June 13th – 15th, 2018 Royal Botanical Gardens 680 Plains Road West, Burlington, ON FREE PARKING

The Division of Palliative Care Presents 3 Days in

Planning Commit tee Nadia R. Plach, MD, PhD, CCFP, FCFP Valerie Spironello, MSW, RSW CO-CHAIR Social Worker Palliative Care Consultant Assistant Clinical Professor (Adjunct) Joseph Brant Division of Palliative Care Associate Professor Department of Family Medicine Division of Palliative Care McMaster University, Hamilton, ON Department of Family Medicine Learning Objectives McMaster University, Hamilton, ON Carol Sweeney, BA, BSW, RSW Social Worker By attending this activity, participants will be able to: Kathleen Willison, RN, MSc, CHPCN(C) St. Joseph’s Healthcare Hamilton CO-CHAIR Assistant Clinical Professor (Adjunct) • Manage complex physical, emotional, ethical and social issues, Clinical Nurse Specialist Division of Palliative Care Palliative Care Department of Family Medicine including pediatric to geriatric populations. St. Joseph's Healthcare Hamilton McMaster University, Hamilton, ON Assistant Clinical Professor • Develop enhanced collaborative practice skills and forge new School of Nursing and Ann Vander Berg, MTS, RP Associate Member Chaplain, Spiritual Care Specialist inter-professional relationships. Division of Palliative Care Juravinski Hospital and Cancer Centre Department of Family Medicine • Apply a palliative approach in end of life care for cancer and McMaster University, Hamilton, ON Assistant Clinical Professor (Adjunct) Division of Palliative Care chronic end-stage illnesses, including cardiac, renal, respiratory Teri Crockford, RN, BScN, MS, CHPCN(c) Department of Family Medicine and neurological conditions. Clinical Nurse Specialist McMaster University, Hamilton, ON Assistant Clinical Professor School of Nursing and Robert Vukovich, BScPhm, Pharm D, CGP Associate Member Consultant Pharmacist Division of Palliative Care Classic Care Pharmacy Department of Family Medicine A Division of Centric Health, Burlington, ON Target Audience McMaster University, Hamilton, ON Angela Silla Health Care Professionals (Physicians, Nurses, Spiritual Care Hun-Je Park, MD CHSE Acting Program Manager Palliative Care Consultant Continuing Health Sciences Education Providers, Social Workers and other disciplines) who: Joseph Brant Hospital McMaster University, Hamilton, ON Juravinski Hospital • Are providing a palliative approach to care within various Assistant Clinical Professor (Adjunct) Natalie Park settings: Primary Care, Long Term Care, Acute Care, Home Division of Palliative Care CHSE Coordinator Department of Family Medicine Continuing Health Sciences Education Care and Hospice. McMaster University, Hamilton, ON McMaster University, Hamilton, ON • Have completed or plan to complete the Pallium LEAP Tracy MacKinnon, BA Education Program Associate (Learning Essential Approaches to Palliative and End-of-Life Division of Palliative Care Care) prior to June. Department of Family Medicine McMaster University, Hamilton, ON www.fhs.mcmaster.ca/palliativecare/leap.html www.fhs.mcmaster.ca/conted/palliativecare.html

For More Information NATALIE PARK, CHSE Coordinator McMaster University, Continuing Health Sciences Education 905-525-9140 ext. 20763 • [email protected] Agenda 2018 Testimonials “Excellent course - Time and money well spent.”

“Absolutely wonderful speakers! Great interactive • Advanced Cancer Pain & Symptom opportunities.” Management “I loved all the aspects to this conference/workshop.” • Meeting the Palliative Care Needs of the Frail Elderly “A wonderful and very informative 3 days!” “Food was fabulous for all 3 days and the location was • Medical Marijuana perfect, both environment and season.” • Palliative Care in Pediatrics The Royal Botanical Gardens is located at 680 Plains Road • End of Life Cardiac Care West, on the border of Burlington and Hamilton in Ontario, Canada. • Bereavement Support • Skilled Conversations at End of Life Directions • Nephrology at End of Life Care From Toronto and East • Queen Elizabeth Way to Highway 403 West (Hamilton). • Palliative Approach in Addiction • Exit at Waterdown Road. Travel 800 metres south along Waterdown Road to Plains Road West. • Palliative Care Approach to MAID • Turn right onto Plains Road West and travel 2km. • Turn left into the RBG parking lot. • Music Therapy & Legacy From Kitchener-Waterloo and West including Detroit (U.S.A.) • Highway 401 East to Highway 6 South. • Follow Highway 6 South for about 25 km. • Exit onto York Road, make a left and then a right on the new Plains Road and drive south crossing over the 403. • Turn left at the lights to continue on Plains Road West for about 1 km, passing the glass building. • Turn right into the RBG parking lot.

From the Niagara Region and Buffalo (U.S.A.) • Queen Elizabeth Way to Highway 403 West (Hamilton). • Exit at Waterdown Road. • Travel 800 metres south along Waterdown Road to Plains Road West. • Turn right onto Plains Road West and travel 2km. • Turn right into the RBG parking lot.

3 Days in

For Family Physicians Activity Package This course has been developed in keeping with the As the registrant your activity package includes Ontario Ministry of Health's goal to provide Palliative Care {breakfast, nutritional breaks, and lunch} Your activity education for Family Physicians that: lanyard must be worn at all times throughout the day. If • Enhances skill & knowledge in order to maximize the you have a guest accompanying you to the activity, their quality of life in patients who require palliative care meals are at their own cost and will be billed directly. • Recognizes the primacy of care recipients & their families • Facilitates & mobilizes the development of community Photography support networks Candid photos may be taken at the activity. Your registration implies your permission for these photos For m at to be used for promotional material. Individuals in Combination of lectures & small group workshops in an photographs will not be identified. informal, comfortable, retreat-like setting. Presenters & Resource Leaders will include specialists in Palliative Care, Ethics, Law, Social Work, Spirituality, Oncology & others. Liability Continuing Health Sciences Education (CHSE) hereby assumes no liability for any claims, personal injury, or damage: • To any individual attending this activity. • That may result from the use of technologies, program, products &/or services at this activity. • That may arise out of, or during this activity. Disclosure of Potential Conflicts of Interest In keeping with accreditation guidelines, McMaster University, Continuing Health Sciences Education Program requires all speakers and planning committee members participating in this event to disclose any involvement with industry or other organizations that may potentially influence the presentation of the educational materials or program being offered. Disclosure must be done verbally and using a slide prior to the speaker’s presentation. Cancellation Policy McMaster University reserves the right to cancel a course due to insufficient registration or any circumstances that are beyond our control. Cancellations received before Wednesday, May 23, 2018 will be refunded less a 25% administrative fee to a maximum of $50.00. No refunds will be issued for cancellations received after this date. Confirmation of Registration A receipt confirming of your registration will be sent prior to the course via email. Your registration is not complete unless a confirmation email is received. If you have not received a confirmation within 7 days of registration, please contact the CHSE office. Registration Fee: Registration Form | 3 Days in Palliative Care - June 13th – 15th, 2018 $495 *Space is Limited* Dr. Mr. Mrs. Miss. Ms.

Completed the Pallium LEAP (Learning Essential Approaches to Palliative and End-of-life Care) course prior to June  Yes  No Surname Given

MD NP Pharmacist RES RN RPN Spiritual Care SW Other Profession: FP Specify Specialist Specify Specify Royal College ID # (If you wish to have CHSE submit your credits on your behalf) ______Address Medical Dept / Room #

City Province Postal Code

Area Code Phone Area Code  Fax  Cell FOR OFFICE USE ONLY - Activity Code: 3DAYSPALLIATIVE2018 - Email *Your registration cannot be processed without an email address.

VISA M/C AMEX CASH CHEQUE CVC AMOUNT Pls make cheque payable to “McMaster Payment By: University” *Cheque must be received one week prior to the date of the activity. $ 4 9 5 . 0 0 CARD NUMBER

Month Year Signature Expiry:

SPECIAL DIETARY REQUIREMENTS/DIETARY RESTRICTIONS: CHILDREN ARE NOT PERMITTED as it For those with special dietary needs some accommodation may be available: distracts from the learners.  Vegetarian: ______ Allergies: ______ Other: ______If you require PERSONAL SUPPORT at this Please note: custom meal requirements will be ordered at an additional fee. Contact our office for details. activity, the health aid provider must register in advance at the general public rate. PLEASE IDENTIFY ANY ACCESSIBILITY NEEDS: ______

HOW DID YOU FIND OUT ABOUT THIS COURSE? ______

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

REGISTER BY PHONE REGISTER BY FAX Call 905-525-9140 ext 22671 Fax a completed registration form with a Visa, (Visa, MasterCard or AMEX are accepted) MasterCard or AMEX number to: 905-572-7099

REGISTER IN PERSON Bring your completed registration form with REGISTER BY MAIL Visa, MasterCard, AMEX, cheque or cash payment to: McMaster University McMaster University, Continuing Health Sciences Education Continuing Health Sciences Education 100 Main Street West, 5th Floor, Room 5004 1280 Main St. West, DBHSC, Room 5004, Hamilton, ON L8P 1H6 Hamilton, ON L8S 4K1 Monday to Friday between the hours of 9:30 am – 4:00 pm

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