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Dialogue - 2017

Canada’s opioid crisis – our role

Stories of opioids addiction and overdoses

Stories of opioids addiction and overdoses have been front and centre in the media over the past year. Yet, when prescribed safely, opioids can better the lives of our patients; an estimated 15-29% of Canadians experience chronic pain (Fischer & Argento, 2012).

As specialists, many whom prescribe opioids to manage acute and chronic pain, what can we do to improve our knowledge of opioids prescribing?

Here’s an overview of the Royal College’s activities on this file summarized under three main themes:

  1. Patient safety
    • We believe everyone (physicians and patients) has a role to play in in promoting and maintaining health, while lessening preventable harms associated with opioid usage.
    • Prevention begins with supporting education activities for Fellows on safe prescribing practices, which informs patient education.
    • We are piloting a web-based tool for assessing physicians-in-practice on their competency in prescribing medications.
    • Currently, Canada has no mechanism for assessing this competency. To bridge this knowledge gap, we are collaborating with the British Pharmacology Society, using their expertise and technology in web-based assessment of prescribing competencies.
  2. Commitment to Fellows and residents
    • In late November, a Royal College delegation was invited to participate in an Opioid Conference and Summit in Ottawa, hosted by the Honourable Jane Philpott, Federal Minister of Health, and the Honourable Eric Hoskins, Ontario Minister of Health and Long-term Care.
    • During this summit, we committed to several items:
      • Develop a Royal College statement of principles on safe opioid prescribing. We are on track to present this to the Executive Committee of Council next month.
      • Create a central online catalogue to host educational and practice-related reference resources, accessible to all Fellows and residents. These resources, sourced nationally and globally, will focus on the medical and surgical dimensions of safe opioid prescribing and provide users with the tools needed to keep their competency updated.
  3. Participation as a member organization of the Pan-Canadian Collaborative on Education for Improved Opioid Prescribing (led by the College of Family Physicians of Canada)
    • In addition to creating the online catalogue, we will be reaching out to Fellows who manage patients with acute or chronic pain, to determine what they need from us in terms of training and education.

Do you have questions about our activities? Email us at healthpolicy@royalcollege.ca or visit our Safer Opioids webpage.

External links


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President’s Corner: The future is looking bright

Royal College President

My time as Royal College President, these last two years, has been the most rewarding of my career. As this time comes to a close, I have been reflecting about what we have achieved together and giving some thought to what the future holds.

Here are a few random observations:

Competence by Design (CBD): I continue to be tremendously invigorated and optimistic about our move to a competency-based medical education paradigm. What excites me most about the change is the potential for it to liberate our teachers and educators to explore different structures and ways of organizing curricula to make training more flexible and better adapted to the needs of individual residents and programs. It has taken us longer than we had expected to reach the important milestone of having our first disciplines launched, but Otolaryngology - Head and Neck Surgery and Anesthesiology are launching CBD nationally this summer. The extra time it has taken to get to this point has been put to good use. Thanks to our many partners, most importantly the Faculties of Medicine and their PG Deans, we have together clarified and matured the vision for CBD and I look forward to learning from the experiences of our pioneering disciplines. We welcome your thoughts on this important initiative and encourage you to learn more and get engaged. More information is available at www.royalcollege.ca/rcsite/cbd/competence-by-design-cbd-e

Indigenous health: Addressing the marked inequities in health outcomes for Indigenous Peoples has been an area of priority for the Royal College. Our Indigenous Health Advisory Committee, under the leadership of Dr. Thomas Dignan, has directed our efforts since 2011. The release of the calls to action by the Truth and Reconciliation Commission (TRC) in the summer of 2015 only served to intensify our focus on this important area. Our Council has endorsed the TRC’s Calls to Action and committed the Royal College to work specifically on recommendations 18-24 that focus on health. We now explicitly recognize Indigenous lands at our Council meetings and major meetings. In addition, we are working to explore better integration of cultural safety into our residency and CPD programs, working with partners to develop practice education and practice resources on Indigenous health as well as to tackle oppressive and racist behaviors amongst physicians. I am proud to see the leadership on this file that our college has assumed. You can find out more at www.royalcollege.ca/rcsite/health-policy/initiatives/indigenous-health-e

International initiatives: One of the most eye-opening aspects of the presidency for me was to get to see first-hand the high regard there is for our Royal College around the world. Over my term, I have traveled to meetings in six of the seven continents and have witnessed a real growth in international collaborations. These include mature partnerships with established sister colleges such as in the USA and Australasia, as well as humanitarian/development work in places such as Haiti and Nepal, and initiatives in the Gulf States, South America and China. I am convinced that this work greatly strengthens our reputation internationally, provides our educators opportunities to gain experience in other locales and systems, and greatly strengthens our influence in medical education on the world stage. A concrete example of our reach is CanMEDS, which has been adopted by countries on five continents and educators from 14 different countries contributed to its most recent iteration. You can learn more about our international programs at www.royalcollege.ca/rcsite/international/about-royal-college-international-rci-e

Strategic plan: Our current strategic plan (2015-2017), “The goal that matters most,” guides or work (including the initiatives listed above). We are have initiated the first steps in the development of our next plan to direct work from 2018-2021. In the months to come, we will be reaching out to you, our Fellows, as well as to a broad array of system partners to seek your advice on direction and priorities for the future. Please look for the invitation to submit your input and consider sharing your thoughts.

I’d like to end by thanking you for the opportunity to serve as your President for these past two years. I look forward to working with Françoise Chagnon, who takes on the mantle this month, and who I know will bring tremendous energy and clear thought to the role. I want to thank the Council of the Royal College who so ably set the direction for our organization, and to the countless volunteers who give so generously of their time in the service of our profession and of Canadians. I’d also like to thank the truly superb staff of the Royal College under the direction of our CEO, Dr. Andrew Padmos, without whom we could not execute on such an aggressive agenda.

See you around!

Kevin
@kimrie


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MOC Tip of the Month
By Frédéric Bernier

Turn your presentations into Section 2 & 3 MOC credits

MOC Tip of the Month - By Dr. Frédéric Bernier

Developing and delivering a presentation is a launch pad to a surprising number of learning opportunities in the MOC Program. Many of the activities you automatically do to get ready for a presentation can be claimed as self-learning credits. And, if you’re presenting at a conference, their built-in evaluation system makes it easy to top off your experience with additional assessment credits.

Load up on Section 2 with your pre-work

As you prepare your presentation, you’ll likely spend some time researching answers to specific questions. Did you know that you can claim 0.5 credits per activity for literature searches in Medscape, UpToDate and DynaMed? The hours you spend reading books, chapters, journal articles or journal volumes also have various credit ratings. (Tip: If you’ve read many journal articles, save yourself some time by recording their titles in the Bulk Journal Reading Transcript and uploading that into your MAINPORT ePortfolio).

Max out on Section 3 post-presentation

After your presentation, use the feedback from your audience to reflect on your performance:

  • What elements went well and what do you want to repeat in future presentations?
  • What elements do you want to improve or discontinue?

For conference presentations, take note of the comments on your conference evaluation forms. With this feedback, you can evaluate your initial considerations to see if any elements need to be addressed. If so, this is the perfect time to decide on a plan of action, which may include even more continuing professional development.

If you don’t have access to any formal evaluation forms, you can still reflect on your performance. The time you spend doing this, for example, reviewing what audience feedback you have and revising your initial reflection, can be claimed as a Section 3 Practice Assessment for three credits per hour.

Note that credits can only be claimed for new learning activities. The time you spend making slides for a presentation is therefore not eligible for MOC Program credit. The same is true for actually delivering the presentation. Be sure the time you enter in your MAINPORT ePortfolio is only for your new learning.

I encourage you to think creatively about how you prepare and reflect on your presentations. Make those efforts work for you.

 

Email Frederic

Contact your local CPD Educator

Fellow readers, do you have a MOC tip that you would like to share with others?

Call for MOC tips: Share "what works" for you
Big or small, we'd love to hear them all. Send us your tip!


 

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Canadian Diagnostic Radiology training recognized by UK regulator

Canadian Diagnostic Radiology training

Canadian training in Diagnostic Radiology received General Medical Council (United Kingdom) recognition in November 2016. The council recognized this training as meeting its requirements as an Acceptable Postgraduate Qualification (APQ). Being recognized with an APQ is one way to provide evidence of knowledge and skills, as part of the requirements to obtain registration with a licence to practice in the United Kingdom.

Learn more about the General Medical Council’s APQs.

Greater recognition of Canadian training abroad

The application to recognize Canadian training in Diagnostic Radiology was submitted to the General Medical Council by the Royal College of Radiologists in the United Kingdom, following a collaborative process with our Royal College. This process provided us with invaluable experience and insights into the route for attaining APQ status.

Staff in our Membership and Specialty Education departments is currently exploring options for future applications in other disciplines. In particular, our Fellowship Affairs Committee has already identified greater recognition of Canadian training standards abroad as an important initiative. The committee intends to pursue an initial, specific focus on recognition of Canadian training in certain disciplines, in the United States and in the United Kingdom.

Questions and comments are welcome at fellowshipaffairs@royalcollege.ca.


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The best MedEd podcast you’re not listening to?

Healthy debates on the state of educational literature

You may have heard of our KeyLIME podcast series, but have you tuned in recently? Not only can you can earn MOC credits under Section 2 for each podcast, but you can stretch your mind by tuning in to debates on hot topics.

Listen to KeyLIME if you like

  • healthy debates on the state of educational literature, or
  • broad-theme discussion on health professions education or other themes of importance (including ways the research might impact medical education practice).

Check out our podcast library | www.keylimepodcast.com

Fun fact! Our KeyLIME co-hosts love to hear back from listeners – whether or not they agree with their reviews. A few times they have even heard back from article author(s) — some of whom have recorded rebuttals, which we’ve posted as special mini episodes.

What is KeyLIME?
Every two weeks, co-hosts Dr. Jason R. Frank, FRCPC (The Royal College), Dr. Linda Snell, FRCPC (McGill) and Dr. Jonathan Sherbino, FRCPC (McMaster) dip into literature in medical education from around the world and offer their review of an important article.

Structure of an episode:

Length:

  • Approximately 20 minutes per episode

Elements:

  • Examination of the theme.
  • Review of the methodology.
  • Deliberations on the implications of the findings.
  • Final feedback from co-hosts.
  • Article rating (a high rating means the co-hosts think it belongs in the health professional’s medical education library).

Benefits:

  • Earn Section 2 MOC credits.
  • Gain new insights into your work, expand your mind and possibly spark new ideas for further reflection and/or learning.

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Meet three Fellows we're investing in

Medical education literature

A pathologist, a pediatrician and a plastic surgeon are the newest recipients of our Robert Maudsley Fellowship for Studies in Medical Education. This fellowship helps specialists acquire knowledge and skills to develop educational programs, evaluation methods and research that apply to any phase of the continuum of medical education as they advance their careers as medical educators.

Presenting our Maudsley Fellowship recipients for 2017

Find out (in their own words) how our new recipients’ research projects will inform and shape the field of medical education. Note: Quotes have been abbreviated. To read them in full, please visit our grant recipients’ page.

Marcio Gomes

This work is important to medical education because pathology training in Canada and worldwide is lagging with regard to the introduction of competency-based medical education, and there are no specific workplace tools for assessing technical skills in pathology and laboratory medicine. […] The idea of this study is to introduce assessment-for-learning tools in pathology training, and in particular to do so with regard to the assessment of intra-operative pathology.

– Marcio Gomes, MD, PhD (sciences), FRCPC, MHPE Candidate (Staff pathologist, The Ottawa Hospital)
project: “Workplace Assessment of Pathology EPA's”

 

Jennifer Tam

A clinical competency committee (CCC) is a group tasked with assessing the progress of each resident in a residency program, with the goal that the resident will be able to practice independently upon program completion. […] The Paediatric Infectious Diseases training program in Toronto has had a CCC since 2008. This provides a valuable opportunity to examine a CCC in Canada using a method called ‘instrumental case study’ to reveal what works, what does not work, and why. …This study will help the Royal College and residency programs develop effective CCCs to guide the training of our future doctors.

– Jennifer Tam, BSc (Pharm), MD, FRCPC (Subspecialty resident, Division of Infectious Diseases, Department of Paediatrics, The Hospital for Sick Children)
project: “Clinical Competency Committees: Using Qualitative Methods to Explore What Works and Why”

 

Claire Temple Oberle

…microsurgery is the backbone of reconstructive plastic surgery. Present micro-courses and workplace learning may not foster mastery learning nor provide an environment conducive to deliberate practice. Leveraging a new simulation centre at the University of Calgary, a revised curriculum has been developed ….insights gained will provide measurable behaviours and assessment instruments that could underpin the move toward competency-based surgical education in microsurgery.

– Claire Temple-Oberle, BA, MSc, MD, FRCSC, MMEd Candidate (Professor, Divisions of Plastic Surgery and Surgical Oncology, University of Calgary)
project: “A Curriculum for Microsurgical Skills”


 

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Read the paper that won our History of Medicine Essay Prize for 2017

Winning essay

Congratulations to Alexander Dyck, our 2017 Charles Peter W. Warren History of Medicine Essay Prize winner. He won for his paper entitled, “Patients, Politics and Psychiatric Classification at Weyburn Mental Hospital: 1921-1948.”

Read the winning essay.

Alexander is a resident in Psychiatry at the University of Alberta. He was awarded a Hannah Studentship from the Associated Medical Services to work with historian Erika Dyck while attending medical school at the University of Saskatchewan. He has presented on this project to the Canadian Society for the History of Medicine and the Alberta Psychiatric Association. As a medical student, he also co-founded the Health Innovation & Public Policy Initiative (HIPPI), which continues to host a popular annual conference on the future of health care in Canada. Originally from Regina, Sask., Alexander holds a Bachelor of Music degree in piano from McGill University, where he was a Schulich Scholar.


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Call for nominations: Prix/Specialist and Mentor of the Year awards

Fellow practising

We’re seeking nominations for our regional Prix d’excellence-Specialist of the Year and Mentor of the Year awards for 2017. Please help us spread the word!

If you have an exceptional colleague whom you would like to recognize, please review the award details and submit your nomination package before the March 10 deadline.

These awards are open to all Royal College Fellows working in any practice setting (e.g. community, private practice or academic). For both awards, one recipient is selected from each of the Royal College’s five regions.

 

Prix d’excellence-Specialist of the Year

This award recognizes Fellows of the Royal College who have made significant contributions in providing outstanding care to their patients and to the community in which they practice. The nominee must be a role model for excellence in patient care.

Nomination deadline: March 10, 2017 (Award guidelines and nomination form)

Mentor of the Year

This award recognizes Fellows of the Royal College who have had a significant impact on the career development of students, residents and/or other Fellows. The nominee must have demonstrated his or her ability to be an excellent role model in demonstrating the qualities or competencies of Leader, Scholar and Professional (as described in the CanMEDS Framework).

Nomination deadline: March 10, 2017 (Award guidelines and nomination form)

For more information


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Last call: Apply for a research grant by March 2, 2017

ams-merg

Medical educators and fulltime researchers: Thursday, March 2, 2017, is the deadline to apply for two categories of Royal College research grants that support exceptional research to advance and improve medical education and patient care.

Please note: In order to be eligible for either of these grants, a Royal College Fellow must contribute to the research project.

Medical Education Research Grant (MERG)

(Value: $5,000 up to $50,000)

This grant supports quality research in postgraduate medical education and continuing professional development. (Full details and the MERG application form)

Royal College & AMS/Phoenix Call-to-Caring Funding *Special call*

(Value: Up to $25,000)

This special call seeks to fund projects that use the CanMEDS Framework to instill and sustain compassion, empathy and professional values in health professionals’ learning and work environments. (Full details and the Royal College-AMS/Phoenix application form)

For more information


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Calls for abstract, workshop and award proposals (closing soon)

Conference call

We’re seeking submissions for our annual conferences, which each year attract hundreds of health professional educators from around the world. Consider submitting a proposal to showcase your work, but hurry – the first deadline is coming up on March 3, 2017.

2017 International Conference on Residency Education

This conference brings together clinical educators and physicians to share ideas, challenges and to advance training. Last year’s conference attracted over 1,500 registrants from more than 30 countries. The 2017 event will be held in Quebec City, Canada, October 19-21, under the theme “Leadership and Change in Residency Training: A Call to Action.”

Call for abstracts: Research
(Deadline: March 3, 2017)

Abstracts in this category should describe medical education research. Abstracts therefore need to include a research question and data (quantitative or qualitative). (Research abstracts: instructions and submission form)

Call for abstracts: What Works?
(Deadline: March 3, 2017)

Abstracts in this category must describe innovative, educational techniques and tools for residency education. Abstracts must describe teaching or assessment methods for one or several of the CanMEDS Roles or other competency frameworks. (‘What Works?’ abstracts: instructions and submission form)

Call for abstracts: Quality Improvement Project
(Deadline: March 3, 2017)

Abstracts in this category must describe and/or evaluate improvement projects, either led by residents or carried out in a residency training clinical environment; projects must address quality of care, patient safety and/or resource stewardship. (Quality Improvement Project abstracts: instructions and submission form)

Residency education award nominations
(Deadline: April 7, 2017)

For more information


2017 Simulation Summit

This inter-professional conference brings together simulation educators, researchers and a wide-range of other health care workers to explore cutting-edge simulation research, learning and practice. The 2017 event will be held in Montreal, Canada, from November 1-2.

Call for workshop proposals
(Deadline: April 17, 2017)

Proposals related to simulation-based learning from a variety of contexts, settings and perspectives, will be considered. (Workshop proposals: instructions and submission form).

Call for abstracts
(Deadline: May 15, 2017)

The abstract review committee is seeking submissions that present rigorous scholarly work, and advance knowledge of simulation-based education and assessment, broadly. Abstracts must fall under one of two categories: research or innovation. (Abstracts: instructions and submission form).

Note: Researchers with less than five years of experience may be considered for a special “Emerging Investigator Presentation” showcase of their work

For more information


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Honouring the legacy of two Royal College Past Presidents

Coat of arms

This winter, the Royal College lost two extraordinary individuals: Past President Dr. Jean Couture on December 16, 2016, at age 92; and Past President Dr. Donald R. Wilson on January 4, 2017, at age 99.

Jean Couture, CM, MD, FRCSC (1924-2016)
Royal College President, 1984-1986

Dr. Jean Couture

The Royal College was privileged to have Dr. Jean Couture serve as its President from 1984 to 1986, a tenure during which he championed involvement in health and public policy, and promoted a stronger francophone point of view within the organization.

In addition to his extensive work with the Royal College, Dr. Couture was appointed a Member of the Order of Canada for his many contributions to specialized training in medicine and surgery, as well as his efforts to establish quality standards for Canadian hospitals. He also leaves behind a legacy in China. During his retirement, he led an international cooperation project (with l’Université Laval) that established an Oncology Unit at the Jilin University - Norman Bethune College of Medicine (formerly, Norman Bethune Medical University) in Changchun, China.

Dr. Couture was formerly head of the Department of Surgery, l’Hôpital du Saint-Sacrement, and director of the Department of Surgery, Laval University.

Information on donations and condolences can be found through Lepine Cloutier/Athos.

Donald R. Wilson, OC, MD, FRCSC (1917-2017)
Royal College President, 1988-1990

Dr. Donald R. Wilson

The Royal College was honoured to have Dr. Donald R. Wilson serve as its President from 1988 to 1990. In addition to being a former director of the Royal College’s R.S. McLaughlin Examination and Research Centre, Dr. Wilson later led an initiative that served as a foundation from which emerged the CanMEDS program. This framework was later integrated into the Royal College’s accreditation standards, specialty training documents, final in-training evaluations, exam blueprints and the Maintenance of Certification Program. His foundational contributions helped to initiate what would become the most widely-accepted and applied physician competency framework in the world.

Dr. Wilson was invested as an Officer of the Order of Canada in 1981. In 2013, together with Associated Medical Services Inc. (where Dr. Wilson also formerly served as President) the Royal College co-established the Royal College/AMS Donald R. Wilson Award to recognize his legacy in medical education. Since its inception, four medical educators have been bestowed with this award.

Dr. Wilson was formerly Surgeon-in-Chief at Toronto General Hospital and a professor and chair of the Department of Surgery, University of Toronto. The renowned Wilson Centre was named in his honour.

Information on donations and condolences can be found through the Heritage Funeral Centre.


 

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Members in the news

Doctor walking down a hospital hallway

By not exposing immune systems to certain types of bacteria, the gut is not being able to be populated with a normal healthy composition of good and bad bacteria.

– Eric Benchimol, MD, FRCPC (Pediatrics, Gastroenterology)
Quoted in “Inflammatory bowel diseases surge among Canadian kids
(CTV)

 

Nobody could really figure out what was going on inside the body. They had a hunch that anatomy was important, but chest diseases were the No. 1 killer, and the chest is a rigid box that doesn't yield any of its secrets.

– Jacalyn Duffin, MD, FRCPC Ret’d (Hematology, Internal Medicine)
Quoted in “As the stethoscope turns 200, is the iconic device becoming obsolete?
(CBC)

 

This novel approach, to use blood testing of metabolites as a diagnostic tool for concussions, was exploratory and we were extremely pleased with the robustness of our initial results.

– Douglas Fraser, MD, FRCPC (Critical Care, Pediatrics)
Quoted in “Canadian researchers say they’ve developed a blood test to check for concussions
(The National Post)

 

The services we offer are acute diagnosis and we put patients on evidence-based management techniques. We are seeing tremendous results with meditation.

– Neilank Jha, MD, FRCSC (Neurosurgery)
Quoted in “Private concussion clinics called a 'Wild West' of unregulated treatment
(CBC Health)

 

I've seen veterans who it's taken years for them to be able to attend a Remembrance Day ceremony because it triggers them so much and it brings back their own memories.

– Ruth Lanius, MD, FRCPC (Psychiatry)
Quoted in “The anxiety and stress Remembrance Day holds for many damaged soldiers
(Toronto Sun)

 

We were a bit surprised. It’s a sizeable difference.

– Jonathon Lee Maguire, MD, FRCPC (Pediatrics)
Quoted in “Which milk is healthiest for kids? New study suggests it isn't skim
(CTV)

 

It’s not just a bad news story in the sense that maybe more (children) are getting drugs — there might actually be people getting better access and doctors catching (mental health problems) earlier.

– Zakaria Tadrous, MD, FRCSC (Opthalmology)
Quoted in “Canadian children now take far more mood-altering drugs, prescription count shows
(The National Post)

 

When you get an experimental therapeutics, we want to make sure that we're not causing harm

– Lorne Zinman, MD, FRCPC (Neurology)
Quoted in “Patients demand 'right to try' experimental treatment
(CTV)


 

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In memoriam

Stethoscope

Ralph Creswell Arrowsmith, MD, FRCPC, died on November 1, 2016, in New Westminster, B.C., at age 90. Dr. Arrowsmith was certified by the Royal College in Psychiatry in 1961. He was a member of the first medical class to graduate from the UBC. For 28 years, he worked at the Riverview (Mental) Hospital; for 23 of them, he was in charge of the hospital’s continuing education program. Read more about Dr. Arrowsmith.

Gerald Robert Berry, MD, FRCPC, died on October 17, 2016, in Rosemère, Que., at age 86. Dr. Berry was certified by the Royal College in General Pathology in 1967. He was a volunteer on the Royal College examination boards for General Pathology and Anatomical Pathology in the 1980s. Prior to his retirement in 2000, he worked as director of Laboratory Services at St. Mary’s Hospital. Read more about Dr. Berry.

Elizabeth Aileen Clarke, MBBS, FRCPC, died on September 21, 2016, in East York, Ont., at age 83. Born in York, England, and educated at the London School of Medicine for Women (now, Royal Free Hospital) she immigrated to Canada with her husband in 1959. Dr. Clarke was admitted into Fellowship in 1992 under the Medical Scientists banner. Read more about Dr. Clarke.

John Frank Shears Crocker, MD, FRCPC, died on October 26, 2016, in Halifax, N.S., at age 76. Dr. Crocker was certified by the Royal College in Pediatrics in 1971. He worked as a pediatric nephrologist for many years in Halifax. In addition, Dr. Crocker was formerly a program director in Nephrology at Dalhousie University. From 1983 to 1988, he served on the Royal College Nephrology Examination Board. Read more about Dr. Crocker.

William Michael Falk, MBChB, FRCPC, died on October 28, 2016, in Vancouver, B.C., at age 86. Dr. Falk was certified by the Royal College in Anesthesiology in 1963. Born in Mauritius, he came to Canada in 1957 for an internship in Ottawa. He worked for many years at the former Grace Hospital, Richmond (General) Hospital and Mount Saint Joseph Hospital and was known for his warmth and strong work ethic. Read more about Dr. Falk.

Joseph (Joph)Tertius D. Glaister, MD, FRCPC, died on October 28, 2016, in Toronto, Ont., at age 82. Dr. Glaister was certified by the Royal College in Psychiatry in 1971. Born in Glasgow, Scotland, his professional career began at the Clarke Institute in Toronto (now, the Centre for Addiction and Mental Health). He then entered private practice. For 30 years, he was a consultant to Nodin Counselling Service. Read more about Dr. Glaister.

Edgar Ross Harris, MBChB, FRCPC, died on October 26, 2016, in Ottawa, Ont., at age 90. Dr. Harris was certified by the Royal College in Diagnostic Radiology at age 1959. Early on in his professional career, he served as a medical officer for the Royal Air Force/Royal Canadian Air Force. An avid hockey fan, he was a season ticket holder for the Ottawa Senators since the modern team’s first season. Read more about Dr. Harris.

Tom Tsu Tung Liu, MBBS, FRCPC, died on November 5, 2016, in Waterloo, Ont., at age 73. Dr. Liu was certified by the Royal College in Internal Medicine in 1972. He completed his medical degree at the University of Sydney, and later settled in Kitchener Waterloo. A devoted physician, he was the founding nephrologist at the Grand River Hospital Renal Dialysis Unit. Read more about Dr. Liu.

David Angus McLeod, MBChB, FRCSC, died on September 20, 2016, in Windsor, Ont., at age 83. Dr. McLeod was certified by the Royal College in Urology in 1965. During the course of his lengthy career as an urologist, he served patients at a variety of hospitals, including Hotel Dieu, Metropolitan and Leamington. He also maintained a private practice in Windsor. Read more about Dr. McLeod.

Robert (Robin) Alexander McLeod, MDCM, FRCSC, died on August 19, 2016, in Pointe-Claire, Que., at age 79. He earned his medical degree at McGill University in 1962. For over 43 years, he worked as a surgeon at the Lakeshore General Hospital and was very well-liked by colleagues and patients. Read more about Dr. McLeod.

Jack Alfred Ordman, MBChB, FRCSC, died on September 23, 2016, in Red Deer, Alta., at age 82. Dr. Ordman was certified by the Royal College in Orthopedic Surgery in 1965. He worked for a time as chief of staff of the Red Deer Regional Hospital Centre and later as medical staff director of the David Thompson Health Region.

Bruce Flood Paige, MBBS, FRCPC, died on October 4, 2016, in Vancouver, B.C., at age 96. Dr. Paige was certified by the Royal College in Internal Medicine in 1950. A professor emeritus at the University of British Columbia (UBC), he was born and raised in Australia. He holds the distinction of being the first Internal Medicine graduate from the then-new Faculty of Medicine at UBC. Read more about Dr. Paige.

Frederick Griffith Pearson, MD, FRCSC, died on August 10, 2016, in Kitchener, Ont., at age 90. Dr. Pearson was certified by the Royal College in General Surgery in 1958. He helped develop the field of thoracic surgery and is also credited with pioneering work in tracheal and esophageal surgery. Dr. Pearson established the Toronto School of Thoracic Surgery at Toronto General Hospital, University of Toronto — recognized as a model for Thoracic Surgery training worldwide. Read more about Dr. Pearson.

Dennis Cecil Charles Pitt, MDCM, FRCPC, died on September 27, 2016, in Lindsay, at age 92. Dr. Pitt was certified by the Royal College in Diagnostic Radiology in 1958. Read more about Dr. Pitt.

Barry Shandling, MBChB, FRCPC, died on October 1, 2016, in Thornhill, Ont., at age 88. Dr. Shandling was certified by the Royal College in General Surgery (1961) and Pediatric Surgery (1976). He was a professor emeritus of the Department of Surgery, University of Toronto. In 1967, he founded the Canadian Association of Paediatric Surgeons. In 1972, he was the first surgeon in Canada to successfully separate Siamese twins. Read more about Dr. Shandling.

Norman W. F. Weir, MBChB, FRCSC, died on October 6, 2016, in Edmonton, Alta., at age 90. Dr. Weir was certified by the Royal College in Obstetrics and Gynecology in 1958. He earned his medical degree from the Queen’s University Belfast (Ireland) in 1949. During the course of his career, he delivered numerous babies. He previously worked at the Misericordia Community Hospital in Edmonton. Read more about Dr. Weir.

Victor Michael Whitehead, MDCM, FRCPC, died on September 18, 2016, in Sutton, Que., at age 82. Dr. Whitehead was certified by the Royal College in Internal Medicine in 1964. A professor emeritus at McGill University, he was also the former head of Hematology at the Montreal Children’s Hospital. Dr. Whitehead made significant contributions to childhood leukemia treatments. He was also senior investigator into childhood cancer for the International Pediatric Oncology Group. Read more about Dr. Whitehead.

Dr. Karen Mann

Karen Mann, MSc, PhD, died on November 28, 2016, in Halifax, N.S., at age 74. A highly-respected scholar, Dr. Mann’s research interests were in curriculum, interprofessional education and research, self-assessment, feedback and role-modelling. In 2013, she won the Royal College Duncan Graham Award for her outstanding contributions to medical education. Her influence and impact are far-reaching, remembered through the countless colleagues, students and professionals that she taught, inspired, mentored and supported. Most recently, Dr. Mann taught at Acadia University and was a professor emeritus, Division of Medical Education, at Dalhousie University. Read more about Dr. Mann.


 

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