University of Toronto Department by pengxiuhui

VIEWS: 581 PAGES: 97

									   University of Toronto
Department of Otolaryngology
  Head and Neck Surgery
 ―State of the Union Address‖
           Dr. Patrick Gullane
   Chair, Department of Otolaryngology
          Head and Neck Surgery

            Dr. Ian Witterick,
    Director Post-Graduate Education

            January 11, 2008
           History of Department
The Department of Otolaryngology at the University of
Toronto has a long and honourable heritage.
It has trained many notable leaders in our Specialty that
continue to enhance and further expand our Specialty.
                      The Vision

The activities should be compatible with the
priorities of the:
   •   Department of Otolaryngology – Head & Neck Surgery
   •   Priorized Programs of each Individual Hospitals’ Mission
University of Toronto - Vision
The University of Toronto will be a leader among the
world’s best public teaching and research universities
in its discovery, preservation and sharing of knowledge
through its teaching and research and its commitment
to excellence and equity.
Department of Otolaryngology – Head and Neck Surgery
                University of Toronto

•   Largest Program in Canada
•   Largest Residency Training Program in Canada
•   Largest # of Fellowship Programs
•   Largest # of Research Programs
•   Largest # of Endowed Chairs –
    Head & Neck Surgery, Cochlear and Research
•   Largest # of CME events
•   Largest # of Visiting Professorships
Department of Otolaryngology – Head and Neck Surgery
                University of Toronto

      •   98 Faculty appointments
          –   49 MDs – Otolarynoglogists
          –   23 MD Cross appointments
          –   26 Others - PhD Scientists, Audiologists,
                         Speech Language Pathologists etc.
      •   22 Residents (5 per year)
      •   16+ Fellows (clinical and research)
Professor and Chair                    The Faculty – July 2007
P.J. Gullane
Professores Emeriti   Associate Professors    D.B. Shipp       E. Thurier            Cross-Appointed
P.W. Alberti          J.S. Chapnik            O. Smith         A. Vescan             Associate Professors
B.D. Birt             J.M. Chen               L.M. Tarshis     J. Werger             S. Blaser
T.D.R. Briant         K. Conrad               P.S. Wade        E. Wong               G. Bradley
D.P. Bryce            M.J. Davidson           M. Zirkle        Instructors           E. Kassel
P. Cole               R.S. Fenton             Lecturers        B. Bliss              L.E. Rotstein
W.S. Crysdale         B.C. Papsin             J. Adamonis.     M. Bobyn              L. Shankar
W.S. Goodman          K. Riko                 I. Bennett       N.A.T. Sandor         J.H. Siewerdsen
J.S. McGrail          A.J. Smitheringale      D. Brown         K.L. Steen            A. M-F. Wong
Professors            I.J. Witterick          A.J. da Silva    Cross-Appointed       Cross-Appointed
                      Assistant Professors    S. Drucker       Staff Professors      Assistant Professors
S.M. Abel
                                              R. Fox           B.J. Cummings
P.A. Adamson          J. Anderson                                                    M.A. Keller
                                              D. Goldstein     F. Gentili
D.H. Brown            P. Campisi                                                     R. Martino
                                              E. Gooden        S. Kamel-Reid
D.A.F. Ellis          M. Cashman                                                     B. Perez-Ordoñez
                                              R.I. Josephson   H. Kunov
V. Forte              A. Chiodo                                                      J. Waldron
                                              A. Katyal        F-F. Liu
J.L. Freeman          K.Y. Chow                                                      Cross-Appointed
J. Friedberg          F. DeSouza
                                              W. Kaul          B. O’Sullivan
                                              J. Kolenda       J.A. Sharpe
R.W. Gilbert          W. El Masri                                                    P. Ranalli
                                              D. Matthews      A.W.P. van Nostrand
J. Haight             D. Enepekides                                                  D. Storms
                                              L. MacDonald     P.G. Walfish
R.V. Harrison.        A.M. Gantous                                                   J. Witte
                                              J. Ostroff       N. Zamel
W.M. Hawke            D. Goldfarb
                                              V. Papaioannou                         Administrative Staff
M.L. Hyde             K. Gordon
                                              R. Rival                               Z. Huezo,
J.C. Irish            J. Halik
                                              K. Smilsky                             A. Martin
J.M. Nedzelski        K. Higgins
                                              G. Sohn                                U. Stephenson
A.M. Noyek            A. James
                                              P. Solomon
J.A. Rutka            W.S. Middleton
•   Dr. Percy Ireland            - 1946-1966
•   Dr. Douglas Bryce            - 1967-1982
•   Dr. Peter Alberti            - 1982-1992
•   Dr. Julian Nedzelski         - 1992-2002
•   Dr. Patrick Gullane          - 2002-2012
             Program Directors
•   Dr.W.F. Goodman      1967-1988
•   Dr. Derek Birt       1988-1998
•   Dr. Dale Brown       1998-2001
•   Dr. Joe Chen         2001-2004
•   Dr. Ian Witterick    2004-Present
                   Department Hospital Chiefs
•   Sunnybrook                Joe Chen
•   St. Michael’s             Ron Fenton
•   Mt. Sinai                 Jeremy Freeman
•   HSC                       Vito Forte
•   UHN                       Patrick Gullane, R. Gilbert – (Deputy Chief)
•   UHN/Mt.Sinai
    Chief Surgical Oncology   Jon Irish
•   U of T
    Division of
    Head & Neck Oncology      Ralph Gilbert
•   TEGH                      Oakley Smith
•   SJH                       Ian Witterick
University - Staff
         Business Officer:
         Audrea Martin
         Department Secretary:
         Zoila Huezo
         Postgraduate Secretary:
         Ursula Stephenson
       These individuals provide significant leadership and
       administrative support for the academic activities of
       the department.

       Computerization links with U of T network to
       disseminate information locally, nationally and

       Fully integrated with the Administrative Management
       System (FIS, HRIS) of the Facility and University.
                University of Toronto - Organizational Structure
                                 Dean Faculty of Medicine
                                          C. Whiteside

                               Chair of Otolaryngology – H & N
                                                                        Budget Committee
                                          P. Gullane
                                                                       Department of Otolaryngology
                                   Executive Committee                   Hospital for Sick Children
   Audiology Committee                                                            V. Forte
                                Hospital Otolaryngologists-In-Chief

                                                                       Department of Otolaryngology
Continuing Medical Education         Co-Directors of Audiology               Mt. Sinai Hospital
                                      K. Riko, V. Papaioannou                   J. Freeman

  Postgraduate Education          Director, Continuing Medical Ed.     Department of Otolaryngology
        Committee                                                         St. Michael’s Hospital
                                             I. Witterick
                                                                                R. Fenton
 Fellowship Sub Committee        Director, Post Graduate Education
                                                                       Department of Otolaryngology
                                             I. Witterick
                                                                      Sunnybrook & Women’s College
                                                                          Health Sciences Centre
    Research Committee             Director of Research & Chair                   J. Chen
                                      Promotions Committee
                                            R. Harrison               Department of Otolaryngology
   Promotions Committee                                               The University Health Network
                                 Director, Undergraduate Education             P. Gullane
                                                                           R. Gilbert (deputy)
                                             P. Campisi
  Undergraduate Education
        Committee                                                     Department of Otolaryngoloy
                                            Chair, DAC                Toronto East General Hospital
 Departmental Appointments                   J. Irish                           O. Smith
      Committee (DAC)
                                            Rep. for                   Department of Otolaryngoloy
  Non-Geographic Faculty           Community Academic Faculty             St. Josephs Hospital
Community Academic Faculty                  R. Rival                            I. Witterick
•   The principal source of funding is from the combination of
    Ministry of Training, Colleges and Universities (MTCU) and
    Teaching & Research funds (T&R).
•   Others sources – AFP’s, repair funds from Cancer Care Ontario,
    and on call stipends.
•   Full AFP at HSC helped significantly to recruit clinician-scientists
    and clinician-educators.
•   Hospital departments have through the leadership of their chiefs
    and faculty received substantial donations which are used to
    support research endeavors, clinical and research fellows.
•   Over the past five years we have seen significant expansion in the
    research grants obtained by members of the Department.
                       Clinical Program
•   Over the past five years we have seen a significant change in clinical services.
•   Major focus in head and neck oncology and reconstruction, endocrine oncology,
    neurotology, reconstructive and plastic surgery, complex otology and skull base
•   With this shift and increased academic expansion, the fully affiliated hospitals
    have obtained an increase in the capital equipment and funding necessary and
    also volume based funding resulting from the government need to reduce wait
•   However with the expansion of the complex clinical programs, it was necessary
    to evaluate the mix of cases and operative experiences obtained by the residents.
•   Review of the PGY5 resident case logs who graduated in 2005 demonstrated
    that the average resident performed 1862 otolaryngology procedures during their
    training and despite the concerns that they were not obtaining basic
    otolaryngology training, we found that 26.4% of the procedures fell under the
    category of ―General Otolaryngology‖.
                  Research Program
•   Over the past five years we have witnessed a significant increase in
    the research activities within the Department. This has been a
    major focus of mine, having identified the research weakness on
    my appointment. Furthermore, our residents needed to have greater
    exposure to clinical and basic research, especially the opportunity
    to pursue a ―Master’s degree‖.
•   The research covers all aspects of our specialty from head and neck
    oncology, vestibular research, otology, neurotology, ear and
    acoustics research, audiology and cochlear implantation research
    and basic science applied both to oncology, otology and upper
    airway sciences.
                  Research Program
•   Dr. Robert Harrison, Director of Research and Chair of the
    Research committee, has annually held a Research Evening since
    my appointment to highlight the research activities ongoing within
    the Department and to expose and stimulate resident interest in
    pursuing a Master’s thesis. This has had a profound effect on the
    Department with ten individuals having completed a Master’s
    thesis. I am extremely proud of this accomplishment which had
    been identified as a weakness.
•   I am indebted to many of the researchers and mentors including:
    Drs. Robert Harrison, Blake Papsin, Karen Gordon, Sharon Abel,
    Suzanne Kamel-Reid, Fei-Fei Liu, Jonathan Irish, Paolo Campisi,
    Jeremy Freeman, Vito Forte, Jim Haight and many others for their
               – HEAD AND NECK SURGERY
           October 25, 2007 RESEARCH EVENING
5.30 PM            Welcome and Introduction: Bob Harrison
5.40 PM            Head and Neck Cancer Research Unit: Suzanne Kamel-Reid
5.50 PM            H & N clinical Research Group: David Goldstein
6.00 PM            The Liu Lab; H & N oncology research: Fei-Fei Liu
6.10 PM            Vestibular Research: John Rutka
6.20 PM            SickKids Cochlear Implant Research Lab: Karen Gordon
6.30 PM            Sunnybrook Otology Research Group: Joe Chen
                   and introducing: Lendra Friesen
6.40 PM            Upper Airway Sciences: Jim Haight
6.50 PM            Sunnybrook H & N Oncology Research: Kevin Higgins
7.00 PM            Image Guided Surgery Research: Jon Irish/Jeff Siewerdsen
7.10 PM            Applied Pediatric Research: Vito Forte
7.20 PM            MSH Otolaryngology – HNS group: Ian Witterick
7.30 PM            Auditory Science Lab and Pediatric Voice Lab: Bob Harrison

                    Research Groups:
   Department of Otolaryngology– Head and Neck Surgery
          Research Groups in Department of Otolaryngology – HNS, University of Toronto

                                           Pediatric voice
                                        and laryngeal function                   Research                        Oto-neurology and
            Auditory Science                  Laboratory                                                     Cochlear Implant Research
              Laboratory                      (Campisi)                            (Abel)                 (Chen, Nedzelski, Shipp, Ostroff))

                                                                       Defence R & D Canada
                                                                                                                  Health Sciences Centre
            Cochlear Implant          The Hospital for
           Research Laboratory         Sick Children             Department of Otolaryngology -                           Head & neck research
             (Papsin, James,                                                 HNS                                          (Higgins)
                Gordon)                                              University of Toronto
                                                                                                                                                 My thanks to you Bob for
          Pediatric otolarygngology       Mount Sinai                                                  St. Michael's           Laboratory
               (Forte, James)              Hospital
                                                                                   Image Guided
                                                                                                         Hospital              (Anderson)
                                                                                                                                                 your untiring efforts in
                                                                                Surgery Research                           Upper Airway
                 Head & Neck
               Clinical Research
             (Freeman, Witterick)
                                      (Hyde, Riko)
                                                                                (Irish, Siewerdsen)

                                                           University Health Network
                                                                                                                             (Haight)            helping to enhance our
                                                          Toronto Western
                                                                                              Princess Margaret
                                                                                                                                                 research mission.
                                                                                                                              Liu Lab
               Head & Neck Surgical Research              Neuro-otology and               Conacher Head & Neck            Head and Neck
          (Gilbert, Gullane, Freeman, Brown, Irish)      Vestiibular Research              Cancer Research Unit          Oncology Research
                                                                (Rutka)                       (Kamel-Reid)                     (Liu)
                        Master’s Thesis
1.    Dr. Vance Tsai, Master’s thesis in International Health at the
      London School of Hygiene.
2.    Dr. Evan Propst two-year Master’s thesis in the Genetics of Hearing Loss
      (Surgeon-Scientist Program)
3.    Dr. Molly Zirkle Master’s thesis in Education.
4.    Dr. Kevin Higgins Master’s thesis in Clinical Epidemiology
5.    Dr. David Goldstein Master’s thesis in Clinical Epidemiology
6.    Dr. Manish Shah Master’s thesis in Clinical Epidemiology at
      Cambridge University in England.
7.    Dr. Sharon Cushing Master’s thesis as part of the Surgeon Scientist Program
8.    Dr. Ian Witterick completed his Master’s in Clinical Epidemiology
9.    Dr. Allan Vescan – presently in progress
10.   Dr. Vincent Lin – presently in progress
                     Research Program
•   The Basic Science Laboratories in Head and Neck Oncology within the Princess
    Margaret Hospital; Directors Drs. Suzanne Kamel-Reid and Fei-Fei Liu have helped
    to further enhance our research profile nationally and internationally.
•   I am grateful to Fei-Fei and Suzanne for their enormous contributions. A
    combination of the endowment of Chairs, successful competitive research grants
    obtained through private donations and corporate support have helped enormously to
    further enhance this activity.
•   I am indebted to Drs. Robert Harrison, Blake Papsin and Karen Gordon for their
    leadership, support and guidance in cochlear and basic auditory research. The recent
    successful CIHR (one million) grant obtained by Dr. Harrison demonstrates his
    prominence in the research arena of auditory science.
    Dr. Blake Papsin’s contributions in cochlear implant research was recognized with
    an endowed chair, ―Cochlear Corporation Chair in Auditory Development‖ in 2005
    with recent publication in NEJM November 2007.
                     Research Program
•   The Department has in addition increased interaction with other cognate
    departments in the clinical and academic arenas. Clinical interactions have
    expanded in head and neck oncology, with more cross appointments in activities
    with the Department of Radiation and Medical Oncology at the Princess
    Margaret Hospital.
•   Collaborative clinical and educational programs have also expanded within the
    Department of Endocrinology, Plastic Surgery, and basic research. The goal of
    the Department is to allow the research program to integrate in the core activity
    of another department.
•   Over the past five years, the Department has developed significant programmatic
    excellence with a number of its faculty known nationally and internationally for
    their programmatic excellence. The advent of image guided surgery and the
    development of the GTX program lead by Drs. Jonathan Irish, Jeffrey
    Siewerdsen and Walter Kucharczyk remains a very exciting focus.
                  Research Program
•   Currently their are four endowed Chairs in the Department of
    Otolaryngology – Head & Neck Surgery which for a smaller
    department is unprecedented.
•   These include:
     –   The Temmy Latner/Dynacare Chair in Head and Neck
         Oncology at Mt. Sinai Hospital held by Dr. Jeremy Freeman.
     –   The Wharton Chair in Head and Neck Surgery at the
         University Health Network held by Dr. Patrick Gullane
     –   The Mariano Elia Chair in Head and Neck Research at the
         Princess Margaret Hospital held by Dr. Fei-Fei Liu
     –   The Cochlear Corporation Chair in Auditory Development at
         the Hospital for Sick Children held by Dr. Blake Papsin.
    Chairs in Otolaryngology –
    Head and Neck Surgery

•   Chair in Head and Neck Surgery
    $2,000,0000 - Dr. Patrick Gullane
•   Bartley-Smith/Wharton Chair in Radiation Oncology
    $2,000,000 - Dr. Brian O’Sullivan
•   Elia Chair in Head and Neck Research
    $2,500,000 - Dr. Fei-Fei Liu
•   Temmy Latner/Dynacare Chair in Head and Neck Oncology
    $3,000,000 - Dr. Jeremy Freeman
•   Cochlear Americas Chair
    $2,000,000 - Dr. Blake Papsin
•   Two future Chairs pending.
             Research Support, Grants and Publications
                          2002 – 2007
•    Endowment interest from Chairs, peer-reviewed grants,
     industry and pharmaceutical support, group practice
     plans, resulted in $5.7 million in research support from
     July 2002 – June 2007.
•    Publications:
           2002-2005               217 peer-reviewed papers
                                   56 chapters
                                   3 text books
           2005-2006               108 peer-reviewed papers
                                   14 chapters
                                   3 text books
           2006-2007               92 peer-reviewed papers
                                   4 chapters
    Total published papers is double the number produced by all the
    departments of Otolaryngology in Canada combined.
•   Over the past five years, the research ―academic output‖ and
    peer-reviewed publications have significantly increased from
    2002-2006 when compared with the previous publication
    numbers from 1996-2001 as is documented in the Departmental
    Annual Report and from the submission of the Research report by
    Dr. Harrison.
•   A written communication from Dean David Naylor (now
    President of the University of Toronto) in reference to the Annual
    Report of 2006, states: As I expressed to you some time ago, the
    greatest difference in performance measures on a per capita
    basis-when comparing the University of Toronto to similar
    institutions is in your department- followed closely by a number
    of others such as Law & Chemistry.
               Bibliometric Analysis
          Education Programs
The Education Programs have been a major focus of
my activities over the past five years and have
received significant attention. The Undergraduate
and Postgraduate Directors, and their committees are
to be complimented for their enormous contributions
to this most important area within our Department.
             Undergraduate Education
•   Dr. Paolo Campisi has taken over the leadership of this program
    from Dr. Julian Nedzelski who lead the program previously. The
    course content has been updated by Dr. Campisi and his
    committee and is now available on-line for students to review.
•   The Undergraduate Medical Education is conducted through
    three academies:
      – The Peter-Boyd Academy
      – The Wightman-Berris Academy
      – The Fitzgerald Academy.
•   Our Department is committed to provide over 900 hours
    of undergraduate medical education per annum.
    Evaluations from the medical students from all three
    academies are excellent.
Medical Education
Activity per Annum
     960 hours

I’m truly indebted to all
members of the facility
for your enormous
         Undergraduate Education
•   During the past five years we have increased exposure to
    Otolaryngology – Head & Neck Surgery which includes
    the PBL Foundations of Medical Practice, taught by
    Dr. Alma Smitheringale, the Year III clerkship experience
    in Otolaryngology – Head and Neck Surgery shared with
    the Department of Ophthalmology and spread through a two
    week block interval.
•   Teaching is carried out within the context of the academies
    with a half day interval at the Hospital for Sick Children as
    part of the experience during each of these teaching blocks.
         Undergraduate Education

•   The Undergraduate Education Committee chaired by
    Dr. Paolo Campisi has ensured that a standardized
    curriculum has been struck and maintained. An evaluation
    tool for students and teachers has been developed. Plans are
    in place to implement on-line scheduling, including faculty
    and student evaluation forms, and patient encounter logs.
•   An upcoming challenge to the committee is the expansion
    of the undergraduate program and a new clerkship academy
    at the Mississauga campus. A site visit has already taken
    place jointly by both Dr. Campisi and the Chair.
        Undergraduate Education
•   Over the past five years we have seen a significant
    number of ―elective rotations‖ with an increased
    number of medical students interested in spending
    more time in our department and as a result an
    increased interest in pursuing Otolaryngology –
    Head & Neck Surgery as a specialty career.
•   The main weakness is the regret by the students of
    not having more allocated time to our specialty in
    the Pre-clerkship year. This will be a focus of my
    attention in the next five years.
       Postgraduate Education
Dr. Ian Witterick was appointed as Director of the
Postgraduate Program September 2004 . During the
Royal College Site Survey in 2001 some areas of
weaknesses were identified and in the mandate of the
Internal Review of September 2002 (3 months after
I was appointed as Chair) all of these weaknesses
were identified and corrected.
         Postgraduate Education
During the past three years under the superior
leadership of Dr. Ian Witterick we have experienced
significant changes that have included:
   –   Enhancement of general otolaryngology
   –   A mandatory 4 month research block for residents
   –   Established goals and objectives for the residency
       (Red and Yellow books)
   –   Implementation of a 360 degree evaluation tool
   –   The establishment of a chief resident category
           Postgraduate Education
•   During the same time we also have expanded the core
    teaching lectures, improved resident-faculty evaluations
    (POWER) online case log tracking system; PGY1 skills
    course, oral examinations, practice written examinations,
    addition of anesthesia rotation in PGY1; increased CMGs
    from 3 to 4 (as of 2008 increased to 5), significant number
    of invited visiting professors and continuing education
    courses, Master’s degrees, six over the past five years and
    finally a mentorship program for PGY1 residents.
•   Increased social interactions to improve the morale of the
    residents and make them feel like they are “Partners in
    the Department”.
A combination of a large, dynamic
and dedicated faculty with high
satisfaction ratings, a comprehensive
curriculum with re-structuring of the
program to adhere to the CanMeds
Guidelines have resulted in the
recent successful Royal College
on-site Survey, April 18th, 2007.
I’m indebted to Dr. Witterick for his
untiring commitment to excellence in
our Residency Program which is now
one of the foremost in North America.
My thanks also to the dedication of a
committed faculty, residents, and
     University of Toronto
 Department of Otolaryngology
   – Head and Neck Surgery
            Percy Ireland
16th Annual Academic Day and Dinner
           May 3-4th, 2007
               Dr. Patrick Gullane – Chair
       Dr. Ian Witterick – Post Graduate Director
            Guest Speaker – Dr. David Eisele
    Honoured Guest – Dr. Hugh Barber (posthumous)
Percy Ireland Day 18 Guest Professors
       •   1990    Charles Cummings
       •   1991    Eugene Myers
       •   1992    Bob Ruben
       •   1993    Noel Cohen
       •   1994    Howard Lampe
       •   1995    Lauren Hollinger
       •   1996    Derald Oldring
       •   1997    Clarence Sasaki
       •   1998    Murray Morrison
       •   1999    Stephen Harner
       •   2000    Dominique Dorion
       •   2001    Richard Mabry
       •   2002    Melvin Schloss
       •   2003    Jonas Johnson
       •   2004    P. Ashley Wackym
       •   2005    Lanny Garth Close
       •   2006    Richard Chole
       •   2007    David W. Eisele
      Postgraduate Education

Our congratulations to Dr. Witterick on his
receipt of the Faculty of Medicine Award for
Excellence in Postgraduate Medical Education
under the Category of Development/Innovation
in Postgraduate Education – October 2007.
    Major Accomplishment
Reversed the reciprocity of Canadian
graduates to take the American Board of
Otolaryngology accrediting examination.
        The Negotiating Team!
               Fellowship Program
•   The Fellowship Programs within the University of Toronto
    (approx. 17 fellows per year) have continued to flourish & include
    the American Head and Neck Fellowship Program accredited by the
    advanced training council of the American Head Neck Society, the
    American Academy of Facial Plastic and Reconstructive Program
    accredited by the AAFPRS and the Pediatric Program accredited
    through the American matching system.
•   Our Department has a long standing history of post-residency
    fellowship training with many of our postgraduate trainees having
    come from 42 countries over the past 40 years. These fellow
    graduates have therefore added significantly to the academic output
    and productivity of the Department.
•   The Fellowships within the Department all have specific Job
    Descriptions with terms of reference to ensure that the fellowship
    experience complements rather than interferes with resident training.
              Fellowship Program
•   Head and Neck Oncology, including      (6)
    microvascular surgery – intergration
    of UHN/Mt.Sinai/Sunnybrook
•   Approval of 3rd accredited position    July 1, 2005
    in Head and Neck by ATC of AHNS
•   Pediatric Otolaryngology               (1-2)
•   Neurotology – approval of 2nd          (2-3)
                     fellowship by TWJ
•   Otologic Research                      (2)
•   Rhinology                              (2)
•   Facial Plastic Surgery – AAFPS         (2)
      Continuing Medical Education
•   The Continuing Education Committee, Chaired by Dr. Ian
    Witterick, has revolutionized and redesigned the focus of CME.
•   The CME has become a priority of the Department. Emphasis
    has been placed on high quality, interactive activities intended
    to stimulate both community and academic otolaryngologists.
    Guest Professors and Lecturers over the past five years include
    some of the most prominent individuals in our specialty.
•   The activities of the CME have been further enhanced with the
    interest in minimally invasive surgery resulting in an increased
    number of endoscopic Skull Base Dissection and Temporal
    Bone courses hosted by our Department within the Surgical
    Skills Laboratory.
         Continuing Medical Education
•   Drs. Al Chiodo and Richard Rival (representative on our Executive Committee
    of community academic faculty) have continued to successfully coordinate with
    the University Department, the annual “Otolaryngology Update” at
    Toronto East General Hospital.
•   This event attracts over half of the otolaryngologists in the province of Ontario
    on an annual basis.
•   This again is further evidence of improved relationships with our community
•   Many other events during the past five years have included the “Current
    Concepts on the Management of Thyroid Nodular Disease and Cancer”
    organized by Dr. Jeremy Freeman.
•   The annual Wharton/Elia Day coordinated by Drs. Ralph Gilbert and Gullane
•   Numerous endoscopic & Temporal bone courses etc. coordinated by
    Drs. Witterick, Rutka, Papsin, Chen, Nedzelski etc.
     Continuing Medical Education
Finally, on the international scene, the Canada
International Scientific Exchange Program in
Otolaryngology (CISEPO) under the directorship of
Dr. Arnold Noyek has been incredibly active on numerous
fronts including the organization of international scientific
meetings in the Middle East. Dr. Noyek’s innovations
have helped to build bridges in the Middle East where no
other government or agency had been able to be successful.
         Accredited CME Courses 2002 – 2005
•   A series of visiting professors was planned for the academic year but many had to be
    cancelled secondary to the SARS outbreak.

•   February 8, 2003
    Otolaryngology Update 2003
    Course Director: Dr. Albino Chiodo

•   June 20-21, 2003
    Advanced Endoscopic Sinus Surgery
    Course Director: Dr. Ian Witterick

•   October 23-25, 2003
    3rd Practical Otology/Neurotology Update 2003
    Course Directors: Drs. John Rutka, Manohar Bance, Jerry Halik
•   February 7, 2004
    Otolaryngology Update 2004
    Course Directors: Drs. Albino Chiodo, Richard Rival
•   April 16-17, 2004
    The Toronto Voice Course featuring Laryngeal Disorders, Stroboscopy,
    Thyroplasty and Percutaneous Tracheotomy
    Course Directors: Drs. Jennifer Anderson, Ian Witterick
         Accredited CME Courses 2003 – 2005
•   June 11-12, 2004
    5th Biennial Course on the Management of Thyroid Nodular Disease and Cancer
    Course Coordinator: Dr. Jeremy L. Freeman
•   June 18-20, 2004
    Temporal Bone Dissection Course
    Course Directors: Drs. John Rutka, Jerry Halik
•   June 26, 2004
    Otolaryngology Saturday at the University
    Course Director: Dr. Ian Witterick

•   October 28-30, 2004
    Endoscopic Sinus Surgery and Rhinoplasty Course
    Course Directors: Drs. Ian Witterick, Peter Adamson
•   November 11, 2004
    Practical Course in Mystagmus, Vestibular Testing and the Management of the
    Dizzy Patient
    Course Directors: Drs. David Tomlinson, Paul Ranalli, Heather Desroches, John Rutka
         Accredited CME Courses 2003 – 2005
•   November 12, 2004
    The Toronto Paediatric Endoscopy Course
    Course Directors: Drs. Vito Forte, Ian Witterick
•   December 11, 2004
    Otolaryngology Saturday at the University
    Course Director: Dr. Ian Witterick
•   February 11, 2005
    Treatment of Head and Neck Cancer by Transoral Laser Surgery
    Course Organizers: Drs. Ian Witterick, Ralph Gilbert
•   February 12, 2005
    Otolaryngology Update 2005
    Course Directors: Drs. Albino Chiodo, Richard Rival, Ian Witterick
•   June 9-11, 2005
    Temporal Bone Dissection Course
    Course Directors: Drs. John Rutka, Jerry Halik
•   June 11, 2005
    One Day Course on Functional and Structural Diseases of the Thyroid
    Course Coordinators: Drs. Jeremy L. Freeman, Michael Odell
         Accredited CME Courses 2005 – 2008
•   September 27-29, 2007
    Temporal Bone Dissection Course
    Course Directors: Drs. John Rutka, Jerry Halik
•   November 16-17, 2007
    Endoscopic Surgery of the Pituitary Fossa and Cranial Base
    Course Directors: Drs. Fred Gentili, Ian Witterick
•   February 9, 2008
    6th Annual Otolaryngology Update
    Course Organizers: Drs. Al Chiodo, Richard Rival, Ian Witterick
Visiting Professorships 2002-2007

        Wharton Lectureship
     Morley Binstock Lectureship
        Bulhose Lectureship
       Leibinger Lectureships
         Abbott Lectureship
          Elia Lectureship

      How have we done?
  Department of Otolaryngology/Head and Neck Surgery
          Visiting Professors/Observers 2002

Dr. Robin Blair         Oct        Visiting Professor   Scotland UK
Dr. Patrick Bradley     Oct        Visiting Professor   Nottingham England
Dr. Noel Cohen          Feb        Visiting Professor   New York
Dr. Fadel Ishak         June       Visiting Surgeon     Sudbury
Dr. Bernard Lyons       Feb        Visiting Professor   Australia
Dr. James McGillivray   Aug        Visiting Surgeon     Collingwood
Dr. Shahed Quraishi     Jul-Aug    Observer             Nottingham
Dr. Ali Safavi Naini    Sept-Dec   Observer             Iran
Dr. Patrick Sheahan     Apr        Observer             Dublin
Dr. David Schuller      June       Visiting Professor   Columbus Ohio
Dr. David Sidransky     June       Visiting Professor   Baltimore Maryland
Dr. Salvatore Singarelli July      Observer             Milan Italy
Dr. Sandro Stoeckli     Sept-Oct   Observer             Switzerland
Dr. Ibrahim Wedyan      Oct-Nov    Observer             Jordan
Dr. Ernest Weymuller    Apr        Visiting Professor   Seattle Washington
  Department of Otolaryngology/Head and Neck Surgery
          Visiting Professors/Observers 2003
Dr. Martin Desrosiers          February    Visiting Professor   Montreal Quebec
Dr. Patricia Chute             Feb         Visiting Professor   New York
Dr. Eduardo Manuel Casal       Feb-Mar     Visiting Professor   Argentina
Dr. Jack Coleman               Mar         Visiting Professor   Indianapolis, Indiana
Dr. David Lam                  Mar         Observer             Oxford
Dr. Ian Jackson                March       Visiting Professor   Michigan
Dr. Jose Maria Galan Fajardo   Mar-May     Observer             Madrid Spain

SARS                           Mar-July
Dr. Jonas Johnson              May         Visiting Professor   Pittsburgh
Dr. Essam Aizimaiti            July/Aug    Visiting Observer    Saudi Arabia
Dr. Sinnathurai Selvaratnam    Aug         Visiting Observer    Singapore
Dr. Robert Takes               Aug         Visiting Observer    The Netherlands
Dr. Peter Lohuis               Aug         Visiting Observer    Amsterdam
Dr. Marcel Cooper              Aug         Visiting Observer    The Netherlands
Mr Brent Elliott               September   Visitor              Tech Consultant – Baxter
Dr Prema P Samy                Sept-Dec    Observer             Malaysia
Dr. Richard Smith              Oct         Visiting Professor   University of Iowa
Dr. David Parsons              Oct         Visiting Professor   South Carolina
Dr. Paul Levine                Oct         Visiting Professor   Virginia
Dr. Fons Balm                  Nov         Visiting Professor   The Netherlands
Dr. Lorne Parnes               Dec         Visiting Professor   Univ of Western Ont
  Department of Otolaryngology/Head and Neck Surgery
          Visiting Professors/Observers 2004
Dr. Prema P Samy             Jan-Sept    Observer             Malaysia
Dr. Francois Lavigne         Jan         Visiting Professor   Univ of Montreal
Dr. Manohar Bance            Feb         Visiting Professor   Dalhousie Univ, NS
Dr. Natalie Narango          Feb-Dec     Observer             Univ of UACA, San Jose, Costa Rica
Dr. Peter J Wormald          March       Visiting Prof        U of Adelaide – S Australia
Dr. Mark Rafferty            March       Observer             Dublin Ireland
Dr. Antti Makitie            Mar-Apr     Visiting Prof        Helsinki Finland
Dr. Lance Oxford             Apr         Observer             U of Texas
Dr. Gerry Funk               Apr         Visiting Prof        Iowa College of Medicine, Iowa
Dr. Syed Farhan Ahsan        Apr         Observer             Aberdeen Scotland
Dr. Anthony Jahn             Apr         Visiting Prof        Columbia University, New York
Dr. Yi Deng                  Apr-May     Observer             Hubei Medical CollegeChina
Dr. Hiroyuki Itoh            Apr-June    Observer,            Tokyo Medical Hospital – Japan
Dr. Steve Cohen              May-July    Observer             Rouge Valley Health Care System
Dr. Colm Fahy                May         Observer             Belfast Ireland
Prof Jean Bourhis            June        Visiting Professor   Villejuif, France
Dr. Bert O’Malley            June        Visiting Professor   Philadelphia, PA
Dr. Vincent Clarke           June        Observer             Queen Eliz Hospital, Barbados
Dr. Hendrik Verschuur        July        Visiting             The Netherlands
Dr. Samer Alnajjar           July        Observer             Wayne State Univ, Michigan
Dr. Ernest Mazzaferri        September   Visiting Prof        Univ of Florida, Gainesville
Dr. Karim Nazarali           September   Visiting Surgeon     Mississauga On
Dr. Michiel van den Brekel   Nov         Visiting Prog        Amsterdam
Dr. John C Muthusami         Nov-Dec     Observer             Chris Med College, Nadu India
  Department of Otolaryngology/Head and Neck Surgery
          Visiting Professors/Observers 2005
Dr. Stefanos Naxakis    Jan-Apr       Visiting Observer    Patras Greece
Dr. Masoud Zarandy      Jan-Dec       Visiting Observer    Iran
Dr. Natalie Naranjo     Jan – Dec     Visiting Professor   Costa Rico
Alex Drossos            Jan 14        Visiting Observer    Cancer Care Ontario
Dr. Maya Sardesai       Feb 16        Visiting Observer    Univ of Western Ont
Dr. Blake Wilson        Feb 18        Visiting Professor   Duke University
Dr. Paul Kessler        Feb – Dec     Visiting Observer    Switzerland
Dr. Rajan Patel         Mar 14-16     Visiting Observer    North Bristol Hosp - England
Dr. Charles Minett      Mar 30        Visiting Professor   Guelph, Ontario
Dr. Bernard Hoffmann    Apr 18-30     Visiting Observer    Charite University - Berlin
Dr. Nabil Abdel-Hamid   May 4         Visiting Professor   Thunder Bay
Dr. Lanny Close         May 6-7       Visiting Professor   Columbia University
Dr. Arnold Cheung       May           Visiting Observer    Hong Kong
Dr. Konstantina Tzifa   June – July   Visiting Observer    Birmingham England
Dr. Wytske Fokkens      June 3        Visiting Professor   Univ of Amsterdam
Dr. Kian Ang            June 16-18    Visiting Professor   MD Anderson
Dr. Low Wong Kein       July 6        Visiting Professor   Singapore Gen Hospital
Dr. Antti Makitie       Aug 2-12      Visiting Professor   Helsinki Finland
                  Special Visiting Professors 2002-2003
October 2002                                          March 2003
  Dr. Patrick J. Bradley                                Dr. John J. Coleman
  Consultant, Otorhinolaryngology                       James E. Bennett Professor of Plastic Surgery
  Head & Neck Surgeon                                   Indiana University
  University Hospital                                   Presented Combined Rounds for the
  Queens Medical Centre, Nottingham, England            Departments of Plastic Surgery and
  2nd Morley Binstock – Mt. Sinai Hospital Lecturer     Otolaryngology
  University of Toronto Visiting Professor
                                                        Dr. Ian T. Jackson
February 2003                                           Institute for Craniofacial and
  Dr. Martin Desrosiers                                 Reconstructive Surgery
  Associate Professor                                   Southfield, Michigan
  Department of Otolaryngology,                         Presented Combined Rounds for the
  Université de Montréal                                Departments of Plastic Surgery and
  1st Annual Bayer Healthcare – University of           Otolaryngology
  Toronto – Mount Sinai Hospital Lecture in
  Rhinology                                           May 2003
                                                        Dr. Jonas T. Johnson
  Dr. Patricia M. Chute                                 Professor and Vice Chair of the
  Associate Professor, Department of                    Department of Otolaryngology
  Communication Disorders                               University of Pittsburgh School of Medicine
  Mercy College, NY                                     Pittsburgh, Pennsylvania
                                                        12th Percy Ireland Visiting Professor
                        Special Visiting Professors 2003

October 2003                                         November 2003
  Dr. Richard Smith                                   Dr. Alkis Togias
  Professor                                           Associate Professor of Medicine
  Department of Otolaryngology,                       Divisions of Clinical Immunology and
           – Head & Neck Surgery                      Pulmonary and Critical Care Medicine
  University of Iowa                                  Johns Hopkins University, School of Medicine
                                                      Baltimore, MD
  Dr. David Parsons
  Clinical Professor, University of South Carolina    Dr. A.J.M Balm
  1st GlaxoSmithKline Lecturer                        Chairman
  University of Toronto Visiting Professor            Head and Neck Oncology Cooperative Group
                                                      The Netherlands Cancer Institute
  Dr. Paul A. Levine                                  Antoni van Leeuwenhoek Hospital
  Robert W. Cantrell – Professor and Chairman         Amsterdam, The Netherlands
  Director, Head and Neck Surgical Oncology
  University of Virginia Health System                Dr. Adella R. Atkinson
  13th Annual Abbott - Mt. Sinai Hospital Lecturer    Assistant Professor of Pediatrics
  University of Toronto Visiting Professor            Division of Immunology and Allergy
                                                      Hospital for Sick Children, Toronto
                Special Visiting Professors 2003-2004
December 2003                                March 2004
  Dr. Lorne S. Parnes                          Dr. Peter J. Wormald
  Professor and Program Director               University of Adelaide and Flinder’s University
  Department of Otolaryngology                 South Australia
  University of Western Ontario
  London, Ontario                              Dr. Herman Kingma
  1st Solvay Pharma Lecturer
                                               Professor of Otolaryngology
  University of Toronto Visiting Professor
                                               University of Maastricht, The Netherlands

January 2004                                 April 2004
  Dr. Francois Lavigne                         Ms. Tracey Tremayne-Lloyd
  Professor                                    Managing Partner
  Institut ORL de Montreal                     Tremayne-Lloyd Partners LLP,
  1st Bristol Myers Squibb Lecturer            Barrister and Solicitors, Toronto
  University of Toronto Visiting Professor
                                               Dr. Gerry Funk
February 2004                                  Associate Professor
  Dr. Manohar Bance                            University of Iowa College of Medicine
  Associate Professor                          3rd Annual Binstock – Mt Sinai Hospital Lecturer
  Department of Otolaryngology                 University of Toronto Visiting Professor
  Dalhousie University
  Halifax, Nova Scotia
                         Special Visiting Professors 2004
April 2004                                       May 2004
  Dr. Anthony F. Jahn                              Dr. P. Ashley Wackym
  Professor                                        Chair, Department of Otolaryngology and
  Columbia University College of Physicians        Communication Sciences
  and Surgeons                                     Medical College of Wisconsin, Milwaukee
  New York, NY                                     13th Percy Ireland Visiting Professor
  The Michael Hawke Commemorative Lecture
  University of Toronto Visiting Professor         Dr. Sanjay R. Parikh
                                                   Director of Pediatric Otolaryngology
  Dr. Karen Kost                                   Children’s Hospital at Montefiore
  Director of the Voice Lab, McGill University     Albert Einstein College of Medicine
  Director of Otolaryngology,                      Bronx, New York
  Montreal General Hospital
                                                   Dr. Michael Ruckenstein
  Dr. Murray Morrison
                                                   Associate Professor
  Professor of Otolaryngology                      Hospital of the University of Pennsylvania
  University of British Columbia                   Philadelphia, Pennsylvania

                                                   Dr. Gerald Devins
                                                   Professor of Psychiatry
                                                   Senior Scientist, TGRI
                                                   Head, Mental Health Research, UHN, CIHR
                                                   Senior Investigator
                       Special Visiting Professors 2004
June 2004                                     October 2004
  Dr. Joseph Dohar                              Dr. Francoise Lavigne
  Pediatric Otolaryngologist                    Professor
  Pittsburgh Children’s Hospital                University of Montreal

  Dr. Bruce Freeman                           November 2004
  Wasser Pain Management Centre                 Dr. Michiel van den Brekel
  Mt. Sinai Hospital, Toronto                   Otolaryngologist – Head & Neck Surgeon
                                                Netherlands Cancer Institute
  Mr. W.M. Armstrong                            University of Amsterdam
  Manager, MD Management Limited                14th Annual Abbott Lecturer
                                              December 2004
September 2004                                  Dr. Amin R. Javer
  Dr. Ernest L. Mazzaferri                      Director, St. Paul’s Sinus Center
  Professor of Medicine                         University of British Columbia
  University of Florida Gainesville
                                                Dr. Donald Robertson
  Dr. Ross Davidson                             Assistant Professor,
  Associate Director, Microbiology              Division of Otolaryngology
  Queen Elizabeth II Health Sciences Centre     McMaster University
  Halifax, Nova Scotia                          Hamilton, Ontario
                      Special Visiting Professors 2005

February 2005                                        May 2005
  Dr. Petra Ambrosch                                   Dr. Peter Rossos
  Professor of Otorhinolaryngology                     Division of Gastroenterology,
           – Head and Neck Surgery                     Department of Medicine
  University of Kiel, Kiel, Germany                    University of Toronto

  Dr. Shan R. Baker                                    Dr. Lanny Garth Close
  Professor and Director                               Howard W. Smith Professor and Chairman
  Centre for Facial Cosmetic Surgery                   Department of Otolaryngology
  University of Michigan                                       – Head and Neck Surgery
  Ann Arbor, Michigan                                  Columbia University College of Physicians
                                                       and Surgeons of New York
  Dr. David W. Kennedy                                 14th Percy Ireland Visiting Professor
  Vice Dean for Professional Services
  University of Pennsylvania School of Medicine        Prof. Wytske Fokkens
  Philadelphia, Pennsylvania                           Professor and Chair
                                                       Department of Otorhinolaryngology
  Dr. Blake S. Wilson                                  University of Amsterdam
  Senior Fellow at the Research Triangle Institute
  Duke University Medical Center
               Special Visiting Professors 2005-2006

October 2005                               November 2005
  Dr. John A. Ridge                          Dr. Paul Kerr
  Chief, Head and Neck Surgery Section       Associate Professor, Program Director
  Fox Chase Cancer Center                    Department of Otolaryngology
  Philadelphia, PA                           University of Manitoba
  4th Annual Morley Binstock Lecturer
                                             Dr. Hadi Seikaly
  Dr. Eric D. Blom                           Program Director
  Blom-Singer®                               Division of Otolaryngology,
  Voice Restoration Systems                  Department of Surgery
  Carpinteria, California                    University of Alberta

November 2005                              February 2006
  Dr. Manohar Bance                          Dr. Ricardo Carrau
  Professor, Division of Otolaryngology,     Professor of Otolaryngology
  Department of Surgery                               – Head & Neck Surgery
  Dalhousie University                       University of Pittsburgh School of Medicine
                                             Pittsburgh, Pennsylvania
                      Special Visiting Professors 2006
February 2006                                   February 2006
  Dr. Robert Cowan                                Dr. Walter Kucharczyk
  Associate Professor                             Chair, Medical Imaging
  Department of Otolaryngology                    University of Toronto
  University of Melbourne, Australia              Toronto, Ontario
  Nalli Day Lecturer
                                                  Dr. Valerie Lund
  Dr. Paul Gardner                                Professor in Rhinology
  Minimally Invasive Skull Base Fellow            Honorary Consultant ENT Surgeon
  Department of Neurological Surgery              Royal Free and University College Medical School
  University of Pittsburgh School of Medicine     University College London
  Pittsburgh, Pennsylvania
                                                  Dr. Arlan Mintz
  Dr. David Howard                                Assistant Professor of Neurological Surgery
  Institute of Laryngology and Otology            University of Pittsburgh School of Medicine
  London, England                                 Pittsburgh, Pennsylvania

  Dr. Amin Kassam                                 Dr. Carl Snyderman
  Associate Professor of Neurological Surgery     Professor of Otolaryngology
  University of Pittsburgh School of Medicine              – Head & Neck Surgery
  Pittsburgh, Pennsylvania                        University of Pittsburgh School of Medicine
                                                  Pittsburgh, Pennsylvania
                     Special Visiting Professors 2006
April 2006                                   June 2006
  Dr. Jesus Medina                             Dr. Nicholas McIvor
  Chair, Department of Otolaryngology          Auckland City Hospital
  Paul and Ruth Jonas Chair in Cancer          Auckland, New Zealand
  Treatment and Research
  University of Oklahoma                       Dr. Jeffrey F. Moley
                                               Washington University School of Medicine
May 2006                                       St. Louis, Missouri
  Dr. Richard Chole
  Chair, Department of Otolaryngology          Dr. Jatin Shah
  Washington University School of Medicine     Memorial Sloan-Kettering Cancer Center
  Saint Louis, Missouri                        New York, New York
  15th Percy Ireland Visiting Professor
                                               Dr. Michael Tuttle
June 2006                                      Cornell School of Medicine and Memorial Sloan-
  Dr. Randall Gaz                              Kettering Cancer Center
  Harvard Medical School                       New York, New York
  Massachusetts General Hospital
  Boston, Massachusetts                        Dr. J.E. M. Young
                                               Department of Surgery
  Dr. Bryan McIver                             McMaster University
  Mayo Clinic College of Medicine              Hamilton, Ontario
  Rochester, Minnesota
                Special Visiting Professors 2006-2007
June 2006                                  February 2007
  Dr. Gerry Funk                             Dr. Stephen Conley
  Department of Otolaryngology               Associate Professor
           – Head & Neck Surgery             Department of Otolaryngology &
  University of Iowa, Iowa                   Communication Science
                                             Department of Pediatrics
  Dr. Merrill Kies                           Medical College of Wisconsin
                                             Milwaukee, Wisconsin
  MD Anderson Cancer Center
  Houston, Texas
                                             Dr. Tom Dickson
                                             OMA Section Chair of Otolaryngology
December 2006
                                                     – Head and Neck Surgery
  Dr. Karen Kost                             Brampton, Ontario
  Associate Professor
  Director of the Voice Lab,
                                             Dr. Cengiz Karsli
  McGill University
                                             Assistant Professor
                                             Department of Anaesthesia
  Richard C. Seewald, Ph.D.                  University of Toronto
  Professor and Canada Research Chair in
  Childhood Hearing,
  National Centre for Audiology,
  Faculty of Health Sciences,
  University of Western Ontario,
  London, ON
                      Special Visiting Professors 2007
February 2007                                     June 2007
  Dr. Emily A. Tobey                                Dr. Berrylin J. Ferguson
  Professor and Nelle C. Johnston Chair in          Director, Division of Sino-nasal Disorders
  Communication Disorders,                          and Allergy, Department of
  School of Behavioral and Brain Sciences,          Otolaryngology – Head and Neck Surgery,
  Human Development                                 University of Pittsburgh School of Medicine,
  Department of Otolaryngology                      Pittsburgh
  University of Texas Southwestern Medical
  Center at Dallas                                August 2007
  Nalli Day Lecturer
                                                    Dr. Kensei Naito
                                                    Professor and Chair
May 2007                                            Department of Otolaryngology
  Dr. David W. Eisele                               Fujita Health University
  16th Percy Ireland Visiting Professor             Japan

  Dr. John Charles O’Brien Jr.                    September 2007
  Attending Surgeon both in the                     Dr. Boris Pegan
  Department Of General Surgery and                 Guest Faculty to the
  Sammons Cancer Center                             Temporal Bone Dissections Course
  Dallas, Texas
  5th Annual Binstock – University of Toronto –
  Mt. Sinai Hospital Lecturer
                Special Visiting Professors 2007-2008
October 2007                                    November 2007
  Dr. John Yoo                                    Dr. Amin Kassam
  Associate Professor                             Chair of Neurological Surgery
  Chair, Department of Otolaryngology,            University of Pittsburgh School of Medicine
  Schulich School of Medicine & Dentistry,
  The University of Western Ontario,
                                                December 2007
  London, Ontario
                                                  Dr. Neal Futran
                                                  Professor of Otolaryngology
November 2007                                              – Head and Neck Surgery
  Dr. François Lavigne                            and Neurological Surgery
  Associate Professor of Otolaryngology           Director of Head and Neck Surgery
  Université de Montréal                          University of Washington,
                                                  Seattle, Washington
  Dr. Michel Bojanowski
  Professor of Neurosurgery                     February 2008
  Université de Montréal                          Dr. James Palmer
                                                  Associate Professor of Otorhinolaryngology
  Dr. Ricardo Carrau                              Hospital of the University of Pennsylvania
  Professor of Otolaryngology
           – Head & Neck Surgery                  Mr. Richard Reed
  University of Pittsburgh School of Medicine     Musician,
                                                  South Kingstown, RI
                                                  Nalli Day Lecturer
             Faculty Recruitment
•   A considerable expansion of the Department has occurred
    over the past five years.
•   This is crucial to maintain the academic department status
    in North America.
•   Since 2002, there have been nine full-time and eight
    adjunct academic faculty added to the Department. This
    number is significantly greater than the combined number
    of retirements and resignations.
•   We have been successful in recruiting talented individuals
    with advanced training in head and neck oncology,
    microvascular reconstruction, pediatric otolaryngology,
    plastic and reconstructive surgery, skull base surgery.
   During the past five years we have been fortunate to
   recruit excellent faculty who have included:

Appointment Date   Name               Rank                  Hospital                     Degree(s)

     July 2003     Kevin Higgins      Assistant Professor   Sunnybrook HSC               MD, FRCSC

     July 2004     Paolo Campisi      Assistant Professor   Hospital for Sick Children   MD, FRCSC

     July 2004     Adrian James       Assistant Professor   Hospital for Sick Children   MB, FRCSC, FRCS

     July 2006     Kal Ansari         Lecturer              Sunnybrook HSC               MD, FRCSC< FACS

     July 2006     David Goldstein    Lecturer              University Health Network    MD, FRCSC

     July 2006     Jason Litner       Lecturer              St. Michael's Hospital       MD

     July 2006     Molly Zirkle       Assistant Professor   St. Michael's Hospital       MD, FRCPSC

     July 2007     Danny Enepekides   Assistant Professor   Sunnybrook HSC               MD, FRCS

     July 2007     Allan Vescan       Lecturer              Mount Sinai/UHN              MD, FRCS
•   Highest student to faculty ratio in Canada.
•   Lowest financial support per student
    in Canada.
•   Are we too big?
         Where We Are Going
     Increasing global competition for talent
           will be our major challenge.
                How will we fix it?

                  Global Impact

“The empires of the future are the empires of the mind.”
                                           Sir Winston Churchill
                 How Do We Cope?

•   Baby-boomer Retirement:
    –   Shortage of Talent - a recent survey
        of 208 Otolaryngologists – Head and Neck
        Surgeons in Ontario showed a mean average
        age of 58 years, similarly in General Surgery
        a mean age of 61 years.
        We will experience a crisis in Canada
                   within 5 years!
•   Other countries potentially will lure our
    talent away from North America.
                  How to Fix It
•   “The leaders and followers are emerging now” says
    Mitch Leventhal, an American Consultant
    in International Education.
•   In 10 years the landscape will be unrecognizable.
•   We as the Department of Otolaryngology – Head &
    Neck Surgery have to change
    or we will be condemned to
    the educational backwater.
Future of Otolaryngology - Head and Neck Surgery

•   Must engage “Champions” to resolve this flight of the
    Creative Class especially as it impacts on our educational
    mission. Dr. Richard Florida author of ―Flight of the
    Creative Class‖ just recruited to the University of Toronto,
    Rothman School of Business.
•   We must evaluate our manpower needs.
•   Provide exposure to our medical students and
    Residents during training.
•   Increase the number of job fairs and exhibits at AAO-
    HNS, ACS and ASPRS.
•   We must engage and educate our politicians and provide
    them with a menu of solutions.
Challenges in Otolaryngology – Head and Neck
 Surgery education at U of T and in Canada:
         How can we make it better?

    We have had it all
 If we snooze we will lose
                 Faculty Development
•   We have continued to stimulate and encourage our junior faculty to take
    additional training in a variety of disciplines over the past five years.
•   A number of faculty have obtained Master’s degrees
    (Drs. Kevin Higgins, David Goldstein, Molly Zirkle, Paolo Campisi).
•   A yearly academic interview is held with all of the full-time faculty as
    well as many of the adjunct appointees.
•   This interview process provides the Chair with the opportunity to further
    stimulate the faculty’s interest in such endeavors as the ―Triological
    thesis.‖ (Campisi, James, Higgins)
           Academic Promotions
•   The faculty have been encouraged to seek academic
    promotions and in accordance with University policy.
•   The Promotions Committee reviews yearly curriculum
    vitae of faculty and recommendations made to the Chair
    as to their suitability for consideration of academic
•   In the past five years, 5 individuals have been promoted
    to Full Professor, 1 to the rank of Associate Professor,
    5 to the rank of Assistant Professor and 2 to Lecturer.
                                 FACULTY PROMOTIONS 2003-2007
Effective Date   Name                Promoted To                      Hospital             Degree(s)

August 2003      Al Chiodo           Assistant Professor   Toronto East General Hospital   MD, FRSCS

August 2003      David Goldfarb      Assistant Professor   St. Michael's Hospital          MD, FRSCS

September 2003   William El Masri    Assistant Professor   Toronto East General Hospital   MB, FRSCS

September 2003   Andres Gantous      Assistant Professor   St. Joseph's HC                 MD, FRSCS

September 2003   Oakley Smith        Assistant Professor   Toronto East General Hospital   MD, FRSCS

April 2004       Richard Rival       Lecturer              St. Michael's Hospital          MD, FRSCS

July 2004        Ian Witterick       Associate Professor   Mount Sinai Hospital            MD, MSc, FRCSC

August 2004      Philip Solomon      Lecturer              St. Michael's Hospital          MD, FRSCS

July 2005        Jim Haight          Professor             St. Michael's Hospital          BM, Dphil, FRCS

July 2005        Jonathan Irish      Professor             Princess Margaret Hospital      MD, MSc, FRCSC

July 2005        Deron Brown         Lecturer              University Health Network       MD, FRSCS

July 2005        Everton Gooden      Lecturer              North York General              MD, FRSCS

July 2005        Jeffrey Werger      Lecturer              Markham Stouffville Hospital    MD, FRSCS

July 2006        Vito Forte          Professor             Hospital for Sick Children      MD, FRSCS

July 2007        Ralph Gilbert       Professor             University Health Network       MD, FRSCS

July 2007        John Rutka          Professor             University Health Network       MD, FRSCS
         Faculty Communications
With the advent of email, communication with the faculty,
residents, fellows and undergraduates has been greatly
facilitated. The recent updated website, completed March
2007, has helped to further increase the awareness of
opportunities within the Department and enhance the
communications and profile.

                         UNIVERSITY OF TORONTO
   July to December 2007                       Page 1 of 7
    Accomplishments Over the Past Five Years
•   Corrected the identified weaknesses of the Postgraduate Residency Training
    Program and achieved full accreditation at the recent Royal College Site Visit
    Review, April 17th 2007.
•   Enhanced the research and ―academic output‖ of the Department.
•   Worked with the Undergraduate Program Director to revise the Curriculum.
•   Recruited three young academic faculty with Master’s thesis in sub-specialty
•   Enhanced University and community relations.
•   With the introduction of the New Clinical Faculty Policy we established
    conforming Practice Plans in all teaching hospitals with guidelines adhering to
    the mandate of the University of Toronto.
•   Enhanced the profile of the Department nationally and internationally.
Accomplishments Over the Past Five Years

•   Reversed the reciprocity of Canadian graduates to take the American
    Board of Otolaryngology accrediting examination.
•   Name change of our Department from ―Otolaryngology‖ to
    ―Otolaryngology – Head and Neck Surgery‖.
•   Established a University of Toronto, Department of Otolaryngology –
    Head and Neck Surgery Nucleus Committee for Fundraising Chaired
    by Dr. Peter Adamson.
•   Endowment of a $2 million Chair in Otolaryngology – Head and Neck
    Surgery (presently ongoing negotiations).
                   The Next Five Years
•   Secure additional Alternate Funding for all faculty.
•   Rationalize resources across teaching hospitals developing further foci of
    excellence in Otolaryngology – Head and Neck Surgery. This may also
    include an ―Ear Institute‖ at one of our hospitals.
•   Increase the number of faculty educators
    (negotiate financial support for teachers).
•   Further promote and encourage Master’s thesis within the
    Surgeon Scientist Program.
•   Stimulate increased participation in basic research
    (molecular, genetics, education and health policy).
•   Enhance research funding.
                    The Next Five Years
•   Promote enhanced collaboration in joint research opportunities (neurosciences,
    surgery, radiation oncology, education, radiology, medical oncology and
•   Further explore and develop ―Simulation Models‖ within the Surgical Skills
    Centre that would enhance resident training and diminish the impact of
    residency training on our resources within the operating room.
•   Review the future role of robotics, tissue engineering, nanotechnology and
    minimal access surgical approaches within our specialty.
•   Pursue further funding opportunities to explore new technologies.
•   Work closely with University and affiliated Hospitals in enhancing the Faculty
    of Medicines’ strategic plan. (White paper draft)
Can we predict
 the future?
I used to think we could,
maybe we still can.
              The Next Five Years
It is clear that many of the accomplishments that have occurred
over the past five years would not have been possible without the
dedication, passion and support of my most vital ingredient
Some thirty years ago I was told by a very prominent head and
neck oncologist in the United States that to be successful one has
to ―surround themselves‖ with people that are better than you are,
empower them and let them provide the leadership.
Well, I think I have done that and believe that we have all
benefited from this approach.
    “My Glory is that I have such friends.”
                                     Y.B. Yates

It is a time to take pride of our past
accomplishments, reflect on our
strengths and anticipate a future full
of promise.
          Thank You for Your Support
My sincere thanks to you the faculty, residents, fellows and support
         staff for your commitment over the past 5 years.

 •   Did the Pub Night which was the brainchild of
     Drs. Witterick, Forte, Harrison and Chen make the difference?
 •   Resident graduation dinner.
 •   Following slides tend to tell me that it did.
Graduating Residents 2006
Pub Night Winners
Residents Having Fun
Residents Having Fun

        Happy Chairs
            The Seven C’s of Leadership


Character                                      Confidence

Carisma                                         Creativity

               Caring          Communication
The Molecular Biology Revolution
       The Past 50 Years
Historical Landmarks:
 –   1953   Structure of DNA determined
 –   1965   The genetic code determined
 –   1968   Restriction endonucleases discovered
 –   1973   Gene transfer techniques described
 –   1983   Polymerase chain reaction (PCR) described
 –   1986   Tumor suppressor genes identified
 –   1995   More than 1000 gene therapy patients
 –   1999   cDNA Microarray analysis
 –   2001   Human Genome Project Completed
 –   2005   Regenerative Medicine - Stem Cell Therapeutics, Gene Therapy
                 - emerging developments
                            The Next 50 Years
 •   Transplantation
 •   Robotics
 •   Tissue Engineering
 •   Image Guided Targeted
                                                                             Varian 4030CB

Estimated 70,000
robotic or robot-assisted                                          Image Guided Surgery
procedures in 2006                                        Intraoperative Image Acquisition Surgery
Berlinger NT. Robotic Surgery — Squeezing into Tight Places. N Engl J Med 2006;354(20):2099-101
 However, from a quote by Lord Byron “the good old
 times” - all times when old are good have disappeared
 with a medical-health care environment in turmoil and
 perception by our trainees of loss of career flexibility
 that previously characterized our specialty.
 Many adjustments will have to be made in order for this
 program to continue to be the best and most attractive in
 Canada and one of the best in North America.

“The future, according to some scientists, will be exactly
like the past only far more expensive.”
                                                 John Sladek
“I’m one of the lucky people in the world
who found something I loved and enjoyed
every moment of it.”
                                          J. Carson

I look forward to working with all of you over the next 5 years.
Finally, thanks to our Dean, President
and Hospital CEO’s who have been
remarkably supportive of the goals,
visions and objectives of our department.

To top