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Division of Dermatology

Noteworthy Publications

Litvinov IV, Netchiporouk E, Cordeiro B, Doré MA, Moreau L, Pehr K, Gilbert M, Zhou Y, Sasseville D, Kupper TS. The Use of Transcriptional Profiling to Improve Personalized Diagnosis and Management of Cutaneous T-cell Lymphoma (CTCL). Clin Cancer Res 2015;21(12):2820–9.

Mintsoulis D, Beecker J. Muir-Torre Syndrome. CMAJ 2016;188(5):E95.

Zarins A, Smith D, Fahim S. A Case of Cutaneous B-Cell Lymphoma in Longstanding Systemic Lupus Erythematosus. J Cutan Med Surg 2016;pii: 1203475416658001(Epub ahead of print)

Dawkins YM, Kanigsberg N, Murthy S. An Unusual Skin Manifestation in a Patient With Ulcerative Colitis. Clin Gastroenterol Hepatol 2016;14(1):A35–6.

Kirshen C, Edwards L. Noninfectious Genital Ulcers. Semin Cutan Med Surg 2015;34(4):187–91.

 

 

Peer Reviewed Grants

John R. Evans Leader’s Fund for project entitled Practice changing research: Improving diagnosis and management for Cutaneous T-Cell. Funding in the amount of $153,000 approved on November 27, 2015. Role in the project—Ivan Litvinov, Principal Investigator.

Department of Medicine Developmental Research Award. Amount: $42,000. Project Title: “The use of transcriptional profiling to improve personalized diagnosis and management of Cutaneous T-cell Lymphoma (CTCL).” Role in the project—Ivan Litvinov, Principal Investigator.

Joan Sealy Trust in the competition (Ottawa Hospital Research Institute—Awarded funding on January 20, 2016 in the amount of $40,000 for the project entitled, “Assessing the efficacy of Maraba MG1 oncolytic virus against Non-Melanoma Skin Cancers (NMSCs). Role in the project—Ivan Litvinov, Principal Investigator

 

Overview

Dermatology holds a unique position within the Department of Medicine.  Our specialty encompasses both medical and surgical care and expertise.  The majority of our work is performed at the Ottawa Hospital, but we also function within the Elizabeth Bruyere Health Centre and the Children’s Hospital of Eastern Ontario.  A number of our members perform clinics elsewhere within the Champlain LHIN and beyond.

Our Division of Dermatology has three centres of excellence:

  1. Cancer; including melanoma and non-melanoma skin cancer.
  2. Inflammatory Dermatoses; including contact dermatitis and psoriasis.
  3. Wound Healing; particularly chronic cutaneous wounds including leg ulcers.

In 2009 we opened the first and only Mohs Surgery unit in Eastern Ontario. Mohs Micrographic Surgery is a highly specialized procedure that offers the highest cure rate for complex skin cancers, most specifically basal cell and squamous cell carcinoma on the head and neck. Dr. Jillian Macdonald is one of only 16 accredited Mohs surgeons in Canada, and the only one in Eastern Ontario. Drs. Finkelstein and Weatherhead operate medical and surgical oncology clinics at the Ottawa Regional Cancer Centre for the treatment of melanoma and non-melanoma skin cancers.

We have recently opened Canada’s only hospital-based Pigmented Lesion Clinic run by Dr. Jennifer Beecker. This is a state-of-the art clinic to promote clinical care, education and research into the early diagnosis of malignant melanoma

Dr. Melanie Pratt is world renowned in the field of contact dermatitis, and our divisional director of research.  She runs our contact dermatitis/patch test clinics where extensive clinical care, resident teaching and research are carried-out.  Dr. Steven Glassman was recruited to our division in 2008, and operates our psoriasis and photobiology clinics.

Dr. Tad Pierscianowski is our wound healing expert.  He is a dermatologist and internist who operates the leg ulcer and wound care clinics.

Our division currently has 4 FTAs.  We are fortunate to also have numerous VPTs who have made huge commitments to clinical care and teaching within the Department of Medicine, while running very busy private practices.

Divisional members have been leaders in teledermatology in Ontario, and we are currently spearheading the development of store and forward teledermatology in cooperation with the Ontario Telemedicine Network.

In the next two years, we will be building a world class Dermatology Centre within The Ottawa Hospital at the Civic campus.  This will allow us to further develop the programs noted above and to respond to dermatologic health-care needs for the future.

Research

Dermatologists in our Division are active in clinical research in the fields of contact dermatitis, melanoma and non-melanoma skin cancer, psoriasis, medical dermatology would healing, and some clinical drug trials.

Dr. Melanie Pratt is our Research Director and an internationally recognized authority in contact dermatitis. READ MORE

Education

A major highlight and focus of the division is the educational focus both clinically and academically.  Currently, there are 14 dermatology residents in the program which is overseen by the program director, Dr. S. Glassman.  Residents receive one on one mentorship throughout their residency as well as exposure and opportunity to specialty clinics including adult and pediatric general dermatology, cancer care, teledermatology, patch testing, psoriasis, pigmented lesions, and Mohs surgery.  Residents are also given the unique opportunity to attend clinics in Iqaluit where they are given the opportunity to operate their own clinics under the supervision of Dr. S. Shukle.  Several elective opportunities also exist for the senior residents.

Patient Care

The Division is developing a world class dermatology centre at The Ottawa Hospital.  The first phase of this centre was to open the first Mohs surgery unit in Eastern Ontario for the treatment of complex non-melanoma skin cancers.

READ MORE

The Future

We plan to focus on malignant dermatologic disorders since the prevalence of skin cancers is increasing and the cure rate for malignant melanoma is directly related to early recognition and appropriate treatment. Inflammatory conditions such, as severe psoriasis and complex eczematous disorders and chronic wounds are very disruptive to human function and comfort and will also be a priority for the division. These cancerous, inflammatory and ulcerative conditions can be managed more optimally, given a better practice environment. To effectively address these changes, we are developing a Dermatology Centre of Excellence within The Ottawa Hospital. Dermatology Centre of Excellence will be located on the fourth floor in the Parkdale Clinic building at the Civic campus, where our Mohs surgery and aging phototherapy units are currently located. Dermatology Centre of Excellence will be in alignment with The Ottawa Hospital priorities: cancer, minimally invasive care, tertiary care, and chronic disease management.

As detailed below, this centre will allow us to manage effectively, the challenges noted above and to facilitate the further development of academic dermatology in Ottawa.

Existing services will be upgraded. This will include Mohs micrographic cancer surgery, phototherapy, contact dermatology, the melanoma-pigmented lesion clinic, cutaneous ulcer service, and general dermatology.

New elements and services will be added. This will include a melanoma rapid diagnosis and management clinic, solid organ transplant clinic, teledermatology and a psoriasis systemic treatment clinic.

Translational clinical research will be nurtured and expanded and a clinical trials unit will be added.

An education centre will promote the transfer of knowledge and skills relevant to dermatology for dermatologists in practice, our residents, medical students, and the general public.

An implementation plan including fundraising and a preliminary financial analysis are initiated. This plan promotes approaches such as keeping patients out of hospital by providing comprehensive outpatient care and diagnosing malignant melanoma when it is curable and relatively inexpensive to treat.

The Division is excited about the new centre and positive impact it will have on patient care.

Notable Honours and Achievements

  • Guardian Angel honour roll for 2014–15 included Dr. Jillian Macdonald who was named a Guardian Angel for the fifth time.
  • Dr. Jennifer Beecker, was awarded the prestigious 2016 President’s Cup an award given at the discretion of the Canadian Dermatology Association President to a member who has been of particular assistance to the president and/or the association over the past year and who the president feels made a significant contribution to the Association.

Location Information

Dermatology services are located mainly at the Civic Parkdale Clinic, with a number of other clinics running out of the General Campus and CHEO.

CIVIC PARKDALE CLINIC, 737 Parkdale Ave, Ottawa, ON K1Y 4E9THE OTTAWA HOSPITAL, GENERAL CAMPUS, 501 Smyth Road, Ottawa, ON  K1H 8L6CHEO, 401 Smyth Road, Ottawa, ON  K1H 8L1

For a complete list of dermatology clinics  and referral information, click here

Useful Links:

Canadian Dermatology Association - www.dermatolgy.ca

American Academy of Dermatology – www.aad.org