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ANNUAL REPORT

3333

Jan - Dec

2017

DEPARTMENT OF OTOLARYNGOLOGY-HEAD & NECK SURGERY

Max Rady College of Medicine Rady Faculty of Health Sciences

ANNUAL REPORT 2017

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Edited by:

Dr. P. Kerr

Ms. Y. Groshak

DEPARTMENT OF OTOLARYNGOLOGY – HEAD AND NECK SURGERY

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Table of Contents Facutly Member List ............................................................................................................. 3

Resident List ......................................................................................................................... 4

Mission Statement ............................................................................................................... 6

Departmental Head Report .................................................................................................. 8

Educational Reports ………………………………………………………………………………...10

Publications Faculty ............................................................................................................ 20

Book Chapters ................................................................................................................... 22

Podium and Presentations – Faculty ................................................................................ 23

Journal Reviewer/Editorial Board ..................................................................................... 26

University of Manitoba-College of Medicine-Faculty of Sciences Positions ......................... 28

National and International Committees and Service ............................................................. 30

Awards and Honours – Faculty and Residents .................................................................. 31

Departmental Resident Research Day 2015 ....................................................................... 32

Residents Abstracts/Poster Presentations .................................................................... 33

Visiting Professorships ...................................................................................................... 34

CPD Speakers .................................................................................................................. 35

Research Grants ............................................................................................................... 36

Departmental Committees ................................................................................................ 37

Organizational Structure ................................................................................................... 38

ANNUAL REPORT 2017

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University Faculty Members Professor: B. Blakley, MD, PhD, FRCSC Associate Professors: J. Hochman, MD, FRCSC P. Kerr, MD, FRCSC

Assistant Professors: M. Barker, MD, FRCSC L. Chan, MD, FRCSC L. Fishman, MD, FRCSC A. Frohlich, MD, FRCSC R. Gall, MD, FRCSC L. Garber, MD, FRCSC A. Gooi, MD, FRCSC J. Jones, MD, FRCSC D. Leitao, MD, FRCSC H. Levin, MD, FRCSC E. Meen, MD, FRCSC F. G. Osler, MD, FRCSC- D. Sutherland, MD, FRCSC N. Viallet, MD, FRCSC

Lecturer: A. Darnbrough, MD, FRCSC


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Residents PGY1 Michael Seaman Ciaran Lane

PGY2 Abdulrahman (Enzi) Alenezi Shubhi Singh

PGY3 Nicholas Tkaczyk Veronica Wong

PGY3/4 Aviva Fliker DaveRishi Pahwa

PGY4 Nicholas Janusz

PGY 4/5 Alexandra Thielmann

PGY5 Michael Gousseau

PGY6 – H & N Fellow Majed Aldorsari

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UNIVERSITY OF MANITOBA Department of Otolaryngology – Head and Neck Surgery Department Head Dr. P. Kerr

Postgraduate Director Dr. D. Sutherland

Undergraduate Director Dr. A. Gooi

Research Director Dr. B. Blakley

Director Continuing Professional Development Dr. J. Jones Cochlear Implant Program Co-Directorship Dr. J. Hochman

D. Leitao

Cochlear Implant Program Admin Director Mr. Justyn Pisa Director Simulation & Robotics Lab Dr. J. Hochman Postgraduate Education Assistant & Department Head Administrative Assistant Ms. Yvonne Groshak Department & Undergraduate Administrative Assistant Ms. Emi Okamoto Vestibular Lab Director Dr. B. Blakley Business Managers Mr. Eric Mann

Mr. Rob Ranson Section Heads: Health Sciences Centre Dr. P. Kerr

Children’s Hospital Dr. D. Leitao

St. Boniface General Hospital Dr. F. G. Osler

Victoria General Hospital Dr. M. Barker

Committee Chair holders: Executive Dr. P. Kerr

Postgraduate Dr. D. Sutherland

Undergraduate Dr. A. Gooi

Continuing Medical Education Dr. J. Jones

Research Dr. B. Blakley


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Mission Statement

The Mission of the Department of Otolaryngology–Head and Neck Surgery, College of Medicine, Faculty of Health Sciences, University of Manitoba is to provide professional leadership in all aspects of Otolaryngology – Head and Neck Surgery through its teaching,

research, and by providing exemplary clinical care. Clinical Care The clinical mission of the Department:

Provide Manitobans with compassionate, evidence based care with the best possible clinical outcomes in the clinical areas of general otolaryngology, neurotology, pediatric otolaryngology, rhinology, communicative disorders; sleep disordered breathing, facial plastic and reconstructive surgery, and head and neck oncology.

Play an active role in health care management and advocacy as they pertain to the specialty.

Provide care to remote communities in Northern Manitoba and Nunavut through the Northern Medical Unit.

Education The general educational mission of the Department:

- Provide fundamental skills and a basic understanding of otolaryngology to undergraduates, in-depth training of postgraduates, tailored education for allied health care professionals, and an environment of continuing medical education in Otolaryngology – Head and Neck Surgery.

The primary undergraduate educational goals:

- Provide fundamental knowledge and skills to medical students such that they are prepared to enter postgraduate training in the field of their choice and to introduce them to Otolaryngology – Head and Neck Surgery as a potential career.

The primary postgraduate educational goals:

- Provide residents with broadly based, in-depth training that will enable them to enter general Otolaryngologic practice, or enter advanced training in any of the

Otolaryngologic subspecialties. The Department provides a safe, collegial, academically stimulating environment for staff and trainees. Educational goals will be accomplished within the framework of the College of Medicine, Faculty of Health Sciences, University of Manitoba mission statement, and the accreditation standards of the Royal College of Physicians and Surgeons of Canada.

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Research The research mission of the Department is to produce scientific work that improves outcomes for our patients, improves the educational process for our trainees, and improves the administration and delivery of health care.


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Department Head Report Dr. P. Kerr I am very pleased to report on our department’s activities for 2016. The Department of Otolaryngology-Head and Neck Surgery, University of Manitoba continues to provide expert care to Manitobans including hearing restoration through cochlear implantation; management of nasal and sinus disorders with image guided endoscopic surgery; treatment of tumours of the head and neck with minimally invasive techniques such as endoscopic skull base surgery & laser micro-surgery; correction of voice and swallowing disorders using the latest techniques and materials; and advanced multidisciplinary care of pediatric ear nose and throat disorders. We provide leadership to the Medical College, University of Manitoba in advancing medical student education, and continue to train surgeons at the highest levels in a fully approved Royal College of Physicians and Surgeons of Canada residency training program. Our areas of research activity include functional outcomes in head and neck cancer, management of hearing loss and vertigo, and advancement of clinical training through our Robotics and Simulation Laboratory. I’d like to extend the warmest of thanks to all my colleagues and our support staff for their outstanding efforts over the past year. Some of the highlights for 2016 include: Clinical Program

The Department created a full time administrative directorship and welcomed Mr. Rob Ranson into this position. Mr. Ranson comes with a wealth of experience in process engineering from national consultation work with large corporations, and from running a technology company of his own. Mr. Ranson will be helping the department with projects such as: implementation of electronic records, improving institutional and regional clinical processes, and improving processes pertaining to the academic mission of the Department.

Dr. Darnbrough has further developed the voice and swallowing clinic at HSC to include early endoscopic vocal cord injection in the management of vocal cord immobility

Dr. Darren Leitao has stepped down as Section Head, Otolaryngology-Head and Neck Surgery. Under Dr. Leitao’s many years of leadership, Pediatric Otolaryngology-Head and Neck Surgery evolved to take on the full breadth of clinical activity for this subspecialty, establishing advanced programs such as cochlear implantation, and multidisciplinary care of complex airway pathology and neck tumours. The Department extends sincere thanks to Dr. Leitao as he moves into the portfolio of Undergraduate Medical Director, and extends a welcome to Dr. Jodi Jones who will take over as Pediatric Section Head.

The group of Drs. Barker, Chan and Gall continue to provide the core of expert general otolaryngologic care in the academic setting, also including some subspecialty exposure the residents in cosmetics, rhinology and laryngology.

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Dr. Jodi Jones has commenced endoscopic salivary gland surgery in children and adults, making Winnipeg one of the earliest adopters of this technique in North America.

Postgraduate Medical Education

Drs. Sutherland & Osler have actively been participating in the development of the RCPSC Competency Based Medical Education model for education which will be rolled out in 2017.

Our Department welcomed its second Head and Neck Surgical Oncology Fellow, Dr. Majed Aldosari, a McGill graduate.

Dr. Gall has teamed up with Plastic Surgery to expand the annual Resident Sinus Course to include formal surgical anatomy sessions for Plastic Surgery and OtoHNS residents that follows the Sinus Course.

Undergraduate Medical Education

Dr. Adrian Gooi continued to provide leadership within the Department, the College of Medicine, and the Canadian Society of Otolaryngology - Head and Neck Surgery, advancing the education of medical students. He continues to be recognized by the students as one of the top educators in the College. Unfortunately, Dr. Gooi relocated to B.C. to be closer to family at the end of the 2015-6 academic year. We will sorely miss Dr. Gooi’s always bright demeanor and outstanding ability to relate to students! Dr. Leitao has assumed the Undergraduate Directorship being vacated by Dr. Gooi.

Research

Dr. Brian Blakley continues to serve as our Director of Research. Our primary areas of focus remain hearing loss, functional outcomes after management of H&N cancer, and robotics and simulation.

Dr. Jordan Hochman continues to publish and establish inter-institutional collaboration with his Robotics and Simulation Laboratory at the HSC.

The Oncology team continues to publish on functional outcomes, and head and neck endocrinology, representing the department in the annual Poliquin Competition at the CSO-HNS.

Finally, a special mention for Dr. G. Osler who began a campaign to become the CMA president elect in 2017 in the fall. At the time of this writing, again, heartfelt thanks to all of those who have helped advance the Department over the past year!


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Educational Reports Postgraduate Director Report Dr. D. Sutherland Otolaryngology continues to work towards being in the first cohort

of Royal College programs to transition to Competency Based

Medical Education. Meetings of the Program Directors along with

the Nucleus Committee Members were held at The Royal College

in Ottawa. Locally we have held Rounds and meetings to discuss

implementation of the program.

Otolaryngology Resident Research day was held on May 12/13, with Dr David Schuler from

Ohio State University as Visiting Professor. A full day of local research was presented.

Three residents wrote the Royal College Otolaryngology-Head and Neck Surgery exams this

spring. Dr D. Khalil is pursuing a Head and Neck Surgery Fellowship in Ottawa, Dr A. Esmail

is pursuing a Facial Plastics Fellowship in Ohio, and Dr D. Wong has joined a Community

ENT practice in Nanaimo, British Columbia.

Two new residents will join us this July – Dr Shubhi Singh joins us from Dalhousie University,

and Dr. Enzi Alenezi joins us from Ireland where he completed his medical training.

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Undergraduate Director Report Dr. Adrian Gooi

Education

Transition to new UGME curriculum, now have had all 4 years in new curriculum

Incorporation of ENT into “Clerkship Academic Half-days” with very positive feedback, however, this might be removed in the future with the new curriculum.

ENT face-to-face time continues to be reduces, thus requiring different educational delivery methods

Full use of flipped classroom and interactive learning in instructional planning.

ENT continues to be a leader in innovation and online learning in UGME

Team Lead for tracheostomy education for American Academy of Otolaryngology – Head & Neck Surgery

Innovation

Examined student and faculty attitudes towards live-streaming

Examined best modality for assigned studies

Interprofessional initiatives with education sessions for Rural Family Medicine, Urban Family Medicine, Northern Family Medicine, Emergency Medicine, Dentistry, and internal Medicine. Very positive feedback on all sessions.

Examined Imposter Syndrome in medical students and residents Scholarship

Published and presented on e-learning, mobile audience response systems in CME, live-streaming, audience response systems in medical school


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Transition of UGME Director role to Dr. Darren Leitao

This year, we said farewell to Dr. Adrian Gooi, our previous UGME

ENT director, and announced Dr. Darren Leitao as the new UGME

ENT Director. We wish Dr. Gooi best wishes in his bright future in

academic medicine.

This year, the ENT department has continued the medical

education advances that were introduced over the past few years.

Didactic lectures are now streamlined and online. Instructors continue to utilize Top Hat

audience response systems to maximize student interaction and engagement in the

materials. We have continued the small group MCQ development sessions, encouraging

students to delve deeper into the material.

The ENT component of undergraduate medical education includes clinical simulation

learning opportunities, and takes a “hands-on” approach. Students interact with computer

simulations of the ear, nose and throat, and are exposed to various general and specialized

equipment, from nasal packing instruments, to Otoscopes, flexible endoscopy, and

tracheostomy. This year, the stations were modified and updated, to provide more

comprehensive skill development and checklists for the students.

We continue to see a small, steady group of medical students rotate through the ENT

department on electives, including both local and out-of-province medical students. Through

feedback received from these students, we are actively improving the electives to provide the

most diverse experience, while still providing consistency required for evaluations.

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Research Director Report Dr. Brian Blakley

The Department of Otolaryngology, has initiated some changes to

the research program intended to improve research output. The

main purpose of the residency training program is to train highly

competent clinicians, but part of this training requires the

development of sophistication about research and interpretation of

new findings on behalf of patients. Changes to the Research program has focused on

residents. These include increased;

1. expectations for faculty to be involved and more actively supervise research,

2. allowable block time for residents to perform research up to 3 months,

3. requirement for resident presentations four times during the residency,

4. potential funding for projects from Departmental sources,

5. didactic presentations about research.

Ongoing research collaborations with the Engineering Faculty are stronger with several

projects ongoing. Otolaryngology involvement in graduate student supervision is increasing

with participation in the Biomedical Engineering (BME) program of the University.


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Educational Reports

Director of Continuing Professional Development

Dr. Jodi Jones After taking a break for the Annual CSO meeting in Winnipeg in 2015, we held the 3rd Prairie Otolaryngology Weekend (POW) at Elkhorn Resort, August 19-21, 2016. Once again, this conference was fully accredited by the Royal College of Surgeons of Canada. The meeting featured great talks from several of our colleagues in Saskatchewan as well as Dr. Chrystyna Kalicinsky, local allergist and Dr. Paul Kerr, local Head & Neck Surgeon. The meeting was well attended and was a great success. As the next CSO Annual Meeting will be held in Saskatoon, we will not be holding the POW in 2017. Plans are underway to host 2018 POW in Saskatchewan. The Department of CPD in the Rady Faculty of Health Sciences underwent accreditation review in 2016. As a member of the Advisory Committee, I participated in the accreditation process. We are happy to announce that the Department received full accreditation by the reviewers with several exemplary areas. In 2017, new University of Manitoba policies for interactions with industry will be introduced.

Some significant changes include that CPD events supported by industry can no longer be

held in restaurants. In addition, physicians are to assume costs for food and beverage being

provided at non-accredited events. Registration fees must be charged for accredited events

which are supported by industry at a rate of $25.00 per hour of accredited learning.

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St. Boniface Hospital

Section Head Report

Dr. F. Gigi Osler The Section of Otolaryngology-Head and Neck Surgery (Oto-

HNS) at St. Boniface Hospital (SBH) provides care to

patients in the emergency department, outpatient clinics, and

inpatient units. There were over 4,000 patient visits to the Oto-HNS outpatient clinics and

over 1,100 patients treated in the main operating rooms for Oto-HNS procedures. SBH has

the province’s only CT-navigated sinus surgery system and the rotation continues to provide

outstanding Rhinology teaching to the residents under the expert guidance of Drs. Richard

Gall, Eric Meen and Gigi Osler. Dr. Mark Barker continues to provide the residency program

with Laryngology teaching and clinical expertise. Drs. Kerr, Sutherland and Viallet continue to

provide excellent head and neck surgical oncology teaching with many of Manitoba’s head

and neck surgical oncology procedures performed at SBH.

The hospital was first established in 1871 and has a long tradition of excellence and caring.

SBH strives to provide Manitobans with the highest quality health care possible by

anticipating and responding to community needs. As a leader in patient care, research, and

education, the hospital maintains the highest ethical standards, respects life and human

dignity, and is committed to the populations it serves.

St. Boniface Hospital is a tertiary care facility, a teaching hospital, and the second busiest

hospital in Winnipeg. The hospital campus is comprised of more than 180 departments and

services, which are located in seven separate buildings and situated on 20 acres of land. It

also operates several satellite facilities and maintains close relationships with other health

facilities as well as the health agencies of the Grey Nuns network.


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Surgical Hearing Implant Program

Medical Co-Director’s Dr. D. Leitao Dr. Jordon Hochman The Pediatric Cochlear Implant Program continues to provide high quality, timely care to children with deafness. The number of children receiving cochlear implants continues to increase. In 2016, 10 cochlear implantations were performed in children. The Cochlear Implant Program held a full day symposium for audiologists on cochlear implant technology. Dr. Darren Leitao led the symposium, and presented on cochlear implant surgery, and pediatric cochlear implant candidacy. Attendees were provided with hands on opportunities with cochlear implant devices, and the event was well attended. Manitoba introduced Universal Newborn Hearing Screening in September 2016. Our program is excited about what this means for improving the hearing health for children. We anticipate that this program will enable us to identify children who may benefit from cochlear implants at an even earlier age, which will improve the hearing and speech outcomes for these children long term. We expect to see further increases in children receiving cochlear implantation in the next 2-3 years. Hearing Implant Program Summary – Dr, Jordan Hochman 2016 has been a highly progressive year for the Surgical Hearing Implant Program. We continue to address the needs of patients who can benefit from implantable hearing solutions. We continue our mandate of furthering hearing related research with a substantial impact in simulation. Most significantly the WRHA and Health Sciences Centre are supporting increased implant activity in attempt to address patient wait times. We are thrilled and thankful for the endorsement. The Cochlear Implant Program completed 31 surgical procedures on 22 adult and 10 pediatric patients in 2016 implanting a total of 33 devices. There are currently 48 patients who have passed audiological candidacy criteria for surgery and are awaiting consultation for surgery, consistent with the previous year. The program continues to generate an approximate average of 3 new surgical candidates per month. The average waiting time for adult patients is now 19.8 months, which is an increase of 4.6 months from the previous year. The Cochlear Implant program has a caseload of approximately 177 active participants currently implanted and approximately 48 patients awaiting surgery. The program has a 44% binaural implant rate for pediatric patients and <1% for adult patients. There is no pediatric waiting list; however average pre-operative processing time (from diagnosis to surgery) is currently 7.1 months.

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Cochlear Implant Data

Bone Conduction Implant Data


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Surgical Hearing Implant Program Coordinator Mr. Justyn Pisa

PDF report available Detailed report available in office.

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Children’s Hospital Section Head, Pediatric Otolaryngology Dr. D. Leitao

Dr. J. Jones This year marked a transition in leadership within the Pediatric Otolaryngology section. After

12 years in the position, Dr. Darren Leitao has stepped down, and we are pleased to

announce Dr. Jodi Jones as the new Section Head. Dr. Jones completed her fellowship

training in 2009, and has been an active member of the department both clinically and

academically, for the past 8 years.

Key highlights this year have been the departure of Dr. Adrian Gooi, which reduced our

active otolaryngologists within the pediatric ENT section to six surgeons. The reduction in

surgeons this year has resulted in a spike in wait times for general Peds ENT consultations

and surgery. Wait times for specialized Peds ENT consultations, such as deafness, airway

concerns, or neck masses, continue to be expedited.

The Pediatric ENT section has secured new equipment for our clinical and surgical

programs. New microscopes with high definition camera technology and video monitors

have been acquired for the operating room and clinical environments. Specialized otologic

surgical equipment has been obtained to advance our department’s experience and

expertise in endoscopic ear surgery. New laryngoscopes have been obtained to allow

advanced endoscopic airway surgery in children.

The Pediatric ENT clinic at Children’s Hospital expects to see an increase in consultation

volume resulting from the recent introduction of the Universal Newborn Hearing Screening

Program.

In December 2016, Dr. Darren Leitao and Dr. Jodi Jones coordinated Manitoba’s first EXIT

procedure (ex-utero intra-partum treatment), along with Dr. Carol Sanders, (obstetrics and

gynecology). This highly complex procedure was performed for management of critical fetal

airway compromise, and involved collaboration with teams from Peds ENT, Obstetrics,

Neonatology, and Anesthesia. The procedure was successful, and has laid the groundwork

for further collaborations with these services for highly complex cases.


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Peer Reviewed Publications – Faculty 2017

The following list of accepted or published publications and presentations includes only work by faculty who hold a primary appointment in the Department of Otolaryngology and work by cross-appointed staff related to the core mission of this Department. Dr. Brian Blakley

Dr. Adrian Gooi Beaumont A, Gousseau M, Sommerfeld C, Leitao D, Gooi A. “Mobile Audience Response Systems at a Continuing Medical Education Conference.” Stud Health Technol Inform. 2017;234:24-28. Sandhu A, Fliker A, Leitao D, Jones J, Gooi A. “Adding Live-Streaming to Recorded Lectures in a Non-Distributed Pre-Clerkship Medical Education Model.” Stud Health Technol Inform. 2017;234:292-297. Gousseau M, Sommerfeld C, Gooi A. “Tips for Using mobile audience response systems in medical education”. Advances in Medical Education and Practice. Adv Med Educ Pract. ;2016(7):647-52.

Dr. Jordan Hochman Hochman J., Kazmerick K., Pisa J., Gentile, L., Unger B., “Contrasting Drill Technique in Cadaveric and Printed Temporal Bone Simulation” Otolaryngol Head Neck Surg. Submitted 2017 Hochman J., Pisa, J., West M., Butler J., Sulkers J.,.Impact of Pre-Implantation RadioSurgery on Cochlear Implant Performance in Patients with NF2 J Radio SBRT. 2017:5.1: 63-71. Hochman J. B. , Pisa J., Gousseau M., Mowat S., Westerberg B., Unger B., “ Simplified Summative Temporal Bone Dissection Scale Demonstrates Equivalence to Existing Measure”Otol Neurol. Submitted 2017

Dr. Darren Leitao Sandhu A, Fliker A, Leitao D, Jones J, Gooi A. “Adding Live-Streaming to Recorded Lectures in a Non-Distributed Pre-Clerkship Medical Education Model.” Stud Health Technol Inform. 2017;234:292-297.

Dr. Jodi Jones Sandhu A, Fliker A, Leitao D, Jones J, Gooi A. “Adding Live-Streaming to Recorded Lectures in a Non-Distributed Pre-Clerkship Medical Education Model.” Stud Health Technol Inform. 2017;234:292-297.

Dr. Paul Kerr

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Book Chapters – Faculty 2016 Dr. Adrian Gooi Smith RJ, Gooi A. “Etiology of hearing impairment in children” In: TePas, E (Ed.), Up To Date. (http://www.uptodate.com) Smith RJ, Gooi A. “Evaluation of hearing impairment in children” In: TePas, E (Ed.), Up To Date. (http://www.uptodate.com) Smith RJ, Gooi A. “Treatment of hearing impairment in children” In: TePas, E (Ed.), Up To Date. (http://www.uptodate.com)

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Podium and Poster Presentations 2017 Dr. Brian Blakley

Dr. Adrian Gooi

Dr. Jordan Hochman

Dr. Jodi Jones Management of the Draining Ear. Poster Presentation. Canadian Society of Otolaryngology-Head & Neck Surgery Annual Meeting, Charlottetown, PEI, June 2016

Dr. Paul Kerr Thielman A, Kerr PD, Sutherland D, Viallet N: Validation of Selective Use of Intraoperative PTH Monitoring in Parathyroidectomy. Poliquin Competition. 206 CSO-HNS Annual Meeting, Charlottetown, PEI

Dort J, Farwell G, Finlay M, Huber G, Kerr PD, et al: Consensus Review of Optimal Perioperative Care in Major Head and Neck Surgery with Free Flap Reconstruction – 5Multidisciplinary Approaches to Enhanced Recovery After Surgery. Accepted for podium presentation AHNS International Meeting, Seattle 2016

Panalist: Review of ATA Thyroid Cancer Management Guidelines; CSO-HNS Annual Meeting, Charlottetown, PEI

Dr. Darren Leitao Leitao D, Jones J, Blakley BW; Systematic Review of Respiratory Complications Following Pediatric Tonsillectomy for Sleep Disorder Breathing/OSA: - Head & Neck Surgery 69th Annual Meeting, CSO Meeting Winnipeg MB – June 2015

Leitao, D, Jones, J., Gooi, A:. Prevalence of Internet and Technology use among Families with Pediatric ENT Disorders. Canadian Society of Otolaryngology- Head & Neck Surgery 69th Annual Meeting; June 2015 Gousseau M, Sommerfeld C, Leitao D, Gooi A.: Introducing a mobile audience system at a national medical conference CSOHNS 2016 Annual Meeting. Charlottetown, 2016 June 11-14.

Dr. Eric Meen Moore P, Le T, Blakley BW, Meen E. : Hemorrhagic Stroke after Epley Maneuve Poster at Canadian Society of Otolaryngology-Head and Neck Surgery meeting, Charlottetown, June13-15, 2016.

Dr. Donna Sutherland Thielman A, Kerr PD, Sutherland D, Viallet N: Validation of Selective Use of Intraoperative PTH Monitoring in Parathyroidectomy. Poliquin Competition. 206 CSO-HNS Annual Meeting, Charlottetown, PEI


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Dr. Norbert Viallet Diehl T, Mascarella M, Fung K, Gooi A, Viallet N, Nguyen LHP.: Engaging Physicians in

CME: Learning Patient Safety Using Simulation:; American Association of Otolaryngology –

Head & Neck Surgery 2016 Annual Meeting.. Charlottetown, 2016 June 11-14.

Sommerfeld C, Scott G, Fung K, Nguyen LHP, Viallet N, Deutsch E, ffrench C, Gooi A. “Distributed Curriculum Development: Working Collaboratively on a Simulation Program for Continuing Professional Development at a National Conference”. Canadian Society of Otolaryngology – Head & Neck Surgery 2016 Annual Meeting. Charlottetown, 2016 June 11-14.

Thielman A, Kerr PD, Sutherland D, Viallet N: Validation of Selective Use of Intraoperative PTH Monitoring in Parathyroidectomy. Poliquin Competition. 206 CSO-HNS Annual Meeting, Charlottetown, PEI

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Journal Reviewer/Editorial Board Dr. Blakley Reviewer for - Otolaryngology-Head and Neck Surgery - Journal of Otolaryngology-Head and Neck Surgery - Otology and Neurotology - Laryngoscope - Archives of Otolaryngology

- BioMed Central (online journal from UK) - CMAJ - Plos One Grants reviewed:

- International Journal of Molecular Sciences - Agency for Healthcare Quality research(US-NIH group) - Canadian Institutes for Health Research (CIHR) 6 grants

Dr. Garber Reviewer for

- Journal of Otology and Neurotology - Otology and Neurotology

Dr. Gooi Reviewer for

- Journal of Otolaryngology – Head and Neck

Dr. Hochman Reviewer for:

- Oto-Rhin-Laryngology, Head and Neck Surgery - The Laryngoscope - Otolaryngology Head and Neck Surgery - Journal of Otolaryngology Head and Neck Surgery

Dr. Jones Reviewer for

- Journal of Otolaryngology – Head & Neck Surgery - The Cleft Palate-Craniofacial Journal

Dr. Kerr Reviewer for

- Journal of Otolaryngology – Head & Neck Surgery Dr. Leitao Reviewer for

- Journal of Otolaryngology – Head and Neck Surgery - Annals of Otology, Rhinology and Laryngology

Dr. Meen Reviewer for

- Laryngoscope - Journal of Otolaryngology-Head and Neck Surgery

Dr. Osler


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Reviewer for - Journal of Otolaryngology Head & Neck Surgery

Dr. Viallet Reviewer for

- Current Oncology (2 articles I the last 12 months

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University of Manitoba Max Rady College of Medicine

Rady Faculty of Sciences - Positions Dr. Brian Blakley Professor, Department of Otolaryngology Faculty of Medicine Promotions and Tenure Committee Chair: Department of Otolaryngology Promotions and Tenure Committee Internal Reviewer Graduate Orthodontic Program Thesis Advisory Committees

o Grant Rutherford – Electrical and Computer Engineering o Zeinab Dastgheib – Electrical and Computer Engineering

Dr. Andrea Darnbrough Lecture, Department of Otolaryngology Head and Neck Surgery

Team Leader, Adult tracheotomy team Dr. Les Garber Assistant Professor, Department of Otolaryngology Head and Neck Surgery

Dr. Adrian Gooi Assistant Professor, Department of Otolaryngology Head and Neck Surgery Director – Online Learning - Undergraduate Medical Education Director – Otolaryngology - Undergraduate Medical Education (ending June 30, 2016) Director - Educational Information Technology – Otolaryngology Mentor – Surgery Club

Dr. Jordan Hochman Associate Professor - Department of Otolaryngology Head and Neck Surgery Dept. Heads’ Council, College of Medicine

Dr. Jodie Jones Assistant Professor, Department of Otolaryngology Advisory Committee Member – Department of CPD, FHS Dr. Paul Kerr Head, Department of Otolaryngology-Head & Neck Surgery Fellowship Director – Head and Neck Surgical Oncology Fellowship (July 1, 2016)

Dr. Darren Leitao Assistant Professor, Department of Otolaryngology Head and Neck Surgery Member, UGME Progress Committee President, University Medical Group Program Director – Undergraduate Medical Education - July 1, 2016

Dr. Eric Meen Assistant Professor - Department of Otolaryngology Head and Neck Surgery Leadership Development Curriculum Committee,


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Dr. F.G. Osler Assistant Professor, Department of Otolaryngology – Head and Neck Surgery Wellness Committee, College of Medicine, University of Manitoba

Dr. Donna Sutherland Program Director – Department of Otolaryngology Head and Neck Surgery, Residency Program (-June 30, 2016)

Dr. Norbert Viallet Assistant Professor - Department of Otolaryngology Head and Neck Surgery (July 1, 2016) Fellowship Director – Head and Neck Surgical Oncology Fellowship (-June 30, 2016)

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National/International/Regional Committees and Service Dr. B. Blakley

- Canadian Chairman: Collegium Otorhinologicum Amicitae Sacrum (CORLAS) - Examiner – RCPSC Otolaryngology Exam Board - Member – RCPSC Examination Committee

Dr. M. Barker - Examiner – RCPSC Otolaryngology Exam Board Dr. R. Gall

- Course Director, Canadian Resident Sinus Course, Canadian Society Otolaryngology

- Examiner – RCPSC, Otolaryngology - Member of Specialty Committee for Otolaryngology, RCPSC - Member of the Surgical Foundations committee, RCPSC - Member of the Principles of Surgery committee, RCPSC

Dr. A. Gooi

- Canadian Otolaryngology Undergraduate Working Group (CSO-HNS) - Coordinator – Canadian Exam Bank in Otolaryngology (CSO-HNS)

- Medical Council of Canada Evaluation Exam - Test Committee (Surgery) - Member – General Otolaryngology Education Committee (AAO-HNS)

Dr. J. Jones

- Regional Rep, CSO-HHS - Site Leader - National In Training Exam

- Member, Pediatric Otolaryngology Working Group, CSO-HNS

Dr. P. Kerr - Member = Otolaryngology Specialty Committee, RCPSCs Dr. D. Leitao

- Member, Canadian Cochlear Implant Centres Group - Member, Pediatric Otolaryngology Working Group, CSO-HNS

Dr. F. G. Osler

- Chair, Continuing Professional Development Committee, Canadian Society of Otolaryngology-Head and Neck Surgery

- Chair, Global Health Committee, Canadian Society of Otolaryngology-Head and Neck Surgery

- Chair, Physician Health and Wellness Committee, Doctors Manitoba - Executive and Planning Committees, 2015 Canadian Conference on Physician Health - Advisory Committee, Canadian Physician Health Institute - Director, Canadian Society of Otolaryngology-Head and Neck Surgery Fund - Regional Advisory Committee (RAC) 2, Royal College of Physicians and Surgeons of

Canada Dr. D. Sutherland

- Member of the Competency Based Medical Education Committee of the Royal College of Physicians and Surgeons in the Specialty of Otolaryngology – Head and Neck Surgery


30

Awards and Honours - Faculty and Residents

Faculty Dr. Brian Blakley Nominated – One of the Top Reviewers – Laryngoscope 2016 Dr. Adrian Gooi AFMC John Ruedy Award for Innovation in Medical Education – The Association of Faculties of Medicine of Canada. National teaching award, nominated by the Office of the Dean, College of Medicine, University of Manitoba 2016 Manitoba Medical Student Association Teaching Award – Class of 2018 – Med I – Innovation “Recognizes a teacher who creates and develops learning experiences that are engaging and flexible” 2016 MMSA Teaching Award – Class of 2018 – Med I – Best Small Group, nominated 2016 MMSA Teaching Award – Class of 2017 – Med II – Innovation, nominated 2016 MMSA Teaching Award – Class of 2017 – Med II – Inspiration, nominated 2016 MMSA Teaching Award – Class of 2017 – Med II – Mentorship, nominated 2016 MMSA Teaching Award – Class of 2016 – Med III – Mentorship, nominated Dr. Darren Leitao President of UMG, November 2016. Principal Investigator for Industry-Sponsored Multicentred, International Randomized, double-blinded, Drug Research Study, Winnipeg Site. Awarded `$50,000 for project.

ANNUAL REPORT 2017

31

Department of Otolaryngology – Head & Neck Surgery Departmental Research Day May 12, 2016

RESIDENT/Students TITLE Supervisor

Diana Khalil

Safe and Efficient Management of Lateral Neck Mass – Evidence Based Proposed Algorithm

Viallet

Nicholas Janusz

Evaluation of G-CSF for Closure of Tracheoesophageal Fistula

Viallet

Paige Moore

Clinical Predictors of Chronic Rhinosinusitis

Meen

Dr. Veronica Wong

To What extent do E.N.G. findings predict rotary chair data and reflect rotary chair results?

Blakley

Aviva Fliker

Treatment Efficacy of Loxasperse-Budenoside Nasal Irrigation in Chronic Rhinosinusitis

Gall

Michael Gousseau *

A Novel Temporal Bone Dissection Scale for use I resident assessment and qualification

Darnbrough / Srinathan

Dr. Nicholas Tkaczyk

Retrospective Chart review of a cohort of Head & Neck Cancer Patients

Kerr/Myers

Amanjot Sandhu

Adding live=streaming to recorded lectures in a non-distributed pre-clerkship Medical Education Model

Gooi

Abde Sulieman

Investigating the feasibility of EVestG Assessment for Symptomatic Mild Traumatic Brain Injuries

Blakley

Michael Seaman Redox Consideration in the Earh

Blakley

Bryan Janzen

Comparison of item Analysis for Student-Generated vs. Faculty-Generated Multiple-Choice Questions

Gooi

Dorothy Yu

Optimizing Assigned Studies in Undergraduate Medical Education

Gooi

*Denotes Book prize winner


32

Residents Publications/Abstracts/Poster Presentations

Peer Reviewed Publications Sandhu A, Fliker A, Leitao D, Jones J, Gooi A. “Adding Live-Streaming to Recorded Lectures in a Non-Distributed Pre-Clerkship Medical Education Model.” Stud Health Technol Inform. 2017;234:292-297. Beaumont A, Gousseau M, Sommerfeld C, Leitao D, Gooi A. “Mobile Audience Response Systems at a Continuing Medical Education Conference.” Stud Health Technol Inform. 2017;234:24-28. Gousseau M, Sommerfeld C, Gooi A. “Tips for Using mobile audience response systems in medical education”. Advances in Medical Education and Practice. Adv Med Educ Pract. 2017;2016(7):647-52.

Poster Presentations

ANNUAL REPORT 2017

33

Visiting Professorships

Dr. Brian Blakley Western Canada & Territories Region Canada Pension Plan Dizziness and Disability Winnipeg, Manitoba March 15, 2016

Dr. Jodi Jones

World Voice Day Winnipeg, Manitoba Canadian Mennonite University April 2016 Pediatric hoarseness and dysphonia and Panelist McGill International Pediatric Airway Update Montreal, QC. May 2016

Kerr, P., MD, FRCPC Annual Resident Review Course Dalhousie University, Halifax, Jan 2016 Prairie Otolaryngology Weekend, Elkhorn Lodge, Clear Lake MB Aug 2016

Leitao, D., MD, FRCPC Toronto Endoscopic Airway Course University of Toronto Toronto ON October 20, 2016 Toronto Open Airway Surgery Course University of Toronto Toronto ON October 21, 2016 Manitoba Laryngology Symposium University of Manitoba Winnipeg MB April 2016


34

CPD Speakers

Schuller, David MD, FRCPC Professor, Department of Otolaryngology-Head & Neck Surgery Ohio State College of Medicine Creating a Cancer Free World The Head and Neck Oncology Program Ohio State University May 12th & 13th, 2016 Guest Presenter Resident Research Day

ANNUAL REPORT 2017

35

Research Grants 2016 Dr. Blakley

Targeting high Frailty Cancers(with Don Miller-Physiology Dept) o CIHR Innovation Grant o January 2016 o Amount: $100,000

Understanding Vestibular Test Results o HSC Foundation o May 2016 o Amount: $30,000

Dr. Darnbrough

Prospective investigation the incidence of vocal fold paralysis before and after thoracic surgery and evaluation of perioperative pulmonary complications

o Annual GFT Surgery Competition o Investigators: A. Darnbrough, Dr. Srinathan o Amount: $15, 000

Dr. Hochman Chimeric Temporal Bone. 2016

o Sonova Corporation o Hochman J., Unger B., Pisa J., o $128,000.00

Dr. Le ( Resident)

Mannitol and the Blood-Labyrinth Barrier o Granting Agency: Triological Combined Sections o Investigators: Le, Trung, Blakley,B. o Amount: 750.00 (US) 2015

Dr. Meen

Endoscopic Polypectomy performed in Clinic for chronic rhinosinusitis with polyps: The EPIC multicenter randomised controlled trial o Canadian Institutes of Health Research (CIHR) (competitive) o Kilty S (Nominated); Fergusson D o Co-investigator: Janjua A, Lee J, MacDonald K, Meen E, Micomonaco D,

Rotenberg B, Rudmik L, Sowerby L, Tewfik M, Thavorn K o 2016/7 - 2018/9 o $240,818


36

Department Committees Executive Drs. P. Kerr (Chair), M. Barker, D. Leitao, F. G. Osler, D. Sutherland

Postgraduate Dr. D. Sutherland (Chair), B. Blakely, L. Garber, D. Leitao, F.G. Osler, N. Viallet, Two resident representatives

Undergraduate Dr. A. Gooi

Continuing Medical Education Dr. J. Jones

Research Dr. B. Blakley

Standards Dr. F. G. Osler, Dr. N. Viallet, Dr. R. Gall, Dr. D. Leitao, Dr. E. Meen

Promotions and Tenure Dr. B. Blakley

Continuing Professional Development Dr. B. Blakley

Tracheotomy Team Lead Dr. Andrea Darnbrough University Medical Group Executive Committee Representatives Dr. Darren Leitao Dr. Donna Sutherland

ANNUAL REPORT 2017

37

Department of Otolaryngology-Head and Neck Surgery

University of Manitoba

Organizational Structure

DEAN

Head

Department of Otolaryngology-

Head and Neck Surgery

GFT Committee

Business Manager

Executive Committee

Section Head, Otolaryngology-Head & Neck Surgery

St. Boniface General Hospital


Victoria General Hospital

Section Head, Pediatric Otolaryngology-Head & Neck Surgery

Children’s Hospital


Health Sciences Centre

Postgraduate Director

Undergraduate Director

Postgraduate

Committee

Research

Director

Promotions

Committee

CME

Director

Doctors Manitoba

Committee

Dept of Otolaryngology-

Head & Neck Surgery HSC

Section of Otolaryngology-

Head & Neck Surgery SBGH


Head & Neck Surgery VGH


Head & Neck Surgery

Children’s Hospital

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