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2015 IMSANZ AUTUMN MEETING 25 – 27 FEBRUARY 2015 ❖ NAPIER WAR MEMORIAL CONVENTION CENTRE NAPIER, Registration Brochure

the art of liVING WELL

Register online at www.imsanzconference.co.nz Conference Organiser: Lynda Booth

CONFERENCE AND EVENTS MANAGEMENT PO Box 90641, Victoria West, Auckland 1142, New Zealand t: +64 9 917 3653 / e: [email protected] / w: www.w4u.co.nz Covenor’s invitation

Tena koutou, tena koutou, tena koutou katoa

Welcome to Hawke’s Bay and the “Art of Living to interact with some of their future peers. We have Well” - the 2015 New Zealand IMSANZ meeting. This a programme that will explore clinical updates, is the only conference in NZ that specifically caters provoke discussion and challenge your thinking. for General Physicians, trainees in General and Acute Care Medicine and all those who practice Late summer is a great time to experience Art general medicine. It provides an ideal opportunity Deco Napier, our wineries, the 100s of kilometres of to network with your colleagues from around NZ cycle trails and the other delights of Hawke’s Bay. and across the Tasman and this year our meeting Don’t miss this opportunity to reflect, learn and also coincides with the NZ RACP trainees’ day on network in a stunning environment. the weekend providing an opportunity for trainees

John Gommans Convenor

Organising Committee John Gommans, Elisabeth King, (Convenor), Hawke’s Bay DHB, New Zealand Hawke’s Bay DHB, New Zealand Sarah Buchanan Steven Sawyers, (Trainee Rep) Hawke’s Bay DHB, New Zealand Andrew Burns, Lynda Booth Hawke’s Bay DHB, New Zealand (Conference Manager) Workz4U Ltd, New Zealand David Gardner, Hawke’s Bay DHB, New Zealand

25 – 27 FEBRUARY 2015 ❖ NAPIER WAR MEMORIAL CONVENTION CENTRE NAPIER, NEW ZEALAND 2 SPEAKERS

Rob Armstrong, Hawke’s Bay DHB Chris Milne, Anglesea Physio and Sports

Malcolm Arnold, Hawke’s Bay DHB Mike Park, Hawke’s Bay DHB

James Curtis, Hawke’s Bay DHB Geoff Robinson,

Keith Dyson, Hawke’s Bay DHB Steven Sawyers, Hawke’s Bay DHB

Lucy Fergus, Hawke’s Bay DHB David Spriggs, Auckland DHB

Tony Fernando, The Robyn Toomath, Auckland DHB

Bob Hancox, University of Otago Miles Williams, Hawke’s Bay DHB

John Henley, Auckland DHB Guy Vautier, Hawke’s Bay DHB

Ian Hosford, Hawke’s Bay DHB Greg Young, Capital & DHB

Carol McAllum, Hawke’s Bay DHB

THANKS TO OUR CONFIRMED SPONSORS

The Internal Medicine Society of Australia and New Zealand would like to thank the following sponsors:

3 www.imsanzconference.co.nz Provisional Scientific Programme

Wednesday 25th February 2015

1700 - 1830 Registration Opens

1830 - 2000 Welcome Dinner

Thursday 26th February 2015

0730 - 0800 Registration

0800 - 1000 Session 1: Eating & Drinking Well

0800 - 0830 Alcohol Update For Physicians, Geoff Robinson, Capital & Coast DHB

0830 - 0900 Diet And Bowel Disease/Cancer, Malcolm Arnold, Hawke’s Bay DHB

0900 - 0930

0930 -1000 Eating Well In The Face Of Global Warming, Robyn Toomath, Auckland DHB

1000 - 1030 Morning Tea

1030 - 1230 Session 2: Exercising Well

1030 -1100 ‘Tour de Pharmacia’ (Drugs In Sport), Keith Dyson & Steven Sawyers, Hawke’s Bay DHB

1100 -1200 Sports Medicine For Physicians, Chris Milne, Anglesea Physio and Sports

1200 -1230 Cardiac Events & Athletes, Miles Williams, Hawke’s Bay DHB

1230 - 1330 Lunch

1330 - 1500 Session 3: Breathing Well

1330 -1400 Rob Armstrong, Hawke’s Bay DHB

1400 -1430 Bob Hancox, University of Otago

1430 -1500 VTE Challenges, James Curtis, Hawke’s Bay DHB

1500 - 1530 Afternoon Tea

Sponsor: Sponsor:

Please note that this is a provisional programme and may alter prior to the Conference

25 – 27 FEBRUARY 2015 ❖ NAPIER WAR MEMORIAL CONVENTION CENTRE NAPIER, NEW ZEALAND 4 Provisional Scientific Programme

1530 - 1700 Session 4: Deciding Well

1530 -1600 The Art Of Living In The Moment: A Case Based View Of Uncertainty And The Moment Of Death, Carol McAllum, Hawke’s Bay DHB

1600 -1630 To Treat Or Not To Treat? Mike Park, Hawke’s Bay DHB

1630 -1700

1900 Conference Dinner

Friday 27th February 2015

0730 - 0800 Registration

0800 - 1000 Session 5: Trainee & Member Presentations

1000 - 1030 Morning Tea

1030 - 1230 Session 6: Thinking Well

1030 -1100 Delirium, Lucy Fergus, Hawke’s Bay DHB

1100 -1130 Capacity Assessment For Physicians, Greg Young, Capital & Coast DHB

1130 -1230 Happiness And Compassion For Doctors, Tony Fernando, The University of Auckland

1230 - 1330 Lunch

1330 - 1430 Session 7: Controversies & Quiz

1330 -1400 The Art of Followership, David Spriggs, Auckland DHB

1400 -1430

1430 -1530 The Quiz (In Memory Of Dr Ramesh Nagappan), John Henley

1530 Close

Sponsor: Sponsor:

5 www.imsanzconference.co.nz Social Programme

Welcome Dinner

Date: Wednesday 25th February 2015 Time: 6.30pm – 8.00pm Venue: napier War Memorial Convention Centre Dress Code: Casual Cost: included in cost of full registration. Additional tickets $75.00 per person.

Conference Dinner

Date: thursday 26th February 2015 Time: 7.00pm onwards Venue: the Old Church 199 Meeanee Rd, Meeanee, Napier Cost: included in cost of full registration. Additional tickets $100.00 per person. Transport: Coach transfers will be provided between the 3 accommodation providers and the dinner venue.

25 – 27 FEBRUARY 2015 ❖ NAPIER WAR MEMORIAL CONVENTION CENTRE NAPIER, NEW ZEALAND 6 Registration Information

Delegates can register online at www.imsanzconference.co.nz

Full Registration Earlybird (to 16 January 2015) Standard (from 17 January 2015)

Medical Member $795.00 $940.00

Medical Non-Member $895.00 $1,040.00

Trainee $545.00 $645.00

Nursing / Allied Health $420.00 $520.00

Day Registration Earlybird (to 16 January 2015) Standard (from 17 January 2015)

Medical Member $470.00 $570.00

Medical Non-Member $520.00 $620.00

Trainee $320.00 $395.00

Nursing / Allied Health $295.00 $345.00

Full Registration includes: Day Registration Includes:

✓ Admission to all Conference sessions ✓ Admission to all Conference sessions on the day of ✓ Catering for the duration of the Conference registration ✓ One conference handbook and other meeting ✓ Catering for day of registration only material ✓ One conference handbook and other meeting ✓ Welcome and Conference Dinner material

7 www.imsanzconference.co.nz Registration Terms & Conditions

Acknowledgement Payment All prices are quoted in New Zealand dollars (inclusive of GST). All registrations received prior to Monday 16 February Registration cannot be confirmed until full payment is received. 2015 will be acknowledged in writing. Registrations received Credit card payment is not compulsory for online registration after Monday 16 February 2015 will be processed on the as you will receive a tax invoice with your registration day you arrive at the Conference. If you do not receive confirmation. All prices quoted are in New Zealand dollars. a confirmation of your registration within 30 minutes, please contact Workz4U Conference Management via Cheque/Money Order/Bank Draft: email [email protected]. Online registrations will be Please make payable to “Workz4U Ltd – IMSANZ15”. acknowledged with an automated email response and a tax All payments MUST BE IN NEW ZEALAND DOLLARS. invoice, which appears as an attachment. Credit Cards: AMEX, Mastercard and Visa are accepted. Alterations Credit Card payments will appear as Workz4U Limited Alterations to your registration will not be accepted over the on your statement. telephone. Alterations must be in writing via: Online Banking: If transferring funds from overseas please ensure that Email: [email protected] you transfer the full amount including an international Post: Workz4U Limited, PO Box 90641, Victoria St West, transaction fee of NZ$25. Auckland 1142, New Zealand Bank: National , At the Conference East Tamaki Branch, 116 Harris Road, Your registration pack, with the programme, will be available East Tamaki, Auckland, New Zealand for collection from the Workz4U Registration Desk. The Name of Account : registration desk will be open from: Workz4U Conference Account Account #: 06-0293-0099402-58 ➣ 5.00pm to 6.30pm Wednesday 25 February 2015 Swift Code: ANZBNZ22 ➣ 7.30am to 5.00pm Thursday 26 February 2015 Please use your ‘Reference Number’ as the note ➣ 7.30am to 1.30pm Friday 27 February 2015 Onsite Registration Cancellation and Refund Policy If you have not registered by Friday 20 February 2015, you All cancellations must be made in writing to the Conference can register on-site. The Registration Desk will be open from Manager. Cancellations made by 30th January 2015 will 5.00pm on Wednesday 25 February 2015. On-site delegates be refunded, less $100.00 to cover administration costs. are not guaranteed Meeting documentation, a Conference After this date, no refunds will be made. All refunds will be satchel or any inclusive social function tickets. processed after the meeting. If, for reasons beyond the control of the Organising Committee, the Conference is cancelled, registration fees will be refunded after deduction of expenses already incurred.

25 – 27 FEBRUARY 2015 ❖ NAPIER WAR MEMORIAL CONVENTION CENTRE NAPIER, NEW ZEALAND 8 ACCOMMODATION

Accommodation rates have been negotiated with the following provided the first night’s stay as a cancellation fee. suppliers. Accommodation can be booked during the Arrival Time registration process. Please indicate on your registration form your estimated time Please book prior to the closing date of Friday 25 January of arrival. Check in time is usually from 3:00pm. Should you 2015 as all unsold accommodation is released at this date. wish to guarantee your room is ready before the hotel check in You can request accommodation with Workz4U after this time please book and pay for the room for the evening prior to time. We will endeavour to confirm accommodation with your arrival. our accommodation supplier for you. Cancellation fees may apply after this time. Please direct all accommodation Late Arrivals enquiries and changes in writing to the Conference Managers. Failure to advise late arrival time may mean that your room will The accommodation venues WILL NOT accept direct be released. bookings. If requested accommodation is not available, we To Secure Accommodation will reserve a similar alternative. Your account is to be settled directly with the hotel upon If, whilst registering online, you experience difficulties, please checkout. Any no-show fees will be charged to your credit contact the conference secretariat: card. Room rates are in NZ Dollars and include NZ Goods and Phone: +64 9 917 3653 Services Tax (GST) of 15% unless otherwise specified. Email: [email protected] Due to increasingly frequent issues with credit card fraud, the Problems are experienced if selected accommodation is banks and credit card companies are imposing restrictions unavailable, or if selections are outside allocated dates. to the way we process client’s credit card information. Workz4U is now fully PCI Compliant with our bank and credit Scenic Hotel Te Pania card companies. We are no longer able to pass it on to 45 Marine Parade, Napier South, Napier 4140 the accommodation venues. We will retain your credit card 06-833 7733 details and if you fail to arrive or pay for your accommodation Room Type: Superior Room we will charge the appropriate amount to the credit card Cost NZ$: NZ$218.50 incl. GST per room per night provided by you. Quest Napier 176 Dickens Street, Napier 4110 Change of Booking and Cancellations 06-833 5325 All reservations are subject to the individual hotel cancellation Room Type: Studio Apartment policies as stated in the hotel information on this page. Any Cost NZ$: NZ$146.00 incl. GST per room per night cancellation or change to a reservation must be made in writing to the Conference manager via email to conferences@ Viceroy Hotel Napier workz4u.co.nz and NOT directly to the hotel. Cnr Tennyson St & Clive Square, Napier 4140 06-835 3373 Sharing Accommodation Room Type: Standard or Twin Room Only ONE of the sharing delegates should submit the Cost NZ$: NZ$150.00 incl. GST per room per night accommodation booking. Accommodation has been Cancellation Policy: organised for delegates of the conference only. Prices quoted Should a guest cancel their accommodation booking within are on a per night basis and do not include breakfast unless 7 days prior to arrival, the hotel will charge the credit card otherwise stated.

9 www.imsanzconference.co.nz General Information

Air Travel and Travel Times adequately insured. The policy should include loss of fees/ Book your Flights Here: deposits through cancellation of your participation in the conference. The Conference Managers will not accept any To obtain the best rates for domestic air travel, it is essential to responsibility for delegates failing to arrange insurance. book airfares as soon as possible. Liability Disclaimer By Road Time The Organising Committee, including the Conference Managers, will not accept liability for damages of any nature Auckland to Napier 5 hours 15 minutes sustained by participants or their accompanying persons or to Napier 4 hours loss or damage to their personal property as a result of the to Napier 2 hours 45 minutes meeting or related events. In the event of industrial disruption Taupo to Napier 1 hours 45 minutes or other unforeseen circumstances, The Conference Managers to Napier 2 hours 20 minutes accept no responsibility for loss of monies. Hastings to Napier 25 minutes By Air Time Name Badges All delegates will be given a name badge upon registration. Auckland to Napier 1 hour This name badge is your official pass to the conference. It is Wellington to Napier 50 minutes necessary for delegates to wear their name badge at all time Car Parking when on-site. Free parking available at the conference venue. No Smoking Policy Contact During the Conference Delegates should be aware that smoking is banned in public As a courtesy to speakers, delegates are requested to switch off buildings and many hotels and restaurants in New Zealand, mobile phones and pagers during sessions. Messages can be including the conference venue. left at the Registration Desk. Delegates will need to check with Payments the Registration Desk if they are expecting any messages. Accepted cards are Visa, Mastercard and AMEX. Payment may Facilities for People with Disabilities also be made by cheque, payable to “Workz4U Ltd – IMSANZ Please indicate on your registration form if you require 2015”, or directly into our bank account: disabled facilities. East Tamaki Branch, 116 Harris Road, East Tamaki, New Goods and Services Tax Zealand Goods and services in New Zealand are subject to a 15% tax Name of Account: Workz4U Conference Account (GST). This tax is usually included in the price, and if not, is Account # 06-0293-0099402-58 SWIFT CODE: ANZBNZ22 clearly stated. This tax cannot be claimed back when leaving Please use your ‘Reference Number’ as the note the country.

Insurance All fees quoted are in New Zealand Dollars and are inclusive Delegates are advised to book comprehensive travel and of GST. Payment for registration must be received prior to the medical insurance and ensure that all possessions are commencement of the conference.

25 – 27 FEBRUARY 2015 ❖ NAPIER WAR MEMORIAL CONVENTION CENTRE NAPIER, NEW ZEALAND 10 DESTINATION INFORMATION

Napier War Memorial Conference Centre

Napier War Memorial Conference Centre is ideally located right on the beach front of Napier’s famous Marine Parade with serene ocean views across Hawke’s Bay. Only a walkway separates our venue from the sea. Napier’s beautiful CBD with its many attractions, activities, shops and restaurants is located just a short five minute stroll from us.

Address: Napier War Memorial Conference Centre, 48 Marine Parade, PO Box 573, Napier 4140, New Zealand Hawke’s Bay Express Train Napier, Hawke’s Bay Duration: 1.5 Hour Tour Hawke’s Bay is located on the east coast of New Zealand’s Operator: Hawke’s Bay Express Limited and is accessible by air, land and sea so Price (per person): Adult - $50.00, Child (5-18 years) - getting here is nice and easy. $25.00, Child (under 5 years): Free

Air New Zealand operates daily flights from Wellington, Join us for a stylishly memorable experience of the world’s Auckland and and flights take just under an Art Deco Capital, Napier. Let us transport you through time, hour. When you arrive make sure you visit one of the regions connecting you with this beautiful town in a way you’d never i-SITE Visitor Centres for expert advice and planning. thought possible. In all her custom designed splendour, the Express will take you on your journey in affordable style. With Hawke’s Bay is is bulging with great things to do, places our informative and quirky commentary, outlining the history to stay, amazing food and wine, architecture, beaches of the 1931 earthquake and the city’s subsequent Art Deco and wildlife. Check out what is on offer at http://www. rebuilding, you will learn all about the city and region, about hawkesbaynz.com/. life and culture in New Zealand; you’ll hear about some local legends and the achievements of great New Zealander’s, Tours and Activities and you will gain an understanding of the Bay’s history and personal stories from the 5th generation Hawke’s Bay family You can book all activities listed below with i-Site Napier City: owners. Experience tells us that it’s the unique things you (http://www.napiernz.com/activities/activities-and-tours/) remember most among life’s adventures... and it doesn’t get Address: 100 Marine Parade, Napier much more unique than this. The Hawke’s Bay Express, a Tel: +64 6 834 1911 luxurious road train that’s a steam train on the outside and 0800 VISITUS (84 74 88) a 1930’s time warp inside, invites you to a full Art Deco Fax: +64 6 835 7219 Napier experience like no other! Whether you’re on a weekend Email: [email protected] getaway, visiting friends or have a wedding or private event to plan, make this your first stop for an unforgettable experience!

11 www.imsanzconference.co.nz DESTINATION INFORMATION

Odyssey NZ - The Odyssey Selection Silky Oak Chocolate Trio This tour begins with a selection of our delicious chocolates Operator: Odyssey NZ served to each person in our factory shop plus includes Price (per person): Adult - $79.00 self guided admission into our “Chocolate Thru the Ages” A culinary journey from the top of Te Mata Peak to the depths museum, covering 3,000 years of chocolate history. of the beautiful TukiTuki Valley. Indulge in top local produce The museum tells the story of a food whose past is as rich as matched with internationally acclaimed wines at Craggy its flavour. Being the only comprehensive chocolate museum Range. Try award winning cheeses from Origin Earth with in the , it is a must do. some of the region’s best wines. Enjoy a hot drink from Time required: 45 - 90 minutes dependant on numbers. Hawke’s Bay’s original coffee roaster Bay Espresso Experience Cost (per person): Adult - $17.00, Child - $14.00 a selection of the best highlights of the Hawke’s Bay region designed for those who have a limited amount of time. Gannet Safaris Overland

This tour can continue into “A Cycle Odyssey’ or “A Wine & Operator: Gannet Safaris Overland Gourmet Odyssey.” Cost (per person): Adult - $75.00, Child (7-16 years) - $40.00, Student ID (up to 18 years) - $40.00 Silky Oak Chocolate Tours With Transport Cost: Adult - $105.00, Child (7-16 years) - Operator: Silky Oak Chocolate Factory $50.00, Student ID (up to 18 years) - $50.00 Silky Oak Double Chocolate Delight Pick-Up from Napier is 30 minutes prior to tour departure and A selection of our delicious chocolates are served to each must be pre-booked person in our factory shop. A staff explains the chocolate Duration: Allow 3 Hours making process, while the group views the process through Drive along the scenic coast from Napier to Te Awanga and the windows. join Gannet Safaris Overland to visit the world’s largest, Time required: 20 - 30 minutes dependant on numbers. most accessible gannet colony at Cape Kidnappers, New Cost I(per person): $9.00 Zealand. Gannet Safaris has been guiding visitors over Cape Kidnappers for over 35 years. Our safaris are the only way to

25 – 27 FEBRUARY 2015 ❖ NAPIER WAR MEMORIAL CONVENTION CENTRE NAPIER, NEW ZEALAND 12 DESTINATION INFORMATION

be driven right to within a few feet of these remarkable birds. Hawke Bay, and the inner harbour, raised from the seabed by There is absolutely no walking required. the 1931 Earthquake. You will travel in comfort in our air conditioned 4 x 4 wheeled Then to historic Ahuriri, the oldest part of Napier and its vehicles, through Cape Kidnappers Station - traversing original port, to the world famous National Tobacco Company riverbeds, broad rolling pastures, through stands of native Building. bush, steep gullies and breath taking inclines. There is a stop On to the Deco houses and gardens of Marewa, Napier’s on the way at a spectacular cliff top with panoramic views 1930’s Art Deco . of Hawke’s Bay right across to the Mahia Peninsula. The amazing geology of the area can also be taken in. The 36km, You’ll return to the Art Deco Shop via Georges Drive, through three hour trip includes a commentary by your tour guide / reclaimed from swamps by engineers on the one driver on the farming operation on Cape Kidnappers Station hand and by earthquake on the other, and then along the and an introduction to the gannets. Marine Parade past the Information Centre. On arrival at the gannets you can stretch your legs and take Tour departs daily - pick-ups available from your in the mouth-watering scenery from your position at the brink accommodation. of the cliff’s edge - 100 metres above the ocean. Here your Bike About Tours - Trail 501: Napier Central & Historic driver / guide will serve you refreshments whilst you enjoy watching the gannets perform around you. Operator: Bike About Tours Duration: Trail covers 25kms - 36kms. Allow 4 – hours The Art Deco Bus Tour Cost (per person): Full Day - $45.00, AM Half Day (return by 12.30pm) - $35.00, PM Half Day (return by 5.15pm) - Operator: Absolute de Tours $35.00, Late afternoon to Twilight - $35.00 Cost (per person): $40.00 Transport: Pick Up/Drop Off Napier - $5.00 Get out of town and take a dekko at Napier’s outer Art Deco attractions. Our most popular cycle trail - a pleasant ramble along the flat with a hill option. Our tour takes you through the Art Deco Quarter to the Marine Parade and up to Bluff Hill for views over Napier,

13 www.imsanzconference.co.nz DESTINATION INFORMATION

Your Mohaka Rafting guide will use the first section of river to teach you some rafting techniques. Then the river will challenge you with some thrilling rapids to put your skills to the test.

Come jump off a cliff, experience the Mohaka gorge and swim a rapid or two in this full-day river adventure. Make sure to bring yourself a packed a lunch, as we’ll stop mid- way to refuel along this 5(+) hour river trip.

You don’t need experience for this one. If you can’t swim don’t worry, we’ll teach you (our flotation devices will do the work)! An adventure waits in beautiful scenic surrounds. This On route wineries you can visit are, Broofield’s Vineyard, Park is a great trip for the adult family or that group that is looking Estate Winery & Cafe, Moana Park Winery, Church Road for fun and a thrill. Winery, Mission Estate Winery, *The Filter Room - Boutique Ale & Cider House. Mohaka Rafting - Scenic Rafting Splash (Grade 2) Other attractions on route you may like to visit are Silky Operator: Mohaka Rafting Oak Chocolate Factory, Tree stump carvings of golf players, Duration: 3 hours on the water #Waiohiki Arts & Craft Shop, #Bay Wood Turnery, #Nevaria Includes: Beautiful gorges and native bush, waterfalls, Lavender, Quaint Country Puketapu Pub and #Historic chance to swim rapids and photos of your trip Church, Hilly terrain to Tree stump carving of man and son, Cost (per person): $95.00 #Teddy Bears Paws’n’Time, #Art Studio 83 Church Road, Mimimum age: 5 years Penny Madden’s Ceramic Artist and Missionview Garden Nursery & Cafe. The Mohaka River boasts some of New Zealand’s most (*Seasonal Open Hours #Not Always Open) beautiful scenery. You can be brought into this remote wilderness by one of our experienced guides on a full-day or Mohaka Rafting - The Whitewater Plunge (Grade 3) half-day tour.

Let our highly trained Mohaka Rafting guides educate the Operator: Mohaka Rafting whole family on safely swimming and playing on river Duration: 4 - 5 hours on the water features. If you’re not looking to get too wet, don’t worry Includes: Exciting Grade 3 Rapids, two cliff jumps, you can just sit back and enjoy as the beautiful gorges, one more than 7 metres, spectacular scenic gorges and mountains and native forests roll by. photos of your trip Cost (per person): $125.00 Ideal for: Anyone looking to hop off the beaten track and Mimimum age: 12 years experience the wilderness of New Zealand If you’ve heard about New Zealand’s famous whitewater and want to get into it, then this is the trip for you!

25 – 27 FEBRUARY 2015 ❖ NAPIER WAR MEMORIAL CONVENTION CENTRE NAPIER, NEW ZEALAND 14