State of the Nation2015-2016

Neil Fleshner, MD, MPH, FRCSCProfessor and Chair

Martin Barkin Chair in Urologic ResearchDivision of Urology

Love Chair In Prostate CancerUniversity Health Network

We are …

UHN – TGH (PMH)Surgical and Critical Care

PMH Cancer ProgramCardiac

Multi-organ transplant

UHN – TWHNeurosciences

Medical and Community Care

MSK and arthritis

Mount SinaiWomen and infant’s

healthSurgical oncologyUrgent and critical

careInflammatory bowel

diseaseMSK disease

SLRISt. Michael’sCancer care

Children’s healthCritical care

Diabetes Emergency

Heart & vascularInner city healthMental health

MobilitySeniors health

Specialized complex careTrauma and neurosurgery

Women’s health

SunnybrookBrain sciencesMusculoskeletal

CancerHeart centre

Trauma, emergency, and critical care

Veterans and communityWomen’s and babies

Sick KidsBone health

Brain and behaviourCancer

Cystic fibrosisHeartPain

Transplant

Core Hospital Programs and Centres

Division of Urology Programs

Uro-Oncology

UHN, SB, HSC

Endourology & Stones

SMHNeurourology,

Reconstruction, Female Urology

SB, HSC, TWH

Andrology / Men’s Health

MSH/WCH

TWHTransplant

HSC

SMH

UHN

Pediatrics

HSC

MIS

UHN SMH, SB

HSC

General Urology

All hospitals

Robotic surgery

SMH, UHN, SB

Postgraduate Education• Divisional priority• Established educational program• Programmatic training• Graded responsibility• Surgeon Scientist Training Program• Evaluation process• Attention to work environment• Career planning and assistance

Residency Program – Teaching• Preclinical and clinical undergraduate teaching• Resident seminars (Urology School)

– Each Friday morning - mandatory– Curriculum covers entire field

• Journal club– New format this year

• Principles of Surgery Course • Surgical Skills Lab• Hospital divisional rounds and teaching• Basic Science Course • AUA In-Service Exam• QUEST exam• PGY 4 and 5 to AUA, CUA

PGY1• Dr. Alexi Millman• Dr. Douglas Cheung• Dr. Lex Wei• Dr. Imraan Nagdee

Highlights 2014-2015Academic Promotion

Dr. Dean Elterman

Dr. Jason Lee

Highlights 2014-2015

Successful Candidates RCPSC

Nathan Perlis

Tyler Gray

David Horovitz Monica Farcas Aziz Khambati

Highlights 2014-2015

Continuing Appointment Review

Dr. Jason Lee Dr Martin Koyle Dr Girish Kulkarni

Highlights 2014-2015• Dr. Darius Bagli

– Deputy Chief of Surgery Hospital for Sick Children– Staff Coordinator of Urology Resident Research – Invited visits Canada, USA– Basic research– CIHR Award – Environmental Microbe-Gene Interaction: Role of Host

Epigenetics in Chronic UTI• Dr. Armando Lorenzo

– Invited visits Canada, USA, Europe– Clinical research– Education - Surgical Skills Coordinator

Highlights 2014-2015• Dr. Martin Koyle

– Site Chief at Sick Kids– Successful CAR– Co-Editor CUAJ– 2nd edition of Pediatric Urology: Surgical Complications and Management– Clinical research in pediatrics– MSc in QIPs at HPME– Invited visits US, Australia

• Dr. Walid Farhat– Invited visits to Canada, US – Tissue engineering and basic bladder research– Pediatric Fellows Laparoscopy Course-Yr 8– “Best Reviewer” award J Urol– Nominated for PAIRO teaching award– VP in many places

Dr Farhat

Highlights 2014-2015• Dr. Keith Jarvi

– Director Murray Koffler Urologic Wellness Centre– Site Chief MSH– Invited visits Canada, USA– Basic research in infertility– Identification of biomarkers in semen– PI on 4 active peer reviewed grants

• Dr. Kirk Lo– Basic research in infertility: 4 active Peer reviewed grants– Vice President: SSMR– 2015 AUA Plenary Presenter– 2 new peer reviewed grants– Invited visits in Canada, USA– Co-ordinator Robson Research Day

Highlights 2014-2015• Dr. Alexandre Zlotta

– Invited visits Globally– PCC, CIHR and other grants in

prostate/bladder cancer– Co-PI: 1.3 million dollar CCSRI Impact– PI: Movember Grant on Transcriptomics– Major discovery in Prostate Cancer

• Dr. Ethan Grober– MSH and Women's College– CMAJ Guideline of TRT– Infertility research: Graduate teaching

coordinator (Urology School)– Invited visits Canada, USA– Wightman Berris Teaching Award– Microsurgical Innovation Grant PSI

Highlights 2014-2015• Dr. Sender Herschorn

– 23rd Urology Update– Invited visits in Globally – Past-President CUA and Chair if Uof T– General Secretary International Continence Scoiety– Research in incontinence, OAB– Chair Department Promotions Committee

• Dr. Laurence Klotz– Past President CUA – CURC, WUOF, International Urologic Research Society President– Grants: CCSRI, OICR, CURC, CPCRF, CIHR– Invited lectures globally– Harold C Warwick prize– Order of Canada– Canadian Academy of Health Sciences

•

Highlights 2014-2015• Dr. Ron Kodama

– Division Chief Sunnybrook – Basic Science Course for residents– Royal College Urology Examination Committee Chair– Faculty undergraduate teaching award

• Dr. Robert Nam– Clincial and basic research in prostate cancer– Invited visits in Canada and the US– CIHR, NCIC grants and awards– Canadian lead on NCIR-01 (co-I)– Vice-president medical staff Sunnybrook– Ajmera Family Chair in Urologic Oncology– Prostate Centre at Sunnybrook!– Faculty Post-Graduate Teaching Award- surgical

Highlights 2014-2015• Dr. Lesley Carr

– Journal Clubs– Autologous muscle derived cells for treatment of SUI in women J

Urol 2014 192(2)469-76.– Grant Cook Myosite: Phase 3 placebo controlled Muscle Derived

Cell injection for female SUI.• Dr. Vasu Venkateswaran

– CIHR, CPCRF, NCIC awards for prostatecancer basic research

– CIHR Masters award to graduate students– Graduate Coordinator – IMS

Highlights 2014-2015

• Dr. Andrew Matthew– Invited visits locally and internationally– Prostate cancer survivorship– CCSRI- 250K QOL grant– PCC/ MOVEMBER peer reviewed funding over 1.5 million!

• Dr. Bharti Bapat– Visits to Canada , USA– Gene regulation in GU– PCC Team Grant Lead Biomarker development 1.5 million– GAP Movember tumor grants

Highlights 2014-2015

• Dr Neil Fleshner– Professor/Chair– Chair: Canadian Uro Oncology Group– 12 active grants in prostate/bladder cancer– 1 new peer reviewed grants– Chair: GU Biobank– Visiting Professorships: USA, Canada, Australia, Europe

• Dr. Sidney Radomski– Chair SEC CUA– Best abstract award at AUA– Research in ED and incontinence

Highlights 2014-2015• Dr. Michael Jewett

– Wyeth-CIHR Clinical Research Chair In Oncology– KCRNC Chair—CIHR Award– Past Chair U of T– Invited visits globally– Past President CUA

• Dr. Rob Hamilton– Multiple grants in genomics of prostate cancer/testis– Global GAP Leader in Testicular Cancer (Movember)– MAS Jewett Postgraduate Lecture Award– Faculty Post-Graduate Teaching Award

• Dr. Michael Robinette– Kidney transplantation– Clerkship coordinator UHN

Highlights 2014-20145• Dr. Tony Finelli

– Industry and peer-review grants for RCC/prostate– Invited visits Globally– Toronto “Top Doctor”– UHN Site Chief-Elect– CCO- GU Cancer Clinical Lead– Co-Chair OHTAC Robotics Committee– Uro Oncology Dialogue lead

• Dr. Magdy Hassouna– Neuromodulation – clinical and research– Grant PSI: Novel Assessment Tool For Bladder Volume– Invited visits Globally (Switzerland)

HIGHLIGHTS 2014-2015• Dr. Girish Kulkarni

– Surgeon Scientist• Bladder cancer outcomes

– Successful CAR– Langer Award at Gallie Day– Medical Advisory: BCC– Faculty Post-Graduate Teaching Award

• Dr Dean Elterman– Graduated MSc, Clinical Epidemiology & Health Services Research,

Weill Cornell Graduate School – Invites: Israel, USA, Europe– First Green Light Laser at University– Numerous protocols in development

Highlights 2014-2015• Dr. John Honey

– Director of Endourology and Stone Centre at SMH– Invited visits Globally

• Dr. Ken Pace– SMH Division Chief– AUA Leadership Program – Invited visit to Canada, US, AUA workshop– Urology Fellowship Coordinator– “Complete Physician Award” SMH Board of Directors– Treasurer-elect NS-AUA

Highlights 2014-2015• Dr. Jason Lee

– Core curriculum for undergraduate education– Surgical education research– Robotic Surgery first UPJ Basic Skills

Training Course– CAR– First in-situ Robotic Autotransplant

Highlights 2014-2015• Dr. Robert Stewart

– Urology Program Director– Undergraduate Surgery Director at SMH– Surgical Director of Renal Transplant

• Dr. Michael Ordon– Established renal cryo ablation program– First author: Campbell/Walsh

• Fundamentals of Laparoscopic and Robotic Urological Surgery

Highlights 2014-2015• Patrick Harty Award for excellence in patient care

– Dr. Yonah Krakowsky

• Surgical Scientist Training Program– Dr Chris Wallis – Dr Madur Nayan – Dr Mitchell Goldenberg – Dr Keith Lawson– Dr Alaina Garbens

RESIDENT/FELLOW ACHIEVEMENTS

• Dr Hanmu Yan– DR Wilson award

• Dr Yonah Krakowsky– Sopman Humanitarian Award– Patrick Harty Award

• Dr Patrick Richard– Division of Urology Fellowship Teaching Award

BASEBALL MATCH!!

BASEBALL MATCH!!

STAFF 24 RESIDENTS 5

ROBSON RESEARCH DAY 2015• Visiting Professor: Dr Peter Albertsen, • Prize Winners:

– Outstanding Fellow: Frank Penna, Aidan Noon, – Outstanding Resident: Madhur Nayan– Peoples Choice : Chris Wallis, Jaiman Bhatt, Michelle Mayer– Outstanding Trainee/Graduate Student:

• Shivani Kamdar• Andrea Svaio

MEETINGS• PMH Uro-Oncology Dialogue

– Sept 12th, NOTL• Urology Update

– October 30-31st, Toronto Hilton Hotel• Men”s Health Summit

– January 16th 2016 Thompson Hotel• ICPC

– Whistler BC

MAJOR EVENTS/INITIATIVES THIS YEAR

• Passed with Internal Review in 2 years• Issues:

– Workload / Education Ratio– Fellow / Resident interaction– Junior surgeons to the O.R.

• Royal College Review—October 7th

Dr. Serge Carrier, McGill UniversityDr. Brian Clapson, University of SaskatchewanResident representative: Dr. Natasha Snelgrove, McMaster University

DIVISIONAL WEBSITE

• Helen Rubtsov– AR Studios

Events 2015-16 REVIEW• October

– Canadian Senior Resident Uro-Oncology Course

– Urology Update– Royal College Review

• November– AUA In-Service Exam– OKAT exam– Retreat (CBE)

• January – Mens Health Summit

(17th)

• February– Basic Science Review Course– Quest– ICPC– Menkes Lecture:February 19th

• March/April– Robson Research Day: April

• Spring– AUA May 15-19th, – CUA June 28-30th

DIVISIONAL LEADERSHIP• Neil Fleshner Chair

– Ken Pace Site Chief SMH– Ron Kodama Site Chief SH– Keith Jarvi Site Chief MSH– Martin Koyle Site Chief HSC– Darius Bagli Research projects– Rob Stewart Program Director– Ethan Grober Program Director- undergraduate

• Armando Lorenzo Surgical Skills Lab Coordinator• Ethan Grober Undergraduate Education Coordinator• Lesley Carr Journal Clubs• Kim Moffat Divisional Administrative Assistant• Ken Pace Fellowship Affairs

QUESTIONS???