, N. Research Support. (McMaster University)

$14,400 Buckley, N. Accelerate: EMR Clinical Decision-Making Application. (MITACS)

$15,600 Buckley, N. Accelerate: EMR Clinical Decision-Making Application. (MITACS)

$35,000 Busse, JW. CIHR New Investigator Award: TRUST – Chiropractic Research. (CIHR)


Faculty of Health Sciences – Grant Data

2012-2013 2013-2014 2014-2015 2015-2016*

$ Awarded—MRC/CIHR

$42,325,185 $48,310,155 $42,779,262 -

10.1% 14.1% -11.4% -

increase increase decrease -

$ Awarded—All Sources

$132,699,548 $129,876,584 $124,433,879 -

10.7% 2.1% -4.2% - increase decrease decrease -

$ Awarded—By Department Anesthesia $140,000 $441,666 $196,479 $1,023,085 Biochemistry & Biomedical Sci. $15,568,739 $15,759,045 $15,694,608 -

Biomed Science - - - - CE&B $27,207,533 $23,971,280 $17,589,102 - Family Medicine $1,050,098 $4,317,852 $6,510,499 - FHS $7,818,585 $5,986,782 $7,913,533 - Medicine $32,297,414 $30,881,814 $25,557,526 - Obstetrics and Gynecology $1,123,775 $792,544 $823,830 - Oncology $7,109,631 $6,627,082 $5,572,079 -

Pathology and Molecular Med. $16,804,262 $17,518,084 $17,346,790 -

Pediatrics $5,421,463 $4,634,792 $4,584,290 -

Psychology & BN $5,892,879 $6,603,286 $9,851,695 -

Radiology $903,175 $839,361 $220,011 - School of Nursing $3,868,674 $2,999,617 $3,795,460 -

School of Rehab Sci. $2,025,731 $2,630,903 $3,460,295 -

Surgery $476,301 $5,872,477 $5,317,681 -

TOTAL $53,965,789 $129,876,584 $124,433,879 $1,023,085*

* HRS data for 2015/16 not available at the time of report compilation


Publications

2016

Peer-Reviewed Publications—2016

Alonso-Coello P, Carrasco-Labra A, Brignardello-Petersen R, Neumann I, Akl EA, Vernooij RWM, Johnston BC, Sun X, Briel M, Busse JW, Ebrahim S, Granados CE, Iorio A, Irfan A, García LM, Mustafa RA, Ramírez-Morera A, Selva A, Solà I, Sanabria AJ, Tikkinen KAO, Vandvik PO, Zazueta OE, Zhang Y, Zhou Q, Schünemann H, Guyatt GH. Systematic reviews experience major limitations in reporting absolute effects. J Clin Epidemiol. 2016 Apr; 72: 16-26.

Centofanti J, Swinton M, Dionne J, Barefah A, Boyle A, Woods A, Shears M, Heels-Ansdell D, Cook D. Resident reflections on end-of-life education: a mixed-methods study of the 3 Wishes Project. BMJ Open. 2016 Mar 31;6(3):e010626. doi: 10.1136/bmjopen-2015-010626.

Choi S, Brull R, O’Hare T, Gollish J, Paul J, Kreder H, Thorpe K, Katz J, Moisiuk P, McCartney C. Optimizing Pain and Rehabilitation after Knee Arthroplasty (OPRA)L A Two-Center Randomized Trial. Anesthesia and Analgesia 2016 In Press.

Chow CH, Van Lieshout RJ, Schmidt LA, Dobson KG, Buckley N. Systematic Review: Audiovisual Interventions for Reducing Preoperative Anxiety in Children Undergoing Elective Surgery. J Pediatr Psychol. 2016 Mar;41(2):182-203. doi: 10.1093/jpepsy/jsv094. Epub 2015 Oct 1

Daurat A, Roger C, Gris J, Daurat G, Feissel M, Le Manach Y, Lefrant J, Muller L. Apheresis platelets are more frequently associated with adverse reactions than pooled platelets both in recipients and in donors: a study from French hemovigilence data. Transfusion. 2016 Jan 26 Deschamps A, Hall R, Grocott H, Mazer D, Choi P, Turgeon A, de Medicis, Bussieres JS, Hudson C, Syed S, Seal D, Herd S, Lambert J, Denault A. Cerebral Oximetry Monitoring to Maintain Normal Cerebral Oxygen Saturation during High-risk Cardiac Surgery Anesthesiology Anesthesiology: 124(4); 2016

Deschamps A, Hall R, Grocott H, Mazer D, Choi P, Turgeon A, de Medicis, Bussieres JS, Hudson C, Syed S, Seal D, Herd S, Lambert J, A. Cerebra Oximetry Monitoring to Maintain Normal Oxygen Saturation during High-risk Cardiac Surgery: A Randomized Controlled Feasibility Trail. Anesthesiology. 2016 Apr; 124(4):826-36.

Douketis J, Wang G, Chan N, Eikelboom JW, Syed S, Barty R, Moffat KA, Spencer FA, Blostein M, Shulman S. Effect of Standardized Perioperative Dabigatran Interruption on Residual Anticoagulation Effect at the Time of Surgery or Procedure. Journal of Thrombosis and Haemostasis. 2016 Jan; 14(1):89-97. doi: 10.1111/jth.13178. Epub 2016 Jan 4

Forero M, et al. The erector spinae plane (ESP) block: a novel analgesic technique in thoracic neuropathic pain. Regional Anesthesia and Pain Medicine Journal. Accepted June 2016.

Kasenda B, Sun X, con Elm E, Schandelmaier S, Blümle A, You J, Tomonaga Y, Saccilotto R, Amstutz A, Bengough T, Meerpohl J, Stegert M, Tikkinen KAO, Neumann I, Carrasco-Labra A, Faulhaber M, Mulla S, Mertz D, Akl EA, Bassier D, Busse JW, Ferreira-González I, Lamontagne F, Ebrahim S, Hemkens L. Nordmann A, Rosenthal R, Olu KK, Vandvik PO, Johnston BC, Walter MA, Schwenkglenks M, Moja L, Bucher HC, Guyatt GH, Briel M. Agreements between Industry and Academia on Publication Rights: A Retrospective Study of Protocols and Publications of Randomized Clinical Trials. PLoS Med. 2016; 13(6): e1002046.

Klausenitz C, Hesse T, Hacker H, Hahnenkamp K, Usichenko T. Auricular acupuncture for pre-exam anxiety in medical students: a prospective observational Pilot Investigation. Acupunct Med 2016; 34:90-4.

http://fhs.mcmaster.ca/anesthesiaresearch/documents/BMJOpen-2016-Centofantietal.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/BMJOpen-2016-Centofantietal.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/J.Pediatr.Psychol.-2016-Chow-182-203.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/J.Pediatr.Psychol.-2016-Chow-182-203.pdf

http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2485071

http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2485071


Le Manach Y, Collins G, Rodseth R, Le Bihan-Benjamin C, Biccard B, Riou B, Deveraux PJ, Landais P. Preoperative Score to Predict Postoperative Mortality (POSPOM): Derivation and Validation. 2016 Mar; 124(3):570-9

Li L, Li S, Liu J, Deng K, Busse JW, Vandvik PO, Wong E, Sohani ZN, Bala MM, Rios LP, Malaga G, Ebrahim S, Shen J, Zhang L, Zhao P, Chen Q, Wang Y, Guyatt GH, Sun X. Gluagon-like peptide-1 receptor agonists and heart failure in type 2 diabetes: systematic review and meta-analysis of randomized and observational studies. BMC Cardiovascular Disorders. 2016 May 11; 16(1): 91

Li L, Li S, Deng K, Liu J, Vandvik PO, Zhao P, Zhang L, Shen J, Bala MM, Sohani ZN, Wong E, Busse JW, Ebrahim S, Malaga G, Rios LP, Wang Y, Chen Q, Guyatt GH, Sun X. Dipeptidyl peptidase-4 inhibitors and risk of heart failure in type 2 diabetes: a systematic review and meta-analysis of randomized and observational studies. BMJ. 2016 Feb 17; 352: i610

Moura MDG, Lopes LC< Biavatti MW, Busse JW, Wang L, Kennedy SA, Bergamaschi CdC. Brazilian Herbal Medication for Osteoarthritis: A Protocol for a Systematic Review and Meta-Analysis. Syst Rev. 2016 May 21; 5(1):86

Rempel J, Busse JW, Drew B, Reddy K, Cenic A, Kachur E, Murty N, Candelaria H, Morre AE, Riva JJ. Patients’ Attitudes Toward Non-Physician Screening of Low Back-Related Leg Pain Complaints Referred for Surgical Assessment. Spine. [Published ahead of print] doi: 10.1097/BRS0000000000001764

Schandelmaier S, Conen K, Sun X, von Elm E, You J, Blümle A, Tomonaga Y, Saccilotto R, Amstutz A, Bengough T, Meerpohl J, Stegert M, Olu KK, Tikkinen KAO, Neumann I, Carrasco-Labra A, Faulhaber M, Mulla S, Mertz D, Akl EA, Bassler D, Busse JW, Ferreira-González I, Lamontagne F, Nordmann A, Gloy V, Raatz H, Moja L, Rosenthal R, Schwenkglenks M, Hemkens LG, Bucher HC, Guyatt GH, Briel M, Kasenda B. Planning and reporting of quality of life outcomes in randomized cancer trials—a comparison of protocols and publications. Ann Oncol. 2016;27(1): 209.

Schandelmaier S, Kasenda B, Conen K, Sun X, von Elm E, You J, Blümle A, Tomonaga Y, Saccilotto R, Amstutz A, Bengough T, Meerpohl J, Stegert M, Olu KK, Tikkinen KAO, Neumann I, Carrasco-Labra A, Faulhaber M, Mulla S, Mertz D, Akl EA, Bassler D, Busse JW, Ferreira-González I, Lamongtagne F, Nordmann A, Gloy V, Raatz H, Moja L, Rosenthal R, Ebrahim S, Hemkens L, Vandvik PO, Johnston BC, Walter MA, Burnand B, Schenkglenks M, Hemkens LG, Bucher HC, Cook DJ, Meade MO, Guyatt GH, Briel M. Premature Discontinuation of Randomized Trials in Critical and Emergency Care: A Retrospective Cohort Study. Crit Care Med. 2016; 44(1):130-7

Sekercioglu N, Busse JW, Mustafa RA, Guyatt GH, Thabane L. Cinalcalet versus standard treatment for chronic kidney disease: a protocol for a systematic review and meta-analysis. Syst Rev. 2016; 5(1):2

Sekercioglu N, Busse JW, Sekercioglu MF, Agarwal A, Shaikh S, Lopes LC, Mustafa RA, Guyatt GH, Thabane L. Cinalcet versus standard treatment for chronic kidney disease: A systematic review and meta-analysis. Ren Fail. 2016 May 2:1-18.

Shanthanna H, Busse J, Thabane L, Paul J, Couban R, Choudhary H, Kaushal A, Suzumura E, Kim I, Harsha P. Local anesthetic injections with or without steroid for chronic non-cancer pain: a protocol for a systematic review and meta-analysis of randomized controlled trials. Systematic Reviews: (2016) 5:18 DOI: 10.1186/s13643-016-0190-z

Shanthanna H, Aboutouk D, Poon E, Paul J, Finley C. A retrospective Study of Open Thoracotomies Compared to Thoracoscopic Surgeries for Persistent Post-Thoracotomy Pain. J. Clinical Anesthesia. In Press.

Shanthanna H, Kalagara H, Mounir Soliman L. Prevention of Chronic Pain After Hospitalization. Prevention of Chronic Postoperative Pain: Myth or Reality? Chapter 27. Chronic Pain Management for the Hospitalized Patient. Published March 16 2016 Oxford University Press

http://fhs.mcmaster.ca/anesthesiaresearch/documents/ShanthannaetalLAinjections.pdf



https://global.oup.com/academic/product/chronic-pain-management-for-the-hospitalized-patient-9780199349302?cc=ca&lang=en&

https://global.oup.com/academic/product/chronic-pain-management-for-the-hospitalized-patient-9780199349302?cc=ca&lang=en&


Shanthanna H, Mendis N, Goel A. Cervical epidural analgesia in current anaesthesia practice: systematic review of its clinical utility and rationale, and technical considerations British Journal of Anesthesia: (2016) Vol 116 (2): 192-207

Siddiqui A, Tse A, Paul J, Fitzgerald P, Teh B. Postoperative epidural analgesia for patents undergoing pectus excavatum corrective surgery: a 10-year retrospective analysis. Local and Regional Anesthesia. 1026:9 25-33

Stegert M, Kasenda B, von Elm E, You JJ, Blümie A, Tomonaga Y, Saccilotto R, Amstutz A, Bengough T, Briel M; DISCO study group. An analysis of protocols and publications suggested that most discontinuations of clinical trials were not based on preplanned interim analyses or stopping rules. J Clin Epidemiol. 2016; 69: 152-60.

Thabane A, Dennis BB, Gajic-Veljanoski O, Paul J, Thabane L. (in press). Reporting quality of stepped wedge design randomised trials: a systematic review protocol.

Ungard RG, Buckley N, Singh G. Cancer-Induced Pain. In: Singh G, editor. Oncodynamics: Effects of Cancer Cells on the Body. Cham: Springer International Publishing; 2016. p. 129-4

Uppal V, Shanthanna H, Prabhakar C, McKeen DM. Intrathecal hyperbaric versus isobaric bupivacaine for adult non-caesarean-section surgery: systematic review protocol. 2016 May 18;6(5):e010885. doi: 10.1136/bmjopen-2015-010885.

VanDeCappelle C, Ma HK, Ho E. Caesarian section under combined spinal epidural in parturient with frontal glioma. J Neuroanaesthesiol Crit Care 2016; 3:129-32.

Wąsowicz M, Syed S, Wijeysundera DN, Starzyk Ł, Grewal D, Ragoonanan T, Harsha P, Travis G, Carroll J, Karkouti K, Beattie WS. Effectiveness of Platelet Inhibition on Major Adverse Cardiac Events in Non-Cardiac Surgery after Percutaneous Coronary Intervention: a prospective cohort study. BJA 2016 Apr; 116(4):493-500. Epub 2016 Feb 16.

Weis CA, Stuber K, Nash J, Barrett J, Greco A, Kipershlak A, Glenn T, Desjardins R, Busse J. Attitudes towards chiropractic: A survey of Canadian obstetricians. J Evid Based Complementary Altern Med. 2016; 21(2): 92-104

Book Chapters—2016

Shanthanna H, Kalagara H, Mounir Soliman L. Prevention of Chronic Pain After Hospitalization. Prevention of Chronic Pain: Myth or Reality? Chapter 27. Chronic Pain Management for the Hospitalized Patient. Published March 16, 2016 Oxford University Press.

Streitberger K, Usichenko T. Acupuncture analgesia for interventions. In: Filshie, White, Cummings (editors). Medical Acupuncture: A Western Scientific Approach, 2nd edition, 2016 Elsevier.

Usichenko T, Anders E. Auricular acupuncture. In: Filshie, White, Cummings (editors). Medical Acupuncture: A Western Scientific Approach, 2nd edition, 2016 Elsevier.

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Br.J.Anaesth.-2016-Shanthanna-192-207.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Br.J.Anaesth.-2016-Shanthanna-192-207.pdf

http://bmjopen.bmj.com/content/6/5/e010885.long

http://bmjopen.bmj.com/content/6/5/e010885.long


2015


Alonso-Coello P, Carrasco-Labra A, Brignardello-Petersen R, Neumann I, Akl EA, Vernooij RWM, Johnston BC, Sun X, Briel M, Busse JW, Ebrahim S, Granados CE, Iorio A, Irfan A, García LM, Mustafa RA, Ramírez-Morera A, Selva A, Solà I, Sanabria AJ, Tikkinen KAO, Vandvik PO, Zazueta OE, Zhou Q, Schünemann H, Guyatt GH. Systematic reviews suffer from major limitations in reporting absolute effects. J Clin Epidemiol. 2015 Nov

Akl EA, Carrasco-Labra A, Brignardello-Petersen R, Neumann I, Johnston BC, Sun X, Briel M, Busse JW, Ebrahim S, Granados CE, Iorio A, Irfan A, García LM, Mustafa RA, Ramírez-Morera A, Selva A, Solà I, Sanabria AJ, Tikkinen KAO, Vandvik P, Vernooij RWM, Zazueta OE, Zhou Q, Guyatt GH, Alonso-Coello P. Reporting, handling, and assessing the risk of bias associated with missing participant data in systematic reviews: a methodological survey. BMJ Open. 2015; 5(9): e009368

Ayeni F, Paul J. Examining the Role of Perioperative Nerve Blocks in Hip Arthroscopy - A Systematic Review. Journal of Arthroscopic and Related Surgery. Accepted December 2015

Buckley N. The prescription opioid epidemic: a call to action for our profession. CJA: 23 October 2015

Busse JW, Guyatt GH. Co-presentation of relative and absolute effects is essential to promote optimal interpretability of treatment effects. J Clin Epidemiol. 2015; 68(3): 355-6

Busse JW, Mahmood H, Maqbool B, Maqbool A, Zahran A, Mohammed A, Alshaqaq E, Persaud N, Cooper L, Carol A, Sumpton J, McGinnis E, Fowler MJ, Rosenbaum D, Lidster N, Buckley DM. Characteristics of Patients on Long-Term Opioid Therapy for Chronic Non-Cancer Pain: A Cross-Sectional Survey of Pain Clinic Attendees. CMAJ Open.2015; 3 (3): E324-E330

Busse JW, Bartlett S, Dougados M, Johnston BC, Guyatt GH, Kirwan J, Kwoh K, Maxwell LJ, Moore A, Singh JA, Stevens R, Strand V, Suarez-Almazor ME, Tugwell P, Wells G. Optimal Strategies for Reporting Pain in Clinical Trials and Systematic Reviews: Recommendations from a 2014 OMERACT Workshop. J Rheumatol. 2015 May 15. pii: jrheum.141440. [Epub ahead of print]

Busse JW, Ebrahim S, Heels-Ansdell D, Wang L, Couban R, Walter SD. The association of early opioid use, chiropractic care and physical therapy for acute low back pain with Workers' Compensation claim duration: An observational cohort study. BMJ Open. 2015; 5: e007836.

Berwanger O,Le ManachY, Suzumura EA, Biccard B, Srinathan SK, Szczeklik W, Espirito Santo JA, Santucci E, Cavalcanti AB, Archbold RA, Devereaux PJ; VISION Investigators. . Association between pre-operative statin use and major cardiovascular complications among patients undergoing non-cardiac surgery: the VISION study. Eur Heart J. September 2015 DOI: http://dx.doi.org/10.1093/eurheartj/ehv456

Canadian Pain Society Study Day Participants. Safety and Effectiveness of the Herpes Zoster Vaccine to Prevent Postherpetic Neuraligia: 2014 Update and Consensus Statement from the Canadian Pain Societ. Pain Res Manag. 2015; 20(1): 46-47

Collins GS, Ogundimu EO,Le Manach Y. Assessing calibration in an external validation study. Spine J. 2015 Nov 1;15(11):2446-7 Collins GS, Manach YL. Problems With the Development and Validation of a Prognostic Model. Am J Transplant. 2015 Sep;15(9):2529-30

http://fhs.mcmaster.ca/anesthesiaresearch/documents/BUSSE-SYSTEMATICREVIEWSNOV2015.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/BUSSE-SYSTEMATICREVIEWSNOV2015.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/MissingParticipantDatainSystematicReviews.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/MissingParticipantDatainSystematicReviews.pdf

http://us12.campaign-archive2.com/?u=1b51050bbb8b28c89fceb74e1&id=9d4c2204b9

http://www.sciencedirect.com/science/article/pii/S0895435614004697


http://us12.campaign-archive1.com/?u=1b51050bbb8b28c89fceb74e1&id=b0a29c2bb0



http://fhs.mcmaster.ca/anesthesiaresearch/documents/OptimalStrategiesforReportingPainJRheumatol2015.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/OptimalStrategiesforReportingPainJRheumatol2015.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/eurheartj.ehv456.full.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/eurheartj.ehv456.full.pdf

http://dx.doi.org/10.1093/eurheartj/ehv456

http://fhs.mcmaster.ca/anesthesiaresearch/documents/SafetyandEffectivenessoftheHerpesZosterVaccinetoPreventPostherpeticNeuraligia-2014UpdateandConsensusStatementfromtheCanadianPainSociety.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/SafetyandEffectivenessoftheHerpesZosterVaccinetoPreventPostherpeticNeuraligia-2014UpdateandConsensusStatementfromtheCanadianPainSociety.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/1-s2.0-S1529943015006300-main.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Collins_et_al-2015-American_Journal_of_Transplantation.pdf


Collins GS, Le Manach Y. Large study but weak test of internal validation. Arthritis Rheumatol. Vol 67(12), December 2015, p3327-3330

Collins GS, Le Manach Y. Flawed validation of FRAX. Bone. 2015 Jul 6

Collins GS,Le ManachY. Knowingly repeating an incorrect and inefficient analysis is flawed logic. Eur J Cardiothorac Surg. 2015 May 28

Cordovani L, Cordovani D. A literature review on observational learning for medical motor skills and anesthesia teaching. Adv in Health Sci Educ: Oct 2015. DOI 10.1007/s10459-015-9646-5

Dennis B, Roshanov P, Bawor M, Paul J, Varenbut M, Daiter J, Plater C, Pare G, Marsh D, Worster A, Desai D, Thabane L, Samaan Z.Usefulness of the Brief Pain Inventory in Patients with Opioid Addiction Receiving Methadone Maintenance Treatment. Pain Physician 2016; 19:E181-E195

Dennis B, Bawor M, Naji L, Chan C, Varenbut J, Paul J, Varenbut M, Daiter J, Plater C, Pare G, Marsh D, Worster A, Desai D, Thabane L, Samaan Z. Impact of Chronic Pain On Treatment Prognosis for Patients with Opioid Use Disorder: A Systematic Review and meta-analysis. Substance Abuse: Research and Treatment. 2015: 9 59-80 http://dx.doi.org/10.4137/SART.S30120.

Dennis B, Bawor M, Naji L, Chan C, Varenbut J, Paul J, Varenbut M, Daiter J, Plater C, Pare G, Marsh D, Worster A, Desai D, Thabane L, Samaan Z. Impact of Chronic Pain on Treatment Prognosis for Patients with Opioid Disorder: A Systematic Review and Meta-analysis. Substance Abuse: Research and Treatment. 2015 July: 9 1-22

Domuracki K, Wong A, Olivieri L, Grierson LEM. The impacts of observing flawed and flawless demonstrations on clinical skill learning. Medical Education 2015: 49: 186–192

Ebrahim S, Malachowski C, Kamal El Din M, Mulla SM, Montoya L, Bance S, Busse JW. Measures of patients' expectations about recovery: a systematic review. J Occup Rehabil. 2015; 25(1): 240-55. Forero M, Heikkila A, Paul J, Cheng J, Thabane L. Lumbar transversus abdominis plane block: the role of local anesthetic volume and concentration-a pilot, prospective, randomized controlled trial. Pilot and Feasibility Studies: (2015) 1:10 DOI 10.1186/s40814-015-0002-6

Hindle A, Cheng J, Thabane L, Wong A. Web-Based Learning for Emergency Airway Management in Anesthesia Residency Training. Anesthesiology Research and Practice. Vol. 2015, Article ID 971406, 6 pages, 2015. doi:10.1155/2015/971406

Kalfon P, Le Manach Y, Ichai C, Bréchot N, Cinotti R, Dequin PF, Riu-Poulenc B, Montravers P, Annane D, Dupont H, Sorine M, Riou B; CGAO-REA Study Group. Severe and multiple hypoglycemic episodes are associated with increased risk of death in ICU patients. Crit Care. 2015 Apr 8;19(1):153. [Epub ahead of print]

Khan J, Gilbert J, Sharma A,LeManachY, Yee D. Perspectives of anesthesia residents training in Canada on fellowship training, research, and future practice locatiion. Can J Anaesth. 2015 Sep;62(9):956-63

Khan J, Katz J, Montbriand J, Ladak S, McCluskey S, Srinivas C, Ko R, Grant D, Bradbury A, LeManach Y, Clarke H. Surgically placed abdominal wall catheters on postoperative analgesia and outcomes after living liver donation. Liver Transpl. 2015 Apr;21(4):478-86. doi: 10.1002/lt.24073. Epub 2015 Mar 12

Le Manach Y, Collins GS. Disagreement between cardiac output measurement devices: which device is the gold standard? Br J Anaesth. 2015 October 29

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Collins2015ArthritisRheumatology.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/download.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/357.1.full.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Aliteraturereviewonobservationallearningformedicalmotorskillsandanesthesiateaching.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Aliteraturereviewonobservationallearningformedicalmotorskillsandanesthesiateaching.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/BriefPainInventory.pdf



http://fhs.mcmaster.ca/anesthesiaresearch/documents/Impact-of-Chronic-Pain-on-Treatment-Prognosis-for-Patients-with-Opioid.pdf_6774_1copy.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Impact-of-Chronic-Pain-on-Treatment-Prognosis-for-Patients-with-Opioid.pdf_6774_1copy.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/ImpactofChronicPain.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/ImpactofChronicPain.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Theimpactsofobservingflawedandflawlessdemonstrationsonclinicalskilllearning.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Theimpactsofobservingflawedandflawlessdemonstrationsonclinicalskilllearning.pdf

http://link.springer.com/article/10.1007/s10926-014-9535-4/fulltext.html

http://link.springer.com/article/10.1007/s10926-014-9535-4/fulltext.html

http://us12.campaign-archive1.com/?u=1b51050bbb8b28c89fceb74e1&id=8be70ebcd1

http://us12.campaign-archive1.com/?u=1b51050bbb8b28c89fceb74e1&id=8be70ebcd1

http://fhs.mcmaster.ca/anesthesiaresearch/documents/WongetalWebbasedLearningarticle.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/WongetalWebbasedLearningarticle.pdf

http://www.ncbi.nlm.nih.gov/pubmed/25888011


http://fhs.mcmaster.ca/anesthesiaresearch/documents/CJAKhanandLeManach.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/CJAKhanandLeManach.pdf




http://fhs.mcmaster.ca/anesthesiaresearch/documents/Br.J.Anaesth.-2015-LeManach-bja_aev356.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Br.J.Anaesth.-2015-LeManach-bja_aev356.pdf


Le Manach Y, Collins G, Bhandari M, Bessissow A, Boddaert J, Khiami F, Chaudhry H, De Beer J, Riou B, Landais P, Winemaker M, Boudemaghe T, Devereaux PJ. Outcomes After Hip Fracture Surgery Compared With Elective Total Hip Replacement. JAMA. 2015;314(11):1159-1166. doi:10.1001/jama.2015.10842

Leslie K and the ENIGMA-II Investigators. Nitrous Oxide and Serious Long-term Morbidity and Mortality in the Evaluation of Nitrous Oxide in the Gas Mixture for Anaesthesia (ENIGMA)-II Trial. Anesthesiology: 123(6); 2015: 1267-1280

Maxwell LJ, Wells GA, Simon LS, Conaghan PG, Grosskleg S, Scrivens K, Beaton DE, Bingham III C, Busse JW, Christensen R, Goel N, Juni P, Kaiser U, Lyddiatt A, Mease P, Ostelo R, Phillips K, Sapunar D, Singh JA, Strand V, Taylor A, Terwee C, Tugwell P. The current state of reporting pain outcomes in Cochrane reviews of chronic musculoskeletal pain conditions and considerations for an OMERACT research agenda. J Rheumatol. 2015 Sep 15. pii: jrheum.141423. [Epub ahead of print]

McGillion MH, Turner A, Carroll SL, Furze G, Busse JW, Lamy A. Optimizing Self-Management to Reduce Chronic Pain and Disability after Cardiac Surgery. Br J Cardiol 2015; 22: 38-39

McMurtry A, Wilson K, Clarkin C, Walji R, Kilian BC, Kilian CC, Lohfeld L, Alolabi B, Hagino C, Busse JW. The development of vaccination perspectives among chiropractic, naturopathic and medical students: a case study of professional enculturation. Adv Health Sci Educ Theory Pract. 2015 Mar 25. [Epub ahead of print]

Mollon B, Lee A, Busse JW, Griffin AM, Ferguson P, Theodoropoulos J. The Effect of Surgical Synovectomy and Radiotherapy on the Rate of Recurrence of Pigmented Villonodular Synovitis of the Knee: An Individual Patient Meta-Analysis. Bone Joint J. 2015; 97-B: 550–7

Mulla SM, Wang L, Khokhar R, Izhar Z, Agarwal A, Couban R, Buckley DN, Moulin DE, Panju A, Makosso-Kallyth S, Turan A, Montori VM, Sessler DI, Thabane L, Guyatt GH, Busse JW. Management of central post-stroke pain: a systematic review of randomized controlled trials. Stroke. 2015;46: 2853-2860

Mulla SM, Maqbool A, Sivananthan L, Lopes LC, Schandelmaier S, Kamaleldin M, Hsu S, Riva JJ, Vandvik PO, Tsoi L, Lam T, Ebrahim S, Johnston BC, Olivieri L, Montoya L, Kunz R, Scheidecker A, Buckley DN, Sessler DI, Guyatt GH, Busse JW. Reporting of IMPACT-recommended core outcome domains among trials assessing opioids for chronic non-cancer pain. Pain. 2015 May 26. [Epub ahead of print]

Oczkowski S, Rochwerg B, Sawchuk C. Withdrawing versus not offering cardiopulmonary resusciation: Is there a difference? Can Respri J. 2015(1): 20-22

Paul JE, Nantha-Aree M, Buckley N, Cheng J, Thabane L, Tidy A, de Beer J, Winemaker M, WismerD, Punthakee D, Avram V. A Randomized Controlled Trial of Gabapentin as an Adjunct to Perioperative Analgesia in Total Hip Arthroplasty . Can J Anesth. 205 May; 62(5): 476-84

Poon E, Gilbert J, Centofanti JE, Buckley DN. Pain Teaching in the Undergraduate Medical Program in the Faculty of Health Science at McMaster University: A Curriculum Review. Journal PAIN. Submitted December 2014

Reininga IHF, Brouwer S, Dijkstra A, Busse JW, Ebrahim S, Wendt KW, el Moumni M. Measuring illness beliefs in patients with lower extremity injuries: Reliability and validity of the Dutch version of the Somatic Pre-Occupation and Coping questionnaire (SPOC-NL). Injury. 2015; 46(2): 308-14.

Schandelmaier S, Kasenda B, Conen K, Sun X, von Elm E, You J, Blümle A, Tomonaga Y, Saccilotto R, Amstutz A, Bengough T, Meerpohl J, Stegert M, Olu KK, Tikkinen KAO, Neumann I, Carrasco-Labra A, Faulhaber M, Mulla S, Mertz D, Akl EA, Bassler D, Busse JW, Ferreira-González I, Lamontagne F, Nordmann A, Gloy V, Raatz H, Moja L, Rosenthal R, Ebrahim S, Hemkens L, Vandvik PO, Johnston BC, Walter MA, Burnand B, Schwenkglenks M, Hemkens LG, Bucher HC, Cook DJ,

http://fhs.mcmaster.ca/anesthesiaresearch/documents/OutcomesafterHipFractureSurgerycomparedwithelectiveTHR.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/OutcomesafterHipFractureSurgerycomparedwithelectiveTHR.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/ENIGMA-IIlongtermfollow-up.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/ENIGMA-IIlongtermfollow-up.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/JRheumatol-2015-Maxwell-jrheum.141423.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/JRheumatol-2015-Maxwell-jrheum.141423.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Self-ManagementtoReduceChronicPainafterCardiacSurgery.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Self-ManagementtoReduceChronicPainafterCardiacSurgery.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/DevelopmentofVaccinationPerspectivesAmongDCNDandMDStudents.pdf



http://fhs.mcmaster.ca/anesthesiaresearch/documents/EffectofSurgicalSynovectomyandRadiotherapyonRecurranceofPVNSoftheKnee.pdf



http://fhs.mcmaster.ca/anesthesiaresearch/documents/Stroke-2015-Mulla-2853-60.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Stroke-2015-Mulla-2853-60.pdf



http://fhs.mcmaster.ca/anesthesiaresearch/documents/CommentarySawchukPublication.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/CommentarySawchukPublication.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/GabapentinforTHA-CJAarticle.pdf







Meade MO, Guyatt GH, Briel M,. Discontinued Randomized Trials in Intensive Care and Emergency Medicine: A Retrospective Cohort Study. Crit Care Med. 2015 Oct 14. [Epub ahead of print]

Schandelmaier S, Leibold A, Fischer K, Mager R, Hoffmann-Richter U, Bachmann MS, Kedzia S, Busse JW, Guyatt GH, Jeger J, Marelli R, De Boer WE, Kunz R. Attitudes towards evaluation of psychiatric disability claims: a survey of Swiss stakeholders. Swiss Med Wkly. 2015 Aug 21;145:w14160. http://www.smw.ch/content/smw-2015-14160/

Shanthanna, H. Investigating the Effects of Pulsed Radiofrequency on Dorsal Root Ganglion in Chronic Lumbar Radicular Pain Patients: Is It Not Important That We Ask the Right Question, the Right Way, on an Appropriate Sample of Patients? Pain Medicine. Dec 2015

Shanthanna, H., Mendis, N., Goel, A. Cervical Epidural Analgesia in Current Anaesthesia Practice: Systematic Review of it Clinical Utility and Rationale, and Technical Considerations. BJA July 7 2015.

Shanthanna, H.A misunderstood comment, on a misattributed error in a study manuscript: pulsed radiofrequency treatment as compared to conventional radiofrequency neurotomy for facet joint pain. Neuroradiology. 2015 May.

Stegert M, Kasenda B, von Elm E, You JJ, Blümle A, Tomonaga Y, Saccilotto R, Amstutz A, Bengough T, Briel M, Busse JW. DISCO study group. An analysis of protocols and publications suggested that most discontinuations of clinical trials were not based on preplanned interim analyses or stopping rules. J Clin Epidemiol. 2015 Jun 4. pii: S0895-4356(15)00267-X. doi: 10.1016/j.jclinepi.2015.05.023. [Epub ahead of print]

Steenstra I, Busse JW, Tolusso D, Davilmar A, Lee H, Furlan AD, Amick III B 3rd, Hogg-Johnson S. Predicting Time on Prolonged Benefits for Injured Workers with Acute Back Pain. J Occup Rehabil. 2015; 25(2): 267-78.

Sussman D, Paul J. The impact of transitioning from a 24-hour to a 16-hour call model amongst a cohort of Canadian anesthesia residents at McMaster University – a survey study. Advances in Medical Education and Practice Open Access http://dx.doi.org/10.2147/AMEP.S77389. 2015 August 7

Tugwell PS, Maxwell LJ, Beaton DE, Busse JW, Christensen R, Conaghan PG, Simon LS, Terwee C, Tovey D, Wells GA, Williamson P. Deliberative Dialogue on Developing Consensus on Measurement and Presentation of Patient Important Outcomes in Systematic Reviews: A Preconference Meeting at OMERACT 12. J Rheumatol. 2015 Feb 1. pii: jrheum.141430. [Epub ahead of print]

Weis CA, Stuber K, Nash J, Barrett J, Greco A, Kipershlak A, Glenn T, Desjardins R, Busse JW. Attitudes towards chiropractic: A survey of Canadian obstetricians. Journal of Evidence-Based Complementary & Alternative Medicine. 2015. [Epub ahead of print]

Zhang S, Paul J, Nantha-Aree M, Buckley N, Shahzad U, Cheng J, DeBeer J, Winemaker M, Wismer D, Punthakee D, Avram V, Thabane L. Reanalysis of morphine consumption from two randomized controlled trials of gabapentin using longitudinal statistical methods. Journal of Pain Research. 2015: Feb 9;8:79-85

Zhang Y, Montoya L, Ebrahim S, Busse JW, Couban R, McCabe RE, Bieling P, Carrasco-Labra A, Guyatt GH.Hypnosis/Relaxation Therapy for Temporomandibular Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Oral Facial Pain Headache. 2015; 29(2): 115-125

http://fhs.mcmaster.ca/anesthesiaresearch/documents/DiscontunationofRCTsinCriticalCare.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/DiscontunationofRCTsinCriticalCare.pdf

http://www.smw.ch/content/smw-2015-14160/

http://fhs.mcmaster.ca/anesthesiaresearch/documents/HShanthannaPainMedicineArticleDec2015.pdf



http://fhs.mcmaster.ca/anesthesiaresearch/documents/s1-ln20787470-642234239-1939656818Hwf-54387721IdV-102346793620787470PDF_HI0001_000.pdf



http://fhs.mcmaster.ca/anesthesiaresearch/documents/Neuroradiology.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Neuroradiology.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/PIIS089543561500267X.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/PIIS089543561500267X.pdf

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4436678/


http://fhs.mcmaster.ca/anesthesiaresearch/documents/AMEP-77389-the-impact-of-transitioning-from-a-24-hour-to-a-16-hour-call_080715.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/AMEP-77389-the-impact-of-transitioning-from-a-24-hour-to-a-16-hour-call_080715.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/DeliberativeDialogueonDevelopingConsensusonMeasurementandPresentationofPatientImportantOutcomesinSystematicReviews-APreconferenceMeetingatOMERACT12.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/DeliberativeDialogueonDevelopingConsensusonMeasurementandPresentationofPatientImportantOutcomesinSystematicReviews-APreconferenceMeetingatOMERACT12.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/BusseetalJournalofEvidenceBasedComplementaryAlternativeMedicine.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/BusseetalJournalofEvidenceBasedComplementaryAlternativeMedicine.pdf



http://fhs.mcmaster.ca/anesthesiaresearch/documents/Hypnosis-RelaxationTherapyforTemporomandibularDisorders.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Hypnosis-RelaxationTherapyforTemporomandibularDisorders.pdf


2014


Akl EA, Kahale LA, Agarwal A, Al-Matari N, Ebrahim S, Alexander PE, Priel M, Petersen RB, Busse JW, Diab B, Iorio A, Kwong J, Li L, Lopes LC, Mustafa R, Neumann I, Tikkinen KA, Vandvik PO, Zhang Y, Alonso-Coello P, Guyatt G. Impact of missing participant data for dichotomous outcomes on pooled effect estimates in systematic reviews: a protocol for a methodological study. Syst Rev. 2014; 3(1): 13

Bhandari M, Guyatt GH, Kulkarni AV, Devereaux PJ, Leece P, Bajammal S, Heels-Ansdell D, Busse JW.Perceptions of authors' contributions are influenced by both byline order and designation of corresponding author. J Clin Epidemiol. 2014 Jun 25. pii: S0895-4356(14)00126-7. doi: 10.1016/j.jclinepi.2014.04.006. [Epub ahead of print]

Buckley DN, Ibrahim M. Brief review: Obstetric care and perioperative analgesic management of the addicted patient. Can J Anaesth. 2014 Feb;61(2):154-63. doi: 10.1007/s12630-013-0084-7. Epub 2013 Dec 13.

Busse JW, Bruno P, Malik K, Connell G, Torrance D, Ngo T, Kirmayr K, Avrahami D, Riva JJ, Ebrahim S, Struijs P, Brunarski D, Burnie S, LeBlanc F, Coomes EA, Steenstra IA, Slack T, Rodine R, Jim J, Montori VM, Guyatt GH. An efficient strategy allowed English-speaking reviewers to identify foreign-language articles that met eligibility criteria for a systematic review of management for fibromyalgia. Journal of Clinical Epidemiology. 2014 Mar 5. pii: S0895-4356(13)00518-0. doi: 10.1016/j.jclinepi.2013.07.022. [Epub ahead of print]

Busse JW, Riva JJ, Rampersaud R, Goytan MJ, Feasby TE, Reed M, You JJ. Spine surgeons’ requirements for imaging at the time of referral: a survey of Canadian spine surgeons. Can J Surg 2014;57(2)E25-E30

Busse JW, Bhandari M, Einhorn TA, Heckman JD, Leung K-S, Schemitsch E, Tornetta III P, Walter SD, Guyatt GH; The TRUST Investigators. Trial to re-evaluate ultrasound in the treatment of tibial fractures (TRUST): a multicenter randomized pilot study. Trials. 2014; 15(1): 206. [Epub ahead of print]

Busse JW, Bruun-Meyer SE, Ebrahim S, Kunz R. A 45-year-old woman referred for an independent medical examination by her insurer. CMAJ. 2014 Sept 8. [Epub ahead of print]

Busse JW, Guyatt GH. Co-presentation of relative and absolute effects is essential to promote optimal interpretability of treatment effects. J Clin Epidemiol. 2014; doi: 10.1016/j.jclinepi.2014.11.012. [Epub ahead of print]

Boddaert J, Cohen-Bittan J, Khiami F, Le Manach Y, Raux M, Beinis JY, Verny M, Riou B. Postoperative admission to a dedicated geriatric unit decreases mortality in elderly patients with hip fracture. PLoS One. 2014 Jan 15;9(1):e83795. doi: 10.1371/journal.pone.0083795. eCollection 2014 Jan 15. PMID:24454708

Botto F, Alonso-Coello P, Chan MT, et al. Myocardial Injury after Noncardiac Surgery: A Large, International, Prospective Cohort Study Establishing Diagnostic Criteria, Characteristics, Predictors, and 30-day Outcomes. The VISION study investigators writing group. Anesthesiology. 2014 Mar;120(3):564-78. doi: 10.1097/ALN.0000000000000113. PMID:24534856

Collins GS, Le Manach Y. Issues in the design and analysis of a small external validation study. Pancreas. 2014 Jan;43(1):141-2. doi: 10.1097/MPA.0b013e31829fcf35. No abstract available. PMID: 24326369

Dennis BB, Samaan MC, Bawor M, Paul J, Plater C, Pare G, Worster A, Varenbut M, Daiter J, Marsh DC, Desai D, Thabane L, Samaan Z. Evaluation of clinical and inflammatory profile in opioid addiction patients with comorbid pain: results

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Obstetriccareandperioperativeanalgesicmanagementoftheaddictedpatient.pdf

http://canjsurg.ca/wp-content/uploads/2014/03/57-2-E25.pdf

http://canjsurg.ca/wp-content/uploads/2014/03/57-2-E25.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/A45-year-oldwomanreferredforanindependentmedical.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/A45-year-oldwomanreferredforanindependentmedical.pdf

http://www.jclinepi.com/article/S0895-4356(14)00469-7/abstract

http://www.jclinepi.com/article/S0895-4356(14)00469-7/abstract

http://www.plosone.org/article/fetchObject.action?uri=info:doi/10.1371/journal.pone.0083795&representation=PDF

http://www.plosone.org/article/fetchObject.action?uri=info:doi/10.1371/journal.pone.0083795&representation=PDF

http://fhs.mcmaster.ca/anesthesiaresearch/documents/f_NDT-72785-evaluation-of-clinical-and-inflammatory-profile-in-opioid-ad_111914_22484.pdf


from a multicenter investigation. Dove press journal: Neuropsychiatric Disease and Treatment. November 2014. 10 2239-2247

Devereaux PJ, Mrkobrada M, Sessler DI, Leslie K, Alonso-Coello P, Kurz A, Villar JC, Sigamani A, Biccard BM, Meyhoff CS, Parlow JL, Guyatt G, Robinson A, Garg AX, Rodseth RN, Botto F, Lurati Buse G, Xavier D, Chan MT, Tiboni M, Cook D, Kumar PA, Forget P, Malaga G, Fleischmann E, Amir M, Eikelboom J, Mizera R, Torres D, Wang CY, VanHelder T, Paniagua P, Berwanger O, Srinathan S, Graham M, Pasin L, Le Manach Y, Gao P, Pogue J, Whitlock R, Lamy A, Kearon C, Baigent C, Chow C, Pettit S, Chrolavicius S, Yusuf S; POISE-2 Investigators. Aspirin in patients undergoing noncardiac surgery. N Engl J Med. 2014 Apr 17;370(16):1494-503. doi: 10.1056/NEJMoa1401105. Epub 2014 Mar 31. PMID: 24679062 [PubMed - indexed for MEDLINE]

Devereaux PJ, Sessler DI, Leslie K, Kurz A, Mrkobrada M, Alonso-Coello P, Villar JC, Sigamani A, Biccard BM, Meyhoff CS, Parlow JL, Guyatt G, Robinson A, Garg AX, Rodseth RN, Botto F, Lurati Buse G, Xavier D, Chan MT, Tiboni M, Cook D, Kumar PA, Forget P, Malaga G, Fleischmann E, Amir M, Eikelboom J, Mizera R, Torres D, Wang CY, Vanhelder T, Paniagua P, Berwanger O, Srinathan S, Graham M, Pasin L, Le Manach Y, Gao P, Pogue J, Whitlock R, Lamy A, Kearon C, Chow C, Pettit S, Chrolavicius S, Yusuf S; POISE-2 Investigators. Clonidine in patients undergoing noncardiac surgery. N Engl J Med. 2014 Apr 17;370(16):1504-13. doi: 10.1056/NEJMoa1401106. Epub 2014 Mar 31.

Ebrahim S, Kunz R, Sava H, Busse JW. Ethics and legalities associated with independent medical evaluations. CMAJ. 2014 Feb 3.

Ebrahim S, Mollon B, Bance S, Busse JW, Bhandari M. Low-intensity pulsed ultrasonography versus electrical stimulation for fracture healing: a systematic review and network meta-analysis. Can J Surg. 2014 Jun;57(3):E105-E118

Ebrahim S, Malachowski C, Kamal El Din M, Mulla SM, Montoya L, Bance S, Busse JW. Measures of Patients' Expectations About Recovery: A Systematic Review. J Occup Rehabil. 2014 Aug 7. [Epub ahead of print]

Forero M, Leon S , Lopera L. Intervenciones en dolor cronico del hombro: Bloqueo suprascapular. Revista de la Asociacion Colombiana del Estudio del Dolor. (Colombian Association Study of Pain journal, Branch of IASP Colombia). Accepted for publication July 12 2014 . Journal edditor chief (Dr Carlos Restrepo)

Forero M, Kruisselbrink R, Leon S. Ultrasound guided peripheral nerve blocks for total knee arthroplasty in the context of severe aortic stenosis: avoiding the general anesthetic. Accepted for publication December 2014

Foucrier A, Rodseth R, Aissaoui M, Ibanes C, Goarin JP, Landais P, Coriat P, Le Manach Y. The Long-Term Impact of Early Cardiovascular Therapy Intensification for Postoperative Troponin Elevation after Major Vascular Surgery. Anesth Analg. 2014 Jun 16. [Epub ahead of print] PMID: 24937347 [PubMed - as supplied by publisher]

Garg AX, Kurz A, Sessler DI, Cuerden M, Robinson A, Mrkobrada M, Parikh CR, Mizera R, Jones PM, Tiboni M, Font A, Gomez VCMFR, Meyhoff CS, VanHelder T, Chan MTV, Torres D, Parlow J, Clanchet MdN, Amir M, Bidgoli SJ, Pasin L, Martinsen K, Malaga G, Myles P, Acedillo R, Roshanov PS, Walsh M, Dresser G, Kumar P, Fleischmann E, Villar JC, Painter T, Biccard B, Bergese S, Srinathan S, Cata JP, Chan V, Mehra B, Wijeysundera DN, Leslie K, Forget P, Whitlock R, Yusuf S, Devereaux PJ, for the POISE-2 Investigators. Perioperative Aspirin and Clonidine and Risk of Acute Kidney Injury: A Randomized Clinical Trial. JAMA. 2014; 312(21): 2254-2264

Hopkins JP, Riddle C, Hollidge M, Wilson SE. A systematic review of tetanus in individuals with previous tetanus toxoid immunization. Canada Communicable Disease Report. CCDR: Volume 40-17, October 16 2014

Johnston BC, Kanters S, Bandayrel K, Wu P, Naji F, Siemieniuk RA, Ball GDC, Busse JW, Thorlund K, Guyatt GH, Jansen JP, Mills EJ. Branded diets for weight loss: A mixed treatment comparison meta-analysis. JAMA. 2014; 312(9): 923-933

http://fhs.mcmaster.ca/anesthesiaresearch/documents/f_NDT-72785-evaluation-of-clinical-and-inflammatory-profile-in-opioid-ad_111914_22484.pdf

http://www.dovepress.com/evaluation-of-clinical-and-inflammatory-profile-in-opioid-addiction-pa-peer-reviewed-article-NDT

http://www.cmaj.ca/content/186/4/248.full.pdf+html

http://www.bmj.com/content/338/bmj.b351.pdf+html

http://www.bmj.com/content/338/bmj.b351.pdf+html

http://fhs.mcmaster.ca/anesthesiaresearch/documents/MeasuringPatientRecoveryExpectations-JOOR_2014.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/MeasuringPatientRecoveryExpectations-JOOR_2014.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/PerioperativeAspirinandClonidineandRiskofAcuteKidneyInjury.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/PerioperativeAspirinandClonidineandRiskofAcuteKidneyInjury.pdf

http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/14vol40/dr-rm40-17/dr-rm40-17-systematic-eng.php

http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/14vol40/dr-rm40-17/dr-rm40-17-systematic-eng.php

http://fhs.mcmaster.ca/anesthesiaresearch/documents/ComparisonofWeightLossAmongNamedDietProgramsinOverweightandObeseAdultsAMeta-analysis.pdf


Kasenda B, Sun X, von Elm E, Schandelmaier S, Blümle A, You J, Tomonaga Y, Saccilotto R, Amstutz A, Bengough T, Meerpohl J, Stegert M, Tikkinen KAO, Neumann I, Carrasco-Labra A, Faulhaber M, Mulla S, Mertz D, Akl EA, Bassler D, Busse JW, Ferreira-González I, Lamontagne F, Ebrahim S, Hemkens L, Nordmann A, Rosenthal R, Olu KK, Vandvik PO, Johnston BC, Walter MA, Schwenkglenks M, Moja L, Bucher HC, Guyatt GH, Briel M. Subgroup analyses in randomised controlled trials: cohort study on trial protocols and journal publications. BMJ. 2014; 349: g4539.

Kasenda B, von Elm E, You J, Blümle A, Tomonaga Y, Saccilotto R, Amstutz A, Bengough T, Meerpohl J, Stegert M, Tikkinen KAO, Neumann I, Carrasco-Labra A, Faulhaber M, Mulla S, Mertz D, Akl EA, Bassler D, Busse JW, Ferreira-González I, Lamontagne F, Nordmann A, Gloy V, Raatz H, Moja L, Rosenthal R, Ebrahim S, Schandelmaier S, Sun X, Vandvik PO, Johnston BC, Walter MA, Burnand B, Schwenkglenks M, Hemkens L, Bucher HC, Guyatt GH, Briel M. Prevalence, Characteristics, and Publication of Discontinued Randomized Trials. JAMA. 2014; 311(10): 1045-1051.

Kawchuk G, Newton G, Srbely J, Passmore S, Bussières A, Busse JW, Bruno P. Knowledge Transfer within the Canadian Chiropractic Community. Part 2: Narrowing the Evidence-Practice Gap. JCCA. 2014; 58(3): 206-214

Hoang-Kim A, Busse JW, Groll D, Karanicolas PJ, Schemitsch E. Co-morbidities in elderly patients with hip fracture: recommendations of the ISFR-IOF hip fracture outcomes working group. Arch Orthop Trauma Surg. 2014 Feb;134(2):189-95

Li L, Shen J, Bala MM, Busse JW, Ebrahim S, Vandvik PO, Rios L, Malaga G, Wong E, Sohani Z, Guyatt GH, Sun X.Incretin therapy and risk of pancreatitis in patients with type 2 diabetes mellitus: systematic review and meta-analysis of randomized and non-randomized studies. BMJ 2014; 348: g2366. Published 14 April 2014

MacDermid JC, Busse JW. Commentary on criterion measures in post-procedural pain trials. Pain. 2014 Apr 2. pii: S0304-3959(14)00154-7. doi: 10.1016/j.pain.2014.03.025. [Epub ahead of print]

Monneret D, Abbes RA, Omarjee R, Devilliers C, Le Manach Y, Raux M, Coriat P, Imbert-Bismut F, Bonnefont-Rousselot D. Analytical comparison of the new point-of-care troponin T immunoassay on AQT90Flex® analyzer (Radiometer) and the high-sensitivity troponin T immunoassay on ModularE170® (Roche Diagnostics). Clin Chem Lab Med. 2014 Jun 7. pii: /j/cclm.ahead-of-print/cclm-2014-0231/cclm-2014-0231.xml. doi: 10.1515/cclm-2014-0231. [Epub ahead of print] No abstract available. PMID: 24914726 [PubMed - as supplied by publisher]

Mulla SM, Buckley DN, Moulin DE, Couban R, Izhar Z, Agarwal A, Panju A, Wang L, Kallyth SM, Turan A, Montori VM, Sessler DI, Thabane L, Guyatt GH, Busse JW. Management of chronic neuropathic pain: a protocol for a multiple treatment comparison meta-analysis of randomised controlled trials. BMJ Open 2014;4:e006112. doi:10.1136/bmjopen-2014-006112

Oczkowski SJ, Rochwerg B, Sawchuk C. Withdrawing versus not offering cardiopulmonary resuscitation: Is there a difference? Can Respir J. 2014 Nov 13. pii: 16522. [Epub ahead of print]

Paul J, Buckley N, McLean R, Antoni K, Musson D, Kampf M, Buckley D, Marcoux M, Frketich R, Thabane L, Cheng J. Hamilton acute pain service safety study – using root cause analysis to reduce the incidence of adverse events. Anesthesiology. 2014 Jan 120(1):97-109

Rinehart J, Le Manach Y, Douiri H, Lee C, Lilot M, Le K, Canales C, Cannesson M. First closed-loop goal directed fluid therapy during surgery: A pilot study. Ann Fr Anesth Reanim. 2013 Dec 27. pii: S0750-7658(13)01227-6. doi: 10.1016/j.annfar.2013.11.016. [Epub ahead of print] PMID:24378044 Reininga IHF, Brouwer S, Dijkstra A, Busse JW, Ebrahim S, Wendt KW, el Moumni M. Measuring illness beliefs in patients with lower extremity injuries: Reliability and validity of the Dutch version of the Somatic Pre-Occupation and Coping questionnaire (SPOC-NL). Injury (2014), doi: 10.1016/j.injury.2014.08.042



http://fhs.mcmaster.ca/anesthesiaresearch/documents/ConcordanceofSubgroupAnalysesbetweenProtocolsandRCTsBMJ_2014.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/KTWithintheChiropracticCommunity_Part2-JCCA_2014.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/KTWithintheChiropracticCommunity_Part2-JCCA_2014.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/prevalencekasenda.PDF

http://fhs.mcmaster.ca/anesthesiaresearch/documents/prevalencekasenda.PDF

http://www.bmj.com/content/348/bmj.g2366.pdf+html



http://fhs.mcmaster.ca/anesthesiaresearch/documents/BMJOpen-2014-Mulla-.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/BMJOpen-2014-Mulla-.pdf



http://fhs.mcmaster.ca/anesthesiaresearch/documents/UsingRCAtoReducetheIncidenceofAdverseEvents.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/UsingRCAtoReducetheIncidenceofAdverseEvents.pdf

http://ac.els-cdn.com/S0750765813012276/1-s2.0-S0750765813012276-main.pdf?_tid=d55bb008-ecad-11e3-af42-00000aab0f6c&acdnat=1401971890_de72d789655cd2fce37e1f4fbb540049

http://ac.els-cdn.com/S0750765813012276/1-s2.0-S0750765813012276-main.pdf?_tid=d55bb008-ecad-11e3-af42-00000aab0f6c&acdnat=1401971890_de72d789655cd2fce37e1f4fbb540049





Rosenthal R, Kasenda B, Dell-Kuster S, von Elm E, You J, Blümle A, Tomonaga Y, Saccilotto R, Amstutz A, Bengough T, Meerpohl JJ, Stegert M, Tikkinen KA, Neumann I, Carrasco-Labra A, Faulhaber M, Mulla S, Mertz D, Akl EA, Bassler D, Busse JW, Ferreira-González I, Lamontagne F, Nordmann A, Gloy V, Olu KK, Raatz H, Moja L, Ebrahim S, Schandelmaier S, Sun X, Vandvik PO, Johnston BC, Walter MA, Burnand B, Schwenkglenks M, Hemkens LG, Bucher HC, Guyatt GH, Briel M. Completion and Publication Rates of Randomized Controlled Trials in Surgery: An Empirical Study. Ann Surg. 2014 Jun 27. [Epub ahead of print]

Stinson JN, Lalloo C, Harris L, Isaac L, Campbell F, Brown S, Ruskin D, Gordon A, Galonski M, Pink L, Buckley N, Henry JL, White M, Karim A. iCanCope with Pain: User-centred design of a web and mobile based self-management program for youth with chronic pain based on identified healthcare needs. Pain Res Manag. 2014 Jul 7. pii: 16110. [Epub ahead of print]

Shanthanna H, Ferrandis R, Goldkamp J. Stiff Man Syndrome. German Society of Anesthesiology. January 2014.

Shanthanna H, Chan P, McChesney J, Thabane L, Paul J. Pulsed radiofrequency treatment of the lumbar dorsal root ganglion in patients with chronic lumbar radicular pain: a randomized, placebo-controlled pilot study. Journal of Pain Research. 2014: 7 47-55.

Shanthanna H. Ultrasound guided selective cervical nerve root block and superficial cervical plexus block for surgeries on the clavicle. Indian J Anaesth 2014;58:327-9

Shanthanna H, Singh B, Guyatt G. A Systematic Review and Meta-Analysis of Caudal Block as Compared to Noncaudal Regional Techniques for Inguinal Surgeries in Children. BioMed Research International, vol. 2014, Article ID 890626, 17 pages, 2014.

Smith RS, Murkin JM. A Novel Assessment of Peripheral Tissue Microcirculatory Vasoreactivity Using Vascular Occlusion Testing During Cardiopulmonary Bypass. Journal of Cardiothoracic and Vascular Anesthesia. doi:10.1053/j.jvca.2014.03.016

Steenstra IA, Busse JW, Tolusso D, Davilmar A, Lee H, Furlan AD, Amick B 3rd, Hogg-Johnson S. Predicting Time on Prolonged Benefits for Injured Workers with Acute Back Pain. J Occup Rehabil. 2014 Aug 28. [Epub ahead of print]

Wong A, Trollope-Kumar K. Reflection: An inquiry into medical students’ professional identity formation. Medical Education. 2014: 48: 489–501

Youssef N, Orlov D, Alie T, Chong M, Cheng J, Thabane L, Paul J. What Epidural Opioid Results in the Best Analgesia Outcomes and Fewest Side Effects After Surgery?: A Meta-Analysis of Randomized Controlled Trials. Anesth Analg. 2014 Aug 14. [Epub ahead of print]

Book Chapters—2014

Ferreira-González I, Montori V, Busse JW, Schünemann H, Jaeschke R, Devereaux PJ, Permanyer-Miralda G, Guyatt G. Chapter 12.4. Composite Endpoints. In Users’ Guides to the Medical Literature. Ed. Guyatt G, Rennie D, Meade MO, Cook DJ. 3rd edition. McGraw-Hill. 2014

Y. Le Manach and G. Colins. Statistical methods in hemodynamic research. In: Perioperative Hemodynamic Monitoring and Goal Directed Therapy: From Theory to Practice. Cambridge University Press

T. Ligori. Modes of Ventilation and Ventilatory Strategies. In: Handbook of ICU Therapy, 3rd Edition, edited by John Fuller, Jeff Granton and Ian McConachie. Cambridge University Press



http://www.ijaweb.org/temp/IndianJAnaesth583327-3115443_083914.pdf

http://www.ijaweb.org/temp/IndianJAnaesth583327-3115443_083914.pdf

http://www.hindawi.com/journals/bmri/2014/890626/

http://www.hindawi.com/journals/bmri/2014/890626/

http://www.jcvaonline.com/article/S1053-0770(14)00114-1/abstract

http://www.jcvaonline.com/article/S1053-0770(14)00114-1/abstract

http://fhs.mcmaster.ca/anesthesiaresearch/documents/PredictingtimeonbenefitsforWorkerswithLBP_JOR_2014.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/PredictingtimeonbenefitsforWorkerswithLBP_JOR_2014.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Reflection-Aninquiryintomedicalstudentsprofessionalidentityformation.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Youssef2014AA-WhatEpiduralOpioidResultsintheBestAnalgesiaOutcomesandFewestSideEffectsAfterSu.pdf

http://fhs.mcmaster.ca/anesthesiaresearch/documents/Youssef2014AA-WhatEpiduralOpioidResultsintheBestAnalgesiaOutcomesandFewestSideEffectsAfterSu.pdf


2013


Alexander BS, Le Manach Y, Hofer CK, Tavernier B, Cannesson M. Impact of Heart Rate to Respiratory Rate Ratio on the Predictive Value of Pulse Pressure Variation in the Intraoperative Setting. ASA 2013

Alonso-Coello P, Carrasco-Labra A, Brinardello-Petersen R, Neumann I, Akl E, Sun X, Johnston BC, Briel M, Busse JW, Glujovsky D, Granados CE, Iorio A, Irfan A, García LM, Mustafa RA, Ramirez-Morera A, Solà I, Tikkinen KA, Ebrahim S, Vandvik PO, Zhang Y, Selva A, Sanabria AJ, Zazueta OE, Vernooij RW, Schünemann HJ, Guyatt GH. A methodological survey of the analysis, reporting and interpretation of Absolute Risk ReductiOn in systematic revieWs (ARROW): a study protocol. Systematic Reviews. 2013. 2(1):113

Busse JW, Riva JJ, Nash JV, Hsu S, Fisher CG, Wai EK, Brunarski D, Drew B, Quon JA, Walter SD, Bishop PB, Rampersaud R. Surgeon Attitudes Towards Non-Physician Screening of Low Back or Low Back-Related Leg Pain Patients Referred for Surgical Assessment: A Survey of Canadian Spine Surgeons. Spine (Phila Pa 1976). 2013; 38(7): E402–E408.

Busse JW, Schandelmaier S, Kamaleldin M, Hsu S, Riva JJ, Vandvik PO, Tsoi L, Lam T, Ebrahim S, Johnston BC, Oliveri L, Montoya L, Kunz R, Malandrino A, Bhatnagar N, Soobiah C, Wong A, Buckley N, Sessler D, Guyatt GH.Opioids for chronic non-cancer pain: a protocol for a systematic review of randomized controlled trials. Systematic Reviews. 2013, 2: 66 doi:10.1186/2046-4053-2-66

Cannesson M, Le Manach Y. In reply. Anesthesiology. 2013 Jun;118(6):1481. doi: 10.1097/ALN.0b013e3182910492. No abstract available.

Duranteau J, Le Manach Y. [delta] Opioid Receptor Antagonists: Do They Buy Time for Traumatic Hemorrhagic Shock Patients? Anesthesiology. 119(2):253-255, August 2013

Ebrahim S, Guyatt GH, Walter SD, Heels-Ansdell D, Bellman M, Hanna SE, Patelis-Siotis I, Busse JW.Association of Psychotherapy with Disability Benefit Claim Closure among Patients Disabled Due to Depression. PLoS ONE. 2013; 8(6): e67162. doi:10.1371/journal.pone.0067162

Johnston BC, Patrick DL, Busse JW, Schünemann HJ, Agarwal A, Guyatt GH. Patient-reported outcomes in meta-analyses -- Part 1: assessing risk of bias and combining outcomes. Health Qual Life Outcomes. 2013; 11(1): 109. doi: 10.1186/1477-7525-11-109.

Johnston BC, Patrick DL, Thorlund K, Busse JW, da Costa BR, Schünemann HJ, Guyatt GH. Patient-reported outcomes in meta-analyses - part 2: methods for improving interpretability for decision-makers. Health Qual Life Outcomes. 2013; 11(1): 211

Langeron O, Cuvillon P, Ibanez-Esteve C, Lenfant F, Riou B, Le Manach Y. Anesthesiology. 2013 Aug;119(2):491-2. doi: 10.1097/ALN.0b013e31829b5851

Le Manach Y, Hofer C, Vallet B, Tavernier B, Cannesson M. Anesthesiology. 2013 Sep;119(3):726-7. doi: 10.1097/ALN.0b013e31829e094e

Murgatroyd H, Forero M, Chin KJ. The Efficacy of Ultrasound-Guided Fascia Iliaca Block in Hip Surgery A Question of Technique? Reg Anesth Pain Med. 2013 Sep-Oct;38(5):459-60

http://www.asaabstracts.com/strands/asaabstracts/printAbstract.htm;jsessionid=A021501839F1B4AE59174BD06B1A9F8E?year=2013&index=4&absnum=3813&type=archive

http://www.asaabstracts.com/strands/asaabstracts/printAbstract.htm;jsessionid=A021501839F1B4AE59174BD06B1A9F8E?year=2013&index=4&absnum=3813&type=archive

http://www.systematicreviewsjournal.com/content/pdf/2046-4053-2-113.pdf



http://www.google.ca/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&ved=0CDIQFjAC&url=http://www.researchgate.net/publication/234157522_Surgeon_Attitudes_Towards_Non-Physician_Screening_of_Low_Back_or_Low_Back-Related_Leg_Pain_Patients_Referred_for_Surgical_Assessment_A_Survey_of_Canadian_Spine_Surgeons/file/50463516315eeace48.pdf&ei=0H2QU8_4FsGr8gHegoCgCA&usg=AFQjCNFMTVlWDpy8HxIuvpRXA7I2QIw5RQ&bvm=bv.68235269,d.b2U

http://www.google.ca/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&ved=0CDIQFjAC&url=http://www.researchgate.net/publication/234157522_Surgeon_Attitudes_Towards_Non-Physician_Screening_of_Low_Back_or_Low_Back-Related_Leg_Pain_Patients_Referred_for_Surgical_Assessment_A_Survey_of_Canadian_Spine_Surgeons/file/50463516315eeace48.pdf&ei=0H2QU8_4FsGr8gHegoCgCA&usg=AFQjCNFMTVlWDpy8HxIuvpRXA7I2QIw5RQ&bvm=bv.68235269,d.b2U










Paul JE, Nantha-Aree M, Buckley N, Cheng J, Thabane L, Tidy A, de Beer J, Winemaker M, Wismer D, Punthakee D, Avram V. Gabapentin did not reduce morphine consumption, pain, or opioid-related side effects in total knee arthroplasty. JBJS. 2013 Nov; 95-A(22):2060

Prutsky GJ, Domecq JP, Erwin PJ, Briel M, Montori VM, Akl EA, Meerpohl JJ, Bassler D, Schandelmaier S, Walter SD, Zhou Q, Coello PA, Moja L, Walter M, Thorlund K, Glasziou P, Kunz R, Ferreira-Gonzalez I, Busse J, Sun X, Kristiansen A, Kasenda B, Qasim-Agha O, Pagano G, Pardo-Hernandez H, Urrutia G, Murad MH, Guyatt G.Initiation and continuation of randomized trials after the publication of a trial stopped early for benefit asking the same study question: STOPIT-3 study design. Trials. 2013 Oct 16;14(1):335

Reade CJ, Riva JJ, Busse JW, Goldsmith CH, Elit L. Risks and benefits of screening asymptomatic women for ovarian cancer: A systematic review and meta-analysis. Gynecol Oncol. 2013; 130(3): 674-81.

Reddy D, Rodriguez A, Alsunbul W, Ling E, Kosick T, Reddy K. Endoscopic Associated Iatrogenic Terson’s Syndrome. The Canadian Journal of Neurological Sciences 2013 40(2): 265-26

Riva JJ, Wong JJ, Brunarski DJ, Chan A, Lobo RA, Aptekman M, Gupta A, Busse JW. Consideration of chronic pain in trials of exercise for diabetes: a systematic review of randomized controlled trials. 2013. PLoS ONE 8(8): e71021. doi:10.1371/journal.pone.0071021

Rodseth RN, Biccard BM, Chu R, Lurati B, Giovana A, Thabane L, Bakhai A, Bolliger D, Cagini L, Cahill TJ, Cardinale D, Chong CPW, Cnotliwy M, Di Somma S, Fahrner R, Lim WK, Mahla E, Le Manach Y, Manikandan R, Pyun WB, Rajagopalan S, Radović M, Schutt RC, Sessler DI, Suttie S, Vanniyasingam T, Waliszek M, Devereaux PJ. Postoperative B-type Natriuretic Peptide for Prediction of Major Cardiac Events in Patients Undergoing Noncardiac Surgery: Systematic Review and Individual Patient Meta-analysis. Anesthesiology. 119(2):270-283, August 2013.

Rodseth RN, Biccard BM, Le Manach Y, Sessler DI, Lurati Buse GA, Thabane L, Schutt RC, Bolliger D, Cagini L, Cardinale D, Chong CP, Chu R, Cnotliwy M, Di Somma S, Fahrner R, Lim WK, Mahla E, Manikandan R, Puma F, Pyun WB, Radović M, Rajagopalan S, Suttie S, Vanniyasingam T, van Gaal WJ, Waliszek M, Devereaux PJ. The prognostic value of preoperative and postoperative B-type natriuretic peptides (BNP and NT proBNP) in patients having noncardiac surgery: A systematic review and individual patient data meta-analysis. J Am Coll Cardiol. 2013 Sep 25. doi:pii: S0735-1097(13)05352-7. 10.1016/j.jacc.2013.08.1630.

Shanthanna H. Utility of Stellate Ganglion Block in Atypical Facial Pain: A Case Report and Consideration of Its Possible Mechanisms. Case Reports in Medicine. 2013. Article ID 293826, 3 pages.

Shanthanna H, Busse JW. Abnormal vaginal bleeding after epidural steroid injection: is there a cause for concern? Evidence Based Medicine. 2013. 10.1136/eb-2013-101582

Steenstra IA, Busse JW, Hogg-Johnson S. Chapter 16. Predicting Return to Work for Workers with Low Back Pain. In: Handbook for Work Disability Prevention. Springer. 2013. p. 255-266

Tashk P, Alexander BS, Hofer CK, Tavernier B, Goarin J, Cannesson M, Le Manach Y. Impact du rapport de la fréquence cardiaque sur la fréquence respiratoire sur la valeur prédictive de la variation respiratoire de la pression pulsée. SFAR2013-1835

Williams D, Petruccelli D, Paul J, Piccirillo L, Winemaker M, de Beer J. Continuous Infusion of Bupivacaine Following Total Knee Arthroplasty: A Randomized Control Trial Pilot Study. J of Arthroplasty 28 (2013), 479-484

Wong AK. Educational Technologies in Anesthesia Training. Anaesthesia International. Spring/Summer 2013; 7(1):10-13.

http://www.jbjs.org/content/jbjsam/95/22/2060.full.pdf?bypass_stamper=global

http://www.trialsjournal.com/content/14/1/335/abstract





http://cjns.metapress.com/content/3l441821603q8731/fulltext.pdf






http://downloads.hindawi.com/journals/crim/2013/293826.pdf

http://downloads.hindawi.com/journals/crim/2013/293826.pdf

http://ebm.bmj.com/content/19/2/e16.full.pdf+html

http://ebm.bmj.com/content/19/2/e16.full.pdf+html



CLINICAL SERVICES AND PROGRAMS


Hamilton Health Sciences

The Hamilton Health Sciences (HHS) Anesthesia Department is a tertiary care academic department composed of four sites and a multi-disciplinary pain clinic. Each site has its unique composition of perioperative, pain, and critical care services, offering a valuable clinical and academic experience for undergraduate and postgraduate learners, practicing anesthesiologists, and pain practitioners. The four sites include: Hamilton General Hospital (HGH), the Juravinski Hospital (JH), McMaster University Medical Centre (MUMC), and West Lincoln Memorial Hospital (WLMH). The DeGroote Pain Clinic is also part of the Department of Anesthesia. This report will highlight the clinical services, as well as the academic learning opportunities and research work. This report has a general introduction, a description of each site, the Preoperative Clinic, and Pain Services, followed by a general summary and future directions for the department.

Hamilton Health Sciences Anesthesia Department has 65 anesthesiologists. All balance clinical and academic work. Twenty-four thousand operative procedures were completed in 2015, with each of the last five years having comparable numbers. There are 18 geographical full time equivalents (GFTs), though all anesthesiologists have academic appointments and engage in clinical teaching of medical students and residents. Many contribute in the formal teaching program of both undergraduate and postgraduate medicine. HHS clinical educators, site leaders, subspecialty leaders, and others ensure we maximize educational and clinical experience opportunities. In addition, HHS anesthesiologists are active clinician researchers. It is notable that HHS Anesthesiologists are part of a multidisciplinary and multisite research trials with publications in reputable clinical and scientific journals with high-impact factors. These are clinician researchers with full time clinical practices who still contribute significantly to the research literature and impact upon best practices in anesthesia and perioperative care.

Three of the sites are situated in Hamilton within a short driving distance of each other. Most clinicians work at two of the three sites, while some work at all three sites, according to their subspecialty areas of interest and practice. Residents are generally assigned to services according to site allowing for focused learning in a familiar environment with consistent teaching, supervision, and feedback.

HAMILTON GENERAL HOSPITAL

The Hamilton General Hospital Site had 13 operating rooms, accommodating services including: cardiac surgery, neurosurgery, vascular surgery, trauma services, burns, general surgery, orthopedics (including orthopedic trauma), urology, plastic and maxillofacial surgery, as well as smaller case volumes of adult ear, nose, and throat,

Dr. Susan O’Leary Chief of Anesthesia,

Hamilton Health Sciences

“Dr. O’Leary has been recruited primarily to serve as Clinical Chief for the Department of Anesthesia, Hamilton Health Sciences. Her role as Chief does include the important element of support for the academic mission of the University department in the clinical sphere, and she has expressed considerable interest in being involved in academic activities particularly educational. Her primary role in research has been as a leader in research promotion, and most recently (2014) she facilitated and developed a strategic plan for research in the Discipline of Anesthesia at Memorial University of Newfoundland. Her goal to be a role model to medical students has led to a pursuit of continuing education to reinforce and expand her skills.”



and dental surgery. The very busy cardiac surgery service performs a variety of high-risk and routine procedures from elective coronary cardiac bypass to emergent aortic reconstruction, transcatheter aortic valve implantation (TAVI) or replacement (TAVR), and mitral valve clips. Last year, anesthesia provided services for 1800 cardiac cases. All cardiac anesthesiologists are proficient in transesophageal echocardiography and there is a growing interest in transthoracic echo and point of care ultrasound. The neurosurgery service has a large brain and spine surgical patient population. Recently, anesthesia became a part of the Endovascular Clot Retrieval Team for emergent management of stroke. The Anesthesia Department was an integral part in redevelopment of the Interventional Radiology suite, and is also involved in the development of two new hybrid operating rooms. Vascular surgery encompasses peripheral vascular as well as endovascular and open aortic aneurism repair. The large catchment area for trauma contributes to a high volume of multi-trauma patients frequently requiring emergent surgical and anesthesia care. Over 400 trauma cases were managed at HGH last year. In addition, there is a high volume of orthopedic trauma procedures scheduled on a daily basis. Two operating rooms are dedicated to emergent and urgent work daily with an almost equal amount of after hours OR work.

Outside the operating room, services are provided to the Heart Investigation Unit, Interventional and Diagnostic Radiology, Electrophysiological Lab, and occasional anesthetic services for other medical and surgical specialties. In the areas of Critical Care, anesthesia participates in consultative and intensivist care in three intensive care units of the Critical Care Department. We provide anesthesia expertise as part of the trauma team as trauma team leaders and members. Anesthesia care is also delivered to the Burn Unit patients by the trauma team. Anesthesia works as part of the operating room tram with surgery, nursing, respirology therapy, pharmacy, perfusion, biomedical, and other departments and services to carry out patient care from the preoperative to intraoperative and postoperative periods.

JURAVINSKI HOSPITAL SITE

The Juravinski Hospital site has 9 operating rooms with general and subspecialty surgical services. Oncology surgical procedures include orthopedic, colorectal, hepatobiliary, gynecological, and breast cancer. General surgery and urology procedures ass to the total number of approximately 6,800 cases in the JH operating room in the past year. Orthopedic services are primarily major total joint replacements; care of all hip fracture patients is carried out at this site. Outside the operating room, a sedation service is provided for select patients in the Interventional Diagnostic Imaging Suite and upon special request elsewhere. Anesthesia has been a key consultant in the design of a new hybrid Diagnostic Imaging Suite

under construction on this site. The anesthesia department liaises with both Intensive Care and Coronary Care teams for the perioperative management of high-rick patients, and has a consultative role in the care of most urgent and emergent cases at the JH operating room.

MCMASTER UNIVERSITY MEDICAL CENTRE

McMaster University Medical Centre (MUMC) houses the McMaster Children’s Hospital, and is the site for pediatric surgical and anesthesia services, as well as a small volume of adult outpatient procedures. The Pediatric Anesthesia group is a mix of anesthesiologists with Pediatric Fellowship who provide continuous coverage for high-risk pediatrics and neonates and generalists with experience in pediatrics. Anesthesia services for routine and tertiary-level pediatric and neonatal surgical cases include general surgery, ENT, urology, neurosurgery, orthopedics (including spine), and plastics (including cranial vault reconstruction). Anesthesia provided care for just over 5,000 cases last year with almost 100 of those being neonates. Overall, all neonatal and pediatric surgeries are performed, with the exception of cardiac and transplant procedures. A high-volume pediatric sedation service provides care in three satellite locations: MRI, CT, and Interventional Radiology. In addition, anesthesia care is available on medical units such as hematology, oncology, and GI endoscopy. Sedation nurses, anesthesia assistants, and a nurse practitioner support the pediatric sedation service and the anesthesiologists.


The Neonatal Intensive Care Unit is one of the largest in Canada and has a fairly significant neonatal surgical volume per year, including PDA ligations, neurosurgery, thoracic surgery, and laparotomies. The pediatric anesthesia team care for pediatric patients needing investigations or procedures at one of the other HHS sites, such as radiation treatments at the JH and neurointerventional at the HGH> Anesthesia assistants are an integral part of the Anesthesia Care Team at MUMC. These anesthesia assistants are particularly important to care of high-risk pediatric patients both inside and outside of OR settings.

Adult ambulatory and high-risk gynecological surgical procedures, adult ambulatory general surgery, orthopedics, and plastics procedures are performed at the MUMC site. Adult and pediatric anesthesiologists cover the adult caseload.

The Obstetrical Labour and Delivery Suite is located in the MUMC building as part of Women’s Health Services. There are, on average, 3,200 deliveries performed per year, and approximately 1,800 epidurals are placed. The caesarian section rate in 40%, with about 1% of those being general anesthetics. Approximately 25% of the deliveries are for high-risk pregnancies through the Matherno-fetal Medicine service. These high-risk patients very from severe maternal illnesses to fetal congenital abnormalities.

WEST LINCOLN MEMORIAL HOSPITAL

West Lincoln Memorial Hospital amalgamated with HHS in 2014. WLMH has two operating rooms, an obstetrical service, and emergency room, with anesthesia coverage for all three areas. Current surgical services include gynecology, general surgery, urology, and low-risk obstetrics. The six anesthesia providers at WLMH are General Practice Anesthetists with a practice mix of Family Medicine, Anesthesia, and Emergency Medicine. All of these anesthesia providers have trained through a Family Medicine Anesthesiology Program and are credentialed accordingly through HHS. A variety of learners attend to WLMH. Medical students and residents rotate through this hospital for anesthesia experience. The Family Practice Anesthesia Group is active in the hospital community, fulfilling roles from Chief of Staff and site leads for the Emergency Department, both of which are active in interdisciplinary education and various hospital committees.

PREOPERATIVE ANESTHESIA ASSESSMENT CLINIC

Three sites, the HGH, the JH, and MUMC, share Preoperative Assessment Clinic services. The physical location of the clinic is in the MUMC site. The clinic serves both the adult and pediatric patients for pre-operative anesthesia assessment, consultation and nursing assessment, and education, as well as pharmacy reconciliation of medications and pharmacologic therapies. A standardized electronic record is utilized by anesthesia to document the assessment and plan for anesthesia. All anesthesiologists rotate through the clinic, and residents have regularly scheduled days there. In the current climate for outpatient preoperative assessment, this learning and practice opportunity is essential for residents to hone skills of preoperative assessment with the guidance of the experienced clinician. This clinic has about 22,000 visits a year (combining both pediatric and adult numbers). WLMH has a different model of preoperative assessment, though they follow the same principles of patient care.

ACUTE AND CHRONIC PAIN SERVICES

HHS offers both acute and chronic pain services. The Acute Pain Service (APS) runs slightly differently in each of the three main sites to suit the needs of the patient populations. In recent years, the APS Service at HHS has been downsized and does not function at the level expected of a tertiary care academic hospital.

McMaster University Medical Centre (MUMC)


Currently this service is undergoing a renewal process to align the APS at HHS to the standards by which comparable centres in Ontario function. The DeGroote Pain Clinic is a thriving chronic pain clinic offering multi-disciplinary assessment and treatment. Fellows from a variety of entry specialties partake in a one-year fellowship or the two-year RCPSC Pain Residency. Pain management includes interventional modalities and a conventional team approach.

The Department of Anesthesia staff members participate in many HHS administrative and clinical care committees, groups, and interdisciplinary teams. Within the HHS organization, we maintain a high profile for the planning and execution of excellent patient care. Site and practice leaders, as well as subspecialty clinician experts, liaise with various hospital department and administrators for the advancement of best practices in patient care.

The future of this department is exciting—the patient numbers continue to grow, as does the complexity of our patients’ medical conditions and the surgical procedures. We will see some increase in the cardiac anesthesia services and electrophysiological lab coverage. The involvement in the Stroke Clot Retrieval program is one demonstration of our commitment to innovative patient treatments. We have a pediatric anesthesiologist joining the Pediatric Chronic Pain Program, and are actively recruiting another subspecialist in this area. Recruitment of the best and brightest Canadian and international anesthesiologists is very important. A newly-created Anesthesia Human Resource Committee is busy vetting applications and selecting the best candidates as we search for subspecialist and generalist anesthesiologists who best fit with our needs and bring additional expertise to our group.

A fleet of new anesthesia machines will replace the current machines with the first installation in the fall of 2016. In order to maintain standards of care, we strive to have the latest technology and anesthesia techniques. Budgetary constraints impose some restrictions on our equipment acquisitions, however, we effectively use out current equipment and technology to meet all standards of practice and education.

The highlight of the future of medical education is the introduction of Competency By Design (CBD) coming to Anesthesia Residency Training in 2017. Dr. Buckley and Dr. Raymer, along with a team tasked with implementing this new program, will have the full endorsement of our department. We recognize a big piece of CBD is the adoption by faculty of a somewhat new technique of teaching and learning. Constructive feedback to learners is one area for us to focus our own continuing professional development efforts.

The department is currently in the middle of a strategic planning exercise. By the fall of 2016, we will have a short-term two-year strategic plan. While the day-to-day business of the department carries on, three strategic directions with associated actions and timelines will ensure we continuously strive to advance as a unified group with a common vision. Staff anesthesiologists at HHS are dedicated to delivery of excellence in patient care, undergraduate and postgraduate teaching, and research, in keeping with the HHS and McMaster University missions.


Susam O’Leary Dr. Susan O’Leary Chief of Anesthesia, Hamilton Health Sciences

July 15, 2016


St. Joseph’s Healthcare Hamilton

The Department of Anesthesiology and Pain Management SJHH is located at a very busy teaching hospital with three sites: Charlton Campus, King Street Campus, and West 5th site.

We have 25 FTEs and 1 part-time member, as well as 7 Anesthesia Assistants and 1 Nurse Practitioner to help support our Acute Pain Service (APS). The vast majority of our staff are involved not only in clinical activity, but also in Undergraduate and Postgraduate Education, Administrative, and/or research roles. There is a clear mandate in the Department that all staff must not only be involved in clinical duties, but also in one of these aforementioned areas.

Regular educational Rounds are held at SJHH- “trouble” Rounds for Residents are led by a staff anesthesiologist on Tuesday mornings for all resident staff. There are morbidity and mortality rounds (presented by Anesthesia staff) and Residents Rounds (presented by Resident staff) once per month. We also have a dedicated anesthesia conference room within the operating room complex, supplied with white board, computers and telephones for staff and resident use. We offer multiple opportunities for student block and horizontal electives, as well as training for off-service residents (GIM, ICU, and ED). Several of our staff have trained in simulation training, and under the guidance of Dr. Peachey, teach at the simulation centre. Dr. Wong, our part-time staff at SJHH, is Associate Chair of Education for the Department of Anesthesia and Assistant Dean for the Program for Faculty Development. Two of our staff, Drs. Horner and Lajoie, are executive members of our Medical Staff Association. Dr. Lajoie is also medical lead for Hospital Flow and Dr. Baxter is medical lead for Patient Safety.

We are delighted that Dr. Joel Hamstra was selected for the CAS “John Bradley Young Educator Award 2016” and Dr. Fred Baxter for the CAS “Clinical Practitioner Award 2015”.

SJHH has a very active Anesthesia Assistant Program and these individuals are crucial to providing sedation to cataract patients at the King Street Campus and in the staffing of the Block Rooms at Charlton. They are an invaluable educational resource for the undergraduate and postgraduate learners.

The Charlton Campus has a very busy surgical program (11,836 cases performed each year, including 2,686 emergency cases). In addition, we have a low risk Birthing Unit, with 3,400 deliveries per year. The Charlton site is home to a number of centres of excellence, and has several very active surgical programs. We are the regional centre for Bariatric bypass surgeries (686); open laparoscopic, and robotic thoracics (830); major urology including robotic surgery; and cadaveric, live donor, and donor exchange renal transplantation (96). SJHH also

Dr. Janet Farrell Chief of Anesthesia,

St. Joseph’s Healthcare Hamilton


has busy head and neck oncology, orthopedics, and general and gynecological surgery programs.

To support this clinical activity, there is a very busy preoperative anesthesia assessment unit where the majority of patients are seen in the weeks prior to surgery. In the near future this unit will be transferred to the West 5th site where there are opportunities for improvement in flow and for ease of navigation of patients.

Our Department has developed a very busy and successful set of three block rooms, located in the Post Anesthetic Recovery Unit. These rooms are equipped with monitors, ultrasound machines, nerve stimulators, supply carts, and resuscitative equipment, providing a safe and private location for regional blocks to be performed on patients preoperatively. The success of these block rooms has been two-fold: they have assisted with improvement of patient flow (the blocks are performed in tandem with the OR cleanup and turnover), and there have been considerable savings in available operating time. The block rooms have also proved to be an excellent and relaxing teaching environment and have been applauded both by the Anesthesia Residents and by the Residency Program. A regional anesthesia Resident is assigned to the Block Room and is able to perform most of the blocks done on a daily basis under the direct supervision of the staff anesthesiologist. Numerous types of blocks, including upper and lower limb, spinals, and epidurals (abdominal and thoracic) are performed in the block room. In addition, the block rooms are used for intravenous and arterial line placement, as well as for topicalization for awake intubations. The Residents also have exposure to other blocks such as TAP and Bier Blocks.

In 2013, most anesthesia services for electroconvulsive therapy (with the exception of patients with serious comorbidities) were moved from Charlton to a state of the art facility at West 5th campus (a collaborative effort between Departments of Anesthesia, Psychiatry, and Redevelopment). There is a dedicated and private room for the treatments, affording considerable more privacy and dignity for the treatments. Resident involvement in ECT anesthesia has been regularly established.

The King Street Campus has four fully-equipped operating rooms and is used for ophthalmological surgery, chronic pain procedures, and outpatient plastic surgery. There are currently three chronic pain specialists in our Department, Drs. Forero, Shanthanna, and Chan, and these individuals see a large volume of patients in consultation and perform numerous chronic pain procedures at the King Street site. Dr. Chan has recently negotiated some financial support from the Province and this has allowed some expansion and reorganization of Chronic Pain services. As well as being Director

of the Chronic Pain Centre, Dr. Chan will be the program director for the upcoming Chronic Pain Residency Program.

The Department continues to support international education under the leadership of Drs. Dauphin and Hamstra. An exchange program has been established with Uganda and, more recently, with Guyana. A Guyanese resident was recently hosted by HHS and SJHH, and the city-wide department provided them with both teaching and financial support. SJHH also provides financial support to one Senior Resident per year to

spend an elective period in Uganda, and this has been a very successful initiative. St. Joseph’s Healthcare Hamilton—West 5th Campus

St. Joseph’s Healthcare Hamilton—Charleton Campus


Since the last Department Review in 2013, we have continued our research and publication output. We are still actively involved in the Hip Attack Project, ERAS, and the SameDay study (Dr. Shanthanna). Drs. Forero and Shanthanna have been particularly productive in the areas of research and publication.

As part of a four-year project in the Department, we have personally fundraised for a satellite blood bank, which has recently been installed in the OR at Charlton and will allow very rapid access to packed RBC (both crossmatched and O-) as needed. We have also successfully negotiated for a point of care testing device (GEM 4000), which has been a great improvement in attaining timely results in critical situations.

The Department has progressed well in the past three years, and we anticipate that this will continue with a commitment to exemplary clinical care, research, and educational endeavours.


Janet FarrellDr. Janet Farrell MD, FRCPC Anesthesia Clinical Professor, Chief of Anesthesia, St. Joseph’s Healthcare Hamilton

June 24, 2016



RELATIONSHIPS AND AFFILIATIONS


McMaster-Guyana Anesthesia Partnership The McMaster University Department of Anesthesia has recently formed a relationship with the Institute of Health Science Education (IHSE) at the Georgetown Public Hospital Corporation (GHPC) in Georgetown, Guyana. The McMaster University departments of Pediatrics and General Surgery have had longstanding relationships with the corresponding departments in Georgetown and have been instrumental in establishing residency training programs in their respective specialties. The McMaster Department of Anesthesia, in collaboration with the Canadian Anesthesiologists’ Society International Education Foundation (CASIEF), the Global Health Outreach (GHO) arm of the ASA, as well as the Northern Ontario School of Medicine, is looking to do the same. The Anesthesia residency training program in Guyana is in its early stages as there are currently two residents in third year (of a four-year program), one resident in second year, and four in first year. The anesthesia department in Guyana is looking for our help with the residency education. We will provide this help in several ways. First of all, a videoconferencing link has been established between our MUMC site and Guyana, hopefully allowing some live feed during our academic sessions. There is already a precedent for this in our Family Medicine-Anesthesia program. Secondly, it is the plan of the Department of Anesthesia to recruit Anesthesia faculty from McMaster to go to Guyana to provide both clinical and didactic teaching. An information evening about this was held on August 11, 2015, and attracted approximately 10 faculty members. Finally, there are plans in place to have residents from Guyana come to Hamilton to complete some of their clinical rotations in their senior year (much like residents we have had from Haiti and Uganda). The projected start date for this is January 2016. The McMaster-Guyana Anesthesia Partnership consisting of Drs. Norm Buckley, Alez Dauphin, Joel Hamstra, and Anne Wong look forward to your support and assistance in making this exciting project successful.

Dr. Anne Wong and Dr. Alez Dauphin in the Georgetown Public Hospital, Georgetown, Guyana

Dr. Joel Hamstra (centre) and Dr. Alez Dauphin (right) with members of the Guyana team


Shanghai Jiao Tong University Partnership

Our department has provided a highly rated five day workshop program for 25 visiting delegates from the Shanghai Jiatong University School of Medicine on “Approaches to Medical Education: Focus on Problem Based Learning” annually since 2011. The program draws from expert instructors from the Department of Anesthesia (and recently, from the Department of Pediatrics) and covers the broad spectrum of PBL at McMaster University, professional competences, simulation, and evidence-based medicine.

This educational program was initiated as a collaboration between the Department of Anesthesia and the Office of International Affairs at McMaster University. Drs. Edwin Ho, Rob Whyte, Greg Peachey, Jason Busse, Anne Wong, and Karen McAssey (Department of Pediatrics) facilitate seminars on problem-based learning and other approaches to medical education, medical education at McMaster University, as well as evidence-based medicine and simulation-based learning. It is a unique and fascinating opportunity to share and exchange ideas of medical education practices in Canada and China.

Uganda

Since 2000, we have established a flourishing resident exchange program with Makerere University and Mbarara University of Uganda. Dr. Stephen Ttendo, a former beneficiary of this training program and present Chief of the Department of Anesthesia in Mbarara University has had an affiliate assistant professor status with our department for the last four years. Ugandan residents are supported by our department for a four-month training period in their senior years so they can be exposed to a wide scope of anesthesia practice. On a yearly basis, we also support one to two McMaster anesthesia residents for a one-month elective in Uganda where they are exposed to an adapted high-training level into a low-resources environment. Most recently, we are supporting Dr. Andrew Kintu, a graduate from Makerere University’s anesthesia residency program, for a year bilateral obstetric fellowship.

Dr. Edwin Ho (left) and Dr. Anne Wong (centre) with the2015 Shanghai delegates

Dr. David Sussman (right), 2014 PGY-3 resident, with the medical team in Uganda during his international elective Dr. Andrew Kintu (left) and Dr. Stephen Ttendo (right) with

2016 PGY-5 resident Hilary MacCormick (centre) in Mbarara, Uganda during her international elective



STRENGTHS AND WEAKNESSES


Strengths and Weaknesses

“The major strength of our department is the people.”

The faculty and staff of the department are committed to the training of excellent clinicians. This commitment extends beyond the Faculty of Health Sciences to the University community, our hospital partners in Hamilton and the surrounding region, as well as through international outreach relationships in Haiti, Uganda, Guyana, and Shanghai.

The phrase “Leaders in Pain” was coined at our faculty retreat earlier this year. The DeGroote Institute for Pain Research and Care, the DeGroote National Pain Centre, and the Pain Medicine Residency Program are collaborating through research and education to provide tools and resources for the management of chronic pain, with the clinical services provided at both hospital sites- SJH and the DeGroote clinic at HHSC.

Our collaborations- with CEB, Psychology, Engineering, other clinical departments and the affiliated teaching hospital departments- present excellent academic opportunities. The pre-eminence of the Population Health Research Institute in the field of peri-operative research creates opportunity for our faculty members to participate in and lead trials in this field, a natural home for our members.

“We have seen the enemy and he is us”

The failure of communication of our achievements, goals and resources is a weakness that we have recognized. It is important to leverage relationships, communicate our successes, and showcase the department through events and messaging that is shared widely within our community and beyond our regional borders. A common vision between the academic centres and the hospital sites, supported by the Chair and Chiefs of Anesthesia, will clarify and strengthen roles of all team members.

Financial strength is currently reasonable but with a significant threat from the onset of Competency By Design, and a risk of diminishing income from Gulf States trainees.

Departmental revenues remain overwhelmingly based upon fee for service clinical earnings- approximately $30 million form this source, compared to just over $2 Million form the AFP and approximately $1 million from FHS sources.



GOALS FOR THE COMING YEARS


Goals for the Coming Years

“Together, Advancing Health Through Learning and Discovery”

Mission

“The Department of Anesthesia at McMaster University along with the other Canadian Academic Anesthesia Departments has the responsibility of providing leadership in the discipline of anesthesia. This is achieved through the conduct of fundamental and applied research. It is also achieved through a commitment to the highest level of teaching of students, colleagues, and the public. Integral to these goals is the organization and provision of safe and effective services in anesthesia by competent and caring physicians.”

Residents Exit Survey – to develop future needs based on our most experienced learners’ feedback

Develop concept around the entire spectrum of anesthesia related education:o Accreditation of the Simulation program and centre - expand services for evaluation and re-training of

individuals as a service offered to the RCPSC, CMPA or other licensing / certification bodieso Expansion of Clinical Fellowships offerings – Simulation, Cardio, and Obs/Gyn Fellowship Programs to be

defined, developed, and enhancedo Evidence Based Medicine in Anesthesia – establish approach as one of tenets of the department, seek

to expand our national presence, adapt to CME eligibility in professional development

The restructuring of educational processes necessary to put in place CBD may in fact also support creation ofContinuing Professional Education offerings for practicing anesthesiologists, including those who are in careerchanges or who have regulatory needs to upgrade their skills.

Expand upon research resources and projects:o Insurance/Disability industry – Evidence Informed Decision Making (chronic pain)o Evaluation of education processes – Competency By Design


Appendices and Additional Documentation

Section A PREVIOUS 5 YEAR REPORT – DATED 2013

Section B RESIDENCY PROGRAM REVIEW

Section C CRITICAL CARE MEDICINE (ADULT) RESIDENCY PROGRAM REVIEW

Section D ANESTHESIA INTERNAL PUBLICATIONS JOURNAL CLUBS ROUNDS EVENTS NEWSLETTERS RESIDENCY PROGRAM HANDBOOK

Section E ANESTHESIA FACULTY CV’S FULL TIME (GFT) FACULTY ASSOCIATE PART TIME FACULTY

The documents listed above are provided on a USB key


Additional Documentation

CURRICULUM VITAE

Faculty Appointment Category

PT/FT Rank

FULL TIME

Dr. Bruno Borges Special FT Assistant Professor

Dr. Norm Buckley CAWAR FT Professor Dr. Jason Busse CAWAR FT Associate Professor

Dr. Maria Calvo Special FT Assistant Professor

Dr. Daniel Cordovani Special FT Assistant Professor Dr. Brian Egier CAWAR FT Associate Professor

Dr. Mauricio Forero CAWAR FT Associate Professor

Dr. Yannick Le Manach Special FT Assistant Professor Dr. Richard McLean CAWAR FT Associate Professor Dr. Meena Nandagopal CAWAR FT Associate Professor

Dr. Manyat Nantha-Aree CAWAR FT Associate Professor Dr. Susan O’Leary CAWAR FT Associate Professor

Dr. James Paul Special FT Associate Professor

Dr. Harsha Shanthanna Special FT Assistant Professor Dr. Tal Shichor CAWAR FT Associate Professor

Dr. Taras Usichenko Special FT Professor

Dr. Robert Whyte CAWAR FT Associate Professor

Dr. Anne Wong CAWAR FT Professor

Dr. Carine Wood Special FT Assistant Professor

ASSOCIATE

Dr. Lehana Thabane Tenure FT Professor

PART TIME

Dr. Elaheh Adly Part Time PT Assistant Clinical Professor

Dr. Madi Ali Part Time PT Assistant Clinical Professor

Dr. Brijesh Arya Part Time—FHS PT Assistant Clinical Professor

Dr. Frederick Baxter Part Time—FHS PT Clinical Professor Dr. Adel Bengizi Part Time—FHS PT Assistant Clinical Professor Dr. Randy Benko Part Time—FHS PT Assistant Clinical Professor Dr. Nereja Bhola Part Time—FHS PT Assistant Clinical Professor

Dr. George Bibawi Part Time—FHS PT Assistant Clinical Professor

Dr. Allison Blain Part Time—FHS PT Assistant Clinical Professor

Dr. Philip Blew Part Time—FHS PT Associate Clinical Professor


Dr. Rafik Bolis Part Time—FHS PT Assistant Clinical Professor

Dr. Tracey Bruce Part Time—FHS PT Assistant Clinical Professor Dr. Michele Cappello Part Time—FHS PT Assistant Clinical Professor

Dr. Philip Chan Part Time—FHS PT Assistant Clinical Professor

Dr. Samieh Chavoshi Part Time—FHS PT Assistant Clinical Professor

Dr. Sean Curran Part Time PT Assistant Clinical Professor Dr. Jason Cyr Part Time PT Assistant Clinical Professor

Dr. Peter Darby Part Time—FHS PT Assistant Clinical Professor Dr. Mahmoud Darrat Part Time PT Assistant Clinical Professor

Dr. Alezandre Dauphin Part Time—FHS PT Clinical Professor Dr. Jonathan Dingle Part Time—FHS PT Assistant Clinical Professor Dr. Kurt Domuracki Pre-Faculty PT Clinical Scholar

Dr. Andrea Dower Part Time—FHS PT Assistant Clinical Professor Dr. Alejandro Elorriaga Part Time—FHS PT Assistant Professor Dr. Janet Farrell Part Time—FHS PT Clinical Professor Dr. Andrei Gagarine Part Time PT Assistant Clinical Professor

Dr. Kara Gibson Part Time PT Assistant Clinical Professor Dr. Joel Hamstra Part Time—FHS PT Assistant Clinical Professor

Dr. James Hankinson Part Time—FHS PT Assistant Clinical Professor Dr. Melanie Havers Part Time—FHS PT Assistant Clinical Professor

Dr. Gail Hirano Part Time—FHS PT Assistant Clinical Professor Dr. Edwin Ho Part Time PT Assistant Clinical Professor Dr. Melanie Hollidge Part Time—FHS PT Assistant Clinical Professor

Dr. Cynthia Horner Part Time—FHS PT Assistant Clinical Professor Dr. Michelle Isac Part Time PT Assistant Clinical Professor Dr. Paul Jackson Part Time—FHS PT Associate Clinical Professor

Dr. Susan Jo Pre-Faculty PT Clinical Scholar Dr. Joseph Kay Part Time—FHS PT Assistant Clinical Professor Dr. Binh Khong Part Time—FHS PT Assistant Clinical Professor

Dr. Richard Kolesar Part Time PT Associate Clinical Professor Dr. Linda Korz Part Time PT Associate Clinical Professor Dr. Greg Kostandoff Part Time PT Assistant Clinical Professor

Dr. Julie Lajoie Part Time—FHS PT Assistant Clinical Professor Dr. Lawrence Lesiuk Part Time PT Assistant Clinical Professor

Dr. Tania Ligori Part Time—FHS PT Assistant Clinical Professor Dr. Elizabeth Ling Part Time—FHS PT Clinical Professor Dr. Theodore Lombard Part Time PT Assistant Clinical Professor

Dr. Elizabeth Lubanska-Hubert Part Time—FHS PT Assistant Clinical Professor

Dr. Robert Martinek Part Time PT Assistant Clinical Professor

Dr. James McChesney Part Time—FHS PT Clinical Professor


Dr. Peter Moisiuk Part Time—FHS PT Assistant Clinical Professor

Dr. Julian Mulcaster Part Time PT Assistant Clinical Professor

Dr. Yvonne Murray Part Time—FHS PT Assistant Clinical Professor

Dr. Turlough O’Hare Part Time—FHS PT Assistant Clinical Professor

Dr. Linda Onorato Part Time—FHS PT Assistant Clinical Professor Dr. Anil Pandey Part Time—FHS PT Assistant Clinical Professor

Dr. Richard Parascandalo Part Time—FHS PT Assistant Clinical Professor Dr. Joseph Park Part Time—FHS PT Associate Clinical Professor Dr. Katherine Parlee Part Time—FHS PT Associate Clinical Professor Dr. Michael Parrish Part Time PT Associate Clinical Professor

Dr. Gregory Peachey Part Time—FHS PT Clinical Professor Dr. William Pine Part Time—FHS PT Assistant Clinical Professor

Dr. Stephen Puchalski Part Time PT Associate Clinical Professor Dr. Geoffrey Purdell-Lewis Part Time—FHS PT Clinical Professor

Dr. Karen Raymer Part Time—FHS PT Clinical Professor Dr. Desigen Reddy Part Time—FHS PT Associate Clinical Professor Dr. Brenda Reeve Part Time—FHS PT Assistant Clinical Professor

Dr. Christopher Ricci Part Time—FHS PT Associate Clinical Professor Dr. Joanna Rieber Part Time—FHS PT Assistant Clinical Professor

Dr. Peter Rondi Part Time—FHS PT Assistant Clinical Professor

Dr. Geoffrey Rosenblood Part Time—FHS PT Assistant Clinical Professor Dr. Peter Samuels Part Time PT Assistant Clinical Professor

Dr. Corey Sawchuk Part Time PT Associate Clinical Professor Dr. Robert Severs Part Time—FHS PT Assistant Clinical Professor

Dr. Saroo Sharda Part Time—FHS PT Assistant Clinical Professor Dr. Geeta Shetty Part Time—FHS PT Assistant Clinical Professor Dr. Peter Sirko Part Time—FHS PT Assistant Clinical Professor Dr. Richard Skala Part Time—FHS PT Assistant Clinical Professor

Dr. Alena Skrinskas Part Time—FHS PT Assistant Clinical Professor Dr. Markian Sluzar Part Time—FHS PT Assistant Clinical Professor

Dr. Ryan Smith Part Time—FHS PT Assistant Clinical Professor

Dr. James Starodub Part Time PT Assistant Clinical Professor

Dr. Laura Stover Part Time PT Assistant Clinical Professor

Dr. Summer Syed Part Time—FHS PT Assistant Clinical Professor Dr. Witold Szpejda Part Time—FHS PT Assistant Clinical Professor Dr. Stephen Ttendo Part Time PT Assistant Clinical Professor

Dr. Hanna Tuszynska Part Time—FHS PT Assistant Clinical Professor Dr. Tomas VanHelder Part Time—FHS PT Associate Clinical Professor

Dr. Adrienne Vraets Part Time—FHS PT Assistant Clinical Professor Dr. Amanda Whippey Part Time PT Assistant Clinical Professor


Dr. Joseph Woo Part Time—FHS PT Associate Clinical Professor

Dr. Nayer Youssef Part Time PT Assistant Clinical Professor Dr. Ramesh Zacharias Part Time—FHS PT Assistant Clinical Professor

Dr. Iwona Zieba Part Time—FHS PT Assistant Clinical Professor

PART TIME (ADJUNCT) Dr. Oladele Akinbolue Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Abdualla Alsefaou Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Carol Barrese Part Time PT Assistant Clinical Professor (Adjunct) Dr. Iqbal Biswas Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Gregory Bosey Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Elkin Castano Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Crystal Chettle Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Oliviera Ciganovic Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Robert Cramb Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Philippe Dass Part Time PT Assistant Clinical Professor (Adjunct) Dr. Maneesh Deshpande Part Time PT Assistant Clinical Professor (Adjunct) Dr. Ruslan Dorfman Part Time PT Assistant Clinical Professor (Adjunct)

Dr. Ahmed El Alfy Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Mary El Brakey Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Abdulhakim El Ghamudi Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Saramin Galinski Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Michael Gallagher Part Time PT Assistant Clinical Professor (Adjunct) Dr. Maria Gonzalez Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Christine Goossen Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Asha Gopinathan Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Ralph Grinberg Part Time PT Assistant Clinical Professor (Adjunct) Dr. Hala Hamed Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Philip Hanada Part Time PT Assistant Clinical Professor (Adjunct)

Dr. Ada Hindle Part Time PT Assistant Clinical Professor (Adjunct) Dr. Christopher Hinkewich Part Time PT Assistant Clinical Professor (Adjunct)

Dr. Craig Hogg Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Troy Johnson Part Time PT Assistant Clinical Professor (Adjunct) Dr. Andrew Klahsen Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. David Lagrotteria Part Time PT Assistant Clinical Professor (Adjunct)

Dr. Kevin Latchford Part Time PT Assistant Clinical Professor (Adjunct) Dr. Karen Leone Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Alison Ling Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Winifred Lloyd-Smith Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Anton Marinov Part Time PT Assistant Clinical Professor (Adjunct) Dr. Emad Maximous Part Time—FHS PT Assistant Clinical Professor


Dr. Charles McCormick Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Majid Morgan Part Time PT Assistant Clinical Professor (Adjunct) Dr. Ali Namazie Part Time PT Assistant Clinical Professor (Adjunct)

Dr. Tom Piraino Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Laura Puopolo Part Time PT Assistant Clinical Professor (Adjunct)

Dr. Adam Puzio Part Time—FHS PT Assistant Clinical Professor (Adjunct)

Dr. Anna Rozenberg Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Peter Samuels Part Time PT Assistant Clinical Professor (Adjunct) Dr. Davindra Singh Part Time PT Assistant Clinical Professor (Adjunct)

Dr. Kevin Smith Part Time PT Assistant Clinical Professor (Adjunct) Dr. Robert Smyth Part Time PT Assistant Clinical Professor (Adjunct)

Dr. Senthil Thiyagarajan Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Romanth Waghmarae Part Time—FHS PT Assistant Clinical Professor (Adjunct) Dr. Paul Westacott Part Time—FHS PT Assistant Clinical Professor (Adjunct)

2016 Department Review

Documents

Transcript of 2016 Department Review