CSIM Meeting 2016 Preliminary Program

The Westin Montréal
Montreal, Quebec
Canada
October 26-29, 2016
Annual Meeting 2016
Congrès annuel 2016
CSIM Office
200-421 Gilmour St.
Ottawa, ON K2P 0R5
613-422-5977
1-855-893-CSIM (2746)
[email protected]
www.csim.ca
In collaboration with
ASMIQ and ACP
Quebec Chapter
En collaboration avec
ASMIQ et ACP
Section du Québec
Preliminary Program
Programme Préliminaire
Photo
Photos © Tourisme Montréal
#CSIM2016
Preliminary program; subject to change.
WELCOME
The CSIM Annual Meeting is an outstanding conference for clinicians, educators, researchers, and trainees in internal medicine.
Going local matters. Every city is unique. This year’s CSIM Annual Meeting is emphasizing the uniqueness of Montreal and the expertise
available in Quebec. From October 26 to 29, 2016, Montreal welcomes the General Internal Medicine community from across Canada to
the CSIM Annual Meeting. As general internists responsible for delivering complex care to patients spanning the inpatient and ambulatory
settings, issues of healthcare quality, patient safety, and stewardship of finite resources are core to our everyday practice. Throughout this
year’s meeting, we will hear from internationally recognized researchers, educators, and clinicians. These presentations will open a
dialogue about how we as general internists can lead in incorporating the best available evidence to deliver high quality care to our
patients.
Continuing Professional Development (CPD)
The 2016 CSIM Annual Meeting is an educational event approved as an Accredited Group Learning
Activity under Section 1 of the Framework of Continuing Professional Development options as defined by
the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada. As
an accredited provider, CSIM has approved this program.
Through an agreement between the American Medical Association and the Royal College of Physicians
and Surgeons of Canada, the Canadian Society of Internal Medicine has designated this live educational
activity, “CSIM Annual Meeting 2016”, for AMA PRA Category 1 Credits™. Physicians should only claim
credit commensurate with the extent of their participation in the activity.
General Learning Objectives
 Maintain competence on a wide variety of up-to-date topics in General Internal Medicine
 Discuss hot new topics (both published and un-published) that have arisen since the last CSIM meeting
 Establish a network of general internist colleagues from both community and university settings
 Promote General Internal Medicine as a specialty to our residents in training
Business Meetings
See page 17 of the preliminary program to view the list of business meetings.
Mentoring Sessions
Take advantage of the mentoring sessions available throughout the meeting. These
sessions will allow you to get one-on-one feedback and advice from experienced
internists, including community-based and university-based clinicians, educators, and
researchers. Sign up at the registration desk on-site.
Meeting room temperatures can vary;
Dressing in layers is suggested.
Program subject to change.
BIENVENUE
Le Congrès annuel 2016 de la Société canadienne de médecine interne (SCMI) se veut une tribune scientifique de haut caliber où seront
examinés les sujets et les tendances d’actualité en médecine interne.
Profitez de l’occasion d’apprécier la couleur locale! Chaque ville est unique! Cette année le Congrès annuel de la SCMI met de l’avant le
caractère particulier de Montréal et les compétences du Québec. Du 26 au 29 octobre 2016, Montréal sera l’hôte du Congrès annuel de
la SCMI et accueillera des spécialistes en médecine interne générale de partout au Canada. Les questions de qualité des services de
santé, de sécurité du patient et d’optimisation des ressources sanitaires limitées sont au coeur de la pratique des internistes généralistes
qui ont pour tâche de prodiguer des soins complexes en milieu hospitalier comme en milieu ambulatoire. Des chercheurs, des
éducateurs et des cliniciens de renommée mondiale viendront nous entretenir de ces sujets au congrès. Ces exposés stimuleront la
discussion sur la place et l’importance de l’interniste généraliste comme promoteur de la prise en compte des données probantes les
plus concluantes et des pratiques exemplaires dans le but d’offrir des soins et des services de santé sûrs et à la fine pointe.
Développement professionnel continu (DPC)
Le Congrès annuel de la SCMI en 2016 est une activité éducative approuvée comme activité de formation collective
agréée au titre de la section 1 de la charpente des options de développement professionnel continu conformément au
programme de Maintien du certificat du Collège royal des médecins et chirurgiens du Canada. 25% de chaque
présentation sera dévoué à une séance de questions/réponses. En tant que prestataire agréé, la SCMI a approuvé le
programme du congrès.
En vertu d’un accord entre l’Association médicale américaine et le Collège royal des médecins et chirurgiens du
Canada, la Société canadienne de médecine interne a attribué à cette activité pédagogique en direct, « Congrès annuel
de la SCMI 2016 », pour des crédits de l’AMA-PRA de catégorie 1™. Les médecins doivent uniquement réclamer les
crédits qui sont équivalents à la durée de leur participation à l’activité.
Objectifs généraux
 Maintenir les compétences en actualisant les connaissances sur une vaste gamme de sujets à la fine pointe en MIG
 Examiner de nouveaux sujets d’actualité, qui ont fait l’objet de publications ou encore inédits, en émergence depuis
le dernier congrès
 Établir un réseau de collègues internistes généralistes des milieux communautaire et universitaire
 Promouvoir la spécialité de la médecine interne générale auprès des médecins résidents
Réunion d'affaires
La liste des reunions d’affaires est disponible à la page 17 de ce programme préliminare.
Séances de mentorat
Vous aurez le choix parmi les nombreuses séances de mentorat qui se dérouleront tout
au long de la conférence. Des internistes chevronnés, à savoir des cliniciens, des
éducateurs, des chercheurs de milieu communautaire ou universitaire, vous offriront
des conseils pertinents dans le cadre de rencontres individuelles. Inscrivez-vous au
bureau d’inscription.
Comme la température dans les salles de réunion varie,
veuillez penser à vous apporter un chandail.
Programme sous réserve de modifications.
Follow us to be alerted of upcoming awards deadlines!
Suivez-nous pour être alerté des dates limites à venir !
PROGRAM-AT-A-GLANCE
CSIM ANNUAL MEETING, October 26-29, 2016 at the Westin Montreal
Wednesday, Oct 26
Thursday, Oct 27
Friday, Oct 28
Saturday, Oct 29
Registration 8th Floor
0700-0830
Breakfast and Top 5 Papers
0700-0830
Breakfast and Plenary
0715-0845
Breakfast and Plenary
0800-1200
Simulation Session (offsite)
0845-1145
Concurrent Workshops
0845-1145
Concurrent Workshops and
Research/QI Exchange
0845-0920
Faculty Research Showcase
1300-1630
Extended Workshops
1230-1430
Research/QI Poster Competition
and Choosing Wisely Plenary
1230-1330
GIM Roundtable
0920-0930
Closing Remarks
1645-1745
Opening Plenary
1430-1600
Short Snappers and Oral
Research/QI Competition
1330-1530
Ted Giles Clinical Vignettes
0930-1230
Concurrent Workshops
1630-1730 Osler Lecture
1600-1730
Senior and New Investigator Award
Winners - Plenary
1730-1830
CSIM AGM
1730-1745
CSIM Awards Presentations
View the exhibits and posters throughout each day.
Mentoring sessions available – see the sign-up sheet at the registration desk
The official CSIM Annual Meeting 2016 Mobile App will be
available as a free download. Visit http://www.csim.ca or
search “CSIM Meeting” in your app store in October to
download and stay updated using this handy app!
Many sessions have live audience
participation! Have your mobile
device ready to share your opinion
(please keep it on silent mode).
WEDNESDAY, OCTOBER 26
1000 REGISTRATION OPENS
0800 – 1130 SIMULATION LAB: Bedside Lung Ultrasound for the Internist – click here to learn more.
(offsite; pre-registration required; additional fee applies)
1300 – 1630 EXTENDED WORKSHOPS (select 1 of 4)
 I) PERIOPERATIVE CARE
DO's and DON'Ts: Reducing unnecessary perioperative investigations – Dr. Emmanuelle Duceppe
• Identify the evidence for routine testing before elective non-cardiac surgery
• Describe indications for preoperative testing in various specific conditions
• Understand the impact of reducing preoperative testing on costs and patient outcomes
Perioperative Management of Patients on Anticoagulants and of Patients with Prothrombotic States –
Dr. Vicky Tagalakis
• Manage patients undergoing surgery on anticoagulation for atrial fibrillation based on current
evidence
• Evaluate and manage patients undergoing surgery who have a prior history of VTE or have a
recognized prothrombotic state (anti-phospholipid syndrome, factor V Leiden, active malignancy)
Perioperative Management of Rheumatoid Arthritis (RA) and Other Vasculitides – Dr. Chantal Vallée
• Perform a preoperative assessment of patients with RA and recognize appropriate preoperative tests
in this population
• Manage immunosuppressive therapy in patients with RA who are undergoing surgery (e.g. anti-TNF,
methotrexate)
• Recognize the role of perioperative steroid stress dose in chronic steroid users
 II) OBSTETRIC MEDICINE
Doctor, I Want to be Pregnant: Preconception care in women with chronic diseases – Dr. Natalie Dayan
• Provide counselling to women with common chronic medical conditions before pregnancy regarding
disease-specific perinatal risks to both mother and foetus
• Discuss potential effects that pregnancy may have on progression of several chronic conditions
• Recommend and select non-pharmacological and pharmacological therapies for optimal prepregnancy health that are safe to continue in pregnancy
Diabetes in Pregnancy: Updates in 2016 – Dr. Tina Kader
• Review data about strategies to reduce the risk of gestational diabetes mellitus (GDM) in women at
high risk of developing GDM.
• Update and discuss the role of oral anti-hyperglycemic agents in pregnancy
• Discuss long-term prognosis and recommended follow-up for women who developed GDM
Immunosuppressant Drugs in Pregnancy: What to know and what to use – Dr. Evelyn Vinet
• Apply basic concepts of immunosuppressant prescription during pregnancy and breastfeeding
• Counsel women pre-conception or in pregnancy about which immunosuppressants should be
stopped, changed for another or continued based on the principles of security/necessity
I Can’t Catch my Breath! Asthma in Pregnancy – Dr. Michèle Mahone
• Describe the natural progression of asthma in pregnancy and potential risks to mother and foetus
with poorly controlled disease
• Counsel women on the safety profiles of various pharmacotherapeutic agents, and be able to safely
prescribe therapy
• Identify and manage an acute exacerbation of asthma during pregnancy
WEDNESDAY, OCTOBER 26 continued
 III) VASCULAR MEDICINE – Dr. André Roussin
Update to Venous Thrombo-Embolism (VTE) Guidelines in 2016
• Identify evidence-based changes to CHEST VTE guidelines in 2016
• Recommend an approach to incidentally discovered pulmonary emboli and idiopathic calf DVT
• Identify the role of thrombolytics for DVT and upper limb venous thrombosis
Controversies in VTE and New Horizons
• Identify situations when DOACs are not appropriate treatments for VTE
• Identify the appropriate, evidence-based workup in a patient with idiopathic VTE to r/o underlying
malignancy
• Recommend when to order a thrombophilia workup in patients with VTE
• Recognize new horizons and coming controversies in VTE diagnosis and management
 IV) CRITICAL CARE UPDATE
Septic Shock Monitoring in 2016 – Dr. German Poirier
• Define sepsis according to new guidelines
• Identify how best to assess volume status with optimal hemodynamic monitoring
• Review treatment options of septic shock in an evidence-informed manner
Massive and Submassive Pulmonary Embolism – Dr. Marc Chassé
• Risk stratify patients with pulmonary embolism using evidence-informed approaches
• Identify risks and benefits of thrombolytic therapy, both systemic and catheter-administered
• Identify the role of in situ catheter thrombectomy
Severe ARDS and Influenza H1N1: A review of the 2015-2016 experience – Dr. Claude Corbeil
• Recognize the spectrum of clinical presentations of H1N1 based on the experience of 2015-2016
• Recognize the therapeutic options in severe ARDS
• Develop management strategies for the future based on this experience
1430 – 1500 Networking Break and Viewing of Exhibits
1645 – 1745 WELCOME REMARKS AND OPENING PLENARY: SPRINT Trial – Dr. Ernesto Schiffrin
Chair: Dr. Thomas Maniatis
• Identify and summarize the landmark trials in hypertension treatment in 2015-2016
• Understand the results of the SPRINT trial and its place in current and future hypertension guidelines
• Incorporate the new mega trials in hypertension into clinical decision making around target values for
patients with hypertension
This year’s conference has been designed with longer lunch breaks so you can
explore the sights, sounds, and flavours of Montreal during the conference.
Start planning your visit now!
© Tourisme Montréal
Le congrès de cette année offre des périodes de lunch plus longues pour vous
permettre d’explorer les images, les sons et les saveurs de Montréal au cours
du congrès. Planifiez dès maintenant votre visite de la ville!
THURSDAY, OCTOBER 27
0645 RunWestin®
You are invited to experience the RunWestin® program. Join your colleagues in the Westin lobby for an energizing
morning run! Click here to learn more.
0700 Breakfast Opens
0730 – 0830 BREAKFAST AND PLENARY: Top Five Papers – Dr. Paul Hébert
Chair: Dr. Catherine Code
• Identify and summarize the findings of five papers published in 2016 that are highly relevant to
internists and general internists in Canada
• Identify the strengths and limitations of the papers using the principles of evidence-based medicine
• Recognize the implications of these papers for one's own clinical practice
0845 – 1145 CONCURRENT MENTORING SESSIONS (Sign up at the CSIM registration desk)
Get one‐on‐one feedback and advice from experienced internists!
0845 – 1145 CONCURRENT WORKSHOPS (select one per timeslot; space is limited)
0845 – 1000 Timeslot 1
 W01a. Refugee Health for the General Internist – Dr. Gabriel Fabreau and Dr. Lavanya Narasiah
• Characterize refugee populations in Canada
• Identify common medical issues and health conditions for refugees
• Develop an approach to uncommon and complex medical issues among refugees
• Identify barriers to care and how to advocate for refugee health in Canada
 W02a. Apps, Social Media and Cloud Services for the General Internist – Dr. Rahim Kachra
• Identify 5 medical apps useful for daily practice.
• Identify and use document management tools across platforms (e.g., Google drive, Dropbox, Mendeley).
• Describe the role of social media in keeping medical knowledge up to date.
 W03a. Quality Improvement: How to start? What next? What should every hospital be doing in QI in
general internal medicine? – Dr. Todd Lee
• Describe and implement the steps to start a QI project with limited experience in QI and limited
resources
• Identify 5 QI projects that should be conducted at every hospital
 W04a. Thrombectomy in Stroke: Where are we in 2016? – Dr. Jeanne Teitelbaum
• Recognize physical exam findings that would identify patients with a proximal arterial occlusion
• Identify patients with stroke syndromes that would benefit from thrombectomy
• Describe benefits and limitations of thrombectomy in stroke
 W05a. Treatment of Hepatitis C: Where are we now? – Dr. Peter Ghali
• Recognize different treatment regimens for Hepatitis C and how to select patients for various treatment
options
• Guide a patient through therapy, including weighing risks and benefits, preparing for therapy,
monitoring on therapy and following up after therapy
• Identify and address ethical challenges with resource allocation in the treatment of patients with
Hepatitis C
 W06a. Update on Heart Failure with Preserved Ejection Fraction – Dr. Nadia Giannetti
• Contrast clinical findings and outcomes of patients with heart failure with preserved and reduced
ejection fraction
• Identify unusual causes of heart failure with preserved ejection fraction (HFpEF)
• Describe evidence-informed treatment options in HFpEF
THURSDAY, OCTOBER 27 continued
 W07a. Update on the Treatment of Rheumatoid Arthritis – Dr. Sabrina Fallavolita
• Identify recent evidence for the treatment of rheumatoid arthritis
• Recommend evidence-informed treatments for rheumatoid arthritis as integrated into recent (2015)
guidelines
• Discuss areas of uncertainty and future research
 W08a. CMPA Medico-Legal Workshop for General Internists: How to avoid the avoidable!
Dr. Ann B. Cranney
• Identify the top five misdiagnosed clinical conditions in internal medicine related medico-legal cases
• Recognize the cognitive biases that lead to misdiagnosis in internal medicine
• Develop effective strategies to reduce the risk of misdiagnosis or criticisable diagnostic delays
 W09a. Hé! dormez-vous? Une méthode de diagnostic et de traitement des troubles du sommeil pour
l’interniste généraliste – Dr. John Kimoff
• Analyser les résultats d’examens réalisés pour des troubles respiratoires obstructifs du sommeil et
déterminer une ligne de conduite pour un traitement
• Dépister et traiter les troubles du sommeil liés à des maladies systémiques (obésité, troubles
neuromusculaires, etc.)
• Reconnaître les parasomnies courantes et commencer un traitement
 W10a. Fungal infections for the General Internist: Case reviews and update – Dr. Don Sheppard
• Recognize common presentations of community-acquired invasive fungal infections, and confirm the
diagnosis
• Recognize patients at high risk for and with established hospital-acquired Candida infections
• Choose the appropriate antifungal therapies for both of these groups of patients, and avoid common
pitfalls of antifungal usage
1000 – 1030 Networking Break and Viewing of Exhibits
1030 – 1145 Timeslot 2 (See learning objectives above) (select one per timeslot)
 W01b. Refugee Health for the General Internist – Dr. Gabriel Fabreau and Dr. Lavanya Narasiah
 W02b. Apps, Social Media and Cloud Services for the General Internist – Dr. Rahim Kachra
 W03b. Quality Improvement: How to start? What next? What should every hospital be doing in QI in
general internal medicine? – Dr. Todd Lee
 W04b. Thrombectomy in Stroke: Where are we in 2016? – Dr. Jeanne Teitelbaum
 W05b. Treatment of Hepatitis C: Where are we now? – Dr. Peter Ghali
 W06b. Update on Heart Failure with Preserved Ejection Fraction – Dr. Nadia Giannetti
 W07b. Update on the Treatment of Rheumatoid Arthritis – Dr. Sabrina Fallavolita
 W08b. CMPA Medico-Legal Workshop for General Internists: How to avoid the avoidable! –
Dr. Ann B. Cranney
 W09b. Psst... Are you Falling Asleep? Approach to Diagnosis and Treatment of Sleep Disorders for the
General Internist – Dr. John Kimoff
• Interpret investigations for and manage obstructive sleep-disordered breathing
• Identify and treat sleep disorders associated with systemic illnesses (obesity, CHF, neuromuscular
disorders, etc.)
• Recognize common parasomnias and initiate treatment
 W10b. Fungal infections for the General Internist: Case reviews and update – Dr. Don Sheppard
1145 – 1330 Free time! Explore the local flavours of Old Montreal, network with colleagues, visit the exhibits.
1230 – 1430 CSIM / Professors of Medicine (CAPM) – Research and Quality Improvement Poster Competition
THURSDAY, OCTOBER 27 continued
1330 – 1430 PLENARY: Choosing Wisely Update – Dr. Lara Cooke and Dr. Christine Soong
• Identify current national efforts to reduce unnecessary utilization
• Recognize the role of individual performance data to drive behaviour change using the Alberta Physician
Learning Program as an example
1430 – 1600 SHORT SNAPPERS – Chair: Dr. Nadine Lahoud
Concurrent session
 Management of Refractory Asthma – Dr. Ronald Olivenstein
• Identify patients with severe refractory asthma and specific phenotypes
• Understand the indications for anti-IgE and anti-IL5 therapy
• Gain insight on targeted non-pharmacological therapies (bronchial thermoplasty) in severe refractory
asthma
 Procalcitonin Beyond the ICU – Dr. Shih Hann Su
• Understand the role of procalcitonin as a biomarker of bacterial infections outside of critical care
settings
• Recognize clinical settings in which procalcitonin may be helpful outside of critical care settings
• Recommend when to consider ordering procalcitonin outside of the critical care setting based on
current evidence
 Endocarditis Treatment Guidelines Update – Dr. Todd Lee
• Identify new evidence in regards to the treatment of endocarditis as it applies to the updated guidelines
• Review the updated treatment guidelines for endocarditis for 2016 with an emphasis on clinically
relevant changes
• Recognize areas where no significant changes have occurred in the treatment of endocarditis
 Novel Drugs for Hypercholesterolemia – Dr. Jacques Genest
• Identify and recognize statin intolerance
• Understand the indications for and risk/benefits of PCSK9 inhibitors
• Briefly review the treatment of orphan hypercholesterolemia (homozygous FH), including novel drugs
and extracorporeal LDL filtration
1430 – 1630 CSIM / Professors of Medicine (CAPM) – Research and Quality Improvement Oral Presentation Competition
Concurrent session
• Recite updates on current research in the field of general internal medicine
• Apply QI methodology to the care of internal medicine patients
Research Presentations
1. Inappropriate plasma transfusion at academic hospitals: an audit and qualitative study – Irene Chen, University
of Toronto
2. Assessing influenza vaccination rates in at risk hospitalized patients – Graham Duff, University of Manitoba
3. Did a financial incentive to physicians increase timely follow-up after hospital discharge: a population-based
time series analysis – Lauren Lapointe-Shaw, University of Toronto
4. The effect of neighbourhood level crime rates on ACS incidence (The SafeHeart Study) – Adam Papini,
University of Calgary
5. Inter-rater variability of jugular venous pressure assessments performed with and without ultrasound –
Michael Pascas, University of Saskatchewan
6. Follow up of incidental pulmonary nodules on computed tomography pulmonary angiography – Darya
Yermak, University of Toronto
Quality Improvement Presentations
1. Oxygen Titration in Acute Exacerbations of COPD in the Saskatoon Health Region – Daniel Altman, University of
Saskatchewan
2. REDucing Unnecessary Coagulation Testing in the Emergency Department (REDUCED) – Michael Fralick,
University of Toronto
THURSDAY, OCTOBER 27 continued
1600 – 1630 Networking Break and Viewing of Exhibits
1630 – 1730 OSLER LECTURE: Seeking Equanimity: Sir William Osler and Competence by Design – Dr. Sharon E. Card
Chair: Dr. Stephen Hwang
• Describe the Royal College of Physician and Surgeon’s Competence by Design (CBD) initiative
• List the ways that the CBD initiative will impact General Internal Medicine (GIM) postgraduate training
• Compare and contrast the future of GIM education with postgraduate training in the time of Sir William
Osler
1730 – 1830 CSIM Annual General Meeting (CSIM members only)
FRIDAY, OCTOBER 28
CLINICAL POSTERS AVAILABLE FOR VIEWING THROUGHOUT THE DAY
0700 Breakfast Opens
0730 – 0830 BREAKFAST AND PLENARY: Medical Aid in Dying – Dr. Yves Robert
Chair: Dr. Chantal Vallée
• Describe the process that led to the adoption of the Law regarding end of life care in Québec
• Describe the Quebec law regarding end of life care in more detail
• Identify the similarities and differences between the Supreme Court of Canada decision in the Carter case and
the Québec law
• Summarize the practical experience in Québec with medical aid in dying since the 10th of December, 2015
• Identify unresolved questions and future challenges
0845 – 1145 CONCURRENT MENTORING SESSIONS (Sign up at the CSIM registration desk)
Get one‐on‐one feedback and advice from experienced internists!
0845 – 1145 Research and QI Exchange – Chairs: Dr. Todd Lee and Dr. Emily Gibson McDonald
This session will be a gathering of Canadian GIM researchers and practitioners of Quality Improvement and Patient
Safety. The meeting will centre around enriching strategic discussion addressing both research and quality improvement
in Canada. This year's meeting is an evolution of previous sessions and for the first time will formally incorporate QI.
Presentations will address the scope of research, particularly in QI, conducted by Canadian researchers, and shared
strategies for optimizing knowledge mobilization to positively impact patient safety and care.
• Share in a unique networking opportunity that will bring together national QI practitioners and researchers
• Share information about existing opportunities for collaborative projects, develop new collaborations, and
discover opportunities for academic advancement in the field of QI, through didactic sessions
A panel of Canada's leading experts in research, QI, and patient safety, will present on a variety of topics, followed by
breakout sessions where participants will have the opportunity to meet the presenters and discuss in more detail such
topics as:
 Use of administrative data for the purposes of quality improvement
 How to develop and implement a QI curriculum for physicians at your center (community and academic)
 opportunities for post-graduate training in QI and patient safety in Canada and beyond
 The VA quality scholars program
 Practical implementation of high value healthcare in your hospital with a focus on KT
FRIDAY, OCTOBER 28 continued
0845 – 1145 CONCURRENT WORKSHOPS (select one per timeslot, OR the Research and QI Exchange; space is limited)
0845 – 1000 Timeslot 1 or Research and QI Exchange Part 1
 W11a. SCC : mise à jour des données pour l’émission des lignes directrices 2016 sur la fibrillation
auriculaire – Dr. Mario Talajic
• Établir ce qui correspond à une durée importante sur le plan clinique d’un épisode de fibrillation
auriculaire
• Reconnaître et utiliser différents outils d’évaluation de risque d’attaque en précisant la définition de
valvulopathie, d’insuffisance cardiaque, d’hypertension et d’attaque
• Savoir choisir entre des stratégies de contrôle de rythme ou de fréquence (y compris l’ablation par
cathéter)
• Connaître les méthodes pouvant être utilisées pour détecter la fibrillation auriculaire à partir des
données de fréquence et de durée déjà rapportées chez un patient
 W12a. Palliative Care: Essential Skills for General Internists – Dr. Manuel Borod
• Identify situations in which palliative sedation is indicated and take appropriate steps to provide
palliative sedation
• Recommend approaches for dealing with complex pain disorders in palliative patients
• Recommend approaches for managing delirium in palliative patients
 W13a. Choosing the Right Agent for your Diabetic Patient: Individualizing diabetes mellitus type 2
management in light of the expanding therapies available – Dr. Kaberi Dasgupta
• Identify therapeutic options for patients on maximal doses of / intolerant to biguanides, sulfonylureas,
and insulin
• Compare and contrast the effects of the expanding options for anti-diabetic agents in diabetic
patients, considering the risks of hypoglycaemia, body weight and other their side effects.
• Interpret the evidence for cardiovascular outcomes for various hypoglycaemic agents
• Recognize the impact of eGFR on prescribing medications for type 2 diabetes
 W15a. Treatment and Monitoring of Inflammatory Bowel Disease – Dr. Waqqas Afif
• Recognize the utility of fecal inflammatory biomarkers for the diagnosis of IBD and the assessment of
disease activity
• Recognize the role of biologic medications in the changing treatment paradigm in IBD patients
• Understand the role of therapeutic drug monitoring in monitoring IBD patients on treatment
 W16a. Managing the Patient with Advanced Chronic Kidney Disease – Dr. Tiina Podymow
• Describe evidence-based measures to slow the progression of chronic renal disease
• Recognize and treat the complications of renal failure in an evidence-based manner including anemia,
bone metabolism disorders, and electrolyte abnormalities
• Recognize the importance of ongoing medication reviews in patients with decreasing eGFR
• Recognize when and how to plan for long-term renal replacement therapy and/or renal
transplantation
 W17a. A Practical Approach to Desensitization and Drug Allergies for the Practising General Internist –
Dr. Matthieu Picard
• Identify the different types of immunologic drug reactions and mimics
• Recognize and manage common and/or serious drug reactions including penicillin allergy and crossreactivity with beta-lactams, ACEi-induced angioedema, ASA allergy and DRESS
• Understand the role of allergy testing and desensitization in the management of drug reactions
 W18a. SOLD OUT Dermatologie pour l'interniste généraliste : la peau en tant que reflet des maladies
systémiques – Dr. Rosalie Meunier
• Reconnaître les manifestations dermatologiques liées aux affections malignes
• Reconnaître les manifestations dermatologiques liées aux maladies systémiques courantes
FRIDAY, OCTOBER 28 continued
 W19a. Arboviridae: Zika, Chikungunya, Dengue: What we all need to know now –
Dr. Joyce Pickering and Dr. Dr. Cedric Yansouni
• Recognize the common presentations of arboviridae
• Understand the available testing to diagnose arboviridae in Canada and their pitfalls
• Recognize treatment considerations for arboviridae including appropriate monitoring, counselling,
and public health considerations
 W20a. Differentiating Movement Disorders: An approach to diagnosis of tremors and other unusual
movement disorders – Dr. Anne-Louise Lafontaine
• Recognize the most common types of movement disorders and how to differentiate between them
• Recommend treatment options of these common movement disorders
• Identify rare movement disorders
1000 – 1030 Networking Break and Viewing of Exhibits
1030 – 1145 Timeslot 2 or Research and QI Exchange Part 2 (See learning objectives above)
(select one per timeslot)
 W11b. CCS Focused Update on Atrial Fibrillation New Guidelines for 2016 – Dr. Mario Talajic
• Identify what is a clinically significant duration of atrial fibrillation
• Identify and apply various stroke risk assessment tools by refining the definition of valvular heart
disease, heart failure, hypertension and stroke
• Recognize when to choose between rate or rhythm control strategies (including catheter ablation)
• Identify the methods that can be used to detect atrial fibrillation based upon patient reported
frequency and duration
 W12b. Palliative Care: Essential Skills for General Internists – Dr. Manuel Borod
 W13b. Choosing the Right Agent for your Diabetic Patient: Individualizing diabetes mellitus type 2
management in light of the expanding therapies available – Dr. Kaberi Dasgupta
 W14b. Mindfulness: How to live in the moment as a busy general internist: recognizing burnout and how
to “live better” – Dr. Tom Hutchinson (Presented in this timeslot only)
• Describe the evidence behind mindfulness-based practice
• Apply strategies of mindfulness to manage stress and improve relationships at work and at home
• Select when and learn how to prescribe mindfulness-based therapy for patients
 W15b. Treatment and Monitoring of Inflammatory Bowel Disease – Dr. Waqqas Afif
 W16b. Managing the Patient with Advanced Chronic Kidney Disease – Dr. Tiina Podymow
 W17b. Une approche pratique des allergies médicamenteuses et de la désensibilisation pour l’interniste
généraliste praticien – Dr. Matthieu Picard
• Discerner les différents types de réactions d'hypersensibilité aux médicaments
• Reconnaître et prendre en charge les réactions aux médicaments qui sont courantes et/ou graves,
notamment l’allergie à la pénicilline et les réactions croisées entre bêta-lactamines, l’angioœdème
induit par les IECA, l’allergie à l'aspirine ainsi que le syndrome DRESS
• Comprendre le rôle des tests d’allergie et de la désensibilisation dans la prise en charge des réactions
aux médicaments
 W18b. SOLD OUT Dermatology for the General Internist: Skin as the window to systemic disease – Dr.
Rosalie Meunier
• Recognize the dermatologic manifestations of malignancies
• Identify the dermatologic manifestations of common systemic diseases
 W19b. Arboviridae: Zika, Chikungunya, Dengue: What we all need to know now… –
Dr. Joyce Pickering and Dr. Dr. Cedric Yansouni
 W20b. Differentiating Movement Disorders: An approach to diagnosis of tremors and other unusual
movement disorders – Dr. Anne-Louise Lafontaine
FRIDAY, OCTOBER 28 continued
1145 – 1330 Free time! Explore the local flavours of Old Montreal, network with colleagues, visit the exhibits.
Pick up your lunch then come
1230 – 1330 GIM ROUNDTABLE: Crashing or Coasting – Transition to Independent GIM Practice
back and join the Roundtable!
– Dr. Sharon E. Card, Dr. Amy Hendricks
Transition to independent practice from residency has traditionally been a difficult step for many.
The Roundtable discussion will explore mechanisms to make this transition easier for both graduates and
patients. To help plan this Roundtable, please click here to complete a 2-question survey.
• Understand how to make the transition to independent GIM practice easier for both graduates and patients
• Explore mechanisms that GIM training can utilize to optimize transition to practice for its graduates
1330 – 1530 Ted Giles Clinical Vignettes – Chair: Dr. Donald Echenberg
Join us at this annual competition as trainees present unusual clinical cases!
• Describe unusual presentations of common diseases and common presentations of rare diseases
• Become familiar with the characteristics of engaging and educational case presentations
1. Backstreet Bubbles – Aurélie Chapdelaine, Université de Montréal
2. An unusual presentation of clonus – Conor Cox, McMaster University
3. Beyond the gut: Liver enzyme and electrolyte abnormalities in inflammatory bowel disease – Daniel
Marinescu, University of Toronto
4. Hide and seek: case of an elusive lesion – Leslie Martin, McMaster University
5. A case of postoperative hypotension in a healthy 18-year-old – Gavin Mazzetti, McMaster University
6. What you don’t expect when you’re expecting: a gravid confusion – Shara Nauth, University of Toronto
7. A Tale of Two Effusions: Vindicating Hickam’s Dictum – Sean O'Loghlen, Queen's University Department of
Medicine
8. Delirium in a returning traveller – Shannon Ruzycki, University of Calgary
9. How five diseases became one – Moez Tajdin, McGill University
10. Paging Dr. Google: A 22 year-old man with Thrombocytopenia, Anasarca, Fever, Reticulin Fibrosis, and
Organomegaly – Jonathan Zipursky, University of Toronto
1530 – 1600 Networking Break and Viewing of Exhibits
1600 – 1730 SIA and NIA KEYNOTE ADDRESSES – Chair: Dr. Irfan Dhalla
 What I Learned in Business School: Entrepreneurship as a model for a research career in GIM
Dr. Susan Kahn, 2016 Dr. David Sackett Senior Investigator Award Recipient
• Identify how business principles apply to developing and sustaining a clinical research program
• Understand how to build a research career in the field of venous thrombosis based on the speaker’s personal
experiences
 How to get from A to B to CVD: Building a women’s heart health research program
Dr. Kara Nerenberg, 2016 New Investigator Award Recipient
• Recognize the importance of the internist’s role in identifying and addressing knowledge gaps in preventative
patient care
• Apply a multi-method research approach to address clinical questions
• Understand how to apply a multi-method research approach to address clinical questions using an example of a
postpartum cardiovascular disease prevention program
1730 – 1745 CSIM Awards Presentations – Chair: Dr. Stephen Hwang
(The CSIM Osler Awards, Hui Lee Scholarship, Dr. Mahesh Raju Mentorship Award)
The CSIM and the NASOM/GEMOQ have collaborated on the obstetrical medicine workshops.
La SCMI, le GÉMOQ et la NASOM ont travaillé conjointement à la mise sur pied des ateliers en médecine obstétricale.
SATURDAY, OCTOBER 29
CLINICAL POSTERS AVAILABLE FOR VIEWING THROUGHOUT THE MORNING
0700 Breakfast opens
0700 – 0745 ACP Business Meeting (All Canadian chapters) (ACP members only)
0745 – 0845 PLENARY DEBATE: DOAC vs “Good Old” Warfarin – Dr. André Roussin & Dr. Maxime Lamarre-Cliché
Chair: Steven Shadowitz
• Recognize the benefits and harms associated with DOACs for the prevention and treatment of
thromboembolic events
• Recognize the benefits and harms associated with warfarin for the prevention and treatment of
thromboembolic events
• Compare and contrast the benefits and harms of DOACs versus warfarin in complex patients with multiple
co-morbidities
0845 – 0920 FACULTY RESEARCH SHOWCASE – Chair: Steven Shadowitz
Present the results of research on hot topics generated by CSIM colleagues across Canada which have been
deemed relevant to practicing general internists in the Canadian setting but have not yet been published.
1. The McGill Improving Transfusion Trial: Improving transfusion appropriateness in medical inpatients
through education – Dr. Todd Lee
• Review the results of our study to implement restrictive transfusion strategies in medical inpatients
• Compare and contrast different measures of transfusion appropriateness for use in your own QI
activities
2. Desmopressin in Severe Hyponatremia: Frequently used, but not associated with less overcorrection of
serum sodium – Dr. Tom MacMillan
• Describe three strategies for using DDAVP to prevent rapid correction of sodium in severe hyponatremia
• Understand the potential risks and benefits of using DDAVP in severe hyponatremia
3. Characterizing Short General Internal Medicine Admissions in the Greater Toronto Area, Initial Results
from the GEMINI Stud – Dr. Amol Verma
• Understand the predictors of and variability in short admissions to general medicine wards
0920 – 0930 CLOSING REMARKS – Dr. Stephen Hwang and Dr. Tom Maniatis
0930 – 1230 CONCURRENT MENTORING SESSIONS (Sign up at the CSIM registration desk)
Get one‐on‐one feedback and advice from experienced internists!
SATURDAY, OCTOBER 29 continued
0930 – 1230 CONCURRENT WORKSHOPS (select one per timeslot; space is limited)
0930 – 1045 Timeslot 1
 W21a. SOLD OUT Pre-op Evaluation of the Geriatric Patient: Frailty and other predictors of operative
complications – Dr. Francine Gaba
• Define the principle of fragility in the context of preoperative evaluation
• Identify and apply a comprehensive geriatric assessment to evaluate elderly patients preoperatively
• Recommend strategies to reduce perioperative complications in the geriatric population
 W22a. Prédicteurs cliniques et biomarqueurs dans la prééclampsie : que devons-nous dire à nos
patientes ? – Dr. Evelyne Rey
• Extraire des éléments spécifiques des antécédents médicaux, examens physiques et antécédents
obstétricaux pouvant prédire une prééclampsie
• Sélectionner les patientes qui peuvent bénéficier de techniques d’imagerie (utérine/artères
ombilicales, Doppler, etc.) pour mieux prévoir la prééclampsie
• Reconnaître l’utilité clinique des biomarqueurs actuels ou prometteurs (albuminurie, podocyturie,
sFlt-1, PlGF, etc.) pour prédire la prééclampsie
 W23a. Dermatological Disorders of Pregnancy – Dr. Annabelle Cumyn
• Evaluate a pregnant woman with cutaneous lesions and diagnose the major dermatoses specific to
pregnancy (PUPPP, pemphigoid gestationis, atopic eruption of pregnancy, pustular psoriasis)
• Decide when a skin biopsy is needed to diagnose a cutaneous lesion in a pregnant patient
• Start treatment for dermatoses of pregnancy
• Plan the fetal follow-up required for gestational pemphigoid and advise the patient about possible
neonatal complications and the risk of recurrence in future pregnancies
 W24a. Competence By Design: The Royal College Approach to Competency-Based Medical Education
(CBME) – Dr. Farhan Bhanji
• Understand the changes that CBME will have on current training programs in internal medicine in
Canada
• Define the role of entrustable professional Activities in CBD for internal medicine
• Be prepared for CBME and its role on CPD (continued professional development)
 W25a. Affections pleurales : prise en charge de l'épanchement pleural d'origine indéterminée –
Dr. Stephane Beaudoin
• Reconnaître qu’un pourcentage élevé de diagnostics d’épanchement pleural se révèle imprécis à la
suite d’une première évaluation
• Décrire l’approche, le diagnostic et l’exploration d’un épanchement pleural de cause inconnue
• Définir le rôle de l’imagerie et/ou de la biopsie pleurale dans le contexte d’un épanchement pleural de
cause inconnue
 W26a. Maladies auto-inflammatoires : diagnostic de la FMF, des poussées fébriles périodiques et
d’autres maladies rares – Dr. Hugo Chapdelaine
• Reconnaître les signes d’appel de maladies auto-inflammatoires et les situations où l’on doit les
pressentir
• Reconnaître les manifestations cliniques de troubles auto-inflammatoires et commander les examens
appropriés
• Dégager la physiopathologie sous-jacente aux troubles auto-inflammatoires décelés
• Évaluer le moment de référer à un allergologue ou à un immunologue clinicien
SATURDAY, OCTOBER 29 continued
 W27a. Polypharmacy: Deprescribing and the general internist – where to start, how to do it? –
Dr. Emily Gibson McDonald
• Identify the barriers to deprescribing
• Recognize which medications could safely and effectively be stopped based on a deprescribing
medication review
• Identify how to communicate medication changes to relevant consultants, community physicians and
pharmacists
 W28a. Blue Fingers and Blue Toes: Acrocyanosis syndromes – Dr. Jean Cusson
• Differentiate clinical conditions presenting as acrocyanosis syndromes
• Recommend the investigations necessary for the pertinent acrocyanosis syndromes
• Select appropriate therapeutic options and assure follow-up for the different acrocyanosis syndromes
 W29a. Cardiovascular Risk Assessment: How best to estimate risk in 2016? – Dr. George Thanassoulis
• Recognize and contrast the evidence used in cardiovascular risk assessment for different patients
• Identify the investigations required for cardiovascular risk assessment
• Understand and apply the most appropriate cardiovascular risk assessment tool for different patients
1045 – 1115 Networking Break and Viewing of Exhibits
1115 – 1230 Timeslot 2 (See learning objectives above) (select one per timeslot)
 W21b. SOLD OUT Évaluation préopératoire du patient gériatrique : fragilité et autres prédicteurs de
complications opératoires – Dr. Francine Gaba
• Définir le principe de fragilité dans un contexte d’évaluation préopératoire
• Choisir et appliquer une méthode d’évaluation gériatrique complète pour évaluer une personne âgée
avant une opération
• Recommander des stratégies visant à réduire les complications périopératoires chez le patient
gériatrique
 W22b. Clinical Predictors and Biomarkers in Preeclampsia: What should we tell our patients? – Dr.
Evelyne Rey
• Identify specific elements from past medical history, history, physical examination and obstetric
history that can help predict preeclampsia
• Select patients that can benefit from imaging techniques (uterine/umbilical arteries, Dopplers, etc.) to
help predict preeclampsia
• Recognize the clinical utility of existing or promising biomarkers (albuminuria, podocyturia, sFlt-1,
PlGF, etc.) for prediction of preeclampsia
 W23b. Troubles dermatologiques de la grossesse – Dr. Annabelle Cumyn
• Évaluer le cas d’une femme enceinte présentant des lésions cutanées et diagnostiquer les dermatoses
principales spécifiques à la grossesse (papules et plaques urticariennes prurigineuses ou PUPPP,
pemphigoïde gestationnel, éruption atopique de la grossesse, psoriasis pustuleux)
• Décider si une biopsie cutanée est nécessaire pour diagnostiquer une lésion cutanée chez une
patiente enceinte
• Mettre en route un traitement pour une dermatose liée à la grossesse.
• Planifier le suivi nécessaire du fœtus en cas de pemphigoïde gestationnel et aviser la patiente de la
possibilité de complications néonatales et du risque de récurrence lors de grossesses ultérieures
 W24b. Competence By Design: The Royal College Approach to Competency-Based Medical Education
(CBME) – Dr. Farhan Bhanji
 W25b. Pleural Diseases: Approach to unknown pleural effusion – moving beyond the “Light” –
Dr. Stephane Beaudoin
• Recognize that a high percentage of pleural effusion diagnoses are unclear after initial assessment




• Describe the approach, diagnosis and investigation for a pleural effusion of unknown cause
• Define the role of imagery and/or pleural biopsy in the setting of pleural effusion of unknown cause
W26b. Auto-Inflammatory Disorders: Diagnosis of FMF, cyclic fever and other rare disorders –
Dr. Hugo Chapdelaine
• Identify the hallmarks of autoinflammatory diseases and when they should be suspected
• Recognize the clinical presentation of auto-inflammatory disorders and order appropriate
investigations
• Recognize the physiopathology underlying these diseases
• Recommend when to refer to an allergist / clinical immunologist
W27b. Polypharmacy: Deprescribing and the general internist – where to start, how to do it? –
Dr. Emily Gibson McDonald
W28b. Doigts et orteils bleus : tout sur les acrosyndromes – Dr. Jean Cusson
• Différencier les conditions cliniques pouvant se présenter sous forme d’acrosyndrome
• Prescrire le bilan approprié selon la condition clinique
• Sélectionner les options thérapeutiques appropriées et assurer le suivi nécessaire
W29b. Cardiovascular Risk Assessment: How best to estimate risk in 2016? – Dr. George Thanassoulis
Following the CSIM Annual Meeting, the GÉMOQ and NASOM Joint Obstetric Medicine Meeting is taking place at the Westin
Montréal from October 29-30th, 2016. Visit www.nasom.org/conferences/ to learn more.
Le congrès conjoint de la NASOM et du GÉMOQ aura lieu au Westin Montréal, du 29 au 30 octobre 2016, à la suite du Congrès
annuel de la SCMI. Visitez www.nasom.org/inscription-a-la-conference/ pour en apprendre plus.
BUSINESS MEETINGS
WEDNESDAY, OCTOBER 26
0800 – 0945 CSIM Education Committee Meeting (closed) (over breakfast)
1000 – 1245 CSIM Council Meeting (closed) (over lunch)
1800 – 2200 Royal College GIM Specialty Committee (including GIM Program Directors) (closed)
THURSDAY, OCTOBER 27
1145 – 1315 CJGIM Editorial Board Meeting (closed) (working lunch)
1145 – 1315 CSIM Health Promotion Committee Meeting (closed) (working lunch)
1730 – 1830 CSIM Annual General Meeting (CSIM members only)
FRIDAY, OCTOBER 28
0715 – 0845 GIM Division Heads Meeting (closed)
1145 – 1245 Research and QI Committee Meeting (closed) (working lunch)
1145 – 1245 CSIM Membership Committee Meeting (closed) (working lunch)
1745 – 1900 GIM Specialty Committee Meeting (including GIM Program Directors) and the AFC Committee for Obstetrical
Medicine Meeting (by invitation only)
SATURDAY, OCTOBER 29
0700 – 0745 ACP Business Meeting (All Canadian chapters) (ACP members only) – Chair: Dr. Nadine Lahoud
1245 – 1345 CSIM Annual Meeting Committee De-Briefing (closed) (working lunch)
1315 – 1615 Pan-Canadian Internal Medicine Ultrasound Curriculum Committee Meeting (by invitation only)
Presentation Slides
Many CSIM Annual Meeting presentation slides will be available on the CSIM website after the meeting.
Check back to http://www.csim.ca for updates.
Diaporamas
Plusieurs des diaporamas présentés au congrès annuel paraîtront sur le site Web de la SCMI après le congrès.
Consultez le site http://www.csim.ca pour les mises à jour.
POSTER PRESENTATIONS
Thursday, October 27, 2016
Research Posters
BORKOVICH, Renée - Preoperative cardiac testing in patients undergoing bariatric surgery: a
retrospective cohort study
BUTLER, Dayna - Evaluating the etiology of marked hyperferritinemia in adults in Eastern Newfoundland
CHAN, Lauren - Identifying gaps in the internal medicine discharge process
CHRUSCICKI, Adam - Composition of human breast milk in acute kidney injury
DEAN, Jonathan - Prescribing Hydromorphone: Room for Improvement
DESY, Janeve Rose - Predicting failure on the Medical Council of Canada Qualifying Examination Part I
DOWNING, Jessica - Does iron supplementation improve fatigue in non-anemic iron deficient females? A
systematic review and meta-analysis
GROLEAU, Catherine - How stressed out are we really about stress dose steroids?
KUNDAPUR, Prateek - Evaluating completeness of colonoscopy – A quality assessment study in Saskatoon
Health Region
LAM, Kenneth - Factors Associated with Attendance at Appointments after Discharge from Internal
Medicine: A Retrospective Study
LIU, Shiru - Frequency of follow-up of patients with specific benign and malignant diagnoses in
hematology clinics in the Atlantic provinces in Canada
MADDISON, André - Inpatient referrals from clinical teaching units to palliative care: A seamless
transition?
MIR, Hassan - Analyzing Compliance of Labelling on Tobacco Packets in Six Middle Eastern Countries
MISHRA, Sanju - Relative deprivation in fibromyalgia
MONTAGUE, Steven - Internal Medicine Consults in the Emergency Department; Where’s the bottleneck?
NICHOLSON, Matthew - Can a PET-CT replace bone marrow biopsy for the staging of aggressive nonHodgkin's Lymphoma?
PYTLEWSKI, Dominique - Indications, Safety, and Quality of Continuous Electrocardiographic Monitoring Experience at Saskatoon's Royal University Hospital
QUINN, Kieran - Macrolide-Induced Digoxin Toxicity and Sudden Death: A Population Based Study
RASSOS, James - Feedback and the Oral Case Presentation in Internal Medicine: Are we doing enough?
RUSSELL, Lindsey - Exploring the role of sex hormones in driving symptom severity in ME/CFS
SALEH, Ramy - A year in the life of a senior resident on the clinical teaching unit
TAJDIN, Moez - Post-discharge outcomes of patients hospitalized with congestive heart failure: a
retrospective cohort study
TRAN, Karen - Effects of fixed versus auto-titrating continuous positive airway pressure on vascular
function in patients with resistant hypertension and obstructive sleep apnea
VANDERMEULEN, Heather - The effect of a hands-on anatomy workshop on bone marrow biopsy quality.
VENUS, Kevin - Confidence, accuracy and test-ordering behaviour among GIM physicians evaluating
virtual cases
WATSON, Kathryn - An Environmental Scan of Community Based Resources Available for Long-Term
Cardiovascular Risk Reduction
WONG, Shannon - Medication errors: identifying opportunities for improvement
WU, Zijing - New onset atrial fibrillation in patients receiving autologous stem cell transplantation at a
regional transplant centre in South East Ontario: a retrospective case review study
YANG, Ruobing - Knowledge Retention Following Chest X-Ray Teaching for Clinical Clerks: Interim Report
for A Randomized Controlled Trial Comparing Online Module and Traditional lecture
Quality Improvement Posters
AMBASTA, Anshula - Laboratory Test Utilization on the Medical Teaching Unit in a Tertiary Care Hospital
DOBING, Selina - Sleep Rounds: A Non-Pharmacologic Intervention to Improve Sleep Quality
GOTTHEIL, Stephanie - Reducing inappropriate ESR testing with computerized clinical decision support
KHAN, Omar - Accuracy of venous blood gas sodium and potassium results compared to standard serum
laboratory measurements
LEE, Michael - DOPE: Development Of Perioperative E-Modules for Internal Medicine Trainees
MEWA, Fatema - Handover Education in Residency: A Quality Improvement Initiative
RUZYCKI, Shannon - Assessing the quality of inpatient prandial insulin management on a medical teaching
unit
SHERREN, Cody - Essential and non-essential blood testing in the Internal Medicine Clinical Teaching Units
ST-AMANT, Monica - Seasonal influenza vaccination coverage improvement through implementation of
an immunization strategy bundle: A pre-post intervention study
WILSON, Marnie - Benzodiazepine deprescription in at-risk inpatients: a pilot deprescibing study
Friday, October 28, 2016 and Saturday morning, October 29, 2016
Clinical Posters
ABDEL-RAZEK, Omar - 69 year old male presenting with unusual and severe bleeding following massage
ALI, Tooba - Mind the gap: Euglycemic ketoacidosis
AN, Jason - Listen to your patient, she is telling you the diagnosis
BEAULIEU-DORÉ, Roxane - Houston we have a Hughes problem!
BROTHERSTON, Drew - Walk-in with a cough; walk out with transaminitis
CADDELL, Andrew - Atypical presentation of jaundice in a previously well 19 year old female.
CAO, Sissi - An ulcerous history
CHIN-YEE, Benjamin - Fever, anemia, and bilateral stroke: a gut diagnosis
COLIZZA, Kate - Eschar and fever in a traveller from India
DYBA, Janique - A dress that fits to a T
HUANG, Yayi - Osteomyelitis Worsening With Antibiotics
JEIMY, Samira - Diffuse cutaneous rash, fever and transaminitis NYD – was it the bug or the drug?
JUMA, Salina - A case of hypertension: The right accessory can make all the difference
KALANI, Aashish - Torn between two minds: a unique presentation of subacute dyspnea
KHALIFE, Roy - Inflammation gone wild
KRAUSE, Rachelle - An atypical psychiatric presentation of a rare disease: a case report
LEFEBVRE, Marco - A worrisome hypothermia
LUE, Sabrina - To air is human—a case of connective tissue disease and its rare complications
MARTELLI, Vanessa - An Interplay Between Auto-immunity and Malignancy
MATTE, Catherine - When there is more than meets the eye: an unusual case of recurrent fever and
cough.
MAZZETTI, Adam - A rare cause of severe cholestasis in a previously healthy 29 year old male
NETEDU, Silvia Raluca - When the culprit goes unnoticed
PARR, Christopher - A sudden nosocomial trismus
PHUNG, Marilyn - Murky waters: dilemmas in diagnosis and management of hemolysis
RUMBOLT, Colin - Dysarthria, ataxia, and acidosis in a patient with short bowel syndrome
RUSH, Raphael - A gut feeling
RYE, Peter - Please assess this patient with Strawberry Milkshake ascites
SALTMAN, Alexandra - The Joints Have It
SAMY, Laila - A Palpitating Case of Syncope
SILVERSTEIN, William - Blinded by the Pressure: A case of vision loss in pregnancy
SUJANA KUMAR, Vidya - Jaundice in the Second Trimester of Pregnancy
SZPAKOWSKI, Natalie - Heartless: Markedly elevated troponin in a woman with gastrointestinal
symptoms
TEJANI, Zahra - Gravid and gasping: a 33 year old with dyspnea
TRAN, Audrey - The metabolics behind the madness: a rare presentation of a common disease
VASANTHAMOHAN, Lakshman - A well-looking 42-year old man with subacute symptoms and concerning
echo findings
VIJENTHIRA, Abi - A case of Occam’s razor in effect – A multitude of symptoms in a patient with lupus
WILLARD, Roxanne - A case of founder effect!
WORME, Mali - A peculiar case of acidosis
YAN, Michael - Fevers and Bumps in the Night: An Uncommon Presentation of a Common Disease
YAO, Han - A Canadian case of cardiopulmonary collapse: Fievel Goes West?
ZHANG, Hanbo - A case of multiple thromboembolism in a 62 year-old male
HOTEL ACCOMMODATIONS
Rooms are limited, click here to book your hotel room at the Westin Montreal.
Westin Montréal
270 Rue Saint Antoine O, Montréal, QC H2Y 0A3
(514) 380-3333 / Reservations: 1-866-837-4262
__________________________________________________________________________________
RÉSERVATIONS DE CHAMBRE AU WESTIN MONTRÉAL
Réservez votre chambre à l’hôtel Westin Montréal dès aujourd'hui en cliquant ici.
Westin Montréal
270 Rue Saint Antoine O, Montréal (QC) H2Y 0A3
(514) 380-3333 / Réservations : 1-866-837-4262
Registration / Inscription
Full Conference Rates / Conférence au complet
Member of / Membre de CSIM/ACP/CAPM/ASMIQ/NASOM/GEMOQ1
Non-member / Non-membre2
CSIM Associate Physician, CSIM Senior Associate or Allied Health Professional /
Associé honoraire ou à la retraite de la SCMI et professionnel paramédical
Resident or Medical Student / Résident(e) ou étudiant(e) en médecine
Corporate Representative
Early /
Regular /
Préinscription
Régulier
By Aug 11 /
After Aug 11 / Après
Jusqu'au 11 août
le 11 août
$595
$855
$745
$995
$310
$385
$225
$995
$295
$1200
$155
$195
Non-member / Non-membre
CSIM Associate Physician, CSIM Senior Associate or Allied Health Professional /
Associé honoraire ou à la retraite de la SCMI et professionnel paramédical
Resident or Medical Student / Résident(e) ou étudiant(e) en médecine
$215
$255
$85
$105
$60
$75
Corporate Representative3
$275
$350
$310
$435
$395
$515
$175
$215
$120
$545
$155
$695
Guests / Invités4
Guest 12 and older / Invité agé de 12 ans et plus
Guest 11 and under / Invité agé de 11 ans et moins
$95
$0
$95
$0
Bedside Lung Ultrasound Simulation Workshop for the Internist—Physicians6
Bedside Lung Ultrasound Simulation Workshop for the Internist—Trainees6
$500
$400
$500
$400
Daily Rate: Wednesday or Saturday / Taux quotidien : mercredi ou samedi
Member of / Membre de CSIM/ACP/CAPM/ASMIQ/NASOM/GEMOQ1
2
Daily Rate: Thursday or Friday / Taux quotidien : jeudi ou vendredi
Member of / Membre de CSIM/ACP/CAPM/ASMIQ/NASOM/GEMOQ1
Non-member / Non-membre2
CSIM Associate Physician, CSIM Senior Associate or Allied Health Professional /
Associé honoraire ou à la retraite de la SCMI et professionnel paramédical
Resident or Medical Student / Résident(e) ou étudiant(e) en médecine
Corporate Representative3
Speaker / Conférencier—Refer to your speaker letter / Consultez votre lettre de confirmation5
All fees are subject to 5% GST, plus 9.975% QST for registrants residing in Quebec.
La TPS (5 %) s'applique à tous les frais, plus la TVQ (9.975 %) pour les personnes inscrites résidant au Québec.
Registrations are not confirmed until payment has been received, and may be cancelled if payment is not received.
L’inscription n’est pas confirmée jusqu'à ce que le paiement est reçu, et peut être annulé si le paiement n'est pas reçu.
Select the appropriate form based on your province of residence:
If you reside in Quebec, click here to use the QUEBEC ONLY registration form.
If you reside in all other provinces or outside of Canada, select the OTHER registration form.
Contact [email protected] if you have any questions.
Registration continued
1
To obtain the CSIM member rate, your membership dues must be paid in full. If dues payment is not received, you are required to
pay the non-member rate.
2
Eligible physicians may apply $260 of this registration fee towards a 2016/2017 CSIM Full Membership if a completed membership
application accompanies this registration form. Contact the CSIM Office for additional details.
3
All corporate representatives must complete a registration form. Individuals representing corporate sponsors beyond any
complimentary registration limit must submit payment with their registration form. Corporate representatives cannot be
registered as guests. Space in workshops is limited. If workshop still has space, corporate representatives/exhibitors may attend.
Priority is to be given to physician delegates. Corporate registration and badges are non-transferrable.
4
Spouse/Guest/Children fee includes provided breakfasts and nutrition breaks. Conference sessions are NOT included. Guests or
spouses wishing to attend workshops must register as delegates. Guests who are physicians or allied health professionals and
planning on attending sessions must register in the applicable category. Guests are required to wear their name badges at all times.
5
Speakers attending two or more days of the meeting must register at the posted rates in the appropriate category. Speakers
attending for the day of their presentation only may register for free; special code is required.
6
Offsite at the Santa Cabrini Hospital, transportation included. Pre-registration is required. Participants must register for at least
one day of the CSIM Meeting. If minimum registration is not met this course may be canceled.
Name badges must be worn at all times; badges are non-transferable.
Cancellation policy: Registration and/or Ultrasound Simulation Workshop cancellation must be received in writing to the CSIM
Office. By September 26: 100% refund, less an administration fee of 10% + tax of the registration fee paid. No refunds will be
provided after September 26, 2016. Registrations cannot be shared or transferred.
Dietary Requirements: While we will try our best to accommodate all requests, registrants and guests are responsible for
ensuring that their special dietary needs are met. Additional costs incurred may apply.
Inscription suite
1
Pour obtenir le tarif consenti aux membres de la SCMI, vous devez vous acquitter de votre cotisation en entier. Si le versement de
la somme due n’est pas effectué, vous devez payer le tarif pour non-membres.
2
Le médecin éligible qui joint une demande d’adhésion à la Société au formulaire d’inscription verra sa cotisation annuelle de 2016
-2017 diminuer d’un montant de 260 $. Pour plus de renseignements, veuillez communiquer avec le bureau de la SCMI. Cette
modalité s’applique à la cotisation d’une année seulement.
3
Les représentants d’un organisme ou d’une entreprise doivent remplir le formulaire d’inscription. L’inscription est offerte
gracieusement à un certain nombre de représentants des organismes ou entreprises commanditaires; les autres personnes
provenant de ces organismes ou entreprises doivent payer les droits d’inscription. Les représentants d’organismes, d’associations
ou d’entreprises nepeuvent s’inscrire en tant qu’invités ou personnes accompagnatrices. Le nombre de places aux ateliers est
limité. Si, durant le congrès, il y a des places libres à un atelier, les représentants d’organismes ou d’entreprises, ou des exposants
peuvent y assister. Sachez toutefois que les médecins ont préséance. L’inscription et l’insigne sont établis au nom de l’organisme et
ne peuvent s’appliquer à un autre, ni être partagé.
4
Les droits d’inscription du conjoint, de l’invité ou de l’enfant couvrent les repas du matin et les collations. Les ateliers ne sont pas
compris. L’invité souhaitant assister à un atelier doit s’y inscrire en tant que participant. Le conjoint qui est médecin, professionnel
paramédical ou représentant d’organisme ou d’association doit s’y inscrire dans l’une ou l’autre de ces catégories. Les invités sont
priés de porter leur badge de manière visible à tout moment.
5
Les conférenciers présents pendant deux ou plus jours de la conférence doivent s'inscrire à l'un des tarifs affichés. Les
conférenciers présent seulement la journée de leur presentation peuvent s’inscrire gratuitement utilisant un code spécial.
6
À l'Hôpital Santa Cabrini, transport inclus. Pré-inscription est obligatoire. Les participants doivent s'inscrire à au moins un jour de
la conférence . Si l'enregistrement minimum n'est pas atteint ce cours peut être annulé.
Les participants sont priés de porter leur badge à tout moment. Les badges ne sont pas transférables.
Politique d'annulation : L'annulation de l'inscription et / ou de l'atelier Bedside Lung Ultrasound Simulation Workshop for the
Internist doivent être reçues par écrit au bureau de la SCMI. D'ici le 26 septembre : remboursement moins un frais administratif
de 10 % + taxesdes frais d'inscription payés. Aucun remboursement ne sera accordé après le 26 Septembre 2016. Les
inscriptions ne peuvent pas être partagés ni transférés.
Besoins alimentaires : Bien que nous ferons de notre mieux pour répondre à toutes les demandes, les inscrits et les invités sont
responsables de veiller à ce que leurs besoins alimentaires particuliers sont satisfaits. Les coûts supplémentaires encourus
peuvent s'appliquer.
TRAVEL:
Book your travel at www.aircanada.ca using discount code TQYAY891
OR at www.viarail.ca using discount code 13310.
CSIM AWARDS
Visit csim.ca/awards-abstracts to learn more about other CSIM awards and scholarships:
 Dr. David Sackett Senior Investigator Award
 New Investigator Award
 The CSIM Osler Awards
 The Hui Lee Health Promotion Scholarship
 Quality Improvement Abstracts
 Research Abstracts
 Ted Giles Clinical Vignettes
 GIM Faculty Research Showcase
 Dr. Mahesh Raju Award for Resident Mentorship
 Apply for to the CSIM Education and Research Fund - Deadline: November 7, 2016
DÉPLACEMENT:
Réservez en ligne à www.aircanada.ca ; utiliser le code promotionnel TQYAY891
OU à www.viarail.ca et utiliser le code promotionnel 13310.
PRIX ET CONCOURS
Visitez csim.ca/fr/prix/ pour en apprendre plus et pour visionnier la liste complète des prix offerts par la SCMI
 Prix d’excellence David Sackett destiné à un chercheur chevronné
 Prix de soutien au chercheur debutant
 Les Prix Osler
 La bourse d’études Hui Lee en promotion de la santé
 Appel aux résumés en amélioration de la qualité
 Appel aux résumés de recherche
 Appel aux résumés cliniques
 Tour d’horizon de la recherche en médecine interne générale
 Prix Mahesh Raju destiné à un résident en reconnaissance du mentorat exercé
 Soumettez votre application au Fonds de recherche et d’éducation de la SCMI d’ici le 7 novembre 2016.
Click here to join the CSIM
Residents and Medical Students join the CSIM for FREE!
Joignez-vous dès aujourd’hui
Les résidents et les étudiants peuvent joindre la SCMI
gratuitement!
Current members can click here to pay their dues.
Membres, acquittez–vous de la cotisation en ligne.
Our sincere thanks to the
2016 CSIM Annual Meeting Committee
Nous remercions les membres du
Comité du congrès annuel 2016 de la SCMI
Dr. Thomas Maniatis, Chair
Dr. Lenley Adams
Dr. Amal Bessissow
Dr. Patrick Bergin
Dr. Cathy Code
Dr. Runye Gan
Dr. Meghan Ho
Dr. Stephen Hwang
Dr. Nadine Lahoud
Dr. Michèle Mahone
Dr. Suzanne Morin
Dr. Romina Pace
Dr. Steven Shadowitz
Dr. Chantal Vallée
See you at the
Next CSIM Annual
Meetings
Au plaisir de vous
voir au prochain
congrès annuel
Save the dates!
Réserve ces dates !
November 1-4, 2017
Toronto, ON
October 10-13, 2018
Banff, AB
CSIM Office
200—421 Gilmour
Street Ottawa, ON K2P
0R5 Tel: 613-422-5977
1-855-893-CSIM (2746)
Fax : 613-249-3326
[email protected]
www.csim.ca
© Danielle Petti / Toronto Tourism
Du 1 au 4 novembre 2017
Toronto (ON)
Du 10 au 13 octobre 2018
Banff (AB)
Bureau de la SCMI
200—421, rue Gilmour
Ottawa (ON) K2P 0R5
Tél : 613-422-5977
1-855-893-CSIM (2746)
Fax : 613-249-3326
[email protected]
www.csim.ca
CSIM Mission Statement
SCMI Mission
The CSIM is a non-profit professional society that
promotes the health and well being of Canadian patients,
their communities, and their health care systems. We
seek to foster leadership and excellence in the practice of
General Internal Medicine (GIM) through research,
education, and advocacy for health promotion and
disease management.
La Société canadienne de médecine interne (SCMI) est
une association professionnelle sans but lucratif qui
entend promouvoir la santé et le bien-être des patients,
des collectivités et des systèmes de santé canadiens. Elle
souhaite également promouvoir le leadership et
l’excellence dans l’exercice de la médecine interne
générale en favorisant la recherche, l’éducation, la
promotion de la santé et la gestion des soins
thérapeutiques.
Vision
Vision
We believe that General Internal Medicine in Canada
plays a central role in the training of current and future
clinicians, in clinical research, in patient care, in health
promotion, and in health advocacy; and that it unites a
body of knowledge, values, and principles of care that lay
the foundation for excellence in the Canadian health care
system.
La Société a l’intime conviction que la médecine interne
générale occupe une place centrale dans la formation des
cliniciens aujourd’hui et à l’avenir, dans la recherche
clinique, dans la prestation des soins et des services de
santé et dans la promotion de la santé, et que la discipline
se fonde sur un savoir, des valeurs et des principes
thérapeutiques essentiels à la poursuite de l’excellence
dans le système de santé canadien.
Values
Valeurs
We embrace the ethical and professional standards that
are common to all healing professions, as well as the
specific values of generalism, teamwork, competencybased training, life-long learning, evidence-based
medicine, holism, and humane, patient-centered care.
La Société fait sienne les normes éthiques et
professionnelles communes aux professions de la santé
ainsi que les valeurs particulières du généralisme, du
travail d’équipe, de la formation axée sur les
compétences, de l’éducation permanente, de la médecine
factuelle, de l’holisme et des soins et des services de
santé humains, centrés sur le patient.
CSIM CPD Subcommittee Mission Statement
Mission du sous-comité du DPC de la SCMI
Our ultimate goal is to go beyond the simple transmission
of information. Our goal is to make a lasting impact on the
knowledge, skills and attitudes of clinicians and future
clinicians; to narrow the theory to practice gap; to
improve the health of our patients and of all Canadians.
Notre but ultime consiste à aller au-delà de la simple
transmission d’information. Par le perfectionnement des
connaissances, des compétences et des attitudes, nous
avons l’intention d’exercer une influence durable sur les
cliniciens d’aujourd’hui et ceux de demain, de combler
l’écart entre la théorie et la pratique et d’améliorer la
santé de nos patients et celle de tous les Canadiens.
We gratefully acknowledge support from:
GOLD SPONSOR
BMS-Pfizer Alliance