Winter 2014 - The Canadian Association of General Surgeons

General Surgery Matters
WINTER 2014
President’s Message
CANADIAN ASSOCIA
TION
ASSOCIATION
OF GENERAL SURGEONS
2013 Forum surpassed all
previous attendance records!
INSIDE:
President’s Message
continued ........................ 2
Board Members &
Committee Chairs ......... 3
CSF 2013 ..................... 4-8
2013 Excellence in
Teaching Award
Winners ........................ 10
Feature Researcher CAGS Research Corner
on CAGS website ....... 10
2013 CSRF Award
Winners .................. 11-12
2013 Stevens Norvell
Award Winners ........... 12
Red Cross: ERU Surgeon
Delegates ...................... 13
CSF New Look ............ 14
421 Gilmour Street
Dr. Elijah Dixon
Happy New Year Everyone! It
is hard to believe we are into
2014 already. For those of
you who could not make it to
the Canadian Surgery Forum
in Ottawa, we had another
great meeting, surpassing all
previous attendance records! I
want to recognize all the hard
work of Morad Hameed and
Simon Bergman the Chair and
co-Chair of the program
committee for putting together
such a great program! It takes
many hours juggling the
schedule both on and off the
phone to put together a
program that meets the needs
of all the major and minor
participating societies. Welldone guys! This meeting also
brought to a close a long and
mutually beneficial
relationship with our meeting
co-coordinator Ms. Suzanne
Leblanc. All of us at CAGS
wish Suzanne all the best in
her future endeavors.
Ste. 300
Ottawa, ON K2P 0R5
Tél.: 613-882-6510
www.cags-accg.ca
Highlights of the meeting
include as always an
outstanding debate session, a
highly informative symposium
on bile duct injuries and the
litigation that often follows put
on by the CMPA, Professor
Keith Lilemoe, and Dr Shiva
Jayaramen, outstanding
lectures by Dr Garth Warnock
and Dr Carlos Pelligrini (the
in-coming president of the
American College of
Surgeons), high quality
Breakfast with the Professor
with leading world experts
across multiple disciplines and
topics, a standing room only
session on complex abdominal
wall hernias, world class
invited speakers, and so much
more. Please mark your
calendars for next years
Canadian Surgery Forum in
Vancouver from September
17th – 20th.
At the CAGS Board meeting
in Ottawa the Board heard a
very interesting presentation
by Dr. Sam Shortt from the
Canadian Medical Association
on a program entitled
‘Choosing Wisely’. This
program looks to improve
knowledge translation around
five priority areas where
evidence based best practices
are not always followed.
Improving awareness and
knowledge translation around
these areas will improve the
quality of care that patients
receive and may potentially
reduce health care costs.
Other groups in Canada that
have already signed up for this
initiative include: The
Canadian Society of Internal
Medicine, the Canadian
Cardiovascular Society and
the Canadian Association of
Radiologists. The CAGS Board
believes this is a worthwhile
initiative and has elected to
sign up for the program as a
first-round Canadian
participant. The five priority
areas chosen by the American
College of Surgeons are: colon
cancer screening; breast
cancer diagnostics; trauma
diagnostics; appendicitis
diagnosis; and admission and
preoperative x-rays. CAGS
has adopted these five areas
with the addition of a sixth asymptomatic hernia. Thanks
to the CAGS Board Members
and others who helped out
with this review process.
The CAGS Officers and Board
have also identified endoscopy
as an important issue for
Canadian general surgeons.
New issues appear to be
arising across the country in
relation to resident access to
Continued on page 2
PAGE 2
Forum surpassed all previous attendance records cont’d
Continued from page 1
adequate training, credentialing
and privileging within endoscopy
units, and ability to take part in
colorectal cancer screening
programs. We have decided to
make this topic the focus of our
retreat at the mid-term CAGS
Board meeting and are hosting an
Endoscopy Roundtable on Feb. 7th
with invited speakers who are
experts on the subject. We hope
that this open discussion will lead
to clearer understanding of
training requirements for General
Surgery Residents and a
collaborative approach in
delivering endoscopic services
across Canada.
Please note excellent regional
meetings over the winter months
including the AAGS on January
31st and February 1st at the
Rimrock Resort in Banff. For a
complete list of national and
international meetings, please visit
the CAGS website at
http://www.cagsaccg.ca/index.php?page=139 .
The hectic pace will carry on over
the winter, but I do hope that
everyone will get some time off to
catch their breath. I want to wish
everyone health and happiness in
2014! Please don’t hesitate to
contact me with any comments,
questions, concerns, or
suggestions!
Sincerely with Best Regards,
Elijah Dixon MD
Mark your calendar and plan to attend the
2014 Canadian Surgery Forum!
September 17-21, 2014
Vancouver Convention Centre & Fairmont Waterfront Hotel
The Forum is intended for community and academic surgeons, residents in training, researchers, surgical and
operating room nurses, Fellows and medical students. The 2014 Forum will offer outstanding opportunities for
continuing professional development, dialogue on educational and research issues and networking.
Call for Abstracts: Online submissions will be possible as of February 3, 2014. The deadline for
submission is April 1, 2014.
Registration:
Online registration will open in early May. Be sure to check the websites below for updates!
Flights:
We are pleased to announce that AIR CANADA, the official airline of the 2014 CSF, has
offered a 20% discount on Flex Fares to all attendees flying to the event! Simply enter
code JMHG7UN1 when booking your flight to Vancouver to take advantage of this
special offer.
For more information: www.cags-accg.ca and www.canadiansurgeryforum.com
See you in Vancouver!
GENERAL SURGERY MATTERS
WINTER 2014
PAGE 3
Your 2013-2014 Board Members and Committee Chairs
Executive Board
President
Dr. Elijah Dixon
[email protected]
President Elect
Dr. Debrah Wirtzfeld
[email protected]
President Elect Secundus
Dr. Christopher de Gara
[email protected]
Past President
Dr. Garth Warnock
[email protected]
Secretary-Treasurer
Dr. David Urbach
[email protected]
Representatives of the
Provinces
British Columbia/Yukon
Dr. Stephen Hiscock
[email protected]
Alberta/NWT
Dr. Paul Hardy
[email protected]
Saskatchewan
Dr. Michael Harrington
[email protected]
New Brunswick
Dr. Chris Goodyear
[email protected]
Nova Scotia
Dr. Les Wasilewski
[email protected]
Newfoundland & Labrador
Dr. Mark O’Driscoll
[email protected]
Prince Edward Island
Dr. Phil Smith
[email protected]
Committee Chairs
Clinical Practice Committee
Dr. Shahzeer Karmali
[email protected]
Continuing Professional
Development Committee
Dr. Olivier Court
[email protected]
Nominating Committee
Dr. Garth Warnock
[email protected]
Membership Committee
Dr. Bruce Rothwell
[email protected]
Manitoba
Dr. Brent Zabolotny
[email protected]
Postgraduate Education
Committee
Dr. Mark Walsh
[email protected]
Ontario
Dr. Angus MacIver
[email protected]
Program Committee
Dr. Morad Hameed
[email protected]
Québec
Dr. Mario Viens
[email protected]
Research Committee
Dr. Alice Wei
[email protected]
Residents’ Committee
Co-chairs:
Dr. Sarah Steigerwald
[email protected]
Dr. Matt Strickland
[email protected]
Test Committee
Dr. Roger Keith
[email protected]
Professionalism Committee
Dr. Samuel Bugis
[email protected]
Oncology Committee
Dr. Andrew McFadden
[email protected]
Laparoscopic and Endoscopic
Surgery Committee
Dr. Allan Okrainec
[email protected]
Acute Care Surgery
Committee
Dr. Fred Brenneman
[email protected]
International Surgery
Committee
Dr. Jon Just
[email protected]
Hepatobiliary and
Transplantation Committee
Dr. Jeff Barkun
[email protected]
Endocrine, Head, and Neck
Committee
Dr. Todd McMullen
[email protected]
PAGE 4
Canadian Surgery
canadien de chirurgie
Canadian Surgery FORUM 2013
Dr. Garth Warnock with incoming president Dr. Elijah Dixon
First CAGS president Dr. Bernard Perey presenting
the CAGS Crest with Dr. Garth Warnock
Dr. Garth Warnock with CAGS Executive Director
Ms. Jasmin Lidington
GENERAL SURGERY MATTERS
Past president Dr. Ralph George with Dr. Garth Warnock
Continued on page 5
WINTER 2014
PAGE 5
Canadian Surgery FORUM 2013 cont’d
Continued from page 4
Honorary Members
Honorary Member Dr. Roger Keith presented by Dr. Bill Pollett with
Dr. Garth Warnock
Honorary Member Dr. Richard Reznick presented by Dr. Robin McLeod
with Dr. Garth Warnock
Canadian Surgery
canadien de chirurgie
Best Paper 2013
Dr. Garth Warnock presenting
Dr. C. de Mestral with the 2013 Best
Paper– Clinical Research Award
Dr. Garth Warnock presenting Dr. T. Cil with
the 2013 Best Paper – Education Award
Dr. Garth Warnock presenting Dr. S. T. Ali with
the 2013 Best Paper – Basic Science Award
Continued on page 6
PAGE 6
Canadian Surgery FORUM 2013 cont’d
Continued from page 5
Dr. Garth Warnock and Dr. Elijah Dixon with Silver
Partner from Sanofi Canada
Dr. Garth Warnock and Dr. Elijah Dixon with Diamond
Partners from Johnson & Johnson Medical Products
Industry
Partners
Dr. Garth Warnock and Dr. Elijah Dixon with Gold Partners from Olympus Canada
Dr. Garth Warnock and Dr. Elijah Dixon with Silver
Partners from Pfizer Canada
Surgical
Jeopardy
GENERAL SURGERY MATTERS
Dr. Garth Warnock and Dr. Elijah Dixon with Platinum
Partners from Covidien
The 2013 Surgical
Jeopardy Champions,
Team University of
Alberta, with
Dr. Donald Buie
Continued on page 8
WINTER 2014
2 0 1 3 GOLD WINNER
PAGE 7
Ahead of the Curve.
Straight to Gold.
Sonicision™ Cordless
Ultrasonic Dissection Device
Faster Dissection1. Improved Visibility2.
Freedom of Movement.
The 2013 Gold Award winner of the prestigious Medical
Design Excellence Awards® in the Surgical Equipment,
Instruments and Supplies category.
1. When compared to the Harmonic
ACE™* on maximum power through
10cm of porcine mesentery. Results
show a statistically signiﬁcant
(P < 0.0001) difference in mean
dissection speed. Tsirline VB, Lau KN,
Swan RZ, Montero PN, Sindram D,
Martinie JB, Iannitti DA., Evaluation
of an Innovative, Cordless Ultrasonic
Dissector. Surg Innov, 2013.
2. Kim FJ, Sehrt D, Pompeo A, Molina
WR., Comparison of surgical plume
among laparoscopic ultrasonic
dissectors using a real-time digital
quantitative technology.
Surg Endosc, 2012.
Award is based upon descriptive
materials submitted to the jurors
and the competition operators
did not verify the accuracy of any
submission or of any claims made
and did not test the item to which
the award was given.
COVIDIEN, COVIDIEN with logo
and Covidien logo are U.S. and
internationally registered trademarks
of Covidien AG. ™*Trademark of its
respective owner. Other brands are
trademarks of a Covidien company.
©2013 Covidien.
Contact your Covidien sales
representative to schedule an
evaluation at 1-877-664-8926
or visit Sonicision.com.
PAGE 8
Canadian Surgery FORUM 2013 cont’d
Continued from page 6
Competitors of the 2013 Suturing Competition
National
Laparoscopic
Suturing
Competition
Dr. Jonathan Bailey from Dalhousie facing off against Dr. Matt Strickland from University
of Toronto with judges Dr. Christopher de Gara and Dr. Christopher Schlachta
Dr. Shahzeer Karmali
and 2013 Champion
Dr. Matt Strickland
from the University of
Toronto
Continued on page 10
The Canadian Association of General Surgeons gratefully
acknowledges the support of this newsletter’s production by
Covidien and Olympus
GENERAL SURGERY MATTERS
WINTER 2014
PAGE 9
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PAGE 10
Congratulations to the 2013 Excellence in Teaching Award Winners!
This award is granted annually by each General
Surgery Residency Program. The Program Directors
of each faculty of medicine in Canada will select one
or two recipients based on demonstrated teaching
excellence. Each program may develop its own
2013 Winners
Dalhousie University
Daniel French
Laval University
Hélène Milot
McGill University
Amin Andalib
McMaster University
Dan Charleton
Jesse Pasternak
Memorial University
Emily Rowsell
criteria by which to make the selection. Programs
may consider faculty evaluations of resident teaching,
student evaluations of resident teaching, and
selection by other residents in the program.
Queen’s University
Blair MacDonald
University of Montreal
Mazaheer Pyarali
Sherbrooke University
Andréane Dudemaine
University of Ottawa
James Masters
University of Alberta
Simon Turner
University of Saskatchewan
Peter Graham
University of British Columbia
Gareth Eeson
University of Toronto
Ahmed Kayssi
Vanessa Palter
University of Calgary
Ryan Snelgrove
University of Manitoba
Ramzi Helewa
University of Western Ontario
Farouq Manji
Scott Rieder
Northern Ontario School of
Medicine
Kellen Kieffer
Michael Niebergall
Check out the CAGS Research Corner on the CAGS website!
This month’s feature researcher is Jonathan Bailey from Dalhousie
Researcher:
Jon Bailey, PGY-3
Program:
Dalhousie University
Supervisor:
Dr. Paul Johnson
Date: January 2014
For more information about
Jonathan’s research, please visit
http://www.cagsaccg.ca/index.php?page=311
GENERAL SURGERY MATTERS
Biography
Jon Bailey completed a Bachelor
of Arts and medical school at the
University of Saskatchewan before
moving to Halifax to begin his
General Surgery residency. He is
currently completing a Master of
Science in Community Health and
Epidemiology at Dalhousie
University. Jon’s clinical interests
are foregut and bariatric surgery
and he is planning to complete a
fellowship in advanced
laparoscopy and bariatric
surgery. He has won the CAGS
national suturing competition
twice and the Top Gun suturing
competition at the ACS clinical
congress. Jon has an interest in
global surgery, co-founding and
serving as an associate director
of the Dalhousie Global Surgery
Office. His research is focused
on cost effectiveness, health
technology assessment and
health services research.
WINTER 2014
PAGE 11
Canadian Surgery
Canadian Surgery FORUM 2013 cont’d
Continued from page 10
canadien de chirurgie
Congratulations 2013 CSRF Award Winners
2013 Canadian Surgical Research Fund recipients:
Dr. Mantaj Brar
University of Calgary
Dr. Carl Brown
University of British Columbia
Dr. Amin Madani
McGill University
Dr. Steven Paraskevas
McGill University
The following are two of the incredible winners of the
2013 Canadian Surgical Research awards. For more
information, or to apply for a research grant, please visit:
http://www.cags-accg.ca/index.php?page=113
Dr. Amin Madani, McGill University
“A Curriculum to Teach Safe Use of Surgical Energy
Devices: Does the Addition of a Simulation Module
Improve Learning and Retention?”
Summary:
Energy devices are ubiquitous in operating rooms, yet
they remain poorly understood. The combination of
electrical current, heat generation, the wide variety of
devices and the complex environments in which they
are used can result in complications. For instance, it
is estimated that 550-650 OR fires occur annually in
the United States with some causing serious
disfigurement or even death. In laparoscopic surgery,
the incidence of thermal injuries related to
electrosurgery is estimated at 1-2 per 1,000 patients,
the results of which include mortality from delayed
bowel perforation. With an estimated 2 million
laparoscopic procedures done annually in the United
States, this represents a significant safety issue.
Yet there is no standard curriculum in surgical training or
for practicing surgeons about energy devices. SAGES’
Fundamental Use of Surgical Energy (FUSE) program
is a new educational tool designed to address this
safety issue. FUSE includes an on-line curriculum to
teach the competencies required to use energy
devices safely and a psychometrically-sound
assessment to certify knowledge. However, there is no
simulation component incorporated into FUSE. We
aim to investigate the educational value of a novel
simulation-based surgical energy curriculum for
surgical trainees.
Surgical residents will be eligible for this two-armed
multi-institutional randomized-controlled trial.The
control group will receive a purely didactic
electrosurgery curriculum, while the intervention
group will also receive simulation training on a
bench-top model. The primary outcome will be
knowledge of the safe use of electrosurgery for the
entire cohort, as measured by the difference in
performance on a multiple-choice test from baseline
to completion of the curriculum. Secondary
outcomes will estimate differences between the groups
on the same multiple-choice test, self-confidence with
energy devices (questionnaire), performance on the
FUSE certification exam and retention of knowledge at
3 months.
The FUSE program aims to fill an educational gap
addressing the safe use of energy-based surgical
devices. We hypothesize that a surgical energy
curriculum that includes a hands-on component will
enhance learning and will help contribute to safer
surgery.
FUSE is positioned to become a validated training
program attractive across disciplines for clinicians,
training programs, credentialing bodies, and hospitals
to promote safety and competency with these devices.
Continued on page 12
PAGE 12
2013 CSRF Award Winners cont’d
Continued from page 11
Dr. Steven Paraskevas, McGill University
“Pre-transplant T-reg function and recovery
from ischemia-reperfusion injury”
Summary:
While kidney transplantation can mean years of
life gained for the recipient, the graft remains at
risk of long-term damage by the recipient
immune system. Delayed graft function (DGF), a
consequence of ischemia-reperfusion injury,
remains a common complication, and has longreaching implications for graft function and
survival. While the known risk factors for DGF
involve primarily donor variables, true measures
of risk in the transplant recipient are lacking.
Regulatory T-cells (Tregs) are a crucial
lymphocyte subset responsible for the
suppression of a variety of immune responses,
and are capable of producing important antiinflammatory cytokines at the site of injury.
Evidence is currently lacking for a potential role
for Tregs in the recovery from ischemia-
reperfusion injury. In a preliminary study, Dr.
Paraskevas’ team enrolled 53 adult kidney
transplant recipients receiving deceased donor
grafts. They observed that Treg suppressive
potency inversely correlated with the
occurrence of DGF, and in a multivariate linear
regression analysis, with kidney function up to
6 months post-transplant. New data from this
study indicates that the expression of tumor
necrosis factor receptor 2 (TNFR2) on Tregs
also correlates with DGF and 6 month graft
function. Expression of TNFR2 is one marker
which identifies a sub-population of highly
suppressive Tregs. The Canadian Surgical
Research Fund award will support this ongoing
study in the attempt to determine if TNFR2
expression on Tregs from transplant candidates
can serve as a rapidly measurable biomarker to
predict risk of DGF and potentially assist in
making allocation decisions on recipients prone
to this serious complication.
Congratulations to the 2013 Stevens Norvell Award Winners!
Dr. Stevens Norvell initiated and
developed this examination 25
years ago in order to test and
measure residents’ general
surgery-specific knowledge. Now
known as the CAGS InTraining Exam, all general
surgery residents in Canada take
the test through their program
office, at their respective
universities. The exam is also
offered at the annual Canadian
Surgery Forum for those who
wish to challenge themselves and
help assess areas of strength and
weakness. Named after the
exam’s creator, this national
award is given to the residents in
each post-graduate training
year who achieve either the
highest or second highest score
on the exam.
Resident Year 1:
First - Shannon Stogryn
University of Manitoba
Second (two tied) - Daniel Kagedan
University of Toronto;
GENERAL SURGERY MATTERS
Joshua Ng
University of Toronto
Resident Year 2:
First - Benjamin Turner
University of Calgary
Second (two tied) - Matt Strickland
University of Toronto
Ephraim Tang
Queen’s University
Resident Year 3:
First - Amir Taheri
University of Alberta
Second - Stephen Smith
Dalhousie University
Resident Year 4:
First (two tied) - Peter Graham
University of Saskatchewan
David Isa, Memorial University
Second - Brett Mador
University of British Columbia
Resident Year 5:
First - Aniedi Dear,
Dalhousie University
Second - Renée Boissonneault
University of Montreal
WINTER 2014
PAGE 13
Red Cross International Opportunities for CAGS Members:
Emergency Response Unit (ERU) Surgeon Delegates
Do you want to make a difference?
Join the world’s largest humanitarian network. The
Canadian Red Cross Society (CRCS) is a non-profit,
humanitarian organization dedicated to helping
Canadians, as well as the most vulnerable throughout
the world. CRCS is currently seeking experienced
Surgeons to be part of the Emergency Response
Unit (ERU) roster of the Canadian Red Cross, to be
trained and ready to be deployed for 4 to 6 weeks on
short notice in the event of an overseas emergency.
•
A minimum of 3 years of experience practicing
independently.
•
Comfortable with both adult and pediatric patients.
•
Can deliver and supervise surgical care delivered in
low-resource settings.
•
Experience of managing and supporting staff.
•
Experience living or working in a cultural context
other than your own.
Key Tasks and Responsibilities
•
Competent in computer use (Microsoft Office,
spreadsheets, word-processing, e-mail).
•
Fluent in English.
•
Must be already eligible to work in Canada.
•
Provide surgical care for patients in an ERU setting.
•
To support the establishment and management of the
Operating Theatre (OT) and the obstetric ward, in
cooperation with the anaesthetist and operating theatre
nursing staff.
Desirable Requirements
•
To be able to perform various types of general surgery,
including caesarean sections.
•
Experience working for the Red Cross/Red Crescent
movement.
•
To perform pre-operative assessments, emergency triage
and resuscitation (when appropriate)
•
Fluency in more than one language including French,
Spanish, Arabic.
•
To conduct ward rounds.
Additional Requirements
•
To work according to the Ministry of Health /WHO
guidelines/Sphere Standards and ensure national
standards are maintained and adhere to universal
precautions, and ensure that all documentation meets
local medico-legal requirements.
•
•
•
•
Ability to deploy for 4-6 weeks on short notice.
•
A valid passport (with at least 6 months validity).
•
To liaise as requested with local health authorities and
other health providers.
A valid provincial driver’s license (with ability to drive
manual gears).
•
To supervise and provide training for local personnel,
where appropriate.
Ability to complete a satisfactory Canadian criminal
record reference check.
•
Ability to complete a satisfactory vulnerable sector
check.
To ensure that national standards of nursing care are
maintained and all staff adhere to aseptic practice and
universal precautions.
Essential Requirements
•
Professional qualification and license in Canada as medical
doctor with a post-graduate qualification in surgery.
To learn more about Emergency Response Units,
please visit the following link:
http://www.redcross.ca/ERU
PAGE 14
A NEW look for the Canadian Surgery Forum!
Logo: The logo of the CSF perfectly represents the
historical importance of the Forum while giving it a
modern and sophisticated style. The surgical scalpel
symbolizes the profession, while the red maple leaf
on a white background represents both Canada and
the colours of the barber surgeon. The silhouette of
the urban landscape, which showcases the host city
of the Forum will be changed each year to reflect
the destination of the year.
Website: The new CSF website is fresh, linear and easy to navigate. Check back often for the latest
updates related to the Forum!
www.canadiansurgeryforum.com
GENERAL SURGERY MATTERS
WINTER 2014
PAGE 15
CANADIAN ASSOCIATION
OF GENERAL SURGEONS
RESEARCH FUND
CANADIAN ASSOCIATION OF
GENERAL SURGEONS
OPERATING GRANT COMPETITION 2014
The Canadian Surgery Research Fund was founded in the early 1980s to
promote research performed by general surgeons and general surgery
residents in both clinical and basic science. The CSRF currently
funds two research projects per year as well as sponsoring a Resident
Research Retreat.
Applications are requested for Operating Grants from the Canadian
Surgical Research Fund. These can be submitted by E-mail to:
[email protected]
1. The deadline for receipt is June 30th, 2014.
2. There are two operating grants of $10,000 each.
3. Applicants must be CAGS members.
4. Residents are encouraged to apply with a CAGS member as
supervisor.
Applications in all areas will be considered. We encourage proposals in
these priority areas:
1. Supply of General Surgeons
2. Competence in Endoscopy and/or Endoscopic Services in Canada
3. Access to Surgical Care by Canadians
4. Community Surgery
The application should include:
•
A title page with information regarding all co-applicants and contact
information for the principal applicant, including an email address
• A summary of the application (max. 1 page)
• A detailed description of the proposed research (maximum 5 pages),
a list of references cited, and a detailed budget explaining how the
$10,000 of funding will be allocated
• A curriculum vitae of the principal applicant (max. 3 pages), and if
the principal applicant is a resident, of the faculty supervisor (max. 3
pages)
• A letter of support from the Head of the Division of General Surgery
or Chair of the Department of Surgery of the institution where the
work will be performed
Applications not received by the stated deadline or not conforming to
these requirements will not be considered for funding.
For further information please contact:
Dr. Alice Wei
Research Committee Chair
10EN - 215, 200 Elizabeth St
University Health Network
Toronto, ON M5G 2C4
Tel: (416) 340-4232
Fax : (416) 340-3808
email : [email protected]
PAGE 16
WINTER 2014
EMPLOYMENT OPPORTUNITY:
General Surgeon - Newfoundland & Labrador
Labrador-Grenfell Health provides medical services to nearly 40,000 people spread over more than 300,000 sq
Km from the Lower North Shore of Quebec, through the Great Northern Peninsula of Newfoundland to all of
the Labrador. For more than a century the hospital in St Anthony at the northernmost tip of Newfoundland has
been a centre of excellence providing surgical care to the people of this vast region.
http://www.grenfell-properties.com/
The Charles S. Curtis Memorial Hospital provides well-equipped operating rooms, abundant operating time,
excellent anesthesia services, state of the art endoscopy facilities, an ICU, a 64 slice CT scanner, digital
radiology, friendly, dedicated and highly skilled nurses, allied health professionals and delightful patients. There
is a well-staffed Family Medicine Department, and specialists in obstetrics/gynecology, orthopedics, ENT,
Internal Medicine, pediatrics and pathology. The full service radiology Department in St John’s, the only
tertiary care centre in the Province, provides a rapid and reliable tele-radiology service. We are situated 1100
Km from the nearest referral centre and are confronted by many unusual and challenging cases.
We are looking for a general surgeon of good character and careful judgment, kindness, energy, dedication,
compassion, determination and common-sense to join our team. The successful candidate should possess
skills in both open and laparoscopic general surgery, endoscopy, and critical care. Experience in urology,
plastics, and interventional radiology is a bonus. Canadian, US, British, Irish, South African, Australian and
New Zealand specialty training is recognized and candidates must be eligible for licensure for independent
practice by the College of College of Physicians and Surgeons of Newfoundland and Labrador.
https://www.cpsnl.ca/default.asp?com=Pages&id=164&m=382
There is the opportunity to choose between a salary and a fee-for-service arrangement, and there are
allowances for moving and licensing expenses, educational leave and a generous retention bonus.
Accommodation in hospital owned apartments or houses is available and a heating fuel subsidy is offered.
Ours is a rugged and breathtakingly beautiful part of the world where opportunities for outdoor adventure
abound. Wildlife includes moose, caribou, fox, coyote, whale, seal and polar bears, and the region is home to
some of the world’s most famous salmon rivers. The summers are sunny and moderately warm but locals
regard winter as the best time of the year with skiing, hockey, snowshoeing, snowmobiling and ice fishing as
some of the most popular activities. Our community is sociable, safe, friendly, clean and we are proud to say
that here there is no discrimination on the basis of gender, ethnicity, faith or sexual orientation.
http://www.town.stanthony.nf.ca/indexb.php
To seize this opportunity to provide comprehensive surgical care in a friendly, safe and beautiful place please
contact:
Dr. Kweku Dankwa, Associate Vice-President, Medical Services
[email protected]
or
Dr. GWN Fitzgerald, Chief of Surgery
[email protected]
Cell 709 454 5069
http://www.lghealth.ca/
CS Curtis Hospital, 178-200 West St, St Anthony, Newfoundland & Labrador
(+1 709 454-3333)