Fellowship Program Information
Affiliation (Center Type): Dalhousie University (Teaching, Academic, University)
Fellowship Training Session or Other Educational Opportunity Length: 1 year
Can the Center customize educational opportunities for participants?: Yes
Fellows Accepted Per Year: 3
Faculty Participating in Fellowship Education: Dr. Ivan Wong, MD FRCS(C), Dip. Sports Medicine, MACM, FAANA, Professor At Dalhousie University, Master Academic Med. Hip, Shoulder, Knee, Sports Medicine
Dr. Catherine Coady, MD, FRCS (C), Dip. Sports Medicine, Associate Profesor at Dalhousie University, Knee, Shoulder, Sport Medicine
Dr. Nathan Urquhart, MD, MSc., FRCS (C) Dip Sports Medicine, Assistant Professor at Dalhousie University, Knee, Hip, Shoulder, Sport Medicine
Recent activity of Teaching Center: THE FACILITIES:
The queen Elizabeth II Hospital in Halifax is the largest teaching hospital and adult academic health sciences centre in Atlantic Canada. The QEII is affiliated with the Faculty of Medicine and Health Professions at Dalhousie University and is accredited by the Canadian Council on Health Services Accreditation. The QEII provides general hospital services for Halifax and the Central Health Region of Nova Scotia in close collaboration with community-based providers, health care education programs and other local hospitals. Patients come from all over Canada to receive treatment from some of the best and well know Doctors in Canada. Also, the IWK is very well recognized for their advanced paediatric care.
RECENT ACTIVITY:
Over the past couple of years societies and associations such as APOS, COA and CORA have held conferences at the QEII; with the 2020 COA conference being held in Halifax, NS. In partnership with collaborators in Saint John, NB and Calgary, AB, Dr. Wong coordinated the first Smith & Nephew Advanced Shoulder International Program (SHIP Course) in November 2020. Over the past years, Dr. Wong has presented in over 20 webinars and hosted 10 virtual visiting surgeons, despite restrictions of a global pandemic.
RESEARCH ACTIVITY:
Each of the supervising physicians has their distinct research projects and some are a collaboration of all of the physicians. Below are the publications for Dr. Wong from the past 2 years.
1. Campos-Méndez A, Coady CM, Wong I. Arthroscopic Anterior Shoulder Capsular Reconstruction using Human Acellular Dermal Graft in Conjunction with Anatomic Glenoid Reconstruction. Arthroscopy Techniques. 2022. Accepted.
2. DEFINE Investigators. Defining Parameters for Surgical Correction and Hip Complications for Femoroacetabular Impingement Syndrome: Results of an International Modified Delphi Study. Arthroscopy: The Journal of Arthroscopic & Related Surgery. In Press. 2022.
3. Rayes J, Wong I. Peroneal nerve palsy after hip arthroscopy with a perineal post: a case report of postless versus standard traction. Journal of Orthopaedic Reports. Accepted. 2022.
4. Joannette-Bourguignon M, Wong I. Arthroscopic Anatomic Glenoid Reconstruction in the Unstable Shoulder: Technique, Pearls, and Pitfalls. Video of Journal of Sports Medicine. Accepted. 2022.
5. Ferguson D, Wong I. Arthroscopic Anatomic Glenoid Reconstruction Hardware Removal. Arthroscopy Techniques. In press. 2022
6. Lohnes J, Urquhart N, Wong I, Stanish W, Rutherford D. Do individuals with knee osteoarthritis walk with distinct knee biomechanics and muscle activation characteristics? An investigation of knee osteoarthritis, hip osteoarthritis, and asymptomatic groups. Gait & Posture. Accepted. 2022.
7. Pullen WM, Carreira DM, Wong I, Aoki SK, Lynch TS, Mather RC, Ayeni OR, Byrd JWT, Safran MR. The Reliability of the Tönnis Grading System in the Hip Preservation Population. The American Journal of Sports Medicine. Accepted. 2022.
8. Tucker A, Ma J, Sparavalo S, Coady CM, Wong I. Arthroscopic anatomic glenoid reconstruction has a lower rate of recurrent instability compared to arthroscopic Bankart repair while otherwise maintaining a similar complication and safety profile. Journal of ISAKOS. Accepted. 2022.
9. Rayes J, Xu J, Sparavalo S, Ma J, Jonah L, Wong I. Calculating Glenoid Bone Loss Based on Glenoid Height Using Ipsilateral 3- Dimensional Computed Tomography. Knee Surgery, Sports Traumatology, Arthroscopy. Accepted. 2022.
10. Lukenchuk J, Thangarajah T, More K, Wong I, Lo IKY. Arthroscopic Anterior Glenoid Reconstruction Using a Distal Tibial Allograft Positioned With an Intra-Articular Guide and Secured With Double-Button Fixation. Arthroscopy Techniques. 2022. In Press. doi: 10.1016/j.eats.2022.02.010
11. Jean PO, Simunovic N, Duong A, Heels-Ansdell D, Ayenil OR, on behalf of the FIRST Investigators. Sexual And Urinary Function Post-Surgical Treatment of Femoroacetabular Impingement: Experience from the FIRST Trial And Embedded Cohort Study. Journal of Hip Preservation Surgery. 2022. In Press.
12. Almasri M, Simunovic N, Heels-Ansdell D, Ayenil OR, on behalf of the FIRST Investigators. Osteochondroplasty Benefits the Pragmatic Patient with Femoroacetabular Impingement: Analysis from the Embedded Prospective Cohort of the Femoroacetabular Impingement RandomiSed Controlled Trial (FIRST). Arthroscopy: The Journal of Arthroscopic and Related Surgery. 2022. 38(3):818-830.
13. Kay J, Simunovic N, Ayeni OR, on behalf of the FIRST Investigators. Effect of Osteochondroplasty on Time to Reoperation After Arthroscopic Management of Femoroacetabular Impingement: Analysis of a Randomized Controlled Trial. Orthopaedic Journal of Sports Medicine. 2022. 10(4): 23259671211041400. doi:10.1177/23259671211041400
14. The DRIVSAFE Team. Distracted Driving Among Patients with Trauma Attending Fracture Clinics in Canada: The Canadian Multicenter DRIVSAFE Study. The Journal of Bone and Joint Surgery. 2022. In Press. Doi:10.2106/JBJS.21.01184
15. Castillo-de-la-Peña J, Wong I. Endoscopic Repair of Proximal Hamstring Insertion with Sciatic Nerve Neurolysis. Arthroscopy Techniques. 2022. In Press.
16. Harper A, Sparavalo S, Ma J, Wong I. Fixation Type Does Not Affect the Learning Curve and Short-Term Radiographic Outcomes for Arthroscopic Anatomic Glenoid Reconstruction with Distal Tibia Allograft. Arthroscopy, Sports Medicine, and Rehabilitation. 2022. 4(2):e371-e379.
17. Campos-Me´ndez A, Rayes J, Wong I. Arthroscopic Anatomic Glenoid Reconstruction with Distal Tibial Allograft and Hybrid Fixation. Arthroscopy Techniques. 2022. 11(2):e163-e169.
18. Wong I, Hiemstra L, Lobo J, Woodmass J, Sommerfeldt M, Khan M, Carsen S, Pauyo T, Chahal J, Urquhart N, Grant J, Rousseau-Saine A, Lebel ME, Sheehan B, Sandman E, Tucker A, Kopka M, and Degen RM. Arthroscopy Association of Canada Position Statement on Intra-articular Injections for Hip Osteoarthritis. Orthopaedic Journal of Sports Medicine. 2022. 10(2):23259671211066966. doi: 10.1177/23259671211066966.
19. Abdullah M, Sparavalo S, Ma J, King JP, Wong I. Interposition Graft Bridging Reconstruction of Irreparable Rotator Cuff Tears using Acellular Dermal Matrix: Medium-Term Results. Arthroscopy: The Journal of Arthroscopic and Related Surgery. 2021. 38(3):692-698.
20. Rayes J, Sparavalo S, Wong I. Biological Augments for Acetabular Chondral Defects in Hip Arthroscopy – A Scoping Review of the Current Clinical Evidence. Current Reviews in Musculoskeletal Medicine. 2021. 14(6):328-339.
Recent Publications for Dr. Coady
1. Campos-Méndez A, Coady CM, Wong I. Arthroscopic Anterior Shoulder Capsular Reconstruction using Human Acellular Dermal Graft in Conjunction with Anatomic Glenoid Reconstruction. Arthroscopy Techniques. 2022. Accepted.
2. Tucker A, Ma J, Sparavalo S, Coady CM, Wong I. Arthroscopic anatomic glenoid reconstruction has a lower rate of recurrent instability compared to arthroscopic Bankart repair while otherwise maintaining a similar complication and safety profile. Journal of ISAKOS. Accepted. 2022.
Recent publication for Dr. Urquhart
1. Lohnes J, Urquhart N, Wong I, Stanish W, Rutherford D. Do individuals with knee osteoarthritis walk with distinct knee biomechanics and muscle activation characteristics? An investigation of knee osteoarthritis, hip osteoarthritis, and asymptomatic groups. Gait & Posture. Accepted. 2022.
Financial Support and Expenses
Types of Financial Support Available: A stipend is provided, Monthly Stipend of 5833.33
Other support that the Teaching Center can provide: MSI, vacation.
Estimate of Living Expenses (Housing and other major costs): $3000/month
Anticipated Fellowship Participation in Surgical Cases
Arthroscopy 40%
Knee Surgery 20%
Sports Medicine 20%
Clinic 10%
Research 10%
Area(s) of Specialty: Knee Arthroscopy Hip Arthroscopy Shoulder Arthroscopy
Role of the fellow with respect to Clinical, Surgical, Research, and other opportunities: Fellows will conduct patient consults and follow-ups in specialty and fracture clinics and confer with their supervising faculty on diagnosis/treatment plan. Fellows may have the opportunity to run a fellow clinic later in their fellowship (at the discretion of their supervising faculty). Fellows will act as first assist in all surgical cases with their supervising faculty. Fellows may have the opportunity to perform cases themselves (dependent on their ability/skill level). Fellows will actively participate in a minimum of one prospective research project during their fellowship.
Types of Educational Opportunities: Manage patients directly, Scrub in for surgery, Assist in clinics under supervision, Work on cadavers, Receive hands-on training, Assist with research, Pediatrics, Publishing opportunities, Other
Research projects, research facilities and resources, cadaver labs, publication opportunities, integration of the patient and public involvement, and the role of the fellow: This Fellowship is an experience with combined exposure to clinical sports medicine and arthroscopy, coupled with a research component. Fellows gain clinical experience in state-of-the-art minimal-invasive joint preservation and reconstruction techniques in the shoulder, hip, knee, and small joints and are also responsible for participating in active research projects. These projects will be tailored for each individual fellow based on skills and experience.
This fellowship has a large research component. Fellows are expected to complete, at least one project to be ready for publication at the end of their fellowship. With a high caseload and dynamic clinical environment, there are lots of resources and opportunities for research in several areas such as clinical outcome studies. All research is supported by a research team composed of a full-time research coordinator, research assistants, and a large accompanying patient database.
Currently, we have fellows doing research in the following areas:
1. Clinical outcomes in hip, shoulder, knee and ankle arthroscopic reconstruction
2. Educational research; research that progress the teaching done here at the QEII and elsewhere. Focused on skills translation from model to the operating room.
3. Basic science research with focus on cartilage regeneration and healing
Related Conference/Lecture Schedule: It is expected that the Fellow will participate in a variety of academic teaching sessions, including basic science lectures, weekly department of surgery and division of orthopaedics Grand Rounds, Orthopaedic Journal Clubs, Sports Medicine Journal Clubs, as well as bi-weekly fellowship webinar series, Monthly visiting professors and resident teaching sessions. Fellows also participate in 2-3 institutional cadaver and skills labs and may have an opportunity to participate in numerous industry-sponsored labs as well. Fellows are expected to present at Resident Rounds during the year on an assigned topic and may also have the opportunity to complete a lecture at Orthopaedic Surgery Grand Rounds. Fellows will participate in educational competitions such as the World Series for Arthroscopic Skills Competition, monthly research meetings, formalized peer teaching of residents and medical students.
Additionally, all fellows are expected to present a research project at the “Annual Dalhousie Sports Medicine Research Night” held annually in May or June (ie: a local level presentation). All fellows will also have an opportunity to present any research projects at an official sports medicine or orthopaedic conference (at either a national or international level).
Athletic Team Coverage: Athletic Team Coverage: Several varsity university team coverage including coverage of the Dalhousie Men's Football team.