November – December 2020 • Novembre – Décembre 2020

Can J Surg 2020 November-December;63(6)

Editorial • Éditorial

Do we need to reassess the meaning of “team” in our health care environments?
C.G. Ball, E.J. Harvey, M. Davis

Devons-nous revoir la définition d’« équipe » dans nos milieux de soins?
C.G. Ball, E.J. Harvey, M. Davis

Commentary • Commentaire

Invasive Candida albicans fungal infection requiring explantation of a noncrosslinked porcine derived biologic mesh: a rare but catastrophic complication in abdominal wall reconstruction
I. Ober, D. Nickerson, M. Caragea, C.G. Ball, A.W. Kirkpatrick

Review • Revue

Robot-assisted coronary artery bypass surgery: a systematic review and meta-analysis of comparative studies
F. Hammal, F. Nagase, D. Menon, I. Ali, J. Nagendran, T. Stafinski
[Appendix]

North–South surgical training partnerships: a systematic review
T. Greive-Price, H. Mistry, R. Baird
[Appendix]

Strategies to improve communication in telementoring in acute care coordination: a scoping review
L. Hampton, P. Brindley, A. Kirkpatrick, J. McKee, J. Regehr, D. Martin, A. LaPorta, J. Park, A. Vergis, L. Gillman

Do we have the guts to go? The abdominal compartment, intra-abdominal hypertension, the human microbiome and exploration class space missions
A.W. Kirkpatrick, D.R. Hamilton, J.L. McKee, B. McDonald, P. Pelosi, C.G. Ball, D.J. Roberts, P.B. McBeth, F. Coccolini, L. Ansaloni, B.M. Peireira, M. Sugrue, M.R. Campbell, E.J. Kimball, M.L.N.G. Malbrain

Research • Recherche

Predictors of farther mobilization on day of surgery and shorter length of stay after total joint arthroplasty
S. Gautreau, R. Haley, O.N. Gould, D.D. Canales, T. Mann, M.E. Forsythe

Derivation of a complication burden score based on disability-adjusted life years to assess patient burden following surgery: a pilot study
S. Mohtashami, N. Safa, E. Guadagno, R. Baird, D. Poenaru
[Appendix]

Examination of total hip and knee arthroplasty tissues
K. Cormier, M.K. Shahid, G. Fischer, E. Bohm

Return on investment of the Enhanced Recovery After Surgery (ERAS) multiguideline, multisite implementation in Alberta, Canada
N.X. Thanh, A. Nelson, X. Wang, P. Faris, T. Wasylak, L. Gramlich, G. Nelson

Thromboprophylaxis practice patterns and beliefs among physicians treating patients with abdominopelvic cancers at a Canadian centre
K. McAlpine, R.H. Breau, M. Carrier, P.D. Violette, C. Knee, I. Cagiannos, C. Morash, L.T. Lavallée
[Appendix]

Predictors of mortality and cost among surgical patients requiring rapid response team activation
A. Tran, S.M. Fernando, D.I. McIsaac, B. Rochwerg, G. Mok, A.J.E. Seely, D. Kubelik, K. Inaba, D.Y. Kim, P.M. Reardon, J. Shen, P. Tanuseputro, K. Thavorn, K. Kyeremanteng
[Appendix]

Discussions in surgery • Discussions en chirurgie

Can machine learning optimize the efficiency of the operating room in the era of COVID-19?
N. Rozario, D. Rozario
[Appendix]

Prospective study of single-stage repair of contaminated hernias with the novel use of calcium sulphate antibiotic beads in conjunction with biologic porcine submucosa tissue graft
A. Drohan, S. Minor

The Department of Surgery of the Université de Montréal, 70th anniversary
M. Carrier, L. Guertin,  J- F. Latulipe, M. Pellerin, S. Parent, A. Roy, L.P. Perrault

A systems approach to the management of acute surgical pain and reduction of opioid use: the approach of Oakville Trafalgar Memorial Hospital
D. Rozario
[Appendix]

Correction

Correction to “Do we have the guts to go? The abdominal compartment, intra-abdominal hypertension, the human microbiome and exploration class space missions”

Chief of Surgery: Humber River Hospital

Humber River Hospital. Lighting New Ways In Healthcare.

 width=Five years since opening our doors as North America’s first fully digital hospital and we remain unwavering in our belief that we can change the hospital where we work, the community where we live, and the world of healthcare beyond our borders. Serving a community of 850,000 residents in North West Toronto, Equity Inclusivity and active participation in the North West Toronto Ontario Health Team are key initiatives important to our Team.  At Humber River Hospital, we use a custom combination of technology and clinical expertise to rebuild elements of care. We make technology work for staff and physicians; giving them more time to spend with patients, to eliminate inefficiencies, and to reduce the chance of errors. Humber River Hospital is formally affiliated with both the University of Toronto and Queen’s University and committed to becoming a community academic hospital. Clinical Excellence, Optimizing Care Through Technology and Community Connection frame our Research Strategy.

At Humber River Hospital, we’re not hoping for a renaissance, we are making it happen. As part of our dynamic team, you can lead the way, as we continue our journey towards high reliability care!

EXCELLENT CAREER OPPORTUNITY

Right now we are looking for a:

CHIEF OF SURGERY

We have an exceptional opportunity for a self-motivated, visionary leader as a Chief of Surgery.  A consensus builder, in partnership with the Program Director, you will guide a dynamic Surgical Department of 85 Active Surgeons with many sub-specialties such as, orthopedics, urology, plastic & reconstructive, bariatric, oral, vascular, ophthalmology, otolaryngology, pediatric, and general surgery. Our affiliation with the University of Toronto and Queen’s University attracts medical students and residents to the hospital, providing academic opportunities and supporting an environment for excellence in patient care.

The candidate will collaborate with other key programs to meet organizational goals and objectives. A particular commitment to consensus building with all stakeholders within the Surgical program including, the Department of Anesthesia, the Clinical and Support staff, Hospital for Sick Kids Surgeons, Medical Directors and Division Heads is important to be successful.  Commitment to attend several key departmental and administrative meetings and active participation in the HRH physician leadership and engagement program is necessary.

The candidate will be an excellent communicator and be a strong advocate for hospital and departmental mission, vision and goals, including furthering academic and clinical programs development.

In this role, you will lead the surgical program at HRH in teaching and expansion of medical learner programs and hold an appointment at one of the University of Toronto or Queen’s University. Your support for medical learners is key to our strategic plan as an academic centre and our participation as a member of the Toronto Academic Health Science Network. To be successful you will have experience in leading or participating in Quality Improvement  initiatives. Working within the HRH Research agenda you will participate as a principal investigator or co-investigator of studies relevant to the surgical program.

In addition to demonstrated clinical excellence and outstanding interpersonal skills, you require surgical certification from the Royal College of Physicians & Surgeons of Canada and are a member of the College of Physicians & Surgeons of Ontario.

If you are interested in this exceptional opportunity, we ask that you forward a detailed letter of interest along with your curriculum vitae in confidence by Monday, February 15, 2021 to:

Dr. John Hagen
Chief of Staff,
Humber River Hospital,
1235 Wilson Avenue,
Toronto, ON M3M 0B2

Send via E-mail: ebruce@hrh.ca

Interested candidates who qualify will be contacted and may be asked to attend a pre-application interview. Selected candidates will be invited to submit a formal application for these positions. The hospital reserves the right not to appoint anyone to these positions.

www.hrh.ca

Reference #: S-834

Acute Care Surgeon Division of General Surgery, Sprott Department of Surgery, University Health Network University of Toronto

UHN logoThe Division of General Surgery in the Sprott Department of Surgery at the University Health Network and the University of Toronto are inviting applications for a full time faculty position as an Academic Acute Care Surgeon at the level of Assistant Professor. The effective date of this position is June 1, 2021. The successful candidate will support the clinical programs and academic mission of University Health Network, an academic institution fully-affiliated with the University of Toronto. The University Health Network is comprised of the Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute, and the Michener Institute. UHN is recognized internationally for excellence in patient care, innovation, research and education.

The successful candidate must have completed a residency program in general surgery and have FRCSC qualification in General Surgery from the Royal College of Physicians and Surgeons of Canada or equivalent. The candidate must hold, or be eligible for, licensure with the College of Physicians and Surgeons of Ontario. The successful candidate will have expertise and experience in the management and operative care of complex acute care surgical patients. A fellowship in Acute Care Surgery is an asset. The candidate will have demonstrated outstanding technical skills, the ability to work within a multidisciplinary team and to teach trainees at all levels. The successful candidate must also have strong interpersonal and communication skills and thrive within collaborative and interdisciplinary programs involving multiple specialties.

In addition, the candidate will develop an academic profile and body of work in the field of acute care surgery. Strong academic credentials are essential and evidence of productivity, excellence, and the potential to become an international leader is essential. The candidate will hold, or plan to obtain, a graduate degree (Masters or PhD). Start-up research support and mentoring will be provided.

There are 23 faculty members in the Division of General Surgery. Surgical practice at UHN is diverse and challenging. UHN is internationally recognized for surgical oncology, transplantation and minimally invasive surgery. In the Division of General Surgery, responsibilities will include general surgery call at the attending staff level, practical and didactic teaching of general surgery junior and senior residents, as well as general surgery fellows. This position entails 20 to 30 hours of didactic undergraduate medical student teaching per year, in addition to supervision of 10 to 20 on-service medical students per year.

The University of Toronto and the University Health Network are strongly committed to diversity within their communities and especially welcome applications from visible minority group members, women, Aboriginal persons, and persons with disabilities, members of sexual minority groups, and others who may contribute to the further diversification of ideas. All qualified candidates are encouraged to apply; however, Canadians and permanent residents will be given priority. For more information about the Faculty of Medicine/Department of Surgery, please visit our home page at http://surgery.utoronto.ca.

Please submit a letter of intent, CV and the name of three referees by February 1, 2021 to:
Allan Okrainec, MD, MHPE, FRCSC, FACS
Head, Division of General Surgery, UHN Peter A. Crossgrove Chair in General Surgery
Toronto General Hospital
10 Eaton Room 220
200 Elizabeth St.
Toronto, Ontario, Canada
M5G 2C4

Questions and correspondence should be directed to:
Deborah Wilson; deborah.wilson@uhn.ca
Voice: (416) 340-3573

Reference #: S-832

Endocrine Surgeon Division of General Surgery, Sprott Department of Surgery, University Health Network, University of Toronto

UHN logoThe Division of General Surgery in the Sprott Department of Surgery at the University Health Network and the University of Toronto are inviting applications for a full-time faculty position as an academic Endocrine Surgeon at the rank of Assistant Professor. The effective date of this position is May 1st, 2021.

The successful candidate will support the clinical programs and academic mission of University Health Network, which is an academic institution affiliated with the University of Toronto. The University Health Network is comprised of the Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, the Toronto Rehabilitation Institute and the Michener Institute.  UHN is recognized internationally for excellence in patient care, innovation, research and education.  The Division of General Surgery currently has 23 surgeons, 2 of whom specialize in Endocrine Surgery.

The successful candidate will have completed a residency program in general surgery as well as an American Association of Endocrine Surgeons accredited fellowship in endocrine surgery, (or equivalent) with an emphasis on thyroid and parathyroid oncology.  The candidate will have demonstrated outstanding technical skills, the ability to work within a multidisciplinary team and to teach trainees at all levels. The candidate will hold, or be eligible for, licensure with the College of Physicians and Surgeons of Ontario and be eligible for certification with the Royal College of Physicians and Surgeons of Canada.

Responsibilities will include general surgery call at the attending staff level, practical and didactic teaching of general surgery junior and senior residents, as well as general surgery oncology fellows.  This position entails 20 to 30 hours of didactic undergraduate medical student teaching per year, in addition to supervision of 10 to 20 on-service medical students per year.

The successful candidate will lead research academic initiatives focused on surgical education and will hold a graduate degree (Masters or PhD).  Evidence of strong academic commitment is required.  Additionally, evidence of productivity, excellence, and the potential to become an international leader is essential. Start-up research support and mentoring will be provided.

Please submit a letter of intent, CV and the name of three referees by February 1, 2021 to:

Allan Okrainec, MD, MHPE, FRCSC, FACS
Head, Division of General Surgery, UHN
Peter A. Crossgrove Chair in General Surgery
Toronto General Hospital
10 Eaton Room 220
200 Elizabeth St.
Toronto, Ontario, Canada
M5G 2C4

Questions and correspondence should be directed to:
Deborah Wilson;  deborah.wilson@uhn.ca
Voice: (416) 340-3573

The University Health Network and the University of Toronto are strongly committed to diversity within their communities and especially welcome applications from visible minority group members, women, Aboriginal persons, persons with disabilities, members of sexual minority groups, and others who may contribute to the further diversification of ideas. All qualified candidates are encouraged to apply; however, Canadians and permanent residents will be given priority.

For more information about the Faculty of Medicine/Department of Surgery, please visit our home page at http://surgery.utoronto.ca.

Reference #: S-833

Head, Department of Surgery, Dalhousie University Faculty of Medicine, Nova Scotia Health and IWK Health Centre, Halifax, Nova Scotia

Logos for Nova Scotia Health, IWK Health Centre and Dalhousie University

The Faculty of Medicine at Dalhousie University, Nova Scotia Health and the IWK Health Centre are jointly recruiting for the position of Head of the Department of Surgery.

The Department of Surgery is the second largest in Nova Scotia Health. It is an academic department of almost 300 members from within the Maritime Provinces, striving to promote innovations in surgical education and research, while advancing excellence in clinical care. In its central hub of the Halifax Regional Municipality, the Department of Surgery has approximately 100 members from 9 surgical disciplines providing tertiary and quaternary care for the Atlantic Provinces. The Department of Surgery offers residency and fellowship programs in most of its adult and pediatric surgical specialties distributed over a multitude of teaching hospitals in Nova Scotia, New Brunswick, and Prince Edward Island.

The headship is a combined clinical and academic position, which is unique when compared to many similar departments in Canada. The Head of the Department serves as a board member of the Canadian Association of Surgical Chiefs, liaising with other Department Heads to identify hurdles, which impact care, prioritize global solutions, and facilitate innovations, such as mentorship programmes for women in surgery. This position requires a significant role interfacing with Government to focus on a breadth of provincial issues from strategic perioperative planning to negotiation of an Academic Funding Plan.

The Head is responsible for overseeing all the academic surgical programs, all academic promotions and clinical appointments of faculty, as well as annual oversight visits to community Maritime hospitals. This position comes with the additional significant role of interfacing with all 9 Surgical Subspecialty Division Heads and senior hospital leadership, and when called upon, representing the Department in the media. The position is a five-year, limited term appointment with an underlying continuing academic appointment. The Department Head position is subject to renewal for a second five-year term conditional on satisfactory annual performance evaluations and a positive review of the first term as Head.

Home to three Dalhousie campuses, Halifax is a vibrant, coastal urban centre of 425,000 people that has everything you’d expect from a big city within a close-knit community. One of Canada’s fastest-growing cities, Halifax is home to innovative tech and entrepreneurial communities, as well as thriving financial and ocean technology sectors. Halifax plays an essential role in the economic development of the North Atlantic seaboard and fosters a flourishing offshore industry, ground-breaking life sciences research and development, and a wealth of business opportunities. Ranked as first among mid-sized cities in North America in overall cost competitiveness, Halifax is the economic leader in the region with the resource, labour force, and cost advantages to attract high-profile businesses. The spectacular location and creative sides of Halifax are what make the city truly one-of-a-kind. The city boasts a vibrant atmosphere including live Theatre, world-class Symphonic performances, and many museums and art galleries. Halifax is also home to sports franchises, rowing clubs, as well as an active inter-university sports scene, a thriving amateur sports culture, and many opportunities for personal fitness. There are also endless outdoor adventures to be had while kayaking, sailing, surfing, hiking, rock-climbing, skiing, whale watching, and more.

Dalhousie is the leading graduate and research university of Atlantic Canada, with more than 18,500 students, including 3,500 in graduate programs, from 115 countries. Its medical school (www.medicine.dal.ca), founded in 1868, teaches scientific excellence and humanity in medicine, facilitates leading health research, influences social and health policy, and helps drive the regional economy. Through Dalhousie, the Department of Surgery is affiliated with New Brunswick’s Horizon Health Network and has additional affiliated staff throughout the Maritime provinces.

Nova Scotia Health (http://www.nshealth.ca) is the largest employer in the province. More than 23,000 employees, 2,500 physicians and 7,000 volunteers combine to provide care at more than 45 facilities throughout the province. The Central Zone provides core health services to 400,000 Halifax region residents (40% of the population of Nova Scotia) and tertiary and quaternary acute care services to residents of Atlantic Canada. The QEII Health Sciences Centre is the principal teaching hospital affiliated with Dalhousie University, and a centre for health care research.

IWK Health Centre (https://www.iwk.nshealth.ca) provides quality care to women, children, youth, and families in the Maritimes and beyond. It is engaged in leading-edge research, works to promote healthy lifestyles for families, and supports education opportunities for health professionals and other learners. Services provided by the Health Centre are delivered through three programs: Children’s Health, Mental Health and Addictions, and Women’s and Newborn Health.

The successful applicant should have exceptional leadership skills as evidenced by experience in other leadership roles, and preferably certified leadership training. The individual’s leadership style should be able to foster trust, create open communication, and facilitate challenging decision-making, while promoting the personal growth of its members and enhancing innovation within the Divisions. The applicant should have a vision with short- and long-term goals and a plan of action for the advancement of the Department as a whole, while seeking to engage all its membership toward collective growth in all facets of clinical care, academic teaching and research. The successful candidate must have a medical degree or equivalent; must have or be eligible to obtain an active medical license in Nova Scotia; and must have specialty certification in a Surgical Discipline by the Royal College of Physicians and Surgeons of Canada or equivalent.

Applications must include a curriculum vitae and a summary statement of clinical, teaching, research and administrative interests. Review of applications will begin December 12, 2020 and will continue until the position is filled.

Dalhousie University is committed to fostering a collegial culture grounded in diversity and inclusiveness. The University encourages applications from Indigenous persons, persons with a disability, racially visible persons, women, persons of a minority sexual orientation and/or gender identity, and all candidates who would contribute to the diversity of our community.

If you are interested in the position and meet all of the above noted criteria, please apply through the following link: http://dal.peopleadmin.ca/postings/4614

Reference #: S-831

Ophthalmology Opportunities in Cranbrook

Cranbrook / Inquire about other urban sites
Interior Health logo
Cranbrook is a thriving city, cradled on a gentle plain by snow-capped mountains. Boasting the most sunshine in British Columbia, Cranbrook’s idyllic climate presents the perfect conditions for outdoor adventure. Hike or cycle the local trails, play a round of golf, or relax on one of the many lakes only minutes from the city. The mild winter is perfect for cross-country and alpine skiing at nearby resorts, or snowmobiling on the almost limitless network of trails. For more urban pursuits, Cranbrook offers shopping, cafés, sports arenas and a lively arts and cultural community. With Cranbrook’s magnificent scenery, friendly people, and abundant activities, it is the ultimate location to live, work and play.

Facility Details — East Kootenay Regional Hospital:

East Kootenay Regional Hospital in Cranbrook is a 77 bed regional referral centre, serving a catchment area of approximately 80,000 people in the East Kootenays. The 4 floor facility offers 24/7 emergency services with 16 beds, a brand new state of the art 6 bed ICU, a full range of medical and surgical services including Internal Medicine, Obstetrics and Gynecology, General Surgery, Orthopedics, Ophthalmology, ENT, Pathology, Psychiatry and Radiology and Urology.

Practice Details:

We seek a second general Ophthalmologist in Cranbrook, BC.  The ideal candidate would have the ability to perform basic oculoplastic procedures, but it is not mandatory.  The ophthalmologists serve the East Kootenay catchment area of approximately 82,000. Cranbrook offers an excellent ambulatory care facility, and the option to join an existing practice with a large patient base.

The successful applicant would ideally start by spring/summer 2020, but the start date is negotiable.  Volumes are manageable for a full time practice, and you would establish your own work schedule. There are no call requirements.  Both new graduates and experienced applicants will be considered.

Apply today to live, work and play where others only vacation! It’s better here!

Qualifications:

  • Royal College of Surgeons of Canada – Eligible
  • Doctorate in Medicine
  • College of Physicians and Surgeons of British Columbia: Full or  Provisional Licensure
  • CMPA Coverage

Call Schedule:

Hours of work: Full-time

On call requirements: none

Compensation:

  • Fee for service; Estimated gross income of $550-650K
  • Overhead: To be discussed
  • Relocation Reimbursement: $9,000-$15,000 based on whether interprovincial, within Canada or International)

RSA Incentives:

  • Recruitment incentive: $20,000.00 for full time (note: pro-rated if less)
  • Retention fee premium: 14%
  • Retention flat fee: $14,076.00
  • CME: Up to 2 years $1,800.00; In 3rd & 4th year $4,800.00; Over 4 years $7,800.00
  • Candidates with a BC or Canada student loan may be eligible for BC or Canada loan forgiveness programs.

(Note:  Some eligibility requirements apply and rates are subject to change annually; current rates are confirmed at time of offer)

Contact: Raimey Olthuis, raimey.olthuis@interiorhealth.ca
Direct Line: 250-469-7070 ext 13757 to learn more

Reference #: S-830

September – October 2020 • Septembre – Octobre 2020

Can J Surg 2020 September-October;63(5)

Editorial • Éditorial

A lost cohort of medical students
E.J. Harvey

Une cohorte perdue
E.J. Harvey

Commentary • Commentaire

Addressing the mental health of Canadians waiting for elective surgery: a potential positive post-pandemic legacy
S.M. Wiseman, T. Crump, E. Cadesky, J.M. Sutherland

Joint replacements in the Canadian Armed Forces
M. Talbot

Redesigning operating room booking in a tertiary care academic centre during the COVID-19 pandemic
M. Tanzer, S. Racaniello, L. Feldman

The impact of COVID-19 on the Canadian Kidney Paired Donation program: an opportunity for universal implementation of kidney shipping
T.B. McGregor, A. Sener, K. Yetzer, C. Gillrie, S. Paraskevas

Research • Recherche

Impact on cardiac surgery volume of a comprehensive partnership with Integrated Health Solutions
A. Watling, J. Doucet, M. Zohrabi, J. Fedirko, A. Hassan, S. Lutchmedial, J. MacLeod, Z. Pozeg, C. Brown, J-F. Légaré
[Appendix]

Evaluation of trauma resources in rural northern Alberta identifies opportunities for improvement
H.Y. Jiang, A. MacLean, J. Yoon, S. Hughes, M.J. Kim, R.V. Anantha, S.L. Widder; on behalf of the Edmonton Zone Trauma and Acute Care Collaborative (EZ-TRACC)
[Appendix]

General surgery in Canada: current scope of practice and future needs
T. Schroeder, C. Sheppard, D. Wilson; C. Champion, S. DiMillo, R. Kirkpatrick, S. Hiscock, R. Friesen, L. Smithson, P. Miles
[Appendix]

Direct anterior versus posterior approach for total hip arthroplasty: a multicentre, prospective, randomized clinical trial
K. Moerenhout, P. Derome, G.Y. Laflamme, S. Leduc, H.S. Gaspard, B. Benoit

Early identification of the need for major intervention in patients with traumatic hemorrhage: development and internal validation of a simple bleeding score
A. Tran, M. Taljaard, K.E. Abdulaziz, M. Matar, J. Lampron, E.W. Steyerberg, C. Vaillancourt
[Appendix]

Patterns of complex emergency general surgery in Canada
K.N. Vogt, L. Allen, P.B. Murphy, R. van Heest, F. Saleh, S. Widder, S. Minor, P.T. Engels, E. Joos, R. Nenshi, M.T. Meschino, C. Laane, A. Lacoul, N.G. Parry, C.G. Ball, S.M. Hameed
[Appendix]

The emergence of the physician assistant role in a Canadian acute care surgery setting
A. Lack, M. Saddik, P. Engels, S. Lethbridge, R. Nenshi

The predictors of Enhanced Recovery After Surgery utilization and practice variations in elective colorectal surgery: a provincial survey
J.E. Springer, A.G. Doumouras, S. Lethbridge; S. Forbes, C. Eskicioglu
[Appendix]

Assessment of quality-of-care indicators for colorectal cancer surgery at a single centre in a developing country
O. Vergara-Fernández, H. Rangel-Ríos, M. Trejo-Avila, E.S-G. Ramos, D. Velazquez-Fernandez

Provider caseload volume and short-term outcomes following colorectal surgeries in New Brunswick: a provincial-level cohort study
D.L. Crouse, J. Boudreau, P.S.J. Leonard, K. Pawluk, J.T. McDonald
[Appendix]

Canadian survey on the rates of use of intraoperative diuretics and justification for their use during renal allograft reperfusion
M.A. Levine, P.P. Luke, A. Sener

Discussions in surgery • Discussions en chirurgie

Modelling the backlog of COVID-19 cases for a surgical group
D.M. Brandman, E. Leck, S. Christie

Conducting an international curriculum review meeting in the age of COVID-19
R. Lett, R. Bola, R. Boniface, G. Eamer, G. Gathecha

Optimal treatments for hepato-pancreato-biliary trauma in severely injured patients: a narrative scoping review
L. Streith, J. Silverberg, A.W. Kirkpatrick, S.M. Hameed, O.F. Bathe, C.G. Ball

Pregnancy and parental leave among plastic surgery residents in Canada: a nationwide survey of attitudes and experiences
H. Augustine, S.A. Rizvi, E. Dunn, J. Murphy, H. Retrouvey, J.I. Efanov, A. Steve, B. Alhalabi, R. Avram, S. Voineskos

Correction

Correction to “Sustainability of an Enhanced Recovery After Surgery initiative for elective colorectal resections in a community hospital”

Academic/Community Vascular Surgeon Dalhousie University/Nova Scotia Health Authority

Dalhousie NS Health

The Division of Vascular Surgery at Dalhousie University and the Nova Scotia Health Authority are seeking to hire a full time academic/community Vascular Surgeon.  The position will be primarily located at the Halifax Infirmary but will have main responsibility to Eastern Zone (Cape Breton Regional Hospital). Responsibilities will also extend to all areas that the division covers including interprovincial care.

The successful candidate will join seven other vascular surgeons in the division. Support in the Eastern Zone will include 5 days/month physically at the Cape Breton Regional Hospital (joining the current surgeon providing care). During the time in Cape Breton, the clinical duties will include clinical/procedural vascular surgery, overseeing the vascular lab and supporting traveling clinics/telehealth.

The successful candidate must be a fellowship/residency-trained Vascular Surgeon. The candidate must be eligible for licensure in Nova Scotia.  Renumeration is based on a competitive alternate funding plan.

The Department of Surgery is committed to fostering a collegial culture grounded in diversity and inclusiveness.  The Department of Surgery encourages applications from Aboriginal people, persons with a disability, racially visible persons, women, and all candidates who would contribute to the diversity of our community

Applications, accompanied by a CV, statement of interests (clinical, educational, administrative and/or research interests), names of three referees, will be accepted until November 30, 2020 and should be sent to:

Dr. Gerald MacKean
Head, Division of Vascular Surgery
Room 4719, Halifax Infirmary
1796 Summer St.
Halifax, NS B3H 3A7

Email: lesli1.smith@nshealth.ca
Fax #: (902) 473-4442

Reference #: S-829

Full-time or part-time General Surgeons

Shouldice Hospital logo

Our client, Shouldice Hernia Hospital, is a world class hospital that specializes in external abdominal wall hernias.  Having successfully repaired over 380,000 hernias, their unique level of experience and expertise is unparalleled resulting in world class surgical outcomes and patient experience.  Located in the greater Toronto area in a serene estate like setting in beautiful Thornhill Ontario, Shouldice is a modern, 89-bed hospital facility with five specialized operating suites, an expert team of hernia surgeons and nurses, and a dedicated staff of over 150 people.

Their service oriented Surgical Team provides high quality care to patients who seek out the most experienced team of hernia surgeons in the world.  Shouldice is seeking full-time or part-time General Surgeons to join their elite team of highly skilled hernia surgeons.

Successful candidates will be FRCSC certified or eligible, and be eligible for licensure in the Province of Ontario.  Offering a highly collegial group practice environment with a comprehensive training and onboarding process, Shouldice Hernia Hospital provides a highly competitive salary, health benefits, paid vacation, CMPA fees, and professional dues.  This unique opportunity includes regular weekday OR and clinic schedule with very limited on-calls, fully provided support services – no overhead costs or OHIP billing responsibilities.

If you’re passionate about patient care, have superior surgical skills, and are interested in joining a world class surgical team in a unique practice environment, please forward a CV in confidence to:

Robb Callaghan, Vice President, Search Services
E-mail: rcallaghan@medfall.com
Tel: 289-238-9079


Medfall Group logo

Healthcare Executive & Physician Leadership Search
www.medfall.com

The Medfall Group is committed to the principles of equity, diversity, and inclusion for all candidates and these principles are integral to all of our processes. The Medfall Group and Shouldice Hernia Hospital will make arrangements for any required accommodation to candidates with disabilities in compliance with the Accessibility for Ontarians with Disabilities Act, 2005.

Reference #: S-828

Academic Minimally Invasive Surgeon: Dalhousie University and QEII Health Sciences Centre

Dalhousie NS Health

The Division of General Surgery at Dalhousie University and Nova Scotia Health are seeking to hire a full time academic Minimally Invasive Surgeon with a major interest in Bariatric and Endoscopic Surgery.  This position will have its clinical base at the QEII Health Sciences Centre in Halifax, Nova Scotia. The QEII Health Sciences Centre is the tertiary and quarternary care referral centre for approximately two million people in the Atlantic Provinces of Nova Scotia, New Brunswick, Prince Edward Island and Newfoundland. The state of the art QEII Simulation and Skills Centre is the located on the main campus.

The successful candidate will join two other Minimally Invasive Surgeons in our university based academic clinical practice, will be actively involved with medical student, resident and fellow training, and will take General Surgery call.  The successful candidate must be a fellowship-trained Minimally Invasive Surgeon with a defined clinical interest in Bariatric and Endoscopic Surgery.  They must demonstrate the potential for academic excellence with a research focus in an defined area consistent with the needs and strategic direction of the Department of Surgery.  Examples of such areas would include surgical education, translational research, health services research, quality assessment/improvement, and clinical trials. The candidate must be eligible for licensure in Nova Scotia.  Remuneration is based on a competitive alternate funding plan.

The Department of Surgery is committed to fostering a collegial culture grounded in diversity and inclusiveness.  The Department of Surgery encourages applications from Aboriginal people, persons with a disability, racially visible persons, women, and all candidates who would contribute to the diversity of our community

Applications, accompanied by a CV and names of three referees, will be accepted until October 16, 2020 and should be sent to:

Dr. James Ellsmere
Chair, MIS Search Committee
Associate Professor, Division of General Surgery
8-032 Centenniel Building
1276 South Park Street
Halifax, NS B3H 2Y9

Email: lesli1.smith@nshealth.ca
Fax #: (902) 473-4442

Cranbrook East Kootenay Regional Hospital: Ophthalmology

Cranbrook

Cranbrook is a thriving city, cradled on a gentle plain by snow-capped mountains. Boasting the most sunshine in British Columbia, Cranbrook’s idyllic climate presents the perfect conditions for outdoor adventure. Hike or cycle the local trails, play a round of golf, or relax on one of the many lakes only minutes from the city. The mild winter is perfect for cross country and alpine skiing at nearby resorts, or snowmobiling on the almost limitless network of trails. For more urban pursuits, Cranbrook offers shopping, cafés, sports arenas and a lively arts and cultural community. With Cranbrook’s magnificent scenery, friendly people, and abundant activities, it is the ultimate location to live, work and play.

Facility Details — East Kootenay Regional Hospital

East Kootenay Regional Hospital in Cranbrook is a 77 bed regional referral centre, serving a catchment area of approximately 80,000 people in the East Kootenays. The 4 floor facility offers 24/7 emergency services with 16 beds, a brand new state of the art 6 bed ICU, a full range of medical and surgical services including Internal Medicine, Obstetrics and Gynecology, General Surgery, Orthopedics, Ophthalmology, ENT, Pathology, Psychiatry and Radiology and Urology.

Practice Details

We seek a second general Ophthalmologist in Cranbrook, BC.  The ideal candidate would have the ability to perform basic oculoplastic procedures, but it is not mandatory.  The ophthalmologists serve the East Kootenay catchment area of approximately 82,000. Cranbrook offers an excellent ambulatory care facility, and the option to join an existing practice with a large patient base.

The successful applicant would ideally start by spring/summer 2020, but the start date is negotiable.  Volumes are manageable for a full time practice, and you would establish your own work schedule. There are no call requirements.  Both new grads and experienced applicants will be considered.

Apply today to live, work and play where others only vacation! It’s better here!

Qualifications:

  • Royal College of Surgeons of Canada – Eligible
  • Doctorate in Medicine
  • College of Physicians and Surgeons of British Columbia: Full or  Provisional Licensure
  • CMPA Coverage

Call Schedule:

Hours of work: Full-time

On call requirements: none

Compensation:

  • Fee for service; Estimated gross income of $550-650K
  • Overhead: To be discussed
  • Relocation Reimbursement: $9,000-$15,000 based on whether interprovincial, within Canada or International)

RSA Incentives:

  • Recruitment incentive: $20,000.00 for full time (note: pro-rated if less)
  • Retention fee premium: 14%
  • Retention flat fee: $14,076.00
  • CME: Up to 2 years $1,800.00; In 3rd & 4th year $4,800.00; Over 4 years $7,800.00
  • Candidates with a BC or Canada student loan may be eligible for BC or Canada loan forgiveness programs.

(Note:  Some eligibility requirements apply and rates are subject to change annually; current rates are confirmed at time of offer)

Reference #: S-825

July – August 2020 • Juillet – Août 2020

Can J Surg 2020 July-August;63(4)

Editorial • Éditorial

Leadership during the COVID-19 crisis and beyond
C.G. Ball

Le leadership pendant et après la crise de la COVID-19
C.G. Ball

Research • Recherche

Operative timing is associated with increased morbidity and mortality in patients undergoing emergency general surgery: a multisite study of emergency general services in a single academic network
M.T. Meschino, A.E. Giles, T.J. Rice, M. Saddik, A.G. Doumouras, R. Nenshi, L. Allen, K. Vogt, P.T. Engels
[Appendix]

Endovascular repair of abdominal aortic aneurysm in octogenarians: clinical outcomes and complications
S. Raju, N. Eisenberg, J. Montbriand, G. Roche-Nagle

Acute care surgery, trauma and disaster relief: a clinical exchange between the University of British Columbia and the Mexican Red Cross
J. Margolick, L. Yin, S. Joharifard, A. Afya, M. Velez, E. Meza, S. Sohani, C. Laane, E. Ball-Banting, E. Joos
[Appendix]

Feasibility analysis for the development of a video-assisted thoracoscopic (VATS) lobectomy 23-hour recovery pathway
T.-C. Dumitra, J.-C. Molina, J. Mouhanna, I. Nicolau, S. Renaud, L. Aubin, A. Siblini, D. Mulder, L. Ferri, J. Spicer

Iron deficiency in bariatric surgery patients: a single-centre experience over 5 years
B. Lowry, K. Hardy, A. Vergis

Discussions in surgery • Discussions en chirurgie

Surgical training in the midst of a pandemic: a distributed general surgery residency program’s response to COVID-19
G.C. Hintz, K.C. Duncan, E.M. Mackay, T.M. Scott, A.A. Karimuddin

A systematic review and meta-analysis of postoperative use of NSAIDs and risk of anastomotic leak
A.M. Morris, L. Temple, M. Raval; for the Evidence Based Reviews in Surgery Group

Does antibiotic therapy prevent fistula in-ano after incision and drainage of simple perianal abscess?
M.S. Brar, F. Remzi, J. Warusavitarne, I. Datta; for the Evidence Based Reviews in Surgery Group

Supplement

2020 Canadian Spine Society Abstracts

Chief, Department of Surgery

Children’s Hospital of Eastern Ontario–Ottawa Children’s Treatment Center

Children’s Hospital of Eastern Ontario–Ottawa Children’s Treatment Center

CHEO invites applications and nominations for the position of Chief, Department of Surgery. The Department of Surgery is committed to the delivery of exemplary care to the child and youth population of Eastern Ontario, Western Quebec and Nunavut. We seek an experienced academic leader who will oversee the safety and quality of care provided and be responsible for directing and developing the clinical, teaching and research activities of the Department of Surgery. In addition the Chief of Surgery is a member of CHEO’s Executive Leadership Team and is an active contributing member of the overall operational management of the hospital.

The Chief of Surgery oversees the surgical divisions of Cardiovascular Surgery, Dentistry, Neurosurgery, Orthopaedics, Otolaryngology, Paediatric and Adolescent Gynecology, Paediatric Surgery, Plastic Surgery and Urology. The Chief of Surgery works in close collaboration with the Chief of Anesthesiology and Director of Perioperative Services as operational co-leads of the perioperative leadership team as well as with the Director of Ambulatory Care as co-leads of surgical ambulatory services.

The successful candidate will hold an MD degree with further training and FRCSC or equivalent. The candidate will have strong leadership and operational skills and a proven record of excellence in clinical care and academics. The candidate should be eligible for a full time academic appointment at the rank of Associate or Full Professor in the Faculty of Medicine, University of Ottawa. Functionality in French is an asset.

Located in Ottawa, Ontario, CHEO is a Pediatric and Academic Health Services Center, including a specialized acute-care hospital, affiliated with the University of Ottawa. CHEO is a founding member of Kids Health Alliance, a network of partners working to create a high quality, standardized and coordinated approach to pediatric health care in Ontario that is centred on children, youth and their families. Ottawa and the surrounding National Capital Region is one of Canada’s most beautiful regions. The greater Ottawa area is home to 1.3 million people and provides a thriving, multicultural and bilingual environment rich with history and cultural activities in addition to an abundance of accessible sporting and natural resources.

Interested candidates should submit a covering letter and detailed curriculum vitae by August 13, 2020.

Dr. Lindy Samson
Chief of Staff and Chief Medical Officer
401 Smyth Road – Ottawa, ON K1H 8L1
mso@cheo.on.ca
613-737-7600 x 2606

All qualified candidates are invited to apply; however, preference will be given to Canadian citizens and permanent residents. When submitting your application, please indicate your current status. CHEO is an equal opportunity employer. We strongly encourage applications from women, Indigenous peoples, persons with disabilities and members of visible minorities.

Reference #: S-822

May – June 2020 • Mai – Juin 2020

Can J Surg 2020 May-June;63(3)

Editorial • Éditorial

Medical research during a pandemic
C.G. Ball, E.J. Harvey

La recherche médicale en temps de pandémie
C.G. Ball, E.J. Harvey

Commentary • Commentaire

Surgical wait list management in Canada during a pandemic: many challenges ahead
S.M. Wiseman, R.T. Crump, J.M. Sutherland

Prioritizing resident and patient safety while maintaining educational value: emergency restructuring of a Canadian surgical residency program during COVID-19
N. Gawad, C. Towaij, Tommy Stuleanu, C. Garcia-Ochoa, L.J. Williams

Research • Recherche

Distress in orthopedic trainees and attending surgeons: a Canadian national survey
C.M. Kollias, T. Okoro, T.V. Tufescu, V. Wadey

Guided-motion hinged knee replacement prosthesis: early survival rate and postoperative patient function and satisfaction
D.L. Perrin, T.R. Turgeon

Total hip arthroplasty in patients with fibrous dysplasia: a modern update
S. Garceau, Y. Warschawski, O. Safir, A. Gross, J. Wolfstadt, P. Kuzyk

Morbidity and mortality conferences in general surgery: a narrative systematic review
N. Slater, P. Sekhon, N. Bradley, F. Shariff, J. Bedford, H. Wong, C.J. Chiu, E.  Joos, C.G. Ball, M. Hameed

Enhanced recovery after video-assisted thoracoscopic surgery lobectomy: a prospective, historically controlled, propensity-matched clinical study
M Tahiri, E. Goudie, A. Jouquan, J. Martin, P. Ferraro, M. Liberman

Diagnosis and management of acute cholecystitis: a single-centre audit of guideline adherence and patient outcomes
A.E. Giles, S. Godzisz, R. Nenshi, S. Forbes, F. Farrokhyar, J. Lee, C. Eskicioglu
[Appendix]

The relationship between postoperative opioid consumption and the incidence of hypoxemic events following total hip arthroplasty: a post hoc analysis
M.N. Essex, F. Camu, A. Borgeat, P.A. Salomon, S. Pan, R. Cheung

Improved precision of radiographic measurements for distal radius fractures after a technique-teaching tutorial
S. Fox, G. Johnston, S. Stewart

Visceral artery pseudoaneurysm in necrotizing pancreatitis: incidence and outcomes
T.K. Maatman, M.A. Heimberger, K.A. Lewellen, A.M. Roch, C.L. Colgate, M.G. House, A. Nakeeb, E.P. Ceppa, C.M. Schmidt, N.J. Zyromski

Waste and recycling among orthopedic subspecialties
S. Kooner, C. Hewison, S. Sridharan, J. Lui, G. Matthewson, H. Johal, M. Clark

Surgeon clinical practice variation and patient preferences during the informed consent discussion: a mixed-methods analysis in lumbar spine surgery
A. Zahrai, K. Bhanot, X.Y. Mei, E. Crawford, Z. Tan, A. Yee, V. Palda
[Appendix]

Sustainability of an Enhanced Recovery After Surgery initiative for elective colorectal resections in a community hospital
A. Norman, K. Mahoney, E. Ballah, J. Pridham, C. Smith, P. Parfrey
[Appendix]

Opioid use trends in patients undergoing elective thoracic and lumbar spine surgery
A. Stratton, E. Wai, S. Kingwell, P. Phan, D. Roffey, M. El Koussy, S. Christie, P. Jarzem, P. Rasoulinejad, S. Casha, J. Paquet, M. Johnson, E. Abraham, H. Hall, G. McIntosh, K. Thomas, R. Rampersaud, N. Manson, C. Fisher

Traumatic spinal cord injuries among Aboriginal and non-Aboriginal populations of Saskatchewan: a prospective outcomes study
S.U. Ahmed, S. Humphreys, C. Rivers, M. Jeffrey, D.R. Fourney

Discussions in surgery • Discussions en chirurgie

The “teaching time-out”: a novel framework for surgical education
K. Guidolin, H. Yan, F. Quereshy
[Appendix]

Reducing time from colon cancer surgery to initiation of adjuvant chemotherapy: pilot project
B. Melosky, R.D. Peixoto, A.A. Karimuddin, M.J. Raval, C.J. Brown, A. Meneghetti, P.T. Phang

Leadership proficiency in surgery: lessons from the COVID-19 pandemic
D.H. Hirpara, B. Taylor

Postoperative fever in the time of COVID-19
J. Bourget-Murray, B.J. Heard, R. Bansal, A.S. Johnson, J. Powell

Interventional radiology-assisted transgastric endoscopic drainage of peripancreatic fluid collections
J. Hawel, H. McFadgen, R. Stewart, T. El-Ghazaly, A. Alawashez, J. Ellsmere
[Appendix]

Humanistic education in surgery: a “patient as teacher” program for surgical clerkship
J. Simpson, S. Ng, E. Kangasjarvi, C. Kalocsai, A. Hindle, A. Kumagai, T. Cil, D. Fenech, N. Ahmed, O. Rotstein
[Appendix]

Operating during COVID-19: Is there a risk of viral transmission from surgical smoke during surgery?
P. Vourtzoumis, N. Alkhamesi, A. Elnahas, J.E. Hawel, C. Schlachta

March – April 2020 • Mars – Avril 2020

Can J Surg 2020 March-April;63(2)

Editorial • Éditorial

COVID-19: a time of crisis, but also of surgical opportunity and optimism
C.G. Ball

COVID-19 : la crise peut aussi être source d’occasions et d’optimisme
C.G. Ball

Commentary • Commentaire

Fidelity in surgical simulation: further lessons from the S.T.A.R.T.T. course
G.G.R.J. Johnson, P.G. Brindley, L.M. Gillman

Review • Revue

Addressing organ shortages: progress in donation after circulatory death for liver transplantation
J.J. Nostedt, A.M.J. Shapiro, D.H. Freed, D.L. Bigam

Research • Recherche

Leveraging vascular quality initiative data to improve hospital length of stay for patients undergoing endovascular aneurysm repair
N. Eisenberg, G. Roche-Nagle, T.F. Lindsay, G. Oreopoulos

The surgeon’s perspective: a retrospective study of wide local excisions taken to healthy subcutaneous fat in the management of advanced hidradenitis suppurativa
E. Shavit, A. Pawliwec, A. Alavi, R. George

Unwarranted imaging for distant metastases in patients with newly diagnosed ductal carcinoma in situ and stage I and II breast cancer
S. Lupichuk, D. Tilley, B. Surgeoner, K. King, A.A. Joy

Development of a certification examination for orthopedic sports medicine fellows
T. Dwyer, J. Chahal, L. Murnaghan, J. Theodoropoulos, J. Cheung, A. McParland, D. Ogilvie-Harris

Idiopathic intracranial hypertension and bariatric surgery: a systematic review
W.Y. L. Sun, N.J. Switzer, J.T. Dang, R. Gill, X. Shi, C. de Gara, D. Birch, A. Nataraj, S. Karmali

Does exposure to anatomy education in medical school affect surgical residency applications? An analysis of Canadian residency match data
T. Schroeder, S. Elkheir, F. Farrokhyar, A. Allard-Coutu, K. Kahnamoui
[Appendix]

Does body mass index affect the rate of adverse outcomes in total hip and knee arthroplasty? A retrospective review of a total joint replacement database
I. Abdulla, S. Mahdavi, H. Khong, R. Gill, J. Powell, K.D. Johnston, R. Sharma

A 30-day prospective audit of all inpatient complications following acute care surgery: How well do we really perform?
C.G. Ball, P. Murphy, K. Verhoeff, O. Albusadi, M. Patterson, S. Widder, S.M. Hameed, N. Parry, K. Vogt, J.B. Kortbeek, A.R. MacLean, P.T. Engels, T. Rice, R. Nenshi, K. Khwaja, S. Minor, on behalf of the Canadian Collaborative on Urgent Care Surgery (CANUCS)

Turning a new “page”: ways to decrease the number of pages after hours without compromising patient care
A. Schröder, W.A. Farhat, D.J. Bägli, A.J. Lorenzo, M.A. Koyle
[Appendix]

One-stage versus 2-stage bilateral total joint arthroplasty: a matched cohort study
R. Saini, J. Powell, R. Sharma, S. Puloski, S. Mahdavi, C. Smith, K. Johnston

Factors that predict 30-day readmission after bariatric surgery: experience of a publicly funded Canadian centre
J.T. Dang, I. Tavakoli, N. Switzer, V. Mocanu, X. Shi, C. de Gara, D.W. Birch, S. Karmali

Does surgical approach influence mid- to long-term patient-reported outcomes after primary total hip replacement? A comparison of the 3 main surgical approaches
R. Galmiche, S. Poitras, J. Dobransky, P.R. Kim, R.J. Feibel, W. Gofton, H. Abdelbary, P.E. Beaulé

Discussions in surgery • Discussions en chirurgie

Heroes, citizens, and the shoulders of giants
D.R. Urbach

The next step in surgical quality improvement: outcome situational awareness
W.B. Lyman, M. Passeri, K. Murphy, A. Cochran, D.A. Iannitti, J.B. Martinie, E.H. Baker, B.D. Matthews, D. Vrochides

Supplement

COVID-19: Guidance for management of cancer surgery