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Annual - CEPD University of Toronto

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7 th <strong>Annual</strong><br />

Canadian Hospital Medicine<br />

Conference<br />

September 25-27, 2009<br />

<strong>Toronto</strong> Marriott Downtown Eaton Centre, 525 Bay Street, <strong>Toronto</strong>, ON Canada<br />

Keynote Speakers<br />

Vincent Lam, MD, CCFP<br />

Author <strong>of</strong> Bloodletting and Miraculous Cures,<br />

Recipient <strong>of</strong> the Scotiabank Giller Prize, 2006<br />

Emergency Physician, <strong>Toronto</strong> East General<br />

Hospital; Lecturer, Department <strong>of</strong> Family<br />

and Community Medicine <strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Laurence Wellikson, MD, FHM<br />

CEO Society <strong>of</strong> Hospital Medicine<br />

Hospital Medicine 2009: Challenges and<br />

Opportunities<br />

Co-sponsored by the Department <strong>of</strong> Family and<br />

Community Medicine <strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

In partnership with<br />

Canadian Society <strong>of</strong> Hospital Medicine<br />

Course Directors<br />

Ritesh Mistry, MD, CCFP<br />

Course Director,<br />

William Osler Health Centre<br />

<strong>Toronto</strong>, Ontario<br />

Ajay Kapur, MD, FRCP<br />

Co-Course Director<br />

St. Joseph’s Health Centre<br />

Lecturer, <strong>University</strong> <strong>of</strong><br />

<strong>Toronto</strong><br />

<strong>Toronto</strong>, Ontario


Location:<br />

7:30 Breakfast and Registration<br />

8:00 Opening remarks - Dr. Vandad Yousefi<br />

ENROLMENT IS LIMITED<br />

8:15 Canadian Society <strong>of</strong> Hospital Medicine Update and survey results - Dr David Wilton<br />

Hospitalist Medicine in Ontario: 2008 update - Dr. Mira Shannon-Backo and Dr. Kunuk Rhee<br />

9:00 Hospital Medicine in the US: Lessons for Canada - Dr. Laurence Wellikson<br />

10:00 C<strong>of</strong>fee break<br />

September 25, 2009 – Pre-Conference<br />

10:15 An Ontario Perspective - Mr. Tom Closson<br />

Leadership Symposium<br />

The Center for Faculty Development<br />

908- 2 Queen St East, <strong>Toronto</strong><br />

11:15<br />

Practical Interventions You Can Implement to Improve Patient Safety in your Hospital<br />

- Dr. Kaveh Shojania<br />

12:15 Lunch break<br />

13:30 “Administrators are Evil Monsters!!” - Dr Mark Taylor<br />

14:30 The Lean Approach- Are We Really Trimming Fat? - Dr. David Baron<br />

15:30 Creating your own crystal ball – workload and flow modeling s<strong>of</strong>tware - Dr Mark Evans<br />

ENROLMENT IS LIMITED<br />

0815 AM Breakfast and Registration<br />

9:00 AM Morning Session; Lead Facilitators: Drs. Natalie Wong and Stephen W. Hwang<br />

Procedures Stations: Central line / arterial line, Paracentesis,<br />

Group A<br />

Thoracentesis, Lumbar puncture<br />

Group B<br />

12:00 PM Lunch<br />

Airway/Simulation Stations<br />

Procedural Skills Lab<br />

Location: Mt. Sinai Hospital, 600 <strong>University</strong> Ave. Level 2,<br />

Room 250, <strong>Toronto</strong><br />

13:00 PM Afternoon Session; Lead Facilitators: Drs. Natalie Wong and Stephen W. Hwang<br />

Group A Airway/Simulation Stations<br />

Group B<br />

Procedures Stations: Central line / arterial line, Paracentesis,<br />

Thoracentesis, Lumbar puncture<br />

16:00 Conclusion<br />

September 26, 2009 – Satellite Symposium*<br />

*Please RVSP at time <strong>of</strong> registration, enrollment limited, Symposium included in registration free <strong>of</strong> charge; Symposium not accredited<br />

Breakfast Symposium<br />

0715-0815 Advances in Antithrombotic Therapy : Is this Farewell to Warfarin? - Dr A.G. Turpie<br />

SPEAKERS<br />

David Baron, MD<br />

Assistant Pr<strong>of</strong>essor <strong>of</strong> Medicine,<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong>;<br />

Chief <strong>of</strong> Medicine,<br />

North York General Hospital<br />

Tom Closson<br />

President and CEO,<br />

Ontario Hospital Association<br />

Mark T. Evans, MD, CCFP<br />

Assistant Clinical Pr<strong>of</strong>essor,<br />

<strong>University</strong> <strong>of</strong> Calgary; Quality<br />

Improvement Leader, Calgary<br />

Health Region; Hospitalist,<br />

Calgary General Hospital<br />

Mira Shannon-Backo, MD<br />

MHSc CCFP<br />

Chief, Section <strong>of</strong><br />

Hospitalist Medicine,<br />

Ontario Medical Association<br />

Kaveh Shojania, MD<br />

Canada Research Chair in<br />

Patient Safety and Quality<br />

Improvement; Director, U <strong>of</strong> T<br />

Centre for Patient Safety;<br />

Associate Pr<strong>of</strong>essor <strong>of</strong> Medicine,<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong>, Sunnybrook<br />

Health Sciences Centre<br />

Mark Taylor, MD<br />

Vice President, Medical and<br />

Academic Affairs, Lakeridge<br />

Health Corporation, Oshawa<br />

Vandad Yousefi, MD, CCFP<br />

Physician Lead-Quality,<br />

Lakeridge Health Corporation<br />

Laurence Wellikson, MD<br />

Chief Executive Officer,<br />

Society <strong>of</strong> Hospital Medicine<br />

David Wilton, MD, CCFP<br />

President, Canadian Society <strong>of</strong><br />

Hospital Medicine<br />

Kunuk Rhee, MD CCFP<br />

Medical Director, Hospitalist Medicine,<br />

Humber River Regional Hospital<br />

Chair, Section <strong>of</strong> Hospitalist Medicine,<br />

Ontario Medical Association<br />

Natalie Wong, BSc, MD, FRCPC<br />

Director <strong>of</strong> Resident Education, Critical<br />

Care Evaluation Director, Critical Care<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong> St. Michael’s<br />

Hospital Dept. <strong>of</strong> Critical Care and<br />

Internal Medicine Assistant Pr<strong>of</strong>essor,<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Stephen W. Hwang, MD, MPH<br />

Director, Division <strong>of</strong> General Internal<br />

Medicine, <strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Research Scientist, Centre for Research<br />

on Inner City Health, the Keenan<br />

Research Centre in the Li Ka Shing<br />

Knowledge Institute at St. Michael’s<br />

Hospital Associate Pr<strong>of</strong>essor,<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Dr A.G. Turpie<br />

Pr<strong>of</strong>essor <strong>of</strong> Medicine<br />

McMaster <strong>University</strong><br />

Hamilton, ON


7:30 Registration and Continental Breakfast<br />

8:30 Welcome - Dr. Ritesh Mistry<br />

8:40 Rationale Approach to ACS - Dr. Anil Gupta<br />

Acute Hepatitis & Liver Failure - Dr. Bashir Sachedina<br />

10:00 Refreshment Break with Exhibitors<br />

10:30 Patient Safety - Dr. Ed Etchells<br />

Acid Base Review - Dr. Kamel S. Kamel<br />

Atypical Acute Strokes - Dr. Michael Angel<br />

12:30 Hospital Medicine 2009: Opportunities and Challenges Lunch<br />

with Keynote Speaker - Laurence Wellikson<br />

18:00 Gala Dinner with Dr. Vincent Lam<br />

19:15 CSHM Awards Presentation<br />

September 26, 2009<br />

Each session will include twenty minutes for discussion and questions from the audience<br />

13:45 Workshop (registrant to choose one Workshop)<br />

1. Perioperative Care - Steve Shadowitz<br />

2. CT Scan Interpretation - Dr. Peter D. Ballyk<br />

3. Resistant Hypertension - Dr. Sheldon Tobe<br />

4. SIRS Management - Dr. Sandeep Kohli<br />

5. Dementia and Delirium - Dr. Romi Juneja<br />

6. Stop the Clot: VTE and the Key role <strong>of</strong> the<br />

Hospitalist - Dr. William Geerts<br />

14:50 Workshop Topics Repeated from 1345 hours<br />

(registrant to choose one Workshop)<br />

15:50 Refreshment Break with Exhibitors<br />

16:15 Workshop Topics Repeated from 1345 hours<br />

(registrant to choose one Workshop)<br />

17:15 CSHM Meeting – Open to All - Dr. David Wilton<br />

7:30 Registration and Continental Breakfast<br />

8:30 ST Elevation - Dr. Ajay Kapur<br />

Acute Drug Reactions - Dr. Neal Shear<br />

9:50 Refreshment Break with Exhibitors<br />

10:20 Nutrition in Acutely Hospitalized Patients - Ms. Anna Ierullo<br />

Risk Management - Dr. Kathryn Reducka<br />

Pulmonary Hypertension - Dr. Granton<br />

12:20 Lunch with Exhibitors<br />

September 27, 2009<br />

Each session will include twenty minutes for discussion and questions from the audience<br />

13:45 Workshop (registrant to choose one Workshop)<br />

7. Wound Management for Hospitalists - Dr. Vincent Maida<br />

8. Arrhythmias - Dr. Anil Gupta<br />

9. De-escalation <strong>of</strong> Difficult Situations - Dr. Rishi Ghosh ICU<br />

& Mr. Blair Henry<br />

10. Clinical Decision Making - Dr. Daniel Panisko<br />

11. IV Contrast Reactions - Dr. Jas Sachdeva<br />

12. Transfusion Medicine - Dr. Pendergrast<br />

14:50 Workshop Topics Repeated from 1345 hours<br />

(registran t to choose one Workshop)<br />

15:50 Refreshment Break with Exhibitors<br />

15:50 Closing Remarks - Dr. Ritesh Mistry<br />

SPEAKERS<br />

Michael Angel, MD FRCPC<br />

Neurology, <strong>Toronto</strong> Western Hospital<br />

Clinical Assistant, Lecturer, <strong>University</strong><br />

<strong>of</strong> <strong>Toronto</strong><br />

Peter D. Ballyk, MD, PhD, FRCPC<br />

Diagnostic and Interventional Radiology<br />

St. Joseph’s Health Centre<br />

Ed Etchells<br />

Division <strong>of</strong> General Internal Medicine<br />

Medical Director, Information Services<br />

Director, Patient Safety Improvement<br />

Research, Centre for Health Services<br />

Science Associate Pr<strong>of</strong>essor, <strong>University</strong><br />

<strong>of</strong> <strong>Toronto</strong><br />

William Geertes, MD, FRCPC<br />

Respirology, Thrombosis<br />

Sunnybrook Hospital, Pr<strong>of</strong>essor<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Rishi Ghosh MD FRCPC<br />

Department <strong>of</strong> Critical Care Medicine<br />

Sunnybrook Health Sciences Centre<br />

Clinical Associate, <strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Anil Gupta, MD, FRCPC<br />

Cardiology, Trilium Health Centre<br />

John Granton, MD FRCPC<br />

Programme Director, Critical Care<br />

Medicine Director, Pulmonary<br />

Hypertension Programme<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Blair Henry<br />

Blair Henry, MTS<br />

Ethicist, Sunnybrook Health Sciences<br />

Joint Centre for Bioethics, <strong>University</strong> <strong>of</strong><br />

<strong>Toronto</strong><br />

Anna Ierullo, B.A. Sc, R.D.<br />

Nutrition Support Dietitian<br />

Critical Care and Medicine Program<br />

St. Joseph’s Health Centre<br />

Romi Juneja, MD CCFP<br />

Hospitalist, William Osler Health<br />

Centre<br />

Kamel S. Kamel, MD, FRCPC<br />

Head, Dvision <strong>of</strong> Nephrology<br />

St. Michael’s Hospital<br />

Pr<strong>of</strong>essor, <strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Sandeep Kohli, MD FRCPC<br />

Critical Care Medicine<br />

Halton Health Services<br />

Vincent Maida, MD, MSc(cand), BSc,<br />

FCFP, ABHPM<br />

Division <strong>of</strong> Palliative Care<br />

Assistant Pr<strong>of</strong>essor, <strong>University</strong> <strong>of</strong><br />

<strong>Toronto</strong>, Clinical Assistant Pr<strong>of</strong>essor,<br />

McMaster <strong>University</strong><br />

Daniel Panisko, MD, FRCPC<br />

General Internal Medicine<br />

<strong>Toronto</strong> Western Hospital<br />

Associate Pr<strong>of</strong>essor,<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Jacob Pendergrast<br />

Department <strong>of</strong> Laboratory Medicine<br />

and Pathobiology, Lecturer,<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Jas Sachdeva, MD, FRCPC<br />

Nephrology, William Osler Health Centre<br />

Bashir Sachedina, MD, FRCPC<br />

Gastroenterology<br />

William Osler Health Centre<br />

Steven Shadowitz, MD, FRCPC<br />

Head, Division <strong>of</strong> Internal Medicine<br />

Sunnybrook Hospital, Assistant<br />

Pr<strong>of</strong>essor, <strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Neal Shear MD, FRCPC<br />

Chief <strong>of</strong> Dermatology<br />

Sunnybrook Hospital<br />

Pr<strong>of</strong>essor, <strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Sheldon Tobe, MD FRCPC<br />

Nephrology, Sunnybrook Hospital<br />

Associate Pr<strong>of</strong>essor<br />

<strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

GUEST SPEAKERS<br />

Kathryn Reducka, MD, CMPA<br />

Physician Risk Manager<br />

The Canadian Medical Protective<br />

Association (CMPA)<br />

David Wilton, MD CCFP, FHM<br />

Hospitalist President,<br />

Canadian Society <strong>of</strong> Hospital Medicine<br />

KEY NOTE SPEAKERS<br />

Vincent Lam, MD, CCFP<br />

Emergency Physician, <strong>Toronto</strong> East<br />

General Hosptial Lecturer,<br />

Department <strong>of</strong> Family and Community<br />

Medicine,<strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

Laurence Wellikson, MD FHM<br />

CEO Society <strong>of</strong> Hospital Medicine


Registration<br />

To register and pay by VISA, MasterCard or<br />

American Express online, please visit:<br />

http://www.cme.utoronto.ca/hospitalmedicine/<br />

Registration by Fax or Mail, please contact the <strong>CEPD</strong> Office.<br />

Do not make travel arrangements until registration<br />

confirmation is received by e-mail.<br />

Early registration cut <strong>of</strong> date: August 1, 2009<br />

Fees<br />

(Gala Dinner not included)<br />

Physicians and Other Health Pr<strong>of</strong>essional,<br />

Early Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $499 CAD<br />

Physicians and Other Health Pr<strong>of</strong>essional,<br />

Late Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $599 CAD<br />

On Site Registration . . . . . . . . . . . . . . . . . . . . . . $649 CAD<br />

Postgraduate Residents and Fellows<br />

(with pro<strong>of</strong> <strong>of</strong> status) . . . . . . . . . . . . . . . . . . . . . . .$249 CAD<br />

Procedural Skills Lab, Physicians and<br />

Other Health Pr<strong>of</strong>essionals. . . . . . . . . . . . . . . . . . $269 CAD<br />

Leadership Symposium, Physicians and<br />

Other Health Pr<strong>of</strong>essionals . . . . . . . . . . . . . . . . . .$189 CAD<br />

Gala Dinner. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . $75 CAD<br />

Cancellation<br />

Refunds will not be issued for cancellations received after<br />

September 18, 2009.<br />

A processing fee <strong>of</strong> $80 will be retained on all cancellations.<br />

The <strong>University</strong> <strong>of</strong> <strong>Toronto</strong> reserves the right to cancel events.<br />

Registrants will be notified at the earliest possible date in the<br />

event <strong>of</strong> a cancellation. Tuition fees for events cancelled by the<br />

<strong>University</strong> will be refunded; however the <strong>University</strong> will not<br />

be liable for any loss, damages or other expenses that such<br />

cancellations may cause.<br />

For Information<br />

Accreditation<br />

This program meets the accreditation criteria <strong>of</strong> The College <strong>of</strong><br />

Family Physicians <strong>of</strong> Canada and has been accredited for up to<br />

19 Mainpro-M1 credits.<br />

This event is an Accredited Group Learning Activity (Section 1)<br />

as defined by the Maintenance <strong>of</strong> Certification program <strong>of</strong> The<br />

Royal College <strong>of</strong> Physicians and Surgeons <strong>of</strong> Canada, approved<br />

by the <strong>University</strong> <strong>of</strong> <strong>Toronto</strong> (19 credits)<br />

The Office <strong>of</strong> Continuing Education and Pr<strong>of</strong>essional Development,<br />

Faculty <strong>of</strong> Medicine, <strong>University</strong> <strong>of</strong> <strong>Toronto</strong>, designates<br />

this educational activity for a maximum <strong>of</strong> 19 Category 1 credits<br />

toward The American Medical Association Physician’s Recognition<br />

Award. Each physician should claim only those credits<br />

that s/he actually spent in the activity.<br />

As a result <strong>of</strong> a reciprocal agreement between the EACCME<br />

and the AMA, European registrants may claim AMA PRA<br />

Category 1 as equivalent.<br />

Accommodation<br />

A limited block <strong>of</strong> rooms is being held at the <strong>Toronto</strong> Marriott<br />

Eaton Centre Hotel, 525 Bay Street, <strong>Toronto</strong> at the conference<br />

rate <strong>of</strong> $189 CAD single/double occupancy plus taxes.<br />

Reservation cut-<strong>of</strong>f date: August 28, 2009<br />

Book early to avoid disappointment!<br />

To reserve at the <strong>Toronto</strong> Marriott Eaton Centre Hotel quote<br />

the group name: National Hospitalists Conference.<br />

Telephone: 416.597.2200<br />

Toll-free: 1.800.905.0667<br />

Supporters<br />

We gratefully acknowledge our Supporters:<br />

(Confirmed Supporters at time <strong>of</strong> printing)<br />

PLATINUM<br />

Electronic Syllabus<br />

To ensure and reduce the environmental impact <strong>of</strong> our<br />

meeting, all participants will be provided with an electronic<br />

syllabus accompanying the program.<br />

Office <strong>of</strong> Continuing Education & Pr<strong>of</strong>essional Development<br />

Faculty <strong>of</strong> Medicine, <strong>University</strong> <strong>of</strong> <strong>Toronto</strong><br />

500 <strong>University</strong> Avenue, Suite 650<br />

<strong>Toronto</strong>, Ontario M5G 1V7<br />

Tel: 416.978.2719<br />

Toll free: 1.888.512.8173<br />

Fax: 416.946.7028<br />

Email: info-FCM0903@cmetoronto.ca<br />

Website:www.cme.utoronto.ca/hospitalmedicine/<br />

GOLD<br />

SILVER<br />

BRONZE<br />

CONTRIBUTOR<br />

Abbott<br />

Peterborough Regional Health Care<br />

SSM Physician Recruitment & Retention<br />

Program, Thunder Bay Regional Health<br />

Sciences Centre

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