Learning Objectives. Target Audience SEPTEMBER 24-27, ~Competency Based Care of the Medical Inpatient~ For More Information

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1 SEPTEMBER 24-27, 2015 Marriott Gateway on the Falls 6755 Fallsview Blvd., Niagara Falls, ON ~Competency Based Care of the Medical Inpatient~ Learning Objectives By attending this activity, through a variety of interactive and informative sessions, participants will be able to: 1. Discuss, debate and practice one s roles as inpatient physicians and healthcare practitioners through the application of CANMEDS principles to situations commonly found in acute care of the medical inpatient 2. Practice communication skills, protocols and procedures that will enhance their clinical effectiveness on the medical ward, including in areas of quality improvement and patient safety 3. Interact with like minded healthcare practitioners who have an interest in improving the care of the medical inpatient Target Audience Physicians and other health care practitioners who provide acute adult inpatient care (hospital based physicians, family physicians, internists, physician assistants, nurse practitioners, students and residents.) For More Information CAROL STEWART, CHSE Coordinator Continuing Health Sciences Education, McMaster University P: ext E: castewa@mcmaster.ca For Registration Information P: ext E: cmereg@mcmaster.ca facebook.com/mcmaster.conted 13 th Annual Canadian Society of Hospital twitter.com/mcmasterchse Medicine Conference - September ca.linkedin.com/in/mcmasterchse 24-27,

2 Call for Abstracts The Canadian Society of Hospital Medicine (CSHM) Annual Conference will once again include a scientific session, featuring Abstracts and Posters. We are pleased to invite all individuals and organizations involved in Hospital Medicine in Canada and internationally, to submit their projects and research activities for publication in the Annual Conference Proceedings. Abstracts will be chosen by a panel of experts from the CSHM Research Committee on the basis of originality and scientific excellence. We are inviting submissions in two categories: 1. Quality and Safety in Hospital Medicine 2. Hospitalist Model / Inpatient Care Innovations We would like to encourage hospital-based practitioners to submit their improvement projects to the conference. Submissions should highlight the work of hospitalists and other inpatient care physicians and health practitioners in the design and implementation of quality and safety improvement projects that form part of Inter-disciplinary improvement teams. We also welcome submissions that study the various ways in which Hospital Medicine programs impact the delivery of healthcare in acute care settings. For details on submission process and guidelines, please visit the website at or contact us at canadianhospitalmedicine@gmail.com Disclosure of Potential Conflicts of Interest In keeping with accreditation guidelines, McMaster University; Continuing Health Sciences Education requires all speakers and planning committee members participating in this event to disclose any involvement with industry or other organizations that may potentially influence the presentation of the educational materials or program being offered. 2

3 Planning Committee CHAIR Marcel Doré, MD, FHM McMaster University Khalid Azzam, MBBS, FACP, CPE McMaster University, CHSE Joelle Bradley, MD, FCFP University of British Columbia Pankaj Chand, MD, CCFP(EM), FCFP McMaster University Sheilah Laffan McMaster University, CHSE Hedieh Molla Ghanbari, MSc, MD, CCFP University of Toronto Meghan McConnell, PhD McMaster University Claire Miller, BScN, MD, CCFP McMaster University Akbar Panju, MB, ChB, FRCPC, FRCP(Edin), FRCP(Glasg), FACP McMaster University Angela Silla McMaster University, CHSE Deborah Smith, MD, CCFP, FCFP Northern Ontario School of Medicine Christine Soong, MD, MSc, CCFP University of Toronto Carol Stewart McMaster University, CHSE Vandad Yousefi, MD, CCFP, FHM University of British Columbia Jon Miklea, MD, CCFP, FCFP McMaster University 3

4 *Activity subject to change 7.0 MOC Section 1 Friday, September 25 th, ZUMBA 0700 REGISTRATION AND BREAKFAST 0800 Welcome and Opening Remarks - Marcel Dore 0810 Introduction to CSHM Core Competencies - Marcel Dore 0830 Choosing Wisely Canada - Christine Soong 0850 Introduction to the CMPA Good Practices Guide - Ellen Tsai 0910 Panel Q&A 0930 BREAK / EXHIBITS 1000 Workshops A B C D E Workshop A Workshop B Workshop C Workshop D Workshop E Thrombosis Canada: Clinical Guides and Other Resources - Menaka Pai Judicious Selection of Antibiotics - Pieter Jugovic Practical EKG Interpretation - Amin Mulji Inpatient Diabetes Management - Andrea Delrue Mastering Difficult Patient Encounters - Ellen Tsai 1100 (Repeat) Workshops A B C D E 1200 LUNCH Canadian Society of Hospital Medicine Annual General Meeting 1300 Workshops F G H I J Workshop F Workshop G Workshop H Workshop I Workshop J Controversies in Stroke Management - Wieslaw Oczkowski Symptom Management End-of-Life Care - Galina Arvinte Balancing Act: CHF and Renal Insufficiency - TBD Clinical Applications of Antithrombotics - Menaka Pai Can't we all get along? Resolving Conflict with Colleagues - Ellen Tsai 1400 (Repeat) Workshops F G H I J 1500 BREAK / EXHIBITS AND WELCOME BACK 1530 Inpatient Safety Issues and Near Misses - Christine Soong 1550 Evidence Update in Hospital Medicine - Echo Enns Panel Q&A Hospital Medicine in the USA: What Can We Learn From Their Experience? - Laurence Wellikson 1700 EVENING RECEPTION AND CSHM AWARDS 4

5 *Activity subject to change 7.0 MOC Section 1 Saturday, September 26 th, DDP YOGA 0700 REGISTRATION AND BREAKFAST 0800 Welcome and Opening Remarks 0810 CSHM Core Competencies - Marcel Dore 0830 Parkinson Plus Syndromes - Nicole Didyk 0850 Update on Seizures - Scott Sloka 0910 Panel Q&A 0930 BREAK / EXHIBITS 1000 Workshops K L M N O Workshop K Neurology Consult: Differentiation of Movement Disorders - Scott Sloka Workshop L ACS Management on the Ward - Yun Kai Chan Workshop M Management of BPSD in Acute Care - Nicole Didyk Workshop N Early Detection/Management of SIRS/Sepsis - Anu Ganapathy Workshop O Faculty Development: Evaluation of Learners - Debbie Dooler 1100 (Repeat) Workshops K L M N O 1200 LUNCH 1300 Workshops P Q R S T Workshop P Management of Unstable Tachyarrhythmia - Yun Kai Chan Workshop Q Polypharmacy and Important Drug Interactions - Anne Holbrook Workshop R Management of Common Hospital Infections - Nishma Singhal Workshop S Cases in Acute Hepatitis and Liver Failure - TBA Workshop T Tips to Effective Teaching on the Wards - Debbie Dooler 1400 (Repeat) Workshops P Q R S T 1500 BREAK / EXHIBITS AND WELCOME BACK 1530 Alcohol Withdrawal What s the Evidence? - Anne Holbrook 1550 Decompensation in the Patient with Cirrhosis - TBA 1610 The Elephant in the Room (it s dying) - Joelle Bradley 1630 Panel Q&A 1700 CLOSING REMARKS AND EVALUATIONS 5

6 *Activity subject to change Pre-Courses - Thursday, September 24, MOC Section 1 Transitions of Care and Physician Roles in Quality Improvement Moderator: Christine Soong, MD, MSc, CCFP 08:30 16:30 This full-day interactive pre-course will expose participants to key concepts in patient safety and quality improvement (QI) with a focus on Transitions of Care (in the morning) and Physician Roles in QI (in the afternoon). This pre-course has been collaboratively developed with the Canadian Society of Hospital Medicine Quality Improvement Committee, the Canadian Medical Protective Association (CMPA) and McMaster University. Objectives for this pre-course include: 1. Using realistic examples, recognize and manage high risk situations that arise during transitions of care in an acute care inpatient setting 2. Develop methods to effectively communicate and document transitions of care to patients, families and other healthcare practitioners 3. Appreciate successes and challenges when participating in quality improvement (QI) projects 4. Recognize the role of hospitalists and hospital-based physicians in leading QI projects 5. Gain mentoring advice from QI coaches on challenges facing your QI project(s) QI Fun Run (see details on page 9) 16: MOC Section 1 Advance Care Planning and Goals of Care Moderators: Joelle Bradley, MD, FCFP, Jose Pereira, MB, ChB, DA, CCFP, MSc (MEd) and Louise Hanvey, RN, BN, MHA 13:00 16:30 This half-day interactive pre-course will introduce participants to important concepts and communication skills. Participants will learn to assist patients and their loved ones in making decisions, aligned with the patient s values, priorities and beliefs, around complex acute care and end of life issues. Participants through interactive exercises, will: 1. Define and understand elements of Advance Care Planning 2. Be able to elicit the patient s previous advance care planning and incorporate it from admission, to inpatient decision-making, to post discharge care 3. Understand how to assist the patient and their loved ones to make complex medical decisions consistent with the patients values, priorities and beliefs 4. Effectively communicate and document prognosis, evolving goals of care and choices regarding life sustaining therapies CSHM Book Club (see details on page 9) 19:30-21:00 Host: Joelle Bradley, MD, FCFP (Limit: 10 participants) 08:00 Breakfast 08:30 High Risk Transitions of Care 10:00 Break 10:15 Effective Communication for Risk Reduction 12:00 Lunch 13:00 QI Presentations from Front Line Hospitalists 14:30 Break 14:45 QI Project Mentoring 16:30 End 6

7 *Activity subject to change 3.75 MOC Section 3 Introduction to Point of Care Ultrasound (PoCUS) for Inpatient Care Moderator: Khalid Azzam, MBBS, FACP, CPE Part 1: 08:00 12:00 (Limit: 20 participants) Introduction to PoCUS Part 1-08:00 12:00 Agenda This hands-on interactive Part 1 workshop will introduce participants, with little previous knowledge or skills in ultrasound techniques, to the basics of using bedside ultrasound for diagnostic purposes on the general medical ward. By attending this morning s session, participants will: 1. Learn the basics of ultrasound technology, indications for use, and overview of common clinical protocols (e.g. FAST, BLUE and FOCUS) 2. Appreciate how PoCUS can assist in answering focused clinical questions and augment physical examination and bedside clinical care 3. Use PoCUS in clinical diagnostic situations that require assessment of abnormal fluid status (Intravascular volume assessment, free abdominal fluid, pleural and pericardial fluid) and fluid responsiveness in shock. 8:00 8:05 Welcome and Review of Workshop Agenda - Khalid Azzam 8:05 8:15 Introduction to PoCUS - Khalid Azzam 8:15 8:25 Knobology - Rohin Malhorta 8:25 8:35 Focused Cardia Ultrasound (FOCUS) - Faizan Amin 8:35 8:45 Overview of Lung Ultrasound - Rohin Malhotra 8:45 8:55 The FAST Protocol - Andrew Gibson 8:55 9:05 Assessment of IVC and Clinical Application - Zara Khalid Moving into Groups for Hands on Practice 9:10 11:45 Groups to rotate Stations - every 35 minutes 09:45 10:00 Morning Break Station 1: FAST application - Free Abdominal Fluid - Andrew Gibson Station 2: Blue Protocol and Pleural Effusion - Rohin Malhotra Station 3: FOCUS Application and views - Faizan Amin Station 4: IVC and responsiveness to Fluid. FOCUS sub costal view - Zara Khalid 11:45 11:55 Image Recognition and Group Quiz - Zara Khalid 11:55 12:00 Closing Remarks and Evaluations 7

8 3.75 MOC Section 3 Part 2: 13:00 17:00 (Limit: 20 participants) Part 2 of this workshop will be of interest to participants who have attended Part 1 (above) or individuals with previous experience in PoCUS in an inpatient setting. Also, in a hands-on format, participants will work with instructors and simulation to: 1. Practice the focused cardiac examination (FOCUS) 2. Use PoCUS to diagnose pulmonary conditions such as pneumothorax, pneumonia and pulmonary edema 3. Apply ultrasound guidance to procedures such as thoracentesis, paracentesis and lumbar puncture NOTE: Maximum registration for each of Part 1 and Part 2 will be twenty (20) participants. This course is not a certificate course and though it may assist participants in obtaining hospital privileges for ultrasound-guided procedures, awarding of privileges is a hospital regulatory function and individual hospital policies will vary. PoCUS Part 2-13:00-17:00 Agenda 13:00 13:05 Welcome and Review of Workshop Agenda - Khalid Azzam 13:05 13:15 Focused Cardiac Ultrasound (FOCUS) Beyond Basics - Faizan Amin 13:15 13:25 Overview of Ultrasound Guided Procedures - Zara Khalid & Khalid Azzam 13:25 13:35 Blue Protocol - Rohin Malhotra Moving into Groups for Hands on Practice 13:35 16:45 Groups to rotate Stations - every 35 minutes Station 1: FOCUS LV Function - Andrew Gibson Station 2: FOCUS Pericardial effusion - Faizan Amin Station 3: Blue Protocol - Rohin Malhotra Station 4: Thoracentesis and Paracentesis - Zara Khalid Station 5: Lumbar Puncture - Khalid Azzam 14:45 15:00 Afternoon Break 16:45 16:55 Image Recognition and Group Quiz - Andrew Gibson 16:55 17:00 Closing Remarks and Evaluations 8

9 Post-Course - Sunday, September 27, MOC Section 1 Wound Care Basics Moderator: Stephan Landis, MD, FRCPC 08:30 11:30 This half-day hands-on interactive workshop will expose participants to the general concepts of wound assessment and management. It will focus on common presentations seen in acute inpatient care. Extensive opportunity will be provided for asking questions, discussing and handling common types of wound dressings. Participants will be able to: 2.5 MOC Section 1 1. Identify and control (as best as possible) underlying causes that lead to development of wounds 2. Support patient centered concerns 3. Optimize local wound care through review of best evidence recommendations for effective practice in diabetic foot ulcers, pressure ulcers, venous leg ulcers, preparing the wound bed and the principles of wound healing CSHM Core Competencies in Hospital Medicine Workshop Moderator: Marcel Dore, MD, FHM 09:00 11:30 This workshop will focus on the presentation of the newly developed Canadian Society of Hospital Medicine Core Competencies. Participants will be able to experience and discuss the use of the CSHM Core Competencies in their own environments. Examples will be provided on how the CSHM Core Competencies can be used for education, human resource planning, evaluation and establishment of standards of hospital medicine practice. 9

10 CSHM Book Club Thursday, September 24, :30-21:00 (Limit: 10 participants) You are invited to the inaugural CSHM Book Club discussion of, Being Mortal - Medicine and What Matters in the End by Atul Gawande. Written by an award winning author and writer, this book explores the evolution of aging, frailty and the end of life experience in the context of what modern medicine can and cannot do. He puts forth ideas on how we can do better. Hosted by the Royal Columbian Hospital and Area Physicians Advocating Wellness Group, all are welcome. We request registration as space is limited. Participants are requested to obtain and read the book beforehand (available at all major book outlets, including e-book versions). QI Fun Run Thursday, September 24, :30 5 kms around scenic Niagara Falls. The QI Committee invites you to attend a fun run to be held as soon as the Transitions of Care and Physician Roles in Quality Improvement Pre-Course is finished. Look for exact location TBD at the conference. All invited! Instructor - Sheilah Laffan - Licensed Zumba Instructor Friday, September 25, :00 06:45 Start your day off right with Zumba! Every class feels like a party! Everyone can participate, no dance or special skills required, just a willingness to have fun. Bring your running shoes, shorts and t-shirt, water bottle and a sweat towel! Instructor - Marcel Dore - Certified DDP Yoga Level 1 Instructor Saturday, September 26, :00 06:45 Wake up to DDP YOGA! It combines the very best of Yoga, traditional fitness, sports therapy and dynamic resistance to create one of the most effective fitness plans in existence today. in a single workout... all with minimal joint impact! No experience required! Bring your yoga mat, shorts and t-shirt, water bottle and a sweat towel! 10

11 Activity Packages As a registrant your activity package includes breakfast, nutritional breaks, and lunch. Your activity lanyard must be worn at all times throughout the day. If you have a guest accompanying you to the activity, their meals are at their own cost and will be billed directly. Liability Continuing Health Sciences Education (CHSE) hereby assumes no liability for any claims, personal injury, or damage: To any individual attending this activity. That may result from the use of technologies, program, products and/or services at this activity. That may arise out of, or during this activity. Accreditation Statements McMaster University Continuing Health Sciences Education Program (CHSE) is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME) to provide CFPC Mainpro and RCPSC Maintenance of Certification (MOC) study credits for Continuing Medical Education. This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited by McMaster University Continuing Health Sciences Education Program for up to 14 Credits for the main program and Credits for the pre and post workshops. This activity is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada and approved by McMaster University Continuing Health Sciences Education Program for up to 14 MOC Section 1 hours for the main program and up to 9.50 MOC Section 1 hours for the pre and post workshops. The PoCUS Workshop is an Accredited Simulation Activity (Section 3) as defined by the Maintenance of Certification program of The Royal College of Physicians & Surgeons of Canada, and approved by McMaster University Continuing Health Sciences Education Program. Remember to visit MAINPORT to record your learning and outcomes. You may claim a maximum of 7.5 hours. Through an agreement between The Royal College of Physicians and Surgeons of Canada and The American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits. Information on the process to convert Royal College MOC credit to AMA credit can be found at: Each healthcare provider should claim only those hours of credit that he/she actually spent in the educational activity. 11

12 Registration Information CHILDREN ARE NOT PERMITTED in the live activity setting as it distracts from the learners. CONFIRMATION OF REGISTRATION A written acknowledgement of your registration will be sent via to registrants prior to the activity. Receipts will be provided in your registrant package. CANCELLATION POLICY The University reserves the right to cancel a course due to insufficient registration or any circumstances that are beyond our control. Cancellations received before SEPTEMBER 10, 2015 will be refunded less a 25% administrative fee. No refunds will be issued for cancellations received after this date. FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT The information on this form is collected under the authority of the McMaster University Act, The information will be used for administrative purposes, including: your registration in the course; preparation of course materials for your use and to notify you of other courses or pertinent information. Financial information will be used to process applicable fees and will be retained for future reference. This information is protected and is being collected pursuant to section 39(2) and section 42 of the Freedom of Information and Protection of Privacy Act of Ontario (RSO 1990). Questions regarding the collection or use of this personal information should be directed to the University Secretary, Gilmour Hall, Room 210 McMaster University. Ways To Register REGISTER BY MAIL Send your completed registration form to: Continuing Health Sciences Education (CHSE) 1280 Main St. W., DBHSC, Room 5004 Hamilton, ON L8S 4K1 REGISTER IN PERSON Bring your completed registration form with Visa, MasterCard, AMEX or cash payment to: Continuing Health Sciences Education (CHSE) 100 Main Street West, 5th Floor, Room 5004 Hamilton, ON L8P 1H6, Mon to Fri 9:30am-4:00pm REGISTER BY PHONE Call ext (Visa, MasterCard OR AMEX are accepted) REGISTER BY FAX Fax a completed registration form with a Visa, MasterCard or AMEX number to REGISTER ONLINE fhs.mcmaster.ca/conted/register.html Accommodations HOTEL INFORMATION: Marriott Niagara Falls Gateway on the Falls 6755 Fallsview Blvd, Niagara Falls, ON Cityview rooms $165/night Fallsview rooms $185/night Call and request special convention rate for McMaster University Continuing Health Sciences Education Cutoff Date: September 4,

13 REGISTRATION FORM Marriott Gateway on the Falls, 6755 Fallsview Blvd., Niagara Falls, ON I CONSENT to having my name, address & added to the CHSE mailing database for upcoming CHSE activities YES NO Registration Fees: Physician $ Other Health/Resident/Student $ Dr. Mr. Mrs. Miss. Surname Ms. FOR CHSE OFFICE USE ONLY Activity Code: CanadianSociety15 See the back of this page for more registration information Given Profession: Address FP SPEC Intern PA NP RN RN(EC) RES Student Other Specify Specify City Province Postal Code Area Code Phone Area Code Cell Fax - - Payment By: Visa CARD NUMBER M/C AMEX CHEQUE *Pls make cheque payable to McMaster University **Cheque must be received one week prior to the date of the program. Amount: $. 0 0 Expiry: Month Year CVD Signature PLEASE IDENTIFY ANY ACCESSIBILITY NEEDS: SPECIAL DIETARY REQUIREMENTS For those with special dietary needs some accommodation may be available: Vegetarian Allergies Other Workshop Selection: Please select (with a ) TWO workshops from each ½ day session: Friday AM Saturday AM A B C D E K L M N O Friday PM Saturday PM F G H I J P Q R S T Pre-Course Selections: Cost Y/N Transition of Care and Physician Roles in Quality Improvement $150 Advance Care Planning and Goals of Care $75 CSHM Book Club (Limit: 10 participants) Free Introduction to Point of Care Ultrasound Part 1 (Limit: 20 participants) $500 Introduction to Point of Care Ultrasound Part 2 (Limit: 20 participants) $550 Post-Course Selections: Wound Care Basics $75 CSHM Core Competency Workshop Free Total Fees: $