Publications and Presentations

• Do Adolescents with Gynecomastia Require Routine Evaluation by Endocrinology
• Telemedicine and Computers in the Atlantic Plastic Surgery Community. The Atlantic Society of Plastic Surgeons
• Operation Smile – The Ecuador Experience. An Update on the Canadian Chapter. The Atlantic Society of Plastic Surgeons

• Double bubble with the big-bubble technique during deep anterior lamellar keratoplasty
• Eye banking and corneal transplantation communicable adverse incidents: current status and project NOTIFY.
• International Eye Banking and The Eye Bank Association of America (EBAA)
• Corneal Transplantation and Eye Banking in India

• Evaluation of Interventions Addressing Timely Access to Surgical Care in Low-Income and Low-Middle-Income Countries as Outlined by the LANCET Commission 2030 Global Surgery Goals: A Systematic Review
• Nutritional assessment of children in Hartley Bay (Gitga’at), BC
• Unifying Children’s Surgery and Anesthesia Stakeholders Across Institutions and Clinical Disciplines: Challenges and Solutions from Uganda
• Engaging youth in rural Uganda in articulating health priorities through Photovoice
• Access to pediatric surgery delivered by general surgeons and anesthesia providers in Uganda: Results from 2 rural regional hospitals
• Audiovisual hyperactivity disorder (AVHD): A peril of the desire to excel
• Pediatric surgical camps as one model of global surgical partnership: A Way Forward
• Lights, camera, surgery: a novel pilot project to engage medical students in the development of pediatric surgical learning resources
• Making the Most of Medical Orientation - A New Approach
• Measurement of how well a paediatric training programme prepares graduates for their chosen career paths
• Lack of Supervision and Independent Clinical Decision Making in Postgraduate Pediatric training in Australia
• Training low-middle-income (LMIC) pediatric surgeons in a high-income country (HIC) program

• Needs assessment of neurosurgery trainees: a survey study of two large training programs in the developing and developed worlds.
• International education: a third alternative.

• High rate of reoperation and conversion to total hip arthroplasty after internal fixation of young femoral neck fractures: a population-based study of 796 patients
• The Socioeconomic Implications of Isolated Tibial and Femoral Fractures from Road Traffic Injuries in Uganda
• When Surgical Resources are Severely Constrained, Who Receives Care? Determinants of Access to Orthopaedic Trauma Surgery in Uganda.
• Economic loss due to traumatic injury in Uganda: The patient's perspective.
• Making Safe Surgery Affordable: Design of a Surgical Drill Cover System for Scale.
• Developing Orthopaedic Trauma Capacity in Uganda: Considerations from the Uganda Sustainable Trauma Orthopaedic Program.

• Education Needs of Internally Displaced Children in Afghanistan: A Needs Assessment Survey
• Virtual Reality Simulation Technology for Cardiopulmonary Resuscitation Training: An Innovative Hybrid System With Haptic Feedback
• Status of simulation in health care education: an international survey.
• First Aid and Emergency War Surgery. Hanover University, Hanover, W. Germany, 1983.
• CBC Morning Show, September 26, 2003 “Canada’s Role in Afghanistan”
• Rebuilding After Wars – Afghanistan, Keynote Speaker, Internal Medicine Residents’ Whistler Conference
• Afghanistan – Past, Present and Future. Keynote Speaker. Rotary Club Annual District and BC Surgical Society Meetings.

• Long-Term Results of PET-Guided Radiation Therapy in Patients with Advanced-Stage Diffuse Large B-Cell Lymphoma Treated with R-CHOP in British Columbia
• The Canadian Medical Student Ultrasound Curriculum
• Acute Inflammatory Response During Neoadjuvant Chemotherapy for Locally Advanced Breast Cancer: A Case Report
• Surgical resection and long-term disease-free survival in Stage IIIB non-small cell lung cancer after gefitinib down-staging: a case report
• Successful treatment of hepatic oligometastases with stereotactic ablative radiotherapy and radiofrequency ablation in an anaplastic lymphoma kinase fusion-positive lung cancer patient
• Does PET/CT improve patient management after curative-intent radiotherapy (RT) for head & neck squamous cell carcinoma (HNSCC)
• Withholding metformin prior to ¹⁸F-FDG positron emission tomography (PET) oncology studies

• North-South surgical training partnerships: a systematic review
• Ovarian masses in the child and adolescent: An American Pediatric Surgical Association Outcomes and Evidence-Based Practice Committee systematic review
• A systematic review of capacity assessment tools in pediatric surgery: Global Assessment in Pediatric Surgery (GAPS) Phase I
• Comparison of the Pediatric Resuscitation and Trauma Outcome (PRESTO) Model and Pediatric Trauma Scoring Systems in a Middle-Income Country
• Unifying Children’s Surgery and Anesthesia Stakeholders Across Institutions and Clinical Disciplines: Challenges and Solutions from Uganda
• Regarding global pediatric surgery training opportunities
• The thyroid nodules in kids study (ThyNK study): An evaluation of clinical practice variation
• Partnership in fellowship: Comparative analysis of pediatric surgical training and evaluation of a fellow exchange between Canada and Kenya.
• Training low-middle-income (LMIC) pediatric surgeons in a high-income country (HIC) program

• Creating a gold medal Olympic and Paralympics health care team: a satisfaction survey of the mobile medical unit/polyclinic team training for the Vancouver 2010 winter games.
• A predeployment trauma team training course creates confidence in teamwork and clinical skills: a post-Afghanistan deployment validation study of Canadian Forces healthcare personnel.
• Access to trauma systems in Canada.

• The Cedar Project: exploring the role of colonial harms and childhood maltreatment on HIV and hepatitis C infection in a cohort study involving young Indigenous people who use drugs in two Canadian cities
• Postoperative outcomes for Indigenous Peoples in Canada: a systematic review
• An evidence-based program for rural surgical and obstetrical networks

• Promoting quality of care in disaster response: A survey of core surgical competencies.
• Mobile field hospitals in the Haiti earthquake response: a Red Cross model.
• Preparing humanitarian workers for disaster response: a Red Cross/Red Crescent field training model.

• Surgical Task-Sharing to Non-specialist Physicians in Low-Resource Settings Globally: A Systematic Review of the Literature
• Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons
• Surgery in the western Canadian Arctic: The relative impact of family physicians with enhanced surgical skills working collaboratively with specialist surgeons.

• A systematic review of global surgery partnerships and a proposed framework for sustainability
• Time to operating room matters in modern management of pancreatic injuries: A national review on the management of adult pancreatic injury at Canadian level 1 trauma centers
• Virtual learning in global surgery: current strategies and adaptation for the COVID-19 pandemic

• Socio-economic Structures and Sexual Health of Marginalized Youth: Policy Implications in Kenya. In Africa Rising: A Continent Throughthe Eyes of Emerging Scholars. Pp. 197-222.
• Youths navigating social networks and social support systems in settings of chronic crisis: the case of youth-headed households in Rwanda
• Reducing HIV Infection Rates Among Young Kenyan Women
• Strategies to Support Youth-headed Households in Kenya and Rwanda
• The Impact of HIV on the Sexual Health of Kenya’s Young Generation
• Resiliency of children in child-headed households in Rwanda: implications for community-based psychosocial interventions
• Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons

• Clubfoot Etiology, Pathoanatomy, Basic Ponseti Technique, and Ponseti in Older Patients
• Systematic review and meta-Analysis of global birth prevalence of clubfoot: A study protocol
• Magnetic resonance imaging study of the congenital clubfoot treated with the Ponseti method.
• Understanding the Barriers to Clubfoot Treatment Adherence in Uganda: A Rapid Ethnographic Study
• Towards Effective Ponseti Clubfoot Care: The Uganda Sustainable Clubfoot Care Project
• Incidence of Clubfoot in Uganda
  

• Epidemiology and treatment outcomes in pediatric patients with post-injection paralysis
• Paediatric musculoskeletal disease in Kumi District, Uganda: a cross-sectional survey
• Burden of gluteal fibrosis and post-injection paralysis in the children of Kumi District in Uganda
• A collaborative public health approach to clubfoot intervention in 10 low-income and middle-income countries: 2-year outcomes and lessons learnt
• Towards Effective Ponseti Clubfoot Care: The Uganda Sustainable Clubfoot Care Project
• Community-based rehabilitation and orthopaedic surgery for children with motor impairment in an African context.
• Sequelae of Septic arthritis of the Hip.
• The Neglected Clubfoot
• Chronic Osteomyelitis in Children. Techniques in Orthopaedics.
• Results of triple arthrodesis in Uganda
• Clubfoot: Ponseti Management.

Text Book chapters in Global Orthopedics. Ed. Gosselin, Spiegel & Folz. Springer 2014.

• Chapter 12. Penny: Rickets and Angulatory Bone Deformity.
• Chapter 31. Penny & Spiegel: Chronic Osteomyelitis in Children.
• Chapter 35. Penny: Algorithm for Neglected Clubfoot.
• Chapter 39. Penny, Ekure, Spiegel & Watts: Injection injuries and polio

• Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
• Potentially Avertable Child Mortality Associated with Surgical Workforce Scale-up in Low- and Middle-Income Countries: A Global Study
• Assessing trauma care systems in low-income and middle-income countries: a systematic review and evidence synthesis mapping the Three Delays framework to injury health system assessments
• The burden of waiting: wait times for pediatric surgical procedures in Quebec and compliance with national benchmarks
• Cost-Effectiveness in Global Surgery: Pearls, Pitfalls, and a Checklist.
• Pediatric surgical capacity in Africa: Current status and future needs.
• Pediatric Hand Surgery in Global Health: The Role for International Outreach.
• Partnership in fellowship: Comparative analysis of pediatric surgical training and evaluation of a fellow exchange between Canada and Kenya.
• Economic Analysis of Children’s Surgical Care in Low- and Middle-Income Countries: A Systematic Review and Analysis
• Gastroschisis: Bellwether for neonatal surgery capacity in low resource settings?
• Economic Valuation of the Global Burden of Cleft Disease Averted by a Large Cleft Charity
• The burden of pediatric surgical disease in low-resource settings: Discovering it, measuring it, and addressing it.
• An investment in knowledge: Research in global pediatric surgery for the 21st century.
• Pediatric surgery as an essential component of global child health.
• Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.
• Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: quantifying the epidemiological transition.
• The burden of waiting: DALYs accrued from delayed access to pediatric surgery in Kenya and Canada.
• Mortality of pediatric surgical conditions in low and middle income countries in Africa.
• The Global Paediatric Surgery Network: a model of subspecialty collaboration within global surgery.
• Optimal resources for children's surgical care: a global perspective.
• Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.
• Burden, need, or backlog: a call for improved metrics for the global burden of surgical disease.
• Burden of surgically correctable disabilities among children in the Dadaab Refugee Camp.
• Getting the job done: analysis of the impact and effectiveness of the SmileTrain program in alleviating the global burden of cleft disease.
• Burden of surgical congenital anomalies in Kenya: a population-based study.
• The burden of pediatric surgical conditions in low and middle income countries: a call to action.
• Pediatric surgical site infection in the developing world: a Kenyan experience.
• Evaluation of fundamental critical care course in Kenya: knowledge, attitude, and practice.
• Quality of life of children with spina bifida in Kenya is not related to the degree of the spinal defects.
• Timing of ventriculoperitoneal shunt insertion following spina bifida closure in Kenya.
• Outcomes of ventriculoperitoneal shunt insertion in Sub-Saharan Africa.
• Pediatric cancer spectrum in Kenya: a histopathologic review.
• Caring for children with colorectal disease in the context of limited resources.
• Quality of life of African children with spina bifida: results of a validated instrument
• Quality of life for families with spina bifida in Kenya.

• Lessons from developing, implementing and sustaining a participatory partnership for children’s surgical care in Tanzania
• Feasibility of Fine-Needle Aspiration Biopsy and Rapid On-Site Evaluation for Immediate Triage in Breast Cancer Screening in Tanzania
• A Journey Undertaken by Families to Access General Surgical Care for their Children at Muhimbili National Hospital, Tanzania; Prospective Observational Cohort Study
• A randomised control trial using soap in the prevention of surgical site infection in Tanzania

• Global Surgery 2030: a roadmap for high income country actors
• Assessing personal contributions in global surgery: By whose yardstick?
• Surgical Care and Health Systems
• Global health conferences: Are they truly “global”? The Bethune Round Table paradigm for promoting global surgery
• International surgery: the development of postgraduate surgical training in Guyana
• A hospital-based analysis of the Road Traffic Injury pattern in Northern Sri Lanka. Masters Dissertation. Curtin University, Perth Australia. June 2006.
• Review of a Canadian forum on international surgery: the Bethune Round Table
• Indications for surgery in our global village

• Cost-effectiveness of School Hearing Screening Programs: A Scoping Review
• Guidance for otolaryngology health care workers performing aerosol generating medical procedures during the COVID-19 pandemic.
• Otolaryngology-Related Disorders in Underserved Populations, Otolaryngology Training and Workforce Considerations in North America.
• Development and validation of a low-cost microsurgery Ear Trainer for low-resource settings.
• Fatal Bacterial Meningitis Possibly Associated with Substandard Ceftriaxone—Uganda, 2013.
• Increased frequency of visits improves the efficiency of surgical global health initiatives.
• CanHEAR Uganda Sets Sights on Sustainability
• Cross-sectional survey of hearing impairment and ear disease in Uganda.
• Prevalence of hearing loss in primary school children in Zimbabwe