FOR MORE INFORMATION Natalie Park, CHSE CoordinatorContinuing Health Sciences EducationP: 905-525-9140 x 20763E: parkna@mcmaster.ca

REGISTRATION INFORMATIONE: cmereg@mcmaster.caP: 905-525-9140 x 22671F: 905-572-7099W: www.fhs.mcmaster.ca/conted

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REGISTER ONLINE: www.fhs.mcmaster.ca/conted/register.html

“LEADERSHIP, COURAGE & COMMUNITY”

Wednesday, November 23rd, 2016 Liuna Station360 James Street North, Hamilton, ON

13th Annual Innovations in Palliative Care presents

The Division of Palliative Care is pleased to present its annual education day “Innovations in Palliative Care.”

We’ve assembled bright minds, the creative & courageous, the inspiring leaders of today and tomorrow to present “TED-style Talks.”

TARGET AUDIENCE• Family Physicians and Primary Care Providers

• Palliative Care Clinicians

• Health Care Providers whose practice includes care of the seriously ill and the dying

LEARNING OBJECTIVESBy attending this activity, participants will be able to:

• Address challenges in their professional lives through innovation and inspiration.

• Apply concepts of leadership to their own professional practice.• Incorporate community perspectives into their approach to providing

(palliative) care.

SPEAKERSAndrea Frolic, Ph.D. Director, Office of Clinical & Organizational EthicsHamilton Health SciencesAssistant ProfessorDepartment of Family Medicine McMaster University, Hamilton, ON

Denise Marshall, BSc, MD, CCFP, FCFP Palliative Care Physician Niagara West Palliative Care Team Associate Professor Division of Palliative Care Department of Family Medicine McMaster University, Hamilton, ON

José Pereira, MBChB, DA, CCFP, MSc (MEd) Director of Research, Academic Family Medicine Division,College of Family Physicians of CanadaClinical Professor Division of Palliative Care Department of Family Medicine McMaster University, Hamilton, ON

Rachelle McGuire, M.A., CT Manager of Bereavement & Supportive Care Dr. Bob Kemp Hospice Part-time Lecturer (Adjunct)Division of Palliative CareDepartment of Family MedicineMcMaster University, Hamilton, ON

Elizabeth Dougherty, B.S.W, M.S.W, R.S.W Hospice Palliative Care Psychosocial Clinician Assistant Clinical Professor (Adjunct) Division of Palliative Care Department of Family MedicineMcMaster University, Hamilton, ON

Adrienne Selbie, MD, CCFP (PC) Palliative Care Physician William Osler Health System: Brampton Civic HospitalBrampton, ON

Dale Guenter, MD, CCFP, FCFP Primary Care Lead, Hamilton Central Health LinkAssociate Professor Department of Family Medicine McMaster University, Hamilton, ON

Joshua Shadd, MD, MClSc, CCFP Director, Division of Palliative Care Department of Family Medicine McMaster University, Hamilton, ON

Zahira Khalid, MD, MBBS, FRCPC General Internal Medicine St. Joseph’s Healthcare Hamilton Associate Professor McMaster University, Hamilton, ON

Naheed Dosani, MD, CCFP(PC), BSc Palliative Care PhysicianWilliam Osler Health System: Brampton Civic HospitalProject Lead, Palliative Education And Care for the Homeless (PEACH)Assistant Clinical ProfessorDivision of Palliative Care Department of Family MedicineMcMaster University, Hamilton, ON

David Price, MD, CCFP, FCFP Professor and Chair Chief, Department of Family Medicine Faculty of Health Sciences McMaster University, Hamilton, ON

Rev. Sue Carr, BSc, MTS Chaplain, Stonechurch Family Health Centre Executive Director, 541 Eatery and Exchange Assistant Clinical ProfessorDivision of Palliative Care Department of Family Medicine McMaster University, Hamilton, ON

*Program subject to change

Alan Taniguchi, MD, CCFP, FCFP - Chair Palliative Care Physician Hamilton Health SciencesAssistant Clinical Professor Division of Palliative Care Department of Family Medicine McMaster University, Hamilton, ON

Joshua Shadd, MD, MClSc, CCFPPalliative Care PhysicianHamilton Health SciencesDirector, Division of Palliative Care Assistant ProfessorDepartment of Family Medicine

Anne Woods, MD, CCFP, FCFP Palliative Care PhysicianSt. Joseph’s Healthcare Assistant Clinical Professor Division of Palliative Care Department of Family Medicine McMaster University, Hamilton, ON

Kathleen Willison, RN, MSc, CHPCN(C) Clinical Nurse Specialist Palliative Care St. Joseph’s Healthcare HamiltonAssistant Clinical Professor School of Nursing and Associate Member Division of Palliative Care Department of Family Medicine McMaster University, Hamilton, ON

Teri Crockford, RN, BScN, MS, CHPCN(c) Clinical Nurse Specialist Dr. Bob Kemp Hospice Assistant Clinical Professor School of Nursing and Associate Member Division of Palliative Care Department of Family Medicine McMaster University, Hamilton, ON

Andre Moolman, MD, MBChB, CCFP(PC), FCFP Palliative Care PhysicianGrand River HospitalAssistant Clinical ProfessorDivision of Palliative CareDepartment of Family Medicine

Elena Bidochka Education Program Associate Division of Palliative Care Department of Family Medicine McMaster University, Hamilton, ON

Clareen AkshinthalaAdministrative Coordinator Division of Palliative Care Department of Family Medicine McMaster University, Hamilton, ON

Angela Silla CHSE Acting Program Manager Continuing Health Sciences Education Program McMaster University, Hamilton, ON

Natalie Park CHSE Coordinator Continuing Health Sciences Education Program McMaster University, Hamilton, ON

AGENDA07:30 - 08:15 REGISTRATION & BREAKFAST

08:15 - 08:30 Welcome

08:30 - 09:00 Setting the Stage – Group Activity

09:00 - 09:45 TED Style Talks – Denise Marshall, José Pereira & Andrea Frolic

09:45 - 10:15 Question & Answer / Group Discussion

10:15 - 10:30 MID-MORNING BREAK / VISIT EXHIBITORS

10:30 - 11:15 TED Style Talks - Rachelle McGuire, Elizabeth Dougherty & Adrienne Selbie

11:15 - 12:00 Question & Answer / Group Discussion

12:00 - 13:00 LUNCH / VISIT EXHIBITORS

13:00 - 13:45 TED Style Talks – Dale Guenter, Joshua Shadd & Zahira Khalid

13:45 - 14:10 Question & Answer / Group Discussion

14:10 - 14:45 TED Style Talks – Naheed Dosani & David Price

14:45 - 15:00 Interactive Discussion

15:00 - 15:15 AFTERNOON BREAK / VISIT EXHIBITORS

15:15 - 16:15 Plenary – Sue Carr

16:15 - 16:30 CLOSING REMARKS

PLANNING COMMITTEE

New PerspectivesPalliative Care

Creative Insights Disruptive InnovationsInspiration

Pearls of WisdomCourageous Endevours

TED-Style TalksBig Ideas

DISCLOSURE OF POTENTIAL CONFLICTS OF INTERESTIn keeping with accreditation guidelines, McMaster University, Continuing Health Sciences Education requires all speakers and planning committee members participating in this activity to disclose any involvement with industry or other organizations that may potentially influence the presentation of the educational materials or program being offered. Disclosure must be done verbally and using a slide prior to the speaker’s presentation.

DISCLAIMERThe views and opinions expressed by attendees, participants, and speakers at the Annual Innovations Day in Palliative Care are solely those of the individuals stating them and are not representative of an ideological stance or public policy position by McMaster University, the Department of Family Medicine or Division of Palliative Care.

LIABILITYContinuing Health Sciences Education (CHSE) hereby assumes no liability for any claims, personal injury, or damage:

• To any individual attending this activity.• That may result from the use of technologies,

program, products and/or services at this activity.• That may arise out of, or during this activity.

ACCREDITATION STATEMENT McMaster University, Continuing Health Sciences Education Program (CHSE) is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME) to provide CFPC Mainpro and RCPSC Maintenance of Certification (MOC) study credits for Continuing Medical Education.

The College of Family Physicians of Canada Mainpro+: This Group Learning program meets the certification criteria of The College of Family Physicians of Canada and has been certified by McMaster University, Continuing Health Sciences Education Program for up to 6.25 Mainpro+ credits.

Each healthcare provider should claim only those hours of credit that he/she actually spent in the educational activity.

CONFIRMATION OF REGISTRATIONA written acknowledgment of your registration will be sent prior to the activity should you provide CHSE with your email address. Receipts will be provided in your registrant package upon arrival at the activity. Your registration is not complete unless a confirmation is received. If you have not received a confirmation within 7 days of registration, please contact the CHSE office.

ACTIVITY PACKAGEAs the registrant your activity package includes breakfast, nutritional breaks, and lunch. Your activity lanyard must be worn at all times throughout the day. If you have a guest accompanying you to the activity, their meals are at their own cost and will be billed directly.

CANCELLATION POLICYThe University reserves the right to cancel a course due to insufficient registration or any circumstances that are beyond our control. Cancellations received before November 9, 2016 will be refunded less a 25% administrative fee. No refunds will be issued for cancellations received after this date.

Registration Fees

Registration Form13th Annual Innovations in Palliative Care Wednesday, November 23rd, 2016 Liuna Station, Hamilton, ON

FREEDOM OF INFORMATION & PROTECTION OF PRIVACY ACTThe information on this form is collected under the authority of the McMaster University Act, 1976. The information will be used for administrative purposes, including: your registration in the course; preparation of course materials for your use and to notify you of other courses or pertinent information. Financial information will be used to process applicable fees and will be retained for future reference. This information is protected and is being collected pursuant to section 39(2) and section 42 of the Freedom of Information and Protection of Privacy Act of Ontario (RSO 1990). Questions regarding the collection or use of this personal information should be directed to the University Secretary, Gilmour Hall, Room 210 McMaster University.

SPECIAL DIETARY REQUIREMENTS/DIETARY RESTRICTIONS: For those with special dietary needs some accommodation may be available:

Vegetarian:________________ Other: ________________ Custom: __________________ (Pls note: custom meal requirements will be ordered at an additional fee. Please contact our office for details)

PLEASE IDENTIFY ANY ACCESSIBILITY NEEDS: ________________________________________________CHILDREN ARE NOT PERMITTED in the live activity setting as it distracts from the learners.

If you require PERSONAL SUPPORT at this activity, the health aid provider must register in advance at the other health professional rate.

MEAL PACKAGES for guests may be purchased. Contact the CHSE Coordinator for more information.

PHOTOGRAPHY: Candid photos will be taken at the activity. Your registration implies your permission for these photos to be used for promotional material. Individuals in photographs will not be identified.

I CONSENT to having my name, address, email added to the CHSE database for upcoming CME activities: Yes No

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$ . 0 0*Pls make cheque payable to “McMaster University” *Cheque must be received one week prior to the date of the program.

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*Includes breakfast, nutritional breaks, lunch & printed material.

Physicians/Other Healthcare Professionals $150 Students/Residents $100

WAYS TO REGISTER Accepted:

There are 5 ways to register!1. ONLINE @ www.fhs.mcmaster.ca/conted/register.html2. BY PHONECall 905 525-9140 ext 22671(Visa, MasterCard or AMEX are accepted)

3. IN PERSONBring your completed registration form with Visa, MasterCard, AMEX, cheque or cash payment to the: McMaster University, Continuing Health Sciences Education100 Main Street West, 5th Floor, Room 5004Hamilton, ON L8P 1H6 Mon. to Fri. between the hours of 09:30 – 16:00

4. BY FAXFax the completed registration form with a Visa, MasterCard or AMEX number to: 905-572-7099

5. BY MAILMail your completed registration form to: McMaster University, Continuing Health Sciences Education1280 Main St. W., DBHSC, Room 5004 Hamilton, ON  L8S 4K1

CFPC or Royal College ID # (If you wish to have CHSE submit your credits on your behalf)