Title: 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
W. El Masri
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
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.
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.
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.
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.
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)
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
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
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
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
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
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
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
Morley Binstock 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
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
Dr. Patrick J. Bradley
Consultant OtorhinolaryngologyHead Neck SurgeonUniversity HospitalQueens Medical Centre Nottingham England2nd Morley Binstock Mt. Sinai Hospital LecturerUniversity of Toronto Visiting Professor
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
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
Dr. Lorne S. Parnes
Professor and Program DirectorDepartment of OtolaryngologyUniversity of Western OntarioLondon Ontario1st Solvay Pharma LecturerUniversity of Toronto Visiting Professor
Dr. Francois Lavigne
ProfessorInstitut ORL de Montreal1st Bristol Myers Squibb LecturerUniversity of Toronto Visiting Professor
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
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
Wasser Pain Management CentreMt. Sinai Hospital Toronto
Mr. W.M. Armstrong
Manager MD Management LimitedToronto
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
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
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
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
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
Dr. Jesus Medina
Chair Department of OtolaryngologyPaul and Ruth Jonas Chair in CancerTreatment and ResearchUniversity of Oklahoma
Dr. Richard Chole
Chair Department of OtolaryngologyWashington University School of MedicineSaint Louis Missouri15th Percy Ireland Visiting Professor
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
Dr. Gerry Funk
Department of Otolaryngology Head Neck SurgeryUniversity of Iowa Iowa
Dr. Merrill Kies
MD Anderson Cancer CenterHouston Texas
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
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
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
Dr. John Yoo
Associate ProfessorChair Department of OtolaryngologySchulich School of Medicine DentistryThe University of Western OntarioLondon Ontario
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
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.
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
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
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