oag 2009 onsite program
DESCRIPTION
OAG 2009 Onsite ProgramTRANSCRIPT
13 T H A N N U A L C O N F E R E N C E • O C T O B E R 2 3 - 2 5 , 2 0 0 9
Park Hyatt Toronto, 4 Avenue Road, Toronto, Ontario
The GI Water Cooler
ON
TARI
OA
SSO
CIATION OF GASTROEN
TEROLO
GY
ONTARIO ASSOCIATION OF GASTROENTEROLOGY
On-S i te Program
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Welcome Message from the President
Welcome to our 13th Annual Conference. For most of us, this is a return to a well-known forum, while forthose new at this conference; you are in for a treat. The OAG annual meeting is like no other. We have anopportunity to catch up with friends and acquaintances, establish new links with trusted members of ourcommunity and, as always, to learn.
The topic this year, THE GI WATER COOLER, is a highlight of the subjects that are on our mind, the stuffyou want to know, so you can answer the classic question: What’s up doc? This year’s swine flu has merelyreminded us of some of the infection issues we have to deal with on a daily basis, issues that affect us, our
patients, and our equipment. Our local environment in the endo unit is also changing, with more people, forms and requirements to dealwith. We used to look to the US with some envy, but perhaps we should re-evaluate. We will hear about changes to GI practice in theUS and what may be around the corner for Ontario. There will be lots to hear and ask questions about on-call endoscopy and the evolvingrole of Cancer Care Ontario in our practices. And to top it all off, we have our annual debate … this year asks the question “what is thebest GI anesthesia for now and the future?”
Our companion program is always popular, and this year’s private tour of the new AGO should be in that tradition of success.
Our Saturday Gala looks to be another hit: Formal and Motown. On Sunday, we will hear important information about OMA and CPSOissues, billing information and the issues we, as gastroenterologists, will face in the coming year.
For me, this is a sweet end to my three years as your president. It is with both sadness and eager anticipation of continuing success thatI pass the torch to Dr. David Baron, your next president. I am sure that he, working with our Board, staff and a growing and enthusiasticmembership, will take OAG to new heights. See you at the Water Cooler!
Regards,
Jeffrey Axler, MD, FRCPCPresident, OAG
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Message from the Conference Co-Chairs
Gastroenterologists take great pride in the care that we provide to our patients, continually improving ourknowledge and updating our skills through the multitude of CME activities available to us. Despite the everincreasing availability of web-based education, many of us still get the most out of the live meetings that weattend. At these meetings it is not always the symposia themselves but rather the "shop talk" betweensessions that we find most helpful in our day-to-day activities. These discussions naturally lend themselvesto similar discussions between clinical encounters whether it be in the coffee room, in the endo suite, thenursing station on the ward or our office "water cooler."
From AASLD to UEGW, there is an alphabet soup of available CME choices. For more than a decade ourannual meeting has provided plenty of opportunity to interact on a personal level with colleagues while providingeducation from a local perspective. Thanks again for making this weekend a highlight on your calendar. I amsure the program will give you more to chew on in the coffee room Monday than last weeks leftovers.
Regards,
James Gregor
Iain Murray
James Gregor, MD, FRCPCConference Co-Chair
Iain Murray, MDCM, FRCPC Conference Co-Chair
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ExecutivePresident – Dr. Jeffrey Axler, Toronto
Past President – Dr. Theadore Ptak, TorontoVice President – Dr. David Baron, Toronto
Treasurer – Dr. James Gregor, LondonSecretary – Dr. Elio Pavone, Oshawa
Directors
Dr. Johane Allard, Toronto Dr. David Morgan, HamiltonDr. Frederick Bray, Ottawa Dr. Brian Murat, HuntsvilleDr. Nanda Gopinath, Toronto Dr. Iain Murray, MarkhamDr. Michael Gould, Toronto Dr. Theodore Shapero, TorontoDr. Paul Kortan, Toronto Dr. Kim Tilbe, Sudbury
2009 Conference Committee
Dr. James Gregor, Co-Chair, LondonDr. Iain Murray, Co-Chair, Markham
Dr. Jeffrey Axler, Toronto Dr. David Baron, Toronto
Dr. Frederick Bray, OttawaDr. Timothy Devlin, Toronto
Dr. Nadeem Hussain, LondonDr. Earle Morgan, WindsorDr. Hemant Shah, Toronto
OAG Board of Directors
OAG Mission Statement
The Ontario Association of Gastroenterology (OAG) is a non-profit associationincorporated in the province of Ontario. The OAG serves the practice of gastroenterology
in Ontario, promoting, maintaining and improving its knowledge and standards. TheAssociation represents Ontario gastroenterologists in discussions, meetings andcommunications with other groups including the Ontario Medical Association, the
Government of Ontario and other health professionals. By representing the specialty ofgastroenterology, we are the official voice of Ontario Gastroenterologists.
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Meeting Room Floorplan
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Welcome to Toronto
Immerse yourself in one of the world’s most multicultural cities! Situated 566 feet above sea level on the northern shore of Lake Ontario,Toronto is one of the southern most cities in Canada. In fact, it has nearly the same latitude as northern California.
Home to more than 100 cultures, Toronto truly is the world within a city. With a population of 4.2 million, Toronto is Canada’s largest cityand is the 5th-largest city in North America. It possesses the best features of the world in one clean, safe and friendly place.
Consider this: Toronto is rivaled only by London and New York in the theatre scene. It boasts attractions from high art to lively family fun.It offers polished service for the business traveler and a shopping mecca with international flair. It offers some of the best dining in theworld and features year-round festivals of film, music and culture with miles of waterfront, beaches, boardwalks and trails.
Visit Toronto.com for more information on events, attractions, shopping and restaurants!
Welcome to the Park Hyatt Hotel
Situated in the heart of the fashionable Yorkville area – encircled by high-end retail stores and five-star restaurants – our downtown Torontohotel accommodations represent an elite level of luxury, marked by subtle contemporary influence.
Enjoy a host of complimentary services within this renowned downtown Toronto, Ontario hotel – from car service to high-speed Internet.Rejuvenate your spirit inside our premier spa and salon, Stillwater and experience the fine art of dining with bistro-style cuisine in Annonaor breathtaking views from The Roof Lounge.
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Raffle for the “Raffles” crowd
Purchase a raffle ticket during the OAG conference for an opportunity to winwonderful prizes!Investing in a child’s future is an easy task with many rewards. Not only are you helping to fight hungerin our own backyard but you will be helping to free children and their families from poverty. Your smallinvestment in a child’s life has a powerful impact. Participate in our raffle for a chance to win a unique prize, which will be drawn at the Gala Motown Party. Proceeds from this raffle will be matched by the OAG and a donation will be made to Second Harvest. Draw being
held at the Gala
1 Ticket:
10 Tickets:
Arms Length:
$20$50$100
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Park Hyatt Hotel Toronto, Ontario
Friday, October 23, 2009
6:30 pm - 10:30 pm
President’s Welcome
Reception
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Doctors’ Program at a Glance
6:00 pm - 9:30 pm Registration Open Queen’s Park Foyer6:30 pm - 10:30 pm President's Welcome Reception Queen’s Park Ballroom
7:00 am - 12:30 pm Registration Open Queen’s Park Foyer7:00 am - 9:30 am Breakfast University Ballroom8:15 am - 8:30 am Welcome & Opening Remarks
Speakers: Drs. Jeffrey Axler & James Gregor
Infection Control Queen’s Park Ballroom8:30 am - 8:50 am The Infected Patient
Speaker: Dr. Matthew Muller8:50 am - 9:10 am The Infected Physician
Speaker: Dr. David Wong9:10 am - 9:30 am The Infected Scope
Speaker: Dr. Bill Thompson9:30 am - 9:50 am Panel Discussion
Moderator: Dr. Hemant Shah
Boy It’s Getting Crowded in Here: Changes in the Endoscopy Suite Queen’s Park Ballroom9:50 am - 10:10 am The GI Doctor Report Card: What's the value of your service?
Speaker: Dr. John I. Allen10:10 am - 10:30 am On-Call Endoscopy
Speaker: Dr. James Gregor10:30 am - 10:50 am The Evolving Role of CCO in Colonoscopy in Ontario
Speaker: Dr. Terrence Sullivan10:50 am - 11:10 am Panel Discussion
Moderator: Dr. Earle Morgan
11:10 am - 11:30 am Nutrition Break Queen’s Park Foyer
Friday, October 23, 2009
Saturday, October 24, 2009
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Saturday, October 24, 2009 Continued...
Doctors’ Program at a Glance
Anaesthesia Queen’s Park BallroomDEBATE: Anaesthesia will become integral in providing optimal endoscopic management in the 21st century
11:30 am - 11:55 am Debate - ProSpeaker: Dr. Stephen Brown
11:55 am - 12:20 pm Debate - ConSpeaker: Dr. Nilesh Chande
12:20 pm - 12:30 pm Rebuttals12:30 pm - 12:50 pm Panel Discussion
Moderator: Dr. David Baron12:50 pm - 1:00 pm Closing Remarks
Moderator: Dr. James Gregor
1:00 pm - 2:30 pm Lunch (in the hotel) University Ballroom
Residents’ Round Table Luncheon Roof Salon1:00 pm - 2:30 pm Getting Home for Dinner......
Speakers: Drs. Frederick Bray & Earle MorganModerator: Dr. Jeffrey Axler
Social Programs6:00 pm - 7:00 pm Cocktail Reception University Ballroom7:00 pm - 1:00 am Gala and Awards Presentation Queen’s Park Ballroom
7:00 am - 11:00 am Registration Open ` Queen’s Park Foyer7:00 am - 10:00 am Breakfast University Ballroom8:30 am - 8:35 am Opening Remarks Queen’s Park Ballroom
Dr. James Gregor8:35 am - 9:30 am Excerpts of the St. Michael’s Endoscopy Course
Speaker: Dr. Paul Kortan9:30 am - 10:00 am Fees Update and Relativity Issues (Closed Meeting)
10:00 am - 10:30 am Nutrition Break Queen’s Park Foyer
10:30 am - 12:00 pm Annual General Meeting (Closed Meeting) Queen’s Park Ballroom12:00 pm - 12:15 pm Closing Remarks
Dr. Jeffrey Axler
Sunday, October 25, 2009
TOPIC: GETTING HOME FOR DINNER......This will be a round-table discussion withResidents regarding the issues that will beaffecting them both professionally andpersonally as they embark on their journey as Gastroenterologists.
These issues affect not only the physician buthis/her family; therefore, spouses/partners areencouraged to attend. Lunch will be served.
Pre-registration is required for this event.
Saturday, October 24, 20091:00 pm - 2:30 pmRoom: Roof Salon, Park Hyatt Hotel, Toronto
Residents’ Round Table Luncheon
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Imagine That Child Care Service delivers exceptional child care services for infants, childrenand teenagers through the Greater Toronto Area. They employ highly trained child care profes-sionals who are bonded and insured. They have a great reputation working with hotels inToronto and are highly recommended by the Park Hyatt Toronto.
HERE ARE THEIR RATES: • $28.00 per hour for 1 to 2 children • $34.00 per hour for 3 to 4 children
All rates are based on a 3-hour minimum. A $15 transportation charge does apply for services thatrun after midnight.
Method of Payment: Visa or Mastercard Website: www.imagethatchildcare.ca • Tel: (416) 894-4868
Hotel Baby Sitting Services
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Gala Dinner Entertainment
The Sounds of Motown show features exciting hits of
The Temptations, Smokey Robinson, The Supremes, Marvin Gaye and
The Jackson Five. Powerful professional voices
deliver the sensational sounds of classic Motown live!
�Midnite Starr is a nine-piece band
that will keep you dancing to hits of the 60’s, 70’s, 80’s and 90’s.
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Each conference delegate is challenged to bring at least one canned food item to the
conference and beneficially impact a child’s life. We will never eradicate hunger but we
can do our part to make the world a better place for our children. Don’t allow another
child to go to bed hungry. Open your hearts and your wallets and make a donation.
HELP FEED A HUNGRY CHILD!
THE AXCAN AWARDour 2009 Axcan Award recipient,
Dr. Ivan BeckKingston, Ontario
Join us as we honour Join us as we honour
This award is given in recognition of a fellow gastroenterologist who has made an
outstanding contribution in gastroenterology research, education or clinical practice.
Award Recipient
Gala and Awards Presentation
What’s going on? The Sounds of Motown are an intoxicating, exciting rush that get your fingers snapping,
hips swaying and feet dancing. It does matter what you wear, but you must be there! Don’t miss the opportunity to grab a girl, any girl, and dance in the street. If you miss it, you’ll regret it!
The Sounds of Motown and Midnite Starr are much better than just having your records playing!
Park Hyatt Toronto4 Avenue Road, Toronto, Ontario
Saturday, October 24, 20096:00 pm - 1:00 am
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Ivan Thomas Beck, MD, PhD, FRCPC, FACP, MACG
Dr. Ivan Thomas Beck was born in Budapest, Hungary in 1924. He married
his beloved Marjorie Favre in 1948 and has a daughter, Cynthia Beck, a
practicing psychiatrist in Calgary, Alberta.
Dr. Beck completed his medical training in Geneva, Switzerland in 1949
and did his postgraduate training at McGill University in 1952. He went on
to complete his Doctor of Philosophy (PhD) in Experimental Medicine at
McGill in 1963. Dr. Beck is a Fellow of the American College of Physicians, American College of Gas-
troenterology and Master of the American College of Gastroenterology.
He has worked as a clinical and basic investigator where he studied gastrointestinal motility, pancre-
atitis, intestinal absorption and response of the small bowel to injury. Dr. Beck established the first clin-
ical motility laboratory in Canada while at McGill in 1956 and his second at Queen’s University in
1966. He has published over 230 papers, books and chapters and has held MRC grants uninterrupt-
edly from the early 1960’s until 1996. He established the Gastroenterology division at the Hôtel Dieu
Hospital and the unit was named in his honour at a ceremony presided over by the Honourable David
Peterson, former Premier of Ontario.
Dr. Beck is a founding member and past chair of the Canadian Digestive Health Foundation. He is a
founding member of the Canadian Association of Gastroenterology and has served as its first sec-
retary, is a past president and continued to serve as its archivist.
2009 OAG Axcan Award
The Axcan Award is presented in recognition of a fellowgastroenterologist who has made an outstanding contribution in
gastroenterology research, education or clinical practice.
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Saturday, October 24, 2009
INFECTION CONTROL
The Infected Patient
8:30 am - 8:50 am
Matthew P. Muller, MD, PhD, FRCPC
Associate Medical Director, Infection Prevention and Control,
St. Michael's HospitalAssistant Professor, Department of
Medicine, University of TorontoAdjunct Scientist,
Keenan Research Centre, Li Ka Shing Knowledge Institute
Dr. Matthew Muller completed a degree in biochemistry at McGill University,
followed by a medical degree and internal medicine and infectious diseases
residencies at the University of Toronto. Following the completion of my clinical
training, he completed a PhD in clinical epidemiology, also at the University of
Toronto. Currently, he is the associate medical director of infection prevention and
control at St. Michael’s Hospital and assistant professor of medicine at the Univer-
sity of Toronto. His research interests are in the epidemiology and control of hospital
acquired infections, MRSA, ESBL and C. difficile. Dr. Muller also has a research
interest in hand hygiene, particularly in novel technology to support the improve-
ments in, and measurement of, hand hygiene compliance in healthcare settings.
Session Overview
In this presentation Dr. Muller will describe the evolving epidemiology and clinical
relevance of several important infectious pathogens in the community, outpatient
and inpatient settings, including C. difficile, MRSA, and multi-drug resistant gram
negative bacteria. He will then present a practical approach to infection control
strategies that can and should be used to prevent the transmission of these (and
other) pathogens in the office, clinic and inpatient setting.
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Saturday, October 24, 2009
INFECTION CONTROL
The Infected Patient
8:30 am - 8:50 am
Matthew P. Muller, MD, PhD, FRCPC
Associate Medical Director, Infection Prevention and Control,
St. Michael's HospitalAssistant Professor, Department of
Medicine, University of TorontoAdjunct Scientist,
Keenan Research Centre, Li Ka Shing Knowledge Institute
Presentation Notes
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Saturday, October 24, 2009
INFECTION CONTROL
The Infected Patient
8:30 am - 8:50 am
Matthew P. Muller, MD, PhD, FRCPC
Associate Medical Director, Infection Prevention and Control,
St. Michael's HospitalAssistant Professor, Department of
Medicine, University of TorontoAdjunct Scientist,
Keenan Research Centre, Li Ka Shing Knowledge Institute
Presentation Notes
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Saturday, October 24, 2009
INFECTION CONTROL
The Infected Patient
8:30 am - 8:50 am
Matthew P. Muller, MD, PhD, FRCPC
Associate Medical Director, Infection Prevention and Control,
St. Michael's HospitalAssistant Professor, Department of
Medicine, University of TorontoAdjunct Scientist,
Keenan Research Centre, Li Ka Shing Knowledge Institute
Presentation Notes
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Saturday, October 24, 2009
INFECTION CONTROL
The Infected Physician
8:50 am - 9:10 am
David K. H. Wong, MD, FRCPC
Hepatologist, Toronto Western Hospital
Dr. David Wong is a Hepatologist at the Toronto Western Hospital. Dr. Wong
graduated from the University of Toronto Faculty of Medicine in 1988. Following
his clinical training in Internal Medicine and Gastroenterology, Dr. Wong received
further training as a research fellow with Dr. Bruce Walker at the Massachusetts
General Hospital, Harvard Medical School, where he conducted studies on the
cellular immune responses to hepatitis C viral infections in humans.
Dr. Wong was initially appointed full time staff in the Division of Gastroenterology
at McMaster University but moved to the University Health Network (UHN)/Mount
Sinai Hospital (MSH) in 2002, where he is the Clinical Director of the Liver Clinic
at UHN Toronto Western Division. He is also on staff of the Immunodeficiency
Clinic at UHN - Toronto General Division and is currently an Assistant Professor
of Medicine at the University of Toronto.
Dr. Wong's clinical interests lie in the area of viral hepatitis and liver disease in
HIV. His educational responsibilities include co-ordinating the Clinical Hepatology
training program for the University of Toronto and co-coordinating the Gastroen-
terology-Hepatology clinical training program for General Internal Medicine at the
UHN/MSH. Dr. Wong also co-ordinates the annual Hepatology Update meeting
in Toronto.
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Saturday, October 24, 2009
INFECTION CONTROL
The Infected Physician
8:50 am - 9:10 am
David K. H. Wong, MD, FRCPC
Hepatologist, Toronto Western Hospital
Presentation Notes
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Saturday, October 24, 2009
INFECTION CONTROL
The Infected Physician
8:50 am - 9:10 am
David K. H. Wong, MD, FRCPC
Hepatologist, Toronto Western Hospital
Presentation Notes
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Saturday, October 24, 2009
INFECTION CONTROL
The Infected Physician
8:50 am - 9:10 am
David K. H. Wong, MD, FRCPC
Hepatologist, Toronto Western Hospital
Presentation Notes
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Saturday, October 24, 2009
INFECTION CONTROL
The Infected Scope
9:10 am - 9:30 am
Bill Thompson, BA, BSc, MD, FRCPC
Internal Medicine, Infectious Diseases.Assistant Professor of Medicine, Division of Infectious Diseases,
Department of Medicine, Schulich School of Medicine
and Dentistry, The University of Western Ontario
Bill Thompson graduated from The University of Western Ontario with his Med-
ical Degree in 1985. He completed his training in Internal Medicine at Western in
1989 and in Infectious Diseases at the University of Manitoba in 1990. He has
worked in Moncton, New Brunswick and London, Ontario. While in Moncton he
was the Director of the Infection Control unit and was a member of the Canadian
Nosocomial Infection Surveillance Program. He has been involved in the devel-
opment of policies of infection control as they relate to patients and physicians
alike and in outbreak investigations. Outside of the realm of Infectious Diseases
he has an interest in Distributed Medical Education at both the undergraduate
and postgraduate levels.
Session Overview
By the very nature of their use, endoscopes may bring microbial pathogens
directly into contact with mucosal surfaces or tissues. Inadequate cleaning and
high level disinfection post procedure and subsequent reuse may result in the
transmission of dangerous infectious agents from patient to patient or infection
with nosocomial pathogens. While the risk of patient to patient transmission is
estimated to be one per 1.8 million examinations, outbreaks of infection with a
variety of bacterial and viral pathogens have occurred. This talk will review the
evidence for transmission and the reasons identified for its occurrence. Dedicated
protocols and trained staff who strictly adhere to them are required to adequately
process endoscopes to prevent endoscopy-associated clinical infections. A
systematic process to review these procedures and the adherence to them is
required to minimize infection risk.
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Saturday, October 24, 2009
INFECTION CONTROL
The Infected Scope
9:10 am - 9:30 am
Bill Thompson, BA, BSc, MD, FRCPC
Internal Medicine, Infectious Diseases.Assistant Professor of Medicine, Division of Infectious Diseases,
Department of Medicine, Schulich School of Medicine
and Dentistry, The University of Western Ontario
Presentation Notes
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Discussion NotesSaturday, October 24, 2009
INFECTION CONTROL
Panel Discussion
9:30 am - 9:50 am
Moderator:Hemant Shah, MD, FRCPC
Toronto Western Hospital
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Discussion NotesSaturday, October 24, 2009
INFECTION CONTROL
Panel Discussion
9:30 am - 9:50 am
Moderator:Hemant Shah, MD, FRCPC
Toronto Western Hospital
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Dr. John I. Allen graduated with honors from Rice University in Houston, Texas
in 1973. He attended medical school at the University of New Mexico, graduating
in 1977. His internship, residency and specialty training in gastroenterology were
completed at the University of Minnesota. Dr. Allen spent ten years on the faculty
of the Department of Medicine. In 1991 Dr. Allen was recruited to be Associate
Medical Director of the Virginia Piper Cancer Institute at Abbott Northwestern
Hospital and joined Minnesota Gastroenterology. Currently Dr. Allen is the Medical
Director for Quality at Minnesota Gastroenterology- the largest fully integrated
single specialty gastroenterology practice in the country.
Dr. Allen has over 45 published articles and book chapters on topics ranging
from basic molecular biology to practice management. In 2001 he returned to
the University of St. Thomas (Minneapolis) to complete an MBA program in Medical
Group Management. Since that time, he has developed expertise in practice man-
agement, clinical performance measures and process improvement.
He was, until recently, the Chair of the American Gastroenterology Association
(AGA) Institute Committee on Clinical Practice and Quality. His work in defining
quality measures for colonoscopy and gastroenterology is extensive. He
co-chaired the Physician Performance Improvement Task Force that developed
the current Colonoscopy Measures for the Physician Quality Reporting Initiative
(PQRI) for the Centers for Medicare and Medicaid (CMS). As Chair of the Board
of the Institute for Clinical Systems Improvement (ICSI – www.icsi.org), he helped
develop statewide measures for colonoscopy and colon cancer prevention with
Minnesota Community Measurement. He developed a large practice registry for
endoscopic outcomes and has published extensively on quality measurement in
community practice gastroenterology.
He has spoken nationally about physician performance measures, public account-
ability and quality improvement as it relates to specifically to colonoscopy and colon
cancer prevention. In 2006, he published the first “Outcomes Booklet” for a
community-based GI practice (found at www.mngastro.com). Within the AGA he has
led initiatives concerning transitioning gastroenterology to Electronic Medical Records
and has worked with national health plans to develop a GI Quality Measure Set.
Saturday, October 24, 2009
BOY IT’S GETING CROWDED INHERE: CHANGES IN THE
ENDOSCOPY SUITE
The GI Doctor Report Card:
What's the value of your service?
9:50 am - 10:10 am
John I. Allen, MD, MBA, AGAF, FACG
Medical Director for QualityMinnesota GastroenterologyClinical Practice Counselor:
AGA InstituteBoard of Directors – Institute for Clinical Systems Improvement
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Saturday, October 24, 2009
BOY IT’S GETING CROWDED INHERE: CHANGES IN THE
ENDOSCOPY SUITE
The GI Doctor Report Card:
What's the value of your service?
9:50 am - 10:10 am
John I. Allen, MD, MBA, AGAF, FACG
Medical Director for QualityMinnesota GastroenterologyClinical Practice Counselor:
AGA InstituteBoard of Directors – Institute for Clinical Systems Improvement
Presentation Notes
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Saturday, October 24, 2009
BOY IT’S GETING CROWDED INHERE: CHANGES IN THE
ENDOSCOPY SUITE
On-Call Endoscopy
10:10 am - 10:30 am
James C. Gregor, MD, FRCPC
Victoria Hospital Site Chief, London Health Sciences Centre
Associate Chair, University of Western Ontario
Program Director, Division of Gastroenterology
Department of Medicine
Dr. James C. Gregor is an Associate Professor of Medicine in the Departments
of Medicine and Epidemiology & Biostatistics in the Schulich School of Medicine
and Dentistry at the University of Western Ontario.
Dr. Gregor graduated from the University Western Ontario in 1988, and specialized
in Internal Medicine and Gastroenterology. He did further training in Clinical
Epidemiology and Health Economics at the University of Toronto.
Dr. Gregor joined the Medical Staff at The London Health Sciences Centre in
1995. He served as Program Director for the Division of Gastroenterology from
1998 to 2002. Currently he is the Site Chief for the Department of Medicine at
the Victoria Hospital, Associate Chair of Medicine at the University of Western
Ontario, Site Chief and Program Director for the Division of Gastroenterology.
Dr. Gregor is on the Board of Directors of the Ontario Association of Gastroenterology
and is Chair and organizer of the annual Scholars’ Program for the Canadian
Association of Gastroenterology. He is the Chair of the Specialty Committee in
Gastroenterology for the Royal College of Physicians & Surgeons of Canada.
His research interests include therapeutic endoscopy, inflammatory bowel disease,
economic analysis, and quality of life assessments in Gastroenterology.
Session Overview
The practice of medicine is in continual evolution and our specialty is no excep-
tion. It wasn't that many years ago that Gastroenterologists were one of the pil-
lars of a hospital's internal medicine call schedule, managing everything from the
bleeding peptic ulcer to the acute myocardial infarction. Recent years have seen
us begin to focus our practice, and in many cases our call, on our specialty.
Though our care and knowledge may be available 24/7 in many centres, our
trusty friend the endoscope may not be.
How vital is it to have 24/7 endoscopy? For conditions such as non-variceal upper
GI bleeding there is no clear consensus, though few would argue that availability
times of more than six hours are unreasonable. For other other indications such as
food impaction and colonic decompression, the literature is even more limited.
In this session, we will review some of the indications for on-call endoscopy, some
of the local and international data we use to guide us and some local experience
about what we actually do on nights and weekends when resources are committed
to such an endeavour.
T h e G I W a t e r C o o l e r 72
Saturday, October 24, 2009
BOY IT’S GETING CROWDED INHERE: CHANGES IN THE
ENDOSCOPY SUITE
On-Call Endoscopy
10:10 am - 10:30 am
James C. Gregor, MD, FRCPC
Victoria Hospital Site Chief, London Health Sciences Centre
Associate Chair, University of Western Ontario
Program Director, Division of Gastroenterology
Department of Medicine
Presentation Notes
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T h e G I W a t e r C o o l e r 75
T h e G I W a t e r C o o l e r 76
T h e G I W a t e r C o o l e r 77
T h e G I W a t e r C o o l e r 79
Dr. Terrence Sullivan is President and Chief Executive Officer of Cancer Care
Ontario. He joined the provincial cancer agency in 2001 and occupied succes-
sively responsible positions in preventive oncology/research. From 1993-2001,
Dr. Sullivan held the position of President of the Institute for Work & Health (IWH),
a private not-for-profit Institute affiliated with University of Toronto which he de-
veloped into North America’s leading research center on work related injury. Dr.
Sullivan has held senior roles in the Ontario Ministries of Health, Intergovernmental
Affairs and Cabinet Office. He served two successive First Ministers of Ontario as
Executive Director of the Premier's Council on Health Strategy, including a period
of time as Deputy Minister.
Dr. Sullivan is an active behavioral scientist with research and practice interests
in cancer prevention and health system performance. He holds faculty appoint-
ments in the Departments of Health Policy, Management and Evaluation and
Public Health Sciences at the University of Toronto. Among his voluntary commit-
ments, he is Vice Chair of the Ontario Agency for Health Protection and Promo-
tion and he chairs the Performance Committee of the Canadian Partnership
Against Cancer.
Session Overview
The implementation of colorectal cancer (CRC) screening in Ontario has brought
the cancer community and the OAG together in a common effort to reduce the
burden of this common disease. CRC will result in 8100 new cases and 3100
deaths in 2009 in Ontario. Colon Cancer Check, Ontario's colorectal screening
program initiated in 2007 has had a strong engagement with endoscopists in
Ontario as we work to implement a province wide colorectal screening program.
This presentation reviews the initial ramp-up of hospital only endoscopy to
support the expansion of endoscopic investigation of gFOBT+ individuals and
individuals with a first degree family history of colon cancer. This has occurred in
parallel to the secular growth in colonoscopy which has been under way for some
time. Clinical guidance, the evolution of program standards and data systems
have been key enablers in this program. Public reporting on enrollment and
access indicators have also been features of the program as has regional and
hospital feedback on volumes by indication, wait times and perforation rates. The
feasibility of non-hospital colonoscopy as part of the program is a currently a
discussion point for the program, the professional community and the Ministry of
Health and Long Term Care.
Saturday, October 24, 2009
BOY IT’S GETING CROWDED INHERE: CHANGES IN THE
ENDOSCOPY SUITE
The Evolving Role of CCO in
Colonoscopy in Ontario
10:30 am - 10:50 am
Terrence Sullivan, PhD
President and CEO Cancer Care Ontario
Saturday, October 24, 2009
BOY IT’S GETING CROWDED INHERE: CHANGES IN THE
ENDOSCOPY SUITE
The Evolving Role of CCO in
Colonoscopy in Ontario
10:30 am - 10:50 am
Terrence Sullivan, PhD
President and CEO Cancer Care Ontario
Presentation Notes
T h e G I W a t e r C o o l e r 81
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T h e G I W a t e r C o o l e r 83
T h e G I W a t e r C o o l e r 84
T h e G I W a t e r C o o l e r 85
T h e G I W a t e r C o o l e r 86
T h e G I W a t e r C o o l e r 87
T h e G I W a t e r C o o l e r 88
T h e G I W a t e r C o o l e r 89
T h e G I W a t e r C o o l e r 90
T h e G I W a t e r C o o l e r 91
T h e G I W a t e r C o o l e r 92
T h e G I W a t e r C o o l e r 93
T h e G I W a t e r C o o l e r 95
Discussion NotesSaturday, October 24, 2009
BOY IT’S GETING CROWDED INHERE: CHANGES IN THE
ENDOSCOPY SUITE
Panel Discussion
10:50 am - 11:10 am
Moderator:Earle P. Morgan, MD FRCPC
Adjunct Professor, University of Western Ontario
Coordinator for Digestive Diseases andNutrition, Windsor Campus, UWO Chief, Davison of Gastroenterology,Hôtel Dieu-Grace Hospital/Windsor
Regional Hospital
T h e G I W a t e r C o o l e r 96
Discussion NotesSaturday, October 24, 2009
BOY IT’S GETING CROWDED INHERE: CHANGES IN THE
ENDOSCOPY SUITE
Panel Discussion
10:50 am - 11:10 am
Moderator:Earle P. Morgan, MD FRCPC
Adjunct Professor, University of Western Ontario
Coordinator for Digestive Diseases andNutrition, Windsor Campus, UWO Chief, Davison of Gastroenterology,Hôtel Dieu-Grace Hospital/Windsor
Regional Hospital
T h e G I W a t e r C o o l e r 97
Dr. Stephen Brown is a practicing Anaesthesiologist and Chief of the Anaesthesia
Department at North York General Hospital in Toronto. He is also Past-Chair of the
OMA Section on Anaesthesiology and an Assistant Professor at the University
of Toronto.
In his roles as Chief and Section Chair, Dr. Brown has created and promoted
innovative models of Anaesthesia care delivery. He currently co-chairs the Provincial
Anaesthesia Care Team Implementation Advisory Committee.
His 25-member Department provides anaesthesia coverage for thousands of
in- and outpatient endoscopic procedures every year.
Saturday, October 24, 2009
ANAESTHESIA DEBATE
DEBATE - PRO: Anaesthesia
will become integral in providing
optimal endoscopic management
in the 21st century
11:30 am - 11:55 am
Stephen Brown, BSc, MD, FRCPC
Chief, Department of Anaesthesia, NorthYork General Hospital
Past-Chair - OMA Section on Anesthesiology
Assistant Professor - University of Toronto
T h e G I W a t e r C o o l e r 98
Saturday, October 24, 2009
ANAESTHESIA DEBATE
DEBATE - PRO: Anaesthesia
will become integral in providing
optimal endoscopic management
in the 21st century
11:30 am - 11:55 am
Stephen Brown, BSc, MD, FRCPC
Chief, Department of Anaesthesia, NorthYork General Hospital
Past-Chair - OMA Section on Anesthesiology
Assistant Professor - University of Toronto
Presentation Notes
T h e G I W a t e r C o o l e r 99
Saturday, October 24, 2009
ANAESTHESIA DEBATE
DEBATE - PRO: Anaesthesia
will become integral in providing
optimal endoscopic management
in the 21st century
11:30 am - 11:55 am
Stephen Brown, BSc, MD, FRCPC
Chief, Department of Anaesthesia, NorthYork General Hospital
Past-Chair - OMA Section on Anesthesiology
Assistant Professor - University of Toronto
Presentation Notes
T h e G I W a t e r C o o l e r 100
Saturday, October 24, 2009
ANAESTHESIA DEBATE
DEBATE - PRO: Anaesthesia
will become integral in providing
optimal endoscopic management
in the 21st century
11:30 am - 11:55 am
Stephen Brown, BSc, MD, FRCPC
Chief, Department of Anaesthesia, NorthYork General Hospital
Past-Chair - OMA Section on Anesthesiology
Assistant Professor - University of Toronto
Presentation Notes
T h e G I W a t e r C o o l e r 101
Dr. Nilesh Chande is an Assistant Professor of Medicine and the Program
Director of the Gastroenterology Subspecialty Training Program at The University
of Western Ontario. His interests include medical education, inflammatory bowel
disease and the practice of endoscopy.
Session Overview
Dr. Chande will provide his argument against the need for anaesthesia to be rou-
tinely present in the endoscopy room, using evidence-based and cost analyses
to back up his points.
Saturday, October 24, 2009
ANAESTHESIA DEBATE
DEBATE - CON: Anaesthesia
will become integral in providing
optimal endoscopic management
in the 21st century.
11:55 am - 12:20 pm
Nilesh Chande, MD, FRCPC
Assistant Professor of MedicineProgram Director of Gastroenterology
University of Western Ontario
T h e G I W a t e r C o o l e r 102
Saturday, October 24, 2009
ANAESTHESIA DEBATE
DEBATE - CON: Anaesthesia
will become integral in providing
optimal endoscopic management
in the 21st century.
11:55 am - 12:20 pm
Nilesh Chande, MD, FRCPC
Assistant Professor of MedicineProgram Director of Gastroenterology
University of Western Ontario
Presentation Notes
T h e G I W a t e r C o o l e r 103
Saturday, October 24, 2009
ANAESTHESIA DEBATE
DEBATE - CON: Anaesthesia
will become integral in providing
optimal endoscopic management
in the 21st century.
11:55 am - 12:20 pm
Nilesh Chande, MD, FRCPC
Assistant Professor of MedicineProgram Director of Gastroenterology
University of Western Ontario
Presentation Notes
T h e G I W a t e r C o o l e r 104
Saturday, October 24, 2009
ANAESTHESIA DEBATE
DEBATE - CON: Anaesthesia
will become integral in providing
optimal endoscopic management
in the 21st century.
11:55 am - 12:20 pm
Nilesh Chande, MD, FRCPC
Assistant Professor of MedicineProgram Director of Gastroenterology
University of Western Ontario
Presentation Notes
T h e G I W a t e r C o o l e r 105
Discussion NotesSaturday, October 24, 2009
ANAESTHESIA DEBATE
Rebuttals
12:20 pm - 12:30 pm
Moderator:David Baron, MD, FRCPC
Chief of Medicine, North York General Hospital
Vice President, Ontario Association of Gastroeterology
Vice Chair, Section of Gastroenterology,Ontario Medical Association
T h e G I W a t e r C o o l e r 106
Discussion NotesSaturday, October 24, 2009
ANAESTHESIA DEBATE
Rebuttals
12:20 pm - 12:30 pm
Moderator:David Baron, MD, FRCPC
Chief of Medicine, North York General Hospital
Vice President, Ontario Association of Gastroeterology
Vice Chair, Section of Gastroenterology,Ontario Medical Association
T h e G I W a t e r C o o l e r 107
Discussion NotesSaturday, October 24, 2009
ANAESTHESIA DEBATE
Panel Discussion
12:30 pm - 12:50 pm
Moderator:David Baron, MD, FRCPC
Chief of Medicine, North York General Hospital
Vice President, Ontario Association of Gastroeterology
Vice Chair, Section of Gastroenterology,Ontario Medical Association
T h e G I W a t e r C o o l e r 108
Discussion NotesSaturday, October 24, 2009
ANAESTHESIA DEBATE
Panel Discussion
12:30 pm - 12:50 pm
Moderator:David Baron, MD, FRCPC
Chief of Medicine, North York General Hospital
Vice President, Ontario Association of Gastroeterology
Vice Chair, Section of Gastroenterology,Ontario Medical Association
T h e G I W a t e r C o o l e r 109
Saturday, October 24, 2009
RESIDENTS’ ROUND TABLE
LUNCHEON
Getting Home for Dinner......
1:00 pm - 2:30 pm
Speakers:Frederick T. Bray, MDCM, FRCPC
Earle P. Morgan, MD FRCPC
Adjunct Professor, University of Western Ontario
Coordinator for Digestive Diseases andNutrition, Windsor Campus, UWO Chief, Davison of Gastroenterology,Hôtel Dieu-Grace Hospital/Windsor
Regional Hospital
Dr. Frederick T. Bray practices Gastroenterology in Ottawa,
Ontario Canada.
He received his medical education from McGill University,
Montreal, Quebec, where he specialized in Internal Medicine.
He further specialized in Gastroenterology, having done a
fellowship at the University of Ottawa, Ottawa, Ontario. At the University of
Ottawa he received an award for Teaching Excellence.
He began his practice in 1994 at the Riverside Hospital, a community based
hospital in Ottawa. At the Riverside Hospital he initiated and ran the ERCP
program. In 1999 the Riverside Hospital was amalgamated with the Ottawa Civic
and Ottawa General hospitals to form the Ottawa Hospital. While at the Ottawa
Hospital, he was able to fulfill one of his natural interests, medical education at
the University of Ottawa.
In June 2001 he resigned from the Ottawa Hospital and opened up an outpatient
Endoscopy Clinic where he performs colonoscopies and gastroscopies.
He is married with two boys, nine and ten years old. In his spare time he enjoys
running marathons and doing triathlons.
Dr. Earle Morgan is the Chief of Gastroenterology at Hôtel
Dieu-Grace Hospital and Windsor Regional Hospital. He is an
Adjunct Professor and co-ordinator for Digestive Diseases and
Nutrition at the University of Western Ontario, Windsor Campus.
He received his medical degree from the University of
Saskatchewan in 1978. Dr. Morgan did his residency in Internal
Medicine at the University of Saskatchewan and a Fellowship in Gastroenterology
at Dalhousie University. Dr. Morgan is a recipient of several awards, has written
a number of publications and is an active member of the Canadian Association
of Gastroenterology, Ontario Association of Gastroenterology and Southwestern
Gastroenterology Association. He is married to Mavis and has four adult daughters.
T h e G I W a t e r C o o l e r 110
Saturday, October 24, 2009
RESIDENTS’ ROUND TABLE
LUNCHEON
Getting Home for Dinner......
1:00 pm - 2:30 pm
Speakers:Frederick T. Bray, MDCM, FRCPC
Earle P. Morgan, MD FRCPC
Adjunct Professor, University of Western Ontario
Coordinator for Digestive Diseases andNutrition, Windsor Campus, UWO Chief, Davison of Gastroenterology,Hôtel Dieu-Grace Hospital/Windsor
Regional Hospital
Presentation Notes
T h e G I W a t e r C o o l e r 111
Saturday, October 24, 2009
RESIDENTS’ ROUND TABLE
LUNCHEON
Getting Home for Dinner......
1:00 pm - 2:30 pm
Speakers:Frederick T. Bray, MDCM, FRCPC
Earle P. Morgan, MD FRCPC
Adjunct Professor, University of Western Ontario
Coordinator for Digestive Diseases andNutrition, Windsor Campus, UWO Chief, Davison of Gastroenterology,Hôtel Dieu-Grace Hospital/Windsor
Regional Hospital
Presentation Notes
T h e G I W a t e r C o o l e r 112
Saturday, October 24, 2009
RESIDENTS’ ROUND TABLE
LUNCHEON
Getting Home for Dinner......
1:00 pm - 2:30 pm
Speakers:Frederick T. Bray, MDCM, FRCPC
Earle P. Morgan, MD FRCPC
Adjunct Professor, University of Western Ontario Coordinator for Digestive Diseases
and Nutrition, Windsor Campus, UWOChief, Davison of Gastroenterology,Hotel Dieu-Grace Hospital/Windsor
Regional Hospital
Presentation Notes
T h e G I W a t e r C o o l e r 113
Dr. Paul Kortan graduated from McMaster Medical School in Hamilton and com-
pleted his Gastroenterology training at the University of Toronto. He completed
two years of post-graduate training at the University of Leuven, Belgium and one
year of Therapeutic Endoscopy in Hamburg, Germany. He joined the Division of
Gastroenterology at The Wellesley Hospital, University of Toronto in 1982. He
and his colleagues established a very successful training programme in Thera-
peutic Endoscopy, which moved to St. Michael's Hospital in 2000. Each year the
Therapeutic Endoscopy group at St. Michael's Hospital trains three clinical
fellows and one research fellow.
Dr. Kortan's expertise is in endoscopic management of pancreaticobiliary
diseases, as well as endoscopic treatment of early gastrointestinal cancer and
palliative modalities for malignancies. Dr. Kortan is also on staff at The Hospital
for Sick Children where he performs paediatric ERCPs and advanced therapeutic
endoscopy procedures.
Sunday, October 25, 2009
Excerpts of the St. Michael’s
Endoscopy Course
8:35 am - 9:30 am
Paul Kortan, MD, FRCPC, FASGE,AGAF
Associate Professor of Medicine, University of Toronto
T h e G I W a t e r C o o l e r 114
Sunday, October 25, 2009
Excerpts of the St. Michael’s
Endoscopy Course
8:35 am - 9:30 am
Paul Kortan, MD, FRCPC, FASGE,AGAF
Associate Professor of Medicine, University of Toronto
Presentation Notes
T h e G I W a t e r C o o l e r 115
Sunday, October 25, 2009
Excerpts of the St. Michael’s
Endoscopy Course
8:35 am - 9:30 am
Paul Kortan, MD, FRCPC, FASGE,AGAF
Associate Professor of Medicine, University of Toronto
Presentation Notes
T h e G I W a t e r C o o l e r 116
Sunday, October 25, 2009
Excerpts of the St. Michael’s
Endoscopy Course
8:35 am - 9:30 am
Paul Kortan, MD, FRCPC, FASGE,AGAF
Associate Professor of Medicine, University of Toronto
Presentation Notes
T h e G I W a t e r C o o l e r 117
Annual General Meeting
Sunday, October 25, 2009
10:30 am - 12:00 pm ET
Park Hyatt Hotel, Toronto, Ontario
CLOSED MEETING
(open to member Gastroenterolgists and GI residents ONLY)
T h e G I W a t e r C o o l e r 119
Presentation NotesSunday, October 25, 2009
Fees Update and Relativity Issues
(Closed Meeting)
9:30 am - 10:00 am
Jeffrey Axler, MD, FRCPC
Division Head of Gastroenterology andEndoscopy, William Osler Health Centre
President, Ontario Association of Gastroenterology
Chair, Section of Gastroenterology, Ontario Medical Association
Partner, Toronto Digestive DiseaseAssociates
T h e G I W a t e r C o o l e r 120
Presentation NotesSunday, October 25, 2009
Fees Update and Relativity Issues
(Closed Meeting)
9:30 am - 10:00 am
Jeffrey Axler, MD, FRCPC
Division Head of Gastroenterology andEndoscopy, William Osler Health Centre
President, Ontario Association of Gastroenterology
Chair, Section of Gastroenterology, Ontario Medical Association
Partner, Toronto Digestive DiseaseAssociates
T h e G I W a t e r C o o l e r 121
Companions’ Program at a Glance
6:00 pm - 9:30 pm Registration Open Queen’s Park Foyer6:30 pm - 10:30 pm President's Welcome Reception Queen’s Park Ballroom
7:00 am - 12:30 pm Registration Open Queen’s Park Foyer8:00 am - 9:15 am Breakfast Roof Salon
Theme: OAG Goes To The AGO... Roof Salon9:15 am - 9:20 am Welcome & Opening Remarks
Speaker: Ms. Helena Axler9:20 am - 10:15 am Lecture: Shaping What We See: The Conversations
Between Art And The Museums That House ItSpeaker: Dr. Shelley Hornstein
10:15 am - 10:20 am Closing RemarksSpeaker: Ms. Helena Axler
10:20 am - 10:35 am Nutrition Break Roof Salon
10:35 am - 11:00 am Travel To The Art Gallery Of Ontario (AGO)11:00 am - 12:30 pm Art Gallery Of Ontario (AGO) Tour12:30 pm - 1:00 pm Travel To The Park Hyatt Toronto
1:00 pm - 2:30 pm Lunch (in the hotel) University Ballroom
Social Programs6:00 pm - 7:00 pm Cocktail Reception University Ballroom7:00 pm - 1:00 am Gala and Awards Presentation Queen’s Park Ballroom
7:00 am - 11:00 am Registration Open Queen’s Park Foyer7:00 am - 10:00 am Breakfast University Ballroom
10:00 am - 10:30 am Nutrition Break Queen’s Park Foyer
Friday, October 23, 2009
Saturday, October 24, 2009
Sunday, October 25, 2009
T h e G I W a t e r C o o l e r 123
Saturday, October 24, 2009
COMPANIONS’ PROGRAM
Shaping What We See:
The conversations between Art
and the Museums that house it
9:20 am - 10:15 am
Shelley Hornstein, PhD
Associate Professor of Architectural History & Urban Culture,
York University
Dr. Shelley Hornstein is a graduate of the Université des Sciences Humaines,
Strasbourg, France. Professor Hornstein has taught at York University since 1985.
Her courses include Memory and Place, Paris as Modernist Dream, The Celluloid
City, No Place like Home, and The Metropolis Revisited. Prior to York University,
she taught at Concordia and Laval Universities. She is a member of York’s grad-
uate programs in Art History, Culture and Communications, and Social and Polit-
ical Thought. She has served as Associate Dean, Co-Director of the Centre for
Feminist Research, and twice Chair of Department of Fine Arts, Atkinson College.
Session Overview
Dr. Shelley Hornstein, will be addressing the Art Gallery of Ontario (AGO)
building itself as a container shaping the ideas we think about as we visit the
exhibits and how we read works in different institutions differently. Why does the
AGO transformation by Frank Gehry matter? How do paintings dialogue with
each other and with us in different museum spaces? Why is visiting an exhibition
in one museum an altogether different experience from visiting the same exhibition
in another?
T h e G I W a t e r C o o l e r 125
Let's go to the AGO......
T h e G I W a t e r C o o l e r 127
Delegate Roster - Gastroenterologists
Abaskharoun, Dr. Ramy1053 Carling Avenue, Room A194Ottawa, ON K1Y 4E9Tel: (613) 798-5555
Abunassar, Dr. Ramzi1919 Riverside Drive, Suite 406Ottawa, ON K1H 1A2Tel: (613) 737-7726
Allard, Dr. Johane585 University AvenueToronto, ON M5G 2C4Tel: (416) 340-5159
Appell, Dr. William840 Coxwell Avenue, Suite 202Toronto, ON M4C 5T2Tel: (416) 690-6762
Atin, Dr. Mark340 College Street, Suite 230Toronto, ON M5T 3A9Tel: (416) 964-3457
Axler, Dr. Jeff89 Humber College Boulevard, Suite 205Toronto, ON M9V 4B8Tel: (416) 743-5551
Baker, Dr. Jeff30 Bond StreetToronto, ON M5B 1W8Tel: (416) 864-5909
Baron, Dr. David4001 Leslie Street, Room 103Toronto, ON M2K 1E1Tel: (416) 756-6410
Bilbily, Dr. Ghasson9100 Jane Street, Building A, Suite 105Vaughan, ON L4K 0A4Tel: (905) 482-3387
Bookman, Dr. Ian30 The Queensway, GI UnitToronto, ON M6R 1B5Tel: (416) 226-2777
Bovell, Dr. Keith49 Emma Street, Suite 201Guelph, ON N1E 6Z1Tel: (519) 763-1220
Bray, Dr. Fred1637 Woodroffe Avenue, Suite 102Ottawa, ON K2G 1W2Tel: (613) 739-7753
Brien, Dr. Steven26 Hospital Drive, Suite 301Peterborough, ON K9J 7C3Tel: (705) 740-6851
Chande, Dr. Nilesh375 South Street, Mailbox 55, South StreetHospitalLondon, ON N6A 4G5Tel: (519) 667-6582
Clark, Dr. Robert71 King Street West, Suite 202Mississauga, ON L4B 4A2Tel: (905) 897-0305
Cohen, Dr. Lawrence2075 Bayview Avenue, Suite HG 63Toronto, ON M4N 3M5Tel: (416) 480-4725
Comay, Dr. Dan3155 Harvest Road, Suite 314Burlington, ON L7N 3V2Tel: (905) 681-2036
Culnan, Dr. James G.250 Harding Boulevard, Suite 304Richmond Hill, ON L4C 9M7Tel: (905) 884-0851
Del Grande, Dr. Robert33 Drummond Street WestPerth, ON K7H 2K1Tel: (613) 267-1500
Desai, Dr. Milind4640 Jane Street, Suite B3Toronto, ON M3N 2K5Tel: (416) 663-1250
Devlin, Dr. Timothy4040 Finch Avenue East, Suite 312Toronto, ON M1S 4V5Tel: (416) 298-2024
Dicum, Dr. Frank1366 Yonge Street, Suite 301Toronto, ON M4T 3A7Tel: (416) 926-0262
Elia, Dr. Steven11181 Yonge Street, Suite 208Richmond Hill, ON L4S 1L5Tel: (905) 508-1919
Ergaiey, Dr. Houda564 Belmont Avenue West, Suite 303Kitchener, ON N2M 5N6Tel: (519) 745-9889
T h e G I W a t e r C o o l e r 128T h e G I W a t e r C o o l e r 128
Delegate Roster - Gastroenterologists
Hart, Dr. Allan1333 Sheppard Avenue East, Suite 124Toronto, ON M2J 1V1Tel: (416) 494-7377
Hawken, Dr. Kathy460 Wellington Street, Suite 103St. Thomas, ON N5R 6H9Tel: (519) 631-1380
Hemphill, Dr. Doug5 Quarry Ridge Road, Suite 301Barrie, ON L4M 7G1Tel: (705) 721-3344
Hurowitz, Dr. Eric4040 Finch Avenue East, Suite 406Toronto, ON M1S 4V5Tel: (416) 335-4669
Ismaili, Dr. Arif751 King Street West, Suite 309Kitchener, ON N2G 1E5Tel: (519) 741-5786
Jalali, Dr. Subash1 Young Street, Suite 413Hamilton, ON L8N 1T8Tel: (905) 577-4670
Kalu, Dr. Uduma63 Walford Road, Unit 5, PO Box 891Sudbury, ON P3E 4S1Tel: (705) 523-5589
Kempston, Dr. John2425 Bloor Street West, Suite 513Toronto, ON M6S 4W4Tel: (416) 766-3401
Khan, Dr. Khurram1200 Main Street West, Suite 4W8Hamilton, ON L8N 3Z5Tel: (905) 521-2100
Khan, Dr. Rauf327 Wellington StreetSarnia, ON N7T 1H4Tel: (519) 344-3692
Kortan, Dr. Paul30 Bond Street, Suite 16048Toronto, ON M5B 1W8Tel: (416) 864-3094
Kutcher, Dr. Walter5 Quarry Ridge Road, Suite 301Barrie, ON L4M 7G1Tel: (705) 721-3344
Lad, Dr. Rameeta2289 Fairview Street, Suite 428Burlington, ON L7R 2E3Tel: (905) 681-1103
Lau, Dr. Helena690 Dorval Drive, Suite 300Oakville, ON L6K 3W7Tel: (905) 338-5428
Lau, Dr. Agatha6633 Highway 7 East, Suite 004BMarkham, ON L3P 7P2Tel: (905) 294-8008
Lau, Dr. Man Pang4631 Steeles Avenue East, Suite 102Toronto, ON M1V 4S5Tel: (416) 979-7455
Faris, Dr. Andrea581 Davis Drive, Suite 610Newmarket, ON L3Y 2P6Tel: (905) 895-6500
Fisher, Dr. Murray1366 Yonge Street, Suite 301Toronto, ON M4T 3A7Tel: (416) 926-0262
Fituri, Dr. Rasem1720 Howard Avenue, Suite 258Windsor, ON N8W 5A6Tel: (519) 256-2993
Ford, Dr. David100 Humber College Blvd., Suite 204Toronto, ON M9V 5G4Tel: (416) 743-8431
Gopinath, Dr. Nanda840 Coxwell Avenue, Suite 211Toronto, ON M4C 5T2Tel: (416) 463-6053
Greenbloom, Dr. Susan89 Humber College Boulevard, Suite 322Toronto, ON M9V 4B8Tel: (416) 740-4113
Gregor, Dr. Jamie800 Commissioners Road East, Victoria Hospital, Room E2-314London, ON N6A 5W9Tel: (519) 667-6843
Habal, Dr. Flavio200 Elizabeth Street, Suite 9EN 229Toronto, ON M5G 2C4Tel: (416) 340-5023
T h e G I W a t e r C o o l e r 129
Delegate Roster - Gastroenterologists
Lee, Dr. Victor707 Charlotte StreetPeterborough, ON K9J 7B3Tel: (705) 876-4539
Liang, Dr. Dana1110 Sheppard Avenue East, Suite 506Toronto, ON M2K 2W2Tel: (416) 229-2201
Lietaer, Dr. Larry210 Dundas Street East, Suite 207Belleville, ON K8N 5N8Tel: (613) 966-7921
Lin, Dr. Frank581 Davis Drive, Suite 305Newmarket, ON L3Y 2P6Tel: (905) 836-5888
Lowe, Dr. Catherine166 Brock StreetKingston, ON K7L 5G2Tel: (613) 544-3400
Margulies, Dr. Mariana1366 Yonge Street, Suite 301Toronto, ON M4T 3A7Tel: (416) 926-0262
Medad, Dr. Ilan3200 Dufferin Street, Suite 505Toronto, ON M6A 3B2Tel: (416) 256-9500
Moore, Dr. Terry30 Bond StreetToronto, ON M5B 1W8Tel: (416) 864-5847
Morgan, Dr. Earle1720 Howard Avenue, Plaza 400, Suite 352Windsor, ON N8X 5A6Tel: (519) 256-9009
Murat, Dr. Brian348 Muskoka Road 3 North, Suite 206Huntsville, ON P1H 1H8Tel: (705) 789-3900
Nazareno, Dr. Jose1333 Neilson Road, Suite 305Toronto, ON M1B 4Y9Tel: (416) 724-7774
Nguyen, Dr. Augustin725 Coronation Boulevard, Suite 103Cambridge, ON N1R 7S9Tel: (519) 740-8400
O'Hara, Dr. Bill1265 Arthur Street East, 7th Floor, Suite 711Thunder Bay, ON P7E 6E7Tel: (807) 623-1202
Oravec, Dr. Michael372 King Street WestOshawa, ON L1J 2J9Tel: (905) 721-1221
Ostro, Dr. Michael2300 Eglinton Avenue West, Suite 414Mississauga, ON L5M 2V8Tel: (905) 828-9998
Petroniene, Dr. Rima5 Quarry Ridge Road, Suite 301Barrie, ON L4M 7G1Tel: (705) 721-3344
Powell, Dr. AlanToronto, ON
Pritchett, Dr. Sean4 Hayden PlaceBelleville, ON K8P 0A5Tel: (647) 204-9105
Ptak, Dr. Ted2115 Finch Avenue West, Suite 310Toronto, ON M3N 2V6Tel: (416) 749-1139
Puri, Dr. Vinod470 Chrysler Drive, Unit 11Brampton, ON L6S 0C1Tel: (905) 790-6362
Rajendran, Dr. Bahe26 Hospital Drive, Suite 301Peterborough, ON K9J 7C3Tel: (705) 740-6861
Rasul, Dr. Imran2000 Credit Valley Road, Suite 406Mississauga, ON L5M 4N4Tel: (905) 607-8340
Rochon, Dr. Luc595 Montreal Road, Suite 403Ottawa, ON K1K 4L2Tel: (613) 745-8633
Rossman, Dr. Richard1 Young Street, Suite 311Hamilton, ON L8N 1T8Tel: (905) 525-2779
Salena, Dr. Bruno1200 Main Street West, Room 2F57Hamilton, ON L8N 3Z5Tel: (905) 521-2100
T h e G I W a t e r C o o l e r 130
Delegate Roster - Gastroenterologists
Schep, Dr. Gerry16700 Bayview Avenue, Suite 206Newmarket, ON L3X 1W1Tel: (905) 898-3710
Selucky, Dr. Michal377 Church Street, Suite 404Markham, ON L6B 1A1Tel: (905) 472-7125
Shah, Dr. Hemant399 Bathurst Street, Room 6FP-153Toronto, ON M5T 2S8Tel: (416) 603-5914
Shapero, Dr. Ted3030 Lawrence Avenue East, Suite 214Toronto, ON M1P 2T7Tel: (416) 438-5755
Simon, Dr. Jerome166 Brock Street, GI DivisionKingston, ON K7L 5G2Tel: (613) 544-3400
Sinclair, Dr. Stephen7330 Yonge Street, Suite 208Thornhill, ON L4J 7Y7Tel: (905) 881-4560
Skrinskas, Dr. Gailius1110 Sheppard Avenue East, Suite 204Toronto, ON M2K 2W2Tel: (416) 223-9821
Somerton, Dr. Steve217 Terrace Hill StreetBrantford, ON N3R 1G8Tel: (519) 736-3830
Tambay, Dr. Robert2 Gurdwara Road, Suite 104Ottawa, ON K2E 1A2Tel: (613) 729-3179
Tan, Dr. Patrick470 Chrysler Drive, Unit 11Brampton, ON L6S 0C1Tel: (905) 790-6362
Tartaro, Dr. Piero5 Quarry Ridge Road, Suite 301Barrie, ON L4M 7G1Tel: (705) 721-3340
Thien, Dr. Vincent4040 Finch Avenue East, Suite 406Toronto, ON M1S 4V5Tel: (416) 335-7001
Tilbe, Dr. Kim65 Larch Street, Suite 402Sudbury, ON P3E 1B8Tel: (705) 670-8911
Tran, Dr. Stanley3000 Lawrence Avenue East, Suite A109Toronto, ON M1P 2V1Tel: (416) 439-9253
Tsoi, Dr. Keith50 Charlton Avenue East, Room H421,Martha WingHamilton, ON L8N 4A6
Wong, Dr. Keith1371 Neilson Road, Suite 312Toronto, ON M1B 4Z8Tel: (416) 287-8107
Wong, Dr. David399 Bathurst Street, Room 6B-176Toronto, ON M5T 2S8Tel: (416) 603-6234
Xue, Dr. Shuwen157 Grand Avenue WestChatham, ON N7L 1B9Tel: (519) 354-8173
Ying, Dr. Luis470 Chrysler Drive, Unit 11Brampton, ON L6S 0C1Tel: (905) 790-6362
Zaidi, Dr. Hasan117 King Street East, 7th FloorOshawa, ON L1H 1B9Tel: (905) 721-7726
If your name does not appear on this list, we have honoured your request not to publish it.
T h e G I W a t e r C o o l e r 131
Allen, Dr. JohnBloomington, MN
Brown, Dr. StephenToronto, ON
Forrest, Dr. JamesLeamington, ON
Kolbasnik, Dr. JeffMilton, ON
Maciver, Dr. AngusStratford, ON
Muller, Dr. MatthewToronto, ON
Thompson, Dr. BillLondon, ON
Delegate Roster - Other Specialists
If your name does not appear on this list, we have honoured your request not to publish it.
T h e G I W a t e r C o o l e r 132
Delegate Roster - Gastroenterology Residents
Alallam, Dr. Alallam399 Bathurst Street, Suite 160Toronto, ON M5T 2S8Tel: (416) 831-7173
Al-Judaibi, Dr. Bandar375 South StreetLondon, ON N6A 5A5Tel: (519) 685-8500
Anand, Dr. Nitasha500 University Avenue, Suite 207Toronto, ON M5G 1V7Tel: (416) 978-6976
Bolano, Dr. Silvana501 Smyth Road, Room LM10Ottawa, ON K1H 8L5Tel: (613) 232-9130
Ching, Dr. Emily1200 Main Street WestHamilton, ON L8N 3Z5Tel: (905) 526-1905
Gauthier, Dr. Stephane501 Smyth RoadOttawa, ON K14 8L6Tel: (613) 719-0212
Marwaha, Dr. Nicky1200 Main Street WestHamilton, ON L8N 3Z5Tel: (905) 521-2100
Patel, Dr. HarshnaUniversity of TorontoToronto, ON
Patel, Dr. Jayesh800 Commissioners Road EastLondon, ON N6A 5W9Tel: (519) 667-6843
Patel, Dr. VishalLondon, ON N6A 5C1Tel: (519) 685-8500
Ravindran, Dr. NikilaToronto, ON M5B 2E8Tel: (416) 209-2865
Roth, Dr. Lee339 Windermere Road, Room ALL-108London, ON N6A 5A5Tel: (519) 685-8500
Sutcliffe, Dr. Ian501 Smyth RoadOttawa, ON K1H 8L6Tel: (613) 737-8899
Wang, Dr. CharlieToronto, ONTel: (647) 205-6899
Wu, Dr. HarryToronto, ON
Xenodemetropoulos, Dr. Ted1200 Main Street WestHamilton, ON L8N 3Z5Tel: (905) 521-2100
If your name does not appear on this list, we have honoured your request not to publish it.
T h e G I W a t e r C o o l e r 133
Program Evaluation Form
Please return this evaluation form to the Registration Deskor Fax to: (416) 491-1670
PROFESSIONAL STATUS (check one) � Resident/Fellow � Full-Time Academic� Private Practice � Full-Time Institution
Are you a Member of OAG? � Yes � NoWould you like membership information? � Yes � NoAre you a sponsor? � Yes � No
Name:
Address:
City: Prov. P/C
Please rate the following aspects of the meeting on a scale of 1 to 5:
1. CONTENT Very Poor Excellent
Material equivalent to description . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Adherence to subject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Educational content . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Information current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Information useful . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Overall program quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
2. PRESENTATIONSSpeakerʼs grasp of material . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Clarity of presentations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Audio visual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Audience participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
3. Did you feel the presentations were free of commercial bias? . . . � Yes � No
If no, what presentation was not?
4. Would you recommend this meeting to other GIʼs? . . . . . . . . . . . � Yes � Nocontinued over...
T h e G I W a t e r C o o l e r 134T h e G I W a t e r C o o l e r 134
Program Evaluation Form Cont’d.
13th Annual OAG Conference • October 23-25, 2009 • Park Hyatt Toronto, Toronto, Ontario
5. Why did you choose to attend this meeting? Topics: � Yes � No Location: � Yes � No Date: � Yes � No
6. Which session(s) did you like best?
Why?
7. Which session(s) did you like least?
Why?
COMMENTS/SUGGESTIONS REGARDING THE CONFERENCE INCLUDING IDEAS FOR FUTURESESSION TOPICS.
Would you like the following continued/added in future meetings?
a) Scientific Session � Yes � No � No Opinionb) Companion Program � Yes � No � No Opinionc) Exhibits � Yes � No � No Opiniond) Should future meetings be held exclusively � Yes � No � No Opinion
in Toronto?
Comments:
How would you rate these events? Very Poor Excellent
Presidentʼs Welcome Dinner . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Cocktail Reception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Residents' Round Table Luncheon . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
OAG Registration Procedures . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Hotel Booking Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Facility (Meeting & Sleeping Rooms) . . . . . . . . . . . . . . . . . . 1 2 3 4 5
Banquet Functions/Refreshments . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5
10. General Comments/Suggestions:
Please return this evaluation form to the Registration Desk or Fax to: (416) 491-1670
Thank you for your input.
T h e G I W a t e r C o o l e r 135
UPCOMING 2010 OAG EVENTSMARK YOUR CALENDARS NOW FOR THESE EVENTS
14th Annual Conference
October 15 – 17, 2010
Queen’s Landing Inn and Conference ResortNiagara-on-the-Lake, Ontario
3rd Annual International Symposium on Liver & IBD Review
January 22 - 24, 2010
Westin Trillium House - Blue MountainCollingwood, Ontario
9th Annual Post DDW Course
June 19, 2010
Intercontinental Toronto CentreToronto, Ontario