Title: University of Toronto Department of Otolaryngology Head and Neck Surgery State of the Union Address
1University 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
2History 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.
3The Vision
- The activities should be compatible with
thepriorities of the - Department of Otolaryngology Head Neck
Surgery - Priorized Programs of each Individual Hospitals
Mission
4University 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.
5Department 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
6Department 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)
7The 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
8Chairs
- 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
9Program 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
10Department 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
11University - 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.
12University 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
13Funding
- 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.
14Clinical 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.
15Research 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.
16Research 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.
17DEPARTMENT 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.
18Masters 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
19Research 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.
20Research 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.
21Research 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.
22Wharton/Latner/Elia/CochlearChairs in
Otolaryngology Head and Neck Surgery
- Chair in Head and Neck Surgery2,000,0000 - Dr.
Patrick Gullane - Bartley-Smith/Wharton Chair in Radiation
Oncology2,000,000 - Dr. Brian OSullivan - Elia Chair in Head and Neck Research2,500,000
- Dr. Fei-Fei Liu - Temmy Latner/Dynacare Chair in Head and Neck
Oncology3,000,000 - Dr. Jeremy Freeman - Cochlear Americas Chair2,000,000 - Dr. Blake
Papsin - Two future Chairs pending.
23Research 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.
24Publications
- 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.
25Bibliometric Analysis
Publications
26Education 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.
27Undergraduate 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.
28Undergraduate Medical Education Activity per
Annum960 hours
Im truly indebted to all members of the facility
for your enormous contributions.
29Undergraduate 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.
30Undergraduate 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.
31Undergraduate 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.
32Postgraduate 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.
33Postgraduate 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
34Postgraduate 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.
35PostgraduateEducation
- 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.
36University 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
38Postgraduate 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.
39Major Accomplishment
- Reversed the reciprocity of Canadian graduates to
take the American Board of Otolaryngology
accrediting examination.
The Negotiating Team!
40Fellowship 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.
41Fellowship 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)
42Continuing 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.
43Continuing 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.
44Continuing 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.
45Accredited 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
46Accredited 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
47Accredited 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
48Accredited 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
49Visiting Professorships 2002-2007
- Wharton Lectureship
- Morley Binstock Lectureship
- Bulhose Lectureship
- Leibinger Lectureships
- Abbott Lectureship
- Elia Lectureship
- How have we done?
50Department 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
51Department 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
52Department 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
53Department 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
54Special 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
Otolaryngology,Université 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
55Special 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
56Special 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 LLP,Barrister and Solicitors,
Toronto Dr. Gerry Funk Associate
ProfessorUniversity of Iowa College of
Medicine3rd Annual Binstock Mt Sinai Hospital
LecturerUniversity of Toronto Visiting Professor
57Special 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 Otolaryngology,Montreal
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
58Special 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 Professor,Division of
OtolaryngologyMcMaster UniversityHamilton,
Ontario
59Special 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
Gastroenterology,Department 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
60Special 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 Otolaryngology,Department
of SurgeryDalhousie University
November 2005 Dr. Paul Kerr Associate Professor,
Program DirectorDepartment of OtolaryngologyUniv
ersity of Manitoba Dr. Hadi Seikaly Program
DirectorDivision of Otolaryngology,Department
of SurgeryUniversity of Alberta February
2006 Dr. Ricardo Carrau Professor of
Otolaryngology Head Neck SurgeryUniversity
of Pittsburgh School of MedicinePittsburgh,
Pennsylvania
61Special 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
62Special 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
63Special 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
Lab,McGill University - Richard C. Seewald, Ph.D.
- Professor and Canada Research Chair in Childhood
Hearing,National Centre for Audiology,Faculty
of Health Sciences,University of Western
Ontario,London, 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
64Special 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
Surgery,University of Pittsburgh School of
Medicine,Pittsburgh 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
65Special Visiting Professors 2007-2008
- October 2007
- Dr. John Yoo
- Associate ProfessorChair, Department of
Otolaryngology,Schulich School of Medicine
Dentistry,The University of Western
Ontario,London, 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
Washington,Seattle, Washington February
2008 Dr. James Palmer Associate Professor of
OtorhinolaryngologyHospital of the University of
Pennsylvania Mr. Richard Reed Musician,South
Kingstown, RINalli Day Lecturer
66Faculty 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.
67During 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?
69Where 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
70How 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.
71How 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.
72Future 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.
73Challenges 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
74Faculty 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)
75Academic 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.
76(No Transcript)
77Faculty 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
78Accomplishments 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.
79Accomplishments 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).
80The 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.
81The 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)
82Can we predictthe future?
I used to think we could, maybe we still can.
83The 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.
84My 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.
85Thank 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.
86Graduating Residents 2006
87(No Transcript)
88Pub Night Winners
89(No Transcript)
90Residents Having Fun
91Residents Having Fun
Happy Chairs
92The Seven Cs of Leadership
Courage
Confidence
Character
LEADERSHIP
Carisma
Creativity
Communication
Caring
93The 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
94The Next 50 Years
- Transplantation
- Robotics
- Tissue Engineering
- Image Guided Targeted Surgery
Varian 4030CB
Estimated 70,000robotic 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
95Future
- 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