Tim Dwyer

ORCID: 0000-0002-9838-7084
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About
Contact & Profiles
Research Areas
  • 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...

10.1186/s12909-015-0506-z article EN cc-by BMC Medical Education 2016-01-04

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...

10.1097/aln.0000000000000983 article EN Anesthesiology 2015-12-11

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,...

10.2106/jbjs.m.00607 article EN Journal of Bone and Joint Surgery 2014-07-02

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...

10.1177/0363546512471134 article EN The American Journal of Sports Medicine 2012-12-20

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...

10.1177/0363546514530668 article EN The American Journal of Sports Medicine 2014-04-25

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...

10.1177/0363546513493580 article EN The American Journal of Sports Medicine 2013-07-15

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...

10.1177/2325967113s00064 article EN cc-by-nc-nd Orthopaedic Journal of Sports Medicine 2013-01-01

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...

10.1177/0363546514548165 article EN The American Journal of Sports Medicine 2014-09-11

Background: Clinical studies of shoulder dislocations typically include adult patients (&gt;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,...

10.1177/0363546515591996 article EN The American Journal of Sports Medicine 2015-08-07

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...

10.2106/jbjs.m.00393 article EN Journal of Bone and Joint Surgery 2014-01-01

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...

10.1177/2325967116665595 article EN cc-by-nc-nd Orthopaedic Journal of Sports Medicine 2016-09-01

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...

10.1177/0363546513492952 article EN The American Journal of Sports Medicine 2013-06-20
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