Inaugural Meeting

www.gpcme.co.nz/south

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Working for doctors in NZ for over 100 years

The New Zealand Medical Association (NZMA) through its General Practitioners Council is a strong advocate for GPs and General Practice. We advocate for urgent and effective solutions to the crisis in the GP workforce. We represent 600 general practices in the Primary Health Care MECA negotiations. Members have access to many NZMA advisory services, which can be utilised by the practice manager.

The NZMA also publishes the New Zealand Medical Journal (available at: www.nzma.org.nz/journal) and the NZMJ Digest (selected papers from the NZMJ).

Thank you for supporting your professional association - We look forward to representing and supporting you. www.nzma.org.nz 0800 656 161 Welcome

It is always a pleasure to join colleagues at conferences that are both Speakers educative and great fun. The NZMA GPCME conferences are always such Dr Robert Allison occasions and it is a real pleasure to welcome you to Christchurch for the Mr Brian Almand inaugural NZMA GPCME South meeting. Dr John Apps For some years we have had delegates attending the Rotorua conference Dr Adrian Balasingam telling us that they had been able to come to the conference only because Dr Alex Bartle one of their practice colleagues drew the short straw and had to cover the Mr Philip Bird patient load for the couple of days, and the weekend. Dr Jim Borowczyk Dr David Bowie This conference developed out of that feedback. Christchurch, a few Dr David Bratt months on, provides the ideal pay-off for those who had to stay behind Mr Andrew Carmody during the Rotorua event. This conference will provide the same style of Dr Peter Chapman-Smith short, sharp educational sessions and hands-on workshops that Rotorua Dr Daniel Ching is renowned for. Dr Richard Chisholm Dr Sean Every The other obvious advantage for many is the timing. Christchurch in Dr Richard Fisher winter! Hopefully many of you will have found a few extra days to enjoy Dr Peter Foley the Garden City or the nearby ski fi elds. The early season outlook is that Associate Professor Ed Gane Mt Hutt and the other Canterbury ski fi elds may have the best snow Mr John Glue conditions in the country this year. Dr Brendan Gray & Dr Tim Cookson Dr Katherine Grundy We are confi dent that this conference will complement the Rotorua event Dr David Hammer and expect it to become a regular feature of the General Practice calendar Dr Nigel Harrison in the years to come. RN Linda Hill For now please take advantage of the excellent academic and social Dr Shaun Holt programme, add a few of your own leisure time activities, and go back Associate Professor Gary Hooper to your practice energised and reinvigorated so that you can continue to Professor Hamid Ikram enjoy being a GP. Dr Rosemary Ikram Professor Peter Joyce Dr Ai Ling Tan Dr Ken Macdonald Dr Roland Meyer Dr Philip Parkin Dr Mark Peterson Dr Claude Preitner Mr Sanjeewa Samaraweera Dr Sara Souter Dr Ian St George Mark Peterson Dr Bruce Sutherland Chair Mr Tony Ward Dr Phil Weeks Dr Anton Wiles GP Council Ms Chris Wills NZMA Dr Heather Young Dr Rob Young

GOLD SPONSOR

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Reliever free days for most of the year. That’s freedom.1

By prescribing twice-daily Seretide® you can achieve and maintain asthma control* in most patients.1,2,3 What’s more, patients treated with Seretide in the GOAL study achieved a median of 87% reliever-free days over 1 year.1 So help improve your patients’ likelihood of achieving reliever free days for most of the year.1 Step them up to Seretide.

*The GOAL study examined whether guideline-defined control could be achieved in 3,416 patients with uncontrolled asthma. On Seretide, 41% of patients achieved total control and 71% achieved well controlled asthma for periods of 7 out of 8 weeks during the 1-year study. Total control was defined as experiencing none of the 7 listed symptoms for at least 7 out of 8 weeks. References: 1. Woodcock AA et al. Prim Care Respir J. 2007;16(3):155–161. 2. Bateman ED et al. Am J Respir Crit Care Med. 2004;170:836–844. 3. Bateman ED et al. Allergy. 2008;63:932–938. Seretide® (fluticasone propionate / salmeterol xinafoate inhaler 50/25, 125/25mcg per actuation and Accuhaler® 100/50, 250/50mcg per actuation) is a fully funded medicine; Special Authority criteria apply. Seretide 250/25mcg inhaler is a private purchase medicine; a prescription charge will apply. Prescription Medicine for the treatment of reversible obstructive airway disease (ROAD) including asthma, and for the treatment of chronic obstructive pulmonary disease (COPD). Warnings and Precautions: Not for relief of acute symptoms. Do not discontinue abruptly. Use care when co-administering strong CYP3A4 inhibitors (e.g. ketoconazole) or in patients with pulmonary tuberculosis or thyrotoxicosis. Common side effects: hoarseness/dysphonia, throat irritation, headache, oral candidiasis and palpitations. Paradoxical bronchospasm may occur. Avoid beta-blockers if possible. Before prescribing Seretide, please review the Abridged Product Information included within this booklet. Seretide and Accuhaler are registered trade marks of the GlaxoSmithKline group of companies. Marketed by GlaxoSmithKline NZ Limited, Auckland. TAPS DA 4210AH/10JL/148 Contents 1 EXHIBITION SECTION Map of Hotel Grand Chancellor & Holiday Inn City Centre...... 2 Map of Christchurch & useful contact numbers ...... 3 Exhibition Layout & Prizes ...... 4 Exhibitor Listing ...... 5 Exhibitors by Product/Service/Category ...... 6 Exhibition Competition ...... 7 GP CME South 2010 PROGRAMME Friday ...... 9 Saturday ...... 10 Practice Nurses Programme ...... 11 Medical Assurance Society Business Summit ...... 11 AMSNZ/CAA Meeting ...... 11 Sunday ...... 12 SPEAKERS BIOGRAPHIES AND SESSIONS Dr Robert Allison, Otolaryngologist, ENT Surgeon, Christchurch Public Hospital ...... 14 Mr Brian Almand, Pharmacist, HVDHB Hutt Hospital Pharmacy, Wellington ...... 14 Dr John Apps, General Practitioner, Westport ...... 15 Dr Adrian Balasingam, Radiologist, Christchurch Radiology Group, Christchurch ...... 15 Dr Alex Bartle, Director, Sleep Well Clinic, Auckland ...... 15 Mr Philip Bird, Otolaryngologist, Christchurch Public Hospital, Christchurch ...... 16 Dr Jim Borowczyk, Musculoskeletal Physician, Christchurch ...... 16 Dr David Bowie, Intensive Care Specialist, Specialist Anaesthetist, Canterbury DHB ...... 16 Dr David Bratt, Principal Health Advisor to the Ministry of Social Development ...... 16 Mr Andrew Carmody, Project Director, Medtech ...... 17 Dr Peter Chapman-Smith, Skin and Vein Clinic, Whangarei ...... 17 Dr Daniel Ching, Consultant Rheumatologist, Timaru Hospital ...... 17 Dr Richard Chisholm, Obstetric radiologist, Christchurch Women’s Hospital ...... 19 Dr Sean Every, Ophthalmologist & Vitreo-Retinal Surgeon, Christchurch Eye Department ...... 19 Dr Richard Fisher, Medical Director and Co-founder, Fertility Associates ...... 20 Dr Peter Foley, Chairman of the New Zealand Medical Association, Hawkes Bay ...... 20 Associate Professor Ed Gane, Hepatologist, Auckland City Hospital ...... 20 Mr John Glue, Business Advisor, Medical Assurance Society ...... 21 Dr Brendan Gray & Dr Tim Cookson, Medical Protection Society ...... 21 Dr Katherine Grundy, Clinical Director, Christchurch Hospital Palliative Care Service ...... 22 Dr David Hammer, Clinical Microbiologist, MedlabSouth ...... 22 Dr Nigel Harrison, Consultant Physician and Head of Cardiology, Whangarei Hospital ...... 24 RN Linda Hill, Registered Nurse and Regional Immunisation Advisor, South Island for the Immunisation Advisory Centre ...... 24 Dr Shaun Holt, Research Review, Tauranga ...... 24 A/Professor Gary Hooper, Associate Professor and Head of Department, Christchurch School of Medicine and Health Sciences ...... 25 Professor Hamid Ikram, Clinical Professor of Medicine, University of Otago, and Consultant Cardiologist, Christchurch ...... 25 Dr Rosemary Ikram, Clinical Microbiologist, MedlabSouth ...... 27 Professor Peter Joyce, Dean of the University of Otago, Christchurch ...... 27 Dr Ai Ling Tan, Gynaecological Oncologist at, ADHB and Ascot Central Women’s Clinic, Auckland ...... 27 Dr Ken Macdonald, Dermatologist, Dermatologic Surgeon, Christchurch ...... 28 Dr Roland Meyer, Respiratory Physician, Southern DHB, Southland Hospital ...... 28 Dr Philip Parkin, Consultant Neurologist, Christchurch Hospital, Christchurch ...... 29 Dr Mark Peterson, Chair NZMA GP Council, Napier ...... 29 Dr Claude Preitner, Senior Medical Offi cer, Civil Aviation Authority of NZ ...... 29 Mr Sanjeewa Samaraweera, Managing Director, Medtech ...... 29 Dr Sara Souter, Occupational Medicine Specialist, Christchurch ...... 30 Dr Ian St George, General Practitioner, Medical Director, McKesson New Zealand, Wellington ...... 30 Dr Bruce Sutherland, General Practitioner, Warkworth...... 30 Mr Tony Ward, Senior Helicopter Crewman, Advanced Paramedic/RN, Christchurch ...... 33 Dr Phil Weeks, Director of Ultrasound, Middlemore Hospital, Auckland ...... 33 Dr Anton Wiles, General Practitioner, Auckland ...... 33 Ms Chris Wills, Business Advisor, Medical Assurance Society ...... 34 Dr Heather Young, Sexual Health Physician,Christchurch Sexual Health Clinic, Christchurch Hospital ...... 34 Dr Rob Young, General Physician, Associate Professor of Medicine and Molecular Genetics ...... 34 ABSTRACTS Friday ...... 37-54 Saturday ...... 55-64 Medical Assurance Society Business Summit ...... 66-67 Practice Nurses Programme ...... 68-72 Sunday ...... 74-82 ADDITIONAL DETAILS Delegate Listings - Alphabetical ...... 84-87 Delegate Listings - Regional ...... 88-91 GP CME South Certifi cate of Attendance / Credit Claim Form ...... 93 Practice Nurses Attendance Certifi cate ...... 95 Conference Evaluation Questionnaire ...... 97 Sponsors/Exhibitors ...... Back Cover 2 Hotel Layouts

Hotel Grand Chancellor Layout 161 Cashel Street

Chancellor 5

Chancellor 1

WELL CHCH AKLD

Level 14

Holiday Inn Rooms Layout 172 Cashel Street

LichfiLichfield eld Room SalisburySalisbury Room

Level 1 Level 2

GloucesterGloucester

Level 11

Worcester Function Bar Ballroom 2 Ballroom 1

Manchester

Windows Level 2

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Map & Contact Numbers 3

Christchurch Map

Useful Contact Numbers

Conference Matters ...... 021 164 3815 Unichem Murray’s Chemist ...... 03 366 6816

Hotel Grand Chancellor ...... 03 379 2999 Tiffany’s (Fine Dining) ...... 03 379 1350 Holiday Inn City Centre ...... 07 348 1174 95 Oxford Terrace Hotel So ...... 07 348 1179 Curators House Restaurant (Fine Dining) .....03 379 2252 Peek Displays ...... 021 849 969 7 Rolleston Avenue Shipleys ...... 07 343 6164 Palazzo Del Marinaio Seafood Restaurant .....03 365 4640 Taxi/Shuttle 108 Hereford St Regency Cabs ...... 0800 357 8008 Green Cabs ...... 0508 447 336 Octagon Restaurant (Live Jazz) ...... 03 366 6171 Super Shuttle ...... 03 357 9950 124 Worcester St

Christchurch Airport ...... 03 358 5029 Sticky Fingers Restaurant & Bar ...... 03 366 6451 Air New Zealand ...... 0800 737 000 Clarendon Tower, Oxford Terrace Jetstar ...... 0800 800 995 Pacifi c Blue ...... 0800 67 0000 Dux de Lux (Vegetarian) ...... 03 366 6919 Qantas ...... 0800 808 767 Cnr Hereford & Montreal Streets

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 4 Exhibition Layout & Prizes

Exhibition Layout

FH 49 Registration

47 48 4546

1234567 34 35 36 37 38

8 39 21 22 23 24 25 26 27 28 29 9 20 19 161718 30 31 32 33 40 10

41

11 12 13 14 15 44 43 42

1...... New Zealand Medical Association 19...... Novartis 35...... Medtech 2...... Healthline 20...... Medical Assurance Society 36...... MedicAlert 3...... Norgine 21...... Repromed 37-38 ..Sanofi -Aventis 4...... Pharmaco Healthcare 22...... OBEX 39-40 ..Douglas Pharmaceuticals 6-5 ...... Mundipharma 23...... Konnect Net Ltd 41...... New Zealand Medical & Scientifi c 7...... Roche Diagnostics 24-25 ..Boehringer Ingelheim 43-42 ..Roche Products 8-10 ....GlaxoSmithKline 26-27 ..Eli Lilly 44...... W M Bamford 11-12 ..Primary Health Care 28-29 ..St John 45...... Ministry of Social Development 13-14 ..AstraZeneca 30...... CSL Biotherapies 46...... ACC 15...... Aspen Pharmacare 31...... NZ Doctor/MIMS 47-48 ..MSD 16...... Bayer NZ 32...... Zone Medical 49...... Abbott Laboratories 17...... Univertsity of Otago 33...... Fertility Associates 18...... BDM Grange 34...... Heinz Nurture Exhibitor Prizes

Exhibitor Prize Details

Abbott Laboratories Answer three questions at our stand and go in the draw to win a food/goodies basket 49

Boehringer Ingelheim We will be offering the chance to win one of three 8GB USBs at our stand 24 - 25

Visit our stand to enter the draw to win an Adscope™ 657 valued at over $400 – this is the next generation in electronic stethoscopy. You will have to answer 3 simple questions to CSL Biotherapies enter the draw. 30

Eli Lilly Our quiz prize is a 3M Littmann Master Cardiology III Stethoscope. 26 - 27

be in the draw to win a gorgeous life-size soft kakapo family – dad, mum and chick – made right here in New Zealand. Pick up your share of 10,000 jelly beans plus a supply of their Fertility Associates sought-after Biological Clocks. 33

GlaxoSmithKline Our quiz prize is a 3M Littmann Master Cardiology Stethoscope. 8 - 10

Konnect Visit our stand to enter the draw to win an 8GB iPod touch 23

Medical Assurance We are doing a prize draw and giving away a prize (choice of travel voucher or gift hamper valued at $200) 20 Society Medtech Stand: iPod Nano Medtech Each Medtech Workshop: iPod Shuffl e 35

Novartis Visit our stand to be in the draw to win one of two “Medical Book Vouchers” valued at $ 100 each. 19

NZMA “Guess the number of Macintoshes” competition, where the winner gets the jar of lollies and a magnum of Whitehaven wine. 1

Norgine Norgine are offering a NZ$300 Education Gift Certifi cate to contribute to future Conference Sponsorship, Education or Education Support Materials 3

MSD 2 Ultrascope Stethoscopes and 2 Merck Manuals as prizes on our stand. 47

Roche Our prizes are two bundles each containing - A Welch Allyn Braun Thermoscan Pro 4000 & Littmann Classic II Stethoscope. 7

St John Visit our stand to enter the draw to win an iPhone 3G as our prize 28 - 29

Roche Products We have two prize bundles each containing: A Welch Allyn Braun Thermoscan Pro 4000 & Littmann Classic II Stethoscope. 42 - 43

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Exhibition Listing 5

Exhibitor Listing - Alphabetical

Abbott Laboratories ...... 49 Healthline ...... 2 Novartis NZ Ltd ...... 19 David Barrett Lesley Clarke Mrs Carol Henry Craig Burnet Janet Harp Karen Butler NZ Doctor/MIMS ...... 31 Kathryn Bennett Heinz Nurture ...... 34 Mr Colin Abercrombie Tony Clarkson Susan Dargue Rhonda Jackson Richard Lambie Dawn Rennell Mr Paul Taylor

ACC ...... 46 Konnect Net Ltd ...... 23 Obex Medical ...... 22 Moya Field Hamish McLachlan Jane Young Mr Peter Swift Melissa Aubroeck Tracey Cridlin

Aspen Pharmacare ...... 15 Medical Assurance Society ...... 20 Pharmaco Healthcare ...... 4 Wayne Smith Fiona Mines David Pavey Shirley Williamson Carolyn Leatherby Leigh Wotherspoon Primary Health Care Ltd ...... 11-12 AstraZeneca New Zealand ..13, 14 Dan Pryce David Brown Tanya Coombes Chris Toy Lisa Williamson Colin McDougall Repromed ...... 21 Robin Janata Simon Parker Greg Phillipson Kathryn Patrick MedicAlert. Foundation- Roche Diagnostics ...... 7 Bayer Healthcare ...... 16 New Zealand Inc...... 36 Lisette Jacob Andrea Carter Mr Murray Lord Niki Nelson Shelley Clark Mrs Chaithra Prashanth Tina McCullough Roche Products (NZ) Ltd ..... 42, 43 Medtech ...... 35 Heide Anderson BDM Grange ...... 18 Sanjeewa Samaraweera Nick Uys Susan Pace Andrew Carmody Fiona Stackpole Phillipa Little Sanofi -Aventis NZ Ltd ...... 37, 38 Beth Dillon Grant Browne Boehringer Ingelheim ...... 24, 25 Aki Lee Sharee Magill Mr Tony Davison Sean O’Flaherty Rosie Ford Ministry of Social Sheryl Hume Development ...... 45 St John ...... 28, 29 David Bratt Terry Salmon CSL Biotherapies ...... 30 William Hughes Janine Holt MSD ...... 47, 48 Malcolm Kendall Claire Jackson Michelle Thomson Janette Martin Yvonne McConnell University of Otago ...... 17 Leigh Gray Anita Fogarty Douglas Pharmaceuticals ....39, 40 Brian Booth Conrad Delvo Dion Townsend W M Bamford ...... 44 Gail Durry Mr Alaister Bamford Penny Fisher Mundipharma ...... 5, 6 Cathy Churnside Pippa Newstead Craig Dagger Wayne Titmus Debora-Dale Young Geraldean Farquhar Stephanie Fitzgibbon Zone Medical ...... 32 Eli Lilly ...... 26, 27 Mr Andrew Cox Sally Cassell New Zealand Medical Mr Dean Jamieson Christina Thomsen & Scientifi c ...... 41 Jacqui Burgess Neil Hannard Fertility Associates ...... 33 Jo Henderson Linley Joplin New Zealand Medical GlaxoSmithKline ...... 8-10 Association ...... 1 Teresa Blampied Falyn Edlin Brad Dry Mr Cameron McIver Elly Grant Anna Phipps Linda Leydon Meg Lodge Norgine ...... 3 Praveen Nalam Mr Peter Scott Jayde Stevenson

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 6 Companies By Product

ADHD Education Ophthalmology 19 - Novartis 1 - New Zealand Medical Association 15 - Aspen Pharmacare 2 - Healthline 44 - W M Bamford Advisory Services 17 - Univertsity of Otago 1 - New Zealand Medical Association 28-29 - St John Osteoporosis 20 - Medical Assurance Society 47 - MSD Electromedical Equipment Allergy 28-29 - St John Pain Management 47 - MSD 32 - Zone Medical 39-40 - Douglas Pharmaceuticals 36 - MedicAlert 47 - MSD Appearance Medicine 48 - Abbott Laboratories 48 - Abbott Laboratories Erectile Dysfunction 16 - Bayer NZ Political Advocacy Arthritis 26-27 - Eli Lilly 1 - New Zealand Medical Association 39-40 - Douglas Pharmaceuticals 47 - MSD Fertility Practice Management Software 48 - Abbott Laboratories 33 - Fertility Associates 35 - Medtech

Asthma & COPD Financial Services Pulse Oximetry 8-10 - GlaxoSmithKline 20 - Medical Assurance Society 32 - Zone Medical 24-25 - Boehringer Ingelheim Government Recruitment/Locum Work Blood Pressure 45 - Ministry of Social Development 1 - New Zealand Medical Association 32 - Zone Medical 46 - ACC 11-12 - Primary Health Care 44 - W M Bamford 47 - MSD Health Advice Representation 2 - Healthline 1 - New Zealand Medical Association Books 47 - MSD Hypertension Resuscitation 47 - MSD 28-29 - St John Books/Medical Information 32 - Zone Medical 28-29 - St John Immunisations/Vaccines 30 - CSL Biotherapies Skincare Cardiovascular 47 - MSD 18 - BDM Grange 13-14 - AstraZeneca 15 - Aspen Pharmacare Incontinence Spirometry 32 - Zone Medical 30 - CSL Biotherapies 32 - Zone Medical 47 - MSD Infant Nutrition Supplements Compression Hosiery 34 - Heinz Nurture 15 - Aspen Pharmacare 22 - OBEX 39-40 - Douglas Pharmaceuticals Infection Control 48 - Abbott Laboratories Constipation 32 - Zone Medical 3 - Norgine Triage Infertility 2 - Healthline Depression 21 - Repromed 15 - Aspen Pharmacare 33 - Fertility Associates Women’s Health 47 - MSD 16 - Bayer NZ Insurance 21 - Repromed Dermatology 20 - Medical Assurance Society 30 - CSL Biotherapies 30 - CSL Biotherapies 23 - Konnect Net Ltd 47 - MSD 32 - Zone Medical 46 - ACC 48 - Abbott Laboratories 39-40 - Douglas Pharmaceuticals 44 - W M Bamford Melanoma Wound Care 41 - New Zealand Medical & Scientifi c 15 - Aspen Pharmacare Diabetes 44 - W M Bamford 22 - OBEX 4 - Pharmaco Healthcare 7 - Roche Diagnostics Movement Disorders (Parkinsons) 26-27 - Eli Lilly 15 - Aspen Pharmacare 47 - MSD 48 - Abbott Laboratories Nutrition 16 - Bayer NZ Diagnostics 34 - Heinz Nurture 32 - Zone Medical 41 - New Zealand Medical & Scientifi c Obesity 44 - W M Bamford 39-40 - Douglas Pharmaceuticals 48 - Abbott Laboratories

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Exhibition Competition 7

Main Exhibition Prize

To encourage interaction between delegates and the exhibition participants* we run a exhibition competition. This meeting’s competition is a sudoku style competition - Medoku by AnneMarie Tangney, republished with permission of New Zealand Doctor. Visit each of the exhibition participants* and pick up a coloured sticker letter from each to complete the sudoku puzzle. Hidden in the grid is a medical word. To solve the puzzle each of the letters must appear in every 3x3 grid as well as in each line (horizontal and vertical). Find the hidden medical word in the puzzle and go into the draw to win travel to Rarotonga and Aitutaki. The prize for the competition is NZD$1,000 towards air travel to Rarotonga. Air Rarotonga will provide 2 airport transfers in Rarotonga & Aitutaki, 2 return airfares to Aitutaki and 3 nights accommodation staying at Tamanu Beach Hotel. The winner will be drawn from correct entries on Fri 13 August and will be notifi ed directly.

* Please note: AstraZeneca are not participating in the Poetry Competition due to RMI Code of Ethics.

1...... New Zealand Medical Association 1 2 3 4 5 6 2...... Healthline 3...... Norgine 4...... Pharmaco Healthcare 6-5 ...... Mundipharma 7 8 9 10 11 12 7...... Roche Diagnostics 8-10 ...... GlaxoSmithKline 11-12 ..... Primary Health Care 13-14 ..... AstraZeneca 13 14 15 16 17 15...... Aspen Pharmacare 16...... Bayer NZ 17...... Univertsity of Otago 18...... BDM Grange 18 19 20 21 22 23 24 19...... Novartis 20...... Medical Assurance Society 21...... Repromed 22...... OBEX 25 26 27 28 29 30 23...... Konnect Net Ltd 24-25 ..... Boehringer Ingelheim 26-27 ..... Eli Lilly 28-29 ..... St John 31 32 33 34 35 36 37 30...... CSL Biotherapies 31...... NZ Doctor/MIMS 32...... Zone Medical 33...... Fertility Associates 38 39 40 41 42 34...... Heinz Nurture 35...... Medtech 36...... MedicAlert 37-38 ..... Sanofi -Aventis 43 44 45 46 47 48 39-40 ..... Douglas Pharmaceuticals 41...... New Zealand Medical & Scientifi c 43-42 ..... Roche Products 44...... W M Bamford 49 45...... Ministry of Social Development 46...... ACC 47-48 ..... MSD 49...... Abbott Laboratories Tear along dotted Line Tear

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 8

Abbott is a global, broad-based healthcare company devoted to discovering new medicines, new technologies and new ways to manage health. Our diverse family of pharmaceutical, medical and nutritional products include a broad range of specialised medicines; medical diagnostic instruments and tests; minimally invasive surgical devices; a spectrum of nutritional supplements for infants, children and adults and products for veterinary care. Our comprehensive line of products encircles life itself - addressing important health needs from infancy to the golden years. Our Products At this year’s GP CME Conference we will be showcasing five product lines:

WEIGHT LOSS MANAGEMENT NUTRITIONALN PRODUCTS

Ensure Pedialyte® ® TwoCal® HN Plus DIABETES Optium Xceed and FreeStyle Lite Blood Glucose Meters, Optium Blood Ketone Testing

PAIN / ARTHRITIS IRON SUPPLEMENT FERROGRAD® C

A Promise for Life Friday 6th August 9

Friday 6th August Main Conference 0700-0755 Breakfast Session - Manage My Health Chancellor 1 Sanjeewa Samaraweera 0700-1700 Registration Chair: Peter Chapman Smith 0800-0805 Welcome Address Chairman NZMA GP Council Chancellor 1 Mark Peterson 0805-0830 Heart Failure Revisited Hamid Ikram 0830-0855 Management Options for Skin Cancer Ken Macdonald 0855-0920 Issues in Fertility Richard Fisher 0920-0945 Optimal Breast Cancer Screening Richard Chisholm 0945-1010 Is it really epilepsy? Phil Parkin 1010-1030 Discussion 1030-1100 MORNING TEA & EXHIBITION Concurrent Sessions (55mins) WS1 WS2 WS3 WS5 WS6 WS7 WS8 Ballroom 2 Chancellor 5 Chancellor 1 Wellington Auckland Ballroom 1 Christchurch How to.. How to .. How to .. How to.. How to.. How to .. Medtech User WS 4 is 1100-1155 Interpret ECGs Fracture Assessing the Trigger Point Smoking Spirometry Group rescheduled to Management Dizzy and Deaf Needling Cessation run at 12:05pm ONLY Hamid Ikram Garry Hooper Philip Bird John Apps Rob Young Roland Meyer Andrew Carmody Concurrent Sessions (55mins) WS9 WS10 WS11 WS12 WS13 WS14 WS15 WS16 Ballroom 2 Chancellor 5 Chancellor 1 Lichfi eld Wellington Auckland Ballroom 1 Christchurch How to.. How to .. How to .. Why are Patients How to.. How to.. How to .. Medtech User 1205-1300 Interpret ECGs Fracture Assessing the Better off at Trigger Point Smoking Spirometry Group Management Dizzy and Deaf Work Needling Cessation

Hamid Ikram Garry Hooper Philip Bird ACC Speaker John Apps Rob Young Roland Meyer Andrew Carmody 1300-1400 LUNCH & EXHIBITION Main Session WS 17 WS 18 WS 19 WS 20 WS 21 WS 22 Chair: Mark Peterson Ballroom 2 Ballroom 1 Auckland Chancellor 5 Wellington Christchurch Chancellor 1 Healthline: 10 years of new Bipolar Disorders Why won’t my Can I go back to Pearls of Appropriate use How Statins 1400-1425 1o Care Service and Depression child sleep? work Doc? Neurology of Antibiotics Improve Lung Disease Ian St George Peter Joyce Alex Bartle Sara Souter Phil Parkin Rosemary Ikram Rob Young Hypertenstion and Vitamin D 1425-1450 WS 23 WS 24 WS 25 WS 26 WS 27 WS 28 Nigel Harrison Ballroom 2 Ballroom 1 Auckland Chancellor 5 Wellington Christchurch New Ideas for an Old Problem: OA How Statins Knees Bipolar Disorders Why won’t my Can I go back to Pearls of Appropriate use 1450-1515 Improve Lung and Depression child sleep? work Doc? Neurology of Antibiotics Gary Hooper Disease Ready Steady Crook Peter Joyce Alex Bartle Sara Souter Phil Parkin Rosemary Ikram 1515-1540 Rob Young David Bratt 1540-1600 Discussion 1600-1630 AFTERNOON TEA & EXHIBITION Main Session Chancellor 1 Chair: Sandra Hicks WS 29: 1630-1730 Chancellor 5 1630-1650 Pre Hospital Care for Trauma David Bowie Musculoskeletal Medicine Workshop 1650-1710 Cardiac Emergencies Hamid Ikram Jim Borowczyk 1710-1730 Road v Fixed Wing v Rotary Wing Response Tony Ward WS 30: 1730-1830 Chancellor 5 1730-1750 Skiing Injuries Gary Hooper Musculoskeletal Medicine Workshop 1750-1800 Discussion Jim Borowczyk 1830-1930 Medical Protection Society & Medical Assurance Society Welcome Cocktail Function - Exhibition Room 1930-2030 Eli Lilly Symposium - Dr Clive Low “Men, their hearts and private parts” Chancellor 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 10 Saturday 7th August

Saturday 7th August Main Conference 0700-1700 Registration 0700-0800 NZMA Breakfast Session - Interactive Session on GP Advocacy Chancellor 1 Chair: Peter Foley Main Session Chancellor 1 Chair: John Bulow 0800-0830 Microbiology in Infectious Disease Rosemary Ikram CONCURRENT PROGRAMMES 0830-0855 Infl uenza Rob Young MAS SUMMIT AMSNZ / CAA Nurses Programme 0855-0920 Travel Medicine: Not Just Bugs David Hammer Holiday Inn Holiday Inn Holiday Inn (Level 11) (Level 1) (Level 2) 0920-0945 Sexual Health Heather Young Refer next page Refer next page Refer next page 0945-1010 Epidemics Rosemary Ikram 0830-1300 0830-1700 0800-1730 1010-1030 Discussion Gloucester Lichfi eld Ballroom 2 1030-1100 MORNING TEA & EXHIBITION Concurrent Sessions (55mins) WS32 WS33 WS34 WS35 WS36 WS37 WS38 Chancellor 5 Wellington Auckland Salisbury Chancellor 1 Christchurch Ballroom 1

1100-1155 Travel Medicine Breast Cancer Performing Cardiac Case Lumps & Bumps in Guidelines v EBM: So What if Your Case Studies Diagnosis Vasectomies Studies the Head & Neck Respiratory Case Patient Happens Studies to Fly David Hammer Richard Chisholm Bruce Sutherland Nigel Harrison Robert Allison & John Apps Roland Meyer Claude Preitner Concurrent Sessions (55mins) WS39 WS40 WS41 WS42 WS43 WS44 WS45 Chancellor 5 Wellington Auckland Salisbury Chancellor 1 Christchurch Ballroom 1

1205-1300 Travel Medicine Breast Cancer Performing Cardiac Case Lumps & Bumps in Guidelines v EBM: So What if Your Case Studies Diagnosis Vasectomies Studies the Head & Neck Respiratory Case Patient Happens Studies to Fly David Hammer Richard Chisholm Bruce Sutherland Nigel Harrison Robert Allison & John Apps Roland Meyer Claude Preitner 1300-1400 LUNCH & EXHIBITION Concurrent Sessions (55mins) WS46 WS47 WS48 WS49 WS50 WS51 WS52 Christchurch Auckland Salisbury Chancellor 1 Chancellor 5 Ballroom 1 Wellington A Prescribers Guide Palliative Care Medtech User Case Studies in Eye Case Studies Hypertension 1400-1455 to the Galaxy as a Team Group Common GP Skin Conditions Sean Every Hamid Ikram Brian Almand Katherine Grundy Andrew Carmody Ken Macdonald Concurrent Sessions (55mins) Hands on Ultrasound in GP WS53 WS54 WS55 WS56 WS57 WS58 120 mins Christchurch Auckland Salisbury Chancellor 1 Chancellor 5 Ballroom 1 Phil Weeks 1505-1600 A Prescribers Guide Palliative Care Medtech User Case Studies in Eye Case Studies Hypertension to the Galaxy as a Team Group Common GP Skin Conditions Sean Every Hamid Ikram Brian Almand Katherine Grundy Andrew Carmody Ken Macdonald 1600-1630 AFTERNOON TEA & EXHIBITION Main Session Chancellor 1 Brendan Gray, 1630-1730 Medical Protection Society - Hot Issues: What’s New in the Medicolegal Workplace Tim Cookson 1900-2400 CONFERENCE DINNER Chancellor 1 1900-1930 Pre dinner drinks 1930-1940 Welcome Speeches 2010-2110 Guest Speaker 2115-2300 Dance to band 2300-2400 Bledisloe Cup Rugby Replay from 11:00pm

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Saturday 7th August 11

Saturday 7th August Practice Nurses Programme 0700-1700 Registration 0700-0800 NZMA Breakfast Session - Interactive Session on GP Advocacy Chancellor 1 Chair: Peter Foley MAIN PLENARY SESSSION (with GPs) Main Session Chancellor 1 0800-1030 Refer Saturday GP Programme 1030-1100 MORNING TEA & EXHIBITION PRACTICE NURSES ONLY Ballroom 2 Holiday Inn Level 2 1100-1125 Managing Pelvic Malignancy Ai Ling Tan 1125-1150 Dispensing to the Elderly Brian Almand 1150-1215 Hepatitis B and C 101 Ed Gane 1215-1240 Eye Pot Pourri Sean Every 1240-1300 Discussion - Q and A panel 1300-1400 LUNCH & EXHIBITION 1400-1425 Screening for Breast Cancer Richard Chisholm 1425-1450 Healing Leg Ulcers Peter Chapman-Smith 1450-1515 The Joys of Vitamin D Nigel Harrison 1515-1530 Discussion - Q and A panel 1530-1600 AFTERNOON TEA & EXHIBITION 1600-1700 Immunisation Workshop Linda Hill 1700-1730 Discussion 1900-2400 Conference Dinner - Dine and Dance (with entertainment)

Saturday 7th August Medical Assurance Society Business Summit

Gloucester Gloucester Room, Level 11, Holiday Inn 0830-1030 WS 31 - MAS Business Summit “The Essentials of Staff Management” Chris Wills 1030-1100 MORNING TEA AND EXHIBITION 1100-1300 WS 71 - MAS Financial Session “Practical Financial Management” Chris Wills & John Glue 1300-1400 LUNCH & EXHIBITION

Saturday 7th August AMSNZ/CAA Meeting

Lichfi eld Lichfi eld Room, Level 1, Holiday Inn 0830-0900 Six D’s - Delicately distinguishing denial & deception in dependant drinkers James Foulds 0900-0930 Hypoxia for glider pilots Ben Johnston & Roger Read 0930-1000 Telemedicine in the Aviation Industry Dawn Dart 1000-1030 MORNING TEA (Holiday Inn) 1030-1100 Cochlear implants 1100-1130 Practical colour vision testing Tim Rumball 1130-1200 Case Presentations Tim Sprott 1200-1230 General Meeting & Discussion 1300-1400 LUNCH & EXHIBITION (Hotel Grand Chancellor) 1330-1500 CAA Update for Medical Practitioners 1500-1530 AFTERNOON TEA (Holiday Inn) 1530-1700 CAA Update for Medical Practitioners Continued

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 12 Sunday 8th August

Sunday 8th August General Practice Programme 0730-0830 Breakfast Session - Shaun Holt: How to ACT to Improve Asthma Outcomes Chancellor 1 Chair:Elspeth Dickson Main Session WS59 WS60 WS61 WS62 WS63 WS64 Chair: Martin London Wellington Ballroom 2 Christchurch Auckland Chancellor 5 Ballroom 1 Chancellor 1 Better Community Musculoskeletal Hot tips in Gynaecologic Aviation Medicals Prescribing for Vaccinations for 0830-0855 Respiratory Care Radiology Cases Rheumatology Cancer Expanding Anxiety and Travellers Roland Meyer Horizons Depression Phil Weeks Daniel Ching Ai Ling Tan David Hammer CT Colonography Anton Wiles Brian Almand 0855-0920 Adrian Balasingam WS65 WS66 WS67 WS68 WS69 WS70 Glaucoma 101 0920-0945 Wellington Ballroom 2 Christchurch Auckland Chancellor 5 Ballroom 1 Sean Every Musculoskeletal Hot tips in Gynaecologic Aviation Medicals Prescribing for Vaccinations for Radiology Cases Rheumatology Cancer Expanding Anxiety and Travellers Wilderness Medicine Horizons Depression 0945-1010 John Apps Phil Weeks Daniel Ching Ai Ling Tan David Hammer Anton Wiles Brian Almand 1010-1025 Discussion 1025-1030 Industry Prize Announcements 1030-1100 MORNING TEA & EXHIBITION Main Session Chancellor 1 Chair: Peter Chapman Smith 1100-1125 Biologics in Infl ammatory Rheumatic Diseases Daniel Ching 1125-1150 A New Screening Tool for Hepatitis C Ed Gane 1150-1215 Atrial Fibrillation Hamid Ikram 1215-1230 Discussion 1230-1300 Clinical Quiz Hamid Ikram 1300 Conference Closes

Ocean to Alps - Christchurch

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 13 Speakers Biographies

Dr Robert Allison, Otolaryngologist, ENT Surgeon, Christchurch Public Hospital Mr Brian Almand, Pharmacist, HVDHB Hutt Hospital Pharmacy, Wellington Dr John Apps, General Practitioner, Westport Dr Adrian Balasingam, Radiologist, Christchurch Radiology Group, Christchurch Dr Alex Bartle, Director, Sleep Well Clinic, Auckland Mr Philip Bird, Otolaryngologist, Christchurch Public Hospital, Christchurch Dr Jim Borowczyk, Musculoskeletal Physician, Christchurch Dr David Bowie, Intensive Care Specialist, Specialist Anaesthetist, Canterbury DHB Dr David Bratt, Principal Health Advisor to the Ministry of Social Development Mr Andrew Carmody, Project Director, Medtech Dr Peter Chapman-Smith, Skin and Vein Clinic, Whangarei Dr Daniel Ching, Consultant Rheumatologist, Timaru Hospital Dr Richard Chisholm, Obstetric radiologist, Christchurch Women’s Hospital Dr Sean Every, Ophthalmologist & Vitreo-Retinal Surgeon, Christchurch Eye Department Dr Richard Fisher, Medical Director and Co-founder, Fertility Associates Dr Peter Foley, Chairman of the New Zealand Medical Association, Hawkes Bay Assoc Prof Ed Gane, Hepatologist, Auckland City Hospital Mr John Glue, Business Advisor, Medical Assurance Society Dr Brendan Gray & Dr Tim Cookson, Medical Protection Society Dr Katherine Grundy, Clinical Director, Christchurch Hospital Palliative Care Service Dr David Hammer, Clinical Microbiologist, MedlabSouth Dr Nigel Harrison, Consultant Physician and Head of Cardiology, Whangarei Hospital RN Linda Hill, Registered Nurse and Regional Immunisation Advisor, South Island for the Immunisation Advisory Centre Dr Shaun Holt, Research Review, Tauranga Assoc Prof Gary Hooper, HOD, Orthopaedic Surgery and Musculoskeletal Medicine, Christchurch School of Medicine Professor Hamid Ikram, Clinical Professor of Medicine, University of Otago, and Consultant Cardiologist, Christchurch Dr Rosemary Ikram, Clinical Microbiologist, MedlabSouth Professor Peter Joyce, Dean of the University of Otago, Christchurch Dr Ai Ling Tan, Gynaecological Oncologist at, ADHB and Ascot Central Women’s Clinic, Auckland Dr Ken Macdonald, Dermatologist, Dermatologic Surgeon, Christchurch Dr Roland Meyer, Respiratory Physician, Southern DHB, Southland Hospital Dr Philip Parkin, Consultant Neurologist, Christchurch Hospital, Christchurch Dr Mark Peterson, Chair NZMA GP Council, Napier Dr Claude Preitner, Senior Medical Offi cer, Civil Aviation Authority of NZ Mr Sanjeewa Samaraweera, Managing Director, Medtech Dr Sara Souter, Occupational Medicine Specialist, Christchurch Dr Ian St George, General Practitioner, Medical Director, McKesson New Zealand, Wellington Dr Bruce Sutherland, General Practitioner, Warkworth Mr Tony Ward, Senior Helicopter Crewman, Advanced Paramedic/RN, Christchurch Dr Phil Weeks, Director of Ultrasound, Middlemore Hospital, Auckland Dr Anton Wiles, General Practitioner, Auckland Ms Chris Wills, Business Advisor, Medical Assurance Society Dr Heather Young, Sexual Health Physician,Christchurch Sexual Health Clinic, Christchurch Hospital Dr Rob Young, General Physician, Associate Professor of Medicine and Molecular Genetics

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 14 Biographies & Sessions Speakers Biographies

Dr Robert Allison

Robert Allison (MB ChB DCH FRACS) Consultant ENT Surgeon works in both public and private practice in Christchurch. He completed fellowships in the UK and Holland in Head and Neck Surgery. In addition to his clinical activities, he has positions as Adjunct Professor (University of Canterbury) and Clinical Lecturer (Christchurch Clinical School of Medicine) and is involved in undergraduate teaching. He is also actively involved in Registrar teaching. He is an examiner with the Royal Australasian College of Surgeons. His clinical interests include Paediatric Otolaryngology, Thyroid and Salivary gland surgery and the management of Head and Neck tumours.

He and wife, Sue, have four children (12-19 years) and live on a lifestyle block of 30 acres north of Christchurch with 137 animals (at last count!).

Lumps and Bumps in the Head and Neck - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Duration: 55mins Chancellor 1 Start 12:05pm Duration: 55mins Chancellor 1

Dr Brian Almand

I have fourteen years of pharmacy practice, with less than one year in community pharmacy. For the past eleven and a half years I have been working in and out of the Hutt Hospital Pharmacy, all of that time associated with the Acute Psychiatry Ward. Within the pharmacy I am an Intern Preceptor and supervise a number of our functions including regular House Surgeon education by our team of pharmacists, I am also involved with the Hutt Hospital Drug and Therapeutics Committee and the Hutt Valley District Health Board Pharmacy Reference Group. For the last fi ve years I have been employed half time by the Hutt Valley District Health Board Community Mental Health Services working closely with the various teams and responding to General Practitioner referrals where specifi c medicines information is appropriate. Most recently I have completed studies toward the Postgraduate Certifi cate in Psychiatric Therapeutics by correspondence through Aston University in the United Kingdom.

My role in psychiatry includes medication review usually associated with my regular attendance at six adult mental health Multiple Disciplinary Team meetings each week, including that of the Psychogeriatric team; frequent medication and therapeutics education for various professional groups and question & answer session with a number of outpatient groups, individual inpatients and their families; provision of medicines information for psychotropic medications, maternal mental health and neurology; full time availability for consultation by anyone, I carry a pager and a cellphone! I am also involved in a good deal of behind the scenes communication between the various teams.

I have received speakers honoraria from the NZ Healthcare Pharmacists Association, Epilepsy New Zealand, Eli Lilly & Co. and have consulted for Parkinson’s New Zealand and Weltec.

Dispensing to the Elderly - Practice Nurses Programme Saturday, 7 August 2010 Start 11:25am Duration: 25mins Holiday Inn Ballroom 2

A Prescribers Guide to the Galaxy - Concurrent Workshops Repeated Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Christchurch Start 3:05pm Duration: 55mins Christchurch

Prescribing for Anxiety and Depression - Concurrent Workshops Repeated Sunday, 8 August 2010 Start 8:30am Duration: 55mins Chancellor 5 Start 9:30am Duration: 55mins Chancellor 5

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 15 Speakers Biographies

Dr John Apps

Dr John Apps has been a rural GP in Westport for 4 years. Trained in the UK, he worked in NHS General Practice & A&E Medicine, in addition to running a vasectomy clinic and delivering advanced pre-hospital emergency care. Frustrated with the lack of effective treatment for musculo-skeletal pain, he trained in western style acupuncture focussing on trigger point identifi cation and needling. After 19 years, he left the NHS to concentrate on his main clinical interests of pre- hospital emergency & wilderness medicine, event medical cover, vasectomy service provision and trigger point needling. Due to lack of attention, he somehow ended up with an Occupational Health business as well!

Wilderness experience includes six Antarctic seasons, high altitude Himalayan trips, extreme marathon events and a recent military tour in Afghanistan’s Helmand province. John lives with his partner, Sue, on a 50 acre forestry block on the wonderful West Coast, where they experiment with self-suffi ciency & home-brew.

How to .. Trigger Point Needling - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Duration: 55mins Wellington Start 12:05pm Duration: 55mins Wellington

Performing Vasectomies - Concurrent Workshop Repeated (with Dr Bruce Sutherland) Saturday, 7 August 2010 Start 11:00am Duration: 55mins Auckland Start 12:05pm Duration: 55mins Auckland

Wilderness Medicine Sunday, 8 August 2010 Start 9:45am Duration: 25mins Chancellor 1

Dr Adrian Balasingam

Dr Balasingam is a subspecialist Gastro-Intestinal Radiologist working at Christchurch Hospital and is a partner of the Christchurch Radiology Group. He is lead radiologist for the Canterbury Colorectal Cancer Multi-Disciplinary Team. He sits on several CT Colonography (CTC) and Bowel Cancer committees both in New Zealand and Australia and has also contributed to the International Collaboration for CTC Standards. He has also involved with the establishment of CTC in Canterbury and around New Zealand which has included both registrar and consultant training. Dr Balasingam is currently Director of Registrar Training at Christchurch Hospital.

CT Colonography Sunday, 8 August 2010 Start 8:55am Duration: 25mins Chancellor 1

Dr Alex Bartle

Alex was a GP in Christchurch from 1978 until 2007, and in 2000 began a sleep medicine practice, The Sleep Well Clinic, alongside his General Practice. In April 2007 Alex left General Practice to concentrate on the Sleep Well Clinics in Christchurch, Auckland and Wellington. He now has additional clinics in Tauranga and Whangarei. The Sleep Well Clinic is designed to offer assessment and treatments for all sleep disorders from Snoring and Sleep Apnoea to Insomnia, from Shift Work to children’s sleep diffi culties and the Parasomnias.

Alex is on the Education Sub- Committee of the Australasian Sleep Association, and an inaugural member of the Asia Pacifi c Paediatric Sleep Alliance. He was a co-author of the NZ Guidelines for sleep disordered breathing in children. In 2009 he completed his Masters Degree in Sleep Medicine through Sydney University. Alex regularly presents seminars to international and national conferences, and industry.

Why Won’t my Child Sleep? - Concurrent Breakout Friday, 6 August 2010 Start 2:00pm Duration: 55mins Holiday Inn Ballroom 1 Start 3:05pm Duration: 55mins Holiday Inn Ballroom 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 16 Biographies & Sessions Speakers Biographies

Dr Philip Bird

Philip Bird is a otolaryngologist at Christchurch Public Hospital and a Senior Lecturer in Surgery at the University of Otago. He received his specialist training in Wellington and Christchurch and then undertook a fellowship in Otology, Neurotology and lateral skull base surgery at the University of Miami. He is actively involved in research with colleagues at the universities of Otago and Canterbury, specifi cally in drug delivery to the inner ear and inner ear effects of middle ear interventions. He is in private practice in Christchurch with a special interest in paediatric and adult otology.

Assessing the Dizzy and Deaf - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Duration: 55mins Chancellor 1 Start 12:05pm Duration: 55mins Chancellor 1

Dr Jim Borowczyk

Jim Borowczyk is a Musculoskeletal Physician based in Christchurch. He works in private musculoskeletal practice, and is Academic Coordinator for Postgraduate Musculoskeletal Studies, Christchurch School of Medicine and Health Sciences, University of Otago. A graduate of Edinburgh, he has been in New Zealand for over 30 years, and has postgraduate qualifi cations from both the University of Otago, and the University of Newcastle in New South Wales.

His principal clinical and research interests include the use and assessment of pain intervention techniques for spinal pain. His other interests include improving the delivery of postgraduate medical education to students, both in New Zealand and worldwide. Jim is married to a general practitioner. They have four children.

MusculoSkeletal Medicine Workshop - Concurrent Workshop Repeated Spondylosis, Facet Joint Arthropathy, and Pain Friday, 6 August 2010 Start 4:30pm Duration: 55mins Chancellor 5 Start 5:30pm Duration: 55mins Chancellor 5

Dr David Bowie

David is a specialist in Intensive Care and Anaesthesia. He graduated from Otago Medical School in 1978 and has been a specialist since 1985. He works in Christchurch Hospital where his main work commitment is to Intensive Care but he is also the Clinical Leader of the Canterbury Air Retrieval Service and the Intensive Care liaison offi cer to the Burwood Spinal Unit Home Ventilation Service. He also maintains his Anaesthesia practice in Christchurch Hospital. He is married with 3 children. It is worth noting that all of the female members of his family are either nurses or nurses in training and his son is a secondary school teacher.

Pre Hospital Care for Trauma Friday, 6 August 2010 Start 4:30pm Duration: 20mins Chancellor 1

Dr David Bratt

Dr David Bratt, Principal Health Advisor to the Ministry of Social Development

Ready Steady Crook Friday, 6 August 2010 Start 3:15pm Duration: 25mins Chancellor 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 17 Speakers Biographies

Mr Andrew Carmody

Andrew has a strong IT / Software sales, Project Director and executive management background with roles in the last 10 years as General Manager, Chief Operating Offi cer and Chief Technology Offi cer with ECN Group and Sopheon NZ. Prior to this he was a senior manager at New Zealand Post undertaking HR, Marketing and Business Development roles.

An experienced project manager and director he has been responsible for the design, development and successful delivery of numerous software and IT service based projects.

Andrew also brings a wealth of change, process and business improvement expertise and experience and is passionate about ensuring that a high quality service is consistently delivered to customers.

He holds a Masters of Management from Victoria University (Wellington).

Medtech User Group - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Duration: 55mins Christchurch Start 12:05pm Duration: 55mins Christchurch

Medtech User Group - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Holiday Inn Salisbury Start 3:05pm Duration: 55mins Holiday Inn Salisbury

Dr Peter Chapman-Smith

Dr Peter Chapman-Smith is a Fellow of the Australasian College of Phlebology, an appearance medicine physician, performing skin cancer and minor cosmetic surgery, tumescent liposuction and directs a skin laser suite. Phlebology is his main fi eld of current practice, having performed over 900 endovenous laser ablation (EVLA) under tumescent anaesthesia and 7000 ultrasound guided sclerotherapy (UGS) procedures. With regular clinics in Whangarei, Hibiscus Coast and Queenstown, he started the Otago non surgical varicose veins service in 2006. He has presented vein papers internationally in Rio de Janiero 2005, Tucson 2007, Monaco 2009, and regularly for the ACP in Australasia. He published a 5 year prospective research report on foam UGS in Phlebology in August 2009, and is a teacher appointed by the Australasian College of Phlebology. Peter is an affi liated provider of non surgical varicose vein treatment as well as for skin cancer surgery for Southern Cross Healthcare NZ.

Healing Leg Ulcers - Practice Nurses Programme Saturday, 7 August 2010 Start 2:25pm Duration: 25mins Holiday Inn Ballroom 2

Dr Daniel Ching

Daniel Ching is a Consultant Rheumatologist at Timaru Hospital but also provides a private rheumatology service from Ashburton to Stewart Island. He runs a rheumatology Clinical Trials centre in Timaru, testing the new targeted therapies. He also has clinical interests in polymyalgia rheumatica, giant cell arteritis, patient education and enjoys seeing patients with fi bromyalgia! He is the Honorary Secretary of the New Zealand Rheumatology Association.

Hot Tips in Rheumatology - Concurrent Workshop Repeated Sunday, 8 August 2010 Start 8:30am Duration: 55mins Holiday Inn Ballroom 2 Start 9:30am Duration: 55mins Holiday Inn Ballroom 2

Biologics in Infl ammatory Rheumatic Diseases Sunday, 8 August 2010 Start 11:00am Duration: 25mins Chancellor 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 18 Biographies & Sessions 19 Speakers Biographies

Dr Richard Chisholm

Diagnostic radiologist, Christchurch Radiology Group, with special interest in ultrasound and breast imaging. Obstetric radiologist, Christchurch Women’s Hospital Clinical Director, Breastscreen South, the lead provider for The National Breast Screening Programme covering Nelson,Marlborough,Canterbury and West Coast. Postgraduate fellowship in Gastro-intestinal interventional radiology and ultrasound, Vancouver General Hospital 1983-84.

Optimal Breast Cancer Screening Friday, 6 August 2010 Start 9:20am Duration: 25mins Chancellor 1

Breast Cancer Diagnosis - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Duration: 55mins Wellington Start 12:05pm Duration: 55mins Wellington

Screening for Breast Cancer - Practice Nurses Programme Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Holiday Inn Ballroom 2

Dr Sean Every

Dr Sean Every is an ophthalmologist specialising in vitreo-retinal surgery. He is a graduate of Auckland Medical School and (following a year of GP registrar training in Dunedin) entered ophthalmology training in Christchurch and Dunedin.

Following a year completing a MMedSci he did a two year fellowship in vitreo-retinal surgery in Oxford returning to Christchurch in 2006. He divides his time between the Christchurch Public Eye Department and private consulting at Southern Eye Specialists.

His research interests include the surgical management of retinal vein occlusion. Achieving mediocre results in the Coast to Coast race keeps him busy on the weekend.

Eye Pot Pourri - Practice Nurses Programme Saturday, 7 August 2010 Start 12:15pm Duration: 25mins Holiday Inn Ballroom 2

Eye case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Chancellor 5 Start 3:05pm Duration: 55mins Chancellor 5

Glaucoma 101 Sunday, 8 August 2010 Start 9:20am Duration: 25mins Chancellor 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 20 Biographies & Sessions Speakers Biographies

Dr Peter Foley

Dr Peter Foley is a third generation Hawkes Bay doctor, who graduated in medicine from Otago University in 1981. He has practised as a GP in Hawkes Bay for over 25 years. In a historic fi rst, he is serving a second term as Chairman of the New Zealand Medical Association. Dr Foley has vast experience in medical politics, having been the chair of the NZMA’s General Practitioner Council, and then the General Practice Leaders Forum. He was fi rst elected to the overall chairmanship of the NZMA in 2007.

NZMA Breakfast Session - Interactive Session on GP Advocacy Saturday, 7 August 2010 Start 7:30am Duration: 45mins Chancellor 1

Dr Richard Fisher

Richard is a co-founder of Fertility Associates, New Zealand’s largest provider of infertility services. He remains primarily a clinician whilst building a signifi cant research effort within Fertility Associates. He is the country’s foremost spokesperson on fertility matters and has an active interest in the integration of public and private health care across the disciplines of clinical medicine, research and teaching. Richard was the fi rst New Zealander to be President of the Fertility Society of Australia (FSA) and was recognised in the New Year Honours as a Companion of the New Zealand Order of Merit for his services to medicine.

Issues in Fertility Friday, 6 August 2010 Start 8:55am Duration: 25mins Chancellor 1

Associate Professor Ed Gane

Ed Gane is Associate Professor of Medicine at the University of Auckland, New Zealand and Deputy Director of the New Zealand Liver Transplant Unit at Auckland City Hospital.

Ed trained in hepatology at the Institute of Liver Studies, King’s College School of Medicine, London, where he completed a thesis on the pathogenesis of hepatitis C-related liver injury. On his return to New Zealand in 1996, Ed was appointed Chief Transplant Physician for the fi rst New Zealand Liver Transplant programme. In addition, he runs the National Hepatoma Clinic as well as hepatitis clinics at both Auckland and Greenlane Hospitals.

Ed has been the Government Clinical Advisor to the National Hepatitis B Screening Programme since its inception in 1998. Since 2007, Ed has chaired the Ministry of Health Hepatitis C Treatment Advisory Board and this year was appointed MoH Champion for HCV. Ed is Principal Investigator for many international clinical trials of therapies for chronic HBV, HCV, and hepatocellular carcinoma and runs a phase I research centre focusing on new molecular agents targeted against viral hepatitis.

Ed has written 10 chapters and published over 120 papers in peer-reviewed journals including The Lancet and The New England Journal of Medicine

Hepatitis B and C 101 - Practice Nurses Programme Saturday, 7 August 2010 Start 11:50am Duration: 25mins Holiday Inn Ballroom 2

A new screening tool for Hepatitis C Sunday, 8 August 2010 Start 11:25am Duration: 25mins Chancellor 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 21 Speakers Biographies

Mr John Glue

John has been with MAS for 6 years, fi rstly as a Senior Advisor in Dunedin, then Lending Advisor for all of the South Island. He is now a Senior Advisor, based in Christchurch with a mix of Southland, Otago and Christchurch Members.

John joined MAS with a background in Business & Property Banking with DFC, the TrustBank Group, and Westpac.

Several of the MAS member groups that John looks after have used Medical Securities funding to develop merged practices and have subsequently developed new premises to accommodate those larger new entities.

MAS Financial Session - “The Essentials of Financial Management” - Concurrent Session (with Ms Chris Wills) Saturday, 7 August 2010 Start 11:00am Duration: 120mins Holiday Inn Gloucester

Dr Brendan Gray & Dr Tim Cookson

Drs Brendon Gray and Tim Cookson are both medico-legal consultants with the Medical Protection Society.

Tim has been a GP in a central Wellington city practice for many years and joined MPS as a medicolegal consultant in 2005. He lectures at Wellington Medical School and is involved in the GP Registrar training programme nationwide. His other interests include biking, wine tasting and high country adventures with his two sons.

Brendon is a public health medicine specialist and former GP with a specialist interest in medical law. Brendon has an LLB from the University of London and is a Fellow of the Australasian College of Legal Medicine. He joined MPS in 2009. His particular interest is in health law policy and he has worked for the government in the past on a review of the national cervical screening programme register, the Public Health Bill and the review of the storage and use of Guthrie cards. He has two young children and lives in Wellington.

Brendon and Tim will review recent health law policy development that affects general practitioners and cover some recent court and tribunal decisions.

Hot Issues : What’s new in the Medicolegal Workplace? - Medical Protection Society Session Saturday, 7 August 2010 Start 4:30pm Duration: 90mins Chancellor 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 22 Biographies & Sessions Speakers Biographies

Dr Katherine Grundy

Kate Grundy is the Clinical Director of the Christchurch Hospital Palliative Care Service which she established in 1999. She works alongside three Specialist Nurses and supervises both basic physician trainees and advanced trainees in palliative medicine. Her main academic interest is education with a signifi cant undergraduate teaching commitment both in the fi eld of palliative medicine and ethics. She also teaches nursing and Allied Health staff as well as travelling throughout the South Island conducting lectures and workshops. Current areas of interest are Advance Care Planning, methadone as an analgesic, intra-spinal analgesia and motor neuron disease.

Kate is the current Chair of the Palliative Care Council of New Zealand and is a member of Cancer Control New Zealand. She is the immediate past President of the Australasian Chapter of Palliative Medicine which is part of the RACP.

Kate lives on a 10 acre lifestyle block near Oxford, North Canterbury, with her husband and two daughters.

Palliative Care as a Team - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Auckland Start 3:05pm Duration: 55mins Auckland

Dr David Hammer

Since the age of eight, when he saw a television documentary on rabies, David has been fascinated by microbes. He entered medicine for the bugs. He studied for his MBChB on the slopes of Table Mountain and after working for a year at Groote Schuur Hospital, he undertook a four year tour of duty in the warzone that is the UK NHS. During that time he passed MRCP. He then made one of the best decisions of his life and immigrated to New Zealand, along with his wife and two moggies. After a brief spell in Auckland, he moved to Christchurch and undertook the FRCPA. He now works part time as a clinical microbiologist and travel health advisor for MedlabSouth. He is also pursuing interests in multidrug resistant bacteria and infection control.

Travel medicine - not just bugs Saturday, 7 August 2010 Start 8:55am Duration: 25mins Chancellor 1

Travel Medicine Case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Duration: 55mins Chancellor 5 Start 12:05pm Duration: 55mins Chancellor 5

Vaccinations for Travellers - Concurrent Workshop Repeated Sunday, 8 August 2010 Start 8:30am Duration: 55mins Holiday Inn Ballroom 1 Start 9:30am Duration: 55mins Holiday Inn Ballroom 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 23 24 Biographies & Sessions Speakers Biographies

Dr Nigel Harrison

Nigel qualifi ed in London at Charing Cross Hospital Medical School in 1979. While serving in the Royal Air Force he trained as a physician and specialised in Cardiology. On leaving the RAF in 1996 he served as the sole Cardiologist on the Isle of Man for 10 years before emigrating to New Zealand in 2006. He is currently a consultant physician and Head of Cardiology at Whangarei Hospital. He has a special interest in Integrative Medicine, combining evidence-based natural therapies with orthodox medicine. He is studying with the Australasian College of Nutritional and Environmental Medicine (ACNEM) and is a member of the Australasian Integrative Medicine Association (AIMA).

Hypertension and Vitamin D Friday, 6 August 2010 Start 2:25pm Duration: 25mins Chancellor 1

Cardiac Case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Duration: 55mins Holiday Inn Salisbury Start 12:05pm Duration: 55mins Holiday Inn Salisbury

The Joys of Vitamin D - Practice Nurses Programme Saturday, 7 August 2010 Start 2:50pm Duration: 25mins Holiday Inn Ballroom 2

RN Linda Hill

Registered Nurse and Regional Immunisation Advisor, South Island for the Immunisation Advisory Centre. Linda comes from a strong Practice Nurse background, and has worked closely with children and their families who have complex health issues with an aim to improve their overall health and wellbeing. Linda represents the Immunisation Advisory Centre.

Immunisation Workshop - Practice Nurses Programme Saturday, 7 August 2010 Start 4:00pm Duration: 60mins Holiday Inn Ballroom 2

Professor Shaun Holt

Professor Shaun Holt is the founder of Clinicanz, New Zealand’s only clinical trials Site Management Organisation. Previously, he was the founder of P3 Research, an independent clinical trials unit based in Wellington and Tauranga, and Research Review, a company that produces regular reviews of the medical literature for health professionals. He is Ex-Medical Director of Clinical Trials in the Wellington Asthma Research Group. Shaun holds Pharmacy and Medicine degrees, has been the Principal Investigator in over 50 clinical trials and has over 80 publications in the medical literature. He is Honorary Research Fellow at the Medical Research Institute of New Zealand, an Advisor to the Asthma and Respiratory Foundation, a regular contributor on TVOne’s Breakfast programme and national radio shows and lectures at the Victoria University of Wellington.

How to ACT to Improve Asthma Outcomes Sunday, 8 August 2010 Start 7:30am Duration: 45mins Chancellor 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 25 Speakers Biographies

Associate Professor Gary Hooper

Associate Professor and Head of Department, Orthopaedic Surgery and Musculoskeletal Medicine, Christchurch School of Medicine and Health Sciences. Current president of the New Zealand Orthopaedic Association. He has been a consultant Orthopaedic Surgeon with the Canterbury District Health Board since 1985. His main areas of interest include knee injuries and adult reconstructive hip and knee surgery. He runs a research group specialising in bioengineering of articular cartilage, spinal regeneration, joint replacement outcomes and fracture healing.

Married to Leigh (General practitioner) with 3 adult daughters. Interests include golf, fi shing, wood turning, and holidays in the sun.

Fracture management - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Duration: 55mins Chancellor 5 Start 12:05pm Duration: 55mins Chancellor 5

New Ideas for an Old Problem - OA Knees Friday, 6 August 2010 Start 2:50pm Duration: 25mins Chancellor 1

Skiing Injuries Friday, 6 August 2010 Start 5:30pm Duration: 20mins Chancellor 1

Professor Hamid Ikram

Clinical Professor of Medicine, University of Otago, and Consultant Cardiologist. Medical education in the United Kingdom, and Canada. Cardiological training in the General Infi rmary at Leeds, the Charing Cross Hospital , London, the Hammersmith Hospital, London and the University Hospital, Edmonton, Alberta, Canada. Appointed Consultant Cardiologist to the North Canterbury Hospital Board in 1974. Served as Head of Department from 1978 to 2002. Since retirement and have continued with private practice at St George’s Hospital. Chairman, Cardiac Society of Australia and New Zealand (New Zealand Region)

Extensive experience with undergraduate and postgraduate medical education all over the world.Over 300 publications chiefl y in peer-reviewed journals, presentations at congresses and postgraduate courses. Other interests include cricket at provincial, University and club levels in Pakistan, the United Kingdom and New Zealand. Liaison offi cer for the Pakistan and Sri Lankan test teams touring New Zealand and Australia. Extensive speaking engagements in non-medical functions and after-dinner speeches. Territorial Army service in the United Kingdom and New Zealand. Retired as Commanding Offi cer off a Field Ambulance based at Burnham military camp.

Heart Failure Revisited Friday, 6 August 2010 Start 8:05am Duration: 25mins Chancellor 1

Interpreting ECGs - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Duration: 55mins Holiday Inn Ballroom 2 Start 12:05pm Duration: 55mins Holiday Inn Ballroom 2

Cardiac Emergencies Friday, 6 August 2010 Start 4:50pm Duration: 20mins Chancellor 1

Hypertension - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Holiday Inn Ballroom 1 Start 3:05pm Duration: 55mins Holiday Inn Ballroom 1

Atrial Fibrillation Sunday, 8 August 2010 Start 11:50am Duration: 25mins Chancellor 1

Clinical Quiz Sunday, 8 August 2010 Start 12:30pm Duration: 30mins Chancellor 1

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QSPEVDUT AS14433GPCME Biographies & Sessions 27 Speakers Biographies

Dr Rosemary Ikram

Dr Rosemary Ikram is a Clinical Microbiologist who is employed at Medlab South Ltd. Christchurch. She graduated from Charing Cross Hospital Medical School and started training as a Microbiologist prior to leaving the UK in 1974. In New Zealand she worked in General Practice and Family Planning for 7 years prior to completing her pathology training at Christchurch Hospital in 1986. She worked as a specialist in Christchurch Hospital until taking up a full time post at Medlab South Ltd. Her key areas of interest are community microbiology and epidemiology. Research topics have included epidemiology of resistant Streptococcus pneumoniae in New Zealand, epidemiology and laboratory diagnosis of infectious diarrhea and more recently antimicrobial resistant organisms in New Zealand. She also runs an Infection Control Service which has a community focus.

Appropriate Use of Antibiotics - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Duration: 55mins Wellington Start 3:05pm Duration: 55mins Wellington

Microbiology in Infectious Disease Saturday, 7 August 2010 Start 8:00am Duration: 30mins Chancellor 1

Epidemics Saturday, 7 August 2010 Start 9:45am Duration: 25mins Chancellor 1

Borowczyk Professor Peter Joyce

Professor Peter Joyce is the Dean of the University of Otago, Christchurch. Prior to taking up this position he had been Professor and Head of the Christchurch Department of Psychological Medicine since 1986. He has had longstanding and continuing clinical and research interests in bipolar disorder and depression. His research has also included work on eating disorders, personality, suicide, epidemiology, neurobiology and molecular genetics. He is also the current Editor of the Australian and New Zealand Journal of Psychiatry.

Bipolar Disorders and Depression - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Duration: 55mins Holiday Inn Ballroom 2 Start 3:05pm Duration: 55mins Holiday Inn Ballroom 2

Dr Ai Ling Tan

Ai Ling is a graduate of Adelaide University, having completed her O+G training in Auckland and UK, subsequently sub specialised in Gynaecology Oncology in Australia. Ai Ling works as a gynaecological oncologist at ADHB and privately at Ascot Central Women’s Clinic, Auckland. She maintains close links with colleagues by participating and lecturing at conferences and being an active member of local and international gynaecology cancer societies. Ai Ling is keen to support the community and is involved in charitable work locally and overseas. She is currently a board member of the Silver Ribbon Gynaecology Cancer Foundation.

Managing Pelvic Malignancy - Practice Nurses Programme Saturday, 7 August 2010 Start 11:00am Duration: 25mins Holiday Inn Ballroom 2

Gynaecologic Cancer - Concurrent Workshops Repeated Sunday, 8 August 2010 Start 8:30am Duration: 55mins Christchurch Start 9:30am Duration: 55mins Christchurch

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 28 Biographies & Sessions Speakers Biographies

Dr Ken Macdonald

Dr Ken Macdonald practices as a dermatologist and dermatologic surgeon in Christchurch. He is director of KM Surgical Ltd and Dermatology Associates Ltd and has special interests in skin cancer treatment and cosmetic and laser surgery. He is a fellow of the Royal Australasian College of Physicians and of the College of Physicians of Edinburgh and London. He is a Fellow of the American Academy of Dermatology and the American Society for Dermatologic Surgery . Dr Macdonald is a past President of the New Zealand Dermatological Society and was previously Clinical Director of the Christchurch Dermatology Department.

Management Options for Skin Cancer Friday, 6 August 2010 Start 8:30am Duration: 25mins Chancellor 1

Case Studies in Common GP Skin Conditions - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Chancellor 1 Start 3:05pm Duration: 55mins Chancellor 1

Dr Roland Meyer

Originating from Belgium, medical training at the University of Heidelberg / Germany, post-graduate and specialist training in the United Kingdom and New Zealand. Physician in Respiratory and General Medicine at Christchurch Hospital between 1997and 2009, Clinical Director of the Respiratory Services after 2006. First NZ Community Respiratory Specialist helping to set up the Canterbury Initiative, working towards a truly integrated respiratory service for the region. This included the development of web- based clinical pathways, the establishment of primary care and community based diagnostic services, i.e. spirometry and sleep assessments in the fi rst instance, also primary care and community based specialist assessments and clinics and a Pulmonary Rehabilitation programme. Currently Respiratory Physician for the Southern DHB, based at Southland Hospital. I have a strong interest in clinical systems design, a strong belief that integrated services are the basis for good patient outcomes and a more effi cient and sustainable health system.

Spirometry - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Duration: 55mins Holiday Inn Ballroom 1 Start 12:05pm Duration: 55mins Holiday Inn Ballroom 1

Guidelines v EBM: Respiratory case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Duration: 55mins Christchurch Start 12:05pm Duration: 55mins Christchurch

Better Community Respiratory Care Sunday, 8 August 2010 Start 8:30am Duration: 25mins Chancellor 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 29 Speakers Biographies

Dr Philip Parkin

Philip Parkin is a full-time consultant neurologist at Christchurch Hospital. He has been Clinical Director of the department of Neurology since 1994 and has been active in a number of national neurological organisations over a number of years, including a 20-year term as Councillor of the New Zealand Neurological Foundation and a member of its Scientifi c Advisory Committee. He regards his interests as covering the breadth of Clinical Neurology and lists music and the keen spectator pursuit of motor sport amongst his non-neurological interests.

Is it really epilepsy? Friday, 6 August 2010 Start 9:45am Duration: 25mins Chancellor 1

Pearls of Neurology - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Duration: 55mins Chancellor 5 Start 3:05pm Duration: 55mins Chancellor 5 Dr Mark Peterson

Dr Mark Peterson has been a member of the NZMA GP Council since 2003 and the Chair since 2007. He is a full-time GP in Napier, as a partner in a large General Practice. He is also Chairman of the Hawkes Bay Sub-faculty of the RNZCGP and deputy chairman of the Hawkes Bay PHO.

Welcome - Chair GPC Friday, 6 August 2010 Start 8:00am Duration: 5mins Chancellor 1

Dr Claude Preitner

Claude fi rst graduated as a mechanical engineer, obtaining a MSc in Switzerland, his country of origin. He then completed Medical School and moved to New Zealand, where he obtained FRNZCGP status. Holder of a commercial pilot licence he worked as part time fl ight instructor, “the best student job there is”. He spent 16 years in his own general practice at Rotorua, and obtained a Diploma in Aviation Medicine. He became involved with assessing pilots and with occupational health. He also held a 2/10 position at the local ENT department for some 8 years. Moving to full time Aviation Medicine became a logical progression for him. He has been a Senior Medical Offi cer with CAA since 2002 and also attends a weekly clinic at the Hutt DHB. He enjoys interacting with GPs, running CMEs for aviation medical examiners, and the national and at time international dimension of his job. He has a special interest in the certifi cation of pilots with complex medical problems.

So What if Your patient happens to Fly? - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Duration: 55mins Holiday Inn Ballroom 1 Start 12:05pm Duration: 55mins Holiday Inn Ballroom 1

Mr Sanjeewa SamaraweeraEEC Skellerup Duration: 55mins

“Manage My Health” over breakfast - Medtech Breakfast Session Friday, 6 August 2010 Start 7:00am Duration: 45mins Chancellor 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 30 Biographies & Sessions Speakers Biographies

Dr Sara Souter

Dr Souter is an Occupational Medicine Specialist and fellow of the Faculty of Occupational and Environmental Medicine. She works in private practice in Christchurch, but has a background and strong ongoing interest in company based practice. Her subspecialty area is Aviation Medicine, which was born from time spent in the Royal Flying Doctor Service in Australia in the late 1990’s, continued with work in the assistance area, and more recently in the airline industry and as a Grade 1 Medical examiner for CAA. She has a keen interest in vocational rehabilitation, and with her business partners was recently involved in a pilot initiative with ACC in this fi eld. She is married to one of the business partners, and they have two young children. Hobbies are few and far between in the little hours that remain in the week!

Can I Go back to Work Doc? - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Duration: 55mins Auckland Start 3:05pm Duration: 55mins Auckland

Dr Ian St George

Ian St George is a Wellington general practitioner, and has been Medical Director of McKesson New Zealand, which operates Healthline for the Ministry of Health, for ten years. Dr St George served on the Medical Council of New Zealand for several years, was chair of its Education Committee, and was Deputy President; he has been Deputy Dean at the Wellington School of Medicine and Censor in Chief for the RNZCGP. He is author of almost 100 papers in refereed journals, is editor of Cole’s medical practice in New Zealand, and has written a number of other books. His current research interests centre on the evolving place of a national telenursing triage and advice line in primary health care.

Healthline - ten years evolution of the national telenursing triage and advice line Friday, 6 August 2010 Start 2:00pm Duration: 25mins Chancellor 1

Dr Bruce Sutherland

I Completed a BSc in Zoology in 1982 and went on to qualify in Medicine at Auckland in 1989 and Diploma in Obstetrics in 1994. I have worked in Warkworth as a GP with Kawau Bay Health since then. My interests are in minor surgery, Orthopaedics and vasectomies. A clinic at Mahurangi College has kept me up to date with Adolescent Health.

I have 3 children and am married to Elspeth Dickson, also a local GP.

Performing Vasectomies - Concurrent Workshop Repeated (with Dr John Apps) Saturday, 7 August 2010 Start 11:00am Duration: 55mins Auckland Start 12:05pm Duration: 55mins Auckland

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 31 INVITATION Invitation to visit the MSD Stand We are pleased to invite you to our stand featuring:

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Mr Tony Ward

Mr Tony Ward is an Advanced Paramedic employed with St John Ambulance Service in Christchurch. Tony works primarily on the Westpac Rescue Helicopter and Rapid Response Unit. Actively involved in education, providing both level 5 resuscitation and PRIME tutorage to G.P’s throughout New Zealand. An active member of the Chemical Biological Radiological Nuclear and Explosive (CBRNE) and Specialist Emergency Response Team (SERT) responding as a medical support to the N.Z Fire service and Police AOS/STG. Educated as a Registered Nurse with 7 years Emergency Department experience before becoming an Advanced Paramedic in 2004. Currently educating through Otago University and studying towards a Masters in Aero Medical Retrieval and Transportation.

Road v Fixed Wing v Rotary Wing Response Friday, 6 August 2010 Start 5:10pm Duration: 20mins Chancellor 1

Dr Phil Weeks

Phil graduated from the University of Otago in 1980 and completed his training in radiodiagnosis in 1991.

He spent time in Vancouver and Cambridge during his training, concentrating on ultrasound, scintigraphy and MRI. He then spent eighteen months as a fellow in Cardiac Radiology at Green Lane Hospital. Phil is currently Director of Ultrasound at Middlemore Hospital, with full involvement in the MRI, interventional, angiographic services provided there. He is a visiting specialist at Manukau Radiology Institute, and with The Ascot Radiology Group.

He has particular interests in musculoskeletal and breast imaging, and is involved in the Auckland Access To Diagnostics group, endeavouring to improve primary care access to imaging.

Ultrasound in Primary care Workshop - Concurrent Workshop Saturday, 12 June 2010 Start 7:30am Duration: 45mins Plenary Room

Musculoskeletal; US and Radiology - Pre-conference Workshop Repeated Sunday, 8 August 2010 Start 8:30am Duration: 55mins Wellington Start 9:30am Duration: 55mins Wellington

Dr Anton Wiles

Born and brought up in Auckland, trained in Otago, then 4 years travel and work in Australia and the UK. In practice in SE suburbs of Auckland since 1980, and took an active involvement with Registrar training and running the Primex examination in Auckland for some years. Also involved as a founding director of CAIPA (later to become ProCare), and elected to the executive of NZMA, becoming Deputy- Chairman in 1996, and then Chairman in 1998. In 2001 moved to join Dr Bill Daniels in Remuera, and started to train and participate in that practice’s high aviation medical workload. Is now designated for New Zealand, Australian and Canadian pilot medicals, and has completed FAA training - should be designated for USA pilot medicals soon.

Aviation Medicals - Expanding Horizons - Concurrent Workshop Repeated Sunday, 8 August 2010 Start 8:30am Duration: 55mins Auckland Start 9:30am Duration: 55mins Auckland

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 34 Biographies & Sessions Speakers Biographies

Chris Wills

Chris Wills is a business advisor at Medical Assurance Society specializing in HR issues. Having had a background in practice administration and management for over 20 years in Wairarapa, Chris moved to Wellington in 2004 to join the Practice Liaison team at Wellington Independent Practitioners Association. In 2008 Chris joined the MAS Business Advisory Service and her principal role is to advise Members on business issues in conjunction with the HealthyPractice® business support service.

MAS Business Summit - “The Essentials of Staff Management” - Concurrent Session Saturday, 7 August 2010 Start 8:30am Duration: 120mins Holiday Inn Gloucester

MAS Financial Session - “The Essentials of Financial Management” - Concurrent Session (with Mr John Glue) Saturday, 7 August 2010 Start 11:00am Duration: 120mins Holiday Inn Gloucester

Dr Heather Young

I am a Sexual Health Physician (0.4 FTE) at Christchurch Sexual Health Clinic, Christchurch Hospital, and a DSAC doctor for Cambridge Clinic (which holds the Sexual Abuse Assessment and Treatment Service contract for the lower South Island). I am currently on maternity leave and have 2 children aged 3 years and 10 months. I am born and trained in Otago and moved back to the South Island in 2006 after a period overseas and the completion of my vocational training scheme in Auckland.

Sexual Health Saturday, 7 August 2010 Start 9:20am Duration: 25mins Chancellor 1

Dr Rob Young

Dr Young is a medical graduate of the University of Otago and was awarded a Commonwealth Scholarship which enabled him to graduate from the University of Oxford with a PhD in Molecular Genetics. He has been a consultant Physician in the Department of Medicine, Auckland City Hospital for the last 10 years and recently promoted to Associate Professor jointly appointed in the Faculties of Health and Medical Sciences and the School of Biological Sciences at the University of Auckland. Currently he lectures to medical students and post-graduate science students. His research and clinical interests focus on the early diagnosis and primary prevention of smoking related respiratory disease.

Smoking Cessation Strategies - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Duration: 55mins Auckland Start 12:05pm Duration: 55mins Auckland

How Statins improve lung disease - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Duration: 55mins Christchurch Start 3:05pm Duration: 55mins Christchurch

Infl uenza Saturday, 7 August 2010 Start 8:30am Duration: 25mins Chancellor 1

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 35

Abstracts

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 36

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Mr Sanjeewa Samaraweera

“Manage My Health” over breakfast - Medtech Breakfast Session

Friday, 6 August 2010 Start 7:00am Duration: 45mins Chancellor 1

Notes

Dr Mark Peterson

Welcome - Chair GPC

Friday, 6 August 2010 Start 8:00am Duration: 5mins Chancellor 1

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 38 Main Programme Friday 6th August 2010 Main Programme

Professor Hamid Ikram

Heart Failure Revisited

Friday, 6 August 2010 Start 8:05am Duration: 25mins Chancellor 1

Another of the major cardiovascular epidemics, with the increasing prevalence, high mortality and morbidity.

The diagnosis is based on clinical suspicion, but that alone is not suffi cient as it lacks specifi city. Diagnosis has to be further refi ned by the use of special tests. The most useful of these is echocardiography, but unfortunately there are diffi culties of access in primary care. Measurement of natriuretic peptides is a very useful ‘rule out ’test heart failure is unlikely to be present if the test result is normal.

Management of heart failure is increasingly a multidisciplinary approach, with close coordination between members of nursing as well as primary and secondary care physicians. Many centres have established specialised heart failure services.

Sudden arrhythmic death occurs in half the cases. This has led to the increasing use of implantable defi brillators in high-risk patients. These devices have defi nitely reduce the mortality, but have done little to improve the quality of life or the trend to recurrent hospitalisation which is one of the major drivers of cost in heart failure.

The use of cardiac resynchronisation therapy has improved the quality of life in selected patients with advanced heart failure. Sophisticated devices which incorporate implantable defi brillators together with resynchronising pacemakers, have been shown to reduce hospitalisation, improve quality of life, and by the defi brillator incorporated in the device, also reduce sudden death mortality.

Cardiac transplantation continues to be advocated in highly selected cases. Whilst optimal pharmacological therapy continues to be the mainstay of heart failure in general, these device-based therapies have been shown to improve both symptoms and survival above anything achievable by optimal medical therapy.

As the heart failure population in most countries continues to grow, the steady increase in device-based therapy is well set to cause a further cost benefi t debate in a fi eld which is already one of the most expensive clinical indications in public health.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 39 Friday 6th August 2010 Main Programme

Dr Ken Macdonald

Management Options for Skin Cancer

Friday, 6 August 2010 Start 8:30am Duration: 25mins Chancellor 1

Before deciding on management options make an accurate diagnosis, decide if histology is required and have an understanding of skin cancer biology and behaviour. Recognise invasive and high risk cancers.

• Non melanoma skin cancer is the most common malignancy in humans • Surgery is the mainstay of treatment • Mohs surgery conserves tissue and optimises cure rates • Destructive modalities require careful selection • Immunomodulators, photodynamic therapy and drugs that address genetic defects and normalise keratinisation show promise • Radiotherapy and chemotherapy in selected situations • To and T, melanoma must be managed surgically • Lymphomas, sarcomas, vascular and adnexal neoplasms can be complex to manage • Strong collegial associations advised if you treat skin cancer.

Notes

Dr Richard Fisher

Issues in Fertility

Friday, 6 August 2010 Start 8:55am Duration: 25mins Chancellor 1

Healthy eggs and healthy sperm are the most important gift you will ever give your children. Creating these is an issue for Primary Care. Although one cannot alter age and intrinsic biology, there is mounting evidence that lifestyle factors infl uence not only the chance of conception, but also the health of the embryo through to subsequent adulthood. A new concept in the time management of fertility delay will be presented.

Outcomes for Assisted Reproductive Technologies continue to improve. New options for ovarian stimulation have been developed, which both improve outcomes and reduce risks. Signifi cant changes have occurred in the investigation of male infertility, which may allow more focus on treatment. The assessment of ovarian reserve has been greatly enhanced with the development of robust assays for AMH. At a time when survival is becoming common following the treatment of cancer, continuing fertility in the interests of long-term quality of life can now be addressed. Children born following ART procedures show both morphological and endocrine differences from control groups. This information and a growing knowledge about epigenetic infl uences giving exciting insights into potential future benefi cial outcomes both in natural and in ART conceptions.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 40

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3WITZERLAND Main Programme 41 Friday 6th August 2010 Main Programme

Dr Richard Chisholm

Optimal Breast Cancer Screening

Friday, 6 August 2010 Start 9:20am Duration: 25mins Chancellor 1

The National Breast Screening Programme in New Zealand began in December 1998. The process and results of screening will be described with emphasis on the very succcessful recruitment strategies involving general practices used in the Breastscreen South area. For detailed analysis of results presented go to http://www.nsu.govt.nz/ Select Screening Programmes > For Health Professionals > Breastscreen Aotearoa > Independent Monitoring Reports . National and regional fi gures are available there.

Notes

Dr Philip Parkin

Is it really epilepsy?

Friday, 6 August 2010 Start 9:45am Duration: 25mins Chancellor 1

Because it is the most common primary disorder affecting the brain, it is hardly surprising that epilepsy is the diagnostic possibility so frequently considered whenever a patient presents for review having undergone a blackout or other transient neurological event. While it is a diagnosis easily made in many patients, family practice-based studies in the UK have suggested that in up to a quarter of those believed to have epilepsy, the diagnosis proves to be incorrect. Of the wide array of disorders that can be mistaken for epilepsy, two of them in particular probably account for the majority of epilepsy mis-diagnoses. My review of how to diagnose epilepsy will therefore include particular focus on how to avoid being misled by these two epilepsy look-alikes.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 42 Main Programme Friday 6th August 2010 Main Programme

Professor Hamid Ikram

Interpreting ECGs - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 11:00am Duration: 55mins Ballroom 2 Start 12:05pm Duration: 55mins Ballroom 2

Notes

Associate Professor Gary Hooper

Fracture management - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 11:00am Duration: 55mins Chancellor 5 Start 12:05pm Duration: 55mins Chancellor 5

This session will discuss fracture management with an emphasis on forearm fractures. Participants should learn: 1 how to assess fractures, both clinically and radiologically 2 how to manage simple fractures with casts 3 the principles of cast immobilisation 4 to recognise the common complications following fractures and cast immobilisation

Participants will learn how to apply a below elbow cast.

Notes

Dr Roland Meyer

Spirometry - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 11:00am Duration: 55mins Ballroom 1 Start 12:05pm Duration: 55mins Ballroom 1

For some health professional spirometry is an under used and under utilized investigation in general practice. This workshop will address issues of the technique of undertaking successful spirometry, and will outline use of the procedure in diagnosis and management of respiratory conditions as well as interpreting the patterns.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 43 Friday 6th August 2010 Main Programme

Dr Philip Bird

Assessing the Dizzy and Deaf - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 11:00am Duration: 55mins Chancellor 1 Start 12:05pm Duration: 55mins Chancellor 1

This presentation includes a brief overview of the important issues in hearing loss in adults and children stressing the need for early diagnosis of prelingual deafness and management of severe to profound deafness. A pragmatic way of considering the “dizzy patient” is also presented, aiming to have an interactive session.

Notes

Dr John Apps

How to .. Trigger Point Needling - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 11:00am Duration: 55mins Wellington Start 12:05pm Duration: 55mins Wellington

Also known as Intramuscular Stimulation, this will be a practical, hands on workshop, so come prepared to be demonstrated on! Participants with musculo-skeletal pain are welcome.

I will give a brief overview of how it seems to work based on the concept of muscle shortening (no science involved), review some cases, show some typical pain referral diagrams and then demonstrate trigger point identifi cation and treatment by examination & needling. The main skill is examination technique to fi nd the painful bits and the only essential knowledge is knowing where NOT to needle!

I use this technique during normal GP consultations: it is rapid and effective in about 70% of cases. Typical problems treated include neck, shoulder and back pain (including those with radiculopathy), chronic headaches and migraine, trochanteric bursitis and epicondylitis.

GPs who have introduced needling techniques into their usual practice, generally report a reduction in referral rates and decreased prescribing of analgesia and anti-infl ammatories, not to mention some increased work satisfaction! Some patients even return to work after years on the benefi t system!

If time allows, we can include acupuncture treatments that have been shown to be effective for the nasal symptoms of hay-fever and OA of the knee.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 44 Main Programme Friday 6th August 2010 Main Programme

Dr Rob Young

Smoking Cessation Strategies - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 11:00am Duration: 55mins Auckland Start 12:05pm Duration: 55mins Auckland

The new recommendation for smoking cessation is the ABCD: (A: Ask about smoking, B: Brief advice (about quitting), C: Cessation treatment and D: Do testing). There is growing evidence to suggest that smokers are interested in their risk of smoking complications. Spirometry and genetic testing are useful tools to engage smokers much like we use cholesterol for assessing cardiovascular risk and initiating lifestyle changes. This presentation will cover recent insights into how this testing helps smokers quit and provide a useful tool of engagement.

Notes

Mr Andrew Carmody

Medtech User Group - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 11:00am Duration: 55mins Christchurch Start 12:05pm Duration: 55mins Christchurch

Notes

Mr Kevin Morris

Better@Work: How Not to be the Meat in the Rehab Sandwich

Friday, 6 August 2010 Start 12:05pm Duration: 55mins Lichfi eld

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 45 Friday 6th August 2010 Main Programme

Dr Ian St George

Healthline - ten years evolution of the national telenursing triage and advice line

Friday, 6 August 2010 Start 2:00pm Duration: 25mins Chancellor 1

Healthline was started as a pilot ten years ago, and became the national teletriage and advice line in 2005. Its telenurses now fi eld 1000 calls a day, 700 of them from callers unsure of what they should do about a current symptom. They are questioned according to a highly sophisticated software program, excluding serious causes fi rst, and arriving at a disposition of care that is safe, consistent, and “the right place at the right time”. Consistent with similar national lines in UK and Australia, the highest number are triaged to self care at home, with decreasing numbers referred to more urgent dispositions. Adherence to advice is high, and satisfaction similarly high. Complaints are few. Clinical governance procedures ensure continuing quality improvement in the service. There will be many new options and opportunities for such a service over the next ten years.

Notes

Dr Nigel Harrison

Hypertension and Vitamin D

Friday, 6 August 2010 Start 2:25pm Duration: 25mins Chancellor 1

While pharmacological management of hypertension is well understood and relatively easily practiced, the trigger for its development can often be traced to poor nutritional and lifestyle choices and practices. Lack of exercise and excess salt intake are cited as contributors but nutritional defi ciencies can play a signifi cant part. This paper discusses the evidence around this neglected aspect of care.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 46

See Beyond HbA1c

"Lung Cancer - know your risk with Respiragene"

Ƈ A personalised, tool to help your patients better understand their risk of lung cancer from chronic smoking

Ɣ RespirageneTM is as simple as a cheek swab. Ɣ Respiragene uses personal clinical and genetic data to assess a current and ex-smokers risk for lung cancer. Ɣ Respiragene provides doctors with the opportunity to prioritize smoking cessation and detection efforts in their most at risk patients. ƔCOPD is the leading risk factor for lung cancer but is under diagnosed. Simple spirometry is available at the time of the Respiragene test.

Come and hear Dr Young talking about how the risk assessment motivates smoking cessation

Ƈ A personalised, tool to help you assist smokers with cessation

Ɣ In a pilot study of randomly selected smokers in Auckland, preliminary results suggest that taking the Respiragene test motivates people to stop smoking. Discover your patients’ blood Ɣ The 6 month quit rate among participants in this study was over 30% compared to the 4-5% of smokers overall who manage to give up smoking each year. Over 30% halved their smoking glucose patterns and provide a consumption and nearly 50% took cessation treatments.

tailored treatment. Ƈ The role of statins in respiratory disease

Ɣ Dr Young will review recent data indicating that statins appear to have a therapeutic benefit in To discuss further, come and see us at respiratory disease. Ɣ In view of the cardiovascular risk in people with COPD, Dr Young will present evidence supporting the the Roche Diabetes Care Stand No.7 use of statins in COPD.

www.accu-chek.co.nz Synergenz Roche Diagnostics, 15 Rakino Way, Mt Wellington, BioScience NZ Ltd Auckland 1060, PO Box 62089, Mt Wellington, Auckland 1641, New Zealand Telephone: 0800 5864 7475 (0800 Lung Risk) Email: [email protected] www. synergenz.com Accu-Chek Enquiry Line: 0800 80 22 99

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Division of Health Sciences

The Postgraduate Diploma in General Practice has been designed to meet the needs of general practitioners within New Zealand. http://dnmeds.otago.ac.nz/departments/gp/teaching/pg_info.html The papers are all distance-taught and use a combination of delivered course material, supplementary readings, audio- conferences, internet and residentials. This allows medically qualified participants from all over the country to partake in further education without impinging too greatly on their schedules. Normally one paper is taken each semester or each year on a part-time basis, usually over two to three years. The programme of study )LQDOO\ requires papers to value of 120 points to complete the diploma. When the WKH&KRLFHLVUHDOO\<2856 required papers are completed and a Postgraduate Diploma in General Practice awarded, students can then complete their master’s degree with tŽƌůĚĐůĂƐƐĞůĞĐƚƌŽͲŵĞĚŝĐĂůĂŶĚĚŝĂŐŶŽƐƟĐĞƋƵŝƉŵĞŶƚ either a research thesis or an approved paper and dissertation. ĂƚŐůŽďĂůůLJĐŽŵƉĞƟƟǀĞƉƌŝĐĞƐ͘ http://dnmeds.otago.ac.nz/departments/gp/teaching/pg_info.html ŽŵĞĂŶĚƐĞĞLJŽƵƌŶĞǁĐŚŽŝĐĞƐĂŶĚŶĞǁůŽǁƉƌŝĐĞƐ͕ ŽŶ^ƚĂŶĚϯϮ͘ ǁǁǁ͘njŽŶĞŵĞĚŝĐĂů͘ĐŽ͘Ŷnj For further information, please come and visit us at Stand No 77 at the conference or call Anita Fogarty 03 479 7424 or 027 2823 009 Main Programme 47 Friday 6th August 2010 Main Programme

Associate Professor Gary Hooper

New Ideas for an Old Problem - OA Knees

Friday, 6 August 2010 Start 2:50pm Duration: 25mins Chancellor 1

The impact on both the child and the family of a child or adolescent with a sleeping disorder is huge. Approximately 25% of all children in New Zealand experience some type of sleep disorder at some time in their childhood. These range from diffi culty falling asleep and frequent nightwakings, to the more serious primary sleep disorders such as sleep apnoea and narcolepsy. Almost 1/3 of primary school children and approximately 40% of adolescents suffer from signifi cant sleep complaints. The consequences of sleep disorders in children can be serious, and range from cardiovascular problems and failure to thrive, to behavioural concerns and academic failure. The importance of recognising and diagnosing these disorders is vital, as most are treatable with effective medical and behavioural interventions. At this workshop, a range of children’s sleep disorders will be discussed and will include: 1. Signs and symptoms of these disorders. 2. Relevant history and examination to be undertaken, with further investigation if required. 3. Treatments, both medical and behavioural, that can be undertaken.

Notes

Dr David Bratt

Ready Steady Crook

Friday, 6 August 2010 Start 3:15pm Duration: 25mins Chancellor 1

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 48 Main Programme Friday 6th August 2010 Main Programme

Borowczyk Professor Peter Joyce

Bipolar Disorders and Depression - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 2:00pm Duration: 55mins Ballroom 2 Start 3:05pm Duration: 55mins Ballroom 2

Over the past decade there have been signifi cant improvements in the recognition and treatment of depression in primary care. However, there remain further challenges in both diagnosis and management. One of the challenging areas is the recognition of bipolar disorder amongst those whose primary clinical presentation is with depressive symptoms. Understanding the similarities and differences between depression and bipolar depression, and implications for management will be highlighted.

Notes

Dr Alex Bartle

Why Won’t my Child Sleep? - Concurrent Breakout

Friday, 6 August 2010 Start 2:00pm Duration: 55mins Ballroom 1 Start 3:05pm Duration: 55mins Ballroom 1

The impact on both the child and the family of a child or adolescent with a sleeping disorder is huge. Approximately 25% of all children in New Zealand experience some type of sleep disorder at some time in their childhood. These range from diffi culty falling asleep and frequent nightwakings, to the more serious primary sleep disorders such as sleep apnoea and narcolepsy. Almost 1/3 of primary school children and approximately 40% of adolescents suffer from signifi cant sleep complaints. The consequences of sleep disorders in children can be serious, and range from cardiovascular problems and failure to thrive, to behavioural concerns and academic failure. The importance of recognising and diagnosing these disorders is vital, as most are treatable with effective medical and behavioural interventions.

At this workshop, a range of children’s sleep disorders will be discussed and will include: 1. Signs and symptoms of these disorders. 2. Relevant history and examination to be undertaken, with further investigation if required. 3. Treatments, both medical and behavioural, that can be undertaken.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 49 Friday 6th August 2010 Main Programme

Dr Sara Souter

Can I Go back to Work Doc? - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 2:00pm Duration: 55mins Auckland Start 3:05pm Duration: 55mins Auckland

Vocational rehabilitation has never been so important. In our turbulent economic times, illness or injury can be devastating to the employee who may lose their job, or the employer who has to train another. In the last 12 months there has been renewed worldwide interest in health at work from a human, social and economic perspective. This was in part led in early 2008 by the publication of “Working for a Healthier Tomorrow” - Dame Carol Black’s review of the health of Britain’s working age population. The aim of the UK government now followed by ours and other governments as the merits are seen, is to change attitudes to ill-health or injury and work. In particular, the benefi ts of remaining at work are now overwhelming, yet our current system, and many individual health professionals, focus on what their patient cannot do rather than what they can do at work. Many wrongly perceive that staying away from work during mild-moderate illness or injury is in their patients’ best interests. Overall evidence available to-date shows that vocational rehabilitation is effective and cost-effective, and must include both work- focused healthcare and accommodating workplaces. They found that healthcare solutions alone do not provide best outcomes for the individual. A coordinated team approach from the patient, employer, primary medical provider and rehabilitation specialists is the optimal way to achieve desired outcomes in the environment most of our patients are part of.

This workshop aims to present both available evidence and case-based scenarios, and discuss common problems encountered in supporting vocational rehabilitation and examples of how to address them.

Notes

Dr Philip Parkin

Pearls of Neurology - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 2:00pm Duration: 55mins Chancellor 5 Start 3:05pm Duration: 55mins Chancellor 5

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 50 Main Programme Friday 6th August 2010 Main Programme

Dr Rosemary Ikram

Appropriate Use of Antibiotics - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 2:00pm Duration: 55mins Wellington Start 3:05pm Duration: 55mins Wellington

Notes

Dr Rob Young

How Statins improve lung disease - Concurrent Workshop Repeated

Friday, 6 August 2010 Start 2:00pm Duration: 55mins Christchurch Start 3:05pm Duration: 55mins Christchurch

Over the last 5 years there have been a number of studies examining the diverse actions of statins in lung disease primarily chronic obstructive pulmonary disease and lung cancer. This presentation will review the epidemiological, animal and pharmacological studies that suggest statins may, through immune modulating action, be as effective in preventing respiratory disease as they are in reducing cardiovascular disease.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 51 Friday 6th August 2010 Main Programme

Dr David Bowie

Pre Hospital Care for Trauma

Friday, 6 August 2010 Start 4:30pm Duration: 20mins Chancellor 1

Since 1998 the focus for the provision of pre hospital management of trauma ( and medical) emergencies in New Zealand has been the PRIME (Primary Response In Medical Emergencies) system. Although its adoption has been inconsistent across the country and there has been controversy regarding funding methods it is still the most important system for the training and coordination of emergency response outside the metropolitan areas. The guidelines for the Roadside to Bedside initiative based on the work of the Australasian College of Surgeon Trauma Committee contains valuable information for the management of emergency situations and are currently being revised and updated. The introduction this year of a Regional Trauma System led by Waikato Hospital in the Midland region will go some way to improving provision and co-ordination of trauma response in that part of New Zealand. The improvement in service and the reduction of “turf wars” such a system can offer will hopefully see their adoption across the country in the near future. Some specifi c management scenarios will be provided to illustrate potential benefi ts.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 52 Main Programme Friday 6th August 2010 Main Programme

Professor Hamid Ikram

Cardiac Emergencies

Friday, 6 August 2010 Start 4:50pm Duration: 20mins Chancellor 1

Cardiac emergencies in primary care include many conditions, ranging from these so-called, ‘café coronary’ to acute coronary syndromes presenting with major arrhythmias, acute heart failure, cardiogenic shock and sudden death. Other conditions, including massive pulmonary embolism,haemopericardium and cardiac tamponade complicating a variety of conditions.

Clearly, time does not permit one to cover all these conditions in any detail. Particularly, the role of the primary care physician in this situation is limited to a rendering emergency fi rst aid, securing the airway, establishing a diagnosis and stabilising the patient’s heart rate and blood pressure prior to removal to hospital.

The most frequent emergency that the rule of primary care physician encounters, and for which he should be trained is the management of acute coronary syndromes. The diagnosis of these conditions may be relatively straightforward in the presence of a typical history and ECG changes. However, frequently this is not the case. A high degree of clinical suspicion is essential.

The interpretation of the electrocardiogram is most important, as it is the most readily available diagnostic tool. ST segment elevation in a collapsed patient indicates a large transmural myocardial infarction. Current guidelines require that this patient being moved to a centre with facilities for percutaneous revascularisation. If such a centre is too far away, then thrombolytic therapy offers the best prospect of myocardial salvage. Patients should be pre-treated with buccal aspirin and given appropriate thrombolytic therapy. Stabilisation of the patient prior to movement to the hospital is vital in preventing the development of major rhythm disturbances. A vital ingredient in this stabilisation process is the relief of pain. If the patient has a resting tachycardia, then small doses of beta-blockade should be used to slow the rate. Likewise, in the presence of signifi cant bradycardia, the administration of atropine will help to elevate the heart rate.

Control of nausea and vomiting, which is a frequent concomitant of acute myocardial infarction is important in preventing further myocardial necrosis and the development of life-threatening arrhythmias.

Other cardiac and vascular emergencies include acute hypertensive emergencies and acute heart failure. 2. Relevant history and examination to be undertaken, with further investigation if required. 3. Treatments, both medical and behavioural, that can be undertaken.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 53 Friday 6th August 2010 Main Programme

Mr Tony Ward

Road v Fixed Wing v Rotary Wing Response

Friday, 6 August 2010 Start 5:10pm Duration: 20mins Chancellor 1

Rural practitioners are faced with diffi cult and life altering decisions on a daily basis, throw into the mix the foreign environment of emergent pre-hospital care, unfamiliar equipment, inclement conditions and multiple casualties! Who goes? Where do they all go? What levels of care do they require? And who will provide all these resources? Decisions like these require a considered and co-ordinated response appropriate to the scene. This session hopes to provide you with some tools in order to help make a sometimes tricky decision, simpler and justifi ed. Pre-Flights assessment, stabilisation and some tricks of the trade will see you decrease stress and increase patient care in this sometimes overwhelming environment.

Notes

Associate Professor Gary Hooper

Skiing Injuries

Friday, 6 August 2010 Start 5:30pm Duration: 20mins Chancellor 1

The increased incidence of snowboarders on the ski fi eld has changed the injury patterns of alpine trauma. Skiing injuries traditionally involved lower limb injuries including tibial fractures and knee ligament injuries, now there is a much higher incidence of upper limb trauma with AC joint, shoulder and wrist injuries predominating. Initial assessment of severe trauma will be discussed with emphasis on the musculskeletal system followed by the assessment and management of the common upper and lower limb injuries. There will be an emphasis on the shoulder and knee. Following this session participants should have a better ability to assess and manage acute shoulder and knee injuries from ‘skiing’ accidents.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 54 Main Programme Friday 6th August 2010 Main Programme

Dr Jim Borowczyk

MusculoSkeletal Medicine Workshop - Concurrent Workshop Repeated Spondylosis, Facet Joint Arthropathy, and Pain

Friday, 6 August 2010 Start 4:30pm Duration: 55mins Chancellor 5 Start 5:30pm Duration: 55mins Chancellor 5

Since 1998 the focus for the provision of pre hospital management of trauma ( and medical) emergencies in New Zealand has been the PRIME (Primary Response In Medical Emergencies) system. Although its adoption has been inconsistent across the country and there has been controversy regarding funding methods it is still the most important system for the training and coordination of emergency response outside the metropolitan areas. The guidelines for the Roadside to Bedside initiative based on the work of the Australasian College of Surgeon Trauma Committee contains valuable information for the management of emergency situations and are currently being revised and updated. The introduction this year of a Regional Trauma System led by Waikato Hospital in the Midland region will go some way to improving provision and co-ordination of trauma response in that part of New Zealand. The improvement in service and the reduction of “turf wars” such a system can offer will hopefully see their adoption across the country in the near future. Some specifi c management scenarios will be provided to illustrate potential benefi ts.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 55 Saturday 7th August 2010 Main Programme

Dr Peter Foley

NZMA Breakfast Session - Interactive Session on GP Advocacy

Saturday, 7 August 2010 Start 7:00am Duration: 45mins Chancellor 1

Notes

Dr Rosemary Ikram

Microbiology in Infectious Disease

Saturday, 7 August 2010 Start 8:00am Duration: 30mins Chancellor 1

A large number of infectious diseases present in primary health. The role of the microbiology laboratory will be outlined. Key points will be illustrated with examples. Firstly taking a relatively well defi ned area such as urinary tract infection. Then exploring the introduction of a new test for gonorrhea. Finally exploring the role of the microbiology laboratory in surveillance for antimicrobial resistance and its control.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 56 Main Programme Saturday 7th August 2010 Main Programme

Dr Rob Young

Infl uenza

Saturday, 7 August 2010 Start 8:30am Duration: 25mins Chancellor 1

“Its just the fl u” is a common belief by a large proportion of the population. But we must remember that infl uenza carries an annual mortality in this country of about 150. While it did not happen this time with the 09H1N1 virus, it is not if, but when, there will be a pandemic. This session will cover epidemiology, diagnosis, isolation of patients, and treatment in a general practice setting

Notes

Dr David Hammer

Travel medicine - not just bugs

Saturday, 7 August 2010 Start 8:55am Duration: 25mins Chancellor 1

General Practitioners are well placed to provide travel health services to their patients because (usually) they know the patient’s background and have established a trusting relationship with them. Also, many travellers book their trips without the slightest idea that they should have some medical input before they depart and GPs may have the opportunity to raise this awareness.

Whilst travel vaccinations are important, they only prevent a small number of deaths and a more holistic approach is called for. Advice on avoiding murder, suicide, assaults, road accidents and drowning may seem painstakingly obvious but people do the stupidest things when abroad. Although most travellers know that they should only drink bottled water and that they may need to take malaria pills, many seem to think that they have somehow opted out of the “meet a rabid dog” encounter. Sure, many patients won’t listen to you anyway but simple advice can mean the difference between life and death, or at least between a good trip and a disaster.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 57 Saturday 7th August 2010 Main Programme

Dr Heather Young

Sexual Health

Saturday, 7 August 2010 Start 9:20am Duration: 25mins Chancellor 1

Practical aspects of STI management. This presentation focuses on updated resources, emerging epidemiologic trends and newer antibiotic regimens, with an emphasis on clinical recognition and referral guidelines. Contact tracing will be discussed and a few of the clinical syndromes outlined.

Notes

Dr Rosemary Ikram

Epidemics

Saturday, 7 August 2010 Start 9:45am Duration: 25mins Chancellor 1

Epidemics will be defi ned. Factors causing these will be explored . Recent epidemics which have required a response from primary health will be used to illustrate the epidemiology of these infections notably severe acute respiratory syndrome (SARS), infl uenza, norovirus and antimicrobial resistance. The knowledge of the epidemiology of these infections is the key to interrupting transmission and a responsive primary health sector has a major role in this.

Notes

Dr David Hammer

Travel Medicine Case Studies - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 11:00am Duration: 55mins Chancellor 5 Start 12:05pm Duration: 55mins Chancellor 5

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 58 Main Programme Saturday 7th August 2010 Main Programme

Dr Richard Chisholm

Breast Cancer Diagnosis - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 11:00am Duration: 55mins Wellington Start 12:05pm Duration: 55mins Wellington

A series of case presentations highlighting the use of various types of imaging for breast problems. An informal session planned with opportunity for discussion and some imaging diagnoses made by those attending.

Notes

Dr Bruce Sutherland & Dr John Apps

Performing Vasectomies - Concurrent Workshop Repeated (with Dr John Apps)

Saturday, 7 August 2010 Start 11:00am Duration: 55mins Auckland Start 12:05pm Duration: 55mins Auckland

Bruce Sutherland together with Dr John Apps will run a one hour workshop on how to do Vasectomies in General Practice. They will discuss the Preoperative consultation. Then, how to do the procedure, with some short video clips and demonstrations. Followed by Postoperative care discussion and potential pit falls for the vasectomist.

Vasectomy is a procedure that should be performed by General Practioners. They will discuss how this can be facilitated and how we can support the incorporation of this skill into the General Practice model.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 59 Saturday 7th August 2010 Main Programme

Dr Nigel Harrison

Cardiac Case Studies - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 11:00am Duration: 55mins Salisbury Start 12:05pm Duration: 55mins Salisbury

Notes

Dr Robert Allison

Lumps and Bumps in the Head and Neck - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 11:00am Duration: 55mins Chancellor 1 Start 12:05pm Duration: 55mins Chancellor 1

Lumps or swellings in the Head and Neck can have a wide range of causes. This talk aims to provide a logical way of approaching these, leading a likely diagnosis and management plan in general practice.

The presentation is divided into four main areas, with some degree of overlap.

1. Neck lumps in children. 2. Neck lumps in adults. 3. Salivary gland disorders. 4. Head and Neck cancer presentation.

1. Lateral paediatric neck lumps are commonly infl ammatory nodes which can be managed in general practice, unless they persist. Midline paediatric neck lumps are usually developmental and require referral. 2. In adults, the presence of a painless lateral neck mass can often indicate a metastatic malignant node. Midline neck masses are usually of thyroid origin. Fine needle aspiration (FNA) is a useful investigation but does have a signifi cant false negative rate. If the FNA is not consistent with the clinical picture there should be a low threshold for repeating the FNA, or considering referral 3. Head and Neck cancers are relatively common, but present with a wide range of symptoms and can masquerade as benign disease, necessitating a high index of suspicion to make a diagnosis. Treatment is multi-disciplinary and usually curative.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 60 Main Programme Saturday 7th August 2010 Main Programme

Dr Roland Meyer

Guidelines v EBM: Respiratory case Studies - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 11:00am Duration: 55mins Christchurch Start 12:05pm Duration: 55mins Christchurch

Does this apply to my patient with a respiratory problem ? Case Studies Chronic respiratory diseases (CRD) are very common. Most GPs encounter these on a daily basis although frequently several other issues need to be addressed during the same patient consultation. In particular patients with COPD often have several co-morbidities. Published disease-specifi c guidelines (e.g. for asthma or COPD) may either be very comprehensive but too long and impossible to apply during a patient consultation. The abbreviated versions may be too narrow with a focus on the pharmacological components of the patient management. Guidelines often are said to be “evidence-based” but in reality the evidence may be derived from clinical studies that included patients quite unlike the patient in front of you. The controversial issue of inhaled corticosteroids for the management of COPD is discussed as are 2 examples of the published so-called “mega-trials” for COPD.

A systematic approach to the individual patient is required: What are the symptoms due to? Is the diagnosis correct, do I need additional information or tests ? Are there additional factors? Has the treatment made any difference – if not , should it be discontinued? Do my patient’s beliefs match my own? What non-pharmacological considerations are required ? Cases of “COPD with frequent exacerbations “, “asthma with poor control and persisting symptoms” are presented and analysed with reference to published treatment algorithm.

Notes

Dr Claude Preitner

So What if Your patient happens to Fly? - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 11:00am Duration: 55mins Ballroom 1 Start 12:05pm Duration: 55mins Ballroom 1

When prescribing, GPs need to be aware of their patients profession and hobbies. GPs have at time to deal with patients who are pilots. Some drugs are either prohibited or require special Civil Aviation approval. In general terms when treating a pilot, fi tness to fl y determination depends both on the condition being treated and the treatment itself. Dr Claude Preitner discuss particular considerations that Medical Practitioners should give when treating pilots, and conditions that are of particular concern to fl ight safety. He also addresses Medical Practitioners legal obligations in regard to those conditions and treatments of concern and advises on available resources. Air travel is becoming more accessible and the age of the travelling public goes up. This results in an increase in the number of passengers fl ying with medical conditions. The aircraft environment can exacerbate pre-existing medical problems leading to problems in-fl ight. Dr Claude Preitner will also discuss practical aspects of assessing passengers’ fi tness to fl y, when confronted with such questions in General Practice.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 61 Saturday 7th August 2010 Main Programme

Dr Brian Almand

A Prescribers Guide to the Galaxy - Concurrent Workshops Repeated

Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Christchurch Start 3:05pm Duration: 55mins Christchurch

This is a revealing response to doctor’s prescribing from the person responsible for the interpretation of your requirements and the subsequent realisation of that treatment modality, your most frequent reviewer, the Community Pharmacist. Along with a few insights from the District Health Board angle we will, ever so briefl y, look into the Pharmaceutical Schedule. There will be a concurrent review of the predictive value of the original fi ctional work with respect to the New Zealand prescription reimbursement scheme, and some points of astronomical value.

Notes

Dr Katherine Grundy

Palliative Care as a Team - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Auckland Start 3:05pm Duration: 55mins Auckland

Recent achievements and developments within the NZ Palliative Care sector will be outlined. The defi nition of palliative care continues to evolve and associated terms such as “end-of-life care” and “advance care planning” have emerged. NZ is the third best place to die according to a recent international survey but we still have a long way to go. Challenges include the need to ensure consistent access to and quality of specialist palliative care and the requirement to make sure that all palliative care is integrated seamlessly across services. Palliative care education, guaranteed back-up and support for complex cases and a universal elevation of the status of palliative and end-of-life care in primary care, aged residential care and acute care is needed.

We must consciously identify palliative care as being the complete picture. The role of GP teams is critical, with specialist services there to provide a solid, dependable framework. Work done recently in Canterbury known as “HealthPathways” will be presented. This is a joint initiative between primary and secondary care, assisting GPs with clinical problems, planning and coordinating care and improving the interface with specialist services. The ultimate aim is that patients and families receive the care they need in the location of their choice whenever possible.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 62 Main Programme Saturday 7th August 2010 Main Programme

Mr Andrew Carmody

Medtech User Group - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Salisbury Start 3:05pm Duration: 55mins Salisbury

Notes

Dr Sean Every

Eye case Studies - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Chancellor 5 Start 3:05pm Duration: 55mins Chancellor 5

- Examination of the adult eye in General Practice - Examination ot the paediatric eye in General Practice - Transient loss of vision - Flashes and fl oaters - Approach to the red eye - Macular degeneration update

Notes

Dr Ken Macdonald

Case Studies in Common GP Skin Conditions - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Chancellor 1 Start 3:05pm Duration: 55mins Chancellor 1

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 63 Saturday 7th August 2010 Main Programme

Professor Hamid Ikram

Hypertension - Concurrent Workshop Repeated

Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Holiday Inn Ballroom 1 Start 3:05pm Duration: 55mins Holiday Inn Ballroom 1

Another CV Epidemic- In danger of being the ‘Forgotten Killer’ as opposed to the “ Silent Killer’ of old.

Focus has moved from the obsession with numbers of the blood pressure towards the assessment of absolute cardiovascular risk. This entails putting blood pressure into the context of multiple cardiovascular risk factors. Inevitably, the management of hypertension also entails the control of these other risk factors.

Lifestyle measures underpin all management strategies in the hypertensive patient. Increasingly however, it is necessary to use drug therapy to achieve optimal levels of blood pressure reduction. Only by this approach, can worthwhile reduction in real clinical events be achieved. Patients with signifi cant hypertension, are therefore often on complex medical regimes which include two or three antihypertensive agents, together with, lipid lowering therapy, antiplatelet therapy and other agents to control blood sugar and gout. This polypharmacy makes compliant diffi cult, resulting in drug failure. Simplifi cation of the regime and the close involvement of the patient and his family are essential to achieve adherence to a therapeutic regime.

The very minimum target for successful treatment should be a systolic blood pressure below 140 mmHg and a diastolic of less than 90 mmHg. This target should be revised downwards for diabetics and those with manifest organ damage. A search for organ damage with simple measurements of renal function, proteinuria, left ventricular hypertrophy and diabetes should form a part of the essential preliminary evaluation. These points are of particular relevance to patients of Maori, Pacifi c and South Asian origin.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 64 Main Programme Saturday 7th August 2010 Main Programme

Dr Phil Weeks

Ultrasound in Primary care Workshop - Concurrent Workshop

Saturday, 7 August 2010 Start 11:00am Duration: 120mins Wellington

Broad overview of likely future trends in adoption of ultrasound in primary care Machine purchasing – what to look for.

SUPPORTED BY: Mandatory features, desirable features, traps and pitfalls Servicing and maintenance Tailoring equipment to need image guidance and diagnosis. Scope of practice Getting started Training, clinical oversight, image sharing Training opportunities and clinical partnerships Clinical pathways their utility and integration in primary care

Notes

Dr Brendan Gray & Dr Tim Cookson

Hot Issues : What’s new in the Medicolegal Workplace? - MPS Session

Saturday, 7 August 2010 Start 4:30pm Duration: 90mins Chancellor 1

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 65

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Medical Assurance Society 66 Business Summit Saturday 7th August 2010 Medical Assurance Society Business Summit

Chris Wills & John Glue

MAS Business Summit - “The Essentials of Staff Management” - Concurrent Session

Saturday, 7 August 2010 Start 8:30am Duration: 120mins Gloucester

General practice is a complex and fascinating place to work with many challenges for those managing staff. For example if your new staff member hasn’t worked in this environment before, they won’t just walk in and do the job . . . you need to train and support them. If you get it right, from the beginning of the employment relationship through to the end and all points in-between, staff will be your most valuable asset. Proactively managing performance will also reduce the cost and time spent on managing underperformance and disciplinary processes. CORNERSTONE™ accreditation further reinforces the need to have clear documented workplace policies and guidelines in place for the whole practice team - including GPs. And breaching your employer obligations in relation to employment agreements or employment law can land you in serious hot-water. Understanding the basics of current legislation and developing good policies and processes will help you manage and develop a confi dent and motivated team and ensure legislative compliance. This session will cover the requirements of: • Recruiting well • Position descriptions & KPIs • Employment agreements • Induction • Staff appraisals • Staff retention • Training and development • Underperformance and disciplinary procedures

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Medical Assurance Society Business Summit 67 Saturday 7th August 2010 Medical Assurance Society Business Summit

Chris Wills & John Glue

MAS Financial Session - “The Essentials of Financial Management” - Concurrent Session

Saturday, 7 August 2010 Start 11:00am Duration: 120mins Gloucester

General practice has changed signifi cantly from the traditional small business model where all revenue fl owed directly from the GP/Patient consultation. Most of these changes have added layers of complexity to those responsible for fi nancial management including capitation and the transfer of fi nancial risk, increased group practice compliance and quality standards, less direct GP/Patient consultation revenue, PHO projects, workforce shortages, different GP needs and many more. Business models have also changed with DHB, Community Trust, PHO and corporate ownership now being more commonplace alongside the traditional GP owner/operator. And we continue to see more amalgamations with the development of purpose built medical centres providing a broader range of primary care services. To be fi nancially viable and successful general practice now needs good fi nancial management and business planning skills.

This session will cover three key areas of good fi nancial management: 1. Maximising income – including managing the practice register, consumables, debtors, fee policy and other revenue opportunities; 2. Managing expenses – including non-owner GP/staff costs and fi nancial risks; 3. Business planning and budgeting – to help determine the future direction and performance of the practice and how this will be funded.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 68 Practice Nurses Programme Saturday 7th August 2010 Practice Nurses Programme

Dr Ai Ling Tan

Managing Pelvic Malignancy - Practice Nurses Programme

Saturday, 7 August 2010 Start 11:00am Duration: 25mins Ballroom 2

Gynaecological Cancers make up 10% of all cancer cases and 10% of all cancer deaths in New Zealand.

A Cancer Society survey showed that 1/3 of the women could not identify a single symptom of gynaecological cancer. As health professionals it is our duty to educate the public. Today we will go through how these cancers present.

Ovarian cancer is the 4th biggest killer of New Zealand women – with one woman dying every 48 hours from ovarian cancer. Literature has shown that women have the best survival if they are treated by a subspecialist gynaecological oncologist. Appropriate triage of pelvic masses is discussed. Most ovarian cancers are sporadic but in familial ovarian cancers there is a role for risk reducing surgery.

Diagnosis and management of endometrial, vulva and cervical cancers are also covered in this presentation. Particular emphasis is placed on preinvasive and invasive disease of the vulva as these tend to be missed.

Notes

Dr Brian Almand

Dispensing to the Elderly - Practice Nurses Programme

Saturday, 7 August 2010 Start 11:25am Duration: 25mins Ballroom 2

A review of particular concerns with respect to older adults and psychiatric medications including common adverse effects, interactions and dealing with polypharmacy. Bring your questions.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Practice Nurses Programme 69 Saturday 7th August 2010 Practice Nurses Programme

Associate Professor Ed Gane

Hepatitis B and C 101 - Practice Nurses Programme

Saturday, 7 August 2010 Start 11:50am Duration: 25mins Ballroom 2

The Ministry of Health Hepatitis C Implementation Plan Ed Gane, HCV Champion, MoH HCV Project Team

In September 2005 a commitment was made by the government, to resolve the longstanding concerns of those infected with hepatitis C through the blood supply. Within this commitment a variety of measures were promised, including provision of an enhanced treatment package. Additional funding was sought and secured for this treatment package and a Hepatitis C Treatment Advisory group, comprising of clinicians, DHB managers and community representatives and chaired by Ed Gane was established to advise the Ministry of Health.

The terms of reference of the Hepatitis C Treatment Advisory Group were to develop a costed and prioritised Implementation Plan, supported by district health boards (DHBs) and the Ministry of Health. This group fi rst met on 17 April 2007. During 2008, they conducted a comprehensive Stocktake of current HCV treatment services provided at each of the 21 DHBs. Following analysis of these results and other information, the committee identifi ed barriers to accessing this treatment and geographical gaps in service provision. They identifi ed priority interventions to improve services and patient outcomes throughout NZ and developed a costed and prioritised implementation plan for improving the access to and uptake of Hepatitis C treatment in New Zealand. The subsequent Health Report and the Hepatitis C Plan was submitted to Hon. Tony Ryall by HCTAG in January 2009.

On 28 July 2009, the Minister approved the “Strategic Directions for Hepatitis C – improving access to and uptake of hepatitis C treatment services” and signed off the funding allocation to address the key action areas within the document. These four key action areas, identifi ed within Strategic Directions for Hepatitis C, are: (i) improving HCV treatment services;(ii) improving knowledge of HCV among primary health care providers; (iii) increasing the percentage of all people with HCV who have had the disease diagnosed; (iv) improving the knowledge of HCV prevalence in the New Zealand population and within subgroups.

During this presentation, I will briefl y outline the plans for primary care, including the new e-learning tool for GPs and Practice Nurses, designed to improve knowledge and encourage opportunistic screening for HCV.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 70 Practice Nurses Programme Saturday 7th August 2010 Practice Nurses Programme

Dr Sean Every

Eye Pot Pourri - Practice Nurses Programme

Saturday, 7 August 2010 Start 12:15pm Duration: 25mins Ballroom 2

• How to test Visual Acuity • How to pad an eye • How to irrigate an eye following a chemical injury

Notes

Dr Richard Chisholm

Screening for Breast Cancer - Practice Nurses Programme

Saturday, 7 August 2010 Start 2:00pm Duration: 25mins Ballroom 2

The National Breast Screening Programme in New Zealand began in December 1998.The process and results of screening will be described with emphasis on the very successful recruitment strategies involving general practices and practice nurses used in the Breastscreen South area.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Practice Nurses Programme 71 Saturday 7th August 2010 Practice Nurses Programme

Dr Peter Chapman-Smith

Healing Leg Ulcers - Practice Nurses Programme

Saturday, 7 August 2010 Start 2:25pm Duration: 25mins Ballroom 2

Leg ulcers are 80% venous in origin and consume 1-2% of Vote Health each year. Effective healing requires treating the underlying chronic venous insuffi ciency and venous hypertension, use of adequate class 2 compression and good nursing. Secondary infection and necrotic debris may need attention. The vast array of available ( expensive) dressings make little difference to healing times.

Compression aids healing, reduces interstitial oedema and needs to be worn 24 hours daily until healing occurs. Frail elderly patients can use various devices to assist the wearing of compression hose which need to be a minimum of class 2 strength ( 35-40mm Hg at the ankle). Peripheral vascular disease can complicate this.

Non surgical treatment of varicose veins is the fi rst line option in most western countries, not yet available in the NZ public health system. Endovenous laser ablation (EVLA) has become the most effective, safe option with high patient acceptance, and is funded by private medical insurance. Foam ultrasound guided sclerotherapy (UGS) is used concurrently to occlude distal trunks and tributaries. Careful post treatment surveillance with duplex ultrasound is necessary to exclude thrombotic sequelae, and to document effi cacy of treatment.

Post thrombotic syndrome (PTS) following deep venous thrombosis (DVT) has been recognised for some time but is poorly understood. This is a debilitating condition with life long discomfort, leg swelling and oedema. More common with proximal DVT but seen also after mere calf DVT, it is reduced by 50% by simply wearing class 2 compression hose for 24 months post DVT, rarely prescribed by GPs. TED stockings continue to be widely prescribed consuming health funds – completely useless in the ambulant patient.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 72 Practice Nurses Programme Saturday 7th August 2010 Practice Nurses Programme

Dr Nigel Harrison

The Joys of Vitamin D - Practice Nurses Programme

Saturday, 7 August 2010 Start 2:50pm Duration: 25mins Ballroom 2

There is much excitement in the research and clinical environments about Vitamin D. Defi ciency and insuffi ciency, far from being unusual is now recognised as being almost universal within certain age- groups and sectors of society. Through its controlling infl uences on many thousands of genes, Vitamin D plays a profound role in not only bone health but immune function, cardiovascular health, diabetes and cancer prevention. The widespread defi ciency now demonstrated as being present from cradle to grave could well be at the root of many of the chronic disease epidemics we are currently battling.

Notes

RN Linda Hill

Immunisation Workshop - Practice Nurses Programme

Saturday, 7 August 2010 Start 4:00pm Duration: 60mins Ballroom 2

One of the strongest evidence-based medical interventions we have is immunisation. Despite this, New Zealand currently has mediocre immunisation coverage and reasons for this range from issues around access to services, systems and a lack of community confi dence in immunisation generally. However many practices can and do maintain high immunisation coverage rates in their childhood population. A crucial component is a confi dent provider.

This presentation will focus on the key issues and some resources that are useful for us as PNs at the practice level when dealing daily with immunisation systems, issues, parental and community concerns.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 73

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 74 Main Programme Sunday 8th August 2010 Main Programme

Dr Roland Meyer

Better Community Respiratory Care

Sunday, 8 August 2010 Start 8:30am Duration: 25mins Chancellor 1

Chronic respiratory diseases (CRD) are very common. Most GPs encounter these on a daily basis although frequently several other issues need to be covered during the same patient consultation. Good self management will generally result in better disease control and better patient outcomes. The education required to achieve this however may be time-consuming . So called “Life style” factors such as smoking and obesity, social determinants of health such as poor housing have signifi cant impact on respiratory health and need to be addressed more effectively.

COPD often is not diagnosed until half of the patient’s lung function has been lost. 2/3 of the “burden” of COPD may as yet need to be to be diagnosed. Case fi nding, better and earlier community care may prevent patients from progressing to a more severe stage.

Hospital and Specialist Services usually are overloaded and unable to respond in a timely fashion to anything but urgent referrals . Signifi cant barriers for patients to attend hospital services exist, in particular in larger cities. Numerous “silos” exist, often providing quality patient care but without suffi cient integration between providers and different specialities. Frequent acute presentations do not necessarily result in better chronic disease management .

It is crucial to have dedicated resources to identify enrolled patients with CRD, to allow proper diagnosis, patient education and the development of a CRD management plan which is based on a holistic approach – including pharmacological and non-pharmacological treatments.

Locally adapted, web-based pathways, easy access to community based diagnostics such as spirometry testing or sleep studies, community based and integrated education, pulmonary rehabilitation have been set up in Canterbury as part of the Canterbury Initiative and some gains have already been made. Further strategies need to address the development of better incentives for all providers and further reduce barriers for better integration and for patients to access services.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 75 Sunday 8th August 2010 Main Programme

Professor Shaun Holt

How to ACT to Improve Asthma Outcomes

Sunday, 8 August 2010 Start 7:30am Duration: 45mins Chancellor 1

There is a major gap between what can be achieved with modern asthma management and what is currently being achieved. One of the main reasons for this is a lack of recognition of asthma severity and the requirement for more effective treatment - it is only through identifying those patients with uncontrolled asthma that appropriate treatment will be prescribed.

In part the diffi culty in the assessment of control relates to the lack of a clear therapeutic target in asthma. This contrasts with other chronic diseases such as hypertension or diabetes where treatment is prescribed in order to achieve a defi nite therapeutic target. One approach to this diffi culty is to develop a simple test which is a screening tool to identify patients with poorly controlled asthma.

The Asthma Control Test (ACT) has been developed and validated for this purpose. It involves patients completing a simple written questionnaire of fi ve questions, from which a score (out of 25) is obtained. It has been shown that the ACT is a simple, quick and accurate tool for assessing asthma control and it has been shown to be responsive to changes in asthma control over time.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 76 Main Programme Sunday 8th August 2010 Main Programme

Dr Adrian Balasingam

CT Colonography

Sunday, 8 August 2010 Start 8:55am Duration: 25mins Chancellor 1

CT Colonography (CTC) otherwise known as Virtual Colonoscopy has stormed to the forefront of radiological imaging of the colon over the past decade. As rates of Colo-Rectal carcinoma increase in New Zealand and with limited access to conventional colonoscopy, CTC has become and even more important tool.

This talk will include a discussion on technique, examples of common conditions, pitfalls, complications and “no bowel prep” regimes for infi rmed patients who are unable to tolerate colonic catharsis. The relationship of CTC and conventional colonoscopy will be included including when CTC is not appropriate. The goal is to provide conference attendees a general overview of CTC and to gain a better understanding of its strengths and weaknesses.

Notes

Dr Sean Every

Glaucoma 101

Sunday, 8 August 2010 Start 9:20am Duration: 25mins Chancellor 1

Is glaucoma relevant to General Practice? Despite being the most common cause of irreversible blindness in the western world there is no screening programme. It does not fulfi l the WHO criteria for screening because there is no single screening test. Consequently 50% of glaucoma in our community is undiagnosed. Most screening is opportunistic and done by optometrists.

A brief summary of glaucoma is presented.

Take home messages: 1. As primary health care providers General Practitioners can recommend glaucoma screening for their patients when they reach 45 years, repeated 5 yearly until 60 years, thereafter 3 yearly. This can be done by optometry or private ophthalmology. 2. Having a family history of glaucoma is a signifi cant part of the family history. 3. Long term steroid treatment is a risk factor for glaucoma.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 77 Sunday 8th August 2010 Main Programme

Dr John Apps

Wilderness Medicine

Sunday, 8 August 2010 Start 9:45am Duration: 25mins Chancellor 1

This session will explore the depth & breadth of wilderness medicine as an emerging discipline, illustrated with cases from around the globe. So, whether you are going as the medic on a charity bike ride, pushing the survival limits at altitude or near the poles, volunteering for disaster relief work or going into a war zone, come along for a light-hearted sharing of experiences, where necessity really is the mother of invention!

We will look at the vital importance of the 7 Ps (proper planning & preparation prevents p*** poor performance), information sources, suitable training, the common problem of pre-departure concealed illness, realistic medical kits, evacuation options and working with local health care providers. I will bring along some of my treasured items of equipment that I would not leave home without.

Notes

Dr Phil Weeks

Musculoskeletal; US and Radiology - Pre-conference Workshop Repeated

Sunday, 8 August 2010 Start 8:30am Duration: 55mins Wellington Start 9:30am Duration: 55mins Wellington

Overview of approaches to musculoskeletal problem solving with particular emphasis on primary care strategies, and available resources. SUPPORTED BY: Plain fi lm, ultrasound, MRI and CT scanning use of nuclear medicine and brief reference to CT PET. Ultrasound and its practical application for common problems and utility in guiding musculoskeletal intervention.

This will be followed by hands on practical scanning using available laptop based ultrasound platforms. Patients with simple masses, and basic scanning techniques and normal anatomy around tendons and major joints.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 78 Main Programme Sunday 8th August 2010 Main Programme

Dr Daniel Ching

Hot Tips in Rheumatology - Concurrent Workshop Repeated

Sunday, 8 August 2010 Start 8:30am Duration: 55mins Ballroom 2 Start 9:30am Duration: 55mins Ballroom 2

Notes

Dr Ai Ling Tan

Gynaecologic Cancer - Concurrent Workshops Repeated

Sunday, 8 August 2010 Start 8:30am Duration: 55mins Christchurch Start 9:30am Duration: 55mins Christchurch

The fi rst part of the session will focus on patient pathways after referral to a gynaecological oncology unit.

The second part will focus on the various types of cancers including ovarian, endometrial, cervical and vulva cancer. Clinical presentation, diagnosis and management will be discussed

The third part will cover when to refer in some clinical scenarios as well as the follow up for cancer patients and does this make a difference to survival. . Complications of treatment that could present to primary care will be covered.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 79 Sunday 8th August 2010 Main Programme

Dr Anton Wiles

Aviation Medicals - Expanding Horizons - Concurrent Workshop Repeated

Sunday, 8 August 2010 Start 8:30am Duration: 55mins Auckland Start 9:30am Duration: 55mins Auckland

Having come into Aviation Medicine by chance, I have found it an interesting and rewarding activity, which complements an active general practice very well. It is a branch of occupational medicine, dealing with the medical needs of pilots and their certifi cation for fl ying aircraft. As such it is highly associated with the ultimate aim of safety in the aviation environment. In the main this is dealing with healthy and motivated individuals, assessing current health status, and encouraging healthy life-styles. This seminar aims to describe to sort of work done, and how a medical practitioner can qualify to become involved.

Notes

Dr Brian Almand

Prescribing for Anxiety and Depression - Concurrent Workshops Repeated

Sunday, 8 August 2010 Start 8:30am Duration: 55mins Chancellor 5 Start 9:30am Duration: 55mins Chancellor 5

Frequently Asked Questions Answered, Occasional Problems Solved and Points of Interest with New Medications: Covering a range of common questions from General Practice including antidepressant dosing, when to switch and how to switch; common recommendations from specialist services and why they sometimes appear unhelpful; a reminder about anxiolytics, leading to a quick look at new and imminent antidepressant medications, what they are and how to use them. Bring your questions.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 80 Main Programme Sunday 8th August 2010 Main Programme

Dr David Hammer

Vaccinations for Travellers - Concurrent Workshop Repeated

Sunday, 8 August 2010 Start 8:30am Duration: 55mins Ballroom 1 Start 9:30am Duration: 55mins Ballroom 1

Notes

Dr Daniel Ching

Biologics in Infl ammatory Rheumatic Diseases

Sunday, 8 August 2010 Start 11:00am Duration: 25mins Chancellor 1

The era of biologics or targeted therapies in rheumatology started in 1998 with the use of tumour necrosis factor alpha inhibitor in the treatment of rheumatoid arthritis. As a result of more intensive monitoring and treatment (similar to tight control of blood glucose in patients with diabetes), combination DMARDs (disease modifying anti-rheumatic drugs) and biologics, remission in rheumatoid arthritis and other infl ammatory diseases, is now achieveable. There are currently nine different biologics approved by the FDA for the treatment of infl ammatory rheumatic diseases. In NZ, Etanercept is available for the treatment of juvenile idiopathic arthritis (JIA) or adult patients with a history of JIA. Adalimumab has been available for the treatment of rheumatoid arthritis since 1.1.2006 and available for the treatment of ankylosing spondylitis and psoriatic arthritis since 1.8.2009. As well as new strategies and treatments, the other major factor in achieving remission in patients with infl ammatory rheumatic diseases is early and aggressive treatment. GPs are an important player in this process with early referral to a Rheumatologist of any patient who they are suspicious of developing early infl ammatory rheumatic diseases, regardless of the ESR or CRP.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 81 Sunday 8th August 2010 Main Programme

Associate Professor Ed Gane

A new screening tool for Hepatitis C

Sunday, 8 August 2010 Start 11:25am Duration: 25mins Chancellor 1

The Ministry of Health Hepatitis C Implementation Plan Ed Gane, HCV Champion, MoH HCV Project Team

In September 2005 a commitment was made by the government, to resolve the longstanding concerns of those infected with hepatitis C through the blood supply. Within this commitment a variety of measures were promised, including provision of an enhanced treatment package. Additional funding was sought and secured for this treatment package and a Hepatitis C Treatment Advisory group, comprising of clinicians, DHB managers and community representatives and chaired by Ed Gane was established to advise the Ministry of Health.

The terms of reference of the Hepatitis C Treatment Advisory Group were to develop a costed and prioritised Implementation Plan, supported by district health boards (DHBs) and the Ministry of Health. This group fi rst met on 17 April 2007. During 2008, they conducted a comprehensive Stocktake of current HCV treatment services provided at each of the 21 DHBs. Following analysis of these results and other information, the committee identifi ed barriers to accessing this treatment and geographical gaps in service provision. They identifi ed priority interventions to improve services and patient outcomes throughout NZ and developed a costed and prioritised implementation plan for improving the access to and uptake of Hepatitis C treatment in New Zealand. The subsequent Health Report and the Hepatitis C Plan was submitted to Hon. Tony Ryall by HCTAG in January 2009.

On 28 July 2009, the Minister approved the “Strategic Directions for Hepatitis C – improving access to and uptake of hepatitis C treatment services” and signed off the funding allocation to address the key action areas within the document. These four key action areas, identifi ed within Strategic Directions for Hepatitis C, are: (i) improving HCV treatment services;(ii) improving knowledge of HCV among primary health care providers; (iii) increasing the percentage of all people with HCV who have had the disease diagnosed; (iv) improving the knowledge of HCV prevalence in the New Zealand population and within subgroups.

During this presentation, I will briefl y outline the plans for primary care, including the new e-learning tool for GPs and Practice Nurses, designed to improve knowledge and encourage opportunistic screening for HCV.

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 82 Main Programme Sunday 8th August 2010 Main Programme

Professor Hamid Ikram

Atrial Fibrillation

Sunday, 8 August 2010 Start 11:50am Duration: 25mins Chancellor 1

Atrial fi brillation is the commonest sustained rhythm disorder encountered in clinical practice. It is broadly classifi ed as ‘paroxysmal or intermittent’ or ‘sustained’.

The most important clinical consequences are:- 1. Haemodynamicdecompensation 2. Thromboembolism

Atrial fi brillation carries a 5 to 7 times increased risk of stroke, which is much greater if there is impairment of left ventricular function or rheumatic valvular heart disease also present.

Currently, the major strategies for managing this condition consist of 1 restoration of normal sinus rhythm (Rhythm Control) or 2. Control of the ventricular rate ( Rate Control).

Both these have their place in individual cases, but as regards outcomes, they are equivalent.

Thromboembolic prophylaxis is mandatory in most cases. This is assessed by the CHADS2 Score. { C= CHF; H= Hypertension SBP>160mm Hg; A=age > 75yrs; D= Diabetes all these are 1 point each., while S= previous stroke or TIA and has 2 points} Patients with !point can be treated with Asprin but Warfarin is indicated for all others in the absence of contraindications.

Newer advances with drugs and devices are available but may not be seen in NZ for some time.

Notes

Professor Hamid Ikram

Clinical Quiz

Sunday, 8 August 2010 Start 12:30pm Duration: 30mins Chancellor 1

Not telling!!

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 83

Notes

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 84 Delegate Listings as of 27 July 2010 Alphabetical

Title Given Name Surname Organisation Suburb/City Dr Maysoon Abbas The Clinic Christchurch Dr Allan Adair Auckland Ms Jacqui Adair Auckland Mr Yassar Alamri University of Otago, Christchurch School of Medicine Christchurch Dr Anna Alderton Christchurch Dr Cathy Allison Hillmorton Medical Centre Christchurch Dr Robert Allison Christchurch Public Hospital Christchurch Mr Brian Almand HVDHB Hutt Hospital Pharmacy Wellington Dr Glenn Anderson Greenwood Health Motueka Dr Nicole Anderson International SOS Ho Chi Minh City Dr Ross Anderson Helios Medical Centre Lyttleton Dr Vasuki Annamalai The Doctors Hastings Dr John Apps Westport Dr Rachel Arms Ora Toa Cannons Creek Wellington Mrs Fiona Arnold Servants Health Centre Dunedin Dr Samantha Bailey Salisbury Health Centre Christchurch Dr Hilary Baird Whitecross Henderson Auckland Dr Jeremy Baker Settlers Health Centre Christchurch Dr Simon Baker Hibiscus Coast Medical Centre Auckland Dr Adrian Balasingam Christchurch Radiology Group Christchurch Dr Sandra Barr New Brighton Healthcare Christchurch Dr Alex Bartle Sleep Well Clinic Auckland Dr Karen Barwise Strandon Health New Plymouth Dr Peter Battersby Taupo Medical Centre Taupo Dr Sergio Battistessa Waiuku Medical Centre Waiuku Dr Anya Beale Cromwell Medical Centre Cromwell Dr Deanne Bedggood Woolston Christian Medical Centre Christchurch Mrs Teresa Berthelsen Girven Road Medical Centre Mt Maunganui Dr Bharat Bhakta Eastside Medical New Plymouth Dr Phil Bird Christchurch Public Hospital Christchurch Ms Jeanette Blair Dr Collins Surgery Balclutha Dr Jim Borowczyk Christchurch Mrs Bere Borrie Roslyn Health Centre Dunedin Dr Peter Borrie Roslyn Health Centre Dunedin Dr Clare Botha-Reid Christchurch South Health Centre Christchurch Dr David Bowie Canterbury DHB Christchurch Dr David Bratt Ministry of Social Development Wellington Dr Peter Brooke Brooke Medical Services Nelson Dr Alan Brookes Motueka Dr Gerald Brown Medicross Accident & Medical Centre New Plymouth Dr Nigel Brown Timaru Medical Centre Timaru Dr Kaye Buchan Kaiapoi Medical Centre Kaiapoi Dr John Bulow Maori Hill Clinic Dunedin Dr Jo Caldwell Waikari Clinic Waikuku Beach Kiri Cameron Uawa Community Health Clinic Tolaga Bay Dr John Campbell Redcliffs Medical Centre Christchurch Dr Tina Cartmell Island Bay Medical Centre Wellington Dr Peter Chapman-Smith Skin and Vein Clinic Whangarei Dr Daniel Ching Timaru Hospital Timaru Dr Narasimha Rajesh Chintanginjala South City Medical Centre Invercargill Dr Richard Chisholm Christchurch Women’s Hospital Christchurch Julia Christie Otago Medical School Dunedin Dr Siew-Siew Chua ProMed Edgeware Christchurch Dr Freya Clemens Gore Medical Centre Gore Dr Jochen Clemens Gore Medical Centre Gore Dr Deirdre Clink Lincoln Medical Ltd Christchurch Dr Janine Close Lincoln Road Medical Practice Christchurch Dr Tree Cocks Aurora Health Centre Dunedin Dr Alexandra Cole Merivale Medical Practice Christchurch Dr James Collins Dr Collins Surgery Balclutha Dr Tim Cookson Medical Protection Society Wellington Dr Graham Corbett ACC Whangarei Dr Terrance Bryan Cork Miramar Medical Centre Wellington Dr Penny Croker Amuri Community Health, North Canterbury Hanmer Springs Dr Tony Crutchley Thorndon Medical Centre Wellington Dr Paula Cummings Riccarton Clinic and After Hours Christchurch Dr Wayne Cunningham Milton Health Centre Milton Dr Tom Currie Stoke Medical Centre, Stoke Nelson Dr Denise Dalziel Waiuku Medical Centre Waiuku Dr Simon Davies Queenstown Medical Centre Queenstown Dr Ann Davis Broadway Health Centre Kerikeri Dr Anna Davison Wellington Dr Pip de Hamel Wakefi eld Health Centre Wellington Dr Johannes De Klerk Medicross New Plymouth Dr Jean-Marc de Maroussem Rakaia Medical Centre Rakaia Dr Kelvin DeGinder Taraua Health Group Dannevirke Dr John Dehn Amberely Medical Centre Christchurch Dr Charlotte Dempster Mana Medical Centre Porirua

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Delegate Listings 85 as of 27 July 2010 Alphabetical

Dr Zita Descalzo Piki Te Ora Clinic Christchurch Dr Gareth Devonald Christchurch Dr Karen Dickinson Papanui Medical Centre Christchurch Dr Elspeth Dickson Warkworth Medical Centre Warkworth Dr Rose Dodd Peninsular Medical Centre Wellington Dr Andy Doherty Andy Doherty Medical Ltd Invercargill Dr Judith Donnell Rotorua Dr Chandra Dookia Medical Treatment Centre Upper Hutt Dr Greg Down Moorhouse Medical Christchurch Dr John Drake Palmerston North Dr Louise Draper Merivale Medical Practice Christchurch Carol Drinkwater Otautau Health Otautau Dr Greg Dunn Matamata Medical Centre Matamata Mrs Dunn Matamata Dr Rowan Durward Lower Hutt Dr Gaye Eden Banks Peninsula Mrs Sherryn Edwardson Redcliffs Medical Centre Christchurch Mrs Philnie Elvin Radius Medical, Palmerston North Bulls Dr Sean Every Christchurch Eye Department Christchurch Dr Bernard Fanning Union and Community Health Centre Christchurch Dr Rosy Fenwicke Wellington Dr Ross Fieldes North End Health Centre Oamaru Dr Richard Fisher Fertility Associates Auckland Dr Peter Foley New Zealand Medical Association Wellington Dr Sue Foot Hillmorton Hospital Christchurch Dr Julie Forsey Lower Hutt Dr Alison Foster Seatoun Surgery Wellington Dr Sandra Fountain Lincoln Road Medical Practice Christchurch Dr Ernst Fuhrhop Mana Medical Centre Porirua Dr Annie Fyfe Twizel Medical Centre Twizel A/Prof Ed Gane Auckland City Hospital Auckland Dr Tim Gardner High Country Health Twizel Dr Helen Gardyne Uawa Community Health Clinic Tolaga Bay Dr John Geard Victoria Medical Palmerston North Dr Linda Gibb Papanui Medical Centre Christchurch Dr Brenda Gibson Terrace Medical Centre Wellington Dr Stephan Gort Ferrymead Medical Centre Christchurch Dr Gwyneth Graham Mt Pleasant Medical Centre Christchurch Dr Brendan Gray Medical Protection Society Wellington Dr Hillary Gray North Avon Medical Christchurch Dr Lewis Gray Otautau Health Otautau Dr Beccy Greaves Waikanae Health Centre Paraparaumu Dr Yvonne Marie Greenfi eld Unitec Health Centre Auckland Dr William Grove Riverton Medical Centre Riverton Dr Katherine Grundy Christchurch Hospital Palliative Care Service Christchurch Dr Nilmini Gunawardana Ngati Porou Hauora Gisborne Dr Hanan Habib Maraenui Medical Centre Napier Dr Phillip Hamilton Merivale Medical Practice Christchurch Dr David Hammer MedlabSouth Christchurch Dr Paula Hanley Papanui Medical Centre Christchurch Dr Nigel Harrison Whangarei Hospital Whangarei Dr Mohammed Hasan Fairfi eld Medical Centre Hamilton Dr Mark Haywood Toi Ora Health Opotiki Dr Landon Hepi Shirley Medical Centre Christchurch Dr Sandra Hicks Halswellhealth Christchurch RN Linda Hill South Island for the Immunisation Advisory Centre Christchurch Dr Hamish Hilson Dr HR Hilson Medical Services Nelson Mr Mathew Hobbs University of Otago Dunedin Profes- Shaun Holt Tauranga sor A/Prof Gary Hooper Christchurch School of Medicine and Health Sciences Christchurch Dr Stephen Hoskin Fiordland Medical Practice Te Anau Dr Maureen Houstoun Dunedin Urgent Doctors & Accident Centre Dunedin Dr Joshua Howe Eastcare Christchurch Dr Tina Huang The Riccarton Clinic Christchurch Dr Greg Hunter Central Medical Centre Alexandra Dr Tanya Hussein Waiwhetu Medical Centre Lower Hutt Profes- Hamid Ikram University of Otago Christchurch sor Dr Rosemary Ikram MedlabSouth Christchurch Dr Rachel Inder Newlands Medical Centre Wellington Dr Hans Itjeshorst Otaki Medical Centre Otaki Dr Maki Jagose Mana Medical Centre Porirua Dr Dishanthini Jayawardena Normans Road Surgery Christchurch Mrs Aishah Jip Central City Medical Palmerston North Dr Paul Jip Central City Medical Palmerston North Mrs Shiree Johnston High Country Health Twizel Dr David Jones Gore Health Centre Gore Mrs Lynley Jones Gore

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 86 Delegate Listings as of 27 July 2010 Alphabetical

Profes- Peter Joyce Dean of the University of Otago Christchurch sor Dr Sherif Kalladka Flagstaff Medical Centre Hamilton Dr Ranatunga Kalupahana Avalon Medical Centre Lower Hutt Dr Ciandra Keenan Miramar Medical Centre Wellington Dr Murtaza Khanbai Community Medical Centre, Waitara New Plymouth Dr Philip Knowles Havelock North Dr Bridget Kuzma Waimauku Doctors Waimauku Dr Margaret Larder North End Health Centre Oamaru Dr Patrick Leary Devon Medical Centre New Plymouth Dr Yvonne LeFort Milford Family Medical Centre North Shore City Dr Arna Letica Titirangi Family Health Care Auckland Dr Martin London South Westland Dr Malcolm Lyons Albany Basin Accident and Medical North Shore City Dr Alison MacDonald Auckland Dr Graham Macdonald Redcliffs Medical Centre Christchurch Dr Ken Macdonald Christchurch Dr Catriona MacGregor Sumner Health Centre Christchurch Dr Tearlach Maclean University of Canterbury Health Centre Christchurch Dr Liz Mangan Riccarton Medical Practice Riccarton Dr Nicola Manttan Merivale Medical Practice Christchurch Dr Allie Maskill Linton Military Camp | Bulls Medical Centre, Bulls Palmerston North Dr David Mattan Wellsford Dr Tony Mayne Paeroa Medical Centre Paeroa Dr Dunc McAllister Springlands Health Ltd Blenheim Dr Helen McDougall Kopeopeo Health Centre Ohope Dr Andrew McGuire QE II Medical Centre Christchurch Dr Gemma McIntosh Masonic Medical Centre Palmerston North Dr Bruce McKerchar Invercargill Dr Jim McKevitt Phoenix Medical Centre Whakatane Mr Matt McKevitt Otago Medical School Whakatane Dr Linda Mellor Student Health, Massey University Wellington Dr Seema Menon Radius Medical Hamilton Hamilton Dr Roland Meyer Southern DHB Southland Hospital Dr Jo Millis Wanaka Medical Centre Wanaka Dr Janet Mills Strandon Health New Plymouth Sarah Missen Otago Medical School Dunedin Mrs Cathy Mitchell Brooklyn Central Health Wellington Dr Barney Montgomery Wellington Dr Jim Montgomery Aramoho Health Centre Wanganui Mrs Denise Moran Blenheim Dr Anthony Morris Timaru Dr Phil Morris Lister Court Medical Centre Blenheim Dr Jonathan Morton Central City Medical Palmerston North Mrs Kate Morton Central City Medical Palmerston North Mrs Janice Muir Mosgiel Health Centre Mosgiel Dr Richard Muir Mosgiel Health Centre Mosgiel Dr Diana Nash Te Atatu South Medical Centre Auckland Dr Carey Nazzer CareFirst New Plymouth Dr Hamish Neill Harley Street Medical Nelson Dr Richard Newman Riccarton Medical Practice Riccarton Dr Gill Nixon Upper Hutt Health Centre Upper Hutt Dr Murray Nutsford Northcare Medical Centre Hamilton Dr Lucy O'Hagan Aspiring Medical Centre Wanaka Dr Pam Olver Brooklyn Central Health Wellington Dr Prue Orchiston Student Health, University of Otago Dunedin Dr Andrew Osborne Riccarton Clinic Christchurch Dr Roland Ostring Scasebrook Surgery Christchurch Dr Bill Page Kaiapoi Medical Centre Kaiapoi Dr Jordi Palau Durham Health Rangiora Dr Donald Palmer Helios Integrative Medical Christchurch Dr Philip Parkin Christchurch Hospital Christchurch Dr Gita Patel Auckland Dr Sarah Perano Picton Medical Centre Blenheim Dr Mark Peterson New Zealand Medical Association Wellington Dr Bruce Phillips Otorohanga Medical Centre, Otorohonga Hamilton Jeanette Phillips Hamilton Dr Fiona Pickering Student Health Services Dunedin Mrs Ruth Pickering Redcliffs Medical Centre Christchurch Jane Piper Coast to Coast Health care Mangawhai Dr Stephen Pitman Kaiapoi Medical Centre Kaiapoi Dr Rebecca Pope Harbour Health Port Chalmers Dunedin Dr Kathryn Powell Meridian Medical Centre Dunedin Dr Claude Preitner Cival Aviation Authority Lower Hutt Dr Simon Prior Masterton Medical Masterton Dr Navin Rajan Radius Medical Hamilton Hamilton Dr Penny Rickman Capital Care Wellington Dr Simon Riddell Palmerston North Dr Rob Riley Nelson Dr Peter Ripley Gardens Medical Centre Dunedin

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Delegate Listings 87 as of 27 July 2010 Alphabetical

Dr Janet Robinson Amberley Medical Centre Amberley Dr Chris Rohrbach Central Medical Alexandra Linda Ruohonen Eastside Medical New Plymouth Dr Kirsty Russell Geraldine Dr Caroline Ryan Templeton Medical Christchurch Dr Hilary Ryan Masterton Medical Masterton Dr Peter Ryan Rolleston Medical Centre Christchurch Dr Philippa Ryan QE II Medical Centre Christchurch Dr Tessa Ryder Hornby Medical Centre Christchurch Dr Tonya Sadler Redcliffs Medical Centre Christchurch Dr Khalid Sandhu Kilbirnie Medical Centre Wellington Dr Razia Sandhu Kilbirnie Medical Centre Wellington Dr Liz Schroder Wainoni Medical Centre Christchurch Dr Graeme Scrivener Amuri Community Health, North Canterbury Hanmer Springs Dr Janine Searle Rolleston Medical Centre Christchurch A/Prof Marc Shaw Worldise Travellers Health & Vaccination Centre Auckland Dr Hilkka Sheffi eld Sydney Street Health Centre Christchurch Dr Jeff Shortt Lincoln Medical Lincoln Dr Eugene Sia Grahams Road Surgery Christchurch Dr Branjo Sijnja Rural Medical Immersion Programme Balclutha Dr Jenny Simpson Te Aro Health Centre Wellington Dr Allan Sinclair The Clinic Christchurch Dr Anil Singh The Wood Street Doctors Auckland Dr Daya Singh The Wood Street Doctors Auckland Dr Glen Smith Island Bay Medical Centre Wellington Dr Sara Souter Christchurch Christchurch Dr Camilla Spears Christchurch Dr Grant Spence Auckland Dr Jenny Spring Greymouth Medical Centre Greymouth Dr Ian St George McKesson New Zealand Wellington Dr Shelley Stansfi eld Upper Hutt Health Centre Upper Hutt Dr Vanessa Stedman Sumner Health Centre Christchurch Liz Steyeart Medibank Health Solutions Christchurch Dr Malcolm Stoney Linwood Avenue Medical Centre Christchurch Dr Lindsay John Strang Salisbury Health Centre Christchurch Dr Bruce Sutherland Warkworth Medical Centre Warkworth Nurse Carolyn Tallentire Fendalton Medical Centre Christchurch Dr Ai Ling Tan ADHB and Ascot Central Women’s Clinic Auckland Dr Olivia Tan Halswellhealth Christchurch Dr Kate Taylor Auckland Dr David Thomson Sumner Medical Rooms Christchurch Dr Sean Thomson Christchurch Dr Kerry Thornbury Ora Toa PHO Wellington Dr Claire Thurlow Nelson Dr Michael Thwaites Christchurch Dr Graeme Tingey Girven Road Medical Centre Mt Maunganui Mrs Theresa Tingey Girven Road Medical Centre Mt Maunganui Dr Michelle Todd Ethnic Riches New Plymouth Dr Colette Torrance Waikato Hospital Hamilton Dr Hugh Townend Student Health Victoria Wellington Dr Belinda Turnbull Kaiapoi Medical Centre Kaiapoi Dr Rhondda Turner Scott Street Health Blenheim Dr Christine van Dalen Wadestown Medical Wellington Mrs Eva Van Niekirk Redcliffs Medical Centre Christchurch Dr Sabien van Riessen Coastal Medical Rooms Paraparaumu Dr Matthew Graham van Rij Ropata Medical Centre Lower Hutt Dr Peter Vujcich Northland DHB Kerikeri Dr Robert Walton Auckland Dr Adnan Wan Belmont Medical Centre North Shore City Mr Tony Ward Advanced Paramedic/RN Christchurch Dr Phil Weeks Auckland Mrs Donna West Riverton Medical Centre Riverton Dr Graham Whittaker Piki Te Ora Clinic Christchurch Pauline Whyte Harewood Medical Centre Christchurch Dr Shane Wilcox Featherston Medical Centre Wellington Dr Anton Wiles Remuera Doctors Auckland Dr Bridget Williams Belfast Medical Centre Christchurch Dr David Wilson Mercury Bay Medical Centre Whitianga Mr Luke Wilson University of Otago Dunedin Joanne Winiata Medibank Health Solutions Christchurch Dr Anna Winter Te Rawhiti Family Care Centre Christchurch Dr Han Yan medical centre@apollo North Shore City Dr Heather Young Christchurch Hospital Christchurch Dr Kenneth Young Bulls Medical Centre Bulls Dr Rob Young Auckland Dr Rex Yule Amberley Medical Centre Amberley Dr David Zarifeh Christchurch

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 88 Delegate Listings as of 27 July 2010 Regional

Title Given Name Surname Organisation Suburb/City Dr Chris Rohrbach Central Medical Alexandra Dr Greg Hunter Central Medical Centre Alexandra Dr Janet Robinson Amberley Medical Centre Amberley Dr Rex Yule Amberley Medical Centre Amberley Dr Ai Ling Tan ADHB and Ascot Central Women’s Clinic Auckland A/Prof Ed Gane Auckland City Hospital Auckland Dr Richard Fisher Fertility Associates Auckland Dr Simon Baker Hibiscus Coast Medical Centre Auckland Dr Anton Wiles Remuera Doctors Auckland Dr Alex Bartle Sleep Well Clinic Auckland Dr Diana Nash Te Atatu South Medical Centre Auckland Dr Anil Singh The Wood Street Doctors Auckland Dr Daya Singh The Wood Street Doctors Auckland Dr Arna Letica Titirangi Family Health Care Auckland Dr Yvonne Marie Greenfi eld Unitec Health Centre Auckland Dr Hilary Baird Whitecross Henderson Auckland A/Prof Marc Shaw Worldise Travellers Health & Vaccination Centre Auckland Dr Allan Adair Auckland Ms Jacqui Adair Auckland Dr Alison MacDonald Auckland Dr Gita Patel Auckland Dr Grant Spence Auckland Dr Kate Taylor Auckland Dr Robert Walton Auckland Dr Phil Weeks Auckland Dr Rob Young Auckland Ms Jeanette Blair Dr Collins Surgery Balclutha Dr James Collins Dr Collins Surgery Balclutha Dr Branjo Sijnja Rural Medical Immersion Programme Balclutha Dr Gaye Eden Banks Peninsula Dr Phil Morris Lister Court Medical Centre Blenheim Dr Sarah Perano Picton Medical Centre Blenheim Dr Rhondda Turner Scott Street Health Blenheim Dr Dunc McAllister Springlands Health Ltd Blenheim Mrs Denise Moran Blenheim Dr Kenneth Young Bulls Medical Centre Bulls Mrs Philnie Elvin Radius Medical, Palmerston North Bulls Mr Tony Ward Advanced Paramedic/RN Christchurch Dr John Dehn Amberely Medical Centre Christchurch Dr Bridget Williams Belfast Medical Centre Christchurch Dr David Bowie Canterbury DHB Christchurch Dr Sara Souter Christchurch Christchurch Dr Sean Every Christchurch Eye Department Christchurch Dr Philip Parkin Christchurch Hospital Christchurch Dr Heather Young Christchurch Hospital Christchurch Dr Katherine Grundy Christchurch Hospital Palliative Care Service Christchurch Dr Robert Allison Christchurch Public Hospital Christchurch Dr Phil Bird Christchurch Public Hospital Christchurch Dr Adrian Balasingam Christchurch Radiology Group Christchurch A/Prof Gary Hooper Christchurch School of Medicine and Health Sciences Christchurch Dr Clare Botha-Reid Christchurch South Health Centre Christchurch Dr Richard Chisholm Christchurch Women’s Hospital Christchurch Professor Peter Joyce Dean of the University of Otago Christchurch Dr Joshua Howe Eastcare Christchurch Nurse Carolyn Tallentire Fendalton Medical Centre Christchurch Dr Stephan Gort Ferrymead Medical Centre Christchurch Dr Eugene Sia Grahams Road Surgery Christchurch Dr Sandra Hicks Halswellhealth Christchurch Dr Olivia Tan Halswellhealth Christchurch Pauline Whyte Harewood Medical Centre Christchurch Dr Donald Palmer Helios Integrative Medical Christchurch Dr Sue Foot Hillmorton Hospital Christchurch Dr Cathy Allison Hillmorton Medical Centre Christchurch Dr Tessa Ryder Hornby Medical Centre Christchurch Dr Deirdre Clink Lincoln Medical Ltd Christchurch Dr Janine Close Lincoln Road Medical Practice Christchurch Dr Sandra Fountain Lincoln Road Medical Practice Christchurch Dr Malcolm Stoney Linwood Avenue Medical Centre Christchurch Liz Steyeart Medibank Health Solutions Christchurch Joanne Winiata Medibank Health Solutions Christchurch Dr David Hammer MedlabSouth Christchurch Dr Rosemary Ikram MedlabSouth Christchurch Dr Alexandra Cole Merivale Medical Practice Christchurch Dr Louise Draper Merivale Medical Practice Christchurch Dr Phillip Hamilton Merivale Medical Practice Christchurch Dr Nicola Manttan Merivale Medical Practice Christchurch Dr Greg Down Moorhouse Medical Christchurch Dr Gwyneth Graham Mt Pleasant Medical Centre Christchurch

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Delegate Listings 89 as of 27 July 2010 Regional

Dr Sandra Barr New Brighton Healthcare Christchurch Dr Dishanthini Jayawardena Normans Road Surgery Christchurch Dr Hillary Gray North Avon Medical Christchurch Dr Karen Dickinson Papanui Medical Centre Christchurch Dr Linda Gibb Papanui Medical Centre Christchurch Dr Paula Hanley Papanui Medical Centre Christchurch Dr Zita Descalzo Piki Te Ora Clinic Christchurch Dr Graham Whittaker Piki Te Ora Clinic Christchurch Dr Siew-Siew Chua ProMed Edgeware Christchurch Dr Andrew McGuire QE II Medical Centre Christchurch Dr Philippa Ryan QE II Medical Centre Christchurch Dr John Campbell Redcliffs Medical Centre Christchurch Mrs Sherryn Edwardson Redcliffs Medical Centre Christchurch Dr Graham Macdonald Redcliffs Medical Centre Christchurch Mrs Ruth Pickering Redcliffs Medical Centre Christchurch Dr Tonya Sadler Redcliffs Medical Centre Christchurch Mrs Eva Van Niekirk Redcliffs Medical Centre Christchurch Dr Andrew Osborne Riccarton Clinic Christchurch Dr Paula Cummings Riccarton Clinic and After Hours Christchurch Dr Peter Ryan Rolleston Medical Centre Christchurch Dr Janine Searle Rolleston Medical Centre Christchurch Dr Samantha Bailey Salisbury Health Centre Christchurch Dr Lindsay John Strang Salisbury Health Centre Christchurch Dr Roland Ostring Scasebrook Surgery Christchurch Dr Jeremy Baker Settlers Health Centre Christchurch Dr Landon Hepi Shirley Medical Centre Christchurch RN Linda Hill South Island for the Immunisation Advisory Centre Christchurch Dr Catriona MacGregor Sumner Health Centre Christchurch Dr Vanessa Stedman Sumner Health Centre Christchurch Dr David Thomson Sumner Medical Rooms Christchurch Dr Hilkka Sheffi eld Sydney Street Health Centre Christchurch Dr Anna Winter Te Rawhiti Family Care Centre Christchurch Dr Caroline Ryan Templeton Medical Christchurch Dr Maysoon Abbas The Clinic Christchurch Dr Allan Sinclair The Clinic Christchurch Dr Tina Huang The Riccarton Clinic Christchurch Dr Bernard Fanning Union and Community Health Centre Christchurch Dr Tearlach Maclean University of Canterbury Health Centre Christchurch Professor Hamid Ikram University of Otago Christchurch Mr Yassar Alamri University of Otago, Christchurch School of Medicine Christchurch Dr Liz Schroder Wainoni Medical Centre Christchurch Dr Deanne Bedggood Woolston Christian Medical Centre Christchurch Dr Anna Alderton Christchurch Dr Jim Borowczyk Christchurch Dr Gareth Devonald Christchurch Dr Ken Macdonald Christchurch Dr Camilla Spears Christchurch Dr Sean Thomson Christchurch Dr Michael Thwaites Christchurch Dr David Zarifeh Christchurch Dr Anya Beale Cromwell Medical Centre Cromwell Dr Kelvin DeGinder Taraua Health Group Dannevirke Dr Tree Cocks Aurora Health Centre Dunedin Dr Maureen Houstoun Dunedin Urgent Doctors & Accident Centre Dunedin Dr Peter Ripley Gardens Medical Centre Dunedin Dr Rebecca Pope Harbour Health Port Chalmers Dunedin Dr John Bulow Maori Hill Clinic Dunedin Dr Kathryn Powell Meridian Medical Centre Dunedin Julia Christie Otago Medical School Dunedin Sarah Missen Otago Medical School Dunedin Mrs Bere Borrie Roslyn Health Centre Dunedin Dr Peter Borrie Roslyn Health Centre Dunedin Mrs Fiona Arnold Servants Health Centre Dunedin Dr Fiona Pickering Student Health Services Dunedin Dr Prue Orchiston Student Health, University of Otago Dunedin Mr Mathew Hobbs University of Otago Dunedin Mr Luke Wilson University of Otago Dunedin Dr Kirsty Russell Geraldine Dr Nilmini Gunawardana Ngati Porou Hauora Gisborne Dr David Jones Gore Health Centre Gore Dr Freya Clemens Gore Medical Centre Gore Dr Jochen Clemens Gore Medical Centre Gore Mrs Lynley Jones Gore Dr Jenny Spring Greymouth Medical Centre Greymouth Dr Mohammed Hasan Fairfi eld Medical Centre Hamilton Dr Sherif Kalladka Flagstaff Medical Centre Hamilton Dr Murray Nutsford Northcare Medical Centre Hamilton Dr Bruce Phillips Otorohanga Medical Centre, Otorohonga Hamilton Dr Seema Menon Radius Medical Hamilton Hamilton

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 90 Delegate Listings as of 27 July 2010 Regional

Dr Navin Rajan Radius Medical Hamilton Hamilton Dr Colette Torrance Waikato Hospital Hamilton Jeanette Phillips Hamilton Dr Penny Croker Amuri Community Health, North Canterbury Hanmer Springs Dr Graeme Scrivener Amuri Community Health, North Canterbury Hanmer Springs Dr Vasuki Annamalai The Doctors Hastings Dr Philip Knowles Havelock North Dr Nicole Anderson International SOS Ho Chi Minh City Dr Andy Doherty Andy Doherty Medical Ltd Invercargill Dr Narasimha Rajesh Chintanginjala South City Medical Centre Invercargill Dr Bruce McKerchar Invercargill Dr Kaye Buchan Kaiapoi Medical Centre Kaiapoi Dr Bill Page Kaiapoi Medical Centre Kaiapoi Dr Stephen Pitman Kaiapoi Medical Centre Kaiapoi Dr Belinda Turnbull Kaiapoi Medical Centre Kaiapoi Dr Ann Davis Broadway Health Centre Kerikeri Dr Peter Vujcich Northland DHB Kerikeri Dr Jeff Shortt Lincoln Medical Lincoln Dr Ranatunga Kalupahana Avalon Medical Centre Lower Hutt Dr Claude Preitner Cival Aviation Authority Lower Hutt Dr Matthew Graham van Rij Ropata Medical Centre Lower Hutt Dr Tanya Hussein Waiwhetu Medical Centre Lower Hutt Dr Rowan Durward Lower Hutt Dr Julie Forsey Lower Hutt Dr Ross Anderson Helios Medical Centre Lyttleton Jane Piper Coast to Coast Health care Mangawhai Dr Simon Prior Masterton Medical Masterton Dr Hilary Ryan Masterton Medical Masterton Dr Greg Dunn Matamata Medical Centre Matamata Mrs Dunn Matamata Dr Wayne Cunningham Milton Health Centre Milton Mrs Janice Muir Mosgiel Health Centre Mosgiel Dr Richard Muir Mosgiel Health Centre Mosgiel Dr Glenn Anderson Greenwood Health Motueka Dr Alan Brookes Motueka Mrs Teresa Berthelsen Girven Road Medical Centre Mt Maunganui Dr Graeme Tingey Girven Road Medical Centre Mt Maunganui Mrs Theresa Tingey Girven Road Medical Centre Mt Maunganui Dr Hanan Habib Maraenui Medical Centre Napier Dr Peter Brooke Brooke Medical Services Nelson Dr Hamish Hilson Dr HR Hilson Medical Services Nelson Dr Hamish Neill Harley Street Medical Nelson Dr Tom Currie Stoke Medical Centre, Stoke Nelson Dr Rob Riley Nelson Dr Claire Thurlow Nelson Dr Carey Nazzer CareFirst New Plymouth Dr Murtaza Khanbai Community Medical Centre, Waitara New Plymouth Dr Patrick Leary Devon Medical Centre New Plymouth Dr Bharat Bhakta Eastside Medical New Plymouth Linda Ruohonen Eastside Medical New Plymouth Dr Michelle Todd Ethnic Riches New Plymouth Dr Johannes De Klerk Medicross New Plymouth Dr Gerald Brown Medicross Accident & Medical Centre New Plymouth Dr Karen Barwise Strandon Health New Plymouth Dr Janet Mills Strandon Health New Plymouth Dr Malcolm Lyons Albany Basin Accident and Medical North Shore City Dr Adnan Wan Belmont Medical Centre North Shore City Dr Han Yan medical centre@apollo North Shore City Dr Yvonne LeFort Milford Family Medical Centre North Shore City Dr Ross Fieldes North End Health Centre Oamaru Dr Margaret Larder North End Health Centre Oamaru Dr Helen McDougall Kopeopeo Health Centre Ohope Dr Mark Haywood Toi Ora Health Opotiki Dr Hans Itjeshorst Otaki Medical Centre Otaki Carol Drinkwater Otautau Health Otautau Dr Lewis Gray Otautau Health Otautau Dr Tony Mayne Paeroa Medical Centre Paeroa Mrs Aishah Jip Central City Medical Palmerston North Dr Paul Jip Central City Medical Palmerston North Dr Jonathan Morton Central City Medical Palmerston North Mrs Kate Morton Central City Medical Palmerston North Dr Allie Maskill Linton Military Camp | Bulls Medical Centre, Bulls Palmerston North Dr Gemma McIntosh Masonic Medical Centre Palmerston North Dr John Geard Victoria Medical Palmerston North Dr John Drake Palmerston North Dr Simon Riddell Palmerston North Dr Sabien van Riessen Coastal Medical Rooms Paraparaumu Dr Beccy Greaves Waikanae Health Centre Paraparaumu

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Delegate Listings 91 as of 27 July 2010 Regional

Dr Charlotte Dempster Mana Medical Centre Porirua Dr Ernst Fuhrhop Mana Medical Centre Porirua Dr Maki Jagose Mana Medical Centre Porirua Dr Simon Davies Queenstown Medical Centre Queenstown Dr Jean-Marc de Maroussem Rakaia Medical Centre Rakaia Dr Jordi Palau Durham Health Rangiora Dr Liz Mangan Riccarton Medical Practice Riccarton Dr Richard Newman Riccarton Medical Practice Riccarton Dr William Grove Riverton Medical Centre Riverton Mrs Donna West Riverton Medical Centre Riverton Dr Judith Donnell Rotorua Dr Martin London South Westland Dr Roland Meyer Southern DHB Southland Hospital Dr Peter Battersby Taupo Medical Centre Taupo Professor Shaun Holt Tauranga Dr Stephen Hoskin Fiordland Medical Practice Te Anau Dr Daniel Ching Timaru Hospital Timaru Dr Nigel Brown Timaru Medical Centre Timaru Dr Anthony Morris Timaru Kiri Cameron Uawa Community Health Clinic Tolaga Bay Dr Helen Gardyne Uawa Community Health Clinic Tolaga Bay Dr Tim Gardner High Country Health Twizel Mrs Shiree Johnston High Country Health Twizel Dr Annie Fyfe Twizel Medical Centre Twizel Dr Chandra Dookia Medical Treatment Centre Upper Hutt Dr Gill Nixon Upper Hutt Health Centre Upper Hutt Dr Shelley Stansfi eld Upper Hutt Health Centre Upper Hutt Dr Jo Caldwell Waikari Clinic Waikuku Beach Dr Bridget Kuzma Waimauku Doctors Waimauku Dr Sergio Battistessa Waiuku Medical Centre Waiuku Dr Denise Dalziel Waiuku Medical Centre Waiuku Dr Lucy O'Hagan Aspiring Medical Centre Wanaka Dr Jo Millis Wanaka Medical Centre Wanaka Dr Jim Montgomery Aramoho Health Centre Wanganui Dr Elspeth Dickson Warkworth Medical Centre Warkworth Dr Bruce Sutherland Warkworth Medical Centre Warkworth Mrs Cathy Mitchell Brooklyn Central Health Wellington Dr Pam Olver Brooklyn Central Health Wellington Dr Penny Rickman Capital Care Wellington Dr Shane Wilcox Featherston Medical Centre Wellington Mr Brian Almand HVDHB Hutt Hospital Pharmacy Wellington Dr Tina Cartmell Island Bay Medical Centre Wellington Dr Glen Smith Island Bay Medical Centre Wellington Dr Khalid Sandhu Kilbirnie Medical Centre Wellington Dr Razia Sandhu Kilbirnie Medical Centre Wellington Dr Ian St George McKesson New Zealand Wellington Dr Tim Cookson Medical Protection Society Wellington Dr Brendan Gray Medical Protection Society Wellington Dr David Bratt Ministry of Social Development Wellington Dr Terrance Bryan Cork Miramar Medical Centre Wellington Dr Ciandra Keenan Miramar Medical Centre Wellington Dr Peter Foley New Zealand Medical Association Wellington Dr Mark Peterson New Zealand Medical Association Wellington Dr Rachel Inder Newlands Medical Centre Wellington Dr Rachel Arms Ora Toa Cannons Creek Wellington Dr Kerry Thornbury Ora Toa PHO Wellington Dr Rose Dodd Peninsular Medical Centre Wellington Dr Alison Foster Seatoun Surgery Wellington Dr Hugh Townend Student Health Victoria Wellington Dr Linda Mellor Student Health, Massey University Wellington Dr Jenny Simpson Te Aro Health Centre Wellington Dr Brenda Gibson Terrace Medical Centre Wellington Dr Tony Crutchley Thorndon Medical Centre Wellington Dr Christine van Dalen Wadestown Medical Wellington Dr Pip de Hamel Wakefi eld Health Centre Wellington Dr Anna Davison Wellington Dr Rosy Fenwicke Wellington Dr Barney Montgomery Wellington Dr David Mattan Wellsford Dr John Apps Westport Mr Matt McKevitt Otago Medical School Whakatane Dr Jim McKevitt Phoenix Medical Centre Whakatane Dr Graham Corbett ACC Whangarei Dr Peter Chapman-Smith Skin and Vein Clinic Whangarei Dr Nigel Harrison Whangarei Hospital Whangarei Dr David Wilson Mercury Bay Medical Centre Whitianga

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 92 GP CME 2011 General Practice Conference & Medical Exhibition

Rotorua Energy Events Centre | 9-12 June 2011

Skyline Skyrides Gondola and Lake Rotorua, Rotorua

Join your colleagues again next year for a mix of Medical Education and Leisure at the Rotorua Energy Events Centre. Start planning now for this national GP meeting, which brings together excellent medical updates of wide practical relevance to General Practice, with Business Advice, Practice Nurses Programme, Practice Managers Programme, Medico-Political forums, and time out for family leisure at this premier conference complex in Rotorua.

AVE and MOPS credits available If you would like a topic or speaker considered for inclusion in next year’s programme, please forward an abstract and biography to the contact details below:

Postal: PO Box 1661, Whangarei 0140 Phone: +64 (021) 164 3815 Fax: +64 (09) 437 4089 Email: [email protected] Web: www.gpcme.co.nz CREDIT CLAIM FORM - Keep this form for your records 93

GP CME South 2010 has been endorsed by the The Royal New Zealand College of General Practitioners (RNZCGP) and has been approved for up to 18 hours for General Practice Education Programme Stage 2 (formerly AVE) and Maintenance of Professional Standards (MOPS) purposes. This endorsement does not include the medico- political sessions, Eli Lilly Symposium or breakfast sessions.

Friday 6th August Main Conference Hours 0800-0805 Welcome Address Chairman NZMA GP Council Mark Peterson 0805-0830 Heart Failure Revisited Hamid Ikram 0830-0855 Management Options for Skin Cancer Ken Macdonald 0855-0920 Issues in Fertility Richard Fisher 2.5 0920-0945 Optimal Breast Cancer Screening Richard Chisholm 0945-1010 Is it really epilepsy? Philip Parkin 1010-1030 Discussion Concurrent Sessions (55mins) How to.. How to .. How to .. WS 4 is How to.. How to.. How to .. Medtech User Interpret ECGs Fracture Assessing the rescheduled to Trigger Point Smoking Spirometry Group 1 1100-1155 Management Dizzy and Deaf run at 12:05pm Needling Cessation 1hr 1hr 1hr ONLY 1hr 1hr 1hr 1hr Concurrent Sessions (55mins) How to.. How to .. How to .. Why are Patients How to.. How to.. How to .. Medtech User Interpret ECGs Fracture Assessing the Better off at Trigger Point Smoking Spirometry Group 1205-1300 Management Dizzy and Deaf Work Needling Cessation 1 1hr 1hr 1hr 1hr 1hr 1hr 1hr 1hr 1400-1530 Main Session Bipolar Disorders Why won’t my Can I go back to Pearls of Appropriate use How Statins Healthline: 10 years of new and Depression child sleep? work Doc? Neurology of Antibiotics Improve Lung Disease 1400-1425 1o Care Service Ian St George 1hr 1hr 1hr 1hr 1hr 1hr Hypertenstion and Vitamin D 1425-1450 Nigel Harrison New Ideas for an Old Problem: Bipolar Disorders How Statins 2 OA Knees Why won’t my Can I go back to Pearls of Appropriate use 1450-1515 and Depression Improve Lung Gary Hooper child sleep? work Doc? Neurology of Antibiotics Disease Ready Steady Crook 1hr 1hr 1hr 1hr 1hr 1hr 1515-1540 David Bratt 1540-1600 Discussion Main Session WS 29: 1630-1730 1630-1650 Pre Hospital Care for Trauma David Bowie Musculoskeletal Medicine Workshop 1650-1710 Cardiac Emergencies Hamid Ikram Jim Borowczyk 1hr 1.5 1710-1730 Road v Fixed Wing v Rotary Wing Response Tony Ward WS 30: 1730-1830 1730-1750 Skiing Injuries Gary Hooper Musculoskeletal Medicine Workshop 1750-1800 Discussion Jim Borowczyk 1hr

Saturday 7th August Main Conference 0800-0830 Microbiology in Infectious Disease Rosemary Ikram 0830-0855 Infl uenza Rob Young 0855-0920 Travel Medicine: Not Just Bugs David Hammer 0920-0945 Sexual Health Heather Young 2.5 0945-1010 Epidemics Rosemary Ikram 1010-1030 Discussion Concurrent Sessions (55mins) Travel Medicine Case Breast Cancer Performing Cardiac Case Lumps & Bumps in Guidelines v EBM: So What if Your 1100-1155 Studies Diagnosis Vasectomies Studies the Head & Neck Respiratory Case Patient Happens 1 Studies to Fly Concurrent Sessions (55mins) Travel Medicine Case Breast Cancer Performing Cardiac Case Lumps & Bumps in Guidelines v EBM: So What if Your 1205-1300 Studies Diagnosis Vasectomies Studies the Head & Neck Respiratory Case Patient Happens 1 Studies to Fly Concurrent Sessions (55mins) A Prescribers Guide Palliative Care Medtech Case Studies in Eye Case Studies Hypertension Hands on 1400-1455 to the Galaxy as a Team User Group Common GP Skin Ultrasound in GP 1 Conditions 120 mins Concurrent Sessions (55mins) Phil Weeks A Prescribers Guide Palliative Care Medtech Case Studies in Eye Case Studies Hypertension 1505-1600 to the Galaxy as a Team User Group Common GP Skin 1 Conditions 1630-1730 MPS - Hot Issues: What’s New in the Medicolegal Workplace 1

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Keep the Attendance Certifi cate for your records, and apply for your MOPS or AVE CME points through your normal quarterly reporting to the RNZCGP. You may be asked for a copy of your Attendance Certifi cate by the RNZCGP or New Zealand Medical Council, so fi le in an appropriate place.

While the conference is approved for up to a maximum of 18 hours GPs attending can only claim for the conference sessions they attend. Delegates will need to complete this self-recording form. This form can be kept as the Certifi cate of Attendance, so practitioners participating in GPEP 2 or MOPs have the necessary documentation for submission to the RNZCGP when this is requested. Tear along dotted Line Tear

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Saturday 7th August Practice Nurses Programme 0800-0830 Microbiology in Infectious Disease Rosemary Ikram 0830-0855 Infl uenza Rob Young 0855-0920 Travel Medicine: Not Just Bugs David Hammer 0920-0945 Sexual Health Heather Young 2.5 0945-1010 Epidemics Rosemary Ikram 1010-1030 Discussion 1100-1125 Managing Pelvic Malignancy Ai Ling Tan 1125-1150 Dispensing to the Elderly Brian Almand 1150-1215 Hepatitis B and C 101 Ed Gane 2 1215-1240 Eye Pot Pourri Sean Every 1240-1300 Discussion - Q and A panel 1400-1425 Screening for Breast Cancer Richard Chisholm 1425-1450 Healing Leg Ulcers Peter Chapman-Smith 1.5 1450-1515 The Joys of Vitamin D Nigel Harrison 1515-1530 Discussion - Q and A panel 1600-1700 Immunisation Workshop Linda Hill 1.5 1700-1730 Discussion

Saturday 7th August Medical Assurance Society Business Summit

0830-1030 WS 31 - MAS Business Summit “The Essentials of Staff Management” Chris Wills 2 1100-1300 WS 71 - MAS Financial Session “Practical Financial Management” Chris Wills & John Glue 2

Sunday 8th August General Practice Programme Better Community Musculoskeletal Hot tips in Gynaecologic Aviation Medicals Prescribing for Vaccinations for Respiratory Care 0830-0855 Radiology Cases Rheumatology Cancer Expanding Anxiety and Travellers Roland Meyer 1hr 1hr 1hr Horizons Depression 1hr CT Colonography 1hr 1hr 0855-0920 Adrian Balasingam

Glaucoma 101 0920-0945 2 Sean Every Musculoskeletal Hot tips in Gynaecologic Aviation Medicals Prescribing for Vaccinations for Radiology Cases Rheumatology Cancer Expanding Anxiety and Travellers Wilderness Medicine 1hr 1hr 1hr Horizons Depression 1hr 0945-1010 John Apps 1hr 1hr 1010-1025 Discussion 1100-1125 Biologics in Infl ammatory Rheumatic Diseases Daniel Ching 1125-1150 A New Screening Tool for Hepatitis C Ed Gane 1150-1215 Atrial Fibrillation Hamid Ikram 2 1215-1230 Discussion 1230-1300 Clinical Quiz Hamid Ikram

Name:______Total Signature:______Date: / / 2010

Keep the Attendance Certifi cate for your records, and apply for your MOPS or AVE CME points through your normal quarterly reporting to the RNZCGP. You may be asked for a copy of your Attendance Certifi cate by the RNZCGP or New Zealand Medical Council, so fi le in an appropriate place.

While the conference is approved for up to a maximum of 18 hours GPs attending can only claim for the conference sessions they attend. Delegates will need to complete this self-recording form. This form can be kept as the Certifi cate of Attendance, so practitioners participating in GPEP 2 or MOPs have the necessary documentation for submission to the RNZCGP when this is requested. Tear along dotted Line

NZ College of Practice Nurses NZNO

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This is to certify that r

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e s N NZNO attended a 7 hour CNE session at the GP-CME South 2010 Conference on the 7th August 2010

Chairperson Date: Saturday 7th August 2010

Colleen O'Connell 96 97

GP CME South 2010 Conference Evaluation Form

Please complete this conference evaluation questionnaire to help us plan future conferences. Please circle the number that best represents your opinion.

Academic Programme 1. How would you rate this conference overall? 8. Which were the top THREE topics in your opinion? ______Poor 1 2 3 4 5 Excellent Adequate ______2. How well did the conference fulfill your expecations? 9. Who were the top THREE presenters in your opinion? Did not fulfil 1 2 3 4 5 Exceeded Adequate ______3. Overall how relevant do you think the content was to General ______Practice?

10. Do you have any constructive comments for any of the Irrelevant 1 2 3 4 5 Relevant speakers re their presentation content/style? Partially relevant ______4. To what extent did the breadth of topics meet your ______professional development needs? ______Needs not met 1 2 3 4 5 Needs met Needs partially Met Social Programme

5. Were there enough CME sessions? 11. What did you LIKE about the social programme? ______Toofew12345 Toomany Just right ______6. Overall were there enough interactive opportunities during presentations? 12. What suggestions can you make for next year?

Toofew12345 Toomany______Just right ______

7. Were workshop topic options sufficient to provide enough ______variety? 13. How helpful was the conference in assisting you to network Yes No Don’t know with GP’s and other primary care health professionals

Comments: ______Unhelpful 1 2 3 4 5 Very helpful ______Adequate

______Tear along dotted Line Tear

6-8 August 2010 | Hotel Grand Chancellor | Christchurch 98

GP CME South 2010 Conference Evaluation Form

Organistationation and and Venue Venue 19. What aspects of the VENUE would you like to see future conferences IMPROVE ON? 14. What were the BEST aspects of the conference ______ORGANISATION? ______Demographics (Please circle the appropriate response) ______20. Are you: Male Female 15. What aspects of the ORGANISATION would you like to see future conferences IMPROVE ON? 21. Are you a: ______General Practitioner Practice Nurse ______General Practice Registrar Practice Manager

16. Do you feel you had value for money? Other: ______(please specify) Yes No Not sure 22. Age: 20-35 36-50 51-70 Comments: ______23. How many years have you worked in general practice? ______

17. Would you recommend to a friend/colleague? 24. Do you practice in a:

Yes No Not sure Main Centre Provincial Town Rural area Comments: ______Practice with: Solo 2 3 4 5+ ______

18. What were the BEST aspects of the conference VENUE? ______Thank You 1. Leave in box at registration desk 2. Fax/Post to: The Manager, Conference Matters, PO Box 1661, Whangarei, New Zealand. Fax: +64 (0)9 437 4089

6-8 August 2010 | Hotel Grand Chancellor | Christchurch Christchurch Covention Centre | Christchurch 29 July - 1 August 2011

Snow Boarding - Mt Hutt

Join your colleges again for a mix of Medical Education and leisure at the Christchurch Convention Centre. Start planning now for this national GP meeting, which brings together excellent medical updates of wide practical relevance to General Practice.

Content will focus on sharp, sharp and to the point clinical updates to change your behaviour immediately.

For further details visit www.gpcme.co.nz/south or email [email protected]

AVE and MOPS credits available

Postal: PO Box 1661, Whangarei 0140 Phone: +64 (021) 164 3815 Fax: +64 (09) 437 4089 Email: [email protected] Web: www.gpcme.co.nz/south 100 A Promisefor Life 6-8 August 2010|Hotel GrandChancellor | Christchurch Postal: POBox1661,Whangarei0140, Physical:3HaronuiStreet,Whangarei0112 EXHIBITORS &SPONSORS Email: [email protected], Web: www.conferencematters.co.nz SILVER SPONSORS GOLD SPONSORS Phone: +64(021)1643815,Fax: +64 (09)4374089

3184AT Jeff Oliver Print Ltd