Women's College Research Institute

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David Urbach, MD, MSc

Senior Scientist, Women’s College Research Institute
Surgeon-in-Chief and Medical Director, Perioperative Services, Women’s College Hospital
Senior Innovation Fellow, Women's College Hospital Institute for Health System Solutions and Virtual Care (WIHV)
Professor, Surgery, and Health Policy, Management and Evaluation, University of Toronto
Surgical Director, Bariatric Surgery Program, Toronto Western Hospital
Scientist, Division of Clinical Decision Making and Health Care, Toronto General Hospital Research Institute
Staff Surgeon, University Health Network
Senior Scientist, Institute for Clinical Evaluative Sciences

According to Health Quality Ontario, the province’s operating rooms are busy with surgeons performing over 600,000 scheduled operations per year. Wait times for elective surgical procedures are long with a lack of hospital beds causing cancellations or delays in surgical care. By considering surgical procedures like “diseases”, Dr. David Urbach is studying how they are used in certain patient populations, what their health effects are and what value they bring to the healthcare system. Through his research, Dr. Urbach is establishing scientific evidence to inform health policy decisions supporting a sustainable and high-performing healthcare system.

Recently, he led a multi-disciplinary group of physicians, clinicians and researchers to reimagine how total knee joint replacement, one of the most common elective surgical procedures, could be done in an ambulatory – out-patient – setting without compromising safety or successful outcomes for patients. His team was able to take a procedure that on average requires three-day in-patient hospitalization and transformed it to allow patients to go home that same day – often within five hours after surgery. This is done by making changes to how/what anesthesia medication is given, and incorporating the use of digital technology to connect patients to their healthcare team from home. Dr. Urbach estimates that up to 50 per cent of joint replacement patients could be candidates for ambulatory joint replacement which would have significant impact on surgical wait times, costs and results in more appropriate use of in-patient hospital beds, if the new surgical model was implemented across the healthcare system.  

Dr. Urbach is continuing his work to discover new and better ways of providing surgical services and transferring the location of care from the high-resource hospital setting to the community, safely and without compromising outcomes for patients. His research will continue to address access, cost and safety; the three key challenges facing healthcare in Canada today.

Select Awards

  • CIHR-IHSPR Article of the Year Award, Canadian Institutes of Health Research (2015)
  • Best Brains Exchange Travel Award, Canadian Institutes of Health Research (2011)
  • George Armstrong Peters Prize, Department of Surgery, University of Toronto (2006)

Publications

See my peer-reviewed publications

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Education

MSc, Clinical Epidemiology, University of Toronto, 1999

MD, University of Toronto, 1993

Areas of Interest

Surgery-related health services research

  • Fully affiliated with:
  • University of Toronto

  • A member of:
  • Council of Academic Hospitals of Ontario (CAHO)