mainpro-c sessions / sÉances mainpro-c -...

SCIENTIFIC PROGRAM / PROGRAMME SCIENTIFIQUEPR

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Family medicine Forum 2014 / Forum en médecine Familiale 2014 • fmf.cfpc.ca 1

MAINPRO-C SESSIONS / SÉANCES MAINPRO-CPRE-REGISTRATION REQUIRED / PRÉINSCRIPTION OBLIGATOIRE

NO ON-SITE REGISTRATION AVAILABLE • ADDITIONAL FEES APPLY AUCUNE INSCRIPTION POSSIBLE SUR PLACE • DES FRAIS ADDITIONNELS S’APPLIQUENT

MAINPRO-C CREdITS WEdNESdAY NOvEMbER 12 / MERCREDI 12 NOvEMbRE CRÉDITS MAINPRO-C

W55531 MC best Practices for AdHd Across the Lifespan 3.0 MC08:00–11:30 AinslieGray,MD ROOM / SALLE : MONTMORENCY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. understandkeycomponentswhenassessingforADHD,includingavailabletools2. learnthequestionstoraisewithpatientsinordertoevaluatepossiblecomorbiddisorders3. knowthecurrentpharmaceuticaloptionsforADHDandrelatedcomorbidities

Description:ADHDisacomplexdisorderwithvaryingtypeandseverityofsymptoms.Choosingtheappropriatemedicaltreatmentshouldnotbea”onesizefitsall”process.InordertoproperlymanageADHDholistically,clinicaltoolsshouldbeusedtoassessthetypeandseverityofsymptoms,reviewspecificareasofimpairmentinthepatient’slifeacrossmultiplesettings,andidentifyandexploreanypotentialcomorbiddiagnoses.Forchildren/adolescents,treatmentincludesevaluatingwellbeinginthehome,school,andcommunityenvironments.Foradults,treatmentrequiresexploringsymptomswithinthecontextoffamily,sociallife,andworkenvironments.Thissessionwilloutlinetoolsandrecommendationsforidentifyinganindividual’ssymptomsandlevelsofimpairmentinaclinicalsetting.Acomprehensiveevaluationprocessallowsthecliniciantochooseanappropriatemedication/dosagedependingonthespecificneedsofthepatient.Recommendationsforongoingtreatmentmonitoringwillbediscussed.

W57758 MC The Current Status of the 18 Month Check for Child development 3.0 MC08:00–11:30 ElizabethGrier,MD,CCFP,FCFP,Kingston,ON;BrianHennen,MD,CCFP,FCFP,Halifax,NS;

PatriciaMousmanis,MD,CCFP,FCFP,RichmondHill,ONSALLE dE bAL / bALLROOM : SAINT-LOUIS – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. determinewhichevidence-basedtoolstochooseandemploytoassessdevelopmentofthe18monthchild:theNippissing,theRourke,the

mCHAT,or“AgesandStages”2. reviewwhichsystematicpracticeprotocolsbestensurethatallchildreninafamilyhealthteam’spracticeareabletoaccessaproven

developmentalassessmentvisit3. developapreferredactionplanforchildrenwhoarefoundtobeatriskofdevelopmental,learning,orbehaviouralissues

Description:Thissessionwilllookatthenew“18MonthCallforAction”fromtheCanadianPaediatricSocietyandreviewhowvariousprovincesareinterpretingthenewguidelines.Ontario’s15yearexperiencewithaprovincialfeecodeandroll-outledbytheOntarioCollegeofFamilyPhysiciansandtheOffordCenterforChildStudiesatMcMasterUniversitywillbereviewed.ResearchontheuseoftheNippissingandRourkeBabyRecordtoolsbyfamilyphysicians,includingfeecodedata,willbediscussed.AtoolkitdevelopedbyQueen’sFamilyHealthTeaminKingston,Ontariowillbepresentedtoshowhowgrouppracticescanprovidetheinfrastructuretosystematizesuchavisitassessment.Practicalsuggestionsfromvariousurbanandruralcommunitieswillillustratekeyconcepts.TheNovaScotiaCollegeofFamilyPhysicians’statementonthe18monthcheckwillbereviewed.

W53711 MC CASTEd: Emergency – The hands-on Ed orthopedics (Course 1) 9.0 MC08:00–18:30 ArunSayal,MD,CCFP(EM),Toronto,ON ROOM / SALLE : FRONTENAC – HÔTEL CHÂTEAU FRONTENAC HOTEL

Learning objectives:1. describetheprinciplesofproperEDassessmentandmanagementastheypertaintopatientswithacuteorthopedicinjuries,andapplythese

tonumerouscommoninjuries2. describe”redflag”patientsbasedonsubtlecluesinthehistory,physical,orx-ray3. performvariousreductionsoffracturesanddislocationsandapplycastsandsplints(withanemphasisonpropermoulding)foravarietyofED

orthopedicinjuries

Description:CASTED:Emergencyisthe”hands-on”EDorthopedicscoursedesignedspecificallyforemergencyphysicians.Itisafunandfulldayfocusedonclinicalrelevanceandhands-onpractice.CASTED:Emergencyoffersnumerousclinicalpearlsonhistory,physical,x-rays,andmakingaccuratediagnoses.Youwillrecognize“”redflag””patients,knowwhoneedsareduction,andappreciatewhoneedstoseeorthoandwhen.WewantyoutounderstandEDorthopedics–notjustmemorizeit!Case-basedlecturesreviewEDorthopedicprinciplesandexplainthe”why.”Focusisoncasesthatarecommon,commonlymissed,andcommonlymismanaged.Fourhoursofhands-onpracticeanddemoscoverthe”how.”Understandhowtoreduce,howtoimmobilize,andhowtomould.Bytheendoftheday,youwillhavetheconfidencethatyouaredoingitright!CASTEDpromisesyouanenjoyabledayfullofnumerousclinicalpearlsyouwilluseonyournextshift!


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W56691 MC Airway Intervention and Management in Emergencies - AIME (Course 1) 9.0 MC08:00–18:30 FURTHERINFORMATIONTOFOLLOW ROOM / SALLE : JACQUES CARTIER – HÔTEL CHÂTEAU FRONTENAC HOTEL

Learning objectives:1. bemoreconfidentandcomfortableinmakingacutecareairwaymanagementdecisionsandacquireapracticalstagedapproachtoairway

management2. choosethemostappropriatemethodofairwaymanagement3. knowwhenandhowtousevarioustoolsandadjunctsformanagingthedifficultairway

Description:TheAIMEprogramhasbeenprovidingvaluedandpracticalhands-onairwaymanagementlearningexperiencesforcliniciansaroundtheworldforover14years.AIMEeducatorsareexperiencedclinicalinstructorswhounderstandthevariedworkenvironmentsofpractisingclinicians.Whetheryouworkinalarge,highvolumecentreorasmallremotesetting,AIMEwillprovideapracticalapproachforairwaymanagementinemergencies.TheAIMEprogramincludescase-basedclinicaldecisionmaking;newpracticalalgorithms;when,whyandhowtoperformawakeorrapid-sequenceintubation;anewtextbook/manualbasedontheAIMEprogram;unique,customizedclinicalvideos;limitedregistrationtoensurecliniciantoinstructorratioof5or6:1;cliniciantosimulatorratiosof2:1;reinforcementofcoreskills;introductiontoneweralternativedevices(opticalstylets,videolaryngoscopesandothers);andexposuretorescuedevices.

W52359 MC Assessment and Management of Chronic Non Cancer Pain 6.5 MC09:00–17:00 RobertHauptman,BMSc,MD,MCFP,Edmonton,AB;AlanKaplan,MD,CCFP(EM),RichmondHill,ON ROOM / SALLE : bEAUPORT – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. discusstheproblemofchronicpaininCanada,includingepidemiology2. reviewtheproperassessmentofchronicnoncancerpain,includingaddictionassessment3. discusstreatmentoptionsinthemanagementofchronicnoncancerpain,withspecialattentiontoresponsibleprescribingofopioids

Description:Chronicnoncancerpainisacommonproblemmanycliniciansface.Ithasbeenestimatedthat20%ofCanadianssufferfromchronicnoncancerpainwithanannualcosttoCanadiansindirectandin-directcostsofover50billiondollars.Unfortunately,despitehowcommonthisconditionis,littleistaughtinmedicalschoolontheproperassessmentandmanagementofchronicpain.ThisMainproCprogramwilloutlinetheproperassessmentofchronicnoncancerpainforparticipantsandwillgivepracticalguidelinesonthemanagementofthiscommoncondition.Specialattentionwillbegiventoresponsibleopioidprescribingandaddictionassessment.Participantscanexpectlivelyinteractionanddiscussionaroundtheissuesofchronicpain.

W52499 MC ECG Workshop: From basics to advanced to really advanced 6.5 MC09:00–17:00 VuKietTran,MD,CCFP(EM),FCFP,MHSc,MBA,RichmondHill,ON ROOM / SALLE : LAUZON – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. incorporateECGstomakeimportantclinicaldecisions2. recognizesubtleECGfindings3. improveECGinterpretationskills

Description:Pleasecomeandjoinmeforafulldayoffun(andmaybesomeECGinterpretation!).TheworkshopisaimedatelevatingyourknowledgeonECGtohelpguideclinicaldecisionswithyourpatientscomplainingofchestpain,shortnessofbreath,palpitation,orsyncope.ThegoalistocreatecomfortaroundECGinterpretationsothatyoucaneasilyhelpguideyourpatientthroughthecardiacinvestigations.Bytheendofthesession,onewillfeelcomfortablewithorderingandinterpretingECGsandwithelaboratingastrategyforthework-upofchestpainandsyncope.Finally,onewillfeelreallycomfortablewithmanagingdysrhythmiasandarrhythmiasintheoffice,thewalk-inclinic,theurgentcareclinic,theemergencydepartment,andthemedicalward.

M51688 MC Insertion de stérilet (participants débutants et expérimentés) 2.0 MC10:00–12:00 KoniaTrouton,MD,CCFP,FCFP,Victoria,BC;Marie-ThéreseGagnon,MD,Québec,QC ROOM / SALLE : PORTNEUF / SAINTE-FOY – HÔTEL HILTON QUÉbEC HOTEL

Objectifs d’apprentissage :1. faireunblocpara-cervical2. déciderdel’utilisationdumisoprostolavantuneinsertion3. defairefaceauxinsertionsdifficiles

Description :Maintenantquel’onrecommandelesstériletsencuivreetaulevonorgestrelàunediversitédefemmes,ildevientimportantquelesmédecinsdefamillesachentinsérerdesstériletsmêmesicelapeutreprésenterundéfichezcertainesclientèles,commechezlesnulliparesdontlecoldel’utérusestparfoisétroit.Durantcetatelierpratique,lesparticipantspourrontacquérirleshabiletésnécessairesàl’insertiondustérilet,grâceàlapratiquesurdesmodèlesenplastique,laprésentationdediapositivesetladiscussionaveclesanimatrices.Lorsqu’unmédecinsaitinsérerunstérilet,ilpeutaussifairedesbiopsiesdel’endomètre.Celaluipermetd’investiguerlesfemmesquiprésententdessaignementsanormauxenpéri-ménopauseetàlaménopauseetainsid’éliminerlesrisquesdecancerdel’endomètre.


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W51269 MC IUd Insertions and Endometrial biopsies (beginners) 2.0 MC13:00–15:00 EllenWiebe,MD,CCFP,FCFP,Vancouver,BC;KoniaTrouton,MD,CCFP,FCFP,Victoria,BC ROOM / SALLE : PORTNEUF / SAINTE-FOY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. useapara-cervicalblock2. troubleshootdifficultinsertions3. provideendometrialbiopsies

Description:NowthatcopperandlevonorgestrelIUDsarerecommendedforamuchwidervarietyofwomen-forteensandfortreatingdysfunctionaluterinebleedinginperi-menopause–itisimportantthatmorefamilydoctorsinsertIUDS.Thishands-onworkshopwilltakeadvantageofplasticmodels,slidesanddiscussiontoallowparticipantstogainskillsinIUDinsertion.ThefacilitatorsarefamilydoctorswhorunIUDclinicsandwillsharetheirexperiencewithclinicalequipmentandtechniquestosimplifythechallengingIUDinsertion.All13IUDscurrentlyavailableinCanadawillbeattheworkshop.Wewillspendanhourdiscussingindications,contraindications,equipment,techniques,managingsideeffectsandansweringquestions.Wewillhaveanhourofhands-onpracticewithplasticmodelssothatparticipantscanfeelconfidenttoaddIUDinsertiontotheirpractice.AnydoctorwhocaninsertanIUDcanalsodoanendometrialbiopsy.Thiswillallowyoutoinvestigateyourpatientswithsuspiciousperi-menopausalorpost-menopausalbleedingandquicklyruleoutendometrialcancer.ThisprogrammeetstheaccreditationcriteriaoftheCollegeofFamilyPhysiciansofCanadaandhasbeenaccreditedforupto2Mainpro-Ccredits.

W56167 MC The Hidden Cost of Immunization and Recognizing Negative Affect Regulation 3.0 MC13:00–16:30 PatriciaMousmanis,MD,CCFP,FCFP,RichmondHill,ON;RebeccaPillai-Riddell,PhD,Toronto,ON;

AnnaTaddio,PhD,Toronto,ONROOM / SALLE : MONTMORENCY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. describetheresearchevidencerelatingtomanagementofimmunizationpainanddistressinchildren2. utilizepsychologicalinterventions,needletechniqueinterventionsandanalgesicoptions3. describehowtointegratethisnewknowledgeaboutimpactofnegativeaffectanddistressafterimmunizationsasascreeningtoolformental

illnessintoclinicalpracticeinfamilyhealthteams

Description:ThispresentationwillincludeareviewoftheresearchliteraturearoundimmunizationpainanddistressandwillgoovernewresearchsincethepublicationoftheCanadianClinicalPracticeGuidelinesin2010.Therewillbevideoclipsofpsychologicalinterventionsandneedleadministrationtechniquestoshowhowahealthcareprofessionalcanworkwithfamiliestoreduceimmunizationpain.Athoroughreviewofmedicaloptionsforpreventingimmunizationpain(acetaminophen,ibuprofen,analgesicpatches/creams,sugarsolutionsetc.)willbepresentedalongwithpsychologicaltechniques(distraction,deepbreathingetc.)andphysicalstrategies(holdinguprightinparents’arms,rubbingadjacent).Finally,thisprogramwilllookatinterdisciplinarypracticemanagementsystemssothatthisnewinformationcanbeincorporatedintofamilypracticehealthteamsforusebyallprofessionals(nursepractitioners,familypracticenurses,registeredpracticalnurses,socialworkers,etc.).Newevidenceisemergingthatnegativeaffectfollowingimmunizationscanbeapredictoroffuturementalillnessandneedlephobia.Strategiesthatcanbesharedwithparentstohelpthemcomforttheirchildrenafterimmunizationwillbeintegratedintothispresentation.

W57843 MC breastfeeding basics for the Practising Physician 3.0 MC13:00–16:30 AnjanaSrinivasan,MDCM,CCFP,IBCLC,Mont-Royal,QC;CaroleDobrich,RN,IBCLC,Montréal,QC;

MeiraStern,MDCM,CCFP,IBCLC,Montréal,QC;HowardMitnick,MDCM,CCFP,Montréal,QC;LisaGraves,MD,CCFP,FCFP,Toronto,ON SALLE dE bAL / bALLROOM : SAINT-LOUIS – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. supportbreastfeedingfamiliesduringtheprenatalandpostpartumperiods2. recognizeandtreatthemostcommonproblemsthatoccuramongbreastfeedingmother-infantdyads3. promotebreastfeedinginparticipants’practicesandwithinaglobalcontext

Description:Howdoesonebestsupportbreastfeedinginanevidence-basedmanner?Learnabouthowyoucanhelpimprovethehealthofmothersandbabiesbypromotingandprotectingbreastfeeding.Thisthree-hourcourseservesasabasicoverviewofthemainissuesseeninbreastfeedingmother-infantdyads.Mostofthecoursewillbetaughtwithinsmallgroups,andwillincludedidacticteaching,casestudies,groupdiscussions,photosandvideos.Thecoursemaybemodifiedbasedonparticipants’interestandexperience.


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W51273 MC difficult IUd Insertions and Endometrial biopsies (Advanced) 2.0 MC15:30–17:30 EllenWiebe,MD,CCFP,FCFP,Vancouver,BC;KoniaTrouton,MD,CCFP,FCFP,Victoria,BC ROOM / SALLE : PORTNEUF / SAINTE-FOY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. useapara-cervicalblock2. troubleshootdifficultinsertions3. provideendometrialbiopsies

Description:NowthatcopperandlevonorgestrelIUDsarerecommendedforamuchwidervarietyofwomen-forteensandfortreatingdysfunctionaluterinebleedinginperi-menopause-wecanexpectmorechallengesininsertingIUDs,especiallyintotightnulliparousuteri.ThereareanumberofnewIUDswithwhichyoumaynotbefamiliar.Thishands-onworkshopwilltakeadvantageofplasticmodels,slidesanddiscussionandismostsuitableforclinicianswhohavealreadybeeninsertingIUDs.Participantsareencouragedtobringclinicalscenariosthathavebeenchallenging.ThefacilitatorsarefamilydoctorswhorunIUDclinicsandwillsharetheirexperiencewitharangeofclinicalequipmentandtechniquestosimplifythechallengingIUDinsertion.All13IUDscurrentlyavailableinCanadawillbeattheworkshop.AnydoctorwhocaninsertanIUDcanalsodoanendometrialbiopsy.Thiswillallowparticipantstoinvestigatetheirpatientswithsuspiciousperi-menopausalorpost-menopausalbleedingandquicklyruleoutendometrialcancer.

MAINPRO-C CREdITS THURSdAY NOvEMbER 13 / JEUDI 13 NOvEMbRE CRÉDITS MAINPRO-C

T57521 MC CASTEd: Primary Care – The hands-on orthopedics course for family physicians (Course 1) 9.0 MC08:00–18:00 NickChristidis,MD,Toronto,ON ROOM / SALLE : bELLEvUE – HÔTEL CHÂTEAU FRONTENAC HOTEL

Learning objectives:1. describeorthopedicprinciplesastheyapplytoafamilymedicinepractice2. practicejointinjectiontechniquesandthephysicalexaminationforavarietyofjoints

Description: CASTED:PrimaryCareisthe”hands-on”orthopedicscoursedesignedspecificallyforfamilyphysicians.Duringthisfull-daycourse,youwilllearnkeystoanefficientorthopedichistoryanda”highyield”physicalexam.Musculoskeletal(MSK)managementprincipleswillbehighlightedtohelpidentify”redflag”patients,understandindicationsforfurtherinvestigations,andguidemanagementdecisions.CASTED:PrimaryCarecombinespractical,case-basedlectureswithhands-onstationstorevieworthopedicprinciplesandmanagementinthecontextofafamilydoctor’soffice.Inadditiontothehands-onexaminationreview,youwilllearntheinsandoutsofjointinjectionsinanoffice–whichdrug(s),howmuch,howoften,propertechnique,etc.Jointinjectionsmodelswillbeusedtosimulateoffice-likeconditions.CASTED:PrimaryCarelimitsthenumberofregistrantstoensureclosesupervisionandinteraction.Attheendoftheday,youwillhaveabetterunderstandingofprimarycareMSKassessment,investigation,diagnosis,treatment,andreferral.

T68726 MC Airway Intervention and Management in Emergencies - AIME (Course 2) 9.0 MC08:00–18:30 FURTHERINFORMATIONTOFOLLOW ROOM / SALLE : JACQUES CARTIER – HÔTEL CHÂTEAU FRONTENAC HOTEL

Learning objectives:1. bemoreconfidentandcomfortableinmakingacutecareairwaymanagementdecisionsandacquireapracticalstagedapproachtoairway

management2. choosethemostappropriatemethodofairwaymanagement3. knowwhenandhowtousevarioustoolsandadjunctsformanagingthedifficultairway

Description:TheAIMEprogramhasbeenprovidingvaluedandpracticalhands-onairwaymanagementlearningexperiencesforcliniciansaroundtheworldforover14years.AIMEeducatorsareexperiencedclinicalinstructorswhounderstandthevariedworkenvironmentsofpractisingclinicians.Whetheryouworkinalarge,highvolumecentreorasmallremotesetting,AIMEwillprovideapracticalapproachforairwaymanagementinemergencies.TheAIMEprogramincludescase-basedclinicaldecisionmaking;newpracticalalgorithms;when,whyandhowtoperformawakeorrapid-sequenceintubation,anewtextbook/manualbasedontheAIMEprogram;unique,customizedclinicalvideos;limitedregistrationtoensurecliniciantoinstructorratioof5or6:1;cliniciantosimulatorratiosof2:1;reinforcementofcoreskills;introductiontoneweralternativedevices(opticalstylets,videolaryngoscopesandothers);andexposuretorescuedevices.


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T68771 MC CASTEd: Emergency – The hands-on Ed orthopedics course (Course 2) 9.0 MC08:00–18:30 ArunSayal,MD,CCFP(EM),Toronto,ON ROOM / SALLE : FRONTENAC – HÔTEL CHÂTEAU FRONTENAC HOTEL

Learning objectives:1. describetheprinciplesofproperEDassessmentandmanagementastheypertaintopatientswithacuteorthopaedicinjuries,andapplythese

tonumerouscommoninjuries2. describe”redflag”patientsbasedonsubtlecluesinthehistory,physical,orx-ray3. performvariousreductionsoffracturesanddislocationsandapplycastsandsplints(withanemphasisonpropermoulding)foravarietyofED

orthopedicinjuries

Description:CASTED:Emergencyisthe”hands-on”EDorthopedicscoursedesignedspecificallyforemergencyphysicians.Itisafunandfulldayfocusedonclinicalrelevanceandhands-onpractice.CASTED:Emergencyoffersnumerousclinicalpearlsonhistory,physical,x-rays,andmakingaccuratediagnoses.Participantswillrecognize“”redflag””patients,knowwhoneedsareduction,andappreciatewhoneedstoseeorthoandwhen.WewantyoutounderstandEDorthopedics–notjustmemorizeit!Case-basedlecturesreviewEDorthopedicprinciplesandexplainthe”why.”Focusisoncasesthatarecommon,commonlymissed,andcommonlymismanaged.Fourhoursofhands-onpracticeanddemoscoverthe”how.”Understandhowtoreduce,howtoimmobilize,andhowtomould.Bytheendoftheday,participantswillhavetheconfidencethattheyaredoingitright!CASTEDpromisesyouanenjoyabledayfullofnumerousclinicalpearlsparticipantswilluseontheirnextshift!

T56144 MC Preventive Care visits for School Age Children and Teens: Where is the evidence? 4.0 MC 10:00–15:30 AnitaGreig,MD,CCFP,FCFP,Toronto,ON;PatriciaMousmanis,MD,CCFP,FCFP,RichmondHill,ON;

AlainPavilanis,MD,CCFP,FCFP,Montréal,QCROOM / SALLE : PORTNEUF / SAINTE-FOY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. reviewtheevidenceforperiodichealthvisitsinschoolagechildrenandteens2. reviewtheuseofandexploreresourcesavailableandthatareincludedintheGreigHealthRecord3. reviewcommonpresentationsandissuesinthisagegroup

Description:Thisworkshopexploresevidenceandtoolsforperiodichealthvisitsforschoolagechildrenandteens.TheGreigHealthRecordisanevidence-basedhealthpromotionguideforclinicianscaringforchildrenandadolescentsagedsixtoseventeenyears.Itismeanttoprovideatemplateforperiodichealthvisitsthatiseasytouseandiseasilyadaptableforelectronicmedicalrecords.OntheGreigHealthRecord,wherepossible,evidence-basedinformationisdisplayed,andlevelsofevidenceareindicatedinboldfacetypeforgoodevidenceanditalicsforfairevidence.Includedintherecordarepagesofguidelinesandresourcesforreference.

T57797 MC Pregnancy and Early Childhood Environmental Exposures: Impacts, prevention, 4.0 MC 10:00–15:30 diagnosis and management FURTHERINFORMATIONTOFOLLOW ROOM / SALLE : COURvILLE – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. recognizesignificantpreconceptionandprenatalexposuresandpracticestrategiesforcounselinginexposurereduction2. identifyfourserioushealtheffectsinchildrenuptoage4thatarelinkedtoprenatalenvironmentalexposures,andwhattodoaboutthem3. practiseuseofoffice-basedtoolstoidentifyandreduceclinicallyimportantprenatalandchildhoodexposures

Environmentalexposuresinpreconceptionandduringpregnancyareassociatedwithmanyseriouschildhoodconditions.Inaddition,fetalexposuresarenowrecognizedtocontributetothedevelopmentofadultdiseases.ThecombinedcostofenvironmentallyattributablediseaseisbillionsforCanada,andincludescommonconditionssuchasreducedIQ,behaviouraldisorders,obesityanddiabetes.Thismodulewillfocusonabnormalbirthoutcomessuchaslowbirthweight,neurodevelopmentalproblemsintheearlyyears,andconditionsofimmunedysfunction,suchasallergiesandasthma.Theevidenceforassociationsbetweenenvironmentalexposuresandpoorhealthoutcomesinearlychildhoodwillbereviewed.Effectivetoolsforreducingprenatalandearlychildhoodexposureswillbeidentifiedandusedinsmallgroupswithclinicalcases.Participantswillbeabletoassessandmodifytheircurrentofficetoolsforpreventinganddiagnosingenvironment-relatedillnessinpre-conception,pregnancyandchildhooduptoage4.


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T49280 MC Assessment of decision-Making Capacity 3.0 MC14:00–17:30 LesleyCharles,MBChB,CCFP,Dip.COE,Edmonton,AB;JasneetParmar,MBBS,Dip.COE,Edmonton,AB ROOM / SALLE : bRÉbEUF / KENT – HÔTEL dELTA QUÉbEC HOTEL

Learning objectives:1. acquireknowledgeoftheguidingprinciplesinassessmentofcapacity2. exploreaninterdisciplinaryapproachtocapacityassessment3. reviewcapacityassessmentworksheetsusedinthisprocessandapplytheaboveinformationinassessmentofcapacitythroughcaseexamples

Description: AsthelifeexpectancyofCanadianscontinuestorise,anissueofincreasingimportanceforolderadultsistheassessmentofdecision-makingcapacity.Manyphysiciansdonotfeelpreparedtoassesscapacityfromtheirtraining.Physiciansplayakeyroleincapacityassessmentastheyareabletodeclarepersonsincapable.Thiswasalsoanareathatwasidentifiedasrequiringinterdisciplinarystafftraining.Aprocesswasproposedwithfront-endscreening/problem-solving,awell-definedstandardizedassessment,anddefinitionofteammembers’roles.Acaremapanddocumentationwasdevelopedconsistingofacapacityassessmentdatabaseandpatientinterviewforformalcapacityassessment.Interactiveworkshopswereadministeredtofamiliarizestaffwiththeprocess.Afeasibilitystudyconfirmedthatthisprocessaddressedtheissuesoflackofknowledge,skillset,etc.This3hoursessionisnowbeingofferedtophysiciansgiventheirpivotalroleincapacityassessment.

T55283 MC Managing Uncertainty: A novel approach to undifferentiated mental disorders 3.0 MC14:00–17:30 FURTHERINFORMATIONTOFOLLOW ROOM / SALLE : MONTMORENCY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. tolearnanovelapproachtothemanagementofmentaldisordersorganizedaroundtherisk,functionandsymptoms(RFS)2. toapplytheRFSmodeltoclinicalcases3. tobeabletoapplytheRFSmodelinclinicalpractice

Description:Familyphysiciansareoftenthefirstandonlypointofcontactforpatientswithmentaldisordersthatoftenpresentinanundifferentiatedmanner.Thislackofdifferentiationandthefrequentlyseriousnatureoftheseconditionsoftenevokesanxietyinthetreatingphysician.Traditionaldiagnosticpsychiatricmodelsusedinteachingmedicalstudentsandresidentsmaynotbecongruentwithactualpractice.Thisseminarwillintroduceparticipantstoanon-diagnosticmodelofassessingandmanagingmentaldisordersinprimarycarefocusingonrisk,functionalimpairmentandcriticalsymptoms.Thissessionwillbehighlyinteractiveandwilluseclinicalcasestobothexploreandapplythemodel.

T55455 MC Treating Poverty: A skills-based approach to addressing poverty for family physicians 3.5 MC14:00–17:30 FURTHERINFORMATIONTOFOLLOW ROOM / SALLE : LAUZON – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. exploreasimple,three-stepapproachtointerveningintoindividualpatients’povertyinaprimarycaresetting2. developanunderstandingoftheOntarioandCanadianincomesecuritysystems,includingbenefitsforchildren,workingageadults,people

withdisabilities,andseniors3. introduceparticipantstothreeaccessible,user-friendlyWeb-basedresourcesthatcanbeusedtonavigateincomesupportsystemsinclinical

practiceandfamiliarizethemwithonesuchresource:CanadaBenefits

Description:Povertyrepresentsasignificantandreversibleriskfactorforpoorhealth.Thishalf-dayworkshopisofferedtofamilyphysicianspractisinginOntario,withthegoaloflearningasimplethree-stepapproachtointerveninginpatients’povertythroughthedevelopmentofrelevantclinicalskills,andadeeperunderstandingofthefederalandprovincialincomesecuritysystemsandrelatedresources.Inthisinteractiveworkshop,participantswilldevelop,analyze,andputintopracticeanapproachtoincomesecuritybenefits-basedinterventionsintopovertyasarisktothehealthofindividualfamilypracticepatients.

T57395 MC Ten-Minute CbT: High-impact techniques for real doctors 3.0 MC14:00–17:30 GregDubord,MD,Toronto,ON;PeterDuffy,MD,CCFP(EM),Kingston,ON;ClementSun,MD,Toronto,ON ROOM / SALLE : CRÉMAZIE / GARNEAU – HÔTEL dELTA QUÉbEC HOTEL

Learning objectives:1. learntobreakpatientsawayfromtheir”empathyaddictions”2. learntostructureten-minuteappointmentstomaximizeimpact3. learnthevitalimportanceofnotworkingharderthanmostpatients

Yes,”goodenough”cognitivebehaviourtherapy(CBT)canbeintegratedintoten-minuteprimarycareappointments.Inthisthree-hoursession,DrGregDubordandCBTCanadafacultyteachyoutheessentialsofaskillthatmayfundamentallychangehowyoudealwithmentalhealthissues.TheflexiblemedicalCBTtoolsyou’lllearncanbeveryhelpfulindealingwithmajordepression,persistentdepressivedisorder(”dysthymia”untilDSM-5),OCD,PTSD,ADD,non-compliance,andmuchmore.ThissessionissponsoredbyCBTCanada,2013recipientoftheCFPC”CPDAward.”LeadinstructorGregDubord,MDisAssistantProfessorofPsychiatryattheUniversityofToronto,andtheleadingadvocateofmedicalCBT,theintegrationofCBT’stestedtechniquesintonormalfamilypracticeappointments.Hehasledover300CBTworkshops(including40Mainpro-CsforFamilyMedicineForum),andisarecentrecipientoftheUniversityofToronto’s”CMETeacheroftheYear”award.Seewww.cbt.cafordetails.


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T57799 MC PAACT: Men’s Health Update - 2014 5.0 MC14:00–17:30 DavidGreenberg,MD,CCFP,Toronto,ON ROOM / SALLE : LAUZON – HÔTEL dELTA QUÉbEC HOTEL

Learning objectives:1. incorporateevidence-basedinformationfromtheMen’sHealthGuidelinesintopractice2. recognizetheimportanceofpreventionandearlydiagnosisofconditionsspecifictomen3. developaneffectivestrategyforbothpreventionandtreatmentoftheseconditions

Description:Thisisanindependenteducationalprogramaboutthemanagementofmen’shealthissuesinacommunitysetting,withafocusonurologicalhealth,sexualhealth,andsymptomaticlate-onsethypogonadismTeachingmethod:smallgroup,case-based,interactiveMaterials:*NEW*2014Men’sHealthGuidelinesforFamilyPractice(”orangebook”)participantworkbookwithcases,practicemanagementtools

T57824 MC PAACT: Anemia – 2014 Update 5.0 MC14:00–17:30 FrankMartino,MD,CCFP,MClSc,FCFP,Toronto,ON;JohnJordan,CCFP,MClSc,FCFP,London,ON ROOM / SALLE : JONQUIÈRE – HÔTEL dELTA QUÉbEC HOTEL

Learning objectives:1. reviewanddiscussdiagnosisandtreatmentofanemiacommonlyseeninprimarycare2. acquirerelevant,evidencebasedsupportinmanaginganemia,whetherpresentingbyitselforasanadjunctivecondition3. taketheopportunitytoreceivefeedbackonsituationsparticipantsareunsureofhowtoresolve

Description:Anindependenteducationalprogramdevelopedbyfamilyphysicians.Basedonthenew2014editionoftheCanadian”AnemiaGuidelinesforFamilyMedicine,”casesaredesignedtohighlightclinicalpresentationsofanemiathatarecommontofamilypracticeandincludemicrocyticanemia,normocyticanemia,pediatricanemia,megaloblasticanemia,andcancer-relatedanemia(timepermitting).Materials:*NEW*2014AnemiaGuidelines(”orangebook”),participantmanual,patienteducationmaterials

TF57837 MC Learning Essential Approaches to Palliative and End-of-Life Care - LEAP (2 dAY Course) 14.0 MC08:00–17:00 SandyBuchman,MD,CCFP,FCFP,Toronto,ON;LoriTeeple,MD,CCFP(EM),FCFP,Arkona,ON

ROOM / SALLE : bEAUPORT – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. identifypatientswhowouldbenefitfromapalliativeapproachearlierintheirillnesstrajectory2. engagethesepatientsandtheirfamiliesinend-of-lifediscussions3. assessandmanagesymptomsincludingpain,dyspnea,nausea,cachexia,delirium,anxietyanddepression

Description:LearningEssentialApproachestoPalliativeandEnd-of-LifeCare(LEAP)wasdevelopedin2004andcompletelyupdatedin2014tosupportessentialskillbuildingfortheprimary-careprofessional(MD,RN,Pharmacy,socialworker).Sinceinception,studiescontinuetodemonstratesignificantimprovementinknowledge,skillsandattitudesforthoseworkingwithpalliativepatientsandtheirfamilies,posttraining.LEAPisofferedinatwodayclassroombasedformatandcoverselevenlearningmodules:newlydevelopedBeingAwareandTakingOwnership,Decision-Making,EssentialConversations,UsefulToolsandResources,PainManagement,DyspneaandRespiratorySymptoms,PsychologicalandSpiritualDistress,Gastro-IntestinalProblems,Delirium,PalliativeSedationandLastHours.Eachmodulebeingswithamindmapdirectedto”learningessentials,”followedbyreflectionsandlearningvideostopromptdiscussion.Followingaconstructivelearningapproach,LEAP-trainedfacilitatorsengageparticipantsinexperiencebaseddiscussionanddialogueusingsmallgroup,casebasedlearningstrategies.LEAPincludesstandardizedcoursewarematerial,includingfacilitatorandparticipantmanualsandisbook-endedbyreflectiveexercisesutilizingstandardizedsurveysandknowledge,attitudeandskillquizzesaspartofthecontinuinglearningprocess.Mainpro-Caccreditationrequiresafourmonthfollow-upresponsetoaplannedpersonalcommitmenttochangestatement.


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MAINPRO-C CREdITS FRIdAY NOvEMbER 14 / vENDREDI 14 NOvEMbRE CRÉDITS MAINPRO-C

F55103 MC CASTEd: Fracture Clinic – The hands-on follow-up orthopedics course 8.5 MC08:00–17:30 ArunSayal,MD,CCFP(EM),Toronto,ON ROOM / SALLE : FRONTENAC – HÔTEL CHÂTEAU FRONTENAC HOTEL

Learning objectives:1. describethefollow-up,assessment,diagnosis,andmanagementofcommon,relativelyminoradultandpediatricacuteextremityinjuries2. recognizeinjuriesthataremorelikelytobeoperativeand/orcomplicatedandthereforerequirefurtherinvestigations,physiotherapy,or

orthopedicconsultation3. performproceduresrelevanttothefollow-upcareofrelativelyminorfractures(e.g.,applying/removingcasts,applyingremovablesplints,etc.)

Description:CASTED:FractureClinicisthe”hands-on”follow-uporthopedicscourse.CreatedforfamilyphysicianswhofollowupminorfracturesandacuteMSKinjuries,CASTED:FractureCliniccoversacutemusculoskeletal(MSK)injuryfollow-up;anefficient,detailedphysicalexam;andpracticeofcastingandcastremoval.Whenfollowingpatientswithfractures:whichpatientsare”safe”totreat?Whichare”redflags”andneedreferral?Whentox-ray?Whenhasthepatienthealed?Whento”returntosports”?Understandhowtorecognizeandmanagecomplicationsofhealing.Practisefiberglasscastapplicationsandremoval.Forfollow-upofpatientswithsoft-tissueinjuries:reviewclinicalpearlsonhistoryandphysicalwhenexaminingapatientwithanacuteshoulder,elbow,knee,andankle.Knowwhoneedsfurtherimaging,whentobonescan,U/S,CT,orMRI,andwhentorefer.PractiseimportantcastsandbemoreconfidentinmanagingyourpatientswithminorfracturesandacuteMSKinjuries.

F68804 MC CASTEd: Primary Care – The hands-on orthopedics course for family physicians (Course 2) 9.0 MC08:00–18:00 FURTHERINFORMATIONTOFOLLOW ROOM / SALLE : bELLEvUE – HÔTEL CHÂTEAU FRONTENAC HOTEL

Learning objectives:1. describeorthopedicprinciplesastheyapplytoafamilymedicinepractice2. describekeyaspectsofthehistory,physicalexam,investigations,andmanagementplansforavarietyofmusculoskeletal(MSK)conditions

commonlyseeninfamilypractice3. practisejointinjectiontechniquesandthephysicalexaminationforavarietyofjoints

Description:CASTED:PrimaryCareisthe”hands-on”orthopedicscoursedesignedspecificallyforfamilyphysicians.Duringthisfull-daycourse,youwilllearnkeystoanefficientorthopedichistoryanda”highyield”physicalexam.Musculoskeletal(MSK)managementprincipleswillbehighlightedtohelpidentify”redflag”patients,understandindicationsforfurtherinvestigations,andguidemanagementdecisions.CASTED:PrimaryCarecombinespractical,case-basedlectureswithhands-onstationstorevieworthopedicprinciplesandmanagementinthecontextofafamilydoctor’soffice.Inadditiontothehands-onexaminationreview,youwilllearntheinsandoutsofjointinjectionsinanoffice-whichdrug(s),howmuch,howoften,propertechnique,etc.Jointinjectionsmodelswillbeusedtosimulateoffice-likeconditions.CASTED:PrimaryCarelimitsthenumberofregistrantstoensureclosesupervisionandinteraction.Attheendoftheday,youwillhaveabetterunderstandingofprimarycareMSKassessment,investigation,diagnosis,treatment,andreferral.

F56179 MC Perinatal depression and decision Guide for Antidepressant Use in Pregnancy 3.0 MC 10:00–12:30 and Post Partum PatriciaMousmanis,MD,CCFP,FCFP,RichmondHill,ON;SophieGrigoriadis,MD,RCPSC,Toronto,ON;

EmilyVonderPorten,MSc,Toronto,ON ROOM / SALLE : SAINTE-FOY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. describenormalpsychologicaldevelopmentofwomeninpregnancy,diagnosisandtreatmentoptionsforperinataldepression,anxietyand

postpartumpsychosis2. demonstratetheuseofclinicaltoolstoaidinclinicalmanagementofperinataldepression(ie,EdinburghPostnatalDepressionScale)3. outlineastrategyforcareofwomenwithperinataldepressionincludingantidepressants,communityresourcesandnon-pharmacological

treatmentoptions

Description:Thisworkshopwillcoverissuesrelatedtothenormalpsychologicaldevelopmentofwomeninpregnancyandhowitcanaffecttheiradjustmenttotheirnewbornandaffectattachmentintheparental/childrelationship.Theworkshopwillalsolookatthediagnosisandtreatmentoptionsforwomensufferingfromperinataldepression,anxietyandpostpartumpsychosis.Strategiesforusinginterpersonalpsychotherapyasatreatmentmodalityforthosewomenwhoaresufferingfrompostpartummooddisorderswillbereviewed.PracticaltoolssuchastheEdinburghPostnatalDepressionScale,flowchartsanddecisionguidesforclinicalmanagementofperinataldepressionwillbeincluded.TheFacingtheChallenges:HealthyChildDevelopmentmanualwillbeusedasaresource.Newresearchpublicationsfrommeta-analysisofantidepressantuseinpregnancywillbereviewed,aswellastheimpactofuntreateddepressiononpregnancyoutcomes.Researchintothedevelopmentofaclinicaldecisionguideforfamilyphysicians,obstetriciansandcommunitypsychiatristswillbereviewedanddiscussedduringthepresentation.


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F51951 MC Spirometry in Family Practice 6.0 MC10:00–16:30 AlanKaplan,MD,CCFP(EM),FCFP,RichmondHill,ON;RobertHauptman,BMSc,MD,MCFP,Edmonton,AB ROOM / SALLE : bRÉbEUF / KENT – HÔTEL dELTA QUÉbEC HOTEL

Learning objectives:1. learnonwhomspirometryshouldbeperformed2. learnhowtoperformandinterpretspirometry3. learnhowtoincorporatespirometryintothemanagementofrespiratorydiseaseintheparticipant’spractice

Description:ParticipantsinthisMAINPRO-Caccreditedworkshopwillbeeducatedonthebenefitsutilizingspirometrywillhaveintheirday-to-daypractice.WewillreviewtheguidelinesforbothCOPDandasthmamanagement.Areviewofthescienceofspirometryanditsindicationswillbefollowedwithhands-onexperiencewithanumberofdifferentspirometers.Thegroupwillthenlearnhowtointerpretspirograms.Therewillbelotsofopportunitytoreviewmultiplecasesandspirograms,alldesignedtoallowthefacileinterpretationofspirogramsandtoshowhowspirometrywillaffectclinicaldecisionmaking.Youwillwonderhowyoumanagedyourpracticebeforeyouusedspirometry!

F56992 MC Scholarship in Medical Education (SIME) 6.0 MC10:00–16:30 DanielleSaucier,MD,CCFP,FCFP,MA(Ed),Québec,QC;RisaFreeman,MD,CCFP,FCFP,MEd,Toronto,ON;

BrentKvern,MD,CCFP,FCFP,Winnipeg,MB;MiriamLacasse,MD,MSc,CCMF,Québec,QC;PattiMcCarthy,MSc,PhD,St.John,NL;ChristinaSt-Onge,PhD,Sherbrooke,QCROOM / SALLE : PORTNEUF / SAINTE-FOY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. outlinethekeyprinciplesofascholarshipproject,includingcleargoals,adequatepreparation,appropriatemethods,significantresults,

effectivepresentation,andreflectivecritique2. createaclearplanforinitiatingandimplementinganeducationalresearchproject3. participantswillhaveaplanfortheirpersonalproject

Description:Thisworkshop,developedbytheCanadianAssociationofMedicalEducation,isdesignedformedicaleducatorsinterestedinundertakingeducationalprojectsorresearch.Theworkshopwilltakeastructuredapproachtohelpingparticipantsdevelopaprojectincludingsettingcleargoals,preparingfortheproject,determiningtheoptimalmethods,ensuringmeaningfulresults,identifyingdisseminationopportunities,andreflectingontheproductandnextsteps.Emphasiswillbeplacedontheroleoftheory,appropriatemethodologies,typesofproducts,venuesfordissemination,theimportanceofpeerreview,andstrategiesforsustainingaprogramofresearch.Bytheendoftheday-longprogram,participantswillhaveaplanfortheirpersonalproject.

F50140 MC Office Gynecological Procedures in Family Medicine: A skills transfer workshop 3.0 MC14:00–17:30 ChristianeKuntz,MD,CCFP,FCFP,NCMP,Ottawa,ON;CathyCaron,MD,CCFP,FCFP,Ottawa,ON ROOM / SALLE : SAINTE-FOY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. describetheindications/contraindicationsfortheperformanceofaPapsmear,endometrialbiopsy,Mirena/JaydessIUSinsertion,andpessary

fitting2. listthestepsinpreparingfor,performing,anddeliveringafter-carefortheabove-mentionedprocedures,andfollowthemonabenchmodel3. displaysensitivitytowardsthepatientinperformingtheseprocedures

Description:OfficeGynecologicalProceduresinFamilyMedicine-SkillsTransferWorkshop.ThisMainpro-Cworkshopwillconsistofthefollowingcomponents:1)orientationtotheworkshop,2)surveyofparticipantspre-session,3)hands-onworkshopusingbenchmodels,and4)wrap-upandevaluation.

F53321 MC Finding a bETTER Way to Chronic disease Prevention and Screening: 3.0 MC 14:00–17:30 The bETTER 2 program DonnaManca,MD,CCFP,FCFP,Edmonton,AB;CarolinaAguilar,MA,MSc,Edmonton,AB;

EvaGrunfeld,MD,CCFP,FCFP,Toronto,ON;KrisAubrey-Bassler,MD,MSc,CCFP(EM),St.John’s,NL ROOM / SALLE : d’AUTEUIL – HÔTEL dELTA QUÉbEC HOTEL

Learning objectives:1. developanunderstandingoftheBETTERapproachtochronicdiseasepreventionandscreeningandhowitcanbeadapted2. decidehowtoapproachandimprovepreventionandscreeninginyourpractice,includinghowyouwilltargetat-riskpatients3. learnaboutoutcomemeasuresthatcanbeusedtomonitorandevaluatepreventionandscreeningactivitiesinyourpractice


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Description:Primarycareistheidealsettingforchronicdiseasepreventionandscreening(CDPS);however,evidence-basedapproachesareinconsistentlyappliedandfamilyphysicianslackthetimetoadequatelyaddressCDPS.TheoriginalBETTERprojectdemonstratedthattrainingacliniciantobecomeapreventionpractitioner,anindividualwithinthefamilypracticesettingwhodevelopsspecializedskillsinCDPS,significantlyimprovedpreventionandscreeninginpatientsaged40-65asmeasuredbyasummaryqualityindex.TheBETTERapproach:1)ispersonalizedtothepatientandthepractice;2)addressesmultipleconditions(cancers,diabetes,cardiovasculardiseaseandassociatedlifestylefactors);3)isintegratedwithlocal,regionalandnationalresources;and4)islongitudinalassessingpatientsovertime.Throughgroupdiscussions,participantswillexplorehowtheycanadaptthisnewandeffectiveapproachtotheirprimarycaresettingsandtheresourcesandtoolsthathavebeendevelopedtosupportthisapproachwillbeshared.

F57793 MC PAACT Anti-infective – 2014 Update 5.0 MC14:00–17:30 JohnJordan,MD,CCFP,MClSc,FCFP,London,ON;FrankMartino,MD,CCFP,MClSc,FCFP,Toronto,ON ROOM / SALLE : LAUZON – HÔTEL dELTA QUÉbEC HOTEL

Learning objectives:1. reviewtheprinciplesofantibioticresistance,what’snewandhowthisimpactsantibioticprescribing2. feelmorecomfortableinvestigatingandmanagingcommoninfectiousdiseasesincludingupperandlowerrespiratorytractinfectionsand

urinarytractinfections3. acquirepatienttoolstohelpimplementantibioticstewardshipinpractice

Description:ThisisanindependenteducationalprogramdevelopedbyfamilyphysiciansandbasedonthelatesteditionoftheAnti-infectiveGuidelinesforCommunity-AcquiredInfections.Casesaredesignedtohighlightcommoninfectiousdiseaseandinclude:•Upperandlowerrespiratorytractinfections•Skininfections•Urinarytractinfections(includingLTC)Materials:Anti-infectiveGuidelines(”orangebook”),participantmanual,riralprescriptionpadsTeachingmethod:interactive,case-based,smallgroup

F57399 MC CbT Solutions to Problems of Living 3.0 MC14:30–17:30 GregDubord,MD,Toronto,ON;PeterDuffy,MD,CCFP(EM),Kingston,ON;ClementSun,MD,Toronto,ON;

PankajChand,MD,CCFP(EM),Waterloo,ONROOM / SALLE : CRÉMAZIE / GARNEAU – HÔTEL dELTA QUÉbEC HOTEL

Learning objectives:1. learntoappreciatetheroleofdailychallengesinpsychopathology2. acquirehelpfulclinicalpearlsforovercomingproblemsofliving3. decreasetheoddsofpersonalburnout

Description:It’snoteasydoinglife.Unfortunately,unskillfulresponsestocommonproblemsoflivingputourpatientsatriskforclinicallysignificantanxietyanddepression.Inthisrefreshinglyaccessibleworkshop,wereviewcasestudiesofmaritaldiscord,bereavement,poortimemanagement,indecisiveness,insomniaandissuesofforgiveness.Theemphasisisonultra-brieftechniquesforincorporationintoroutineprimarycareappointments.ThissessionissponsoredbyCBTCanada,2013recipientoftheCFPC”CPDAward.”LeadinstructorGregDubord,MDisAssistantProfessorofPsychiatryattheUniversityofToronto,andtheleadingadvocateofmedicalcognitivebehaviourtherapy(CBT),theintegrationofCBT’stestedtechniquesintonormalfamilypracticeappointments.Hehasledover300CBTworkshops(including40Mainpro-CsforFamilyMedicineForum),andisarecentrecipientoftheUniversityofToronto’s”CMETeacheroftheYear”award.Seewww.cbt.cafordetails.

MAINPRO-C CREdITS SATURdAY NOvEMbER 15 / SAMEDI 15 NOvEMbRE CRÉDITS MAINPRO-C

S57716 MC Medical Record Keeping 6.0 MC08:00–16:00 SusanDeering,MD,CCFP,Toronto,ON ROOM / SALLE : SAINTE-FOY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. identifythebenefitsofkeepinggoodmedicalrecordsforpatients,theirfamilies,othermedicalproviders,andphysiciansthemselves2. evaluatetherelevanceandimpactofelectronicmedicalrecordstoone’sownpractice3. definetherequirementsofcompletemedicalrecords,andapplythetoolstomaintainandimprovemedicalrecordsinpractice

Description:TheMainpro-Csmall-grouplearningprogramispresentedinsixmodulesoverthecourseofoneday.Topicsaddressedincludedefiningandassessinggoodmedicalrecords,evaluatingthetransitiontoelectronicmedicalrecords,andrevisingandadaptingtemplatesandtoolsrelevanttofamilypractice.EachmoduleincorporatesaPowerPointpresentationbythefacilitatorandseveralactivelearningexercises.Modulesessionsgenerallyincorporateinteractivepresentations,workwithapartner,small-groupactivelearningactivities,case-basedexercises,individualprofessionalreflection,large-groupdiscussion,andaquestionandanswerperiodattheendofeachsession.Small-groupandlarge-groupdiscussionisencouragedthroughout.Allexercisesaredebriefedimmediatelyafterwards.


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S49369 MC diagnosis and Management of Patients With MCI and dementia: 3.0 MC 08:30–12:00 Tips for the family physician LindaLee,MD,CCFP,Toronto,ON ROOM / SALLE : COURvILLE / MONTMORENCY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. reviewbasicinitiationandmonitoringofmedicationsusedinthemanagementofpatientswithdementia2. differentiatepatientswhocansafelybediagnosedandmanagedbythefamilyphysicianfromthoserequiringareferraltoaspecialist

Description:Itisestimatedthattwo-thirdsofpersonsinthecommunitywithdementiaareundiagnosedanduntreated,withsignificantimplicationsforfuturehealthresourceutilizationinviewofouragingpopulation.Betteridentificationandmanagementataprimarycarelevelisessential.BasedonthesuccessfulaccreditedMemoryClinicTrainingProgramdevelopedbyTheCentreforFamilyMedicineandtheOntarioCollegeofFamilyPhysicians,thiscase-basedinteractivesessionprovidesthebusyfamilyphysicianwithpearlsonthediagnosisandmanagementofpatientswithmildcognitiveimpairmentanddementiainambulatorycare.

S57401 MC Challenging Patients: Pearls from the world of CbT 3.0 MC08:30–12:00 GregDubord,MD,Toronto,ON;PeterDuffy,MD,CCFP(EM),Kingston,ON;ClementSun,MD,Toronto,ON ROOM / SALLE : CRÉMAZIE / GARNEAU – HÔTEL dELTA QUÉbEC HOTEL

Learning objectives:1. acquiremodulartoolsforhelpingyour“difficult”patients2. reduceyouroddsofpersonalburnout3. discoverkeychangesinDSM-5criteria

Description:Let’sbefrank:ifyou’renotcareful,somepatientswillputyouatriskfor”prematureclinicianagingdisorder”(PCAD).Althoughtheworldofcognitivebehaviourtherapy(CBT)hasnoeasyanswers,therearemanypearlsthatcansignificantlyimprovepatientoutcomes—andmakeyourlifeawholeloteasier.Inthis2014’sChallengingPatientsworkshop,wereviewaplethoraofpracticalten-minutes-or-lesstechniquestosupplementyourexistingapproachestohypochondriasis(“illnessanxietydisorder”inDSM-5),chronicpain,multipleaddictions,borderlinepersonalitydisorder,andsuicidality.ThissessionissponsoredbyCBTCanada,2013recipientoftheCFPC“CPDAward.”LeadinstructorGregDubord,MDisAssistantProfessorofPsychiatryattheUniversityofToronto,andtheleadingadvocateofmedicalCBT,theintegrationofCBT’stestedtechniquesintonormalfamilypracticeappointments.Hehasledover300CBTworkshops(including40Mainpro-CsforFamilyMedicineForum),andisarecentrecipientoftheUniversityofToronto’s”CMETeacheroftheYear”award.Seewww.cbt.cafordetails.

S55459 MC don’t Just do Something , Stand There! best practices in reducing 5.0 MC 08:30–15:00 unnecessary tests, treatments and care FURTHERINFORMATIONTOFOLLOW ROOM / SALLE : bEAUPORT / bEAUMONT – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. learnwhenitistimetostopprescribingcertainclassesofdrugs2. learnwhentoordertheappropriatex-ray;doyoureallyneedtoorderthat“bloodpanel”atanannualhealthexamination?3. feelconfidentinappropriatescreeningforbreast,cervical,andcoloncancer

Description:Inaninteractiveworkshopsetting,participantswillexplorebestpracticesguidelinesandevidencethateithersupportsorrefutesmanycommonpracticesthatarepartofourworkday.Throughcasebasedexampleswewillreviewtheevidencethatmayormaynotsupporttheuseofvarioustests,screeningtools,andtreatments,helpingthecliniciantoutilizeresourcesappropriately.Attendanddiscoverwhatyoumightbeorderingorprescribingthatcouldhavenosupportinthescientificliterature.InthewordsofSpikeLee,“Timetodotherightthing.”

S50995 MC AWLS: Advanced Wound Life Saving: Wound care expertise for physicians 6.0 MC08:30–16:00 LoriTeeple,MD,CCFP(EM),FCFP,Arkona, ON;RosemaryKohr,BScN,MScN,PhD,RN,London,ON ROOM / SALLE : vILLERAY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. identifythosewithoratriskforvenousandarteriallegulcers,prescribingpreventivemeasuresandtreatingunderlyingcause2. comprehensivelyassessthediabeticfootforulcerrisk,prescribingpreventivemeasuresandappropriatelytreatingdiabeticfootinfectionand

ulcer3. identifythoseatriskforpressurewounds,prescribingpreventivemeasuresandtreatmentofpressuresoresandinfectedwounds

Description:ThisMainpro-Caccreditedcoursewillgivephysicianstheknowledgeandskilltopreventwoundsfromdevelopinginhigh-riskpatients–whetherintheoffice,hospital,ER,orlong-termcaresetting.Physicianswillgainexpertiseintreatingtheconditionsunderlyingwoundsandparticipateconfidentlywiththepatient’scareteaminchoiceoftherapiesbasedonbestavailableevidence.


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S51001 MC Using Critical Appraisal to Overcome the Challenges of Managing Asthma and 6.0 MC 08:30–16:00 COPd in Primary Care AnthonyD’Urzo,MD,BPHE,MSc,CCFP,FCFP,Toronto,ON;KatrinaD’Urzo,Toronto,ON ROOM / SALLE : d’AUTEUIL – HÔTEL dELTA QUÉbEC HOTEL

Learning objectives:1. becomefamiliarwithguidelinediagnosticcriteriaforasthmaandCOPD,andthespirometricoverlapbetweenasthmaandCOPDandhowto

minimizediseasemisclassification2. learntoapplypragmaticday-to-daymanagementstrategiesthatfocusonachievingcurrentcontrolandminimizingfuturerisk3. becomefamiliarwiththenewesttherapiesforbothasthmaandCOPD

Description:AnimportantchallengefacedbyfamilyphysiciansrelatestothedifferentiationbetweenasthmaandCOPD.EpidemiologictrendswilldictatethatprevalencepeaksforasthmaamongolderindividualswilloverlapwiththosepatientswhoarediagnosedwithCOPDforthefirsttimearoundthesixthdecadeoflife.Thismaycreateconfusion,particularlyamongasthmaticswhohaveahistoryofsmokingcigarettes.ThedistinctionbetweenasthmaandCOPDisfurtherblurredbythesignificantspirometricoverlapthatexistsbetweenthesecommonchronicconditions.AcleardistinctionbetweenasthmaandCOPDisextremelyimportantsincefirst-linetherapyinCOPDisabsolutelycontraindicatedinasthmamanagement.ThisworkshopwillusecriticalappraisalstrategiestoengageparticipantsininteractivedialogthatpromotessimpleandpragmaticapproachestothediagnosisandmanagementofasthmaandCOPDinday-to-daypractice.

S57013 MC Train the Trainer Event: Infant and toddler nutrition 3.0 MC09:30–12:30 PatriciaMousmanis,MD,CCFP,FCFP,RichmondHill,ON;LisaGraves,MD,CCFP,FCFP,Toronto,ON SALLE dE bAL / bALLROOM : SAINT-LOUIS – HÔTEL HILTON QUÉbEC HOTELLearning objectives:1. describebreastfeedingbasicsincludinglatch,positioning,andassessingadequacyofintakefeedingoftheinfant,whenandhowtointroduce

formulaifrequiredandintroductionofsolids2. describematernalnutritionanddietaryintakeintheprenatalperiod,duringbreastfeedinganditsimpactonchildhealthoutcomes3. utilizetoolssuchasNutriSTEPandCanada’sFoodGuidetoeducateparentsaboutinfantandtoddlernutritionandpreventionofobesity

Description:Currentevidencesupportsexclusivebreastfeedingastheoptimalmethodofearlyinfantfeeding,providingmultiplehealthbenefitsanddiseasepreventionforbothinfantsandtheirmothers.Familiesreceivemuchoftheirearlycareintheprimarycarefamilypracticesetting;therefore,knowledgeandsupportfromtheircareteamisessentialtohelppromote,protectandsupportsuccessfulandcontinuedbreastfeeding.Theworkshopwillalsolookatmaternalnutritionanddietaryintakeintheprenatalperiodanditsimpactonchildhealthoutcomes.InformationregardingnewCanadianPaediatricSocietyguidelinesontheintroductionofsolidswillbereviewedindetail.Irondeficiency,othernutritionaldeficienciesandhealthimpactanduseoffortifiedformulasforthosechildrenwhoarenotbreastfedwillbediscussedindetail.Roleofscreeningtools(NutriSTEP),WorldHealthOrganizationGrowthChartsandCanada’sFoodGuidewillbereviewed.Someelementsofhowchilddevelopmentalmilestonesimpactnutritionwillbeintegratedthroughcasebaseddiscussion.

S57896 MC Primary Care of Adults With developmental disabilities 3.0 MC 13:00–16:30 Soins primaires chez les adultes atteints de déficiences développementales LizGrier,MD,CCFP,Kingston,ON;BrianHennen,MD,CCFP,Halifax,NS;IanCasson,MD,CCFP,Kingston,ON;

UllandaNiel,MD,CCFP,Scarborough,ON;MegGemmill,MD,CCFP,Kingston,ON;MarkKristjanson,MD,CCFP,Winnipeg,MB;SuzanneRydzik,MD,CCFP,Ottawa,ON;StephanieMacDonnell,MD,CCFP,Ottawa,ON;DonnaLougheed,MD,FRCPC,Ottawa,ONROOM / SALLE : COURvILLE / MONTMORENCY – HÔTEL HILTON QUÉbEC HOTEL

Learning objectives:1. applyguidelinesforpreventativecareforpatientswithdevelopmentaldisabilities(DD)inyourpractice2. learnaboutspecialrecommendationsforscreeninguniquepatientswithDDcomparedwiththegeneralpopulation3. throughcase-baseddiscussions,practiseusingclinicaltoolstoensurecomprehensive,preventativecareforthispopulation

Description:Thissessionprovidesinteractivecase-basedlearningtoreviewguidelinesforprimarycareofadultswithdevelopmentaldisabilities(DD).Topicscoveredwillincludebreast,cervicalandcolorectalcancerscreening;screeningforthyroiddisease;depression/anxiety;heartdisease;osteoporosis;aswellashearing,vision,anddentalchecks.LevelsofevidenceforannualperiodichealthexaminationsforadultswithDDwillbereviewedandpracticalclinicaltoolstohelpmanagecommonproblemsinyourpracticewillbeintroduced.Wewillalsoreviewstrategiesforovercomingbarrierstoaccesspreventativecare(e.g.patientdiscomfortwithphysicalexaminationorphlebotomyandneedforeducationmaterialsdesignedforindividualswithdevelopmentaldisability).


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Objectifs d’apprentissage :1. appliquerleslignesdirectricespourlessoinspréventifsdespatientsatteintsdedéficiencesdéveloppementalesdansvotrepratique2. connaîtrelesrecommandationsspécialespourledépistagechezlespatientsatteintsdedéficiencesdéveloppementalescomparativementàla

populationengénérale3. aumoyendediscussionsbaséessurdescas,s’exerceràutiliserdesoutilscliniquespourfournirdessoinspréventifscompletsetglobauxà

cettepopulation

Description :Cetteséanceprésenteuneoccasiond’apprentissageinteractive,baséesurdescaspourrevoirleslignesdirectricesdelapriseencharged’adultesatteintsdedéficiencesdéveloppementalesensoinsprimaires.Lessujetssuivantsserontcouverts:dépistageducancerdusein,ducoldel’utérusetcolorectal;dépistagedelamaladiedelathyroïde,deladépression/del’anxiété;maladiesducœur;ostéoporose;ainsiquelesexamensauditif,delavueetdentaire.Nousexamineronségalementlesniveauxdepreuvespourlesbilansdesantéannuelschezcesadultes,etprésenteronsdesoutilscliniquespratiquespouraiderlesmédecinsàprendreenchargelesdifficultéscourantesdansleurpratique.Lesstratégiespoursurmonterlesobstaclesàl’accèsauxsoinspréventifs(p.ex.,inconfortdupatientlorsdel’examenphysiqueoulaphlébotomieetlanécessitéd’avoirdumatérieléducatifconçupourlespersonnesavecdéficiencesdéveloppementales)serontégalementrevues.

S65629 MC Formation des formateurs : Nutrition des nourrissons et des tout-petits 3.0 MC13:30–16:30 PatriciaMousmanis,MD,CCFP,FCFP,RichmondHill,ON;LisaGraves,MD,CCFP,FCFP,Toronto,ON SALLE dE bAL / bALLROOM : SAINT-LOUIS – HÔTEL HILTON QUÉbEC HOTEL

Objectifs d’apprentissage :1. décrirelesrudimentsdel’allaitement,ycomprislapriseduseinetlepositionnement,évaluersilaquantitédelaitbueparlenourrissonest

adéquate,etdétermineràquelmomentetdequellefaçonpasseràuneformulepournourrissons,sinécessaire,puisauxalimentssolides2. décrirelanutritionmaternelleetl’apportalimentairependantlapériodeprénataleetl’allaitement,ainsiqueleurimpactsurlasantéde

l’enfant3. utiliserdesoutilscommeNutriSTEPetleGuidealimentairecanadienpourinformerlesparentssurlanutritionetlapréventiondel’obésité

chezlesnourrissonsetlestout-petits

Description :Lesdonnéesprobantesactuellesconfirmentquel’allaitementexclusifestlaméthodeoptimalepouralimenterunnourrisson,cariloffreàl’enfantcommeàlamèredenombreuxavantagesdupointdevuedelasantéetdelapréventiondesmaladies.Lesfamillesreçoiventlamajeurepartiedeleurspremierssoinschezunmédecindefamille:lesconnaissancesetlesoutienprodiguésparl’équipedesoinssontdoncessentielspourpromouvoir,défendreetaideràpratiquerunallaitementréussietdurable.L’atelierporteraégalementsurlanutritionetl’alimentationmaternellespendantlapériodeprénataleetleurimpactsurlasantédel’enfant.Ceseraaussil’occasiond’analyserendétaillesnouvelleslignesdirectricesdelaSociétécanadiennedepédiatriesurl’introductiondesalimentssolides.Onexamineraenprofondeurlescarencesenfer,d’autrescarencesnutritionnellesetleureffetsurlasanté,ainsiquel’utilisationdeformulesenrichiespourlesenfantsnonallaités.Ilseraaussiquestiondesnouveauxoutilsdedépistage(NutriSTEP),desgraphiquesdecroissancedel’OrganisationmondialedelasantéetduGuidealimentairecanadien.Uneétudedecaspermettraauxparticipantsd’analyserlamanièredontlanutritioninfluesurlesjalonsimportantsdudéveloppementdel’enfant.

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