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Veronica Wadey photo
Veronica Wadey, BPHE, B.Ed. MD, MA, FRCSC

Associate scientist

Sunnybrook Health Sciences Centre
Holland Centre
43 Wellesley Street East, Room 621
Toronto, ON
M4Y 1H1

Phone: 416-967-8615
Fax: 416-967-8622

Clinical Profile

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Administrative Assistant: Rosa Mandarano
Phone: 416-967-8615
Fax: 416-967-8622
Email: rosa.mandarano@sunnybrook.ca

Dr. Wadey sub-specializes in lower extremity reconstruction of the hip and knee including knee arthroscopy. She completed her medical degree and orthopaedic residency at the University of Calgary. She spent more than two years at Stanford University as the Royal College of Physicians and Surgeons of Canada medical education travelling fellow. Dr. Wadey also completed a fellowship in soft tissue knee reconstruction arthroscopy and research in musculoskeletal conditions at the Centre for Interdisciplinary Research in Rehabilitation and Social Integration at Laval University in Quebec City.

She joined Sunnybrook Health Sciences Centre in 2007 and is an associate professor at the University of Toronto.

Education:

  • M.D., University of Calgary, Canada
  • Orthopaedic residency, University of Calgary
  • Clinical fellowship, soft tissue knee reconstruction arthroscopy, research in musculoskeletal conditions, Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Laval University, Canada

Appointments and Affiliations:

  • Associate professor, University of Toronto
  • Associate program director, orthopaedic residency training program, Division of Orthopaedics, Department of Surgery, University of Toronto
  • Chair, continuing professional development committee, Canadian Orthopaedic Association
  • Member, working task force committee, American Board of Orthopaedic Surgeons
  • Fellowship coordinator (oversees arthroplasty, lower extremity trauma, upper extremity trauma, spine and sports injury), Holland Bone and Joint Program, Sunnybrook
  • Fellowship supervisor, arthroplasty fellowship program, Holland Centre, Sunnybrook
  • Volunteer medical officer, St. John’s Ambulance, York Region Branch
  • Over two years as Royal College of Physicians and Surgeons of Canada medical education travelling fellow, Stanford University

Research Foci:

Dr. Wadey’s clinical research is focused on the investigation of structural and functional changes following total hip replacement surgery, to identify contributing factors to explain the effect of structure, mobility, and strength on neuromuscular function to maintain stability when walking for patients having total hip replacement surgery.

Educational Research:

Dr. Wadey’s research in medical education involves work in the area of musculoskeletal health.

Specific to curricula development, she worked collaboratively with physicians/surgeons across Canada to validate a Canadian core curriculum for musculoskeletal health (MSK) utilizing the WHO undergraduate core curriculum recommendations and this curriculum was disseminated to all 17 medical schools across Canada to use as they saw fit (J. of Rheum 2007).

In addition, she worked collaboratively with orthopaedic surgeons across Canada and was the lead educational researcher for the establishment and validation of core competencies for orthopaedic surgery in Canada (JBJS-Br 2009) and was invited to be a working group member of the RCPSC orthopaedic specialty committee working group to write the orthopaedic surgery objectives for the RCPSC in CanMeds format. These objectives were subsequently used by the University of Toronto orthopaedic residency training program to develop the 21 module competency based curriculum and procedure logbook which has recently undergone a 5 year pilot project and was integrated fully for all residents to experience. Based on this framework, Dr. Wadey developed and implemented an MSK medicine module as part of the CBC orthopaedic program. This module incorporates 6 disciplines outside of orthopaedic surgery that would provide the residents with focused learning environment for content pertaining to osteoporosis/metabolic bone disease; infectious diseases, skeletal dysplasia/genetics; chronic pain management; assessment of mobility and neurologic compromise of the MSK systems. She is also co-supervising graduate students in the area of medical education and in particular curricula and assessment development.

In 2015 she was appointed the inaugural associate program director for the orthopaedic residency training program with the sole portfolio of assessment and evaluation for orthopaedic surgery residents. Educational research is being undertaken to inform processes for centralization of evaluation of competencies within both the cognitive and technical domains while incorporating the competency by design format of the RCPSC. Dr. Wadey is collaborating with Dr. Nousiainen, the current program director and the RCPSC orthopaedic surgery specialty committee (chair: Dr. W. Kraemer) to further develop and refine clinical assessment outcome measures that will measure professional activities of residents under the new framework of competency by design set out by the RCPSC.

In 2012, Dr Wadey was appointed the fellowship supervisor of the arthroplasty fellowship program at the Holland Centre with the sole mandate of developing and organizing program development. Dr. Wadey collaborated with the Canadian Arthroplasty Society (CAS) to validate a national curriculum for arthroplasty fellowship training in Canada which outlines the content currently used to educate arthroplasty fellows.

In 2014, she was appointed fellowship coordinator of Sunnybrok's Holland Bone and Joint program overseeing five sections of fellowship programs (arthroplasty, LE trauma, UE trauma, spine and sports) within the MSK program. In collaboration with the various fellowship supervisors/faculty members, a unified approach to assembling the fellows for academic activities has been established.

Clinical Research:

Dr. Wadey’s clinical research collaboration is targeted to investigate structural and functional changes following total hip replacement surgery. The project is designed to identify contributing factors to explain the effect of structure, mobility, and strength on neuromuscular function to maintain stability when walking for patients having total hip replacement surgery. Understanding why patients may trip and fall may potentially allow us to develop protocols to provide patients after hip replacement surgery to prevent falls and further co-morbidity such as periprosthetic fractures or other injuries. This area of study may ultimately have a significant impact on overall patient care and safety. Results from this work will most certainly contribute towards enhancing clinical outcomes for patients while promoting and optimizing patient safety strategies with the ultimate reduction of economic burden to health care expenditure while ensuring patient satisfaction. In addition, results from this research may inform surgical decision-making and results based on better understanding of managing patients with pelvic obliquity, leg length discrepancy.

Research Profile

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Administrative Assistant: Rosa Mandarano
Phone: 416-967-8615
Fax: 416-967-8622
Email: rosa.mandarano@sunnybrook.ca

Education:

  • BPHE (Hons), 1984, University of Toronto, Canada
  • B.Ed., 1986, physical and health education and computer science, U of T, Canada
  • C.A.Tc., 1986, Canadian certification in athletic therapy
  • MA, 1988, specialization in athletic therapy, Indiana State University, U.S.
  • MD, 1996, University of Calgary, Canada
  • FRCSC, 2003, orthopaedic surgery, University of Calgary, Canada
  • RCPSC, 2003–2005, medical education travelling fellow, Stanford University, U.S.
  • Postdoctoral research and clinical fellow, 2006, Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Laval University, Canada

Appointments and Affiliations:

  • Associate scientist, Evaluative Clinical Sciences, Holland Bone and Joint Program, Sunnybrook Research Institute
  • Fellowship coordinator, Sunnybrook Health Sciences Centre and Holland Centre in the bone and joint program
  • Fellowship director, arthroplasty, Holland Centre
  • Associate professor, department of surgery, division of orthopaedic surgery, faculty of medicine, U of T
  • Associate program director, orthopaedic surgery residency training program assessment and evaluation portfolio, U of T
  • Associate member, Institute of Medical Sciences, graduate faculty
  • School of graduate studies affiliate member, Ontario Institute for Studies in Education
  • Associate graduate faculty member, graduate department of rehabilitation science
  • Adjunct scientist, technology team, Toronto Rehabilitation Institute
  • Member, Donald R. Wilson Centre for Research in Education
  • Chair, continuing professional development committee, Canadian Orthopaedic Association
  • Member, examination committee for orthopaedic surgery, Royal College of Physicians and Surgeons of Canada
  • Member, medical advisory committee, Canadian Orthopaedic Foundation

Research Foci:

  • Medical education, clinical outcomes and health system improvement

Research Summary:

Medical education

Dr. Wadey participated in the combined United States Bone and Joint Initiative and Bone and Joint Canada young clinical investigator research program. Her clinical research focuses on the evaluation of gait and the rehabilitation approach to musculoskeletal disorders directed toward health system improvement and clinical outcomes in joint reconstruction surgery. Dr. Carol L. Richards, professor and Canada Research Chair in Rehabilitation at the University of Laval, mentored her research activities. Dr. Wadey remained a postdoctoral research fellow until January 2007. She was then recruited to the University of Toronto on an academic appointment at the Holland Centre and Sunnybrook Health Sciences Centre as a surgeon investigator and educator. She is currently an associate professor in the department of surgery at U of T. Her clinical focus is lower extremity arthroplasty.

Clinical research

Dr. Wadey’s clinical research aims to investigate structural and functional changes following total hip replacement surgery. The project is designed to identify contributing factors to explain the effect of structure, mobility and strength on neuromuscular function to maintain stability when walking for those patients having total hip replacement surgery. Understanding why patients may trip and fall can help clinicians develop protocols that will prevent patients from falling after hip replacement surgery and further co-morbidity such as periprosthetic fractures or other injuries. This project may ultimately have a significant impact on overall patient care and safety. Results from this work will contribute toward enhancing clinical outcomes for patients, promote and optimize patient safety strategies with the ultimate reduction of economic burden to health care expenditure while ensuring patient satisfaction. In addition, results from this research may inform surgical decision-making and understanding better the management of patients with pelvic obliquity and leg length discrepancy.

Dr. Wadey is co-supervising a graduate student in the area of understanding falls post total knee replacement surgery. This area of research may lead to a methodology for assessment of balance recovery in post-operation of total knee replacement and to understand how individuals regain balance when forced “off balance”. The aim is to understand how to prevent falls post total knee replacement surgery and thus prevent periprosthetic fractures. This research is well aligned with the medical mission of the Holland Centre. One mission is to generate the development of new information to assist patient care and the development of protocols that may assist surgeons technically and with postoperative management to enhance patient outcomes.

Her research in medical education involves work in the area of musculoskeletal health. She collaborated with various disciplines in health care to validate a Canadian core curriculum for musculoskeletal health utilizing the World Health Organization undergraduate core curriculum recommendations, which was disseminated to all 17 medical schools across Canada. Utilizing this curriculum, she has assembled medical experts and design support experts for the first national consensus workshop targeted to develop and evaluate module one of an interactive online musculoskeletal core curriculum. This project focused on the development and evaluation of the prototype targeted to meet the needs of postgraduate medical trainees within Canada. Specifically, it will involve residents in any discipline who work on the frontlines of musculoskeletal health. For more information, visit the MSKHealth website.

Musculoskeletal medicine rotation has been successfully developed and implemented into the competency based orthopaedic residency program. In addition, Dr. Wadey was the lead researcher for the establishment of core competencies for orthopaedic surgery in Canada and was invited to be a working group member of the Royal College of Physicians and Surgeons of Canada (RCPSC) orthopaedic specialty committee working group to write the orthopaedic surgery objectives for the RCPSC in CanMeds format. These objectives were subsequently used by U of T to develop the 21 module competency based curriculum and procedure logbook which has recently undergone a five-year pilot project and will now be fully integrated for all residents to experience.

Dr. Wadey has also worked with the Canadian Arthroplasty Society to validate a national curriculum for arthroplasty fellowship in Canada. She is involved with research pertaining to learning styles, program development, competency based learning and evaluation and assessment models including the validation of entrustable professional acts outcome measures at all levels of medical education pertaining to musculoskeletal health.

Locally, Dr. Wadey volunteers as a medical officer for the St. John’s Ambulance, York region branch. Nationally, she volunteers for the March of Dimes clinics in northern Ontario, providing musculoskeletal care to remote northern Ontario communities to prevent hundreds of patients the time and expense of traveling to larger cities to receive medical treatment. Internationally, she is a vice-president for the transport division of St. John’s Ambulance in the New Territories of Hong Kong.

Dr. Wadey is in good standing with the College of Physicians and Surgeons of Ontario and the Alberta College of Physicians and Surgeons, with licenses to practice orthopaedic surgery at both locations. As of August 2016, she has published 33 peer-reviewed manuscripts, four book chapters, 70 abstracts and 63 presentations, locally, nationally and internationally.

Selected Publications:
See current publications list at PubMed.

  1. Dwyer T, Wadey V, Archibald D, Kraemer W, Shantz JS, Townley J, Ogilvie-Harris D, Petrera M, Ferguson P, Nousiainen M. Cognitive and psychomotor entrustable professional activities: Can simulators help assess competency in trainees? Clin Orthop Relat Res. 2016 Apr;474(4):926–34.
  2. Larouche J, Yee AJ, Wadey V, Ahn H, Hedden DM, Hall H, Broad R, Bailey C, Nataraj A, Fisher C, Christie S, Fehlings M, Moroz PJ, Bouchard J, Carey T, Chapman M, Chow D, Lundine K, Dommisse I, Finkelstein J, Fox R, Goytan M, Hurlbert J, Massicotte E, Paquet J, Splawinski J, Tsai E, Wai E, Wheelock B, Paquette S. Development of a competence-based spine surgery fellowship curriculum set of learning objectives in Canada. Spine (Phila Pa 1976). 2016 Mar;41(6):530¬–7.
  3. Murphy RF, LaPorte DM, Wadey VM; American Academy of Orthopaedic Surgeons Orthopaedic Education Study Group. Musculoskeletal education in medical school: deficits in knowledge and strategies for improvement. J Bone Joint Surg Am. 2014 Dec 3;96(23):2009–14.
  4. Wadey V, Tang ET, Abelseth G, Dev P, Olshen RA, Walker D. Canadian multidisciplinary core curriculum for musculoskeletal health. J Rheumatol. 2007 Mar;34(3):567–80.
  5. Wadey V, Frank CB. The effectiveness of patient verbalization on informed consent. Can J of Surg. 1997 Apr;40(2):124–8.