About

We are a group of Critical Care and Oncology clinicians based at Sinai Health Network and Princess Margaret Cancer Center in Toronto, Canada. COIN was created with the goal of providing excellent, evidence-based care to patients with cancer who become critically ill. As the interface of critical care and oncology continues to develop, we aim to be a major contributor to the evidence base for providing the best care possible to these complex patients.

Learn more about us below. If you are interested in getting involved or have suggestions to make this site better, please contact us or send us your feedback.

Our Mission

Our primary mission is to improve care for patients with cancer who develop critical illness due to their treatment or underlying disease. This initiative has three central pillars: 1) Research; 2) Education; 3) Quality Improvement, which are integral components of optimizing career for these complex patients.

Research

As the interface between critical care and oncology continues to evolve, we aim to be a major contributor to the growing body of evidence about how to best care for oncology patients in the ICU.

Education

Up to 20% of patients admitted to ICU now have an underlying cancer diagnosis, and many patients with cancer are at high risk of becoming critically ill. All intensivists and oncologists must have the

Quality Improvement

As our knowledge of how to best care for critically ill oncology patients grows, it will become increasingly essential to ensure that patients receive the best evidence-based care.

Meet the Team

Dr. Laveena Munshi
Co-founder, Intensivist at Sinai Health
Dr. Michael Detsky
Co-founder, Intensivist at Sinai Health
Dr. Jenna Spring
Intensivist at Sinai Health
Dr. Bruno Ferreyro
Intensivist at Sinai Health and University Health Network
Dr. Santhosh Thyagu
Acute Oncology program lead at the Princess Margaret Cancer Center
Farah Shoukat
COIN Program Coordinator

We would like to thank the following individuals for dedicating their time and expertise to help us develop content for this site.

Dr. Husam Abdel-Qadir
Cardiologist, Women’s College Hospital
Dr. Maha Al Mandhari
Intensivist and CV Anesthesia Fellow, UHN
Dr. Federico Angriman
Intensivist, Sunnybrook Health Sciences Centre
Dr. Lisa Burry
Pharmacist, Sinai Health
Dr. Raymond Jang
Oncologist, Princess Margaret Cancer Centre
Dr. Stephen Lapinsky
Intensivist, Sinai Health
Dr. Arjun Law
Oncologist, Princess Margaret Cancer Centre
Sarah McKenna
Pharmacist, Sinai Health
Dr. Sangeeta Mehta
Intensivist, Sinai Health
Julie Moore
Critical Care Nurse, Sinai Health
Dr. Tracy Murphy
Oncologist, Princess Margaret Cancer Centre
Dr. Lisa Myles
Critical Care Fellow, Sinai/UHN
Dr. Sam Saibil
Oncologist, Princess Margaret Cancer Centre
Dr. Michael Sklar
Intensivist and Anesthesiologist, Unity Health