Division Activity and Information

DIVISION OF FACIAL PLASTIC & RECONSTRUCTIVE SURGERY

Dr. Peter Adamson, Chair

2015-16 DIVISION REPORT

It is my pleasure to report on the activities of the Division of Facial Plastic and Reconstructive Surgery for the academic year 2015 – 2016. We presently  have 19 members, including Drs. Ashlin Alexander, Jamil Asaria, Michael Brandt, Nitin Chauhan, Douglas Chepeha, Kris Conrad, David Ellis, Danny Enepekides, Andres Gantous, Ralph Gilbert, David Goldstein, Kevin Higgins, Robert Mounsey, Xerxes Punthakee, Richard Rival, Oakley Smith, Phil Solomon, Cory Torgerson and Peter Adamson.

Of note was the passing this year on September 7, 2015 of Dr. Wilfred S. Goodman, an honourable member of our division and one of the pioneers in facial plastic and reconstructive surgery. Dr. Goodman distinguished himself through his introduction of external or open septorhinoplasty to North America in 1970. Remembrances and accolades have previously been written – suffice it to say his shadow is long and his legacy deep. Our division has had a productive year, not only due to the many contributions of our faculty members, but also due to the exceptional assistance of our departmental administrative staff. Michael Figueiredo, Audrea Martin and Sonia Valente provide us invaluable support to fulfill our academic mission. This has been developed with the expert guidance and leadership of our chair, Dr. Ian Witterick, and our PGME director, Dr. Paolo Campisi. Also, Dr. Yvonne Chan has provided valuable advice in creating our Continuing Professional Development courses. To each and all of them I extend our deepest gratitude on behalf of our divisional faculty.

Promotions

This year saw the promotion of Drs. Michael Brandt and Robert Mounsey to Assistant Professor. It is recognized that academic promotion is a rigorous process and a special challenge for part-time staff. I join all members of our department in congratulating them on this achievement and for their continued contributions to our division.

Divisional Continuing Medical Education Courses

Two courses were developed for practicing physicians and surgeons. Septorhinoplasty 2016: Consensus and Controversies was held February 5, 2016 at Sinai Health System. This was directed by Dr. Adamson with additional faculty presentations from Drs. Asaria, Brandt, Ellis, Gantous, Mounsey, Rival, Smith and Solomon. 57 participants were interactively engaged. Caring for Skin Cancer in the Aging Face in Family Practice was held June 4, 2016 at Sinai Health System, directed by Drs. Brandt and Adamson. Contributing faculty included Drs. Howard Bargman, Christian Murray and Lori Shapiro from Dermatology, and Drs. Asaria, Gantous, Solomon and Torgerson from our division. 32 participants, primarily family doctors and residents, attended.

Three traditional resident courses were continued. These included Soft Tissue workshops directed by Drs. Brandt and Alexander on November 30, 2015 and February 1, 2016. The popular Rhinoplasty Dissection workshop on April 18, 2016 was directed by Dr. Smith, assisted by Dr. Adamson.

Postgraduate Teaching and Mentoring

Our PGY4 residents have a one-month set rotation in aesthetic and reconstructive surgery. Divisional faculty who mentored our residents included Drs. Asaria, Conrad, Ellis, Rival, Smith, Solomon and Adamson.This year new resident and faculty guidelines for these rotations were developed by Dr. Adamson.

Drs. Adamson and Ellis continued as fellowship directors for the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) fellowship programs, with commendable adjunctive participation from Drs. Asaria, Gantous and Smith, as well as other related specialties, to offer the broadest possible subspecialty training. Drs. Andrew Courson from Mayo Clinic and Jeffrey Jumaily from Boston University completed Drs. Adamson's and Ellis' programs. Dr. Courson has returned to a group practice in Houston and Dr. Jumaily is practicing in Toronto. Dr. Conrad also had a departmental-sponsored fellowship, his fellow this year Dr. Yazeed Alghonaim. Several members in our department also accept international surgeons for clinical observerships. These include Drs. Asaria, Conrad, Ellis, Rival, Smith, Solomon and Adamson.

Dr. Adamson presented his lecture on “Facial Plastic and Reconstructive Surgery for the dermatologist” to their residents as part of their core teaching program.

Divisional Activities

The division held its annual meeting at North 44 on May 16, 2016. Important issues discussed included continuing development of our academic mission through teaching and research. A confounding matter has been the ability of non-University Hospital based community surgeons to access Ethics Research Boards. Terms of Reference for the division were reviewed with a view to their being updated. The importance of properly managing the impactful role of social media, marketing and advertising in medicine have been reviewed so as to provide guidance to faculty regarding professional and ethical practices.

Association Activities

Dr. Andres Gantous continues as our Canadian representative on the AAFPRS Board of Directors. Dr. Asaria sits on the Emerging Trends and Technologies, CME, and Face to Face committees of the AAFPRS, and is a Guest Examiner for the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS). Drs. Alexander and Mounsey are contributing written and oral exam questions to the ABFPRS. Dr. Brandt sits on the C.O.R.E. (Centralized Otolaryngology Research Efforts) Committee for research activities, representing the AAFPRS at the American Academy of Otolaryngology – HNS (AAO-HNS); he also sits on no fewer than five AAFPRS committees and is a reviewer for five journals.

Dr. Adamson continues in his role as President of the International Board for Certification in Facial Plastic and Reconstructive Surgery (IBCFPRS), taking leading roles in the board examinations in Washington, DC and London, England. He continues as Senior Advisor to the ABFPRS and is on the International Advisory Board of our specialties’ primary journal, JAMA Facial Plastic Surgery. Many of our division members have been active as faculty speakers at numerous local, national and international association meetings.

Humanitarian Contributions

This year saw the inaugural Dr. Joseph Wong Smile China Project Lecture in Global Health Outreach on January 14, 2016. Dr. Jonathan Sykes, Clinical Professor at University of California Sacramento, who was a good friend and colleague of Dr. Wong's and who had participated on several Smile China missions, gave a presentation on humanitarian missions. The next day he spoke on cleft lip and palate repair at grand rounds. Dr. Wong's endowment also supported two residents to participate in humanitarian missions as noted below.

Dr. Adamson's Face the Future Foundation had its fourth mission to Rwanda in February, 2016. The team of 10 included Dr. Gian-Marco Busato a PGY4 resident, as well as university surgeons from Johns Hopkins, Harvard, Baylor and Regensburg, Germany. Dr. Busato was supported by our department. Surgeries included congenital, traumatic and post-ablative facial reconstructions for children and young adults, including six free flaps.

The fifth Face the Future mission to Ulyanovsk, Russia in June, 2016 included seven team members. Michael Au, PGY4 resident, was supported by our department. More details of these missions can be found in the Humanitarian Activities Report elsewhere in this annual report.

Future Directions

Our division will look to continue our successful resident and CPD courses. Our PGY4 rotation will be further structured. Drs. Asaria, Brandt and Alexander are developing, with Dr. Adamson, a revised core curriculum and facial plastic surgery core examination. Our division members seek to engage more medical students and residents for elective rotations, and continue to accept international observers. We look forward to the participation of senior residents on our Face the Future humanitarian missions and encourage faculty to consider joining these missions. We will continue to seek a resolution to the challenges of REB approval for research projects for our faculty.

We look forward to collaborating with our departmental leadership and administrative staff to constantly improve our contributions to the academic mission of our division and department.

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