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Conference Program Letter from ASA Chair Deborah Smith MD, CCFP W ELCOME TO THE ONTARIO COLLEGE OF FAMILY PHYSICIANS’ 51st Annual Scientific Assembly. This is the Premier Family Medicine Conference in Ontario and has been planned and developed by Family Physicians for Family Physicians. We are excited to offer over 160 sessions ranging from Mainpro C to small workshops, seminars, and general sessions. There is plenty of variety to keep you up to date on current evidence-based practice, from short sessions on hot topics to seminars geared at helping you make changes to improve healthcare outcomes for your patients. It’s not all just hard work; we’ve managed to secure an inspirational Keynote Address by Dr. Mark Tremblay to launch our conference, secure many exhibitors to showcase their products as well as celebrate the installation of our new President Dr. Jonathan Kerr and of course there will be time to network with friends and colleagues during the breakfasts, lunches and breaks. Thank you for joining us at this years’ Annual Scientific Assembly! 2 SERVICE ELEVATOR FREIGHT ELEVATOR T5 SPEAKERS OFFICE EXH REGN T4 REGN BAGS York & Simcoe Meeting Rooms Toronto Ballroom 1 OCFP FHC BEV. STN. 1 6 7 8 RUTH’S CHRIS 28 29 30 31 33 32 York East T1 38 37 36 35 34 21 13 entrance Harris 12 11 9 10 MacDonald Lismer service Toronto Ballroom 3 EXIT T6 EXIT 22 FOOD STN 15 5 27 17 CFPC FITZGERALD GUEST ELEVATOR 18 19 20 EXIT 14 4 26 Toronto Ballroom 2 T2 3 25 23 ESCALATOR EXIT 7’6” WIDE AISLE MIN. 2 TOM THOMSON F&B OFFICE York West 24 FOYER T3 COAT CHECK EXHIBITOR LOUNGE TEL. Lobby Level TO SERV CORR. VARLEY JACKSON CARMICHAEL Conference Floor Map BANQUET KITCHEN SEATING Simcoe West JOHNSTON CASSON Simcoe East exit CONVENTION LEVEL FLOOR FITNESS CENTRE GOVERNOR GENERAL SUITE GUEST ELEVATORS WASHROOMS TO SECOND FLOOR BRIDGE POOL SECOND FLOOR HOST VENUE OSGOOOE WEST EXECUTIVE OFFICES EAST GUEST ELEVATORS HILTON MEETINGS RECEPTIOON WASHROOMS OPUS BOARDROOM RICHMOND WEST EAST ADELAIDE UNIVERSITY 145 Richmond St. W, Toronto, ON M5H 2L2 Tel: 416.869.3456 TH I R D F L O O R 3 TOC table of contents HOST ORGANIZATION Table of Contents Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inside Cover Conference Floor Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Your 2013 Hosts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Keynote Speaker - Dr. Mark Tremblay . . . . . . . . . . . . . . . . . . 7 OCFP Board, ASA Committee and Staff . . . . . . . . . . . . . . . . 8 Summary of Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Ontario College of Family Physicians 340 Richmond St. West, Toronto, ON M5V 1X2 Tel: 416-867-9646 Fax: 416-867-9990 [email protected] www.ocfp.on.ca Mainpro C Courses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2013 Speakers A to Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Wednesday November 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Thursday November 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Friday November 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Saturday November 30. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 2013 Exhibitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Important Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Acknowledgements . . . . . . . . . . . . . . . . . . Inside Back Cover HOST VENUE Hilton Toronto Hotel 145 Richmond St. West, Toronto, ON M5H 2L2 Tel: 416-869-3456 4 Conflict of Interest Disclosure: It is the responsibility of all presenters and facilitators to disclose conflict of interest to the OCFP and ASA audience/participants. Conference Program Statement: This Program is provided for information purposes only. The Ontario College of Family Physicians reserves the right to delete, alter, or otherwise amend any aspect of the Program as the Ontario College, in its sole discretion, deems appropriate. your HOSTS Frank Martino Jonathan Kerr MD, CCFP(EM), FCFP BScH, MD, CCFP President President Elect DR. FRANK MARTINO is the Corporate Chief of Family Medicine at William Osler Health System. He has been practicing comprehensive Family Medicine in Brampton for 22 years. He is a graduate of the Family and Emergency Medicine Residency Program at the University of Toronto. Dr. Martino is still active in Obstetrics, in-patient care, and the Emergency Department at Brampton Civic Hospital. He is currently an Associate Clinical professor at McMaster University. Dr. Martino has been teaching Family Medicine residents and medical students for over 15 years. He was instrumental in bringing the Family Medicine teaching program to William Osler Health System through McMaster University in 2007.The program now has 20 residents training at both campuses of William Osler Health System. In January 2012, Dr. Martino was appointed Primary Care Lead for the Central West LHIN, mandated to improve primary care engagement and integration into our health care system. In 2008, Dr. Martino received the Reg L. Perkin Award as Ontario’s Family Physician of the Year. DR. JONATHAN KERR practices comprehensive family medicine in his hometown of Belleville, Ontario. Dr. Kerr is the Primary Care Lead for the South East Local Health Integration Network (LHIN), and has recently facilitated the development of seven Health Links. He is the past chair of the College of Family Physicians of Canada’s (CFPC) First Five Years in Family Practice Committee, and was recently a member of the CFPC’s Working Group on Curriculum Review. Dr. Kerr is the Curriculum Site Lead for Belleville/Quinte, and helped to develop the new competency-based, horizontal curriculum for the Belleville/Quinte site. Dr. Kerr has served on the board of the Ontario College of Family Physicians (OCFP) for the past 5 years, and is honoured to have the opportunity to further represent and serve family doctors in Ontario as President of the OCFP during the upcoming year. Jonathan is passionate about quality improvement, system integration, patient engagement, and primary care leadership. He is committed to the OCFP being the “go to” organization advocating for and promoting high quality patient care in Ontario. Despite these various roles, Jonathan finds the time to have a “daddy day” every week with his two young children. 5 your HOSTS Jessica Hill MSW, M.Ed Chief Executive Officer JESSICA HILL joined the Ontario College of Family Physicians (OCFP) as Chief Executive Officer (CEO) in August 2013. Her primary focus as CEO is to enhance patient care through excellence in family medicine. To achieve this Ms. Hill is working closely with the OCFP Board of Directors to deliver high quality evidence-based programs for OCFP’s 12,000 members, and by building effective partnerships with organizations that share the goal of improving primary care for patients and families in Ontario. A recognized public sector leader with more than 30 years experience, Ms. Hill is known for her tireless commitment to innovation and collaboration and for her ability to lead and guide organizations and programs through significant system and organizational change. Prior to joining OCFP Ms. Hill served from 2007 6 to 2012 as the inaugural CEO of the Canadian Partnership Against Cancer, where she led the implementation of Canada’s cancer strategy. Her dedication to cancer control and building bridges between organizations across Canada were instrumental to the success of the Canadian Partnership Against Cancer, and to it receiving a second mandate from the Government of Canada for 2012 to 2017. Ms. Hill’s previous experience spans various senior roles with the Ontario and federal public sectors overseeing a number of broad portfolios. At the provincial level these include Deputy Minister with the Ministry of Children and Youth Services, and Assistant Deputy Minister with the Ministry of Health and Long-term Care, the Ministry of Training, Colleges and Universities and the Ministry of Community and Social Services. Prior to joining the Government of Ontario, Ms. Hill spent 10 years with Health Canada, including four years as a Regional Director in Health Promotion. Ms. Hill has a strong commitment to good governance for not-forprofit organizations and demonstrates this in her day-to-day work as CEO. For the last six years she has also served as a member of the Children’s Aid Society of Toronto Board of Directors, with two of those years as Board Chair. She holds a Masters Degree in Social Work and Education from the University of Toronto and a Diploma from the Ivey Executive Program at Western University. She has received numerous awards, including the C.M. Hinks Award for Leadership in Mental Health and the Women’s Executive Network Award for Leadership in the Public Sector. Deborah Smith MD, CCFP Chair, 2013 ASA Planning Committee DR. DEBORAH SMITH graduated from Medical School at the University of Western Ontario and completed her Family Medicine Residency at Queen’s University. She currently resides in Sudbury, Ontario and is an Assistant Professor of Family Medicine at the Northern Ontario School of Medicine. She has worked as a Hospitalist at Health Sciences North since the inception of the service in 2001. She has found herself on many committees at the hospital as well as the OCFP and recently joined the Board of Directors at her local Golf Club. In her spare time she enjoys cycling and golfing during the summer months and snowshoeing and curling during the long winters in the north. This is her fifth and final year in a Chair position on this committee. She would like to thank the committee for their ongoing support and congratulate them on producing another great program this year. A big thank you goes out to the OCFP staff for the non-stop support and hard work in organizing this conference. your HOSTS Kim Bender MD, CCFP Chair, Scientific Program 2013 ASA Planning Committee DR. KIM BENDER graduated from McMaster Medical School in 1999 after a bachelor of science and a second degree in gerontology, also at McMaster. She is now a family physician with the Smithville Family Health team in rural Smithville, ON. She does inpatient care at the family physician run West Lincoln Memorial Hospital in Grimsby, ON, where she also participates in OR assists and is secretary/ treasurer of the medical staff. She tutors behavioural science to McMaster residents and participates in clerkship training. She also participates in the medical school admissions and family medicine interview process each year. She loves where she works because of the fantastic team of colleagues that she is lucky enough to work with every day. She has been supported through all of this by her best friend and spouse, Duane and her fun-loving daughters, 13 year old Emily and 9 year old Meaghan. They survive the day-to-day grind by looking forward to whatever trip they are planning next, their favourite place being Walt Disney World. They live on 21 acres where they appreciate the quiet of nature after a long day, and there is always grass to cut if someone is looking for something to do. Kim has been on the ASA committee since residency and is very thankful for the always supportive group of committee members this year, as they have made the position of scientific chair an easy one. Thanks everyone. Keynote Speaker Dr. Mark Tremblay, Ph.D., D.Litt.(hons), FACSM DR. MARK TREMBLAY has a Bachelor of Commerce degree in Sports Administration and a Bachelor of Physical and Health Education degree from Laurentian University. His graduate training was from the University of Toronto where he obtained his M.Sc. and Ph.D. from the Department of Community Health with a specialty in Exercise Science. Dr. Tremblay is the Director of Healthy Active Living and Obesity Research (HALO) at the Children’s Hospital of Eastern Ontario Research Institute and Professor of Pediatrics in the Faculty of Medicine, University of Ottawa, where he is also cross-appointed to the School of Human Kinetics, the Department of Epidemiology and Community Medicine, and the Ph.D. Program in Population Health. He is a Fellow of the American College of Sports Medicine, Chief Scientific Officer of Active Healthy Kids Canada, Chair of the Canadian Physical Activity Guidelines Project, Chair of the Canadian Health Measures Survey Expert Advisory Committee, Founder of the Sedentary Behaviour Research Network, and former Dean of Kinesiology at the University of Saskatchewan. Dr. Tremblay has published more than 200 papers and book chapters in the areas of childhood obesity, physical activity measurement, exercise physiology, sedentary physiology, and health surveillance. He has delivered over 500 scholarly conference presentations, including more than 130 invited and keynote addresses, in 17 different countries. Dr. Tremblay has received an honorary doctorate and the Queen Elizabeth II Diamond Jubilee Medal for his leadership contributions to healthy active living in Canada. Dr. Tremblay’s most productive work has resulted from his 25-year marriage to his wife Helen, yielding four wonderful children. 7 OCFP Board, ASA Committee and Staff THE BOARD OF DIRECTORS OF THE OCFP: Dr. Frank Martino President Dr. Jonathan Kerr President-Elect Dr. Cathy Faulds Honorary Treasurer 2013 ASA PLANNING COMMITTEE MEMBERS 2013 OCFP STAFF W Chief Executive Officer e would like to thank all committee members and the OCFP staff for working hard to put together an outstanding educational program for this year’s conference participants Dr. David Tannenbaum Past President COMMITTEE MEMBERS Dr. Sarah-Lynn Newbery Dr. Deborah Smith, Sudbury Chair Director Region 1 Dr. Michael Lee-Poy Director Region 3 Dr. Sanjeev Goel Director Region 4 Dr. Mary Manno Director Region 4 Dr. Art Kushner Director Region 5 Dr. David White Director Region 5 Dr. Jennifer Young Director Region 6 Dr. Rosana Pellizzari Director Region 6 Dr. John Brewer Dr. Kim Bender, Smithsville, Scientific Chair Dr. Andrew Arcand, Markham Dr. France Boudreau, Ottawa Dr. Eleanor Colledge, Toronto Dr. Stephane Foidart, Kenora Dr. Stephen Milone, Orangeville Dr. Jenny Molson, Kingston Dr. Kendall Noel, Ottawa Dr. Franklin Sheps, Toronto Dr. Jordana Sheps, Toronto Dr. Ken Trinh, Hamilton Dr. Lori Teeple, Strathroy Jessica Hill Eilyn Rodriguez Associate Executive Director Susana Gonzalez Corporate Affairs, Director Natalie Ayers ASA Manager Richard Pita Collaborative Care Network Coordinator Arsela Hoxhaj Continuing Medical Education, Coordinator Vincenza Ciampa Continuing Medical Education, Assistant Coordinator Nathaniel Saunders Mainpro Coordinator Laura Polin ASA Assistant Sandra Bottiglieri Financial Services & AP Coordinator Mary Naini Accounts Receivable, Coordinator Director Region 7 Kathy LaBrosse Dr. Mark Fraser Executive Assistant Director Region 7 Dr. Anne DuVall Director at Large Richard DaSilva Receptionist / Corporate Affairs Assistant Dr. Glenn Brown Director at Large, University Departments of Family Medicine Dr. Rami Shoucri Resident Director Ms. Jessica Hill Chief Executive Officer 8 Early Bird Winner Ayman Al-Arabi - Toronto (Winner of a free 3-day registration to the 2013 ASA – does not include Mainpro-C courses) summary of events SOE Events open to all THURSDAY NOVEMBER 28 5:30-7:45 7:30-8:30 7:30-8:30 OCFP Annual General Meeting, OCFP President’s Installation & OPEN Awards Ceremony, OCFP Members Forum OPEN Region 1 - North East & North West LHINs OPEN Region 2 - Erie St. Clair and South West LHINs CARMICHAEL JACKSON Region 3 - Waterloo Wellington and Hamilton Niagara Haldimand OPEN Brant LHINs 7:30-8:30 OPEN Region 4 - Mississauga Halton and Central West LHINs 7:30-8:30 OPEN Region 5 - Toronto Central and Central LHINs 7:30-8:30 OPEN Region 6 - Central East and North Simcoe Muskoka LHINs 7:30-8:30 OPEN Region 7 - South East and Champlain LHINs 09:15-10:15 OPEN Keynote Address 10:20-10:35 OPEN Ontario Chiropractic Association Stretching Sessions 12:15-13:15 OPEN OCFP Annual General Meeting 17:30-19:45 OPEN OCFP President’s Installation and Awards Ceremony 7:30-8:30 TORONTO I TOM THOMSON CASSON HARRIS MACDONALD LISMER TORONTO I TORONTO I TORONTO I TORONTO I FRIDAY NOVEMBER 29 10:05-10:20 OPEN Ontario Chiropractic Association Stretching Sessions 12:00-13:30 OPEN Registration Required 12:15-13:15 OPEN Where We’ve Been and Where We Are Going – Residents/First 5 Years in Practice Luncheon - TORONTO I RUTH’S CHRIS STEAKHOUSE Virtual Care and Family Practice: TORONTO I By Ontario Telemedicine Network SATURDAY NOVEMBER 30 OPEN Ontario Chiropractic Association Stretching Sessions 12:15-13:15 OPEN OCFP Members Forum: The Future of Family Medicine 10:05-10:20 TORONTO I TOM THOMSON 9 SOE summary of events Mainpro-C Courses WEDNESDAY NOVEMBER 27 CREDITS PAIN Pain and Addiction Primer for the Family Physician 08:30-12:00 BPA Best Practices for ADHD Across the Lifespan 08:30-17:00 08:30-17:00 ACM Acute Pain Management: Getting It Right MSK Joint Assessment Made Easy 08:30-12:00 OSTE Osteoporosis Update 08:30-17:00 Treating Poverty: A Skills-Based Approach to Addressing 08:30-12:00 TPSB Poverty for Family Physicians - CANCELLED 08:30-12:00 HCDN Development Healthy Child Development: Nutrition and Child CARMICHAEL 6.5 JACKSON 3 TOM THOMSON 7 CASSON 6 JOHNSTON 3 HARRIS 3.5 MACDONALD 3 LISMER 3 OSGOODE EAST 3 OSGOODE WEST 3 RICHMOND 4 JACKSON 3 JOHNSTON 3 HARRIS 3 MACDONALD 3 LISMER 3 Leadership Development Program: Using the Leadership 08:30-12:00 LDPI Framework to Create High Morale & Productivity in the 08:30-12:00 COPD 08:30-12:00 PSYC Workplace. Oh Dear, What Can the Matter Be? Using Critical Appraisal to Promote Respiratory Health in Primary Care: A focus on the Role of Inhaled Maintenance Therapy in the Management of Asthma in COPD - CANCELLED Psychosis in Primary Care: Core Elements of Management AWLS AWLS - Advanced Wound Care Life Saving 13:30-17:00 IUD Intrauterine Contraception: Theory to Practice 08:00-12:00 Environment-Linked Illnesses | Pregnancy & Early 13:30-17:00 10 ENVI Childhood Environmental Exposures: Impacts, 13:30-17:00 MCI 13:30-17:00 HCDE 13:30-17:00 LDPII Prevention, Diagnosis and Management Diagnosis and Management of Patients with MCI and Dementia: Tips for the Family Physician Healthy Child Development: Enhanced 18 Month Well Baby Visit Leadership Development Program: Using the Leadership Framework to Develop Team Effectiveness: Being a Change Champion is Hard Work summary of events SOE Mainpro-C Courses CREDITS 13:30-17:00 APP 13:30-17:00 MEND 15:00-18:00 BPR Approach to Psychotherapy in Primary Care; Strategies for Dealing with the Difficult Patient Diabetes and Depression: Relevance and Identification CANCELLED Best Practices in Reducing Unnecessary Tests, Treatments and Care (Don’t Just Do Something – Stand There!) OSGOODE EAST OSGOODE WEST RICHMOND 3 3 3 THURSDAY NOVEMBER 28 CREDITS 10:45-15:00 Practical Office Management of Comorbid Alcohol and ADD Anxiety Disorders CASSON 3 FRIDAY NOVEMBER 29 CREDITS Approach to Psychosis in Primary Care; Somatizing: What Every Family Physician Needs to Know Preventive Care Visits for School Age Children and Teens: Where Is The Evidence? 08:30-12:00 SOM 13:30-17:00 PREV 13:30-17:00 LAMP A Practical Guide to Slit Lamp Use OSGOODE WEST OSGOODE EAST OSGOODE WEST 3 3 2.5 SATURDAY NOVEMBER 30 CREDITS 08:30-12:00 08:30-17:00 QIP Identifying Opportunities for QI Planning in Primary Care EMPII Emergency Medicine Primer for Family Physicians II OPUS 3 OSGOODE WEST 7.5 11 SOE summary of events General Sessions THURSDAY NOVEMBER 28 10:45-11:10 11:10-11:35 11:35-12:00 13:30-13:55 13:55-14:20 14:20-14:45 15:30-15:55 15:55-16:20 16:20-16:45 10:45-11:10 GEN101 GEN102 GEN103 GEN104 GEN105 GEN106 GEN107 GEN108 GEN109 GEN110 Allergy Testing Urticaria and Angioedema Primary Prevention of Allergies in Children - Is it possible? Hypertensive Crises - When It’s Really a Crisis Dyslipidemia: Lots of Good Evidence, Less Good Interpretation TOM THOMSON Is There A Role for Primary Prevention in Hyperlipidemia Suicide Risk Assessment - Best Evidence It’s Overgrown Toeskin NOT Ingrown Toenail The Future of Palliative Care The Influenza Update Emerging Infectious Respiratory Diseases: Role of the Family GEN111 Physician 11:35-12:00 GEN112 The Impact of HPV Vaccine 11:10-11:35 Alpha One Antitrypsin Deficiency; What the Primary Care Physician GEN113 Needs to Know 13:55-14:20 GEN114 Will You Recognize That Case of TB? 14:20-14:45 GEN115 Will You Recognize That Case of Pertussis? 15:30-15:55 GEN116 Herpes Zoster 13:30-13:55 Cardiovascular Assessment: Is CRP Part of a Comprehensive Risk GEN117 Profile or Clinically Redundant Practice? 16:20-16:45 GEN118 Resuscitation- The First 15 Minutes 15:55-16:20 12 TORONTO I summary of events SOE General Sessions FRIDAY NOVEMBER 29 08:30-08:55 08:55-09:20 09:20-09:45 10:30-10:55 10:55-11:20 11:20-11:45 13:30-13:55 13:55-14:20 GEN201 GEN202 GEN203 GEN204 GEN205 GEN206 GEN207 GEN208 Blood Glucose Home Monitoring or NOT What to Do with ACR Results in Diabetes Reducing the Risk of Type 2 Diabetes: What works? Leg Edema NYD - Aspects of Diagnosis and Management VTE - Still A Killer Outpatient Treatment of P/Es Organ and Tissue Donation in Ontario Transitioning to Palliative Care: Starting the Conversation TOM THOMSON Prenatal Screening for Genetic Disorders: Best Current Practice GEN209 and What’s Around the Corner 15:30-15:55 GEN210 Making Therapeutic Decisions with Ongoing Drug Shortage 14:20-14:45 15:55-16:20 The Comprehensive Health Review: New Ways of Thinking About GEN211 Our “Annual Check-ups” Community Acquired Respiratory Tract Infections - The Usual GEN212 Suspects 08:30-08:55 GEN213 Fatty Liver Including NASH 08:55-09:20 GEN214 Chronic Diarrhea 16:20-16:45 09:20-09:45 10:30-10:55 10:55-11:20 11:20-11:45 13:30-13:55 13:55-14:20 14:20-14:45 15:30-15:55 15:55-16:20 16:20-16:45 Lyme Disease - Why So Many Ticks This Year, When to Test and GEN215 When to Treat GEN216 A Potpourri of Geriatric Polypharmacy Pearls GEN217 Bone Mineral Density Testing – Who, When and What for? GEN218 GERD and Dyspepsia Treatment - PPIs - Not So Innocuous GEN219 Mercury in Primary Care - When to Test, What to Do GEN220 Generic vs Brand Name Drugs GEN221 e-Health Innovation GEN222 Emerging and Re-Emerging Infectious Diseases in Primary Care GEN223 Skip the Bug Juice - Avoiding abx in Children with Fever GEN224 Judicious Antimicrobial Use - 1st Line for Common Infections TORONTO I 13 SOE summary of events General Sessions SATURDAY NOVEMBER 30 GEN301 Acne Management 08:55-09:20 GEN302 The New Anticoagulants - Review of the Evidence 08:30-08:55 09:20-09:45 10:30-10:55 10:55-11:20 11:20-11:45 13:30-13:55 13:55-14:20 14:45-15:10 15:10-15:35 14 Multi-Drug Resistant Gonorrhea – What’s the Recent Epidemiology GEN303 and What are the Clinical/Public Health Implications? GEN304 Cervical Screening Guidelines - for Now and the Future GEN305 Demystifying Bioidentical Hormones TORONTO I GEN306 ‘I Can’t Be Pregnant, I’m A Grand-Mother!’ When to Stop Contraception GEN307 Prenatal Screening: Can We Get Beyond Down Syndrome? GEN308 Performance measures- what to expect moving forward GEN309 Screening Update GEN310 Genetic Assessment for Hereditary Breast Cancer Risk summary of events SOE Seminars THURSDAY NOVEMBER 28 S101 S102 S103 S104 S105 S106 10:45-12:15 S107 S108 S109 S110 S111 S112 State of the Art Pearls for Managing Asthma in Primary Care Driving and Dementia: Practical Tips for Family Physician Red Flag Headaches in the Office and ED Diagnosis and Management of Chronic Kidney Disease First Trimester Bleeding & Early Pregnancy Loss: Current Practice & Future Top 10 Clinical Tips on Symptom Management for Patients with Advanced Cancer – SOLD OUT Borderline Personality Disorder: Management Strategies for Family Physicians Ocular Inflammation Performance Measurement in Primary Care Top 10 Apps for Your Smartphone or Tablet: Teaching and Learning in the Office Being Part of a Successful FHO – Improving Your Individual and Group Success S113 Housecalls 101 S114 Symptomatic Vulvovaginal Atrophy at Menopause: Identification and Management S115 S116 S117 13:30-15:00 Behavioral Treatment of Obesity : Overcoming Overeating S118 Does My Mother/Father Have Dementia? Approach to the Diagnosis and Management of Tremor Medications and Kidney Disease: What to Know, What to Fear, What to Do – SOLD OUT Got TB? An Update for Primary Care from 2013 Canadian TB Standards CARMICHAEL JACKSON JOHNSTON HARRIS MACDONALD GOVERNOR GENERAL OPUS OSGOODE EAST OSGOODE WEST RICHMOND YORK EAST SIMCOE CARMICHAEL JACKSON JOHNSTON HARRIS MACDONALD LISMER GOVERNOR GENERAL S119 Heart Failure Management 2013 S120 Are Your Vaccine Decisions Up To Date? – SOLD OUT S121 Fireside Chat- Discussions of Audience Cases in End of Life Care – CANCELLED OSGOODE EAST S122 Genomics and Primary Care, Are You Prepared? OSGOODE WEST S123 Opioid Addiction and Treatment with Buprenorphine in Northwestern Ontario First Nation Communities – CANCELLED OPUS RICHMOND 15 SOE summary of events Seminars THURSDAY NOVEMBER 28 continued S124 S125 S126 15:30-17:00 S127 S128 – SOLD OUT Management of CHF with Comorbitities Adolescent Alcohol/Drug Use in Primary Care S129 What Will I Be When I Grow Up? Medical and non-medical professional options for the doctors of tomorrow S130 Sorting Out Dizziness – SOLD OUT S131 S132 16 Rotavirus, Pertussis and Invasive Meningococcal Disease Vaccine Programs in Ontario: What’s New and What May Be on the Horizon Common Referrals to Hematology: Approach to Anemia; Approach to the Diagnosis of Hemochromatosis; Approach to Monoclonal Gammopathies – SOLD OUT Fibromyalgia and Chronic Pain - Not as Hard as it Looks Testosterone Replacement Therapy for Men and Women? – SOLD OUT Do We Really Know What We’re Doing: Treating Patients Based on Evidence vs. Other Questionable Stuff CARMICHAEL JACKSON CASSON HARRIS MACDONALD LISMER OPUS OSGOODE EAST OSGOODE WEST summary of events SOE Seminars FRIDAY NOVEMBER 29 S201 ACS Management, From Hospital to the Office S202 Wound Care - Skin and Soft Tissue Infections S203 Common Sexual Problems Managing High Risk Patients with Chronic Pain Disorders – Clinical S204 Pearls to Keep You and Your Patients Safe! S205 Office Urgencies S206 Update on Sexual Health: Screening, Diagnosing and Curing STIs 08:30-10:00 S207 The 5As of Obesity Management S208 A Practical Approach to Managing Common Geriatric Complaints Critical Aboriginal Health Issues in Canada: From Statistics to S209 Stories – CANCELLED They Never Taught That in Med School! - Quick Approaches to S210 Common Conditions Affecting Patients With Mobility Impairments S211 Transgendered Medicine S202 Wound Care - Skin and Soft Tissue Infections S203 Common Sexual Problems - Continued Managing High Risk Patients with Chronic Pain Disorders – Clinical S204 Pearls to Keep You and Your Patients Safe! - Continued S212 Integrating Palliative Care Into Advanced Cardiorespiratory Illnesses S213 Musculoskeletal Imaging for Family Physicians Menopause: Pearls for Practical Practice - 10:30-12:00 S214 Ten years Post WHI – SOLD OUT CARMICHAEL JACKSON CASSON JOHNSTON HARRIS MACDONALD LISMER GOVERNOR GENERAL OPUS OSGOODE EAST RICHMOND JACKSON CASSON JOHNSTON CARMICHAEL HARRIS MACDONALD “The Pediatric Allergic March: From Skin to Gut to Nose” An S215 Update on Atopic Dermatitis, Food Allergies and Allergic Respiratory LISMER Diseases S216 Helping Your Patients Get The Sleep of Their Dreams Improving Treatment Adherence and Health Behaviours Through S218 Motivational Interventions S219 Strategies for Effective Feedback in Medical Education – CANCELLED GOVERNOR GENERAL OSGOODE EAST RICHMOND 17 SOE summary of events Seminars FRIDAY NOVEMBER 29 continued S220 Low Back Pain Emergencies – SOLD OUT Best Practices in Information Management for Electronic Medical JACKSON Travelling Companions, Detours and Tight Spaces on the Road CASSON Scientific Support for Alternative Medicine - Review of the Evidence HARRIS S221 Records S222 to Resilience: Strategies to Enhance Performance and Well-Being S223 – SOLD OUT S224 Diabetes - New CDA Guidelines – SOLD OUT 13:30-15:00 CARMICHAEL MACDONALD Public Health Laboratories 101: Clinical Support for Physicians S225 in the Diagnosis of Infectious and Communicable Disease by the LISMER Public Health Ontario Laboratories S226 Preventing Cardiovascular Complications in People with Diabetes GOVERNOR GENERAL Buprenorphine/Naloxone - Office Based Management Opioid OPUS From Afghanistan to Zimbabwe - What to Do When the World RICHMOND S227 Dependence S228 Comes to You - Addressing the Health of Refugees in Primary Care Travelling Companions, Detours and Tight Spaces on the Road S222 to Resilience: Strategies to Enhance Performance and Well-Being CASSON – Continued Buprenorphine/Naloxone - Office Based Management Opioid S227 Dependence S228 15:30-17:00 S229 – Continued From Afghanistan to Zimbabwe - What to Do When the World Comes to You - Addressing the Health of Refugees in Primary care – Continued COPD Management in Primary Care: Current and Evolving Therapies – SOLD OUT S230 Inhaler Technique and Respiratory Action Plans S231 Bloody Hell – A Discussion of Abnormal Uterine Bleeding – SOLD OUT S232 Diabetes – DPP4s and GLP1s: When and How? S233 Dragon’s Den -Vote for the Most Innovative Resident Project 18 OPUS RICHMOND CARMICHAEL HARRIS MACDONALD GOVERNOR GENERAL LISMER summary of events SOE Seminars SATURDAY NOVEMBER 30 S301 Approach to Depression in Primary Care S302 Cases of Resistant Hypertension TOM THOMSON Is There a Line Between Normal and Abnormal? Managing CASSON S304 Depression in Palliative Care – CANCELLED S305 An Interdisciplinary Approach to Better Prescribing in the Elderly S306 S307 JACKSON Assessment and Management of Behavioural and Psychological S303 Symptoms of Dementia 08:30-10:00 CARMICHAEL Celiac Disease and Non Celiac Gluten Sensitivity - Diagnosis and Management – SOLD OUT Teaching Professionalism: Critical Conversations with Our Learners – CANCELLED S308 Adolescent Mental Health S309 Understanding Non-Invasive Cardiac Testing JOHNSTON HARRIS MACDONALD LISMER GOVERNOR GENERAL Thyroid Nodules - When to Refer: “The Good, The Bad and The S310 Ugly” & Thyroid Disease and Pregnancy - A Family Practice OSGOODE EAST Perspective for Management – SOLD OUT S311 Challenges in Providing Care to Immigrants S302 Cases of Resistant Hypertension JACKSON An Interdisciplinary Approach to Better Prescribing in the JOHNSTON Teaching Professionalism: Critical Conversations with Our MACDONALD S305 Elderly – Continued S307 Learners – Continued S308 Adolescent Mental Health – Continued ADHD in Adults/Across the Lifespan and S312 Common Comorbidity 10:30-12:00 RICHMOND LISMER CARMICHAEL Palliative Care: Advance Care Planning and Pearls for End of TOM THOMSON Starting Insulin in Type 2 Diabetes - WITHOUT Losing Sleep CASSON S313 Life Care S314 at Night S315 Autistic Spectrum Disease: A Heaven of Hell, A Hell of Heaven S316 Interventions in ED not Founded on Evidence Version 2013 S317 Thyroid Dysfunction Revisited: What’s Next after TSH – SOLD OUT S318 Common External and Middle Ear Problems – SOLD OUT HARRIS GOVERNOR GENERAL OSGOODE EAST RICHMOND 19 SOE summary of events Seminars SATURDAY NOVEMBER 30 continued S319 Practical Management of Knee OA Mixing and Matching: Layering Psychiatric Medications as Family S320 Physicians – SOLD OUT S321 Pediatric Vulvar Disorders 13:30-14:30 Test your Contraception IQ: Be a Contraceptive Mythbuster! – JOHNSTON SOLD OUT S327 Advanced ECG Interpretation for ED, Hospitalist or Office S334 14:45-15:45 Mood Disorders in Pregnancy and Postpartum – SOLD OUT Managing the Disruptive Patient HARRIS MACDONALD LISMER GOVERNOR GENERAL OPUS OSGOODE EAST Marital Counselling RICHMOND The 15 Minute Hour HARRIS Bedside Ultrasound: An Introduction for Family Physicians Approach to Bipolar Disorder Diagnosis and Management of Fatty Liver States Evaluating and Managing Foot Pain and Neuropathy in Diabetics – SOLD OUT Managing Back Pain: The Ontario Inititative Taking You Beyond CARMICHAEL JACKSON TOM THOMSON CASSON S335 the Basics – SOLD OUT JOHNSTON S337 A New Approach to Syncope in the Office GOVERNOR GENERAL S338 Drugs of Abuse - What’s New on the Street – SOLD OUT S339 Ten 2013 Studies that May Change Your Practice – SOLD OUT S340 Retirement Planning 20 TOM THOMSON CASSON S324 The 15 Minute Hour – Continued S325 Palliative Care and Advanced Heart Failure S326 Myths and Misses in Medicine: Tools for Practice S328 S329 S330 S324 S331 S332 S333 JACKSON Hypoglycemia in Type 2 Diabetes Mellitus: An Underappreciated S322 Management Challenge S323 CARMICHAEL OPUS OSGOODE EAST RICHMOND summary of events SOE Seminars SATURDAY NOVEMBER 30 continued S324 S341 S342 S343 16:00-17:00 S344 The 15 Minute Hour – Continued HARRIS A Practical Approach to Headache – SOLD OUT CARMICHAEL Delirium in Hospitalized Patients - NICE Guidelines JACKSON What’s New in Dermatology 2013 TOM THOMSON Evaluating and Managing the High Risk Diabetic Lower Extremity and Diabetic Foot Ulcers – SOLD OUT CASSON S345 Use and Dangers of Herbs S346 Explaining Vaccines to Concerned Parents and Patients S347 The Limping Child JOHNSTON MACDONALD LISMER OMA’s Health System Programs (HSP) &RVJQT QIZTJDJBOT XJUI UIF JOGPSNBUJPO BOE UPPMT UIFZ OFFE UP VOEFSTUBOE DPOUSJCVUFUPBOEGVMMZQBSUJDJQBUFJOFNFSHJOHIFBMUIDBSFTZTUFNJOJUJBUJWFT HSP provides support to members through: t%FWFMPQNFOUBOEQSPWJTJPOPGHVJEBODFUPPMTBOETZOUIFTJTPGSFMFWBOU FWJEFODFGPS)FBMUI4ZTUFN1SPHSBNJNQMFNFOUBUJPOFH)FBMUI-JOLT t1SPWJTJPOPGUPPMTBOEFWJEFODFCBTFETUSBUFHJFTUPTVQQPSUIJHIRVBMJUZ QBUJFOUDBSF t)PTUJOHSFMFWBOUQSBDUJDFNBOBHFNFOUTFNJOBSTBOEXFCJOBST t,OPXMFEHFUPGVMMZVOEFSTUBOEBOEPQFSBUJPOBMJ[FRVBMJUZJOJUJBUJWFT t'BDJMJUBUJOHSFTPMVUJPOPGBXJEFSBOHFPGQSBDUJDFNBOBHFNFOUJTTVFT 'PSNPSFJOGPSNBUJPODPOUBDUITQ!PNBPSH PS ON TA R IO M E D IC A L ASSOC I AT ION 21 SOE summary of events Workshops THURSDAY NOVEMBER 28 10:45-12:15 WS101 The Red Face: A Case Based Approach Dermoscopy - How to Improve Your Management of Pigmented Lesions 13:30-15:00 WS102 13:30-15:00 WS104 Ultrasound of the Spine for Regional Anesthesia – CANCELLED 15:30-17:00 WS103 15:30-17:00 WS105 Polypharmacy in the Elderly – SOLD OUT – SOLD OUT Dermoscopy - How to Improve Your Management of Pigmented Lesions – SOLD OUT LISMER YORK EAST SIMCOE YORK EAST SIMCOE FRIDAY NOVEMBER 29 WS201 WS202 10:30-12:00 WS202 WS203 13:30-15:00 WS204 WS205 WS203 15:30-17:00 WS204 WS205 08:30-10:00 Airway Management Workshop YORK EAST Suturing 101 SIMCOE Suturing 101 SIMCOE The Neurological Exam for Family Physicians JOHNSTON Wounds and Dressings – SOLD OUT YORK EAST Suturing Advanced SIMCOE The Neurological Exam for Family Physicians JOHNSTON Wounds and Dressings – SOLD OUT YORK EAST Suturing Advanced – Continued SIMCOE SATURDAY NOVEMBER 30 WS301 WS302 WS301 10:30-12:00 WS302 WS303 13:30-17:00 WS304 08:30-10:00 22 Ankle Brachial Index - Diagnostic Tool for PAD Joint Injections - Shoulder, Knee, Elbow Tendonitis – SOLD OUT Ankle Brachial Index - Diagnostic Tool for PAD – CANCELLED Joint Injections - Shoulder, Knee, Elbow Tendonitis – SOLD OUT The Shoulder – Complex Joint Simplified Trigger Point Injections YORK EAST SIMCOE YORK EAST SIMCOE YORK EAST SIMCOE Open for all OCFP’s Annual Regional Meetings Thursday November 28 (7:30-8:30) REGION ROOM: Carmichael REGION ROOM: 1: North East and North West LHINs 2: Erie St. Clair and South West LHINs 2013 President Installation and Awards Ceremony Jackson REGION 3: Waterloo Wellington and Hamilton Niagara Haldimand Brant LHINs November 28, 2013 5:30-7:45 pm ROOM: Tom Thomson REGION 4: Mississauga Halton and Central West LHINs ROOM: Casson REGION ROOM: 5: Toronto Central and Central LHINs Harris REGION 6: Central East and North Simcoe Muskoka LHINs Hilton Downtown Toronto 145 Richmond Street West, Toronto Toronto I Installation of the OCFP President for 2013-2014 Dr. Jonathan Kerr Belleville ROOM: MacDonald REGION 7: South East and Champlain LHINs ROOM: Lismer Induction into the Past Presidents’ Association Dr. Frank Martino Brampton 23 Open for all Celebration of OCFP 2013 Award Winners November 28, 2013 5:30-7:45 pm Hilton Downtown Hotel 145 Richmond Street West, Toronto Toronto I Family Physicians of the Year Sarah-Lynn Newbery Bhooma Bhayana Jeffrey Remington Carrie Bernard Carol Kitai James Shaver Barry Bruce R1 Marathon R2 London R3 Wainfleet R4 Brampton R5 Toronto R6 Barrie R7 Carp Reg. L. Perkin Family Physician of the Year for Ontario Sarah-Lynn Newbery, Marathon Community Teacher of the Year Award Dr. Bernhard Volz, Beamsville Family Practice of the Year The Ottawa Hospital Academic Family Health Team, Ottawa The Awards of Excellence 24 Speakers A-Z Wednesday Thursday Speakers Friday Saturday 2013 Exhibits Important Information MICHELLE ACORN NP, PHC/ADULT, MN, ENC(C), GNC(C) Michelle Acorn is a Registered Nurse in the Extended Class in Ontario, with dual specialty certifications as a Primar y Health Care and Adult Nurse Practitioner. She also holds nursing certifications in both emergency and gerontology and is a certified geriatric and anticoagulation prescriber. Michelle successfully innovated multiple NP roles at Lakeridge Health starting in the Emergency, then as a Hospitalist, SAFE and GAIN Clinics. She is now practicing at the Whitby NP led hospital focusing on seniors and complex continuing care. Michelle holds academic cross appointments at the University of Toronto and the University of Ontario Institute Of Technology, and she is a Past President of the Nurse Practitioner Association of Ontario. NALIN AHLUWALIA MD, CCFP(EM) Dr. Nalin Ahluwalia has been practicing full time Emergency Medicine for the last 23 years. He is currently Chief and Medical Director of the Emergency Department at Humber River Hospital. Prior to this, Dr. Ahluwalia was Chief and Clinical Director of the Emergency Medicine Program at York Central Hospital. He has also served as Interim Chief of Staff. He is a former Director on the Board of the Canadian Association of Emergency Physicians. Additionally, Dr. Ahluwalia has also worked as a provincially appointed Coroner in the Province of Ontario. He has authored chapters in the University of Toronto Sourcebook on Toxicology and Renal diseases. He has presented on numerous topics and has an interest in emergency Cardiac conditions, toxicology and patient flow. AYUB AKBARI MD, FRCPC Dr. Ayub Akbari is the Associate Professor of Medicine at the University of Ottawa. He graduated from Dow Medical College in Karachi, Pakistan, and did his residency in Internal Medicine at Wayne State University in Detroit. He then practiced for two years as an internist/primary care provider before doing his fellowship in nephrology at the University of Chicago. His interests are early detection of CKD and management of CKD in a primary care setting, as well as kidney disease and pregnancy. Dr. Akbari has published several papers on early detection of CKD and has worked closely with primary care physicians for more than 10 years. G. MICHAEL ALLAN MD, CCFP Dr. G. Michael Allan (Mike) is an Associate Professor, Family Medicine at the Universit y of Alberta. Dr. Allan has been in practice for approximately 15 years and presently works at the Northeast Community Health Centre in Edmonton. He has given over 150 presentations and published more than 50 articles. Mike participates in a weekly medical podcast on i-Tunes and writes a regular evidence based update (called Tools for Practice) for the Alberta College of Family Physicians and the journal “Canadian Family Physician.” He is the Director of the Alberta College of Family Physicians Evidence and CPD Program, including the provincial CME Roadshows. VANESSA ALLEN MD, MPH Dr. Vanessa Gray Allen is a Medical Microbiologist and Infectious Disease Specialist at Public Health Ontario and Sunnybrook Health Sciences Centre and an acting Medical Director of the Public Health Ontario Laboratories. She has clinical expertise and research interests in enteric microbiology, molecular surveillance and sexually transmitted infections. Her specific focus includes antibiotic resistance in Neisseria gonorrhoeae, and developing molecular tools for the surveillance and investigation of enteric and foodborne disease. Vanessa completed her MD at McGill University; her residency in internal medicine, infectious diseases and microbiology at the University of Toronto, and Masters of Public Health at Johns Hopkins University. JUDITH ALLANSON MB, ChB, FRCP(C), FCCMG, DABMG Dr. Judith Allanson is a Professor of Pediatrics at the University of Ottawa and retired Clinical Geneticist at Children’s Hospital of Eastern Ontario. She received her MB ChB degree from Liverpool Medical School and completed her Fellowship in Medical Genetics 25 at the University of British Columbia. She is coeditor of a book on management of common genetic syndromes and the Co-Director of GECKO, the Genetics Education Centre – Knowledge for Ontario. JULIA ALLEYNE MD Dr. Julia Alleyne is a family physician practicing Sport and Exercise Medicine at Toronto Rehabilitation Institute, University Health Network. As Associate Clinical Professor with the Department of Family and Community Medicine at the University of Toronto, she has been the Chair of the Sport and Exercise Fellowship program since 2004 and Course Director of the award-wining 5 Weekend MSK Certificate program. Dr. Alleyne was the educational curriculum consultant for the Low Back Pain strategy in her clinical practice and teaching sessions. ANDREW ARCAND HBSc, MD, CCFP(EM) Dr. Andrew Arcand lives and works in Markham, Ontario primarily with a practice in Emergency Medicine at Markham Stouffville Hospital, where he is currently the Chief of the Department of Emergency Medicine and serves on a number of hospital committees. He has practiced and trained at a number of communities around the province and is a part-time Coroner in York Region. He is a member of the OCFP Annual Scientific Assembly planning committee, and has presented at the conference previously. He acknowledges that he is not a ‘suturing’ guru, and many of his pearls were obtained in the middle of a night-shift, working on a patients stopping in the ED on the way home from the pub. 26 JERALD BAIN BScPhm, MD, MSc, FRCPC, CertEndo, BA Dr. Jerald Bain is Professor Emeritus in the Department of Medicine, with a cross-appointment in the Department of Obstetrics and Gynecology at the University of Toronto. He is an Honorary Consultant in the Division of Endocrinology and Metabolism at the Mount Sinai Hospital in Toronto where he was a full-time staff physician for 40 years, until he entered semi-retirement in October, 2012. His primary clinical and academic activities have been in the discipline of androlog y with a focus on male reproductive and sexual medicine. He is also a Consultant in Endocrinology at the Centre for Addiction and Mental Health (CAMH), and currently is involved in the assessment and treatment of transgendered individuals. In the past, he collaborated with CAMH faculty in the study of aberrant sexual behaviour in men. Dr. Bain was the founding President of the Canadian Andrology Society, which merged with the Canadian Fertilty Society to form the Canadian Fertilty and Andrology Society. He is a Past President of the Canadian Society for the Study of the Aging Male. He has lectured and written on male hypogonadism including testosterone therapy and related topics. PARVEEN BANSAL MD Dr. Par veen Bansal is a family physician in Brampton, practicing comprehensive care including obstetrics. He is also involved with teaching/mentoring residents in the McMaster Family Practice Program and is the Faculty Development Coordinator for the Brampton site. Dr. Bansal is also the Regional Primary Care Lead for the Central-West LHIN. ADELLE ATKINSON BENJAMIN BARANKIN MD, FRCPC MD, FRCPC Dr. Adelle Atkinson is an Associate Professor of Pediatrics; her clinical work focuses on clinical immunology and complex allergic diseases including primary prevention of atopy. She is currently the Director of Postgraduate Medical Education for the Department of Pediatrics and spends over 50% of her time in medical education types of activities. Dr. Benjamin Barankin is a Toronto dermatologist, and Director of Toronto Dermatology Centre. He is also a widely published author with more than 500 articles and seven books on dermatology. He is married and has two girls. CHRISTOPHER BARNES GARY BLOCH MD, CCFP MD, CCFP Dr. Christopher Barnes is an Assistant Professor in the Division of Palliative Care at the University of Ottawa and is Director of the Palliative Medicine Residency Program. He practices on the palliative care inpatient unit at Bruyère Continuing Care. His academic interests involve delirium and goals of care discussions. Dr. Sean Blaine is an Assistant Professor in the Department of Family and Community Medicine at the University of Toronto and Lead Physician of the STAR Family Health Team in Stratford, Ontario. Dr. Gary Bloch is a family physician with St. Michael’s Hospital in Toronto and Assistant Professor at the University of Toronto. His practice is largely focused on people who live in poverty. He is Chair of the OCFP Committee on Poverty and Health. He was the founding Primary Care Director of Inner City Health Associates (a group of physicians working with the homeless) and is a founding member of the advocacy group Health Providers against Poverty. His professional practice includes research, knowledge translation, and advocacy focused on the link between poverty and health. He is frequently asked to speak on poverty as a health issue with medical audiences and in the media. LISA BERGER ISAAC BOGOCH MD, CCFP, FCFP, FRCPC MD, FRCPC, MS, PTMEH Dr. Lisa Berger is an Associate Medical Officer of Health at Toronto Public Health working in the Communicable Disease Control directorate. In this role, Dr. Berger provides consultation and advice on prevention of and case and contact management of reportable diseases in Toronto. In addition, Dr. Berger has a clinical practice at a community health centre in Toronto. Dr. Isaac Bogoch completed medical school and internal residency at the University of Toronto, and Infectious Diseases training at Harvard University. He then completed subspecialty training in HIV and Tropical Medicine. Isaac currently practices at the University Health Network in Toronto. SEAN BLAINE MD, CCFP, FCFP MEL BORINS MD JOHN BLAKELY BA, MD, FRCPC Dr. John Blakely is the Assistant Professor at the University of Toronto Department of Medicine and Division of Cardiology at Sunnybrook (Honorary), and a Consultant at York Central Hospital Department of Medicine, Division of Cardiology. The Director, Anticoagulant Clinic, Pinnacle Health Science Centre Richmond Hill Ontario, and the Associate Scientist Division of Clinical Epidemiolog y University of Toronto at Sunnybrook. Dr. Blakely performed the first antiplatelet mortality study (and two other trials of the first antiplatelet agent) as a solo investigator in the 1960s. He was a founding member of the group that validated ASA and later ticlopidine for the secondary prevention of stroke. Dr. Blakely is a major contributor to the CAPRIE study of clopidogrel in vascular disease. He introduced clinical research to York Central by collaborating in the first trial of thrombolysis in myocardial infarction, then many others. Dr. Mel Borins is a family physician, public speaker, author and musician. He is an Associate Professor in the Faculty of Medicine at the University of Toronto and on staff at St. Joseph’s Health Centre. Author of the books “Go Away Just for the Health of It” and “An Apple a Day- a Holistic Health Primer”, Dr. Borins has lectured in Canada, U.S.A., India, Japan, Indonesia, China, Taiwan, Korea, Sri Lanka and New Zealand on health and healing. SARAH BRODE MD, FRCPC Dr. Sarah Brode is a respirologist with a clinical fellowship in Mycobacterial disease. She is currently Associate Clinical Staff at the Tuberculosis (TB) Program, Westpark Healthcare Centre, and at Toronto Western Hospital (University Health Network), where she practices adult respirology and works in the Non-Tuberculous Mycobacteria (NTM) Program. 27 28 LISA BROMLEY ROGER BUTLER MD, FCFP MD Dr. Lisa Bromley is a family physician in Ottawa. She has been a methadone prescriber since 2001. Her clinical practice is composed primarily of managing opioid dependence in its varying forms and degrees of severity. She prescribes Methadone Maintenance Treatment for opioid dependence, and in a family practice setting, manages high risk chronic pain patients (those with an increased risk of substance use disorders). Her special interests include the continuum and overlap of chronic pain and addiction behaviours in patients who are prescribed opioid analgesics, and the treatment of chronic pain in people with opioid addiction. Dr. Bromley is on the Steering Committee for the Mentoring for Managing Addiction and Pain (MMAP) program of the Ontario College of Family Physicians and is a mentor for the Ottawa group. Dr. Roger Butler completed his family medicine residency in 1979 at MUN. He did family medicine anesthesia for six years and then joined the family medicine faculty at MUN in 1985, where he is currently an Associate Professor, teaches in the Care of the Elderly Program and likes doing house-calls. JUNE CARROLL MD, CCFP, FCFP Dr. June C. Carroll holds the Sydney G. Frankfort Chair in Family Medicine and is an Associate Professor and Clinician Scientist in the Department of Family and Community Medicine at Mount Sinai Hospital, University of Toronto. She is a member of the Clinical Expert Panel for the Ontario Breast Screening Program expansion to women at high risk for breast cancer. SANDY BUCHMAN HENRY CHAPESKIE BA, MD, CCFP, FCFP MD, CCFP Dr. Sandy Buchman received his MD from McMaster University and completed his Family Medicine Residency training at the University of Toronto. He practiced comprehensive Family Medicine in Mississauga for over 21 years with special interest in Palliative Care, HIV/AIDS and Global Health including volunteer experiences in South America and Africa. Since 2005 he has been with the Temmy Latner Centre for Palliative Care at Mount Sinai Hospital in Toronto where he is the Education Lead and a Palliative Care Physician providing home-based palliative care. Dr. Buchman is currently Clinical Lead, QI & Primary Care Engagement in Palliative Care at Cancer Care Ontario. Prior to this he served for a number of years as the Regional Primary Care Lead for Toronto Regional Cancer Program. He is the immediate Past President of the College of Family Physicians of Canada and a Past President of the Ontario College of Family Physicians. He holds the position of Assistant Professor in the Departments of Family and Community Medicine at the University of Toronto and McMaster University. Dr. Henry Chapeskie has been in practice for 25 years and is an Adjunct Professor in the Department of Family Medicine, Schulich School of Medicine at Western University in London. CLAUDETTE CHASE BA, MD, FCFP Dr. Claudette Chase is a family physician working in a group practice providing care to remote First Nations in Northwestern Ontario. She has been heavily involved in advocating for services at the local, provincial and federal levels to help with the current epidemic of opiate abuse. HOWARD CHEN MD, CCFP, FCFP, Dip Sport Med Dr. Howard Chen is a primary care sports medicine physician practicing at Athlete’s Care Sports Medicine Centres and SportCARE, Women’s College Hospital in Toronto. He completed his sports medicine fellowship at McMaster University, and earned his Diploma in Sports Medicine from the Canadian Academy of Sports and Exercise Medicine. He is a Lecturer with the University of Toronto Department of Family and Community Medicine. At SportCARE, Dr. Chen is involved in the Multidisciplinary Osteoarthritis Management Program and the Team Leader for the new Joint Injection Clinic. He has been a speaker for the CASEM Timely Topics course in Osteoarthritis. Dr. Chen is also a team physician for the Toronto Rock professional lacrosse team, and a physician for the Association of Tennis Professionals (ATP) and the Roger’s Cup Tennis Tournament. ALICE CHENG MD, FRCPC Dr. Alice Cheng is a member of the Division of Endocrinology and Metabolism at Trillium Health Partners (Credit Valley Hospital) in Mississauga and St. Michael’s Hospital in Toronto, and is an Assistant Professor in the Department of Medicine at the University of Toronto. She completed medical school, internal medicine and Endocrinology training at the University of Toronto and has completed the Master Teacher Program offered through the Department of Medicine. She has served on the Expert Committee for the 2003 Canadian Diabetes Association Clinical Practice Guidelines and the Steering and Expert Committees for the 2008 revision, along with the Dissemination and Implementation committee. She is serving as Chair for the 2013 CDA Clinical Practice Guidelines. In addition to guidelines development, she is actively involved in continuing medical education and has received a Certificate of Recognition from the Ontario College of Family Physicians for her contributions to diabetes care and family medicine education. MICHAEL CHENG MD, FRCP(C) Dr. Michael Cheng is a child and family psychiatrist at the Children’s Hospital of Eastern Ontario. He is passionate about the importance of attachment; and works with children, youth and families by helping them reconnect to the people and experiences that are truly helpful and meaningful, and disconnecting them from those that are not. He is the co-founder of the eMentalHealth.ca website, which makes it easy for families and professionals alike to find out about mental health help and information. Michael loves working with his colleagues in primary care, so much so that he is married to a family physician, with whom he has two young children. ANGELA CHEUNG MD, PhD, FRCPC, CCD Dr. Angela Cheung is Director of University Health Network Osteoporosis Program, Director of Centre of Excellence in Skeletal Health Assessment (CESHA), Lillian Love Chair in Women’s Health, Senior Scientist at the Toronto General Research Institute, and Associate Professor at the University of Toronto. She obtained her M.D. degree from Johns Hopkins University School of Medicine and her Ph.D. degree from Harvard University. She has been in clinical practice for the past 20 years, and specializes in postmenopausal osteoporosis. She has had many awards in recognition for her excellence in research and teaching, including the Osteoporosis Canada’s 2010 Lindy Fraser Memorial Award, Canadian Institutes for Health Research (CIHR)/Institute of Gender and Health (IGH) Senior Investigator Award, CIHR/IGH Mid-career Scientist Award, the Ontario Premier’s Research Excellence Award, the Ontario Ministry of Health and Long Term Care Health Services Research Scientist Award and the University Health Network Department of Medicine Award for Excellence in Clinical Teaching. ANTHONY CIAVARELLA BA, MA, MD, MCFP Dr. Anthony Ciavarella is a solo practitioner in a rural setting in Aldergrove British Columbia since 1980, with a special interest in respiratory medicine. He is a Board member of the British Columbia College of Family Physicians, Vice Chair, Family Physician Airways Group of Canada, Medical Facilitator 2002 to 2013, and Medical Director of the Fraser Highway Medical Clinic. He graduated from the University of Toronto Faculty of Medicine in 1978. RAY COPES MD, MSc Dr. Ray Copes received his MD and MSc at McGill University. He is a Fellow of the College of Family Physicians and the Canadian Board of Occupational Medicine. He has worked in the private and public sectors as an occupational physician and has over 20 years’ experience working in the field of environmental toxicants. He is currently Chief, 29 Environmental and Occupational Health, at Public Health Ontario and an Associate Professor at the University of Toronto. DUSTIN COSTESCU MD, FRCSC Dr. Dustin Costescu is an Assistant Professor in the Department of Obstetrics and Gynaecology at McMaster University, and a Generalist Obstetrician/ Gynaecologist with a clinical focus in family planning and sexual medicine at Hamilton Health Sciences. Dr. Costescu completed a fellowship in Contraception Advice Research and Education at Queen’s University (Canada’s only specialist fellowship in Contraception and Family Planning); residency in Obstetrics and Gynaecology at McMaster University and obtained his Doctorate of Medicine at Western University. His current research interests include challenging contraceptive cases, gender aspects of abortion care and reducing contraceptive failure. ANTHONY D’URZO SONNY DHANANI BSc (pharm), MD, FRCPC Dr. Sonny Dhanani is a Pediatric Intensivist at the Children’s Hospital of Eastern Ontario (CHEO) in Ottawa and Assistant Professor (Pediatrics) at the University of Ottawa. He is the Chief Medical OfficerTrillium Gift of Life, Ontario’s organ procurement organization. He is the Medical Lead for the Cardiac Intensive Care program at CHEO and Base Hospital Physician for Ornge. He is leading research pertaining to practices and standards for determining death after cardiac arrest for the purposes of donation. MD, MSc, BPHE, CCFP, FCFP SHELLEY DEEKS Dr. Anthony D’Urzo is an Associate Professor in the Department of Family and Community Medicine (DFCM), Faculty of Medicine, University of Toronto (UofT) and has spent many years teaching in the department. As the new Deputy-PreClerkship Director in the DFCM, UofT, Dr. D’Urzo is looking forward to promoting and researching family medicine in the undergraduate medical curriculum. He has been a volunteer member of the Ontario Lung Association since 1992. Dr. D’Urzo has had the opportunity to participate in many clinical trials and to publish numerous articles in the area of asthma and COPD management. He has been the Director of the Primary Care Lung Clinic since 1993 and is currently the Chair and Co-Founder of the Primary Care Respiratory Alliance of Canada (PCRC). MD, MHSc, FRCPC, FAFPHM JON DAVINE MD, CCFP, FRCP(C) Dr. Jon Davine is an Associate Professor in the Department of Psychiatry and Behavioural Neurosciences at McMaster University, with a cross appointment in the Department of Family Medicine. His outpatient psychiatry practice focuses on liaising with primary care physicians in the “shared care” 30 model. For a number of years, he has taught courses in behavioural sciences to family medicine residents and to family doctors in the community. He has lectured nationally and internationally on this topic. He is a past Chair of the Council of Psychiatric Continuing Education (COPCE), which is affiliated with the Canadian Psychiatric Association. He has received several educational awards. Dr. Shelley Deeks is the Associate Director of Surveillance and Epidemiology at Public Health Ontario and an Assistant Professor at the Dalla Lana School of Public Health, University of Toronto. She is Chair of the World Health Organization’s Immunization Practices Advisory Committee and of the Ontario HPV Prevention Evaluation Committee. Dr. Deeks holds Fellowships in Public Health at the Royal College of Physicians and Surgeons of Canada and the Australasian Faculty of Public Health Medicine. RUTH DUBIN MD, PhD,FCFP, DAAPM, DCAPM Dr. Ruth Dubin has practiced family medicine in Kingston, Ontario, Canada since 1987, and is a Fellow of the College of Family Physicians of Canada. A member of the Canadian Pain Society since 2005, her major interests include the psychosocial determinants of function in chronic pain, selfmanagement, mindfulness and exercise treatment for chronic pain, addiction and pain and improving education of medical trainees and family physicians in chronic non cancer pain. Dr. Dubin chairs the Chronic Pain Committee at the College of Family Physicians of Canada and is on the Steering Committee for MMAP (Medical Mentoring for Addictions and Pain), a mentoring program developed and supported by the Ontario College of Family Physicians. JIM DUCHARME MD, CM, FRCP, DABEM Dr. Jim Ducharme is the Chief Medical Officer for AIM Health Group, the Editor-in-Chief of the Canadian Journal of Emergency Medicine and a Clinical Professor of Medicine at McMaster University. He is the Director of the Emergency Medicine Primer for Family Physicians, a program run through the OCFP. SUSAN EDWARDS DOROTHY EMSLIE BSc, MD, CCFP, FCFP Dr. Dorothy Emslie graduated from McMaster Medical School in 1990 and did her family medicine residency in 1992. She worked in rural family medicine until 2001 and has practiced at the University of Guelph since that time. Dr. Emslie is an Assistant Clinical Professor at the M.G. DeGroote School of Medicine, McMaster, where she has held various leadership roles including Director of Student Affairs at the Waterloo Regional Campus, Director of McMaster Community & Rural Education (Mac-CARE) and Professional Competencies Domain Planner for the self-awareness and self-care curriculum. She is currently working on her Masters in Leadership from the University of Guelph. MD, CCFP, FCFP DAVID ESHO Dr. Susan Edwards is the Director, Office of Resident Wellness in the Postgraduate Medical Education Office, University of Toronto. The office provides leadership in physician health and wellness through education, advocacy, trainee support and research and contributes nationally and internationally to the understanding and promotion of physician health issues in medical training. Clinically, she has a focused practice in obstetrics with the St. Joseph’s Urban Family Health Team in the Department of Family and Community Medicine, University of Toronto. H.BSc, MD, CCFP PHILIP ELLISON MD, MBA, CCFP, FCFP, DOHS Dr. Philip Ellison has been a practicing physician for over thirty years and has led the development of the QI Program at the Department of Family and Community Medicine, University of Toronto; he is also a physician advisor to the Toronto Central LHIN and CCAC. As an Associate Professor in the Department of Family and Community Medicine with cross-appointments to the Institute of Health Policy, Management and Evaluation, and the Dalla Lana School of Public Health, he teaches courses within the Master of Public Health Program. Dr. David Esho currently works as an Academic Family Physician at Toronto Western Hospital. He currently holds a faculty appointment in the Department of Family and Community Medicine at the University of Toronto. He also serves as the Physician Lead for the Toronto Western Hospital Family Health Team Chronic disease management program. Dr. Esho’s interests include health promotion via interprofessional care models. JAMIE FALK BScPharm, PharmD Dr. Jamie Falk practices as a Clinical Pharmacy Specialist at the Kildonan Medical Centre in Winnipeg, an urban resident teaching site for the department of family medicine. He is an Assistant Professor at the Faculty of Pharmacy, holding a cross appointment with the Faculty of Medicine at the University of Manitoba. SID FELDMAN MD, CCFP, FCFP Dr. Sid Feldman is the Executive Medical Director of Residential and Aging at Home Programs, Medical Director of Apotex Jewish Home for the Aged and Chief of the Department of Family and Community Medicine, Baycrest Geriatric Health Care System. Dr. Feldman is also an Assistant Professor and 31 Director in the Care of the Elderly Program, at the University of Toronto’s Department of Family and Community Medicine. He is a family physician in community practice as a member of the North York Family Health Team and a long-term care physician at Baycrest, focusing on patients admitted with mental illness and Behavioural Symptoms of Dementia. In addition, Dr. Feldman serves as a member, Board of Directors for Ontario Long Term Care Physicians and is a member, Executive, Scientific Advisory Board at Osteoporosis Canada. SARAH FLEMING MD, CCFP Dr. Sarah Fleming is an Academic Family Physician practicing at the Toronto Western Family Health Team. She completed her undergraduate and postgraduate medical training at the University of Toronto. Dr. Fleming has a keen interest in medical education. She has served as both the Undergraduate and Interim Postgraduate Medical Education Site Director and has helped to facilitate the Feedback Workshop at the University of Toronto Department of Family and Community Medicine Basics Program for New Faculty since 2008. ANATOLI FREIMAN MD, FRCPC Dr. Anatoli Freiman is a dermatologist who completed training at the University of Toronto, Harvard and New York University. He is a frequent lecturer at medical conferences and an author of over 100 publications in dermatology. Dr. Freiman is the Medical Director of the Toronto Dermatology Centre, a state-of-the art comprehensive dermatology practice in mid-town Toronto. VERONIQUE FRENCH-MERKLEY MD, CCFP ANNE HARLEY MD, FCFP 32 PAMELA EISENER-PARSCHE MD, FCFP Dr. Anne Harley, Dr. Pamela Eisener-Parsche and Dr. Veronique French-Merkley are Family Physicians with PGY-3 training in Care for the Elderly. They are all members of the Department of Care for the Elderly at Bruyere Continuing Care in Ottawa; where they provide care to frail community-dwelling seniors on the inpatient Geriatric Rehabilitation Unit in the outpatient Geriatric Day Hospital and as part of a shared-care Geriatric Clinic in the Bruyere-associated Academic Family Health Teams. All three speakers are Assistant Professors in the Department of Family Medicine at the University of Ottawa; Dr. FrenchMerkley is the Program Director of the PGY-3 in Care of the Elderly. LAWRENCE FRIEDMAN MBBCh, FFRAD(D), SA, FRCPC, FACR Dr. Lawrence Friedman is radiologist at North York General, with an interest in MSK and experiences in ultrasound. Dr. Friedman has published on this subject and has chapters in text books pertaining to MSK. NATHALIE GAMACHE MD, FRCPS(C) Dr. Nathalie Gamache is a g ynecologist who completed her medical school in Winnipeg in 1999, her residency in Obstetrics and Gynecology in Ottawa in 2004, where she pursued a fellowship in menopause in 2005. She was a clinician and surgeon at the Shirley E. Greenberg Women’s Health Centre of The Ottawa Hospital until 2012. In 2009, she opened the Centre de Santé pour Femmes GAÏA in Gatineau, where she is Program Director. She specializes in menopause and hormone therapy, premature ovarian failure, cancer survivorship, sexuality, premenstrual syndrome, fertility, and abnormal bleeding. She is an Assistant Professor with the Faculty of Medicine at the University of Ottawa, where she teaches and collaborated to develop and launch the new medical school curriculum in 2009. MICHELLE GIBSON SUSAN GOLDSTEIN MD, MEd, CCFP MD, CCFP, FCFP, NCMP Dr. Michelle Gibson practices in specialized geriatrics in Kingston, Ontario. She completed her Family Medicine and Care of the Elderly training at Queen’s University in 2002 and is now an Assistant Professor and Program Coordinator for Care of the Elderly at Queen’s University. Dr. Gibson recently completed her M.Ed. with a focus on formative assessment in clerkship. She is passionate about using social media to enhance medical education at all levels. Dr. Susan Goldstein is a community based Family Physician, GP Psychotherapist and an Assistant Professor in the Department of Family and Community Medicine at the University of Toronto. Her special interests include medical education/ faculty development and women’s health. She is a Menopause Practitioner, certified by the North American Menopause Society. AINSLIE GRAY MD JEREMY GILBERT MD, FRCPC, Asst Prof U of T Dr. Jeremy Gilbert completed his medical degree, internal medicine training and endocrinolog y residency at the University of Toronto. He is an active staff member in the divisions of endocrinology and internal medicine at Sunnybrook Health Sciences Centre. He is an Assistant Professor at the University of Toronto with an academic interest in undergraduate and postgraduate education and continuing health education. JAMES GOERTZEN MD, MClSc, CCFP, FCFP Dr. James Goertzen practices family medicine with the Fort William FHT, which includes collaborative mental health services. His interest in border line personality arose from patients who shared their difficult lives and highlighted the importance of an ongoing therapeutic relationship. Outside of medicine James enjoys kayaking, cycling, running, gourmet cooking, skiing, and acting. LESLIE GOLDENBERG BSc, MD, FRCP(C), ABIM, FAGS, FAPWHc Dr. Leslie Goldenberg is both a general internist and a geriatric medical specialist; his practice focus includes gait and mobility, lower extremity medicine, as well as wound care. He is an Assistance Professor of Medicine at University of Toronto, currently Medical Director of the 11 Walking Mobility Clinics in the greater Toronto area and wound care consultant clinician to Ontario Wound Care Incorporated and the Judy Dun Wound Clinic. His interests include medical clinical photography, as well as biomechanical and medical podologic complications. Dr. Ainslie Gray, is the Medical Director of Springboard Clinic and a family physician who has a focused practice in ADHD and related learning challenges. She is a leader in treating a variety of behaviour and attention issues in children and adults across the lifespan. As a strong advocate of comprehensive care for the “whole” individual and family, Dr. Gray has a unique ability to motivate people to capitalize on their strengths and to take charge of their diagnosis in all areas of their lives. Dr. Gray is an appointed board member of the Canadian Attention Deficit Hyperactivity Disorder Resource Alliance (CADDRA), with a special interest in facilitating continued medical education to improve ADHD awareness and treatment among family physicians. ANITA GREIG MD, CCFP, FCFP Dr. Anita Greig is a Toronto family physician and an Assistant Professor of Family Medicine at the University of Toronto. She is author of the Greig Health Record, an evidence-based preventive care checklist and guide for periodic health visits for children and youth. The Greig Health Record is endorsed by the College of Family Physicians of Canada and the Canadian Paediatric Society. Dr. Greig’s primary interests are primary-care paediatrics and obstetrics, as well as teaching. She teaches both medical students and residents and has received a number of awards for both. 33 MICHELLE GREIVER MD MSc CCFP, FCFP. Dr. Michelle Greiver is a family physician at the North York Family Health Team and is affiliated with the North York General Hospital. She is a Clinician Investigator at the Department of Family and Community Medicine, University of Toronto. She is also the Network Director of the Toronto site of the Canadian Primary Care Sentinel Surveillance Network, Canada’s chronic disease EMR database; she is also a member of the executive committee of UTOPIAN, the University of Toronto’s primary care Practice Based Research Network. Her interests include the meaningful use of EMRs for quality improvement, program planning and research and use of health care data in primary care organizations. Her research project, “Implementation of Electronic Medical Records: Effect on the Provision of Preventive Services in a Pay-for-Performance Environment” won the 2012 Canadian Family Physician, Best Original Research Article Award. ROLAND HALIL BSc(Hon), BSCPharm, ACPR, PharmD Dr. Roland Halil is a Clinical Pharmacist in the Bruyere Academic Family Health Team and an Assistant Professor in the Department of Family Medicine (DFM) at the University of Ottawa. Prior to this, Roland completed his Doctor of Pharmacy degree at the University of Toronto, his hospital residency at the Ottawa Hospital and his Bachelors of Science in Pharmacy at the Memorial University of Newfoundland. Raised in Ottawa, Roland has a diverse set of interests, including infectious disease, technology in health care, chronic disease management and global health. He is the Deputy Director of the Global Health Elective to Panama within the DFM. HAMILTON HALL MD Dr. Hamilton Hall is a Professor in the Department of Surgery at the University of Toronto and on the Orthopaedic Staff at the Sunnybrook Health Sciences Centre. In 1974, Dr. Hall founded the Canadian Back Institute (CBI Health Group) and continues to serve as its Medical Director. He is a co-founder 34 of the Canadian Spine Society and is presently the Society’s Executive Director. Dr. Hall is a member of the North American Spine Society, the Canadian Orthopaedic Association and the International Society for the Study of the Lumbar Spine. He has served on the editorial boards of Spine, The Spine Journal and The BackLetter. In addition to over 100 published articles and book chapters and 1000 invited presentations, Dr. Hall is the author of the best-selling Back Doctor series and most recently, A Consultation with the Back Doctor. CURTIS HANDFORD MD, CCFP, MHSc Dr. Curtis Handford is a staff family physician at St. Michael’s Hospital who completed an addiction medicine fellowship at CAMH in 2004. He has also been a part-time staff member in the Addiction Medicine Clinic at CAMH since 2005. He has been active in opioid dependence treatment education for several years. He is the principal author of the 2011 CAMH Buprenorphine/Naloxone Clinical Practice Guidelines. His other areas of interest include generalism, inner city health, evidence-based medicine and health policy. INGRID HARLE MD, FRCS(C), CCFP, FCFP, ABHPM (cert) Dr. Ingrid Harle is an Assistant Professor in the Departments of Medicine and Oncolog y at Queen’s University, Kingston Ontario. Currently, her clinical work in palliative medicine includes inpatient consultations at Kingston General Hospital (KGH), outpatient palliative medicine clinics at the Cancer Centre of Southeastern Ontario and an ambulatory clinic at Hotel Dieu Hospital for patients with advanced non-malignant disease requiring dyspnea management from a palliative care perspective. Dr. Harle is the Postgraduate Director for the Palliative Medicine Residency Program at Queen’s University and is the Southeast Regional Cancer Program Physician Lead for the Palliative Care Program at Cancer Care Ontario. She is actively engaged in providing education related to palliative and end of life care at all levels (public, undergraduate, graduate, continuing professional development, and faculty development). ROBERT HAUPTMAN BMSc, MD, MCFP Dr. Robert Hauptman is the Medical Director of the Med Management Program at the HealthPointe Pain Centre in Edmonton. In addition to being Chairperson for the Salvus Family Medical Clinic, Dr. Hauptman is the Past President of the Pain Society of Alberta and was one of the society’s founding members. Dr. Hauptman is a nationally recognized medical educator. He is also an Assistant Clinical Professor with the Department of Family Medicine at the University of Alberta. Dr. Hauptman’s clinical interests include asthma and allerg y medicine, COPD management and the management of complex chronic pain patients. CONNIE HARRIS RN, ET, IIWCC, MSc Wound Healing Connie Harris graduated from Cardiff University School of Medicine’s MSc in Wound Healing and Tissue Repair program, having completed prior Enterostomal Therapy, Clinical Administration (OHA Diploma) and Wound Care (IWCC)programs. She was the project lead standardizing evidence-based wound care for the SW LHIN, collaborating with Acute, Primary, LTC and the Community 2009-2013 (www.woundcare.thehealthline.ca). She is the Senior Clinical Specialist for Wounds and Ostomy for Red Cross Care Partners. She also serves as Adjunct faculty for the University of Western Ontario’s Masters in Clinical Science in Wound Healing program. MICHELLE HART MD, CCFP, M.Sc.C.H. Dr. Michelle Hart is a Staff Physician at the Baycrest Centre for Geriatric Care in the Department of Family and Community Medicine, Toronto, ON. Dr. Hart completed her Family Medicine Residency at University of Toronto in 2008 and completed a PGY-3 Enhanced Skills Care of the Elderly Fellowship at the Department of Family and Community Medicine, University of Toronto. Dr. Hart earned a Masters in Science and Community Health through the Dalla Lana School of Public Health at University of Toronto and a Collaborative Program in Aging and Palliative Care at the Institute for Life Course and Aging, University of Toronto. Dr. Hart’s current practice at Baycrest includes Complex Continuing Care, Palliative Care, Geriatric Rehab and the Geriatric Assessment and Treatment Unit. JANICE HARVEY BSc, MD, FCFP, Dip Sp Med. Dr. Janice Harvey is primary care physician with a special interest in Sport and Exercise Medicine, working at McMaster University at the David Braley Sport and Orthopedic Rehabilitation Clinic. She is an Assistant Clinical Professor for the Department of Family Medicine at McMaster University, and was the Chair of Ontario College of Family Physicians’ CME/CPD Committee and was the President of the Canadian Academy of Sport and Exercise Medicine in 2011. Dr. Harvey is also Assistant Director Standardized Patient Program at McMaster University and the Canadian Delegate for the World University of Sport Federation. She has been on many medical teams for Canada at the Vancouver Olympics, Commonwealth Games and Chief Medical Officer for the World Cycling Championships. GILLIAN HAWKER MD, MSc, FRCPC Dr. Gillian Hawker is Professor of Medicine and Health Policy, Management and Evaluation at the University of Toronto. Her clinical research focus is on improving care delivery to people with osteoarthritis and osteoporosis. She has been actively involved with the Ontario Ministry of Health and Long-term Care Osteoporosis Strategy since its inception. ANTON HELMAN MD, CCFP(EM), FCPC Dr. Anton Helman is an emergency physician at North York General Hospital in Toronto. He is a Lecturer and is on the CME Committee at the University of Toronto, Division of Emergency Medicine. He is the recipient of multiple teaching awards and is the owner and host of Emergency Medicine Cases, Canada’s premier audio CME program for emergency physicians and trainees. 35 SARI HERMAN-KIDECKEL DERECK HUNT MD, FRCP(C) MD, FRCPC, MSC Dr. Sari Herman-Kideckel is trained in Allergy and Clinical Immunology at the University of Toronto and specializes in the management of allergies in both children and adults. She completed the Master Teacher Program at the University of Toronto. She is an Adjunct Lecturer in the Department of Medicine at the University of Toronto, serves on the Regional Advisory Committee of the Royal College of Physicians and Surgeons of Canada and on the Anaphylaxis Committee of the American Academy of Allergy, Asthma and Immunology. She has also served on the Board of Directors of the Canadian Society of Allergy and Clinical Immunology. Dr. Dereck Hunt is a general internist and an Associate Professor in the Department of Medicine at McMaster University. His clinical activities include general internal medicine in-patient care and diabetes ambulatory care. He has been involved in a number of diabetes-related trials and with the development of the Canadian Diabetes Association Evidence-based Clinical Practice Guidelines. ANNE HOLBROOK MD, PharmD, MSc, FRCPC Dr. Anne Holbrook is the Director of the Division of Clinical Pharmacology and a Professor in the Department of Medicine, McMaster University. She is an experienced clinical pharmacology and internal medicine specialist; well known for optimizing complex hospitalized patients’ medications and expectations. She is one of the most senior drug policy expert advisors in Canada, having advised governments and public payers at the federal, provincial and regional levels for several decades on comparative effectiveness, safety and costeffectiveness of medications. Dr. Holbrook is a recipient of a Career Investigator award from the Canadian Institutes for Health Research on provider and patient decision-making. JESSICA HOWARD JONATHAN HUNTER BSc, MD, FRCPC Dr. Jonathan Hunter is an Associate Professor at the University of Toronto, where he heads the Division of Consultation-Liaison Psychiatry. He is a founding member of a network of family physicians, which links family physicians with mental health care mentors. He participates in grants funded by NCIC, NIH and CIHR. CHRISTOPHER HURST MEd Christopher Hurst is an Education and Coaching Consultant at the Office of Resident Wellness in Post Graduate Medical Education at the University of Toronto. Over the last few years he has presented over a hundred workshops to medical students, residents and faculty on topics related to the interconnections between self-regulation, well-being and performance. Key topics have included: Resilience in the Context of Adverse Events, Fatigue Management, Managing Transitions Throughout the Medical Career, Time Management, Enhancing Performance and Well-Being and Optimizing Exam Preparation and Performance. MD, CCFP, Dip PDerm Dr. Jessica Howard is a family physician in Ilderton, Ontario with an interest in skin disorders. She operates a referral-based skin clinic in Exeter, Ontario in addition to her general family practice. Dr. Howard is also an Assistant Professor in the Department of Family Medicine at Western University. She is involved in teaching about skin disorders at the undergraduate and postgraduate levels. 36 FRANCES JAMIESON MD, FRCPC Dr. Frances Jamieson obtained her MD from the University of Toronto in 1984. She trained in anatomic pathology and medical microbiology at the University of Toronto and received her Fellowship from the Royal College of Physicians and Surgeons in Medical Microbiology in 1991. Dr. Jamieson was a Federal Field Epidemiologist and Staff Medical Microbiologist at the Hospital for Sick Children prior to joining the Public Health Laboratories in 1996, then with the Ministry of Health and Long-Term Care and now as part of Public Health Ontario since 2008. Dr. Jamieson is the Medical Director (Acting) for the Public Health Ontario Laboratories. She holds an appointment as Associate Professor, Dept. of Laboratory Medicine and Pathobiology, Faculty of Medicine, University of Toronto and as Assistant Scientific Staff, Dept of Microbiolog y, Mount Sinai Hospital. Her primary areas of interest include tuberculosis and mycobacterial diseases, meningococcal disease, molecular surveillance of pathogens of public health importance and public health policy. KARIM JESSA MD, FRCPC Dr. Karim Jessa is an Emergency Physician and the Chief Medical Information Officer at The Hospital for Sick Children and former Director of Medical Informatics at Mackenzie Health Hospital (formerly York Central Hospital). He is also on staff at North York General Hospital. Dr. Jessa has a special interest in Information Technology and how to use technology to improve how we deliver and process healthcare. He has lectured at various local, national and international venues on both Emergency and IT topics. After completing his Emergency Medicine Fellowship at McGill University in 1996, he spent several years in Saudi Arabia where he was involved in the creation of the Saudi Board of Emergency Medicine. Dr. Jessa has also conducted International work in Tajikistan and Kenya. HARRY JONES MBA Harry Jones is the Co-Founder and Executive Director of the Clarence-Rockland Family Health Team. He is also the founder of PracticePartners, a company that works with physicians to improve primary care. Harry has over 29 years of experience in healthcare; working as a hospital IS Director, a VicePresident Operations for a startup cardiology company, a vendor of health information systems and as a consultant. His expertise includes strategic planning, business transformation, process improvement, performance measurement, benchmarking and program evaluation. He implemented the world’s first paperless hospital in Glasgow, Scotland and the first paperless Family Health Team in Clarence-Rockland. ROMAN D. JOVEY MD Dr. Roman Jovey previously worked as a general practitioner and emergency physician until 1999. Since 1999, he has focused his practice exclusively on outpatient chronic pain management and addiction medicine. Since 1991, he has been the Physician Director of the Credit Valley Hospital, Addictions and Concurrent Disorders Program and during the same time he has been providing outpatient medical management for patients with chronic non-cancer pain. He was the President of the Canadian Pain Society from 2005-2007. Since 2004, Dr. Jovey has been the Medical Director at CPM Centers for Pain Management, headquartered in Mississauga, Ontario. ALAN KAPLAN MD, CCFP(EM), FCFP Dr. Alan Kaplan graduated from the University of Toronto in 1983. He is a family physician practicing in Richmond Hill, Ontario. Dr. Kaplan is on active staff at Brampton Civic Hospital and Chairperson of the Family Physician Airways Group of Canada; he is a Board member of the International Primary Care Respiratory Group and past President of the IPCRG 5th Biennial World Scientific Meeting, “Making Every Breath Count” Toronto 2010. He chairs the Respiratory Medicine Section of the College of Family Physicians of Canada. MARK KARANOFSKY MD Dr. Mark Karanofsky graduated from McGill Medical School in 2002 and completed his family medicine training at McGill in 2004. He spent three years in practice in Ottawa after which he returned to Montreal in 2007. He is a faculty lecturer for McGill University in the department of Family Medicine. His clinical practice is based at the Herzl Family Practice Centre of the Jewish General Hospital seeing patients and teaching residents and students. For the past 7 years he has worked in wound care with an emphasis on diabetic foot ulcer care. 37 DAVID KEAST PEGGY KLEINPLATZ MSc, MD, FCFP PhD Dr. David Keast is a Fellow of the College of Family Physicians of Canada. He has recently retired from community family practice in London, Ontario, but continues to lead the Wound Care Clinic at St. Joseph`s Parkwood Hospital, where he is the Centre Director of the Aging, Rehabilitation and Geriatric Care Research Centre, Lawson Health Research Institute. He is a founding board member and Past President of the Canadian Association of Wound Care (CAWC). He is a respected international leader in wound care delivery, education and authorship, including many of the CAWC Best Practice Recommendations Series. Dr. Pegg y J. Kleinplatz is Professor of Family Medicine at the University of Ottawa. She is Board Certified in Sex Therapy, Sex Education and as a Diplomate in and Supervisor of Sex Therapy. Since 1983, she has been teaching Human Sexuality at the School of Psychology, University of Ottawa, where she received the Prix d’Excellence in 2000. She has served as Chair of Certifications for the American Association of Sex Educators, Counselors and Therapists. Dr. Kleinplatz has edited three books, most notably, New Directions in Sex Therapy: Innovations and Alternatives. KARIM KESHAVJEE MARIE-JOSÉE KLETT MSc, MD, MBA BSc, MD, CCFP, Dip Sport Med Dr. Karim Keshavjee is a family physician with a part-time practice in Mississauga. Karim has over 20 years of experience with designing, developing, researching and implementing electronic medical records. He has consulted to many organizations and has presented on EMRs at national and international conferences. Karim is currently the Clinical Data Architect and EMR Consultant for CPCSSN, Canada’s primary care chronic disease surveillance network, which is managed by the College of Family Physicians of Canada. Karim is an associate member of the Centre for Evaluation of Medicines at McMaster University and an Adjunct Assistant Professor at the University of Victoria. Dr. Marie-Josée Klett completed medical school at the University of Ottawa, followed by a residency in Family Medicine at Dalhousie University. She then returned to Ottawa to complete her sport medicine fellowship. She holds her Diploma in Sport and Exercise Medicine from the Canadian Academy of Sport and Exercise Medicine. She currently practices a mix of family medicine, sport medicine and cardiac rehabilitation in Ottawa. Dr. Klett is actively involved in MSK teaching and is an Assistant Professor in the Department of Family Medicine at the University of Ottawa. She is also involved in event coverage including the 2010 Olympic Games in Vancouver, the 2011 Pan-American Games in Guadalajara, Mexico and the 2012 Paralympic Games in London, UK. SARI KIVES 38 MD, FRCSC CAROLINE KNIGHT Dr. Sari Kives joined the Section of Pediatric Gynecology in 2003, after completing a fellowship at the University of Louisville in pediatric gynecology and advanced minimally invasive surgery. Dr. Kives received her medical degree from the University of Toronto and completed her residency in obstetrics and gynecology at the University of British Columbia. She is currently on staff at The Hospital for Sick Kids and at St. Michael’s Hospital. She is an Assistant Professor at the University of Toronto and actively involved in the Society of Obstetricians and Gynaecologists of Canada. MD, CCFP, FCFP Dr. Caroline Knight has practiced in several communities including rural SW Ontario, Nunavut and now Ottawa. She has made house calls both north and south of the Arctic Circle. She looks after several homebound patients as part of her full spectrum family practice and teaches residents and medical students. DAVID KNOX B. Math, MD, FCFP, DD Dr. David Knox is a family physician with a focused practice in Dermatology. He received a Diploma in Dermatology from RCPS (Glasgow) (2012), certified in Dermoscopy (Cardiff) 2010, and provides skin disease consultation for his colleagues to the Orangeville area. Dr. David Knox is a member and contributor of the International Dermoscopy Society. clinic there in 2005. She acts as the coordinator for the Gynecology part of the Ottawa Family Medicine resident curriculum. Dr. Kuntz has been involved in the development and implementation of the skills transfer portion of the Ontario Benign Uterine Conditions project since 2005, which focuses on teaching primary care providers how to manage problems such as abnormal uterine bleeding and pelvic prolapse. ROSEMARY KOHR MARGARITA LAM-ANTONIADES BScN, MSCN, PhD MD, MScCH, CCFP Dr. Rosemary Kohr served as Advanced Practice Nurse/Wound Care Specialist in the Medicine Program at London Health Sciences Centre in London Ontario for over 15 years. She has provided consultation, education, research and program planning across the continuum of care (acute, community and long term care), as well as the Ontario Ministry of Health and Long Term Care. Dr. Kohr is a Past President of the Canadian Association of Advanced Practice Nurses, Adjunct Assistant Professor (in the Schools of Nursing and Physical Therapy) in the Faculty of Health Sciences at the University of Western Ontario. Dr. Margarita Lam-Antoniades is a Family Physician currently working at St. Michael’s Hospital and Casey House Hospice in Toronto. She completed her Masters Degree with a focus on teaching in the health professions. Dr. Antoniades has been involved in teaching gynecological procedure workshops for medical students, residents and practicing physicians and nurse practitioners for the past five years. She also has a special interest in primary care for women with HIV. CAROLE LAMARCHE Ph.D. Clinical Psychology ERIK KRISTJANSON BSc, MLT Erik Kristjanson is the Outbreak Coordinator for the Public Health Ontario Laboratories, which he first joined in 1984 as a medical laboratory technologist working in Virology and Lyme disease. Erik has a BSc in Microbiology from the University of Toronto, a technical diploma in Microbiology from the Michener Institute and specialist certifications in Microbiology and Virology. Erik has assisted in the response to several large outbreaks including SARS and is a member of the Bioterrorism Response team. CHRISTIANE KUNTZ MD, CCFP, FCFP, NCMP Dr. Christiane Kuntz, an Assistant Professor in the Dept. of Family Medicine in Ottawa since 1994, has been in solo family practice since 1984. In January 2000, she undertook part-time clinical consulting work in mature women’s health at The Ottawa Hospital Shirley E. Greenberg Women’s Health Centre and established a mood disorders Dr. Carole Lamarche’s interest in sleep began when she was an undergraduate in psychology at the University of Ottawa. She pursued this research interest in the Sleep Laboratories of Brock and Queen’s Universities. Since receiving her Ph.D. in Clinical Psychology in 2002 from Queen’s University, Dr. Lamarche has worked both in private practice and public service. She is a member of the College of Psychologists of Ontario and she enjoys working with adults who experience anxiety, depression, and insomnia. Her approaches include Cognitive Behav ioural Therapy, Interpersonal Therapy, Acceptance and Commitment Therapy and Schema Therapy. DARREN LARSEN MD, CFPC Dr. Darren Larsen is a Family Physician in Thornhill, Ontario. He is Lead Physician and IT Lead of the Thornhill Village FHO. As well, he is involved in many Health IT and Quality initiatives at the provincial and national level. These include his role as Physician Advisor, Quality, Innovation and Leadership at the 39 Ontario Medical Association and OntarioMD, being a member of the OMA eHealth Advisory Working Group and Health Links Advisory Panel, sitting on eHealth Ontario’s Business and Technical Standards Committee, acting as CMA’s Clinical Director of Physician Services and Leadership, teaching Practice Management at five universities, and participating as a member of the Cancer Quality Council of Ontario. Besides finishing his BSc at the University of Alberta, his MD at the University of Calgary and residency at the University of Ottawa, he is a recent graduate of the York University’s Schulich School of Executive Management Masters Certification in Physician Leadership. ADRIAN LEANDRO CFP Adrian Leandro became a Senior Financial Consultant at MD Management in 2011. He began working in financial services in 2000. His career includes stints at leading Canadian mutual fund companies, where he worked as a senior financial consultant and business analyst. Adrian earned an Honours in Bachelor of Administrative studies from York University specializing in management. He has earned his Certified Financial Planning designation and is a professional in good standing with the Financial Planning Standards Council. He has also completed the Canadian Securities Course and the Life License Qualification Program. Adrian enjoys playing soccer, golfing and snowboarding. He also enjoys travelling and learning about new cultures. He always welcomes the opportunity to answer your financial planning questions. JOSEPH LEE MD, CCFP, FCFP, MClSc(FM) Dr. Joseph Lee is the Chair and Lead Physician at The Centre for Family Medicine FHT Site Director, KW and Area Family Medicine Residency Program, McMaster University. LINDA LEE MD, MClSc(FM), CCFP, FCFP Dr. Linda Lee has been practicing family medicine in Kitchener-Waterloo since 1988 and is part of the founding group for The Centre for Family Medicine, one of the first Family Health Teams in the province and an academic Family Health Team. Linda is the Director of the Centre for Family Medicine Memory Clinic and has created a highly successful interprofessional model of care for these patients at a primary care level. In partnership with the Ontario College of Family Physicians, Dr. Lee has developed a Memory Clinic Training Program to assist other Family Health Teams and Community Health Centres to develop their own primary care Memory Clinics. For her work, she was awarded the 2009 Regional Family Physician of the Year by the Ontario College of Family Physicians. JENNY LEGASSIE MD, FRCPC Dr. Jenny Legassie obtained her MD from Dalhousie University in Halifax, NS. She completed her core internal medicine residency and general internal medicine fellowship at the University of Western Ontario before completing a fellowship in Palliative Medicine at McMaster University. Dr. Legassie joined the McMaster team in 2009 as assistant professor with clinical appointment in the divisions of General Internal Medicine and Palliative Care (Family Medicine). Dr. Legassie is active in the development of palliative care curriculum for McMaster University residency programs. Clinical and research interests include end of life care and symptom management for patients with chronic, non-cancer diagnoses. GREG LEJA PATRICK LEE CFP, FMA MD, CCFP, FCFP Greg Leja joined MD Physician Services as a Senior Financial Consultant in July, 2008. Previous to this, he worked in Ottawa where he was a Financial Planner with TD Waterhouse from 2004 to 2008. In each of these roles, he has focused on client wealth Dr. Patrick Lee is an Assistant Professor from the Department of Family Medicine at the University of Calgary. He is also the Director of Student Affairs for the Undergraduate Medical Education Program. His 40 research interests are in Autistic Spectrum Disorder, medical student career planning and wellness plus CaRMS application strategies. generation and preservation by using a holistic financial planning. The end result of this process is that of a series of tailored recommendations with the intention of minimizing taxes, optimizing investment returns, reducing risk and ensuring an efficient transfer of wealth to the next generation. Dr. Leja graduated from Carleton University where he obtained his undergraduate degree in Political Science with a minor in Economics. As a Certified Financial Planner (CFP) and Financial Management Advisor (FMA), he also holds his Life Insurance License, Canadian Securities Course, Wealth Management Techniques Course and is in the process of obtaining his Trust and Estate Planning Designation (TEP). MARK LEVSTIK MD Dr. Mark Levstik was born and raised in the GTA, in Bramalea/Brampton and attended the University of Western Ontario before completing his Medical Degree at the Royal College of Surgeon’s in Ireland. He completed his Internal Medicine Residency and Chief Medical Residency at Michigan State University before moving to the University of Iowa for completion of Gastroenterology and Hepatology. Dr. Levstik then returned to London for a Hepatology and Liver Transplantation Fellowship under Drs. Wall, Ghent and Adams, before spending a year at the University of Toronto working with Dr. J Heathcote. Dr. Levst i k Bega n work in Liv ing Related Transplantation and GI Program Director at the University of Tennessee and finally returned to London, Ontario in his present position in the Multiorgan Transplant program. His research interests are in Liver Transplantation, Viral Hepatitis and Autoimmune Liver Diseases, with a more recent focus in Liver Fibrosis and Fibroscan. DAVID LEVY (Hr) BA, MD, CCFP, FCFP, DOHS, Dip Sport MED Dr. David Levy is an Associate Clinical Professor, Dept. of Family Medicine with a cross appointment at the Dept. of Internal Medicine (PM&R), McMaster University; he is also Co-Director of McMaster’s Primary Care Sport and Exercise Medicine fellowship program. Dr. Levy has a focused Sport and Exercise Medicine Practice. He is the Medical Director of The Hamilton Tiger Cats Football Team (CFL), the Medical Director of The Toronto Rock Lacrosse Team (NLL) and staff physician to The Hamilton Bulldogs Hockey Team (AHL). He has been involved in Sport & MSK medicine clinical teaching and research since 1980. PETER LIN MD, CCFP Dr. Peter Lin started his studies in the Faculty of Science and Engineering at the University of Toronto. Midway through, he moved over to the Faculty of Medicine where he completed his studies and with his analytic mindset became involved with research. Over the years it became apparent that there was a wide chasm between research and clinical practice and hence, he moved into clinical practice in primary care and eventually into teaching in order to help bridge this gap. He has served as the Medical Director at the University of Toronto’s Health and Wellness Centre at Scarborough for seven years. Currently, he is the Director of Primary Care Initiatives at the Canadian Heart Research Centre. He continues to be a lecturer and speaker with two busy family practices in Toronto. He has spoken in Canada, United States, Europe, Egypt, Gulf States and Africa. His interests are varied and he has given over 100 lectures in 2010 on various topics. MARGE LOVELL RN, CCRC, Bed, MEd Marge Lovell works at London Health Sciences Centre (LHSC) in London, Ontario as a clinical trials nurse. She is actively involved in clinical trials and teaches clinical trials management at Western University. Marge is Past Chair of the PAD Coalition and President of the Society for Vascular Nursing. She serves on the Vascular Disease Foundation Board. She was instrumental in the formation of the Risk Management program for vascular patients at LHSC. She has numerous publications and is dedicated to promoting awareness of vascular disease to the public. BARRY LUMB MD, FRCPC Dr. Barry Lumb, Professor in the Department of Medicine at McMaster University completed his MD in 1979 and General Internal Medicine and Gastroenterology in 1984, McMaster University. A full time clinician from 1984 – 2008 with a 41 major interest in IBD, interventional endoscopy and particularly ERCP, he has been very involved with health administration and education. He has served on the Royal College Examination Board for five years, including three years as Chair. He was appointed Chief of Medicine at Hamilton Health Sciences in April 2008 and Physician-In-Chief in January 2013. He currently divides his time between focusing on the complex administrative issues of the Department and as an active clinician with interests in interventional endoscopy and resident education. DAVID MACKLIN Dr. Frank Martino is a family physician working as part of the Queen Square Doctors Family Health Team in Brampton, Ontario. Dr. Martino continues to practice obstetrics, emergency medicine and provides in-patient care at William Osler Health Center where he is Chief of Family Medicine. He is currently President of the Ontario College of Family Physicians and has participated in Best Practices Guidelines generation and implementation for many years on projects both provincially and nationally. MD, CCFP PHIL MCFARLANE Dr. David Macklin is a physician trained in family practice at the University of Toronto. He is the Director of the Weight Management Program at the downtown Toronto Medcan Clinic and also runs the Weight Management Program at the Toronto Mount Sinai Hospital High Risk Pregnancy unit. Dr. Macklin has committed his career to the prevention and treatment of obesity and for over nine years has exclusively run multidisciplinary, evidence based weight management programs. MD SALEEM MALIK MA MB ChB (Cantab.) MRCP (UK) PhD FRCPC Dr. Saleem Malik is Section Chair of Internal Medicine at the Northern Ontario School of Medicine. He graduated from Cambridge University and St. Thomas’s Hospital Medical School in the UK, earned a PhD in Cancer Research, worked as a Medical Oncologist Director of Cancer Research at the Northwest Ontario Cancer Center and is currently the Medical Director of the Center for Complex Diabetes Care at Thunder Bay Regional Health Sciences Center. Dr. Malik also has a busy community Internal Medicine practice in Thunder Bay. LARRY MALO MD, CCFP(EM), FCFP Dr. Larry Malo is a family physician in Timmins, Ontario where he has worked for the last 25 years. In addition to a busy practice, he has spent a great deal of time in the ER and the OR where he currently work as an FP-anesthetist. Dr. Malo has both emergency medicine and anesthesia certification from the Canadian College of Family Physicians 42 FRANK MARTINO MD, CCFP(EM), FCFP, Dr. Phil McFarlane is a clinical-investigator in the Division of Nephrology at St. Michael’s Hospital in Toronto and an Assistant Professor at the University of Toronto. At St. Michael’s, he is the Medical Director of Home Dialysis, the Medical Co-Director of the Multidisciplinary Diabetes Complications Clinic and the Chief Nephrologist in the Live Kidney Donor Program. He is a member of the Canadian Diabetes Association Clinical Practice Guidelines group, the Canadian Society of Nephrology guideline group, and the Canadian Hypertension Education Program. Dr. McFarlane has completed his Ph.D. in health economics at the Institute for Medical Sciences at the University of Toronto. His areas of research interest include health economics and outcomes research. He has published over 50 peer-reviewed manuscripts and three book chapters. ALLISON MCGEER MD, MSc, FRCPC Dr. Allison McGeer trained in internal medicine and infectious diseases at the University of Toronto, then completed a fellowship in hospital epidemiology at Yale New Haven Hospital. She is currently a microbiologist and the Director of the infectious diseases epidemiology research program at Mount Sinai Hospital and a Professor in the Department of Laboratory Medicine and Pathobiology at the University of Toronto. Her areas of research interest are the epidemiology of influenza infection, the prevention of healthcare associated infection and adult immunization. DUNCAN MCILRAITH MEG MCLACHLIN MD, FRCPC (Neurology) MD, FRCPC Dr. Duncan McIlraith completed undergraduate studies in biochemistry and his MD at The University of Ottawa. After internship at The Ottawa Civic Hospital, he pursued additional studies in mathematics and engineering at The University of Ottawa. He went on to do two years of internal medicine residency at The University of Alberta and his residency in neurology at McGill University. This was followed by a fellowship in stroke at The Montreal General Hospital, with additional studies in theoretical epidemiology at McGill University. He has since held a faculty appointment at The University of Alberta and is currently appointed to the Faculty of Medicine at The University of Ottawa, where he is actively involved in student and resident teaching. Dr. McIlraith holds staff appointments at The Ottawa Hospital, The Montfort Hospital and The QueenswayCarleton Hospital. His practice is primarily focused on acute care, hospital based neurology. Dr. Meg McLachlin is currently the Medical Director of Anatomic Pathology and Senior Medical Director of Diagnostic Services at the London Health Sciences Centre and a Professor in the Departments of Patholog y and OB/GYN at the University of Western Ontario. She is the Past-Chair of the OMA section on Laboratory Medicine. Nationally, she is a Past Chair of the Canadian Society of Cytology. Currently, she chairs the Pan Canadian Cervical Screening Initiative of the Canadian Partnership Against Cancer. Her academic interests include the development of a standardized, programmatic approach to cervical cancer screening, the appropriate use of new screening technologies and quality assurance in pathology. ROBERT MCKELVIE MD, PhD, FRCPC Dr. Robert McKelvie is the Chair of the Canadian Cardiovascular Society Heart Failure Guidelines; Chair of the Quality Indicators Working Group for Heart Failure of the Canadian Cardiovascular Society/Public Health Agency of Canada; Chair of the Canadian Cardiovascular Society HFCC National Workshop Initiative; Chair of the Cardiac Care Network, Heart Failure Working Group; and a Primary Panelist, of the Canadian Cardiovascular Society Guidelines in Pediatric Heart Failure. Dr. McKelvie is the Medical Director of the Cardiac Health and Rehabilitation Centre as well as the Medical Director of the Heart Failure Program, at the Hamilton Health Sciences. He is a Professor of Medicine at McMaster University, in Hamilton, Ontario. Dr. McKelvie has written over 185 peer reviewed articles, 174 abstracts and given more than 400 lectures and presentations. NICOLA MCLEAN BSc., M.D., FRCPc, Certified Endocrinology Dr. Nicola McLean holds an undergraduate degree in Pharmacolog y and Toxicolog y from Western Universit y in London, Ontario, and Medical Doctor and Internal Medicine Residency from Western University, she also holds a Fellowship in Endocrinology and Metabolism through Dalhousie University in Halifax, Nova Scotia, and is an Adjunct Professor for the Schulich School of Medicine and Dentistry, Western University. Nicola has been instrumental in co-coordinating Diabetes Education Centers and implementing uniform standards of care for Huron-Perth Diabetes Management Teams. GILA METZ MD, CCFP Dr. Gila Metz completed her medical school and Family Medicine residency at the University of Alberta in Edmonton. She has practiced as a Family Physician in Edmonton and Ottawa, and is the Medical Director for Sexual Health with Ottawa Public Health. In this capacity, Dr Metz is involved with provision of clinical services and teaching of medical students and residents as well as medical oversight for the Sexual Health Clinics. 43 AMANDA MIKALACHKI RN, BScN, CDE Amanda Mikalachki is the lead CDE with St. Joseph’s Primary Care Diabetes Support Program in London, Ontario. Amanda has been specializing in diabetes for 12 years with experience working in different diabetes care delivery models: traditional DEC model, Team and Solo practice in Primary Care and Community Outreach. Amanda is also cocreator of the Primary Care Diabetes “Boot Camp,” a Canada-wide program designed to equip primary care RNs, NPs & AHCP with the knowledge, skills and tools needed to take on the role of diabetes prevention and management. JAMES MILLIGAN MD Dr. James Milligan graduated from medical school in 2009. Prior to that he worked as a physiotherapist. Besides a family practice, he is the Director of the Mobility Clinic at The Centre For Family Medicine in Kitchener since 2009. The Mobility Clinic is an accessible inter-professional clinic aimed at improving care for persons with mobility impairments. Dr. Milligan is an Associate Clinical Professor McMaster University Department of Family Medicine and Adjunct Clinical Professor with the Department of Family Medicine at Western University. MICHAEL MILLS MD, CCFP Dr. Michael Mills is a family physician in Hamilton and CCO’s Regional Primary Care Lead for LHIN 4. He has led the development of new Cancer Care Ontario Guidelines for primary care: referral guidelines for colorectal and lung cancer and guidelines for cervical screening. AZADEH MOAVENI BSc MD CCFP Dr. Azadeh (Azi) Moaveni is an Academic Family Physician the University Health Network-Toronto Western Hospital. She is currently the Clerkship Director in the Undergraduate Medical Program and an Assistant Professor in the Department of Family and Community Medicine at the University of Toronto. Dr. Moaveni’s interests include using 44 technology in teaching and creating educational tools for Faculty and Students in a digitized world. Dr Moaveni’s scholarship has been in the domain of Inter-professional Education. Most recently, she has published two papers on core competencies in the realm of family practice nursing and developed an on-line video to highlight these competencies, this tool is used across the country to promote and educate professionals and students on the role of family practice nurses in family practice team environments. SEAN MOORE MD CM, FRCPC, DABEM Dr. Sean Moore is an emergency physician at the Ottawa Hospital. He was Chief of Emergency and Chief of Staff in Kenora from 2002 - 2009. He teaches at the University of Manitoba and the Northern Ontario School of Medicine. Dr. Moore is on the Steering Committee of the Medical Mentoring for Addictions and Pain (MMAP) program of the OCFP and is a mentor for the Ottawa group. SIMON MOORE MD, CCFP Dr. Simon Moore is a graduate of UBC’s medicine program. He completed his residency in Nanaimo in 2012 and subsequently an R3 enhanced skills fellowship in Global Health. Dr. Moore is also involved in national representation as the immediate past president of the Canadian Association of Internes of Residents. SHAWNA MORRISON MS Shawna Morrison is a board certified genetic counselor at the Children’s Hospital of Eastern Ontario (CHEO) in Ottawa. She received her MS in genetic counseling at Brandeis University in Waltham, Massachusetts. Her clinical role at CHEO involves seeing patients for prenatal genetic conditions and genetic counseling referrals for hereditary hemochromatosis. She is the manager of GEC-KO, the Genetics Education Centre – Knowledge for Ontario. ANDREA MOSER LYNN NASH MD, MSc, CCFP, FCFP MD, CCFP, FCFP Dr. Andrea Moser is a family physician with a focus practice in care of the elderly working in long term care and primary care outreach team at Baycrest Geriatric Health Care System. She is an Assistant Professor in the Department of Family and Community Medicine, University of Toronto and Associate Medical Director, Apotex Nursing Home, Baycrest Health Services. In addition she is a Certified Medical Director through the American Medical Directors Association. Dr. Moser is the President of the Ontario Long-term Care Physicians and on the Board of Directors of the Long Term Care Medical Directors Association of Canada. Dr. Lynn Nash has been a family doctor in Ancaster since 1980 and a Past President of the OCFP. She practices full spectrum Family Medicine as a member of the Ancaster FHO and has had electronic medical records for several years. She is an Associate Clinical Professor in the Department of Family Medicine, McMaster University. She has had an interest in osteoporosis and CME for Family Doctors for many years, having served on many advisory boards in both areas, and currently is a member of the Scientific Advisory Council of Osteoporosis Canada as well as Co-Chair of the OCFP Osteoporosis and Falls Prevention Program. PATRICIA MOUSMANIS FRANK NIGRO MD, CCFP, FCFP MD, FRCP(C) Dr. Patricia Mousmanis is a community based family physician who has been the Coordinator of the Healthy Child Development Program for the Ontario College of Family Physicians since 1999. She has been a key member of the HELPinKIDS Team (Help Reduce Immunization Pain in Children) since January 2008. Her role was as a Knowledge Translation and CME expert who collaborated with Vaccinologists, Psychologists, Pharmacists, Nurses and Clinicians. Together this National Team developed and published Canadian Clinical Practice Guidelines (CMAJ December 14, 2010). She is a graduate of the University of Toronto, School of Medicine (1983) and completed her Family Medicine Residency at the Mount Sinai Hospital in Toronto Ontario (1985). She currently works in clinical practice in Toronto and York Regions providing comprehensive Family Medicine care to patients of all ages. She has staff privileges at Markham Stouffville Hospital in Markham, Ontario and York Central Hospital in Richmond Hill, Ontario. Her clinical practice includes antenatal obstetrics, newborn/well child care and counselling. Dr. Frank Nigro received the Degree of Doctor of Medicine at the University of Western Ontario in 1991 and Royal College Certification in Cardiology in 1996. He was Medical Director of Cardiology, 2006 to 2011 and Co-Director of the Stand-Alone Angioplasty. TBRHSC awarded the prestigious Ted Freeman Award for its outreach Cardiac Rehabilitation Program. As Chair for the Save A Heart Campaign, over 5 million dollars was fundraised in support of Cardiac Service for Northwestern Ontario, Dr. Nigro was Associate Professor of Medicine at NOSM, and is Chair of the NWO Summit and Council Member of CCS. His research interests include Heart Failure, Atrial Fibrillation, Acute Coronary Syndromes and Sudden Cardiac Arrest Prevention. PATRICIA O’BRIEN RN, BA, C(Neph)C Patricia O’Brien has been a Registered Nurse for over twenty-five years. Prior to working with the University of Toronto, Patricia held the position of Director, bestPATH, Capacity Building and QI Plans and formerly the Director of Primary Care with Health Quality Ontario (HQO). Prior to HQO she was Director of QI with the Quality Improvement and Innovation Partnership. 45 JASON O’HAYON MD, FRCP(C) Dr. Jason O’Hayon is a consultant pediatrician and allergist. He completed his pediatric and allergy/ immunology training at McMaster in 1996 and 1998 respectively. He is on staff at both HHS and St. Joseph’s and teaches in the undergraduate Medical school. Dr. O’Hayon maintains a private consulting office in allergy in West Hamilton; he is a member of various advisory boards, and performs clinical research in the field of allergy, is a member of the American Academy of Pediatrics along with the American and European Allergy Societies. NANETTE OKUN BScN, MD, FRCSC Dr. Nanette Okun has been a Maternal Fetal Medicine Specialist at Mount Sinai Hospital since 2001. She is an Associate Professor of OB/GYN at the University of Toronto, and is the Medical Director of the Prenatal Screening Program at Mount Sinai Hospital. Her clinical and research interests include advances in prenatal screening in Ontario. ALEXANDRA PAPAIOANNOU BScN, MSc, MD, FRCPC, FACP Dr. Alexandra Papaioannou is a Professor in the Department of Medicine and a Geriatrician at Hamilton Health Sciences, and holds a Canadian Institute of Health Research – Eli Lilly Chair in Osteoporosis and Fracture Prevention. She is Past Director, Division of Geriatric Medicine, McMaster University with joint appointment in the Division of Rheumatolog y, and is an Associate Member in the Department of Clinical Epidemiology and Biostatistics and Medical Sciences. She is a member of the Scientific Advisors of Osteoporosis Canada and the International Osteoporosis Foundation. Dr. Papaioannou is lead author of the Osteoporosis Canada Guidelines published in the Canadian Medical Association Journal October 2010 issue. Dr. Papaioannou is past Chair of the Scientific Advisory Council of Osteoporosis Canada and Chair of the Board. She is the project lead for the Ontario Osteoporosis Strategy for Fracture Prevention in Long-term Care, Co-Director of the Hamilton Canadian Multi-Centre Osteoporosis Study (CaMos) 46 and is leading the Fracture Think Osteoporosis project, a chronic disease management program in Hamilton, Ontario. BRIDGET PATON Bridget Paton has been in the Financial Services industry for 15 years has been working as a Senior Financial Consultant with MD Management for the past eight years. In this role, Bridget assists physicians to achieve their financial objectives by identifying their goals, selecting the most appropriate solutions and making suitable recommendations. Prior to joining MD PSI, Bridget worked with other major Canadian financial institutions managing the assets of high net worth clientele, banking and insurance underwriting. Bridget has an Honors BA in Political Science/Global Economy from York University and holds the Certified Financial Planner (CFP) and Financial Management Advisor (FMA) designations. JENNIFER PEARLMAN MD, CCFP, NCMP, FAARM, ABAARM, CFA Dr. Jennifer Pearlman has been certified as a Menopause Practitioner by the North American Menopause Society (NAMS) and is attending staff physician at the Menopause Clinic at Mount Sinai Hospital in Toronto. She has been awarded a focus practice designation to work as an expert consultant in the area of Women’s Health. Dr. Pearlman is a Fellow of Functional, Anti-Aging and Regenerative Medicine (FAARM) and board certified in Antiaging and Regenerative Medicine (ABAARM). Dr. Pearlman completed her medical school and residency training at The University of Toronto, and graduated with Honours and received numerous scholarships and awards. JOSE PEREIRA MBChB, DA, CCFP, MSc Dr. Jose Pereira is Professor and Medical Chief of Palliative Care Services at Bruyère Continuing Care and The Ottawa Hospital. He is also Head of the Division of Palliative Care, Department of Medicine, University of Ottawa. Dr. Pereira co-lead the development of the Champlain Regional Hospice Palliative Care Program and is currently its medical lead. He is also Provincial Lead for Palliative Care at Cancer Care Ontario. Dr. Pereira is co-founder and co-lead of the Canadian Pallium Project which has developed education programs in support of primary care nationally. In April 2012, Dr. Pereira received the Award of Excellence from the Palliative Medicine Section of the Ontario Medical Association and in October 2012, he received the Queen Elizabeth II Diamond Jubilee Medal via the Canadian Hospice Palliative Care Association. DEVIN PETERSON MD, FRCSC, Dip Sport Med Dr. Devin Peterson is an Orthopedic Surgeon whose specialty interests include Sport Medicine and Pediatric Orthopedic Surgery. He is currently an Associate Professor in the Department of Surgery at McMaster University and a consultant physician at the David Braley Sport Medicine Clinic. KEVIN POTTIE MD, CCFP, MClSc, FCFP Dr. Kevin Pottie is an Associate Professor in the Departments of Family Medicine and Epidemiology & Community Medicine and a Scientist at Institute of Population Health at the University of Ottawa. He recently led the CMAJ Canadian Immigrant Health Guidelines, an internationally unique series covering intestinal parasites, malaria, TB, post-traumatic stress disorder, child maltreatment, diabetes and other topics relevant for primary care. He is a member of the Canadian Task Force on Preventive Health Care and the GRADE Working Group. His current research includes launching a research team to develop and evaluate models for just-in-time communication and decision support for vulnerable migrants. LISA PROKOPICH MD, MSc Dr. Lisa Prokopich is currently a Clinical Professor on Faculty at the University of Waterloo, School of Optometry and Vision Science. She achieved her Honours Bachelor of Science and Doctor of Optometry degrees at the University of Waterloo, after which her Residency training was undertaken in Philadelphia at The Eye Institute of now Salus University. Research interests include ocular surface disease and glaucoma with a Masters in Vision Science achieved in the study of blood flow in health and disease. She is Head of the Ocular Health Clinic and had hospital privileges with the Grand River Hospital for 10 years, as well as maintaining private practice work. Dr. Prokopich has lectured widely and published texbooks, and articles in areas of ocular therapeutics. GEORGINA RALEVSKI BSc, MLT Georgina Ralevski is the Acting Manager for Quality Assurance and Customer Service at Public Health Ontario Laboratories (PHOL). Georgina has a BSc in Microbiology from the University of Toronto. In her role she ensures PHOL provides accurate, timely and appropriate clinical and environmental laboratory services that meet the needs of clients as well as statutory and regulatory requirements through continuous quality improvement activities of the quality management system. Georgina is a medical laboratory technologist and joined the Public Health Ontario Laboratories in 1989 where she assisted in the investigation of large outbreaks, including measles, and SARS, and provided the technical oversight for the hepatitis laboratory. KATHY POUTEAU MEB RASHID BEd, MSc, MD, CCFP BSc, MD Dr. Kathy Pouteau is a family physician working with First Nations in Northwestern Ontario. She provides comprehensive primary care and has been involved in developing and supporting programs providing individuals in isolated communities’ access to buprenorphine/naloxone substitution therapy. Dr. Meb Rashid is the Medical Director of the Crossroads Clinic, a clinic that serves newly arrived refugees in Toronto. He is a co-founder of the Canadian Doctors for Refugee Care, an organization founded to advocate for refugees to access health insurance, and was on the steering committee of the CCIRH, a group that developed evidence based guidelines for the assessment of newly arrived immigrants and refugees. He also co-founded the Christie Refugee 47 Health Clinic, a clinic located in a refugee shelter. Dr. Rashid is on the steering committee of the Canadian Refugee Health Conference and is on staff at Women’s College Hospital in Toronto. ELIZABETH REA MD, MSc, FRCPC Dr. Elizabeth Rea is an Associate Medical Officer of Health with the Tuberculosis program at Toronto Public Health. She is an Adjunct Professor at the Dalla Lana School of Public Health, University of Toronto, and an author of the 2013 Canadian TB Standards. JILL RICE MD, CCFP Dr. Jill Rice is an Assistant Professor in the Division of Palliative Care at the University of Ottawa. She is the lead physician for the Palliative Pain and Symptom Consultation Service at Bruyère Continuing Care and has practiced as a rural family physician, general practitioner in oncology, and palliative care physician. PHILIPPE ROLA MDCM, FRCP(c ) Dr. Philippe Rola is an internist/intensivist trained at McGill University, is the ICU Medical Director at Santa Cabrini Hospital in Montreal and is also an Attending Staff in the ICU at Scarborough General Hospital in Toronto. He is the President of the Critical Care and Ultrasound Institute and has been teaching bedside ultrasound since 2008. He is also an ultrasound instructor for CAE and for WINFOCUS. CURTIS RUSSELL PhD Dr. Curtis Russell is a program consultant with the Enteric, Zoonotic, and Vector-Borne Diseases team at Public Health Ontario. In this role, Dr. Russell provides expert advice and consultative services to Ontario’s public heath units on vector-borne diseases such as West Nile Virus and Lyme disease. He received his doctorate in biology from Brock University with a particular focus on mosquitoes and their potential to transmit West Nile Virus to humans. 48 GWEN SAMPSON MD, CCFP, FCFP, MScCH Dr. Gwen Sampson has been a family physician in Stouffville ON for 23 years. As well as teaching residents in her office, Gwen is the Professional Development representative for teaching practices and rural residency program at the University of Toronto. She has had the privilege of doing workshops in ranging from Moose Factory to Addis Ababa Ethiopia. PAULINE SANTORA B.Sc.Phm., R.Ph., ACPR, PharmD. Pauline Santora is the Clinical Coordinator in the Department of Pharmacy at the Baycrest Centre for Geriatric Care. Pauline completed her Hospital Residency at Women’s College Hospital and PharmD at Midwestern University in Chicago. In addition to working at Baycrest, Pauline also works in a community pharmacy. MARINA SALVADORI MD, FRCPC Dr. Marina Salvadori graduated from medicine at Queen’s University, and did her residency training in pediatrics at the University of Manitoba, Winnipeg. After that, she trained in Infectious Diseases at The Hospital for Sick Children in Toronto. She was working there in May 2000, and joined a team of pediatricians who responded to the call for help from Walkerton. The summer of 2000 was spent working in Walkerton, before then moving to London in October that same year. Dr. Salvadori is currently an infectious diseases consultant at the Children’s Hospital of Western Ontario. She is very interested in vaccine preventable diseases, immunization education and awareness. Dr. Salvadori has advocated locally, provincially and nationally for publicly funded immunizations for children. CARRIE SCHRAM MD, CCFP, MPH Candidate Dr. Carrie Schram is a family physician with fellowship training and a special interest in Women’s Health. Her practice at Women’s College Hospital, Department of Family and Community Medicine includes antenatal care as well as low-risk obstetrical care at Sunnybrook Health Sciences Centre. Dr. Schram also practices low-intervention fertility care at Hannam Fertility Centre and spends a few weeks every year practicing rural medicine in Goderich, Ontario. Dr. Schram is a part time Lecturer and Clinician Teacher at the University of Toronto Department of Family and Community Medicine and is working towards a Master’s of Public Health. BRIAN SCHWARTZ MD, MScCH, CCFP(EM), FCFP Dr. Br ia n Schwa r tz is C h ief, Emergenc y Preparedness for Public Health Ontario. In this role, he leads development of PHO’s preparedness and response activities to health emergencies in support of Ontario’s CMOH, MOHLTC, local public health units and the health system. Dr. Schwartz chaired the Ontario Scientific Response Team during the 2009 H1N1 Pandemic. In 2003 he served as deputy chair of the Ontario SARS Scientific Advisory Committee. Dr. Schwartz practiced Family and Emergency Medicine for over 30 years in community and academic settings, and is an Associate Professor in the Department of Family and Community Medicine, University of Toronto. AMIT SHAH ARYA SHARMA MD/PhD, FRCPC Dr. Arya Sharma was recruited in 2002 from the Humboldt University, Berlin, Germany, to a Canada Research Chair (Tier1) in Cardiovascular Obesity and Management at McMaster University. In 2007 he accepted a position as Professor and Chair in Obesity Research and Management at the University of Alberta. In 2005, he spearheaded the launch of the Canadian Obesity Network, which, with well over 6000 members, has remarkably transformed the landscape of obesity research and management in Canada. FRANKLIN SHEPS MD, CCFP, CCFP(EM), FCFP Dr. Franklin Sheps is a family/emergency physician and a member of the Ontario College ASA planning committee. He is a group leader for a large Family Health Organization and a large Family Health Group and is a consultant to other groups. In addition, Dr. Sheps is the President of Customized Medical Software Solutions Inc. a software and business solutions provided to Ontario doctors since 1991. MD, CCFP(EM), FCFP Dr. Amit Shah is an Associate Professor at the University of Western Ontario, and a Medical Director at St. Thomas-Elgin General Hospital Emergency Department AFA. Amit graduated from U WO Medical School in 1994, and completed a University of Ottawa CCFP EM in 1997. Amit works half time in an academic/tertiary care setting (London Health Sciences), and half time in a community hospital (St. Thomas). Amit has research interest in procedural sedation and is the first author of the first RCT to compare ketofol vs ketamine, published in Annals of EM and recipient of CAEP Best Original Research Award. MARLA SHAPIRO MD, FCPC, FRCPC Dr. Marla Shapiro trained in Family Medicine and in Preventive Medicine and Public Health and has Masters of Health Science in Community Health and Epidemiology. She is the Health and Medical Expert for Canada AM, CTV News Channel and CTV National News. She is an Associate Professor in the DFCM at University of Toronto. IAN SHIOZAKI MD Dr. Ian Shiozaki graduated from the University of Western Ontario in 1979, and his R1 Internal Medicine in Ottawa General Hospital in 1980. Since 1981, Dr. Shiozaki practices Family Medicine in Newboro Ontario. He has an interest in CNMP, FMS, and the use of injections for pain and depression. SAM SCHULMAN MD Dr. Sam Schulman graduated from Karolinska Institute, Stockholm, Sweden in 1977 and became a specialist in Internal Medicine and Hematology. He has worked with coagulation disorders continuously since 1984 and been active in research since 1979 with more than 200 peer-reviewed publications. He is Professor and Director of the Clinical Thromboembolism Program of Department of Medicine, McMaster University. 49 DOUG SIDER LUCIAN SITWELL MD, FRCPC MD, FRCPC Dr. Doug Sider provides scientific and medical leadership on communicable diseases to Public Health Ontario. He has over 20 years of public health experience at provincial and regional levels, with former roles including Associate Chief Medical Officer of Health for Ontario, Director of Infection Prevention and Control, PHO, and Medical Officer of Health/Associate MOH in Waterloo Region, Brant County and Niagara Region. From 2005-2009 he served as Co-Chair of the Provincial Infectious Diseases Advisory Committee. Dr. Sider is an Assistant Professor in the Department of Clinical Epidemiology and Biostatistics, McMaster University and is a fellow with the Royal College of Physicians and Surgeons of Canada. Dr. Lucian Sitwell has been in private neurological practice since 1989. He was born and raised in Regina, Saskatchewan and moved to Victoria, BC in 1971. He completed his degree in organic chemistry from the University of Victoria in 1977 and worked in the chemical industry for a couple of years before entering medical school in 1979. He obtained his medical degree from the University of Ottawa in 1983 and, subsequently, obtained his fellowship in Internal medicine in 1987 and his fellowship in Neurology in 1989. He is the Director of The Ottawa Hospital Headache Clinic and Riverside Headache Research, and a member of the stroke team of The Ottawa Hospital, and has been an investigator in numerous clinical trials and a member of several headache advisory boards. JOSE SILVEIRA B.Sc., M.D., FRCPC, Dip ABAM ANDREW SPARROW Dr. Jose Silveira is an Assistant Professor in the Department of Psychiatry at the University of Toronto; Psychiatrist-in-Chief at St. Joseph’s Health Centre (Toronto) as well as Medical Director of Mental Health and Addiction Programs. He works closely with primary care physicians and is on the steering committee of Ontario College of Family Physicians Collaborative Mental Health Network, and served as Co-Chair for 3 years. Dr. Silveira’s workshops and seminars are designed to be practical and assist family physicians with comprehensive primary care practices, and manage undifferentiated mental and addiction disorders. MD, CCFP JENNIFER SINGERMAN MD, FRCPC, FASN MD, FRCPC Dr. Manish Sood is an Assistant Professor of Medicine at the University of Manitoba. He completed his training at Carleton University in Ottawa, Lancaster University in England, and the University of Toronto. He is the author of over 50 peer reviewed publications. He is founder and Deputy Editor-inChief of the Canadian Journal of Kidney Disease and Health, Canada’s first nephrolog y journal. He is a council member of the Canadian Society of Nephrology and Vice-Chair of the Knowledge Translation committee for CANN-NET. He has been designated a fellow of the American Society of Nephrology. Dr. Jennifer Singerman completed her undergraduate degree at the University of Western Ontario in Honours Mathe-matics. She then moved back to her hometown of Toronto where she completed medical school followed by a residency in Neurology. She did a fellowship in Movement Disorders at Toronto Western Hospital under the supervision of Dr. Anthony E. Lang. She now works as a movement disorders specialist and general neurologist at Sunnybrook Health Sciences Centre and Toronto East General Hospital. In her spare time Jennifer enjoys baking, knitting, and running with her favourite running buddy, her dog Whiskey. 50 Dr. Andrew Sparrow is currently the Co-Director of Undergraduate Education at the University Health Network-Toronto Western Hospital and a lecturer at the University of Toronto. He is an academic family physician involved in undergraduate and postgraduate education. His medical education research interests primarily involve resident feedback and evaluation, and he has been studying new feedback tools for residents. Dr. Sparrow has an interest in the use of technology for enhancing physician productivity and improving patient care. MANISH SOOD MICHAEL STEPHENSON LISA THURGUR MB, ChB, MCI, Fc, M.Sc, CCFP, FCFP, DTM&H MSc, MD, FRCPC Dr. Michael Stephenson is the Founder and Director of Sanctuary Refugee Health Centre in Kitchener, Ontario, and is a staff physician at Access Alliance Multicultural Health and Community Services, a Community Health Centre for refugees in Toronto. Dr. Marian Stuart attended UMDNJ-Robert Wood Johnson Medical School and is a Licensed Psychologist and senior author of The Fifteen Minute Hour. She is an Honorary Member of the American Academy of Family Physicians and is listed in the current issue of Who’s Who in America. Dr. Lisa Thurgur has completed degrees in Science (BSc(hon) - Queen’s; Masters of Science - UBC) and Medicine (MD - Calgary). She undertook her residency in Emergency Medicine with a fellowship in Clinical Pharmacolog y and Toxicolog y at the University of Toronto. She is currently an emergency physician at the Ottawa Hospital and a Clinical Toxicologist at the Ontario Poison Centre. Academic interests, projects and publications include the areas of education combined with both Emergency Medicine and Toxicology. She is involved with formal teaching at both the undergraduate and post graduate levels in the Department of Emergency Medicine, as well as with the Ontario Poison Centre. LORI TEEPLE VU KIET TRAN MD, CCFP(EM), FCFP MD, FCFP, MHSc, MBA Dr. Lori Teeple is an Associate Professor of Medicine and Family Medicine at Western University Schulich School of Medicine and Dentistry. She has a fellowship in teaching from the American College of Emergency Physicians. Dr Teeple is a multiple award winning teacher with expertise in wound care, palliative care, and lifestyle medicine. She has taught internationally and is an author and editor with the Foundation for Medical Practice Education (“Mac modules”) providing educational modules for physician MainPro-C credit. She currently works in a family health team in rural Ontario. Dr. Vu Kiet Tran is an emergency physician and a family doctor who practices in the GTA area. His interests are adult education and curriculum development. MARIAN STUART PhD DEANNA TELNER MD, MEd, CCFP Dr. Deanna Telner is a family physician at the community-based teaching unit of the Toronto East General Hospital and an Assistant Professor in the Department of Family and Community Medicine, University of Toronto. She is also a part-time researcher with a focus on educational research. She was involved in the development of the OCFP’s Benign Uterine Conditions Toolkit and has authored several articles on the diagnosis and management of benign uterine conditions in the primary care setting. KEN TRINH MD, BSc, MSc, PhD (Cand.), DipSportMed, FCFP Dr. Ken Trinh was a team physician for Canada for the 2003 and 2007 Pan American Games He was on the Board of Directors as the Medical Director for Boxing Ontario and is on the Medical Commissions for Boxing Canada. Dr. Trinhy was a team physician for Boxing at the 2004 Olympic Games in Athens, Greece and the boxing pre-competition examining physician at the 2008 Olympic Games in Beijing, China. MARGARET TROMP MD, CCFP, FCFP, FRRMS Dr. Margaret Tromp is a family physician in Picton where she has a full spectrum practice. She is a member of the Prince Edward Family Health Team and an Adjunct Associate Professor in the Department of Family Medicine at Queen’s University. Dr. Tromp spent her early career working in rural and remote areas, including Ethiopia, Labrador, and northern Ontario and Saskatchewan. She is a former Chair of CAGA, (the Collaborative Advisory Group for Family and General Practice Anesthesia 51 in Canada), is on the Section of Teachers Council of the CFPC and the Collaborative Committee for Rural Education. She is the EMR lead for the Prince Edward Family Health Team. RAHIM VALANI MD Dr. Rahim Valani is an emergency physician, with double specialization in adult and pediatric emergency medicine. He obtained his Medical Degree from the Queen’s University and has a Masters in Medical Education from the University of Dundee. He currently is Assistant Professor of Medicine and Pediatrics at McMaster University. In recognition of Dr. Valani’s international outreach activities, he was appointed as a Global Health Scholar at the Peter A. Silverman Centre for International Health, Mount Sinai Hospital, in Toronto. He is also a Co-Director of the International Pediatric Emergency Medicine Elective (IPEME) initiative, which brings together Canadian and Middle Eastern medical students to promote professional cooperation in conflict regions through medical education. SIMONE VIGOD MD, MSc, FRCPC Dr. Simone Vigod’s research program focuses on women with mental health issues across the lifespan. She leads several population-based studies focused on maternal and newborn outcomes for women with serious mental illness in pregnancy and the postpartum period. She also studies how women make decisions about anti-depressant medication use during pregnancy and is developing an interactive electronic patient decision aid to support women with this decision. Further, she recently published a systematic review focused on interventions to reduce rehospitalisation after psychiatric hospital admission and is leading a population-based study designed to create a gender-sensitive tool for identifying individuals at high risk for early readmission. 52 LOUISE WALKER MD, FCFP, Dip. Sport Med Dr. Louise Walker is an Assistant Professor in the Department of Family Medicine, University of Ottawa. She has been Director of the ESFP program in Sport Medicine (2005-2011) and a Past President of the Canadian Academy of Sport Medicine. She is Co-Director of the Ottawa Sport Medicine Centre, and Chair of the Board of Directors of the Canadian Centre for Ethics in Sport. She was an Olympian in 1972 and 1976. BRYNA WARSHAWSKY MD Dr. Bryna Warshawsky is the Associate Medical Officer of Health and Director, Oral Health, Communicable Disease and Sexual Health Services for the Middlesex-London Health Unit. She graduated from McGill University in Medicine in 1986 and completed her Family Medicine Residency at Mount Sinai Hospital in 1988. After working as a family practitioner for three years, she returned to the University of Toronto and obtained a Masters of Health Science Degree in Epidemiology and Biostatistics, and a fellowship from the Royal College of Physicians and Surgeons in Community Medicine. She joined the Middlesex-London Health Unit in September 1994 where her main areas of responsibilities are the prevention and control of communicable diseases, oral health services and the development of sexual health programming. She is currently the Chair of the National Advisory Committee on Immunization and is cross-appointed in the Department of Epidemiology and Biostatistics at the University of Western Ontario. PARVEEN WASI MD, FRCP(C) Dr. Parveen Wasi graduated from Memorial University and completed Hematology subspecialty training at McMaster University in 1993. Dr. Wasi is currently Professor, in the Department of Medicine, Division of Hematology at McMaster University. Her clinical interests include malignant hematology and stem cell transplantation. Her career interest is in medical education. WILLIAM WATSON SARAH WILSON MSc, MD, CCFP, FCFP MD, MSc, CCFP, FRCPC Dr. William Watson is a Staff Physician at St. Michael’s Hospital since 1980. He is Associate Professor at the Department of Family and Community Medicine and the Dalla Lana School of Public Health, University of Toronto In addition to having a busy practice which included obstetrical deliveries for 25 years, he has had a strong focus on medical education over the past 25 years providing workshops to students, residents, and family physicians. He has interests in a wide range of clinical areas including child and maternal health, parenting, postpartum depression and management of cardiovascular disease. Dr. Sarah Wilson is a Medical Epidemiologist in Immunization and Vaccine-Preventable Diseases at Public Health Ontario. In this role, she provides medical and scientific support for the surveillance of vaccine-preventable diseases, immunization coverage assessment, outbreak management and participates in applied research focused on vaccine program evaluations. She completed her Family Medicine Residency at Sunnybrook Health Sciences Centre, is a Fellow of the Royal College of Physicians and Surgeons in Public Health and Preventive Medicine and a graduate of the Canadian Field Epidemiology Program. WAYNE WESTON SCOTT WOODER MD, CCFP, FCFP MD, FRCPC Dr. Wayne Weston is a Professor Emeritus at the University of Western Ontario. He has published over 180 articles and book chapters and is co-author of two books on patient-centered medicine. He has received numerous awards for his work including four national awards for teaching. He is currently chair of the Advisory Committee of the Institute for Health Care Communication. Dr. Scott Wooder received the degree of Doctor of Medicine from the University of Toronto in 1985, and is a family physician that practices in Stoney Creek. He is Associate Lead Physician for the Hamilton Family Health Team and an Assistant Clinical Professor at McMaster University and is a Past-President of both the Hamilton Academy of Medicine and of the Hamilton Civic Hospitals Medical Staff Association. He is a former Chief of the Department of Family Medicine at the Hamilton Civic Hospitals. Dr. Wooder is current President of the Ontario Medical Association and a member of the Board of Directors of the CMA. He has been involved with physician-government negotiations for more than 10 years and served on the Negotiations Committee in 2004-2005, 2008 (as Chair) and 2012 (as Co-Chair). Dr. Wooder played an important part in developing the current Primary Care Payment and Practice Models. DALE WIEBE MD, CCFP Dr. Dale Wiebe completed his Family Medicine training with the University of Alberta at Edmonton’s inner city Boyle McCauley Health Centre. This was followed by completion of the University of Toronto fellowship in Addiction Medicine with the Centre for Addiction and Mental Health. He now serves as the Addiction Medicine Education Coordinator for medical students, residents and fellows. His areas of clinical interest include medical education, opioid dependence and chronic pain. 53 Physician Assistants Optimizing patient care Adjoints au médecin By fostering the Physician/Physician Assistant Model, we can ensure superior care for Canadians and improve access to quality medical care. Optimiser les soins aux patients En favorisant le modèle médecin/ adjoint au médecin, nous pouvons assurer des soins de qualité supérieure pour les Canadiens et les Canadiennes et d’améliorer l’accès aux soins médicaux de qualité. www.capa-acam.ca Wednesday 27 THIRD FLOOR CONVENTION LEVEL TORONTO III TIME CARMICHAEL JACKSON TOM THOMSON CASSON JOHNSTON Harris MacDonald Lismer OSGOODE EAST OSGOODE WEST RICHMOND EAST RICHMOND WEST Registration & Continental Breakfast 07:30-08:30 PAIN BPA ACM MSK OSTE TPSB HCDN LDPI COPD PSYC AWLS Pain & Addiction Primer for the Family Physician Dr. Lisa Bromley & Dr. Roman Jovey Best Practices for ADHD Across the Lifespan Dr. Ainslie Gray Acute Pain Management: Getting It Right Dr. Jim Ducharme & Dr. Sean Moore Joint Assessment Made Easy Dr. Janice Harvey & Ms. Michelle Acorn Osteoporosis Update Dr. Lynn Nash & Dr. Angela Cheung Treating Poverty: A Skills-Based Approach to Addressing Poverty for Family Physicians Dr. Gary Bloch & Dr. Ritika Goel Healthy Child Development: Nutrition & Child Development Dr. Patricia Mousmanis Leadership Development Program: Using the Leadership Framework to Create High Morale & Productivity in the Workplace Oh Dear, What Can the Matter Be? Dr. Dorothy Emslie Using Critical Appraisal to Promote Respiratory Health in Primary Care: A focus on the Role of LInhaled LED CETherapy Maintenance N A in theCManagement of Asthma in COPD Dr. Anthony D'Urzo Psychosis in Primary Care: Core Elements of Management Dr. Jose Silveira AWLS - Advanced Wound Care Life Saving Dr. Lori Teeple & Dr. Rosemary Kohr (starts at 8:00am) 08:30-10:00 CA L NCE LED Nutritional Break 10:00-10:30 10:30-12:00 Buffet Lunch 12:00-13:30 13:30-15:00 IUD ENVI MCI HCDE LDPII APP MEND Intrauterine Contraception: Theory to Practice Dr. Deanna Telner & Dr. Margarita Lam-Antoniades Environment-Linked Illnesses | Pregnancy & Early Childhood Environmental Exposures: Impacts, Prevention, Diagnosis & Management Dr. Margaret Sanborn & Dr. Riina Bray Diagnosis & Management of Patients with MCI & Dementia: Tips for the Family Physician Dr. Linda Lee & Dr. Wayne Weston Healthy Child Development: Enhanced 18 Month Well Baby Visit Dr. Patricia Mousmanis Leadership Development Program: Using the Leadership Framework to Develop Team Effectiveness: Being a Change Champion is Hard Work Dr. Sean Blaine Approach to Psychotherapy in Primary Care; Strategies for Dealing with the Difficult Patient Dr. Jon Davine Diabetes & Depression: Relevance & Identification Dr. Jose Silveira C AN CEL LED Nutritional Break 15:00-15:30 BPR Best Practices in Reducing Unnecessary Tests, Treatments & Care (Don’t Just Do Something – Stand There!) Dr. Frank Martino & Dr. Jennifer Young (from 15:00 - 18:00) 15:30-17:00 17:00-18:00 Session Speakers A-Z Wednesday Thursday Friday Saturday 2013 Exhibits Session Continues Important Information Wednesday PAIN | Pain and Addiction Primer for the Family Physician ACM | Acute Pain Management: Getting It Right LISA BROMLEY & ROMAN JOVEY JIM DUCHARME & SEAN MOORE Patients presenting with the complications of opioid addiction and chronic pain are difficult to manage in the context of a family practice. This one day course is offered to family physicians with a comprehensive family medicine practice who care for pain/addictions patients or those physicians with focused practices in pain and/ or addictions care. Topics include: introduction; before prescribing opioids; safe opioid prescriptions in the office; comprehensive care in pain patients; titration and monitoring of patients; opioid addiction approaches; urine drug testing; management of patients with high opioid doses; and the downside of opioids. This course was codeveloped with Centres for Pain Management (CPM). Acute pain is one of the most misunderstood symptoms that patients present with. We often manage patients who complain of shortness of breath, but readily question the patient who says his/her pain is 10/10. We are suspicious that many patients in the acute care setting are drug seeking. Patients on the ward routinely suffer from oligoanalgesia - not isolated to post-operative recovery. As many as 45% of people admitted to the hospital for non-painful conditions, suffer unrecognized severe pain during their hospital stay. BPA | Best Practices for ADHD Across the Lifespan In this full day workshop, participants will interact through question-based sessions, animated case reviews and small case-based working groups to identify barriers to acute pain management, strategies to overcome those barriers, as well as developing optimal approaches to pain management in various medical settings. AINSLIE GRAY As ADHD is a complex disorder with varying type and severity of symptoms for each individual, choosing the appropriate medical treatment should not be a “one size fits all” process. In order to properly manage ADHD holistically, clinical tools should be used to assess: • Type of symptom • Specific areas of impairment in an individual’s life across multiple settings • Identify and explore any potential co-morbid diagnoses. For children/adolescents, this includes evaluating an individual’s wellbeing in the home, school and community environments. For adults, this requires exploring symptoms within the context of family, social life and work environments. This session will outline tools and recommendations for identifying an individual’s symptoms and levels of impairment in a clinical setting. This outlined comprehensive evaluation process allows a clinician to choose an appropriate medication/dosage depending on the specific needs of an individual and monitor treatment over time. MSK | Joint Assessment Made Easy JANICE HARVEY & MICHELLE ACORN Musculoskeletal Joint examination and assessment is a critical component to correctly diagnosing joint injury and managing musculoskeletal conditions. Health practitioners can be faced with a variety of presentations each day in their practice. Don’t miss out on this interactive, hands-on workshop, which will provide you with an efficient and comprehensive assessment approach to the major joints of the body. The workshop covers examination techniques of the shoulder, back, hip, knee and ankle. OSTE | Osteoporosis Update LYNN NASH & ANGELA CHEUNG 55 Wednesday TPSB | Treating Poverty: A Skills-Based Approach to Addressing Poverty for Family Physicians GARY BLOCH Poverty represents a significant and reversible risk factor for poor health. This half-day workshop is offered to family physicians practicing in Ontario; ari with the goal of learning a simple three-step approach pproach proach to t intervening in patients’ poverty through h the development develo of relevant clinical skills and a deeper eeper eper under understanding of the federal and provincial income sec security systems and related resources. ED L L E NC A Cti workshop, participants will develop, In this interactive ctiv analyze and put into practice an approach to income security benefits-based interventions into poverty as a risk to the health of individual family practice patients. HCDN | Healthy Child Development: Nutrition and Child Development PATRICIA MOUSMANIS This workshop will look at maternal nutrition and dietary intake in the prenatal and postpartum period and its impact on child health outcomes. Information regarding exclusive breastfeeding of the infant and introduction of solids will be reviewed in detail. Iron deficiency, other nutritional deficiencies and health impact of fortified formulas for those children who are not breastfed will be discussed. Introduction of screening tools to utilize in office practice ( e.g. NutriSTEP) will be reviewed. The Healthy Child Development Improving the Odds Manual will be used as a resource. LDPI | Leadership Development Program: Using the Leadership Framework to Create High Morale and Productivity in the Workplace Oh Dear, What Can the Matter Be? 56 COPD | Using Critical Appraisal to Promote Respiratory Health in Primary Care: A focus on the Role of Inhaled Maintenance Therapy in the Management of Asthma in COPD ANTHONY D’URZO Inhaled Maintenance Therapy (IMT) [long acting B2agonists (LABA), long acting cholinergic antagonists (LACA) and the combination of LABA and inhaled corticosteroids (ICS)] are indicated in many patients with (COPD) . These medications are widely and (over) used in Primary Care. Using Critical Appraisal (CA) strategies, this workshop will provide ide participants with the opportunity to engage in an in-dep in-depth review of two articles published in widely ely cited inte international journals, [ 1) Chest 2009; 136:129-1038, 6:129-1038, 2) N Engl J Med 2008; 359: 1543 -1554] 4] dealing w with IMT use in COPD. Touch Pad Technology ogy will b be used to promote interaction. By comparing the he C CA material to current guidelines on COPD management, participants will identify important care gaps related to IMT use in COPD. Participants will spend considerable time highlighting features of both studies, which limit generalization of data to primary care practice. Practical strategies for bridging care gaps related to IMT use in COPD management will be discussed. ED L EL C N A C PSYC | Psychosis in Primary Care: Core Elements of Management JOSE SILVEIRA This workshop provides family physicians with a practical approach to managing patients with psychotic disorders independent of diagnostic category, and guides decision making in managing patients over the long term. The workshop was designed to address the needs of primary care physicians that experience insufficient support from formal psychiatric services or where such services are in short supply. DOROTHY EMSLIE AWLS | AWLS - Advanced Wound Care Life Many family physicians realize that there is more to a family practice than ‘seeing patients’. A positive and supportive work environment is what they expect, for themselves, colleagues, staff and patients. It can be challenging entering a new practice. Even established physicians one day may realize that their work environment has deteriorated over time. Often, the first sign of this and the wake-up call is from patient complaints or from the observations of a new physician joining the practice. This scenario is created to engage the participants in a real life situation in a family practice where dissatisfaction in the office environment has been identified. Saving LORI TEEPLE & ROSEMARY KOHR AWLS is a hands on, case-based course in wound care. It includes three modules: Leg ulcers, diabetic foot, and pressure/traumatic skin breakdown along with skin and soft tissue infection. Wednesday HCDE | Healthy Child Development: Enhanced MCI | Diagnosis and Management of Patients 18 Month Well Baby Visit with MCI and Dementia: Tips for the Family Physician PATRICIA MOUSMANIS This workshop will look at how primary care practitioners can optimize proactive health and developmental surveillance. The enhanced 18 month well child visit will be used as an example of an opportunity to do a full review of parent child interactions, evidence regarding clinical manoeuvres that need to be done and discussion of the role of child care and other community resources. Clinical Practice Guidelines developed by the OMA and the OCFP will be discussed. The Healthy Child Development Improving the Odds and Facing the Challenges Manuals will be used as resources. ENVI | Environment-linked Illnesses | LINDA LEE & WAYNE WESTON It is estimated that 2/3 of persons in the community with dementia are undiagnosed and untreated, with significant implications for future health resource utilization in view of our aging population. Better identification and management at a primary care level is essential. Based on the successful accredited Memory Clinic Training Program developed by The Centre for Family Medicine and the Ontario College of Family Physicians, this case-based interactive session provides the busy family physician with pearls on the diagnosis and management of patients with Mild Cognitive Impairment and Dementia in ambulatory care. Pregnancy & Early Childhood Environmental Exposures: Impacts, Prevention, Diagnosis and Management IUD | Intrauterine Contraception: Theory to MARG SANBORN & RIINA BRAY DEANNA TELNER & MARGARITA LAM-ANTONIADES Environmental exposures in preconception and during pregnancy are associated with many serious childhood conditions. In addition, fetal exposures are now recognized to contribute to the development of adult diseases. Environmentally attributable disease includes common conditions such as reduced IQ, behavioural disorders, obesity and diabetes - costing billions of dollars for Canada. This hands-on, interactive workshop will review the current copper and hormonal intra-uterine devices available and discuss the benefits, risks and counselling issues surrounding their use. Insertion techniques and troubleshooting challenging situations will be discussed and practiced on state-of-the-art gynecological models. This module will focus on abnormal birth outcomes such as low birth weight, neurodevelopmental problems in the early years, and conditions of immune dysfunction, such as allergies and asthma. The evidence for associations between environmental exposures and poor health outcomes in early childhood will be reviewed. Effective tools for reducing prenatal and early childhood exposures will be identified and used in small groups with clinical cases. Participants will be able to assess and modify their current office tools for preventing and diagnosing environment-related illness in preconception, pregnancy and childhood up to age four. Using the Leadership Framework to Develop Team Effectiveness: Being a Change Champion is Hard Work Practice LDPII | Leadership Development Program: SEAN BLAINE Family physicians often work in team-based settings. While collaborative teams can enhance patient care and professional satisfaction, they can be challenging to build, especially if you are not in a formal leadership position with authority. This case scenario is designed to stimulate a discussion of how a change champion is created and how a change champion, without the benefit of formal leadership, title or authority can exert informal leadership to achieve change. 57 Wednesday APP | Approach to Psychotherapy in Primary Care: Strategies for Dealing with the Difficult Patient MEND | Diabetes and Depression: Relevance JON DAVINE Diagnosing and treating patients with Diabetes Type II is assisted by the availability of objective investigations and quantifiable outcome measures. Nonetheless, optimal management remains a challenge for many patients. Symptoms of depression commonly cooccur with Diabetes (I and II) but ut can be difficult to disentangle because of overlapping apping pping ssymptoms. In this workshop, participantss will review the remarkably robust evidence for the clinical relevance of identifying and treating major depre depression in their patients with diabetes including ncluding cluding patients p with brittle control. We will then clarify arify the practical aspects of treating comorbid diabetes and depression and explain how to use laboratory measures of diabetes to also monitor the treatment of depression. Finally, participants will learn about which antidepressants improve diabetes and which can complicate diabetes. This workshop is practical and treatment focused with material intended for a busy primary care setting. Approach to Psychotherapy in Primary Care Patient visits to a family physician may predominantly involve 25%-35% psychological issues. Due to their longitudinal relationship with their patients, family doctors have lots of opportunities to do meaningful psychotherapy with their patients. In the first part of this workshop, we present two different types of psychotherapy, those being “supportive” therapy and “change” therapy. We discuss how to choose the appropriate therapy for the appropriate person and at the appropriate time. We discuss “supportive” therapy and how to best apply this in the primary care setting. We then will focus in some detail on “change” therapy, particularly Cognitive Behavioural Therapy (CBT). We discuss techniques of CBT, including setting up cognitive logs and how to challenge distorted thinking patterns. We go on to discuss setting up behavioural homework as a therapeutic modality to complement the cognitive work. In the second part of the seminar, we will distribute several patient problems involving psychotherapeutic issues. Participants will break up into small groups for an opportunity to directly practice some CBT techniques around these patient problems. Strategies for Dealing with the Difficult Patient Personality Disorders have been shown to have a lifetime prevalence of 10%-13%. Thus, they play an important part of the family physician’s caseload. The goals of this workshop are to help understand the salient features of all the personality disorders, focusing predominately on the borderline and narcissistic types. Participants will learn how to treat these different personality types from both a psychotherapeutic and psychopharmacologic standpoint. Participants will learn about issues of dealing with the feelings these people bring out in the doctor. Participants will be encouraged to bring up difficult cases they have dealt with in their practices. 58 and Identification JOSE SILVEIRA ED L EL C N A C BPR | Best Practices in Reducing Unnecessary Tests, Treatments and Care (Don’t Just Do Something – Stand There!) FRANK MARTINO & JENNIFER YOUNG In an interactive workshop setting, participants will explore Best Practices Guidelines and evidence that either supports or refutes many common practices that are part of our work day. Through case based examples we will review the evidence that may or may not support the use of various tests, screening tools and treatments to help the clinician utilize resources appropriately. Attend and discover what you may be ordering or prescribing that may have no support in the scientific literature. In the words of Spike Lee “Time to do the right thing.” Thursday 28 CONVENTION LEVEL TIME TORONTO III CARMICHAEL JACKSON TOM THOMSON CASSON Annual Regional Meeting Region 1 Annual Regional Meeting Region 2 Annual Regional Meeting Region 3 Annual Regional Meeting Region 4 JOHNSTON TORONTO I HARRIS MACDONALD LISMER Annual Regional Meeting Region 5 Annual Regional Meeting Region 6 Annual Regional Meeting Region 7 OPUS OSGOODE EAST OSGOODE WEST RICHMOND EAST/WEST YORK EAST SIMCOE S111 S112 Registration & Continental Breakfast 07:30-09:00 09:00-09:15 Dr. Frank Martino Introductory Remarks - (TORONTO I) 09:15-10:15 Keynote Speaker: Dr. Mark Tremblay - (TORONTO I) Nutritional Break 10:15-10:45 S101 S102 Behavioral Treatment of Obesity: Overcoming Overeating Dr. David Macklin State of the Art Pearls for Managing Asthma in Primary Care Dr. Anthony D’Urzo 10:45-12:15 General Sessions GEN101 GEN102 GEN103 AAD S103 Practical Office Management of Comorbid Alcohol & Anxiety Disorders Dr. Jose Silveira Driving & Dementia; Practical Tips for Family Physicians Dr. Linda Lee S113 S114 Housecalls 101 Dr. Caroline Knight Symptomatic Vulvovaginal Atrophy at Menopause: Identification & Management Dr. Marla Shapiro 13:30-15:00 General Sessions GEN110 GEN111 GEN112 S104 S105 WS101 S106 S107 S108 S109 S110 Red Flag Headaches in the Office & ED Dr. Amit Shah Diagnosis & Management of Chronic Kidney Disease Dr. Ayub Akbari The Red Face: A Case Based Approach Dr. Jessica Howard First Trimester Bleeding & Early Pregnancy Loss: Current Practice & Future Directions Dr. Carrie Schram Top 10 Clinical Tips on Symptom Management D O L T! for SPatients U with Advanced O Cancer Dr. Jose Pereira & Dr. Sandy Buchman Borderline Personality Disorder: Management Strategies for Family Physicians Dr. James Goertzen Ocular Inflammation Dr. Lisa Prokopich Performance Measurement in Primary Care Mr. Harry Jones S122 S123 OCFP Annual General Meeting Bagged Lunch 12:15-13:30 General Sessions S115 Does My Mother/ Father Have Dementia ? Dr. Linda Lee GEN104 GEN105 GEN106 General Sessions GEN113 GEN114 GEN115 Top 10 Apps Being part of a for Your Successful FHO Smartphone or – Improving Tablet: Teaching Your Individual & Learning in & Group the Office Success Dr. Azadeh Dr. Franklin Moaveni, Sheps Dr. Andrew Sparrow & Dr. David Esho Bagged Lunch S116 S117 S118 Approach to the Diagnosis & Management of Tremor Dr. Jennifer Singerman Medications & Kidney Disease: What to Know, What to Fear, What to Do Dr. Manish Sood Got TB? An Update for Primary Care from 2013 Canadian TB Standards Dr. Elizabeth Rea & Dr. Sarah Brode LD S O U T! O S119 S120 Heart Failure Are Your Vaccine Management Decisions Up to 2013 Date? Dr. Michelle Hart & Dr. Mike Dr. Sid Feldman Stephenson LD S O U T! O S121 Fireside ChatDiscussions of D Audience Cases LLE CofELife in End N C A Care Dr. Ingrid Harle Genomics & Opioid Addiction Primary Care, Are & Treatment with You Prepared? Buprenorphine LED CEL Dr. June Carroll, in Northwestern N C A First Nation Dr. Sean Blaine, Ontario Dr. Judith Allanson Communities & Shawna Dr. Claudette Morrison Chase & Kathy Pouteau WS102 WS104 Dermoscopy: How to Improve Your Management of Pigmented Lesions Dr. David Knox Ultrasound of the Spine for Regional LED CEL Anesthesia N CDr.A Margaret Tromp Nutritional Break 15:00-15:30 S124 S125 Rotavirus, Pertussis & Invasive Meningococcal Disease Vaccine Programs in Ontario: What’s New & What May be on the Horizon Dr. Sarah Wilson, Dr. Shelley Deeks & Dr. Bryna Warshawsky Common Referrals to Hematology: Approach LDto! SOApproach Anemia; T OU of to the Diagnosis Hemochromatosis; Approach to Monoclonal Gammopathies Dr. Parveen Wasi General Sessions GEN107 GEN108 GEN109 General Sessions S126 Fibromyalgia & Chronic Pain Not As Hard As It Looks Dr. Ruth Dubin & Dr. Ian Shiozaki GEN116 GEN117 GEN118 S128 S129 S130 S131 S132 WS102 WS105 Adolescent Alcohol/Drug Use in Primary Care Dr. Michael Cheng What Will I be When I Grow Up? Medical & Non-Medical Professional Options for the Doctors of Tomorrow Dr. Vu Kiet Tran Sorting Out Dizziness Dr. Wayne Hanson Testosterone Replacement Therapy for Men and Women? Dr. Jerald Bain Do We Really Know What We’re Doing: Treating Patients Based on Evidence vs. Other Questionable Stuff Dr. Jamie Falk Dermoscopy: How to Improve Your Management of Pigmented Lesions Dr. David Knox Polypharmacy in the Elderly Dr. Anne Holbrook LD S O U T! O LD S O U T! O LD S O U T! O President Installation & Awards Ceremony - (TORONTO I) 17:30-19:00 Mainpro-C General Sessions Saturday Workshop Friday 2013 Exhibits Session Thursday Session Continues S127 Management of CHF with Comorbitities Dr. Robert McKelvie Wednesday 15:30-17:00 GOVERNOR GENERAL MAIN LOBBY LEVEL Speakers A-Z 07:30-08:30 THIRD FLOOR Important Information Thursday 28 Convention Level Convention Level Tom Thomson Toronto I 10:45-11:10 GEN101 Allergy Testing Dr. Sari Herman-Kideckel 10:45-11:10 GEN110 The Influenza Update Dr. Marina Salvadori 11:10-11:35 GEN102 Urticaria and Angioedema Dr. Sari Herman-Kideckel 11:10-11:35 GEN111 Emerging Infectious Respiratory Diseases: Role of the Family Physician & Dr. Brian Schwartz 11:35-12:00 GEN103 Primary Prevention of Allergies in Children - Is it Possible? Dr. Adelle Atkinson 11:35-12:00 GEN112 The Impact of HPV Vaccine Dr. Marina Salvadori 12:00-12:15 Questions and Answers 12:00-12:15 Questions and Answers 13:30-13:55 GEN104 Hypertensive Crises - When It's Really a Crisis Dr. Amit Shah 13:30-13:55 GEN113 Alpha One Antitrypsin Deficiency; What the Primary Care Physician Needs to Know Dr. Alan Kaplan 13:55-14:20 GEN114 Will You Recognize That Case of TB? Dr. Alan Kaplan GEN105 13:55-14:20 Dyslipidemia: Lots of Good Evidence, Less Good Interpretation Dr. G. Michael Allan 14:20-14:45 GEN106 Is There A Role for Primary Prevention in Hyperlipidemia Dr. G. Michael Allan 14:20-14:45 GEN115 Will You Recognize That Case of Pertussis? Dr. Alan Kaplan 14:45-15:00 Questions and Answers 14:45-15:00 Questions and Answers 15:30-15:55 GEN107 Suicide Risk Assessment - Best Evidence Dr. Amit Shah 15:30-15:55 GEN116 Herpes Zoster Dr. Marina Salvadori 15:55-16:20 GEN108 It's Overgrown Toeskin NOT Ingrown Toenail Dr. Henry Chapeski 15:55-16:20 GEN117 Cardiovascular Assessment: Is CRP Part of a Comprehensive Risk Profile or Clinically Redundant Practice? Dr. G. Michael Allan 16:20-16:45 GEN109 The Future of Palliative Care Ms. Denise Marshall 16:20-16:45 GEN118 Resuscitation- The First 15 Minutes Dr. Andrew Arcand 16:45-17:00 Questions and Answers 16:45-17:00 Questions and Answers Thursday AAD | Practical Office Management of Comorbid Alcohol and Anxiety Disorders GEN104 | Hypertensive Crises - When It’s Really a Crisis JOSE SILVEIRA AMIT SHAH The treatment of anxiety disorders in a primary care setting can be complicated by several factors. A common challenge is the patient who is a known alcohol drinker that presents with complaints of anxiety or anxiety related symptoms. A busy office practice with multiple demands adds to the challenge of managing such cases. This workshop will thus focus on practical tips to managing this comorbid problem in your busy practice. We are often faced with patients with severe elevations in blood pressure. What is actually considered severe? When should this be treated and when should we manage expectantly? What agents should be used? When should they be sent to emergency? What investigations are useful? What follow-up is necessary? This lecture will provide management pearls for this common presentation. GEN101 | Allergy Testing GEN105 | Dyslipidemia: Lots of Good SARI HERMAN-KIDECKEL Evidence, Less Good Interpretation At the end of this session the learner will: G. MICHAEL ALLAN • Refer appropriate patients for allergy testing In this session, we will examine the evidence for management of dyslipidemia and how we apply that in primary care. We’ll review the evidence for different lipid based therapies (including diet) and consider targeted lipid therapy (triglycerides, HDL or LDL). We’ll talk about the expected benefits for each drug, what that means to you and how to communicate that to your patients. • Identify those patients for whom allergy testing is urgent • Counsel patients on routine avoidance measures prior to referral GEN102 | Urticaria and Angioedema SARI HERMAN-KIDECKEL GEN106 | Is There a Role for Primary At the end of this session the learner will: G. MICHAEL ALLAN • Recognize when urticaria/angioedema represents an emergency • Make a provisional diagnosis of underlying causes of urticaria/angioedema • Manage patients rationally based on underlying cause GEN103 | Primary Prevention of Allergies in Children - Is it Possible? ADELLE ATKINSON Atopic diseases (asthma, allergies- food/environmental, atopic dermatitis) are common in children, and as such are a large part of any primary care practice. This session is designed for the practicing clinician and will address issues around the concept of primary prevention of atopic diseases in at risk populations. Participants will learn about the current guidelines and recommendations on the subject, as well as how to advise their high risk patients and their families. Prevention in Hyperlipidemia In this session we will review the evidence for screening and testing cholesterol in primary prevention (patients without cardiovascular disease). We’ll next consider how to apply cholesterol numbers and target treatment (referencing the 2012 Canadian guidelines and evidence) and if the two coincide. We’ll then discuss drug choice, dose and testing (monitoring). GEN107 | Suicide Risk Assessment - Best Evidence AMIT SHAH The majority of patients who commit suicide have contact with a primary care provider in the year prior to their death. This presentation will review practical tools that can assist us in gauging suicide risk and devising appropriate interventions. 59 Thursday GEN108 | It’s Overgrown Toeskin NOT Ingrown Toenail GEN112 | The Impact of HPV Vaccine HENRY CHAPESKI Review the most recent recommendations about HPV vaccine, including the risks of disease and options for prevention in men. This is an innovative approach to an old problem. The term ingrown toenail incriminates the nail as the causative factor; however, there is excellent evidence-based research demonstrating that there is no nail abnormality and that the problem is due to an excessive amount of soft tissue. Removal of this tissue results in less bulging over the nail with weight bearing and eliminates the problem. The nail is not touched! The technique is technically simple and can easily be performed in the family physicians’ office. The result is cosmetically excellent and the problem will never recur! GEN109 | The Future of Palliative Care DENISE MARSHALL The vast majority of patients with diabetes are sedentary. The role of the family practitioner in motivating lifestyle change is critically important. To effectively communicate with these patients, the practitioner must first “know the talk” then “walk the talk” then “talk the walk”. Practical ideas on how to coach patients dealing with diabetes toward a life-routine of appropriate exercise will be presented. GEN110 | The Influenza Update MARINA SALVADORI Review the most recent recommendations about influenza vaccine, including the use of Flumist. GEN111 | Emerging Infectious Respiratory Diseases: Role of the Family Physician BRIAN SCHWARTZ In 2013, H7N9 avian influenza in China and Middle East Respiratory Syndrome (MERS-CoV) made headlines throughout the world. Ontario has experienced both pandemic influenza in 2009 and the SARS coronavirus epidemic of 2003. What have we learned from these experiences? In particular, what are family physicians’ roles in the identification, prevention, control and clinical management of these and other emerging infectious respiratory diseases? Dr. Schwartz will review these novel diseases from clinical, public health and emergency management perspectives, and provide guidance for family physicians in protecting patients and staff. 60 MARINA SALVADORI GEN113 | Alpha One Antitrypsin Deficiency: What the Primary Care Physician Needs to Know ALAN KAPLAN This presentation will introduce you to the most common genetic condition we treat; that of Alpha One Antitrypsin Deficiency (A1AT). We will review its epidemiology, who should be screened for it and how to treat those patients with this entity. It will make you wonder how many of these patients are currently actually in your practice! GEN114 | Will You Recognize That Case of TB? ALAN KAPLAN While a relatively uncommon disease in Canada, you need to be able to recognize a TB presentation in practice; do you think you can? We will review how to appropriately investigate and provide the first steps for the clinician for cases of suspected TB. We will also differentiate between active and latent TB and clarify these issues for you. GEN115 | Will You Recognize That Case of Pertussis? ALAN KAPLAN The first outbreak of pertussis was described in the 16th Century, and was a major cause of childhood fatality prior to vaccination. Yet we still get outbreaks of this disease, with severe possible repercussions ranging from cough to death. How to recognize, treat and prevent this disease will be reviewed in this lecture. Don’t miss it, you do not want to miss a case of whooping cough! GEN116 | Herpes Zoster MARINA SALVADORI Review the most recent recommendations for the use of Herpes Zoster vaccine, including its use in those with a history of zoster and those on immune suppressive therapy. Thursday GEN117 | Cardiovascular Assessment: Is S102 | State of the Art Pearls for Managing CRP Part of a Comprehensive Risk Profile or Clinically Redundant Practice? Asthma in Primary Care G. MICHAEL ALLAN Information on asthma management is growing at an alarming rate and challenges related to knowledge translation appear to contribute to broadening care gaps. This session will provide a state-of–the-art ,practical review of current and evolving asthma management strategies; it will include a discussion of where current guidelines may fall short in promoting optimal management among patients cared for by family physicians. Care gaps related to current asthma management guidelines will be identified and bridged using pivotal studies relevant to primary care. Specific areas that will be addressed will include: a) the use of inhaled corticosteroids (old and new), b) practical strategies for objective diagnosis of asthma, c) safe use of long-acting B2- agonist, d) improving the care of the severe asthmatic and e) the use of action plans. In this session we will review the utility of CRP testing. To start, we’ll examine risk assessment tools and the added benefit of extra biochemical markers. We then consider CRP specifically, looking at the additive value to CRP in individual patients and changing it’s risk categorization. The relevance of risk categorization shifts will be discussed. We’ll finish by reviewing the monitoring of CRP and drugs that reduce CRP. GEN118 | Resuscitation - The First 15 Minutes ANDREW ARCAND Resuscitation – the First 15 Minutes, is a fast paced case based review of potentially life threatening situations. Critical and time sensitive actions that may have dramatic implications on patient outcomes are reviewed. The talk is geared towards family physicians that practice part time or occasional emergency medicine. You will leave with some key reminders that may impact patient care decisions on your next shift. S101 | Behavioral Treatment of Obesity : Overcoming Overeating DAVID MACKLIN This presentation will demonstrate a novel perspective on behavioural weight management treatment that combines classic evidence based methods with the rapidly evolving research of food reward. A reward pathway context is used to explain the behavioural weight management principles of stimulus control, cognitive restructuring and self monitoring. A timeline based understanding of the pathology of overeating is used to explain how the phenomena of physical hunger, priming and negative emotions can up modulate wanting and how exercise can down modulate wanting. Critical therapy principles will be discussed such as cue avoidance, non expectancy, permission thinking and counter dialogue development. ANTHONY D’URZO S103 | Driving and Dementia: Practical Tips for Family Physicians LINDA LEE With the aging Canadian population and estimates of approximately one-quarter of persons over age 65 suffering from either Mild Cognitive Impairment or Dementia, family physicians will be increasingly challenged with concerns about fitness to drive. In most provinces including Ontario, it is mandatory to report potentially medically unfit drivers to transportation authorities. This session will provide the busy family physician with practical tips on dealing with driving fitness in the senior who is cognitively impaired. S104 | Red Flag Headaches in the Office and ED AMIT SHAH This is a fast paced, case based review of common primary care presentations for headache. The participant will be able to identify clinical features and appropriate investigations and management for subarachnoid hemorrhage, viral encephalitis, meningitis, temporal arteritis and idiopathic intracranial hypertension. 61 Thursday S105 | Diagnosis and Management of Chronic Kidney Disease S108 | Borderline Personality Disorder: Management Strategies for Family Physicians AYUB AKBARI JAMES GOERTZEN By the end of this session you will: Patients with a borderline personality disorder struggle with instability in self-image, affect regulation, impulse control and interpersonal relationships. Frequent selfinjury and testing of patient physician boundaries can lead to frustration and/or burnout for family physicians willing to form a therapeutic relationship. Effective management strategies incorporate principles from dialectical behavioral therapy that can be readily embraced by family physicians and applied within their clinical settings. Key is developing and maintaining a supportive physician patient relationship. Within this relationship, appropriate boundaries are defined and maintained, ongoing negotiation becomes a key feature and where mutual respect by both physician and patient is nurtured. • Recognize when an EGFR requires further investigations • Understand the importance of measuring protein in the urine • Order rationale investigation for newly detected CKD in the clinic (pre-referral) • Safeguard the patient with early CKD against nephrotoxic therapies S106 | First Trimester Bleeding and Early Pregnancy Loss: Current Practice and Future Directions CARRIE SCHRAM First trimester bleeding complicates approximately 2530% of all pregnancies and up to 50% of women who experience first trimester bleeding will have a spontaneous abortion. The majority of women with first trimester bleeding will present to primary care providers in the office or emergency department. The majority of patients will be worried and seeking important information about the risks to the current pregnancy and possible implications for future pregnancies. Understanding the etiology, red flags and current standards of management of first trimester bleeding and early pregnancy loss is essential for all family physicians providing clinical or emergency department care. Knowledge of potential future directions in the diagnosis and management of first trimester bleeding and early pregnancy loss will help prepare members of the audience for patient questions and optimal clinical practice in the years to come. S107 | Top 10 Clinical Tips on Symptom Management for Patients with Advanced Cancer JOSE PEREIRA & SANDY BUCHMAN This presentation will provide useful clinical tips on managing symptoms such as pain, weight loss, nausea, dyspnea and delirium – for the busy practitioner. 62 S109 | Ocular Inflammation LISA PROKOPICH This course considers the diagnosis of some common ocular inflammatory conditions that present to primary care physicians and optometrists including infection, ocular surface disease and uveitis. The major pharmacologic classes of medications used to treat these conditions will be discussed. Specifically, the clinical uses, drug selection, dosing, advantages and disadvantages of ophthalmic steroids as well as the contraindications and adverse effects. S110 | Performance Measurement in Primary Care HARRY JONES This presentation is intended as a practical discussion of performance measurement in primary care. Using the Clarence-Rockland Family Health Team as the example, we discuss why you should measure performance in primary care, what useful metrics might be and review our experience both good and bad. Thursday S111 | Top 10 Apps for Your Smartphone or S113 | House Calls 101 Tablet: Teaching and Learning in the Office CAROLINE KNIGHT AZEDAH MOAVENI, DAVID ESHO & ANDREW SPARROW For some patients, particularly frail elders, going to the doctor’s office is an immense challenge, if not an impossibility. This workshop aims to show practicing family physicians how to incorporate care of frail patients who need house calls into practice. Topics covered will include the who, what, when, why and how of house calls. Billing in various care models will also be discussed in this interactive workshop. Adapting to technology use in the clinical and teaching environment can be challenging in a busy family physician’s office. Students often use smartphones or tablets to help them navigate information. This workshop will introduce participants to applications that can be used to help teach and practice family medicine. By the end of this workshop participants will be able to: • Identify smart phone/tablet applications that will help them in practice and teach medical students on a daily basis • Use these applications to make clinical practice more efficient and fun in a working and teaching environment • Use tools to identify new apps that may be of use to them on an everyday basis S112 | Being Part of a Successful FHO – Improving Your Individual and Group Success FRANKLIN SHEPS Seminar content will depend on participant’s needs and level of knowledge S114 | Symptomatic Vulvovaginal Atrophy at Menopause: Identification and Management MARLA SHAPIRO Vuvlovaginal atrophy remains the taboo topic with care givers and patients alike often not addressing this important area. Unlike vasomotor instability, VVA gets progressively worse in menopause. This session will help the participant to employ careful interviewing to identify patients with symptoms of vulvovaginal atrophy, as well as differentiate vulvovaginal atrophy from conditions with similar symptoms. In addition, we will discuss how to implement strategies for the treatment of symptomatic vulvovaginal atrophy, in line with evidence based guidelines. As well, this session will integrate the most recent data on the safety of localized estrogen therapy in a variety of patient populations. Core material – how to decide whether to move to a FHO • What are the material differences between FHO and FHG S115 | Does My Mother/Father Have Dementia? • Are you the right fit for a FHO LINDA LEE • What to look for in colleagues for a FHO, Within the next few decades, it is estimated that nearly ¼ of the Canadian population will be age 65 or older, of whom ¼ will have a memory disorder (mild cognitive impairment or dementia). Family physicians will be increasingly asked by patients and family members to address memory concerns. Based on the successful accredited Memory Clinic Training Program developed by The Centre for Family Medicine and the Ontario College of Family Physicians, this case-based interactive session will provide the busy family physician with pearls on addressing common family member concerns about memory disorders. Specifically, this session addresses common questions such as: Does my mother/father have dementia?; Should he/she be referred to a specialist?; What are my chances of getting this?; Can my mother/father still make decisions?; and What help is available for us? • Does an FHO make economic sense for you • Details, details, details how to maximize your billings in a FHO environment • How to use a FHO to improve your life style • How to use a FHO to improve patient care • What does the future hold for FHOs 63 Thursday S116 | Approach to the Diagnosis and Management of Tremor JENNIFER SINGERMAN Tremor is the most commonly presenting movement disorder in the neurology clinic, as well as in the family doctor’s office. While essential tremor and parkinsonian tremor make up the two most common diagnoses in patients presenting with tremor, the differential diagnosis includes other rarer causes, such as dystonic tremor, cerebellar outflow tremor and psychogenic tremor. We will review the phenomenology of these disorders and the approach to diagnosis. We will then focus on pharmacologic and non-pharmacologic management of tremor, including surgical management. S117 | Medications and Kidney Disease: What to Know, What to Fear, What to Do MANISH SOOD Objectives: • To develop a simple approach to medication-related concerns. • To review eight of the most common medication-related problems. S118 | Got TB? An Update for Primary Care from 2013 Canadian TB Standards ELIZABETH REA & SARAH BRODE Tuberculosis is still an issue in Canada, particularly in communities with large immigrant and/or aboriginal populations. This case-based interactive session will focus on diagnosis and management of latent TB infection (LTBI), based on the latest recommendations from the 2013 Canadian TB Standards. Several on-line diagnostic support tools will be introduced, as well as ruling out active TB disease and infection control/public health aspects will also be addressed. S119 | Heart Failure Management 2013 MICHELLE HART & SID FELDMAN Heart failure is becoming the fastest growing cardiac diagnosis for individuals under 65 years in North America, with an average annual mortality rate of 1035% in Canada. This workshop will review common signs and symptoms to assist family physicians in early diagnosis and the Canadian Cardiovascular Society 64 recommendations for diagnostic testing. Effective management principles will be presented with a review of the current evidence, practical tips, with special focus on elderly patients, and those with comorbidities. S120 | Are Your Vaccine Decisions Up To Date? MICHAEL STEPHENSON S121 | Fireside Chat- Discussions of Audience Cases in End of Life Care INGRID HARLE The purpose of the fireside chat is for attendees to engage in interactive dialogue regarding difficu difficult management problems they may have experienced erienced in the t provision of end of life care for their patients. This Th is an opportunity for participants to share hare their ccases. ca During the first half of the session n the presenter prese presen will highlight commonly encountered end nd of life l issues and provide an approach to care and management of these. ED L EL C N A C S122 | Genomics and Primary Care, Are You Prepared? JUNE CARROLL, SEAN BLAINE, JUDITH ALLANSON & SHAWNA MORRISON This seminar will use a primary care case-based approach to discuss new advances in genomics and how they will impact on practice. Cases will include pediatrics (developmental delay, autism), prenatal, adult (hemochromatosis, colorectal cancer) and general direct-to-consumer genomic testing. There will be time for a question and answer session so bring your clinical genetics questions. S123 | Opioid Addiction and Treatment with Buprenorphine in Northwestern Ontario First Nation Communities CLAUDETTE CHASE & KATHY POUTEAU First Nations in Northwestern Ontario have responded to the epidemic of opioid addiction by develo developing innovative community-based programs. s. Most of tthese programs incorporate buprenorphine/naloxone hine/naloxon (Suboxone). Drs. Pouteau and Chase will describe these programs and draw lessons applicable able to all w who prescribe buprenorphine/ naloxone. Successes uccesses ccesses and challenges to rural/remote treatment of those living with addictions will also being reviewed. ED L EL C N A C Thursday S124 | Rotavirus, Pertussis and Invasive signs of hemochromatosis and an overview of treatment. Meningococcal Disease Vaccine Programs in Ontario: What’s New and What May Be on the Horizon Approach to Monoclonal Gammopathies - This session will review the indications for screening for monoclonal gammopathy, specific tests used for screening and their interpretation, the differential diagnosis in patients with monoclonal gammopathies, including monitoring of patients diagnosed with monoclonal gammopathy of undetermined significance (MGUS). SARAH WILSON, SHELLEY DEEKS & BRYNA WARSHAWSKY Immunization is a core component of practice for most family physicians and many providers have vaccinerelated questions. Ontario has a complex immunization schedule, with new multi-funded vaccine programs continually being introduced, including rotavirus vaccine in 2011. Two meningococcal conjugate vaccines (C for toddlers and ACYW135 for adolescents) are currently publicly-funded and a serogroup B vaccine is likely to be licensed in Canada in the near future. Vaccine-preventable diseases and immunization topics are also common in the media, especially with pertussis outbreaks occurring in several Canadian provinces, including Ontario. This session will focus on three vaccine-preventable diseases: rotavirus, invasive meningococcal disease and pertussis using case-based scenarios. We will discuss these VPDs including Ontario-specific epidemiology, as well as review unique issues associated with these vaccines, including vaccine effectiveness, duration of protection and vaccine safety. Important considerations for vaccine decision-making will also be discussed. A question and answer period will allow audience participation. S126 | Fibromyalgia and Chronic Pain - Not as Hard as it Looks RUTH DUBIN & IAN SHIOZAKI This presentation will: • Review the new Canadian Fibromyalgia Guideline. We will share simple tools for timely diagnosis and emphasize that fibromyalgia is no longer a diagnosis of exclusion. Primary care providers can make the diagnosis without the need for multiple referrals and expensive testing. Evidence based treatments are reviewed. • Demonstrate the chronic pain focused physical exam and trigger point injections, dry needling and other simple office procedures to treat myofascial pain. Participants may wish to wear t-shirts and loose clothing so they can examine each other. S127 | Management of CHF with Comorbitities S125 | Common Referrals to Haematology: ROBERT MCKELVIE Approach to Anemia, Approach to the Diagnosis of Hemochromatosis, Approach to Monoclonal Gammopathies S128 | Adolescent Alcohol/Drug Use in PARVEEN WASI MICHAEL CHENG Approach to Anemia - Anemia is the most common abnormality noted on the CBC and one that has a myriad of causes. The Approach to Anemia session will review the approach to acute and chronic anemia, investigations and indications for referral to haematology. By the end of this session, participants will be familiar with: Genetic hemochromatosis is a relatively common disorder and is often detected through routine ordering of serum ferritin. Approach to the Diagnosis of Hemochromatosis: Genetic Hemochromatosis will review the diagnostic algorhythm for screening for iron overload, symptoms and Primary Care • Identification, screening and referral of youth with alcohol/drug problems • Office-based approaches such as motivational interviewing, interpersonal and attachment-based strategies • How these same strategies can be used for any negative behaviours or mental health issues 65 Thursday S129 | What Will I Be When I Grow Up? Medical and Non-Medical Professional Options for the Doctors of Tomorrow VU KIET TRAN Family Medicine is a very flexible specialty within medicine. But how flexible is it? Can family doctors help outside of medicine? Did you have other interests in life that was not medicine? How can you combine those interests to what you already do as a family doctor? Can your residency training help you in the future for these other opportunities? Come to see what opportunities beyond medicine are out there for you as a family doctor. Come and share your experiences with others who have the same aspirations. S130 | Sorting Out Dizzyness WAYNE HANSON S131 | Testosterone Replacement Therapy for Men and Women? WS101 | The Red Face: A Case Based Approach JESSICA HOWARD Dermatological cases will be used as a base for developing approaches to the assessment of the red face. Conditions covered will include acne, rosacea, actinic keratosis, perioral dermatitis and several other common diagnoses. WS102 | Dermoscopy - How to Improve Your Management of Pigmented Lesions DAVID KNOX The evaluation of pigmented lesions can be challenging. There is good evidence that training in dermoscopy can reduce referrals and improve recognizing the need for excisional biopsy. This one hour workshop will introduce the basic concepts and uses of dermascopy, review pigmented lesions, introduce dermoscopic management rules for pigmented lesions and give some hands on experience with a dermoscope; how dermoscopy might be incorporated into Primary Care skin cancer screening shall be discussed. JERALD BAIN As men get older testosterone levels tend to decrease. Does this decrease in testosterone induce symptomology? For many men the answer to this question is yes. It is for us physicians to determine which of those men deserve a trial or treatment with testosterone. In this lecture, we will discuss the safety and efficacy of testosterone therapy in men. We will also briefly discuss whether there is a role for testosterone therapy in women. S132 | Do We Really Know What We’re Doing: Treating Patients Based on Evidence vs. Other Questionable Stuff JAMIE FALK There are many factors that contribute to the clinical decisions we make. What shapes our perspectives and subsequent decisions may range widely from such influences as personal experience, high-quality clinical trials, or “expert” opinions. Using common pharmacotherapy trends as stepping stones, this seminar will look at how some of what we do that is assumed to be “evidence-based” may in fact require a closer look and a re-evaluation of current practices and clinical principles. We’ll address some of the challenges to the provision of evidence-informed care and how to take steps toward optimizing the use of the information cloud above us in a way that is reliable and efficient. 66 WS104 | Ultrasound of the Spine for Regional Anesthesia MARGARET TROMP • Review the normal anatomyy of th the lumbar spine ED L L E Ultrasound machinesC ar becoming standard equipment N are in emergency ncy departments depa rooms. In this A Cwill review theanduseoperating workshop, we of ultrasound to assist • Become familiar with h using ultra ultrasound to landmark for epidural or spinal pinal inal needle placement in the placing of an epidural or spinal needle. We will be using both human models (each other) and manikins. WS105 | Polypharmacy in the Elderly ANNE HOLBROOK Polypharmacy, defined as the use of multiple medications, is common and is necessary for many elderly patients. This talk will concentrate on unnecessary polypharmacy – ‘pharmaceutica imperfecta’. Using data on drugs commonly prescribed by family doctors, evidence on medication-related benefit versus harm, and patient preferences, we will discuss examples where patient outcomes can be improved by stopping the drug(s). Friday 29 SECOND FLOOR CONVENTION LEVEL TIME TORONTO III TOM THOMSON S201 S202 General Sessions ACS Management, From Hospital to the Office Dr. Frank Nigro Wound Care- Skin & Soft Tissue Infections Connie Harris & Dr. David Keast GEN201 GEN202 GEN203 S212 S202 General Sessions General Sessions S213 S214 S215 S216 S217 S218 S219 WS202 Integrating Palliative care into Advanced Cardiorespiratory Illnesses Dr. Ingrid Harle Wound Care- Skin & Soft Tissue Infections Connie Harris & Dr. David Keast GEN204 GEN205 GEN206 GEN216 GEN217 GEN218 Musculoskeletal Imaging for Family Physicians Dr. David Levy & Dr. Lawrence Friedman Menopause: Dfor Pearls OLPractice S T! PracticalU - TenO Years Post WHI Dr. Susan Goldstein The Pediatric Allergic March: From Skin to Gut to Nose An Update on Atopic Dermatitis, Food Allergies & Allergic Respiratory Diseases Dr. Jason O’Hayon Helping Your Patients Get The Sleep of Their Dreams Dr. Carole Lamarche When Is Enough Training Enough? A Past, Present LED CELLook & Future N A Cat Enhanced Skills Training in Canada Improving Treatment Adherence & Health Behaviours Through Motivational Interventions Dr. Jose Silveira Strategies for Effective Feedback In Medical ED L Education CEL N A Dr. Gwen C Sampson & Dr. Sarah Fleming Suturing 101 Dr. Andrew Arcand CASSON JOHNSTON TORONTO I S203 S204 General Sessions S205 S206 S207 Common Sexual Problems Dr. Peggy Kleinplatz Managing High Risk Patients with Chronic Pain Disorders – Clinical Pearls to Keep You & Your Patients Safe! Dr. Robert Hauptman & Dr. Alan Kaplan GEN213 GEN214 GEN215 Office Urgencies Dr. Larry Malo Update on Sexual Health: Screening, Diagnosing & Curing STIs Dr. Gila Metz The 5As of Obesity Management Dr. Arya Sharma Harris 08:30-10:00 Lismer OPUS OSGOODE EAST OSGOODE WEST S209 S210 SOM RICHMOND EAST/ WEST YORK EAST S211 WS201 WS202 Transgendered Medicine Dr. Jennifer Douek Airway Management Dr. Karim Jessa & Dr. Nalin Ahluwalia Suturing 101 Dr. Andrew Arcand SIMCOE S208 A Practical Critical Aboriginal They Never Approach to Approach to Health Issues Psychosis in LEinD Taught That In L E Managing Canada: Med School! Primary Care; C From N A Common Geriatric C Statistics to Quick Approaches Somatizing: What Complaints Stories to Common Every Family Dr. Veronique Dr. Claudette Conditions Physician Needs French-Merckley, Chase Affecting Patients to Know Dr. Anne Harley & with Mobility Dr. Jon Davine Dr. Pamela Impairments Eisener-Parsche Dr. James Milligan & Dr. Joseph Lee Nutritional Break 10:00-10:30 Residents & First Five Years in Practice Luncheon - (Ruth’s Chris) 12:00-13:30 S220 S221 General Sessions Low Back Pain Emergencies Dr. Anton Helman Best Practices in Information Management for Electronic Medical Records Dr. Karim Keshavjee GEN207 GEN208 GEN209 LD S O U T! O Bagged Lunch S222 WS203 General Sessions Travelling Companions, Detours & Tight Spaces D OLroadTto! onSthe U Resilience: O Strategies to Enhance Performance & Well-Being Dr. Susan Edwards & Mr. Christopher Hurst The Neurological Exam for Family Physicians Dr. Duncan McIlraith GEN219 GEN220 GEN221 S223 Virtual Care and Family Practice: Where We’ve Been and Where We Are Going – By Ontario Telemedicine Network - (TORONTO I) S224 Scientific Support Diabetes - New for Alternative CDA Guidelines Medicine Dr. Jeremy Gilbert Review of the Evidence Dr. Mel Borins LD S O U T! O LD S O U T! O S225 S226 S227 PREV LAMP S228 WS204 WS205 Public Health Laboratories 101: Clinical Support for Physicians in the Diagnosis of Infectious & Communicable Disease by the Public Health Ontario Laboratories Dr. France Jameison, Erik Kristjanson & Georgina Ralevski Preventing Cardiovascular Complications in People with Diabetes Dr. Dereck Hunt Buprenorphine/ Naloxone Office Based Management Opioid Dependence Dr. Curtis Handford & Dr. Dale Wiebe Preventive Care Visits for School Age Children & Teens: Where Is The Evidence? Dr. Anita Greig & Dr. Patricia Mousmanis A Practical Guide to Slit Lamp Use Dr. Jim Ducharme From Afghanistan to Zimbabwe - What to Do When the World Comes to You - Addressing the Health of Refugees in Primary Care Dr. Meb Rashid & Vanessa Wright Wounds & Dressings Dr. Mark Karanofsky Suturing Advanced Dr. Andrew Arcand Nutritional Break 15:00-15:30 S229 General Sessions General Sessions COPD Management LD ! inO Primary S T Care: Current OU & Evolving Therapies Dr. Anthony D’Urzo GEN210 GEN211 GEN212 GEN222 GEN223 GEN224 S232 WS204 Diabetes – DPP4s & GLP1s: When & How? Amanda Mikalachki & Elisabeth Harvey Wounds & Dressings Dr. Mark Karanofsky General Sessions Saturday Mainpro-C Friday Workshop S233 Dragon’s Den Vote for the Most Innovative Resident Project Thursday Session S231 Wednesday 2013 Exhibits Session Continues S230 Inhaler Technique Bloody Hell – A LD of! & Respiratory Discussion SO UUterine T Action Plans Abnormal O Dr. Alan Kaplan Bleeding Dr. Christiane Kuntz Speakers A-Z 15:30-17:00 MacDonald Registration & Continental Breakfast 07:30-8:30 13:30-15:00 GOVERNOR GENERAL MAIN LOBBY LEVEL JACKSON CARMICHAEL 10:30-12:00 THIRD FLOOR Important Information Friday 29 Convention Level Convention Level Tom Thomson Toronto I 08:30-08:55 GEN201 Blood Glucose Home Monitoring or NOT Amanda Mikalachki & Elisabeth Harvey 08:30-08:55 GEN213 Fatty Liver Including NASH Dr. Barry Lumb 08:55-09:20 GEN202 What to Do with ACR Results in Diabetes Dr. Phil McFarlane 08:55-09:20 GEN214 Chronic Diarrhea Dr. Trevor Seaton 09:20-09:45 GEN203 Reducing the Risk of Type 2 Diabetes: What Works? Dr. Alice Cheng 09:20-09:45 GEN215 Lime Disease - Why So Many Ticks this Year, When to Test and When To Treat Dr. Lisa Berger & Dr. Curtis Russell 09:45-10:00 Questions and Answers 09:45-10:00 Questions and Answers 10:30-10:55 GEN204 Leg Edema NYD - Aspects of Diagnosis and Management Dr. Saleem Malik 10:30-10:55 GEN216 A Potpourri of Geriatric Polypharmacy Pearls Dr. Roger Butler 10:55-11:20 GEN205 VTE - Still A Killer Dr. Sam Schulman 10:55-11:20 GEN217 Bone Mineral Density Testing – Who, When and What for? Dr. G. Michael Allan 11:20-11:45 GEN206 Outpatient Treatment of Pulmonary Embolism Dr. Sam Schulman 11:20-11:45 GEN218 GERD and Dyspepsia Treatment - PPIs - Not So Innocuous Dr. Peter Lin 11:45-12:00 Questions and Answers 11:45-12:00 Questions and Answers 13:30-13:55 GEN207 Organ and Tissue Donation in Ontario Dr. Sonny Dhanani 13:30-13:55 GEN219 Mercury in Primary Care - When to Test, What to Do Dr. Ray Copes 13:55-14:20 GEN208 Transitioning to Palliative Care: Starting the Conversation Dr. Jose Pereira 13:55-14:20 GEN220 Generic vs Brand Name Drugs Dr. Peter Lin 14:20-14:45 GEN209 Prenatal Screening for Genetic Disorders: Best Current Practice and What’s Around the Corner Dr. June Carroll 14:20-14:45 GEN221 e-Health Innovation Dr. Darren Larsen 14:45-15:00 Questions and Answers 14:45-15:00 Questions and Answers 15:30-15:55 GEN210 Making Therapeutic Decisions with Ongoing Drug Shortage Dr. Roland Halil 15:30-15:55 GEN222 Emerging and Re-Emerging Infectious Diseases in Primary Care Dr. Isaac Bogoch 15:55-16:20 GEN211 The Comprehensive Health Review: New Ways of Thinking About Our Annual Check-ups Dr. Michelle Greiver 15:55-16:20 GEN223 Skip the Bug Juice - Avoiding abx in Children with Fever Dr. Rahim Valani 16:20-16:45 GEN212 Community Acquired Respiratory Tract Infections The Usual Suspects Dr. Anthony Ciavarella 16:20-16:45 GEN224 Judicious Antimicrobial Use - 1st Line for Common Infections Dr. Allison Mcgeer 16:45-17:00 Questions and Answers 16:45-17:00 Questions and Answers Friday SOM | Approach to Psychosis in Primary Care; Somatizing: What Every Family Physician Needs to Know JON DAVINE Approach to Psychosis in Primary Care Greig Health Record, where possible, evidence-based information is displayed, and levels of evidence are indicated in boldface type for good evidence and italics for fair evidence. Included in the record are pages of guidelines and resources for reference Though psychosis represents a smaller percentage of what family doctors have to deal with, it is important that they have skills in diagnosing and treating these disorders. The learning objectives of this workshop involve understanding the definition of psychosis, learning how to ask the appropriate questions to make the diagnosis, and understanding the differential diagnosis of psychosis from both an organic and psychiatric viewpoint. A grid will be presented to help understand how asking about delusions, hallucinations, downward drift, and affect at the time of psychosis will help the physician arrive at the correct psychiatric diagnosis for the psychotic patient. Finally, up-to-date psychopharmacologic approaches for the treatment of these disorders will be discussed. There will be an interactive didactic presentation, and then the participants will split into small groups to work on issues in psychosis from a prepared case. Large group discussion will follow. LAMP | A Practical Guide to Slit Lamp Use Somatizing: What Every Family Physician Needs to Know Monitoring or NOT Somatizing and somatoform disorders are an important part of the family physician’s caseload. Some studies have shown that 10-30% of patients with somatic complaints who present to the doctor have no adequate physical cause to account for them. In this workshop, we define somatization and discuss an overview of somatoform illness using DSM-V-TR criteria. We distinguish between conscious and unconscious processes involved in these categories. We discuss the comorbidity between somatizing and other psychiatric illnesses. We focus on treatment modalities – both psychopharmacologic and psychotherapeutic – that are thought to be useful in the clinical situation. The session will introduce the concept of Pattern Management and provide participants with general principles on when and how to use Blood Glucose Monitoring to support patients to achieve better glycemic control and self-care capacity. JIM DUCHARME Objectives: • Understand the basic principles of optics as they apply to using the slit lamp • Identify your dominant eye • Be able to identify the essential components of a slit lamp • Be able to consistently bring the cornea into focus • Understand how to properly assess the anterior chamber • Describe the technique used to remove foreign bodies from an eye using a slit lamp GEN201 | Blood Glucose Home AMANDA MIKALACHKI & ELISABETH HARVEY GEN202 | What To Do with ACR Results in Diabetes PHIL MCFARLANE PREV | Preventive Care Visits for School Age Children and Teens: Where is the Evidence? The testing of the urine for protein in people with diabetes has been routine for many years. However, clinicians still often struggle with the interpretation of the results of the random urine albumin-to-creatinine ratio. This interactive discussion will try to answer some of the common questions about this test. ANITA GREIG & PATRICIA MOUSMANIS How often should the test be ordered? This workshop explores evidence and tools for periodic health visits for school age children and teens. The Greig Health Record is an evidence-based health promotion guide for clinicians caring for children and adolescents aged six to 17 years. It is meant to provide a template for periodic health visits that is easy to use and is easily adaptable for electronic medical records. On the When should the testing be delayed? What does it mean if the test is abnormal? Are there better tests than the random urine ACR? When should a random urine ACR result trigger a change in therapy or a referral? 67 Friday GEN203 | Reducing the Risk of Type 2 Diabetes: What Works? ALICE CHENG Type 2 diabetes is becoming an epidemic not just in Canada, but worldwide. What can we do to try to reduce the risk of progression to type 2 diabetes? What actually works? The interventions that have been shown to be effective are: • Lifestyle intervention with weight loss • Pharmacologic therapy (metformin, acarbose, TZDs, weight loss agents, insulin) This session will discuss the pros and cons of the various strategies to inform the decision(s) that you will be making with your patients. GEN204 | Leg Edema NYD - Aspects of Diagnosis and Management anticoagulants are as effective as warfarin. The question regarding duration of anticoagulation after a PE is still subject for debates. Should thrombophilia work-up be ordered and how will that influence the management? How shall we identify chronic thromboembolic pulmonary hypertension? These topics will be addressed during the presentation. GEN207 | Organ and Tissue Donation in Ontario SONNY DHANANI Objectives: • To be familiar with organ and tissue donation practices in Ontario • To appreciate current barriers to donation • To be aware of strategies to optimize donor registration, referral, and consent SALEEM MALIK GEN208 | Transitioning to Palliative Care: GEN205 | VTE - Still a Killer Starting the Conversation SAM SCHULMAN JOSE PEREIRA Improved efforts to prevent thromboembolism are balanced by the increasing age of the population, longer survival in cancer and complexity of treatments provided in the hospital. Thus, vigilance is still required to prevent and to adequately treat venous thromboembolism. Local protocols are now a necessity. These should follow international guidelines, but can be adapted to locally available resources and conditions. Conversely, new diagnostic techniques lead to detection of minute pathological findings, the anticoagulant treatment of which may lead to more harm than benefit. The presentation will address the questions of when to give prophylaxis/treatment or not, when to give higher (or lower) dose than standard and when to discontinue treatment. Using videos and discussion, the session will explore approaches to initiate palliative and end-of-life discussions earlier in the illness trajectory. GEN206 | Outpatient Treatment of Pulmonary Embolism SAM SCHULMAN Treatment of deep vein thrombosis on an outpatient basis is now done in 80-90% of patients, much less so for Pulmonary Embolism (PE). Risk stratification tools are now available for assessment of patients with PE who have a very low risk of fatal outcome and can be treated at home. With new anticoagulants becoming available the additional question will be whether patients with PE should have initial parenteral therapy and if the new 68 GEN209 | Prenatal Screening for Genetic Disorders: Best Current Practice and What’s Around the Corner JUNE CARROLL, SHAWNA MORRISON & JUDITH ALLANSON This talk will focus on prenatal screening for genetic disorders including chromosome disorders, ethnicity based screening and genetic concerns in the case of consanguinity. New advances in prenatal screening such as Non-Invasive Prenatal Testing (NIPT) and the use of microarray in prenatal diagnosis will be discussed. GEN210 | Making Therapeutic Decisions with Ongoing Drug Shortage ROLAND HALIL Prescribing medications according to evidence based guidelines requires a process that maximizes benefit while minimizing toxicity and ensuring compliance. It must recognize that our time and money are scarce resources within the system. The globalization of pharmaceutical manufacturing has introduced a new challenge in prescribing for our patients: sporadic Friday shortages of important medications. This presentation will highlight a simple process for rational prescribing. Additionally, it will highlight some clinical pearls and resources in dealing with drug shortages and assessing if they have clinical relevance. GEN211 | The Comprehensive Health Review: New Ways of Thinking About Our “Annual Check-ups MICHELLE GREIVER The annual checkup or Periodic Health Exam is one of the most commonly provided services in primary care. However, the Canadian Task Force on Preventive Health Care has stated that the undefined annual checkup should be abandoned, due to a lack of evidence of benefit; prevention should be done during visits for other purposes. This presentation will outline the possible harms and benefits of Periodic Health Exams. At the session, we will discuss alternative methods of providing preventive services within the complex and changing context of primary care. GEN212 | Community Acquired Respiratory Tract Infections - The Usual Suspects ANTHONY CIAVARELLA Upper respiratory complaints are some of the most common presenting symptoms in family practice. Rapidly diagnosing the dominant presentation and excluding others is a daily routine activity in a busy family practice. Proper diagnosis and proper use of antibiotics may be a daunting task. In this session we will use both slow paced and case based learning techniques to recognize common patterns of Community Acquired Respiratory Tract Infections (CARTI) as they present in office based family practice. Tools and acronyms will be presented for the busy family physician for rapid pattern recognition, diagnosis and management of common CARTI. Participants will also learn to apply the 2011 Canadian clinical practice guidelines of Acute Bacterial RhinoSinusitis (ABRS) for both assessment and evidence based use of antibiotics. GEN214 | Chronic Diarrhea TREVOR SEATON Menopause management continues to be challenging for many family physicians. Time and knowledge limitations frustrate our efforts to provide optimal care to our menopausal patients. A practical family medicine- based approach to menopausal management will be discussed and then further applied through case examples. Recent changes in the guidelines/position statements with be highlighted. • Develop an approach to the patient presenting with menopausal concerns. • Learn about both hormonal and non-hormonal options for therapy. • Learn to counsel patients around risks/benefits and how to start hormone therapy. • Highlight recent changes to guidelines and information related to treatment options. GEN215 | Lyme Disease - Why So Many Ticks this Year, When to Test and When to Treat LISA BERGER & CURTIS RUSSELL The talk will cover the biology of the blacklegged tick in Ontario and how it plays a role in Lyme disease, as well as a focus on prevention, prophylaxis, diagnosis and treatment of Lyme disease. Topics discussed will be tick biology, location of tick populations, and tick information physicians may need when diagnosing possible case of Lyme disease. GEN216 | A Potpourri of Geriatric Polypharmacy Pearls ROGER BUTLER These are pearls which apply to the family physician who works in the office, in the Nursing Home or Personal Care home or Rehab environment, as well as some who may do house calls as part of their practice. The Pearls are based on learned practice wisdom, some passed down by medicine and pharmacy colleagues, as well as students and some from the school of hard knocks. GEN213 | Liver Disease Including NASH BARRY LUMB This program will review the non-alcoholic liver disease, steatohepatitis, pathogenesis, diagnosis and management. 69 Friday GEN217 | Bone Mineral Density Testing – GEN220 | Generic vs Brand Name Drugs Who, When and What for? PETER LIN GILLIAN HAWKER Recently, numerous agents have gone generic and many patients are seeing that their pills are changing from one month to the next. This has in turn triggered questions as to whether all these generics are the same or not. There are two popular beliefs – one is that generic medications are the same as brand name but are cheaper and hence good for patients and the medical system. On the other hand, there are researchers that say that they may not be the same based on their mining of databases with regards to brand to generic switching. In addition recently, the FDA has reported concerns over manufacturing quality issues and even some testing issues with regards to certain companies making generics. We will review what is available from the health agency press releases and also the published articles in this area in order to understand how we should monitor our patients and how we should manage them in the era of generics. There is currently an uncoordinated system of Bone Mineral Density referral, testing and reporting where information and processes are not standardized. Inappropriate testing results in some populations; overuse in some low risk populations (e.g. peri-menopausal women) and underuse in some high risk populations (e.g. age 65 plus or recent fracture). Inaccuracy in risk assessments may be promoted in some populations, as referrals do not always capture risk factors required to make an assessment. This session will review evidence supporting new recommendations for BMD testing aimed at improving the appropriate use, and accuracy of BMD testing in populations at risk for osteoporosis and fractures. GEN218 | GERD and Dyspepsia Treatment Proton Pump Inhibitor - Not So Inocuous PETER LIN This session will review one of the most commonly prescribed medications the proton pump inhibitor. Initially this was a medication for use by specialists in the sickest of patients. Then over time it became almost a cure for ulcer disease and GERD. Now many patients are on it for “dyspepsia” and continue on these treatments for years and even decades. Most recently, there have been reported associations to osteoporosis, pneumonias and C.Difficile Infections. Are these associations real and what should we do with our patients with regards to their PPI usage? GEN219 | Mercury in Primary Care - When to Test, What to Do RAY COPES Similar to lead, recent research has indicated that exposure to mercury may have effects on children’s cognitive development at levels lower than previously believed. Although there are many sources of exposure to mercury, dietary exposure through fish is the most common. Many organizations provide advice on fish consumption, sometimes conflicting. The presenter will review some of the reasons for differing guidelines and present frameworks that are supported by current evidence, as well as advice on how to interpret and follow-up on test results. 70 GEN221 | e-Health Innovation DARREN LARSEN Electronic Medical Records in Ontario have come a long way over the last seven years, to the point where we now have the highest uptake among Family Physicians of any province in the country. Supporting the evolution from adoption to advanced practice, OntarioMD has developed an EMR Maturity Model and Progress Report which supports physicians in their movement from “good to great”. Combined with strong change management tools, gaps in EMR use can now be identified and focused on to improve quality and help clinics get the most out of their data. Meaningful use supports research, QIPs, and new provincial priorities like Health Links. The benefits of this EMM/EPR tool will be discussed in this presentation. GEN222 | Emerging and Re-Emerging Infectious Diseases in Primary Care ISAAC BOGOCH This talk will focus on four infections that are of increasing concern globally and infections that may be seen in the Canadian primary care setting: novel influenza strains, pertussis, gonorrhea and methicillin-resistant Staphylococcus aureus. This talk will focus on the clinically-relevant outpatient management strategies for these conditions. Friday GEN223 | Skip the Bug Juice - Avoiding abx in Children with Fever S203 | Common Sexual Problems RAHIM VALANI What are the most common sexual problems? How are clinicians to determine what constitutes normal sexuality, sexual disorders and dysfunctions? What is the role of optimal sexual experience in shaping expectations, distress and aspirations? This presentation will focus on assessing and dealing with the most common presentations of sexual difficulties, including the DSM5 disorders. There will be an emphasis on sexual desire discrepancies as the most prevalent of the sexual concerns in primary care. The role of assessment as therapeutic will be highlighted. The importance of conceptualizing sexual disorders and making sense of the spectrum of sexuality will be stressed as the foundations for dealing with problematic sexuality effectively. Clinical strategies will be discussed. Resources for bibliotherapy will be provided. Fever is a common presentation to the office. Guidelines for the management of pediatric fever are outdated by at least 20 years. This session will provide an up to date review on the management of pediatric fever in 2013 and why we should not be treating every febrile child with antibiotics. GEN224 | Judicious Antimicrobial Use - 1st Line for Common Infections ALLISON MCGEER S201 | ACS Management, From Hospital to the Office FRANK NIGRO Goal is to highlight the importance of early ACS Management and establish best practices for imporivng patient outcome. Topic Discussion: • Discuss pathophysiology of ACS • Review current practice management of ACS from ER to CATH Lab • Changing landscape of antithrombotic therapies • Outpatient office management and target treatment goals S202 | Wound Care - Skin and Soft Tissue Infections CONNIE HARRIS & DAVID KEAST This session will review the validated signs and symptoms of localized and spreading infection in acute and chronic wounds that go beyond the classic ones of calor, rubor, tumor and dolor, reviewing recent research and practical tools to aid in diagnosis. This includes the proper method of performing a semi-quantitative Levine method swab for culture and sensitivity, a review of topical and systemic interventions and treatment for these conditions and a brief discussion of whether packing is indicated or not following incision and drainage of abscesses. PEGGY KLEINPLATZ S204 | Managing High Risk Patients with Chronic Pain Disorders – Clinical Pearls to Keep You and Your Patients Safe! ROBERT HAUPTMAN & ALAN KAPLAN Chronic non cancer pain is a major medical problem facing Canadians. Estimates of patients suffering from chronic pain in Canada range from 20 – 30%, with an estimated total cost to Canadians of over 40 billion dollars. While the science behind chronic non cancer pain is expanding at a rapid rate, the optimal management of this population of patients remains controversial. This is especially true of chronic pain patients with comorbid mental health issues or substance abuse problems. This workshop will focus on the management of high risk patients with particular attention given to: • Assessment of addiction in chronic non cancer patients • Management of chronic non cancer pain in patients with co-morbid depression and anxiety problems • Management of chronic non cancer pain patients with co-morbid substance abuse problems • Management of chronic non cancer pain in patients with a history of opioid dependency 71 Friday S205 | Office Urgencies S208 | A Practical Approach to Managing LARRY MALO Common Geriatric Complaints As much as we may try to avoid a medical crisis in the office, it is sure to happen eventually. While these events are rare, this session will review the top 10 adult and pediatric office emergencies and help the practitioner prepare. Among other things we will discuss equipment and drugs that a medical office should have available for a variety of medical emergencies. Specific therapeutic interventions will be discussed and there will be an opportunity to share some of our own office experiences. VERONIQUE FRENCH MERKLEY, ANNE HARLEY & PAMELA EISENER-PARSCHE S206 | Update on Sexual Health: Screening, Diagnosing and Curing STIs GILA METZ Sexually-Transmitted Infections (STIs) are frequently seen in primary care, with rates of some STIs increasing throughout Ontario and Canada. Testing and treatment recommendations are updated on a regular basis to address changes in the epidemiology of STIs, as well as other issues such as drug resistance. This presentation will focus on the current guidelines regarding the testing, treatment and prevention of common STIs, as well as practical tips for counselling patients. S207 | The 5As of Obesity Management This interactive session will be divided into three sections, each addressing a different commonly-encountered geriatric complaint: cognitive decline, weakness, and insomnia. Each section will include a brief didactic review of the topic, followed by case-based practical examples aimed at illustrating key points and stimulating discussion. At the end of the session, the participant will be able to: • Differentiate weakness in the elderly from normal aging • Identify contributors to poor sleep and manage insomnia in the elderly • Synthesize a plan to efficiently investigate poor memory in older patients S209 | Critical Aboriginal Health Issues in Canada: From Statistics to Stories CLAUDETTE CHASE Dr. Chase will review some of the tth national health indicators of Aboriginal iginal ginal peop peoples in Canada. She will share, with permission, ermission, some s stories of successes and challengess in improving improv the statistics seen in her work with remote te First Firs Nations in northwestern Ontario. Fir ARYA SHARMA The 5As of Obesity Management is a set of practical tools to guide primary care practitioners in obesity counseling and management: S210 | They Never Taught That in Med School! - Quick Approaches to Common Conditions Affecting Patients With Mobility Impairments • Ask for permission to discuss weight and explore readiness for change JAMES MILLIGAN & JOSEPH LEE • Assess obesity related health risk and potential root causes of weight gain • Advise on obesity risks, discuss benefits treatment options • Agree on realistic weight-loss expectations and on a SMART plan to achieve behavioral goals • Assist in addressing drivers and barriers, offer education and resources, refer to provider, and arrange follow-up 72 It is not known how many Canadians are affected by severe mobility impairment, such as those requiring wheelchairs (e.g. Spinal Cord Injury, MS). There are many barriers to these patients receiving the same level of basic and preventative care. Patients with physical disabilities are not only at higher risk for co-morbid health conditions such as obesity, diabetes and cardiovascular disease, but are at risk of secondary complications (bowel and bladder dysfunction, skin issues, spasticity) related to the primary condition or their mobility impairment. Family physicians view disabled patients as complex and time consuming; many report they feel they lack the expertise or training to manage their concerns. This case-based seminar will explore common scenarios (UTI, constipation, spasticity) that present to the family physician in those with mobility impairments and offer practical ready to use pearls for management and prevention for the busy clinician. Friday S211 | Transgendered Medicine • Learn to counsel patients around risks/benefits and how to start hormone therapy. • Highlight recent changes to guidelines and information related to treatment options. JENNIFER DOUEK S212 | Integrating Palliative Care Into Advanced Cardiorespiratory Illnesses INGRID HARLE S215 | “The Pediatric Allergic March: From Family physicians are in an optimal position to integrate palliative care earlier into the illness trajectory of patients experiencing significant symptom burden related to their underlying non-cancer illness, specifically advanced Chronic Obstructive Pulmonary Disease, Heart Failure and Interstitial Lung Disease. The presenter will discuss the management of commonly experienced symptoms in these patient populations and recommend an approach to discussing concerns these patients/families may experience as the end of life approaches. The importance of engaging in dynamic conversations regarding prognosis and goals of care will be highlighted in this session. Skin to Gut to Nose” An Update on Atopic Dermatitis, Food Allergies and Allergic Respiratory Diseases S213 | Musculoskeletal Imaging for Family Physicians DAVID LEVY & LAWRENCE FRIEDMAN JASON O’HAYON The 90 minute session will cover three common topics of Allergy in Primary Care: • Atopic Dermatitis (AD) - discussion on the connection between food allergies and AD, when to evaluate for allergy and therapeutic interventions • Food Allergies (FA)- we will review different presentations of FA from infancy to adulthood, their diagnosis and management • Allergic Rhinitis (AR) - updated treatment on pediatric through to adolescent AR for long term treatment options The talk will provide family physicians with: • The various imaging modalities available for diagnosis • The most appropriate use of the various imaging modalities • Common conditions encountered in practice • Pitfalls in imaging S214 | Menopause: Pearls for Practical S216 | Helping Your Patients Get The Sleep of Their Dreams CAROLE LAMARCHE This seminar will provide a brief overview of common sleep disorders such as insomnia, sleep apnea and movement disorders. This will be followed by a more indepth focus on insomnia and its psychological treatment using a cognitive-behavioural therapy approach. Practice -Ten years Post WHI SUSAN GOLDSTEIN Menopause management continues to be challenging for many family physicians. Time and knowledge limitations frustrate our efforts to provide optimal care to our menopausal patients. A practical family medicine- based approach to menopausal management will be discussed and then further applied through case examples. Recent changes in the guidelines/position statements with be highlighted. • Develop an approach to the patient presenting with menopausal concerns. • Learn about both hormonal and non-hormonal options for therapy. S218 | Improving Treatment Adherence and Health Behaviours Through Motivational Interventions JOSE SILVEIRA Have you ever wondered, “why won’t my patients do what’s good for them?” Or felt frustration in your efforts to help patients change their behaviors? If you answered yes to either of these questions, then this presentation is for you. This presentation will provide participants with the core knowledge and skills to apply motivational techniques to assist clients change lifestyle behaviors such as diet, exercise and adherence to treatment recommendations. The goal is to provide participants with techniques that can be applied broadly 73 Friday across common problems encountered in daily practice. At the completion of this session participants will be able to utilize motivational interventions in a comprehensive family practice context and have resources to assist the ongoing development of their skills in the course of natural practice. S219 | Strategies for Effective Feedback in Medical Education GWEN SAMPSON & SARAH FLEMING ING ED L L E NC A C It is well established that giving ving good ffe feedback to learners is a challenging exercise rcise for mo most teachers. Feedback should be timelyy and specifi specific and this workshop will aid the preceptor or in improving improv impro the quality of their feedback using interactive active ctive role r play and video clips. S220 | Low Back Pain Emergencies ANTON HELMAN While about 90% of low back pain presentations represent benign conditions, there are several life and limb threatening causes of low back pain that the astute physician must diagnose early and manage appropriately in order to prevent serious morbidity and mortality. In this interactive session, we will discuss cases that elucidate key clinical pearls in the diagnosis of these life and limb threatening causes of low back pain. S221 | Best Practices in Information Management for Electronic Medical Records KARIM KESHAVJEE An increasing number of physicians use Electronic Medical Records (EMR) in Ontario and across Canada. Physicians continue to struggle with managing information in the EMR; e.g. entering data in a standardized manner, maintaining high quality data and extracting data for quality improvement and population management. This workshop will help physicians understand why data in EMR is dirty and how they can clean it, standardize it and analyze it for improved patient care and for greater clinical efficiency. 74 S222 | Travelling Companions, Detours and Tight Spaces on the Road to Resilience: Strategies to Enhance Performance and WellBeing SUSAN EDWARDS & CHRISTOPHER HURST As physicians, we all aspire to clinical excellence. However, appreciating the synergistic interplay between how well we are and how well we perform has not been a longstanding feature of our training or practice culture. This highly interactive session will identify current research and theories related to the non-technical skills of practice, expert behavior, and the crucial role of self-regulation in personal and professional growth. Particularly challenging situations such as managing adverse events and fatigue will be discussed. S223 | Scientific Support for Alternative Medicine - Review of the Evidence MEL BORINS • A large percentage of the world’s inhabitants still rely chiefly on traditional medicines for their primary health care needs • There is evidence that one in three patients routinely use alternative treatments and seven out of ten users of alternative therapies do not tell their physicians • Patients are presenting in doctors’ offices with questions about alternatives and expect that physicians can talk about some of these treatments with some degree of competence. They look to physicians for guidance so they can make informed decisions • There is a large body of randomly assigned double blind controlled trials that show that many alternative approaches are useful S224 | Diabetes - New CDA Guidelines JEREMY GILBERT This session will be a review of the highlights from the 2013 Canadian Association Guidelines. There will be a strong focus on diagnostic criteria and therapeutic targets for Type 2 Diabetes. We will discuss various therapeutic options after metformin to achieve glycemic and ACD inhibitors or angiotensin receptor blockers. Friday S225 | Public Health Laboratories 101: Clinical Support for Physicians in the Diagnosis of Infectious and Communicable Disease by the Public Health Ontario Laboratories (PHOL) S228 | From Afghanistan to Zimbabwe What to Do When the World Comes to You Addressing the Health of Refugees in Primary Care FRANCES JAMIESON, ERIK KRISTJANSON & GEORGINA RALEVSKI MEB RASHID & VANESSA WRIGHT • Inform primary care practitioners of services provided by PHOL, including clinical and technical consultation on appropriate diagnostic testing and specimen submission • Appropriate test selection, sample collection and submission • Improve appropriate specimen submission and reduce specimen rejection rates • Facilitate diagnosis within clinically relevant TAT • Implement appropriate treatment and follow up Over 25,000 refugees are accepted into Canada each year. All have endured significant trauma and many have lacked access to primary health care pre-migration. This seminar will provide an overview of the demographics of migration to Canada. It will provide participants with an opportunity to discuss common health issues that confront newly arrived refugees. These includes infectious diseases such as tuberculosis, hepatitis B and C, as well as enteric parasites. The presentation will also address non-infectious diseases including mental health conditions. Recent changes to federal health insurance for refugees will be discussed. This seminar will provide clinicians with the skills to serve this unique population. • Reduce spread of infectious disease. S229 | COPD Management in Primary Care: S226 | Preventing Cardiovascular Current and Evolving Therapies Complications in People with Diabetes ANTHONY D’URZO DERECK HUNT Chronic Obstructive Pulmonary Disease (COPD) represents a significant management challenge for primary care physicians; it represents the only chronic condition where mortality rates continue to rise at an alarming rate. The use of long-acting bronchodilators (LAB), both beta-agonists and anti-cholinergics, are central to the reduction of dyspnea and improvement in quality of life among COPD patients. This session will review currently available LAB and their role in COPD management. Data describing recently approved COPD therapies in Canada will be presented, including discussion on how they may be incorporated into daily clinical practice. Numerous emerging therapies, some close to regulatory approval in Canada, will also be reviewed and compared to existing therapies. Given the overlapping role of long acting beta-2 agonists in asthma and COPD management, a practical discussion on differentiating asthma from COPD will be provided. New therapies will be discussed in terms of where they fit in current Canadian Guidelines on COPD management. Diabetes mellitus is a common condition associated with significant complications. The session will focus on interventions for reducing the risk of cardiovascular disease in these individuals. S227 | Buprenorphine/Naloxone - Office Based Management Opioid Dependence CURTIS HANDFORD & DALE WIEBE This workshop focuses on developing the skills of family physicians in diagnosing opioid dependence in their practices, identifying when it is appropriate to offer and initiate buprenorphine/naloxone treatment in their offices and confidently initiating and monitoring buprenorphine/ naloxone treatment. The workshop will be case-based and interactive. Both the 2010 Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain and Centre for Addictions and Mental Health 2011 Bupenorphine/Naloxone Clinical Practice Guidelines will be heavily utilized and referenced. Part of the workshop will be devoted to assisting providers in recognizing which patients receiving prescriptions for chronic opioid therapy have likely become addicted to opioids and would most likely benefit from opioid maintenance therapy, such as buprenorphine/naloxone. The ultimate goal is for family physicians to leave the workshop feeling prepared to begin using buprenorphine/naloxone safely and effectively in their practices. 75 Friday S230 | Inhaler Technique and Respiratory WS202 | Suturing 101 Action Plans ANDREW ARCAND ALAN KAPLAN This is a review of wound management and suturing techniques for the family physician, medical student and resident. This is a very basic review, and will be perfect for those with limited clinical experience or those looking for a basic review. This is a space limited hands-on workshop (Limited to 25 participants). This workshop will review proper inhaler techniques with hands on training with these devices. Improper technique has real consequences, which can be avoided by a bit of education. Proactive management of patients with written action plans will decrease exacerbations of asthma and COPD and case-based education with these tools will be reviewed. This workshop will change your practice. WS203 | The Neurological Exam for Family Physicians DUNCAN MCILRAITH S231 | Bloody Hell – A Discussion of Abnormal Uterine Bleeding CHRISTIANE KUNTZ • To define abnormal uterine bleeding AUB pre-, periand postmenopausally • To examine etiology and pathophysiology of AUB • To review clinical assessment tools for the condition • To explore treatment options • To apply learning pearls through a review of cases WS204 | Wounds and Dressings S232 | Diabetes – DPP4s and GLP1s: MARK KARANOFSKY When and How? With the ever increasing push to have patients treated outside hospitals, the care of wounds falls often on the family physician’s doorstep. This interactive workshop is designed to give the participant an introduction to a best practice diagnostic and management plan. We will review commonly seen wounds and discuss which classes of dressings may be most appropriate for each. The session will include a series of case studies, a review of how to do a lower leg assessment and a hands on session with various dressings. AMANDA MIKALACHKI & ELISABETH HARVEY The session will provide participants with an interactive, case-based workshop experience, designed to build confidence in when and how to use DPP4s and GLP1s. WS201 | Airway Management KARIM JESSA & NALIN AHLUWALIA By the end of this workshop participants will be able to: • Develop a SAFE approach to Airway Management and Rapid Sequence Intubation (RSI) • Know the indications and contraindications to RSI and the medications involved • Know alternatives for establishing an airway • Be aware of difficult airways e.g. obese patient 76 This session will consist of an interactive demonstration of the basic neurological examination. Emphasis will be on technique rather than on interpretation of signs. The principal objective will be acquisition of skills for performing a time efficient, reliable examination applicable to a wide variety of neurological problems. Also included will be a quick neurological exam suitable for patients otherwise acutely ill, that can be performed in less than five minutes. WS205 | Suturing Advanced ANDREW ARCAND This is an advanced suturing workshop, focusing on improving preexisting suturing skills. This session would not be appropriate for beginners learning how to suture. This is a hands-on workshop focusing on management of complicated wounds. Saturday 30 SECOND FLOOR CONVENTION LEVEL TIME CARMICHAEL JACKSON TOM THOMSON TORONTO III CASSON JOHNSTON TORONTO I General Sessions S301 S302 S303 S304 S305 Approach to Depression in Primary Care Dr. Jon Davine Cases of Resistant Hypertension Dr. Saleem Malik Assessment & Management of Behavioural & Psychological Symptons of Dementia Dr. Andrea Moser & Dr. Sid Feldman Is There a Line Between Normal & Abnormal? ManagingED L Depression CEL in N A Palliative Care C Dr. Jose Pereira An Interdisciplinary Approach to Better Prescribing in the Elderly Dr. Michelle Hart & Dr. Pauline Santora GEN301 GEN302 GEN303 S306 S307 S308 S309 QIP Teaching Professionalism: Critical Conversations D LLE With Our E C N C ALearners Dr. James Goertzen Adolescent Mental Health Dr. Joey Bonifacio Understanding Non-Invasive Cardiac Testing Dr. Vu Kiet Tran Identifying Opportunities for QI Planning in Primary Care Dr. Philip Ellison & Patricia O’Brien OU S312 S313 S314 ADHD in Adults/ Across the Lifespan & Common Comorbidity Dr. Serge Lessard Palliative Care: Advance Care Planning & Pearls For End of Life Care Dr. Chris Barnes & Dr. Jill Rice Starting Insulin in Type 2 Diabetes WITHOUT Losing Sleep at Night Dr. Simon Moore General Sessions GEN304 GEN305 GEN306 T OSGOODE WEST S310 EMPII RICHMOND YORK WEST EAST/WEST YORK EAST SIMCOE S311 WS301 WS302 Thyroid Nodules – Emergency Evidence Ankle Joint Injections When to Refer: The Medicine Based Brachial Index - Shoulder, PAST Good, The Bad & The Primer Guidelines and PRESIDENTS Workshop Knee, Elbow Ugly D for Family e-Checklist ASSOCIATION Diagnostic Tool Tendonitis L & ! & Physicians Thyroid II for Immigrant for PAD Dr. Ken Trinh SO Disease T BREAKFAST Pregnancy & Refugee Marge Lovell OU- A family Dr. Jim (08:00-10:00) Practice Perspective Ducharme & Health for Management Dr. Karim Jessa Dr. Kevin Dr. Nicola McLean Pottie S316 S317 S318 WS301 Autistic Spectrum Disease: A Heaven of Hell, A Hell of Heaven Dr. Patrick Lee Interventions in ED Not Founded on Evidence Version 2013 Dr. Vu Kiet Tran Thyroid Dysfunction Revisited: What’s Next After TSH Dr. Nicola McLean D Common D External OL T& ! SMiddle OUEar Problems Dr. Wayne Hanson Ankle Brachial Index Workshop - D LE Diagnostic ELTool CPAD N for A CMarge Lovell S319 S320 S321 S322 Practical Management of Knee OA Dr. Howard Chen Mixing & Matching: Layering Psychiatric Medications as Family Physicians Dr. Jon Davine Pediatric Vulvar Disorders Dr. Sari Kives Hypoglycemia in Type 2 Diabetes Mellitus: An Underappreciated Management Challenge Dr. Nicola McLean S323 TestLyour D Contraception SO UT!IQ: Be a Contraceptive O Mythbuster! Dr. Dustin Costescu L S O U T! O Bagged Lunch General Sessions GEN307 GEN308 S324 S325 S326 S327 S328 S329 S330 WS303 WS304 The 15 Minute Hour Dr. Marian Stuart Palliative Care & Advanced Heart Failure Dr. Jenny Legassie Myths & Misses in Medicine: Tools for Practice Dr. G. Michael Allan Advanced ECG Interpretation for ED, Hospitalist or Office Dr. Vu Kiet Tran Mood Disorders D in Pregnancy OL T!& SPostpartum U Dr.O William Watson & Dr. Simon Vigod Managing the Disruptive Patient Dr. Jon Hunter Marital Counselling Dr. Mel Borins The Shoulder – Complex Joint Simplified Dr. Louise Walker & Dr. Marie-Josee Klett Trigger Point Injections Dr. Ken Trinh Nutritional Break S331 S332 S333 S334 S335 Bedside Ultrasound: An Introduction for Family Physicians Dr. Philippe Rola Approach to Bipolar Disorder Dr. Jon Davine Diagnosis and Management of Fatty Liver States Dr. Mark Levstik Evaluating & Managing Foot Pain D in & Neuropathy O L T! SDiabetics U Dr.O Leslie Goldenberg Managing Back Pain: The Ontario Initiative Taking You Beyond LDthe SO Basics T! OU Dr. Hamilton Hall & Dr. Julia Alleyne General Sessions GEN309 GEN310 S336 S337 S338 S339 S340 Eating Disorders in Primary Care Dr. Janice Owen A New Approach to Syncope in the Office Dr. Vu Kiet Tran Drugs of Abuse - What’s New on the Street Dr. Lisa Thurgur Ten 2013 Studies That May Change Your Practice Dr. G. Michael Allan Retirement Planning Ms. Bridget Paton, Mr. Adrian Leandro & Mr. Greg Leja C AN CEL LED LD S O U T! O LD S O U T! O Nutritional Break 15:45-16:00 S341 S342 S343 S344 S345 S346 S347 A Practical Approach to Headache Dr. Lucian Sitwell Delirium in Hospitalized Patients - NICE Guidelines Dr. Michelle Gibson What’s New in Dermatology 2013 Dr. Ben Barankin Evaluating & DHigh ManagingL the Risk Diabetic SO ULower T! Extremity O& Diabetic Foot Ulcers Dr. Leslie Goldenberg Use & Dangers of Herbs Dr. Mel Borins Explaining Vaccines to Concerned Parents & Patients Dr. Shelley Deeks The Limping Child Dr. Devin Peterson Mainpro-C General Sessions Saturday Workshop Friday Session Thursday 2013 Exhibits Session Continues Wednesday LD S O U T! O Speakers A-Z 16:00-17:00 OSGOODE EAST S315 Members Forum: The Future of Family Medicine (Tom Thomson) 14:30-14:45 14:45-15:45 OPUS Nutritional Break 12:00-13:30 13:30-14:30 Lismer Celiac Disease & Non-Celiac Gluten Sensitivity Diagnosis & Management LD Dr. Peter Lin! SO 10:00-10:30 10:30-12:00 MacDonald GOVERNOR GENERAL MAIN LOBBY LEVEL Registration & Continental Breakfast 07:30-08:30 08:30-10:00 Harris THIRD FLOOR Important Information Saturday 30 Convention Level Toronto I 08:30-08:55 GEN301 Acne Management Dr. Anatoli Freiman 08:55-09:20 GEN302 The New Anticoagulants - Review of the Evidence Dr. John Blakely 09:20-09:45 GEN303 Multi-Drug Resistant Gonorrhea – What’s the Recent Epidemiology and What are the Clinical/Public Health Implications? Dr. Vanessa Allen & Doug Sider 09:45-10:00 Questions and Answers 10:30-10:55 GEN304 Cervical Screening Guidelines - for Now and the Future Dr. Meg McLachlin 10:55-11:20 GEN305 Demystifying Bioidentical Hormones Dr. Jennifer Pearlman 11:20-11:45 GEN306 ‘I Can’t Be Pregnant, I’m A Grand-Mother!’ When to Stop Contraception Dr. Nathalie Gamache 11:45-12:00 Questions and Answers 13:30-13:55 GEN307 Prenatal Screening: Can We Get Beyond Down Syndrome? Dr. Nanette Okun 13:55-14:20 GEN308 Performance Measures - What to Expect Moving Forward Dr. Scott Wooder 14:20-14:30 Questions and Answers 14:45-15:10 GEN309 Screening Update Dr. Praveen Bansal 15:10-15:35 GEN310 Genetic Assessment for Hereditary Breast Cancer Risk Dr. Andrea Eisen 16:45-17:00 Questions and Answers Saturday EMPII | Emergency Medicine Primer for GEN304 | Cervical Screening Guidelines - for Family Physicians II Now and the Future. JIM DUCHARME & KARIM JESSA MEG MCLACHLIN This program will provide a refresher course for those who have worked in emergency departments previously (at least for 2 past years) and an update for those who are currently working in an emergency department. In May of 2012 the Ontario Cervical Screening program released updated guidelines for cervical screening. These guidelines included recommendations for current practice, as well as future directions that include the use of HPV testing. These guidelines have the potential to significantly change cervical cancer prevention strategies, if rolled out in an organized program. This talk will review current state and future challenges. QIP | Quality Improvement Program for Family Practice PHILIP ELLISON & PATRICIA O’BRIEN After actively engaging in the Quality Improvement (QI) curriculum, participants will be introduced to improvement tools and resources to enable participation in QI initiatives. GEN301 | Acne Management ANATOLI FREIMAN This session will review acne clinical manifestations and practical management approach, including topical, systemic and adjunctive therapies. GEN302 | The New Anticoagulants - Review of GEN305 | Demystifying Bioidentical Hormones JENNIFER PEARLMAN Dr. Pearlman will provide a deep dive into one of the most controversial and common topics in dealing with midlife women’s health. She will define, demystify and explain bioidentical hormone therapy and equip her audience with insights into and options for modern menopausal hormone therapy. Gain clinical pearls to better deal with your female patients common questions on this topic! the Evidence GEN306 | I Can’t Be Pregnant, I’m a GrandMother!’ When to Stop Contraception JOHN BLAKELY NATHALIE GAMACHE Not all the information relevant to the choice and use of the new oral anticoagulants has been, or is likely to be published. This presentation will include the other side of the story. In this session, we will: GEN303 | Multi-Drug Resistant Gonorrhea VANESSA ALLAN & DOUG SIDER The session will present the existing data on Gonorrhea resistance (international, national and provincial perspectives) to the cephalosporins and the need to enhance surveillance of GC susceptibility through the use of sentinel site surveillance. It will describe the updates testing and treatment recommendations for GC in its different clinical presentations and as in different practice populations, as well as issues related to patient follow-up/test-of-cure, based on the recently published Public Health Ontario guidelines. The emphasis will focus on primary care challenges in implementing these diagnostic, treatment and follow-up challenges, as they are also linked with public health roles and responsibilities. • Review the physiology of perimenopause as it pertains to fecundity • Establish the ongoing need for contraception in perimenopause • Describe when and how to appropriately stop contraception GEN307 | Value of the First Trimester Scan in the Era of Non-Invasive Prenatal Screening NAN OKUN The talk will focus on the concept of prenatal screening; what it means to women, to providers and to a health care system. It will focus more broadly of the concept of screening as a system of enhancing our ability to detect disorders that are amenable to prevention or management with a potential to improve outcomes. 77 Saturday GEN308 | Performance Measures - What to Expect Moving Forward SCOTT WOODER The presentation will concentrate on the economic and political environment in Ontario leading up to the 2014 Negotiations of a new Physician Services Agreement. It will also give an update on the Ontario Medical Association activities around End of Life Care. pharmacologic management in addition to appropriate pharmacologic management. This workshop will focus on the pharmacologic management of BPSD but will also introduce the importance of interdisciplinary assessments and non pharmacologic approaches. S304 | Is There a Line Between Normal and Abnormal? Managing Depression in Palliative Care S301 | Approach to Depression in JOSE PEREIRA Primary Care This session will review the frequency requency equenc of depression in patients with advanced disease and the challenges in diagnosing major depression epression in these patients. Practical roaches oaches will be discussed along with the treatment approaches evidence in support o of these. JON DAVINE Depression is one of the most common and disabling illnesses in the world, with a lifetime prevalence of approximately 15%. It is thus an important illness for the family physician to be familiar with. In this workshop, we will delineate all the different psychiatric diagnoses that can be part of the sad state. We then focus on major depression itself, describing time efficient ways of making the diagnosis, and ruling out organic factors. Treatment issues of major depression are then addressed, including both psychotherapeutic and psychopharmacologic approaches. We discuss which antidepressants to choose and how to start and increase the dosage of antidepressants to optimize efficacy. We will also discuss augmentation strategies when partial response to an antidepressant has been achieved, how to switch from one antidepressant to another, duration of treatment, how to wean people off antidepressants, dealing with side effects, increasing patient compliance, use of ECT and pediatric depression. S302 | Cases of Resistant Hypertension S305 | An Interdisciplinary Approach to Better Prescribing in the Elderly MICHELLE HART & PAULINE SANTORA Family physicians provide the majority of care to elderly individuals. In Ontario, the elderly comprise 13% of the population, use 40% of drugs prescribed and continue to increase in use of non-prescription drugs. With the increasing aging demographic, the need for effective management and safe prescribing practices continues to be imperative. High prescribing rates lead to high rates of adverse drug reactions, which contribute to a large proportion of hospitalizations for the elderly. An understanding of the four categories of drug utilization problems in the elderly is essential to ensure safe prescribing: 1) Polypharmacy and Drug-Drug Interactions, 2) Compliance, 3) Altered Pharmacokinetics, and 4) Altered Pharmacodynamics (drug sensitivity). SALEEM MALIK S303 | Assessment and Management of Behavioural and Psychological Symptoms of Dementia (BPSD) ANDREA MOSER & SID FELDMAN Dementia is estimated to occur in 8% of persons over the age of 65 and 30% of persons over the age of 85 in Canada. As dementia progresses, this has often associated behavioural and psychologic symptoms. These symptoms present challenges to family caregivers and health care professionals both in community and long term care settings. BPSD is estimated to occur in up to 70% of persons with dementia and is often associated with hospital or Long Term Care admission. It is important for physicians to appreciate the role of non- 78 S306 | Celiac Disease and Non Celiac Gluten Sensitivity - Diagnosis and Management PETER LIN Superstars, books and magazines are all talking about Gluten. Is it the new devil protein? Yet the monks eat it. In fact they wash the flour away until they are just left with gluten. From this they make all sorts of dishes. So why then this gluten frenzy? What do we need to know about gluten? What is it? Why is it in our food? Should we avoid it? Is all hype or real? What is real celiac disease? How do you diagnose and manage these patients? What is gluten sensitivity? Is there any harm in going on a gluten free diet? These questions will be explored in this session in order to sort the wheat from the shaft sort of speak. Saturday S307 | Teaching Professionalism: Critical Conversations with Our Learners JAMES GOERTZEN Professionalism is a core competency for students, residents, and practicing physicians. It is understood as a series of behaviors within a clinical setting rather than a list of character traits or attributes. s. P Preceptors have a critical role in assisting learners rs with tth their professional development. Lapses in professional ofessional be behavior by students and residents are common mmon and to be expected as they integrate and apply pply the principles pr of professionalism within the clinical nical setti settin setting. A lapse in professional behavior provides an opportunity ppo ppor to have a collegial conversation to better understand the learner’s clinical context and the rational for their behavior. Collegial conversations encourage learner reflection and assimilation of new professional behaviors. ED L L E C N CA S308 | Adolescent Mental Health JOEY BONIFACIO • What is the appropriate evaluation of clinically or incidentally discovered thyroid nodule(s)? • What laboratory tests and imaging modalities are indicated? • What is the role of fine-needle aspiration (FNA)? • What is the best method of long-term follow up of patients with thyroid nodules? • What is the role of medical therapy of patients with benign thyroid nodules? • How should thyroid nodules in children and pregnant women be managed? • When is it appropriate to refer? Thyroid Disease and Pregnancy – A Family Practice Perspective for Management • This presentation is designed to assist the clinician in understanding normal thyroid physiology in pregnancy, as well as meet the following objectives: S309 | Understanding Non-Invasive • Assist in managing pre-existing hypothyroidism Cardiac Testing • Consider the relevance of subclinical hypothyroidism and thyroid autoimmunity VU KIET TRAN This workshop will be cased-based and go through the description of each of these non-invasive cardiac tests, their indications and limitations. The case will also illustrate how they can either help or impede the investigation of patients with chest pain or shortness of breath. By the end of the workshop, learners will be able to efficiently plan their cardiac evaluation strategy. It is this workshops hope to empower clinicians (family physicians, residents, nurse practitioners, and physician assistants) to actively manage the cardiac patient and avoid waiting for the cardiologist to take charge. It is time for the family doctors to take charge of their cardiac patients! S310 | Thyroid Nodules - When to Refer: “The Good, The Bad and The Ugly” & Thyroid Disease and Pregnancy - A Family Practice Perspective for Management NICOLA MCLEAN Thyroid Nodules - When to Refer: “The Good, The Bad and The Ugly” • Discuss strategies to evaluate and manage hyperthyroidism in pregnancy S311 | Challenges in Providing Care to Immigrants KEVIN POTTIE Immigrants often experience health disparities and barriers to primary health care services. A growing body of evidence and tools are available to assist health practitioners in understanding and addressing the diverse health needs of immigrant populations. In this workshop participants will discover evidence-based guidelines, tools to assist in the care of refugee and immigrant populations and will explore community, practitioner, public health and policy maker perspectives. S312 | ADHD in Adults/Across the Lifespan and Common Comorbidity SERGE LESSARD This presentation attempts to address the most commonly asked questions from clinicians when dealing with thyroid nodules. Namely: 79 Saturday and Pearls for End of Life Care It is hoped that after this clinical presentation on ASD the participants will be familiar with the following: CHRISTOPHER BARNES & JILLE RICE • Awareness of the rising prevalence of ASD This seminar will highlight the value of advanced care planning and prepare attendees to navigate these discussions with patients in a timely manner. The focus will be on development of care plans and facilitation of palliative care. Fundamentals of outpatient and inpatient primary palliative care will also be discussed, including resources and symptom management at end-of-life. • Recognition of the three clinical features of the life long impairment of ASD via role play S313 | Palliative Care: Advance Care Planning • An approach to treating ASD using the CanMEDSFM roles S314 | Starting Insulin in Type 2 Diabetes - S316 | Interventions in ED not Founded on Evidence Version 2013 WITHOUT Losing Sleep at Night VU KIET TRAN SIMON MOORE This is the third installment in a series of presentations about useless interventions in the ED that clinicians should abandon performing, either because these interventions are harmful, waste important resources (e.g. time or equipment) or do not add any clinical value. As clinicians, we should continue to strive to be more efficient, but most importantly being safer for our patients. This presentation will address interventions that are potentially harmful, but at the very least wasteful. This lecture is intended for anyone who is uncomfortable starting insulin in a patient with Type 2 diabetes and for anyone interested in learning useful tips and tricks on this topic. Learners will leave with confidence in writing an insulin start prescription. Learners will discover the basics of Type 2 Diabetes pathophysiology, develop a stepwise and an approach to managing diabetes based on Canadian guidelines and targets and gain practical information from a variety of sources, including input from endocrinologists. The emphasis of this lecture is not only the scientific content, but also to help the learner apply clinical and the patient-is-in-front-of-you management. The talk concludes with four things you can do in your office today. S315 | Autistic Spectrum Disease: A Heaven of Hell, A Hell of Heaven PATRICK LEE Autistic Spectrum Disorder (ASD) is a life long illness with impairment in communication, social interaction and abnormal behaviour. According to latest data from The Centre of Disease Control & Prevention (CDC), the prevalence of ASD under age eight has risen over 70% in the past decade. Parents whose children have ASD are frequently overwhelmed with the devastating diagnosis and confused about different treatment options portrayed by the Internet and social media. They will ask their primary care physicians about what is best for their autistic children. 80 • Review of the latest literature and treatment of ASD S317 | Thyroid Dysfunction Revisited: What’s Next After TSH NICOLA MCLEAN I am often asked if there is any other testing I would like done before I see a referred patient with a thyroid disorder. There is no doubt that the TSH test is the single most cost-effective way to examine these disorders, but what should follow (if anything)? This presentation will attempt to clarify this through the following objectives: • Review thyroid physiology and the pertinent lab tests for family practice management of common thyroid disorders. • Understand the role of the TSH test in patient screening, when to screen; pitfalls and cost-benefit. • Allow the viewer to become aware of conditions and substances that can interfere with thyroid function and interpretation of results. • Evaluate the role of other thyroid tests using case-based examples for common thyroid disorders. Saturday S318 | Common External and Middle Ear Problems WAYNE HANSON S319 | Practical Management of Knee OA HOWARD CHEN A hands-on, practical, interactive session to provide knowledge and tools to help you better care for your patients with osteoarthritis of the knee. S320 | Mixing and Matching: Layering Psychiatric Medications as Family Physicians JON DAVINE Often, psychopharmacologic of treatment psychiatric conditions involves combining medications in an appropriate manner. In this workshop, we will discuss a number of scenarios where this occurs. This will include augmenting a partial response to antidepressants, dealing with treatment resistant depressions, treating acute manic conditions, dealing with insomnia, dealing with anxiety disorders, and schizoaffective disorder among others. Participants will be encouraged to bring up some of their own cases where issues of layering occurred. S321 | Pediatric Vulvar Disorders SARI KIVES At the end of the seminar, participants will be able to provide a differential of the common pediatric vulvar disorders, as well as the treatments and long term management. S322 | Hypoglycemia in Type 2 Diabetes Mellitus: An Underappreciated Management Challenge NICOLA MCLEAN Upon completion of this program participants will be able to: • Recognize hypoglycemia and describe its signs and symptoms • Describe the 3 phases of treatment of hypoglycemia • Name the causes of hypoglycemia • Discuss the impact of hypoglycemia on patients (acute and chronic) • Evaluate how the different antihyperglycemic therapies affect glycemic control, risk for hypoglycemia, as well as other risk factors as part of monotherapy and combination therapy • Develop practical strategies to reduce hypoglycemia in clinical practice S323 | Test your Contraception IQ: Be a Contraceptive Mythbuster! DUSTIN COSTESCU Do you provide contraceptive care for women? Find it difficult to separate fact from fiction when it comes to the latest controversies in birth control? Come and test your own knowledge of contraception alongside your peers using live touchpad polling and review the evidence surrounding contraceptive mechanisms of action, management strategies and safety. This program was produced in collaboration with the Society of Obstetricians and Gynecologists of Canada. S324 | The 15 Minute Hour MARIAN STUART Building on the BATHE technique (Background, Affect, Trouble, Handling, & Empathy), this workshop will help practitioners become proficient in incorporating highly effective cognitive behavioral therapy (CBT) techniques into a routine 15 minute patient visit. A Positive BATHE to stimulate positive thinking will be introduced and time left for discussion. S325 | Palliative Care and Advanced Heart Failure JENNY LEGASSIE Heart failure is a life limiting illness with considerable symptom burden. The late stages of disease are characterized by a cycle of exacerbation and remission superimposed on general decline. While symptoms lead patients to high use of medical resources to relieve their suffering, many healthcare professionals have little familiarity with strategies for relieving this burden. The purpose of this talk is to explore the needs of patients with advanced heart failure, to evaluate interventions and strategies for easing their suffering and to review appropriate palliative interventions. 81 Saturday S326 | Myths and Misses in Medicine: Tools for Practice G. MICHAEL ALLAN This session will be run as an interactive, jeopardy-type format. The audience will select topics from a list. We will then review a clinical question relevant to practice and then provide a practical evidence based answer. The purpose is to provide a wide-variety of clinical pearls that can quickly be introduced to practice. Topics will vary over women’s health, pediatrics, care of the elderly, urgent care, diabetes, mental health, and others. S327 | Advanced Electrocardiography (ECG) Interpretation for Emergency Department, Hospitalist or Office VU KIET TRAN This presentation is aimed at empowering family physicians, residents, physician assistants and nurse practitioners with the ability to properly interpret complex ECG’s in the office and Emergency Department in order to safely and efficiently manage patients presenting with chest pain, shortness of breath, palpitation, arrhythmias or sudden cardiac death. It is the hope that family doctors practicing in an acute environment will be empowered to interpret even the most difficult ECG’s in order to diagnose the most elusive fatal cardiac conditions. S328 | Mood Disorders in Pregnancy and Postpartum WILLIAM WATSON & SIMONE VIGOD Mood disorders in pregnancy and postpartum occur with relatively high frequency (10-20%) and have important impact on mothers, their children and the entire family. There is mounting evidence that maternal depressive illness affects the quality of the mother’s relationship with her child and the child’s cognitive and social development. In addition, mothers with Postpartum Mood Disorders often face a lifetime of increased risk for recurrence of their illness especially during times of stress. Unfortunately, depression and anxiety are seriously under-treated during pregnancy and after childbirth, resulting in increased vulnerability for children and families. Family physicians are uniquely positioned in the health care system to help mothers and their families through this chronic mental illness. By their knowledge of risk factors and use of diagnostic tools, family physicians can recognize and diagnose mood disorders in a timely manner, and with the collaboration of psychiatrists and 82 other mental health professionals, improve their treatment of these conditions through the use of drug treatment and psychotherapy. Using interactive case scenarios, this workshop will emphasize the prevention, diagnosis, screening, treatment and therapeutic techniques that can assist family physicians in managing mood disorders in pregnancy and the postpartum period. S329 | Managing the Disruptive Patient JON HUNTER Every physician can identify a subset of patients that they wish they couldn’t see- referred to in the family practice literature as ‘heartsink’ patients. This seminar will provide a simple classification scheme for such patient encounters and suggestions for reducing the degree of disruption or negative reaction they precipitate. Based on Attachment Theory, this empirically based approach has been demonstrated to be easily acquired and useful in managing these encounters. Participants are encouraged to have such a difficult patient encounter in mind, to use in the application of the scheme and for discussion with the group. S330 | Marital Counselling MEL BORINS Marital discord is common. Marital therapy takes years of training and supervision, however calling a couple together to try to improve communication in the marriage is something not beyond the scope of general practitioners. Often it is difficult to make a referral. Seeing couples in your office can be rewarding if the problems are not too complex. Sometimes a couple needs an emotionally uninvolved neutral mediator who can empathetically listen and facilitate them to talk in a focused way. Often by listening for one or two sessions the General Practitioner can make a more knowledgeable and appropriate referral, and follow-up afterwards to see if there is improvement. If the couple is separating, then being involved at this highly stressful and painful time helps to understand the physical and mental illness that results from this all too common dramatic life change. Saturday S331 | Bedside Ultrasound: An Introduction for Family Physicians S334 | Evaluating and Managing Foot Pain PHILIPPE ROLA LESLIE GOLDENBERG In this workshop, participants will be introduced to the various ways in which bedside ultrasound can be an invaluable tool in the routine assessment of various patients - ranging from painful joints to shortness of breath and abdominal pain – and how it can help expedite diagnosis and therapy. Hands-on practice will help introduce participants to basic bedside ultrasound. This session will provide you a comprehensive and practical monograph on diabetic foot care and to be able to: S332 | Approach to Bipolar Disorder JON DAVINE Approach to Bipolar Disorder in Primary Care Bipolar disorder is being increasingly recognized as prevalent in the primary care population. It is now seen as something that can be diagnosed and treated in the primary care sector. However, many people with this disorder remain undiagnosed or misdiagnosed. In this workshop, we discuss how to make the diagnosis in a time-efficient manner, using succinct screening questions. The pharmacologic treatment of bipolar disorder will be presented, focusing on the proper treatments of the different phases of bipolar, including depression, mania, and protection from relapses (prophylaxis). This will be based upon the most current psychopharmacologic guidelines. Issues around the use of psychopharmacology for bipolar disorder during pregnancy will also be discussed. S333 | Diagnosis and Management of Fatty Liver States MARK LEVSTIK Objectives: • To be aware of patients at risk of NAFLD • To develop an appropriate screening protocol for NAFLD in the office. and Neuropathy in Diabetics • Classify mild, moderate and sever diabetic foot infections and ulcers • Formulate an appropriate treatment plan of pharmacologic (including antibiotic selection) and a non-pharmacologic treatment (including hyperbaric oxygen and pedorthic management) • Critically appraise and utilize the 2012 IDSA guidelines for diabetic foot infections • Recognize when referral to a pedorthic or medical specialist is indicated. S335 | Managing Back Pain: The Ontario Inititative Taking You Beyond the Basics HAMILTON HALL & JULIA ALLEYNE Mechanical back pain can be categorized into four distinct presentations, each of which has a specific initial management approach. Pattern recognition is based on five key questions and a focused physical examination. S337 | A New Approach to Syncope in the Office VU KIET TRAN This is a case-based presentation reviewing different risk stratification models in order to efficiently and safely identify patients presenting with syncope of cardiac origin. The presentation will review the most common red flags and help the clinician use the most basic skills to identify the most fatal causes of syncope. Learn which tools produce the most yields and which ones are practically useless. Learn how to identify the high risk patient in your office and how to manage them safely. • To be able to council our patients on their risk of liver disease and associated CVS complications 83 Saturday S338 | Drugs of Abuse - What’s New on the Street LISA THURGUR Societal drug use patterns are constantly being modified due to changes in supply, cost and culture. The Internet allows rapid circulation of new drugs and novel methods of use and studies have shown that users modify drug use based on information obtained from the Internet. It is up to the primary care physician to stay on top of what new drugs are on the street, how they present clinically and how we can manage them in overdose situations. The objectives of the presentation are to help participants look for and recognize presentations of certain new drugs of abuse and to learn how to manage them aggressively. We will focus on not only the most popular drugs of abuse on the streets these days, but also will cover some of the oldies, but goodies that still prove to be popular and lethal. S342 | Delirium in Hospitalized Patients - National Institute for Health & Care Excellence (NICE) Guidelines MICHELLE GIBSON This session will provide an overview of the NICE guidelines on delirium through case discussions. This will be an interactive session using social media (and no social media experience is required to participate!) S343 | What’s New in Dermatology 2013 BENJAMIN BARANKIN This is an engaging review of the past year’s interesting and important developments in medical, surgical and cosmetic dermatology - always critical to a family physician’s practice. S339 | Ten 2013 Studies that May Change Your S344 | Evaluating and Managing the High Risk Diabetic Lower Extremity and Diabetic Foot Ulcers Practice LESLIE GOLDENBERG G. MICHAEL ALLAN Following this session you will receive a practical and comprehensive monograph on diabetic foot care and you will be able to: There are thousands of published studies each year and finding the few that are both relevant and high quality enough to change practice are a challenge. Using a variety of literature filters, we’ll focus on ten articles applicable to practice (plus or minus one or two). Topics may vary, but include a new use of ASA, honey, salt restriction, best NSAID, diabetes from drugs, healthy diets, steroid injections and others. S340 | Retirement Planning • Diagnose diabetic peripheral neuropathy • Identify difficulties and pitfalls in the treatment of this disorder • Prescribe appropriate nutritional and topical therapy as alternatives to standard • Choose effective non-pharmacologic and non-invasive management modalities BRIDGET PATON, ADRIAN LEANDRO & GREG LEJA Discover a physician five-step retirement planning process, and learn how to prioritize your retirement goals. We also outline ways to minimize tax and manage your investment income. S341 | A Practical Approach to Headache LUCIAN SITWELL The presenter will give an overview of migraine and headache. New insights into the mechanism of migraine will be presented. A rational approach for the primary care physician to the treatment of headache, including new therapeutic options, will also be reviewed. 84 S345 | Use and Dangers of Herbs MEL BORINS Although the use of herbs is generally safe there are reports of toxicity and side effects. This workshop will discuss commonly used herbs and the research that supports their use. The dangers of herbs will also be discussed. Saturday S346 | Explaining Vaccines to Concerned Parents and Patients WS302 | Joint Injections - Shoulder, Knee, Elbow Tendonitis SHELLEY DEEKS KEN TRINH Explaining vaccines to concerned parents and patients: Public and professional confidence in vaccines is critical and key to program success. While most parents ensure that their children are vaccinated, there are some who are vaccine hesitant. They may delay vaccination, or only accept some of the recommendation vaccines. Addressing parents’ concerns should be a priority for health care providers. During this session, vaccine hesitancy will be reviewed and various strategies to address hesitant parents will be explored. In this workshop, participants will understand the indications and contraindications of joint injections. Anatomy of the shoulder and knee will be reviewed. Participants will practice injecting knee and shoulder joints on models. Other joints may be discussed if time permits. S347 | The Limping Child - An Orthopedic The purpose of this presentation is to educate physicians and other health care professionals in the assessment and management of the limping child. The clinical presentation and management of the common conditions that cause a child to limp will be discussed. This presentation will review many of the reasons for childhood limping such as missed hip dysplasia, apophyseal conditions, septic joints, etc. Acute injuries, neuromuscular disease, and rheumatologic conditions will not be a focus of the presentation. It is hoped that this presentation will allow physicians and other health care professionals to become comfortable in managing the common pathological conditions responsible for limping in childhood and guide timely referrals. This is an interactive case based and hands-on session. At the end participants will be able to diagnose and manage the most common shoulder conditions. They will be able to extrapolate how the anatomy of the shoulder relates to the injury and the pain pattern. They will be able to list the key points in taking the shoulder history and carry out a focused physical examination of the shoulder in a 5 minute approach. There will be a hands-on portion where participants will perform it by practice in pairs. They will learn how to order appropriate investigations and interpret these investigations by correlating with the clinical examination. They will be able to formulate a management plan for common shoulder problems including home exercises for certain shoulder conditions. They will determine when a referral is required and with what urgency. The emphasis is on evaluating tests and treatment based upon scientific evidence where it is available. WS301 | Ankle Brachial Index - Diagnostic WS304 | Trigger Point Injections Tool for PAD KEN TRINH MARGE LOVELL In this workshop, participants will understand the indications and contraindications of trigger point injections. Anatomy of the neck and back will be reviewed. Participants will practice injecting these areas using acupuncture needles. Other trigger point areas may be discussed if time permits. Perspective DEVIN PETERSON Peripheral Arterial Disease (PAD) is a common form of arterial disease that occurs when the aorta and the leg arteries are narrowed or blocked by fatty deposits. The gold standard in diagnosing PAD is the Ankle Brachial Index (ABI). The ABI is a non invasive objective, measurement of the ratio of ankle systolic pressure to arm systolic pressure to quantify the degree of arterial insufficiency using a hand held Doppler on both arm and leg. This workshop will provide hands on practice on how to accurately perform and interpret the ABI. WS303 | The Shoulder – Complex Joint Simplified LOUISE WALKER & MARIE-JOSÉE KLETT 85 Speakers A-Z Wednesday Thursday Exhibitors Friday Saturday 2013 Exhibits Important Information Exhibitors SERVICE ELEVATOR T5 SPEAKERS OFFICE EXH REGN T4 FHC OCFP 6 T9 7 RUTH’S CHRIS 8 9 EXIT T6 FITZGERALD Booths: B1 Appletree Medical Group B2 Lundbeck Canada Inc. B3 Trudell Medical International B4 AIM Health B5 Homewood Health Centre B6 Lifeforce International B7 Novartis Pharmaceuticals Canada Inc. B8 Cancer Care Ontario B9 Sigvaris B10 OntarioMD B11 Ontario Chiropractic Association B12 Novo Nordisk B13 The Association of Hearing Instrument Practitioners of Ontario B14 Jack Nathan Health 27 28 29 30 T8 Toronto Ballroom 2 22 38 37 36 35 34 33 T7 21 13 Harris 12 11 10 MacDonald Lismer Toronto Ballroom 3 EXIT CFPC 17 18 19 20 EXIT 5 26 FOOD STN 15 EXHIBITOR LOUNGE 14 4 25 T1 3 T2 EXIT 23 T3 2 7’6” WIDE AISLE MIN. F&B OFFICE 24 FOYER ESCALATOR 1 TOM THOMSON Toronto Ballroom 1 BEV. STN. COAT CHECK GUEST ELEVATOR REGN BAGS BANQUET KITCHEN TO SERV CORR. VARLEY JACKSON CARMICHAEL TEL. FREIGHT ELEVATOR CASSON B15 TELUS Health B16 The College of Family Physicians of Canada B17 The Medical Post B18 Cleveland Clinic Canada B19 Purdue Pharma B20 Boehringer Ingelheim B21 MD Physicians B22 The Canadian Medical Association B23 Prostate Cancer Canada B24 Outside Use Management Database B25 Canadian Health Systems B26 AstraZeneca Canada B27 Canadian Partnership Against Cancer B28 Health Quality Ontario (HQO) B29 Ontario Telemedicine Network B30 Dairy Farmers of Canada SEATING JOHNSTON B33 Wellx B34 Health Quality Innovation Collaborative B35 OMA’s Section on General & Family Practice B36 MCI Medical Clinics B37 Ontario Brain Institute B38 HealthForce Ontario Marketing and Recruitment Agency Table Tops: T1 Canadian Association of Physicians for the Environment T2 Toronto Public Health T3 Osteoporosis Canada T4 Locums Ontario T5 Hospice Palliative Care Ontario T6 Hamilton Physicians T7 Alzheimer Society of Ontario T8 City of Thunder Bay T9 Centre for Effective Practice 87 Exhibitors Appletree Medical Group Homewood Health Centre BOOTH 1 BOOTH 5 Appletree Medical Group is one of the largest and most progressive medical groups in Canada. With 38 clinics across Ottawa and the GTA, our multidisciplinary teams of family doctors and specialists enjoy practicing in our modern offices well equipped with diagnostic tools, a highly trained, professional staff, and a top EMR. Homewood Health Centre is Canada’s unsurpassed medical leader in mental health and addiction treatment, providing highly specialized psychiatric services to all Canadians. Located in Guelph, Ontario, Homewood is a fully accredited facility and has always achieved the highest standards of quality care. Lundbeck Canada Inc. Lifeforce International BOOTH 2 BOOTH 6 Lundbeck has been part of the Canadian Pharmaceutical industry for close to 20 years with products for the treatment of depression, anxiety, Alzheimer’s disease, bipolar I disorder and schizophrenia. And now we’re applying that same passion and drive to oncology. Creating partnerships and working with healthcare professionals will always be an important part of what we do, and we will continue to do so as we branch out into oncology. Lifeforce is an organization dedicated to delivering effective therapeutic solutions to the medical community. We ensure that all of our therapies adhere to the principles of evidence-based medicine, providing physicians and their patients with effective, safe, and reliable solutions to treat some of today’s most complex and serious medical conditions. Novartis Pharmaceuticals Canada Inc. BOOTH 7 Trudell Medical International BOOTH 3 Trudell Medical International manufactures innovative devices for respiratory disease management including AEROCHAMBER* Valved Holding Chambers, TRUZONE* Peak Flow Meters and AEROECLIPSE* Breath Actuated Nebulizers. VISIT OUR BOOTH TO LEARN MORE ABOUT: • How devices that provide feedback to patients may improve compliance 2) Why chambers are considered non-interchangeable • How patients can get insurance coverage for their devices. AIM Health BOOTH 4 AIM Health Group provides a turn-key operation for family physicians interested in joining our multidisciplinary clinics. Our Chronic Pain Management Division provides medical outpatient chronic pain management services on a consulting basis to community family physicians. Our Emergency Medicine Division provides services to various emergency departments throughout Ontario. 88 Novartis is the world’s fifth largest manufacturer of vaccines and the second largest producer of influenza vaccines. We are dedicated to delivering on the promise of prevention through research, development and production of innovative, safe and effective vaccines. At the heart of everything we do is our commitment to prevent the spread of life-threatening diseases, protect vulnerable populations, and keep healthy people healthy. Cancer Care Ontario BOOTH 8 Cancer Care Ontario (CCO) is an Ontario government agency that drives quality and continuous improvement in disease prevention and screening, the delivery of care and the patient experience, for cancer, chronic kidney disease and access to care for key health services. Known for its innovation and results driven approaches, CCO leads multi-year system planning, contracts with providers, implements information systems, establishes guidelines and tracks performance targets to ensure improvements. Exhibitors Sigvaris Novo Nordisk BOOTH 9 BOOTH 12 At SIGVARIS, we focus on your well-being with a complete range of medical compression socks and stockings for the prevention and treatment of venous disease. The SIGVARIS MEDICAL collection provides a daily dose of compression to treat the root cause of venous disorders: valve destruction and increased venous pressure within the leg veins. SIGVARIS compression therapy provides the GOLD STANDARD SOLUTION in the fight against venous disorder. Novo Nordisk is a focused healthcare company. With the broadest diabetes product portfolio in the industry, including the most advanced products within the area of insulin delivery systems, Novo Nordisk is the world leader in diabetes care. In addition, Novo Nordisk has a leading position within areas such as coagulation disorders and hormone replacement therapy. Novo Nordisk manufactures and markets pharmaceutical products and services that make a significant difference to patients, the medical profession and society. www.sigvaris.ca OntarioMD BOOTH 10 OntarioMD, a wholly-owned subsidiary of the Ontario Medical Association, provides physicians with information and resources to improve the quality of patient care and practice efficiency. OntarioMD manages the EMR Adoption Program, funded by eHealth Ontario, to help physicians transition from paper charts to an EMR and to help EMR users optimize their use. The program provides funding for EMR adoption and ongoing funding for keeping the EMR at the latest EMR Specification to take advantage of new functionality when available. OntarioMD also offers change management through experienced Peer Leaders and regional field teams. More information on the program is available on www. OntarioMD.ca. Ontario Chiropractic Association BOOTH 11 Established in 1929, the Ontario Chiropractic Association (OCA) is a voluntary professional association whose mission is to serve its members, approximately 3,200 Ontario chiropractors, and the public by advancing the understanding and use of chiropractic care. This is accomplished by supporting members in practice, supporting research in chiropractic, raising awareness through advertising and public education, and demonstrating the value of chiropractic coverage in government and extended health care plans. The Association of Hearing Instrument Practitioners of Ontario BOOTH 13 The Association of Hearing Instrument Practitioners of Ontario (AHIP) represents 600 Hearing Instrument Practitioners who provide hearing tests, hearing aid selection, fitting and counseling services. These hearing healthcare professionals provide the highest possible standards in technology and patient care, assisting your patients and improving their quality of life. www. helpmehear.ca Jack Nathan Health BOOTH 14 Jack Nathan Health is committed to improving access to public healthcare by delivering consistent, quality care in state-of-the-art medical clinics across Canada. We are proud to partner with Walmart Canada to deliver quality healthcare services and convenience to its customers, while providing doctors with turn-key opportunities and services. TELUS Health BOOTH 15 TELUS Health is a leader in telehomecare, electronic medical and health records, consumer health, benefits management and pharmacy management. TELUS Health gives health authorities, providers, physicians, patients and consumers the power to turn information into better health outcomes. For more information about TELUS Health, please visit telushealth.com 89 Exhibitors The College of Family Physicians of Canada MD Physicians BOOTH 16 BOOTH 21 See The College of Family Physicians of Canada in action! Visit the CFPC booth and meet some of the staff involved in Education, Continuing Education, Canadian Family Physician and Membership. We’d be glad to meet you and answer your questions, update you on our latest initiatives, connect you with colleagues with similar interests and we’ll have the latest CFPC publications on hand. MD Physician Services (MD) is a wealth management firm with an unrivalled understanding of physicians’ unique needs. MD provides physicians with personalized, expert advice and best-in-class solutions. Owned by the Canadian Medical Association (CMA), MD helps clients build wealth and capitalize on opportunities to meet their personal and professional goals. With $30 billion in assets under administration, MD has been recognized by industry third parties for client satisfaction and growth. The Medical Post BOOTH 17 The Canadian Medical Association The Medical Post is the independent voice for Canada’s doctors. The Medical Post online at www. CanadianHealthcareNetwork.ca educates, informs, engages and inspires Canada’s physician community with compelling, award-winning content relevant to their professional and personal lives. BOOTH 22 The Canadian Medical Association is a national association of physicians that advocates on behalf of its members and the public for access to high quality health care, and provides extensive resources to its members throughout their career. Cleveland Clinic Canada Prostate Cancer Canada BOOTH 18 BOOTH 23 As a global, academic medical centre, Cleveland Clinic provides world-class care to patients from around the world. Cleveland Clinic Canada, an outpatient facility in downtown Toronto, focuses on early detection and prevention of illness and injury. We uniquely offer public as well as private health care services - including executive health, lifestyle management/wellness, and sports health (musculoskeletal) programs. Our onsite OHIP specialty clinic offers cardiology, dermatology, gastroenterology, sports medicine (including orthopaedics). www. clevelandclinic.ca Prostate cancer is the most common cancer to affect Canadian men, impacting one in seven men over the course of their lifetime. Prostate Cancer Canada funds programs related to awareness and public education, advocacy, support of those affected, and research into the prevention, detection, treatment and cure of prostate cancer. Purdue Pharma BOOTH 19 Purdue Pharma is dedicated to developing and providing innovative medicines for patients and health care professionals and to supporting quality education for the safe use of its products. Boehringer Ingelheim BOOTH 20 Boehringer Ingelheim is a research-driven pharmaceutical group of companies committed to the development of innovative, cost-effective medicines and finding medical breakthroughs for therapies which fulfill unmet medical needs. For more information please visit our website: www.boehringer-ingelheim.ca 90 Outside Use Management Database BOOTH 24 Software Application designed for Family Physicians in a FHO/FHT/FHN models to better manage the practice Outside Use charges and optimize Access bonus. Canadian Health Systems BOOTH 25 Canadian Health Systems provides high performance Electronic Health Record software to clinics and practices of family physicians, specialists and allied health professionals in solo practice, groups and multi-clinic chains. The software significantly reduces the cost of running an office and provides many state-of-the-art features for managing practice more efficiently. Exhibitors AstraZeneca Canada Wellx BOOTH 26 AstraZeneca is a global, innovation-driven biopharmaceutical business with a primary focus on the discovery, development and commercialization of prescription medicines for gastrointestinal, cardiovascular, neuroscience, respiratory and inflammation, oncology and infectious disease. AstraZeneca operates in over 100 countries and its innovative medicines are used by millions of patients worldwide. AstraZeneca’s Canadian headquarters are located in Mississauga, Ontario. For more information, please visit the company’s website at www.astrazeneca.ca. BOOTH 33 Canadian Partnership Against Cancer BOOTH 27 The Canadian Partnership Against Cancer is an independent organization funded by the federal government to accelerate action on cancer control for Canadians. Our booth will showcase the 1 in 3 cancerview digest. Monthly, the 1 in 3 cancerview digest examines a key issue in cancer control from multiple angles, making the connection between the latest cancer evidence and what it means in practice. Health Quality Ontario (HQO) BOOTH 28 HQO works in partnership with Ontario’s health care system to support a better experience of care, better outcomes for Ontarians and better value for money. HQO’s mandate is to monitor and report to the people of Ontario on the quality of their health system, support continuous quality improvement, and promote health care that is supported by the best available scientific evidence HQO is an arms-length agency of the Ontario government. Visit www.hqontario.ca for more information. Ontario Telemedicine Network BOOTH 29 OTN is the world leader in telemedicine, using innovative technology to streamline health care processes, while also expanding the way knowledge is shared and how the medical community interacts with each other and with patients. The efficiencies achieved help health care budgets go farther. To learn more, please visit otn.ca. Dairy Farmers of Canada BOOTH 30 Dairy Farmers of Canada is a non-profit organization representing dairy producers across the country. Visit our booth to talk with our Registered Dietitians and to get copies of our numerous nutrition and health resources. Wellx is the easy and PHIPA-compliant way for your practice to exchange secure email with your patients. Visit our booth to create a free homepage for your practice and learn how using Wellx will improve your practice’s efficiency and patient satisfaction. Health Quality Innovation Collaborative BOOTH 34 Come find out how physicians like yourself are transforming health care right now. OMA’s Section on General & Family Practice BOOTH 35 Please join your OMA Section – the Section on General & Family Practice (SGFP) – at its booth to find out more about the Section’s activities on your behalf. Copies of the brand new Billing & Practice Guide, Fall 2013 and the ever-popular Common Family Practice Codes, January 2013 will be available. MCI Medical Clinics BOOTH 36 Ontario Brain Institute BOOTH 37 The Ontario Brain Institute is a provincially-funded, not-for-profit research-centre seeking to maximize the impact of neuroscience and establish Ontario as a world leader in discovery, commercialization and care. We create convergent partnerships to foster discovery and deliver innovative products and services that improve the lives of those with brain disorders. HealthForce Ontario Marketing and Recruitment Agency BOOTH 38 HealthForceOntario Marketing and Recruitment Agency is an initiative of the HealthForceOntario strategy and designed to help increase the number of qualified health professionals practicing in Ontario by retaining Ontario’s domestically trained healthcare professionals; recruiting qualified healthcare professionals into Ontario; assisting internationally educated health professionals living in Ontario to become qualified to practice in the province and facilitating the delivery of clinical care through the administration of locum programs. http://www. healthforceontario.ca/ 91 Exhibitors Canadian Association of Physicians for the Environment Hospice Palliative Care Ontario TABLE 1 The Quality Hospice Palliative Care Coalition of Ontario is comprised of provincial associations of health professionals, organizations, volunteers, caregivers; and researchers. The Coalition advocates for quality hospice palliative for all Ontarians. Working with MOHLTC and LHINs, the coalition reviewed care delivery and identified priorities to improve care for all Ontarians. The review resulted in a road map for system change and integration titled Declaration of Partnership: Advancing High Quality, High Value Hospice Palliative Care. CAPE is a membership based organization that works to protect human health by protecting the planet. Visit our booth and become a member today! Toronto Public Health TABLE 2 Looking for timely, accurate, and relevant public health information? Visit Toronto Public Health’s exhibit. Missed us? Visit our website for health professionals at www. toronto.ca/health/professionals/. Osteoporosis Canada TABLE 3 Osteoporosis Canada, a registered charity, is the only national organization serving people who have, or are at risk for Osteoporosis. Locums Ontario TABLE 5 Hamilton Physicians TABLE 6 Find the right practice with the expert guidance of Hamilton Physicians. Permanent and Locum family physician opportunities in all payment models. Tips for evaluating a practice, guidance through the negotiation process and support in the transition. Hamilton is a leader in education and health research. Work, live, and play in our inviting, inspiring and innovative city. TABLE 4 There are so many Doctors looking for Locums and so many Locums looking for work. Why shouldn’t there be a site that brings these two groups together? Well now there is! Locums Ontario is a colourful, user-friendly matching site to help Doctors in need connect with Locum Physicians. It’s simple, easy to use, confidential and free. With over a thousand registered physicians, Locums Ontario is THE place to go for your Locum needs. www.LocumsOntario.ca Alzheimer Soceity of Ontario TABLE 7 The Alzheimer Society’s First Link program aims at strengthening collaboration between primary care providers and community-based services for persons with dementia. This approach is intended to facilitate communication between primary care practitioners and community services and contribute to a more coordinated clinical response to persons who have dementia and other chronic health conditions. Finding Your Way is a program that offers practical advice on how people with dementia can stay safe while staying active. City of Thunder Bay TABLE 8 Centre for Effective Practice TABLE 9 92 Speakers A-Z Wednesday Thursday Important information Friday Saturday 2013 Exhibits Important Information N OV E M B E R 2013 Important information ACCOMMODATIONS Hilton Toronto Hotel 145 Richmond St. West Toronto ON M5H 2L2 Tel: 416-869-3456 Identify yourself as a member/participant of the Ontario College of Family Physicians conference. ‘Blocked’ dates are 24 November to 3 December. ANNUAL REGIONAL MEETING Thursday November 28 (07:30 – 08:30) Region 1 - CARMICHAEL Region 2 - JACKSON Region 3 - TOM THOMSON Region 4 - CASSON Region 5 - HARRIS Region 6 - MACDONALD Region 7 - LISMER ANNUAL GENERAL MEETING – Toronto I Ballroom Thursday November 28 (12:15 – 13:15) CANCELLATIONS Cancellations must be received in writing by November 1st, 2013 in order to receive a refund, less a $100 processing charge. The refund policy applies to the conference general sessions and seminars. In the case of cancellations made to any of the Mainpro C sessions, a full refund would apply. No refunds will be issued for cancellations received after November 1 without exceptions. Please note that registration fees for cancelled registrants may not be applied to future ASA conferences. CONFERENCE MATERIALS The OCFP offers a paper-free conference. Delegates will not receive a syllabus at the time of registration on-site but will receive a conference program. Unless required by the speaker during his/her presentation, all sessions’ handouts and relevant information will be available online after the conference. Delegates will receive appropriate notification from the OCFP by email. DIRECTIONS Directions to the Hilton Toronto Hotel from Lester B. Pearson Airport: Take highway 427 South to the QEW East. The QEW East will become the Gardiner Expressway. Exit the Gardiner Expressway at York Street. Take York Street north to Richmond Street and turn left onto Richmond Street West. We are at 145 Richmond Street West. Hotel parking is located underground, accessible from the hotel main entrance, $30 per day. DISCLAIMERS: The presence of any company, product or service in the exhibit area at the Ontario College of Family Physicians’ Annual Scientific Assembly does not confer or imply endorsement by the OCFP for the said company, product, or service. OCFP reserves the right to refuse to rent exhibit space at the Annual Scientific Assembly as in its sole discretion may decide upon. The presence of any speaker or topic in the scientific program of the Ontario College of Family Physicians’ Annual Scientific Assembly does not confer or imply endorsement by the OCFP. As well, the opinions expressed by the speakers do not necessarily reflect the opinions of the Ontario College of Family Physicians. The Ontario College of Family Physicians is not responsible for loss, theft or damage done to instruments, materials, equipment or personal belongings, unless expressly agreed to by contract. This includes Registration Bags provided on site. EXHIBIT HALL: Take your time and browse through the exciting displays in the Foyer Area on the convention level and inside the Toronto II Ballroom. Nutrition breaks around the Exhibits Area will provide a convenient opportunity to refresh yourself while acknowledging the contributions made by this year’s supporters and exhibitors. The exhibit areas will be open continuously from 07:30 - 17:30 on Thursday, 08:00-18:30 on Friday, and 8:00-15:15 on Saturday. 93 Important information INCOME TAX: The official conference receipt, issued upon registration, is to be used for income tax purposes. DO NOT LOSE OR DISCARD YOUR RECEIPT AFTER THE CONFERENCE. A duplicate original receipt will not be issued. HST is in addition to your registration fee. OCFP HST number is R-133-457-945. Call the OCFP at 416.867.9646 if you are unsure of the amount or if you require any assistance. MAINPRO-C/MAINPRO-M1 REPORTING/PROOF OF ATTENDANCE: Please note that the MAINPRO®-M1 credits you earn for participating in this conference will be awarded to you automatically. There is no need to enter these credits online or submit them to the College of Family Physicians of Canada (CFPC). This direct credit entry (DCE) process means that you do not have to manually upload your Mainpro-M1 credits or submit them to the College after the conference. You will receive an email from the CFPC confirming that your Mainpro credits have been auto-loaded in your Mainpro record. Please note that this process applies to M1 credits only; Mainpro-C credits still require you to claim the credits as usual. If you do wish to take part in this process, please make sure you complete the conference evaluation and provide consent for the OCFP to enter your credits. MAINPRO-C CREDITS: Refer to pages 10 & 11 for eligible Mainpro-C credits on every workshop run during the conference. Members of the American Academy of Family Physicians (AAFP) and the Federation des medecins omnipraticiens du Quebec (FMOQ) are eligible to receive the prescribed hours due to a reciprocal agreement with CFPC. MEMBERS FORUM - The Future of Family Medicine: Taking place on Saturday November 30 (12:15-13:15) – Tom Thomson room, is an opportunity to let your Board Members know your views on the key issues facing you in your daily practice and the healthcare system in general. Hear first hand what your colleagues have to say about their challenges and recommended solutions. 94 N OV E M B E R 2013 MEMBERSHIP: If you wish to apply for membership in The College of Family Physicians of Canada and its Ontario Chapter, the Ontario College of Family Physicians, application forms will be available at the CFPC Booth. Please visit the College of Family Physicians of Canada booth. PAST PRESIDENTS ASSOCIATION BREAKFAST Saturday November 30 (08:00 – 10:00) York West Room, Lobby Level PRE-REGISTERED DELEGATES To pick up your Conference Program and bag, please present your mailed name badge to registration personnel at the Conference Registration Desk located at the hotel lobby. PRESIDENT’S INSTALLATION AND AWARDS CEREMONY This event will be taking place on Thursday Nov. 28, 17:30-19:45, Toronto I, Hilton Toronto Hotel, 145 Richmond St. West RESIDENTS AND FIRST 5 YEARS IN PRACTICE LUNCHEON - Toronto I Friday November 29 (12:00 – 13:30) – Ruth Chris’ Steakhouse – Convention Floor SEMINAR CHANGES We will not be considering any changes on-site. Please be sure about your choices when you register. SESSION CANCELLATIONS The OCFP reserves the right to cancel sessions due to unforeseen circumstances or insufficient advance registration. In the event of a cancellation made by the OCFP of the Mainpro-C courses, a full refund will be given to the registrants. However, OCFP cannot accept responsibility for out-of-pocket expenses due to the cancellation of any session(s). N OV E M B E R 2013 Important information STUDY CREDITS This program meets the accreditation criteria of the College of Family Physicians of Canada, and has been accredited for 16.5 divided credits distributed as follows: Thursday: 4.5 Friday: 6.0 Saturday: 6.0 SPECIAL NEEDS Persons with disabilities or special needs should send a description of any services or considerations needed to [email protected] or please approach any of the OCFP staff at the registration desk located in the lobby of the hotel. REFUNDS No shows will not be granted refunds. This includes cancellations for any of the Mainpro-C Workshops. 95 The OCFP would like to acknowledge with sincere appreciation: 145 Richmond Street West, Toronto, ON M5H 2L2 • 416 869 3456 • www.hilton.com