Our Team
GEM Board of Directors
Jennifer Bryan
GEM Member-at-Large
Jennifer Bryan (MD, MA, MSPH, FRCP) is an emergency physician at the University Health Network in Toronto and an Assistant Professor in the Division of Emergency Medicine at the University of Toronto. She is the Assistant Director of the clinical epidemiology program of the University of Toronto Royal College emergency medicine residency training program. She is a founding member of the University Health Network emergency department sickle cell working group and is the Chair of the CAEP Antiracism and Anticolonialism Comittee.
Kate Hayman
GEM Community of Practice Lead
Health Equity Committee Co-Chair
Kate Hayman (MD, MPH, FRCPC) is an Assistant Professor at the University of Toronto and practices emergency medicine at the University Health Network. She completed her emergency medicine training at the University of Western Ontario, and completed her Masters of Public Health at Johns Hopkins, concentrating in Health in Crisis and Humanitarian Emergencies. She is a co-chair of the GEM Health Equity Committee, which seeks to improve the health of patients in both domestic and international contexts by addressing inequities through clinical, educational, and advocacy-based interventions. She is a member of Health Providers Against Poverty and a steering committee member of the Decent Work and Health Network. She has recently returned from her first field placements with Medicins Sans Frontieres, where she worked in Iraq and in a Mediterranean Search and Rescue project.
Jennifer Hulme
GEM Chair of the Board
Health Equity Committee Co-Chair
Jennifer Hulme (MDCM, CCFP(EM), MPH) is an attending emergency physician at the University Health Network (UHN) and Assistant Professor at the University of Toronto. She specializes in health systems and operations research, bringing proven interventions and technologies to scale and strengthening public-sector health systems to improve health equity. The first ten years of her career were spent working to improve quality and access to primary care in low and middle-income settings in areas of reproductive, maternal and child health. She transitioned to action-oriented work on women’s health among underserved populations in Canada. Now, Dr. Hulme leads a research program aimed at addressing health disparities. She is currently the PI on an Institute of Clinical Evaluative Sciences study of patients with frequent emergency department visits for alcohol intoxication. She is also co-investigator on an operations research study of the scale-up of misoprostol for the prevention of postpartum hemorrhage in Mozambique. She co-chairs GEM's Health Equity Committee, which aims to bring together health professionals seeking solutions to health inequities through advocacy, research, education and clinical practice, in order to improve outcomes for marginalized communities.
Adam Kaufman
GEM Community of Practice Lead
TAAAC-EM CPD Lead
Dr. Adam Kaufman is an emergency physician with Michael Garron Hospital, Toronto East Health Network, where he is also the Associate Director of Undergraduate Medical Education and Director of Simulation. His practice and interests focus on global health, novel curriculum delivery, and care for under-resourced and marginalized populations. He is active with the University of Toronto as the Associate Course Director, Emergency Medicine for the MD Program. He currently serves as the Continuing Professional Development Lead for the Toronto Addis Ababa Academic Collaboration in Emergency Medicine. Recently, he also worked as Immigrants and Refugees Lead for the Michael Garron Hospital Emergency Department in adapting its care and delivery during the early stages of the Covid 19 pandemic.
Megan Landes
GEM Member-at-Large
TAAAC-EM Strategic Director
Megan Landes (MD, MSc, CCFP(EM)) is an attending staff doctor in the Emergency Department of the University Health Network (UHN), the University of Toronto’s largest downtown teaching hospital and during the past five years has worked clinically in Lesotho, Malawi and Ethiopia in both emergency medicine and HIV services. She is an Associate Professor and Clinician Investigator in the Department of Family and Community Medicine. She specializes in operational research around the prevention of mother to child transmission of HIV in sub-Saharan Africa, and is a Research Scientist with Dignitas International in Malawi. Additionally, her research interests include the delivery of emergency medicine services in low-resource settings. She is a founding member and Past Director of the GEM Centre at the University of Toronto. She is a Strategic Director of the Toronto Addis Ababa Academic Collaboration in Emergency Medicine (TAAAC-EM) which is working with Addis Ababa University to deliver Ethiopia’s first emergency medicine residency program.
James Maskalyk
GEM Knowledge Translation Lead
TAAAC-EM Strategic Director
James Maskalyk (MD, FRCP(EM)) practices emergency medicine at St. Michael’s hospital, where he received 2012’s “inner-city health, social responsibility” prize. He is an award winning teacher at the University of Toronto and is currently a Strategic Director of TAAAC-EM, a project that works with Ethiopian partners at Addis Ababa University to train East Africa’s first emergency physicians. He has been active in global health work since 2001, when he did his first field work as a physician in Cambodia. He is a member of Médecins Sans Frontieres (MSF), an organization for which he has worked as both a journalist and a physician, most recently, in Dadaab Kenya, home to the world’s largest refugee camp. He was MSF’s first official blogger, and from this, he published a bestselling book about his experience as a field physician entitled, “Six Months in Sudan”. He is a founding member of GEM. His academic interests include medicine in low-resource settings, health and conflict, publication ethics, and humanitarian action.
Hiren Patel
GEM Finance Lead
GHEM Fellowship Co-Director
Hiren Patel, MD, MPH, is an emergency medicine physician at University Health Network. He completed his Masters in Public Health at the Harvard TH Chan School of Public Health in 2018 and completed a Global Health Leadership and Innovations Fellowship at Massachusetts General Hospital/Harvard Medical School in 2017. Before joining the UHN team, he was the Director of Global Health Fellowship and the Senior Advisor for the Division of Global Health and Human Rights at Massachusetts General Hospital/Harvard Medical School. His global health focus is on international emergency medicine development, relief management and sustainable systems building. Some of his work includes emergency medicine pre-hospital systems development in Ghana, emergency first aid response management in South Africa, emergency medicine education, training and systems building in Kenya, emergency disaster response and trauma stabilization in Iraq, as well as numerous other global health and humanitarian work. He is on various International Emergency Medicine boards, is a reviewer for three International Emergency Medicine journals and has had several publications focusing on emergency care capacity building in low resource settings.
Hasan Sheikh
GEM Member-at-Large
Hasan Sheikh (MD, CCFP-EM, MPA) is an emergency and addiction medicine physician at the University Health Network, and a Lecturer with the University of Toronto Department of Family and Community Medicine. He is the medical lead for the Rapid Access Addiction Medicine (RAAM) clinic at the Toronto Western Hospital, which provides low-barrier care to people who use substances. Dr. Sheikh completed a Master in Public Administration (MPA) from the Harvard Kennedy School, and believes that good public policymaking requires a “Health in All Policies” approach. He has advocated for refugee healthcare, access to dental care, and a public health approach to substance use policy and labour laws. He has been involved with the TAAAC-EM program since 2017.
Julia Wytsma
GEM Member-at-Large
TAAAC-EM Co-Director
Julia Wytsma (MD, CCFP(EM)) is a staff emergency physician at Credit Valley Hospital (Trillium Health Partners) and University Health Network. She completed her Rural Family Medicine residency, Emergency Medicine fellowship and Global Health Certificate Course at the University of Toronto. Her contributions to TAAAC-EM began during her residency training through teaching trips and more recently include implementation work for the Trauma Registry project at Tikur Anbessa Specialized Hospital. Her ongoing work with this project includes logistical support, education, and data quality analysis and improvements. She was formally the Research Liaison for TAAAC-EM and is now one of the Co-Directors.
GHEM Staff
Elayna Fremes
Executive Director
Elayna Fremes (MPH) serves as the Executive Director for the Centre for Global Equity in Emergency Medicine (GEM) group and the Toronto Addis Ababa Academic Collaboration in Emergency Medicine (TAAAC-EM). She works with the GEM Board of Directors and all GEM Members to ensure the smooth and efficient operation of all GEM projects and committees. Prior to working with GHEM, Elayna spent 5 years at the Global Health Division in the Dalla Lana School of Public Health at the University of Toronto. In this role she led and managed a number of different global health education programs for various different audiences. She completed her undergraduate degree in Peace and Conflict Studies at the University of Toronto and completed her Masters of Public Health (MPH) at the University of Waterloo.
Hannah Girdler
Program Manager
Hannah Girdler (MSc) serves as the Program Manager for the Centre for Global Equity in Emergency Medicine (the GEM Centre) and the Toronto Addis Ababa Academic Collaboration in Emergency Medicine (TAAAC-EM). She works with the GEM Board of Directors and GEM Members on program logistics and communications. Prior to working with GHEM, Hannah spent two years coordinating projects at the International Federation on Ageing (IFA), as well as supported additional global health promotion and research projects internationally. She completed her undergraduate degree in Global Health and Bioethics at the University of Toronto and completed her Masters of Global Health (MSc) at McMaster University.
GEM General Members
Claire Acton
Claire Acton (MD, FRCP(EM)) is a staff emergency physician at Foothills Medical Centre and Peter Lougheed Centre in Calgary, and an assistant professor at the University of Calgary’s Cumming School of Medicine. She completed her FRCP emergency medicine residency at University of Toronto in 2018.
Dr. Acton first went to Addis Ababa as a resident in 2017, where she recognized the urgent need for a structured POCUS curriculum to provide better care for Ethiopians visiting seeking emergency care. She developed the TAAAC-EM point-of-care ultrasound (POCUS) curriculum in 2018, was involved in the creation of the inaugural POCUS fellowship at Addis Ababa University, and is a past POCUS Lead for TAAAC-EM.
Anne Aspler
Dr. Anne Aspler is the Point of Care Ultrasound (POCUS) Director at North York General Hospital and a past POCUS Lead for TAAAC-EM. She developed a deep interest in point of care ultrasound (POCUS) after working in resource-limited settings internationally (Haiti, Pakistan, Rwanda, Zambia, Cameroon, and Ecuador) and in northern Canada. Anne completed her Masters’ at the London School of Hygiene and Tropical Medicine, DTM&H from the Gorgas Institute in Peru, and has done work with the World Health Organization and Zambian AIDS-Related TB program. After realizing POCUS will transform care in practice environments without access to advanced imaging, she completed an Emergency Ultrasound Fellowship at Harvard University, Brigham and Women's Hospital.
Eileen Cheung
Eileen Cheung (MD, CCFP(EM)) practices emergency medicine at Michael Garron Hospital and University Health Network in Toronto, and locums as a comprehensive family medicine practitioner in rural northern Ontario. She is an Assistant Professor in the Department of Family and Community Medicine at the University of Toronto. Her involvement with GEM and TAAAC-EM started with participating in a teaching trip as a resident and she was previously the Director of Education and Programming for TAAAC-EM. Her role and interests in medical education include curricula development and implementation and capacity-building in low-resource environments, as well as in simulation in education.
Ross Claybo
Dr. Ross Claybo (MD, FRCPC(EM)) is an attending emergency physician practicing at Markham Stouffville Hospital and North York General Hospital in Toronto, and Lecturer with the Department of Medicine at the University of Toronto. He received his MD from the University of Saskatchewan and was one of the original graduates from the emergency medicine residency program at the University of Toronto. Ross has had over thirty years’ experience teaching and mentoring medical students and residents in emergency medicine both locally and abroad. He was involved for many years training and preparing the first national emergency residents and faculty within the Gulf Arab states while living in the Middle East. He has more recently participated in the TAAAC-EM project in training physicians in Addis Ababa, Ethiopia and assisting with faculty development of its first emergency medicine graduates. Ross has an ongoing interest in emergency medicine education with a particular interest in its application to international settings. He is also has a special interest in career development of junior faculty in the specialty and maintaining overall physician wellness and satisfaction within the field.
Cheryl Hunchak
Cheryl Hunchak (MD, CCFP(EM), MPH) practices emergency medicine at Mount Sinai Hospital in Toronto. She is an Assistant Professor in the Department of Family and Community Medicine at the University of Toronto and the Associate Program Director of the Emergency Medicine Enhanced Skills program at the University of Toronto. Cheryl completed her CCFP and CCFP(EM) training at the University of Toronto as well as a Master of Public Health in International Health from the Harvard School of Public Health. She is a founding member and previous Co-Director of GHEM, a founding Co-Editor of the Teaching Modules project, and the former Curriculum Director for TAAAC-EM. Her research interests include the adaptation and implementation of emergency medicine curricula in low-resource health systems, the impact of emergency medicine education on health outcomes and predictors of early ED mortality in low-resource settings.
David MacKinnon
Dr. David MacKinnon (MD, CCFP(EM)) graduated from medical school at the University of Western Ontario (MD) and completed Residency training at Queen’s University in combined Family & Emergency Medicine (CCFP-EM). He is currently a staff Emergency Physician and Trauma Team Leader at St. Michael’s Hospital. Dave is a member of the Centre for Global Equity in Emergency Medicine at the University of Toronto. His interests include trauma, education, Quality Improvement and resource utilization in medicine.
Nazanin Meshkat
Nazanin Meshkat (MD, FRCPC(EM), MHSc) is a staff emergency doctor at the University Health Network, and an Associate Professor at the University of Toronto. Dr. Meshkat also holds a Masters in Health Administration from the University of Toronto. Dr. Meshkat’s global health care experience includes working as an emergency physician in Iran and conducting a maternal health survey in Maharashtra, India. Through her field work with Médecins Sans Frontieres, she traveled to Papua New Guinea where she was involved in developing a program for victims of gender-based violence. In Canada, she has worked with street youth in London, Ontario, and also as an advisor to the International Affairs Directorate for Health Canada. Her contribution to the Toronto Addis Ababa Academic Collaboration (TAAAC-EM) both as the curriculum co-coordinator and clinician, has led to the launch of the first emergency medicine residency program in Ethiopia. Dr. Meshkat is a fellow at the Centre for Innovation in Complex Care (CICC) and a principal investigator of the TEAM (Transitioning Emergency Atrial Fibrillation Management) study. She is the co-editor of the Emergency Medicine Radiology Database (EMRaD) and GEM’s Teaching Module project.
David Ng
David Ng is an emergency physician at Michael Garron Hospital and University Health Network and also a lecturer with the University of Toronto. He has an interest in medical education and the way in which different people live and experience health care throughout Canada and the world. In addition to working extensively in various rural hospitals in Southern Ontario he has also been ship doctor in the Antarctic, locummed as an emergency physician at Baffin Island Hospital, Iqaluit, and helped to teach emergency medicine in Ethiopia as part of the Toronto Addis Ababa Academic Collaboration. He is most interested in working with learners to develop the solid approaches and skill set of emergency medicine.
Anna Nowacki
Co-Chair, Ethiopian Conference on Leadership in Emergency Medicine
Anna Nowacki (MD, FRCPC(EM)) is an emergency physician at the University Health Network in Toronto and an Assistant Professor in the Division of Emergency Medicine at the University of Toronto. She completed her residency training at the University of Toronto and did her sub-specialty training in Global Health and Tropical Medicine at the Prince Leopold Tropical Medicine Institute in Antwerp, Belgium. Her involvement with TAAAC-EM started during a teaching trip in 2011. Since then, she has collaborated on a variety of TAAAC-EM projects some of which have included educational research, virtual teaching, as well as development of teaching modules and clinical pathways. Since 2017, she has served as a Co-Chair of the Ethiopian Conference on Leadership in Emergency Medicine. Her current interests are in medical education with a special focus on postgraduate training in low-resource settings and toxicology.
Lisa Puchalski Ritchie
Lisa Puchalski Ritchie (MD, FRCPC(EM), DTM&H, PhD) is an emergency physician practicing at University Health Network, a Scientist at the Li Ka Shing Knowledge Institute in the Knowledge Translation Program, Assistant Professor in the Department of Medicine at the University of Toronto, and Assistant Professor (status only), Institute of Health Policy, Management and Evaluation, at the University of Toronto. She is a founding member of the Centre for Global Equity in Emergency Medicine (the GEM Centre) at the University of Toronto. She is a clinical epidemiologist with a research focus on the use of knowledge translation strategies to improve health care delivery and outcomes in resource limited health care settings.
Navpreet Sahsi
Navpreet Sahsi ((CCFP (EM) DTM&H), is an emergency physician at North York General Hospital and a lecturer at the University of Toronto. As well he has a Diploma of Tropical Medicine from the London School of Tropical Medicine and Hygiene. He has done two projects with Medicines Sans Frontieres, in Yemen and South Sudan. In addition to this he has worked in Nepal, Tanzania, and with the TAAAC-EM team in Ethiopia. His interests are always changing, but are currently in humanitarian medicine, and medicine in low-resource settings.
Layli Sanaee
Layli Sanaee (MD, MPH, FRCPC) is an emergency physician at the University Health Network and Assistant Professor at the University of Toronto. She completed her Masters of Public Health from the London School of Hygiene and Tropical Medicine after residency. Since 2019 she has had three assignments with Medécins Sans Frontières, in Chad and the Democratic Republic of Congo. She is a member of the Centre for Global Equity in Emergency Medicine at the University of Toronto; and its Health Equity Committee. Her current interests include humanitarian medicine, health systems architecture and competence-based curriculum design.
Margaret Salmon
Formerly a resident of Alaska, Margaret Salmon (MD, MPH) spent 15 years as an entrepreneur before joining the medical community. She went on to graduate from University of Washington School of Medicine with a Master in Public Health from Harvard (specializing in humanitarian aid at Harvard Humanitarian Initiative) and eventually to complete her emergency medicine residency at University of California San Francisco. Concentrating on the humanitarian arena, she now specializes in the health needs of populations caught in conflict. With extensive experience in Democratic Republic of Congo and Ethiopia, Margaret publishes widely on bringing low-cost technologic solutions to immediate healthcare problems. She and her research partner and brother, Dr. Christian Salmon have pioneered the introduction of regional anesthesia into low-resource settings, the local manufacture of commercial ultrasound gel alternatives and the use of ultrasound in conflict. Now she is co-Director of ITTea, Innovations and Technology Transfers for Enhanced Affordability. Margaret is also the principal investigator of Grants Foundation’s Grand Challenges Exploration Program, Round 11 addressing improving lives of women who are small farmers.
Edward Xie
Edward Xie, MD MSc CCFP(EM) DTM&H is an emergency physician at University Health Network and a Clinician Investigator at the Department of Family & Community Medicine of the University of Toronto. He completed an MSc in Health Policy at the London School of Economics and the London School of Hygiene and Tropical Medicine. Dr. Xie has worked abroad for Médecins Sans Frontières and the Centre for Global Equity in Emergency Medicine, and in Canada with the Canadian Association of Physicians for the Environment and other evidence-based organizations. He has research interests in global health, equity, social and environmental determinants of health, and economics, and welcomes cross-sectoral collaboration.
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