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Information and Registration

Rocky Mountain Internal Medicine Conference 2023
November 16 & 17, 2023
Rimrock Resort Hotel, Banff, Alberta

Learning Objectives

By the end of the Rocky Mountain Internal Medicine Conference, participants will be able to:

• Assess their own practice and evaluate areas for change,

• Appraise new research and develop strategies for implementing new trends into practice patterns,

• Recognize regional approaches to patient care and opportunities for collaboration within healthcare,

• Interpret the benefits of collaboration with industries peripheral to patient care, yet relevant to practice management.

Credits

MOC SECTION 1  

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by University of Calgary Office of Continuing Medical Education and Professional Development. You may claim a maximum of 12.5 hours (credits are automatically calculated). 

Through an agreement between the Royal College of Physicians and Surgeons of Canada and the American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits™. More information on the process to convert Royal College MOC credit to AMA credit can be found at https://edhub.ama-assn.org/pages/applications 

Read more on the Royal College agreement with the American Medical Association at https://www.royalcollege.ca/ca/en/cpd/royal-college-accredited-cpd-providers/international-accreditation-agreements.html

Who Should Attend

Internal Medicine physicians, General Internists, Internal Medicine residents, medical students, allied healthcare providers, Family Physicians, and/or any physician or learner interested in the practice of Internal Medicine.

Registration

                                  Rate

-Physician
-Physician, ACP member*
-Resident
-Resident, ACP member*
-Fulltime Medical/Health Care Students
-Alberta Medical Association active student member (interested in General Internal Medicine)**
-Other Health Professionals

-Thursday Evening Spouse/Companion Dinner Ticket

$1,075.00

$875.00

$675.00

$475.00

$500.00

$150.00

$675.00

$125.00

*By selecting this registration category, you confirm that you are a current member of the American College of Physicians (ACP) and acknowledge and agree to the organizers of Rocky Mountain Internal Medicine providing your name and email address to the ACP Western Canadian Chapters leadership for membership verification.  If you do not consent to your information being shared or your ACP membership is not up to date, then select the non-ACP member registration category.

**By selecting this registration category, you confirm that you are an Alberta medical student and acknowledge and agree to the organizers of Rocky Mountain Internal Medicine providing your name and email address to the Alberta Medical Association for verification.  

​​Registration deadline is 11:59 p.m. MT Sunday, November 5th, 2023

Course Details

Course may change due to circumstances beyond our control. Check the website for any Course updates.

Recommended Accommodation

The Rimrock Hotel 

300 Mountain Ave, Banff AB Phone 403.762.3356 

Toll Free 1.888.746.7625

https://www.rimrockresort.com/index.html

A limited number of rooms have been held until October 6, 2023, at the rate of $228 per night plus taxes (standard room). Please indicate you are with the University of Calgary Rocky Mountain Conference to obtain this rate. For online reservations: https://reservations.travelclick.com/113183?groupID=3402523 or call the toll-free number. No online bookings can be made after October 6, 2023.

Planning Committee Disclosures
Lee-Ann Hawkins

Nothing to disclose

Rahim Kachra

Nothing to disclose

Mathieu Chi

Nothing to disclose

Glen Drobot

Nothing to disclose

Peter Hamilton

Nothing to disclose

Jonathan Laxton

Funded grants or clinical trials: Multi-site trials:

1. ATTAC-CAP and SNAP trials

Irene Ma

Direct financial payments, gifts, in-kind compensation or honoraria:

1. American College of Physicians - teaching honorarium


Membership on advisory boards or speakers’ bureau:

1. American Institute of Ultrasound in Medicine - Executive Committee member of AIUM

2. American College of Physicians - Governor for Alberta Chapter at ACP


Funded grants or clinical trials:

1. Office of Health Science & Medical Education (OHMES), University of Calgary - PI of the OHMES Research and Innovation Funding Competition

2. Department of Medicine, University of Calgary - Project Lead for the Analytics Award Competition

3. John A. Buchanan Chair in General Internal Medicine, University of Calgary - Research Chair Holder

Aman Nijjar

Nothing to disclose

Anita Palepu

Nothing to disclose

Troy Pederson

Nothing to disclose

Michael Prystajecky

Funded grants or clinical trials:

1. Population Health Research Institute - site investigator for ASPIRE clinical trial

2. Saskatchewan Health Research Foundation - Co-Investigator/Research Grant Recipient

3. Royal University Hospital Foundation - Co-Investigator/Research Grant Recipient

Ruchi Sharan

Nothing to disclose

Meghan Vlasschaert

Nothing to disclose

Lori Wik

Direct financial payments, gifts, in-kind compensation or honoraria:

1. GSK - honoraria for CME talk

Sheila Sun

Direct financial payments, gifts, in-kind compensation or honoraria:

1. CME&PD, CSM, University of Calgary - employee

2. Community Health Sciences, CSM, University of Calgary - teaching assistant

Event Schedule

Time
Session Details
Learning Objectives

Thursday, Nov 16, 2023

08:00-08:45

Breakfast

08:50-09:00

Opening Remarks

Lee-Ann Hawkins, Rahim Kachra

RJ Herman Plenary
09:00-09:45

How Your Ignorance Is Killing Your Patient: Racism in Medicine

Neeja Bakshi

  • Identify and define: Racism in Healthcare, Implicit Bias, and review Social Determinants of health in this context

  • Explore historical examples of systemic racism in healthcare

  • Discuss real-time examples of racial disparity in current day healthcare system

  • Explore anti-racism and anti-oppressive curriculum gaps in medical education

Short Snapper
09:45-10:10

More than just Statins -
What's new in the treatment of Dyslipidemia?

Raj Padwal

  • Determine which patients require aggressive management and therefore may need non-statin therapy

  • Identify the when ezetimibe, PCSK-9 inhibitors, fibrates, and icosapent ethyl

  • Identify emerging drugs and drug targets in the field

Short Snapper
10:10-10:35

Thrombotic Microangiopathy - A short snapper for the Internist

Louis Girard

  • Identify the signs and symptoms of TMA

  • Emphasize the investigations required to establish a diagnosis in patients with TMA and to ensure that their workup is complete

  • Discuss emergent treatment of TMA along with other relevant therapies.

10:35-11:00

Break

Research Program
11:00-11:45

Abstract - Oral Presentation

Oral Abstract Authors

  • Recognize and manage rare conditions encountered in General Internal Medicine

  • Describe quality improvement initiatives being undertaken by General   Internists to enhance healthcare delivery and clinical outcomes

  • Appreciate the scope of research being undertaken by General Internists

ACP/AM Edwards
11:45-12:30

Reflections on a Pandemic: Picking up the Pieces

Lynora Saxinger

  • Summarize clinical knowledge about COVID-19 gained over the course of the pandemic

  • Summarize key stories and stages of the COVID-19 pandemic and its profound impacts on society - and on us as health care professionals

  • Illustrate how key societal trends exacerbated increasing pandemic divisions and distrust – and compare our current status to relevant historical challenges.

  • Propose strategies that will help us move forward, applying lessons learned in a positive way.

12:30-13:30

Lunch

13:30-14:25

Workshop Round 1

A1

Cases in Acute Respiratory Failure: CHF or COPD?

Lori Wik

  • Provide strategies to differentiate between cardiac and respiratory causes of acute dyspnea

  • Identify common pathophysiologic mechanisms of dyspnea in heart failure and COPD

  • Use real-world examples, review and analyze an approach to acute dyspnea in an interactive forum.

A2

Walking the Tightrope- Restarting Anticoagulation after Major Bleeding

Deepa Suryanarayan

  • Describe the clinical significance of major bleeding events in patients receiving anticoagulant therapy

  • Explore risk factors and outcomes post major bleeding in patients on anticoagulation.

  • Discuss the potential benefits and risks of restarting anticoagulation therapy after major bleeding and evaluate the evidence guiding optimal timing to resume anticoagulation and management

A3

Reducing the Risk of Kidney Decline in the Patient with CKD

Louis Girard

  • Discuss CV and kidney risk in patients with CKD

  • Highlight up to date methods for establishing cardiorenal risk in patients with CKD

  • Describe guideline based targets and therapeutics with strong evidence demonstrating cardiorenal risk reduction in patients with CKD

A4

The Retrospectoscope: A Case-Based Approach to
Illustrate How Autopsy Can Be Used as a Quality Improvement Tool

Amy Bromley

  • Describe the role of the autopsy in a modern medical practice

  • Identify cases in which an autopsy may be high yield

  • Utilize autopsy results for quality improvement

A5

Limb Preservation/Medical Management of PAD

Karim Manji, Sidra Javed

  • Identify risk factors for diabetes-related foot complications

  • List surgical management options for diabetes-related foot complications

  • Recognize opportunities to reduce risk of major amputation

14:25-14:35

Transition

14:35-15:30

Workshop Round 2

A1

Cases in Acute Respiratory Failure: CHF or COPD?

Lori Wik

  • Provide strategies to differentiate between cardiac and respiratory causes of acute dyspnea

  • Identify common pathophysiologic mechanisms of dyspnea in heart failure and COPD

  • Use real-world examples, review and analyze an approach to acute dyspnea in an interactive forum.

A2

Walking the Tightrope- Restarting Anticoagulation after Major Bleeding

Deepa Suryanarayan

  • Describe the clinical significance of major bleeding events in patients receiving anticoagulant therapy

  • Explore risk factors and outcomes post major bleeding in patients on anticoagulation.

  • Discuss the potential benefits and risks of restarting anticoagulation therapy after major bleeding and evaluate the evidence guiding optimal timing to resume anticoagulation and management

A3

Reducing the Risk of Kidney Decline in the Patient with CKD

Louis Girard

  • Discuss CV and kidney risk in patients with CKD

  • Highlight up to date methods for establishing cardiorenal risk in patients with CKD

  • Describe guideline based targets and therapeutics with strong evidence demonstrating cardiorenal risk reduction in patients with CKD

A4

The Retrospectoscope: A Case-Based Approach to
Illustrate How Autopsy Can Be Used as a Quality Improvement Tool

Amy Bromley

  • Describe the role of the autopsy in a modern medical practice

  • Identify cases in which an autopsy may be high yield

  • Utilize autopsy results for quality improvement

A5

Limb Preservation/Medical Management of PAD

Karim Manji, Sidra Javed

  • Identify risk factors for diabetes-related foot complications

  • List surgical management options for diabetes-related foot complications

  • Recognize opportunities to reduce risk of major amputation

15:30-16:00

Break

16:00-16:55

Workshop Round 3

A1

Cases in Acute Respiratory Failure: CHF or COPD?

Lori Wik

  • Provide strategies to differentiate between cardiac and respiratory causes of acute dyspnea

  • Identify common pathophysiologic mechanisms of dyspnea in heart failure and COPD

  • Use real-world examples, review and analyze an approach to acute dyspnea in an interactive forum.

A2

Walking the Tightrope- Restarting Anticoagulation after Major Bleeding

Deepa Suryanarayan

  • Describe the clinical significance of major bleeding events in patients receiving anticoagulant therapy

  • Explore risk factors and outcomes post major bleeding in patients on anticoagulation.

  • Discuss the potential benefits and risks of restarting anticoagulation therapy after major bleeding and evaluate the evidence guiding optimal timing to resume anticoagulation and management

A3

Reducing the Risk of Kidney Decline in the Patient with CKD

Louis Girard

  • Discuss CV and kidney risk in patients with CKD

  • Highlight up to date methods for establishing cardiorenal risk in patients with CKD

  • Describe guideline based targets and therapeutics with strong evidence demonstrating cardiorenal risk reduction in patients with CKD

A4

The Retrospectoscope: A Case-Based Approach to
Illustrate How Autopsy Can Be Used as a Quality Improvement Tool

Amy Bromley

  • Describe the role of the autopsy in a modern medical practice

  • Identify cases in which an autopsy may be high yield

  • Utilize autopsy results for quality improvement

A5

Limb Preservation/Medical Management of PAD

Karim Manji, Sidra Javed

  • Identify risk factors for diabetes-related foot complications

  • List surgical management options for diabetes-related foot complications

  • Recognize opportunities to reduce risk of major amputation

16:55-17:00

Transition

17:00-18:00

Poster Presentations

Poster Abstract Authors

  • Appreciate interesting clinical case presentations in General Internal Medicine from various hospitals across Western Canada

  • Explain how different health care systems address quality improvement and safety initiatives

  • Describe local clinical research projects and how these results impact patient populations

Unaccredited
18:10-20:00

Medical Jeopardy and Dinner

Friday, Nov 17, 2023

07:03-08:30

Breakfast

08:30-09:25

Workshop Round 1

B1

Alphabet Soup - Management of T2DM in 2023

Janeve Desy

  • Describe the mechanisms of action of oral and injectable diabetes medications

  • Apply the latest guideline recommendations for treatment of type 2 diabetes

  • Individualize treatment of type 2 diabetes based on patient comorbidities

B2

Hot Topics in Obstetric Medicine

Jessica Cudmore

  • List updates on OAT in pregnancy

  • Explain what’s new in blood pressure management in pregnancy and postpartum

  • Describe the connection between hypertensive disorders in pregnancy and future cardiovascular health

B3

Optimizing GDMT in the Patient with Heart Failure

Lori Wik

  • Identify optimized goal-treatment approaches for all types and stages of heart failure

  • Describe systems to keep patients with heart failure at home

  • Review prevention and management of common barriers to medication titration

  • Identify strategies for comprehensive heart failure care in the community setting

B4

Management of Decompensated Cirrhosis for the General Internist

Meredith Borman

  • Identify how best to incorporate General Internal Medicine into the management of the patient with decompensated cirrhosis

  • List treatment modalities available for these patients

  • Recognize the merit of screening programs and how to implement them in your community clinic setting

B5

Cases in Atrial Fibrillation: Rate vs Rhythm

Ben Leis

  • Outline key literature around usefulness of rhythm versus rate control

  • Develop a process of considering and implementing rhythm control strategies using a case-based approach

09:25-09:35

Transition

09:35-10:30

Workshop Round 2

B1

Alphabet Soup - Management of T2DM in 2023

Janeve Desy

  • Describe the mechanisms of action of oral and injectable diabetes medications

  • Apply the latest guideline recommendations for treatment of type 2 diabetes

  • Individualize treatment of type 2 diabetes based on patient comorbidities

B2

Hot Topics in Obstetric Medicine

Jessica Cudmore

  • List updates on OAT in pregnancy

  • Explain what’s new in blood pressure management in pregnancy and postpartum

  • Describe the connection between hypertensive disorders in pregnancy and future cardiovascular health

B3

Optimizing GDMT in the Patient with Heart Failure

Lori Wik

  • Identify optimized goal-treatment approaches for all types and stages of heart failure

  • Describe systems to keep patients with heart failure at home

  • Review prevention and management of common barriers to medication titration

  • Identify strategies for comprehensive heart failure care in the community setting

B4

Management of Decompensated Cirrhosis for the General Internist

Meredith Borman

  • Identify how best to incorporate General Internal Medicine into the management of the patient with decompensated cirrhosis

  • List treatment modalities available for these patients

  • Recognize the merit of screening programs and how to implement them in your community clinic setting

B5

Cases in Atrial Fibrillation: Rate vs Rhythm

Ben Leis

  • Outline key literature around usefulness of rhythm versus rate control

  • Develop a process of considering and implementing rhythm control strategies using a case-based approach

10:30-11:00

Break

11:00-12:00

Workshop Round 3

B1

Alphabet Soup - Management of T2DM in 2023

Janeve Desy

  • Describe the mechanisms of action of oral and injectable diabetes medications

  • Apply the latest guideline recommendations for treatment of type 2 diabetes

  • Individualize treatment of type 2 diabetes based on patient comorbidities

B2

Hot Topics in Obstetric Medicine

Jessica Cudmore

  • List updates on OAT in pregnancy

  • Explain what’s new in blood pressure management in pregnancy and postpartum

  • Describe the connection between hypertensive disorders in pregnancy and future cardiovascular health

B3

Optimizing GDMT in the Patient with Heart Failure

Lori Wik

  • Identify optimized goal-treatment approaches for all types and stages of heart failure

  • Describe systems to keep patients with heart failure at home

  • Review prevention and management of common barriers to medication titration

  • Identify strategies for comprehensive heart failure care in the community setting

B4

Management of Decompensated Cirrhosis for the General Internist

Meredith Borman

  • Identify how best to incorporate General Internal Medicine into the management of the patient with decompensated cirrhosis

  • List treatment modalities available for these patients

  • Recognize the merit of screening programs and how to implement them in your community clinic setting

B5

Cases in Atrial Fibrillation: Rate vs Rhythm

Ben Leis

  • Outline key literature around usefulness of rhythm versus rate control

  • Develop a process of considering and implementing rhythm control strategies using a case-based approach

12:00-13:00

Lunch

Plenary
13:00-13:45

Top 5 Papers

Meghan Vlasschaert

  • Summarize the top 5 papers of 2023 that are highly relevant to General Internal Medicine

  • Discuss the limitations of the conclusions of the top 5 paper as it pertains to the General Internal Medicine patient population

  • Describe the implications of the top 5 papers to General Internal Medicine practice

Short Snapper
13:45-14:10

COVID-19 Treatment

Vikas Chaubey

  • Describe the classification of COVID severity

  • Apply therapies indicated based on severity of disease

  • Manage logistics of delivering outpatient therapy

Short Snapper
14:10-14:35

Hypertension Update

Nazli Baradaran

  • Apply hypertension canada guidelines in the complex medical patient

  • Carry out community practice management strategies for these patients with a focus on those with resistant or complicated hypertension

  • Describe the current evidence available for guiding management in this population

14:35-15:00

Break

Short Snapper
15:00-15:25

Refactoring our Approach to Thrombosis Management (Factor XI Inhibitors)

Deepa Suryanarayan

  • List the limitations and challenges associated with traditional anticoagulants in thrombosis management.

  • Describe the role of factor XI in the coagulation cascade and implications of FXI inhibition in management of thrombotic disorders

  • Explore the current evidence and clinical trials evaluating factor XI inhibitors for various thrombotic indications in both prophylactic and treatment settings

Short Snapper
15:25-15:50

Cardiac Amyloidosis

Nowell Fine

  • Identify the patient with cardiac amyloid in your practice

  • Review imaging and cardiac function modalities and how best to incorporate them into your practice

  • Identify treatment options for this patient population

Thought Experiment
15:50-16:30

Minding the Gap - Perception of GIM

Troy Pederson, Narmin Kassam, Lori Wik, Iain McCormick

  • To be familiar with the distinction between resource constraint and fiscal constraint in healthcare design and delivery

  • To imagine new options for healthcare delivery for complex patients

16:30-16:40

Closing Remarks

Lee-Ann Hawkins, Rahim Kachra

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