$15 – $30

Sam Ciccolini Community Paediatric Surgery Educational Day

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Humber River Hospital

1235 Wilson Avenue

Toronto, ON M3M 0B2


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Sam Ciccolini Community Paediatric Surgery Educational Day

Saturday, October 5, 2019

Humber River Hospital

Level 3 Paul B. Helliwell Foundation Auditorium

1235 Wilson Ave.

Toronto, ON M3M 0B2


This one-credit-per-hour Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by Continuing Professional Development, Faculty of Medicine, University of Toronto for up to 5.5 Mainpro+ credits.

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, approved by Continuing Professional Development, Faculty of Medicine, University of Toronto. You may claim a maximum of 5.5 hours (credits are automatically calculated).



Registration & Breakfast


Opening Remarks: Dr. Sharifa Himidan, Barbara Collins, Sam Ciccollini, Jeff Mainland, Dr. Lynn Wilson

Scientific Session 1

Moderators: Dr. Augusto Zani / Dr. Sharifa Himidan


Pediatric Perioperative Care at Humber River Hospital: Laurie Thomas, Jhanvi Solanki, Dr. Amanda Jasudavisius, Alexandra Christofides

  • Interventions and support for children and families to minimize stress, promote coping and cooperation in the perioperative period


Anesthesia for children in the community, choosing wisely: Dr. Eric Greenwood, Dr. Amanda Jasudavisius

  • To determine: which children are appropriate to receive safe anesthetic care in the community setting?


Caring Safely: Strategies for Achieving Safe Outcomes in Community Pediatric Surgery: Dr. Maitreya Coffey

  • What are the most important mindsets and behaviors that I, as an individual, can use to avoid preventable harm to patients?


Management of Pectus Excavatum: Dr. Peter Fitzgerald

  • Current management of Pectus Excavatum: Indications and treatment options



Scientific Session 2

Moderators: Dr. Andreana Butter, Dr. Justyna Wolinska


Neck Masses in Children: The Lumps and Bumps: Dr. Andrea Winthrop

  1. Describe the anatomy of the neck
  2. Identify the etiology of common neck masses in neonates and children
  3. Outline a clinical approach to the assessment and diagnostic work-up
  4. Identify initial management principles
  5. Identify when a surgical consultation is indicated
  6. Understand the principles of surgical management


Enlarged lymph nodes, lumps and bumps, guidelines and when to refer for biopsy: Dr. Oussama Abla

  • When to consider a biopsy in a child with enlarged nodes”


Breast lumps in children and adolescents: what are the chances of malignancy and how do I manage them? Dr. Sharifa Himidan

  1. Know the normal anatomy and breast development/ most common disorders/ is it Cancer?
  2. When and how to investigate/ Do I need to investigate?
  3. Surgical intervention, is it necessary? When & whom to refer to?


Constipation in children and when to consult Surgery: Dr. Lara Hart

  • How constipation is effectively managed in the paediatric population and what clinical situations warrant a referral to surgery for surgical management?



Scientific Session 3

Moderators: Dr. Reto Baertschiger, Dr. Elke Ruttenstock


Appendicitis: Dr. Andreana Butter

  • What is the best management of acute appendicitis in children?


Surgical Causes of Obstructive Jaundice in Neonates/Infants: Dr. Blayne Sayed

  • Identify surgical causes of obstructive neonatal jaundice. What is the optimal management of neonates with biliary atresia?


Recognition and management of abdominal wall hernias in children: Dr. Justyna Wolinska

  • How to differentiate abdominal wall defects on the basis of physical exam and understanding of anatomy


Undescended Testis: What pediatricians need to know? Dr. Augusto Zani

  • What is the right age for Orchidopexy?


Closing Remarks: Dr. Sharifa Himidan

Event Chair:

Dr. Sharifa Himidan

Organizing Committee:

Dr. Sharifa Himidan

Dr. Justyna Wolinska

Dr. Arthur Kushner

Dr. Maeve O’Neill Trudeau

Jhanvi Solanki (Program Director- Surgical Services)

Laurie Thomas (Director- Perioperative & Endoscopy Programs)

Caralee Good (Rn)

Dr. Oussama Abla, MD

Dr. Abla is an Associate Professor of Pediatrics at the University of Toronto and a staff pediatric oncologist at the Hospital for sick children in Toronto. His main clinical and research interests are focused on childhood Langerhans cell Histiocytosis, Rosai-Dorfman disease, and other rare histiocytic disorders, as well as childhood leukemias and lymphomas. He is the Principal Investigator of the Histiocyte Society- International Rare Histiocytic Disorders Registry (IRHDR) and Chair of the Rare Histiocytic Disorders Steering Committee. He has served on the Education Committee of the Histiocyte Society for two terms and is currently a member of the Medical and Scientific Advisory Board of the Histiocytosis Association. Dr. Abla has participated in the design of the Histiocyte Society LCHIV International Trial and is the Canadian national coordinator of this trial. He is the Co-Editor of the recently published “Histiocytic Disorders” textbook as well as the “Acute Promyelocytic Leukemia: A Clinical Guide” textbook. He is the founder and Co-Chair of the Asian and Middle Eastern (AME) Histiocytosis Network. Dr. Abla has authored more than 95 research papers and book chapters, which are mostly focused on histiocytic disorders and childhood Leukemias & Lymphomas.

Dr. Andreana Butter, MD, MSc, FACS, FRCSC

Dr. Andreana Bütter completed medical school at the University of Ottawa and residency in General Surgery a Western University. During residency, she also pursued a year of research at the Montreal Children’s Hospital in pediatric surgery; specifically in the area of fetal surgery and congenital diaphragmatic hernia. This research culminated in her obtaining a Master of Science Degree from McGill University in 2001. Upon completing her General Surgery residency, she returned to Montreal for a Pediatric Surgery fellowship at Sainte Justine Hospital (Université de Montréal), which she completed in 2005. She then joined the Division of Pediatric Surgery and the Departments of Surgery and Pediatrics at the Children’s Hospital in London (LHSC). In 2012, she was promoted to Associate Professor. She assumed the role of Associate Director of Surgical Education in July 2014. She is also chair of the Canadian Undergraduate Surgical Education Committee and member of the Pediatric Surgery Examining Committee at the Royal College. Her clinical areas of interest include Pediatric Thoracic and General Surgery, such as congenital diaphragmatic hernia, bracing for pectus carinatum, nonoperative management of appendicitis and minimally invasive surgery. She helped develop the first Canadian Robotic Pediatric Surgery program. Her research interests are in the areas of fetal surgery with minimally invasive ways of correcting or improving outcomes for congenital diaphragmatic hernia.

Dr. Eric Greenwood, MD

Dr. Eric Greenwood is a pediatric and general anesthesiologist. He has been on staff at the Hospital for Sick Children and William Osler Health System since 2008. Medical School 2003, University of Cincinnati, Cincinnati, Ohio, anesthesia residency completed at the Cleveland Clinic 2007, pediatric anesthesia fellowship, Mott Children’s Hospital, University of Michigan 2008. Board Certification American Board of Anesthesiology in General and Pediatric Anesthesiology. Interest areas include advancing the practice of community-based pediatric anesthesia, management of patients with difficult airways and regional anesthesia.

Dr. Amanda Jasudavisius, MD

Dr. Jasudavisius completed her medical school and residency training at the University of Western Ontario in London in Anesthesiology in 2016. She then completed a Paediatric Anesthesia fellowship at The Hospital for Sick Children in 2017. She is now a staff anesthesiologist at Humber River Hospital.

Dr. Maitreya Coffey, MD, FAAP, FRCP(C)

Dr. Trey Coffey received her BSc in Biology from the University of Michigan and MD from the University of Chicago. She completed her Paediatric Residency at the University of Washington, where she went on to serve as Chief Resident before joining SickKids in 2005. In 2009, Coffey completed the University of Toronto Certificate in Quality Improvement and Patient Safety. Dr. Coffey successfully piloted a patient safety initiative, Medication Reconciliation, on the inpatient units and helped lead its spread throughout the organization. Since then she has gone on to participate in and lead numerous divisional and hospital quality and safety initiatives such as the implementation of the I-PASS handoff program. In 2015 Coffey was appointed Medical Lead of the ambitious Caring Safely initiative. In 2017 Trey assumed the role of Associate Clinical Director, Children's Hospitals Solutions for Patient Safety, a network of over 100 hospitals in the US and Canada. Her research interest includes patient safety, including medication safety, epidemiology, and detection of adverse events, disclosure and hand-off.

Alexandra Christofides, MSc, CCLS

Alexandra is a Certified Child Life Specialist with 30 years of experience. In her capacity as the Child Life Lead at Humber River Hospital (HRH) she developed and implemented the Child Life Program including the Parental Presence for Induction Program and the Robot Program for children in preparation for surgery He past experiences include working at the Hospital for Sick Children, teaching Nursing Courses at Centennial College Paramedic Students at Humber College. She is a Facilitator at McMaster University for two Graduate Health Science courses for Interprofessional Practice Education and Research (PIPER). Alexandra has recently served as the President for the Canadian Association of Child Life Leaders & Executive Board, and the Canadian Liaison & Board Director for the Association of Child Life Professionals. She has served on other International Boards and Committees including the Canadian International Medical Relief Organization (CIMRO).

Dr. Peter Fitzgerald, Hon BA, MA, MD, FRCSC

Dr. Peter Fitzgerald has been with McMaster Childrens Hospital, Hamilton Health Sciences since 1992. He has held positions as the Head of Pediatric General Surgery, Chief of Pediatric Surgery and the role of Medical Director for McMaster Childrens Hospital. In 2009, Dr. Fitzgerald was also appointed President of McMaster Children's Hospital (MCH). In addition to his leadership roles, Dr. Fitzgerald is a surgeon known for innovative work and leadership in minimal access surgery and reconstructive chest wall surgery. Dr. Fitzgerald is Professor of Surgery at McMaster Universitys Michael G. DeGroote School of Medicine. He is the past president of the Canadian Association of Pediatric Surgeons. Dr. Fitzgerald is also the past board chair of the Childrens Healthcare Canada. After graduating from the University of Ottawa with an Honours Baccalaureate of Arts in Psychology and a Master of Arts in Experimental-Theoretical Psychology (Neurosciences), Dr. Fitzgerald attended McMaster Universitys Michael G. DeGroote School of Medicine. He completed his postgraduate training in General Surgery in Hamilton and in 1990 moved to Halifax to continue subspecialty training in Pediatric General Surgery at Dalhousie University.

Dr. Sharifa Himidan, MD, FRCSC

Dr. Himidan obtained an MBBS from King Abdul Aziz University and finished a year of internship there in 1990. Subsequently, she completed a general surgery residency program at the University of Toronto followed by a year of Pediatric Critical Care at The Hospital for Sick Children. She completed her Pediatric General Surgery training at Baylor College of Medicine and Texas Childrens Hospital. Prior to moving back to Toronto, Dr. Himidan spent three years as a full-time pediatric surgeon in Regina, Saskatchewan and as a clinical assistant professor at the University of Saskatchewan. Her clinical practice includes the care of children with neonatal and pediatric surgery diseases with a special interest in congenital anomalies, minimally invasive procedures and inflammatory bowel disease. Dr. Himidan is the Program Director of Community Pediatric Surgery at the hospital for Sick Children and Humber River Hospital.

Dr. Lara Hart, MD

Dr. Lara Hart is a pediatric gastroenterologist. She completed her medical training at the University of Toronto and her Pediatrics training at the University of Western Ontario. Thereafter, she completed a Pediatric Gastroenterology fellowship at McMaster University, followed by an additional advanced Inflammatory Bowel Disease fellowship at McGill University. She is currently enrolled in her last year of a Masters of Science (MSc) in Health Science Education. She manages children with GI conditions ranging from constipation and abdominal pain to celiac disease and eosinophilic esophagitis. She is particularly interested in patient and trainee education, as well as the management of children with Crohns disease and Ulcerative Colitis.

Dr. Blayne Amir Sayed, MD PhD

Dr. Sayed recently completed a fellowship in Abdominal Transplant and Hepatobiliary Surgery at the University of Toronto. He is an alumnus of the University of Virginia, completed his MD/Ph.D. at Northwestern University and his general surgery residency at Emory University. In addition to his training at Toronto General Hospital and SickKids, he completed a clinical fellowship year in adult and pediatric liver transplantation at King’s College Hospital in London, UK. Dr. Sayed has been appointed Surgical Lead for Liver Transplantation at The Hospital for Sick Children and a staff transplant surgeon at Toronto General Hospital, effective August 1st. His area of clinical expertise is adult and pediatric liver disease with a research focus on T cell activation in the alloreactive immune response.

Andrea Winthrop MD FRCS (C)

Dr. Winthrop graduated from Queen’s University (Meds 81), and completed her General Surgery training in Toronto, and her Pediatric Surgery fellowship at the Hospital for Sick Children. She also participated in the Surgeon Scientist Program at the University of Toronto, completing 2 years of basic science research in surgical nutrition. After practicing at McMaster, Washing University, and the Medical College of Wisconsin, Dr. Winthrop returned to Queen’s in 2011. She currently practices Pediatric Surgery at Queen’s University. As Professor of Surgery and Pediatrics, Dr. Winthrop is actively involved in medical education and research. She is the current Chair of the Education Committee of the Canadian Association of Pediatric Surgeons and sits on the Pediatric Surgery Specialty Committee of the Royal College of Physicians and Surgeons of Canada.

Dr. Justyna Wolinska, MD

Dr. Wolinska is a pediatric surgeon in the division of General and Thoracic Surgery at the Hospital for Sick Children. She completed her general surgery training at the University of Toronto. She was an acute care surgeon at North York General Hospital prior to completing clinical fellowships at the Hospital for Sick Children in the Surgical NICU, in Intestinal Failure (GIFT) and in Pediatric Surgery. She is an MPH candidate at the Johns Hopkins Bloomberg School of Public Health. Her academic interests include outcomes research and surgical education. Her clinical interests include neonatal and minimally invasive surgery.

Dr. Augusto Zani, MD, PhD

After completing his paediatric surgical training in Italy, Dr. Zani moved to the United Kingdom for a research fellowship dedicated to stem cell research in Necrotizing Enterocolitis leading to a Ph.D. from University College London. Following this period, he was offered to advance his clinical training in the UK working in world-famous teaching institutions like Great Ormond Street Hospital and Kings College Hospital, London, where he focused on neonatal and paediatric surgery. During his training, he maintained high academic and clinical productivity, which also led to his initial appointment as honorary Assistant Professor in Paediatric Surgery at the Sapienza University of Rome. In 2014, Zani was promoted to Associate Professor in Paediatric Surgery by the Italian Ministry of Education, University and Research. In July 2014, Zani and his wife moved to Toronto to work at SickKids as a neonatal surgical fellow. He has continued to excel academically and has been selected in an international search for the position of Surgeon Scientist in the Division.

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Humber River Hospital

1235 Wilson Avenue

Toronto, ON M3M 0B2


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