1989 – Doctor of Medicine (Honors), University of Saskatchewan
1993 – FRCPC, Internal Medicine, Royal College of Physicians and Surgeons of Canada
1995 – FRCPC, Rheumatology, Royal College of Physicians and Surgeons of Canada
1999 – MSc (Dean’s Honour List) Epidemiology & Biostatistics, McGill University
Personal Statement / Research Interests:
My research activities focus on rheumatic disease in Canadian Indigenous peoples, and systemic lupus erythematosus. In epidemiological studies of RA in Indigenous Canadians, I have described a higher incidence and prevalence, earlier onset age, unique patterns of joint involvement, serological differences, and worse outcomes. Current studies are also focusing on differences in health care access and healthcare use that impact on inflammatory arthritis outcomes. Similarly, in epidemiological studies of lupus in Indigenous Manitobans, I have described a higher incidence and prevalence, earlier onset age, serological differences, a more severe phenotypes, and higher mortality rate. We are currently establishing the role of healthcare access and loss to follow-up on mortality in Indigenous Manitobans. I initiated and manage our local longitudinal lupus cohort, including formalized data collection, to include detailed clinical information, demographics, patient reported outcomes relevant to lupus, and biological samples. This is a prospective cohort of patients with systemic lupus. Enrollment began in 2005 (n=314 patients). Also received national funding as lead investigator for a national lupus registry, following the same format as above. Enrolment began in 2005. (>2000 patients). I am currently the Chair of a national multicenter research initiative, the Canadian Network for Improving Outcomes in Systemic Lupus Erythematosus (CaNIOS), and am in the process of redeveloping the registry in a web-based form. My major lupus related research interest is in ethnic and socioeconomic influences on the pathogenesis, course, and outcomes of lupus and improving outcomes for persons with these conditions. In addition, I work with administrative databases, primarily the Manitoba Health Research Repository, to establish diagnostic algorithms for administrative data, develop an evidence based tool for arthritis health services planning, and to study the epidemiology of Rheumatoid Arthritis and lupus in Manitoba including health care utilization, comparing outcomes in First Nations and non-First Nations in order to optimize rheumatology care delivery.
University of Manitoba “Aubie Angel Young Investigator Award for Clinical Research” Faculty of Medicine (2002). MMSF Clinical Research Professorship in Population Medicine Award, Faculty of Medicine (2000-2003)