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

January – February 2020 • Janvier – Février 2020

Can J Surg 2020 Jan-Feb;63(1)

Editorial • Éditorial

Can we use levels of evidence to make a decision?
E. Harvey

Peut-on se fier aux niveaux de preuve pour prendre des décisions?
E. Harvey

Research • Recherche

Postoperative opioid-prescribing patterns among surgeons and residents at universityaffiliated hospitals: a survey study
A. Goel, A. Feinberg, B. McGuiness, S. Brar, S. Srikandarajah, E. Pearsall, R. McLeod, H. Clarke
[Appendix]

Implementing new surgical technology: a national perspective on case volume requirement for proficiency in transanal total mesorectal excision
V.N. Palter, S.L. de Montbrun

Management of rectal cancer in Canada: an evidence-based comparison of clinical practice guidelines
Z.M. Mir, D. Yu, S.J. Merchant, C.M. Booth, S.V. Patel

The TRAAGIC score: early predictors of inpatient mortality in adult trauma patients
K. Kahnamoui, P. Lysecki, C. Uy, F. Farrokhyar, L. VanderBeek, G.-G. Akhtar-Danesh, S. Kahnamoui, N. Sne

An alternative to standard lumpectomy: a 5-year case series review of oncoplastic breast surgery outcomes in a Canadian setting
S. Knowles, J. Maxwell, A. Lumsden, L. Pearson, J. Pulhin, J. McLean, M. Brackstone, R. Hanrahan

The economic impact of periprosthetic infection in total hip arthroplasty
J. Akindolire, M.W. Morcos, J.D. Marsh, J.L. Howard, B.A. Lanting, E.M. Vasarhely

Evaluating the utility of computed tomography of the chest for gastric cancer staging
J. Nostedt, L. Gibson-Brokop, S. Ghosh, M. Seidler, M. McCall, D. Schiller

A novel online education module to teach clinicians how to correctly identify ultrasonographic features of mediastinal lymph nodes during endobronchial ultrasound
D.A. Hylton, Y. Shargall, C. Finley, J. Agzarian, C. Fahim, W.C. Hanna

Evaluation of repeat cytoreductive surgery and heated intraperitoneal chemotherapy for patients with recurrent peritoneal carcinomatosis from appendiceal and colorectal cancers: a multicentre Canadian study
E. Jost, L.A. Mack, L. Sideris, P. Dube, W. Temple, A. Bouchard-Fortier

Venous thromboembolism in emergency general surgery patients: a single-centre retrospective cohort study
M. Yang, P.B. Murphy, L. Allen, N. Sela, S. Govind, K. Leslie, K. Vogt
[Appendix]

Discussions in surgery • Discussions en chirurgie

Surgeon attitudes toward point of care ultrasound for biliary disease: a nationwide Canadian survey
J. Koichopolos, R. Hilsden, F. Myslik, D. Thompson, J. Vandelinde, R. Leeper

Necessity is the mother of invention: William Stewart Halsted’s addiction and its influence on the development of residency training in North America
J.R. Wright Jr., N.S. Schachar
[Appendix]

Development of a clinical pathway for enhanced recovery in colorectal surgery: a Canadian collaboration
L.M. Gramlich, B. Surgeoner, G. Baldini, E. Ballah, M. Baum, F. Carli, A.A. Karimuddin, G. Nelson, P. Richebé, D. Watson, C. Williams, C. LaFlamme, Enhanced Recovery Canada

Capturing adverse events in elective orthopedic surgery: comparison of administrative, surgeon and reviewer reporting
K Garland, B.P. Chen, S. Poitras, E.K. Wai, S.P. Kingwell, D.M. Roffey, P.E. Beaulé
[Appendix]

Older patients with differentiated thyroid cancer exhibit more aggressive pathological characteristics than younger patients
J. Johar, H. Britton, S.M. Wiseman

Otolaryngology Opportunities in Kamloops & Trail

KAMLOOPS

Community Details
Interior Health logoKamloops is a vibrant city of 90,000, set on a vast landscape of sandstone canyons, grasslands and evergreen timberlands. Here you can enjoy all the amenities of a big city, while having eight provincial parks at your door step. Kamloops takes pride in its arts community and First Nations culture, represented in sites throughout the city, theatre events and music festivals. Come play a round at Tobiano golf course, spend the day fishing and kayaking or head up to Sun Peaks Four Season Resort for world class mountain biking, skiing and snowboarding. Blue skies with endless sunshine, one thousand lakes and spectacular landscapes make the Kamloops region the natural place to work and play.

Clinic Details — Royal Inland Hospital:

The Royal Inland Hospital (RIH) is a 258-bed facility that serves as the referral centre for approximately 250,000 people, and is located in the Thompson Cariboo Shuswap Health Service Area. As one of two Interior Health tertiary referral hospitals, RIH is a no refusal centre with an Emergency Department that receives over 250 major trauma and 72,000 visits per year.

Kamloops offers high-level, specialty medical care including core physician specialties, 24-hour Emergency and Trauma Services, Ambulatory and Outpatient Clinics, and Diagnostic Services Support services including: a full complement of diagnostic equipment, a Clinical Neurophysiology Lab and Sleep Lab, 1.5T MRI, two CT scans, and Echocardiography. RIH also features, Stroke Thrombolysis, and provincial Tertiary Neuropsychiatry Programs. RIH is the regional base for the six-person, 24-hour High Acuity Response Team (HART) that is utilized in remote emergency transport situations. Surgical services include General Surgery, Neurosurgery, Vascular Surgery, Otolaryngology, Ophthalmology, Plastic Surgery, Urology, Obstetrics and Gynecology, and 24/7 Anesthesia coverage.

The Royal Inland Hospital is a unique place to work where Medical Staff culture and collegiality in combination with a collaborative relationship with Hospital Administration maximizes opportunities for job satisfaction and quality of care.

Practice Details:
Kamloops is seeking a full time general Otolaryngologist to join our collegial group.

Candidates with additional fellowship will be considered as we have capacity to allow development of subspecialty interest, providing general otolaryngology services and call are shared. Our group works well together which allows us flexibility with our work schedules. We have a brand new clinic space 5 blocks from the hospital set up to be used by all Otolaryngologists in town. We currently have 3 OR days and 1 ambulatory care day per week that will be shared equally between all members of the group. There is also a private surgical centre in town. The operating room is completely set-up including CO2 laser, Medtronics Fusion Image Guidance System, Medtronics Nerve Integrity Monitor, and Paediatric Bronchoscopy, making an easy start for any new physician. Capacity exists to consider candidates eligible for provisional licensure.

Locum opportunities are also available for those interested.

For more information and to apply contact Raimey Olthuis at Raimey.Olthuis@InteriorHealth.ca


TRAIL

Community Details

Nestled in the Selkirk and Monashee mountain ranges, on the banks of the Columbia River, the West Kootenay community of Trail awaits. Enjoy breathtaking vistas year round, powder skiing at Red Mountain Resort, biking along mountain trails and bountiful fishing, all only minutes away. As a hotbed for technology, research and development, these Kootenay mountain towns provide innovative industry and lifestyle. Offering a safe, welcoming community atmosphere, affordable real estate, and outstanding recreational facilities, Trail is a wonderful location to raise a family. Make Trail your home and live where you work and play!

Clinic Details — Kootenay Boundary Regional Hospital:
The largest diagnostic and acute care hospital in the West Kootenays, the Kootenay Boundary Regional Hospital (KBRH) is a 75-bed full service regional hospital serving 80,000 people in the Kootenay Boundary region.  KBRH offers core specialist physician services including 24-hour Emergency and Trauma Services, a Level 2 Laboratory, Intensive Care Unit (ICU), Acute and Obstetrical Care, Primary Care, Pediatrics, General Surgery, Orthopedics, Plastics, Urology, ENT, Ophthalmology, Psychiatry, Oncology, Radiology, and advanced diagnostic services.

Practice Details:
The department of Otolaryngology in Trail is currently seeking a General Otolaryngologist. The ENT program currently has 1 full time Otolaryngologist who offers the full range of ENT services.

This is a new position due to needs in the community which currently has one Otolaryngologist. Flexibility within work schedules can be arranged.  We currently have 1.5 OR days per week that will be divided equally between the 2 surgeons.

RSA Incentives:

  • Recruitment incentive: $15,000
  • Retention fee premium: 11.34%
  • Retention flat fee: $11,401.56
  • CME: Up to 2 years $600; In 3rd & 4th year $3,600.00; Over 4 years $6,600.00
  • 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)

For more information and to apply contact Raimey Olthuis at Raimey.Olthuis@InteriorHealth.ca

Reference #: S-824

December 2019 • Décembre 2019

Can J Surg 2019;62(6)

Editorial • Éditorial

Surgical research in Canada: How can we re-ignite the pilot light?
C.G. Ball, E.J. Harvey

Recherche en chirurgie au Canada : comment raviver la flamme?
E.J. Harvey, C.G. Ball

Review * Revue

Cannabis for pain in orthopedics: a systematic review focusing on study methodology
K. Madden, A. George, N.J. van der Hoek, F.M. Borim, G. Mammen, M. Bhandari
[Appendix]

Research • Recherche

The changing face of academic general surgery in Canada: a cross-sectional cohort study
A. Tran, N. Gawad, A. Martel, N. Manhas, M. Allen, M. Hameed, F. Balaa

Stable rates of operative treatment of distal radius fractures in Ontario, Canada: a population-based retrospective cohort study (2004–2013)
K.A. Armstrong, H.P. von Schroeder, N.N. Baxter, T. Zhong, A. Huang, S.J. McCabe
[Appendix]

Use of instrumented lumbar spinal surgery for degenerative conditions: trends and costs over time in Ontario, Canada
Y. Xu, D. Yen, M. Whitehead, J. Xu, A.P. Johnson
[Appendix]

Safe laparoscopic subtotal cholecystectomy in the face of severe inflammation in the cystohepatic triangle: a retrospective review and proposed management strategy for the difficult gallbladder
R.H. Purzner, K.B. Ho, E. Al-Sukhni, S. Jayaraman

Unplanned early hospital readmissions in a vascular surgery population
A. Papadopoulos, S. Devries, J. Montbriand, N. Eisenberg, C. de Mestral, G. Roche-Nagle

Correlation of postoperative splenic volume increase with prognosis of hepatocellular carcinoma after curative hepatectomy
J. Lin, M.-H. Chi, X. Zhang, S.-G. Weng

Do North American colorectal surgeons use mesh to prevent parastomal hernia? A survey of current attitudes and practice
J. Holland, T. Chesney, F. Dossa, S. Acuna, K.A. Fleshner, N.N. Baxter
[Appendix]

Improving value and access to specialty medical care for families: a pediatric surgery telehealth program
P. Dean, M. O’Donnell, L. Zhou, E.D. Skarsgard
[Appendix]

Ten-year risk of complication and mortality after total hip arthroplasty in morbidly obese patients: a population study
M. Tohidi, S.B. Brogly, K. Lajkosz, M.M. Harrison, A.R. Campbell, E. VanDenKerkhof, S.M. Mann
[Appendix]

What attributes define excellence in a trauma team? A qualitative study
F. Kassam, A.R. Cheong, D. Evans, A. Singhal

Transanal endoscopic microsurgery for rectal villous tumours: Can we rely solely on preoperative biopsies and the surgeon’s experience?
F. Letarte, S. Drolet, A.-S. Laliberté, P. Bouchard, A. Bouchard

A double-blind randomized controlled trial of total knee replacement using patient-specific cutting block instrumentation versus standard instrumentation
T. R. Turgeon, B. Cameron, C.D. Burnell, D.R. Hedden, E.R. Bohm
[Appendix]

Uniportal versus multiportal video-assisted thoracoscopic surgery in the treatment of lung cancer: a Canadian single-centre retrospective study
T.A. Bin Yameen, V. Gupta, A. Behzadi

Venous thromboembolism prophylaxis and the impact of a thrombosis service at a Canadian level 1 trauma centre
P.T. Engels, H. Thomas, A. Coates, H. Bakry, A. Alali, A. AlGhambdi, A. Al-Jabri, A. Bugshan

Mental toughness in surgeons: Is there room for improvement?
D.B. Percy, L. Streith, H. Wong, C.G. Ball, S. Widder, M. Hameed
[Appendix]

Discussions in surgery • Discussions en chirurgie

Best practices for enhancing surgical research: a perspective from the Canadian Association of Chairs of Surgical Research
A. Sener, C.C. Anderson, F.A. Auger, J. Barralet, M. Brindle, F.S. Cayabyab, M.G. Fehlings, L. Lacombe, L.P. Perrault, R. Sabbagh, A.J.E. Seely, C. Wallace, J. Ellsmere, R. Keijzer

Vascular trauma: Does experience in the United States apply to a Canadian centre?
S. Smith, V. McAlister, N. Parry, A. Power, K. Vogt
[Appendix]

Intermittent use of resuscitative endovascular balloon occlusion of the aorta in penetrating gunshot wound of the lower extremity
O. Bekdache, T. Paradis, D. Bracco, A. Elbahrawy, K. Khwaja, D.L. Deckelbaum, P. Fata, A. Beckett, T. Razek, J. Grushka

A “human-proof pointy-end”: a robotically applied hemostatic clamp for care-under-fire
I.A. McKee, J.L. McKee, B.E. Knudsen, R. Shelton, T. LaPorta, J. Wachs, A.W. Kirkpatrick

A Canadian strategy for surgical quality improvement
D.R. Urbach, A.A. Karimuddin, A. Wei, B.P. Zabolotny, G. Lefebvre, M. Walsh, M. Hameed, P. Fata, P. Chaudhury, R.S. McLeod, S.P. Cleary

October 2019 • Octobre 2019

Can J Surg 2019;62(5)

Editorial • Éditorial

Gender (and other) equity, diversity and inclusion in surgery
E.J. Harvey, C.G. Ball

Égalité entre les sexes (et autres identités), diversité et inclusion en chirurgie
E.J. Harvey, C.G. Ball

Review * Revue

Patient willingness to contribute to the cost of novel implants in total joint arthroplasty: the Canadian experience
A. Fuhrmann, R. Batash, R. Schwarzkopf, D. Backstein
[Appendix]

Research • Recherche

Impact of preoperative mental health status on functional outcome 1 year after total hip arthroplasty
P. Jaiswal, P. Railton, H. Khong, C. Smith, J. Powell

A quality-improvement approach to effective trauma team activation
K. Verhoeff, R. Saybel, V. Fawcett, B. Tsang, P. Mathura, S. Widder

Predictive factors for diabetes remission after bariatric surgery
J.T. Dang, C. Sheppard, D. Kim, N. Switzer, X. Shi, C. Tian, C. de Gara, S. Karmali, D.W. Birch

Association between socioeconomic deprivation and surgical complications in adults undergoing ankle fracture fixation: a population-based analysis
J.I. Wolfstadt, D. Pincus, H.J. Kreder, D. Wasserstein

The fate of laparoscopic adjustable gastric band removal
V. Falk, C. Sheppard, A. Kanji, D. Birch, S. Karmali, C. de Gara

Tumour budding predicts increased recurrence after curative resection for T2N0 colorectal cancer
R. Garfinkle, L. Lee, M. Boutros, M.-J. Cardin, A. Spatz, N. Morin

How accurate are we? A comparison of resident and staff physician billing knowledge and exposure to billing education during residency training
R.E. Austin, H.P. von Schroeder

Selective nonoperative management of penetrating abdominal trauma at a level 1 Canadian trauma centre: a quest for perfection
R. Habashi, A. Coates, P.T. Engels

Discussions in surgery • Discussions en chirurgie

Association of recreational drug consumption, cardiac toxicity and heart transplantation
M. Carrier, G. Giraldeau, M.-C. Parent, A. Ducharme

A survey of Canadian breast health professionals’ recommendations for high-risk benign breast disease
C. Kappel, J. Seely, J. Watters, A. Arnaout, E. Cordeiro

August 2019 • Août 2019

Can J Surg 2019;62(4)

Editorial • Éditorial

Surgeons as advocates for opioid control
C.G. Ball

Les chirurgiens pour le contrôle des opioïdes
C.G. Ball

Commentary • Commentaire

Determining the appropriateness of requests for outpatient magnetic resonance imaging of the hip
A. Manta, J. O’Grady, R. Bleakney, J. Theodoropoulos

Research • Recherche

Teaching simulated arthroscopic Bankart repair: residents’ assessment at the Annual Shoulder Course
D.M. Rouleau, R. Bedard, F. Canet, Y. Petit, Canadian Shoulder and Elbow Society

The impact of surgical modality on self-reported body image, quality of life and survivorship after anterior resection for colorectal cancer – a mixed methods study
D.H. Hirpara, A. Azin, V. Mulcahy, E. Le Souder, C. O’Brien, S.A. Chadi, F.A. Quereshy

Crash testing the dummy: a review of in situ trauma simulation at a Canadian tertiary centre
S. Minor, R. Green, S. Jessula

Long-term outcomes of total hip arthroplasty in patients younger than 55 years: a systematic review of the contemporary literature
X.Y. Mei, Y.J. Gong, O. Safir, A. Gross, P. Kuzyk
[Appendix]

Effect of Roux-en-Y gastric bypass on pharmacologic dependence in obese patients with type 2 diabetes
A.J. Sharples, M. Mullan, K. Hardy, A. Vergis

Surgeon identification of pain catastrophizing versus the Pain Catastrophizing Scale in orthopedic patients after routine surgical consultation
M.T. Sabo, M. Roy

Morbidity and mortality following pelvic ramus fractures in an older Atlantic Canadian cohort
C.B. Hamilton, J.D. Harnett, N.C. Stone, A.J. Furey
[Appendix]

The impact of a new hepatopancreatobiliary surgery program on the management of pancreatic cancer at Health Sciences North
L. Hartford, V. Doucet, J. Ramkumar, K. Leslie, J. Shum, K. Asai

Review • Revue

Impact of acute care surgery on timeliness of care and patient outcomes: a systematic review of the literature
A. Vergis, J. Metcalfe, S.E. Stogryn, K. Clouston, K. Hardy

Discussions in surgery • Discussions en chirurgie

Burnout, resilience and moral injury: How the wicked problems of health care defy solutions, yet require innovative strategies in the modern era
D. Rozario

June 2019 • Juin 2019

Can J Surg 2019;62(3)

Editorial • Éditorial

mHealth and the change it represents
E.J. Harvey

La médecine mobile et les changements qu’elle représente
E.J. Harvey

Research • Recherche

Development of a cumulative teaching score for tracking surgeon performance in undergraduate medical education
C.C. Moon, S. Raju, G. Christakis
[Appendix]

Effect of the Trauma Evaluation and Management module on the knowledge of senior medical students: a prospective cohort study
Y. Almarhabi, A. Subki, M. Alsallum, M. Albeshri, A.M. Mukhtar

Complex abdominal wall hernias as a barrier to quality of life in cancer survivors
R. Nenshi, C. Bensimon, T. Wood, F. Wright, A.J. Smith, F. Brenneman
[Appendix 1] [Appendix 2]

Variability among Canadian pediatric surgeons and pediatric urologists in the management of cryptorchidism in boys before the publication of major guidelines: a retrospective review of a single tertiary centre
J.K. Kim, M.E. Chua, J.M. Ming, M.J. Lee, A. Kesavan, N. Kahn, J.C. Langer, A. Lorenzo, D. Bagli, W.A. Farhat, F. Papanikolaou, M.A. Koyle
[Appendix]

Evaluation of the effectiveness of an enhanced recovery after surgery program using data from the National Surgical Quality Improvement Program
L.M. Gresham, M. Sadiq, G. Gresham, M. McGrath, K. Lacelle, M. Szeto, J. Trickett, D. Schramm, E. Pearsall, M. McKenzie, R. McLeod, R.C. Auer
[Appendix]

Short stay total joint arthroplasty program: patient factors predicting readmission
S. Lalonde, G.C.A. Wood

The impact of delayed source control and antimicrobial therapy in 196 patients with cholecystitis-associated septic shock: a cohort analysis
C.J. Karvellas, V. Dong, J.G. Abraldes, E.L.W. Lester, A. Kumar

Review • Revue

Surgical outcomes of chronic isolated scapholunate interosseous ligament injuries: a systematic review of 805 wrists
S.J. Montgomery, N.J. Rollick, J.F. Kubik, A.R. Meldrum, N.J. White
[Appendix]

Discussions in surgery • Discussions en chirurgie

Decisional conflict in surgical patients: Should surgeons care?
M. Roy, C.B. Novak, D.R. Urbach, S.J. McCabe, H.P. von Schroeder, K. Okrainec

CMA award • Prix de l’AMC

Transplant surgeon dedicates last decade of career to the Canadian military

Un chirurgien spécialiste de la transplantation consacre la dernière décennie de sa carrière à l’armée canadienne

Online letters • Lettres en ligne

The road to gender equity in surgery is long
E. Tannenbaum, M. Farrugia

Author response
A. Acai, S.E. Reid, R.R. Sonnadara

April 2019 • Avril 2019

Can J Surg 2019;62(2)

Editorial • Éditorial

Are morbidity and mortality conferences becoming a lost art?
C.G. Ball

Les revues de morbidité et mortalité sont-elles un art qui se perd?
C.G. Ball

Research • Recherche

Use of the Corail stem for revision total hip arthroplasty: evaluation of clinical outcomes and cost 
T.J. Wood, M. Alzahrani, J.D. Marsh, L.E. Somerville, E.M. Vasarhelyi, B.A. Lanting

Relation between socioeconomic variables and surgical, systemic and radiation treatment in a cohort of patients with breast cancer in an urban Canadian centre
J. Li, S.D. Cornacchi, F. Farrokhyar, N. Johnston, S. Forbes, S. Reid, N. Hodgson, S. Lovrics, K. Lucibello, P. Lovrics

Predictors of dysplastic and neoplastic progression of Barrett’s esophagus
S. Alnasser, R. Agnihotram, M. Martel, S. Mayrand, E. Franco, L. Ferri

High-risk medications in older patients with trauma: a cross-sectional study of risk mitigation
E. Lester, M. Dykstra, C. Grant, V. Fawcett, B. Tsang, S. Widder

Prevalence of obstructive sleep apnea in male patients with surgically treated maxillary and zygomatic fractures
S. Lupi-Ferandin, T. Galic, N. Ivkovic, R. Pecotic, Z. Dogas

Surgical site infection following abdominal surgery: a prospective cohort study 
A. Alkaaki, O.O. Al-Radi, A. Khoja, A. Alnawawi, A. Alnawawi, A. Maghrabi, A. Altaf, M. Aljiffry

Does oxidized zirconium make a difference? Midterm cohort survivorship of symmetric posterior condyle posterior-stabilized total knee arthroplasty 
A.R. Demcoe, E.R. Bohm, D.R. Hedden, C.D. Burnell, T.R. Turgeon

Effect of predicted travel time to trauma care on mortality in major trauma patients in Nova Scotia
G. Tansley, N. Schuurman, M. Bowes, M. Erdogan, R. Green, M. Asbridge, N. Yanchar

Review • Revue

Limberg flap versus Karydakis flap for treating pilonidal sinus disease: a systematic review and meta-analysis
P. Gavriilidis, E. Bota

Discussions in surgery • Discussions en chirurgie

Laparoscopic colectomy: trends in implementation in Canada and globally
M. Hoogerboord, J. Ellsmere, A. Caycedo-Marulanda, C. Brown, S. Jayaraman, D. Urbach, S. Cleary

Deployment of second-generation resuscitative endovascular balloon occlusion of the aorta for unresponsive hypotension in a polytrauma patient
T. Paradis, O. Bekdache, D. Bracco, J. Grushka, T. Razek, D. Lasry, A. Beckett

February 2019 • Février 2019

Can J Surg 2019;62(1)

Editorial • Éditorial

Burnout should not be a silent epidemic
E.J. Harvey

Ne pas passer sous silence l’épidémie de burn-out
E.J. Harvey

Commentary • Commentaire

Reinventing the wheel in scoliosis surgery: effective strategies for safely improving efficiency
J. Bourget-Murray, F. Ferri-de-Barros

Research • Recherche

Concordance between laboratories in metal ion testing in patients with metal-on-metal hip implants
R. Saini, P. Railton, J. Boyd, H. Sadrzadeh, J.N. Powell

Results of Octaplex for reversal of warfarin anticoagulation in patients with hip fracture
R. Ng, M.-T. Shabani-Rad

Significant cost savings and similar patient outcomes associated with early discharge following total knee arthroplasty
J. Marsh, L. Somerville, J.L. Howard, B.A. Lanting

Impact of sequential implementation of multimodal perioperative care pathways on colorectal surgical outcomes
K. D’Souza, J.-I. Choi, J. Wootton, T. Wallace

Incidence and predictors of postoperative delirium in the older acute care surgery population: a prospective study
B. Saravana-Bawan, L.M. Warkentin, D. Rucker, F. Carr, T.A. Churchill, R.G. Khadaroo

Quantifying recall bias in surgical safety: a need for a modern approach to morbidity and mortality reviews
H. Alsubaie, M. Goldenberg, T. Grantcharov
[Appendix]

Can we reduce ischemic cholangiopathy rates in donation after cardiac death liver transplantation after 10 years of practice? Canadian single-centre experience
M.E. Tun-Abraham, K.N. Wanis, C. Garcia-Ochoa, N. Sela, H. Sharma, I. Al Hasan, D. Quan, B. Al-Judaibi, M. Levstik, R. Hernandez-Alejandro

Clinical outcomes of single-incision robotic cholecystectomy versus conventional 3-port laparoscopic cholecystectomy
S.R. Lee, H.O. Kim, J.H. Shin

Review • Revue

Understanding the patellofemoral joint in total knee arthroplasty
J. Matz, B.A. Lanting, J.L. Howard

Utility of the Vascular Quality Initiative in improving quality of care in Canadian patients undergoing vascular surgery
E. Liao, N. Eisenberg, A. Kaushal, J. Montbriand, K.-T. Tan, G. Roche-Nagle
[Appendix]

Discussions in surgery • Discussions en chirurgie

Can we improve the efficiency of care in patients with colorectal cancer from the time of their initial referral for colonoscopy to surgical resection?
N. Kloos, D. Keren, S. Gregg, A.R. Maclean, E. Dixon, R. Mohamed, R. Rochon, C.G. Ball

How well do we do what we do, and how do we know it? The importance of patient-reported experience measures in assessing our patients’ experience of care
D. Rozario
[Appendix]

Evaluation of common suturing techniques to secure implantable cardiac electronic device leads: Which strategy best reduces the lead dislodgement risk?
S. Rezazadeh, S. Wang, J. Rizkallah

The importance of costing perspective: an example evaluating the cost-effectiveness of a locking versus nonlocking plate in medial opening wedge high tibial osteotomy
C.A. Primeau, J.D. Marsh, T.B. Birmingham, J.R. Giffin
[Appendix]

Expanding the trauma code to other causes of hemorrhagic shock — ruptured abdominal aortic aneurysms
C. Chehroudi, J. Patapas, J. Lampron, P. Jetty

Phyllodes tumour of the breast and margins: How much is enough?
S. Ogunbiyi, A. Perry, K. Jakate, J. Simpson, R. George
[Appendix]

Reviewers 2018 • Examinateurs 2018

Reviewers 2018 / Examinateurs 2018

Letters • Lettres

Breast reconstruction: no need to “break new ground”
D. Ross

Author response
L. Peiris