July – August 2021 • Juillet – Août 2021

Can J Surg 2021 July-August;64(4)

Editorial • Éditorial

The impact of documentation burden on patient care and surgeon satisfaction
C.G. Ball, P.B. McBeth

Impact de la lourdeur des lourdes tâches administratives sur les soins aux patients et la satisfaction des chirurgiens
C.G. Ball, P.B. McBeth

Review • Revue

The Perioperative Surgical Home, Enhanced Recovery After Surgery and how integration of these models may improve care for medically complex patients
T.G. Harrison, P.E. Ronksley, M.T. James, M.E. Brindle, S.M. Ruzycki, M.M. Graham, A.D. McRae, K.B. Zarnke, D. McCaughey, C.G. Ball, E. Dixon, B.R. Hemmelgarn

Research • Recherche

Impact of implementing a fast-track protocol and standardized guideline for the management of pediatric appendicitis
J.Y. Lam, P. Beaudry, B.A. Simms, M.E. Brindle

Impact of centre volume, surgeon volume, surgeon experience and geographic location on reoperation after intramedullary nailing of tibial shaft fractures
M. Swiontkowski, D. Teague, S. Sprague, S. Bzovsky, D. Heels-Ansdell, M. Bhandari, E.H. Schemitsch, D.W. Sanders, P. Tornetta III, S.D. Walter, on behalf of the SPRINT Investigators

Lifetime incremental cost–utility ratios for minimally invasive surgery for degenerative lumbar spondylolisthesis relative to failed medical management compared with total hip and knee arthroplasty for osteoarthritis
E.J. Crawford, R.A. Ravinsky, P.C. Coyte, Y.R. Rampersaud

Drug use in Canadian patients with trauma after cannabis legalization
I.M. Ball, F. Priestap, N. Parry, J. Pace, K.N. Vogt

Perioperative gait analysis after total hip arthroplasty: Does outpatient surgery compromise patient outcomes?
B.O. Zomar, D.M. Bryant, S.W. Hunter, J.L. Howard, B.A. Lanting

Downhill skiing following total knee arthroplasty: a survey of Alberta orthopedic surgeons
A. Buckley, P. Duffy, R. Korley

Moving toward better health: exercise practice is associated with improved outcomes after spine surgery in people with degenerative lumbar conditions
C.E. Schwartz, R.B. Stark, P. Balasuberamaniam, M. Shrikumar, A. Wasim, J.A. Finkelstein

Evaluating the efficacy of self-study videos for the surgery clerkship rotation: an innovative project in undergraduate surgical education
N. Mookerji, J. El-Haddad, T.X. Vo, E. Grose, C. Seabrook, B.-K. Lam, R. Feibel, S. Bennett

Are patients truly informed? A retrospective chart review of the documentation of informed consent in laparoscopic cholecystectomy
E. Williams, R. Selvam, W. Hopman, S. Nanji

Intraoperative measurement of acetabular component position using imageless navigation during revision total hip arthroplasty
X.Y. Mei, A. Etemad-Rezaie, O.A. Safir, A.E. Gross, P.R. Kuzyk

Topical tranexamic acid in hip fractures: a randomized, placebo-controlled double-blinded study
D. Costain, G. Elder, B. Fraser, B. Slagel, A. Kelly, Y. Cheong, L. Fera

Discussions in surgery • Discussions en chirurgie

Management of patients requiring reconstructive breast surgery during the COVID-19 pandemic: recommendations from the BC Regional Breast Reconstruction Network
E.S. Bovill, C. Doherty, R. Warburton, S.A. Macadam, N. Van Laeken, P.A. Lennox, K.V. Isaac

Supplement

2021 Canadian Spine Society Abstracts

May – June 2021 • Mai – Juin 2021

Can J Surg 2021 May-June;64(3)

Editorial • Éditorial

Predatory journal publishing: Is this an alternate universe?
E. Harvey, C.G. Ball

Revues prédatrices : Sommes-nous face à un « univers alternatif »?
E. Harvey, C.G. Ball

Research • Recherche

Wait times, resource use and health-related quality of life across the continuum of care for patients referred for total knee replacement surgery
Y. Lebedeva, L. Churchill, J. Marsh, S.J. MacDonald, J.R. Giffin, D. Bryant

Prospective randomized trial of continuous femoral nerve block with posterior capsular injection versus periarticular injection for analgesia in primary total knee arthroplasty
S. Aragola, B. Arenson, M. Tenenbein, E. Bohm, E. Jacobsohn, T. Turgeon

Prolonged surgical time increases the odds of complications following total knee arthroplasty
M.W. Morcos, L. Nowak, E. Schemitsch

A systematic review of global surgery partnerships and a proposed framework for sustainability
N. Jedrzejko, J. Margolick, J.H. Nguyen, M. Ding, P. Kisa, E. Ball-Banting, S.M. Hameed, E. Joos

Impact of the acute care surgery model on resident operative experience in emergency general surgery
M.T. Meschino, A.E. Giles, P.T. Engels, T.J. Rice, R. Nenshi, M.J. Marcaccio

Assessing the acceptability of script concordance testing: a nationwide study in otolaryngology
A-A. Leclerc, L.H.P. Nguyen, B. Charlin. S. Lubarsky, T. Ayad

Identification of hypercoagulability with thrombelastography in patients with hip fracture receiving thromboprophylaxis
D. You, L. Skeith, R. Korley, P. Cantle, A. Lee, P. McBeth, B. McDonald, R. Buckley, P. Duffy, C.R. Martin, A. Soo, P. Schneider

Safety and efficacy of a strategy of vitamin K antagonist reversal with prothrombin complex concentrates compared to vitamin K in patients with hip fracture
L. Jay-Caillierez, A. Friggeri, A. Viste, M. Lefevre, E. Decullier, L. Bernard, V. Piriou, J-S. David

A Delphi study to identify prehospital and emergency department trauma care modifiers for older adults
K. Yadav, V. Boucher, N. Le Sage, C. Malo, É. Mercier, P. Voyer, J. Clément, M. Émond

Review • Revue

From cellular function to global impact: the vascular perspective on COVID-19
S.A. Strauss, C. Seo, M. Carrier, P. Jetty

Preventing hip fractures with multidisciplinary teams: a Canadian perspective
E. Sanders, J. Dobransky, L. Cheaitani, N. Harris, A. Liew, S. Papp, G. Grammatopoulos

Discussions in surgery • Discussions en chirurgie

The effect of the COVID-19 pandemic on bariatric surgery delivery in Edmonton, Alberta: a single-centre experience
N. Abu-Omar, G. Marcil, V. Mocanu, J.T. Dang, N. Switzer, A. Kanji, D. Birch, S. Karmali

Critical fail concepts in surgery: highlighting the “must-know” concepts
A. Abdalkhani, G. Blair

Predatory publishing solicitation: a review of a single surgeon’s inbox and implications for information technology resources at an organizational level
M. McKenzie, D. Nickerson, C.G. Ball

Canadian surgeon and resident involvement in international plastic surgery
Y. Ying, C. Malic

Academic Plastic Surgeon: Dalhousie University and Nova Scotia Health Authority

Dalhousie NS Health

The Division of Plastic Surgery at Dalhousie University is seeking to hire a full time academic Plastic Surgeon with a major interest in hand and peripheral nerve surgery.  This position will have its clinical base at the Queen Elizabeth II Health Sciences Centres in Halifax, Nova Scotia. The QEII HSC 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 successful candidate will join a dynamic group of enthusiastic surgeons and will be an important part of our plastic surgery residency training program. They must demonstrate the potential for academic excellence. An active role in academics- research, education or administration- is required and incentivized.  Experience in or aptitude for leadership will be considered an asset for this position.

The successful candidate must have a Fellowship in Hand and Peripheral Nerve Surgery with a demonstrated clinical interest in nerve transfers, brachial plexus injuries and other advanced hand and wrist surgery.  They will participate in general Plastic Surgery call, therefore must also be proficient in digit reimplantation, basic maxillofacial trauma surgery, and other common acute presentations. 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.

A letter of application, accompanied by a CV and names of three referees, will be accepted until July 16, 2021 and should be sent to:

Dr. Jason Williams
Head, Division of Plastic Surgery
Room 4447, Halifax Infirmary
1796 Summer Street, Halifax, NS B3H 3A7
Email: jason.williams@dal.ca, Fax: (902) 473-6296

Reference #: S-839

April – March 2021 • Avril – Mars 2021

Can J Surg 2021 March-April;64(2)

Editorial • Éditorial

The Canadian-specific impact of COVID-19 on severe injuries from intentional violence, unintentional trauma and suicide-related causes
C.G. Ball

Répercussions de la COVID-19 sur l’incidence de blessures graves causées par la violence intentionnelle, les traumas accidentels et des traumas découlant d’une tentative de suicide au Canada
C.G. Ball

Commentary • Commentaire

The question of whether vena cava filters have a role in trauma patients remains unanswered
I.M. Ball, R.M. Curtis, N. Parry, F. Priestap, K.N. Vogt

The unique impact of COVID-19 on orthopedic surgery residency applicants and program directors in Canada
A. Shah, A.A. Champagne, J. Del Papa, J. Toor, J. Larouche, M.T. Nousiainen

Review • Revue

Portal vein arterialization as a salvage procedure in hepatopancreatobiliary surgery: a systematic review
A. Majlesara, O. Ghamarnejad, E. Khajeh, M. Golriz, N. Gharabaghi, K. Hoffmann, D.-H. Chang, M. W. Büchler, A. Mehrabi

Research • Recherche

Morbidity associated with the use of oxaliplatin versus mitomycin C in hyperthermic intraperitoneal chemotherapy (HIPEC) for peritoneal carcinomatosis of colorectal or appendiceal origin: a multi-institutional comparative study
E. Benzaquen, Y. Wang, S. Wiseman, V. Rosenfeld, L. Sideris, P. Dubé, J.-S. Pelletier, T. Vanounou

Impact of the introduction of formal D2 lymphadenectomy for gastric cancer in a Western setting
A. Brind’Amour, J.-P. Gagné, J.-C. Hogue, É. Poirier

Intraoperative injuries from abdominopelvic surgery: an analysis of national medicolegal data
G. Lefebvre, K. A. Devenny, D. L. Héroux, C. L. Bowman, H. K. Neilson, R. Mimeault, S. S. Singh, L. A. Calder

Effect of preoperative long-term opioid therapy on patient outcomes after total knee arthroplasty: an analysis of multicentre population-based administrative data
C. M. Goplen, S. H. Kang, J. R. Randell, C. A. Jones, D. C. Voaklander, T. A. Churchill, L. A. Beaupre

The economic impact of periprosthetic infection in total knee arthroplasty
M. W. Morcos, P. Kooner, J. Marsh, J. Howard, B. Lanting, E. Vasarhelyi

A survey of Canadian surgeons on the indications for home care nursing following vascular surgery
J. Jacob-Brassard, M. Al-Omran, K. Salata, M. A. Hussain, A. Kayssi, G. Roche-Nagle, C. de Mestral

Cancellation of elective surgery: rates, reasons and effect on patient satisfaction
W. X. Koh, R. Phelan, W. M. Hopman, D. Engen

Toward an all-inclusive trauma system in Central South Ontario: development of the Trauma-System Performance Improvement and Knowledge Exchange (T-SPIKE) project
P. T. Engels, A. Coates, R. D. MacDonald, M. Ahghari, M. Welsford, T. Dodd, K. Turcotte, J. D. Doyle, A. M. Eugenio, J. P. Green, J. E. Irvine, P. J. Lysecki, S. K. Sandhanwalia, S. V. Sharma

Influence of undergraduate medical education exposure to cadaveric dissection on choice of surgical specialty: a national survey of Canadian surgical residents
T. McKechnie, J. E. Springer, A. G. Doumouras, T. Schroeder, C. Eskicioglu, S. Reid

Point-of-care ultrasonography for the diagnosis of testicular torsion: a practical resident curriculum
L. Stringer, S. Cocco, A. Jiang, E. P. Chan, F. Myslik, G. Brahm, H. Razvi, S. Dave, P. Z. T. Wang

Systematic review of grading systems for adverse surgical outcomes
S. Balvardi, E. St-Louis, Y. Yousef, A. Toobaie, E. Guadagno, R. Baird, D. Poenaru

Fully hydroxyapatite-coated collared femoral stems in direct anterior versus direct lateral hip arthroplasty
S. Heaven, M. Perelgut, E. Vasarhelyi, J. Howard, M. Teeter, B. Lanting

Impact of an orthogeriatric collaborative care model for older adults with hip fracture in a community hospital setting
J.C. Lee, K. Koo, E.K.C. Wong, R. Naqvi, C.L. Wong

Wait times in the management of non–small cell lung carcinoma before, during and after regionalization of lung cancer care: a high-resolution analysis
S. Shakeel, M. Dhanoa, O. Khan, P. Dibajnia, N. Akhtar-Danesh, A. Behzadi

Université de Montréal Objective and Structured Checklist for Assessment of Audiovisual Recordings of Surgeries/ techniques (UM-OSCAARS): a validation study
S. Chagnon-Monarque, O. Woods, A. Christopoulos, E. Bissada, C. Ahmarani, T. Ayad

Discussions in surgery • Discussions en chirurgie

The requirement for surgery and subsequent 30-day mortality in patients with COVID-19
B. Welk, L. Richard, S. Rodriguez-Elizalde

Letters • Lettres

North–South surgical training partnerships
S. Emil
Author response to “North–South surgical training partnerships”
T. Greive-Price
More notable developments from the Department of Surgery of the University of Montreal
M. Gagner
The unexplored role of metoclopramide: a non-opiate analgesic for acute pain management
V.K. Gupta
Author response to “The unexplored role of metoclopramide: a non-opiate analgesic for acute pain management”
D. Rozario
A novel approach for postoperative pain management after discharge
I. Sohanpal
Author response to “A novel approach for postoperative pain management after discharge”
D. Rozario
Lever effect and the optical illusion of safety in laparoscopic cholecystectomy
V. McAlister
Author response to “Lever effect and the optical illusion of safety in laparoscopic cholecystectomy”
F. Sutherland

January – February 2021 • Janvier – Février 2021

Can J Surg 2021 January-February;64(1)

Editorial • Éditorial

Lessons (so far) from the COVID-19 pandemic
E. J. Harvey

Leçons tirées de la pandémie de COVID-19 (à ce jour)
E. J. Harvey

Commentary • Commentaire

A tribute to Dr. Roger Keith (1940–2020)
A. S. MacDonald, V. C. McAlister

COVID-19: pivoting from in-person to virtual orthopedic surgical evaluation
A. Roberts, G.H.F. Johnston, C. Landells

Review • Revue

Clinical effectiveness of therapy with continuous-flow left ventricular assist devices in nonischemic versus ischemic cardiomyopathy: a systematic review and meta-analysis
C. Wavell, A. Sokolowski, M. L. Klingel, C. Yin, A. D. Nagpal

Research • Recherche

Safety of transition from a routine to a selective intensive care admission pathway after elective open aneurysm repair
D. Dion, L. M. Drudi, N. Beaudoin, J.-F. Blair, S. Elkouri

The burden of waiting: wait times for pediatric surgical procedures in Quebec and compliance with national benchmarks
B. Arulanandam, M. Dorais, P. Li, D. Poenaru

Effectiveness of trauma centre verification: a systematic review and meta-analysis
B. Batomen, L. Moore, M. Carabali, P.-A. Tardif, H. Champion, A. Nandi

Implementation of a systematic tobacco treatment protocol in a surgical outpatient setting: a feasibility study
J. Sadek, H. Moloo, P. Belanger, K. Nadeau, D. Aitken, K. Foss, T. Zwiep, D. McIsaac, L. Williams, I. Raiche, R. Musselman, K.-A. Mullen

Evaluating bowel enterotomy closures in simulated deep body cavities using the reversing half-hitch alternating post and square knots: a randomized controlled trial
E. A. Sykes, M. Lemke, D. Potter, T. Li, Z. M. Mir, G. Sheahan, V. Wu, B. Zevin

Optimizing opioid prescriptions after laparoscopic appendectomy and cholecystectomy
A. E. Feinberg, S. A. Acuna, D. Smith, B. Kashin, A. Mocon, B. Yau, J. Chiu, S. Srikandarajah

Variability in research productivity among Canadian surgical specialties
H. Wang, M. W.A. Chu, L. Dubois

Variable effects of obesity on access to total hip and knee arthroplasty
G. Richardson, C. Dusik, L. Lethbridge, M. Dunbar

Presentation and survival among patients with colorectal cancer before the age of screening: a systematic review and meta-analysis
C. D. Griffiths, T. McKechnie, Y. Lee, J. E. Springer, A. G. Doumouras, D. Hong, C. Eskicioglu

Discussions in surgery • Discussions en chirurgie

Is an optical illusion the cause of classical bile duct injuries?
F. Sutherland, C. G. Ball, J. Schendel, E. Dixon

A bundled approach to care: reducing the incidence of postoperative pneumonia in patients undergoing hepatectomy and Whipple procedures
G. Mahama, L. Vigneswaran, A. Silva, A. Maeda, D.-G. Davis, L. Thomas, B. Barretto, S. Weller, A. Okrainec, J. Gajasan, T. Jackson

The Canadian Ophthalmology Society’s adaptation of the Medically Necessary Time-sensitive Surgical Procedures triage and prioritization tool
S. Teja, C. Mann, P. Hooper, Y. Buys, V. T. Yin

Combining enhanced recovery and short-stay protocols for hip and knee joint replacements: the ideal solution
P.-A. Vendittoli, K. Pellei, C. Williams, C. Laflamme

Prioritizing surgery during the COVID-19 pandemic: the Quebec guidelines
M.-E. Bouthillier, M. Lorange, S. Legault, L. Wade, J. Dahine, J. Latreille, I. Germain, R. Grégoire, P. Montpetit, C. Prady, E. Thibault, V. Dumez, L. Opatrny

Staff Surgeon, Division of Plastic, Reconstructive and Aesthetic Surgery The Hospital for Sick Children, University of Toronto

SickKids. The Hospital for Sick Children.The Department of Surgery, Division of Plastic, Reconstructive and Aesthetic Surgery at the Hospital for Sick Children, University of Toronto is inviting applications for the permanent position of Academic Surgeon with a focus on pediatric craniofacial surgery, cleft lip and palate surgery, vascular anomalies and microsurgical reconstruction. This appointment is for a full-time faculty position in the Division of Plastic and Reconstructive Surgery, Department of Surgery at the University of Toronto with a position description of Surgeon-Scientist or Surgeon-Investigator.

The effective date of this appointment is to be decided.

The successful applicant will work within the Division of Plastic, Reconstructive and Aesthetic Surgery and participate in the care of pediatric patients with craniofacial, cleft and vascular anomalies in addition to providing general care to the pediatric plastic surgery patient population. Advanced training and experience in pediatric craniomaxillofacial surgery is required.

The successful candidate should ideally possess expertise in surgical education and have a higher training (MSc or PhD) in education. A focus and experience in global outreach is preferred. The successful candidate should possess an academic interest with research skills and have a publication and peer-review grant track record. The candidate is expected to participate in medical student, resident, and fellow education. Evidence of excellence in teaching and research is required.

The candidate must be eligible for appointment at the University of Toronto at the rank of Assistant or Associate Professor. The candidate must be eligible for certification with the Royal College of Physicians and Surgeons of Canada, and licensure with the College of Physicians and Surgeons of Ontario.

Salary will be between the range of 300 – 400K, as well as commensurate with qualifications and experience. This estimate is based on fee for service billings. Financial support regarding relocation expenses will be offered.

Located at 555 University Avenue in Toronto, Canada, the Hospital for Sick Children is an academic institution affiliated with the University of Toronto and is recognized internationally for excellence in patient care, innovation, research and education. Toronto is a vibrant multicultural city with consistent population and economic growth. It is currently the fourth largest city in North America and boasts a safe, livable, downtown area with excellent housing, school and university access. World famous lake and wilderness country and year-round outdoor recreation are easily accessible, as are two hub airports for regional or international travel.

Please submit applications and curriculum vitae by March 1st, 2021 to:

Dr. Christopher R. Forrest
Suite 5430 – 555 University Avenue
The Hospital for Sick Children
Toronto, Ontario, Canada M5G 1X8
Email: christopher.forrest@sickkids.ca

Please include the name of three referees in the application.

The University of Toronto is strongly committed to diversity within its community and especially welcomes 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 and the Division of Plastic and Reconstructive Surgery, please visit our home page at https://surgery.utoronto.ca and https://www.uoftplasticsurgery.ca.

Reference #: S-835

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

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

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

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

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

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

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

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

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)

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

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

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

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

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

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