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Diagnosis and Management of Work-Related Asthma
A practical framework for the diagnosis and management of work-related asthma.
Chris Licskai, B.Sc. M. D. FRCPC
Dr. Christopher Licskai, FRCPC is a Professor, Department of Medicine, at the University of Western Ontario.He is currently on active staff as a Pulmonary Medicine Consultant at London Health Sciences Centre and St. Joseph’s Healthcare in London, Ontario.He became a Fellow of the Royal College of Physicians and Surgeons of Canada in June of 1993.Dr. Licskai completed his post-graduate training in Internal Medicine and Respiratory Medicine in Toronto.His major research interest is airways disease and clinical practice guideline implementation. His major clinical interest is in asthma.Dr. Licskai is currently the Co-Chair of the Provider Education Program of the Ontario Thoracic Society.
Sharon Dell, BEng, MD, FRCPC
Dr. Sharon Dell is a Pediatric Respirologist and Senior Associate Scientist at Sick Kids Hospital, Associate Professor in the Department of Pediatrics and Associate Director of the Clinical Epidemiology & Health Care Research graduate degree program at the University of Toronto where she is active in teaching and supervising graduate students. Dr. Dell’s research program focuses on childhood airway disease epidemiology and outcomes. She is also an active member of the Ontario Lung Association (OLA), Ontario Thoracic Society (OTS) and Canadian Thoracic Society (CTS), and volunteers on many committees including the OLA’s Provider Education Program, the OTS Executive and the Canadian Thoracic Society Asthma Guidelines committees.
Itamar E Tamari, MD, CCFP, FCFP
Dr. Itamar Tamari is currently on staff at St. Joseph’s Health Centre and has been working at Stonegate Community Health Centre since 1998. Dr. Tamari completed his doctorate in Medicine at the University of Toronto in 1992 and his training in Family Medicine in 1994. Over the last eight years Dr. Tamari has chaired the Advisory for the Primary Care Asthma Program (previously the Primary Care Asthma Pilot Project) which is one of the Asthma Plan of Action (APA) projects. He sits on the Ontario Lung Association’s Provider Education Program Steering Committee and the Asthma Advisory Committee. He is also a member of the Medical and Scientific Committee of the Asthma Society of Canada and a founding member of the Primary Care Respiratory Alliance of Canada.
Gary Smith, MD
Dr. Gary Smith, is currently the Program Medical Director (Chief of Paediatric and Neonatal Medicine) at Orillia Soldiers Memorial Hospital. He is an Associate Professor of Pediatrics at the University of Toronto. Dr Smith also serves as the Medical Director of the Regional Paediatric Asthma Clinic in Orillia serving countries of Simcoe, Muskoka, Parry Sound, and Haliburton.
Tony D'Urzo, MSC, BPHE, CCFP, FCFP
Dr. Tony D’Urzo is the Director of The Primary Care Lung Clinic in Toronto and an Associate Professor, Faculty of Medicine, University of Toronto, Dept. of Family and Community Medicine. I have published a number of articles in the area of Asthma and COPD management. I am a member of the Canadian Asthma Guidelines Committee (Adult and Pediatric), The Canadian COPD Alliance Steering Committee and the Primary Care Asthma Project, Spirometry Interpretation Committee: Ministry of Health and Long Term Care and The Ontario Lung Association.
Jennifer Olajos-Clow, RN, MSc, CAE
Ms. Jennifer Olajos-Clow is a Nurse Practitioner and Certified Asthma Educator at Kingston General Hospital. Jennifer has been involved with the Lung Association both as a volunteer and staff over the past 5 years. She has been involved in the revision of the Primary Care Asthma Care Map and is also working with the Asthma Research Unit at KGH. She is the former provincial coordinator of the Ontario Lung Association’s Emergency Department Asthma Care Program and continues to be involved with the program as a consultant for both the adult and pediatric ED Asthma Care Pathways. She has collaborated with the Registered Nurses’ Association of Ontario in the development and publication of both the Adult and Pediatric Asthma Best Practice Guidelines for Nurses and is on faculty with the Queen’s University School of Nursing at the lecturer level. She is also a member of the Canadian Thoracic Society’s Canadian Respiratory Guidelines’ Dissemination and Implementation Committee.
Samir Gupta, MD,MSc, FRCPC
Samir Gupta is a clinician-investigator, an adjunct scientist at the Li Ka Shing Knowledge Institute of St. Michael’s Hospital, and an assistant professor in the Department of Medicine at the University of Toronto. He completed a fellowship in Knowledge Translation after his Master’s degree in clinical epidemiology. His main research interests are in rare lung diseases and in knowledge translation in primary care across the spectrum of respiratory illness, with the use of electronic tools in particular, and in the area of asthma in particular. He serves as a Vice-Chair of the Canadian Respiratory Guidelines Committee.
Larry Jackson, BScPhm
Mr. Lawrence Jackson, is a pharmacist currently working at the Veterans Centre of Sunnybrook Health Sciences Centre. His areas of clinical specialty include: respiratory medicine, general internal, and geriatrics. He is a lecturer and seminar leader in the undergraduate therapeutics course at the Leslie Dan Faculty of Pharmacy for the topics of asthma and COPD. Mr. Jackson has also been a member of the ORSC for many years, serving on the editorial board of its newsletter, Update, and is a past co-editor. He has also served as Chair of the Ontario Respiratory Care Society (ORCS). He is a member of the Asthma/COPD Provider Education Program Committee and the Asthma Action Committee of the OLA.
Dhenuka K. Radhakrishnan, M.D., F.R.C.P.C.
Pediatric Respirologist, Children’s Hospital, London Health Sciences Centre Assistant Professor of Pediatrics, Department of Pediatrics, Western University of Ontario, London, Ontario Dr. Radhakrishnan completed her medical training, including a fellowship in pediatric respirology at the University of Toronto and Hospital for Sick Children. She joined the Department of Paediatrics at Western University and Children’s Hospital, London Health Sciences Centre as an assistant professor of pediatrics and pediatric respirologist in 2010. Her areas of clinical and research interest include childhood asthma and inflammatory airway diseases and she is currently developing a multi-disciplinary asthma clinic at the Children’s Hospital in London. Dr. Radhakrishnan is concurrently pursuing a Master’s degree in Clinical Epidemiology through the University of Toronto.
Ann Bartlett, RN, MSc, CRE
Ann Bartlett is the Clinical Nurse Specialist at the Firestone Institute for Respiratory Health / McMaster University St. Joseph’s Healthcare Hamilton (SJHH) Ontario. She received her Master of Science (MSc) degree in Respiratory Care at Oxford University and is one of the researchers profiled in the 2011 issue of the ORCS’s Research Review publication. In 2011, she received the A. Les McDonald Award for Innovation and Excellence in Respiratory Care and Education by the Canadian Network for Respiratory Care (CNRC). She is a part-time Assistant Clinical Professor in the School of Nursing, Faculty of Health Sciences at McMaster. Her areas of clinical practice are in allergy, asthma, COPD, and patient education. She is also the Nursing Coordinator for SJHH Respiratory Rehabilitation Programs.
Ann has co-authored with the Registered Nurses’ Association of Ontario in the development and revisions of the Adult Asthma Care Guidelines for Nurses: Promoting Control of Asthma and Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease (COPD) Best Practice Guidelines. She has been actively involved in presenting at many local and national conferences and writing articles for various respiratory publications.
For the past 27 years, Ann has volunteered for the ORCS South Central Ontario Region and is a founding member of the Respiratory Health Educators Interest Group Executive Team. She has served on many CNRC committees and currently serves as a member of its Board of Directors. As a past facilitator and tutor in The Michener Institute’s Asthma Educator Program, Ann was part of the team that developed the Michener COPD Educator Program. She now facilitates and tutors RespTrec’s Asthma and COPD courses.
Anthony J Levinson, MD, FRCPC
Dr Anthony J Levinson is a full-time Associate Professor, member of the Program for Educational Research and Development (PERD) and the Director, Division of e-Learning Innovation for the Michael G. DeGroote School of Medicine at McMaster University. One of the youngest endowed research chairs in the country, his work as the John R Evans Chair in Health Sciences Educational Research focuses on the integration and testing of new learning technologies to improve knowledge translation, health education and training for health care professionals and the public. He holds several grants and awards, and has co-authored one of the seminal systematic reviews of web-based learning published in JAMA, in addition to other publications on medical education. He was the Chair of the e-curriculum working group of the Council of Ontario Faculties of Medicine (e-COFM), and continues to Chair the provincial e-Learning Interest Group, and is a member of the Association of Faculties of Medicine of Canada’s Informatics Resource Group and Health Education Commons Steering Committee. Together with Dr Sarah Garside and his research and development team, he also directs the School of Medicine’s medportal, the online Continuing Health Education portal machealth.ca, as well as the patient education website machealthpublic.ca.
Diane Lougheed, MD, MSc, FRCPC
Dr. Diane Lougheed, is a Professor in the Departments of Medicine (Division of Respirology), Physiology and Community Health and Epidemiology at Queen’s University. She is the Director of the Kingston General Hospital Asthma Program and Medical Advisor of the Asthma Education Centre. Dr. Lougheed is an Adjunct Scientist at ICES-Queen’s. She obtained her medical degree from McMaster University, and completed her Internal Medicine residency at McMaster University and Respirology fellowship at Queen’s University. She also has a Master’s Degree in Epidemiology. Her research interests include: asthma symptom perception and outcome research.
Leahanne LeGrow, RD, MAN
Leahanne LeGrow, RD, MAN was appointed as the Manager for the Provider Education Program at The Lung Association in December 2015. She is a Registered Dietitian with experience in program management, adult education and chronic disease prevention. In Leahanne’s most recent role she was the Professional Educator for the Central East LHIN Self-Management Program. In this position, she had the opportunity to define policies, priorities and procedures for the Health Care Provider Training program. As part of the Self-Management team she worked collaboratively to expand their strategic plan, developing goals, and objectives for monitoring activity progress and tasks.
Leahanne completed her master’s degree at the University of Guelph and her research focused on adult education and program development. She has fostered her interpersonal communication skills in specialized courses and workshops on conflict resolution, dispute negotiation, motivational interviewing and inter-professional practice.
Joe Reisman, MD, FRCP(C), MBA
Dr. Joe Reisman completed his medical degree degree at the University of Toronto in 1980 and an MBA at the University of Toronto’s Rotman School of Management in 1998. His postgraduate medical training includes a mixed internship year at Mount Sinai Hospital in Toronto from 1980 to 1981 and a year of general surgery at the University of Ottawa from 1981 to 1982. He completed a three-year residency in general pediatrics in 1985 and a three-year fellowship in pediatric respirology at the Hospital for Sick Children (SickKids) in Toronto. In 1988, he joined the staff of the Division of Respiratory Medicine SickKids. From 2000 to 2011, he was the chief of Pediatrics at the Children’s Hospital of Eastern Ontario (CHEO) and a professor and chairman of the Department of Pediatrics at the University of Ottawa. His research focus has pertained to clinical trials in pediatric asthma and cystic fibrosis.
Andrea Stevens Lavigne, Vice President, Provincial Programs
Andrea Stevens Lavigne was appointed Vice President, Provincial Programs for the Ontario Lung Association (OLA) in February 2010. In this position, she is responsible for the Association’s respiratory, tobacco-related and air quality programs, and the work of the Ontario Thoracic and Ontario Respiratory Care Societies. With more than twenty years of strategic leadership and management experience in a provincial agency, a hospital and a primary health care organization, Andrea brought to the position a passion for health promotion, knowledge exchange and high quality community services.
A graduate of the University of Toronto with an MBA, Andrea held various management roles at regional and provincial levels with the Centre for Addiction and Mental Health (CAMH) and the Addiction Research Foundation (ARF) prior to its merger with CAMH. As a Director and Acting Vice President at CAMH, she was directly responsible for the development, implementation and evaluation of provincial knowledge exchange and health promotion programs, working with diverse teams across 26 sites in Ontario. She has managed complex projects involving multiple stakeholders, aimed at increasing capacity of professionals to deal with the prevention and treatment of alcohol, tobacco and other substance misuse, as well as mental health issues.
Prior to joining OLA, Andrea was the Executive Director responsible for the establishment of the Etobicoke Medical Centre Family Health Team. In this role, she led the development of the organization’s first strategic plan, established internal policies and procedures, recruited a range of health practitioners and initiated health promotion programs.
Experienced in government relations, Andrea has served on the Toronto Drug Strategy Strategic Advisory Committee, the Ontario Ministry of Health and Long-Term Care Public Health Technical Advisory Committee and has also contributed to national level initiatives related to alcohol policy and mental health promotion.
Gloria Alfred, Program Coordinator
Gloria Alfred is the Program Coordinator for the Provider Education Program (PEP) for the Ontario Thoracic Society at The Lung Association. Her responsibilities include coordinating conference exhibits and continuing medical education events across Ontario and assisting with the development and evaluation of these programs. Gloria obtained her certificate in E-learning at the University of Toronto and holds a degree in Sociology from the University of Waterloo.
Carole Madeley, RRT, CRE, MASc
Carole is the Director of Respiratory Health Programs, for the Ontario Lung Association. She is responsible for the delivery of five asthma programs funded by the MOHLTC as part of the Ontario Asthma Plan of Action. Her responsibilities in this position include marketing, media initiatives, The Lung Association’s BreathWorks COPD programs and participating on several respiratory advisory committees. Carole graduated from The Michener Institute in Toronto as a Respiratory Therapist in 1981 and she holds a Master of Applied Science degree. Prior to working with the Ontario Lung Association, Carole worked for 9 years as the Team Leader in a respiratory rehabilitation program. She also worked for 26 years as an acute care RRT. Carole has presented respiratory related topics at numerous educational events and seminars. Carole has published articles in respiratory journals, in newspapers and she has been interviewed on radio and television.
Sylvie Bouchard , Program Administrator
Sylvie Bouchard is one of the Program Administrators for the Provider Education Program (PEP) for the Ontario Thoracic Society at The Lung Association. Her responsibilities include coordinating conference exhibits and continuing medical education events across Ontario and assisting with the development and evaluation of these programs. Sylvie holds a Honours Degree in Health Studies from York University and is bilingual in French and English.
Chris Allen, MA, MB, FRCP, FRCPC
Dr. Chris Allen is a Respirologist at the Firestone Institute for Respiratory Health in Hamilton Ontario and an Associate Professor of Medicine at McMaster University. His medical training was at Oxford University and the Royal London Hospital. After further general medical training at the London Hospital, which led to the MRCP diploma, he worked in Bath England and completed training in Respiratory Medicine at McMaster. He joined the staff of the Firestone Clinic in 1984. Dr Allen’s research interests have been in respiratory disorders related to gastroesophageal reflux and he also has a long-standing interest in program evaluation and medical database development.
Susan Waserman, MSc, MD, FRCPC
Dr. Susan Waserman obtained her MSc and medical degree from McGill University in 1981. She specialized in Internal Medicine, followed by subspecialty training in Allergy/Clinical Immunology, completing fellowships at the Meakins Christie Laboratories at McGill University in Montreal, and at McMaster University. She is a past President of the Canadian Society of Allergy and Clinical Immunology. In this position her activities include continuing medical education for physicians, allied health professionals and the community, as well as developing practice guidelines in areas such as anaphylaxis, and immunotherapy. Her research interests and activities include clinical trials in a variety of therapeutic areas related to allergy, including rhinitis, asthma, as well as determinants of allergic expression in asthma and food related anaphylaxis.
Monique Forse, MD
Dr. Monique Forse is a Respirologist. She is a graduate from McGill University Medical school and trained in Internal Medicine and Respirology at the University of Toronto. She has worked at the Markham Stouffville Hospital for 25 years. She established the Centre for Respiratory Health where an Asthma education program, COPD clinic, sleep lab and CPAP clinic are located. She helped to develop the hospital respiratory diagnostic services which include pulmonary function, methacholine, exercise asthma and cardiopulmonary exercise testing. She continues to be actively involved in teaching respiratory medicine to physicians and healthcare professionals.
Gemma Styling, Program/Curriculum Developer
Gemma is a Registered Respiratory Therapist and Certified Respiratory Educator. Along with her experience in delivering acute RT care in the hospital setting, she has worked in several areas of outpatient clinics including, Pulmonary Function Labs, Sleep Clinics, COPD and Paediatric Asthma Clinics . She is a neonatal resuscitation instructor and is now with the Ontario Lung Association, Provider Education Program, focusing on curriculum and program development. Gemma is also the provincial co-ordinator for the Emergency Department Asthma Care Pathway across Ontario. As a provider education program developer, she works on implementation and evaluation of continuing medical education programs and materials on respiratory disease across the province, with a keen interest in program evaluation and respiratory research.
Natasha Khalfan , Training Coordinator
Natasha Khalfan is the PEP Training Coordinator with the Lung Association. Natasha graduated from the University of Toronto; she holds an Honours BSc with a major in Health Studies as well as a Masters in Public Health specializing in Health Promotion. She is responsible for the planning and coordination of local and regional training programs and events throughout Ontario. Natasha has a background in planning, implementing and evaluating projects specifically in the areas of Chronic Disease Prevention and Management. Her experiences also include engaging with Health Service Providers in the community with respect to integrating regional primary care services.
