Jewish General Hospital Virtual Medical Grand Rounds

JEWISH GENERAL HOSPITAL
DEPARTMENT OF MEDICINE
MONDAY VIRTUAL MEDICAL GRAND ROUNDS
12:30 - 1:30 PM

Join the Medical Grand Rounds on  Microsoft Teams meeting.
Or call in (audio only) NEW: +1 438-799-0762, 502095193#   Canada, Montreal, Phone Conference ID: 502 095 193#

The Medical Grand Rounds are an accredited group learning activity as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.

Some Rounds were video recorded.

Medical Grand Rounds 2022-2023

February 27

Bringing Vertical Integration to the Medical Inpatient
Karen Okrainec, MD MSc FRCPc
University Health Network and University of Toronto
General Internal Medicine
Toronto Western Hospital

Educational Objectives:

  1. To review challenges surrounding care transitions for both providers and patients.
  2. To highlight existing interventions and models of care being used in Canada and beyond.
  3. To discuss what’s hot with integrated models of care.

Contact Person: Rubin Becker, MD, Chief, Division of Internal Medicine, JGH -  Tel. 514-340-7596.

February 20

De-frailing Older Adults with Cardiovascular Disease: The Tale of 3 JGH-Led Randomized Clinical Trials

Jonathan Afilalo, MD
Associate Professor of Medicine
Divisions of Cardiology and Epidemiology and Biostatistics
Azrieli Heart Center
Jewish General Hospital 

Educational Objectives:

  1. To discuss the rationale for frailty as a therapeutic target
  2. To review the validated and novel tools to measure frailty in clinical practice
  3. To present the results of 3 recently completed de-frailing RCTs

Contact Person: Lawrence Rudski MD FRCPC FACC FASE, Professor of Medicine, McGill University, Director, Division of Cardiology, JGH - Tel. 514-340-8222 ext. 22992.

February 13

Immunotherapy for Environmental Allergies

Jesse Schwartz, MD, MSc, MPH, FRCPC
Director, Division of Allergy and Clinical Immunology
Jewish General Hospital

Educational Objectives:  

  1. Learn about the indications, risks and benefits of immunotherapy for environmental allergies

Contact Person: Jesse Schwartz, MD, MSc, MPH, FRCPC, Director, Division of Allergy & Clinical Immunology, JGH - Tel. 514-340-8222 ext. 25454.

February 6

I. 70-Year-Old Male Presenting with Profound Pancytopenia and Bilateral Lower Leg Edema

Olivier Del Corpo, MD, MSc
Internal Medicine Second Year Medical Resident
McGill University and Jewish General Hospital

Educational Objectives:  

  1. Approach to pancytopenia
  2. History of pernicious anemia  
  3. Treatment for B12 deficiency

II. Primary Peritoneal Mesothelioma

Mohammed Alaithan, MD
Internal Medicine Second Year Medical Resident
McGill University and Jewish General Hospital
Educational Objectives:

  1. How rare is the disease
  2. Types and risk factors, how challenging is the diagnosis including imaging and other means of diagnosis
  3. Treatment options plus new treatments

Contact Person: Elise Levinoff, MD, Jewish General Hospital Site Program Director, Core Internal Medicine Residency at McGill University, Tel. 514-340-8222 poste 24974.

January 30

THIRTY FOURTH ANNUAL HUMANIZATION OF CARE AWARENESS PROGRAM ROUNDS

DIVERSITY, EQUITY AND INCLUSION IN HEALTHCARE

Christine Morin
Diversity, Equity, Inclusion and Belonging Officer,
Affiliated professor, Cegep du Vieux Montreal
Affiliated researcher, Research Center for Inclusion of people with disabilities (CRISPESH)

Educational Objectives:  

  1. Build common understanding of basic terminology related to diversity, equity and inclusion
  2. Gain better understanding of the implication of diversity, equity and inclusion for healthcare practitioners and the delivery of superior quality care

Contact Person: Ms. Julie Sigwart, Administrative Coordinator, Humanization of Care Committee,  514-340-8222 Ext. 21924.

January 23

CUTANEOUS LYMPHOMA: A STEPWISE APPROACH

Kevin Pehr, MD
Associate Professor of Medicine, McGill University
Senior Investigator/Chercheur-Clinicien, Lady Davis Institute
Chief, Multidisciplinary Cutaneous Lymphoma Clinic
Division of Dermatology, Jewish General Hospital

Educational Objectives:  

  1. Understand the range of cutaneous lymphomas
  2. Develop a stepwise approach to diagnosing cutaneous lymphoma

Contact Person: Robin Billick, MD, Chief, Division of Dermatology, Tel. 514-340-8222 ext. 25065.4

January 16

In for the Long-Haul: The Hidden Pandemic of Post-Acute Sequelae Sars-Cov-2-Infection

Leighanne Parkes, MD
Assistant Professor of Medicine, McGill University
Staff, Division of Infectious Disease
Jewish General Hospital

Educational Objectives:

  1. Describe post-acute sequelae SARS-CoV-2 infection (PASC) as a new disease framework and the proposed mechanisms related to its development
  2. Describe an approach to the management of patients with PASC with respect to treatment and models of care
  3. Describe the barriers to treatment and prevention by tracing existing knowledge and care gaps and describe future avenues for research and system improvement

Contact Person: Karl Weiss, MD, Chief, Division of Infectious Diseases, Tel. 514-340-8222 ext. 28294.

January 9

DIABETES REMISSION- NEW CONCEPT, NEW GUIDELINE, & OUR RESET FOR REMISSION TRIAL

Kaberi Dasgupta, MD, MSc FRCPC
Professor of Medicine, McGill University
Divisions of Internal Medicine, Clinical Epidemiology, and Endocrinology and Metabolism, McGill University Health Centre
Director, Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre

Educational Objectives:  

  1. 1. To become familiar with the concept of diabetes remission in relationship to the DiRECT and DIADEM-I trials
  2. 2.To review the new Diabetes Canada remission guidelines and to whom they apply
  3. 3.To discuss our RESET for REMISSION trial, the combo of energy restriction and supervised exercise, and potential impacts

Contact Person: Rubin Becker, MD, Chief, Division of Internal Medicine, Tel. 514-340-7596.

January 2

NO ROUNDS

December 12

UPDATES IN MYASTHENIA GRAVIS: OUT WITH THE OLD, IN WITH THE NEW?

Dina Namiranian, MD, FRCPC, CSCN (EMG)
Assistant Professor
Department of Neurology and Neurosurgery, McGill University
Division of Neurology, Jewish General Hospital 

Educational Objectives:  

  1. Describe the current approach to both inpatient and outpatient management of myasthenia gravis 
  2. Understand the roles of the complement and FcRN pathways in the disease 
  3. Discuss emerging therapies and their potential use for symptom optimization 

Contact Person: Jeffrey Minuk, MD, Chief, Division of Neurology, Tel. 514-340-8222 ext. 28770. 

December 5

A PANDORA’S BOX CASE OF WEIGHT GAIN – REVISITING ECTOPIC ACTH SYNDROME

Vincent Larouche, MD, FRCPC
Assistant Professor of Medicine, McGill University
Staff, Division of Endocrinology
Jewish General Hospital 

Educational Objectives:  

  1. Review the different etiologies of ectopic ACTH (Cushing) syndrome 
  2. Compare and contrast the diagnostic approach to Cushing disease (pituitary) vs ectopic ACTH syndrome 
  3. Review the treatment modalities (surgical and medical) of ectopic ACTH syndrome 

Contact Person: Mark Trifiro, MD, Chief, Division of Endocrinology, Tel. 514-340-8222 ext. 23976

November 28

SCHWARTZ ROUNDS: THE GREAT RESIGNATION: WHY I AM STILL HERE

Ernesto L. Schiffrin, C.M., MD, PhD, FRSC, FRCPC
Distinguished James McGill Professor and Associate Chair, Department of Medicine, McGill University
Physician-in-Chief, Jewish General Hospital

Mimi Israel, MD
Associate Professor, Department of Psychiatry, McGill University
Medical Director, Eating Disorders Program, Douglas Mental Health Institute
Montreal West Island Integrated University Health and Social Services Centre

Isabelle Caron, MSc N
Associate Director of Nursing, CIUSSS West-Central Montreal

Patricia Dobkin, PhD, OPQ
Associate Professor, Department of Medicine, McGill University
Faculty member, McGill Programs in Whole Person Care
Psychologist, Certified Mindfulness-Based Stress Reduction Teacher

Mark Smilovitch, MD, FRCPC
Associate Professor, Department of Medicine, McGill University
Cardiology Division, Royal Victoria Hospital, McGill University Health Centre
Faculty member, McGill Programs in Whole Person Care

Educational Objectives:

  1. Provide an opportunity to reflect on your experiences caring for patients and families
  2. Foster connection between colleagues
  3. Reconnect with your sense of purpose

Contact Person: Marc Rodger, MD, Chair, McGill Department of Medicine & Emily-Lea Churchill Smith, Research Assistant, McGill Department of Medicine, Wellness Office, Tel 514-934-4378

November 21

RELATIONSHIPS BETWEEN OBESITY AND INFLAMMATORY BOWEL DISEASES

Andrew Szilagyi, MD
Assistant Professor of Medicine, McGill University
Honorary Member, Division of Gastroenterology, Jewish General Hospital

Educational Objectives:

  1. Review definitions of obesity and its complications
  2. Describe possible intertwined pathogenesis and geo-epidemiology of obesity and IBD, pro-inflammatory factors as well as obesity on IBD risk, course and management

Contact Person: Polymnia Galiatsatos, MD, Division of Gastroenterology, Tel. 514-340-8222 x 28144.

November 14                          

I. 18F-FDG PET/CT FOR THE HEMATOLOGIST: A CASE-BASED APPROACH

Guillaume Chaussé, MD
Assistant Professor, Department of Radiology, McGill University
Staff, Department of Radiology, Division of Nuclear Medicine, CIUSSS du Nord-de-l'Île-de-Montréal

&

II. FDG PET/CT for infection - an Overview

Gad Abikhzer, MD
Assistant Professor, Department of Radiology, McGill University
Staff, Department of Radiology, Division of Nuclear Medicine, Jewish General Hospital

Educational Objectives:

I.

  1. Understand how PET scans are performed and how patients are prepared
  2. List the indications for 18F-FDG PET/CT newly diagnosed lymphoproliferative disorders
  3. Understand the usefulness of 18F-FDG PET/CT in follow-up of lymphoproliferative disorders

II.

  1. To understand the appropriate indications of FDG PET/CT in imaging of infectious diseases

Contact Person: Hans Knecht, MD, Chief, Division of Hematology, Tel 514-340-8222 ext. 28799.

November 7

CANADIAN PATIENT SAFETY WEEK
Suicide Prevention: Review of Cases and Best Practices

  • Mrs. Josée Bernier, RN, MSc, Quality, Risk Management and Patient Experience Advisor, CIUSSS West Central Montreal
  • Mrs. Meg Hoodspith, RN, Clinical Activities Specialist, Emergency Department, Jewish General Hospital, CIUSSS West Central Montreal
  • Mrs. Marie-Pier Long, RN, MS., Senior Nursing Advisor - Adult and Child Mental Health, DSI, CIUSSS West Central Montreal
  • Dr Karl Looper, MD, Chief of Psychiatry, CIUSSS West Central Montreal
  • Mrs. Jessica Rassy, RN, PhD, Professor, School of Nursing Sciences, Sherbrooke University
  • Mrs. Annick Simard, TS MSW, Senior Clinical Advisor - Professional Practice, DRSM, CIUSSS West Central
  • Dre Susan Wisebord, Psychiatrist, Head of the Mood and Anxiety Clinic and Emergency Follow Up Clinic

Educational Objectives:

  1. To understand the importance of suicide prevention
  2. To increase awareness of the CCOMTL policy and procedure on suicide prevention and the role of the suicide prevention committee
  3. To learn about the SECUrgence Protocol

Contact Person: Judith Tiao, M.Sc., Coordinator of Quality, Risk Management and User Experience, DQTEPE, ext. 27895.

October 31

PULMONARY CASES OF THE YEAR: CHALLENGING DIAGNOSTIC FEATS

Jason Agulnik, MD
Associate Professor of Medicine, McGill University
Chief, Division of Pulmonary, Jewish General Hospital

Andrew Hirsch, MD
Associate Professor of Medicine, McGill University
Division of Pulmonary, Jewish General Hospital

Nan Zhao, MD
Assistant Professor of Medicine, McGill University
Division of Pulmonary, Jewish General Hospital

Educational Objectives:

  1. Review 3 rare case presentations of pulmonary problems
  2. Learn about diagnostic pulmonary procedures that helped clarify diagnoses

Contact Person: Carmela Pepe, MD, Division of Pulmonary Medicine, Tel. 514-340-8222 ext. 23636.

October 24

UPDATE: BEST PRACTICE GUIDELINE FOR PAIN MANAGEMENT AND OPIOID-INDUCED RESPIRATORY DEPRESSION (OIRD) MONITORING

Céline Gélinas, PhD in Nursing
Professor, Ingram School of Nursing, McGill University
Investigator, Lady Davis Institute for Medical Research
Senior Researcher, Centre for Nursing Research, Jewish General Hospital

Educational Objectives:

At the end of this presentation, you will be able to describe:

  1. Key principles of best pain management practices
  2. Key principles of OIRD monitoring

Contact Person: Chantal Bastien, BSc.N, DSI, 514-340-8222 ext. 24816.

October 17

WORDS MATTER

David Eidelman, MDCM, FRCPC, FACP
Vice-Principal (Health Affairs) and Dean
Faculty of Medicine and Health Sciences
McGill University

Educational Objectives:

  1. What is meant by learner mistreatment?
  2. How does our situation compare with the literature?
  3. What can be done to improve?

Contact Person: Ms. Fern D Charles, Administrator, Office of the Vice-Principal and Dean, Faculty of Medicine and Health Sciences. Tel. 514-398-3524.

October 10

No Rounds - Thanksgiving

October 3

EIGHTH ANNUAL JGH DEPARTMENT OF MEDICINE CLINICAL RESEARCH SYMPOSIUM

I.  MINIMAL RESIDUAL DISEASE IN MULTIPLE MYELOMA - INVESTIGATING NOVEL METHODS TO HELP BETTER PREDICT OUTCOMES

Rayan Kaedbey, MD
Assistant Professor of Medicine, McGill University
Division of Hematology, Jewish General Hospital

Educational Objectives:

  1. To review the definition of MRD and the different recognized methods
  2. To review the limitations of these methods
  3. To describe a novel MRD tool that will be investigated in transplant eligible patients at the JGH

II. ANTICOAGULATION STEWARDSHIP: DESCRIPTIVE ANALYSIS OF A NOVEL APPROACH TO APPROPRIATE ANTICOAGULANT PRESCRIPTION

Maral Koolian, MD, MSc
Assistant Professor of Medicine, McGill University
Division of Internal Medicine, Jewish General Hospital

Ryan Kerzner, B. Pharm., MSc
Pharmacist, Jewish General Hospital

Educational Objectives:

At the end of this session participants will be able to:

  1. Describe elements implicated in the development of a hospital-based anticoagulation stewardship program
  2. Synthetize results post-implementation of an anticoagulation stewardship program
  3. Identify potential limitations and barriers of an anticoagulation stewardship program

III. ASSOCIATION BETWEEN LEVOTHYROXINE USE AND PROGRESSIVE RENAL INSUFFICIENCY AMONG INDIVIDUALS WITH SUBCLINICAL HYPOTHYROIDISM

Oriana Yu, MD, MSc
Assistant Professor of Medicine, McGill University
Division of Endocrinology, Jewish General Hospital

Educational Objectives:

  1. To discuss the association between thyroid function and renal insufficiency
  2. To discuss study findings on whether treatment of subclinical hypothyroidism is associated with renal function

Contact Person: Vicky Tagalakis, MD, MSc, Division of Internal Medicine, Tel. 514-340-7596.

September 26

No Rounds - Rosh Hashanah

September 19

COMMUNICATING UNCERTAINTY IN CYTOPATHOLOGY AND SURGICAL PATHOLOGY REPORTS

Marc Pusztaszeri, MD
Associate Professor of Pathology, McGill University
Division of Pathology, Jewish General Hospital
&
Livia Florianova, MD
Assistant Professor of Pathology, McGill University
Division of Pathology, Jewish General Hospital

Educational Objectives:

  1. To become familiar with some of the limitations precluding a definitive diagnosis on cytology and on histology
  2. To become familiar with standardized reporting systems in diagnostic cytopathology
  3. To become familiar with various phrases/wording, commonly used to express different levels of diagnostic uncertainty in surgical pathology reports

Contact Person:  Ms. Maureen Besley, Division of Pathology, Tel. 514-340-8274.

September 12

SPECIAL EVENT - MEET AND GREET THE RESIDENTS

Elise Levinoff, MD
Assistant Professor of Medicine, McGill University
Jewish General Hospital Site Program Director, Core Internal Medicine Residency, McGill University
Division of Geriatric Medicine
Jewish General Hospital

Contact Person: Elise Levinoff, MD, Jewish General Hospital Site Program Director, Core Internal Medicine Residency, McGill University, Tel. 514-340-8222 x 24974.

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