James CarsonMD
Associate Professor
DFCM

Location

The Scarborough Hospital
255 Main Street
Unionville
ON, L3R 2H3

Research Interests

Concussion, Sports Medicine, Survey Methods

Accepting

Other

Family Physician in Unionville ON since Aug 1983.
EDUCATION
Degrees
1976 - 1980    MD, University of Toronto
Postgraduate, Research and Specialty Training
1980 - 1981    Rotating Internship, St. Paul’s Hospital, Vancouver, British Columbia, Canada
Qualifications, Certifications and Licenses
2016 Feb, Certificate of Added Competency C.C.F.P. (SEM), The College of Family Physicians of Canada
2009 Oct,    Fellow (F.C.F.P.), College of Family Physicians of Canada (The)
1998 Nov, C.C.F.P., certification examination, College of Family Physicians of Canada
1995 Feb, Dip. Sport Med. diploma examination, Canadian Academy of Sport and Exercise Medicine (C.A.S.E.M.)
Current Appointments
2016 Jul, Associate Professor, Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
cross appointment 2016 Jul, Associate Professor, Surgery, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
2015 Jul, Family Medicine Resident Research Coordinator, The Scarborough Hospital
2013 Sep - present, Consultant and on-site physician, Seneca College for Applied Arts and Technology
On-site biweekly athletic injury clinic for varsity athletes

Research/Teaching

Research Synopsis:

Management of Sport Related Concussion.
The research that I have conducted since 2006 has largely been directed at the management of sport-related concussion. I have published a number of articles on this topic, including knowledge translation articles in widely read journals. The bulk of my original research has actually taken place over the past 5 years, culminating in several publications particularly in the June 2014 edition of Canadian Family Physician. My research has led to advancement of knowledge and contributions of an original nature. I have also had a sustained and current productivity in research that has resulted in significant changes and presented creative insights, ideas and concepts. For example, my concussion research has been focused on Return to Learn for students post-concussion. The recent acceptance by the York Region District School Board of a Concussion Management Program, was evolved by a committee of teachers upon my prompting. This has led to considerable change in the way that concussion has been managed. We have seen a number of students from local high schools present with a “green folder” that essentially provides a teacher-accepted and teacher-formulated Return to Learn, initiated by my research efforts. In addition, my published chart review of sport-related concussion patients added to this new knowledge, indicating that 45% of patients return to learn too soon. My validated survey of physicians both in the Greater Toronto Area and across Canada, has led to an increase in understanding and has been cited several times, including in a letter by Dr. Roger Zemek to the editor of Canadian Family Physician. This chair of the Pediatric Concussion Guidelines lauded our effort. He agreed with our commentary that it is about time that family physicians champion the management of sport-related concussion. 

ACL Injury Prevention Position Statement 
In 2014, our CASEM ACL injury prevention position statement was published after a 10-year effort in collaboration with Dr. Cathy Campbell.  We gathered a wide group of Canadian experts to support us at a meeting in Newfoundland in 2011. Through multiple iterations and based upon 6 worldwide meta-analyses and systematic reviews, our position statement became acceptable to our group of authors including several prominent orthopaedic surgeons from across Canada. We successfully lobbied for support from the Canadian Soccer Association. Our position statement is currently being utilized by Bone and Joint Canada in their knowledge translation granted venture with the Ontario Soccer Association. The FIFA 11+  is relatively new knowledge. The effort that I led synthesized this knowledge and gave it an authoritative CASEM “stamp” indicating that these neuromuscular training programs are effective for both boys and girls teams at preventing these life-altering knee injuries. In addition, we indicated to the world that medical experts could call for a Canada-wide roll out of an innovative and effective injury prevention program. 

I am delighted to now take on the role of the Resident Research Coordinator for the Scarborough Hospital Family Medicine Residents. This will allow me to mentor our residents with my experience as a community-based physician doing community-based research that matters.

Grants:

PEER-REVIEWED GRANTS
FUNDED
2013 Nov    Principal Investigator. 
Academic Accommodation For Post Concussion Student Athletes - Can Physicians Do Better? 

Do Family Physicans, Emergency Physicians And Pediatricians Give Consistent Sport-Related Concussion Management Advice? 

Do Canadian Sport And Exercise Medicine Physicans And Emergency Physicians Give Consistent Sport-Related Concussion Management Advice? 

DFCM University of Toronto Travel Grant. 1,500 CAD. 
Travel grant to display 3 research posters at the 4th International Consensus Conference on Concussion in Sport. Zurich Switzerland, November 1- 2, 2012.

2007 Oct    Principal Investigator. 
“Fatigue due to lack of adequate nutrition and susceptibility to injury in amateur dancers.”. DFCM University of Toronto 5 Weekend Research Program Grant. 2,500 CAD. 

Publications and Awards

Recent Publications

MOST SIGNIFICANT PUBLICATIONS
1.    Carson JD, Rendely A, Lebrun CM, Warden J, Arcand A. Commentary: Family physicians can champion sport-related concussion management: It’s about time. / Commentaire: Les médecins de famille comme champions de la prise en charge des commotions d’origine sportive: Il était temps! Can Fam Physician. 2014 Jun;60:505-507/ 515-517. Principal Author.
2.    Carson JD, Lawrence DW, Kraft SA, Garel A, Snow CL, Chatterjee A, Libfeld P, MacKenzie HM, Thornton JS, Moineddin R, Frémont P. Research - Clinical Discovery: Premature return to play and return to learn after a sport-related concussion: Physician’s chart review. Can Fam Physician. 2014 Jun;60:e310-e315. Principal Author.
3.    Stoller J, Carson JD, Garel A, Libfeld P, Snow CL, Law M, Frémont P. Research: Do family physicians, emergency department physicians, and pediatricians give consistent sport-related concussion management advice? Can Fam Physician. 2014 Jun;60:548-552. Co-Principal Author.
4.    Campbell CJ, Carson JD, Diaconescu ED, Celebrini R, Rizzardo MR, Godbout V, Fletcher JA, McCormack R, Outerbridge R, Taylor T, Constantini N, Cote M. Canadian Academy of Sport and Exercise Medicine Position Statement: Neuromuscular Training Programs Can Decrease Anterior Cruciate Ligament Injuries in Youth Soccer Players. Clin J Sport Med. 2014;24:263–267. Co-Principal Author.

PEER-REVIEWED PUBLICATIONS
Journal Articles
1.    Aneet Mann, Charles Tator, James Carson. Investigation of knowledge and attitude about concussion diagnosis and management among family medicine residents. Can Fam Physician. 2016 Jun. In Press. Coauthor.
2.    James D. Carson, Alexandra Rendely, Alisha Garel, Christopher Meaney, Jacqueline Stoller, Jatin Kaicker, Leigh Hayden, Rahim Moineddin, and Pierre Frémont. Les conseils des cliniciens canadiens en matière de commotion dans le sport sont-ils cohérents? Can Fam Physician June 2016 62: e346-e353. 2016 Jun. Principal Author.
3.    James D. Carson, Alexandra Rendely, Alisha Garel, Christopher Meaney, Jacqueline Stoller, Jatin Kaicker, Leigh Hayden, Rahim Moineddin, and Pierre Frémont. Are Canadian clinicians providing consistent sport-related concussion management advice?
Can Fam Physician June 2016 62: 494-500. Can Fam Physician June 2016 62: 494-500. 2016 Jun. Principal Author.
4.    Purcell L, Carson J. Sport-Related Concussion in Pediatric Athletes. Clin Pediatr. 2008;47:106-113. Co-Principal Author.
5.    Carson J, Tator C, Johnston K, Kissick J, Purcell L, Hunt B. New Guidelines For Concussion Management. Can Fam Physician. 2006;52:756-7. Principal Author.
6.    Carson J, Kerr J, Ross S, Constantini N. The Extreme Dragon Boat Tryout – A Case Report of Acute Exertional Upper Extremity Rhabdomyolysis. Clin J Sport Med. 2006;16:432-3. Principal Author.
Editorials
1.    Pimlott N, Carson J. Promoting exercise and preventing injury. Can Fam Physician. 2014;60:404. Co-Principal Author.

Honours and Awards

HONOURS AND CAREER AWARDS
Distinctions and Research Awards
NATIONAL
Received

Award of Excellence, Ontario College of Family Physicians and the College of Family Physicians of Canada, Toronto, Ontario. 
For exceptional contributions to the residents program at the Scarborough Hospital and Markham Stouffville Hospital; to continuing medical education and to the promotion of sports medicine. Presented November 27, 2014.

Awarded the Queen’s Diamond Jubilee Medal by Lieutenant Governor David Onley for volunteering and service to Ontario and Canada. February 6, 2013.

Teaching and Education Awards
Received

2016 May,    Peters-Boyd Academy of Medicine Mentorship Award, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. (Undergraduate MD) - acknowledged for kindness, availability, and genuine concern for student well being.

2015 Jun,     Dr. Barnett Giblon Award, Dept of Family & Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada., The Scarborough Hospital
This award is given to a physician who has made outstanding contributions to the Family Medicine program in the areas of Family Medicine, education, research or community service.

2013 Nov,    Teaching in the Family Medicine Clerkship (Community-Based) Award, Dept of Family & Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
 
2013 Apr,     Postgraduate Achievement Award for Excellence in Teaching in the Clinical Teaching Awards Category, Dept of Family & Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

1st annual Ambulatory Community Experience (ACE) Teaching Award, Faculty of Medicine, University of Toronto,  (Undergraduate MD)
Presented June 5, 2006.

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