GENERAL SURGERY RESIDENCY PROGRAM PRESENTS

UBC General SurgeryAcademic Symposiums

October 4, 20197:30 -17:30

Colorectal Surgery SymposiumVisiting Professor Dr. Marcus Burnstein

West Meeting Rooms 205-207 Level 2, Vancouver Convention Centre

TABLE OF CONTENTS

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AGENDA WITH TOPICS

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Review the medical and surgicalmanagement of inflammatory boweldisease Describe the role of surgery in themanagement of hereditary colon cancers Review the relevant anatomy forabdominal and pelvic colorectal surgery Review the role of surgery in themanagement of anal squamous cellcarcinoma Review and describe the management ofbenign anorectal disease Review uncommon colorectalmalignancies and describe theirmanagement Review the up to date approach to themanagement of rectal cancer Review and describe the medical andsurgical options in the management ofdiverticular disease

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Accreditation Statement

The University of British ColumbiaDivision of Continuing ProfessionalDevelopment (UBC CPD) is fullyaccredited by the Committee onAccreditation of Continuing MedicalEducation (CACME) to provide studycredits for continuing medical educationfor physicians. This event is an AccreditedGroup Learning Activity (Section 1) asdefined by the Maintenance ofCertification Program of the Royal Collegeof Physicians and Surgeons of Canada, andhas been approved by UBC CPD for up to7.5 MOC Section 1 Group Learningcredits. Each physician should claim onlythose credits accrued throughparticipation in activity.

Accredited by UBC CPD

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Dr. Marcus Burnstein received his MD from Dalhousie University. He

trained in General Surgery at the University of Toronto and in

Colorectal Surgery at the Lahey Clinic in Boston. He is a past Program

Director for the University of Toronto Residency Programs in

Colorectal Surgery and General Surgery, past Chairman of the Royal

College Specialty Committee for Colorectal Surgery, and past

President of the Canadian Society of Colon and Rectal Surgeons. Dr.

Burnstein has served as a member of the Board of Directors of the

American Board of Colon and Rectal Surgery, an examiner for the

American Board of Colon and Rectal Surgery, and as an associate

editor for Diseases of the Colon and Rectum. The annual award for the

best presentation at the University of Toronto Update Course in

General Surgery is named for Dr. Burnstein.

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Dr. Carl Brown is a subspecialist Colorectal Surgical Oncologist at Providence

Health Care, Provincial Lead for Surgical Oncology at BC Cancer and Chair of

the Section of Colorectal Surgery at the University of British Columbia. In

2006, he finished a fellowship in Colorectal Surgery and master's degree in

Clinical Epidermiology at the University of Toronto and started practice at St.

Paul's Hospital. As an academic, Dr. Brown has published several studies on

surgery for colorectal cancer, innovative techniques in cancer surgery and

rectal cancer surgery quality improvement. In 2012, he was cited as one of

Vancouver's top 40 under 40 by Business in Vancouver magazine. In 2018, he

co-chaired the first Canadian Rectal Cancer Surgery Standards committee of

the Canadian Partnership Against Cancer (CPAC). An education enthusiast, he

has taught courses in laparoscopic colorectal cancer surgery, TEM and TaTME.

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Dr. Gareth Eeson is a Surgical Oncologist practicing in Kelowna, BC. Dr. Eeson

completed medical school and residency in General Surgery at the University

of British Columbia. He subsequently completed fellowship training in General

Surgery Oncology and Hepatobiliary and Pancreatic Surgery at the University

of Toronto.

Dr. Eeson is a consultant Surgical Oncologist at Kelowna General Hospital and

the BC Cancer Agency (Centre for the Southern Interior) and is the Chair of

the Gastrointestinal Tumor Group for the Interior Health Authority/BC Cancer

Agency. Dr. Eeson's clinical practice focuses on the management malignancies

of the liver, bile duct, pancreas, stomach, colon and rectum.

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Dr. Ahmer Karimuddin is a Colorectal Surgeon working at St. Paul's Hospitalin Vancouver, BC. He is also Co-Director of the General Surgery ResidencyTraining Program and a Clinical Assistant Professor at the University ofBritish Columbia. He has special expertise in the management of cancer ofthe colon and rectum, inflammatory bowel disease (IBD) and proctology(hemorrhoids, anal fissures, fecal incontinence). Dr. Karimuddin completed medical school at the University of WesternOntario in London, Ontario 2001. He completed General Surgery training atthe University of Saskatchewan in 2007, with a year completing a Masters inAdult Education, with a focus on surgical education and CanMEDS. In 2007,he moved to Toronto to train as a subspecialist in colorectal surgery. Aftercompleting his fellowship, Dr. Karimuddin began practice in Victoria, BC,wehre he established himself as a Colorectal Surgeon. In 2012, he wasrecruited to join the group at St. Paul's Hospital and Providence Health. Within the field of colon and rectal surgery, Dr. Karimuddin has a particularinterest in laparoscopic colorectal surgery, colorectal cancer, colonoscopyinflammatory bowel disease and the pelvic pouch procedure. His researchinterests include patient outcomes (clinical and PROs) in these areas andERAS pathways. Dr. Karimuddin is the President of the BCMA Section of General SUrgery,and has served on multiple committees related to provision of surgical andmedical care in British Columbia. He is currently the Surgical Lead for theBritish Columbia Enhanced Recovery After Surgery Collaborative. He is anactive member of the Colorectal Cancer Tumour Group, and has participatedin development and maintenance of screening guidelines for colorectalcancer in BC.

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Dr. Yvette Leung went to medical school at the University of Calgary and

completed her medical residency at the University of British Columbia. Prior

to becoming faculty as an Assistant Clinical Professor at the University of

Calgary, she completed her Gastroenterology Fellowship at the Univesity of

Calgary and an Advanced IBD Fellowship at the University of Chicago. In

2016, she joined Pacific Gastroenterology Associates and is clinical facult at

UBC. Her main clinical focus is Inflammatory Bowel Disease and the safety

of biologics during pregnancy.

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Dr. Debbie Li completed medical school at Dalhousie University, and General

Surgery Residency at the the University of Toronto. During residency, she

completed a MSc in Clinical Epidemiology through the Surgeon-Scientist

Program in Toronto. Her thesis focused on population-based studies on

diveritcular disease in Canada. She went on to complete a fellowship in

Colorectal Surgery at the University of Minnesota. She joined the Division of

General Surgery at Surrey Memorial Hospital in 2018.

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Dr. Howard Lim is a Medical Oncologist at BC Cancer - Vancouver and

Clinical Associate Progessor in the Faculty of Medicine at the University

of British Columbia. He specializes in gastrointestinal malignancies and is

the Residency Training Program Director. He is also actively involved in

clinical trials, ethics and genomic based research.

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Dr. Cailan MacPherson is a General and Colorectal Surgeon at Surgical

Consultants, practicing at the Victoria General Hospital and Royal Jubilee

Hospital in Victoria. He completed his General Surgery Residency and

Master's Degree in Health Sciences at UBC in 2014, a fellowship in

Colorectal Surgery at the University of Calgary in 2016, then joined

Surgical Consultants in Victoria. His practice is focused in colorectal

cancer, IBD, and advanced endoscopy. He is a site leader for surgical

education in Victoria and represents the Island Health Authority on the BC

Cancer Surgery Network Colorectal Surgical Tumour Group.

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Dr. George Melich is a Clinical Assistant Professor at the University of

British Columbia, Vancouver, Canada and a surgeon primarily based at the

Royal Columbian Hospital in Vancouver. His areas of expertise include

Colorectal Surgery, General Surgery, Trauma Surgery, and Endoscopy. He

completed his medical school and General Surgery Training at McGill

University in Montreal, Canada. He also pursued advanced surgical

training in Colorectal Surgery, Minimally Invasive Surgery and Robotics

through fellowship programs at the University of Illinois in Chicago, USA

and Yonsei University in Seoul, South Korea. Dr. Melich is an author of

multiple journal publications and book chapters involving surgical and

endoscopic techniques. Together with his colleague Dr. Elena Vikis, Dr.

Melich also runs a colorectal training /program.

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Dr. Adam Meneghetti is an Associate Professor at the University of British

Columbia. He completed his MD and General Surgery training at the

University of British Columbia along with a Master's in Health Science. He

then completed his fellowship in Advanced Laparoscopic Surgery at the

University of California San Francisco. He recently completed training in

Gastric Oncology Surgery at Seoul National University Hospital, Korea. He

has also completed training in Transanal Endoscopic Surgery and with the

da Vinci Robotic surgical system. Dr. Meneghetti is the Director of the UBC

Advcanced MIS Fellowship Program that was established in 2006. Dr.

Meneghetti is the Associate Division Head of General Surgery at Vancouver

General Hospital. He is the past Program Director for the UBC General

Surgery Residency Program and is also a past President of the BC Surgical

Society. He is actively involved in various local, national and international

committees. He is a member of the CAGS MIS Committee and the Canadian

Endoscopy Committee. He is also a member of the Canadian Surgical Forum

Steering Committee and is the incoming Program Chair for the CSF meeting

in 2020.

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A Dr. James Okamura graduated medical school and General Surgery

Residency at University of Alberta in 1995. He completed and obtained his

American Board of Colon and Rectal Certification at UT, Houston in 1997.

In 1997, he began practice in the Edmonton region at Sturgeon Community

Hospital. Since 2000, he has been pacticing General and Colon and Rectal

Surgery at Burnaby Hospital. He is actively involved with teaching senior

surgical residents.

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Dr. Terry Phang is a Professor of Surgery at the University of British

Columbia where he has taught many surgeons in British Columbia and

Canada on Rectal Cancer and Laparoscopic Colon Surgery, and many

medical students and family physicians on colorectal diseases. He

recieved medical training at the University of Toronto and surgical

training at Memorial University of Newfoundland, later specializing in

Colorectal Surgery training at the University of Minnesota. He also holds

American Board ceritification for Surgery and Colorectal Surgery. He has

a Master's of Science degree in Biochemistry and Clinical research

training in critical illness and Colorectal Surgery with a research

fellowship in Rectal Cancer at the Memorial Sloan-Kettering Cancer

Center in New York City. He is Program Director of the UBC Colorectal

Surgery Residency Program and the Inaugural Chair of the Canadian

Royal College Exam Board for Colorectal Surgery. He is a member of the

British Columbia Cancer Agency Surgical Oncology Network Committee

on colon and rectal cancer that has the mandate of improving outcomes

for colorectal cancer through programmatic development in BC, and a

member of the American Society of Colon and Rectal Surgeons

Committee on fundamentals of rectal cancer surgery. He is the current

President of the Canadian Society of Colon and Rectal Surgeons and is

facilitator for a Canadian clinical trials network in Colorectal Surgery.

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Dr. Manoj Raval is a specialist in Colon and Rectal Surgery at St. Paul's

Hospital and Clinical Associate Professor of Surgery at the University of

British Columbia. He graduated from medical school at the University of

Calgary in 2004. He then went on to subspecialty fellowship training in

Colon and Rectal Surgery at the University of Toronto. While in Toronto,

he also completed a MSc degree in Clinical Epidemiology. He was

recruited to the Department of Surgery at St Paul's Hospital and the

University of British Columbia in 2006, and is proud to work in the Centre

of Excellence in Colorectal Surgery that has developed over time at St.

Paul's Hospital. Dr. Raval also works closely with radiation and medical

oncologists at the BC Cancer Agency (BCCA). Within the BCCA's Surgical

Oncology Network, he is the Chair of the Colorectal Surgery Tumour

Group, whose mandate is to promote excellence in the surgical treatment

of colorectal cancer for British Columbians. He has headed a number of

initiatives through the BC Cancer Agency, including development of

Colorectal Cancer Care Pathway Maps for patients and management

guidelines for colorectal cancer for physicians.

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Dr. Magdalena Recsky is a General and Colorectal Surgeon working on

Kelowna. Dr. Recsky completed medical school at the University of British

Columbia, followed by Residency in General Surgery in 2013. She completed

a Fellowship in Colorectal Surgery at St. Paul's Hospital in Vancouver. She

has also completed a Master's in Health Care and Epidemiology. She was

been actively involved in the Enhanced Recovery Program after Surgery

(ERAS) at the local, provincial and national levels. She is the Head of the

Family Practice residents during their General Surgery rotation in Kelowna.

She is a member of the BC Surgical Society Executive and will be the

Interior Health representative in the Colorectal Surgical Tumour Group in

British Columbia.

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Dr. Nathan Schneidereit is a Colorectal Surgeon and has worked in the

Nanaimo Regional General Hospital since 2006. Dr. Schneidereit completed

his MD and General Surgery training at the University of British Columbia

and went on to obtain further subspecialty training in Colorectal Surgery at

the Cleveland Clinic in Weston, Florida.

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Dr. Sullivan completed medical school and General Surgery Training at the

University of Toronto. He went on to study Colorectal Surgery at the

University of Minnesota. He worked at St. Paul's Hospital in Vancouver

before settling in Kelowna for the past 19 years as a General/Colorectal

Surgeon and Clinical Instructor with the University of British Columbia.

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Dr. Elena Vikis is a Colorectal Surgeon at Royal Columbian and EagleRidge Hospitals since 2012 and Clinical Instructor for the Department ofSurgery at UBC. Dr. Vikis is at the forefront of an international effort tointroduce a new standard of care for one of the most common anddeadliest cancers. After starting practice in 2009, she became an early adopter of apromising new surgical technique for treating rectal lesions and cancers.Today, Dr. Vikis has become a leading practitioner in Canada of theprocedure know as TaTME. She has performed more TaTME cases thananyone else in the country, introduced the new approach to surgicalcolleagues, co-organized the first congress on this topic in Canada, andpresented at conferences in the US and Europe. In addition, sheestablised sub-specialized colorectal surgical services, including an MISFellowship program, for Fraser Health, the larges health region in BC. Dr.Vikis is a proud supporter of Colon Cancer Canada.

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