HAMILTON CONVENTION CENTRE by Carmen's

12th McMaster University Review Course in

March 25 – 27, 2020

HAMILTON CONVENTION CENTRE by Carmen’s 1 Summers Lane, Hamilton, ON TARGET AUDIENCE General Internists, Subspecialists, Emergency Medicine Physicians, Hospitalists, Community Physicians, Family Physicians, General Practitioners, Interns, Residents, Physician Assistants, Nurse Practitioners and Trainees in Internal Medicine and its Subspecialties

For More Information McMaster University, Continuing Health Sciences Education Angela Silla, CHSE Lead Coordinator (905) 525-9140 x 26327 | [email protected] or Carol Stewart, CMP, CHSE Coordinator (905) 525-9140 x 20052 | [email protected]

www.mcmasterinternalmedicine.ca 12th Annual McMaster University Review Course in Internal Medicine

LEARNING OBJECTIVES By attending this activity, participants will be able to: 1. Learn practical approaches to medical problems from different disciplines of internal medicine encountered by hospital-based medicine practitioners. 2. Learn practical approaches to medical problems from different disciplines of medicine encountered in ambulatory settings. 3. Appreciate the breadth of internal medicine problems faced by clinicians. 4. Learn about controversies in internal medicine. 5. Update knowledge in problems encountered in internal medicine.

DIRECTOR & CHAIR PLANNING COMMITTEE

Dr. Akbar A. Panju Dr. Barry Lumb Dr. Lori Whitehead Ms. Sheilah Laffan Boris Family Chair in Medicine Professor Professor CHSE Program Manager Professor and Associate Chair McMaster University McMaster University McMaster University Department of Medicine McMaster University Dr. Alistair Ingram Dr. John Neary Ms. Angela Silla Professor Associate Professor CHSE Lead Coordinator McMaster University McMaster University McMaster University CO CHAIRS Dr. Zara Khalid Dr. Sharon Marr Ms. Carol Stewart Dr. Paul M. O’Byrne Associate Professor Associate Professor CHSE Coordinator Dean and Vice-President McMaster University McMaster University McMaster University Faculty of Health Sciences McMaster University Dr. Marianne Talman Dr. Rick Tytus Associate Professor Associate Clinical Professor Dr. Ally P. H. Prebtani McMaster University McMaster University Professor Department of Medicine Dr. Nishma Singhal Dr. Jason Cheung McMaster University Associate Professor Assistant Professor McMaster University McMaster University Dr. Mark Crowther Professor and Chair Dr. Mohamed Panju Dr. Samir Raza Department of Medicine Associate Professor Assistant Professor McMaster University McMaster University McMaster University

Dr. Khalid Azzam Dr. Ameen Patel Ms. Gail LaForme Professor Professor Assistant to Department of Medicine McMaster University Dr. Akbar A. Panju McMaster University McMaster University

DISCLOSURE OF CONFLICTS OF INTEREST In keeping with accreditation requirements and the National Standard for Support, McMaster University, Continuing Health Sciences Education Program requires that all speakers, planning committee members, moderators, facilitators and authors participating in this activity must disclose all relationships with for-profi t and not-for-profi t organizations over the previous two years. Disclosure must be done in print, verbally, and in writing on a slide prior to the speaker’s presentation.

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1 12th Annual McMaster University Review Course in Internal Medicine

DAY 1: Wednesday, March 25, 2020 MORNING SESSION I AFTERNOON SESSION I Akbar A. Panju, Moderator Lori Whitehead, Moderator

07:00 – 08:00 REGISTRATION & BREAKFAST 01:00 – 01:20 New treatment approaches for 08:00 – 08:10 Welcome and introductions asthma Akbar A. Panju Helen Neighbour 08:10 – 08:30 What’s new in the management of 01:20 – 01:40 Update on COPD acute coronary syndrome Joshua Wald Shamir Mehta 01:40 – 02:00 Diagnosis and treatment of 08:30 – 08:50 Management of acute heart failure pulmonary hypertension Catherine Demers Nathan Hambly

08:50 – 09:10 Managing atrial fi brillation 02:00 – 02:20 Oxygen therapy and non invasive (including stress induced and ventilation in acute and non acute subclinical) medicine Jeff Healey Derek Chu

09:10 – 09:30 Managing a patient who has aortic 02:20 – 02:40 PANEL DISCUSSION Q&A stenosis or mitral regurgitation: when to refer for procedure 02:40 – 03:00 REFRESHMENT BREAK & Douglas Wright STRETCH EXERCISE 09:30 – 09:50 Reducing global burden of cardiovascular disease AFTERNOON SESSION II Salim Yusuf Shariq Haider, Moderator 09:50 – 10:15 PANEL DISCUSSION Q&A 03:00 – 03:20 HIV/AIDS Update 10:15 – 10:30 REFRESHMENT BREAK & Philippe El-Helou STRETCH EXERCISE 03:20 – 03:40 Diabetic foot infections Eva Piessens MORNING SESSION II Ally P. H. Prebtani, Moderator 03:40 – 04:00 Reducing antibiotic resistance Dominic Mertz 10:30 – 10:50 How to follow a patient with chronic kidney disease in the 04:00 – 04:20 Update on septic shock community: when to refer? Bram Rochwerg Matthew Miller 04:20 – 04:40 PANEL DISCUSSION Q&A 10:50 – 11:10 Managing acute kidney injury in a hospitalized patient KEYNOTE ADDRESS Seychelle Yohanna Moderator: Akbar A. Panju 11:10 – 11:30 Hemodialysis and peritoneal 04:40 – 05:10 Immune therapy for cancer treatment dialysis for the non–nephrologist Rosalyn Juergens Matthew Lanktree 11:30 – 11:50 Pregnancy as a window to future 05:10 – 05:20 Q&A health 05:30 – 06:30 RECEPTION Serena Gundy (with live entertainment) 11:50 – 12:10 PANEL DISCUSSION Q&A 12:10 – 01:00 LUNCH & STRETCH EXERCISE

*Activity subject to change **For interactivity each talk will include 2 questions using Audience Response System in addition to Panel Discussion Q&A

2 12th Annual McMaster University Review Course in Internal Medicine

DAY 2: Thursday, March 26, 2020

MORNING SESSION I AFTERNOON SESSION I Khalid Azzam, Moderator Marianne Talman, Moderator

07:00 – 08:00 REGISTRATION & BREAKFAST 01:00 – 01:20 Approach to acute polyarthritis Faiza Khokhar 08:00 – 08:05 MORNING STRETCH 01:20 – 01:40 Recognition and management of 08:10 – 08:30 Managing diabetes: what’s new? sero negative spondyloarthritis Hertzel C. Gerstein Raj Carmona

08:30 – 08:50 Obesity management in 2020 01:40 – 02:00 Update on giant cell arteritis and Megha Poddar polymyalgia rheumatica Stephanie Garner 08:50 – 09:10 Who, when and how to treat hyperlipedimia 02:00 – 02:20 Biologics in the treatment of Guillaume Paré rheumatological conditions Alfred Cividino 09:10 – 09:30 Managing hypertension in 2020: Is there anything new? 02:20 – 02:40 Osteoporosis: A practical approach Ally P. H. Prebtani Aliya Khan

09:30 – 09:50 Managing hyperthyroidism 02:40 – 03:05 PANEL DISCUSSION Q&A Meera Luthra 03:05 – 03:20 REFRESHMENT BREAK & 09:50 – 10:15 PANEL DISCUSSION Q&A STRETCH EXERCISE 10:15 – 10:30 REFRESHMENT BREAK & STRETCH EXERCISE AFTERNOON SESSION II Mohamed Panju, Moderator

MORNING SESSION II 03:20 – 03:40 Approach to a patient with chronic Sharon Marr, Moderator diarrhea Siwar Albashir 10:30 – 10:50 Use of opioids and non opioids in the management of non cancer pain 03:40 – 04:00 How to approach abnormal liver Anne Holbrook function tests Barry Lumb 10:50 – 11:10 When to consider medical cannabis Mitchell Levine 04:00 – 04:20 Cirrhosis: diagnosis and management 11:10 – 11:30 Approach to insomnia Marco Puglia Brian Misiaszek 04:20 – 04:40 How to provide safe transition 11:30 – 11:50 Update on dementia from hospital to home Christopher Patterson Khalid Azzam 11:50 – 12:10 PANEL DISCUSSION Q&A 04:40 – 05:00 PANEL DISCUSSION Q&A 12:10 – 01:00 LUNCH & STRETCH EXERCISE

*Activity subject to change **For interactivity each talk will include 2 questions using Audience Response System in addition to Panel Discussion Q&A

3 12th Annual McMaster University Review Course in Internal Medicine

DAY 3: Friday, March 27, 2020

MORNING SESSION I AFTERNOON SESSION I Mark Crowther, Moderator Zara Khalid, Moderator

07:00 – 08:00 REGISTRATION & BREAKFAST 01:15 – 01:35 Oncological emergencies (including side effects of new cancer 08:00 – 08:05 MORNING STRETCH treatments) Aly-Khan Lalani 08:10 – 08:30 Hyperacute stroke: What do you need to know? 01:35 – 01:55 Update in prostate cancer screening, Luciana Catanese diagnosis and treatment 08:30 – 08:50 Approach to a patient with a carotid Edward Matsumoto bruit Wes Oczkowski 01:55 – 02:15 Update in ovarian cancer screening and genetic risk of gynecological 08:50 – 09:10 Practical approach to movement malignancies disorders Lorraine (Laurie) Elit Barbara Connolly 02:15 – 02:35 End of life decision making in ICU 09:10 – 09:30 Managing headaches: What’s new? and on the ward Rose Giammarco Jill Rudkowski 09:30 – 09:50 An approach to a patient with 02:35 – 02:55 PANEL DISCUSSION Q&A peripheral neuropathy Steven Baker 02:55 – 03:15 REFRESHMENT BREAK & 09:50 – 10:15 PANEL DISCUSSION Q&A STRETCH EXERCISE

10:15 – 10:30 REFRESHMENT BREAK & STRETCH EXERCISE AFTERNOON SESSION II Samir Raza, Moderator

MORNING SESSION II 03:15 – 03:35 Performing a pre-operative John Neary, Moderator evaluation Flavia Kessler-Borges 10:30 – 10:50 Prevention and treatment of venous thrombosis 03:35 – 03:55 Managing anticoagulants and Peter Gross antiplatelets in the peri-operative period 10:50 – 11:10 Evaluating anemia: when to refer and James Douketis when to follow Menaka Pai 03:55 – 04:15 Principles of in-patient addiction 11:10 – 11:30 How do I interpret and manage a high medicine serum ferritin Leslie Martin Wendy Lim 04:15 – 04:35 Virtual care 11:30 – 11:50 Myeloproliferative malignancies for Rick Tytus the non-hematologist Chris Hillis 04:35 – 04:55 PANEL DISCUSSION Q&A

11:50 – 12:10 PANEL DISCUSSION Q&A 04:55 Concluding remarks Co-Chairs 12:10 – 01:15 LUNCH & STRETCH EXERCISE

*Activity subject to change **For interactivity each talk will include 2 questions using Audience Response System in addition to Panel Discussion Q&A

4 12th Annual McMaster University Review Course in Internal Medicine

SPEAKERS & MODERATORS AFFILIATIONS Shamir Mehta Bram Rochwerg Aliya Khan Lorraine (Laurie) Elit Professor Assistant Professor Clinical Professor Professor

Catherine Demers Rosalyn Juergens Siwar Albashir Jill Rudkowski Associate Professor Associate Professor Assistant Professor Associate Professor

Jeff Healey Hertzel C. Gerstein Barry Lumb Flavia Kessler-Borges Professor Professor Professor Assistant Professor

Douglas Wright Megha Poddar Marco Puglia James Douketis Assistant Professor Assistant Clinical Assistant Professor Professor Professor (Adjunct) Salim Yusuf McMaster University Khalid Azzam Leslie Martin Professor Professor Assistant Professor Guillaume Paré Matthew Miller Associate Professor Lucianna Catanese Rick Tytus Associate Professor Assistant Professor Associate Clinical Professor Ally P. H. Prebtani Seychelle Yohanna Professor Wes Oczkowski Akbar A. Panju Assistant Professor Professor Professor Meera Luthra Matthew Lanktree Associate Professor Barbara Connolly Lori Whitehead Assistant Professor Associate Professor Professor Anne Holbrook Serena Gundy Professor Rose Giammarco Shariq Haider Assistant Professor Associate Clinical Professor Professor Mitchell Levine Helen Neighbour Professor Steven Baker Sharon Marr Associate Professor Associate Professor Associate Professor Brian Misiaszek Joshua Wald Associate Professor Peter Gross Marianne Talman Assistant Professor Associate Professor Associate Professor Christopher Patterson Nathan Hambly Professor Emeritus Menaka Pai Mohammed Panju Assistant Professor Associate Professor Associate Professor Faiza Khokhar Derek Chu Clinical Scholar Wendy Lim Mark Crowther Clinical Scholar Associate Professor Professor Raj Carmona Phillippe El-Helou Associate Professor Chris Hillis John Neary Associate Professor Assistant Professor Associate Professor Stephanie Garner Eva Piessens Clinical Scholar Aly-Khan Lalani Zara Khalid Associate Professor Assistant Professor Associate Professor Alfred Cividino Dominic Mertz Professor Edward Matsumoto Samir Raza Associate Professor Associate Professor Assistant Professor

ACCREDITATION STATEMENTS McMaster University, Continuing Health McMaster University, Continuing Health Through an agreement between The Sciences Education Program (CHSE) is Sciences Education Program for up to Royal College of Physicians and Surgeons fully accredited by the Committee on 22.25 Mainpro+ credits. of Canada and The American Medical Accreditation of Continuing Medical Association, physicians may convert This event is an Accredited Group Education (CACME) to provide CFPC Royal College MOC credits to AMA PRA Learning Activity (Section 1) as defi ned by Mainpro+ and RCPSC Maintenance of Category 1 Credits™. Information on the the Maintenance of Certifi cation program Certifi cation (MOC) study credits for process to convert Royal College MOC of The Royal College of Physicians Continuing Medical Education. credit to AMA credit can be found at: and Surgeons of Canada and approved www.ama-assn.org/go/internationalcme This one-credit-per-hour Group Learning by McMaster University, Continuing program meets the certifi cation criteria Health Sciences Education Program. You Each healthcare provider should claim only those hours of of The College of Family Physicians may claim a maximum of 22.25 hours credit that he/she actually spent in the educational activity. of Canada and has been certifi ed by (credits are automatically calculated).

5 INFORMATION

WEBSITE mcmasterinternalmedicine.ca FROM TORONTO FOR REGISTRATION INFORMATION • Take Hwy 407 West or the QEW West to Hwy [email protected] 403 Hamilton. • Exit at Main Street East exit and follow past REGISTER ONLINE Bay Street to Summers Lane. mcmasterinternalmedicine.ca • The Convention Centre is on Summers Lane.

REGISTER BY MAIL FROM NIAGARA FALLS, FORT ERIE Send your completed registration form to: • Take QEW West to Hamilton and exit at McMaster University Burlington Street. Continuing Health Sciences Education (CHSE) • Turn left at Wellington Street North and right 1280 Main St. W., DBHSC, Room 5004, Hamilton, ON L8S 4K1 at King Street East. • The Convention Centre is on Summers Lane REGISTER IN PERSON just past MacNab Street. Bring your completed registration form with FROM LONDON, WINDSOR Visa, MasterCard, AMEX or cash payment to the • Take the 401 East to the 403 East Hamilton. Continuing Health Sciences Education • Proceed to Main Street East exit in Hamilton 100 Main Street West, 5th Floor, Room 5004 and follow it past Bay Street to Summers Lane. Hamilton, ON L8P 1H6 • The Convention Centre is on Summers Lane. Monday to Friday between the hours of 9:30am – 4:00pm

ACCOMMODATIONS Sheraton Hotel 116 King Street West, Hamilton, ON (905) 529-5515 or 1-888-627-8161

Rates: $159–$199/night. Book by March 2, 2020 Please quote the “McMaster Review” group rate. *A limited number of rooms have been blocked at the program rate and are available on a fi rst come fi rst-served basis. PARKING LOCATIONS 1. Hamilton Convention Centre 6. Library FOR MORE INFORMATION 2. Hamilton Place 7. Eaton Centre Angela Silla, CHSE Lead Coordinator 3. City Hall 8. Jackson Square (905) 525-9140 x 26327 | [email protected] 4. Sheraton Hotel Parking or Carol Stewart, CMP, CHSE Coordinator 5. FirstOntario Centre One Way Streets (905) 525-9140 x 20052 | [email protected]

LIABILITY McMaster University, 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 and/or services at this activity. • That may arise out of, or during this activity.

CANCELLATION POLICY The University reserves the right to cancel a course due to insuffi cient registration or any circumstances that are beyond our control. Cancellations received before March 11, 2020 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.

6 REGISTRATION FORM McMaster University Review Course In Internal Medicine March 25–27, 2020

Dr. Mr. Mrs. Miss. Ms. FOR OFFICE USE ONLY Activity Code: INTERNALMED2020

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EP FP RES PA RN RN(EC) Intern Specialist Other Profession: Specify Specify Royal College Members (only) ID# (for auto upload of MOC credits) Specify Address

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Pls make cheque payable to Visa M/C AMEX CASH CHEQUE “McMaster University” + 13% HST ** Registration by cheque Payment By: cannot be confirmed until Amount: $ . 0 0 payment has been processed. *HST# 11903 5988 RT0001 Card Number

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PLEASE IDENTIFY ANY ACCESSIBILITY NEEDS: SPECIAL DIETARY REQUIREMENTS ______For those with special dietary needs some ______accommodation may be available:  Vegetarian______CHILDREN ARE NOT PERMITTED as it distracts from the  Allergies ______learners.  Other______

Registration Fees *Pre-registration will be available at the Physicians - Full Program Sheraton Hamilton Hotel (2nd Floor) on:  $695.00 +HST - Early Bird fee before February 7, 2020 Tuesday, March 24, 2020 5:00–8:00 p.m.  $765.00 +HST - After February 7, 2020 Allied Health - Full Program CONFIRMATION OF REGISTRATION  $400.00 +HST A written acknowledgement of your registration will be sent prior to the activity. Receipts are emailed at the time Residents, Interns and Students - Full Program of registration and an additional email will be sent after the  $350.00 +HST activity, confirming your certificate of attendance is ready to download or print. Your registration is not complete One Day Rate unless a confirmation is received. If you have not received $295.00 +HST (please select days attending) a confirmation within 7 days of registration, please contact  Wednesday  Thursday  Friday the CHSE office.

Freedom of Information and 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 and to notify you of other courses or pertinent information. Financial information will be used to process applicable fees and will be retained for future reference. This information is protected and is being collected pursuant to section 39(2) and section 42 of the Freedom of Information and Protection of Privacy Act of Ontario (RSO 1990). Questions regarding the collection or use of this personal information should be directed to the University Secretary, Gilmour Hall, Room 210 McMaster University.