42nd annual family practice review and update course – pearls …mosaicpcn.ca/newsletter...

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CUMMING SCHOOL OF MEDICINE Office of Continuing Medical Education and Professional Development REGISTER BY FAX ONLY PAPERLESS CONFERENCE Access to handouts will be available prior to conference ON-SITE REGISTRATION Based on availability, is not guaranteed and a surcharge may be applied Check the website for any program updates cumming.ucalgary.ca/cme/courses ACCOMMODATION Registrants must make their own accommodation arrangements. We recommend: Hotel Alma 169 University Gate NW Calgary, AB T2N 1N4 Phone 403.220.2588 Toll Free 1.877.498.3203 Email [email protected] hotelalma.ca To obtain a University rate, please indicate the promotion code UOFC and show your CME&PD course confirmation/receipt upon arrival. COURSE OVERVIEW This program provides an update focused on information pearls pertinent for practice in primary care. Topics covered include a wide variety of the diagnoses typically seen in both urban and rural settings. COURSE OBJECTIVES The intent of the conference is for learners to: • apply current knowledge and evidence-based management for optimal patient outcomes, both in urban settings with access to specialists, and in rural settings where services and resources may be limited • facilitate the exchange of information and develop informal networks with other healthcare providers • identify new services and clinical resources for patients WHO SHOULD ATTEND Family Physicians, Residents and Trainees, Nurse Practitioners, Registered Nurses, Licensed Practical Nurses and other healthcare providers working in primary care CREDITS Mainpro+ Group Learning – 25.5 credits 42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE Monday–Thursday, November 20–23, 2017 MacEwan Centre, University of Calgary, 2500 University Drive NW, Calgary, AB cumming.ucalgary.ca/cme 42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 1 OF 14

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CUMMING SCHOOL OF MEDICINE Office of Continuing Medical Education and Professional Development

REGISTER BY FAX ONLY

PAPERLESS CONFERENCE Access to handouts will be available prior to conference

ON-SITE REGISTRATION Based on availability, is not guaranteed and a surcharge may be applied

Check the website for any program updates cumming.ucalgary.ca/cme/courses

ACCOMMODATION

Registrants must make their own accommodation arrangements. We recommend:

Hotel Alma169 University Gate NW Calgary, AB T2N 1N4Phone 403.220.2588Toll Free 1.877.498.3203Email [email protected]

To obtain a University rate, please indicate the promotion code UOFC and show your CME&PD course confirmation/receipt upon arrival.

COURSE OVERVIEW

This program provides an update focused on information pearls pertinent for practice in primary care. Topics covered include a wide variety of the diagnoses typically seen in both urban and rural settings.

COURSE OBJECTIVES

The intent of the conference is for learners to:

• apply current knowledge and evidence-based management for optimal patient outcomes, both in urban settings with access to specialists, and in rural settings where services and resources may be limited

• facilitate the exchange of information and develop informal networks with other healthcare providers

• identify new services and clinical resources for patients

WHO SHOULD ATTEND

Family Physicians, Residents and Trainees, Nurse Practitioners, Registered Nurses, Licensed Practical Nurses and other healthcare providers working in primary care

CREDITS

Mainpro+ Group Learning – 25.5 credits

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICEMonday–Thursday, November 20–23, 2017MacEwan Centre, University of Calgary, 2500 University Drive NW, Calgary, AB

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 1 OF 14

0715-0800 Light Breakfast

0800-0820 Opening Remarks – Katrina (Tina) Nicholson

0820-0845 KEYNOTE The Obese Child – A Disease, Not a Disgrace – Peter Nieman

• identify patients who need intervention• describe the family physician’s role• communicate effectively with the family• identify resources• recognize when to refer the obese child

0845-0855 Q & A

0855-0915 SHORT SNAPPER Sleep Apnoea in Children – James Brookes

• when to suspect OSA in the snoring child• investigate appropriately in the family practice

setting• access the referral system effectively, if necessary

0915-0920 Q & A

0920-0940 SHORT SNAPPER Bronchiolitis – Antonia Stang

• follow the latest guidelines on the diagnosis of bronchiolitis

• use best-evidence in the management of bronchiolitis

0940-0945 Q & A

0945-1005 SHORT SNAPPER Tongue-tie and Related Issues with Latch – Evelyn Jain

• differentiate the infant who requires surgical correction of ankyloglossia

• advise parents about breast-feeding difficulties and frenectomy

1005-1010 Q & A

1010-1030 Nutrition Break

1030-1050 SHORT SNAPPER Childhood UTI – Anke Banks

• apply a clinical pathway to manage childhood UTIs• recognize when to suspect a UTI• identify which childhood UTIs need further

evaluation with diagnostic imaging or subspecialty referral

1050-1055 Q & A

1055-1115 SHORT SNAPPER Persistent Neonatal Jaundice – Christopher Lever

• know when to classify neonatal jaundice as ‘persistent’

• order suitable testing at various stages of jaundice • select appropriate follow-up for icteric infants

1115-1120 Q & A

1120-1140 SHORT SNAPPER Approach to Iron Deficiency with

No Obvious Cause – Michelle N Geddes

• order evidence-informed testing for investigating the anemic patient

• differentiate patients who would benefit from treatment

• identify supplementation that works, for patients whose anemia requires treatment

1140-1145 Q & A

1145-1205 SHORT SNAPPER Managing Childhood Celiac Disease – Dominica Gidrewicz A

• describe systemic risks posed by celiac disease in childhood

• follow 2015 guidelines for managing celiac disease in children

1205-1210 Q & A

1210-1300 Lunch

COURSE PROGRAM – PRELIMINARY

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 2 OF 14

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

Monday Morning November 20

THEME Ooh Baby Baby – Pediatrics CHAIR – Katrina (Tina) Nicholson

COURSE PROGRAM – PRELIMINARY

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 3 OF 14

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

Monday Afternoon November 20

THEME Mind and Child: Pediatrics and Psychiatry CHAIR – Debra (Deb) Putnam

1300-1325 KEYNOTE Risks Posed by ACES: Adverse Childhood Events – Eden McCaffrey

• explain the relevance of maternal screening for ACES• identify validated screening tools for aiding diagnosis• advise patients and their families about community

resources

1325-1335 Q & A

1335-1355 SHORT SNAPPER Getting Patients Out of BEDS – Binge Eating

Disorder Syndrome – Helen Cho

• recognize markers so you don't miss the patient who is binge eating

• use evidence-informed practice to manage binge eating

• identify community resources for your patient; make effective referral if necessary

1355-1400 Q & A

1400-1405 Move to Workshops

1405-1505 WORKSHOPS 1-6 (repeat at 1525)

1 Autism Spectrum Disorder in Children and Adults

– Jennifer Hibbard• define core features that characterize ASD• use validated screening tools to aid diagnosis• advise patients and families about community

resources for ASD

2 Managing the Post-bariatric Surgery Patient – Shahebina Walji

• follow recommended testing regimes to check nutritional adequacy

• advise the patient about dietary supplementation

• make dosage adjustments when absorption of therapeutics is significantly affected

3 OCD in Children and Adolescents – Melissa Adrian, Paul Arnold,

Lindsay Friesen, Trynell Holland• recognize markers for OCD and differentiate

from other common childhood conditions• develop a best-practice approach to OCD

in childhood

4 Dialectical Behaviour Therapy – Amanda Berg

• describe this behavioural therapy tool and how it could help your patient

• identify patients who might benefit from DBT• make appropriate referrals to local specialists

for DBT

5 Managing Schizophrenia and Psychosis – Terry Singh

• recognize psychosis at early (prodromal) stage, use effective strategies for differential diagnosis and early intervention

• use practical strategies for managing common and atypical presenting symptoms

• advise families of optimal support strategies• review local resources in the community for

patients with schizophrenia/psychosis and their families

6 ACES – Eden McCaffrey

• recognize patients who require screening for ACES

• use validated screening tools to identify maternal risk of ACES

• counsel vulnerable mothers, when office management is appropriate

1505-1525 Nutrition Break

1525-1625 WORKSHOPS 1-6 (repeat from 1405)

1625 Adjournment

COURSE PROGRAM – PRELIMINARY

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 4 OF 14

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

Tuesday Morning November 21

THEME Making Your Pulse Race! Love and Sex: Cardiology, Respirology, Obstetrics and Gynecology CHAIR – Maria Lee

0715-0800 Light Breakfast

0800-0820 Opening Remarks – Maria Lee

0820-0845 KEYNOTE Congestive Heart Failure: New Guidelines,

New Treatments – Brian Clarke

• follow the latest guidelines for managing your CHF patient

• differentiate the patient who requires referral

0845-0855 Q & A

0855-0915 SHORT SNAPPER Managing Heart Failure: Using the Team

Approach – Jonathan Howlett

• identify members of the medical team for their heart failure patients

• develop a team approach to managing heart failure

0915-0920 Q & A

0920-0940 SHORT SNAPPER Medical Abortions: The New Guidelines – Suzanne Morris

• distinguish the patient who is eligible for first-trimester medical abortion

• counsel appropriately and obtain consent• adopt an evidence-based regimen and

appropriate follow-up

0940-0945 Q & A

0945-1005 SHORT SNAPPER Preventing Post-partum Eclampsia – Lee-Ann Hawkins

• develop an approach to recognizing and diagnosing the post-partum patient with worrisome features for preeclampsia

• manage postpartum preeclampsia and its complications

1005-1010 Q & A

1010-1030 Nutrition Break

1030-1050 SHORT SNAPPER Approach to PID – Kelly Dawn Albrecht

• identify patients who are truly at risk of PID• list potential underlying causes• initiate office treatment and/or refer, where

appropriate

1050-1055 Q & A

1055-1115 SHORT SNAPPER So It’s Sarcoid – Daniel J Miller

• describe when to include sarcoid in your differential • use latest guidelines to manage the sarcoid patient• what to tell your patient about prognosis

1115-1120 Q & A

1120-1140 SHORT SNAPPER Pulmonary Hypertension – Mitesh V Thakrar

• recognize signs of pulmonary HTN• order appropriate investigations• initiate best-evidence management• identify and effectively refer those patients

who require specialist intervention

1140-1145 Q & A

1145-1205 SHORT SNAPPER An Update on the New Asthma and

COPD Guidelines – Patrick D Mitchell

• recognize patients who have characteristics of both COPD and asthma

• describe the uses and limitations of the blood eosinophil count

• make evidence-based choices for prescribing corticosteroids in asthma and COPD

• sketch out the potential role of biologic and other treatment options in asthma

1205-1210 Q & A

1210-1300 Lunch

COURSE PROGRAM – PRELIMINARY

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 5 OF 14

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

Tuesday Afternoon November 21

THEME Beauty Within, Beauty Without – Dermatology, GIM and Geriatrics CHAIR – Mary Yenny Cedeño

1300-1325 KEYNOTE Lesions Below the Belt – Catherine Zip

• recognize ulcers and diagnose their cause – STI/trauma/cancerous lesions

• identify lichen sclerosis• identify skin disorders that usually occur elsewhere

but can be genital, e.g. psoriasis, dermatitis, etc• refer appropriately, identify the patient who requires

biopsy, instigate best treatment

1325-1335 Q & A

1335-1355 SHORT SNAPPER Hyperhidrosis in All Ages – Patricia Ting

• diagnose hyperhidrosis• describe current best-practice options for

management of hyperhidrosis

1355-1400 Q & A

1400-1405 Move to Workshops

1405-1505 WORKSHOPS 7-12 (repeat at 1525)

7 Green Sleeves in the Clinic: Practical Tips for Engaging Patients

– Jessica Simon, Amy Tan• select and engage patients in advance care

planning and creating personal directives• guide others about goals of care conversations

and use of green sleeve documentation (including EMR workflow)

• use goals of care designations to achieve patient-centred care

8 Assessing Decision-making Capacity – Vivian Ewa, Cassandra Hoggard

• use guiding principles for assessment of decision-making capacity (ADMC)

• adopt a team approach to ADMC• use an appropriate validated scale to

aid in ADMC

9 Update on Treating DM: Who Gets What? – Julie McKeen

• describe advantages and disadvantages of new drugs for diabetes mellitus

• choose the best drug for different patients, after metformin

10 Assessment and Treatment of Addiction Involving Alcohol and its Complications

– Raju Hajela• develop an understanding of addiction

involving alcohol, while appreciating its broader manifestations

• assess and diagnose the medical and psychiatric complications resulting from addiction involving alcohol

• provide better treatment planning with prudent utilization of a multidisciplinary team, efficacious pharmacotherapy and long-term management in a chronic disease framework

11 Wound Care in Primary Care – Jori Hardin

• choose optimal treatments for wounds commonly seen in family practice

• describe properties and suitable applications for a selection of commonly used and new wound dressings

12 Atrial Fibrillation Update – Carlos Morillo

• apply latest guidelines in the management of atrial fibrillation

1505-1525 Nutrition Break

1525-1625 WORKSHOPS 7-12 (repeat from 1405)

1625 Adjournment

COURSE PROGRAM – PRELIMINARY

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 6 OF 14

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

Wednesday Morning November 22

THEME Urine Deep Trouble Now: Nephrology, Urology and MAiD CHAIR – Maria Lee

0715-0800 Light Breakfast

0800-0820 Opening Remarks – Maria Lee

0820-0845 KEYNOTE Conservative Kidney Management – Sara Davison

• recognize and advise when conservative management may be the best option for your CRF patient

• follow evidence-based conservative kidney management recommendations

0845-0855 Q & A

0855-0915 SHORT SNAPPER Living Kidney Donation – And How it All Works – Ngan Lam

• support the living kidney donor• explain risks and benefits of being a living kidney

donor• describe key steps in the process of the living

donor workup

0915-0920 Q & A

0920-0940 SHORT SNAPPER Nephrolithiasis – David Ward

• take an evidence-based approach to evaluating the patient with a history of nephrolithiasis

• counsel and medically manage the patient to reduce risk of recurrence

0940-0945 Q & A

0945-1005 SHORT SNAPPER Painful Bladder Syndrome OR So it's NOT

Interstitial Cystitis ... ? – Shunaha Kim-Fine

• differentiate overactive bladder, interstitial cystitis and painful bladder syndrome

• develop an evidence-informed approach to managing OAB, IC and painful bladder syndrome

1005-1010 Q & A

1010-1030 Nutrition Break

1030-1055 KEYNOTE Medical Assistance in Dying – James (Jim) Silvius

• sketch the current legal position on MAiD• describe the process and protocols when a patient

requests MAiD• identify physicians who offer this service

1055-1105 Q & A

1105-1125 SHORT SNAPPER When to Suspect Motor Neuron Disease – Christopher (Chris) M White

• describe early signs of motor neuron disease• develop a best-practice approach to managing

the patient with motor neuron disease• refer motor neuron disease patients appropriately

1125-1130 Q & A

1130-1150 SHORT SNAPPER Early Onset Dementia – David Patry

• recognize signs of atypical dementia in younger patients

• initiate appropriate management in the office• refer early dementia patients appropriately

1150-1200 Q & A

1200-1300 Lunch

COURSE PROGRAM – PRELIMINARY

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 7 OF 14

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

Wednesday Afternoon November 22

THEME Endocrinology, STIs, Mindfulness, MAiD CHAIR – Mary Yenny Cedeño

1300-1325 KEYNOTE Mindfulness – Philip Blustein

• introduce mindfulness as an alternative or adjunct method for controlling chronic pain

• select appropriate patients and recommend resources for learning mindfulness techniques

1325-1335 Q & A

1335-1355 SHORT SNAPPER STI Screening – Lena Derie-Gillespie

• follow latest testing recommendations• initiate evidence-informed treatment with regard

to resistance patterns• recognize rare and serious STI complications

1355-1400 Q & A

1400-1405 Move to Workshops

1405-1505 WORKSHOPS 13-17 (repeat at 1525); WORKSHOP 18: TWO-HOUR WORKSHOP (continues at 1525)

13 Living Kidney Donation – The Donor Patient Experience

– Ngan Lam, Braden Manns, Mike Simoens• describe personal and financial costs of

becoming a live kidney donor• explain the donation workup process• advise potential living kidney donors and

recipients about the process and lived experience

• identify supports for living kidney donors

14 MAiD – James (Jim) Silvius

• articulate your own position on MAiD• hold healthy conversations with patients

about MAiD• describe your role, if you decide to offer MAiD

to your patient• maintain support when you refer your patient

to another physician

15 Abnormal LFTs – Kelly Burak

• interpret lab reports on liver function tests, describing the significance of any abnormal values

• implement evidence-based management for the patient with significant abnormal LFTs

• refer appropriately

16 Getting Testy About Testosterone – Peter Grundy

• describe indications for supplementing your patient with exogenous testosterone

• decide when, how and what to prescribe• monitor patients on supplemental testosterone

17 Medication-free Sleep: How Do We Help Our Patients?

– Katherine Rasmussen• follow recommendations on weaning

patients off benzos, z-drugs and other chemotherapeutics for insomnia

• advise patients about CBT for beating insomnia (including stimulus control, sleep restriction regimens and other techniques)

• describe any special considerations for young patients or for seniors

18 Serious Illness Conversations Guide TWO-HOUR WORKSHOP

– Jessica Simon, Amy Tan• use a simple, evidence-based guide to

elicit goals and values around medical decision-making

• lead more comfortable conversations with patients and families about serious illness and goals of care

• develop a process to embed these conversations into family practice visits

1505-1525 Nutrition Break

1525-1625 WORKSHOPS 13-17 (repeat from 1405) WORKSHOP 18: TWO-HOUR WORKSHOP (continues from 1405-1505)

1625 Adjournment

COURSE PROGRAM – PRELIMINARY

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 8 OF 14

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

Thursday Morning November 23

THEME Drugs, Data and a Pain in the Neck – Opioids, Vertigo, MSK and Practice Data CHAIR – Debra (Deb) Putnam

0715-0800 Light Breakfast

0800-0820 Opening Remarks – Debra (Deb) Putnam

0820-0845 KEYNOTE Safe Opioid Tapering and Prescribing – A Medical

and Psychological Approach – Robert Tanguay

• recognize the patient whose opioid use is harmful • select appropriate alternative medical options for

managing pain• support opioid tapering with psychological interventions• how to use opioids in chronic non-cancer pain without

causing tolerance or opioid induced hyperalgesia

0845-0855 Q & A

0855-0915 SHORT SNAPPER An Approach to Osteoporosis Screening – Gregory Kline

• describe limitations of DEXA as a population screening tool for osteoporosis risk

• explain the benefits and drawbacks of common alternatives (FRAX, OST scores)

• initiate and monitor patient treatment for osteoporosis appropriately, in line with current best evidence

• screen the post-bisphosphonate patient appropriately

0915-0920 Q & A

0920-0940 SHORT SNAPPER The Beauty of Data – Kelly Burak

• identify sources of data that describe your practice• explain how you can use your data to inform

self-reflective practice improvement

0940-0945 Q & A

0945-1000 Nutrition Break

1000-1005 Move to Workshops

1005-1105 WORKSHOPS 19-24 (repeat at 1110)

19 Safety in Numbers: Mastering Clinical Data to Inform Your Practice

– Ashi Mehta, Katrina (Tina) Nicholson• use your CPSA report data to shine a light on

your clinical practice• develop self-improvement objectives based on

analysis of your data

20 Not Blonde, Just Dizzy: But Should I Worry? – Elizabeth Lange

• apply Choosing Wisely guidelines on vertigo• initiate evidence-informed office management

of the patient with vertigo• distinguish those patients who need referral

21 A Chronic Pain in the Neck – Vishal Tulsi

• use the patient’s history to diagnose likely causes of chronic neck pain

• develop a systematic approach to examination of the neck

• order appropriate investigations and initiate evidence-based management

22 Soft Tissue Trochanteric and Hip Pain – Marcus Robinson

• define trochanteric pain syndrome and how to diagnose it

• diagnose common causes of soft tissue pain around the hip

• initiate optimal office management, where appropriate

• identify the patient who needs referral

23 Elbow and Wrist Pain, Including RSI – Gurpreet Dhaliwal

• conduct a systematic examination of the wrist and elbow

• order the right investigations, when needed• manage common wrist and elbow problems

in the office, and refer patients who need specialist attention

24 Approach to the Red-hot Joint – Liam Martin

• diagnose the cause of inflammation in a single joint

• take an evidence-informed approach to management

• identify the monoarthritic patient who needs referral

1105-1110 Move to Workshops

1110-1210 WORKSHOPS 19-24 (repeat from 1005)

1210-1300 Lunch

COURSE PROGRAM – PRELIMINARY

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 9 OF 14

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

Thursday Afternoon November 23

THEME Potpourri – Immunology, Endocrinology, Technology CHAIR – Katrina (Tina) Nicholson

1300-1305 Opening Remarks – Katrina (Tina) Nicholson

1305-1320 SHORT SNAPPER Nuts to Peanuts! Preventing and Treating

Food Allergies – Arjun Rash

• counsel parents about 2016 infant feeding guidelines to prevent development of food allergy

• choose appropriate investigations for your allergic patients

• describe latest updates on managing peanut allergy

1320 -1325 Q & A

1325-1345 SHORT SNAPPER Primary Care Resource App – Wesley (Wes) D Jackson

• download the PCR app to your device• describe benefits the app can offer in

clinical practice

1345-1350 Q & A

1350-1410 SHORT SNAPPER When is Puberty Classed as Precocious? – Rebecca Perry

• describe precocious puberty, and its prevalence today

• order appropriate investigations for pediatric endocrine function

• take an evidence-informed approach to managing precocious puberty

1410-1415 Q & A

1415-1430 Nutrition Break

1430-1450 SHORT SNAPPER Hypothyroidism in Pregnancy and Post-partum – Lois Donovan

• indicate the normal range for thyroid hormone throughout pregnancy

• optimally manage the pregnant hypothyroid patient• describe an effective follow-up regimen

1450-1455 Q & A

1455-1515 SHORT SNAPPER Moobs, Yes – But Is This Gynecomastia? – Erik Venos

• distinguish true from false gynecomastia on examination

• order appropriate investigations• manage gynecomastia according to etiology

1515-1520 Q & A

1520-1540 SHORT SNAPPER Vaccinating the Grandparents – Judy MacDonald

• make evidence-informed perinatal vaccination recommendations to adults

1540-1545 Q & A

1545-1605 SHORT SNAPPER Risk-reduction Prescribing and Follow-up for

the Transgender Patient – Nathalie M Saad

• assess risks to transgender patients posed by hormonal supplementation

• follow prescribing guidelines for transgender patients

• describe best practice for monitoring and follow-up

1605-1610 Q & A

1610-1630 Closing Remarks – Katrina (Tina) Nicholson

1630 Adjournment

PLANNING COMMITTEE

Katrina (Tina) Nicholson MBChB MRCGP CCFP Course Chair Clinical Lecturer, Medical Director, Physicians Learning Program (FP engagement), University of Calgary; Medical Lead, Cochrane Primary Care Centre (CFPCN), Alberta Health Services; Section Chief, Rural Medicine, Cochrane, AB

Mary Yenny Cedeño Rojas Medico Cirujano (Vzla) CCFP Clinical Assistant Professor, University of Calgary; Academic Family Medicine, South Health Campus

Yin Ting (Maria) Lee MD CCFP Clinical Lecturer, University of Calgary; Family Physician, Olds, AB

Susan (Sue) MacDonald MD MCFP Family Physician, Regina, SK

Lisa Morrison MD CCFP Family Physician, Foothills Primary Care Centre

Debra (Deb) Putnam MD CCFP Clinical Assistant Professor, University of Calgary; Family Physician, Calgary

Sheila Scott MD CCFP Clinical Lecturer, University of Calgary; Family Physician, Calgary

Michael (Mike) Thompson MB ChB Clinical Lecturer, University of Calgary, Family Physician, Cochrane, AB

Hilary Anne Delver BVSc MRCVS MSc CME Representative Education Consultant, Office of Continuing Medical Education and Professional Development

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 10 OF 14

FACULTY

Melissa Adrian RN Nurse Clinician, Mood Anxiety Psychosis Service (MAPS) OCD Program, Alberta Children's Hospital

Kelly Dawn Albrecht MD FRCSC Clinical Assistant Professor, University of Calgary; OBGYN Clerkship Director, Foothills Medical Centre

Paul Arnold MD FRCPC Associate Professor, Departments of Psychiatry and Medical Genetics; Director, Mathison Centre for Mental Health Research & Education, Alberta Innovates Health Solutions (AIHS) Translational Chair in Child and Youth Mental Health Trans Chair (CYMH) Hotchkiss Brain Institute, University of Calgary

Anke Banks MD MSc FRCPC Pediatric Nephrologist, Alberta Health Services

Amanda Berg MD FRCPC Clinical Lecturer, University of Calgary; DBT Program Consulting Psychiatrist

Philip Blustein MD FRCPC Clinical Associate Professor, Department of Medicine, University of Calgary; Gastroenterologist, Peter Lougheed Hospital

James Brookes MD FRCSC Clinical Assistant Professor/Program Director, Pediatric Otolaryngology Head and Neck Surgery, University of Calgary

Kelly Burak MD FRCPC SPEC COMP Professor and Associate Dean, Continuing Medical Education and Professional Development, University of Calgary; Director of the Southern Alberta Liver Transplant Clinic

Helen Cho MD CCFP Clinical Lecturer, Department of Family Medicine, University of Calgary

Brian Clarke MD FRCPC SPEC COMP Clinical Assistant Professor, Department of Cardiac Science, University of Calgary; Libin Cardiovascular Institute of Alberta

Gurpreet Dhaliwal MD FRCSC Clinical Lecturer, Department of Surgery, University of Calgary

Sara Davison MD FRCPC SPEC COMP Professor, Department of Medicine, University of Alberta; Founder and Director, Kidney Supportive Care Research Group

Lena Derie-Gillespie MD CCFP MPH Clinical Lecturer, University of Calgary; Medical Officer of Health, Alberta Health Services

Lois Donovan MD FRCPC SPEC COMP Clinical Associate Professor, Department of Medicine, University of Calgary

Vivian Ewa MBBS CCFP(CoE) FCFP PG DipMedEd Clinical Assistant Professor, Department of Family Medicine, University of Calgary; Care of the Elderly Physician, Seniors Health, Alberta Health Services

Lindsay Friesen PhD RPsych Clinical Psychologist, Obsessive Compulsive Disorder Clinic, Alberta Children’s Hospital

Michelle N Geddes MD FRCPC SPEC COMP Clinical Associate Professor, University of Calgary; Hematologist, Tom Baker Cancer Centre

Dominica Gidrewicz A MSc MD FRCPC Clinical Lecturer, University of Calgary; Pediatric Gastroenterologist, South Health Campus

Peter Grundy MD FRCPC SPEC COMP Clinical Assistant Professor, Department of Medicine, University of Calgary; Division of Endocrinology, University of Calgary; Clinical Endocrine Practice, Associate Clinic

Raju Hajela MD CCFP Co-Founder and Principal of Health, Upwardly Mobile (HUM) Inc

Jori Hardin MD FRCPC Assistant Professor, University of Calgary

Lee-Ann Hawkins MD FRCPC Clinical Assistant Professor, Departments of Medicine and Obstetrics & Gynecology, University of Calgary

Jennifer Hibbard MD FRCPC Clinical Lecturer, University of Calgary; Clinical Medical Director, Arnika Centre for Developmental Disabilities; Mental Health, Child and Adolescent Psychiatrist, Alberta Health Services

Cassandra Hoggard MD CCFP (COE) Clinical Lecturer, University of Calgary; Care of the Elderly, Calgary Rural PCN

Trynell Holland MSW BSW RSW Family Counsellor, MAPS OCD Program, Child and Adolescent Addictions & Mental Health, Alberta Children's Hospital

Jonathan Howlett MD FRCPC Clinical Professor of Medicine; Director, Heart Failure, Libin Cardiovascular Institute

Wesley (Wes) D Jackson ME CCFP FCFP Associate Professor, Department of Family Medicine, University of Calgary

Evelyn Jain MD CCFP Clinical Assistant Professor, University of Calgary

Shunaha Kim-Fine MD FRCSC Clinical Assistant Professor, University of Calgary

Gregory Kline MD FRCPC SPEC COMP Clinical Associate Professor, Department of Medicine, University of Calgary

Ngan Lam MD FRCPC DABIM Transplant Nephrologist, Assistant Professor, Division of Nephrology, University of Alberta

Elizabeth Lange MB ChB FRCSC Clinical Associate Professor, Surgery, University of Calgary

Christopher Lever MD FRCPC Pediatrician, Clinical Associate Professor, University of Calgary

DISCLOSURE OF POTENTIAL FINANCIAL CONFLICTS OF INTERESTIn keeping with accreditation guidelines, speakers participating in this event have been asked to disclose to the audience any involvement with industry or other organizations that may potentially influence the presentation of the educational material. Disclosure will be done verbally and using a slide prior to the speaker’s presentation.

FACULTY

Judy MacDonald MD FRCPC MCM Clinical Associate Professor, Department of Community Health Sciences; Medical Officer of Health

Braden Manns MD FRCPC Svare Professor in Health Economics; Nephrologist, Interim Scientific Director, Alberta Health Services Kidney Strategic Clinical Network University of Calgary

Liam Martin MBBChBAO FRCPC SPEC COMP Professor, Department of Medicine, University of Calgary

Eden McCaffrey DME MSW RSW Clinical Therapist in Private Practice, Ascend Services; Program Manager, CanREACH, Alberta Health Services

Julie McKeen MD FRCPC SPEC COMP Clinical Assistant Professor, Department of Medicine, University of Calgary; Medical Director of Diabetes Centre

Ashi Mehta MSc Project Manager, Physician Learning Program, University of Calgary

Daniel J Miller MD FRCPC SPEC COMP Sessional Instructor, Department of Medicine, Respiratory Medicine, University of Calgary

Patrick D Mitchell MBBChBAO CCST Clinical Assistant Professor, Department of Medicine, University of Calgary

Carlos Morillo MD FRCPC FACC FHRS FESC Professor, Department of Cardiac Sciences; Section Chief, Division of Cardiology, Libin Cardiovascular Institute, University of Calgary; Zone Head, Cardiology Calgary & Southeastern Alberta Region, Alberta Health Services, Foothills Medical Centre

Suzanne Morris MBChB FRCSC Medical Director, Kensington Clinic, Calgary; Canadian Medical Representative and Board Member, The National Abortion Federation

Katrina (Tina) Nicholson MBChB MRCGP CCFP Clinical Lecturer, Medical Director, Physicians Learning Program (FP engagement), University of Calgary; Medical Lead, Cochrane Primary Care Centre (CFPCN), Alberta Health Services; Section Chief, Rural Medicine, Cochrane, AB

Peter Nieman MB ChB FRCPC Clinical Assistant Professor, University of Calgary; Private Clinic, Calgary; Community Based Pediatrician

David Patry MD FRCPC Clinical Associate Professor Clinical Neurosciences, University of Calgary

Rebecca Perry MB ChB CCST CCT Assistant Professor, Department of Pediatrics, Cumming School of Medicine, University of Calgary

Arjun Rash MD FRCPC Clinical Immunology & Allergy, Arid Mountain Clinic

Katherine Rasmussen ND BEd BA Clinical Sleep Educator, Centre for Sleep and Human Performance

Marcus Robinson MD CCFP Sports Physician, Matrix Sports Institute

Nathalie M Saad MD FRCPC Clinical Lecturer, Endocrinologist, Department of Medicine, Division of Endocrinology & Metabolism, South Health Campus

James (Jim) Silvius MD FRCPC SPEC COMP Medical Director, Community Seniors Addiction & Mental Health; Senior Medical Director, Seniors Health Strategic Clinical Network; Clinical Associate Professor, Department of Medicine, University of Calgary

Mike Simoens BSc Major in Computer Science Patient and Community Engagement Researcher; Core Committee, Kidney Health Strategic Clinical Network, Calgary

Jessica Simon MD FRCPC Associate Professor, Palliative Medicine, University of Calgary; Physician Consultant, Advance Care Planning and Goals of Care, Department of Oncology, University of Calgary, Alberta Health Services, Calgary Zone

Terry Singh PhD Psychologist, Registered Clinical Psychologist, Schizophrenia Society of Alberta

Terry Smith Manager, Kidney Health Strategic Clinical Network, Calgary

Antonia Stang MD FRCPC Assistant Professor and Assistant Dean, Physician Learning Program, University of Calgary; Emergency Physician, Alberta Children's Hospital, Alberta Children's Hospital Research Institute

Amy Tan MD CCFP(PC) FCFP MSc Associate Professor, Department of Family Medicine, University of Calgary

Robert Tanguay MD FRCPC BSc (Hons) Clinical Lecturer, University of Calgary; Psychiatrist, Addiction Specialist, Pain Specialist, Provincial Medical Advisor, Alberta Health Services; Pain Medicine Fellow, Calgary Chronic Pain Centre

Mitesh V Thakrar BSc MD FRCPC Clinical Assistant Professor, University of Calgary; Respirologist, Southern Alberta Pulmonary Hypertension & Lung Transplant Programs, Peter Lougheed Hospital

Patricia Ting MD FRCPC FABD Dermatologist, Clinical Assistant Professor, Department of Medicine, University of Calgary

Vishal Tulsi MD FRCPC CSCN (EMG) Clinical Assistant Professor, University of Calgary; Physical Medicine and Rehabilitation

Erik Venos MD FRCPC Clinical Lecturer, Department of Medicine, University of Calgary; Endocrinologist

Shahebina Walji MD CCFP Clinical Lecturer, Department of Family Medicine, University of Calgary; Medical Director, Calgary Weight Management Centre; Diplomate of the American Board of Obesity Medicine

David Ward MD FRCPC Clinical Assistant Professor, Department of Medicine, University of Calgary

Christopher (Chris) M White MD FRCPC BSc (Hons) Clinical Associate Professor, Neuroscience, University of Calgary; Clinical Design Lead of the Neuromuscular Program and EMG, Alberta Health Services

Catherine Zip MD FRCPC Clinical Associate Professor, Department of Medicine, University of Calgary

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 11 OF 14

ACCREDITATION

STUDY CREDITS

The University of Calgary – Office of Continuing Medical Education and Professional Development is fully accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS).

CFPC

MAINPRO+ GROUP LEARNING

This Group Learning program meets the certification criteria of The College of Family Physicians of Canada and has been certified by the University of Calgary, Office of Continuing Medical Education and Professional Development for up to 25.5 Mainpro+ credits.

AACP

AMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP) AND CFPC

Members of the American Academy of Family Physicians are eligible to receive up to 25.5 prescribed credits for attendance at this meeting/event due to a reciprocal agreement with The College of Family Physicians of Canada.

cumming.ucalgary.ca/cme

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 12 OF 14

ADDITIONAL PROGRAM INFORMATION

DRESS

Dress is business casual. Sweaters or items of clothing that can be layered are recommended since temperature in the venue may fluctuate.

MEALS

In general, each course offers a light breakfast, nutrition break(s) and lunch. We are sensitive to dietary requirements (for example, gluten free, peanut allergies) and do our best to offer a variety of options; however we are unable to guarantee that all dietary needs can be accommodated.

SCENT FREE

To ensure the comfort of everyone attending this event, please do not wear scented products.

CONFIRMATION OF REGISTRATION

On-line registration confirmation is automatic after registering on-line. A tax receipt will be sent approximately 2 weeks after registering.

For all other methods of registration (mail, fax), confirmation will be in the form of a tax receipt. No other confirmation will be sent. Please allow 2 weeks for registration processing.

COURSE CANCELLATION POLICY

The Office of Continuing Medical Education and Professional Development reserves the right to cancel the course if there are insufficient registrations.

REFUND POLICY

A registration refund will be made upon written request if made at least 2 weeks before the start of the program. However $50 will be retained for administrative costs. No refunds will be available for cancellations made within 2 weeks of the start of the program and thereafter. NOTE: Refunds are processed only on the return of original receipt. All receipts must be returned within 30 days after program date.

REIMBURSEMENT OF REGISTRATION FEES

Physicians may be eligible for reimbursement of registration fees and expenses to attend CME courses from a fund administered by the Alberta Medical Association. For more information regarding this, please call the AMA at 780.482.2626 or 1.800.272.9680.

FOR FURTHER INFORMATION

Office of Continuing Medical Education and Professional Development, Cumming School of Medicine, University of Calgary, TRW Building, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6

ABOUT COURSE CONTENT

Rosanna Saavedra, Program Assistant Phone 403.210.6272 Email [email protected]

ABOUT REGISTRATION

Phone 403.220.7032 Email [email protected]

42nd Annual Family Practice Review and Update Course – Pearls for Practice November 20-23, 2017

COURSE # – 10008472 - 20002

FIRST NAME

PHYSICIANSTUDENT / RESIDENT(FULL-TIME STUDENTS ONLY)OTHER HEALTH PROFESSIONAL – PLEASE SPECIFY

PROFESSION

PAYMENT BY

EXPIRY DATE

LAST NAME

ADDRESS

CITY

AREA CODE PHONE AREA CODE FAX

EMAIL

CHEQ

M YM Y SIGNATURE

AMEX VISA MASTERCARD CARD NUMBER

PROVINCE POSTAL CODE

EXT

REGISTER

BY CONFIDENTIAL FAXFax 403.270.2330

For your protection, the University of Calgary does not accept and will not process credit card information provided via email or text messages

BY MAILCheque Payable – UNIVERSITY OF CALGARY

CHEQUE MUST INCLUDE 5% GST

Cumming School of Medicine, Office of Continuing Medical Education and Professional Development, University of Calgary, TRW Building, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6

REGISTRATION SERVICESPhone 403.220.7032 Email [email protected]

COMPLETE REGISTRATION FORM Part 2 >>

REGISTRATION FORM

cumming.ucalgary.ca/cme

FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT Registration information is collected under the authority of the Freedom of Information and Protection of Privacy Act. The contact information you provide is required by our Office to register you in the course, prepare material and courses for your use, plan for future courses and notify you of similar, upcoming courses offered by our Office. Financial information is used to process applicable fees and is retained for future reference. Call 403.220.4251 if you have questions about the collection or use of this information.

42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 13 OF 14

Part 1

REGISTRATION FEEPLUS 5% GST – ADD 5% TO FEE(S) BELOW TO CALCULATE TOTAL COURSE FEE

EARLY RATE on or before October 9, 2017Physician Other Health Professional

£ $1180.00 ALL 4 DAYS £ $852.00 ALL 4 DAYS

£ $295.00 ONE DAY – Mon Nov 20 £ $213.00 ONE DAY – Mon Nov 20

£ $295.00 ONE DAY – Tue Nov 21 £ $213.00 ONE DAY – Tue Nov 21

£ $295.00 ONE DAY – Wed Nov 22 £ $213.00 ONE DAY – Wed Nov 22

£ $295.00 ONE DAY – Thu Nov 23 £ $213.00 ONE DAY – Thu Nov 23

REGULAR RATE after October 9, 2017Physician Other Health Professional

£ $1340.00 ALL 4 DAYS £ $920.00 ALL 4 DAYS

£ $335.00 ONE DAY – Mon Nov 20 £ $230.00 ONE DAY – Mon Nov 20

£ $335.00 ONE DAY – Tue Nov 21 £ $230.00 ONE DAY – Tue Nov 21

£ $335.00 ONE DAY – Wed Nov 22 £ $230.00 ONE DAY – Wed Nov 22

£ $335.00 ONE DAY – Thu Nov 23 £ $230.00 ONE DAY – Thu Nov 23

ON-SITE RATE (Based on availability and not guaranteed)

Physician Other Health Professional

£ $1580.00 ALL 4 DAYS £ $1252.00 ALL 4 DAYS

£ $395.00 ONE DAY – Mon Nov 20 £ $313.00 ONE DAY – Mon Nov 20

£ $395.00 ONE DAY – Tue Nov 21 £ $313.00 ONE DAY – Tue Nov 21

£ $395.00 ONE DAY – Wed Nov 22 £ $313.00 ONE DAY – Wed Nov 22

£ $395.00 ONE DAY – Thu Nov 23 £ $313.00 ONE DAY – Thu Nov 23

STUDENT / RESIDENT >> EARLY, REGULAR, ON-SITE RATE (FULL-TIME STUDENTS ONLY) (ON-SITE RATE based on availability and not guaranteed)

£ $700.00 ALL 4 DAYS

£ $175.00 ONE DAY – Mon Nov 20 £ $175.00 ONE DAY – Wed Nov 22

£ $175.00 ONE DAY – Tue Nov 21 £ $175.00 ONE DAY – Thu Nov 23

TOTAL FEE ENCLOSED $INCLUDE 5% GST IN TOTAL FEE

UCalgary GST Registration #108102864RT0001

42nd Annual Family Practice Review and Update Course – Pearls for PracticeNovember 20-23, 2017

FIRST NAME

LAST NAME

REGISTRATION FORM

Monday PM – November 20 • 1405-1505, 1525-1625 Select 6 – Number in order of preference with 1 being most important

1 Autism Spectrum Disorder in Children and Adults

2 Managing the Post-bariatric Surgery Patient

3 OCD in Children and Adolescents

4 Dialectical Behaviour Therapy

5 Managing Schizophrenia and Psychosis

6 ACES

Tuesday PM – November 21 • 1405-1505, 1525-1625 Select 6 – Number in order of preference with 1 being most important

7 Green Sleeves in the Clinic: Practical Tips for Engaging Patients

8 Assessing Decision-making Capacity

9 Update on Treating DM: Who Gets What?

10 Assessment and Treatment of Addiction Involving Alcohol and its Complications

11 Wound Care in Primary Care

12 Atrial Fibrillation Update

Wednesday PM – November 22 • 1405-1505, 1525-1625 Select 6 – Number in order of preference with 1 being most important NOTE: Workshop 18 is a two-hour workshop; MUST attend full workshop

13 Living Kidney Donation – The Donor Patient Experience

14 MAiD

15 Abnormal LFTs

16 Getting Testy About Testosterone

17 Medication-free Sleep: How Do We Help Our Patients?

18 Serious Illness Conversations Guide TWO-HOUR WORKSHOP

Thursday AM – November 23 • 1005-1105, 1110-1210 Select 6 – Number in order of preference with 1 being most important

19 Safety in Numbers: Mastering Clinical Data to Inform Your Practice

20 Not Blonde, Just Dizzy: But Should I Worry?

21 A Chronic Pain in the Neck

22 Soft Tissue Trochanteric and Hip Pain

23 Elbow and Wrist Pain, Including RSI

24 Approach to the Red-hot Joint

WORKSHOP SELECTIONS

Part 2

cumming.ucalgary.ca/cme42ND ANNUAL FAMILY PRACTICE REVIEW AND UPDATE COURSE – PEARLS FOR PRACTICE | PAGE 14 OF 14