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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 S.M. Abel Assistant Professors S. Drucker Staff Professors Assistant Professors 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 Lecturer 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 Chairs • 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 internationally. 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) Undergraduate Education P. Campisi 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 Funding • 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 surgery. • 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 times. • 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 leadership. DEPARTMENT OF OTOLARYNGOLOGY – HEAD AND NECK SURGERY October 25, 2007 RESEARCH EVENING AGENDA 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 Hearing and laryngeal function Research Oto-neurology and Auditory Science Laboratory Cochlear Implant Research Laboratory Laboratory (Campisi) (Abel) (Chen, Nedzelski, Shipp, Ostroff)) (Harrison) Defence R & D Canada Sunnybrook 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 Voice 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 Audiology Clinical Research (Freeman, Witterick) Laboratory (Hyde, Riko) (Irish, Siewerdsen) University Health Network Gage Institute Studies (Haight) helping to enhance our Toronto Western Hospital Princess Margaret Hospital 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. Wharton/Latner/Elia/Cochlear 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. Publications • 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 Publications 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. Undergraduate Medical Education Activity per Annum 960 hours I’m truly indebted to all members of the facility for your enormous contributions. 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”. Postgraduate Education 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 fellows. 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 1990-2007 • 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 colleagues. • 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 2002-2003 • 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 2003-2004 • 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 2003-2004 • 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 2004-2005 • 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 2004-2005 • 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 2007-2008 • 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 M ar-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 Toronto 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 Toronto 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: NEW FACULTY FULL-TIME APPOINTMENTS SINCE 2003 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? Problem: We have had it all BUT 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 promotion. • 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. http://www.otolaryngology.utoronto.ca NEWSLETTER DEPARTMENT OF OTOLARYNGOLOGY – HEAD AND NECK SURGERY 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 areas. • 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 endocrinology). • 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 (faculty). 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 Courage Character Confidence LEADERSHIP 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 Surgery Varian 4030CB Estimated 70,000 robotic or robot-assisted Image Guided Surgery vs procedures in 2006 Intraoperative Image Acquisition Surgery Berlinger NT. Robotic Surgery — Squeezing into Tight Places. N Engl J Med 2006;354(20):2099-101 Future 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.
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