September 24th - 26th, 2010Toronto Marriott Downtown Eaton Centre

525 Bay Street, Toronto, ON Canada

Course DirectorsRitesh Mistry, MD, CCFP

Course Director, William Osler Health Centre Toronto, Ontario

Ajay Kapur, MD, FRCP

Co-Course DirectorSt. Joseph’s Health Centre Lecturer, University of Toronto Toronto, Ontario

In partnership with Canadian Society of Hospital Medicine

8th AnnualCanadian Society of

Hospital Medicine Conference

8th AnnualCanadian Society of

Hospital Medicine Conference

Directions to Toronto Marriott Eaton Centre Hotel

From the Airport:

Take Highway 427 South to Queen Elizabeth Way (QEW)/ Gardiner Expressway East. Take York/Bay Street Exit. Go North on Bay Street. Hotel is on the right, North of Queen Street and just South of Dundas Street.

When traveling on Highway 401, or the 407 ETR:

Take the Don Valley Parkway South Exit. Travel South to Richmond Street exit.Travel West on Richmond Street (which is just South of Queen Street), to Bay Street. Turn right and travel North on Bay Street to just South of Dundas Street.Marriott Hotel is on your right (South-East corner Bay/Dundas).

FLOOR PLANToronto Marriott Eaton Centre Hotel

REG

ISTR

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2ND LEVELMEETING ROOMS

CARLTONDUNDAS

KING

FOYER

RICHMOND PHONES

Directions to Toronto MarriottEaton Centre HotelFrom the AirportTake Highway 427 South to Queen Elizabeth Way (QEW)/ Gardiner Expressway

East. Take York/Bay Street Exit. Go North on Bay Street. Hotel is on the right, North of

Queen Street and just South of Dundas Street.

When traveling on Highway 401, or the 407 ETRTake the Don Valley Parkway South Exit. Travel South to Richmond Street exit.

Travel West on Richmond Street (which is just South of Queen Street), to Bay

Street. Turn right and travel North on Bay Street to just South of Dundas Street.

Marriott Hotel is on your right (South-East corner Bay/Dundas).

Metropolitan Hotel, is a fi ve minute walk to Toronto Marriott Eaton

Centre Hotel.

Bloor St W

College St

Dundas St W

Richmond St W

Adelaide St W Front S

t W

Gardiner Expy

York St

University A

ve

Spadina Ave

Yonge St

Jarvis St

Bay St

MarriottEatonCentre

TORONTOMARRIOTTEATONCENTREHOTEL

FLO

OR

MA

PSALON I SALON II SALON III SALON IV SALON V

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JI

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L M N O

PQRST

REG

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2ND LEVELMEETING ROOMS

CARLTONDUNDAS

KING

FOYER

RICHMOND PHONES

Directions to Toronto MarriottEaton Centre HotelFrom the AirportTake Highway 427 South to Queen Elizabeth Way (QEW)/ Gardiner Expressway

East. Take York/Bay Street Exit. Go North on Bay Street. Hotel is on the right, North of

Queen Street and just South of Dundas Street.

When traveling on Highway 401, or the 407 ETRTake the Don Valley Parkway South Exit. Travel South to Richmond Street exit.

Travel West on Richmond Street (which is just South of Queen Street), to Bay

Street. Turn right and travel North on Bay Street to just South of Dundas Street.

Marriott Hotel is on your right (South-East corner Bay/Dundas).

Metropolitan Hotel, is a fi ve minute walk to Toronto Marriott Eaton

Centre Hotel.

Bloor St W

College St

Dundas St W

Richmond St W

Adelaide St W Front S

t W

Gardiner Expy

York St

University A

ve

Spadina Ave

Yonge St

Jarvis St

Bay St

MarriottEatonCentreMetropolitan

Hotel

TORONTOMARRIOTTEATONCENTREHOTEL

FLO

OR

MA

P

REG

ISTR

ATIO

N

2ND LEVELMEETING ROOMS

CARLTONDUNDAS

KING

FOYER

RICHMOND PHONES

Directions to Toronto MarriottEaton Centre HotelFrom the AirportTake Highway 427 South to Queen Elizabeth Way (QEW)/ Gardiner Expressway

East. Take York/Bay Street Exit. Go North on Bay Street. Hotel is on the right, North of

Queen Street and just South of Dundas Street.

When traveling on Highway 401, or the 407 ETRTake the Don Valley Parkway South Exit. Travel South to Richmond Street exit.

Travel West on Richmond Street (which is just South of Queen Street), to Bay

Street. Turn right and travel North on Bay Street to just South of Dundas Street.

Marriott Hotel is on your right (South-East corner Bay/Dundas).

Metropolitan Hotel, is a fi ve minute walk to Toronto Marriott Eaton

Centre Hotel.

Bloor St W

College St

Dundas St W

Richmond St W

Adelaide St W Front S

t W

Gardiner Expy

York St

University A

ve

Spadina Ave

Yonge St

Jarvis St

Bay St

MarriottEatonCentre

TORONTOMARRIOTTEATONCENTREHOTEL

FLO

OR

MA

P

SALON I SALON II SALON III SALON IV SALON V

It is with great pleasure that I welcome you to Toronto for the 8th Annual National Hospital Medicine Conference. This conference has grown by leaps and bounds in the last few years, and we hope to continue that trend with your support.

Hospital Medicine is a challenging field, with forces pulling us in different directions. As we get busier and busier, throughput increases, and length of stay pressures rises, often the clinical experience is left behind. The National Hospital Medicine conference aims to be a focal and comprehensive symposium for all practitioners to refresh and re-energize while gaining new skills and knowledge.

This year’s conference will be an exciting experience. The highly successful Procedural Skills Lab has returned with hands-on opportunities in airway, vascular access, thoracentesis, and more.

In addition, we will be introducing CSHM’s first National Quality Pre-Course which includes high-level speakers from Canada and the U.S., who will be exploring issues of patient safety and quality improvement.

The main conference is packed with sessions that lend themselves easily to your daily work. From Hepatitis to Stroke to CHF and Antibiotic Resistant Organisms, your dilemma will be trying to be at two places at once!

Our sister organization, the Society of Hospital Medicine, has sent an Ambassador in Dr. Joseph Li (President Elect) to start our conference with an invigorating keynote speech on Saturday morning.

The Gala for 2010 features the renowned astronaut and physician, Dr. Roberta Bondar as our evening keynote speaker.

We hope you take advantage of this great educational experience!Welcome to Toronto, and welcome to your conference.

Sincerely, Dr. Ritesh MistryChair, 2010 National Hospital Medicine Conference

WELCOME FROM THE CHAIR

Diverse in careers from scientist, physician, astronaut, photographer and author to entrepreneur Dr. Roberta Bondar is a much sought-after speaker who embodies the spirit that captures change, life-long learning, transferable

skills and adaptability.

With innovative ideas about how to navigate in uncharted territory, she offers her abilities as a leader and visionary to corporations and organizations globally. Dr. Bondar demonstrates the adaptive thinking necessary for changing perspectives in our contemporary world and knowledge economy with an emphasis on change

and adaptation. She engages her audiences with her informal, light and humorous speaking style, outstanding visuals and wide ranging answers to questions as she seamlessly crosses disciplines. Dr. Roberta Bondar is an example of her own advice, insight and leadership of self. An integrated thinker, entrepreneur and the world’s first neurologist in space, she is globally recognized for her pioneering contribution to space medicine research and for making exciting connections between how our brains adapt in space and how we can adapt to constantly-changing business environments here on Earth.

DR. ROBERTA BONDAR Gala Dinner Saturday September 25 (7:00 – 8:00 PM) Trinity Ballroom

Toronto Marriott Downtown Eaton Centre525 Bay Street, Toronto, ON Canada

Keynote Speakers

September 24th - 26th, 2010

Dr. Roberta Bondar Famed astronaut, physician, scientist,author, and photographer brings herinsights to the world of HospitalMedicine.

Dr. Joseph Li President Elect, Society of Hospital Medicine Assistant Professor, Harvard Medical School,Boston, MADirector, Hospital Medicine ProgramBeth Israel Deaconess Medical Center.

Course DirectorsRitesh Mistry, MD, CCFP Course Director, William Osler Health Centre Toronto, Ontario

Ajay Kapur, MD, FRCP Co-Course DirectorSt. Joseph’s Health Centre Lecturer, University of Toronto Toronto, Ontario

In partnership with Canadian Society of Hospital Medicine

8th AnnualCanadian Society of Hospital MedicineConference

8th AnnualCanadian Society of Hospital MedicineConference

Joe Li is the Director of the Hospital Medicine Program and Associate Chief, Division of General Medicine and Primary Care at Beth Israel Deaconess Medical Center (BIDMC). Dr. Li received his BS in Pharmacy and Medical Degree from the

University of Oklahoma. After serving as Chief Medical Resident at BIDMC in 1998, Dr. Li became the first hospitalist at BIDMC. Located in Boston’s Longwood Medical Area, the BIDMC is a major teaching affiliate of Harvard Medical School where Dr. Li serves on the fulltime faculty as an Assistant Professor of Medicine.

Dr. Li is a Charter Member of the Society of Hospital Medicine (SHM) and an elected member of the SHM Board of Directors. He founded and remains the President of the SHM Boston Chapter. He is the President – Elect for SHM for 2010-2011. He is also a member of the Massachusetts Health and Human Services Stroke Hospital Care Advisory Committee and a member of the Massachusetts Medical Society House of Delegates.

Dr. has numerous roles in medical education. He is a former Associate Firm Chief for the BIDMC Internal Medicine Training Program. He was the Course Director for the 2009 SHM Annual Meeting and an Assistant Editor for The Journal of Hospital Medicine. He is a member of the National Board of Medical Examiners United States Medical Licensure Examination Step 3 Test Development Committee and a member of the American Board of Internal Medicine Hospital Medicine MOC Test Development Committee.

Dr. Li was the 2005 recipient of the Society of Hospital Medicine award for Outstanding Service to Hospital Medicine and was named a 2008 Top 10 Hospitalist by the American College of Physicians.

JOSEPH LI MD FHM President-Elect, Society of Hospital MedicineSaturday September 25 (08:10 – 09:00) Salon A&B

Toronto Marriott Downtown Eaton Centre525 Bay Street, Toronto, ON Canada

Keynote Speakers

September 24th - 26th, 2010

Dr. Roberta Bondar Famed astronaut, physician, scientist,author, and photographer brings herinsights to the world of HospitalMedicine.

Dr. Joseph Li President Elect, Society of Hospital Medicine Assistant Professor, Harvard Medical School,Boston, MADirector, Hospital Medicine ProgramBeth Israel Deaconess Medical Center.

Course DirectorsRitesh Mistry, MD, CCFP Course Director, William Osler Health Centre Toronto, Ontario

Ajay Kapur, MD, FRCP Co-Course DirectorSt. Joseph’s Health Centre Lecturer, University of Toronto Toronto, Ontario

In partnership with Canadian Society of Hospital Medicine

8th AnnualCanadian Society of Hospital MedicineConference

8th AnnualCanadian Society of Hospital MedicineConference

2010 KEYNOTE SPEAKERS

James Bin MD FRCPCOncologist, Toronto East General Hospital

Ian Bookman MD FRCPCGastroenterology, St. Joseph’s Hospital

Sergio Borgia MD FRCPCChief of Infection Prevention and Control, Infectious Disease, William Osler Health System

Paula Chidwick PhDEthicist, William Osler Health System

William Coke MDAssociate Professor, University of Toronto Director, UHN Hospital Medicine Program Vice Chair, OMA Section Hospital Medicine

Anthony D’Urzo MD MSc BPHE CCFP FCFPAssociate Professor, Department of Family and Community Medicine, University of Toronto

Jim Ducharme MD FRCPCChief Medical Officer and Senior Vice-President of AIM Health Group, Editor in Chief of the Canadian Journal of Emergency Medicine and Clinical Professor of Medicine at McMaster University

Edward Etchells MD FRCPCSunnybrook Health Sciences Centre, Associate Professor,Department of Medicine, University of Toronto, Director,Patient Safety Improvement Research, Centre for HealthServices Sciences (CHSS), Associate Director, Centre for Patient Safety, University of Toronto

Amir Ginzburg MD FRCPCGeneral Internist Hospitalist, Trillium Health Centre

Barry Goldist MD FRCPCDirector of Geriatric Medicine at the University of TorontoStaff Physician Mount Sinai Hospital and University Health Network

Jeff Greenwald MD FHMAssociate Professor of Medicine, Dept. of Medicine, Boston University School of Medicine; Boston Medical Center

Mark Handelman

Chris Hayes MSc MEd MD FRCPCDepartment of Critical Care/Departmentof Medicine St. Michael’s HospitalMedical Officer, Canadian Patient Safety Institute

Pieter Jugovic MD CCFPHospitalist, William Osler Health System, Assistant Professor, Dept of Family and Community Medicine, University of Toronto

Zel Krajden MD FRCSCChief of Plastic Surgery, William Osler Health System

Stephen LaHaye MD FRCPCStaff Cardiologist, Kingston General Hospital;Assistant Professor, Queen’s University Medical Director,PCCC Cardiac Rehabilitaion Center

Howard Leong-Poi MD FRCPCScientist, Keenan Research Centre, St. Michael’s HospitalAssociate Professor of Medicine, University of TorontoDirector, Echocardiography and Vascular Laboratory,Cardiology, St. Michael’s Hospital

Peter Liu MSc MD FRCPCPresident, International Society of Cardiomyopathyand Heart Failure, World Heart Federation Director,C-CHANGE Initiative, Professor of Medicine andPhysiology, University of Toronto, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network

Hitesh Mehta MD FRCPCNephrology, William Osler Health System

Janet Nuth MD CCFP (EM)Physician Risk Manager, Canadian Medical Protective Association; Associate Professor, University of Ottawa

Kunuk Rhee MD CCFP

Jas Sachdeva MD FRCPCNephrologist, William Osler Health System

Manoj Sayal MD FRCSCHamilton Health Sciences, General Site Oakville Trafalgar Site, Halton Healthcare Services St Joseph’s Healthcare System, Hamilton

Rod Tukker MD CCFPHospitalist, Vancouver General Hospital

Vandad Yousefi MD CCFPHospitalist, Lakeridge Health Corporation, Physician Lead, Quality and Safety, Lakeridge Health Corporation, Chair, Safety and Quality Committee, Canadian Society of Hospital Medicine Consultant, Hospitalist Consulting Solutions

Afshan Zahedi MD FRCPCAssistant Professor, Faculty of Medicine, University of Toronto, Medical Director, Thyroid Cancer Program,Women’s College Campus

2010 SPEAKERS

Location: Mt. Sinai Hospital, 600 University Ave. Level 2,Room 250, Toronto

Location: Toronto, Marriott Eaton Centre Room: Bay, Convention Level

08:15 Breakfast and Registration

9:00 Morning Session

Group A Procedures Stations: Central Line / Arterial Line, Paracentesis, Thoracentesis, Lumbar Puncture

Group B Airway/Simulation Stations

12:00 PM Lunch

13:00 PM Afternoon Session

Group A Airway/Simulation Stations

Group B Procedures Stations: Central Line / Arterial Line, Paracentesis, Thoracentesis, Lumbar Puncture

16:00 Conclusion

PROCEDURAL SKILLS LAB - FRIDAY SEPTEMBER 24TH, 2010

1ST ANNUAL SAFETY AND QUALITY PRE-CONFERENCE COURSE - SEPTEMBER 24TH 2010

TIME TOPIC TIME TOPIC

07:30 Registration/Breakfast

08:20 Opening Remarks: Vandad Yousefi

08:30 The Quality Improvement and Safety movement: Review of History and Introduction to Basic Principles Vandad Yousefi: Toronto, ON Learning Objectives: 1. Review the history and development of the quality and safety movement 2. Provide an overview of basic principles and methodologies of QI

09:10 Quality and Patient Safety: Are we not engaged? Chris Hayes: Toronto, ON Learning Objectives: 1. Understand the traditional medical model of health care delivery 2. Understand a physician’s perspective on safety and quality and potential barriers for engagement 3. Learn about strategies that physician and others can use to increase physician participation in safety and quality 09:50 Break

10:10 The Hospitalist’s Role in Improving the Quality of Care Transitions Jeff Greenwald: Boston, MA Learning Objectives: 1. Have a framework for considering the reasons patients have an unsuccessful transition out of the hospital 2. Be familiar with several successful tools for improving this transition 3. Recognize key principles in engaging colleagues on this topic

10:50 The BC VTE Collaborative: Learnings from a multicentre QI collaborative Rod Tukker: Vancouver, BC Learning objectives: 1. Create common goals: How to get buy in from multiple sites or multiple physicitans in from multiple sites or multiple physicians 2. Understand some of the challenges around data collection, and data collection tools 3. Identify and engage non-physician stakeholders: What you wished you had done in the beginning

11:30 Panel Discussion Moderator: Ritesh Mistry, All morning speakers

12:00 Lunch 13:30 Ontario Medical Association, Hospitalist Medicine Section Hospital Medicine in Ontario and the Central Role of QA Kunuk Rhee, Bill Coke Learning objectives: 1. Examine briefly the current status of Hospital Medicine Groups in Ontario 2. Review QA initiatives being implemented by the MOH, and the potential impact on Hospitalists 3. Explore resulting QA opportunities and challenges for Hospital Medicine 14:00 Keys to Successful Implementation Ed Etchells: Toronto, ON Learning Objectives: 1. Analyze factors associated with successful implementation of quality and safety improvements 2. Apply these factors to case studies 14:30 QI / Pt Safety Short Snappers and Implementation of a Catheter-Associated UTI Reduction Strategy Amir Ginzburg: Toronto, ON Learning objectives: 1. Develop a framework for selecting local quality improvement / patient safety initiatives 2. Sample a menu of hospitalist-ready initiatives ranging from “low hanging fruit” to long-term projects 3. Review a completed initiative from planning and implementation through sustainability and spread

15:30 Break

15:45 Computer Provider Order Entry: Ascending to New Heights & Crossing Thresholds into the Next Generation of Inpatient Care Pieter Jugovic : Toronto, ON Learning Objectives: 1. Understand the basics of the Who, What, Why, Where, When and Hows of implementing Computer Provider Order Entry to enhance the care of inpatients 2. Understand the barriers in implementing CPOE and appreciate their potential solutions 3. Discuss the potential benefits and possibilities that CPOE can deliver and understand where can CPOE bring hospitalism 16:15 Closing Remarks

16:30 Adjournment

OBJECTIVES FOR CSHM 2010 TOPICS BREAKOUT SESSIONS – SATURDAY SEPTEMBER 25

DAY AT A GLANCE – SATURDAY SEPTEMBER 25

ACUTE HEPATITISRationale: Elevations in liver enzymes are common, either in isolation or in conjunction with other systemic issues. Appropriate recognition andmanagement will lead to effective and cost‐efficient hospitalizationsObjectives: Approach to Transaminitis AST/ALT Evaluation of Bili, ALP, Amy with or without AST/ALT elevations The differential Diagnostic approach Rational use of U/S and CT abdo

ACUTE PANCREATITISRationale: Pancreatitis presents itself in various populations in the Hospitalsetting. Although manageable, the condition is very serious and has bothlocal and systemic complications as well as acute and chronic complications. A general knowledge of Pancreatitis is appropriate and vital for all Hospitalists.Objectives: Presentations Causes Local acute Complications Systemic acute Complications Chronic Complications Role of Risk calculators (Rankin etc…)

Management (Medical, dietary, interventional [e.g. drains], and surgical)

ONCOLOGIC EMERGENCIESRationale: Patients with Oncologic diagnoses, symptoms, and complicationsare often managed by Hospitalist. Recognition and knowledge of commoncancer or cancer‐related emergencies/urgencies allows for effective andtimely care.Objectives: Review of four to five common Oncologic emergencies, including risk factors, symptoms/signs, treatments Could include: Febrile Neutropenia, Tumor Lysis Syndrome, Compressive Syndromes, Para‐neoplastic syndromes, Chemotherapeutic/Radio therapeutic Reactions, etc….

TEN RULES FOR HOSPITALIZED SENIORSRationale: With a few exceptions, Hospital based physicians are treatingpatients in the Geriatric age range. All to often, these frail people are managed similarly to their younger counterparts. Pearls of wisdom from Geriatric specialist will create safer and more effective health

care for this growing populationObjectives: NOTE: Delirium will be discussed in another Talk Clinical and Management Pearls, including issues such as: Variation in disease presentation Multi‐factorial nature of their presentations Falls Risk in Hospital Decubitus ulcer risk Polypharmacy Mobility Decision Making

UPDATE ON AECOPDRationale: Acute Exacerbations of COPD are one of the most common admission diagnoses, and a leading cause of death. Keen recognition of what modalities are useful and effective in the hyperacute, acute, and chronic (i.e. upon discharge) can make for efficient use of the Hospital systemObjectives: Brief review of pathophys and signs/symptoms Review of acute pharmacologic management LABAs vs SABAs Nebs vs MDIs

Oxygen Therapy (Does it really shut off the drive to breath) Theophylline Oral vs IV vs Inhaled Steroids Role of NIPPV Review of evidence based chronic management (O2, Smoking cessation, role of LACA to reduce exacerbations)

Breakout SessionsINITIATING A QI PROJECT: BASED ON REAL WORLD EXAMPLEINTRODUCTION TO QUALITY IMPROVEMENT METHODS

ANTIBIOTIC RESISTANT ORGANISMSRationale: The prevalence of AROs are increasing not only in the Hospital setting but also in the community. MRSA and ESBL are common in the community setting. Suspicion, recognition and knowledge of appropriate treatment will lead to better utilization of antibiotics and healthcare resources.Objectives: Review of Current common AROs (HA‐MRSA, CA‐MRSA, ESBL, VRE, C.Diff etc…) Populations to suspect these organisms (for example, certain

TIMING GENERALINFORMATION

SALON A SALON B CRUSH SALON C SALON I SALON II SALON III SALON IV SALON V CARLTON

7:00-8:00Breakfast & Registration

8:00 - 8:10

8:10-9:00 Keynote

9:00 - 9:35 Plenary

9:35 - 10:10 Plenary

10:10-10:35

10:35 - 11:15 Plenary

11:15 - 11:55 Plenary

11:55 - 12:35 Plenary

12:35 - 13:40

13:45 - 14:45

BreakoutSessions

Acute Pain Management

Dr. Jim Ducharme

Introduction to QIM

Dr. Ed Etchells

Antibiotic Resistant

OrganismsDr. Sergio

Borgia

Inpatient Management

of Hyper-glycemiaDr. Afshan

Zahedi

Echocardio-graphy for the

HospitalistHoward

Leong-Poi

Risk ManagementDr. Janet Nuth

14:45 - 15:00

15:00 - 16:00

BreakoutSessions

Acute Pain Management

Dr. Jim Ducharme

Introduction to QIM

Dr. Ed Etchells

Antibiotic Resistant

OrganismsDr. Sergio

Borgia

Inpatient Management

of Hyper-glycemiaDr. Afshan

Zahedi

Echocardio-graphy for the

HospitalistHoward

Leong-Poi

Risk ManagementDr. Janet Nuth

16:15 - 17:15Meetings

CSHM Meeting

Town Hall

17:30 - 20:30 Gala Dinner

CONVENTION FLOOR SECOND FLOOR

Satellite Symposium:Afib and Coumadin Stroke Risk

Boehringer-Ingelheim

Welcome: Dr. Ritesh Mistry

Keynote Address: Dr. Joseph Li, President-Elect, Society of Hospital Medicine

Oncologic EmergenciesDr. James Bin

Acute HepatitisDr. Ian Bookman

Top Ten Rules for Hospitalized SeniorsDr. Barry Goldist

Acute PancreatitisDr. Ian Bookman

Update on AE/COPDDr. Anthony D’Urzo

Nutrition Break

Lunch

Nutrition Break

Gala Dinner and Keynote Speaker Roberta Bondar

TIMING GENERALINFORMATION SALON A SALON B CRUSH SALON C SALON I SALON II SALON III SALON IV SALON V CARLTON

7:00-8:00 Breakfast & Registration

8:20 - 8:30

8:30 - 9:10 Plenary

9:10 - 10:00 Plenary

10:00-10:20

10:20 - 11:00 Plenary 11:00 - 11:40 Plenary

11:40 - 12:20 Plenary

12:20 - 13:40Lunch

13:40 - 14:40BreakoutSessions

Update in Stroke

Initiating Quality

InitiativesDr. Vandad

Yousefi

Acute Surgical

Issues for the HospitalistDr. Manoj

Sayal

CHF UpdateDr. Peter Liu

Hypona-tremia and Hypotonic

FluidsDr. Jas

Sachdeva

Hypertensive Emergencies

and UrgenciesDr. Hitesh

Mehta

14:40 - 15:00

15:00 - 16:00BreakoutSessions

Update in Stroke

Initiating Quality

InitiativesDr. Vandad

Yousefi

Acute Surgical

Issues for the HospitalistDr. Manoj

Sayal

CHF UpdateDr. Peter Liu

Hypona-tremia and Hypotonic

FluidsDr. Jas

Sachdeva

Hypertensive Emergencies

and UrgenciesDr. Hitesh

Mehta

16:15 - 17:15 Adjournment

16:15 - 17:15

populations are at higher risk of CA‐MRSA) Precautions to take in hospital once identified Empiric management if suspecting one of these Organisms

INPATIENT MANAGEMENT OF HYPERGLYCEMIARationale: as the incidence and prevalence of Diabetes rises, the number of patients with hyperglycemia in hospital will rise as well. A rationale and evidence based approach to its management will lead to more effective and efficient care.Objectives: Review of hormones involved with glucose homeostasis Review of hormonal disturbance in acute illness, especially in diabetics Rationale for and against glucose control in various hospital settings (CCU, ICU, Stroke, MI, medical patients) Role of oral hypoglycemics in inpatient glucose control

Role of insulins in inpatient glucose control Appropriate role of Supplemental/ sliding scales

ECHOCARDIOGRAPHY FOR THE HOSPITALISTSRationale: Echocardiography is one of the most common test ordered by hospitalists. However, a better understanding of the technical issues, information gained from echo, and role of echo, will lead to a more cost‐effective utilization of this versatile resource.Objectives review of basic technical aspects of Echo (views of the heart, chambers seen, valves seen, flows, and limitations) – images would be nice review and roles of various types of echo: TTE, TEE, Stress echo Role of echo in various diseases (Diagnosis, followup): MI (acute, and post‐acute) Pericarditis CHF

Valvular disease Pulm HTN Infective Endocarditis

RISK MANAGEMENTRationale: Hospital Medicine is intrinsically risky form a medico‐legal standpoint: Changes happen quickly, SDMs/POAs are frequently not reachable, and multiple players are involved with various skill sets. A better understanding of the risks assumed by the Hospitalists, and knowing how to manage that risk, will lead to more comfort and, thus, more confidence in the workplace.Objectives Focus on points of contention unattached patients or those without good followup shared care or concurrent care corridor consults (which we all do!) the team approach: PT, OT, CCAC, Discharge‐Planning are often involved. Who carries the responsibility for their assessments and decisions and why. any new cases that have come light

that can shed some precedence on Hospital Medicine

ACUTE PAIN MANAGEMENTRationale: Acute pain is one of the most common symptoms faced by a Hospitalist. Pain can be the manifestation of cardiac, respiratory, neurologic, infectious and traumatic diseases. The effective management of pain in its acute setting can lead to better patient outcomes, improved patient satisfaction, and reduced misuse of analgesic medicationsObjectives: Review of common pathophysiology in acute pain Review the link between acute pain, chronic pain, depressive conditions and addiction medicine Review of common and novel analgesic modalities including indications and contraindications Appropriate application of analgesics in acute pain settings.

CONVENTION FLOOR SECOND FLOOR

Welcome: Dr. Ritesh Mistry

Update on Antiplatlets and Anticoagulants Dr. Stephen LaHaye

Wound Care Concepts Dr. Zel Krajden

Introduction to Patient Safety Dr. Chris Hayes

Capacity Assessment & Consent Mark Handelman, Dr. Paula Chidwick

IV Contrast Reactions Dr. Jas Sachdeva

Satellite Symposium (12:30 - 13:30): The Wealthy Doctor: Medical Incorporation,

Tax, and Estate Planning Investors Group

Nutrition Break

Nutrition Break

Closing Remarks

BREAKOUT SESSIONS – SATURDAY CONTINUED

DAY AT A GLANCE – SUNDAY SEPTEMBER 26

Satellite Symposium: Heparin Induced Thrombocytopenia

Pfizer

UPDATE IN ANTIPLATLETSAND ANTICOAGULANTSRationale: in the last 5 years, there has been some changes in the role of ASA inprimary and secondary disease prevention, as well as some changes in the role of dual antiplatlets. Also, new anticoagulants have arisen, both oral and subcutaneous. A better understanding of these roles will provide hospitalists an evidence based application of these modalities.Objectives: Primary prevention with ASA Secondary prevention with ASA Secondary prevention ASA+Plavix Primary stroke prevention in Afib with ASA+Plavix Role of Fondaparinux – evidence for which diseases Role of Dabigatran – evidence for with disease

PATIENT SAFETY (A PRIMER FOR HOSPITALIST)Rationale: Hospitalist are chiefly positioned in the Hospitals to be rolemodels, leaders, and even champions of Patient Safety. A basic understanding that allows the majority of Hospitalist to build further interest and information will go a great distance to advance the Patient Safety culture in Canada.Objectives: Review of some commonly used terms The Blunt‐end Focus Paradigm Statistics of Hospital errors and harm in Canada (CAVES) Comparison to Europe, US, Australia Introduction to Root Cause Analysis Introduction to Human Factors Engineering Introduction to Safer Healthcare Now Initiatives Introduction to SHM initiatives (BOOST for DVT)

WOUND CARE CONCEPTS FOR HOSPITALISTSRationale: As the hospital population becomes increasingly aged and acutelysick, wounds are ever increasing and, often, under‐recognized andundertreated. National systems are going to make wound care a benchmark issue, and even a pay‐for‐performance measure.

Objective: Pathophysiology: focus on pressure ulcers. Possibly some on arterial and venous Risk Factors for wounds, Medical milieu for wound healing Basic wound concepts (Tissue, infection, moisture, Edge) Staging of wounds Basic Concepts for which dressing classes to use for which stage Role of VAC Therapy

CAPACITY ASSESSMENTRationale: As our population ages, and the incidence of dementia rises, the capacity of our patients will come into question more often. Substitute decision makers will become more frequent. Appropriate evaluation of capacity will be key in the efficient and ethical care of hospitalized patients.Objectives: Components of Capacity Who should assess capacity When to assess capacity (?Only when patients decline interventions that we recommend?) Ranking of Substitute decision makers Patients rights when deemed Incapabale

IV CONTRAST REACTIONSRationale: IV Contrast, in various modalities, are common practice inHospital. As the number of patients exposed increase, so does the risk of adverse outcomes. The rationale use of such investigations will lead to safer, more effective, and more cost‐efficient healthcare.Objectives: Types of contrast in use (CT, MRI) Are some more harmful than others (regular CT contrast versus visipaque) What concerning conditions may arise post exposure ‐ Allergy, angioedema, SJS/TEN, anaphylaxis, Nephropathy, Gad induced Nephrogenic‐systemic Sclerosis Who is at risk What is the risk of reaction, what is the risk of morbidity and mortality if the condition develops What can be done to mitigate the risk (avoid contrast, IV NS, Bicarb, prednisone, etc...) and what is the evidence for these maneuvers.

Breakout SessionsINITIATING A QI PROJECT: BASED ON REAL WORLD EXAMPLEINTRODUCTION TO QUALITY IMPROVEMENT METHODS

ACUTE SURGICAL ISSUES FOR THE HOSPITALISTRationale: Surgical issues are commonly becoming the realm of Hospital Medicine. Not only are Hospitalist joining their surgical colleagues on the surgical floors, but more often, surgical disease are handled by Hospitalists before and after the surgical period (Obstructions, Gall stones, renal stones, severe pancreatitis, abscesses, wounds, hip fractures, urinary retention etc…)Objectives: Top 5 surgical emergencies arising in Hospitalized Medical patients How to recognize, manage, and when to know to call for help

CHF UPDATERationale: CHF is one the most common admitting diagnoses in Hospitals acrossCanada. It is also one of the most common reasons for frequent re‐admissions. As the population ages and the co‐morbidity rate increases, so will the prevalence of CHF, and the readmission rates. A better understanding to the approach to HF, both systolic and diastolic, diagnosis, management as well as prevention are will be the key to cost‐effective care in our hospitalsObjective: Review of the hormonal disturbances/unbalance in acute CHF Review of evidence based therapy – acute and chronic Anecdotal or evidence‐based tactics to prevent readmissions for CHF.

HYPONATREMIA AND FLUID MANAGEMENT IN HOSPITALRationale: Hyponatremia is arguably one of the most common lab abnormalitiesseen in acutely hospitalized patients. Although often under‐recognized, and undertreated, inappropriate correction can cause morbidity, especially given the rampant use of Hypotonic fluids in the hospitalsObjectives: Review of hormones involved in Sodium homeostasis

Review of how acute illness alters these hormones Review of how routinely prescribed medications perturb these hormones Brief review of Approach to Hyponatremia (Osmolality, volume assessement etc…) Review of management of Hyponatremia Evidence or theories leading away from routine use of hypotonic solutions like 2/3+1/3 or 1/2NS etc… Review of situations where Hypotonic solutions would be appropriate

HYPERTENSIVE EMERGENCIES AND URGENCIESRationale: Hypertension is very prevalent. Although crisis may not be common place, accurate labeling, treatment and workup will enhance patient care and would be cost‐effective.Objectives: Differentiation from other types of Hypertensive episodes (HELLP, Withdrawal from ETOH, Acute Retention etc….) Consequences if untreated/unrecognized Acute management IF THERE IS TIME: Differential, Work up and management of Secondary HTN

UPDATE ON STROKE AND TIARationale: in the last 5‐10 years, stroke management has radically changed.Hospitalists awareness of the active acute role in stroke is critical to its effective management and even prevention.

Objectives Brief review of tPA efficacy and expanded time window Plug for NIH stroke scale and how it plays into tPA decision Evidence for acute initiation of statins Evidence for ACEI/ARBs in secondary stroke prevention Plavix vs Aggrenox comparison in secondary stroke prevention Evidence for Stroke units Evidence for aggressive HTN control in non‐cardioembolic strokes

PLENARY SESSIONS – SUNDAY SEPTEMBER 26

HospitalistResident/ Fellow/ Nurse

Friday Sep 24th, 2010Skills Lab Quality Course

$699 CAD $349 CAD

GOLD

Registration

Fees (Gala Dinner included with purchase of both Sat. and Sun.)

Accreditation This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as ������ by the Maintenance of Certi�cation program of The Royal College of Physicians and Surgeons of Canada.

SupportersWe gratefully acknowledge our Supporters: �����������������������������������������

For Information Electronic SyllabusTo ensure and reduce the environmental impact of our meeting, all participants will be provided with an electronic syllabus accompanying the program.

Ontario College of Family Physicians340 University Street West Toronto, Ontario M5V 1X2

Ryan Morley - Project CoordinatorEmail: ryan@cfpc.ca

PLATINUM

BRONZE

SILVER

AccommodationA limited block of rooms is being held at the Toronto MarriottEaton Centre Hotel, 525 Bay Street, Toronto at the conferencerate of $199 CAD single/double occupancy plus taxes.

Reservations can be done:1) Telephone: 416.597.2200 or Toll-free: 1.800.905.0667Please refer to the Canadian Hospitalists Conferenceto obtain the group rate2) Online:http://www.marriott.com/hotels/travel/yyzec?groupCode=hlchlca&app=resvlink&fromDate=9/23/10&toDate=9/26/10 Group code: HLCHLCABook early to avoid disappointment!

Reservation cut-off date: , 2010

CancellationRefunds will not be issued for cancellations received afterSeptember 17, 2010.

A processing fee of $80 will be retained on all cancellations.����������������������������������������������������������������event of a cancellation.

Saturday Sep 25th and Sunday Sep 26th

- Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$599 CAD

$499 CAD

$699 CAD

$549 CAD

$749 CAD

$599 CAD

Daily Rate ( Sep 25th or Sep 26th ) - Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$369 CAD

$279 CAD

$379 CAD

$309 CAD

$389 CAD

$349 CAD

To register and pay by VISA or MasterCard online, please visit:http://www.knowledge4you.ca/chmc/reg_cepd.htmlRegistration by Fax or Mail, please contact the OCFP Office.Do not make travel arrangements until registrationconfirmation is received by e-mail.The early registration cut off date August 10, 2010

RICHIEGROUP

PRIVATE WEALTH MANAGEMENT

HospitalistResident/ Fellow/ Nurse

Friday Sep 24th, 2010Skills Lab Quality Course

$699 CAD $349 CAD

GOLD

Registration

Fees (Gala Dinner included with purchase of both Sat. and Sun.)

Accreditation This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as ������ by the Maintenance of Certi�cation program of The Royal College of Physicians and Surgeons of Canada.

SupportersWe gratefully acknowledge our Supporters: �����������������������������������������

For Information Electronic SyllabusTo ensure and reduce the environmental impact of our meeting, all participants will be provided with an electronic syllabus accompanying the program.

Ontario College of Family Physicians340 University Street West Toronto, Ontario M5V 1X2

Ryan Morley - Project CoordinatorEmail: ryan@cfpc.ca

PLATINUM

BRONZE

SILVER

AccommodationA limited block of rooms is being held at the Toronto MarriottEaton Centre Hotel, 525 Bay Street, Toronto at the conferencerate of $199 CAD single/double occupancy plus taxes.

Reservations can be done:1) Telephone: 416.597.2200 or Toll-free: 1.800.905.0667Please refer to the Canadian Hospitalists Conferenceto obtain the group rate2) Online:http://www.marriott.com/hotels/travel/yyzec?groupCode=hlchlca&app=resvlink&fromDate=9/23/10&toDate=9/26/10 Group code: HLCHLCABook early to avoid disappointment!

Reservation cut-off date: , 2010

CancellationRefunds will not be issued for cancellations received afterSeptember 17, 2010.

A processing fee of $80 will be retained on all cancellations.����������������������������������������������������������������event of a cancellation.

Saturday Sep 25th and Sunday Sep 26th

- Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$599 CAD

$499 CAD

$699 CAD

$549 CAD

$749 CAD

$599 CAD

Daily Rate ( Sep 25th or Sep 26th ) - Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$369 CAD

$279 CAD

$379 CAD

$309 CAD

$389 CAD

$349 CAD

To register and pay by VISA or MasterCard online, please visit:http://www.knowledge4you.ca/chmc/reg_cepd.htmlRegistration by Fax or Mail, please contact the OCFP Office.Do not make travel arrangements until registrationconfirmation is received by e-mail.The early registration cut off date August 10, 2010

RICHIEGROUP

PRIVATE WEALTH MANAGEMENT

HospitalistResident/ Fellow/ Nurse

Friday Sep 24th, 2010Skills Lab Quality Course

$699 CAD $349 CAD

GOLD

Registration

Fees (Gala Dinner included with purchase of both Sat. and Sun.)

Accreditation This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as ������ by the Maintenance of Certi�cation program of The Royal College of Physicians and Surgeons of Canada.

SupportersWe gratefully acknowledge our Supporters: �����������������������������������������

For Information Electronic SyllabusTo ensure and reduce the environmental impact of our meeting, all participants will be provided with an electronic syllabus accompanying the program.

Ontario College of Family Physicians340 University Street West Toronto, Ontario M5V 1X2

Ryan Morley - Project CoordinatorEmail: ryan@cfpc.ca

PLATINUM

BRONZE

SILVER

AccommodationA limited block of rooms is being held at the Toronto MarriottEaton Centre Hotel, 525 Bay Street, Toronto at the conferencerate of $199 CAD single/double occupancy plus taxes.

Reservations can be done:1) Telephone: 416.597.2200 or Toll-free: 1.800.905.0667Please refer to the Canadian Hospitalists Conferenceto obtain the group rate2) Online:http://www.marriott.com/hotels/travel/yyzec?groupCode=hlchlca&app=resvlink&fromDate=9/23/10&toDate=9/26/10 Group code: HLCHLCABook early to avoid disappointment!

Reservation cut-off date: , 2010

CancellationRefunds will not be issued for cancellations received afterSeptember 17, 2010.

A processing fee of $80 will be retained on all cancellations.����������������������������������������������������������������event of a cancellation.

Saturday Sep 25th and Sunday Sep 26th

- Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$599 CAD

$499 CAD

$699 CAD

$549 CAD

$749 CAD

$599 CAD

Daily Rate ( Sep 25th or Sep 26th ) - Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$369 CAD

$279 CAD

$379 CAD

$309 CAD

$389 CAD

$349 CAD

To register and pay by VISA or MasterCard online, please visit:http://www.knowledge4you.ca/chmc/reg_cepd.htmlRegistration by Fax or Mail, please contact the OCFP Office.Do not make travel arrangements until registrationconfirmation is received by e-mail.The early registration cut off date August 10, 2010

RICHIEGROUP

PRIVATE WEALTH MANAGEMENT

HospitalistResident/ Fellow/ Nurse

Friday Sep 24th, 2010Skills Lab Quality Course

$699 CAD $349 CAD

GOLD

Registration

Fees (Gala Dinner included with purchase of both Sat. and Sun.)

Accreditation This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as ������ by the Maintenance of Certi�cation program of The Royal College of Physicians and Surgeons of Canada.

SupportersWe gratefully acknowledge our Supporters: �����������������������������������������

For Information Electronic SyllabusTo ensure and reduce the environmental impact of our meeting, all participants will be provided with an electronic syllabus accompanying the program.

Ontario College of Family Physicians340 University Street West Toronto, Ontario M5V 1X2

Ryan Morley - Project CoordinatorEmail: ryan@cfpc.ca

PLATINUM

BRONZE

SILVER

AccommodationA limited block of rooms is being held at the Toronto MarriottEaton Centre Hotel, 525 Bay Street, Toronto at the conferencerate of $199 CAD single/double occupancy plus taxes.

Reservations can be done:1) Telephone: 416.597.2200 or Toll-free: 1.800.905.0667Please refer to the Canadian Hospitalists Conferenceto obtain the group rate2) Online:http://www.marriott.com/hotels/travel/yyzec?groupCode=hlchlca&app=resvlink&fromDate=9/23/10&toDate=9/26/10 Group code: HLCHLCABook early to avoid disappointment!

Reservation cut-off date: , 2010

CancellationRefunds will not be issued for cancellations received afterSeptember 17, 2010.

A processing fee of $80 will be retained on all cancellations.����������������������������������������������������������������event of a cancellation.

Saturday Sep 25th and Sunday Sep 26th

- Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$599 CAD

$499 CAD

$699 CAD

$549 CAD

$749 CAD

$599 CAD

Daily Rate ( Sep 25th or Sep 26th ) - Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$369 CAD

$279 CAD

$379 CAD

$309 CAD

$389 CAD

$349 CAD

To register and pay by VISA or MasterCard online, please visit:http://www.knowledge4you.ca/chmc/reg_cepd.htmlRegistration by Fax or Mail, please contact the OCFP Office.Do not make travel arrangements until registrationconfirmation is received by e-mail.The early registration cut off date August 10, 2010

RICHIEGROUP

PRIVATE WEALTH MANAGEMENT

HospitalistResident/ Fellow/ Nurse

Friday Sep 24th, 2010Skills Lab Quality Course

$699 CAD $349 CAD

GOLD

Registration

Fees (Gala Dinner included with purchase of both Sat. and Sun.)

Accreditation This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as ������ by the Maintenance of Certi�cation program of The Royal College of Physicians and Surgeons of Canada.

SupportersWe gratefully acknowledge our Supporters: �����������������������������������������

For Information Electronic SyllabusTo ensure and reduce the environmental impact of our meeting, all participants will be provided with an electronic syllabus accompanying the program.

Ontario College of Family Physicians340 University Street West Toronto, Ontario M5V 1X2

Ryan Morley - Project CoordinatorEmail: ryan@cfpc.ca

PLATINUM

BRONZE

SILVER

AccommodationA limited block of rooms is being held at the Toronto MarriottEaton Centre Hotel, 525 Bay Street, Toronto at the conferencerate of $199 CAD single/double occupancy plus taxes.

Reservations can be done:1) Telephone: 416.597.2200 or Toll-free: 1.800.905.0667Please refer to the Canadian Hospitalists Conferenceto obtain the group rate2) Online:http://www.marriott.com/hotels/travel/yyzec?groupCode=hlchlca&app=resvlink&fromDate=9/23/10&toDate=9/26/10 Group code: HLCHLCABook early to avoid disappointment!

Reservation cut-off date: , 2010

CancellationRefunds will not be issued for cancellations received afterSeptember 17, 2010.

A processing fee of $80 will be retained on all cancellations.����������������������������������������������������������������event of a cancellation.

Saturday Sep 25th and Sunday Sep 26th

- Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$599 CAD

$499 CAD

$699 CAD

$549 CAD

$749 CAD

$599 CAD

Daily Rate ( Sep 25th or Sep 26th ) - Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$369 CAD

$279 CAD

$379 CAD

$309 CAD

$389 CAD

$349 CAD

To register and pay by VISA or MasterCard online, please visit:http://www.knowledge4you.ca/chmc/reg_cepd.htmlRegistration by Fax or Mail, please contact the OCFP Office.Do not make travel arrangements until registrationconfirmation is received by e-mail.The early registration cut off date August 10, 2010

RICHIEGROUP

PRIVATE WEALTH MANAGEMENT

HospitalistResident/ Fellow/ Nurse

Friday Sep 24th, 2010Skills Lab Quality Course

$699 CAD $349 CAD

GOLD

Registration

Fees (Gala Dinner included with purchase of both Sat. and Sun.)

Accreditation This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as ������ by the Maintenance of Certi�cation program of The Royal College of Physicians and Surgeons of Canada.

SupportersWe gratefully acknowledge our Supporters: �����������������������������������������

For Information Electronic SyllabusTo ensure and reduce the environmental impact of our meeting, all participants will be provided with an electronic syllabus accompanying the program.

Ontario College of Family Physicians340 University Street West Toronto, Ontario M5V 1X2

Ryan Morley - Project CoordinatorEmail: ryan@cfpc.ca

PLATINUM

BRONZE

SILVER

AccommodationA limited block of rooms is being held at the Toronto MarriottEaton Centre Hotel, 525 Bay Street, Toronto at the conferencerate of $199 CAD single/double occupancy plus taxes.

Reservations can be done:1) Telephone: 416.597.2200 or Toll-free: 1.800.905.0667Please refer to the Canadian Hospitalists Conferenceto obtain the group rate2) Online:http://www.marriott.com/hotels/travel/yyzec?groupCode=hlchlca&app=resvlink&fromDate=9/23/10&toDate=9/26/10 Group code: HLCHLCABook early to avoid disappointment!

Reservation cut-off date: , 2010

CancellationRefunds will not be issued for cancellations received afterSeptember 17, 2010.

A processing fee of $80 will be retained on all cancellations.����������������������������������������������������������������event of a cancellation.

Saturday Sep 25th and Sunday Sep 26th

- Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$599 CAD

$499 CAD

$699 CAD

$549 CAD

$749 CAD

$599 CAD

Daily Rate ( Sep 25th or Sep 26th ) - Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$369 CAD

$279 CAD

$379 CAD

$309 CAD

$389 CAD

$349 CAD

To register and pay by VISA or MasterCard online, please visit:http://www.knowledge4you.ca/chmc/reg_cepd.htmlRegistration by Fax or Mail, please contact the OCFP Office.Do not make travel arrangements until registrationconfirmation is received by e-mail.The early registration cut off date August 10, 2010

RICHIEGROUP

PRIVATE WEALTH MANAGEMENT

HospitalistResident/ Fellow/ Nurse

Friday Sep 24th, 2010Skills Lab Quality Course

$699 CAD $349 CAD

GOLD

Registration

Fees (Gala Dinner included with purchase of both Sat. and Sun.)

Accreditation This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as ������ by the Maintenance of Certi�cation program of The Royal College of Physicians and Surgeons of Canada.

SupportersWe gratefully acknowledge our Supporters: �����������������������������������������

For Information Electronic SyllabusTo ensure and reduce the environmental impact of our meeting, all participants will be provided with an electronic syllabus accompanying the program.

Ontario College of Family Physicians340 University Street West Toronto, Ontario M5V 1X2

Ryan Morley - Project CoordinatorEmail: ryan@cfpc.ca

PLATINUM

BRONZE

SILVER

AccommodationA limited block of rooms is being held at the Toronto MarriottEaton Centre Hotel, 525 Bay Street, Toronto at the conferencerate of $199 CAD single/double occupancy plus taxes.

Reservations can be done:1) Telephone: 416.597.2200 or Toll-free: 1.800.905.0667Please refer to the Canadian Hospitalists Conferenceto obtain the group rate2) Online:http://www.marriott.com/hotels/travel/yyzec?groupCode=hlchlca&app=resvlink&fromDate=9/23/10&toDate=9/26/10 Group code: HLCHLCABook early to avoid disappointment!

Reservation cut-off date: , 2010

CancellationRefunds will not be issued for cancellations received afterSeptember 17, 2010.

A processing fee of $80 will be retained on all cancellations.����������������������������������������������������������������event of a cancellation.

Saturday Sep 25th and Sunday Sep 26th

- Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$599 CAD

$499 CAD

$699 CAD

$549 CAD

$749 CAD

$599 CAD

Daily Rate ( Sep 25th or Sep 26th ) - Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$369 CAD

$279 CAD

$379 CAD

$309 CAD

$389 CAD

$349 CAD

To register and pay by VISA or MasterCard online, please visit:http://www.knowledge4you.ca/chmc/reg_cepd.htmlRegistration by Fax or Mail, please contact the OCFP Office.Do not make travel arrangements until registrationconfirmation is received by e-mail.The early registration cut off date August 10, 2010

RICHIEGROUP

PRIVATE WEALTH MANAGEMENT

HospitalistResident/ Fellow/ Nurse

Friday Sep 24th, 2010Skills Lab Quality Course

$699 CAD $349 CAD

GOLD

Registration

Fees (Gala Dinner included with purchase of both Sat. and Sun.)

Accreditation This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as ������ by the Maintenance of Certi�cation program of The Royal College of Physicians and Surgeons of Canada.

SupportersWe gratefully acknowledge our Supporters: �����������������������������������������

For Information Electronic SyllabusTo ensure and reduce the environmental impact of our meeting, all participants will be provided with an electronic syllabus accompanying the program.

Ontario College of Family Physicians340 University Street West Toronto, Ontario M5V 1X2

Ryan Morley - Project CoordinatorEmail: ryan@cfpc.ca

PLATINUM

BRONZE

SILVER

AccommodationA limited block of rooms is being held at the Toronto MarriottEaton Centre Hotel, 525 Bay Street, Toronto at the conferencerate of $199 CAD single/double occupancy plus taxes.

Reservations can be done:1) Telephone: 416.597.2200 or Toll-free: 1.800.905.0667Please refer to the Canadian Hospitalists Conferenceto obtain the group rate2) Online:http://www.marriott.com/hotels/travel/yyzec?groupCode=hlchlca&app=resvlink&fromDate=9/23/10&toDate=9/26/10 Group code: HLCHLCABook early to avoid disappointment!

Reservation cut-off date: , 2010

CancellationRefunds will not be issued for cancellations received afterSeptember 17, 2010.

A processing fee of $80 will be retained on all cancellations.����������������������������������������������������������������event of a cancellation.

Saturday Sep 25th and Sunday Sep 26th

- Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$599 CAD

$499 CAD

$699 CAD

$549 CAD

$749 CAD

$599 CAD

Daily Rate ( Sep 25th or Sep 26th ) - Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$369 CAD

$279 CAD

$379 CAD

$309 CAD

$389 CAD

$349 CAD

To register and pay by VISA or MasterCard online, please visit:http://www.knowledge4you.ca/chmc/reg_cepd.htmlRegistration by Fax or Mail, please contact the OCFP Office.Do not make travel arrangements until registrationconfirmation is received by e-mail.The early registration cut off date August 10, 2010

RICHIEGROUP

PRIVATE WEALTH MANAGEMENT

HospitalistResident/ Fellow/ Nurse

Friday Sep 24th, 2010Skills Lab Quality Course

$699 CAD $349 CAD

GOLD

Registration

Fees (Gala Dinner included with purchase of both Sat. and Sun.)

Accreditation This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as ������ by the Maintenance of Certi�cation program of The Royal College of Physicians and Surgeons of Canada.

SupportersWe gratefully acknowledge our Supporters: �����������������������������������������

For Information Electronic SyllabusTo ensure and reduce the environmental impact of our meeting, all participants will be provided with an electronic syllabus accompanying the program.

Ontario College of Family Physicians340 University Street West Toronto, Ontario M5V 1X2

Ryan Morley - Project CoordinatorEmail: ryan@cfpc.ca

PLATINUM

BRONZE

SILVER

AccommodationA limited block of rooms is being held at the Toronto MarriottEaton Centre Hotel, 525 Bay Street, Toronto at the conferencerate of $199 CAD single/double occupancy plus taxes.

Reservations can be done:1) Telephone: 416.597.2200 or Toll-free: 1.800.905.0667Please refer to the Canadian Hospitalists Conferenceto obtain the group rate2) Online:http://www.marriott.com/hotels/travel/yyzec?groupCode=hlchlca&app=resvlink&fromDate=9/23/10&toDate=9/26/10 Group code: HLCHLCABook early to avoid disappointment!

Reservation cut-off date: , 2010

CancellationRefunds will not be issued for cancellations received afterSeptember 17, 2010.

A processing fee of $80 will be retained on all cancellations.����������������������������������������������������������������event of a cancellation.

Saturday Sep 25th and Sunday Sep 26th

- Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$599 CAD

$499 CAD

$699 CAD

$549 CAD

$749 CAD

$599 CAD

Daily Rate ( Sep 25th or Sep 26th ) - Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$369 CAD

$279 CAD

$379 CAD

$309 CAD

$389 CAD

$349 CAD

To register and pay by VISA or MasterCard online, please visit:http://www.knowledge4you.ca/chmc/reg_cepd.htmlRegistration by Fax or Mail, please contact the OCFP Office.Do not make travel arrangements until registrationconfirmation is received by e-mail.The early registration cut off date August 10, 2010

RICHIEGROUP

PRIVATE WEALTH MANAGEMENT

HospitalistResident/ Fellow/ Nurse

Friday Sep 24th, 2010Skills Lab Quality Course

$699 CAD $349 CAD

GOLD

Registration

Fees (Gala Dinner included with purchase of both Sat. and Sun.)

Accreditation This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as ������ by the Maintenance of Certi�cation program of The Royal College of Physicians and Surgeons of Canada.

SupportersWe gratefully acknowledge our Supporters: �����������������������������������������

For Information Electronic SyllabusTo ensure and reduce the environmental impact of our meeting, all participants will be provided with an electronic syllabus accompanying the program.

Ontario College of Family Physicians340 University Street West Toronto, Ontario M5V 1X2

Ryan Morley - Project CoordinatorEmail: ryan@cfpc.ca

PLATINUM

BRONZE

SILVER

AccommodationA limited block of rooms is being held at the Toronto MarriottEaton Centre Hotel, 525 Bay Street, Toronto at the conferencerate of $199 CAD single/double occupancy plus taxes.

Reservations can be done:1) Telephone: 416.597.2200 or Toll-free: 1.800.905.0667Please refer to the Canadian Hospitalists Conferenceto obtain the group rate2) Online:http://www.marriott.com/hotels/travel/yyzec?groupCode=hlchlca&app=resvlink&fromDate=9/23/10&toDate=9/26/10 Group code: HLCHLCABook early to avoid disappointment!

Reservation cut-off date: , 2010

CancellationRefunds will not be issued for cancellations received afterSeptember 17, 2010.

A processing fee of $80 will be retained on all cancellations.����������������������������������������������������������������event of a cancellation.

Saturday Sep 25th and Sunday Sep 26th

- Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$599 CAD

$499 CAD

$699 CAD

$549 CAD

$749 CAD

$599 CAD

Daily Rate ( Sep 25th or Sep 26th ) - Sep 17

Hospitalist

Resident/Fellow/ Nurse

Early Bird (before and on )

After Sep 17On-Site

$369 CAD

$279 CAD

$379 CAD

$309 CAD

$389 CAD

$349 CAD

To register and pay by VISA or MasterCard online, please visit:http://www.knowledge4you.ca/chmc/reg_cepd.htmlRegistration by Fax or Mail, please contact the OCFP Office.Do not make travel arrangements until registrationconfirmation is received by e-mail.The early registration cut off date August 10, 2010

RICHIEGROUP

PRIVATE WEALTH MANAGEMENT

IMPORTANT INFORMATION This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 18 Mainpro-M1 credits. This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada.

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