- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Total Knee Arthroplasty Outcomes
- Shoulder and Clavicle Injuries
- Sports injuries and prevention
- Orthopedic Surgery and Rehabilitation
- Orthopaedic implants and arthroplasty
- Hip disorders and treatments
- Innovations in Medical Education
- Osteoarthritis Treatment and Mechanisms
- Lower Extremity Biomechanics and Pathologies
- Trauma Management and Diagnosis
- Nerve Injury and Rehabilitation
- Anesthesia and Pain Management
- Musculoskeletal Disorders and Rehabilitation
- Tendon Structure and Treatment
- Cardiac Valve Diseases and Treatments
- Hip and Femur Fractures
- Surgical Simulation and Training
- Clinical Reasoning and Diagnostic Skills
- Simulation-Based Education in Healthcare
- Muscle and Compartmental Disorders
- Diversity and Career in Medicine
- Foot and Ankle Surgery
- Cardiac, Anesthesia and Surgical Outcomes
Mount Sinai Hospital
2014-2025
University of Toronto
2016-2025
Women's College Hospital
2016-2025
Sinai Hospital
2014-2020
Toronto Western Hospital
2012-2020
University of Ottawa
2019
Ottawa Hospital
2019
Health Sciences Centre
2012-2018
Sunnybrook Health Science Centre
2012-2018
Canmore Museum and Geoscience Centre
2018
The goal of the Objective Structured Clinical Examination (OSCE) in Competency-based Medical Education (CBME) is to establish a minimal level competence. purpose this study was 1) determine credibility and acceptability modified Angoff method standard setting CBME, using Borderline Group (BG) Regression (BLR) as reference standard; 2) if it feasible set different standards for junior senior residents, 3) desired characteristics judges applying method. results previous OSCE (21 18 six...
Perineural and IV dexmedetomidine have each been suggested to prolong the duration of analgesia when administered in conjunction with peripheral nerve blocks. In first randomized, triple-masked, placebo-controlled trial date, authors aimed define compare efficacy perineural prolonging analgesic single-injection interscalene brachial plexus block (ISB) for outpatient shoulder surgery.Ninety-nine patients were randomized receive ISB using 15 ml ropivacaine, 0.5%, 0.5 μg/kg perineurally (DexP...
Reoperation rates following open reduction and internal fixation (ORIF) of midshaft clavicle fractures have been described, but reported nonunion, malunion, infection, implant removal varied. We sought to establish baseline of, risk factors for, reoperations ORIF in a large population cohort.Administrative databases were used identify patients sixteen sixty years age who had undergone an closed, fracture from April 2002 2010. The primary outcome was reoperation within two (isolated removal,...
Background: Evidence for the success of a meniscal repair performed alone versus combined with anterior cruciate ligament reconstruction (ACLR) is equivocal. No large-scale comparative studies exist regarding this issue. Hypothesis: In general population, in presumed stable knee has same rate reoperation as ACLR. Study Design: Cohort study; Level evidence, 3. Methods: All repairs ACLR Ontario, Canada, between July 2003 and March 2008 patients aged 15 to 60 years were identified using...
Anatomic techniques of ankle ligament repair have the advantage restoring anatomy and kinematics joint. This study presents a technique for anatomic reconstruction lateral complex by way advancement using suture anchors associated with immediate protected full weightbearing; 2- to 5-year clinical outcomes are reported.This providing an secure fixation will enable early rehabilitation immediate, weightbearing, favorable outcomes.Case series; Level evidence, 4.Fifty-five patients chronic...
Background: Anterior cruciate ligament reconstruction (ACLR) is routinely performed for symptomatic instability. Although it a common procedure, there remain differences in surgical technique. Hospital administrative records public health care system were used to investigate the effect of patient, provider, and factors on risk revision ACLR. Purpose: To define rate ACL reoperation Ontario, Canada, including both ipsilateral contralateral primary procedures. Study Design: Cohort study; Level...
Objectives: Anterior cruciate ligament reconstruction (ACLR) is routinely performed to treat symptomatic instability. Despite being a common procedure, significant variation persists in technique and graft choice. How patient, provider surgical factors influence the risk of revision or contralateral primary ACLR has not been investigated using administrative data. The goal our study was define rate for ACL re-operation Ontario. Methods: All elective Ontario, Canada from July 2003 March 2008...
Knowledge of the rate and risk factors for re-revision, reoperation, readmission after revision anterior cruciate ligament reconstruction (ACLR) is limited.To determine ACLR.Descriptive epidemiology study.All patients who underwent first ACLR in Ontario, Canada, from January 2004 to December 2010 were identified followed until 2012. Exclusions included age <16 years, previous osteotomy, or multiligament knee reconstruction. The main outcome was re-revision ACLR. Secondary outcomes...
Background: Clinical studies of shoulder dislocations typically include adult patients (>16 years age). Only small case series aged 10 to 16 are available guide management. Purpose: Using a cohort years, this study sought determine (1) the incidence density rate (IDR) primary anterior requiring closed reduction (CR) and (2) risk factors for repeat CR. Study Design: Cohort (prognosis); Level evidence, 2. Methods: With use administrative databases, who underwent CR dislocation in Ontario,...
Background: Evidence regarding the risk of end-stage osteoarthritis following cruciate ligament reconstruction is based upon small sample sizes and radiographic, rather than clinical, criteria. The goals this study were to determine knee arthroplasty, a surrogate for osteoarthritis, reconstruction, identify patient, provider, surgical factors that influence arthroplasty risk. Methods: Using administrative databases, we identified all patients who sixteen sixty years age had undergone in...
Background: Increased interest in using platelet-rich plasma (PRP) as an augment to rotator cuff repair warrants further investigation, particularly smaller tears. Purpose: To examine the effectiveness of PRP application improving perioperative pain and function promoting healing at 6 months after arthroscopic small- or medium-sized Study Design: Randomized controlled trial; Level evidence, 1. Methods: This was a double-blinded randomized trial patients undergoing partial- full-thickness...
Factors contributing to recurrent dislocation, revision stabilization, and complications requiring reoperation after an initial shoulder stabilization procedure for instability have not been evaluated on a population level.(1) To define the rate of ipsilateral contralateral primary postoperative in cohort. (2) understand which risk factors among patient, surgical, provider influence these outcomes.Cohort study; Level evidence, 3.All residents Ontario, Canada, aged 16 60 years undergoing...