Contact
Associate Professor, Faculty of Medicine & Dentistry - Pediatrics Dept
- yukjosep@ualberta.ca
Overview
Area of Study / Keywords
neonate infection antimicrobial stewardship echocardiography
About
I completed my medical school training and pediatric residency at University of Hong Kong (HKU) and its affiliated teaching hospitals in 1998 and 2006, respectively. I also obtained a Postgraduate Diploma in Infectious Diseases (2007) and a Master of Public Health (Medical Statistics, 2009). In 2013, I completed my Neonatal-Perinatal Medicine fellowship at University of British Columbia (UBC) in Vancouver, during which time I went to the University of Toronto for 6 months to receive further training in Targeted Neonatal Echocardiograph. I have also completed my MD (research) degree in neonatal infection and antimicrobial stewardship in 2021.
Upon completion of my fellowship in 2013, I was hired as Staff Neonatologist at British Columbia Women’s Hospital. In 2017, I was promoted to Clinical Associate Professor of Pediatrics at UBC, and then recruited to University of Alberta as the tenured associate professor with endowed professorship (Variety, the Children's Charity and the Stollery Children's Hospital Foundation Pediatric Clinical Research Professor) in 2021.
1998 MBBS University of Hong Kong, Hong Kong
2003 MRCPCH Royal College of Paediatrics and Child Health, United Kingdom (Member)
2007 DRCOG Royal College Obstetricians and Gynaecologists, United Kingdom (Diplomate)
2009 MPH University of Hong Kong, Hong Kong
2013 FRCPC Royal College of Physicians and Surgeons of Canada, Canada (Pediatrics)
2015 FRCPC Royal College of Physicians and Surgeons of Canada, Canada (Neonatal-Perinatal Medicine)
2021 MD (Res) University of Hong Kong, Hong Kong
Clinical Interests
As a Staff Neonatologist, I care for high-risk infants born at the threshold of viability, those with requiring surgical intervention/multi-disciplinary care, as well as those with congenital heart diseases. I have a particular interest in the application of targeted neonatal echocardiography to improve the clinical-making in hemodynamic care among the critically ill infants.Research
My research areas fall mainly into three aspects:
(i) Neonatal infections - using large population database to
examine the impact of infections and antimicrobial overuse on mortality,
morbidities and neuro-developmental outcomes; applying knowledge translation
strategies to reduce the inappropriate use of antimicrobials.
(ii) Neonatal hemodynamics - using targeted neonatal
echocardiography to understand the pathophysiology of hemodynamic changes, and predictors
of adverse neonatal outcomes; to explore the impact of possible early
interventions to enhance the short and long term outcomes;
(iii) Perinatal epidemiology and outcomes of at-risk infants - using national (Canadian Neonatal Network, Canadian Institute for Health Information) and regional perinatal databases (Population BC) to examine the perinatal risk factors leading to adverse neonatal and early childhood outcomes.
Teaching
My teaching philosophy is founded on my
background as both a clinician
and a clinical investigator. I strive for excellence through role modelling,
sharing of my knowledge & clinical experience and applying clinical
research findings to the bedside.
As a staff
neonatologist, I teach clinical trainees at various levels during ward rounds
(medical students, pediatric residents, subspecialty residents in
neonatal-perinatal medicine, clinical fellows and practicing nurses), newborn
resuscitation workshops (for pediatric, obstetrics and family medicine
residents, nurses and respiratory therapists) and lectures. I have also been
invited to conduct lectures and workshops for neonatologists/ pediatricians at
local, national and international levels and to share my clinical expertise in
neonatal hemodynamics and infectious diseases.
I have been teaching Neonatal Resuscitation Program on a regular basis, which conveys an evidence-based approach to care of the newborn and facilitates effective team-based care for healthcare professionals at the time of delivery.
I spent >200 hours with two trainees on one-to-one basis to teach neonatal echocardiography skills, with additional tutorials on commonly encountered neonatal hemodynamics topics. From 2020, I have developed the targeted neonatal echocardiography rotations within the neonatal program of University of British Columbia, and have conducted >30 hours with senior neonatal fellows on interpretation of neonatal echocardiography reports and advanced concepts of hemodynamics management.
I also gave lectures and one-to-one sessions on research methodology and medical statistics software operations to enhance the skills of trainees in critical appraisal of literature and facilitate them to complete their own clinical research projects.
In 2022, I became the facilitator of Evidence-based Practice for Improving Quality (EPIQ) workshop, which uses a hands-on approach that enables teams to successfully implement quality improvement. I have been teaching at the EPIQ workshop once every 2 months on average, with trainees from Canada, India, Nepal, Mongolia, Malaysia, Vietnam, Hong Kong and mainland China.
Featured Publications
Ting J.Y., Autmizguine J., Dunn M.S., Choudhury J., Blackburn J., Gupta-Bhatnagar S., Assen K., Emberley J., Khan S., Leung J., Lin G.J., Lu-Cleary D., Morin F., Richter L.L., Viel-Thériault I., Roberts A., Lee K.S., Skarsgard E.D., Robinson J., Shah P.S.
Frontiers in Pediatrics. 2022 June; 10 10.3389/fped.2022.894005
McClymont E., Albert A.Y., Alton G.D., Boucoiran I., Castillo E., Fell D.B., Kuret V., Poliquin V., Reeve T., Scott H., Sprague A.E., Carson G., Cassell K., Crane J., Elwood C., Joynt C., Murphy P., Murphy-Kaulbeck L., Saunders S., Shah P., Snelgrove J.W., Van Schalkwyk J., Yudin M.H., Money D. [CANCOVID-Preg team]
JAMA - Journal of the American Medical Association. 2022 May; 327 (20):1983-1991 10.1001/jama.2022.5906
Chevallier M., Debillon T., Darlow B.A., Synnes A.R., Pierrat V., Hurrion E., Yang J., Ego A., Ancel P.Y., Lui K., Shah P.S., Luu T.M. [Australian and New Zealand Neonatal Network (ANZNN); Canadian Neonatal Network (CNN); Canadian Neonatal Follow-Up Network (CNFUN); Etude Epidémiologique sur les Petits Ages Gestationnels (EPIPAGE-2) Investigators]
Archives of disease in childhood. Fetal and neonatal edition. 2022 May; 107 (3):317-323 10.1136/archdischild-2021-322288
Ting J.Y., Yoon E.W., Fajardo C.A., Daboval T., Bertelle V., Shah P.S. [Canadian Neonatal Network]
Journal of Perinatology. 2022 April; 42 (7):947-952 10.1038/s41372-022-01382-w
Hutcheon J.A., Strumpf E.C., Liauw J., Skoll M.A., Socha P., Srour M., Ting J.Y., Harper S.
CMAJ. 2022 February; 194 (7):E235-E241 10.1503/cmaj.211491
Zhou Q., Ong M., Lan M., Ye X.Y., Ting J.Y., Shah P.S., Lee S.K.
Neonatology. 2022 February; 119 (1):60-67 10.1159/000520424
Brown B.E., Shah P.S., Afifi J., Sherlock R., Adie M.A., Monterrosa L., Crane J.M., Ye X.Y., El-Naggar W.I., [Canadian Neonatal Network; Canadian Preterm Birth Network Investigators]
American Journal of Obstetrics and Gynecology. 2022 February; 226 (2):247.e1-247.e10 10.1016/j.ajog.2021.08.003
Carr S., Gogal C., Afshar K., Ting J., Skarsgard E.
Journal of Pediatric Surgery. 2022 February; 57 (7):1235-1241 10.1016/j.jpedsurg.2022.02.027
Jain A., Giesinger R.E., Dakshinamurti S., ElSayed Y., Jankov R.P., Weisz D.E., Lakshminrusimha S., Mitra S., Mazwi M.L., Ting J., Narvey M., McNamara P.J.
Journal of Perinatology. 2022 January; 42 (1):3-13 10.1038/s41372-021-01296-z
Muraca G.M., Boutin A., Razaz N., Lisonkova S., John S., Ting J.Y., Scott H., Kramer M.S., Joseph K.S.
CMAJ. 2022 January; 194 (1):E1-E12 10.1503/cmaj.210841
Synnes A.R., Petrie J., Grunau R.E., Church P., Kelly E., Moddemann D., Ye X., Lee S.K., O'Brien K.
Archives of Disease in Childhood: Fetal and Neonatal Edition. 2022 January; 107 (1):76-81 10.1136/archdischild-2020-321055
Charpentier C., McDonald S., Elwood C., Ting J., Grigoriu A., Pylypjuk C., Yudin M., Van Schalkwyk J., Boucoiran I.
Journal of Obstetrics and Gynaecology Canada. 2022 January; 44 (1):28-33 10.1016/j.jogc.2021.06.003
Khurshid F., Coo H., Khalil A., Messiha J., Ting J.Y., Wong J., Shah P.S.
Frontiers in Pediatrics. 2021 December; 9 10.3389/fped.2021.759776
Rizzolo A., Shah P.S., Bertelle V., Makary H., Ye X.Y., Abenhaim H.A., Piedboeuf B., Beltempo M., Afifi J., Alvaro R., Andrews J., Armson A., Audibert F., Aziz K., Ballantyne M., Barrett J., Beltempo M., [Canadian Neonatal Network (CNN) and Canadian Preterm Birth Network (CPTBN) Investigators]
Journal of Perinatology. 2021 November; 41 (11):2597-2606 10.1038/s41372-021-01092-9
Roychoudhury S., Lodha A., Synnes A., Abou Mehrem A., Canning R., Banihani R., Beltempo M., Theriault K., Yang J., Shah P.S., Soraisham A.S., [Canadian Neonatal Network; Canadian Preterm Birth Network; Canadian Neonatal Follow-Up Network Investigators]
American Journal of Obstetrics and Gynecology. 2021 September; 225 (3):276.e1-276.e9 10.1016/j.ajog.2021.03.027
Saunders J., Callejas Salgado A.M., Ting J.Y., Mammen C., Terry J., Bush J.W.
Pediatric and Developmental Pathology. 2021 September; 24 (5):438-444 10.1177/10935266211018922
Dharel D., Singhal N., Wood C., Cieslak Z., Bacchini F., Shah P.S., Ye X.Y., Alshaikh B., [Canadian Neonatal Network (CNN) and Canadian Preterm Birth Network (CPTBN) Investigators]
Journal of Pediatrics. 2021 September; 236 10.1016/j.jpeds.2021.04.037
Ting J.Y., Roberts A., Abou Mehrem A., Khurshid F., Drolet C., Monterrosa L., Yoon E.W., Shah P.S.
Infection Control and Hospital Epidemiology. 2021 September; 10.1017/ice.2021.380
Kandraju H., Kanungo J., Lee K.S., Daspal S., Adie M.A., Dorling J., Ye X.Y., Lee S.K., Shah P.S., [Canadian Neonatal Network (CNN); Canadian Preterm Birth Network (CPTBN) Investigators]
Journal of Pediatrics. 2021 August; 235 10.1016/j.jpeds.2021.03.012