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Dialogue - October 2016

MOC Tip of the Month
By Craig Campbell

Squeeze the most value out of your accredited group learning events

MOC Tip of the Month - By Craig Campbell

Accredited group learning activities are a popular way to scan your environment for new ideas and to enrich your knowledge and competence. Fellows often ask me how they can enhance the value and impact to their personal practice of an accredited group learning event. Here are my recommended strategies:

  1. Before attending
    • Review the learning objectives for the session(s) you anticipate attending to understand what the planners intend for you to learn. Personalize these objectives to help ensure the session(s) will meet your personal or practice needs.  
    • Initiate a “personal learning project” by creating one or more questions you anticipate the group learning activity will help you to answer.
  2. During the activity

    Use the MAINPORT Mobile app to capture your reflections and inspirations in real time, or jot down some notes to add into MAINPORT later. Consider recording answers to the following questions

    • What are you learning or intending to change in your practice?
    • What new ideas, issues or questions do you anticipate pursuing when you return home?
    • Has the evidence that is being presented and discussed helped you discover potential options for assessing your performance?
  3. After attending
    • If you haven’t already done so, reflect on what you learned and document it in your MAINPORT ePortfolio.
    • Identify the low-hanging fruit — what changes can you make right away?
    • Identify the higher-hanging fruit — what additional learning do you plan to pursue? Develop a plan to get there.
    • Think back to the options for assessing performance that you discovered at the event. Identify how you could implement one or more of them to ensure your practice is consistent with current evidence or guidelines.

Email Craig

Contact your local CPD Educator

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

Fellows, do you have a MOC tip that you would like to share with others? Contact communications@royalcollege.ca with your tip. If we use it, we will send you a free piece of merchandise from our Insignia collection.


 

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Are we what our genes experience? Early influencers on lifelong health (Toolkit)

Are we what our genes experience? Early influencers on lifelong health (Toolkit)

We’ve helped assemble free tools and resources from around the web related to early brain and biological development and early learning. Access the toolkit now »

Medical students, residents and specialists from all disciplines can benefit from a first introduction to (or refresh on) research-based learning in six categories:

  1. Language and concepts: Browse core concepts in the science of early childhood development or a Media and Child Health Toolkit for clinicians…
  2. Epigenetics: Watch Dr. Clyde Hertzman’s presentation “You are what your genes experience” or a webinar from the Genetics in Primary Care Institute.
  3. Adverse Childhood Experiences (ACE): Link to a TED talk on “How childhood trauma affects health across a lifetime” or the Centers for Disease Control and Prevention’s ACE study.
  4. Literacy: Access guides on how physicians can promote literacy among young patients.
  5. Resilience: Learn how to build up resilience in children and teens, and why Dr. Ken Ginsburg believes grit is the character trait most linked to success.
  6. Tools for practice: Connect to resources from the Canadian Paediatric Society, McMaster University and the Ontario College of Family Physicians, among others.

Visit EBBDEL educational and practice resources.

Turn your learning into MOC credits

Fellows and Resident Affiliates: turn your learning into a personal learning project (PLP) and earn MOC credits under Section 2 of the MOC Program. Learn more about PLPs…

You can also contact a CPD Educator in your region for personalized support.

About the EBBDEL project

In 2012, Council instructed the Royal College Health and Public Policy Committee to examine early brain and biological development and early learning (EBBDEL) as a determinant of health. This collection of resources is an outcome of the committee’s efforts over the past few years to raise the profile of this portfolio, and to spread awareness and learning. These resources were selected by family physicians in collaboration with working groups, key subject matter experts and Royal College Fellows. Partners in this work include the College of Family Physicians of Canada, the Canadian Medical Association, the Canadian Paediatric Society, the Canadian Association of Paediatric Health Centres and other academic health centres. Find out more about our EBBDEL work...


 

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Jump-start your MOC recording with Section 3 credit opportunities!

Jumpstart your MOC recording with Section 3 credit opportunities!

Fall is a great time to get back into the swing of things and log in to your MAINPORT ePortfolio to see how you’re doing with meeting your Maintenance of Certification (MOC) requirements. Remember, you must complete at least 40 credits every year, 400 credits per five-year cycle and if you’re in a cycle that started on or after January 1, 2014, 25 credits per section per cycle.

Looking for more Section 3 Assessment credits? Try one of these Section 3 opportunities before the next MOC reporting deadline in January:

  1. Make your teaching evaluations go further: The time spent reviewing and reflecting on feedback from your students or peers regarding your teaching is eligible for three credits per hour in “Section 3: Feedback on Teaching”. (This includes assessments you receive over the year for teaching medical students, residents or practising physicians in formal CME settings.)
  2. Write a peer-reviewed journal article: The time spent reviewing the feedback you receive from peers can be claimed in Section 3: Practice Assessment for three credits per hour.
  3. Dive into your patient records to improve your practice: Former CPD Educator Dr. Schneeweiss, FRCPC, reveals her seven-step process to improve an aspect of care in your practice (and engage in self-assessment) using a chart audit.
  4. Six ways community-based Fellows can earn Section 3 assessment credits: Overcome the “town and gown” quandary of the community-based physician with these six ideas from Dr. Bindlish, FRCSC.
  5. Team up with a surgical colleague to claim MOC Program credits: Surgeons assisting each other during procedures = a great opportunity to receive feedback!

Bonus tip: A list of all accredited self-assessment programs is available on the Royal College website!

Dr. Cochrane has retired

Cochrane has retired its Dr. Cochrane learning activities; as such, they are no longer available on the Cochrane website or through MAINPORT ePortfolio for Section 3 credits. If you have already completed but not yet reported a module, you have until the end of your cycle to submit it. However, we encourage you to submit as soon as possible. Reporting these modules outside the year you completed them will require you to provide supporting documentation for credit validation. More information is available in your MAINPORT ePortfolio.

Check your cycle minimums

Did you start a new or next MOC Program cycle on or after January 1, 2014? If so, you must document at least 25 credits in each section — 1, 2 and 3 — of the MOC Program before your five-year cycle ends. Remember, this is a cycle requirement, not an annual one, so you have five years to achieve these credit minimums. Simply log in to your MAINPORT ePortfolio and check your current cycle dates, which appear on the dashboard under your name.


 

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Dr. Padmos reflects on upwards of 3650 days as CEO

Dr. Padmos reflects on upwards of 3650 days as CEO

Dr. Padmos reached his 10-year milestone as CEO of the Royal College this September. To mark the occasion, he shared some reflections on his Message from the CEO Blog. Be sure to check out his thoughts on these five areas of effort

  • member outreach,
  • Competence by Design,
  • international outreach,
  • membership categories, and
  • balancing specialization with generalism.

Click here to read this month’s CEO message.

On working with five different Presidents…

10 years as CEO means Dr. Padmos has worked with five different Royal College Presidents. Here’s what he had to say about each of them:

Louise Samson

Louise Samson is a very prominent Francophone educator in Quebec and was the first female President of the College. She was a delight to work with and very supportive of my orientation to the College and strategic planning.”

Bill  Fitzgerald

“I travelled extensively with Bill Fitzgerald, as that was the beginning of the College’s commitment to international outreach. I enjoyed getting to know him and his unique practice environment in St. Anthony, N.L., which reinforced to me the importance of the College’s support of training and clinical service expertise in far-flung areas of Canada.”

Louis Francescutti

Louis Francescutti was one of the most dynamic and energetic presidents one could ever imagine. There was a lot of travel, a lot of meetings and a lot of enthusiasm about bringing change and new awareness to old practices. He gave particular attention to the importance of governance.”

Cecil Rorabeck

“By the time Cecil Rorabeck was President, I knew him quite well from his other roles in the College. It was a very comfortable relationship that really focused on the internal workings of the College that deliver service, excellence, efficiency and cost-effectiveness on behalf of members.”

Kevin Imrie

Kevin Imrie has been terrific to work with. He is someone with an incredible grasp of educational theory and practice, and brings to this role a strong background in medical institutional leadership and management. He is helping the College continue to grow, develop and interact with partners.”

 

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Nominations are open for Royal College Honorary Fellowship

Nominations are open for Royal College Honorary Fellowship

Honorary Fellowship is one of the most prestigious awards that the Royal College of Physicians and Surgeons of Canada can bestow upon individuals who are ineligible for Royal College Fellowship. A nomination is a significant way to pay tribute to someone deserving whom you admire and respect.

Celebrate someone whose work is exceptional

Celebrate key health care leaders and innovators in Canada and abroad by nominating them for Honorary Fellowship today. The deadline to submit is November 18, 2016.  

Click here to nominate somebody for Honorary Fellowship.

Who are Royal College Honorary Fellows?

They are citizens of the world who have made truly outstanding impacts on Canadian or global health care systems. They are individuals whose work and achievements have touched and benefited thousands of people. They are professionals who have moved mountains to put Canadian and international health care on the map.

In short, they are extraordinary.

Recent Honorary Fellows include Brigadier-General H. C. MacKay, Surgeon General of Canada, and Dr. Thomas Dignan, Indigenous health advocate and leader. 


 

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Congratulations to our five newly-accredited sim centres (plus, your last chance to attend this year’s SimSummit in St. John’s!)

Congratulations to our five newly-accredited sim centres (plus, your last chance to attend this year’s SimSummit in St. John’s!)

Five state-of-the-art medical simulation centres from across Canada and worldwide will be recognized during the 2016 Simulation Summit in St. John’s, N.L. (October 14–15). These are the latest programs to receive official accreditation by the Royal College of Physicians and Surgeons of Canada.

Joining the ranks of our highly-regarded list of accredited simulation programs are

  1. the KidSIM Pediatric Simulation Centre (University of Calgary/Alberta Children’s Hospital, Calgary, Alta.);
  2. Centre for Simulation Based Learning (McMaster University, Hamilton, Ont.);
  3. Canadian Surgical Technologies & Advanced Robotics (CSTAR) (London Health Sciences Centre, London, Ont.);
  4. Programme de formation de l'Académie CHUM (Centre hospitalier de l’Université de Montréal, Montréal, Que.); and the
  5. Clinical Skills and Simulation Centre (King Abdulaziz University Hospital, Jeddah, Saudi Arabia).

We’re especially excited to announce that the accreditation of the Clinical Skills and Simulation Centre in Saudi Arabia also signals the first-ever accreditation of an international simulation program by the Royal College!

All five of our newly-accredited simulation programs will be recognized during the official welcome to the 2016 Simulation Summit on Friday, October 14, 08:00–08:30. Susan Brien, MD, MEd CSPQ FRCSC, CPE, and plenary lecturer Vicki LeBlanc, PhD,will present each program with its Royal College accreditation certificate, at that time.

About our simulation program accreditation

Simulation programs accredited by the Royal College enjoy national recognition thanks to a rigorous peer-review process that measures their ability to meet the highest standards in administration, education and ethics.

As health care training and practice becomes increasingly globalized, extending our accreditation process to international centres means that more physicians and health care professionals will be able to participate in continuous professional development to update their skills and embrace new technology; resulting in the best possible care for patients.

Visit the Royal College website to learn more about our accredited simulation programs.

Get the 2016 Simulation Summit mobile app

Want the latest information and updates at your fingertips while you attend our Simulation Summit this October 14–15 in St. John’s, N.L.? Good news! The 2016 Simulation Summit mobile app is now available to download for iOS, Android and Blackberry devices.

This handy app will give you quick access to valuable details about the Simulation Summit, including floor plans, speaker bios, program schedules, conference abstracts, session evaluations and much more.

Don’t have a smartphone/mobile device? The full 2016 Simulation Summit program is available to view online

Sign up onsite for the 2016 Simulation Summit

Missed the online pre-registration deadline for the 2016 Simulation Summit?

You can still sign up onsite for this year’s conference! Onsite registration will officially open on Thursday, October 13 at 16:30 (ADT) in the Level 2 Foyer of the St. John’s Convention Centre.

Registration desk hours for the 2016 Simulation Summit are as follows:

  • Thursday, October 13, 16:30 – 19:00 (ADT)
  • Friday, October 14, 07:00 – 16:30 (ADT)
  • Saturday, October 15, 07:00 – 15:00 (ADT)

Email us in advance if you have any registration questions.


 

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Quality & value in health care: ICRE speakers provoke reflection — watch the videos

Quality & value in health care: ICRE speakers provoke reflection — watch the videos

If you missed (or want to relive) this year’s International Conference on Residency Education, you can now tune in to the plenary session recordings. Watch now.

Five plenary recordings available:

  • Teaching healthcare quality: The next evidence-based medicine

    Speaker: Dr. Kaveh Shojania

  • Linking education with quality (knowledge translation) - can it really be done?

    Panel: Dr. Brian Wong, Dr. Wendy Levinson, Dr. Christopher Landrigan and Dr. Emma Vaux with moderator Dr. Eric Holmboe

  • Longitudinal or traditional rotations: Which is better for patient care?

    Speakers: Dr. Fiona Moss and Dr. Salvatore Spadafora

  • Royal College/JGME Top 3 Research in Residency Education

    Speakers: Dr. Warren Cheung, Dr. Mitchell Goldenberg and Dr. Lynfa Stroud

  • Graduate medical education and better value healthcare service

    Speaker: Dr. Paul Batalden

This year’s conference drew more than 2000 registrants from 40 countries to Niagara Falls, Canada, where they took part in workshops, plenaries and paper/poster presentations. 

Check out our Storify recaps from each day of the September 29-October 1, conference to take in the most-buzzed about moments that were shared on Twitter. Day 1 | Day 2 | Day 3

Get ready for Halifax in 2017! Send in your pre-conference workshop abstracts

Feeling inspired? Want to share your cutting-edge insights on residency education and training with an international audience? Submit a pre-conference workshop abstract for ICRE 2017! These workshops can range from half-day to full-day sessions (0800–1500).

The deadline for submissions is January 4, 2017. Visit the ICRE website to download the proposal form.


 

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Top residency education leaders for 2016

Top residency education leaders for 2016

During the 2016 International Conference on Residency Education, several outstanding individuals were recognized for their leadership in postgraduate medical education. Please join us in congratulating them.

2016 Program Director of the Year Award:

  • Dr. Moyez Ladhani, McMaster University (Hamilton, Canada)

    Dr. Ladhani is Program Director of the Pediatric Postgraduate Medical Education (PGME) program at McMaster University’s Michael G. DeGroote School of Medicine - a role that he has held for a decade. During this time, his program has become a model of innovation and evidence-based advancements. It is known for its integration and focus on CanMEDS competencies with a curriculum that includes the unique CanMEDS portfolio and Longitudinal CanMEDS competency curriculum, developed by Dr. Ladhani. Learn more about Dr. Ladhani on the ICRE blog.

2016 Kristin Sivertz Resident Leadership Award:

  • Dr. Marie Claire Bourque, Dalhousie University (Halifax, Canada)

    Dr. Bourque is a PGY5 resident in Psychiatry at Dalhousie University. Raised in a small Acadian village in Nova Scotia, she draws from her Métis ancestry in her practice with a commitment to culturally-competent medical education and Psychiatry. It also shapes her efforts at advocacy in the public health realm.  She recently co-authored a peer-reviewed article on the provision of cultural competency training in medical education, and has plans to work at the Elbow River Healing Lodge in Calgary, Alberta, following residency, to provide mental health services to people who identify as First Nations, Aboriginal or Métis. Learn more about Dr. Bourque on the ICRE blog.

  • Dr. Natasha Snelgrove, McMaster University (Hamilton, Canada)

    Dr. Snelgrove is a PGY5 resident in Psychiatry at McMaster University and President of the Professional Association of Residents of Ontario (PARO). Through her work with PARO, she has held several leadership roles, including General Council Representative, Board of Directors Member at Large and Vice-President. Her knowledge of the Collective Agreement between PARO and the Council of Academic Hospitals of Ontario, and her strong working relationships with stakeholders, allows her to help residents, hospitals and universities create conditions where learners can thrive; creating optimal learning and ultimately enhanced patient care. Learn more about Dr. Snelgrove on the ICRE blog.

2016 International Residency Educator of the Year Award:

  • Dr. Jamiu Busari, University of Maastrich/Zuyderland Medical Centre (Maastricht, Netherlands)

    Dr. Busari is a medical officer in the pediatric department at the Zuyderland Hospital and a trailblazer in residency education. He is one of the leading experts in CanMEDS competencies in the Netherlands, and his efforts to develop leadership programs for residents have been at the forefront of Dutch educational development. The leading innovator behind Zuyderland Medical Centre’s residency program, he actively facilitates workshops, initiates research and has implemented several new teaching methods such as Case-Based Discussion and the Flipped Classroom to improve the quality and efficiency of postgraduate training. Learn more about Dr. Busari on the ICRE blog.

2016 International Resident Leadership Award:

  • Dr. Jordan Bohnen, Harvard University/Massachusetts General Hospital (Boston, USA)

    Dr. Bohnen is a PGY6 (PGY4 clinical) trauma/surgical Critical Care research fellow at Harvard University/Massachusetts General Hospital. A talented surgeon-in-training and scholar, he helped found the Procedural Learning and Safety Collaborative: a multi-institutional non-profit research consortium focused on developing tools, curriculum and policy to improve the training of surgical and other procedural physicians. Through this initiative, he has been involved in the ongoing development of a smartphone-based assessment system (SIMPL) which he has helped launch to 15 general surgery training programs around the USA. Learn more about Dr. Bohnen on the ICRE blog.

2016 Program Administrator Award for Innovation and Excellence:

  • Ms. Candice Stroud, McMaster University (Hamilton, Canada)

    Ms. Stroud has been the program administrator for the Anesthesia Residency Program at McMaster for two years, and brings more than 13 years of experience in postgraduate medical education to the role. Since coming onboard, she has played a critical part in helping to improve the quality of all facets of the program. Notably, she has been responsible for spearheading her program’s shift towards electronic records, creating a new electronic anesthesia residency program manual, guiding the process to establish a more robust resident mentorship program, and helping to streamline the CaRMS file review and interview process. Learn more about Ms. Stroud on the ICRE blog.

All of our winners received their awards during the International Residency Education Awards Dinner on Saturday, October 1 in Niagara Falls.


 

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Humanitarian on why doctors can’t stand on the sidelines (Video)

Humanitarian on why doctors can’t stand on the sidelines (Video)

“Our greatest wealth as human beings is the degree to which we can be more humane, fair, and just to each other…. If and how we act to relieve suffering – this matters.”

James Orbinski, OC, OOnt, MD, MCFP, has witnessed some of the worst sides of humanity while serving with Médecins Sans Frontières — including as mission head in Kigali at the height of the Rwandan genocide in 1994.

The winner of this year’s Royal College Teasdale-Corti Humanitarian Award, Dr. Orbinski called doctors to action during his address at the 2016 Royal College Convocation ceremony.

Watch the full address


 

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Connected Medicine: Enhancing Access to Specialist Consult e-Collaborative

Connected Medicine: Enhancing Access to Specialist Consult e-Collaborative

Ten teams from across Canada and internationally are participating in an eight-month Access to Specialist Consult e-Collaborative. This initiative aims to support improvement teams in enhancing primary health care access to specialist consult (provider-to-provider) services through the use of electronic and/or telephone consult.

The Royal College is working with the Canadian Foundation for Healthcare Improvement, the College of Family Physicians of Canada and Canada Health Infoway on this project.

To learn more, meet the teams or track progress, please visit http://www.cfhi-fcass.ca/WhatWeDo/access.

Connected Medicine: Enhancing Access to Specialist Consult e-Collaborative


 

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Members in the news

Doctor walking down a hospital hallway

At first blush, this information may indicate that the least-invasive route – active monitoring – is the best choice for men who are newly diagnosed, but I firmly believe that this interpretation is potentially dangerous.

– Neil Fleshner, MD, FRCSC (Urology)
New study confirms need for ‘active surveillance’ of prostate cancer
(Special to The Globe and Mail )

 

Who knew people car-surfed? Who knew people shovel their roofs wearing slippers and then fall off? Who would think to surf down a flight of stairs on rollerblades? …People are endlessly inventive. …When it goes poorly, they come and see us.

– Sara Gray, MD, FRCPC (Emergency Medicine)
Quoted in “Meet Dr. Sara Gray, the woman you want in an emergency
(Toronto Star)

 

It’s difficult to argue that any of the measures that they are implementing are bad; they’re all good ideas. But they’re not going to accomplish very much.

– David Juurlink, MD, FRCPC (Internal Medicine)
A quote from “Experts ‘disappointed’ Health Canada not doing more to address acetaminophen dangers
(Toronto Star)

 

If the mechanism is that stress reduction works through your immune system to help you, it’s not going to work if you have to work that hard at being positive.

– Madeline Li, MD, FRCPC (Psychiatry)
Quoted in “How we came to tout positivity for the ill – and why some are pushing back
(The Globe and Mail)

 

It really changes the way we think about surgical treatments for tremor. No scalpel needed. No drill needed.

– Nir Lipsman, MD, FRCSC (Neurosurgery)
Quoted in “No scalpel, no drill: Medical procedure to treat uncontrollable hand tremor a 'game changer'
(CBC News – Health)

 

We’re interested in this virus because it has some fairly unique features.

– Danuta Skowronski, MD, FRCPC (Public Health and Preventive Medicine)
Quoted in “Polio-like symptoms in children possibly linked to resurfaced virus
(The Globe and Mail)

 

It wouldn't surprise me at all to know that we got more and more bionic opioids responsible for mortality on our streets.

– Hakique Virani, MD, FRCPC (Community Medicine)
Quoted in “'Bionic' opioid 100 times stronger than fentanyl may already be on Canadian streets
(CBC News – Health)

 

Congratulations to Sandra Allison, MD, FRCPC (Public Health and Preventive Medicine) on her appointment as President of the Public Health Physicians of Canada association. Dr. Allison is the chief medical officer for Northern Health in Northern British Columbia.


 

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In memoriam

Stethoscope

Eva C. Arendt Racine, MDCM, FRCPC, died on September 6, 2016, in Montreal, Que., at age 97. Dr. Arendt Racine was certified by the Royal College in Internal Medicine in 1954. She focused on rheumatic diseases and was a published researcher. From 1961-1962, she served as President of the Federation of Medical Women of Canada. Read more about Dr. Arendt Racine.

Jaroslaw Barwinsky, MD, FRCSC, died on August 28, 2016, in Winnipeg, Man., at age 89. Dr. Barwinsky was certified by the Royal College in General Surgery and Thoracic Surgery in 1961. Born in the Ukraine, he survived a Nazi labour camp and immigrated to Canada on his 22nd birthday. He later became a citizen and was the first Canadian of Ukrainian descent trained in Cardiac Surgery. He installed the first pacemaker in Manitoba. Read more about Dr. Barwinsky.

Julie Bélanger, MD, FRCSC, died on August 6, 2016, in Sorel-Tracy, Que., at age 36. Dr. Bélanger was certified by the Royal College in General Surgery in 2010. She was much-loved by her patients who recall a compassionate, encouraging and kind caregiver. She was also highly-regarded by her colleagues, who remember a brilliant, determined, competent and generous surgeon. Read more about Dr. Bélanger.

John Brebner, MD, FRCPC, died on September 3, 2016, in Burlington, Ont., at age 79. Dr. Brebner was certified by the Royal College in Anesthesiology in 1972. For two years, he served on the Royal College’s Anesthesiology Examination Board. He was a former program director of Anesthesia at the Toronto General Hospital and associate professor at the University of Toronto. Read more about Dr. Brebner.

James David Bricker, MD, FRCPC, died on August 14, 2016, in Windsor, Ont., at age 89. Dr. Bricker was certified by the Royal College in Diagnostic Radiology in 1957 after finishing his medical degree at the University of Toronto in 1951. Read more about Dr. Bricker.

Richard Lloyd Clark, MD, FRCSC, died on July 19, 2016, in Mansfield, Ohio, USA, at age 77. Dr. Clark was certified by the Royal College in General Surgery 1969. He practised in Peterborough, Ont., for close to 15 years before moving to Ohio where he worked at the Mansfield Hospital and Peoples Hospital, retiring in 2006. A man of many hobbies, he was an avid sailor, downhill skier and sportsman. Read more about Dr. Clark.

Raymond Denson, MDCM, FRCPC, died on August 6, 2016, in Thunder Bay, Ont., at age 91. Dr. Denson was certified by the Royal College in Psychiatry in 1962. He worked hard in his youth to earn scholarships and make his way through school. Originally an engineer, he later graduated from McGill medical school in 1956. He worked for 27 years in the Saskatchewan Psychiatric Services Branch. Read more about Dr. Denson.

Elizabeth Jan Irvine, MD, FRCPC, died on July 21, 2016, in Toronto, Ont., at age 62. Dr. Irvine was certified by the Royal College in Internal Medicine in 1982. She famously developed a quality of life instrument for patients with inflammatory bowel disease that is still used worldwide. In 2003, she was appointed Division Head of Gastroenterology at St. Michael’s Hospital. Read more about Dr. Irvine.

Nicole Latortue, MD, FRCPC, died on August 7, 2016, in Westmount, Que., at age 77. Dr. Latortue was certified by the Royal College in Anesthesiology in 1968. She earned her medical degree at the State University of Haiti in 1963. She is remembered as a loving, hardworking, energetic and generous woman. Read more about Dr. Latortue.

Valarian Angelo Madappulli, MBBS, FRCPC, died on August 21, 2016, in Kitchener, Ont., at age 88. Dr. Madappulli was certified by the Royal College in Pediatrics in 1975. He earned his medical degree in 1957 at the University of Colombo in Colombo, Sri Lanka. He formerly worked in Chatham, Ont., and is remembered as a kind-hearted and loving individual. Read more about Dr. Madappulli.

Marjorie Christine Moore, MD, FRCSC, died on July 29, 2016, in Toronto, Ont., at age 91. Dr. Moore was certified by the Royal College in Obstetrics and Gynecology in 1955. She was one of only two women accepted for residency at Toronto General Hospital in 1948. From 1955 until her retirement in the 1990s, Dr. Moore had privileges at Women’s College Hospital in Toronto. She is remembered as a caring doctor. Read more about Dr. Moore.

Paciencia (Cita) Padilla Santos, MD, FRCPC, died on August 18, 2016, in North York, Ont., at age 76. Dr. Santos was certified by the Royal College in Anesthesiology in 1971. She earned her medical degree at the University of Santo Tomás in the Philippines. She will be greatly missed by family and friends. Read more about Dr. Santos.

David Norris Preston, MD, FRCPC, died on September 1, 2016, in Nepean, Ont., at age 79. Dr. Preston was certified by the Royal College in Internal Medicine (1966) and Neurology (1969). A respected consultant, he established Ottawa’s first electromyography laboratory. He was a much-loved instructor and was awarded ‘Best Teacher’ for his work in the Department of Medicine, University of Ottawa. Read more about Dr. Preston.

Augustin Roy, MD, FRCPSC, died on August 23, 2016, in Quebec, Que., at age 87. Dr. Roy received Honorary Fellowship in the Royal College’s Division of Medicine in 1991. He was formerly president of the Collège des médecins du Québec for 20 years (1974-1994) and is credited with modernizing the college. He was an accomplished family doctor, public health advocate and health administrator. Read more about Dr. Roy.

Gilles Roger Tremblay, MDCM, FRCSC, died on August 11, 2016, in Verdun, Que., at age 69. Dr. Tremblay was certified by the Royal College in Orthopedic Surgery in 1976. He earned his medical degree from McGill University in 1971.


 

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