For further information, please contact the Office of CPD:

Tel: 613-761-4480 ext: 1 | Fax: 613-761-5262 | Email: cpd@toh.on.ca

www.med.uottawa.ca/cpd *subject to change @CME_UOTTAWA

66th Annual Refresher Course for Family Physicians

April 26 - April 28, 2017 Ottawa Conference and Event Centre

200 Coventry Road, Ottawa, ON

Course Description

This comprehensive course is designed to provide family physicians and other health-care providers with relevant and recent information about approaches to the diagnosis and management of conditions across the breadth of family medicine in both rural and urban settings. Each day consists of a combination of short snappers, lectures and workshops designed specifically for family physicians and healthcare providers which allows course attendees to customize their learning experience.

Program at a Glance

66th Annual Refresher Course for Family Physicians

PLANNING COMMITTEE

The Office of Continuing Professional Development extends a special thanks to the following physicians who participated in the planning of this event: Dr. Sheri Boyden, Family Physician Dr. Judy Chow, Chair, Family Physician Dr. Chandi Chandrasena, Family Physician Dr. Brendan Connelly, Family Physician Dr. Paul Hendry, Office of CPD

OVERALL LEARNING OBJECTIVES

By the end of this program, participants will be able to identify and discuss relevant and recent information about approaches to the diagnosis and management of conditions across the breadth of family medicine in both rural and urban settings.

SPEAKER DISCLOSURES

Speakers will be requested to disclose to the audience any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of this program.

FREEDOM OF INFORMATION & PRIVACY ACT

This information is protected and is being collected pursuant to the Freedom of Information and Protection of Privacy Act of Ontario (RSO 1990). By registering with the University of Ottawa for its program or courses, you agree to the details outlined in the act. The University of Ottawa is committed to maintaining and protecting the confidentiality and privacy of your personal information. Only authorized employees, whose official duties so require, are allowed to view your information.

ACCESS TO COURSE MATERIALS

To ensure course participants receive the most up-to-date information and in an effort to lessen the environmental impact of our events, all available course materials will be posted to our website as soon as they become available. We cannot guarantee that all course materials will be posted on the website.

LIABILITY

The University of Ottawa, Office of Continuing Professional Development (CPD) assumes no liability for any claims, personal injury or damage: to any individual attending this conference; that may result from the use of technologies, program, products and/or services at this conference; that may arise out of, or during this conference.

COURSE CANCELLATION

The University of Ottawa, CPD reserves the right to cancel courses. Registrants will be notified at the earliest possible date in the event of a cancellation. Registration fees for courses cancelled by the University of Ottawa, CPD will be refunded; however the University of Ottawa, CPD will not be liable for any loss, damages or other expenses that such cancellation may cause.

ACCREDITATION

This Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by the University of Ottawa’s Office of Continuing Professional Development for up to 20.25 Mainpro+ credits.

7:00AM - 8:00AM REGISTRATION AND BREAKFAST

7:30AM - 8:00AM EMRs and Quality Improvement Discuss quality improvement from an EMR maturity lens; Analyze inefficiencies in your business workflows

8:00AM - 8:20AM WELCOME REMARKS

8:20AM - 9:20AM THE FUTURE OF FAMILY MEDICINE PRESENTED BY: DR. DIANE DELVA Discuss positive changes expected in the next 10 years; Identify what skills should be learned; Assess innovations in community practices; Discuss how technology and efficiency may be creating a shift away from humanity and the art of medicine

9:25AM - 9:45AM RED FLAGS FOR ENT ISSUES DR. JAMIE BONAPART Identify and discuss red flags for that family physicians encounter in their practice

9:45AM - 10:05AM CHRONIC SINUSITIS DR. JAMIE BONAPARTE Discuss the role of nasal polyps in chronic sinusitis; Review guidelines published for sinusitis relevant to family physicians

10:05AM - 10:25AM EVALUATION AND NUTRITION BREAK

10:25AM - 11:25AM GENETICS SHORT SNAPPERS MS. SHAWNA MORRISON, & DR. JUNE CARROLL (GECKO)

Breast Cancer Identify and appropriately refer individuals who would benefit from a genetics consult regarding hereditary breast and ovarian cancer using Ontario Breast Screening Program criteria and family history; Discuss and address patient concerns of the same, including benefits and limitations of genetic testing

Consumer Genetics

Discuss and address patient concerns regarding genetic testing that is marketed directly to consumers, including benefits and limitations of this type of testing

Q-TC Interval Identify individuals who would benefit from referral to cardiac arrhythmia and genetics specialists for assessment; Discuss and address patient concerns regarding family history of long QT syndrome, including benefits and limitations of genetic testing

11:25AM - 11:30AM EVALUATION AND SPEAKER TRANSITION

11:30AM - 12:00PM TRAVEL MEDICINE: FEVER IN THE RETURNING TRAVELLER DR. JOHN LEE Develop a differential diagnosis and workup plan for fever in the returned traveler; List host factors which contribute to increased risk of infection (focus on mosquito borne disease both local and tropical)

12:00PM - 1:00PM EVALUATION AND LUNCH

12:05PM - 12:30PM Physician Wellness: Meditation Bhante Vijitha Conducted by an experienced Buddhist monk who will take you through easy meditation techniques that can be recreated on your own

1:00PM - 1:45PM WHAT’S NEW IN ENDOCRINOLOGY IN 2017 DR. HEATHER LOCHNAN

Discuss recent advances in Endocrinology pertinent to family medicine

1:45PM - 1:55PM EVALUATION AND TRANSITION

Wednesday, April 26, 2017

REPEATING CONCURRENT SESSIONS (SELECT ONE FOR EACH STREAM)

1:55PM - 2:55PM CONCURRENT SESSIONS STREAM WA

W1 An Approach to Electrolyte Abnormalities Dr. Cathy Code Discuss approach and work up for chronic and acute electrolyte abnormalities

W2 Performing a Brief but Comprehensive Neurological Exam Dr. Jocelyn Zwicker Perform a brief but comprehensive neurological exam of an adult patient

W3 Making Sense of Breast Complaints Dr. Justine Davies Review common breast problems seen in family practice, with a focus on benign issues; Review what/when investigation is warranted and appropriate; Review the management of common breast problems

W4 Beyond the ABCs of Liver Disease Dr. Thomas Shaw-Stiffel Identify and discuss approaches to elevated liver enzymes in non-infectious liver disease; Discuss Fatty Liver; Identify what to order, what to rule out and surveillance of non-infectious liver disease

W5 Is It a Normal Variant or Not? Growth and Puberty Dr. Tania Dumont List age cut-offs for normal and abnormal puberty in different ethnic groups; Discuss a diagnostic approach and treatment of precocious puberty in girls; Review long term implications; Identify an approach to delayed puberty in girls; Determine who and when to refer, along with tests that should be ordered

W6 Common Eye Problems in a Primary Care Setting Dr. Adil Bhatti Discuss and identify ocular conditions such as red eye and corneal abrasions; Discuss ophthalmic drops available to treat conjunctivitis; Review medications used for glaucoma and discuss drug interactions for comorbid diseases from a family practice perspective; Review and assess over the counter drops available for dry eyes

W7 2017 Update on Prevention and Screening in Adults Dr. Cleo Mavriplis, Manon Bouchard (NP), Tawnya Shimizu (NP) List the most current recommendations for prevention and screening of Canadian adults; Distinguish the level of evidence behind different recommendations; Discuss the points of view underlying some of the more controversial recommendations

W8 Helping a Teen in Crisis Dr. Clare Gray Describe methods of assessing a behavioural “crisis”; Conduct an assessment of a suicidal adolescent; Apply concepts of crisis management with youth

W9 Premalignant and Malignant Skin Lesions: Diagnosis and Treatment Pearls for the Family Physician Dr. Samuel Hetz Identify the pathogenesis of premalignant and malignant skin lesions; diagnose premalignant and malignant skin lesions, as well the common benign mimickers; Determine various office-based treatment options for premalignant and malignant skin lesions, as well as when to refer for further consultation

2:55PM - 3:25PM EVALUATION AND NUTRITION BREAK

3:25PM - 4:25PM CONCURRENT SESSIONS STREAM WB

4:25PM ADJOURN

Wednesday, April 26, 2017

7:00AM - 8:00AM REGISTRATION AND BREAKFAST

7:30AM - 8:00AM Brag, Borrow & Steal: Apps for Physicians & Patients Dr. Jean Roy Moderated by: Dr. Brendan Connelly & Dr. Chandi Chandrasena List and assess useful apps for physicians and their patients

8:00AM - 8:15AM WELCOME REMARKS

8:15AM - 9:30AM CARDIOLOGY SHORT SNAPPER DR. MICHAEL FROESCHL

SPRINT Trial

Identify how SPRINT Trial affects our

management of hypertension

Hypertension: What’s New?

Discuss and assess updates in

hypertension relevant to family physicians

ASA and NOACs

List indications for ASA and NOACs

Lipids

Discuss and assess updates in Lipid

Therapy relevant to family physicians

9:30AM - 9:50AM NUTRTION BREAK AND EVALUATION

9:50AM - 10:50AM CHOOSING WISELY DR. DIANNE DELVA Discuss Choosing Wisely Canada and the recommendations relevant to family medicine; Identify the ethical implications of Choosing Wisely; Determine practical methods and tools to implement and measure recommendations in practice; Locate and select Choosing Wisely Patient materials

10:50AM - 10:55AM EVALUATION AND SPEAKER TRANSITION

10:55AM - 11:55AM DE-PRESCRIBING: JUST THE PEARLS DR. LISE M. BJERRE Explain the evidence-based guidelines for de-prescribing; Explain how to follow/monitor patients through the process of de-prescribing

11:55PM - 1:00PM EVALUATION AND LUNCH

12:00PM - 12:30PM Physician Wellness: Meditation Bhante Vijitha Conducted by an experienced Buddhist monk who will take you through easy meditation techniques that can be recreated on your own

1:00PM - 1:20PM AN UPDATE ON ALOPECIA DR. DIANE QUINTAL Identify and classify different types of hair loss; Discuss treatment plans for the common types of hair loss

1:20PM - 1:25PM EVALUATION AND DISCUSSION

1:25PM - 1:45PM TOP 3 NAIL DISORDERS AND HOW TO MANAGE THEM DR. SHANNA SPRING Identify and discuss common nail disorders; Identify and assess treatment options for common nail disorders

1:45PM - 1:50PM EVALUATION AND DISCUSSION

Thursday, April 27, 2017

1:50PM - 2:10PM FOLLICULAR DISORDERS DR. JENNIFER LIPSON Identify common skin conditions caused by follicular structure; Differentiate between causes of folliculitis; Identify and evaluate treatment plans based on the follicular disorder

2:10PM - 2:15PM EVALUATION AND DISCUSSION

2:15PM - 2:20PM TRANSITION

REPEATING CONCURRENT SESSIONS (SELECT ONE FOR EACH STREAM)

2:20PM - 3:20PM CONCURRENT SESSIONS STREAM TA

T1 Perioperative Pain Challenges and How Family Physicians Can Help Dr. John Penning Describe Foundational Analgesia; Outline the use of opioids and discuss opioid hyperalgesia; Review the concept of the acute pain step ladder; Using case examples of dental pain and arthroplasty patients, review pain medications and outline underutilized options other than narcotics

T2 Asthma: Treating the Disease and Understanding the Devices Dr. Brian Lin Discuss and assess the burden of asthma care and how patient adherence is impacted; Determine strategies to help patients overcome the barrier to better asthma control by using their devices better; Identify evidence based guidelines to optimize treatment and improve patient outcomes

T3 The Road to Migraine Headache Chronification: A Focus on Patients who Overuse Medications Dr. Suzanne Christie Define medication overuse headache (MOH) and common headache types associated with MOH including chronic migraine (CM); Recognize and manage risk factors and medications promoting MOH; Apply appropriate strategies to withdraw overused medications including opiates

T4 Overactive Bladder: Characteristics and Treatment Options Dr. Duane Hickling Review the definition commonly used for overactive bladder (OAB); Identify the pathophysiology of OAB; Determine how to manage OAB and any complications

T5 The Dizzy Patient Dr. Daniel Lelli Describe the various presentations of dizziness; Diagnose patients with common causes of dizziness according to the timing and triggers of their symptoms and specific examination techniques

T6 What's New in the World of Fertility Medicine? Dr. Doron Shmorgun Discuss the new Ministry of Health Fertility Program; Identify ovarian aging and limitations of IVF; Discuss fertility preservation options for age related decline in fertility

T7 Footwear 101 for Women and Peds Mr. Ryan Grant Discuss how to fit children's footwear; Identify best practices for how to take care of children's feet; Discuss and assess footwear recommendations for adults - 'perfect world vs life', and off-the-shelf foot care products - 'bandaids vs the fix'

T8 Non-Invasive Prenatal Testing Ms. Jessica Baker Properly refer patients to genetics centre; Identify how to order non-invasive prenatal testing; Discuss patients concerns regarding non-invasive prenatal testing; Identify and assess educational resources available for primary care

T9 Pediatric Weight Management Ms. Jane Rutherford & Ms. Anna Aylett Identify and assess management tools for nutrition, physical activity, sleep and screen time behaviours

3:20PM - 3:45PM EVALUATION AND NUTRITION BREAK

3:45PM - 4:45PM CONCURRENT SESSIONS STREAM TB

4:45PM ADJOURN

Thursday, April 27, 2017

Friday, April 28, 2017

7:00AM - 8:00AM REGISTRATION AND BREAKFAST

7:30AM - 8:00AM Moving Beyond the EMR: Privacy & Medical Practice Ms. Ariane Siegel Discuss privacy landscape basics and implications for physician practices of changes to the Personal Health Information Protection Act (PHIPA); Identify how to manage a privacy breach; Identify security best practices for your EMR and what to do in case of a ransomware attack

8:00AM - 8:10AM WELCOME REMARKS

8:10AM - 8:40AM DIETARY FATS AND CVS DISEASE DR. ANDREW SAMIS Discuss the history of scientific discoveries around dietary fat, cholesterol, and serum lipids, and how they shaped the creation of theories around the dietary causes of CVD; Explain how we have come to have dietary guidelines advising against the consumption of dietary saturated fats; Discuss recent evidence, and an evidenced-based approach to what to tell patients regarding diet and CVD

8:40AM - 8:45AM EVALUATION AND SPEAKER TRANSITION

8:45AM - 9:15AM GENDER DIVERSE KIDS NEED YOUR HELP: ARE YOU PREPARED? DR. STEVE FEDER Review current approach to supporting gender diversity in children and youth; Discuss the family physician's role in supporting children, youth and families; Explain CHEO’s experience 2011 to present time

9:15AM - 9:20AM EVALUATION AND SPEAKER TRANSITION

9:20AM - 9:50AM COMMON ELECTROPHYSIOLOGICAL PROBLEMS IN PRIMARY CARE AND WHAT NOT TO IGNORE (QT PROLONGATION, PVC’S) DR. MOUHANNAD SADEK Discuss the diagnosis and management of commonly encountered Electrophysiological conditions in primary care; Identify and determine 'significant' findings on a Holter

9:50AM - 10:20AM EVALUATION AND NUTRITION BREAK

10:20AM - 11:20AM WHEN CBT DOESN’T WORK: A FOCUS ON MENTAL WELLNESS, EMPATHY AND SELF-COMPASSION DR. MICHAEL CHENG Identify an approach for patients that do not respond to cognitive behaviour therapy (CBT) that incorporates elements of indigenous perspective on mental wellness, behavioural activation and self-compassion

11:20AM - 11:25PM EVALUATION AND SPEAKER TRANSITION

11:25AM - 11:55AM

NEW MEDICATION FOR CARDIO PROTECTION IN DIABETES DR. AMEL ARNAOUT Recognize the importance of individualizing management of type 2 diabetes; Evaluate the most recent data for long-term cardiovascular protection of the newer diabetic medications Outline the treatment algorithm for diabetes

11:55AM - 1:00PM EVALUATION AND LUNCH

12:00PM - 12:30PM MainPro+®: Changes Family Physicians Need to Know

Dr. Mike Sylvester Identify and list the changes to MainPro+

® relevant to Family Physicians

1:00PM - 2:00PM PHYSICIAN ASSISTED DEATH: ONE YEAR LATER DR. GERALD ASHE Discuss the legislation and its scope; identify patients who might explore this option; Describe the process how a patient would work with their physician before, during and after a decision has been made to proceed

2:00PM - 2:10PM EVALUATION AND TRANSITION

REPEATING CONCURRENT SESSIONS (SELECT ONE FOR EACH STREAM)

2:10PM - 3:10PM CONCURRENT SESSIONS STREAM FA

F1 Hematology: Unexpected Abnormalities Dr. Janis Bormanis Determine how to interpret CBC and abnormalities; Assess when to do ferritin; Discuss and identify what to do for the slightly abnormal

F2 Keeping DVT Out of the ED Dr. Lana Castellucci Identify how to recognize a DVT in the office; Determine investigations that should be ordered; Identify in office treatments while waiting for US results and determine when to send to the ER; Discuss resources in the city such as the Thromobosis clinic; Discuss future treatment of long term VTE management

F3 The Diabetic Foot: Prevention, Screening and Wound Care 101 Dr. Christine Murphy Describe 60 second foot screening for the neuropathic foot; Identify and implement "VIP" Vascularity, Infection, and Pressure Offloading as the triad of diabetic foot care; Determine an initial wound care plan for the diabetic foot ulcer in primary care

F4 What’s New in The Management of Obesity Presented by: Dr. Judy Shiau Discuss recent advances in the management of obesity pertinent to family medicine

F5 Differentiation and Management of Recurrent Childhood Headaches Dr. Erick Sell Identify the common causes of childhood headache; Discuss management of common childhood headaches and migraines; Identify non-pharmacologic management strategies that can potentially benefit patients suffering from recurrent headaches

F6 An Approach to Managing Aberrant Behavior in Patients with Dementia Dr. Andrew Wiens Identify and assess reasons for irrational behavior in patients with dementia; Determine coping mechanisms to mitigate negative situations when caring for patients with dementia; Develop a personalized management strategy for patients with dementia

F7 Nephrology Short Snapper Dr. Peter Magner 1) Drug and Medication Induced Kidney Problems: Identify the clinical presentation, appropriate testing, and initial referral or treatment plans for drug induced kidney problems 2) Acute Kidney Injury: Identify the clinical presentation, appropriate testing, and initial referral or treatment plans for Acute Kidney Injury 3) Glomerulonephritis: Identify the clinical presentation, appropriate testing, and initial referral or treatment plans for Glomerulonephritis 4)Hemolytic Uremic Syndrome: Identify the clinical presentation, appropriate testing, initial referral or treatment plans for Hemolytic Uremic Syndrome

F8 What Family Doctors Should Know About Prenatal Care, Even If They Don't Attend Deliveries Dr. Jolanda Turley Identify current genetic screening tests available to their patients and how to order these; Identify important topics to be covered in pre-conception counseling; identify the extra screening tests and maneuvers recommended for the obese pregnant patient

3:10PM - 3:40PM EVALUATION AND NUTRITION BREAK

3:40PM - 4:40PM CONCURRENT SESSIONS STREAM FB

4:40PM ADJOURN

Friday, April 28, 2017

Registration Fees and Instructions

REGISTER FOR 3 DAYS AND SAVE!

Early Bird Deadline March 3, 2017

Physician Rate Early Bird Rate Standard Rate

One Day Physicians $245 $265

Two Days Physicians $490 $530

Three Days Physicians $685 $745

Other Healthcare Professional Rate Early Bird Rate Standard Rate

One Day Other Health Care Professionals $200 $220

Two Days Other Health Care Professionals $400 $440

Three Days Other Health Care Professionals $550 $610

Resident Rate Early Bird Rate Standard Rate

One Day Resident* $200 $220

Two Days Residents* $400 $440

Three Days Residents* $550 $610

Medical Student Rate Early Bird Rate Standard Rate

One Day Medical Student* $65 $80

Two Days Medical Student* $130 $160

Three Days Medical Student* $145 $190

1. Visit https://eventscpd.med.uottawa.ca/

2. Log into your University of Ottawa, Office of CPD account or if you are a new user, create an account

3. Once you are logged in, click on Programs and search for "Annual Refresher"

4. Click on the event name, and then click "Register Now"

Questions?

Please contact the University of Ottawa, Office of CPD by phone (613-761-4480) or email (cpd@toh.on.ca).

Terms and Conditions:

No registration form will be processed without the full registration fee included; Post-dated cheques are not

accepted; Continental breakfast, refreshment breaks and lunch are included in the registration fees; Refunds

less $75 administrative charge will be issued for cancellations received in writing by March 17, 2017. No

refunds will be issued for cancellations received after that date; Refund cheques will be sent after the event

date. No exceptions. * Proof of resident/student status will be requested