University of Toronto Department of Otolaryngology Head and Neck Surgery State of the Union Address

1
University of TorontoDepartment of
Otolaryngology Head and Neck SurgeryState 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

2
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.

3
The Vision

• The activities should be compatible with
  thepriorities of the
• Department of Otolaryngology Head Neck
  Surgery
• Priorized Programs of each Individual Hospitals
  Mission

4
University of Toronto - Vision
The University of Toronto will be a leader among
the worlds 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.
5
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

6
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)

7
The Faculty July 2007

• Professor and Chair
• P.J. Gullane
• Professores Emeriti
• P.W. Alberti
• B.D. Birt
• T.D.R. Briant
• D.P. Bryce
• P. Cole
• W.S. Crysdale
• W.S. Goodman
• J.S. McGrail
• Professors
• S.M. Abel
• P.A. Adamson
• D.H. Brown
• D.A.F. Ellis
• V. Forte
• J.L. Freeman
• J. Friedberg

• Associate Professors
• J.S. Chapnik
• J.M. Chen
• K. Conrad
• M.J. Davidson
• R.S. Fenton
• B.C. Papsin
• K. Riko
• A.J. Smitheringale
• I.J. Witterick
• Assistant Professors
• J. Anderson
• P. Campisi
• M. Cashman
• A. Chiodo
• K.Y. Chow
• F. DeSouza
• W. El Masri
• D. Enepekides

D.B. Shipp O. Smith L.M. Tarshis P.S. Wade M.
Zirkle Lecturers J. Adamonis. I. Bennett D.
Brown A.J. da Silva S. Drucker R. Fox D.
Goldstein E. Gooden R.I. Josephson A. Katyal W.
Kaul J. Kolenda D. Matthews L. MacDonald J.
Ostroff V. Papaioannou R. Rival K. Smilsky G.
Sohn P. Solomon
E. Thurier A. Vescan J. Werger E.
Wong Instructors B. Bliss M. Bobyn N.A.T.
Sandor K.L. Steen Cross-Appointed Staff
Professors B.J. Cummings F. Gentili S. Kamel-Reid
H. Kunov F-F. Liu B. OSullivan J.A.
Sharpe A.W.P. van Nostrand P.G. Walfish N. Zamel
Cross-AppointedAssociate Professors S. Blaser
G. Bradley E. Kassel L.E. Rotstein L.
Shankar J.H. Siewerdsen A. M-F.
Wong Cross-Appointed Assistant Professors M.A.
Keller R. Martino B. Perez-Ordoñez J. Waldron
Cross-Appointed Lecturer P. Ranalli D. Storms J.
Witte Administrative Staff Z. Huezo A.
Martin U. Stephenson
8
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

9
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

10
Department Hospital Chiefs

• Sunnybrook Joe Chen
• St. Michaels Ron Fenton
• Mt. Sinai Jeremy Freeman
• HSC Vito Forte
• UHN Patrick Gullane R. Gilbert (Deputy Chief)
• UHN/Mt.SinaiChief Surgical Oncology Jon Irish
• U of T Division ofHead Neck Oncology Ralph
  Gilbert
• TEGH Oakley Smith
• SJH Ian Witterick

11
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.
12
University of Toronto - Organizational Structure
Dean Faculty of Medicine C. Whiteside
Chair of Otolaryngology H NP. Gullane
Budget Committee
Department of OtolaryngologyHospital for Sick
ChildrenV. Forte
Executive Committee Hospital Otolaryngologists-In-
Chief
Audiology Committee
Department of OtolaryngologyMt. Sinai
HospitalJ. Freeman
Continuing Medical Education
Co-Directors of Audiology K. Riko V. Papaioannou
Postgraduate EducationCommittee
Department of OtolaryngologySt. Michaels
HospitalR. Fenton
Director Continuing Medical Ed. I. Witterick
Fellowship Sub Committee
Director Post Graduate Education I. Witterick
Department of OtolaryngologySunnybrook Womens
CollegeHealth Sciences CentreJ. Chen
Research Committee
Director of Research Chair Promotions
Committee R. Harrison
Department of OtolaryngologyThe University
Health NetworkP. GullaneR. Gilbert (deputy)
Promotions Committee
Director Undergraduate Education P. Campisi
Undergraduate EducationCommittee
Department of Otolaryngoloy Toronto East General
Hospital O. Smith
Chair DAC J. Irish
Departmental Appointments Committee (DAC)
Rep. forCommunity Academic Faculty R. Rival
Department of Otolaryngoloy St. Josephs
Hospital I. Witterick
Non-Geographic Faculty Community Academic Faculty
13
Funding

• The principal source of funding is from the
  combination of Ministry of Training Colleges and
  Universities (MTCU) and Teaching Research funds
  (TR).
• Others sources AFPs 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.

14
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.

15
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 Masters 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.

16
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 Masters thesis.
  This has had a profound effect on the Department
  with ten individuals having completed a Masters
  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.

17
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
My thanks to you Bob for your untiring efforts in
helping to enhance our research mission.
18
Masters Thesis

• Dr. Vance Tsai Masters thesis in International
  Health at theLondon School of Hygiene.
• Dr. Evan Propst two-year Masters thesis in the
  Genetics of Hearing Loss (Surgeon-Scientist
  Program)
• Dr. Molly Zirkle Masters thesis in Education.
• Dr. Kevin Higgins Masters thesis in Clinical
  Epidemiology
• Dr. David Goldstein Masters thesis in Clinical
  Epidemiology
• Dr. Manish Shah Masters thesis in Clinical
  Epidemiology atCambridge University in England.
• Dr. Sharon Cushing Masters thesis as part of the
  Surgeon Scientist Program
• Dr. Ian Witterick completed his Masters in
  Clinical Epidemiology
• Dr. Allan Vescan presently in progress
• Dr. Vincent Lin presently in progress

19
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 Papsins
  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.

20
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.

21
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.

22
Wharton/Latner/Elia/CochlearChairs in
Otolaryngology Head and Neck Surgery

• Chair in Head and Neck Surgery20000000 - Dr.
  Patrick Gullane
• Bartley-Smith/Wharton Chair in Radiation
  Oncology2000000 - Dr. Brian OSullivan
• Elia Chair in Head and Neck Research2500000
  - Dr. Fei-Fei Liu
• Temmy Latner/Dynacare Chair in Head and Neck
  Oncology3000000 - Dr. Jeremy Freeman
• Cochlear Americas Chair2000000 - Dr. Blake
  Papsin
• Two future Chairs pending.

23
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.
24
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.

25
Bibliometric Analysis
Publications
26
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.

27
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
  hoursof undergraduate medical education per
  annum.Evaluations from the medical students from
  all threeacademies are excellent.

28
Undergraduate Medical Education Activity per
Annum960 hours
Im truly indebted to all members of the facility
for your enormous contributions.
29
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.

30
Undergraduate Education

• The Undergraduate Education Committee chaired
  byDr. 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.

31
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.

32
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.

33
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

34
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 Masters 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.

35
PostgraduateEducation

• 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
  Collegeon-site Survey April 18th 2007.

Im 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.
36
University of TorontoDepartment of
Otolaryngology Head and Neck Surgery

• Percy Ireland16th 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)

37
Percy Ireland Day 18 Guest Professors1990-2007

• 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

38
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.

39
Major Accomplishment

• Reversed the reciprocity of Canadian graduates to
  take the American Board of Otolaryngology
  accrediting examination.

The Negotiating Team!
40
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.

41
Fellowship Program

• Head and Neck Oncology including (6)
• microvascular surgery intergrationof
  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) fellowsh
  ip by TWJ
• Otologic Research (2)
• Rhinology (2)
• Facial Plastic Surgery AAFPS (2)

42
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.

43
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 atToronto 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 byDrs. Witterick Rutka Papsin
  Chen Nedzelski etc.

44
Continuing Medical Education

• Finally on the international scene the Canada
  International Scientific Exchange Program in
  Otolaryngology (CISEPO) under the directorship
  ofDr. Arnold Noyek has been incredibly active on
  numerous fronts including the organization of
  international scientific meetings in the Middle
  East. Dr. Noyeks innovations have helped to
  build bridges in the Middle East where no other
  government or agency had been able to be
  successful.

45
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 2003Otolaryngology Update
  2003Course Director Dr. Albino Chiodo
• June 20-21 2003Advanced Endoscopic Sinus
  SurgeryCourse Director Dr. Ian Witterick
• 2003-2004
• October 23-25 20033rd Practical
  Otology/Neurotology Update 2003Course Directors
  Drs. John Rutka Manohar Bance Jerry Halik
• February 7 2004Otolaryngology Update
  2004Course Directors Drs. Albino Chiodo
  Richard Rival
• April 16-17 2004The Toronto Voice Course
  featuring Laryngeal Disorders Stroboscopy
  Thyroplasty and Percutaneous TracheotomyCourse
  Directors Drs. Jennifer Anderson Ian Witterick

46
Accredited CME Courses 2003 2005

• 2003-2004
• June 11-12 20045th Biennial Course on the
  Management of Thyroid Nodular Disease and
  CancerCourse Coordinator Dr. Jeremy L. Freeman
• June 18-20 2004Temporal Bone Dissection
  CourseCourse Directors Drs. John Rutka Jerry
  Halik
• June 26 2004Otolaryngology Saturday at the
  University Course Director Dr. Ian Witterick
• 2004-2005
• October 28-30 2004Endoscopic Sinus Surgery and
  Rhinoplasty CourseCourse Directors Drs. Ian
  Witterick Peter Adamson
• November 11 2004Practical Course in Mystagmus
  Vestibular Testing and the Management of the
  Dizzy PatientCourse Directors Drs. David
  Tomlinson Paul Ranalli Heather Desroches John
  Rutka

47
Accredited CME Courses 2003 2005

• 2004-2005
• November 12 2004The Toronto Paediatric
  Endoscopy CourseCourse Directors Drs. Vito
  Forte Ian Witterick
• December 11 2004Otolaryngology Saturday at the
  UniversityCourse Director Dr. Ian Witterick
• February 11 2005Treatment of Head and Neck
  Cancer by Transoral Laser SurgeryCourse
  Organizers Drs. Ian Witterick Ralph Gilbert
• February 12 2005Otolaryngology Update
  2005Course Directors Drs. Albino Chiodo
  Richard Rival Ian Witterick
• June 9-11 2005Temporal Bone Dissection
  CourseCourse Directors Drs. John Rutka Jerry
  Halik
• June 11 2005One Day Course on Functional and
  Structural Diseases of the ThyroidCourse
  Coordinators Drs. Jeremy L. Freeman Michael
  Odell

48
Accredited CME Courses 2005 2008

• 2007-2008
• September 27-29 2007Temporal Bone Dissection
  CourseCourse Directors Drs. John Rutka Jerry
  Halik
• November 16-17 2007Endoscopic Surgery of the
  Pituitary Fossa and Cranial BaseCourse
  Directors Drs. Fred Gentili Ian Witterick
• February 9 20086th Annual Otolaryngology
  UpdateCourse Organizers Drs. Al Chiodo
  Richard Rival Ian Witterick

49
Visiting Professorships 2002-2007

• Wharton Lectureship
• Morley Binstock Lectureship
• Bulhose Lectureship
• Leibinger Lectureships
• Abbott Lectureship
• Elia Lectureship
• How have we done

50
Department of Otolaryngology/Head and Neck
SurgeryVisiting 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

51
Department of Otolaryngology/Head and Neck
SurgeryVisiting 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 Indianapol
  is Indiana
• Dr. David Lam Mar Observer Oxford
• Dr. Ian Jackson March Visiting Professor Michigan
• Dr. Jose Maria Galan Fajardo Mar-May Observer Madr
  id 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

52
Department of Otolaryngology/Head and Neck
SurgeryVisiting 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 OMalley June Visiting Professor
  Philadelphia PA
• Dr. Vincent Clarke June Observer Queen Eliz
  Hospital Barbados
• Dr. Hendrik Verschuur July Visiting The
  Netherlands

53
Department of Otolaryngology/Head and Neck
SurgeryVisiting 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

54
Special Visiting Professors 2002-2003

• October 2002
• Dr. Patrick J. Bradley
• Consultant OtorhinolaryngologyHead Neck
  SurgeonUniversity HospitalQueens Medical
  Centre Nottingham England2nd Morley Binstock
  Mt. Sinai Hospital LecturerUniversity of Toronto
  Visiting Professor
• February 2003
• Dr. Martin Desrosiers
• Associate ProfessorDepartment of
  OtolaryngologyUniversité de Montréal1st Annual
  Bayer Healthcare University of Toronto Mount
  Sinai Hospital Lecture in Rhinology
• Dr. Patricia M. Chute
• Associate Professor Department ofCommunication
  DisordersMercy College NY

March 2003 Dr. John J. Coleman James E. Bennett
Professor of Plastic SurgeryIndiana
UniversityPresented Combined Rounds for
theDepartments of Plastic Surgery
andOtolaryngology Dr. Ian T. Jackson Institute
for Craniofacial andReconstructive
SurgerySouthfield MichiganPresented Combined
Rounds for theDepartments of Plastic Surgery
andOtolaryngology May 2003 Dr. Jonas T.
Johnson Professor and Vice Chair of
theDepartment of OtolaryngologyUniversity of
Pittsburgh School of MedicinePittsburgh
Pennsylvania12th Percy Ireland Visiting Professor
55
Special Visiting Professors 2003

• October 2003
• Dr. Richard Smith
• ProfessorDepartment of Otolaryngology Head
  Neck Surgery University of Iowa
• Dr. David Parsons
• Clinical Professor University of South
  Carolina1st GlaxoSmithKline LecturerUniversity
  of Toronto Visiting Professor
• Dr. Paul A. Levine
• Robert W. Cantrell Professor and
  ChairmanDirector Head and Neck Surgical
  OncologyUniversity of Virginia Health
  System13th Annual Abbott - Mt. Sinai Hospital
  LecturerUniversity of Toronto Visiting Professor

November 2003 Dr. Alkis Togias Associate
Professor of MedicineDivisions of Clinical
Immunology andPulmonary and Critical Care
MedicineJohns Hopkins University School of
MedicineBaltimore MD Dr. A.J.M
Balm ChairmanHead and Neck Oncology Cooperative
GroupThe Netherlands Cancer InstituteAntoni van
Leeuwenhoek HospitalAmsterdam The
Netherlands Dr. Adella R. Atkinson Assistant
Professor of PediatricsDivision of Immunology
and AllergyHospital for Sick Children Toronto
56
Special Visiting Professors 2003-2004

• December 2003
• Dr. Lorne S. Parnes
• Professor and Program DirectorDepartment of
  OtolaryngologyUniversity of Western
  OntarioLondon Ontario1st Solvay Pharma
  LecturerUniversity of Toronto Visiting Professor
• January 2004
• Dr. Francois Lavigne
• ProfessorInstitut ORL de Montreal1st Bristol
  Myers Squibb LecturerUniversity of Toronto
  Visiting Professor
• February 2004
• Dr. Manohar Bance
• Associate ProfessorDepartment of
  OtolaryngologyDalhousie UniversityHalifax Nova
  Scotia

March 2004 Dr. Peter J. Wormald University of
Adelaide and Flinders UniversitySouth
Australia Dr. Herman Kingma Professor of
OtolaryngologyUniversity of Maastricht The
Netherlands April 2004 Ms. Tracey
Tremayne-Lloyd Managing PartnerTremayne-Lloyd
Partners LLPBarrister and Solicitors
Toronto Dr. Gerry Funk Associate
ProfessorUniversity of Iowa College of
Medicine3rd Annual Binstock Mt Sinai Hospital
LecturerUniversity of Toronto Visiting Professor
57
Special Visiting Professors 2004

• April 2004
• Dr. Anthony F. Jahn
• ProfessorColumbia University College of
  Physiciansand SurgeonsNew York NYThe Michael
  Hawke Commemorative LectureUniversity of Toronto
  Visiting Professor
• Dr. Karen Kost
• Director of the Voice Lab McGill
  UniversityDirector of OtolaryngologyMontreal
  General Hospital
• Dr. Murray Morrison
• Professor of OtolaryngologyUniversity of British
  Columbia

May 2004 Dr. P. Ashley Wackym Chair Department
of Otolaryngology andCommunication
SciencesMedical College of Wisconsin
Milwaukee13th Percy Ireland Visiting
Professor Dr. Sanjay R. Parikh Director of
Pediatric OtolaryngologyChildrens Hospital at
MontefioreAlbert Einstein College of
MedicineBronx New York Dr. Michael
Ruckenstein Associate ProfessorHospital of the
University of PennsylvaniaPhiladelphia
Pennsylvania Dr. Gerald Devins Professor of
PsychiatrySenior Scientist TGRIHead Mental
Health Research UHN CIHRSenior
InvestigatorToronto
58
Special Visiting Professors 2004

• June 2004
• Dr. Joseph Dohar
• Pediatric OtolaryngologistPittsburgh Childrens
  Hospital
• Dr. Bruce Freeman
• Wasser Pain Management CentreMt. Sinai Hospital
  Toronto
• Mr. W.M. Armstrong
• Manager MD Management LimitedToronto
• September 2004
• Dr. Ernest L. Mazzaferri
• Professor of MedicineUniversity of Florida
  Gainesville
• Dr. Ross Davidson
• Associate Director MicrobiologyQueen Elizabeth
  II Health Sciences CentreHalifax Nova Scotia

October 2004 Dr. Francoise Lavigne ProfessorUnive
rsity of Montreal November 2004 Dr. Michiel van
den Brekel Otolaryngologist Head Neck
SurgeonNetherlands Cancer InstituteUniversity
of Amsterdam14th Annual Abbott
Lecturer December 2004 Dr. Amin R.
Javer Director St. Pauls Sinus
CenterUniversity of British Columbia Dr. Donald
Robertson Assistant ProfessorDivision of
OtolaryngologyMcMaster UniversityHamilton
Ontario
59
Special Visiting Professors 2005

• February 2005
• Dr. Petra Ambrosch
• Professor of Otorhinolaryngology Head and
  Neck SurgeryUniversity of Kiel Kiel Germany
• Dr. Shan R. Baker
• Professor and DirectorCentre for Facial Cosmetic
  SurgeryUniversity of MichiganAnn Arbor
  Michigan
• Dr. David W. Kennedy
• Vice Dean for Professional ServicesUniversity of
  Pennsylvania School of MedicinePhiladelphia
  Pennsylvania
• Dr. Blake S. Wilson
• Senior Fellow at the Research Triangle
  InstituteDuke University Medical Center

May 2005 Dr. Peter Rossos Division of
GastroenterologyDepartment of
MedicineUniversity of Toronto Dr. Lanny Garth
Close Howard W. Smith Professor and
ChairmanDepartment of Otolaryngology Head
and Neck SurgeryColumbia University College of
Physiciansand Surgeons of New York14th Percy
Ireland Visiting Professor Prof. Wytske
Fokkens Professor and ChairDepartment of
OtorhinolaryngologyUniversity of Amsterdam
60
Special Visiting Professors 2005-2006

• October 2005
• Dr. John A. Ridge
• Chief Head and Neck Surgery SectionFox Chase
  Cancer CenterPhiladelphia PA4th Annual Morley
  Binstock Lecturer
• Dr. Eric D. Blom
• Blom-SingerVoice Restoration SystemsCarpinteria
  California
• November 2005
• Dr. Manohar Bance
• Professor Division of OtolaryngologyDepartment
  of SurgeryDalhousie University

November 2005 Dr. Paul Kerr Associate Professor
Program DirectorDepartment of OtolaryngologyUniv
ersity of Manitoba Dr. Hadi Seikaly Program
DirectorDivision of OtolaryngologyDepartment
of SurgeryUniversity of Alberta February
2006 Dr. Ricardo Carrau Professor of
Otolaryngology Head Neck SurgeryUniversity
of Pittsburgh School of MedicinePittsburgh
Pennsylvania
61
Special Visiting Professors 2006

• February 2006
• Dr. Robert CowanAssociate ProfessorDepartment
  of OtolaryngologyUniversity of Melbourne
  AustraliaNalli Day Lecturer
• Dr. Paul Gardner
• Minimally Invasive Skull Base FellowDepartment
  of Neurological SurgeryUniversity of Pittsburgh
  School of MedicinePittsburgh Pennsylvania
• Dr. David Howard
• Institute of Laryngology and OtologyLondon
  England
• Dr. Amin Kassam
• Associate Professor of Neurological
  SurgeryUniversity of Pittsburgh School of
  MedicinePittsburgh Pennsylvania

February 2006 Dr. Walter Kucharczyk Chair
Medical ImagingUniversity of TorontoToronto
Ontario Dr. Valerie Lund Professor in
RhinologyHonorary Consultant ENT SurgeonRoyal
Free and University College Medical
SchoolUniversity College London Dr. Arlan
Mintz Assistant Professor of Neurological
SurgeryUniversity of Pittsburgh School of
MedicinePittsburgh Pennsylvania Dr. Carl
Snyderman Professor of Otolaryngology Head
Neck SurgeryUniversity of Pittsburgh School of
MedicinePittsburgh Pennsylvania
62
Special Visiting Professors 2006

• April 2006
• Dr. Jesus Medina
• Chair Department of OtolaryngologyPaul and Ruth
  Jonas Chair in CancerTreatment and
  ResearchUniversity of Oklahoma
• May 2006
• Dr. Richard Chole
• Chair Department of OtolaryngologyWashington
  University School of MedicineSaint Louis
  Missouri15th Percy Ireland Visiting Professor
• June 2006
• Dr. Randall Gaz
• Harvard Medical SchoolMassachusetts General
  HospitalBoston Massachusetts
• Dr. Bryan McIver
• Mayo Clinic College of MedicineRochester
  Minnesota

June 2006 Dr. Nicholas McIvor Auckland City
HospitalAuckland New Zealand Dr. Jeffrey F.
Moley Washington University School of
MedicineSt. Louis Missouri Dr. Jatin
Shah Memorial Sloan-Kettering Cancer CenterNew
York New York Dr. Michael Tuttle Cornell School
of Medicine and Memorial Sloan-Kettering Cancer
CenterNew York New York Dr. J.E. M.
Young Department of SurgeryMcMaster
UniversityHamilton Ontario
63
Special Visiting Professors 2006-2007

• June 2006
• Dr. Gerry Funk
• Department of Otolaryngology Head Neck
  SurgeryUniversity of Iowa Iowa
• Dr. Merrill Kies
• MD Anderson Cancer CenterHouston Texas
• December 2006
• Dr. Karen Kost
• Associate ProfessorDirector of the Voice
  LabMcGill University
• Richard C. Seewald Ph.D.
• Professor and Canada Research Chair in Childhood
  HearingNational Centre for AudiologyFaculty
  of Health SciencesUniversity of Western
  OntarioLondon ON

February 2007 Dr. Stephen Conley Associate
ProfessorDepartment of Otolaryngology
Communication ScienceDepartment of
PediatricsMedical College of WisconsinMilwaukee
Wisconsin Dr. Tom Dickson OMA Section Chair of
Otolaryngology Head and Neck
SurgeryBrampton Ontario Dr. Cengiz
Karsli Assistant ProfessorDepartment of
AnaesthesiaUniversity of Toronto
64
Special Visiting Professors 2007

• February 2007
• Dr. Emily A. Tobey
• Professor and Nelle C. Johnston Chair in
  Communication Disorders
• School of Behavioral and Brain Sciences Human
  DevelopmentDepartment of OtolaryngologyUniversit
  y of Texas Southwestern Medical Center at
  DallasNalli Day Lecturer
• May 2007
• Dr. David W. Eisele
• 16th Percy Ireland Visiting Professor
• Dr. John Charles OBrien Jr.
• Attending Surgeon both in the Department Of
  General Surgery and Sammons Cancer CenterDallas
  Texas5th Annual Binstock University of Toronto
  Mt. Sinai Hospital Lecturer

June 2007 Dr. Berrylin J. Ferguson Director
Division of Sino-nasal Disordersand Allergy
Department ofOtolaryngology Head and Neck
SurgeryUniversity of Pittsburgh School of
MedicinePittsburgh August 2007 Dr. Kensei
Naito Professor and ChairDepartment of
OtolaryngologyFujita Health UniversityJapan Sep
tember 2007 Dr. Boris Pegan Guest Faculty to
theTemporal Bone Dissections Course
65
Special Visiting Professors 2007-2008

• October 2007
• Dr. John Yoo
• Associate ProfessorChair Department of
  OtolaryngologySchulich School of Medicine
  DentistryThe University of Western
  OntarioLondon Ontario
• November 2007
• Dr. François Lavigne
• Associate Professor of OtolaryngologyUniversité
  de Montréal
• Dr. Michel Bojanowski
• Professor of Neurosurgery Université de Montréal
• Dr. Ricardo Carrau
• Professor of Otolaryngology Head Neck
  SurgeryUniversity of Pittsburgh School of
  Medicine

November 2007 Dr. Amin Kassam Chair of
Neurological SurgeryUniversity of Pittsburgh
School of Medicine December 2007 Dr. Neal
Futran Professor of Otolaryngology Head and
Neck Surgeryand Neurological SurgeryDirector of
Head and Neck SurgeryUniversity of
WashingtonSeattle Washington February
2008 Dr. James Palmer Associate Professor of
OtorhinolaryngologyHospital of the University of
Pennsylvania Mr. Richard Reed MusicianSouth
Kingstown RINalli Day Lecturer
66
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.

67
During the past five years we have been fortunate
to recruit excellent faculty who have included
68

• Highest student to faculty ratio in Canada.
• Lowest financial support per studentin Canada.
• Are we too big

69
Where We Are GoingIncreasing global competition
for talentwill 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
70
How Do We Cope

• Baby-boomer Retirement
• Shortage of Talent - a recent surveyof 208
  Otolaryngologists Head and Neck Surgeons in
  Ontario showed a mean average age of 58 years
  similarly in General Surgerya 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.

71
How to Fix It

• The leaders and followers are emerging now says
  Mitch Leventhal an American Consultantin
  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.

72
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
  andResidents 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.

73
Challenges in Otolaryngology Head and Neck
Surgery education at U of T and in CanadaHow
can we make it better
Problem We have had it allBUTIf we snooze we
will lose
74
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 Masters
  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
  facultys interest in such endeavors as the
  Triological thesis. (Campisi James Higgins)

75
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 Professor5 to the rank of Assistant
  Professor and 2 to Lecturer.

76
(No Transcript)
77
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
78
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
  Masters 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.

79
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).

80
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(negotiat
  e financial support for teachers).
• Further promote and encourage Masters thesis
  within theSurgeon Scientist Program.
• Stimulate increased participation in basic
  research(molecular genetics education and
  health policy).
• Enhance research funding.

81
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)

82
Can we predictthe future
I used to think we could maybe we still can.
83
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.

84
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 fullof promise.

85
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.
• Followings tend to tell me that it did.

86
Graduating Residents 2006
87
(No Transcript)
88
Pub Night Winners
89
(No Transcript)
90
Residents Having Fun
91
Residents Having Fun
Happy Chairs
92
The Seven Cs of Leadership
Courage
Confidence
Character
LEADERSHIP
Carisma
Creativity
Communication
Caring
93
The Molecular Biology RevolutionThe 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

94
The Next 50 Years

• Transplantation
• Robotics
• Tissue Engineering
• Image Guided Targeted Surgery

Varian 4030CB

Estimated 70000robotic or robot-assisted
procedures in 2006
Image Guided Surgery vs Intraoperative Image
Acquisition Surgery
Berlinger NT. Robotic Surgery Squeezing into
Tight Places. N Engl J Med 2006354(20)2099-101
95
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 ha