Geoff Norman, Professor Emeritus, Department of Health Research Methods, Evidence and Impact (HEI), gave his interpretation of the genesis of Problem Based Learning, which made McMaster so successful in the world, with hundreds of medical schools adopting our teaching model. To quote Dr. Norman, “McMaster University is known worldwide for two little three-letter words: PBL (problem-based learning) and EBM (evidence-based medicine).” And I could experience that first hand travelling to conferences worldwide.

As you all know, PBL consists in small group self-directed learning around specific clinical problems and has proven as effective as classical methods. This innovative model was decided and implemented by the first dean of the medical school, John Evans, one of the five founding fathers with Drs. William Spaulding, James Anderson, Fraser Mustard and William Walsh with the support of the President of the University, Harry Thode.

The collaborative culture at McMaster has also been a determinant of our

Medical MESSAGE FROM THE CHAIR

Dear All,

This month we celebrated the 50th Anniversary of our Medical School with numerous activities culminating in 3 days of lectures, speeches, social events, campus walks and mainly remembering the founders and recognizing our achievements at McMaster. Here are a few highlights.

It started with a screening of “The Gender Lady: The Fabulous Dr. May Cohen”, a documentary on Dr. Cohen’s fight to raise awareness of gender issues in medical schools and the role of women’s doctors throughout the health sector. She joined McMaster in 1977 and is a member of the Canadian Medical Hall of Fame and an Officer of the Order of Canada. To remind you, in the first cohort of medical students in the fall of 1969, there were 18 men and 2 women compared to 99 men and 106 women in our graduating class of 2016.

Imaging

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success in research, having been recognized as Canada’s most research-intensive university for the past two consecutive years, as the founding fathers developed research groups in clusters, based on clinically relevant themes, encouraging multidisciplinary collaboration. Leading researchers at McMaster presented their work on Saturday morning at the David Braley Centre.

I also want to mention the excellent Osteoporosis Essentials course which took place on Saturday, October 25th, organized by Dr. Aliya Khan, a clinical professor of medicine at McMaster, director of the calcium disorder clinic and an internationally recognized expert in bone density and osteoporosis. Our own Dr. Hema Choudur gave an excellent lecture and I strongly invite you to attend the next one in 2 years.

Monday, November 11th is Remembrance Day. Let us not forget those who gave their life fighting to defend our values and freedom.

All the best, David Koff

Professor and Chair, Department of Radiology

McMaster University

EDUCATION NEWS 2

ROUNDS 6

ACADEMIC CORNER 7

SPOTLIGHT 9

AWARDS & HONOURS 17

FEATURE 19

RESEARCH CORNER 20

THE LAST PAGE 21

Lest We Forget

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Hold these dates for more Visiting Professor series:

2019

November 5th and 6th

Vincent Mellnick – Emergency Radiology

2020

January 7th and 8th

Jonathon Leipsic -Cardiac

February 4th and 5th

Sara Durfee – Ob/Gyn

March 3rd and 4th

Carlos Torres - Neuro

April 7th and 8th

Pablo Ros – Liver/ Abdominal

May 5th and 6th

Mark Cresswell - MSK

June 2nd and 3rd

Hooker Distinguished Award Lecture - Prof. Steve Halligan

EDUCATIONAL NEWS

Department of Radiology

Visiting Professor Program

2019 & 2020

Please go to Visiting Professor Program web page for more information and to view all of Visiting Professor group photos with our Radiology Residents at: http://www.fhs.mcmaster.ca/radiology/vpp/

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EDUCATIONAL NEWS

SAVE THE DATE

Visiting Professor series…

Dr. Vincent Mellnick

Associate Professor Chief, Abdominal Imaging Section Mallinckrodt Institute of Radiology

Washington University School of Medicine St. Louis, Missouri

Dr. Mellnick will be presenting on the following topics:

“SMALL BOWEL EMERGENCIES” Tuesday, November 5, 2019

6:00pm

“APPROACH TO THE ABDOMINAL SPLEEN” Wednesday, November 6, 2019

7:30am

“DRUG-INDUCED GI COMPLICATIONS” Wednesday, November 6, 2019

12:00pm

All presentations will take place:

St. Joseph’s Healthcare Hamilton Juravinski Innovation Tower – Campbell Auditorium – Level 2 – T2202

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EDUCATIONAL NEWS

Visiting Professor series…

Thank you to Dr. Patricia Mergo for participating in the Visiting Professor Series that took place on

October 1st and 2nd, 2019 at St. Joseph’s Healthcare Hamilton

Dr. Mergo presented on three topics while she was here;

“Pattern Approach to the Mediastinum” “Cardiac Sarcoidosis and Myocarditis”

and “Cardiac Amyloidosis”

Dr. Patricia Mergo, Cardiothoracic Radiologist

Mayo Clinic Jacksonville, Florida

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EDUCATIONAL NEWS

Visiting Professor series…

Dr. George Taylor Boston Children’s Hospital

Professor of Radiology (Emeritus) Harvard Medical School Boston, Massachusetts It has been two years that McMaster Children’s Hospital launched its Pediatric Imaging

Service. To celebrate this achievement, the Pediatric Radiologists welcomed Visiting Professor, Dr. George Taylor, on October 22nd and 23rd.

On the first day of lectures, Dr. Taylor presented Radiology Misses and Burnout. Radiology Misses discussed:

The role of heuristics in diagnostic errors,

Understand the cognitive and perceptual contributions in diagnostic error

Identify situations that are high-risk for diagnostic error

The Radiology residents also participated in Hot Seat cases with Dr. Stein and Dr. Taylor.

Burnout discussion:

Understand the components of burnout

Understand the risk factors in burnout

Understand strategies in mitigation of burnout in radiology

The second day of lectures, Dr. Taylor began the morning presenting CT Radition:

Review the dose reduction strategies available in pediatric CT

Understand the interplay between beam energy (kVp) and photon flux (mA) in pediatric CT

Understand the differences between population and individual risk of malignancy following CT radiation exposure

Following the morning lecture, Dr. Taylor participated in the Radiology Residents half day. Discussions included Controversies in Pediatric Appendicitis, Advanced Cranial Sonography and Neonatal Surgical Abdomen.

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MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Juravinski Hospital and Cancer Centre

0800 Resident Rounds (all rounds in DI Conf. Rm.)

1200 Rad/Path

Breast Rds (Rm 106 E Wing) 12:15 DI DST Rds 14:00 GIUP Rds

0800 MSK Rounds

1200 Resident Rounds

0800 Resident Rounds

0800 Multidisciplinary Breast Rounds DST (3-88 JCC)

0700 Hepatobiliary

Rounds

8:00 CNS Tumor Board

10:00 Neuro Onc Rds

(Fellows)

1200 Resident Rds 1310 Sarcoma Rounds - (3rd floor conference room) JCC

11:00 Head/Neck Rds JCC

1200 Interesting

Case Rounds

Hamilton General Hospital

1200 Radiology Teaching Rounds

0700 Spine Rds 0800 Regional Cardiology Rds (David Braley Centre, General Campus, Auditorium) 0815 MSK Tumor Rnds, (DI Classroom) 1200 Radiology Teaching Rounds 1200 Combined Stroke Rounds, DI Classroom, Rm 2-158 1600 Trauma Rds (Theatre Auditorium) M&M Rounds 1st Tues. of mo.

0730 Vascular Rounds (5N Teaching Room)

0800 Arrhythmia Rds. (Theatre Auditorium, HGH)

1230 M&M Rds. (DI Classroom), set once a month

0800 Stroke Rds.(David Braley Centre, General Campus, Auditorium) 0800 CNS Tumor Rds. HGH (DI Classroom) once a month 1230 Interesting Case Rnds Interesting Cases

0800 Neuroscience Rds. David Braley Centre, General Campus, Auditorium)

1200 Radiology Teaching Rounds

McMaster University Medical Centre

0800 Pediatric Hot Seat

Resident Rds 0800 Tumor Brd (3F) 1200 OB Rds (Dr. Mohide) Rm 2S32 1200 Neuroradiology Rds Rm 3N50

1200 Adult Hot Seat

Resident Rds 1230 Neuro-oncology Rds

3F 1445 Neonatal (US) Rds Rm 2S32

0800 Adult GI Rounds, Rm.2S32 0800 RPC (3rd Wed ea. mo.) Rm 2S32

0800 Surg/Rad/ Path (SRP) Rds – 4th Thurs. of ea. mo. Rm 2S32 1130 Rheumatology - ev.other wk Rm TBA 1200 Adult Hot Seat Resident Rds 15:00 Clinical Teaching Unit (CTU) Every 4th Thursday, Room 2S32

0800 Pediatric Hot Seat

Resident Rounds

1200 GI Ped Rounds Room 2S32

St. Joseph’s Healthcare Hamilton

(All rounds in DI Conference Room T0102, unless otherwise specified)

12:00 Ultrasound Rds 1300-1400 Resident Hot Seat Rounds 1630-1730 Head & Neck MCC Rounds – 4th Wed. of ea. mo.

0800-0900 Vascular Difficult Access Rounds – 1st Tues. of ea. mo. 1200-1300 Interesting Case Rounds 1300-1400 Resident Hot Seat Rounds

0800-0900 Neuroradiology Rounds – 3rd Wed. of ea. mo. 1200-1300 MSK Radiology Rheumatology Rounds 1630-1730 Thyroid Malignancy Endocrine MCC Rounds – 1st Wed. of ea. mo.

0715-0800 Colorectal Rounds 0800-0900 Breast Pathology Rounds 1200-1300 MRI Rounds – 1st. Thurs of ea. mo. 1300-1400 Resident Hot Seat Rounds

0730-0830 Radiology Respirology Rounds – various dates 1200-1315 Lung MCC Rounds 1315-1415 Resident Hot Seat Rounds

More info can be found on the McMaster ETA website: https://fhseta.mcmaster.ca/

ROUNDS CALENDAR

Radiology Rounds by Site 2019 - updated

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ACADEMIC CORNER ACADEMIC CORNER

Join us for discussions in health professions education. We will be looking at both a classic and cutting-edge HPE paper. Be prepared to discuss!

Light refreshments will be provided.

Respond to this email (merit@mcmaster.ca) to save your spot – spaces are limited!

HEALTH PROFESSIONS EDUCATION

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ACADEMIC CORNER

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In Memoriam

It is with heavy hearts that we’d like to share, Summer Leon Velarde, a respected colleague, mentor and friend to many at HGH, passed away on October 1st, 2019. For 4 years, despite what the disease

dealt to her, she pushed on and carried on fighting.

In our thoughts are her husband, Dan, and her two daughters, Emma (age 8) and Charlie (age 5).

Summer’s over 15 years at HGH were filled with many roles; student, working in the film library, CEL, and Xray technologist. She was a vibrant, kind, and outgoing addition to our department and will be

sorely missed by everyone.

In memory of our dear friend please “enjoy a cup of coffee with a friend”.

SPOTLIGHT

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SPOTLIGHT

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SPOTLIGHT

Asian and Oceanian Congress of Child Neurology (AOCCN)

CONFERENCE

PEDIATRIC RADIOLOGY 2019 Paediatric Radiology Scientific Meeting Series no. 4/2019

September 21 & 22, 2019 Kuala Lumpar, Malaysia

Dr. Ali Yikilmaz was very excited when he was asked to be a guest speaker at the Asian and Oceanian Congress of Child Neurology (AOCCN)

Conference and conjoint pediatric radiology course on “Brain and Body Imaging” held in Kuala Lumpar, Malaysia earlier this fall.

Dr. Yikilmaz presented three lectures including:

“Cranial US in Neonates and Infants”, “Imaging in Pediatric Acute Abdomen”

and “Malrotation and Midgut Volvulus”.

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SPOTLIGHT

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Department of Radiology

SPOTLIGHT

2019 Fellows Welcome Dinner The Department of Radiology hosted the 2019 Fellows Welcome Dinner at

The Hamilton Club on September 19, 2019

Left to Right: Dr. Fong, Dr. Parasu, Dr. Al-Duwaiki (Breast/Cross Sectional JHCC), Dr. Badar (Interventional JHCC/HGH), Dr. Haider, Dr. Khosla (Breast/Cross Sectional SJHH), Dr. Raiz (Cross Sectional SJHH), Dr. El Khodary, Dr. Yehia (Cross Sectional SJHH), Dr. Zhang (Neuroradiology HGH),

Dr. Sherrian Leslie (Cross Sectional JHCC), Dr. Ameya Kulkarni (Breast/Cross Sectional JHCC), Dr. Larrazabal, Dr. Hickmann (Neuroradiology HGH)

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Joti comes to us from Complex Care and Ortho at St. Peters where she was a Service Coordinator/Administrative Assistant and has previous experience as the Program Secretary for Medicine at the Juravinski site. She has been with Hamilton Health Sciences for 4 years. We welcome her support and expertise, and look forward to working with her. Welcome Joti!

SPOTLIGHT

DR. SHERRIAN LESLIE, CROSS SECTIONAL - JHCC

“I am Sherrian Leslie and I am a Jamaican radiologist trained at the University of the West Indies in Jamaica and at Queens Medical Centre in Nottingham, United Kingdom. I am very excited to be doing my first International Fellowship here at McMaster University. My interests are in female oncology radiology and I look forward to learning from the staff and all members of the team. I love reading, binge-watching Netflix and practicing yoga. I am an avid foodie and love to travel. This is my first time in Canada and I am looking forward to experiencing all that the country and its people have to offer.”

Damanjot (Joti) Dhillon – Administrative Support for HGH Diagnostic Imaging

We would like to welcome Joti Dhillon as the new Administrative Assistant supporting Patricia McKeen, Cheryl Malcolmson, Sarah Jane Adams and the HGH Diagnostic Imaging Residents. Joti will be situated in the HGH DI HOS Library.

New Fellow

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SPOTLIGHT

CONGRATULATIONS! Dr. Darya Kurowecki

(PGY4 Resident)

and her fellow researchers on receiving

1st Place – Poster Category at the

2019 European Society of

Breast Imaging (EUSOBI) Congress

in Budapest, Hungary

Her presentation was titled –

“Breast Implant-Associated Anaplastic Large Cell Lymphoma: What the

Radiologist Should Know”

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Save the Date JURAVINSKI RADIOLOGY ASSOCIATES

Annual Christmas Party Saturday, December 14TH, 2019

6:00pm Carmen’s Banquet Centre

**Details to follow**

SPOTLIGHT

MUMC Diagnostic Imaging Christmas Party! Saturday, December 7th, 2019

McMaster Faculty Club

6:00pm Cocktails ~ 7:00pm Dinner

$10.00 per adult

**Tickets are LIMITED**

Deadline for ticket purchase is November 29th

Please see Sam or Regan in the MUMC DI Charge Office to purchase your tickets!

HGH Annual Diagnostic Imaging Christmas Party

Saturday, December 7th, 2019 ANCASTER OLD MILL

**details to follow**

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Chantal Saab – Nuclear Medicine MUMC

Lucy Divincenzo – MRI General Nancy Dabir – Xray General Helen Anderson – Electrodiagnosis General Lily Krnezich – Nuclear Medicine Admin Kimberly Capra – Xray Juravinski Lisa Hampel – Xray Juravinski Patricia Forrest – Computed Tomography Juravinski Heather Weston – Ultrasound MUMC Sandra Studer – Computed Tomography MUMC Lynne Farrell – Ultrasound MUMC Melanie Beach Craig – Xray MUMC Geraldine Schweinbenz – West UCC DI Patty Maitz – Echocardiography Juravinski Teresa Parente – Pulmonary Function/Exercise Testing MUMC Lianne Broughton – Radiology Administration MUMC

Thomas Hughes – Nuclear Medicine General Wayne Giglia – MRI General Lori Kopoian – Xray Juravinski Rita DiTullio – Radiology Administration MUMC Theresa Lyon – ECG NI Vascular General Diane Spagnoletti – HIU Cardiac Catheterization Bridget Thomas – Xray MUMC Dorothy Matos – Electrocardiogram WLMH

Bill Terhljan – Pulmonary Function General

DIAGNOSTIC SERVICES

Long Service Award Recipients

AWARDS & HONOURS

Brenda Cassa – MRI General Karen Cooper – Computed Tomography Juravinski Marc Warnke – Holter/ECG/NI Vascular Juravinski Marcella Zonta – Exercise Test General

Cheryl Malcolmson – DI Admininstration

Frances Logan – Electrodiagnosis General

Pamela Rathbone – Exercise Test General

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AWARDS & HONOURS

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FEATURE

November is Code Purple (Hostage) & Silver (Active Shooter) Month

HHS building satellite staff are to review and follow their building-specific Emergency Response Quick Reference

Guides

The HHS Code Response Plans for these codes and related resources can be found online on the EDM intranet site:

Code Purple Webpage

and

Code Silver Webpage

Remember:

If you come across an unfolding Hostage Situation, do not engage with the hostage takers or begin negotiating. Dial x5555, report the incident, and wait for police in a safe area.

Patient beds or stretchers make fantastic door blocks when hiding during a Code Silver incident. Simply remove any person from the bed, move the bed directly in front of the door, and lock in position. Move yourself and all others away from the door.

For November, all staff & affiliates are responsible to…

All staff should complete a review of both Code Purple and Code Silver, including “what if…” scenarios for your area and watch one of the short online videos (click here)

Complete the online Monthly Fire Drill Review Quiz (click here) and participate in a monthly fire drill if on-site

On completion of the above, ensure you notify your Area Code Captain to include your name in the online Code Review Report for completion of both the Code of the Month review and Fire Drill by the end of the month

EXERCISE, EXERCISE, EXERCISE!

A Code Silver Drill will be scheduled at each of the HHS sites in November. The goal is to ensure staff at all sites know what to do on overhead notification of a Code Silver i.e. how to rapidly get to a hiding place and how to barricade and secure a unit. Details will be provided outlining details and expectation s for drill activities for all areas.

Units and departments that wish to have an additional workshop or in-service on Code Purple or Silver can contact the Emergency and Disaster Management Specialist to arrange.

Code Captains… Please ensure any staff who may submit an online code review report for a code review or fire drill know how to do so

Managers & Directors... Ensure your areas have a Code Captain, or fulfill this role until one is identified. Notify moull@hhs.ca if any changes are needed to the online reporting template for your program areas. Please do not edit the template yourself.

If you have any questions or suggestions for improvements for the next code version or code review, please contact moull@hhsc.ca

FEATURE

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RESEARCH CORNER

On October 23rd, Dr. David Koff and I attended the Undergraduate Medical Education (UGME) Research Fair which medical students were encouraged to attend. The fair involved researchers and research centres from a number of faculties presenting their work in an effort to promote the projects that they are currently working on. It was very encouraging to see the interest that the medical students, in particular the first year students, have in research. During the entire duration of the fair we had a large number of students gather around the Department of Radiology booth, asking questions and enquiring as to how they can get involved. Please do not hesitate to reach out to me (castellij@hhsc.ca) if you would like to have a student working with you. The students had a diverse skill set including having done segmentation, programming, and previous work in radiology. These medical students are very eager and looking for some experience working in radiology research! On another note, if you are interested in learning more about research yourself, a new exciting course is being offered through the McMaster Continuing Centre – The Fundamentals of Health Research Methodology (HRM). This 10 week, online course, is geared to improve your knowledge of health research methodology and acquire the fundamental skills necessary to successfully initiate, carry out, and complete a research study. The Fundamentals of HRM course can provide you with the opportunity to connect with health professionals across a variety of disciplines in your field. You will earn a certificate upon completion of the course. For more information or to register for this course, please visit the following site: https://www.mcmastercce.ca/health-research . ~ Jane Castelli

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DO YOU HAVE A STORY IDEA TO SHARE?

Email: howesv@hhsc.ca

EVENTS ACROSS THE CITY

THE LAST PAGE

Holiday Calendar:

November 11 – Remembrance Day

DID YOU KNOW?

The Tricho system, was an award-winning innovation made by Dr. Albert Geyser to remove unwanted facial hair using radiation in the early 1900’s. Installed in beauty shops across the country for $400 bucks each, the Tricho directed x-rays at women’s cheeks, lips and chins and targeted young women. It would be taken off the market around WWII after case studies emerged noting ulcers, carcinomas, and death!

Hello Everyone, November is a month to remember and be grateful for all of those who sacrificed their lives for us; take a moment of silence on November 11th to pay tribute to those who fought for our freedom as Canadians. LEST WE FORGET ~ Tori

In Flanders Fields

In Flanders fields the poppies blow

Between the crosses, row on row,

That mark our place; and in the sky

The larks, still bravely singing, fly

Scarce heard amid the guns below.

We are the Dead. Short days ago

We lived, felt dawn, saw sunset glow,

Loved and were loved, and now we lie

In Flanders fields.

Take up our quarrel with the foe:

To you from failing hands we throw

The torch; be yours to hold it high.

If ye break faith with us who die

We shall not sleep, though poppies grow

In Flanders fields.

John McCrae 1872-1918

Canadian doctor and teacher

who served in the first World War

IN AND AROUND TOWN… ART CRAWL on James North

James Street North November 8th

HEATWAVE Hot Sauce Expo

Hamilton Convention Centre November 9th

DRAG SHOW Ft. JuJuBee

CIBC Hall, McMaster University November 9th

SURVIVORMAN – Les Stroud Playhouse Cinema November 15th 8:00pm (tickets start at $35)

Christmas in Ancaster CRAFT SHOW

Ancaster Fairgrounds November 23rd 9:00am-4:00pm

Canadian Pacific HOLIDAY TRAIN Gage Park November 27th 7:30pm

FEST-OF-ALES Royal Botanical Gardens November 28th & 29th 6:00pm-10:00pm