sickkids - hospital › learning › abouttheinstitute › vision-and-mi… · vice president,...

ANNUAL REPORT2017–18

2 | ANNUAL REPORT 2017–18 ANNUAL REPORT 2017–18 | 3

THE LEARNING INSTITUTEI continue to be inspired by the amazing collaborations we have. Our collective dedication to excellence fuels our work together and inspires us to innovate and lead a variety of learning opportunities across the Hospital for Sick Children (SickKids). This year we have accomplished a lot and I am once again indebted to many of you for your efforts. Together we have launched a new Learning Management System (LMS); engaged with our Kids Health Alliance (KHA) partners delivering educational programing to build capacity in paediatric care; partnered successfully around the globe for international impact including delivery of courses in China, Ghana, the Caribbean and South Africa; advanced a big vision for the role of simulation-enhanced learning at SickKids; and supported academic students and professionals in their learning journeys. We have strengthened our academic impact through the introduction of additional health clinician scientist roles and through education scholarship. The ECHO projects at SickKids have gained traction and are successfully “moving knowledge, not people”, and building capacity in all parts of the province. Education and learning has been a part of every major clinical change at SickKids including improvements in our safety culture, preparing for Epic and mobilizing evidence into practice. I am delighted to share this Annual Report with you. Please celebrate with us and read about the inspiring people and programs that continue to make SickKids a marvelous life-long learning environment.

Sincerely,

Pam Hubley, RN, MSc

Vice President, Education and Academic Practice and Chief, International Nursing, The Hospital for Sick Children

Adjunct Professor, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto

3 MESSAGE FROM OUR LEADER

4 AWARDS & CELEBRATIONS

8 PROGRAM HIGHLIGHTS

12 CULTIVATING COMMUNITY COLLABORATION

14 ALL ABOUT OUR LEARNERS

20 INTERNATIONAL COLLABORATIONS

26 PATIENT & FAMILY EDUCATION

30 SCHOLARSHIP

34 OUR TEAM (2017–2018)

MESSAGE FROM OUR LEADER

ANNUAL REPORT 2017–18 | 5

AWARDS & CELEBRATIONS

EDUCATION SUMMIT

On September 7, 2017 we hosted the second Education Summit. What a wonderful opportunity for educators across a variety of programs, disciplines and functional areas to come together to celebrate and learn. We used this Summit to highlight the important role of communication for faculty members bringing Trevor Currie from Podium Consulting in to provide a workshop on communication and presentation skills. We also used the time to have team members highlight their work and progress on important strategic initiatives. The day was a resounding success and left everyone with a renewed sense of purpose and energy to stay on task and continue leading change through education and learning. There was an opportunity to network and build new relationships, to strengthen our identity as members of the Learning Institute (LI) and recognize our shared impact.

THE LEARNING INSTITUTE CELEBRATES A DECADE OF EXCELLENCE IN EDUCATION AT CELEBRATING EDUCATION EVENT

On September 20, 2017, the LI celebrated our 10-year anniversary at the annual Celebrating Education Event. Celebrating Education offers a unique opportunity to drop in and explore innovative and interactive education activities taking place across SickKids. During opening remarks, Pam Hubley, Vice President of Education and Academic Practice and Chief, International Nursing reflected on the achievements of the Learning Institute during our first ten years and she encouraged participants to imagine the future of teaching and learning in healthcare. Ms Hubley also highlighted some of the exciting work that is underway to achieve the 2017-2020 Strategic Plan. Participants had the opportunity to have hands on experiences at interactive stations hosted by the Epic team, Occupational Health & Safety, Communications & Public

Affairs, the Sepsis team, the Resuscitation Education team and many more! A Pin, Like, Share board showcased emerging and innovative education initiatives and raised awareness about amazing resources and educational opportunities that are available to staff, students, families and the public.

LI AWARD OF EXCELLENCE

The LI Award of Excellence recognizes an individual staff member or team in the Learning Institute who consistently demonstrates excellence in service, quality, innovation and/or leadership, and contributes to the achievement of Learning Institute priorities. Grace Garvey, Interprofessional Education Specialist was recognized as the recipient of the 2017 LI Award of Excellence at the Education Summit on September 7, 2017.


RESPIRATORY CARE EXCELLENCE AWARD – EDUCATIONCongratulations to Roger Correia, Simulation and Resuscitation Educator, who was the recipient of this year’s Respiratory Care Excellence Award - Education. The award recognizes a Registered Respiratory Therapist (RT) for their commitment to teaching and education of health care students, interdisciplinary professionals, parents and/or children, and for fostering the intellectual, social, emotional and professional growth of others.

COLLABORATIVE CHANGE LEADERSHIP PROGRAMJoann Herridge (Clinical Educator, Department of Clinical Dietetics), Samantha Metler (Program Coordinator, LI) and Sandy Siriwardena (Business Analyst, LI) recently completed the Collaborative Change LeadershipTM (CCL) Program. CCL is an accredited, certificate program offered by the University Health Network in collaboration with the University of Toronto Centre for Interprofessional Education. The goal of the CCL Program is to develop people to lead health system transformation and enable socially accountable change in their community. The team’s capstone project focused on enhancing the student experience at SickKids.

LEADING PRACTICE – ACCREDITATION CANADA SickKids was recently awarded a Leading Practice by the Health Standards Organization for work related to the development of an “Onsite Workplace Simulation Framework to Assist Return to Work”. A Leading Practice is a practice carried out by a health and/or social service organization that has demonstrated a

Nursing Education Adeline Morra, Interprofessional Education Specialist

positive change, is people centred, safe and efficient. This initiative was a collaborative effort between the Health Absence Management Program (within Occupational Health and Safety Services) and the SickKids Simulation Program to implement an onsite workplace simulation program which can be used as a tool to evaluate employee’s physical or psychological abilities to support reintegration into the work environment at the hospital. Scenarios are individually developed to simulate the tasks of an employee’s occupation at SickKids.

EXCELLENCE IN CLINICAL TEACHING AWARDSThe Excellence in Clinical Teaching Award is supported through the LI to recognize an exceptional preceptor, field instructor or clinical supervisor who has demonstrated outstanding performance in their role. Providing high quality paediatric healthcare in the face of such a complex environment, complicated acute illnesses, increasing chronic conditions, rapidly evolving technology, and compressed timeframes for delivering care is becoming more and more challenging. It is essential for healthcare providers to have special knowledge and skills in order to provide competent and safe care to children and their families. Those involved in clinical teaching are key to creating a positive, encouraging and respectful learning environment for both student and staff learners. Awards were presented on March 6, 2018 and recognized two SickKids staff members: Kelly Anderson, Registered Nurse (orientation of new staff member category) and Sharon Guger, Psychologist (supervision of a student/trainee category). Congratulations to Kelly and Sharon!

DR BEVERLEY J. ANTLE LEGACY OF HOPE AWARD

Congratulations to Sharon Lorber, Interprofessional Education Specialist, who was the recipient of the Dr Beverley J. Antle Legacy of Hope Award. The award recognizes an individual outstanding social worker who, through the integration of clinical practice, teaching, advocacy and

research, has contributed to making a significant difference in the lives of children and their families.

THE ALUMNAE ASSOCIATION OF THE SCHOOL OF NURSING ENDOWMENT FUND AWARDThis year, the Alumnae Association of The School of Nursing Endowment Fund Award was awarded to two remarkable projects.

Developing a Virtual Reality Simulation for Perioperative Nursing

Education in Neurosurgery Craniotomy. Team members included:

• Clyde Matava, Staff Anesthesiologist

• Linda Nguyen, Interprofessional Education Specialist

A Toolkit for Caring for Patients with Anti-NMDAR Encephalitis

and their Families to improve Clinical Outcomes and Reduce the

Incidence of Preventable Staff Injuries. Team members included:

• Sarah Alisch, Senior Manager, Unit 5C and Neuroscience Ambulatory Clinics

• Daniela Bruce, Interprofessional Education Specialist

• Katanya Fuerst, Interprofessional Education Specialist

• Joley Johnstone, Nurse Practitioner

• Eugena Law, Registered Nurse

• Arlette Lefebvre, Staff Psychiatrist

• Kathyrn Miller, Quality Team Leader, Neurosciences Clinics, 5C Ward

• Michelle Peralta, CNS, Medical Psychiatry Program

• Ann Yeh, Staff Neurologist

Nursing Leadership Lisa Fowler, Interprofessional Education Specialist

Nursing Education Alison Dodds, Simulation Educator

Nursing Innovation (Individual) Sandhaya Parekh, Interprofessional Education Specialist

Nursing Team Interprofessional Education Specialists

GRACE EVELYN SIMPSON REEVES AWARDS OF EXCELLENCEThe Grace Evelyn Simpson Reeves Awards recognize SickKids nurses for demonstrated excellence in nursing practice, education, leadership, research or innovation. Award recipients were acknowledged at the 2017 Nursing Excellence Awards ceremony held on May 9, 2017. Congratulations to the following LI team members who were among the recipients:


PROGRAM HIGHLIGHTS

iLEARN

On December 18, 2017 the LI, in partnership with Information Management and Technology, launched a new and improved LMS (iLearn) that will elevate and enrich the learning experience for users. The new

system features a seamless and user-friendly experience where staff, students and volunteers can complete eLearning modules, register for instructor-led training and access their entire learning history, all in one convenient place. The new LMS is critical to the LI’s efforts to support all learners using leading-edge technologies that allow for flexible, engaging and state-of-the-art learner-centred courses. The project team worked collaboratively with colleagues in Human Resources, Occupational Health and Safety, Information Technology and Clinical Informatics to launch the new system, and additional system enhancements will be available later this year. Between December 18, 2017 and March 31, 2018, there were over 60,000 logins by SickKids staff and students to the new iLearn with an average of 650 visits per day.

“I just wanted to let you know how improved and well done the Fire Safety and Information Security iLearn modules are on the new system… the content was succinct and the process was engaging...” – Mary McAllister, Associate Chief, Nursing Practice

“I just wanted to say what a joy the new iLearn system has been to use. I recently enrolled in an internal course and found the navigation easy to use, the design and format to be clear and sleek. Loved the online discussion board and the ability to track progress... ” – Karen McGregor, Senior Manager, HRMS, Human Resources

SIMULATION PROGRAM ACCREDITATIONOn March 9, 2018, the SickKids Simulation Program hosted members of the Royal College of Physicians and Surgeons of Canada (RCPSC) to complete their accreditation on-site visit. As noted by the RCPSC, Simulation accreditation is a voluntary process that includes an external review of a simulation program’s ability to provide simulation based education activities that reflect the highest administrative, educational and ethical standards. The accreditation process is intended to ensure simulation-based learning activities are planned and delivered according to the latest educational research and demonstrates their impact on patient safety and quality care provided by health professionals. The team completed a readiness assessment and application in advance of the on-site peer-review. Congratulations to our Simulation Program who were subsequently awarded a 5 year accreditation.

SIMULATION-BASED VERSUS CLINICALLY-BASED TRAINING FOR PAEDIATRIC AIRWAY MANAGEMENT SKILLS

Canadian Respiratory Therapy training programs are required to ensure students achieve competence in paediatric respiratory objectives by the end of their training. The growing number and size of RT programs and need for healthcare providers in Ontario has produced a large volume of RT learners at paediatric hospitals and increased competition for paediatric placements. This has led both academic institutions and paediatric hospitals to implement alternate models of training when clinical training opportunities are limited. At SickKids two training models are used: (1) a traditional clinical training model comprised of a three-week clinical training placement; and (2) a blended training model comprised of one-week of structured simulation activities and one-week of clinical training placement. The latter model, which was created to accommodate the large volume of student placements, utilizes simulation-based training to ensure exposure to necessary competencies.

A study was undertaken to compare the two training models (clinical training model versus blended training model) for RT students at SickKids. We conducted a prospective, observational study from April 2015 to May 2017. Data were collected at three time points: (1) at the start of paediatric training at SickKids (baseline); (2) immediately after paediatric training (immediate post-training); and (3) one to three months after paediatric training (retention testing). The primary outcome measure is difference in performance during a simulated airway scenario between students in the clinical versus blended training model. Secondary outcome measures include knowledge acquisition (multiple choice


questionnaire), and self-reported perceptions of performance. 54 students participated in the study. Data analysis and manuscript preparation are underway. The results of this study will provide insight into the effectiveness of simulation as a supplementary training method, particularly for low-frequency skills.

ECHO

“Moving knowledge, not people” is the central concept for Project ECHO (Extension for Community Healthcare Outcomes). The Project ECHO model is a new way to support community-based healthcare providers. This initiative is funded by the Ontario Ministry of Health and Long-term Care to support two different projects at SickKids: Paediatric Project ECHO (Pain, Bariatric Care, Complex Care and Palliative Care) and Project ECHO: Epilepsy Across the Lifespan.

Project ECHO endeavours to create communities of practice to support health care providers in the management of patients that require specialty care for common, complex conditions. The Project ECHO model leverages video conferencing technology to deliver care-based continuing professional education directly to frontline care providers in the community. It is proven to be an effective way to improve patient outcomes for diseases typically cared for by specialists, who are frequently based in city centres.

Paediatric Project ECHO launched in October 2017 and has all four specialty areas actively recruiting and running sessions. Program offerings include case-based learning in TeleECHO sessions, Core Competency Sessions (8-hrs of curriculum), and in-person Boot-Camps (Pain only). The first phase of this program leveraged existing networks (i.e., Ontario Pediatric Pain Centres, Ontario Pediatric Bariatric Network, SickKids Complex Care satellite clinics, and Hospice Palliative Care Ontario). The intention was to engage with existing groups working in these areas to introduce the ECHO model and share knowledge. Phase 2 of this program will directly target primary care providers in the community, as well as providers in some of the most remote and medically underserved areas across Ontario. To date, we have delivered 900 hours of CME-accredited sessions to almost 200 healthcare providers, discussed over 20 patient cases, and engaged directly with 60 community-based sites.

Project ECHO Ontario: Epilepsy Across the Lifespan brings together ten comprehensive paediatric and adult epilepsy programs across the province and embraces an all-teach, all-learn information sharing approach to improving epilepsy care. This program intends to engage Ontario’s paediatricians, family doctors, nurse practitioners, social workers and many others who touch the lives of people living with epilepsy. With SickKids as

the driving engine, the aim of this program is to build capacity, improve access to early surgical intervention and support best practices of care. There will be six host-sites across Ontario launched in 2018-2019, including both paediatric and adult centres in London, Ottawa, Toronto and Hamilton.

LI MEMBERSHIP

The LI recently developed a membership process to create a mechanism to improve communication, showcase our collective achievements and share vital information about what is happening in the LI. The vision of the SickKids LI is to improve child health outcomes and systems of care worldwide through learning and education, and we know that many SickKids staff contribute to this vision on a daily basis. In order to continue to build our capacity for advanced thought leadership, knowledge dissemination, scholarship and innovation in education we are implementing a membership opportunity to bring together our education community and facilitate our learning culture. Members of the LI will become part of the LI network and be recognized for contributing to the advancement of the organization’s education mandate. An online application process will be launched shortly.

RESUSCITATION WEEK

Resuscitation Week brings awareness to Code Blue readiness across the organization and highlights research and advances in resuscitation science. Several activities took place over the week of November 27-December 1, 2017. Highlights of these activities included presentations, a CPR Friends and Family event where 65 non-clinical staff participated in a CPR refresher, a hospital wide mock code which involved testing Code Blue readiness within a selected area resulting in a hospital wide response, as well as CPR refreshers for outpatient ambulatory (20) and inpatient (130) staff. The content of the refreshers included CPR skills practice, discussion and demonstration of the newly implemented AEDs, readiness for Code Blue team, how to activate a Code Blue and where to get equipment.

SIMULATION SUMMIT AND STRATEGY

In July 2017 the first ever Simulation Summit was held at SickKids. The intention of this meeting was to gather simulation experts from across the organization to create a vision for our preferred future in simulation. We cast the net widely, celebrated many achievements to date and began dreaming about all the possibilities we could achieve in the future. It was an exceptional day and resulted in a White Paper that

we are now using to enable our path forward. We are informing the vision for our campus redevelopment (Project Horizon), articulating the future of simulation-enhanced learning and many new and/or expanded applications including in-situ, commissioning, clinical performance and competency based learning.

MATERIAL FROM THE ARCHIVES DELIGHT THE QUEEN OF BELGIUMHer Majesty the Queen of Belgium visited SickKids on March 14, 2018 as part of a royal visit to Toronto. This was the first Belgian state visit to Canada in over 40 years. As part of her visit to SickKids, her Majesty participated in a mental health roundtable discussion and visited the 4D Cardiology Playroom, the Multisensory Room and Marnie’s Studio. Her Majesty signed the official SickKids guestbook and had the opportunity to look at a display of material related to the 1977 visit to SickKids by the former King and Queen of the Belgians, King Baudouin and Queen Fabiola. This material was supplied by our archivist, David Wencer, who was able to track down some newspaper clippings, old staff correspondence and numerous photos. While some of these items came to the Archives via Public Affairs and our staff photographers, many of the best photos of the 1977 visit were, in fact, found in personal scrapbooks and photo albums maintained by other staff members. The Archives’ index of these scrapbooks and photo albums, maintained by

the Archives’ dedicated volunteers, made it possible to locate and display these unique items.

STRENGTHS-BASED LEADERSHIP PROGRAMThe LI, in collaboration with Holland Bloorview Kids Rehabilitation Hospital (Holland Bloorview), McGill University, Concordia University, Ryerson University and Laurie N. Gottlieb, RN, PhD., Professor Flora Madeline Shaw Chair of Nursing, Ingram School of Nursing, McGill University, launched the first ever Strengths-Based Care Management and Leadership Program in January 2018. The program included 10 modules delivered over three months and was directed at engaging emerging clinical leaders. The pilot was funded through the Canadian Institutes of Health Research (CIHR) and Social Sciences and Humanities Research Council of Canada (SSHRC).

This unique program is based on a strengths-based approach that considers the whole person, focuses on what is working and functioning well, what the person does best, and what resources are available to help them deal more effectively with their life, health and health care challenges. The program was interactive and included story-sharing, activity-based learning exercises, practice tips and tools, and mentorship. Fifteen interprofessional learners completed the program from both SickKids and Holland Bloorview.


CULTIVATING COMMUNITY COLLABORATION

INTERPROFESSIONAL SIMULATIONS OF PATIENT EXPERIENCES ACROSS THE CARE CONTINUUM This one-day interprofessional course, which is modelled after a unique program run by the Maudsley Hospital in England, was a collaborative education endeavour designed by partners of the Medical Psychiatry Alliance (MPA) including the Centre for Addiction and Mental Health, Trillium Health Partners, the University of Toronto and SickKids. The LI partnered with the MPA to lend their simulation expertise and ensure successful development and execution of this unique course.

The Interprofessional Simulations of Patient Experiences Across the Care Continuum (iSPEACC) course provides health care professionals with the opportunity to engage in simulation based education to gain a better understanding of what to do during the assessment and management of children and youth presenting to various health care settings with co-occurring mental and physical health care needs. The course is uniquely designed to promote and support interprofessional education. It includes participation in a series of simulated scenarios using actors which are designed to enhance the learning experience.

To date, 21 participants have completed the program during the pilot phase. The program is currently being evaluated.

HINCKS DELLCREST INSTITUTE, NOW KNOWN AS SKCCMHLIWhat has been clear this past year is the message that there cannot be health, without mental health, and with that comes the necessary training and education to support and empower our mental health professionals. At the Hincks Dellcrest Institute (HDI), now known as SickKids Centre for Community Mental Health Learning Institute (SKCCMHLI), we strive to be leaders in education and training by advancing best practices in mental health, and this year was no exception.

In 2017-2018, the Institute saw over 1,300 professionals come onsite to take training and we delivered more than 90 courses onsite and across Ontario. Through an exciting partnership with Connected North, we also delivered mental health promotion training to educators and youth workers in the Ghùch Tlâ Community School in Carcross, Yukon. This partnership will continue next year with the goal of providing access to HDI training to more students and educators in remote and underserved communities.

This year also marked the rebranding launch of the 2017-2020 SKCCMHLI Strategic Plan, outlining 6 key strategic directions that will raise the bar for training and education, strengthen the SKCCMHLI identity, and broaden our reach and impact locally, nationally and internationally. As we look to the near future, we are excited to continue working closely with our colleagues in the SickKids LI to enhance our education offerings to include online courses and webinar training, with our first webinar scheduled to be launched in Winter 2018. The inclusion of eLearning will allow professionals across the globe to access our innovative courses and will position us to become a global leader in mental health education and training.

KIDS HEALTH ALLIANCE: BUILDING CAPACITY THROUGH EDUCATIONKids Health Alliance (KHA) is a network founded in June 2017 by SickKids, Holland Bloorview and the Children’s Hospital of Eastern Ontario – Ottawa Children’s Treatment Centre (CHEO – OCTC). The three founders, with community partners, are working together to improve the health of children and youth in Ontario through a more coordinated, consistent, high quality system of care for children, youth and their families.

The SickKids LI has been instrumental in engaging KHA’s first community hospital partners; Markham Stouffville Hospital and Orillia Soldiers Memorial Hospital. A leadership team from SickKids engaged with the partner leadership and local emergency department teams to begin strategic and tactical planning to enable a successful partnership with KHA. The SickKids team completed discovery visits on behalf of KHA at each site to uncover organizational assets, core strengths, aspirations and opportunities that are unique to their Emergency Department to inform future planning.

As an initial step, the SickKids LI supported education programs that included two in-situ paediatric emergency team training sessions for Markham Stouffville and hosted a two day simulation facilitator workshop open to both hospital partners as a first step in building capacity in paediatric care in the community. Education and learning will be key factors in enhancing the health of children and youth across settings.

Communitypaediatrics

Home healthagencies

Communityhospitals

Mentalhealth services

Specializedpaediatrichospitals

Other paediatricservice providers

Rehabilitationservices

Patients and families


LEARNING MOMENTS

“ At every level of training – from practicum to fellowship – my growth has been fueled by caring supervisors providing top-quality professional and personal mentorship. From them, I have been learning what it takes to become a leading clinician and researcher in the field of children’s brain and mental health.”

Ayushi Todi, International Master of Business Administration, Krembil Intern

“ I believe that education and learning are vital in the quest for Healthier Children. A Better World. During my summer internship with the Learning Institute, I had the chance to work on a project focused on enhancing the student experience. It looked at ways SickKids could influence the care providers of the future by breaking down silos, integrating learners seamlessly and facilitating knowledge exchange across disciplines.”

Barbara Couper, RN, MN, Fellow, Centre for Global Child Health

“ Continuous learning is vital to improving the health of children and families locally and globally. Learning from inspiring clinicians, educators, managers and researchers who are leaders in global child health has been the highlight as a Fellow at the Centre for Global Child Health at Sickkids. Over the past year, I’ve had the opportunity to participate in capacity building and research activities in health workforce education aimed at improving the lives of children and their families in resource poor environments.”

Justin Lam, MD, Paediatric Resident (PGY-1)

“ As a paediatrics resident, one of the highlights of working at SickKids for me is the sheer range of opportunities for personal growth and community building. From working with and learning from our fantastic interprofessional team of expert healthcare providers, to engaging with a deeply knowledgeable group of education scientists on medical education research, to advocating for our city’s underserved communities with passionate, social-justice oriented colleagues, there is never a dull day here!”

Ashley Danguecan, Ph.D., C.Psych., Clinical Fellow in Psychology

ALL ABOUT OUR LEARNERS

Ayushi Todi, International Master of Business Administration, Krembil Intern

Barbara Couper, RN, MN, Fellow, Centre for Global Child Health

Justin Lam, MD, Paediatric Resident (PGY-1)

Ashley Danguecan, Ph.D., C.Psych., Clinical Fellow in Psychology


The thing I care passionately about

is the education. I love to learn new things; I love to share the things I learn with others.

The Certificate Program in Paediatric Simulation gave me the chance to achieve my learning goals.

I will be very keen to reinforce my skills as a simulationist and I will transfer what I have gained here to my training centre at home.

– LITE Program Participant

INTERNAL EDUCATIONAL EVENTS

Internal SickKids events aimed at providing professional development opportunities for a group of staff. Funding up to a max of $2,000 per event.

CONFERENCES

Funding for staff to present or participate in conferences, seminars, workshops and single courses to a maximum of $3,000 per year.

TUITION

Up to 50% of course/tuition fees, up to a max of $20,000 per program

STAFF CONTINUING PROFESSIONAL DEVELOPMENT FUND RECIPIENT PROFILES

JOLYNN DICKSONCLINICAL DIETICIAN, CLINICAL DIETETICS

The financial support I received allowed me to attend a training program led by a group of experts in the dietary management of inborn errors of metabolism. Opportunities such as this offer a unique situation to learn from the experience of others, which is especially beneficial in the field of rare disorders. As someone who is new to this field it allowed me to expand my understanding and knowledge of metabolic conditions and improve the quality of care I offer to my patients. It allowed me to step away from my clinical responsibilities for a few days and immerse myself in the concepts I needed to learn and continue to learn in this role. I met other professionals in the area and began collaborative relationships with individuals from across North America. We were able to discuss challenges and share ideas and strategies for managing the restricted diets of our patients. I would not have been able to have this learning experience without the financial support of this fund.

KARLA KERRIGANNURSE, 8B

The Staff Continuing Professional Development Fund (SCPDF) allowed me to further my knowledge and expertise as a paediatric haematology/oncology nurse specifically in the areas of staff resiliency. My current role as RN Council Representative for my unit and Clinical Support Nurse puts me in a position where I am supporting my colleagues and helping to develop initiatives that support the staff and patients we care for. The funding allowed me to attend a conference focusing on the issues of resiliency in paediatric haematology/oncology. We are currently in the process of implementing ways to improve staff well-being so that we can be the best nurses for our kids on a daily basis.

TONNY BANHCLINICAL RESEARCH COORDINATOR, CHILD HEALTH EVALUATIVE SCIENCES

If I had to summarize the impact that the SCPDF had on me, it would be “life changing”. The support provided through the SCPDF has given me the opportunity to attend an international conference discussing the important discoveries being made in paediatric transplantation. Furthermore, it has provided me with the ability to disseminate the knowledge our lab has found in paediatric solid organ transplant. I believe that the potential impact of the fund on future child health is endless.

LEARNING INSTITUTE TRAINING EXPERIENCE PROGRAMThe LI offers training experiences including Electives, Certificates and Fellowships in health professions education that are open to an interdisciplinary audience (e.g. physicians, nurses, RTs and other health care professionals) through the LI Training Experience (LITE) Program. These opportunities are project-based, allowing learners to focus on topics that are important to their work and/or educational interests, and are intended to facilitate the development of skills and expertise to engage in research or scholarship in education. There are two main areas of focus: (1) health professions education research and (2) simulation.

Elective: The LI Elective opportunities can take place over a period of 2-12 weeks and can be continuous or longitudinal (e.g. days or weeks throughout the year adding up to the equivalent of a maximum of 12 weeks). Research Electives are a minimum of 4 weeks. Elective time is typically dedicated to LITE activities, with the exception of on-call responsibilities where applicable. Those completing an Elective may gain exposure to scholarly work.

Certificate: The LI Certificate opportunities in health professions education research or simulation offer a more in-depth experience in the area of focus. The Certificate program is equivalent to a minimum of 3 months (or longitudinal equivalent). Certificate time is typically dedicated primarily to LITE activities, but can be flexible based on required clinical, educational or other responsibilities. Those completing a Certificate are expected to gain exposure, and potentially contribute, to scholarly work.

Fellowship: The LI Fellowship opportunities are a minimum of 1 year duration dedicated to intensive experience in health professions education research or simulation. Fellows are expected to dedicate a minimum of 50% of their time to LITE activities. Those completing a Fellowship are expected to produce scholarly work.

Congratulations to Sami Al Thubaiti, Maha Saleh and Hilal Al Mandhari who all completed their Simulation LITE Fellowships in Spring 2017!

Supporting full and part-time staff pursuing a degree, diploma or professional designation as well as staff presenting at a conference,

workshop, seminar or single course. The fund also supports internal educational events

to bring speakers onsite at SickKids.

IN 2017–18:

143STAFF APPROVED

FROM A TOTAL

OF 156

163STAFF APPROVED

FROM A TOTAL

OF 256

2/2SICKKIDS EVENTS

RECEIVED FUNDING

SCPDFSTAFF CONTINUING PROFESSIONAL

DEVELOPMENT FUND

23,905 VISITS TO THE HOSPITAL LIBRARYONLINE AND PRINT RESOURCES WERE ACCESSED THROUGH THE LIBRARY

6,571 LEARNERS PARTICIPATED IN

560 SIMULATION SESSIONS

195 SESSIONS ON

ABOUTKIDSHEALTH

INCREASED BY

21,446,972TOTAL VISITS TO THE SITE TO IN 2017–2018

11.2%

61,000+ 740+ 1,500+

VISITS TO THE NEW LEARNING

MANAGEMENT SYSTEM (LMS) *

ONLINE MODULES AVAILABLE TO STAFF *

INSTRUCTOR LED COURSES

AVAILABLE TO STAFF *

517,000+

* LAUNCHED ON DECEMBER 18TH 2017

183

12

INTERPROFESSIONAL PRECEPTORS

SUPPORTED NEW STAFF AND STUDENTS

STUDENTS/TRAINEES

Research 1370

Medical Students 896

Medical Residents and Fellows 1333

Clinical and Corporate 570

CENTRE FOR NURSING 348

CHILD LIFE 5

COMMERCIAL SERVICES 1

COMMUNICATIONS DISORDERS 6

COMMUNICATIONS & PUBLIC AFFAIRS 7

DIAGNOSTIC IMAGING – GENERAL RADIOGRAPHY 2

DIAGNOSTIC IMAGING – NUCLEAR MEDICINE 4

FACILITIES DEVELOPMENT 2

FAMILY CENTRE 1

GLOBAL CHILD HEALTH 3

HUMAN RESOURCES 19

IMT– HEALTH INFORMATION & REGISTRATION SERVICES 2

LEARNING INSTITUTE 5

NEUROLOGY 3

OCCUPATIONAL HEALTH & SAFETY SERVICES 2

PAEDIATRIC LABORATORY MEDICINE 5

PHARMACY 45

PSYCHOLOGY 9

REHABILITATION SERVICES 21

RESPIRATORY THERAPY 68

SOCIAL WORK 12

NEW NURSES WERE ORIENTED

TO SICKKIDS IN THREE INTAKES

NURSING EXTERNS WERE ORIENTED

TO SUPPORT CLINICAL PATIENT CARE

700+

ABOUTKIDSHEALTH HAD VISITORS

FROM 195 COUNTRIES IN 2017–2018

STAFF COMPLETED BASIC

LIFE SUPPORT TRAINING

FAMILIES, COMMUNITY MEMBERS

AND NON-CLINICAL STAFF

COMPLETED CPR TRAINING

PARTICIPANTS COMPLETED

PEDIATRIC ADVANCED

LIFE SUPPORT TRAINING

1089258

217

ANNUAL REPORT 2017–18 | 21

INTERNATIONAL COLLABORATIONS

PAEDIATRIC NURSING EDUCATION AROUND THE WORLDNurses dedicated to children’s health are found across the globe. The LI, in collaboration with both SickKids International and the Centre for Global Child Health have been instrumental in facilitating partnerships and infrastructure for nurses at SickKids to contribute to building paediatric nursing capacity internationally while strengthening our own internal workforce. In this past year alone SickKids nurses have participated in projects in Ghana, China, United Arab Emirates and the Caribbean. It is truly inspiring to work with both our internal nursing experts and those nurses from around the world to make a difference in children’s health. The following are two examples from China of the work our nurses are doing globally.

SZCH-SICKKIDS PARTNERSHIP 2017-2018 has been a productive year for nursing education at Shenzhen Children’s Hospital (SZCH).

Nursing learning needs assessments were conducted by the SickKids Nursing Education team during two site visits to SZCH in April and June 2017. These visits allowed for a better understanding of nursing practice gaps and identified opportunities for advancing paediatric haematology/oncology nursing care at SZCH.

The SZCH nursing team (Director of Nursing, Head Nurse and Clinical Nurse Educator) visited SickKids in September 2017 to meet with key leaders at SickKids to learn about best practices in paediatric haematology/oncology nursing care, nursing

education and to finalize plans for delivery of the paediatric haematology/oncology nursing program at SZCH. The SZCH Clinical Nurse Educator spent 3 months at SickKids, working alongside the SickKids nursing education team to participate in the curriculum development process. In December 2017, the first module of the program was successfully delivered in collaboration with the SZCH Clinical Nurse Educator. Building capacity in the SZCH nursing education and leadership team is one of the overarching goals for this project.

TICH-SICKKIDS PARTNERSHIPMany nursing education milestones were met for the TEDA International Cardiovascular Hospital (TICH) & SickKids partnership in the year 2017-2018. There were 4 TICH delegation visits to SickKids (March, May and November 2017 and March 2018) and 20 different nursing representatives came to SickKids with comprehensive visit objectives to improve paediatric cardiac nursing care at TICH. Focus areas included but were not limited to advancing nursing leadership, nursing education, family-centered care, quality and patient safety, and nursing care in the PICU, paediatric ward, ambulatory clinic and the cath lab.

Two modules of the Paediatric Cardiac Nursing Education Program have also been delivered at TICH in 2017-2018. This program is designed and delivered as a train-the-trainer program and has played an important role in building nursing capacity at TICH. The new knowledge gained from the program has already translated into nursing practice at TICH, including enhanced quality of comprehensive physical assessments and appropriate use of evidence-based pain assessment tools.


RITSUMEIKAN UNIVERSITY, JAPANFor the 2nd year, a Pharmacy Education Program was offered to the students of the College of Pharmaceutical Sciences, Ritsumeikan University, Japan in February 2018. A group of 6 students and 2 faculty joined SickKids for 2 weeks of pharmacy education. The program provided the fifth year students with an understanding of the scope of work and education of pharmacists in Toronto, Canada. This is the 2nd program to be provided to students following the signing of the MOU with Ritsumeikan University in March 2016. Their program included lectures, ward visits and rounds with both the Pharmacy Department and the Pharmacology/Toxicology Department. It also included two full days of lectures at the Faculty of Pharmacy, University of Toronto.

KK WOMEN’S AND CHILDREN’S HOSPITAL, SINGAPOREThe LI’s partnership with the KK Women’s and Children’s Hospital (KKH) in Singapore continued in 2017-2018. As an example, a learner from KKH joined the ILP for a 6-week observership in the PACU, followed by 2 weeks of observation at Toronto General Hospital, which was arranged through our collaboration with the University Health Network.

BERMUDA COLLEGE, BERMUDANursing students from Bermuda continued to have positive learning experiences through the ILP. In April and November 2017, SickKids hosted a total of 19 nursing students who observed in a variety of inpatient and ambulatory settings. The students also participated in continuing education activities including lectures on pain assessment, communication with patients and performance processes improvement.

UNIVERSIDAD IBEROAMERICANA, MEXICOA new agreement between SickKids and Universidad Iberoamericana was signed in 2017 to provide observation experiences to the institution’s master students in Clinical Dietetics. Under this agreement, a master student from Universidad Iberoamericana joined Dietetics for one week observation.

HONG KONG HOSPITAL AUTHORITY, HONG KONGSickKids’ successful partnership with the Hong Kong Hospital Authority is now in its 8th year. In 2017-2018, ILP facilitated a total of 25 learners from Nursing, Pharmacy and Physiotherapy. The Hong Kong training plan for 2017-2018 focused on various areas including: Adolescent Medicine, Critical Care Unit, Surgical units, Haematology/Oncology, NICU, Operating Room, Palliative Advanced Care, Advanced Pain Services, Pharmacy and Rehabilitation.

INTERNATIONAL LEARNER PROGRAM

Launched in 2010, the International Learner Program (ILP) allows international healthcare professionals to take part in observation or hands-on practice experiences in specific areas of training. The program’s goal is for participants to apply the knowledge gained in Toronto to their practice in their home countries.

The International Education portfolio continues to maintain existing and build new partnerships to share knowledge and education with the international institutions around the world. These partnerships are formalized through Memorandum of Understanding (MOU) agreements, offering opportunities for paediatric specialty education and training by completing Continuing Education modules and/or participating in the ILP.

232INTERNATIONAL

LEARNERS

72 INSTITUTIONS 35 COUNTRIES

42 SPECIALTIES 42 PROFESSIONS


CONTINUING EDUCATION

This year, through the Continuing Education program, a number of international organizations participated in customized educational programs based on their objectives related to enhancing the delivery of optimum care to children. These organizations included:

• The National Center for Global Health and Medicine, Japan (May 5, 2017)

• Singapore Ministry of Education, Singapore (May 26, 2017)

• Korean-American Association (June 26, 2017)

• Quest Language School, Korean Nursing Students (July 24, 2017)

• Volunteer Services from Japan (September 20, 2017)

• English School of Canada, Brazilian Medical Students (January 18, 2018)

CLINICAL MENTORSHIP AND REMOTE MENTORSHIPA remote mentorship program was launched to extend clinical and educational coaching to international learners beyond Toronto.

This remote mentorship model was essential in advancing the learning experience of a Child Life Specialist intern from the National Taiwan University Children’s Hospital, Taiwan. The intern completed the ILP at SickKids to meet the requirement to write the Child Life Specialist Certification (CLSC) exam.

A 12-week program was designed for the intern which included 8 weeks of intensive practice experience at SickKids. The program continued upon the intern’s return to Taiwan with 4 weeks of remote mentorship. Our Child Life team met with the intern on a weekly basis via skype and email exchange, where they addressed day-to-day challenges and provided coaching and consultation.

Following the 4 weeks of remote mentorship, our Child Life Specialist team provided the intern with a comprehensive evaluation, which was shared as well with the National Taiwan University Children’s Hospital. Now, after successful completion of the internship, the intern is preparing to take the CLSC exam.

NELSON MANDELA CHILDREN’S HOSPITAL VISIT: IMPLEMENTING SIMULATION BASED EVALUATIONSThrough the Global Affairs Canada (GAC) funded SickKids/Nelson Mandela Children’s Hospital (NMCH) project, the SickKids simulation team first visited the NMCH in July 2016. At that time, the team conducted interviews with staff in surrounding hospitals to gain insight into the health care culture within Johannesburg as well as identify common system and process issues that staff and patients experienced. The team completed two additional visits in June 2017 and February 2018.

In June 2017, the SickKids team collaborated with NMCH staff from a number of departments including but not limited to, security, administration, nursing, safety, radiology and anaesthesiology. Six interprofessional simulations were conducted at NMCH over a period of three days with 35 extremely invested and enthusiastic NMCH staff. The participants consisted of nurses, radiologists, radiographers, anesthesiologists, security guards, administrative assistants, housekeeping and plant operations staff. The purpose of the simulations was to identify system-related issues, including physical and environmental barriers, and latent quality and safety threats related to the patient flow within the Radiology Department and Day Ward prior to accepting their first patients.

In February 2018, members of the SickKids simulation team returned to NMCH and ran six additional simulations in a three day period within the Dialysis Unit and the PICU. This time 42 interprofessional NMCH staff participated including security guards, volunteers, physicians, nurses and other allied health members.

While the focus of the simulation scenarios was on systems and processes, it also offered an opportunity for new teams to interact and become familiar with each other before engaging in direct patient care. It allowed participants to consolidate the learning from onboarding and apply the new knowledge and skills learned in practice, in a safe and supportive environment offered by simulation.

As part of the NMCH operational readiness, simulation provided an opportunity to identify system and process issues related to new teams working together and to recognize potential opportunities to address identified barriers, including cultural and logistic challenges that may pose as latent threats in the system and can potentially compromise patient safety.

The SickKids simulation team utilized both qualitative and quantitative methodology to obtain data from a number of different sources including observations from videotaped simulations, audio taped debriefs and participant surveys.

The analysis identified gaps and potential safety threats as well as team challenges and the reports given to the NMCH team provided a summary of recommendations in order to mitigate the items identified. The experience highlighted the benefits of using simulation based evaluation to prepare new teams and new work environments to ensure that they are safe and efficient before receiving patients. NMCH has continued to include simulation based evaluation as part of their process for opening new areas.

In order to help build capacity, a two day train-the trainer simulation-based evaluation instructor workshop was also delivered in February 2018 to NMCH faculty members to enable them to continue to use simulation as a system evaluation tool in other clinical and non-clinical areas of the hospital.


PATIENT & FAMILY EDUCATION

TALK WITH ME

A SUCCESSFUL EDUCATION LAUNCH USING INTERACTIVE TEACHING METHODS AND REFLECTIVE PRACTICETalk with Me is an interactive education program that was developed to uncover and highlight best practices in communicating with children and youth during their hospital stay. This program encouraged reflective dialogue amongst clinician participants about how they engaged and communicated with children and youth within the context of care delivery.

Using a Gallery Walk learning format participants were encouraged to share enablers and barriers when communicating with children, as well as conversation starters they used to engage children. Participants posted these ideas grounded in their personal experiences, shared them collectively, then watched the ‘Talk with Me’ video, commissioned by the Centre for Innovation and Excellence in Child and Family Centered Care, featuring patient experiences at SickKids. After reflecting on these practices, participants revisited their posted comments adding to their original ideas and collectively built strategies to mitigate barriers experienced.

Over the course of a few months multiple sessions were offered, and included 108 participants attending. Fifty-two percent of the participants had more than 5 years of experience at the hospital. Of these, 91% were clinicians and over 97% of all participants were highly satisfied with the session. A preliminary analysis of descriptive data collected of their practice experiences in communicating with children revealed that participants used strategies to get to know the patient, created opportunities to have intentional conversations, as well as, used developmental approaches that engaged the child within the context of their provision of care.


ABOUTKIDSHEALTH.CA REBOOTS THEIR CHILD HEALTH WEBSITEA growing number of Canadians now access health or medical information online before consulting a healthcare professional. It can be difficult however to know which online health sources are reliable, especially when it comes to paediatric care.

In 2004 SickKids launched AboutKidsHealth, a family-education portal. Articles cover every day topics including fever, colds and nutrition. AboutKidsHealth also features more in depth content on complex conditions such as diabetes, epilepsy and mental health. “AboutKidsHealth empowers families by giving them up-to-date, evidence-based and relevant information about their child’s health,” says Shawna Silver, Chief Medical Editor at AboutKidsHealth, and a Staff Paediatrician at SickKids.

Over the past 13 years, website visits to AboutKidsHealth have grown to exceed visits to SickKids homepage; the website now sees millions of visits each month. With articles available in up to 10 languages, visits to AboutKidsHealth come from all over the globe.

In April 2018 AboutKidsHealth launched a redesigned website. The updated website has a new layout, improved search functions and mobile friendly content. “Our primary vehicle to share the information created by AboutKidsHealth is our website. Upgrading the website to a more current design and user-friendly interface instills even more trust in the information our users seek from SickKids,” says Sean Schurr, Director of AboutKidsHealth.

The process to update AboutKidsHealth began more than two years ago. With more than 3,500 articles and 5,000 medical illustrations, animations and videos, the old AboutKidsHealth website design and platform struggled to keep up with the needs of patients, families and healthcare providers. The biggest area that needed improvement was the ability to use the website on mobile devices. Over the past five years, AboutKidsHealth has seen an increase in the number of users visiting the site from mobile devices, including smartphones and tablets. In 2012, 20% of AboutKidsHealth users accessed the website from their phone. In 2017 that percentage had grown to 72% of users. With the relaunch, the website can be accessed from anywhere via smartphone, tablet or personal computer.

“There are multiple different online health resources available, but they vary in trust, relevance and accessibility,” says Schurr. “AboutKidsHealth covers all three areas, given our partnership with the expertise of SickKids doctors, nurses and health specialists who develop our content.”

Another major update to AboutKidsHealth focused on the navigation of the website. It is now easier for users to search for articles as they can filter by body system, body part and health category. The layout of each article page has been simplified, and banners and additional information has been removed from the left and right sides of the webpage because research shows that people are better able to consume content online when they don’t have distractions. Each article has also been organized in an accordion structure to allow users to go directly to the information they are looking for, such as “Signs and symptoms” or “When to

seek medical attention” without needing to read the full article. Having information that is easy to find is particularly important to the clinicians who use AboutKidsHealth as a family education tool. “Although clinicians spend significant time performing patient education, the retention and understanding of information is modest,” says Silver. “Providing patient education and information to families improves the understanding of their child’s care.”

Learn more at www.AboutKidsHealth.ca

CENTRALIZED FAMILY EDUCATION PROGRAMThe new Family Education Program was created to ensure a consistent evidence based approach to discharge teaching. The goal of the program is to standardize one-on-one teaching in a safe and distraction free learning environment for families to build caregiver confidence and competence, and to decrease the time families need to be in hospital. The program is run out of the Family Resource Centre on the main floor of the hospital and currently offers nasogastric, oximeter and Central Venous Line teaching as a pilot program. The times are flexible and offer evening and weekend sessions based on the family needs. Preliminary evaluation results are showing a trend towards decreased length of stay and also high satisfaction from families and staff. Here is what family members are saying:

“Great resource. I left feeling confident and that all my questions were answered. Did not feel rushed and was glad to be given hands on experience.”

“I thought this session helped me understand everything I needed to know when at home. The session made me feel comfortable enough to be able to do it on my own without any questions or concerns while doing it on my own. I found it very helpful!”

THE MINDFULNESS PROJECT

The Mindfulness Project is a hospital-wide initiative led by the department of Spiritual and Religious Care. Mindfulness practice is derived from traditional contemplative meditation practices and has been secularized for use in a healthcare setting. It promotes compassionate awareness and a moment-by-moment natural awareness of one’s thoughts, feelings, bodily sensations and the surrounding environment. The Project promotes mindfulness awareness, skills and applications to build patient/family and staff resilience; as well as being a support to Caring Safely.

Mindfulness sessions are offered to patients and family members on a weekly basis and the Project works directly with clinical teams to tailor education to the needs of individual teams and also provides three levels of “formal” education for staff. An entry-level Mindfulness 101 is offered through the hospital’s Wellness Centre and is run twice annually. This 12 module program explores the benefits, practices and techniques of mindfulness. Both sessions this year were sold out with 42 participants. The next level program focuses on Mindfulness Based Stress Reduction (MBSR) and is intended for participants interested in mindfulness research. It is offered annually and was at full capacity with 21 participants this year. The third level course is a Mindfulness and Compassion Training Program for Healthcare Professionals and runs over a 9 month period with 10 full days of workshops. Thirty professionals participated in the program this year; 16 being from SickKids.

Seventy staff attended sessions offered through A Mindful Society Conference held at the University of Toronto and co-sponsored by SickKids, and over 1,000 staff attended the

various sessions offered during Mindfulness Month at SickKids.


SCHOLARSHIP

BOOK CHAPTERS

Doria AS, Strouse P, Adams-Webber T. Conducting and Publishing Research. In: A.S. Doria, G. Tomlinson, J. Beyene, R. Moineddin, C. Meaney, M. Shaikh, editors. Research Methods in Radiology: A Practical Guide. New York: Thieme; 2018. p. 174-95.

ONLINE PUBLICATIONS AND RESOURCESMarcon P, Martincevic I, Walsh C. Celiac disease. AboutKidsHealth. February 6, 2017. Available at: http://www.aboutkidshealth.ca/En/HealthAZ/ConditionsandDiseases/DigestiveSystemDisorders/Pages/Celiac-Disease.aspx .

Marcon P, Martincevic I, Walsh C. Celiac disease: The gluten-free diet. AboutKidsHealth. February 6, 2017. Available at: http://www.aboutkidshealth.ca/En/HealthAZ/ConditionsandDiseases/DigestiveSystemDisorders/Pages/gluten-free-diet.aspx .

PUBLICATIONS

Chang TP, Doughty C, Mitchell D, Rutledge C, Auerbach M, Friesell K, Jani P, Kessler DO, Wolfe H, MacKinnon RJ, Dewan M, Pirie J, Lemke DS, Khattab M, Tofil N, Nagamuthu C, Walsh CM. Leveraging Quick Response code technology to facilitate simulation-based leaderboard competition. Simulation in Healthcare. 2018;13(1):64-71. dio: 10.1097/SIH.0000000000000281.

Colli A, Gana JC, Yap J, Adams-Webber T, Rashkovan N, Ling SC, Casazza G. Platelet count, spleen length, and platelet count-to-spleen length ratio for the diagnosis of oesophageal varices in people with chronic liver disease or portal vein thrombosis. Cochrane Database Syst Rev. 2017;4:CD008759.

Friedlander JA, Liu QY, Sahn B, Kooros K, Walsh CM, Kramer RE, Lightdale JR, Khlevner J, McOmber M, Kurowski J, Giefer MJ, Pall H, Troendle DM, Utterson EC, Brill H, Zacur GM, Lirio RA, Lerner DG, Reynolds C, Gibbons TE, Wilsey M, Liacouras CA, Fishman DS. NASPGHAN capsule endoscopy clinical report. Journal of Pediatric Gastroenterology and Nutrition. 2017;64(3):485–494. doi: 10.1097/MPG.0000000000001413.

Grover SC, Scaffidi MA, Khan R, Garg A, Al-Mazroui A, Alomani T, Yu JJ, Plener IS, Al-Awamy M, Yong EL, Cino M, Ravindran NC, Zasowski M, Grantcharov TP, Walsh CM. Progressive learning in endoscopy simulation training improves clinical performance: A blinded randomized trial. Gastrointestinal Endoscopy. 2017;86(5):881-889. doi: 10.1016/j.gie.2017.03.1529.

Khan R, Scaffidi MA, Walsh CM, Lin P, Al-Mazroui A, Chana B, Kalaichandran R, Lee W, Grantcharov TP, Grover SC. Simulation-based training of non-technical skills in colonoscopy: Protocol for a randomized controlled trial. JMIR Research Protocols. 2017;4;6(8):e153. doi: 10.2196/resprot.7690.

Kramer RE, Walsh CM, Lerner DG, Fishman DS. Quality improvement in pediatric endoscopy: A clinical report from the NASPGHAN Endoscopy Committee. Journal of Pediatric Gastroenterology and Nutrition. 2017;65(1):125-31. doi: 10.1097/MPG.0000000000001592.

Ligocki CC, Abadeh A, Wang KC, Adams-Webber T, Blanchette VS, Doria AS. A systematic review of ultrasound imaging as a tool for evaluating haemophilic arthropathy in children and adults. Haemophilia. 2017;23(4):598-612.

Molloy FJ, Nguyen N, Mize M, Wright G, St. George-Hyslop C, O’Callaghan M, Scanlan E, Novick WM. Medical missions for the provision of paediatric cardiac surgery in low- and middle-income countries. Cardiology in the Young. 2017;27(Suppl. 6):S47-S54.

Nicholas D, Fleming-Carroll B, Durrant M, Hellmann J. Examining pediatric care for newly immigrated families: Perspectives of health care providers. Soc Work Health Care. 2017 May-Jun; 56(5):335-351. PMID: 28323553.

Pariente G, Leibson T, Shulman T, Adams-Webber T, Barzilay E, Nulman, I. Pregnancy Outcomes Following In Utero Exposure to Lamotrigine: A Systematic Review and Meta-Analysis. CNS Drugs. 2017;31(6):439-50.

Romaniuk D, Chu S, D’Annunzio D, Garvey G. (2017). A Healthcare-Academic Partnership: Developing Pediatric Nursing Education. The Journal of Continuing Education in Nursing, (48), 12, 557-562.

St. George-Hyslop C, Thomas J, Fazari LG. Understanding Stage II Bidirectional Cavopulmonary Shunts. Critical Care Nurse. 2017;37(6):59-71.


Scaffidi M, Grover SC, Carnahan H, Khan R, Amadio JM, Yu JJ, Dargavel C, Khanna N, Ling SC, Yong E, Nguyen GC, Walsh CM. Impact of experience on self-assessment accuracy of clinical colonoscopy competence. Gastrointestinal Endoscopy. 2018;87(3):827-36. doi: 10.1016/j.gie.2017.10.040.

Scanlan E, Miza M, Nguyen N, Molloy F, Wright G, O’Callaghan M, Novick W, Hyslop C. Perspective Statement from the Pediatric Cardiac Intensive Care Society (PCICS) entitled ‘Caring for children with critical cardiac disease across the globe’. Chapter - Medical missions for the provision of paediatric cardiac surgery in LMIC. Cardiology in the Young. 2017;27(Suppl. 6):S47–S54.

Walsh CM, Anderson JT, Fishman DS. An evidence-based approach to training pediatric gastrointestinal endoscopy trainers. Journal of Pediatric Gastroenterology and Nutrition. 2017;64(4):501-504. doi: 10.1097/MPG.0000000000001473.

Walsh CM, Garg A, Ng SL, Goyal F, and Grover SC. Residents’ narrow perceptions of simulation as a clinical learning approach for foundational technical training. Canadian Journal of Medical Education. 2017;8(1):e76-e87.

Walsh CM, Reise KS, Correia R. Simulation use in paediatric student respiratory therapy training. Canadian Journal of Respiratory Therapy. 2017;53(4):62-63.

PUBLISHED ABSTRACTS

Carman N, Huynh HQ, Walsh CM, Ricciuto A, Mouzaki M, Crowley E, Church P, Walters TD. Reliability assessment of endoscopic scoring tools using central video review of colonoscopies in paediatric patients with ulcerative colitis: Data from the Canadian Children IBD Network. Gastrointestinal Endoscopy. 2017;85(5S):AB282 (Abstract Sa2068).

Carman N, Huynh HQ, Mouzaki M, Crowley E, Walsh CM, Ricciuto A, Church P, Walters TD. Assessment of the UlcerativE.ColiTis Endoscopic Index of Severity (UCEIS) using central video review of colonoscopies in paediatric patients with UlcerativE.ColiTis: Data from the Canadian Children IBD Network. Gastrointestinal Endoscopy. 2017;85(5S):AB284 (Abstract Sa2073).

Gould M, Brill H, Marcon MA, Walsh C. The usefulness of deamidated gliadin peptide in screening pediatric patients for celiac disease. Journal of Pediatric Gastroenterology and Nutrition. 2017;65(S2):S221-S222. (Abstract 483).

Gould M, Brill H, Marcon MA, Walsh CM. Endoscopic findings in children who are deamidated gliadin peptide positive and tissue transglutaminase negative. Gastroenterology. 2017;152(5S):S431(Abstract Sa2048).

Grover SC, Scaffidi MA, Khan R, Chana B, Iqbal S, Lin PC, Kalaichandran S, Tsui C, Zasowski M, Ahmed A, Sharma S, Walsh CM. A virtual reality curriculum in non-technical skills improves colonoscopic performance: A randomized trial. Gastrointestinal Endoscopy. 2017;85(5S):AB181 (Abstract Sa1075).

Khan R, Scaffidi MA, Parker C, Ahmed A, Lin PC, Tsui C, Iqbal S, Kalaichandran S, Wang C, Walsh CM, Grover SC. The influence of video-based feedback on self-assessment accuracy of procedural skills. Gastrointestinal Endoscopy. 2017;85(5S):AB186 (Abstract Sa1089).

Patel S, Walsh CM, Webber S, Frantzke M, Brickman A, Udell JA. Exploring medically-related Canadian summer student research programs: A national telephone-based survey. Medical Education. 2017;51(Suppl 1):49 (Abstract OB5-7).

Scaffidi M, Pearl M, Walsh CM, Lin P, Kalaichandran R, Kahn R, Winger K, Burkhari AA, Pecoraro C, Pivetta B, Yuen M, Ma J, Ramaj M, Kalaichandran R, Grover SC. Gamification of a virtual-reality simulation curriculum in endoscopy: A randomized controlled trial. Cureus 2017 9(11):e. Available at: www.cureus.com/posters/1306-gamification-of-a-virtual-reality-simulation-curriculum-in-endoscopy-a-randomized-controlled-trial.

Shimamura Y, Walsh CM, Cohen S, Aronson M, Tabori U, Kortan PP, Durno CA. Role of video capsule endoscopy in patients with Biallelic Mismatch Repair Deficiency (BMMRD) Syndrome: Report from the international BMMRD consortium. Gastrointestinal Endoscopy. 2017;85(5S):AB287 (Abstract Sa2078).

Walsh CM, Nagamuthu C, Kaye M, Cheng A, Ng S. Communication failures during in situ pediatric resuscitation simulations: Characterization of recurrent types and effects. Medical Education. 2017;51:(Suppl 1):102 (Abstract OE7-4).

Walsh CM, Lynch M, Kaye M, Ginsburg S. Conference presentations and journal publications: Two forms of dissemination that serve different purposes. Medical Education. 2017;51(Suppl 1):S108 (Abstract OF3-2).

GRANTS AND FUNDING

Assessment of physician handoff in the era of competency-based medical education. Bismilla Z (PI), Walsh C, Bailey JAM, West DC. Royal College of Physicians and Surgeons of Canada Competency-based Medical Education Assessment Grant. $35,000 CAD. April 2018-March 2020

Debriefing on demand: Exploring the pause button in simulation: A pilot study. Simone L (PI), Walsh C, Gharib M, Pire J. Paediatric Consultants Educational Scholarship Grant, Hospital for Sick Children. $5,000 CAD. October 2017-October 2018

Evaluation of a Patient Oriented Research Curriculum in Child Health (PORCCH). Walsh C, Jones NL, Macarthur C, Karoly A. Canadian Institute of Health Research Patient-Oriented Research Collaboration Grant. $39,997 CAD. March 2018-February 2019

Paediatric tracheostomy care: An evaluation of an innovative competency-based education program for community health care providers. Amin R (PI), Orkin J (Co-PI), Walsh C, Chu S, Keilty K, McKay S. Norman Saunders Complex Care Grant. $28,528.64 CAD. January 2018-December 2019

The Development and Implementation of a Caregiver Education Program for Children Requiring Medical Technology in the Home. Orkin J, Amin R, Chu S, Langrish K, Fleming-Carroll B, Buchanan, F. Baxter Corporation Endowment Fund for Home Care Grant. $52,000 CAD. April 2017-September 2017

The Sun Life Type 2 Diabetes Prevention Toolkit for health care professionals. Walsh C, Hamilton JK (PI), Hadjiyannakis S, Clark L, Bernard-Genest J, McPherson A, Goodman B. Canadian Institute of Health Research Patient-Oriented Research Collaboration Grant. $39,996 CAD. March 2018-February 2019


OUR TEAM

Between April 1, 2017 and March 31, 2018, the following people were members of the Learning Institute team or participated on core Learning Institute committees.

ABOUTKIDSHEALTH Susan Ball, Managing Editor Jessica Fishbein, Editorial Assistant James Lee, Web Administrator Clodagh McCarthy, Writer/Editor Genevieve Metropolis, Program Manager,

User Experience and Design Monika Musial, Medical Media and Design Coordinator Jennifer Polk, Program Manager, Sponsors and PartnersJohn Paul Rosendall, Business Manager Erika Schippel, Coordinator, Publishing and Social MediaCathy Schmidt, Multimedia Producer Stephanie Schmidt, Web Coordinator Sean Schurr, Director, AboutKidsHealth Shawna Silver, Chief Medical EditorAlexandra Theodorakidis, Writer/Editor

EDUCATION RESOURCE GROUP Melanie Barwick, Senior Scientist, Child Health Evaluative

Sciences, Research InstituteMarina Bayer, Resuscitation Education InstructorSarah Bovaird, Senior Manager, Learning Institute Nadine Clarke, iLearn Systems Administrator Roger Correia, Simulation and Resuscitation EducatorAlison Dodds, Simulation Educator Jessica Fernandes, Simulation and Resuscitation EducatorSrdjana Filipovic, Program Manager, Knowledge Translation Jodi Hinds, Staff Continuing Professional Development Fund

Program CoordinatorJennifer Knabl, Simulation SpecialistLeslie Laurio, Resuscitation Education InstructorEmily Louca, Education Manager, Learning InstituteKelly McMillen, Director, Learning InstituteCarrie Mendolia, Administrative Assistant Samantha Metler, Project Coordinator, Learning Institute Ken Murray, Program Manager, eLearning DesignSaima Navsariwala, Administrative Coordinator, Learning Institute Nadia Rampersad, Resuscitation Education InstructorJaffer Shaikh, Simulation Specialist Sandaruwan Siriwardena, Business Analyst, Learning InstituteSeona Skeaff, Simulation Educator Rafael Velasquez, Simulation Specialist Karen Wallace, Conference Specialist Catharine Walsh, Education Researcher Kelly Warmington, Senior Manager, Learning Institute

EDUCATION RESOURCE GROUP – FELLOWS, STUDENTS AND VOLUNTEERSFatimah Al Dubisi, Certificate in Paediatric SimulationHilal Almandhari, Simulation Program FellowSami AlThubaiti, Simulation Program FellowAudrey Chiu, Learning Institute Administrative Volunteer and

Knowledge Translation Program StudentAna Djapa, Learning Institute Administrative VolunteerYalinie Kulandaivelu, Knowledge Translation Program StudentRona McIntyre, Knowledge Translation Program and eLearning

Program StudentMary Nazarkevitch, Learning Institute Administrative StudentHarpreet Opal, Learning Institute Administrative StudentAndrea Peixoto, Learning Institute Administrative VolunteerTheresa Phan, Learning Institute Administrative VolunteerChrisia Rayos, Learning Institute Administrative VolunteerMaha Saleh, Simulation Program FellowMichelle Sousa, Learning Institute Administrative StudentCatherine Stratton, Learning Institute Administrative VolunteerJustin Sweet, Learning Institute Administrative StudentAyushi Todd, Executive ResidentDaniella Triolo, Learning Institute Administrative Volunteer Miriam Vanmeurs, Health Administration StudentSal Williams-Sheriff, Learning Institute Administrative StudentAria Wills, Learning Institute Administrative Volunteer

HOSPITAL LIBRARY & ARCHIVESTamsin Adams-Webber, Team Lead, Hospital Library and ArchivesAlanna Marson, Reference and Instruction Librarian Cathy Pajunen, Library TechnicianLily Ren, Reference LibrarianLoraine Varga, Library TechnicianDavid Wencer, Library Technician, Archives

HOSPITAL LIBRARY & ARCHIVES – VOLUNTEERSBetty Phin, Hospital Archives VolunteerMarjorie Samuel, Hospital Archives VolunteerKen Wilson, Hospital Archives Volunteer

INTERNATIONAL EDUCATIONHaya Al-Husseini, Program Coordinator, International EducationLeah Paterson, Program Coordinator, International EducationLara Pietrolungo, Director, International EducationErin Vandeven, Interprofessional Education Specialist,

International Education

INTERNATIONAL EDUCATION – STUDENTS Gabrielle Chow, International Education Nursing Student


NURSING & INTERPROFESSIONAL EDUCATIONMichelle Bertoni, Interim Clinical EducatorKaren Breen-Reid, Manager, Interprofessional Education,

Learning InstituteDaniela Bruce, Interprofessional Education Specialist, 7AAnn Chang, Interprofessional Education Specialist,

Haematology/OncologyStephanie Chu, Interprofessional Education SpecialistTracy DeSantis, Program Coordinator, Nursing and

Interprofessional EducationMichele Durrant, Interprofessional Education SpecialistBonnie Fleming-Carroll, Associate Chief of Nursing &

Interprofessional Education, Learning InstituteHelen Forrest, Interprofessional Education Specialist, PACULisa Fowler, Interprofessional Education Specialist, NICU and

Caring SafelyKatanya Fuerst, Interprofessional Education Specialist, 5CGrace Garvey, Interprofessional Education SpecialistCarrie Glanfield, Interprofessional Education Specialist, EmergencyVera Gueorguieva, Interprofessional Education SpecialistLisa Honeyford, Interprofessional Education Specialist,

Haematology/OncologyHeather Hudson, Interprofessional Education Specialist, Ontario

Poison CentreCecilia Hyslop, Interprofessional Education Specialist, Cardiac

Critical Care UnitSophie Joseph, Interprofessional Education Specialist, PICUAnnette Martens, Interprofessional Education Specialist,

ACTS TeamSarah McEwan, Interprofessional Education Specialist, 5ABCeline Menezes, Interprofessional Education Specialist, 6ACarrie Morgan, Interprofessional Education Specialist, 4DAdelina Morra, Interprofessional Education Specialist, 7BCDEDarlene Murray, Interprofessional Education Specialist,

Diagnostic ImagingLinda Nguyen, Interprofessional Education Specialist, ORCarly O’Brien, Interprofessional Education Specialist, NICUSandhaya Parekh, Interprofessional Education Specialist, 8C

NURSING & INTERPROFESSIONAL EDUCATION – STUDENTSDakota Marcotte, Nursing & Interprofessional Education

Graduate StudentSeona Skeaff, Nursing & Interprofessional Education

Graduate Student

LEARNING INSTITUTE SENIOR LEADERSHIP TEAMBonnie Fleming-Carroll, Associate Chief of Nursing &

Interprofessional Education, Learning InstitutePam Hubley, Vice President, Education and Academic Practice

and Chief, International Nursing

Karima Karmali, Director, Centre for Innovation and Excellence in Child and Family-Centred Care

Kelly McMillen, Director, Learning InstituteLara Pietrolungo, Director, International EducationSean Schurr, Director, AboutKidsHealth

ABOUTKIDSHEALTH STRATEGIC ADVISORY BOARDGwen Burrows, Executive Director, Communications and Public

Affairs and Advocacy, Corporate Strategy and PerformanceRonald Cohn, Paediatrician-in-Chief, Department of PaediatricsLennox Huang, Chief Medical Officer and Vice President of

Medical and Academic AffairsPam Hubley (Chair), Vice President, Education and Academic

Practice and Chief, International NursingKaren Kinnear, Vice President, Clinical Doug Marynard, Associate Director, Canadian Association of

Paediatric Health CentresKelly McMillen, Director, Learning InstituteSarah Muttitt, Vice President and Chief Information OfficerJanice Nicholson, Director, Communications and Digital Media,

Communications and Public Affairs, Corporate Strategy and Performance

Sean Schurr, Director, AboutKidsHealthKaren Wong, Staff Surgeon, Plastic Surgery

ABOUTKIDSHEALTH EDITORIAL ADVISORY BOARDAdelle Atkinson, Staff Physician, Division of Immunology and

Allergy, Director, Postgraduate Medical Education - Department of Paediatrics

Susan Ball, Managing Editor, AboutKidsHealthMelanie Barwick, Senior Scientist, Child Health Evaluative

Sciences, Research Institute Gwen Burrows, Executive Director, Communications and Public

Affairs and Advocacy, Corporate Strategy and PerformanceWalid Farhat, Associate Surgeon-in-Chief of EducationMark Feldman, Director, Continuing Education, Department

of PaediatricsJeremy Friedman, Associate Paediatrician-in-ChiefJimmy Fung, Directory, PharmacyJonathon Hagel, Chief Resident (2017-2018)Pam Hubley, Vice President, Education and Academic Practice

and Chief, International NursingDaina Kalnins, Director, Clinical DieteticsKarima Karmali, Director, Centre for Innovation and Excellence

in Child and Family-Centred CareKelly McMillen, Director, Learning InstituteGenevieve Metropolis, Program Manager, User Experience and

Design, AboutKidsHealthSean Schurr, Director, AboutKidsHealthSuparna Sharma, Chief Resident (2017-2018)

EDUCATION COUNCILBonnie Fleming-Carroll, Associate Chief, Nursing & Inter-

Professional Education, Learning InstituteCarol Warren, Manager, Informatics Education, Information

Management & TechnologyDon Mabbott, Program Head, Neurosciences & Mental Health

Research ProgramEmily Louca, Education Manager, Learning InstituteGwen Burrows, Executive Director, Communications and Public

Affairs and Advocacy, Corporate Strategy and PerformanceJennifer Smith, Staff Physician, Paediatric Medicine DivisionJudy Van Clieaf, Vice President, Clinical and Chief, Professional

Practice and NursingKelly McMillen, Director, Learning InstituteLara Pietrolungo, Director, International EducationLennox Huang, Chief Medical Officer & Vice President, Medical

and Academic AffairsLyne Chamelot, Director, Organizational Development and Human

Resources Operations, Human ResourcesMelanie Barwick, Senior Scientist, Child Health Evaluative

Sciences, Research Institute Pam Hubley (Chair), Vice President, Education & Academic

Practice and Chief, International NursingRayfel Schneider, Associate Chair, Education, Department

of PaediatricsSarah Bovaird, Senior Manager, Learning InstituteSean Schurr, Director, AboutKidsHealthSimon Sharpe, Associate Chief, Research Training & Career

Development and Senior Scientist, Molecular MedicineSusan O’Dowd, Vice President, Human Resources and

Commercial ServicesTamsin Adams-Webber, Team Lead, Hospital Library and ArchivesTina Martimianakis, Education Researcher, PaediatricsWalid Farhat, Associate Surgeon-in-Chief of EducationWylie Burke, Interim Director, Hincks Dellcrest InstituteZelia Da Silva, Clinical Director, Neonatology & Respiratory Services

PROFESSIONAL SERVICE EDUCATORSSarah Alexander, Staff Physician, Haematology/OncologyKiran Bassi, Orthoptist, Ophthalmology ClinicJane Brettschneider, Speech Language Pathologist,

Speech PathologyDavid Brownstone, Professional Practice Lead, Social WorkDenise Carraretto (Co-Chair), Clinical Instructor,

Diagnostic ImagingPaula Carroll, Educator, Paediatric Laboratory MedicineLeanne Davidson, Clinical Educator, Respiratory Therapy, Critical

Care Unit, Respiratory TherapyRobin Deliva, Physiotherapist, Transplant, Rehabilitation ServicesAlison Dodds, Simulation Educator, Learning Institute

Bonnie Fleming-Carroll (Chair), Associate Chief of Nursing & Inter-Professional Education, Learning Institute

Sharon Guger, Psychologist, PsychologyMaggie Harkness, Occupational Therapist, Rehabilitation ServicesJoann Herridge, Registered Dietician, Critical Care,

Clinical DieteticsPaula Klaiman, Speech Language Pathologist, Speech LanguageMandy Kohli (Co-Chair), Technologist, Diagnostic ImagingAlicia Koo, Clinical Pharmacy Manager, PharmacyConstance Krajewski, Technologist, Diagnostic ImagingErin Lawson, Occupational Therapist, Rehabilitation ServicesSherna Marcus, Occupational Therapist, General Paediatrics,

Rehabilitation ServicesKimberley O’Leary, Professional Practice Lead, Child Life and

Creative Arts Therapy, Child LifeVicky Papaioannou, Audiology Practice Leader, Speech LanguageKaren Sappleton, Senior Manager, Child and Family Centred Care

and Health Equity, Centre for Innovation and Excellence in Child and Family-Centred Care

Anamaria Stanisic, Cardiovascular Perfusionist, Clinician Educator, Perfusion

Erin Vandeven, Interprofessional Education Specialist, Learning Institute

Cynthia Zhang, Clinical Manager, Rehabilitation Services

SIMULATION PROGRAM STEERING COMMITTEE Zia Bismilla, Staff Paediatrician, Paediatric Medicine Division;

Simulation Steering Committee Lead Fellowships and ElectivesRoger Correia, Simulation EducatorRita Damignani, Quality Analyst/Patient Safety Coordinator,

Quality Management; Simulation Steering Committee Patient Safety Representative

Alison Dodds, Simulation EducatorJessica Fernandes, Simulation and Resuscitation Educator Bonnie Fleming-Carroll, Associate Chief of Nursing and

Inter-Professional Education, Learning InstituteJonathon Hagel, Chief Resident (2017-2018)Pam Hubley, Vice President, Education & Academic Practice

and Chief, International NursingEmily Louca (Chair), Education Manager, Learning InstituteThomas McLaughlin, Chief Resident (2016-2017)Kelly McMillen, Director, Learning InstituteCarrie Mendolia, Administrative AssistantDarlene Murray, Interprofessional Education Specialist,

Diagnostic Imaging; Simulation Steering Committee Lead Quality and Safety, Quality Improvement

Elaine Ng, Staff Anaesthesiologist, Anaesthesia; Simulation Steering Committee Lead Quality and Safety, Patient Safety

Dimitri Parra, Interventional Radiologist, Diagnostic Imaging; Simulation Steering Committee Lead Professional Development

Katherine Reise, Clinical Educator, Respiratory Therapy


Jaffer Shaikh, Simulation SpecialistSuparna Sharma, Chief Resident (2017-2018)Seona Skeaff, Simulation EducatorRafael Velasquez, Simulation SpecialistCatharine Walsh, Education Researcher, Learning Institute;

Simulation Steering Committee Research LeadBrie Yama, Chief Resident (2016-2017)

STAFF CONTINUING PROFESSIONAL DEVELOPMENT FUND (SCPDF) ADVISORY COMMITTEESarah Bovaird, Senior Manager, Learning InstituteKaren Breen-Reid, Manager, Interprofessional Education,

Learning InstituteGwen Burrows, Executive Director, Communications and Public

Affairs and Advocacy, Corporate Strategy and PerformanceLyne Chamelot, Director, Organizational Development and Human

Resources Operations, Human ResourcesZelia Da Silva, Clinical Director, Neonatology and Respiratory ServicesSteve Fegaras, Manager, Business Applications,

Information ServicesJodi Hinds, Staff Continuing Professional Development Fund

Program Coordinator

Daina Kalnins, Director, Clinical DieteticsJeff Mainland, Executive Vice President, Strategy, Quality,

Performance and CommunicationsMary McAllister, Associate Chief, Nursing PracticeKelly McMillen (Chair), Director, Learning InstituteBarbara Muskat, Director, Social WorkJanice Nicholson, Director, Communications and Digital Media,

Communications and Public Affairs, Corporate Strategy and Performance

Ramune Pleinys, Executive Director, Research Operations, Research Institute

Anne Scofich, Clinical Director, Communication Disorders, Child Life, Creative Arts Therapy and Rehabilitation, Rehabilitation Services

Sandaruwan Siriwardena, Business Analyst, Learning InstituteBrian Smith, Director, Capacity Building, Centre for Global

Child HealthKelly Warmington, Senior Manager, Learning InstituteSylvie Wieler, Manager, Collaborative Technology Services,

Information ServicesGary Wong, Director, Facilities DevelopmentLindsay Wong, Director, Finance and Corporate Controller, Finance

Thank you to everyone who contributes to our exceptional learning culture at SickKids.

One that fosters resilience, keeping us buoyant in a sea of change and inspiring us

to get better at what we do every day. I am grateful to all of our collaborators who value education and contribute generously to the development of others. Together we

will strive toward our LI vision: Improve child health outcomes and systems of care worldwide through learning and education.

– Pam Hubley

Edited by Kelly McMillen

sickkids - hospital › learning › abouttheinstitute › vision-and-mi… · vice president,...

Documents