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Guatemala & Belize November 2011
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Guatemala & Belize Academic Programme
08:00-11:00 17:00-20:00 Evening Mo 7th FULL DAY TRAVELLING TO GUATEMALA Tu 8th Ogilvie/David Antigua Walking
Tour Bower (1700 - 19:00) La Finca
We 9th Weaving Women Nuts & Beans Ogilvie/Bower (1800 – 2000)
Free
Th 10th David/Ogilvie Horses or Zips Bower (1700 - 19:00) Welten Fr 11th Tour & Transfer to Lake Atitlan David/ Ogilvie Dinner at
Hotel Sa 12th David/Bower (0800-1000) Juan Le Laguna Tour (starts
at 10.15) Free
Su 13th Chichicastenango Market Fly to Flores Free Mo14th Tikal Tour Ismail/Barr Free Tu 15th Transfer to Belize Free We16th FREE DAY Barr/Ismail Free Th 17th Monkey River & Manatee Watch Barr
1800-2000 Free
Fr 18th Ismail/Barr (0900-1100)
Coral Cruise GALA DINNER
Sa19th Transfer & Home…… Night Flight UK (arr 20th)
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Tuesday 8th November
Morning Session 08:00-‐11:00 Chairman: Dr Michael Ingram
Dr Arla Ogilvie Consultant Endocrinologist West Hertfordshire NHS Trust
08:00-09:45 Case studies in Diabetes
This session will be based on some of the management problems faced by clinicians, whether in primary or secondary care in dealing with diabetes often as just one of the co-morbidities that a patient experiences
09:45-10:00 Coffee ☕ Dr Joel David
Consultant Rheumatologist & Senior Lecturer — Nuffield Orthopaedic Centre, Oxford
10:00-11:00 Osteoporosis Calcium and Vitamin D
With current controversy surrounding the use of calcium and with Frax risk factors and NOGG guidance attempting to rationalise the use of DEXA scanning, what should GPs be doing in trying to diagnose manage and monitor osteoporosis. What is the place for Calcium + D3 ?
Afternoon Session 17:00-‐19:00
Chairman: Dr Michael Ingram
Dr Chris Bower Consultant Dermatologist at the Royal Devon and Exeter NHS Trust
17:00-19:00 Interactive Cases in Dermatology
With a whole battery of cases to discuss and with links to educational material to explore some of the issues raised this opening session will explore learning needs and areas of interest in dermatology with a view to expanding the teaching and meeting those needs during the course of the week
Wednesday 9th November
Afternoon Session 18:00-‐20:00 Coffee available ☕ Chairman: Dr Michael Ingram
Dr Arla Ogilvie Consultant Endocrinologist West Hertfordshire Hospitals NHS Trust
18:00-19:00 Hyponatraemia A condition so often encountered in general practice and so often in the elderly, this session will aim to provide a practical guide to the significance, role of investigation and management of Hyponatraemia
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Dr Chris Bower Consultant Dermatologist at the Royal Devon and Exeter NHS Trust
19:05-20:00 Media Dermatology
Photoshop; the celebrity culture; high fashion and the lure of eternal youth. The media through both reporting and through the advertising and promoting of cosmetics has shaped the way the skin is perceived. Where is the line between diseases, deformity and desire?
Thursday 10th November
Morning Session 08:00-‐11:00 Chairman: Dr Michael Ingram
Dr Joel David Consultant Rheumatologist & Senior Lecturer — Nuffield Orthopaedic
Centre, Oxford 08:00-09:45 Inflammatory Joint Disease
This session will cover the major challenges of inflammatory joint disease and highlight their aetiology , their pathology and the fundamentals of diagnosis intervention and control. The choice of appropriate investigations and their interpretation will be incorporated into case based discussion and interactive teaching.
09:45-10:00 Coffee ☕
Dr Arla Ogilvie Consultant Endocrinologist West Hertfordshire Hospitals NHS Trust
10:00-11:00 Type 1 and Type 1 ½
Much of GPs efforts are focussed on Type 2 diabetes so that the needs of patients with Type 1 are less well met. This session will provide an update on current views on Type 1 management and deal with the concept of Type 1 ½ diabetes.
Afternoon Session 17:00-‐19:00
Chairman: Dr Michael Ingram
Dr Chris Bower Coffee available ☕ Consultant Dermatologist at the Royal Devon and Exeter NHS Trust
17:00-19:00 Red Flags in Skin Cancer
There is an enormous burden on the diagnosis and surveillance of skin lesions with appropriate but pervasive anxiety about the increasing incidence of skin cancers and the effect of sun on the skin. This session will deal with skin cancer in general, their epidemiology and the link between sun and malignancy. As fits the tropical venue of the conference
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the whole relationship between sun and the skin will be discussed, and with a rheumatologist in the faculty positive effects will also be covered.
Friday 11th November
Afternoon Session 17:00-‐20:00 Chairman: Dr Michael Ingram
Dr Joel David Consultant Rheumatologist & Senior Lecturer — Nuffield Orthopaedic
Centre, Oxford 17:00-18:45 The soft tissues and chronic pain in Rheumatology
This session which will look at fibromyalgia and soft tissue injury and the challenge that is posed for those caring for such patients. The resources consumed by chronic pain are immense and a rational approach yielding better results will make a real difference to both patients and their physicians. The discussion will then move to sport related injury and overuse syndromes and pains a commonly encountered problem in practice. Highlighting the more obvious diagnoses appropriate therapies whether physical or pharmacological, delegates will be more confident in managing this range of conditions
18:45-19:00 Coffee ☕
Dr Arla Ogilvie Consultant Endocrinologist West Hertfordshire Hospitals NHS Trust
19:00-20:00 The Ups and Downs of Thyroid Function
This session will examine some of the pitfalls in interpreting thyroid function tests. It will encompass subclinical thyroid disorders, managing thyrotoxicosis in general practice and an approach to tricky thyroid function that doesn't quite fit
Saturday 12th November
Morning Session 08:00-‐10:00 Chairman: Dr Michael Ingram
Dr Joel David Consultant Rheumatologist & Senior Lecturer — Nuffield Orthopaedic
Centre, Oxford 08:00-08:55 Rheumatology Quiz
This will be a case based discussion of rheumatological problems in general practice
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08:55-09:05 Coffee ☕
Dr Chris Bower Consultant Dermatologist at the Royal Devon and Exeter NHS Trust
09:05-10:00 Top tips in Dermatology
A review of advances in dermatology and changes in the management of common conditions such as eczema psoriasis and acne.
Monday 14th November
Afternoon Session 17:00-‐20:00 Chairman: Dr Michael Ingram
Mr Andre Ismail Consultant Ophthalmologist West Hertfordshire Hospitals NHS Trust
17:00-18:450 Red and Urgent Eyes
One of the challenges in practice is recognising the truly urgent condition when it presents. From corneal abscesses to dendritic ulcers from retinal detachments to acute glaucoma there are many instances when immediate management can be sight saving. As well as these essential situations this session will look at helping delegates to deal with the acute red eye as well as conditions which lead to sudden change in sight.
18:45-19:00 Coffee ☕
Prof. Hugh Barr Consultant Surgeon Gloucestershire Royal Hospital for 10 years Dean
of the Faculty of Medicine and Bioscience, Cranfield University
19:00-20:00 Reflux and Heartburn Looking at the pathophysiology of reflux and the management options available in general practice. Considering when the surgical option should be considered and what that surgical option entails.
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Wednesday 16th November
Afternoon Session 17:00-‐20:00 Chairman: Dr Michael Ingram
Prof. Hugh Barr Consultant Surgeon Gloucestershire Royal Hospital for 10 years Dean
of the Faculty of Medicine and Bioscience, Cranfield University
17:00-18:45 Novel research in GI tract disease This wide ranging session will update delegates in the area of gastro intestinal disease. From the vital areas such as upper gastrointestinal cancers to the more chronic problem there are approaches which can help in both diagnosis and management. Part of the session will take the form of analysis of cases under the theme of when to refer and when to manage the patient within the practice
18:45-19:00 Coffee ☕
Mr Andre Ismail Consultant Ophthalmologist West Hertfordshire Hospitals NHS Trust
19:00-19:30 Glaucoma
What is the role of the general practitioner in the management of glaucoma other than the prescriber of different drops at the behest of the consultant ? Understanding the disease can hep the GP reassure and respond to patient need.
19:30-20:00 Age Related Macular Degeneration The presentation differentiation and pathophysiology of this rapidly developing field will be revealed.
Thursday 17th November
Afternoon Session 18:00-‐20:00 ( NB) Chairman: Dr Michael Ingram
Prof. Hugh Barr Consultant Surgeon Gloucestershire Royal Hospital for 10 years Dean
of the Faculty of Medicine and Bioscience, Cranfield University
18:00-20:00 Upper gastro-intestinal Cancer Gastric and oesophageal cancer survival rates are disappointing. Early diagnosis is the key to improving this but how should GPs respond to this challenge. This session will look at improving diagnostic skills and update on the management that patients can expect.
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Friday 18th November
Morning Session 09:00-‐11:00 Chairman: Dr Michael Ingram
09:00-10:00 Not A Dry Eye In The House!
Epihora and dry irritating eyes are such common presentation in general practice yet the management of these conditions is often based on trial and error. Understand the pathophysiology of lacrimation and its disorders allows more specific treatments and better outcomes. Differentiate between hypromellose and LacriLube!
09:55-10:05 Coffee ☕
Prof. Hugh Barr Consultant Surgeon Gloucestershire Royal Hospital for 10 years Dean
of the Faculty of Medicine and Bioscience, Cranfield University
10:05-11:00 Metabolic Surgery The expanding role of bariatric surgery in managing obesity is a relatively recent phenomenon and the indications for such intervention are important to understand. The techniques side effects and realistic expectations for the patients will form part of the discussion