50 year history of the ottawa dermatology residency...

25
50 YEAR HISTORY OF THE OTTAWA DERMATOLOGY RESIDENCY PROGRAM 1967 2017 Prepared by: Dr. John Adam Professor of Medicine (retired) Dr. J-P DesGroseilliers Adjunct Professor of Medicine Dr. Robert Jackson Emeritus Professor of Medicine

Upload: vocong

Post on 01-Jul-2018

220 views

Category:

Documents


0 download

TRANSCRIPT

50 YEAR HISTORY OF THE

OTTAWA DERMATOLOGY

RESIDENCY PROGRAM

1967 – 2017

Prepared by:

Dr. John Adam

Professor of Medicine (retired)

Dr. J-P DesGroseilliers

Adjunct Professor of Medicine

Dr. Robert Jackson

Emeritus Professor of Medicine

Celebrating 50 Years of Dermatology Page 2

Dr. Jack Adam Dr. DC Montgomery Dr. Robert Jackson

THE FOUNDERS

Celebrating 50 Years of Dermatology Page 3

UNIVERSITY CHIEFS OF DERMATOLOGY

Affiliation with Dermatology program McGill University 1967-1977

Montgomery, Donald 1978-1981

DesGroseilliers, J-P 1981-1986

Adam, Jack 1986-1998

Kanigsberg, Nordau 1998-2003

Walker, James 2003-2013

Kobayashi, Ken 2013-2015

Walker, James (Interim) 2015-2017

We welcome Dr. Mark Kirchhof as the new University Chief 2017

RESIDENCY PROGRAM DIRECTORS

From 1967 to 1997 the Hospital Chief was also the Program Director

DesGroseilliers, J-P 1981-1986

Adam, Jack 1986-1997

Pierscianowski, Tad 1997-2002

Green, Peter 2002-2003

Finkelstein, Harvey 2003-2006

Prokopetz, Robert 2006

Kanigsberg, Nordau 2007-2012

Fahim, Simone 2012-2014

Glassman, Steven 2014-Present

There had been a number of dermatologists in practice in the Ottawa area since the early part of

the 20th

century –Dr. Omar Wilson, Dr. John Burgess, Dr. George Sexton, Dr. George

Williamson, Dr. Herre Kingma, Dr. Vet Grimes and Dr. Jim Leach.

THE BEGINNING

In the early 1960’s, Dr. Roy Forsey of McGill and Dr. Robert Jackson of Ottawa began

discussions regarding starting a dermatology residency program in Ottawa.

Initially the Ottawa program would be an affiliate of the McGill program. Dr. Roy Forsey was

Chief at the Montreal General Hospital. He “oversaw” the Ottawa program from 1967-1977.

In 1967 Dr. Don Montgomery was Chief at the Ottawa Civic Hospital, Dr. Jackson and Dr.

Leach were staff physicians along with the newest recruit, Dr. Jack Adam (1966). Dr. Ed

Mercantini, and Dr. Herre Kingma were at the General Hospital. From 1967-1977 Dr.

Montgomery remained as Chief of the Civic Hospital, and from 1978-1981 was also University

Chief of Dermatology.

Celebrating 50 Years of Dermatology Page 4

In July 1967, the appropriate Royal College applications had been concluded and Ottawa had its

first resident, Dr. Robert Richards. Ottawa remained affiliated with the McGill program until

1977 when it became a totally independent teaching program.

In those early years, residents spent most of their time at the Civic Hospital. With the arrival of

Dr. J-P DesGroseilliers – GFT 1971-1988 the program expanded so residents went to both the

Civic and General campuses.

The Children’s Hospital of Eastern Ontario (CHEO) opened in 1974 and pediatric dermatology

clinics were started by Dr. Nordau Kanigsberg and Dr. John Goodall. Dr. Sandra Gardere joined

briefly in 1977 and Dr James Walker in 1980.Jill Keddy-Grant also practiced at CHEO from

1990 until her return to Winnipeg in 2000. Two new fellowship-trained pediatric dermatologists,

Dr. Michele Ramien and Dr. Shanna Spring recently joined the staff at CHEO in 2014 and 2016

respectively.

In 1977, the Royal College approved the Ottawa program for the full three years of training then

later to the updated five years of training. Since 1967, over 100 residents have been trained in

part or totally in Ottawa. Ottawa graduates practice in every province in Canada with the

exception of PEI, as well as in Kuwait, Saudi Arabia, Scotland and the USA.

In 1998 The Ottawa Hospital (TOH) was established by amalgamation of the Civic, General and

Riverside Hospital campuses.

Ottawa dermatologists have participated in University and non-University programs. Many ran

outreach clinics:

Dr. Elgin Duke (Arnprior)

Dr. Susan Swiggum and Dr. Jack Adam (Perth)

Dr. James Walker (Carleton Place and Pembroke)

Dr. Harvey Finkelstein (Smiths Falls)

Dr. Robert Prokopetz (Sault Ste Marie)

Dr. Robert Jackson (Baffin Island and Smith Falls Regional Hospital)

Dr. Nordau Kanigsberg (Renfrew and Pembroke)

Dr. Tad Pierscianowski (Brockville)

Dr. Louis Weatherhead (Kemptville)

Dr. Paul Brisson (Casselman, Embrun and Rockland)

Dr. J. Shukle (Baffin Island)

Celebrating 50 Years of Dermatology Page 5

STAFF

The Dermatology staff initially consisted primarily of Volunteer Part Time teachers. A VPT is

now referred-to as a Part Time Academic (PTA). There were teachers who were University

affiliated as well as those from the dermatology community. Table 1 identifies the staff members

as of July 1, 2017.

Dr. J-P. DesGroseilliers was the first Geographic Full Time (GFT) teacher from 1971-1988. He

also became assistant Dean of the University of Ottawa Medical School. Dr. Peter Green spent a

short time as a GFT (2002-2003).

In 2008, Dr. James Walker became GFT Chief. Others to join the GFT ranks included Dr. Steven

Glassman, recruited from South Africa, Dr. Melanie Pratt and Dr. Ivan Litvinov. The term GFT

has now been replaced by FTA (Full Time Academic).

The Skin Systems of undergraduate education was organized by Dr. Harvey Finkelstein and Dr.

Diane Quintal from 1998 – 2003.

Undergraduate teaching was formalized in 2003 when Dr. Clare Dossetor organized a bilingual

Dermatology undergraduate curriculum. She was assisted by Dr. Dalia Mikhael who now

coordinates the French component, and Dr. Carly Kirshen, the English component.

FORMAL RESIDENCY TEACHING

The postgraduate program was multi-faceted and has expanded markedly over the past 50 years.

Table 2 includes all the residents who have studied in the University of Ottawa program and

Table 3 shows their present locations as far as we know.

Thursday afternoon “half-day academic program”provided residents with a forum to solidify

their basic science knowledge over the period of their residency. This time was “protected time”

emphasizing the value of this initiative. It began with Clinical Rounds.

Weekly Dermatology Clinical Rounds, initially at both the General and the Civic, became a

weekly event at the Civic Campus of the Ottawa Hospital in the late 70s. After seeing patients,

residents were asked to describe, diagnose, and offer a management plan…stressful but most

would agree a great learning experience.

Morphology training initiated by Dr. Robert Jackson in the 70s and continued while he was

writing his first text Morphological Dermatology that was published in 1979. His second edition

Morphologic Diagnosis of Skin Disease (1998) is still followed by Drs. Harvey Finkelstein and

Steven Glassman for residency training in morphology.

Celebrating 50 Years of Dermatology Page 6

Drs. Adam and Jackson taught dermatopathology for many years. With the arrival of Dr.

Robert Prokopetz in 1991, a formal Pathology course was developed. Dr. Prokopetz also read all

the biopsies from private offices while working for Dynacare. At the Civic and General

Hospitals, Drs. Liepa, Burns, Ayroud, Orizaga and Thompson read the skin pathology. With the

partial retirement of Dr. Robert Prokopetz, Dr. Scott Bradshaw assumed his teaching duties. Two

more recent additions to the Dermatopathology team at TOH are Dr. Stephanie Petkiewicz and

Dr. Iris Teo. From 1987 to 1995, Dr. Tad Pierscianowski did clinical-path sessions with the

residents at the Ottawa General site. Residents have the opportunity to rotate through the

Dynacare Pathology facility with the staff Dermatopathologist. Other topics included in the

academic program are summer therapeutic sessions in July and August; and tutorials on

Genoderamtoses. Dr. Pierscianowski and then Dr. Mike Robern conducted “therapeutic

tutorials” as part of the half-day academic program from 1997 to 2013.

Dr. Kathleen Moses organized a monthly Journal Club for staff and residents until her

retirement in 2016. Drs. Jennifer Beecker and Simone Fahim continued the initiative whereby

residents are exposed to critical appraisal of the literature.

The bi-annual Clinical and Scientific Meetings, that began in 1981, are organized by a hard-

working group of staff referred to initially as “the Gang of Four” and now just “the Gang”. These

meetings provide residents and staff with continuing medical education opportunities along with

participation of internationally renowned invited speakers. The list of speakers and topics is

included as Table 4.

THE CLINICS

One of the most important parts of a residency program is to have exposure to a large number of

patients with both common and rare skin diseases. The clinics provide residents with an

outstanding teaching experience while they do rotations amongst TOH, CHEO and now Bruyere.

The Skin Cancer clinic began in the 1950s by Drs. George Williamson and Robert Jackson.

Later, other colleagues such as Dr. Sean Kenny and Dr. Nancy Mayer joined in. This clinic

continues with Drs. Finkelstein and Weatherhead managing complicated skin cancer patients and

teaching.

Surgical procedures were initially taught to the residents by staff in the outpatient clinics and

their private offices. Drs. Duke and Weatherhead introduced a formal curriculum for teaching

residents dermatologic surgery. Later, in 2009 a Mohs’ clinic was developed, with Dr. Mamelak

(until 2011) followed by Dr. Jillian Macdonald (since 2011)which moved us into the era of

advanced surgical procedures.The most recent development is a combined surgical rotation with

expertise from plastic surgeons and their residents. Dr. Macdonald is also in charge of the

Dermatologic Surgery curriculum, with many sessions being held at the University of Ottawa

Skills and Simulation Centre.

Celebrating 50 Years of Dermatology Page 7

A special Wound careclinic started by Dr. Nordau Kanigsberg at the General campus was taken

over by Dr. Tad Pierscianowski in 1991. This clinic continues to this day but restricts its care to

lower limb ulcers since 2000.

Dr. Melanie Pratt, following training at St. Johns Hospital in London UK, started a very active

contact dermatology clinic. It was opened in 1986. She has trained local, national and

international residents Table 5. She went on to gain national and international fame for her

research activities, publications and research.

Dr. Sharyn Laughlin, commencing in 1986, became a Canadian pioneer in laser therapy. She has

offered one year Laser Fellowships to numerous students from Ottawa and other centres Table

6. She researched and tested many new laser devices from laser manufacturers. Residents have

the opportunity to do a rotation in her private clinic. Dr. Jenn MacIsaac has recently joined Dr.

Laughlin.

Dr. Diane Quintal ran a Hair clinic at the General campus from 1998-2006.

Drs. Susan. Swiggum and Kathleen Moses along with dentist Dr. John Hardy ran an Oral clinic

at the Civic campus in the 80’s.

Dr. Swiggum with gynecologist Dr. G. Lefebvre opened a Vulvar clinic from the 1990’s up to

2005. This clinic has recently been restarted in our division by Dr. Carly Kirshen.

Dr. Jennifer Beecker opened a Melanoma / Pigmented Lesion clinic in 2011 with the support of

Fotofinder technology.

Other new clinics are the Dermatology Rheumatology clinic at the Riverside (Dr. Simone

Fahim) and the Biologics clinic (Dr. Melanie Pratt) at the Civic campus.

One of our most unique clinics is in Iqaluit. Dr. Adam was Chief at the time when he received a

letter from the Minister of Health of the North West Territories (later Nunavut) that they would

like the Ottawa Dermatology Division to consider opening a Dermatology clinic at the hospital

in Iqaluit. The clinic would serve local residents as well as patient flown from all over Nunavut.

When the concept was presented to Ottawa staff, Dr. Jackson rose to the occasion and

volunteered to open the clinic, a position he has held since its inception. More recently Dr.

Jacqueline Shukle has joined Dr. Jackson and has now taken over the clinical duties.

Often a resident would accompany the staff to Nunavut. This has proven to be a unique

experience – not only to see the North of Canada but also to attend patients with difficult

diseases which are hard to treat in remote areas of this country.

Celebrating 50 Years of Dermatology Page 8

Our staff continues to run service as well as teaching clinics at the University of Ottawa affiliated

hospitals. They treat the common skin disorders, the skin cancers as well as the rarer skin

diseases such as epidermolysis bullosa and bullous pemphigoid.

OTHER SERVICES

Tele-dermatology began in 2002 with Dr. J-P DesGroseilliers and later Dr. Kathleen Moses and

Dr. Steven Glassman providing video tele-dermatology consultation to a network of 17

surrounding hospitals. Since 2009, video technology has been replaced by the newer “Store and

Forward” technology as part of the Ontario Telemedicine Network. Participants expanded to

include Dr. Jim Walker and Dr. Quintal.The store and forward tele-dermatology is also used to

provide bridging care in Baffin Island.

The Champlain LHIN started a consultation program with Dr. Nordau Kanigsberg contributing

in the early stages of the initiative. Since 2012, consults are now delivered by Drs. J-P

DesGroseilliers, Diane Quintal and Jaqueline Shukle. 17% of all consults are dermatological.As

of November 16, 2016, the total consults for all specialties’ reached 20,000.

In 1978, Dr. J-P DesGroseilliers co-founded Canada’s second Phototherapy clinic at the Ottawa

General Hospital. In 1980, it moved to the Elizabeth-Bruyère Hospital and in 1982 Dr. Anita

Pedvis became its Medical Director until 1997. In 1987, Dr. Sharyn Laughlin started a second

Phototherapy Clinic at the Ottawa Civic Hospital. Dr. Peter Green ran that clinic for one year in

2002. Dr.J-P DesGroseilliers, who had succeeded Dr. Pedvis in 1997, ran both clinics till 2008

when Dr. Steven Glassman took over the operation of both clinics. These two clinics treat

approximately 200 patients per day. The Civic clinic was named the Don Montgomery Photo

Biology Clinic to honour Dr. Montgomery’s contribution to the Division of Dermatology.

RESEARCH

The majority of the research done in Ottawa from the 1960’s to 2000 was drug testing and

clinical trials. Some of these trials were carried out in the out-patient clinics but most were done

in private offices.

With the arrival of Dr. Adam in Ottawa in 1966, clinical trials of new pharmaceuticals for

Dermatology were introduced. During the decade of mid 1960’s to the end of 1970’s, seven new

drugs were studied including fluocinolone, benzoyl peroxide, 5 fluorouracil, isotretinoin and

several anti fungals. In the 1980’s, Drs. Adam, Laughlin, Swiggum, Keddy-Grant, Pedvis-

Leftick, Tsoulis, Weatherhead, Kanigsberg and DesGroseilliers working either alone or in

collaborations with colleagues studied 11 new compounds. In the 1990’s Drs. Adam and

Swiggum investigated 3 new drugs. By the turn of the century drug studies became more

frequent. Drs. Weatherhead, DesGroseilliers, Olson and Goodall looked at 5 drugs. With the

Celebrating 50 Years of Dermatology Page 9

introduction of biologics for auto immune diseases such as psoriasis, Drs. Robern, Glassman and

Beecker began the more complicated clinical trials of these drugs. To date 17 biologics have

been studied.

With the opening of the contact dermatitis clinic in 1986, Dr. Melanie Pratt has conducted

numerous studies to identify chemicals that can cause allergic cutaneous reactions. She has

identified a variety of agents previously not suspected of causing a problem. For instance, the

lining of women’s clothes are made of polyester, acetate or nylon and dyed blue. This blue

dispersed dye was identified by Dr. Pratt and her resident Dr. Taraska as frequently causing an

acute contact dermatitis.

Over the past 50 years, research in Ottawa has taken on many forms ie: Dr. Jackson’s

investigations into skin cancer especially basal cell carcinoma; Dr. Adam’s papers on ageing skin

and geriatrics; Dr. DesGroseilliers, and more recently Dr. Glassman’s reports on the results of

UV therapy in a psoriasis day care setting; Dr. Weatherhead’s examinations of melanoma, and

genetic profiles and Dr. Laughlin’s investigations of new lasers in clinical practice.

Although this list is not all-inclusive, our younger staff continue to make research contributions

ie. Dr. Litvinov’s Lymphoma studies, Dr. J. Beecker’s new uses of cyclosporin, and Dr. J.

Macdonald’s application of local anesthesia in Mohs surgery.

In 2004, Dr. Pratt was appointed research director to encourage residents to become involved not

only in her own research in contact dermatitis but in other staff research projects. Dr. Jennifer

Beecker took over this position in 2015 and continues expanding a very active program.

In the first academic year, 1967-8 there were three staff teaching dermatology. They published

five papers that year. In the 50th

year of the program, 2016-17 there are twenty-two staff (Table

1) who published fifty-one scientific and research papers.

FUNDING OF THE RESIDENCY PROGRAM

During the early days of the University of Ottawa, Dermatology Residency Program, all staff

were volunteers and part timers (VPT). Administrative support such as secretarial was usually

contributed to the division from the private office of the current Chief. Sporadic help could be

received from the Department of Medicine.

Our first GFT, Dr. J-P DesGroseilliers (1971-1988) was University appointed and was provided

with funding for office space and secretarial help. This was the ideal scenario for the division

when he was appointed Chief (1981-1986).

In 1994, the Ministry of Health (MOH) of Ontario acting on the Barer-Stoddart report which

stated that there were too many doctors in Ontario began closing down and stopping funding to

University residency teaching programs. Funding was decreased in the Toronto Dermatology

Celebrating 50 Years of Dermatology Page 10

program but stopped altogether in Hamilton (McMaster), London (Western) and Ottawa

(University of Ottawa).

In Ottawa, the Division of Dermatology staff wanted to keep the program viable. They decided

to offer residency positions to candidates from out-of-the-province as well as out-of-the-country.

These residents would be funded by their province or country.

The Chief’s salary was terminated and these funds were reallocated to support the administration

in the Division. This austerity program ran from 1994-2005 when Ontario funding for

dermatology residency positions in Ottawa was re-established.

Over the years Dr. Nordau Kanigsberg did dermatology manpower studies of Eastern Ontario

which we feel contributed greatly in re-establishing funding by the Ministry of Health (MOH)

and University of Ottawa.

The new Alternative Funding Plan (AFP) was introduced by the MOH in 2003. CHEO was a full

AFP institution where everyone was on salary, whereas The Ottawa Hospital (TOH) was a

partial AFP where billing fee for service for clinical care still existed.

Funds received from MOH are distributed by a central committee of the

University(CHAMO/TOHAMO) – first to departments then to divisions. The divisional funds

can be used for education, curriculum development, research, teaching and administration.

Funding cuts have begun again for 2016 and 2017.

The McMaster and Western programs were never restarted but the Toronto program was

expanded.

There were no Ontario-funded dermatology resident positions granted to the University of

Ottawa in over a decade (1994-2005), but finally the MOH opened the number of residency

positions in dermatology. The Ottawa program now has 15 funded positions over the 5-year

program.

In 2003, Dr. James Walker became the Division Head of Dermatology in Ottawa. In 2008 he

became a GFT/FTA. Other GFT’s included Dr. Steven Glassman (recruited from South Africa),

Dr. Melanie Pratt and Dr. Ivan Litvinov from Montreal.

The National Capital Skin Disease Foundation (NCSDF) was founded in 2005 to support

residency education, training and research. Founding members included Dr. J. Walker, Dr. C.

Ruddy (Secretary), Dr. N. Kanigsberg, Dr. T. Pierscianowski (Treasurer) and Dr. J. Adam

(President). Dr. Walker succeeded Dr. Adam as President in 2009. The focus of the fund-raising

changed temporarily to capital funding for a new dermatology centre which we anticipate will

open in late 2017. This centre is now fully funded and our focus has now reverted to operational

funding for the purposes noted above.

Celebrating 50 Years of Dermatology Page 11

We are all indeed grateful to Dr. Walker and his team for successfully raising over 3.5 million

dollars, through the NCSDF and TOH Foundation, so that construction of the Charles Logue

Dermatology Centre could proceed.

The Robert Jackson Lectureship Fund was established in 1993. Dermatology residents and staff

contributed generously to establish enough capital so that the interest can be used to support the

expenses of a guest lecturer. The fund has been fully endowed within the Ottawa Hospital

Foundation. Any former University of Ottawa Dermatology resident from anywhere in the

world can apply for a grant from this fund to bring a guest speaker to their respective location.

The following chart identifies those who have received grants, the year received as well as the

guest lecturer and the subject of the presentation.

Robert Jackson Lectures Delivered to Date:

1. 1995 Dr. Jo-David Fine (North Carolina), Epidermolysis Bullosa, Ottawa

2. 1997 Dr. Julie Prendeville (Vancouver), Paediatric Dermatology, Regina, Dr. Karen

Holfeld

3. 1999 Dr. John Koo (California), Psoriasis and Psychodermatology, NFLD, Dr. Laurie

Parsons

4. 2003 Dr. Mark Dahl (Minnesota), Dermatology Manpower, CDA Ottawa

5. 2007 Dr. Richard Langley (Halifax), confocal Microscopy and Melanoma, Ottawa

6. 2009 Dr. Joel Claveau (Quebec City), Dermoscopy, Ottawa

7. 2015 Dr. Neil Shear (Toronto), Drug Safety is a Process, Ottawa

8. 2016 Dr. Boris Lushniak, Public Health and Dermatology, Ottawa, Dr. Pratt

The division still relies heavily on volunteer community dermatologists and fortunately the new

dermatologists that have opened up offices in Ottawa have stepped up to take over the roles of

about-to-be or already retired staff – Dr. Duke, Dr. Adam, Dr. Moses, Dr. Jackson, Dr. Brisson

and those cutting back Dr. Goodall, Dr. Walker, Dr. Finkelstein, Dr. Fahim and Dr. Prokopetz.

Many of the community dermatologist also volunteer as University affiliated teachers.

Progress continues with an enthusiastic staff that not only teaches but also gives presentations at

local, national and international meetings. They actively participate in clinical and basic science

research. They publish ever increasing numbers of papers with each passing year.

The staff of the University of Ottawa Dermatology Program are indeed very proud of the

contributions made by our former residents in the pursuit of their careers not only in academic

programs but also in the communities in which they live and practice.

Celebrating 50 Years of Dermatology Page 12

RESIDENT AND STAFF SPECIAL ACHIEVEMENTS

PRESIDENTS OF CDA

Dr. D. Montgomery

Dr. R. Jackson

Dr. L. Weatherhead

Dr. K. Barber

HONORARY MEMBERSHIP

1987 Dr. J. Adam The Irish Association of Dermatologists

2000 Dr. J. Adam Surgeon – Captain, Chief Medical Officer

78th

Fraser Highlanders

Fort Glengarry Garrison

2016 Dr. R. Jackson The American Academy of Dermatology

2017 Dr. S. Swiggum Ontario Medical Association

EDITORS OF THE JOURNAL OF CUTANEOUS MEDICINE AND SURGERY

Dr. J. Rivers From Inception to 2015

Dr. K. Barber 2015 to Present

PRESIDENTS OF OTHER ORGANIZATIONS

Dr. J. Adam Atlantic Dermatology Association

Dr. M. Pratt North American Contact Dermatology Association

Dr. S. Swiggum The Federation of Medical Women of Canada

HONORS – NON DERMATOLOGIC

Dr. J. Walker Olympic Rower, Munich Games – 1972

Dr. R. Jackson Queen Elizabeth II’s Silver Jubilee Medal – 1977

Dr. J-P DesGroseilliers Governor General’s “Queen Elizabeth II Commemorative Silver

Jubilee Medal” – 1977

Dr. P.Brisson Governor Generals “Commemorative Medal for the 125th

Anniversary

of the Confederation of Canada” – 1992

Dr. J-P DesGroseilliers Canadian Association for Medical Education – 2000

Dr. R. Jackson Forestry & Stewardship Award from Wild Life Habitat Canada – 2004

Dr. S. Swiggum Canadian Medical Association Award for Mentoring – 2016

Dr. S. Swiggum OMA Life Membership Award – 2017

Dr. S. Swiggum Emeritus Status – CPSO – 2017

Dr. J. Adam Emeritus Status – CPSO – 2017

Celebrating 50 Years of Dermatology Page 13

SELECTED RESEARCH GRANT AWARDS (NON-PHARMACEUTICAL)

1985 Dr. J. Adam, Dr. S. Swiggum Canadian Dermatology Association Grant #753 to

study the prevalence of skin disease in the Geriatric

age group

1986 Dr. S. Garnis-Jones, Dr. J. Adam,

Dr. J. Keddy-Grant

Ottawa Civic Hospital Research Award Program to

study the effects of Hypothermia on DNA

metabolism in Psoriatic Epidermis

1997 Dr. J. Adam Neutrogena Lectureship Award, American

Academy of Professors of Dermatology

2016 Dr. I. Litvinov Ontario Research Fund Grant: for research

equipment

Leo Dermatology Research Grand and Galderma

Canada Research Grant: to study oncolytic virus in

non-melanoma skin cancer

2016 Dr. J. Beecker Canadian Dermatology Foundation: Eli Lilly

Research Grant, June 2016

2016 Dr. J. Beecker Canadian Dermatology Foundation: Benefactor

Life Members’ Research Grant

2016 Dr. J. Macdonald Richard J. Mackay Endowment Fund Grant: Study

of local anesthetics in Mohs’ surgery patients.

2016 Dr. L. Weatherhead Dr. John Seely Memorial Award: study of genetic

profiles.

2016 Dr. A. O’Toole Women’s Dermatology Society Mentorship

Scholarship – Supporting Dermatology-

Rheumatology Elective

NON DERMATOLOGIC SENIOR POSITIONS

Dr. J-P. DesGroseilliers

1982-84 Assistant Dean of the University of Ottawa for Education

1984-88 Assistant Dean of the University of Ottawa for Post Graduate Education

1988-98 RCPS Canada, Director of Education

Dr. Susan Swiggum

2005-16 Canadian Medical Protective Association, Senior Risk Manager, Education

Dr. Jack Adam

1984-97 Board of Trustees, Ottawa Civic Hospital

Celebrating 50 Years of Dermatology Page 14

CDA Resident and Fellow Society Teaching Award

2006 Dr. R. Prokopetz

2007 Dr. R. Jackson

2009 Dr. N. Kanigsberg

2010 Dr. H. Finkelstein

2012 Dr. M. Pratt

2012 Dr. M. Ramien (Resident)

2013 Dr. J. Beecker

2014 Dr. S. Spring (Resident)

INTERNATIONAL, NATIONAL AND PROVINCIAL DERMATOLOGY

MEETINGS HELD IN OTTAWA

Canadian Dermatology Association (1974, 1983, 2003, 2012)

Atlantic Dermatological Conference (1993)

North American Contact Dermatitis Meeting (1996)

Montreal Dermatological Society (1967, 1970, 1972, 1974, 1976, 1978)

UNIVERSITY TEACHING STAFF

AS OF JULY 2017 (TABLE 1)

Staff University Appointment Division Leadership Role

Beecker, Dr. J. Assistant Professor Research Chair

DesGroseilliers, Dr. J-P Adjunct Professor

Dossetor, Dr. C. Lecturer

Fahim, Dr. S. Assistant Professor

Finkelstein, Dr. H. Assistant Professor

Glassman, Dr. S. Assistant Professor Program Director

Kanigsberg, Dr. N. Associate Professor

Kirshen, Dr. C. Lecturer

LaBerge, Dr. L. Lecturer

Laughlin, Dr. S. Assistant Professor

Lipson, Dr. J. Lecturer

Litvinov, Dr. I. Adjunct Professor

Macdonald, Dr. J. Assistant Professor Finance Chair/Surgical Chair

Mikhael, Dr. D. Assistant Professor

Pierscianowski, Dr. T. Lecturer

Celebrating 50 Years of Dermatology Page 15

Staff University Appointment Division Leadership Role

Pratt, Dr. M. Professor Resident Selection Chair

Quintal, Dr. D. Assistant Professor

Ramien, Dr. M. Assistant Professor CHEO Chief

Ruddy, Dr. C. Assistant Professor

Spring, Dr. S. Assistant Professor

Walker, Dr. Jim Associate Professor Interim Division Head

Weatherhead, Dr. L. Associate Professor

RETIRED UNIVERSITY AFFILIATED STAFF

Staff University Appointment Division Leadership Role

Adam, Dr. J. Professor

Brisson, Dr. P. Assistant Professor

Duke, Dr. E. Associate Professor

Goodall, Dr. J. Adjunct Assistant Professor

Jackson, Dr. R. Emeritus Professor

Prokopetz, Dr. R. Assistant Professor

Swiggum, Dr. S. Professor

COMMUNITY BASED STAFF

Moses, Dr. K.

Ringwald, Dr. P.

Robern, Dr. M.

MacIsaac, Dr. J.

Shukle, Dr. J.

Celebrating 50 Years of Dermatology Page 16

RESIDENT ALUMNI (TABLE 2)

2017

Celebrating 50 Years of Dermatology Page 17

Celebrating 50 Years of Dermatology Page 18

Celebrating 50 Years of Dermatology Page 19

PRESENT LOCATION OF RESIDENT ALUMNI 2017(TABLE 3)

NAME

CITY PRESENT LOCATION

Adams, Rowan Deceased

Al-Aradi, Ibrahim Kuwait City Kuwait

Al-Husayen, Raed Kuwait City Kuwait

Amdemichael, Esiahas Waterloo ON

Amiss, John Victoria BC

Barber, Kirk Calgary AB

Baxter, Kathy St. John NB

Beach, Renee Toronto ON

Beaulieu, Guylaine Edmunston NB

Beecker, Jennifer Ottawa ON

Brisson, Paul (Ret.) Ottawa ON

Clarke, Gillian St. John’s NL

Conklin, Bob Richmond BC

Cowger, Jeffrey London ON

Craan, Philippe (Ret.) Waterloo ON

Davie, Mike Toronto ON

Doumit, Joseph Montreal ON

Edstorm, Karen Dundas ON

Fahim, Simone Ottawa ON

Finkelstein, Harvey Ottawa ON

Fournier-Blake, Odette Montreal QC

Gardere, Sandra Waco Texas, USA

Giroux, Lyne Sudbury ON

Grainge, Jack Ajax ON

Gratton, David Montreal QC

Gray, Robin Vancouver BC

Gulliver, Mike Deceased

Heughan, Caroline Halifax ON

Hogan, Joan Deceased

Hogeling, Marcia Phoenix Arizona, USA

Holfeld, Karen Regina SK

Horan, Frank Belleville ON

Hurst, Lorne Winnipeg MB

Keddy-Grant, Jill Winnipeg MB

Keeling, Doug Quispamsis NB

Kelly, Colleen Halifax NS

Kirshen, Carly Ottawa ON

Kunynetz, Rob Barrie ON

Celebrating 50 Years of Dermatology Page 20

NAME

CITY PRESENT LOCATION

Kuritzki, Alexandra Vancouver BC

LaBerge, Lauren Ottawa ON

Lacroix, Julie Ottawa ON

Laughlin, Sharyn Ottawa ON

Lipson, Jennifer Ottawa ON

Macdonald, Jillian Ottawa ON

MacIsaac, Jennifer Ottawa ON

Martin, Julius Deceased

Mayer, Nancy (Ret.) Ottawa ON

McCauley, Diane London ON

Mikhael, Dalia Ottawa ON

Mimesh, Samara Rhyad KSA

Minuk, Earl Winnipeg MB

Mioduszewski, Margaret USA

Murray, Scott Halifax NS

Nidumolu, Shakti (Sharma) USA

O’Brien, Beth Montreal QC

Ohson, Kamal St. John’s NL

Okwechinie Josephine Kokomo USA

Panaccio, Francois Montreal QC

Parsons, Laurie Calgary AB

Pratt, Melanie Ottawa ON

Quintal, Diane Ottawa ON

Ramien, Michele Ottawa ON

Richards, Robert Toronto ON

Rivers, Jason Vancouver BC

Robern, Michael Ottawa ON

Ruddy, Cathi Ottawa ON

Ryan, Siobhan Toronto ON

Sapra, Sheetal Oakville ON

Sauder, Maxwell USA

Shiffman, Norm Toronto ON

Shukle, Jacqueline Ottawa ON

Spring, Shanna Ottawa ON

Stocknicki, Sandy Toronto ON

Swiggum, Susan Ottawa ON

Taraska, Vicki Winnipeg MB

Taylor, Bill Medicine Hat AB

Thompson, Frank Toronto ON

Tomi, Zohair St. John’s NL

Celebrating 50 Years of Dermatology Page 21

NAME

CITY PRESENT LOCATION

Tremaine, Rob Halifax NS

Tsoulis, Chris Guelph ON

Walker, Jim Ottawa ON

Wasserman, Gary Rexdale ON

Weatherhead, Louis Ottawa ON

Williams, Anna Hawkesbury ON

Wolk, Burrell Arizona USA

Yadav, Geeta Toronto ON

OTTAWA CLINICAL AND SCIENTIFIC MEETINGS

These are biannual meetings and have been held since May 1981. Our 66th

meeting was in

October 2016. The two-day meetings are unique because of their “theme-based” nature.Scientific

presentations are given on Friday afternoons, and patients are presented on Saturday mornings to

illustrate the same theme. The following tablelists the themes and presenters. The “bearpit”

sessions are a unique feature of these meetings whereby the invited speaker meets the residents

without any local teachers present.

OTTAWA CLINICAL AND SCIENTIFIC MEETINGS (TABLE 4)

DATE

SUBJECT SPEAKER(S)

May 1981 Pigmentary & Keratinocytic Disorders T. Fitzpatrick (Boston)

Oct 1981 Immunofluorescence in Dermatology R. Goltz (Minnesota)

May 1982 Self-induced Disease A. Lyell (Scotland)

Oct 1982 Skin Cancer E. Epstein (California)

Oct 1983 Lumps and Bumps M.L. Johnson (Connecticut)

May 1984 Psoriasis R. Schacter (Toronto)

Oct 1984 Immunology of Common Dermatoses R. Mackie (Scotland)

May 1985 Pediatrics J. Rasmussen (Michigan)

Oct 1985 Photosensitivity C. Ramsey (Toronto)

May 1986 Warts P. Lynch (Denver)

Oct 1986 Moles and Melanoma A. Kopf (New York)

Apr 1987 Feet R. Forsey (Montreal)

Oct 1987 Acne & Related Disorders J. Strauss (Iowa)

Apr 1988 Ulcers S. Moschella (Massachusetts)

Oct 1988 Hair W. Bergfeld (Ohio)

Apr 1989 Pediatric Dermatology L. Golitz (Colorado)

Oct 1989 Vascular Skin Lesions R. Champion (Cambridge)

Celebrating 50 Years of Dermatology Page 22

DATE

SUBJECT SPEAKER(S)

Apr 1990 Fungi and the Skin Edgar B. Smith (Texas)

Oct 1990 Nails and Their Diseases L. Norton (Massachusetts)

Apr 1991 Disorders of the Mouth L. From (Toronto)

Oct 1991 Contact Dermatitis A. Fisher (New York)

F. Storrs (Oregon)

May 1992 Collagen Vascular Diseases J. Callen (Louisville)

Oct 1992 Corticosteroids W. Stewart (Vancouver)

R. Lester (Toronto)

Oct 1993 Psoriasis & Photodermatology W. Morison (Maryland)

Apr 1994 Pathology Update A. Hood (Virginia)

Oct 1994 Dermatological Surgery A. Carruthers (Vancouver)

Apr 1995 Pediatrics J. Rasmussen (Michigan)

Oct 1995 Mycosis Fungoides D. Rosenthal (Hamilton)

Apr 1996 Lymphatics & Leg Ulcers T. Ryan (England) Autumn 1996

Aug 1996 Conjoint Meeting with American Contact

Dermatitis Meeting

M. Pratt (Ottawa)

Apr 1997 Pigmentary Disturbances J. Bolognia (Connecticut)

Nov 1997 Internal Medicine and Dermatology J. Jorizzo (New York)

Apr 1998 Drugs & Dermatology N. Shear (Toronto)

Nov 1998 Malignant melanoma of the Skin D. Rigel (New York)

Apr 1999 Ethnic Dermatology P. Kelly (California)

E. Gonzales (Massachusetts)

Oct 1999 Geriatric Dermatology T. Phillips (Massachusetts)

D. Assaad (Toronto)

Apr 2000 Atopic Dermatitis H. Williams (England)

Oct 2000 Hair Disorders L. Sperling (Maryland)

Apr 2001 Viral & Bacterial Skin Infections R.A. Johnston (Massachusetts)

Oct 2001 Psoriasis & Phototherapy H. Lim (Michigan)

Apr 2002 Acne and Related Disorders Wm. D. James (Pennsylvania)

Nov 2002 Skin Cancer J. Rivers (Vancouver)

N. Solish (Toronto)

T. Want (North Bay)

K. Watters (Montreal)

Oct 2003 Pediatric Dermatology D. Atherton (England)

Apr 2004 Immunology & The Skin J.T. Elder (Michigan)

Nov 2004 The Mouth R.S. Rogers (Arizona)

P.J. Chauvin (Montreal)

Jim Walker (Ottawa)

Apr 2005 Fungal Skin Diseases A.K. Gupta (Toronto)

Nov 2005 Clinico-pathological Correlates of Skin

Disease

P. McKee (Arizona)

L. From (Toronto)

Celebrating 50 Years of Dermatology Page 23

DATE

SUBJECT SPEAKER(S)

N. Walsh (Halifax)

Apr 2006 Basic Office Surgery Local Speakers

Nov 2006 Conjoint Meeting with 15th

Meeting of

the Caribbean Dermatology Association

Barbados

Apr 2007 Drugs in Dermatology S.E. Wolverton (Indiana)

N. Shear (Toronto)

Oct 2007 Psychodermatology R. Staughton (England)

C. Bridgett (England)

W. Gould (England)

Spring 2008 No meeting

Sept 2008 Iqaluit W. Macdonald (Baffin Island)

P. Stubbing

P. DeMaio

G. Redpath

Oct 2008 The Feet K. Lalonde (Ottawa)

Apr 2009 Internal Medicine and Dermatology J. Dutz (Vancouver)

Dr. Goodfellow (England)

Oct 2009 Geriatric Dermatology R. Norman (Florida)

G. Lauzon (Edmonton)

April 2010 Use of Laboratory in Dermatology/Great

Cases from Ottawa

R. Haber (Calgary)

E. O’Brien (Montreal)

Oct 2010 The Science of Lasers and Their Medical

Application

C. Zachary (California)

J. Dover (Massachusetts)

Apr 2011 Pediatric Dermatology E. Pope (Toronto)

C. McCuaig (Montreal)

Oct 2011 Transplant Dermatology F. Zwald (Georgia)

Nov 2012 Acne and Rosacea Update H. Baldwin (New York)

R. Bissonnete (Montreal)

Apr 2013 Update on HPV Wm. Bonnez (New York)

Sam Gibbs (Swindon, UK)

P. McPherson (Ottawa)

Nov 2013 Endocrinology and the Skin E. Keely

P. Hierliby

T. Pierscianowski

Apr 2014 Keratotic Disorders of the Skin M. Williams (California)

L. Milstone (Connecticut)

Nov 2014 Mycosis Fungoides Y.H. Kim (Stanford, CA)

A.H. Rook (Philadelphia, PA)

M. William, San Francisco, CA

May 2015 The Hand A. Saavedra

Celebrating 50 Years of Dermatology Page 24

DATE

SUBJECT SPEAKER(S)

Oct 2015 The Aging Face L. Milesone, New Haven, CT

S. Barr, Sudbury, ON

V. Bertucci, Woodbridge, ON

S. Laughlin, Ottawa, ON

Apr 2016 Nevi and Dermoscopy I. Zalaudek, Vienna, Austria

J. Beecker, Ottawa, ON

S. Bradshaw, Ottawa, ON

Oct 2016 Granulomatous Disorders of the Skin

J. English (Pennsylvania)

M. Rosenbach (Pennsylvania)

S. Bradshaw, G. Victor, N.

Milman (Ottawa)

Sept 2017 50th

Reunion

CONTACT DERMATITIS (External Dermatology Resident Electives)

(TABLE 5)

1999 Mariusz Sapinjo

2000 Peter Green

2001 Stacie Northgrove

2002 Andrea Comty, Gabriele Weichert, Shane Silver

2003 Glen Crawford, Mivhelle Withers, Rochelle Van de Velde

2004 Benjamin Barankin

2005 Gillian DeGannes

2006 Marcia Ulmer

2007 Michael Kalisiak, Simon Wong, John Elliot

2008 Shannon Humphrey

2009 Andrei Metelitsa

2010 Kerri Purdy

2011 Peggy Wu

2014 Nina Botto

2016 Leah Scott, Natalie Cunningham, Hilal Ayvaz

Celebrating 50 Years of Dermatology Page 25

FELLOWS AT LASERDERM (TABLE 6)

Raed Alhusayen – July 2008 – June 2009

Ratna Rajaratnam – July 2010 to June 2011

Zaki Taher – July 2011 – June 2012

Roni Monk – July 2013 – June 2014

Jennifer MacIsaac – September 2014 – June 2016

Majid Foroozan – July 2015 – June 2016

ACKNOWLEDGEMENT

Dr. J. Adam, Dr. J-P DesGroseilliers and Dr. R. Jackson would like to thank all those who

helped in the preparation of this article, especially Cheryl Rousselle and Anne Grose

Excerpts from the ongoing document “History of Dermatology in Ottawa” by J-P

DesGroseilliers and R. Jackson were used in the preparation of the History of the Ottawa

Dermatology Residency program.

We extend a special acknowledgement to the late Dr. Roy Forsey and members of the Montreal

General Hospital for their enthusiastic support and encouragement in establishing a dermatology

program in Ottawa.

The authors would like to thank Elizabeth Worley for designing the logo.

The authors take full responsibility and wish to apologize for any errors or omissions.

We greatly appreciate the support of Galderma Canada for printing and distribution of this

historical document.

2017