I hope that you’ve all been able to enjoy our hot and relatively dry summer. I suspect that the majority of you have heard that the Kingdom of Saudi Arabia has issued a royal order recalling all Saudi students, residents, and fellows training in Canada by August 31, 2018. This brash move also included expelling the Canadian ambassador to KSA, freezing business ties and airline flights and was in response to our Foreign Affairs Minister’s criticism of the recent arrests and detentions of women’s rights activists in KSA.
The real tragedy here lies on the individual level. Our Saudi residents and fellows have been part of the DOVS family and have played an integral role in the functioning of the Department. They have studied and worked hard and were all on the path to completing their residencies in an excellent fashion. Our Chief Resident, Dr. Reem AlNabulsi was only 9 months away from graduating.
It is difficult to say what will happen now but what appears to be clear is that the Saudi residents and fellows will be leaving in the next 2 weeks. The University and the Faculty of Medicine have been told that there will be no exceptions. All trainees however, will have a registration status of “leave of absence” from their program. The CPSO will be informed of this leave and trainees must not be active clinically or else they will be in violation of the CPSO regulation. There have been many ideas of how we could allow our trainees to bypass this mandate or finish their programs but we have been instructed that there is no ability to provide any other funds to continue to train in Canada.
We are currently working on a contingency plan to cope with losing our Saudi residents and will announce these fully to the Department once they are finalized. This will include not having a senior call so that the call schedule can be manageable to the residents as well as having some emergency patients placed in non-resident clinics. Once the new emergency clinic opens at KEI in September, it will be able to decant emergency patients as well. All the teaching hospitals can expect a reduction in the number of residents at each center.
We will be saying good bye to our Saudi residents and fellows in the next two weeks. Our hearts go out to them and we hope that this will be only a temporary good bye and they are able to return and complete their training in the near future. They all have a standing offer from DOVS to resume their training as soon as they are able.
Sherif El-Defrawy, MD, PhD, FRCS(C)
Nanji Family Chair in Ophthalmology & Vision Sciences
Chair & Professor, Department of Ophthalmology & Vision Sciences
University of Toronto
Dr. Asim Ali appointed as Chief Ophthalmologist at the Department of Ophthalmology & Vision Sciences at the Hospital for Sick Children
Please join me in congratulating Dr. Asim Ali in his new role as Chief of the Department of Ophthalmology and Vision Sciences at the Hospital for Sick Children. After a long and thorough international search, Dr. Ali received the unanimous recommendation of the Search Committee and formal approval from the SickKids Board of Directors last week. We look forward to Dr. Ali’s leadership in the future as he guides the Department to ongoing success. Congratulations Asim!
Also please join me in thanking Dr. Agnes Wong for her leadership of the HSC Department and for all the positive changes she instituted while in that role.
Sincerely,
Sherif El-Defrawy
Promotions to Associate Professor
July 1, 2018
Top: Dr. Larissa Derzko-Dzulynsky, Dr. Herbert Goltz
Bottom: Dr. Efrem Mandelcorn, Dr. Navdeep Nijhawan
The following staff members have been promoted to Associate Professors:
Dr. Larissa Derzko-Dzulynsky
Dr. Herbert Goltz
Dr. Efrem Mandelcorn
Dr. Navdeep Nijhawan
Congratulations to all on this feat!
Global Health Outreach Mission to Ethiopia
Dr. Matthew Bujak
One of the Department of Ophthalmology and Vision Sciences’ most poignant goal is our global health mandates to develop collaborative programs in impoverished communities across the globe. On January 27th, Assistant Professor, Dr. Matthew Bujak, flew to Addis Ababa to aid in an ophthalmologic surgery mission in conjuncture with the Himalayan Cataract Project.
Ethiopia, with a population of over 97 million, has one of the highest rates of blindness in the world with 1.6 million blind people and 3.6 million people living with low vision. Cataract related blindness is the leading cause of Ethiopia’s vision issues, and with only approximately 130 ophthalmologists in the country the condition is out pacing the aid. NPO’s and global health missions are crucial to providing relief and updated tools and training techniques.
On the first day, Dr. Bujak arrived in Mekele and travelled to Adigrat for the Outreach Cataract Camp. The abundance of prospective patients filled the waiting areas the evening before the screenings began. One patient that stood out for Dr. Bujak was seven-year-old Abel. He was completely blind, unable to attend school or have the freedom to interact with the rest of his peers. When one of the doctors asked him what the first thing he wanted to do after surgery he responded, “I want to go to school for the first time.”
Over the next four days, the team at the Outreach Cataract Camp operated for 12 hours performing surgery on 452 blind patients and 486 cataract surgeries. The surgeries were successful, including young Abel’s. After surgery, Abel regained his vision and is now able attend school with his classmates.
Dr. Bujak and the team returned to Mekele, where they performed five corneal transplants. This included the second DSAEK corneal transplant ever done in that region of the country. Along with the surgeries, Dr. Bujak was able to relay advanced techniques to the local surgeons, helping to create opportunities for more surgical advancement and training.
Dr. Bujak was able to take part in these missions through the support of the Nanji family, whose donation ensures our ability to help those afflicted in underdeveloped areas to maintain and improve their vision and their ability to live fully in their communities. And also through the support and organization of the Himalayan Cataract Project, who organize outreach missions across the globe. Please visit www.cureblindness.org for more information.
HCP's fourth outreach of the year was conducted in Adigrat in the Tigray Region and implemented by Quiha Zonal Hospital, our flagship partner in Ethiopia. The event took place from January 29th to February 3rd, 2018 and was attended by local staff and Volunteer Ophthalmologist Dr. Matthew Bujak. The host institution, Adigrat General Hospital, is located in the northern part of Ethiopia and is one of the few government secondary eye care units in the region. The main objectives of the event were to 1) decrease preventable blindness by increasing surgical rates and providing high quality, high volume cataract surgery for patients in the northern part of Ethiopia; and 2) provide hands-on outreach training for the staff of Adigrat Hospital. Quiha staff conducted screening in 21 districts in the Tigray Region prior to the event, evaluating 800 patients and scheduling surgeries. During the campaign, the team was able to provide 511 surgeries, including 449 cataract surgeries and 62 trachoma trichiasis surgeries. Following the event Dr. Bujak providing Cornea Subspecialty training to resident staff at Quiha Zonal Hospital, performing 5 corneal transplants, including the second ever DSAEK corneal transplant done in that region.
Leahy Winter, MPH
Program Manager
Himalayan Cataract Project
Pediatric Ophthalmology in Ethiopia
Drs. Asim Ali, Helen Dimaras, Stephanie Kletke (PGY4)
In February 2018, Drs. Asim Ali, Helen Dimaras and Stephanie Kletke (PGY4 resident) travelled to Ethiopia to work with Dr. Sadik Sherief (previous UofT and SickKids Paediatric Ophthalmology and Strabismus fellow) at the Menelik II Hospital, Addis Ababa University (AAU). This is the main Ophthalmology department for the capital, and AAU has the largest and oldest ophthalmology residency program in Ethiopia. The group conducted a situational analysis in preparation for the development of a pediatric ophthalmology academic partnership between the University of Toronto and AAU. This work was funded by a CIHR Planning & Dissemination grant awarded to Drs. Ali, Dimaras and Sherief.
During the week, the team observed in the clinics and operating rooms, visited the local Eye Bank and wet lab, and met with faculty and residents. Availability and quality of resources and staff, paediatric patient case load, residency program structure, and current resident paediatrics exposure were comprehensively reviewed and compared to the International Council of Ophthalmology fellowship requirements, which will be the basis for the potential fellowship program.
Drs. Ali and Dimaras gave lectures and teaching sessions for the AAU Ophthalmology Department, residents, and Ophthalmological Society of Ethiopia on retinoblastoma genetics, the Kenyan national retinoblastoma strategy, corneal neurotization, pediatric cataract, glaucoma, corneal transplantation, and management of Stevens-Johnson Syndrome.
The visit culminated in a strategic working meeting to discuss curriculum development for a Pediatric Ophthalmology and Strabismus Fellowship Program at AAU, the first of its kind in East Africa. This will be tailored to the local population needs with support from UofT faculty through didactic teaching and supervision of clinical/surgical skills for priority training modules. The group aims to partner with the Toronto Addis Ababa Academic Collaboration (TAAAC), an educational partnership established in 2008 that supports Ethiopian graduate training.
They concluded their trip with a visit to the National Museum of Ethiopia to see Lucy the Australopithecus and traditional Ethiopian music, dance and food!
Mission to Costa Rica
Drs. Allan Slomovic, Amandeep Rai and Randall Ulate
Dr. Allan Slomovic and Dr. Amandeep Rai completed an international ophthalmology outreach mission to Costa Rica to work with DOVS alumni Dr. Randall Ulate. The team presented grand rounds to the University of Costa Rica's ophthalmology department, resident teaching and completed an outreach mission to the small town of Nicoya. There, the team performed pterygium surgeries, phacoemulsification cataract extraction, and extracapsular cataract extraction, and also provided resident surgical training. Of course, they also had the opportunity to enjoy the remarkable natural beauty of Costa Rica!
G.R.A.C.E. Training Program
Stephanie Kletke (PGY4) and Reem Alnabulsi (PGY4)
In March 2018, Stephanie Kletke and Reem Alnabulsi attended the G.R.A.C.E. Training in Cultivating Compassion-Based Interactions at the Upaya Zen Center in Santa Fe, New Mexico. The weekend intensive training program, developed by Roshi Joan Halifax, PhD, offers training in cultivating mindfulness and compassion during interactions with patients, including daily meditation, didactic and interactive sessions, as well as experiential exercises. Based on extensive research in social psychology, neuroscience, ethics, and contemplative perspectives, the course was implemented initially for health care providers immersed in end of life care. It is broadly applicable to other domains of medicine, law, and education to bring integrity and resilience into the service of caring for others.
The G.R.A.C.E. process is based on the Halifax Model of Compassion:
Gathering Attention: a brief pause to let go of assumptions, expectations, and judgement to allow for a fresh presence that is stable, discerning, and caring.
Recalling Intention: the wish to relieve the suffering of patients.
Attuning to self and other: being fully present to attune to any thoughts (perspective-taking), feelings (affective resonance), and bodily sensations (somatic attunement) of self and other.
Considering what will serve: using knowledge, expertise, and insight to consider what will best serve the situation while drawing on inner awareness and intuition.
Engaging, Enacting, and Ending: interact with patient through principled, ethical, and compassion-based actions; let go of current interaction to refresh and move to the next patient interaction.
Through discussions with other learners and quiet contemplation, we gained insight into a reflective mode of being distinct from analytical thinking, which allows a deeper connection to the moment by moment experiences of ourselves and others. While a practice in mindfulness meditation may alleviate the stress-related burnout that is prevalent amongst physicians, practical compassion training is lacking from a formal curriculum and rarely discussed amongst colleagues. We are very excited to further cultivate these skills and explore how self-care, gratitude and appreciation translates into better care for our patients. We would highly recommend the training to others seeking a means of deeper attunement to the emotional experience of those with vision loss.
(Front) left to right: Kirsten Cardinell, Amanda Mac, Megan Yuen, Ms. Rosemary Hodgins, Shireen Khattak, Middle left to right: Maryam Amin Mohammed Amin, Xun Zhou, Sukanya Sharma, Joseph Hanna, Nayeon Kim, Mr. Henry Farrugia, Ms. Heather Yearwood
(Back) left to right: Sam Chan, Emily Mathieu, Luz Paczka Giorgi, Dr. Yeni Yucel
On May 18, 2018, DOVS's 60th Annual Ophthalmology Research Day was held at Li Ka Shing Knowledge Institute at St. Michael's Hospital. Dr. Matthew Schlenker was the Chair of Research Day this year. There were 24 oral presentations and 59 poster presentations by residents, fellows and students. The 37th Clement McCulloch Lecture was given by Dr. :Paul P. Lee, F. Bruce Fralick Professor and Chair of Ophthalmology and Visual Sciences and Director of W.K. Kellogg Eye Center, and his topic was "Balanced Scorecards" in Eye Care.
Congratulations to the following Research Day Award winners:
Alumni Research Day Award (Best Resident Research Day Paper)
Winner: Dr. Brian Balliosz
Supervisors: Drs. Michael Brent & David Wong
John Gaby Research Day Prize (Best Fellow Research Day Paper)
Winner: Dr. Avner Belkin
Supervisors: Drs. Yvonne Buys, Graham Trope & Yaping Jin
Best Student Research Day Award (Best Student Research Paper)
Winner: Tina Felfeli
Supervisors: Drs. Filiberto Altomare, Alan Berger, Louis Giavedoni, Radha Kohly, Rajeev Muni
Best Research Day Poster Award
Winner: Austin Pereira
Supervisors: Drs. Ike Ahmed & Devesh Varma
Fellowship and Senior Resident Development Dinners
Alaa Alali
The Senior Residents & Fellows Development Dinners have recently been established at the DOVS University of Toronto. Every year 2-3 educational dinners are arranged for Senior Residents and Fellows to help them establish their careers. At every development dinner, three faculty members are invited to give a talk on a topic that has been requested by the senior residents and fellows. This year we had two development dinners so far, which went over the following topics:
"Life of a clinician scientist & how to set up and run a lab". Speaker: Dr. Agnes Wong
"How to set up an office and run a community practice". Speaker: Dr. Kylen McReelis
"Tips and pearls of fellowship to maximize the experience". Speaker: Dr. Devesh Varma
"Life of a residency program director". Speaker: Dr. John Lloyd
"Setting up a fellowship program & how to make the most of the fellowship year". Speaker: Dr. Asim Ali
"Leadership in Ophthalmology". Speaker: Dr. David Wong
The development dinners are great educational events for the fellows, where they get a chance to socialise together along with the senior residents and faculty members. In addition, the event is educational and provides an overview of important career topics that are usually not discussed during residency/fellowship years.
We would like to thank Dr. Sherif El-Defrawy and Dr. Asim Ali for the establishment and support of such educational dinners.
Dr. Rosa Braga-Mele talks about cataracts in younger population on Global News
"Cataracts don’t just happen in older populations – younger people get them too"
July 27, 2018 - Dr. John Lloyd invited all residents to his house for a BBQ party to welcome all PGY1 residents.
Celebrating Dr. John Fowler's 40-year career at Bridgepoint
Steph Parrott
Communications Specialist, Sinai Health System
After a 40-year career as Bridgepoint’s first —and only—Ophthalmologist, Dr. John Fowler is hanging up his Ophthalomoscope. Friends and colleagues gathered earlier this summer to celebrate his career at Bridgepoint and wish him well in his retirement.
In opening remarks at the celebration, Dr. Mark Lachman, Bridgepoint’s Medical Lead, described Dr. Fowler as “endlessly generous with his time, particularly with regards to teaching. In medicine we learn from those who come before us and Dr. Fowler is one of those people who has taught us to be not only better physicians but also better people in our own lives,” he said.
Dr. David Yan, Ophthalmologist-in-Chief at Sinai Health System noted: “Dr. Fowler has greatly influenced the careers of many ophthalmologists who are now leaders in our field, including my own. He was the quintessential role model for championing the teaching medical students, residents and family physicians about primary eye care, and inspired many physicians to take an active role in education.”
Most recently on September 27, 2017, Dr. John Fowler was awarded the highly prestigious Eye Physicians and Surgeons of Ontario’s Excellence for Educational Leadership in Ophthalmology Award, in recognition for his distinguished career of service to the specialty of Ophthalmology. MPP Soo Wong, surrounded by ophthalmology peers and other members of provincial parliament, presented the award at the Main Legislative Building at Queen’s Park.
Dr. Fowler was born and raised in Toronto, Ontario. He graduated from the University of Toronto’s medical school in 1958 and went on to work in general practice at Toronto’s East General and Orthopaedic Hospital. He obtained his PhD in Medical Biophysics and then did his residency in Ophthalmology at the University of Toronto from 1969-1972. He was appointed to the Ophthalmology Department at the University of Toronto in 1974 and held the position until his recent retirement on June 30th, 2018.
Dr. Fowler’s career prior to joining the Riverdale Hospital in 1978 included practicing as a family physician; serving as a physician in the Canadian Navy; earning his PhD in Medical Biophysics; and working on genetics research in Canada and the United States.
Dr. Fowler has skillfully taught at the University of Toronto for almost 50 years. In addition to Sinai Health System (Bridgepoint Site), he has been on staff at Sunnybrook Health Science Centre and The Toronto East General Hospital. Dr. Fowler is best recognized in Ontario for his commitment to teaching ophthalmology to residents, medical students, nurses and family doctors. He is the founder of the widely renowned conference "Primary Eye Care Day" that empowers primary care providers to learn about general ophthalmology in order to assist their patients across Ontario.
In addition to speeches, the celebration included a musical tribute by Katherine Brown, academic coordinator at Bridgepoint. Katherine and Dr. Fowler play trumpet in a local band and Dr. Fowler is a fan of big band music. Katherine surprised Dr. Fowler with her solo trumpet performance of Chattanooga Choo Choo a song originally recorded by the swing dance band Glen Miller and His Orchestra.
Congratulations and happy retirement to Dr. John Fowler!
From left to right: Dr. David Yan (Ophthalmologist-in-Chief), Mrs. Fowler, Dr. John Fowler, Dr. Stephanie Low (new Bridgepoint ophthalmologist), Dr. Mark Latchmann (Physician Lead)
Births
Congratulations to Dr. Deepa Yoganathan and Neel Welling on the birth of their daughter, Aviana, on July 16, 2018, weighing 8 lbs 8 oz. Big brother Jaithan is very thrilled.
In Memoriam
Dr. John S. Speakman (January 9, 1928 - May 13, 2018)
Passed away peacefully on May 13, 2018. John was born in Toronto, the eldest son of the late Horace and Mary Speakman; loving husband for 65 years of Betty; devoted father of Jane (Stephen), David, Nicola (David), Jennifer (David) and Heather (Neil). Cherished grandfather of Joanne, Louise, Andrew, John and Matthew. Predeceased by brother, Peter.
John attended Upper Canada College and the University of Toronto, graduating from medical school in 1952.
John's early years at Upper Canada instilled in him an interest in natural science which became a passion and a continuous source of pleasure that stayed with John throughout his life. His concern for the natural environment led to a lifetime support of the Nature Conservancy of Canada. In particular, he supported the Conservancy's effort to protect and preserve the Carden Alvar, a unique natural landscape east of Orillia.
He was a caring and dedicated ophthalmologist and the source of inspiration to generations of ophthalmologists. He was instrumental in making the Eye Department at Sunnybrook Health Sciences Centre one of the major teaching units at the University of Toronto. For more than four decades John was at the forefront of providing eye care services in the High Arctic. This exposure to Canada's north had a profound and life-long effect on him.
In 2008, John was appointed as a Member of the Order of Canada. The appointment recognized John's commitment as an educator and his dedication to the people of Canada's North.
John's life, and the life he shared with Betty, was a montage of rich experiences. Their time together at the family cottage on Lake Simcoe, on the tennis courts at The Toronto Lawn Tennis Club and on their bikes in Europe created happy memories. Their many friends, young and old, brought tremendous joy to their lives. John was also an inspiration to his grandchildren. His ability to connect with young children, whether making maple syrup at the cottage, finding a pileated woodpecker in the ravine or counting frogs in the pond, was remarkable.
The family wish to thank the staff at Belmont House for their compassionate care of John.
Memorial service was held on Tuesday, May 22, 2018 at Grace Church on-the-Hill, 300 Lonsdale Rd., Toronto, at 2:00 p.m.
Honours and Awards
Dr. Graham Trope receives COS Lifetime Achievement Award 2018 and The President's Award from Canadian Glaucoma Society
Congratulations to Dr. Graham Trope who continues to add to his long list of accomplishment with the COS Lifetime Achievement Award and the President's Award from Canadian Glaucoma Society.
After a five-year period of interim chairs, Graham Trope was appointed Chair of the Department of Ophthalmology (1991- 2000). Trope completed his undergraduate medical training in South Africa in the 1970s and his postgraduate training and fellowship in Glasgow, Scotland. There he completed a three year Frost Fellowship leading to a PhD degree. Trope was recruited to Toronto by Dr. Clive Mortimer in 1983 to develop the full time geographic glaucoma service at the Toronto General Hospital. In 1992 Trope completed the merger of the Toronto General Hospital eye department to the Toronto Western Hospital site.
Trope is past Editor-in-Chief of the Canadian Journal of Ophthalmology and has 165 publications on a wide variety of glaucoma topics. He published a textbook on glaucoma surgery in 2005 edition108; and a reference for patients entitled “Glaucoma: a Patient’s Guide to the Disease” in 1997, now on its fourth edition109. In 1988, Trope established the Glaucoma Research Society of Ontario, which eventually became the Glaucoma Research Society of Canada, this country’s only charitable organization dedicated solely to raising funds to support glaucoma research country wide. In 2001 he was awarded the Ontario College of Physicians and Surgeons Council award for contributions to patient care. Trope continues to be director of the Glaucoma Service at the University Health Network.
Dr. Yvonne Buys receives "Champions for Change" Award from Women in Ophthalmology (WOC)
Dr. Yvonne Buys was also recently elected as the 68th President of the Canadian Ophthalmological Society (COS).
Dr. Yvonne Buys was the recipient of the "Champion for Change" Award in promoting diversity and equality in ophthalmology at the Women in Ophthalmology reception at WOC in Barcelona on Monday June 18th, 2018. The awardees were nominated and selected by the Board of Directors of Women in Ophthalmology.
Dr. Moshe Eizenman and his Team Develops the First Smartphone Visual Field Test
Reprinted from U of T Medicine News - Apr 27, 2018
Author: Heidi Singer
A University of Toronto team led by Professor Moshe Eizenman has developed a simple, inexpensive way for people to test their own vision for early signs of glaucoma.
Using a smartphone, and a $25 virtual reality device called Google Cardboard, patients can quickly and easily monitor their peripheral vision for free, rather than visiting a clinic.
This is especially important in areas in Asia, India, Nepal and West Africa, where 90% of all glaucoma goes undetected, and is typically only discovered after it causes permanent vision damage, says Eizenman, a professor in the Department of Ophthalmology and Vision Sciences and the Institute of Biomaterials and Biomedical Engineering (IBBME).
“Visual field testing on personal smartphones can enable vision screening in developing countries where access to expensive equipment and dedicated testing facilities is limited,” he says. “This is crucial in remote areas where travel time to central testing facilities is prohibitively long or expensive.”
Working with Bill Shi, a third-year undergraduate engineering student at U of T, and ophthalmology professors Yvonne Buys and Graham Trope, the team tested 19 patients using both the mobile device and a traditional visual field testing instrument. The results between the two testing methods showed good agreement.
Eizenman also predicts his invention could help improve the management of open angle glaucoma, where frequent testing is recommended. Despite the potential benefits of frequent testing, patients with glaucoma are usually elderly and have a hard time following through.
Eizenman presented his findings at the 2018 Annual Meeting of the Association for Research in Vision and Ophthalmology on May 1.
The next step is for Eizenman and his team to test the utility of their visual field testing technology in parts of the world where glaucoma goes undetected, starting with India and Nepal.
Invited Associated Editor for a special issue in honour of Marty Steinbach, Experimental Eye Research.
Gupta N:
Silver Fellow of the Association for Research in Vision and Ophthalmology. May 2018
Chair, Society Relations and Leadership Development, International Council of Ophthalmology – January 1, 2018
Kraft SP:
Second Burton J Kushner Medallist and Lecturer in Pediatric Ophthalmology. Jan., 2017
Mireskandari K:
Honor Award, American Association for Pediatric Ophthalmology & Strabismus (AAPOS) 2018
Trope GE:
2018 Life time achievement award Canadian Ophthal.Soc. June 2018
2018 Honorary President. International congress of Glaucoma Surgeons .Montreal Sept 2018
Upcoming Events
September 2018 - October 2018
September 7, 2018
Visiting Professor Rounds
CanMEDS
Dr. John Lloyd
September 20, 2018
Faculty Development Rounds
Dr. Mumta Gautam on: Physician Burnout
Location: Le Select Bistro, 432 Wellington St W, Toronto Details and Registration
September 21, 2018
Visiting Professor Rounds
Retina
Dr. Netan Choudhry
September 28, 2018
Visiting Professor Rounds
Oculoplastics
Dr. Edsel Ing
September 29, 2018
Toronto Ocular Imaging Symposium
Co-chaired by Drs. Ike Ahmed & Rajeev Muni
Pearson Convention Centre Details and Registration
October 5, 2018
Visiting Professor Rounds
Neuro-Ophthalmology
Dr. Edward Margolin
October 12, 2018
Visiting Professor Rounds
Neuro-Ophthalmology
Dr. Wayne Cornblath
October 19, 2018
Visiting Professor Rounds
Uveitis
Dr. Panos Christakis
Department of Ophthalmology and Vision Sciences
University of Toronto
Faculty Development Rounds
Physician Wellness and Burnout
By
Mamta Gautam, MD, MBA, FRCPC, CPDC, CCPE President and CEO, PEAK MD
Dr. Mamta Gautam is a psychiatrist at The Ottawa Hospital and in the Department of Psychiatry at the University of Ottawa. She is a pioneer in the area of professional health and well-being and leadership development.
The abstract for Dr. Gautam’s talk is below.
Stress is inherent in medicine, and can lead to burnout. This presentation is designed to assist physicians in learning how to recognize and prevent burnout. The main causes of stress and drivers of burnout will be discussed. We need to stop blaming doctors and see burnout prevention as a shared responsibility of both the individual physicians and the healthcare system. Instead of focusing on preventing burnout, we will look at enhancing joy in our work, so we can maintain an intellectual, behavioral, and emotional commitment to meaningful and satisfying work. We will review the 5 C’s of Resilience to reinforce strategies that individuals can leverage to enhance resilience and maintain the joy in medicine.
PLEASE RSVP AND JOIN US FOR AN EVENING TO DISCUSS HOW TO FIND MORE JOY IN OUR EVERYDAY CLINICAL PRACTICES.
Date:
September 20, 2018
Location:
Le Select Bistro
432 Wellington St W, Toronto, ON M5V 1E3
Cocktails: 6:00 PM
Dinner & Talk: 6:30 PM
Accreditation for this program is under review for Royal College Section 1 credits.
Dinner will be served. If you have any dietary restrictions, do remember to indicate in the comments when you RSVP. Please click here to RSVP.
Grants
Dimaras H:
Canadian Institutes of Health Research, Meetings, Planning and Dissemination Grant: Cancer Research (2018) Disseminating the Top 10 Canadian Retinoblastoma Research Priorities $10,000
Canadian Institutes of Health Research Strategy for Patient-Oriented Research (SPOR) – Patient Engagement – Collaboration Grants (2018) Strengthening capacity for retinoblastoma research collaboration among patients, clinicians and scientists. $40,000
Gupta N:
Glaucoma Research Society of Canada
Is cerebrospinal fluid (CSF) Entry into the Optic Nerve Impaired in Glaucoma?
Glaucoma Research Society of Canada
“Lymphatic Drainage from the Eye - Is it Altered in Glaucoma?”
Jin YP (PI), Trope GE and Brent M (Co-PI):
Stats Canada $199,162.50 CAD (2016-2020)
Vision Quality Control Review for the Canadian Health Measures Survey." Proposal # 1920-0015000/b
Invited Lectures & Visiting Professorships
Ballios BG.
Curing Blindness: More Than Meets the Eye. Topics in Translational Medicine: Bench to Bedside (HMB402H1F), Human Biology Degree Program, Faculty of Medicine. Toronto, ON: University of Toronto, 2017. (Invited Lecture)
Choudhry, N.
OCT Case Review: 2018 Annual Meeting of the Canadian Retina Society, Mt.Tremblant, QC (Invited Lecture)
Utility of Wide-Field OCT: 2018 Annual Meeting of the Canadian Retina Society, Mt.Tremblant, QC (Invited Lecture)
How to Image the Peripheral Retina with OCT: 2018 Annual Meeting of the Vitreous Buckle Society, Miami, FL USA (Invited Lecture)
Dimaras, H:
Retinoblastoma Genetics. Department of Ophthalmology, Addis Ababa University. Addis Ababa, Ethiopia. February 27, 2018. (Invited Lecture)
One Retinoblastoma World: Lessons from Kenya in addressing the global retinoblastoma survival disparity. Ophthalmological Society of Ethiopia. Addis Ababa, Ethiopia. March 1, 2018. (Invited Lecture)
My path to a career global health. Partners in Health (University of Toronto Chapter) Careers in Global Health Panel. Toronto, Canada. March 8, 2018. (Invited Lecture)
International Standards in Retinoblastoma. Ethiopian National Retinoblastoma Strategy Workshop. Addis Ababa, Ethiopia. May 12, 2018. **Here, I also advised on the development of national strategies for retinoblastoma, at the first meeting of the Ethiopian National Retinoblastoma Strategy Group, in Addis Ababa, Ethiopia (Invited Lecture)
Gonzalez EG:
Major Diseases of Vision (Seminar given by invitation as part of the course Light and the Older Eye: Steps to Healthy Visual Aging, Ryerson University, Toronto, ON, May 2018).
Rehabilitation and Environmental Accommodations for Patients with Low Vision. [Invited Presentation at the Annual meeting of the International Organization for Standardization/Technical Committee 274 (ISO/TC 274) - Light and Lighting, Toronto, ON, May 29 - June 1].
Tehrani NN.
ROP: treatment in the era of anti-VEGF. University of Saskatchewan Ophthalmology Grand Rounds. Saskatoon, Saskatchewan, Canada. (Invited Lecture) Feb 2018.
Recent Publications
Recent publications by DOVS Faculty, Staff, Residents and Fellows
March 2018 - July 2018
Alabduljalil T, Westall CA, Reginald A, Farsiu S, Chiu SJ, Arshavsky A, Toth CA, Lam WC. Demonstration of anatomical development of the human macula within the first 5 years of life using handheld OCT. Int Ophthalmol. 2018 Jun 23 [Epub ahead of print]
AlAli A, Isaac M, Najm-Tehrani N,Mireskandari K. Transient lens vacuoles in premature infants. J AAPOS. 2018 Mar 30. [Epub ahead of print]
AlAli A*, Kletke S*, Gallie B, Lam WC. *Co-first authors. Retinoblastoma for Pediatric Ophthalmologists. Asia Pac J Ophthalmol (Phila). 2018 May 8 [Epub ahead of print]
Bae SS, Menninga I, Hoshino R, Humphreys C, Chan CC. Nomogram to Predict Graft Thickness in Descemet Stripping Automated Endothelial Keratoplasty: An Eye Bank Study. Cornea. 2018 Jun;37(6):687-690.
Belovay GW, Vera V, Varma DK, Ahmed IIK. Re: Srinivasan et al.: Comparison of new visual disturbances after superior versus nasal/temporal laser peripheral iridotomy: a prospective randomized trial (Ophthalmology. 2018;125:345-351). Ophthalmology. 2018 May;125(5):e36.
Berk TA, Schlenker MB, Campos-Möller X, Pereira AM, Ahmed IIK. Visual and Refractive Outcomes in Manual versus Femtosecond Laser-Assisted Cataract Surgery: A Single-Center Retrospective Cohort Analysis of 1838 Eyes. Ophthalmology. 2018 Mar 6. [Epub ahead of print]
Bin NR, Ma K, Harada H, Tien CW, Bergin F, Sugita K, Luyben TT, Narimatsu M, Jia Z, Wrana JL, Monnier PP, Zhang L, Okamoto K, Sugita S. Crucial Role of Postsynaptic Syntaxin 4 in Mediating Basal Neurotransmission and Synaptic Plasticity in Hippocampal CA1 Neurons. Cell Rep. 2018 Jun 5;23(10):2955-2966.
Bjornstad P, Lovshin JA, Lytvyn Y, Boulet G, Lovblom LE, Alhuzaim ON, Farooqi MA, Lai V, Tse J, Cham L, Orszag A, Scarr D, Weisman A, Keenan HA, Brent MH, Paul N, Bril V, Perkins BA, Cherney DZI. Adiposity Impacts Intrarenal Hemodynamic Function in Adults With Long-standing Type 1 Diabetes With and Without Diabetic Nephropathy: Results From the Canadian Study of Longevity in Type 1 Diabetes. Diabetes Care. 2018 Apr;41(4):831-839. Epub 2018 Feb 2.
Bhardwaj S, Bottini A, Ahmed IIK, Modi YS. Reverse Argentinean flag sign: Intraoperative complication during capsulorhexis. J Cataract Refract Surg. 2018 Feb;44(2):243-244. Epub 2018 Mar 7.
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Cardinez N, Lovblom LE, Bai JW, Lewis E, Abraham A, Scarr D, Lovshin JA, Lytvyn Y, Boulet G, Farooqi MA, Orszag A, Weisman A, Keenan HA, Brent MH, Paul N, Bril V, Cherney DZ, Perkins BA. Sex differences in neuropathic pain in longstanding diabetes: Results from the Canadian Study of Longevity in Type 1 Diabetes. J Diabetes Complications. 2018 Jul;32(7):660-664. Epub 2018 May 5.
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Chen YN, Patel CK, Kertes PJ, Devenyi RG, Blaser S, Lam WC. Retinal Detachment and Retrobulbar Cysts in a Large Cohort of Optic Nerve Coloboma. Retina. 2018 Apr;38(4):692-697.
Clark A, Wright T, Isaac M, Westall C, Mireskandari K, Tehrani NN. Macular morphology following unilateral bevacizumab injection for retinopathy of prematurity: an OCT study. J AAPOS [Internet]. 2017;21(6):499–501.e1.
Cunningham JEA, Shapiro CM. Cognitive Behavioural Therapy for Insomnia (CBT-I) to treat depression: A systematic review. J Psychosom Res. 2018 Mar;106:1-12. Epub 2017 Dec 24. Review.
Dimaras H, Corson TW. Retinoblastoma, the visible CNS tumor: A review. J Neurosci Res. 2018 Jan 3. [Epub ahead of print]
Downie ML, Mulder J, Schneider R, Lim L, Tehrani N, Wasserman JD, Fuchs S, John R, Noone DG, Hebert D. A curious case of growth failure and hypercalcemia: Questions. Pediatr Nephrol. 2018 Jun;33(6):991-993. Epub 2017 Aug 7.
Downie ML, Mulder J, Schneider R, Lim L, Tehrani N, Wasserman JD, Fuchs S, John R, Noone DG, Hebert D. A curious case of growth failure and hypercalcemia: Answers. Pediatr Nephrol. 2018 Jun;33(6):995-999. Epub 2017 Aug 7.
Einan-Lifshitz A, Belkin A, Mathew D, Sorkin N, Chan CC, Buys YM, Trope GE, Rootman DS. Repair of Exposed Ahmed Glaucoma Valve Tubes: Long-term Outcomes. J Glaucoma. 2018 Jun;27(6):532-536.
Einan-Lifshitz A, Belkin A, Sorkin N, Mednick Z, Boutin T, Gill I, Karimi M, Chan CC, Rootman DS. Descemet Membrane Endothelial Keratoplasty After Penetrating Keratoplasty: Features for Success. Cornea. 2018 May 8. [Epub ahead of print]
Einan-Lifshitz A, Sorkin N, Boutin T, Mednick Z, Kreimei M, Chan CC, Rootman DS. Descemet Membrane Endothelial Keratoplasty for Failed Deep Anterior Lamellar Keratoplasty: A Case Series. Cornea. 2018 Jun;37(6):682-686.
Einan-Lifshitz A,Sorkin N,Boutin T, Showail M, Borovik A, Jamshidi F, Chan CC, Rootman DS. Comparison of Sulfur Hexafluoride (SF6) and Air Tamponade in Noniridectomized Descemet Membrane Endothelial Keratoplasty. Cornea. 2018 Mar;37(3):273-276.
Gedde SJ, Feuer WJ, Shi W, Lim KS, Barton K, Goyal S, Ahmed IIK, Brandt J. Primary Tube Versus Trabeculectomy Study Group Treatment Outcomes in the Primary Tube Versus Trabeculectomy Study after 1 Year of Follow-up. Ophthalmology. 2018 May;125(5):650-663. Epub 2018 Feb 21.
Gedleh A, Lee S, Hill JA, Umukunda Y, Qaiser S, Kabiru J, Kimani K, Njambi L, Kitonyi G, Dimaras H. "Where Does it Come from?" Experiences Among Survivors and Parents of Children with Retinoblastoma in Kenya.J Genet Couns. 2018 Jun;27(3):574-588. Epub 2017 Nov 23.
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González EG, Tarita-Nistor L, Mandelcorn MS, Mandelcorn ED, Steinbach MJ. Mechanisms of image stabilization in central vision loss: smooth pursuit. Optometry and Vision Science, 95(1), 60-69, 2018.
Guo X, Jiang Q, Tuccitto A, Chan D, Alqawlaq S, Won GJ, Sivak JM. The AMPK-PGC-1α signaling axis regulates the astrocyte glutathione system to protect against oxidative and metabolic injury. Neurobiol Dis. 2018 May;113:59-69. Epub 2018 Feb 10.
Guziewicz KE, Cideciyan AV, Beltran WA, Komáromy AM, Dufour VL, Swider M, Iwabe S, Sumaroka A, Kendrick BT, Ruthel G, Chiodo VA, Héon E, Hauswirth WW, Jacobson SG, Aguirre GD. BEST1 gene therapy corrects a diffuse retina-wide microdetachment modulated by light exposure. Proc Natl Acad Sci U S A. 2018 Mar 20;115(12):E2839-E2848. Epub 2018 Mar 5.
Hill JA, Gedleh A, Lee S, Hougham KA, Dimaras H. Knowledge, experiences and attitudes concerning genetics among retinoblastoma survivors and parents. Eur J Hum Genet. 2018 Apr;26(4):505-517. Epub 2018 Jan 29.
Hillier RJ, Ojaimi E, Wong DT, Mak MYK, Berger AR, Kohly RP, Kertes PJ, Forooghian F, Boyd SR, Eng K, Altomare F, Giavedoni LR, Nisenbaum R, Muni RH. Aqueous Humor Cytokine Levels and Anatomic Response to Intravitreal Ranibizumab in Diabetic Macular Edema. JAMA Ophthalmol. 2018 Mar 8. [Epub ahead of print]
Hirji N, Bradley PD, Li S, Vincent A, Pennesi ME, Thomas AS, Heon E, Bhan A, Mahroo OA, Robson A, Inglehearn CF, Moore AT, Michaelides M. Jalili Syndrome: Cross-sectional and Longitudinal Features of Seven Patients With Cone-Rod Dystrophy and Amelogenesis Imperfecta. Am J Ophthalmol. 2018 Apr;188:123-130. Epub 2018 Feb 5.
Hsiao AM, Choudhry N. Swept-Source Optical Coherence Tomography and Optical Coherence Tomography Angiography Findings in Waardenburg Syndrome. Retin Cases Brief Rep. 2018 Jul 16. [Epub ahead of print]
Hussain A, Nijhawan N, DeAngelis D, Oestreicher J. Perceptions and use of computer-assisted surgery (CAS) in the orbit. Orbit. 2018 Jul 11:1-4. [Epub ahead of print]
Ing E. Letter to the Editor, Bloodwork statistical prediction model for giant cell arteritis. "Comments on "The full blood count as an ancillary test to support the diagnosis of giant cell arteritis" Intern Med J. 2018 May;48(5):607-608
Ing E, Pagnoux C, Tyndel F, Sundaram A, Hershenfeld S, Ranalli P, Chow S, Le T, Lutchman C, Rutherford S, Lam K, Bedi H, Torun N. Lower ocular pulse amplitude with dynamic contour tonometry is associated with biopsy-proven giant cell arteritis. Can J Ophthalmol. 2018 Jun;53(3):215-221. Epub 2017 Dec 26.
Isaac M, Isaranuwatchai W, Tehrani N. Cost analysis of remote telemedicine screening for retinopathy of prematurity. Can J Ophthalmol. 2018 Apr;53(2):162-167. Epub 2017 Nov 14.
Khan AM, Trope GE, Wedge R, Buys YM, El-Defrawy S, Chen Q, Jin YP. Policy implications of regional variations in eye disease detection and treatment on Prince Edward Island: a repeated cross-sectional analysis, 2010-2012. BMC Health Serv Res. 2018 Apr 10;18(1):273.
Khalili S, Shifrin Y, Pan J, Belik J, Mireskandari K. The effect of a single anti-Vascular Endothelial Growth Factor injection on neonatal growth and organ development: In-vivo study. Exp Eye Res. 2018 Apr;169:54-59. Epub 2018 Feb 3.
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Leung VC, Fung SSM, Muni R, Ali A. Phacomorphic Angle-closure Following Silicone Oil Tamponade in a Pediatric Patient. J Glaucoma. 2018 Jun;27(6):e106-e109.
Li DQ, Choudhry N. Coversyl-Induced Transient Serous Choroidal Detachments. Ophthalmology. 2018 Jun;125(6):831. No abstract available.
Lionel AC, Costain G, Monfared N, Walker S, Reuter MS, Hosseini SM, Thiruvahindrapuram B, Merico D, Jobling R, Nalpathamkalam T, Pellecchia G, Sung WWL, Wang Z, Bikangaga P, Boelman C, Carter MT, Cordeiro D, Cytrynbaum C, Dell SD, Dhir P, Dowling JJ, Heon E, Hewson S, Hiraki L, Inbar-Feigenberg M, Klatt R, Kronick J, Laxer RM, Licht C, MacDonald H, Mercimek-Andrews S, Mendoza-Londono R, Piscione T, Schneider R, Schulze A, Silverman E, Siriwardena K, Snead OC, Sondheimer N, Sutherland J, Vincent A, Wasserman JD, Weksberg R, Shuman C, Carew C, Szego MJ, Hayeems RZ, Basran R, Stavropoulos DJ, Ray PN, Bowdin S, Meyn MS, Cohn RD, Scherer SW, Marshall CR. Improved diagnostic yield compared with targeted gene sequencing panels suggests a role for whole-genome sequencing as a first-tier genetic test. Genet Med. 2018 Apr;20(4):435-443. Epub 2017 Aug 3.
Margolin E, Lam CTY. Approach to a Patient with Diplopia in the Emergency Department. J Emerg Med. 2018 Jun;54(6):799-806. Epub 2018 Feb 14.
Mathew DJ, Trope GE, Buys YM. Plateau Iris: The Terminology and Clinical Relevance. J Glaucoma. 2018 May 11. [Epub ahead of print]
Moran J, Sanderson KG, Maynes J, Vig A, Batmanabane V, Kannu P, Tavares E, Vincent A, Heon E. IFT80 mutations cause a novel complex ciliopathy phenotype with retinal degeneration. Clin Genet. 2018 Jun 20. [Epub ahead of print]
Muratov S, Podbielski DW, Kennedy K, Jack SM, Pemberton J, Ahmed IIK, Baltaziak M, Xie F. Preference-based Glaucoma-specific Health-related Quality of Life Instrument: Development of the Health Utility for Glaucoma. J Glaucoma. 2018 Jul;27(7):585-591. Epub 2018 May 12.
Myers JS, Masood I, Hornbeak DM, Belda JI, Auffarth G, Jünemann A, Giamporcaro JE, Martinez-de-la-Casa JM, Ahmed IIK, Voskanyan L, Katz LJ. Prospective Evaluation of Two iStent® Trabecular Stents, One iStent Supra® Suprachoroidal Stent, and Postoperative Prostaglandin in Refractory Glaucoma: 4-year Outcomes. Adv Ther. 2018 Mar;35(3):395-407. Epub 2018 Feb 23.
Ngo G, Trope G, Buys Y, Jin YP. Significant disparities in eyeglass insurance coverage in Canada. Can J Ophthalmol. 2018 Jun;53(3):260-265. Epub 2017 Dec 11.
Nickerson PEB, Ortin-Martinez A, Wallace VA. Material Exchange in Photoreceptor Transplantation: Updating Our Understanding of Donor/Host Communication and the Future of Cell Engraftment Science. Front Neural Circuits. 2018 Mar 6;12:17. 2018. Review.
Olteanu C, Shear NH, Chew HF, Hashimoto R, Alhusayen R, Whyte-Croasdaile S, Finkelstein Y, Burnett M, Ziv M, Sade S, Jeschke MG, Dodiuk-Gad RP. Severe Physical Complications among Survivors of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis. Drug Saf. 2018 Mar;41(3):277-284.
Pichi F, Freund KB, Ciardella A, Morara M, Abboud EB, Ghazi N, Dackiw C, Choudhry N, Souza EC, Cunha LP, Arevalo JF, Liu TYA, Wenick A, He L, Villarreal G Jr, Neri P, Sarraf D. Congenital Retinal Macrovessel and the Association of Retinal Venous Malformations With Venous Malformations of the Brain. JAMA Ophthalmol. 2018 Apr 1;136(4):372-379.
Popovic M, Chan C, Lattanzio N, El-Defrawy S, Schlenker MB. Comparative cost evaluation of brand name and generic ophthalmology medications in Ontario. Can J Ophthalmol. 2018 Apr;53(2):173-187. Epub 2017 Sep 27. Review.
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Richards MD, Goltz HC, Wong AMF. Audiovisual perception in amblyopia: A review and synthesis. Exp Eye Res. 2018 May 17. [Epub ahead of print] Review.
Roelofs K, Shaikh F, Astle W, Gallie BL, Soliman SE. Incidental neuroblastoma with bilateral retinoblastoma: what are the chances? Ophthalmic Genet. 2018 Jun;39(3):410-413
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Scarr D, Lovblom LE, Cardinez N, Orszag A, Farooqi MA, Boulet G, Weisman A, Lovshin JA, Ngo M, Paul N, Keenan HA, Brent MH, Cherney DZ, Bril V, Perkins BA. Validity of a point-of-care nerve conduction device for polyneuropathy identification in older adults with diabetes: Results from the Canadian Study of Longevity in Type 1 Diabetes. PLoS One. 2018 Apr 30;13(4):e0196647. eCollection 2018.
Schlenker MB, Gulamhusein H, Conrad-Hengerer I, Somers A, Lenzhofer M, Stalmans I, Reitsamer H, Hengerer FH, Ahmed IIK. Reply. Ophthalmology. 2018 Apr;125(4):e26. No abstract available.
Shabanova I, Cohen E, Cada M, Vincent A, Cohn RD, Dror Y. ERCC6L2-associated inherited bone marrow failure syndrome. Mol Genet Genomic Med. 2018 Apr 6. [Epub ahead of print]
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Soliman SE, D'Silva CN, Dimaras H, Dzneladze I, Chan H, Gallie BL. Clinical and genetic associations for carboplatin-related ototoxicity in children treated for retinoblastoma: A retrospective noncomparative single-institute experience. Pediatr Blood Cancer. 2018 May;65(5):e26931.. Epub 2018 Jan 19.
Soliman SE, Racher H, Lambourne M, Matevski D, MacDonald H, Gallie B. A novel deep intronic low penetrance RB1 variant in a retinoblastoma family. Ophthalmic Genet. 2018 Apr;39(2):288-290. Epub 2017 Nov 3. No abstract available.
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Sorkin N, Showail M, Einan-Lifshitz A, Boutin T, Borovik A, Kreimei M, Rosenblatt A, Chan CC, Rootman DS. Outcomes of Descemet Membrane Endothelial Keratoplasty in Eyes With a Previous Descemet Stripping Automated Endothelial Keratoplasty Graft. Cornea. 2018 Jun;37(6):678-681.
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Taghdiri F, Chung J, Irwin S, Multani N, Tarazi A, Ebraheem A, Khodadadi M, Goswami R, Wennberg R, Mikulis D, Green R, Davis K, Tator C, Eizenman M, Tartaglia MC. Decreased Number of Self-Paced Saccades in Post-Concussion Syndrome Associated with Higher Symptom Burden and Reduced White Matter Integrity. J Neurotrauma. 2018 Mar 1;35(5):719-729. Epub 2018 Feb 12.
Tam ALC, Chen L, Trope GE,Buys YM, Jin YP. Canadians with Visual Impairment Utilize Home Care Services More Frequently. Can J Ophthalmol. Manuscript number:113_R1.2018.
Tam ALC, Yan P, Gan NY, Lam WC. The Current Surgical Management of Large, Recurrent, or Persistent Macular Holes. Retina. 2018 Jul;38(7):1263-1275. Review.
Tarnopolsky MA, Sundaram ANE, Provias J, Brady L, Sadikovic B. CPEO - Like mitochondrial myopathy associated with m.8340G>A mutation. Mitochondrion. 2018 Mar 6. [Epub ahead of print]
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Wong TY, Sun J, Kawasaki R, Ruamviboonsuk P, Gupta N, Lansingh VC, Maia M, Mathenge W, Moreker S, Muqit MMK, Resnikoff S, Verdaguer J, Zhao P, Ferris F, Aiello LP, Taylor HR. Guidelines on Diabetic Eye Care: The International Council of Ophthalmology Recommendations for Screening, Follow-up, Referral, and Treatment Based on Resource Settings. Ophthalmology. 2018 May 24. [Epub ahead of print] Review.
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Yucel YH, Mathieu E, Gupta N. Author Response: The First Histologic Evidence of a Paravascular Pathway Within the Optic Nerve. Invest Ophthalmol Vis Sci. 2018 Apr 1;59(5):1718.
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